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13 of 16 Buncombe cases of gastrointestinal illness post-Helene caused by one type of bacteria • Asheville Watchdog

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avlwatchdog.org – ANDREW R. JONES – 2024-10-31 11:23:00

Buncombe County is facing an outbreak of bacteria-related illness in the wake of Helene triggered by one type of microorganism that is far outpacing others and likely brought on by hand hygiene and food handling issues. 

Since the storm, there have been 16 cases of gastrointestinal illness in Buncombe related to four common, powerful bacteria, according to North Carolina Health and Human Services data obtained by Asheville Watchdog. One in particular, campylobacter, caused 13 of the cases.

For the past five Octobers, the median number of campylobacter cases has been five. The 13 cases occurred between Oct. 1-19 alone, according to the data. Those include seven in the third week of the month.

“There has been an increase in campylobacter cases above baseline in Buncombe County in October,” the NCDHHS Division of Public Health’s Communicable Disease Branch told Buncombe health officials in an Oct. 24 email summarizing its findings. 

“Campylobacter typically is the most common reportable [gastrointestinal] illness in Buncombe County. Based on patient interviews that the [communicable disease] nurses have conducted, this increase does appear to be storm related with a variety of potential sources including deficiencies in appropriate hand hygiene, food handling, and/or cleaning of food preparation surfaces,” the NCDHHS notice said.

Buncombe had requested a report from NCDHHS following anecdotal evidence of an outbreak, according to the agency’s officials. 

Five days after the NCDHHS report was sent, Buncombe County Health and Human Services Medical Director Dr. Jennifer Mullendore addressed the outbreak in a public briefing, ensuing news release, and email to local health care providers.

“Following a major flooding event like we experienced with Hurricane Helene, there is an increased risk of gastroenteritis,” Mullendore said.

Research shows a hurricane and flood often bring with it several waves of sickness and injury, as The Watchdog reported Oct. 11.

Gastroenteritis is an illness that involves the stomach and/or the intestines. Symptoms can include vomiting, diarrhea, abdominal pain or cramping, headaches, muscle aches and fever. It can be caused by norovirus, hepatitis, cryptosporidium, E. coli, salmonella, shigella, giardia and campylobacter.

Why people are getting it is less clear, but there are a number of likely culprits.

Data tracked by North Carolina Department of Health and Human Services shows occurances of bacteria infections since Oct. 1. // Screenshot of NCDHHS report

“The risk of gastroenteritis increases for a variety of reasons, including contact with sewage or water that has been contaminated with human or animal waste, decreased ability for appropriate hand hygiene and safe food handling practices, lack of consistent refrigeration due to power outages; flooding can also wash organisms from livestock into areas where fruits and vegetables are grown, contaminating the produce,” Mullendore said. 

City of Asheville’s Water Resources lab staff is conducting daily testing throughout the damaged water distribution system for total coliform, E. coli and chlorine, the state noted in its report.

“E. coli and total coliform have not been detected in the distribution system,” according to the Oct. 24 email. 

By Oct. 30, those bacteria were still absent from test results. 

There were no E. coli cases in Buncombe County in October, according to the report.

Regardless of the source, health officials don’t know if the spike in cases is an anomaly or the beginning of a trend.

“It’s too early to know if this is the start of an increasing trend, a return to baseline, because these levels fluctuate routinely, or just a blip,” Mullendore said. “Epidemiologists at the state are continuing to monitor this data.”

‘Certainly unprecedented’

Systems to track diseases in North Carolina have existed for years, but Helene means experts are taking a more focused approach, keeping an eye on diseases that are more likely following a natural disaster.

“It’s definitely not business as usual,” state epidemiologist Dr. Zack Moore told The Watchdog

North Carolina State Epidemiologist Dr. Zack Moore // Photo provided by North Carolina Department of Health and Human Services

“We’re looking at the syndromes, the infections, that we know are likely following a disaster. And I don’t know when it’s going to end … In terms of lack of access to basic services, this is certainly unprecedented in North Carolina. So, you know, we’re still worried.” 

The state works closely with Buncombe County HHS to track disease outbreaks. According to Moore, the recent report was created because Buncombe told the state about reports of gastrointestinal cases. These cases are reported by local health care providers, including Mission Hospital, which has a dedicated epidemiologist. 

