Vermont
Vt. legislative task force examining mobile home policy following flooding
BERLIN, Vt. (WCAX) – Dozens of Vermont mobile homeowners were hit hard by July’s catastrophic flooding, adding to the existing housing crisis. As some contemplate rebuilding or relocating, Vermont lawmakers are beginning to work on a long-term plan.
Village Homes in Berlin works with prospective homeowners to find the right fit.
“Everyone is looking for an affordable house, whether they’re trying to start a family or they’re trying to downsize an empty nest,” said manager Jason Rouleau.
Mobile homes are a key component of Vermont’s affordable housing stock, providing shelter for some 7,000 Vermonters. The communities are dotted throughout the state, most located on lots leftover from workers who built Vermont’s highway system. But many lie in flood plains and state officials say they are sometimes starved for public dollars.
“The idea of the defunct trailer park situation is one that’s in our popular culture in a way that doesn’t do justice to the folks that actually live there,” said Shaun Gulpin with the Agency of Commerce and Community Development.
During last year’s housing discussions, lawmakers acknowledged mobile home communities have been left out of the political spotlight, so this fall a special task force is digging into wide-ranging questions, including assessing the condition of mobile homes and their infrastructure needs.
“It’s important that we make sure mobile homes are both safe to live in energy-efficient not too expensive to maintain,” said Sen. Wendy Harrison, D-Windham County. She says they are also looking at longer-term questions — how they are governed and who is responsible for upgrades.
Many of the homes are privately owned but located on rented lots. The homes can run anywhere from $100,000 to $150,000 and are seen by many as the first step into homeownership. What’s still unclear is whether the work of this group could lead to the construction of more mobile home parks in Vermont and if so where they would be built.
With hundreds displaced from the floods, housing will likely play a big role next session.
Gulpin says the committee will also have discussions about where mobile homes should be located. “We’re going to have to make some hard decisions throughout this state and throughout the country about where our development patterns should be supported and where they should be removed,” he said.
FEMA trailers are now being shipped to Vermont to house people displaced by flooding. It’s not yet clear whether those who lost their homes will be given any kind of priority when buying or renting new homes.
Related Stories:
‘FEMA trailers’ headed to Vermont to help house flood victims
What is affordable housing in Vermont?
Flooding had outsized impact on 4 Vermont mobile home communitites
Are Vermonters going to build back in the same flood-prone areas?
Copyright 2023 WCAX. All rights reserved.
Vermont
He was shot in Vermont. Now he wants to go home to the West Bank : Code Switch
Suzanne Gaber
Hisham Awartani is a college student who was visiting family in Vermont over Thanksgiving break in 2023 when he and two of his friends were shot. All three young men are of Palestinian descent and all three were wearing keffiyehs when the attack happened. They all survived, but Awartani was left paralyzed from the waist down. Over the past year, he’s been recovering and adjusting to a new life that involves using a wheelchair.
Producer Suzanne Gaber has been following Awartani’s story since the shooting — from his physical recovery to the emotional hurdles he’s grappled with at Brown University, where he became a poster child of the divestment movement.
As Awartani prepares to return home to the West Bank for the first time since his injury, Gaber takes us through his year in recovery and what he hopes for as the war in his homeland continues to escalate.
This episode was reported for Notes From America with Kai Wright, a show from WNYC Studios about the unfinished business of our history, and how to break its grip on our future.
Companion Listening:
A Palestinian-American Victim of American Gun Violence Becomes A Reluctant Poster Child (February 19, 2024)
Still In Recovery From Being Shot, Hisham Awartani Commits To a Summer of Activism (June 6, 2024)
Our engineer was Josephine Nyonai.
Vermont
Favorite Vermont Foods and Drinks of 2024 | Seven Days
It can be tough to recall a year’s worth of meals. If you stick to three a day, which food writers rarely do, there are 1,095 to sort through — or 1,098 in a leap year like this one.
