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Past Updates from the Clinician Registry Listserv

Update Sent May 05, 2008

NOTE: This document is provided for historical purposes only and may not provide our most accurate and up-to-date information. The most current Clinician's information can be found on the Clinician Home Page.

Today's topics Include:

COCA Conference Call Available Online:
Preventing Healthcare-Associated MRSA Infections

Title: Preventing Healthcare-Associated MRSA Infections
Speaker: CDR John Jernigan, MD, MS

If you were unable to participate in the live call, please know that the audio and accompanying PowerPoint slides are now available on our website.  Continuing Education credits will be available for this presentation (and all COCA Conference Calls offering CE credits) for one year from the original date of the call.
http://www.emergency.cdc.gov/coca/callinfo.asp

Measles

Measles - United States, January 1-April 25, 2008 - CDC - MMWR  Early Release - May 1
During January 1-April 25, 2008, a total of 64 confirmed measles cases were preliminarily reported to CDC, the most reported by this date for any year since 2001. Of the 64 cases, 54 were associated with importation of measles from other countries into the United States, and 63 of the 64 patients were unvaccinated or had unknown or undocumented vaccination status. This report describes the 64 cases and provides guidance for preventing measles transmission and controlling outbreaks through vaccination, infection control, and rapid public health response. Because these cases resulted from importations and occurred almost exclusively in unvaccinated persons, the findings underscore the ongoing risk for measles among unvaccinated persons and the importance of maintaining high levels of vaccination.
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm57e501a1.htm

Transcript of CDC Media Advisory: Update on Measles Outbreaks in United States

Vaccinations

Syncope After Vaccination - United States, January 2005-July 2007 - CDC - MMWR Weekly - May 2
Since 2005, reports to VAERS (Vaccine Adverse Event Reporting System) regarding postvaccination syncope have increased, primarily among females aged 11-18 years, and rarely, subsequent serious injuries have occurred. To prevent syncope-related injuries, vaccine providers should follow the ACIP recommendation to strongly consider observing patients for 15 minutes after vaccination.  This report examines this trend in more detail.
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5717a2.htm

Report from the Advisory Committee on Immunization Practices (ACIP): Decision Not to Recommend Routine Vaccination of All Children Aged 2--10 Years with Quadrivalent Meningococcal Conjugate Vaccine (MCV4) - CDC - MMWR Weekly - May 2
At its February 2008 meeting, the Advisory Committee on Immunization Practices (ACIP) decided not to recommend routine vaccination of children aged 2-10 years against meningococcal disease unless the child is at increased risk for the disease. This report summarizes the deliberations of ACIP and the rationale for its decision and restates existing recommendations for meningococcal vaccination among children aged 2-10 years at increased risk for meningococcal disease. ACIP continues to recommend routine vaccination against meningococcal disease for all persons aged 11-18 years and those persons aged 2-55 years who are at increased risk for meningococcal disease.
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5717a4.htm

Avian Influenza

Update on the Situation in Indonesia - WHO - April 30
The Ministry of Health of Indonesia has announced a new case of human infection of H5N1 avian influenza. A 3-year-old male from Wonogiri District, Central Java Province developed symptoms on 14 April, was hospitalized on 21 April and died on 23 April. Investigations into the source of his infection indicate exposure to sick and dead poultry. Of the 133 cases confirmed to date in Indonesia, 108 have been fatal. 
http://www.who.int/csr/don/2008_04_30/en/index.html

Cumulative Number of Confirmed Human Cases of Avian Influenza A/H5N1- WHO - April 30
http://www.who.int/csr/disease/avian_influenza/country/cases_table_2008_04_30/en/index.html

Seasonal Influenza

Weekly Report: Influenza Summary Update - May 2
During week 17 (April 20 – 26, 2008), influenza activity continued to decrease in the United States. Eighty-three (6.0%) specimens tested by U.S. World Health Organization (WHO) and National Respiratory and Enteric Virus Surveillance System (NREVSS) collaborating laboratories were positive for influenza. The proportion of deaths attributed to pneumonia and influenza has been above the epidemic threshold for 16 consecutive weeks. The proportion of outpatient visits for influenza-like illness (ILI) and the proportion of outpatient visits for acute respiratory illness (ARI) were below national baseline levels. ILI was at the region-specific baseline in one region (New England), while the proportion of outpatient visits reported for ARI was below all region and age-specific baselines. Two states reported regional influenza activity; nine states reported local influenza activity; 31 states, the District of Columbia, and Puerto Rico reported sporadic influenza activity; and eight states reported no influenza activity.    
http://www.cdc.gov/flu/weekly/

Weekly US Map - May 2
http://www.cdc.gov/flu/weekly/usmap.htm

Rabies

Human Rabies - Minnesota, 2007 - CDC - MMWR Weekly - May 2
On October 20, 2007, a Minnesota resident died from rabies, approximately 1 month after initial symptoms of limb paresthesia, which progressed to flaccid weakness and ataxia. This was the only human rabies case reported in the United States in 2007. A presumptive diagnosis of idiopathic transverse myelitis was considered initially, because of abnormalities detected via spinal cord imaging studies and a lack of laboratory confirmation of a specific infectious etiology. The presumptive diagnosis subsequently was changed to include rabies, based on the patient's rapidly deteriorating neurologic status and elicitation of a history involving bat exposure during the month before illness onset. This report summarizes the medical and epidemiologic investigation by the Minnesota Department of Public Health and CDC and the ensuing public health response. The findings underscore the need for early inclusion of rabies in the differential diagnosis of rapidly progressive encephalitis, improved public awareness of the risks associated with animal bites, and appropriate rabies prophylaxis after exposure.
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5717a3.htm

Food Safety

New York Firm Recalls Meat and Poltry Products for Possible Listeria Contamination - USDA - May 3 - PDF
Gourmet Boutique, L.L.C., of Jamaica, N.Y., is voluntarily recalling approximately 286,320 pounds of fresh and frozen meat and poultry products that may be contaminated with Listeria monocytogenes. No illness has been associated with this recall. The fresh meat and poultry salad products were produced during April 19–24. The frozen products were produced during October 23, 2007, through April 23, 2008. Recalled products were sent to food service and retail establishments nationwide.  For more information please follow the links below.
USDA Recall Release (PDF)
Labels of recalled products (PDF)

 

Our Clinician Communication Team is committed to excellence in reporting our weekly updates.  Please e-mail coca@cdc.gov should you note any written errors or discrepancies.

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Page last modified May 05, 2008

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