This is the first report the state has generated for Buncombe and potentially one of many to come, Moore said. Without access to potable water, basic sanitation or stable living situations, the risks of infections will linger.

“People don’t have access to these things now and in some cases, in some locations, they’re not going to for a while,” Moore said.

Focused tracking of these diseases will remain intact for as long as the need exists, Moore said, noting if Buncombe needs more data and guidance in the future, “we’ll create it.”

How to minimize your risk

Buncombe issued this guidance for avoiding sickness Oct. 28:

Use safe water:

  • Use bottled or disinfected water for drinking, cooking, brushing teeth.
  • If boiling: bring clear water to a rolling boil for 1 minute.
  • If using bleach: add eight drops of bleach per gallon, wait 30 mins.
  • Avoid well water until disinfected and tested.

Practice hand hygiene:

  • Wash hands with soap and clean water, or use sanitizer (60% alcohol).
  • Key times: before eating or preparing food, after bathroom use, after animal contact.

Sanitize food prep areas:

  • Clean surfaces with soap and safe water.
  • Use bleach solution (1 tbsp bleach per gallon of water) for sanitizing.

Follow food safety:

  • Discard unrefrigerated meat/dairy.
  • Cook food thoroughly and consume it hot.
  •  Avoid raw foods unless you’ve peeled them yourself.

If sick with diarrhea:

  • Stay hydrated with safe water.
  • See a doctor if you experience severe symptoms (e.g., high fever, dehydration).

Asheville Watchdog is a nonprofit news team producing stories that matter to Asheville and Buncombe County. Andrew R. Jones is a Watchdog investigative reporter. Email arjones@avlwatchdog.org. The Watchdog’s local reporting during this crisis is made possible by donations from the community. To show your support for this vital public service go to avlwatchdog.org/support-our-publication/.

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Poll: Robinson did not hurt other candidates | North Carolina

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www.thecentersquare.com – By Alan Wooten | The Center Square – 2024-11-21 14:09:00

SUMMARY: A recent poll indicates that nearly half of respondents believe Lt. Gov. Mark Robinson’s issues did not affect their voting choices. Robinson lost the gubernatorial race to Democratic Attorney General Josh Stein, with his campaign suffering from a CNN report linking him to a past porn chat room. Despite this, 50.1% of voters now feel America is on the right track, an increase from previous months. Stein holds a 53.2% approval rating, and other elections resulted in a split of statewide positions between Democrats and Republicans. The poll included 615 responses with a margin of error of +/- 3.94%.

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The post Poll: Robinson did not hurt other candidates | North Carolina appeared first on www.thecentersquare.com

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At least 3 of 43 fatalities in Buncombe were unhoused people • Asheville Watchdog

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avlwatchdog.org – JOHN BOYLE and SALLY KESTIN – 2024-11-21 06:00:00

Asheville Watchdog is bringing you the stories behind the staggering loss of life from Helene, the children, parents, grandparents, multiple generations of a single family, all gone in one of the worst natural disasters to hit the mountains of western North Carolina. This is the seventh installment.

Buncombe County’s homeless advocates feared the worst: Helene would be deadly for the dozens of unhoused people living along the banks of rivers and streams that turned into raging floodwaters.

“We thought that the death toll just in this population was going to be up in the 20s, 30s, just because of how many people camp on the rivers,” said Alanna Kinsella, homeless services director at Homeward Bound.

Read previous installments of The Lives We Lost.

Asheville Watchdog has identified three unhoused people of the 43 who perished in Buncombe from the Sept. 27 tropical storm: Jody Henderson, an Air Force veteran described by his sister as extremely loving, Calvin “Michael” McMahan, who liked to travel and preach to people he met, and Lisa Plemmons, a cook at an Asheville nursing home who was living in her car and had been featured in a previous installment of The Lives We Lost.

About five unhoused people remain unaccounted for, Kinsella said.

“Did they leave town before? Do we have their legal name? It’s really hard to know,” she said. “It could only be one or two people that are really actually missing.”

