Tero Vesalainen / iStock / Getty Images
By Julia Ries
- Two flu strains are overlapping each other this flu season.
- This means you can get sick twice from different flu strains.
- While the flu vaccine isn't a perfect match, it's the best defense against the flu.
To say this flu season has been abnormal is an understatement.
<p>For one, the flu season got its earliest start in 16 years.</p><p>Up to 18 million people have gotten the flu this year, according to the <a href="https://www.cdc.gov/flu/about/burden/preliminary-in-season-estimates.htm" target="_blank">Centers for Disease Control and Prevention's (CDC) latest estimates</a>. Up to 210,000 people have been hospitalized and thousands have died, including <a href="https://www.cdc.gov/flu/weekly/#S3" target="_blank">39 children</a>.</p><p>We're also seeing B strains of the flu dominate, something that hasn't happened in the United States in nearly 30 years.</p><p>And, unfortunately, the vaccine missed the mark with B/Victoria, the most common strain we're seeing this year. The CDC believes the shot only covers about <a href="https://www.healthline.com/health-news/flu-season-2020-what-to-know#The-vaccine-isnt-perfect,-but-it-helps" target="_blank">58 percent</a> of B-linked cases.</p><p>Now, halfway through flu season, A strains are picking up, increasing the odds we'll have a "double-barreled flu season," in which two strains strike back to back — a pattern health experts say is extremely rare.</p><p>Between the early start, rise in B strains, and recent spike in A-strain illnesses, this flu season officially has infectious disease experts stumped.</p><p>"This season has turned a lot of [what we know about flu] on its head," said <a href="https://www.vumc.org/health-policy/person/william-schaffner-md" target="_blank">Dr. William Schaffner</a>, an infectious disease specialist with Vanderbilt University Medical Center and the medical director at the National Foundation for Infectious Diseases. "There's a lot we know, and even more we don't know about flu."</p>
<p> <em>Reposted with permission from </em><a href="https://www.healthline.com/" target="_blank"><em>Healthline</em></a><em>. For detailed source information, please view the original article on </em><em><a href="https://www.healthline.com/health-news/get-the-flu-twice-this-year" target="_blank">Healthline</a></em><em>.</em><br><em></em></p>
Double-Barreled Flu Season
<p>A double-barreled flu season occurs when two flu outbreaks overlap one another, a pattern which is very unusual, according to flu experts.</p><p>Last year, for example, we saw A/H1N1 infections peak early, followed by another wave of A/H3N2 infections.</p><p>Though the predominant strains are different this year, we're seeing the same pattern play out: Activity took off with B/Victoria and now that second wave of A/H1N1 is coming for us, according to Schaffner.</p><p>"Around the country, my colleagues and I are seeing H1N1 come up strong, and it's now about 50-50 [with B/Victoria]," Schaffner told Healthline.</p><p>The most worrisome part of a double-barreled flu season is that you can get sick twice.</p><p>Just because you caught a B-strain flu doesn't mean that you're immune from the A strains.</p><p>"There will be the rare person who gets two flu infections in the same season — one with B and one with H1N1," Schaffner said.</p><p>Though there will be some protection within each strain — in that contracting an A strain will protect you against other A strains, and B strains will protect against other B's — there's not much cross protection.</p><p>A double-barreled season also means we're more likely to see a prolonged influenza season.</p>What to Know About B and A Strains
<p>The fact that B strains are predominating this year isn't just confusing, it's concerning as well.</p><p>B strains haven't hit this hard for nearly 30 years, since during the 1992–1993 season, the CDC told Healthline.</p><p>Additionally, we didn't see much of the B strain in the past couple of years, according to <a href="http://www.linkedin.com/in/norman-moore-908577a/" target="_blank">Dr. Norman Moore</a>, the director of infectious diseases for <a href="https://www.abbott.com/corpnewsroom/healthy-communities/your-kids-got-the-flu.html" target="_blank">Abbott</a>.</p><p>This means that many people — especially kids — have never been exposed to the strain, and consequently, don't have residual immunity against it.</p><p>"When there's a rarity, it actually sets you up for another bigger push to get it, because at that point, we really don't have anybody with any strong immunity going around, so we're all potential vessels for getting exposed and transmitting it," Moore said.</p><p>This is one of the reasons kids are being hit harder this year. They've never been exposed to this type of the flu — it's their first go around.