Scrolling through photos on my phone — my preferred method of memory jogging — reveals hints of this year’s highlights: my garden’s first asparagus crop, a semi-absurd number of diner meals and a sunny Super Lemonova shared with Adeline Druart, the new CEO of Lawson’s Finest Liquids. My fellow food writer Melissa Pasanen’s camera roll was full of Québécois food and drink from several trips north for work and pleasure. She also found a surprising number of pics of doughnuts, sweet and savory, including a screenshot of the summer special Lobster Doughie at Morse Block Deli & Taps in Barre, which she sadly never tasted herself — though one of our stellar interns did. There’s always next year.
For both of us, 2024 brought farmers market mornings, food truck afternoons and so many restaurant openings that we could barely keep up. As we assembled our favorite bites and sips of the year, we found that most came from new places to eat and drink. We’re happy for the injection of fresh energy, and we feel its positive repercussions in the local food scene.
In Seven Days style, here are this year’s seven favorites from each of us, in no particular order. As you’ll see, it was a good year for biscuits. But also for pawpaws, fancy carrot mochi and vermouth-based cocktails.
— J.B.
Happy as a Clam
Frankie’s, 169 Cherry St., Burlington, 264-7094, frankiesvt.com
If you’ve been paying attention to Vermont’s food scene this year, you won’t be surprised that Melissa and I both had Frankie’s on our favorites list. Why? Melissa summed it up simply: “So many of their dishes.”
I share the sentiment, citing the pork croquettes with a pickled rhubarb sauce that I’d like to drink, electric-green scallop crudo with cucumbers and fermented fennel, sweet corn tortelli, hearty sides of pommes purée and creamed corn, epically savory cabbage, and housemade creemees.
At Frankie’s in Burlington, Hen of the Wood Alums Throw a Party
At Frankie’s in Burlington, Hen of the Wood Alums Throw a Party
By Jordan Barry
First Bite
What I ordered most often at Frankie’s, in some form or another, were the littleneck clams. The swanky-cool restaurant’s proclivity for seafood is a welcome addition to the scene, and the clams are probably as close as its menu gets to a staple. At my first group dinner in the upstairs private dining room, the clams came with crème fraîche, pickled carrots and wild leek focaccia; a month later, with spring onions and green garlic; and in August, with sweet corn, charred jalapeños and pickled zucchini. Consensus, from the first meal on, is that “they slap.”
Cindi Kozak, Jordan Ware and their team have already received national press as one of Eater’s Best New Restaurants in America. I have no insider info or sway, but here’s a prediction: We’ll be writing a story about their James Beard Award nomination in 2025.
— J.B.
Doughnut Double-Down
Twisted Halo Café, 31 Cottonwood Dr., Suite 106, Williston, and 40 Bridge St., Waitsfield, twistedhalocafe.com
In 2024, we continued our food section tradition of kicking off the New Year with doughnuts rather than diets. I drew the short — or was that the long? — straw. The 4:30 a.m. alarm required by the assignment was richly rewarded with Emma Slater’s freshly fried Twisted Halo doughnuts.
Williston-Based Twisted Halo Raises the Bar for Fresh Doughnuts
Williston-Based Twisted Halo Raises the Bar for Fresh Doughnuts
By Melissa Pasanen
Food + Drink Features
In particular, her signature featherlight, crisply crenellated doughnut with a custardy interior is well worth an early wake-up call. Slater calls it a churro, though some might recognize it as an egg-rich, French-style cruller. I prefer it simply dusted with cinnamon sugar, but she dips some in dark chocolate glaze, if that’s your thing.
Extra good news is that this year has brought more days and locations for Twisted Halo. When I wrote about her, Slater was sharing the kitchen at Champion Comics and Coffee in Williston, but as of this month, she and business partner Taylan Hagen have officially assumed the lease and renamed it Twisted Halo Café. Comics are still on offer along with the fresh doughnuts, Tuesday through Sunday.
The Mad River Valley also got lucky. Since late summer, Slater has been operating a Twisted Halo Café in the former Sweet Spot in Waitsfield. In addition to doughnuts, pastries and coffee, that location launched a full breakfast menu in mid-December, with French toast, eggs, and breakfast sandwiches on house-baked brioches, croissants or English muffins.
A doughnut breakfast sandwich isn’t on the menu yet, but so many people have asked about one that “It’s a sign it has to happen,” Slater said.
— M.P.