The toll on Asheville’s homeless community turned out to be lower than feared. The Asheville-Buncombe Homeless Coalition called a Code Purple beginning the morning of Sept. 26, opening shelter space for anyone who needed it and providing free bus transportation.

Teams that included community paramedics and outreach workers visited homeless encampments to warn people near water and urge them to seek shelter. Advocates were also able to spread the word about Code Purple early because of the persistent rains ahead of the storm.

At AHOPE, a day shelter run by Homeward Bound, “so many people were coming in here at that time because people needed to get dry, they needed to get supplies,” Kinsella said. “We were really able to disseminate that information really quickly.”

Many went to shelters, “and a lot of our campers really moved into the core of town,” Kinsella said.

In the weeks after the storm, advocates have been attempting to account for everyone. Asheville’s 2024 Point-In-Time count identified 739 people without housing, most in emergency shelters or transitional housing, but 219 were camping, sleeping in cars or on the street.  

The task has been difficult because some homeless people were known only by aliases or street names.

“It really took an entire community of us to come together and say, ‘Okay, I know that person’s legal name,’ or ‘I only know them by this,’“ Kinsella said. “It was a lot of really having to piece things together.

“It may be a while before we know the full scope of who all from our community, of people experiencing homelessness, have been lost.”

Here are two of their stories.

Jody Henderson

Jody Henderson’s life never was easy, but he “was one of the most loving people you would ever meet,” said his sister, Kathy Henderson Cook.

Her younger brother struggled with bipolar disorder and was often homeless and unable to work. Henderson had a high IQ and was good looking, she said, but the disease kept him hamstrung for most of his adult life.

“He had so much going for him, but he just couldn’t put that grasp on things and just stay with it,” Cook said. “He would float off, and then he would just get kind of loopy.”

Henderson, 63, died Sept. 27, swept away by Helene’s floodwaters, according to his death certificate. 

He had been staying at the Veterans Restoration Quarters on Tunnel Road in East Asheville, but Cook said he’d spent a couple of weeks at the VA hospital for mental health treatment.

On the day before Helene, Henderson was on a “weekend pass” from the VRQ and rented a cabin along the Swannanoa River at the KOA Campground. He needed a space that would accept dogs, as he didn’t want to go somewhere without his beloved mutt and emotional support dog, Bullet.

Cook said that on Sept. 27, as the river breached its banks and the water rose, her brother was standing on top of the cabin. An evacuation team had just arrived. As he often did when his situation was dire, Henderson called his sister.

“He called me at 9:17,” Cook said. 

Their conversation was short.

“He said, ‘Sis, I love you. The evac team just arrived. I’ll call you,’” Cook said. “He hung up, and he was gone.”

A witness at the campground said “it was around 10 o’clock when the building collapsed and everything went crazy,” Cook said.

Jody Nyle Henderson grew up with Cook in Chesnee, South Carolina, and had lived in California, Utah, Nevada, North Carolina and Texas before returning to Chesnee in 2018,  according to his obituary. He attended Chesnee High School and Spartanburg Community College before joining the U.S. Air Force.

He is survived by three children, Cook and another sister, Kristi Henderson Walker. A brother, Michael Kenneth Henderson, died previously.

Jody Henderson’s emotional support dog, Bullet, survived Helene’s flooding and is now living with a friend in Maryland. // Courtesy of Kathy Henderson Cook

“His final days were in a log cabin with his beloved dog Bullet by the Swannanoa River with a view of God’s beautiful creation surrounding him as he made new friends,” his obituary states. “Bullet was adopted by one of those new friends, Chelsea of Maryland, who rescued Bullet from the flooding.”

Cook said her brother easily made friends, including Chelsea, whom he met at the campground. She did not want her last name published. 

“He’d never met her. Didn’t know her, but of course, you know — two hours with Jody — best friends,” Cook said.

Cook, who called her brother “Bo,” said his death has been difficult, and she still has “moments where I tend to struggle with emotional issues.

“But as a whole, I know this was a blessing from God,” Cook said, explaining that she always worried about her brother, especially when he stopped his medications and was unhoused. 

He would end up in need and then call to come stay with her, she said.

“He would do anything for me — he just didn’t have the ability to fight the disease,” Cook said. “And I don’t hold that against him.”