</p><p>"These kids are just brand new to getting flu B," Moore said.</p><p>And because we haven't seen much of the B/Victoria strain in the past few years, this year's vaccine missed the mark.</p><p>"We thought initially the match was perfect, but it's not. It's off a little bit, and that means in many populations the vaccine is not going to function optimally," Schaffner explained.</p><p>Fortunately, the vaccine covers H1N1 well. According to Schaffner, the match to H1N1 is right on.</p><p>And because A strains circulate every year, most people have built up at least some "immune memory" to it — despite the fact these strains change and mutate each year.</p><p>"Our past experience with influenza viruses does give us some residual protection that lasts," Schaffner said.</p>There’s Still Time to Get Vaccinated
<p>"It's not too late," Moore said about the vaccine, noting that we still don't know for sure what's going to happen next.</p><p>If flu A continues to get worse, as predicted, the flu shot will protect you through the rest of the season.</p><p>And even though the vaccine isn't a perfect match to B strains, it can still help lessen the severity of the flu.</p><p>"If you've been vaccinated, and even if there is a mismatch, you are likely to have a less severe infection when you get it," Schaffner said.</p><p>Remember: By getting immunized, you're not only protecting yourself, but others as well who may be more at risk for developing severe complications — like the elderly, pregnant women, children under 2, and immunosuppressed people.</p><p>"When we protect ourselves, we are really protecting those around us," Moore said.</p>The Bottom Line
<p>Health experts say this has been an extremely unusual flu season. It started very early with a strain that we typically don't see much of. Now, another strain is building momentum and creating a path for what's known as a double-barreled flu season, in which two types of flu strike back to back. With a second wave coming, flu experts say it's not too late to get vaccinated before things pick up again.</p>From Your Site Articles
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EcoWatch Daily Newsletter
What the Flu Does to Your Body, and Why It Makes You Feel So Awful
12 February 2018
Health + Wellness
By Laura Haynes
Every year, from 5 to 20 percent of the people in the U.S. will become infected with the influenza virus. An average of 200,000 of these people will require hospitalization and up to 50,000 will die. Older folks over the age of 65 are especially susceptible to influenza infection, since the immune system becomes weaker with age. In addition, older folks are also more susceptible to long-term disability following influenza infection, especially if they are hospitalized.
<p>
We all know the <a href="https://www.cdc.gov/flu/consumer/symptoms.htm" target="_blank">symptoms of influenza</a> infection include fever, cough, sore throat, muscle aches, headaches and fatigue. But just what causes all the havoc? What is going on in your body as you fight the flu?
</p><p>
I am a researcher who specializes in immunology at the University of Connecticut School of Medicine, and my laboratory focuses on how influenza infection affects the body and how our bodies combat the virus. It's interesting to note that many of the body's defenses that attack the virus also cause many of the symptoms associated with the flu.
</p><p><strong>How the Flu Works Its Way Into Your Body</strong></p><p>
Influenza virus causes an infection in the <a href="https://www.cdc.gov/flu/keyfacts.htm" target="_blank">respiratory tract</a>, or nose, throat and lungs. The virus is inhaled or transmitted, usually via your fingers, to the mucous membranes of the mouth, nose or eyes. It then travels down the respiratory tract and binds to epithelial cells lining the lung airways via specific molecules on the cell surface. Once inside the cells, the virus hijacks the protein manufacturing machinery of the cell to generate its own viral proteins and create more viral particles. Once mature viral particles are produced, they are released from the cell and can then go on to invade adjacent cells.</p><p class="shortcode-media shortcode-media-rebelmouse-image">
<img type="lazy-image" data-runner-src="https://assets.rebelmouse.io/eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJpbWFnZSI6Imh0dHBzOi8vYXNzZXRzLnJibC5tcy8xNzE5NjgyNy9vcmlnaW4uanBnIiwiZXhwaXJlc19hdCI6MTYyNzA5OTM4M30.EYnF5QHuO8tSRTvucO4AEe5qWlJp-LguU2UbQi4_xOc/img.jpg?width=980" id="b2f70" class="rm-shortcode" data-rm-shortcode-id="70c676c5018f4027f26e11f23f989ab0" data-rm-shortcode-name="rebelmouse-image">