A Beautiful Beverage
Specs, 7 W. Canal St., Winooski, specs-cafe-bar.com
I’ve found myself drinking less booze over the past year, partly because the local nonalcoholic options are so good and partly because my toddler wakes me up by 6 a.m. most days. When I have a cocktail or two, I tend to choose lower-ABV options. My favorite is the dry vermouth-and-sherry Bamboo, which I’ve had mixed success ordering off-menu around town.
Cue my excitement when Sam Nelis of Specs stirred up an Adonis, the Bamboo’s sweeter counterpart, for me to taste. I’d asked Nelis, in a sort of cheeky way, to share three drinks that sum up his Winooski café-bar-beverage mart. Based on the astonishing array of fortified wines stocked in his shop, I shouldn’t have been surprised that his mind went to the Adonis. (I also shouldn’t have been surprised that we tasted more like 10 drinks, between old-school frothy cappuccinos and his favorite Belgian beer.)
Get to Know Winooski’s Specs Café, Beverage Mart and Future Bar in Three Drinks
Get to Know Winooski’s Specs Café, Beverage Mart and Future Bar in Three Drinks
By Jordan Barry
Drink Up
True to his business’ name, Nelis also presented his specs for the drink. A stirred cocktail that originated in late-1800s New York City, the Adonis contains 1.5 ounces of Contratto vermouth rosso, 1.5 ounces of dry fino sherry, two dashes orange bitters and one dash Angostura bitters. Stir, serve in a coupe and garnish with an orange twist.
I’ve been following his recipe ever since, swapping out the Contratto for whichever fun fortified wine I spot among the 70 options on Specs’ shelves. When Nelis launches the full cocktail bar in spring 2025, I’ll be sure to order one there.
— J.B.
No Passing Fancy
Fancy’s, 88 Oak St., Burlington, 448-2106, fancysbtv.com, now taking reservations
They say absence makes the heart grow fonder, and that does hold true for the dish of carrot mochi I adored on my first visit to Fancy’s, the cozy restaurant that opened in the Old North End in April. The mochi then vanished from the menu, but there was always plenty else frickin’ delicious to eat.
I’ve loved every vegetable-forward dish (and the few with meat or fish) that has sprung from the imagination and kitchen of talented chef-owner Paul Trombly. He is a magician of flavor and texture, as demonstrated by his slender charred eggplants with coconut and South India sambar, as well as his chewy, caramelized halloumi with spiced seeds, date, mint and lemon. Fancy’s smashed cucumber salad is an edible symphony: zippy with lime and soy; crunchy with puffed, curry-dusted rice and candied cashews; and sweet-spicy with mango and house-pickled hot peppers.
At Fancy’s in Burlington, Chef Paul Trombly Delights in Vegetables
At Fancy’s in Burlington, Chef Paul Trombly Delights in Vegetables
By Melissa Pasanen
First Bite
Trombly’s small menu changes regularly based on what local farms supply, and it would be selfish to expect faves to stick around. Still, every time I returned to Fancy’s, I hoped for another bowl of the earthy, intensely carroty “mochi” dumplings, which glutinous rice flour rendered delightfully and unexpectedly bouncy.
Back in the summer, Trombly told me that the moisture-sensitive dumplings were too difficult to make in humid weather. On recent visits, I would not-so-subtly hint that summer was long over. In mid-December, I blinked twice when they finally reappeared on the menu. Each herb-and-cheese-strewn, springy bite was as delicious as my taste memory. Comfort me with carrot mochi.
— M.P.
Do the Jerk
Thingz From Yaad, opening by the end of December at 2026 Williston Rd., South Burlington, thingzfromyaadvt.com
I recently realized that I’m no longer allergic to coconut, and not a moment too soon. In the gray days of March, Shaneall Ferron’s coconut-crusted jerk corn was just the tropical jolt I needed.
Slathered in her signature jerk sauce and rolled in toasted coconut flakes, the skewered cobs were slightly sweet, slightly spicy and, as I wrote in April, “fantastically fun.” They’re a little messy, but that’s what the sticks are for.
