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Death toll rises to 7 in fungal meningitis outbreak; cases at 34, 161 at risk

One of the medical clinics suspended by Mexican health authorities in Matamoros, Tamaulipas, Mexico, on May 19, 2023.

Enlarge / One of the medical clinics suspended by Mexican health authorities in Matamoros, Tamaulipas, Mexico, on May 19, 2023. (credit: Getty | AFP)

Three more people in the US have died from fungal meningitis in an outbreak linked to tainted surgeries in Mexico, bringing the total deaths to seven, the Centers for Disease Control and Prevention reported Thursday.

The total case count remains unchanged from an update earlier this month, with 34 cases in the US: nine confirmed, 10 probable, and 15 suspected. Health officials are investigating 161 others who may have been exposed.

The outbreak is linked to cosmetic surgeries involving epidural anesthesia at two clinics in Matamoros, Mexico, just across the border from Brownsville, Texas. Mexican and US officials suspect that a component of the anesthetic was contaminated, resulting in the pathogenic fungus Fusarium solani being injected directly into people's spinal cords. The tainted surgeries are thought to have occurred between January 1, 2023, to May 13, 2023, around when the clinics were shut down by local health officials.

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The Top 5 Longreads of the Week

Japanese eggplants lie next to a knife on a cutting board.

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Sifting through the aftermath of a disastrous blaze. The romance that launched a thousand Supreme Court opinions. A poetic ode to a simple life, well lived. Tracing the arc of food writing. And examining the hidden costs of a particularly sensitive surgical procedure. Our favorites of the week, pulled from all of our editors’ picks.

1. The Night 17 Million Precious Military Records Went Up in Smoke

Megan Greenwell | Wired | June 27, 2023 | 7,987 words

Megan Greenwell’s piece does what the best longform features do: It mesmerizes you with an opening so powerful and a story so compelling that you deliberately read it slowly, just to make it last. This piece—about a devastating fire at a branch of the National Archives and Records Administration that happened to contain records belonging to Greenwell’s grandfather—is nearly 8,000 words long, but the prose is so sharp and cinematic that you’ll wish it was longer. “The National Personnel Records Center fire burned out of control for two days before firefighters were able to begin putting it out,” she writes. “Photos show the roof ablaze, a nearly 5-acre field of flame. The steel beams that had once held up the glass walls jut at unnatural angles, like so many broken legs.” Even were it not set against a backdrop of the U.S. government, this would be a fascinating mystery: What or who started the fire and how do workers attempt to uncover precious facts from seriously damaged files? Did Greenwell’s grandfather’s records survive the blaze? Be sure to take it slow and let this story smolder. I’m certainly glad I did. —KS

2. Ginni and Clarence: A Love Story

Kerry Howley | New York | June 21, 2023 | 7,555 words

My husband sent me this story while I was reporting in Idaho last week, with a message that said, “Isn’t this by that writer you like?” The answer, reader, is yes. Kerry Howley’s 2022 story about anti-abortion activist Marjorie Dannenfelser was rightly named a finalist for a National Magazine Award—one of several nominations Howley’s work has received in the last several years—and I suspect this piece about Clarence and Ginni Thomas will be in the running for many, many honors. Whereas with Dannenfelser, Howley was shedding light on a powerful person who isn’t a household name, here she tackles two of the better-known political (yes, SCOTUS justices are political) figures in America. She does it without access to them, instead surveying pre-existing material on the Thomases with remarkable facility, mustering everything she needs, and nothing she doesn’t, to tell the story of their marriage. Take the seemingly mundane detail of Ginni telling a bunch of right-wing youth that her favorite charm on a bracelet Clarence gave her is a pixie because, to her husband, she is “kind of a pixie…kind of a troublemaker,” which Howley convincingly positions as a metaphor for the havoc Ginni has wreaked on American democracy. Consider this brilliantly constructed sentence: “They take, together, lavish trips funded by an activist billionaire and fail, together, to report the gift.” And that’s just in the first section! This piece is one for the ages in both substance and style. I mean, damn.SD

3. Obituary for a Quiet Life

Jeremy B. Jones | The Bitter Southerner | June 6, 2023 | 1,580 words

I have never before picked an obituary for our Top 5, but Jeremy B. Jones’ ode to his grandfather deserves recognition. At just over 1500 words, it’s not a particularly long piece, but it’s a particularly poetic one, and is enough to get to know—and respect—Jones’ Papaw. Ray Harrell lived a simple life on a little bit of land in Fruitland, North Carolina. To many, it would not be enough; for Harrell, it was plenty. After all, as Jones writes, he had “a reliable tractor and a fiery woman.” It was a good life because he appreciated what he had, was contented with his lot. Jones notes that these quiet lives often slip past unnoticed, “yet those are the lives in our skin, guiding us from breakfast to bed. They’re the lives that have made us, that keep the world turning.” A small essay about a simple life that I found hugely moving. —CW

4. Mother Sauce

Marian Bull | n+1 | June 15, 2023 | 3,978 words

In reviewing Rebecca May Johnson’s Small Fires, Marian Bull looks at how infusing recipes with introspection and experience begat the cooking memoir. What I loved about about this piece—besides spurring me to pick up Small Fires, which also appeared in our recent feature “Meals for One”—is that while Bull surveys chef memoirs, she hails Johnson’s book as one for the home cook, the self-trained enthusiast. “Johnson has inverted this form by writing a memoir of a recipe, rather than a ‘memoir’ with recipes,” she writes. Johnson looks at cooking as translation and recipes as a form of performance, which is comforting for someone like me who views a recipe as a guide: “The unpredictable ‘I that cooks,’ who resists the recipe again and again, generates new translations.” How inspiring and affirming to be invited to take a seat at this generous table where nothing is lost and everything is gained in translation. —KS