<small class="image-media media-caption" placeholder="add caption...">Influenza gets a foothold in the respiratory tract but can make a person feel bad all over. </small><small class="image-media media-photo-credit" placeholder="add photo credit...">Africa Studio / Shutterstock.com</small></p><p>While this process causes some lung injury, most of the symptoms of the flu are actually caused by the immune response to the virus. The initial immune response involves cells of the body's innate immune system, such as <a href="https://www.hindawi.com/journals/mi/2016/5894347/" target="_blank">macrophages and neutrophils</a>. These cells express receptors that are able to sense the presence of the virus. They then sound the alarm by producing small hormone-like molecules called <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2785020/" target="_blank">cytokines</a> and <a href="https://www.news-medical.net/health/What-are-Chemokines.aspx" target="_blank">chemokines</a>. These alert the body that an infection has been established.<br></p><p>
Cytokines orchestrate other components of the immune system to appropriately fight the invading virus, while chemokines direct these components to the location of infection. One of the types of cells called into action are <a href="https://www.medicinenet.com/script/main/art.asp?articlekey=11300" target="_blank">T lymphocytes</a>, a type of white blood cell that fights infection. Sometimes, they are even called "soldier" cells. When T cells specifically recognize influenza virus proteins, they then begin to proliferate in the lymph nodes around the lungs and throat. This causes swelling and pain in these lymph nodes.
</p><p>
After a few days, these T cells move to the lungs and begin to kill the virus-infected cells. This process creates a great deal of lung damage similar to bronchitis, which can worsen existing lung disease and make breathing difficult. In addition, the buildup of mucous in the lungs, as a result of this immune response to infection, induces <a href="https://www.medicalnewstoday.com/articles/320190.php" target="_blank">coughing as a reflex</a> to try to clear the airways. Normally, this damage triggered by arrival of T cells in the lungs is reversible in a healthy person, but when it advances, it is bad news and can lead to death.
</p><p>
The proper functioning of influenza-specific T cells is critical for efficient clearance of the virus from the lungs. When T cell function declines, such as with increasing age or during use of immunosuppressive drugs, viral clearance is delayed. This results in a prolonged infection and greater lung damage. This can also set the stage for complications including secondary <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5481322/#B24" target="_blank">bacterial pneumonia</a>, which can often be deadly.
</p><p><strong>Why Your Head Hurts So Much</strong></p><p>
While the influenza virus is wholly contained in the lungs under normal circumstances, several symptoms of influenza are systemic, including fever, headache, fatigue and <a href="https://www.cdc.gov/flu/consumer/symptoms.htm" target="_blank">muscle aches</a>. In order to properly combat influenza infection, the cytokines and chemokines produced by the innate immune cells in the lungs become systemic—that is, they enter the bloodstream, and contribute to these systemic symptoms. When this happens, a cascade of complicating biological events occur.
</p><p>
One of the things that happens is that <a href="https://www.ncbi.nlm.nih.gov/pubmed/9620641" target="_blank">Interleukin-1</a>, an inflammatory type of cytokine, is activated. Interleukin-1 is important for developing the killer T cell response against the virus, but it also affects the part of the brain in the hypothalamus that regulates body temperature, resulting in fever and headaches.
</p><p>
Another important cytokine that fights influenza infection is something called "<a href="https://www.webmd.com/rheumatoid-arthritis/how-does-tnf-cause-inflammation#1" target="_blank">tumor necrosis factor alpha</a>." This cytokine can have<a href="http://jvi.asm.org/content/76/3/1071.full" target="_blank"> direct antiviral effects</a> in the lungs, and that's good. But it can also cause fever and appetite loss, fatigue and weakness during influenza and other types of infection.
</p><p><strong>Why Your Muscles Ache</strong></p><p>
Our research has also uncovered another aspect of <a href="http://www.aging-us.com/article/100882/text" target="_blank">how influenza infection affects our bodies</a>.
</p><p>
It is well-known that muscle aches and weakness are prominent symptoms of influenza infection. Our study in an animal model found that influenza infection leads to an increase in the expression of muscle-degrading genes and a decrease in expression of muscle-building genes in skeletal muscles in the legs.