Thingz From Yaad Kitchen to Open in South Burlington
Thingz From Yaad Kitchen to Open in South Burlington
By Jordan Barry
Food News
At the time, Ferron operated her Jamaican food biz, Thingz From Yaad, in a former dining hall in Colchester. This month, she plans to open a brick-and-mortar spot in South Burlington. I’ll happily gobble her traditional takes on oxtails or ackee and saltfish, while also looking forward to her new whimsical — and maybe skewered — creations.
— J.B.
My Bologna Has a First Name
Gallus Handcrafted Pasta, 92 Stowe St., Waterbury, 882-8206, gallushandcrafted.com
When our boys were little and their dad occasionally took charge of supper, sometimes he’d buy soft white sandwich bread and bologna and make fried bologna sandwiches. Much as I wrinkled my nose, I have to admit there’s something compelling about the combination of soft, buttery, fried bread and smooth, salty meat with tangy-sweet mayo.
It probably won’t make the chefs at Gallus Handcrafted Pasta in Waterbury happy to know those fried bologna sandwiches came to mind when I first tasted what I’d call a sleeper on their menu.
Gallus Handcrafted Pasta Opens in Waterbury’s Historic Gristmill
Gallus Handcrafted Pasta Opens in Waterbury’s Historic Gristmill
By Melissa Pasanen
First Bite
Gallus, a new venture of chef Eric Warnstedt’s Heirloom Hospitality, opened on June 26 in the historic Waterbury gristmill previously occupied by Warnstedt’s first restaurant, Hen of the Wood. (The latter relocated half a mile away.) Pasta is king there, and I wrote at length about the care with which the pasta team, led by executive chef and co-owner Antonio Rentas, crafts it in yolk-bright, silken sheets.
You’re going to order pasta, of course, but please don’t miss the gnocco fritto, which sit quietly in the menu’s “Share” section with little explanation. The pillowy, savory, fried dough diamonds come topped with wide ribbons of excellent freshly made mortadella (bologna’s relative) from Waitsfield’s 5th Quarter and a just-right drizzle of honey. They are everything that makes a fried bologna sandwich so good — and much more.
— M.P.
It’s All Gravy
Deep City, 112 Lake St., Burlington, 800-1454, deepcityvt.com
Deep City had this spot in the BAG.
Reflecting on the multitude of meals I ate this year, I didn’t find many repeats outside my Addison County takeout staples. But since this spring, when Charles Reeves took over the kitchen at Foam Brewers’ attached restaurant near the Burlington waterfront, I’ve gone out of my way for his iconic buttermilk biscuits slathered in green-tinted, herb-flecked cream gravy. Heck, my husband and I even chose Deep City brunch instead of a fancy dinner for our anniversary this year. I didn’t share.
Reinvented Deep City Brings Penny Cluse Café’s Beloved Brunch Back to Burlington
Reinvented Deep City Brings Penny Cluse Café’s Beloved Brunch Back to Burlington
By Jordan Barry
First Bite
Part of the dish’s appeal is the 24 years of nostalgia baked into every bite: Reeves was the longtime co-owner of the universally beloved Penny Cluse Café with his wife, Holly Cluse. When I covered his early plans to team up with the Foam folks, Reeves said Deep City wouldn’t be Penny 2.0. I’m not the only one who’s glad he changed his mind.
Menu items may have new names — look for the House of Spudology instead of a Bucket-o-Spuds — but the hits are there, including the deeply comforting biscuits and gravy. The starter-size version, called the BAG, is just right if, like me, you also want to get a little choked up over a chile relleno.
— J.B.
Thirsty Like the Wolf
Wolf Tree, 40 Currier St., White River Junction, 698-8409, wolftreevt.com
Ever since Wolf Tree opened in White River Junction in 2019, Jordan and I have had it on our list of destinations for its promising menu of creatively conceived drinks and classy, intimate setting. Unfortunately, it’s a 90-minute drive from Burlington — and, well, cocktails.
I was thrilled for many reasons when a dear friend moved to White River Junction, a town I have long crushed on for its idiosyncratic arts culture and vibrant food and drink scene.
For our “Three to Six Hours” series, my friend and I finished up a full day of exploring WRJ at Wolf Tree, which met all my long-held expectations. I had a hard time choosing from the large menu of intriguing cocktails, which includes a low-alcohol section — helpful for those who lack a designated driver or a local friend on whose floor they can crash.
