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Experts say San Diego took all the right steps in addressing what is now one of the largest hepatitis A outbreaks the country has seen in decades, but variables unique to the city’s situation contributed to the outbreak. At least 481 people have been infected and 17 have died of the infection since November in San Diego. Another 88 cases have been identified in Santa Cruz and Los Angeles counties, where hepatitis A outbreaks have been declared. (Schroeder, 10/8)

The Florida nursing home where 12 elderly residents died in the aftermath of Hurricane Irma has shut down and laid off its staff. The Rehabilitation Center at Hollywood Hills, Fla. laid off 245 employees and notified the state of the layoffs on Sept. 20, the Sun Sentinel reported Friday. (Thomsen, 10/7)

His mother and the Bakers oppose immunization on religious and health grounds. But now that the boy is in temporary state custody, the Kansas Department for Children and Families intends to vaccinate him despite the family’s wishes. (Rizzo, 10/8)

Several Maryland health department officials will appeal a Baltimore judge’s decision to hold them in contempt of court in a lawsuit over a shortage of hospital beds for mentally ill defendants. A spokeswoman for the Maryland Attorney General’s Office told The Baltimore Sun on Friday that the decision was made this week but the appeal hasn’t been filed. (10/7)

MassHealth, which covers the state’s poor and elderly residents, proposed new rules several weeks ago in an effort to tighten oversight and ensure “program integrity.” But the proposal caused a backlash in the adult day health industry, where executives said the rewritten rules would have eliminated nursing care and supervision for people who had nowhere else to turn. (Dayal McCluskey, 10/8)

Supporters of the incentives promised to Foxconn can only hope that the billions of dollars have the same effect on the state’s economy as Epic Systems in Verona has had. The company, which writes software for electronic health records, has hired about 3,200 people in the past three years alone. (Boulton, 10/6)

The first thing Dave Asprey will tell you about his newly opened Bulletproof Labs in Santa Monica is that it’s not a gym. Rather, he says, it’s the world’s first “human upgrade” facility dedicated exclusively to biohacking, or tweaking your biology for better performance. At first glance, the light-filled space adjacent to his Bulletproof Coffee café on Main Street certainly looks like a gym, with personal trainers standing by and gleaming equipment lined up. (Fulmer, 10/6)

The 120,000 Independence Blue Cross members in the Philadelphia area who faced potential loss of access to several community hospitals — Brandywine, Chestnut Hill, Jennersville Regional, Phoenixville, and Pottstown Memorial — can rest easy. Independence and Tower Health have reached a three-year deal to keep the five hospitals “in-network” for Independence members, the two organizations said Friday. Reading Hospital also will remain in-network; it could have fallen out in November. (Fernandez, 10/6)

More than 39,000 Floridians have signed up through the Florida Department of Health to receive medical marijuana as a form of treatment for a list of qualifying illnesses since the registry opened in 2016. (Griffin, 10/6)