</p><p>
Functionally, influenza infection also hinders walking and leg strength. Importantly, in young individuals, these effects are transient and return to normal once the infection was cleared.
</p><p>
In contrast, these effects can linger significantly longer in older individuals. This is important, since a decrease in leg stability and strength could result in older folks being more prone to falls during recovery from influenza infection. It could also result in long-term disability and lead to the need for a cane or walker, limiting mobility and independence.
</p><p>
Researchers in my lab think that this impact of influenza infection on muscles is another unintended consequence of the immune response to the virus. We are currently working to determine what specific factors produced during the immune response are responsible for this and if we can find a way to prevent it.
</p><p>
Thus, while you feel miserable when you have an influenza infection, you can rest assured that it is because your body is fighting hard. It's combating the spread of the virus in your lungs and killing infected cells.
</p><p>
<em>Reposted with permission from our media associate <a href="https://theconversation.com/what-the-flu-does-to-your-body-and-why-it-makes-you-feel-so-awful-91530" target="_blank">The Conversation</a>.</em>
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Xsandra / Getty Images
Looking for ways to cut down on single-use plastic while grocery shopping? You may already have eco-friendly shopping bags, but bringing your own reusable produce bags is another easy swap.
According to the UN Environment Program, up to 5 trillion single-use plastic bags are used globally each year, and because of the material they're made from, most municipal recycling centers don't accept them (more on this below).
The most sustainable option is to skip the bag altogether. You can also make your own reusable produce bags out of old T-shirts. But if you'd rather purchase them new, here are our recommendations for the best reusable produce bags on the market today.
<p><em>Each product featured here has been independently selected by the writer. If you make a purchase using the links included, we may earn commission.</em></p>
<h2>Why make the switch to reusable produce bags?<br/></h2><p>According to the <a href="https://www.unep.org/interactive/beat-plastic-pollution/" rel="noopener noreferrer" target="_blank">UN</a>, humans produce 300 million tons of plastic waste each year, and about 60% of the plastic produced since the early 1950s has ended up in a landfill or the natural environment.</p><p>Plastic grocery bags and produce bags are made from low-density polyethylene (LDPE). Technically, this type of <a href="https://www.ecowatch.com/plastic-recycling-myth-2647706452.html" target="_self">plastic can be recycled</a>. However, in practice, plastic bags easily clog recycling machinery, so <a href="https://millerrecycling.com/ldpe-out-of-landfills" rel="noopener noreferrer" target="_blank">most municipal recycling centers</a> do not accept this type of material.</p><p>A <a href="https://www.epa.gov/sites/production/files/2018-07/documents/smm_2015_tables_and_figures_07252018_fnl_508_0.pdf" rel="noopener noreferrer" target="_blank">study by the EPA</a> showed that only about 6% of the LDPE generated in 2015 was recycled. Other types of plastic, by comparison, were recycled at 18% and 10% rates.</p>Although some <a href="https://www.ecowatch.com/vancouvers-grocery-store-plastic-bags-2638807121.html" target="_self">grocery stores</a> offer plastic bag recycling, the easiest way to get around this is to refuse plastic bags in the first place. Many cities have instituted <a href="https://www.ecowatch.com/new-york-plastic-bag-ban-begins-2645319695.html" target="_self">plastic bag bans</a>, but more often than not, it's up to individuals to choose to make the switch to reusable grocery bags in their day-to-day lives.