Three to Six Hours in White River Junction, a Crossroads of Creativity
Three to Six Hours in White River Junction, a Crossroads of Creativity
By Melissa Pasanen
Culture
The Goldilocks, made with pineapple brandy, lemon, sesame orgeat and orange bitters, was just as the menu promised: “not too sweet, not too tart — juuuust right.” I’m planning another sleepover soon.
— M.P.
Butter My Butt and Call Me a Biscuit
Queen City Café, 377 Pine St., Burlington, 489-6412, queencitycafebtv.com
More biscuits! I know, I know. But Queen City Café’s biscuits are the biscuits.
Whether they’re holding together a bacon-laden breakfast sandwich with surprising ease or floating in a gussied-up chicken stew, these flaky, wood-fired biscuits are so good that they had me regularly braving the mess that was Pine Street for much of the year. The vegan one’s no slouch, either.
Queen City Café’s Biscuits Are Hot at Burlington’s Coal Collective
Queen City Café’s Biscuits Are Hot at Burlington’s Coal Collective
By Jordan Barry
First Bite
Chef-owner Sean Richards’ menu reflects both his early cooking career in Tennessee and food memories from his upbringing in Fair Haven — Vermont church lady food, as he put it. If the chef’s fare seems simple, that’s only because of how well he wields his fine-dining chops — and masters the former Myer’s Bagels wood oven. I usually complain about new wood-fired restaurants, given how many we have, but this one I’ll allow.
— J.B.
Pawpaw Patrol
Sugarsnap Farm pawpaws will not be available until October 2025. To grow your own from locally propagated plants, try Perfect Circle Farm in Berlin (perfectcircle.farm) or East Hill Tree Farm in Plainfield (easthilltreefarm.com).
Another year, another round of devastating floods. In the midst of this depressing new normal, an email from business owner and state legislator Abbey Duke landed in my inbox.
Duke has a small Intervale farm that grows some ingredients for her South Burlington-based Sugarsnap Catering. Like all the farms in the river floodplain, it boasts rich soil but now routinely floods during peak growing season. One bright spot, Duke wrote, has been pawpaws. A few trees she planted in 2010 had thrived despite repeated inundations, and her farm was expecting a bumper crop this year.
Say what?
The Tropically Flavored Pawpaw Fruit Thrives in Burlington’s Intervale
The Tropically Flavored Pawpaw Fruit Thrives in Burlington’s Intervale
By Melissa Pasanen
Agriculture
I had barely heard of pawpaws when Duke wrote to me, let alone tasted one, though I knew that some regions of the country have a taste for this cold-tolerant distant relation of soursop and cherimoya. Botanists believe the pawpaw was most likely carried north in the digestive tracts of fruit-loving mastodons.
In October, at peak harvest — the only time one can buy the delicate fresh fruit, which does not ship well — I headed down to the Intervale to see and taste what looked like small mangoes. The Sugarsnap farming team selected a perfectly ripe specimen for me to try. It was really good and shockingly tropical tasting for a locally grown fruit, with notes of coconut and frangipani flower.
Pawpaws won’t save Vermont farms, but they remind us that adaptation has been a constant since the mastodons migrated north.
— M.P.
Tonic Key
Rogue Rabbit, 9 Center St., Burlington, roguerabbitvt.com
I love a chunky pizza slice: Sicilian, Detroit-style and, thanks to Rogue Rabbit, Roman-style pizza al taglio. Abby Temeles and Jacob Shane’s thick square slices easily entered my Burlington lunch rotation this year.
Their casual café’s drink list, though, is what really got me. I loved it so much that I rewrote a Sound of Music classic around their menu: “Espresso with tonic and bitter Negronis / House wine, Vivid Coffee and lots of Peronis / NA Spaghett-i, all kinds of spritz / These are a few of my favorite things.”
Rogue Rabbit’s Pizza al Taglio Squares Up in Burlington
Rogue Rabbit’s Pizza al Taglio Squares Up in Burlington
By Jordan Barry
Food + Drink Features
Since I’m usually at Rogue Rabbit on a workday, the espresso tonic ended up topping that silly list for most consumed. There are quite a few good espresso tonics around Burlington, but whether it’s the pizza pairing or the spot-on proportions of espresso to tonic in the kinda bitter drink, Rogue Rabbit’s is the one I keep going back to.