She noted that her brother suffered from “tall tale syndrome,” exaggerating facts or making up stories.

She and her sister take comfort knowing that Henderson went out with a story that would normally be hard to believe, one involving a historic storm that showed immense power and swept away entire buildings. 

They’ve also taken comfort in the outpouring of support from the community, from churches to governmental agencies.

“It was a blessing to have to lose somebody and be as fortunate as we are in a community like we live in, to have people come together,” Cook said.

– John Boyle, Asheville Watchdog

Calvin “Michael” McMahan

Calvin McMahan’s sister feared the worst after Helene when she did not hear from the big brother who never went more than a few weeks without checking in.

Calvin “Michael” McMahan liked traveling to different places and preaching to the people he met. // Courtesy of Pamela Douthit

The last she knew, McMahan, who went by his middle name, Michael, had been in Asheville, said Pamela Douthit of Bryson City. “I was wondering where he was, hoping he was okay, worried to death,” she said.

Douthit said police told the family that McMahan had drowned in the storm. His body was found Sept. 30 on Glendale Avenue along the Swannanoa River in one of the areas hardest hit by flooding.

The official cause of death was “landslide injuries,” according to his death certificate.

McMahan, 63, was the oldest of 10 children and had been unhoused for the past 15 to 20 years, his sister said.

Michael McMahan, far right, was the oldest of 10 children. Eight of the McMahan siblings are pictured in this family photo with their mother, Mildred, front. // Courtesy of Pamela Douthit

“He lived everywhere,” she said. “He had property here in Swain County, but he wanted to travel. He wanted to visit different places, so he decided being homeless was his choice.”

McMahan liked to preach to the people he met. “He testified to people,” Douthit said. “He talked about God and how free we are and how thankful we are.”

McMahan visited his sister and her husband in Bryson City from time to time and would stay for a couple of weeks. “He said he had to do God’s work, so he went on out down the road,” she said.

McMahan had been staying under a bridge near the Swannanoa. His sister said he frequented homeless shelters in bad weather and must not have known about the dangerous flooding predicted in Helene.

Michael McMahan, right, as a child with his sisters, Pamela, middle, and Kathy. // Courtesy of Pamela Douthit

“I guess it just snuck up on him. He was asleep or something,” she said. “I hate that he had to go the way he did.” 

McMahan had a son and a daughter in Florida, she said. He had been a house painter and loved the guitar, though he did not know how to play.

“Like anyone else, he made mistakes, but he tried to do the best he could do for other people,” Douthit said.

McMahan had “some trouble with the law…He changed his life, and he started working for the Lord and doing what the Lord said to do. I was proud of that,” his sister said.

“I loved him. He was a good person,” she said. “He will be missed.”

– Sally Kestin, Asheville Watchdog


Asheville Watchdog is a nonprofit news team producing stories that matter to Asheville and Buncombe County. John Boyle has been covering Asheville and surrounding communities since the 20th century. You can reach him at (828) 337-0941, or via email at jboyle@avlwatchdog.org. Sally Kestin is a Pulitzer Prize-winning investigative reporter. Email skestin@avlwatchdog.org. The Watchdog’s local reporting during this crisis is made possible by donations from the community. To show your support for this vital public service go to avlwatchdog.org/support-our-publication/.

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Tar Heel Traveler: Little Pigs BBQ

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www.youtube.com – WRAL – 2024-11-20 21:49:59


SUMMARY: In Asheville, Scott Mason visits Little Pigs, the city’s oldest barbecue restaurant since 1963. Known for its hickory-smoked barbecue, hot dogs, and freshly roasted chicken, the eatery has become a local favorite, often attracting customers with its welcoming atmosphere. Owner Mr. Schwi converted the original gas station into a bustling restaurant that has stood the test of time, serving up delicious barbecue and homemade sauces. Despite minimal hurricane damage, Little Pigs has reopened, maintaining its reputation for quality and tradition. The restaurant is open daily, except Sundays, and remains cherished by patrons who appreciate its old-school charm.

It is Asheville’s oldest barbecue restaurant. Little Pigs opened in 1963 and has hosted several famous faces. Their pictures are on the wall, and the BBQ and broasted chicken is sizzling hot.

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