<p><br/></p><p><em><em><strong><a href="https://www.ecowatch.com/about-ecowatch-2641507575.html?rebelltitem=47#rebelltitem47" target="_self">Melissa Smith</a> </strong>is an avid writer, scuba diver, backpacker, and all-around outdoor enthusiast. She graduated from the University of Florida with degrees in journalism and sustainable studies. Before joining EcoWatch, Melissa worked as the managing editor of Scuba Diving magazine and the communications manager of The Ocean Agency, a non-profit that's featured in the Emmy award-winning documentary Chasing Coral.</em></em></p><em><em></em></em>
Best Reusable Produce Bag Set: Eco Joy Cotton Reusable Produce Bags
<img type="lazy-image" data-runner-src="https://assets.rebelmouse.io/eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJpbWFnZSI6Imh0dHBzOi8vYXNzZXRzLnJibC5tcy8yNTcxOTAxNS9vcmlnaW4uanBnIiwiZXhwaXJlc19hdCI6MTYzODE2MDIyNH0.qyiKrnX8T4CRp8Y5Kn_cW1oaSF7vDci2gmKEXxJfQmE/img.jpg?width=980" id="8db60" class="rm-shortcode" data-rm-shortcode-id="d39a705e9f90fc1369a1806bc6d4e016" data-rm-shortcode-name="rebelmouse-image" data-width="400" data-height="400" />Eco Joy
<p>If you're making the switch to more sustainable shopping bags and want a variety of products to use, the <a href="https://www.amazon.com/Reusable-Sandwich-Biodegradable-Eco-Drawstring/dp/B003PK4W3I/ref=sr_1_36?crid=3TDUCB8ZOM7WI&dchild=1&keywords=produce+bags+grocery+reusable&qid=1613484643&sprefix=produce+bags%2Caps%2C189&sr=8-36" target="_blank">Eco Joy Cotton Reusable Produce Bags</a> set is a great place to start. The set comes with three mesh drawstring bags, three muslin drawstring bags, a large mesh tote and a zippered sandwich-size pouch.</p><p>Each product is made with organic, non-GMO cotton that's ethically sourced in accordance with Worldwide Responsible Accredited Production (WRAP) standards. The cotton comes from India and Turkey, and the bags are hand-assembled in Canada by the owner of Eco Joy, so you can feel good about supporting a small business while reducing your environmental impact.</p><p><strong>Customer rating:</strong> 4.7 out of 5 stars with over 300 Amazon reviews</p><p><strong>Why buy: </strong>Zero-waste; Handmade in Canada; WRAP compliant; Machine washable</p>
$13
Best Mesh Bags: Organic Cotton Mart Reusable Cotton Mesh Produce Bags
<img type="lazy-image" data-runner-src="https://assets.rebelmouse.io/eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJpbWFnZSI6Imh0dHBzOi8vYXNzZXRzLnJibC5tcy8yNTcxOTE0OC9vcmlnaW4uanBnIiwiZXhwaXJlc19hdCI6MTY1MTQyNDQ5MX0.E6MFCOXZ-3EvKDK0MIv34EJO3oE6WMWxiFZBR5aNU_w/img.jpg?width=980" id="ba5c7" class="rm-shortcode" data-rm-shortcode-id="91a9dd3d18f7b4a41fae606ff4d1204b" data-rm-shortcode-name="rebelmouse-image" data-width="400" data-height="400" />Organic Cotton Mart
<p>Some shoppers prefer to use mesh bags when shopping for fruits and veggies. We recommend checking out <a href="https://www.amazon.com/Best-Reusable-Produce-Organic-Cotton/dp/B07CK2TJKL/ref=sr_1_16?crid=10A7NM0LQ0B7E&dchild=1&keywords=mesh+produce+bags&qid=1613483897&s=home-garden&sprefix=mesh+pro%2Cgarden%2C162&sr=1-16" target="_blank">Organic Cotton Mart's Reusable Cotton Mesh Produce Bags</a> if you're in this camp, as they're made with Global Organic Textile Standard (GOTS) certified cotton.</p> <p>Mesh reusable produce bags can make the checkout process easier than muslin bags since you can see what's inside them without having to open them up. Plus, the tare weight (i.e., the weight of the empty bag that should be subtracted from the total weight of your produce to make sure you don't pay extra for using your bag) is printed right on the label of Organic Cotton Mart's bags, making everything that much more convenient.</p> <p><strong>Customer rating:</strong> 4.6 out of 5 stars with nearly 1,000 Amazon reviews</p><strong>Why buy:</strong> GOTS certified; Machine washable; Biodegradable
