Tag: Bureau of Infectious Diseases

  • State health department fires employee over abortion drug reference in newsletter

    State health department fires employee over abortion drug reference in newsletter

    Photo by Jane Norman/States Newsroom.

    BY: JAKE ZUCKERMAN – Ohio Capital Journal


    Two Ohio Department of Health employees lost their jobs after the publication of a newsletter with notice of a training program for a drug used in medical abortions. One was fired, another resigned.

    Jessica Warner, who worked in the sexually transmitted infections unit of the Bureau of Infectious Diseases, authored the department’s STI prevention training newsletter each month. It went out to clinical care providers and local health departments that focus on STIs and HIV in Ohio.

    In the May edition of the newsletter, Warner included an item about looming deadlines for a program through the University of Chicago that trains clinics on providing mifepristone. The drug is usually prescribed for women who experience a miscarriage or seek to induce an abortion within 10 weeks of gestation.

    The mifepristone reference in the newsletter spans about 20 words in length and occurs halfway through.

    “The Mifepristone item in the newsletter is in direct conflict with the agency’s mission and is an embarrassment to ODH,” reads a human resources report on Warner’s firing, which Warner provided to the Ohio Capital Journal.

    Warner was fired Friday. Her supervisor, Karen Nicosia, received a five-day suspension, according to ODH. Nicosia’s supervisor, Laurie Rickert, resigned effective as of Friday. Both Nicosia and Rickert could not be reached for comment.

    HR investigators asked Warner if she knew that her “advocacy” on mifepristone is not supported by the agency, according to a memorandum of their findings that Warner provided. They wrote that she’s aware of ODH’s “posture” on abortion issues. They asked if she believed the topic of abortions was contrary to ODH’s mission.

    “I would hope not,” Warner responded. “It is a public health issue and as public health workers, it would be counterproductive to ODH’s mission to not support health care initiatives … I did this intentionally and did nothing wrong in sharing public health care community resources to health care providers.”

     Screenshot of HR documentation provided by Jessica Warner. Investigators circled the newsletter item that sparked her ouster from ODH.

    While ODH’s memorandum on Warner’s conduct describes ODH’s anti-abortion stance, few outside the department were aware it exists. For instance, the two bipartisan leaders of the House Health Committee said they didn’t know ODH had a formal position on abortion. Lobbyists for both Planned Parenthood, which supports abortion, and Ohio Right to Life, which does not, said in interviews they were unaware as well.

    The department is ran by an appointee of Gov. Mike DeWine, who in 2019 signed one of the most restrictive abortion laws in the nation.

    Warner, an ODH employee since June 2019, sent her last newsletter out at 9:24 a.m. on May 6. Eleven minutes later, Nicosia texted Rickert warning that the newsletter included a mention about a “funding opportunity to expand access to abortion medications.” Rickert, who was on jury duty, couldn’t respond until 10:45 a.m. Warner, at Nicosia’s behest, sent out a “corrected” version without the “abortion-related content” at 11:34 a.m.

    While the mifepristone item drives much of the HR investigation’s focus, the report also lays out elements of various editions of the newsletters that ODH took umbrage with.

    For instance, ODH questioned Warner about newsletter pieces noting National Masturbation Month; Honor Our LGBT Elders Day; International Day Against Homophobia, Panseuxual and Panromantic Visibility Day; SLAM (Sexuality, Liberators, and Movers); Black and Blue – Suicide in our own Leather, Kink and Queer Communities; and National Condom Month.

    Warner said the investigators were particularly interested in the masturbation month element. As she told them, masturbation acts as a preventative to reduce STI transmission. It also functions as a sexual alternative for people who test positive for an STI who don’t wish to spread it to others. Nicosia made similar comments in her interview with HR.

    During the interview, Warner noted she knew that ODH couldn’t work with Planned Parenthood or award it any grants. The investigators asked if she knew why.

    The mifepristone bit overshadowed a grim snapshot of STIs in Ohio noted in Warner’s newsletter. Syphilis, it states, is rising across Ohio in adults and newborn babies of infected mothers. Total syphilis cases increased 46% over a three-year period, and congenital (spreading to a fetus) cases increased from 19 in 2019 to 48 in 2021 — a 152% leap.

    The technical answer: In 2016, Gov. John Kasich signed a GOP-backed law requiring ODH to ensure that its various programs to combat diseases like HIV or cervical cancer didn’t award grants to organizations that perform or promote “nontherapeutic” abortions. The law was upheld in 2019 by a federal appellate court in a challenge brought by Planned Parenthood of Greater Ohio, which provides abortions along with many other services like cervical cancer screenings and HIV testing.

    Warner, however, answered that it’s because politicians’ “ignorance and opinions get in the way of providing access to necessary health care to Ohioans.”

    Investigators later said Warner “displayed contempt and disrespect to elected leaders” in response to her questioning.