5. Inside the Secretive World of Penile Enlargement

Ava Kofman | ProPublica and The New Yorker | June 26, 2023 | 8,601 words

It’s easy to think that “men trying to upgrade their dongs” is a journalism cheat code of sorts. Having written about them myself many years ago, I can assure you that it’s not. Pitfalls abound. Tone is everything. Jokes are easy; reserve is hard. (So is avoiding double entendres.) Yet, Ava Kofman manages to thread every needle in her stunning examination of the state of penile-enlargement procedures, which focuses primarily on issues surrounding the popular Penuma implant. She writes compassionately about the patients, not dismissing the complex psychological situations that led them to pursue surgery. She writes unblinkingly about the doctor who popularized the procedure, and whose practice seems at times to operate with all the care of a 30-minute oil change joint—and about the surgeon who “was doing such brisk business repairing Penuma complications that he’d relocated his practice from Philadelphia to an office down the street.” And speaking of unblinking, I dare you not to wince as she plays fly on the wall during an implantation; you may never hear the phrase “inside out” the same way again. This story may have drawn you in with its imagined salaciousness, but it delivers something far better: truth. —PR


Audience Award

What piece did our readers love most this week? One that makes clear that the kids are not all right.

Bloodied Macbooks and Stacks of Cash: Inside the Increasingly Violent Discord Servers Where Kids Flaunt Their Crimes

Joseph Cox | Vice | June 20, 2023 | 2,111 words

Those looking for dirty deeds to be done seem to be going no further than the Comm, a series of Discord communities in which people order violence, including commissioning robberies for bitcoin, and organizing swats against vulnerable people for perceived slights and insults. For Vice, Joseph Cox infiltrated this vile, testosterone-fueled world of crime. —KS

The Class Politics of Instagram Face

You see it everywhere. On the Kardashian sisters, supermodels Bella Hadid and Emily Ratajkowski, influencers, and celebrities. It’s the “perfect” face of an ethnically ambiguous woman, composed of a chiseled nose, filled lips, a Botoxed forehead, and other cosmetic work. For Tablet, Grazie Sophia Christie examines our culture’s obsession with Instagram Face; the path toward “doomed, globalized sameness” in which women are just copies of one another; and how wealthy women can easily reverse what they’ve done to their face, discarding enhancements like just another fashion trend.

Instagram Face has replicated outward, with trendsetters giving up competing with one another in favor of looking eerily alike. And obviously it has replicated down.

But the more rapidly it replicates, and the clearer our manuals for quick imitation become, the closer we get to singularity—that moment Kim Kardashian fears unlike any other: the moment when it becomes unclear whether we’re copying her, or whether she is copying us.

One week countdown to second knee replacement surgery: 10 things Sam is doing to get ready

By: Sam B
Sleep Obviously it’s good to arrive at the hospital the day of surgery well rested. I’ll try to get a good night’s sleep the night before but more importantly I’ll try to get lots of regular sleep the week before. I’m doing pretty well these days. No 4 hour nights, followed by 10 hour nights.… Continue reading One week countdown to second knee replacement surgery: 10 things Sam is doing to get ready

Please let Sam have some good (even passable) bike riding weather before surgery!

By: Sam B
On the one hand, there’s this: The Beautiful and Terrifying Arrival of Early Spring. On the other hand, there’s my second knee replacement surgery April 11th. So I’m wishing for early spring so I can ride before surgery at the same time I’m worried about what that means for the pace of global warming and… Continue reading Please let Sam have some good (even passable) bike riding weather before surgery!

One month fitness countdown to my next knee replacement. Yikes!

By: Sam B
Today is Monday, March 6th. Last Monday, February 27th, I spent the morning at the hospital, London’s University Hospital, getting my left knee checked out by the surgical team. It’s been 6 months since total knee replacement surgery. While there we discussed the timeline for the next surgery, total knee replacement of my right knee.… Continue reading One month fitness countdown to my next knee replacement. Yikes!

A six month journey recovering from total knee replacement

By: Sam B
I thought it would help me, and maybe help others going through this, or contemplating going through knee replacement surgery, to see what the six month journey after knee replacement surgery looks like. For me, it’s to remind me–as much as anything–how far I’ve come, but also to think about what’s next as I gear… Continue reading A six month journey recovering from total knee replacement

On Reflection

“How do you quit troubleshooting yourself?” In this intimate personal essay, a queer writer with body dysmorphia contemplates their physical appearance and what it’s like to have a condition that prevents them from truly seeing their body.

I can’t tell you what my partner sees when they look at my body, nor what my coworkers see when I turn on my Zoom camera. I struggle to build my digital avatar. Yes, I have brown hair and brown eyes. No, I am not very tall. Beyond that—the shape of my face, the width of my hips and thighs—is a mystery to me. I’ve searched for myself in puddles and in bathwater, in dressing rooms and at golden hour. Pictures and videos show me someone brand new, so I look harder; not for beauty, not always, but for some consistent self-outline.

Themes from riding in the Arizona sunshine

By: Sam B
As this blog post is published my flight home from Arizona will be touching down at Pearson airport in Toronto. (Update: Fight delayed and so this blog post will be published first. Fine.) It’s been a wonderful week of philosophy, riding bikes, hiking, and generally hanging about in the Arizona sunshine. I’ve been trying think… Continue reading Themes from riding in the Arizona sunshine

Look at me! Walking for fun in the sun!

By: Sam B
I’ve got say after a few icy months of walking in Ontario, I’m loving the clear surfaces here in Arizona. Yes, it’s been frosty at night and there are signs warning us of winter driving conditions (we laughed), by the time the sun comes up (and so far that’s been consistently the way everyday) any… Continue reading Look at me! Walking for fun in the sun!
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