Now I’ve got a new song to rewrite, with apologies to Sabrina Carpenter: “Thinkin’ ’bout that drink every day, oh / Is it that bitter? I guess so. / I’ll have one for lunch, baby, I know / That’s that tonic espresso.”
— J.B.
Soup Season
Leo & Co., 21 Essex Way, Suite 418, Essex, 857-5386, weareleoand.co
My Jewish grandmothers and mother would have appreciated the deep-dive story I wrote on Montréal’s Jewish food in April. My mum, especially, would have plotzed over the savory chicken liver spread I gobbled down at Snowdon Deli. I similarly plotzed over the unexpectedly delicious matzo ball soup I discovered at the new Leo & Co., much closer to home in Essex.
The counter-service café and market opened in July in the large space that was previously home to Sweet Clover Market. Owner Kayla Silver named her second Essex Experience business for her great-uncle Leo Keiles, who survived the Holocaust. It’s by no means a Jewish deli, but the top-notch matzo ball soup will help me manage until someone opens one of those.
Leo & Co. Brings Creative, Convenient Lunches to Essex
Leo & Co. Brings Creative, Convenient Lunches to Essex
By Melissa Pasanen
Food + Drink Features
The kitchen team roasts chicken bones for the rich broth loaded with veggies. The pair of tender, springy matzo balls in every serving are textbook-perfect and, surprisingly, gluten-free, thanks to Manischewitz gluten-free matzo ball mix.
Leo & Co. also uses a trick that I learned from my New York City grandma. “Always,” she told me with emphasis, “always put seltzer in your matzo balls.”
— M.P.
Flour and Flowers
The Bake Shop at Red Wagon Plants, 2408 Shelburne Falls Rd., Hinesburg, 482-4060, redwagonplants.com
As accidental bakeries go, the Bake Shop at Red Wagon Plants takes the cake. It also takes the cake for pretty much every other kind of bakery.
Through a series of very fortunate-for-us events, bakers Amy Vogler and Carey Nershi teamed up with Julie Rubaud and her Red Wagon Plants team to open an incredible little bakeshop in the nursery’s new herb-processing building. All growing season long, they stocked their glass pastry case with rustic yet refined chive-and-cheddar focaccia, chocolate sourdough, coconut buns, gluten-free brownies, jam pinwheels, banana-chocolate chip cookies, and other sweet and savory delights.
The Bake Shop at Red Wagon Plants Grows in Hinesburg
The Bake Shop at Red Wagon Plants Grows in Hinesburg
By Jordan Barry
Food + Drink Features
Red Wagon was already one of my favorite places. The new shop — with its window framing Camel’s Hump, sit-with-a-stranger-size table, abundant patio garden and meticulously crafted treats — made it practically perfect. It’s hard to choose a favorite item from Vogler and Nershi’s repertoire, so I’ll go with the lighter-than-air orange and golden raisin hot cross bun from the Bake Shop’s first hurrah on March 30.
The bakers are currently taking a break along with the nursery, but they plan to open for the season on April 11 and will pop up before that, on February 15 and March 29. Like the first blooms of spring, their return will be a bright spot to look forward to on winter’s bleakest days.
— J.B.
Noodling Around
Scrag & Roe, 40 Bridge St., Waitsfield, 496-3911, scragandroe.com
When chef Nathan Davis and his former business partner opened Scrag & Roe by the covered bridge in Waitsfield a year ago, the menu was global. The restaurant is still a perfect spot to witness the idiocy of drivers who think their truck will magically clear the bridge’s roof. But, as of September, diners can view such shenanigans while eating from an all-Asian roster.
Davis, now solo owner, makes recipes he fell in love with and learned to cook during six years of living and traveling in Asia. Those include umami-rich, dry-fried shiitake mushrooms with bacon, as well as smashed cucumbers with soy, chile and a slick of sesame oil. They’re all really good, but the standout is his dan dan noodles.