    ODH did not respond to a list of specific questions for this article. Ken Gordon, a department spokesman, said the department generally doesn’t comment on personnel matters. However, he said ODH “disagrees with the characterization of why the employee was terminated.” He declined to answer follow-up questions.

    “As to the issue of abortion, the department follows applicable laws, including Ohio Revised Code 3701.034, which prohibits the use of funding to promote nontherapeutic abortion,” he said.

    Warner’s firing occurred amid a fever pitch of the fight over abortion access in America. The newsletter itself came out three days after the news outlet Politico obtained a leaked, draft version of a Supreme Court decision that reportedly had the votes to overturn Roe v. Wade. She was fired in late June. The Supreme Court is expected to issue its final opinion in the case by month’s end.

    Nicosia noted the timing in her interview with ODH and accused Warner of being an advocate. Warner said she was doing her job as a public health worker.

  • Health department epidemiologist resigns after state discovers 4000 omitted COVID-19 deaths

    Health department epidemiologist resigns after state discovers 4000 omitted COVID-19 deaths

    By Jake Zuckerman and Ohio Capital Journal

    An epidemiology investigator resigned last week and the head of the Bureau of Infectious Diseases was reassigned after the state health department discovered it undercounted Ohio’s COVID-19 death toll by about 34%.

    Karthik Kondapally resigned from the Ohio Department of Health, said Arundi Venkayya, the department’s chief communications officer, in an email last Friday.

    Likewise, Sietske de Fijter, the former chief of the Bureau of Infectious Diseases, has been reassigned to an unspecified position in the Bureau of Health Improvement and Wellness. She will also no longer serve as chief epidemiologist.

    She will be replaced at the bureau by Kristen Dickerson, who previously served as the manager for statewide health, wellness and special programs at the Bureau of Workers’ Compensation.

    Venkayya did not respond when asked whether the changes were made in connection with ODH’s announcement last week that a human error reconciling two mortality data sets led to the omission of about 4,000 deaths from COVID-19.

    She did not directly answer who will take over as the state epidemiologist.

    “These changes are very recent and we are working through the process,” Venkayya said.

    ODH Director Stephanie McCloud, herself a recent transplant from the Bureau of Workers’ Compensation, briefed reporters on the death discrepancy Thursday.

  • Ohio Department of Health urges earlier vaccination as flu season approaches

    Ohio Department of Health urges earlier vaccination as flu season approaches

    With the approach of flu season, the Ohio Department of Health (ODH) is recommending all Ohioans 6 months and older get a flu shot as soon as possible. The Centers for Diseases Control and Prevention (CDC) is urging vaccination by the end of October.

    Flu activity traditionally begins to increase in October.

    Flu activity traditionally begins to increase in October and can last as late as May, with cases typically peaking between December and February. CDC recommends a yearly flu vaccine as the best protection against seasonal flu viruses. Flu vaccines have been updated this year to better match circulating flu viruses.

    Flu vaccines have been updated this year to better match circulating flu viruses.

    “Flu vaccination can help keep you from getting sick, missing work or school, and prevent flu-related hospitalization and death,” said Sietske de Fijter, State Epidemiologist and Chief, Bureau of Infectious Diseases. “Getting your flu shot helps protect all, including older adults, very young children, pregnant women, and people with certain long-term health conditions who are more vulnerable to serious flu complications.” Symptoms of influenza can include fever, cough, sore throat, body aches, headache, chills, and fatigue.

    “If you are sick with the flu, stay home from work or school to prevent spreading it to others,” said de Fijter.

    Although most people fully recover from the flu, some experience severe illness like pneumonia and respiratory failure, and the flu can sometimes be fatal. People who think that they may have the flu and are pregnant, have an underlying medical condition, or who are extremely ill should contact their healthcare provider immediately.

    Other effective ways to avoid getting or spreading it include: washing hands frequently or using alcohol-based hand sanitizer; covering coughs and sneezes with tissues or coughing or sneezing into elbows; avoiding touching eyes, nose and mouth; and staying home when sick and until fever-free for 24 hours without using fever-reducing medication.

    Flu vaccines are offered by many doctor’s offices, clinics, health departments, pharmacies and college health centers, as well as by many employers and some schools. While vaccination provides the greatest protection against the flu, other effective ways to avoid getting or spreading it include: washing hands frequently or using alcohol-based hand sanitizer; covering coughs and sneezes with tissues or coughing or sneezing into elbows; avoiding touching eyes, nose and mouth; and staying home when sick and until fever-free for 24 hours without using fever-reducing medication.

    CDC recommends that healthcare providers administer prescription antiviral medication as a second line of defense as soon as possible to patients with confirmed or suspected flu who are hospitalized, have severe illness, or may be at higher risk for flu complications.

    More information about influenza and flu activity in Ohio is available at www.flu.ohio.gov.



    New classes starting September 4th at Sangha Yoga in Historic Downtown

    Advertisement Sangha Yoga Studio in Loveland is offering 60 minute AM Yoga classes on Tuesday and Thursday mornings, beginning September 4th at 9:30 AM.