$16
Best Muslin Bags: Simple Ecology Reusable Produce Bags
<img type="lazy-image" data-runner-src="https://assets.rebelmouse.io/eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJpbWFnZSI6Imh0dHBzOi8vYXNzZXRzLnJibC5tcy8yNTcxOTE1OS9vcmlnaW4uanBnIiwiZXhwaXJlc19hdCI6MTYyNjY3NDE3N30.f2sAcYTGhqq4ytlNGSyzZexPwqH2SpqpTwsX2fvph10/img.jpg?width=980" id="f90b3" class="rm-shortcode" data-rm-shortcode-id="e95c082f9b831bf11004e12b73ae8263" data-rm-shortcode-name="rebelmouse-image" data-width="400" data-height="400" />Simple Ecology
<p>On the other hand, if you just want to purchase muslin bags, we like <a href="https://www.amazon.com/Simple-Ecology-Reusable-Organic-Shopping/dp/B004UJ0U0C" target="_blank">Simple Ecology's Reusable Produce Bags</a>, which are also made with GOTS-certified organic cotton. Simple Ecology also has a <a href="https://www.amazon.com/dp/B01N6AUMBG/ref=sspa_dk_detail_2?psc=1&pd_rd_i=B01N6AUMBG&pd_rd_w=MA3ZS&pf_rd_p=cbc856ed-1371-4f23-b89d-d3fb30edf66d&pd_rd_wg=hVunQ&pf_rd_r=G6RTQ1Z5DKEY325MAJZ9&pd_rd_r=5d298b3a-1be7-4ebd-a9e1-d5d672a40497&spLa=ZW5jcnlwdGVkUXVhbGlmaWVyPUExMzc4RVAxWjNLOTdCJmVuY3J5cHRlZElkPUEwNTc0NTAwMzBDMjFYOVJPTUpWSCZlbmNyeXB0ZWRBZElkPUEwNjYyOTM4M0s4Vk81SVBPS1NFSyZ3aWRnZXROYW1lPXNwX2RldGFpbF90aGVtYXRpYyZhY3Rpb249Y2xpY2tSZWRpcmVjdCZkb05vdExvZ0NsaWNrPXRydWU=" target="_blank">starter kit</a> that comes with several reusable grocery bags if you're looking for more variety.</p> <p>The benefit of using muslin reusable produce bags is that, unlike mesh, there are no holes for small items to slip through. This means that in addition to larger produce, you can use them to purchase bulk foods like lentils, beans and rice — or even powders like flour or spices — without worrying about anything leaking. They're also best for keeping leafy greens fresh.</p> <p><strong>Customer rating:</strong> 4.7 out of 5 stars with nearly 1,500 Amazon reviews</p><strong>Why buy:</strong> GOTS certified; Machine washable; Biodegradable; Sustainable Forestry Initiative (SFI) certified packaging when purchased from manufacturer
$16
Best String Bags: ECOBAGS Market Collection Reusable Bag Set
<img type="lazy-image" data-runner-src="https://assets.rebelmouse.io/eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJpbWFnZSI6Imh0dHBzOi8vYXNzZXRzLnJibC5tcy8yNTcxOTE2Ny9vcmlnaW4ucG5nIiwiZXhwaXJlc19hdCI6MTY1NTkzMDc5Mn0.v_aTdf8TPuA39wgpmS2Dgb_88t2jfcbXDJkC9wf5CrE/img.png?width=980" id="c42d2" class="rm-shortcode" data-rm-shortcode-id="ada50990c5c2520886afd23fcca522a4" data-rm-shortcode-name="rebelmouse-image" data-width="752" data-height="628" />ECOBAGS
<p>Whether you're buying bread, fresh flowers, produce or all of the above, the <a href="https://www.amazon.com/ECOBAGS-Market-Collection-Reusable-Natural/dp/B08KFGPGN5" target="_blank" rel="noopener noreferrer">ECOBAGS Market Collection Reusable Bag Set</a> is ideal for <a href="https://www.ecowatch.com/farmers-markets-coronavirus-safety-2645581711.html" target="_self">farmers market</a> shopping or large grocery hauls. The netted bags are durable, flexible, and pack down small so they're easy to keep in your car or purse.</p> <p>ECOBAGS is a woman-owned certified B Corp, which means it uses sound social and environmental practices. These bags come in packs of three or five and have a few different handle lengths and color options, but they're all made with GOTS-certified organic cotton.</p> <p><strong>Customer rating: </strong>Not applicable</p><p><strong>Why buy:</strong> GOTS certified; Machine washable; Biodegradable; Certified B Corp; SA8000 certified for the protection of basic human rights of workers</p>
$36
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