Ski-Town Eats: What’s New at Restaurants Near Vermont’s Slopes
Ski-Town Eats: What’s New at Restaurants Near Vermont’s Slopes
By Jordan Barry and Melissa Pasanen
Food + Drink Features
The bowl of bouncy noodles comes liberally dressed with ground beef in a tongue-tingling sauce that sings with chiles, Sichuan peppercorns, garlic, sesame, black cardamom, orange peel and fermented mustard root. Toasted peanuts add a satisfying crunch. My dining companion and I both deemed the complex, electric blend of flavors and textures craveable.
It’s a bit of a drive, but we’ll be back. Not in a truck.
— M.P.
Vermont
Vermont sees spike in pneumonia cases – VTDigger
This story by Clare Shanahan was first published in the Valley News on Dec. 23.
Two pneumonia-causing bacteria have been at especially high levels in Vermont and New Hampshire in recent weeks, leading to increased levels of illness.
At Dartmouth Hitchcock Medical Center, 97 patients with pneumonia went to the emergency room between September and November, compared to 46 during the same time last year, Dr. Michael Calderwood, chief quality officer at DHMC, said Friday. While final numbers aren’t yet available for December it “looks like the numbers may be improving.”
Pneumonia is an infection of the lungs often accompanied by fever, chills, cough, difficulty in breathing, fatigue and chest pain; it can be caused by multiple different viruses and bacteria, according to the Centers for Disease Control and Prevention.
The two types of potentially pneumonia-causing bacteria recently circulating in the region are: bordetella pertussis which causes whooping cough, a contagious respiratory infection that usually includes a severe cough and can lead to pneumonia, and mycoplasma pneumoniae, which causes walking pneumonia, a more mild form of illness that often does not require bed rest or hospitalization, Calderwood said.
Beyond DHMC, Vermont has seen a recent rise of respiratory illness outbreaks in schools believed to be specifically caused by mycoplasma pneumoniae, or walking pneumonia, Laura Ann Nicolai, deputy state epidemiologist and senior infectious disease program manager for Vermont, said in a Friday email statement.
Some children were specifically diagnosed with this kind of infection, but not all were tested for a specific pathogen by doctors.
The mycoplasma pneumoniae does not always cause pneumonia and often manifests as a chest cold. It mostly infects school-aged children, according to the Centers for Disease Control and Prevention, which has reported high levels of this bacteria nationwide.
Statewide, the Vermont Department of Health has received seven reports from school nurses of these respiratory illness outbreaks, ranging in size from five to 31 cases. One such outbreak occurred in a Windsor County school, Nicolai said.
The Department of Health issued a health advisory to providers and school nurses Nov. 22 warning them of increased pneumonia cases. Many of the cases are suspected to be caused by mycoplasma pneumoniae and providers should consider that patients may be infected with this bacteria, treat them accordingly and report “any unexpected pattern or cluster of illness” to the state, the advisory said.
The number of cases of pneumonia, flu and “other cold viruses” overall at Gifford Health Care’s primary care clinics and emergency department has been mostly typical over the past few months, though the number of children infected is higher than usual, Gifford spokesperson Ashley Lincoln said.
Doctors attribute the rise to “fewer kids getting vaccinated.”
Nationally, children born since the COVID-19 pandemic, between 2020 and 2021, were less likely to have received standard vaccinations that children get before turning 2, with one of the lowest rates being the pneumococcal vaccine that is recommended for children under 5, according to a September CDC study.
This vaccine covers the most common type of pneumonia, pneumococcal; it does not prevent walking pneumonia, for which there is no vaccine.
The pneumococcal vaccine is recommended for children under 5, adults over 50 and people at higher risk of respiratory illness. Whooping cough is prevented by the DTaP and Tdap vaccines that are recommended at different frequencies depending on a person’s age.
Pneumonia can also occur as a secondary infection after someone has had another respiratory illness such as a cold, the flu, COVID-19 or RSV, according to the American Lung Association.
Vaccinations against COVID-19, the flu and RSV can help protect against pneumonia, according to the CDC.
Some additional ways people can minimize the spread of disease include: washing hands, staying home when sick and “donning a mask in public if they are concerned about their own and others’ health,” Calderwood said.
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