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COCA Email Updates: January 13 - January 27, 2014

If you have any questions on these or other clinical issues, please write to us at coca@cdc.gov

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Available for download:January 27, 2014, COCA Email Update


COCA News and Announcements

Recent COCA Call/Webinar

Malaria Cases in the U.S. Reach 40-Year High: Information and Guidance for Clinicians

Date:Tuesday, January 28, 2014

The number of malaria cases reported in the United States in 2011 was the largest since 1971, representing a 14% increase from 2010 and a 48% increase from 2008. The majority of malaria infections occurred among persons who traveled to regions with ongoing malaria transmission. Imported malaria can reintroduce malaria into regions where the disease is not endemic and environmental conditions are present that support the lifecycle of the parasite. During this COCA call, a CDC subject matter expert described malaria prevention strategies aimed at reducing the risk of malaria in travelers, discussed the diagnosis of malaria in patients with suspect malaria, and explained the treatment options for confirmed malaria cases.

2013-2014 Influenza Season: Updates and Recommendations for Clinicians

Date:Thursday, January 23, 2014

This influenza season, CDC has received a number of reports of severe respiratory illness among young and middle-aged adults, many of whom were infected with influenza A (H1N1) pdm09 (pH1N1) virus. Multiple pH1N1-associated hospitalizations, including many requiring intensive care unit (ICU) admission, and some fatalities have been reported. For the 2013-14 season, if pH1N1 virus continues to circulate widely, illness that disproportionately affects young and middle-aged adults may occur. Annual influenza vaccination is recommended for all persons aged 6 months and older, and is the best way to prevent influenza. However, available evidence consistently indicates that antiviral treatment, when initiated as early as possible in patients with confirmed or suspected influenza, can reduce severe outcomes of influenza. During this COCA conference call, critical care physicians commented on their recent experiences caring for patients with severe influenza, and a CDC subject matter expert summarized the 2013-14 season to date and reviewed CDC recommendations for health care providers including the use of antiviral medications for the treatment of influenza.

Additional COCA Conference Calls
Free CE credit/contact hours (CME, CNE, ACPE, CEU, CECH, and AAVSB/RACE) are available for most COCA calls. For more information on free CE.

CDC News and Announcements

CDC Science Clips: Volume 6, Issue: 3 – (CDC)
Each week select science clips are shared with the public health community to enhance awareness of emerging scientific knowledge. The focus is applied public health research and prevention science that has the capacity to improve health now.

Public Health Preparedness

Emergency Preparedness and Response – (CDC)
Find resources for All Hazards and Specific Hazards preparedness.

Emergency Preparedness and Response Training Resources for Clinicians – (CDC)
Find online and in-person training centers and resources.

Natural Disasters and Severe Weather

Food and Water Needs: Preparing for a Disaster or Emergency – (CDC)

Health and Safety Concerns for All Disasters – (CDC)

Morbidity and Mortality Weekly Report (MMWR)

MMWR publications are prepared by the CDC. Electronically Subscribe

January 24, 2014 / Vol. 63 / No. 3Download .pdf document of this issue

Infectious, Vector-Borne and Zoonotic Diseases

Avian Influenza A (H7N9) Virus

NEW:Health Alert Network (HAN) Health Advisory: Human Infection with Avian Influenza A (H5N1) Virus – January 15 (CDC)
On January 8, 2014, the Public Health Agency of Canada reported the first confirmed case of human infection with avian influenza A (H5N1) virus identified in North America.

Update:Avian Influenza A (H7N9) Virus – January 24 (CDC)
Human infections with a new avian influenza A (H7N9) virus continue to be reported in China. The virus has been detected in poultry in China as well. While mild illness in human cases has been seen, most patients have had severe respiratory illness and some people have died. No cases of H7N9 outside of China have been reported. The new H7N9 virus has not been detected in people or birds in the United States.

Seasonal Influenza

Weekly Flu View – January 18 (CDC)
This is a weekly influenza surveillance report prepared by CDC Influenza Division. All data are preliminary and may change as CDC receives more reports.

Planning and Preparedness: Health Professionals and Seasonal Flu – (HHS)
Health care providers play an important role during flu season. The following guidance and information will assist health care providers and service organizations to plan and respond to seasonal flu.

Travel Safety

Current Travel Warnings – January 24 (US Department of State)
Travel Warnings are issuedwhen long-term, protracted conditions that make a country dangerous or unstable lead the State Department to recommend that Americans avoid or consider the risk of travel to that country. A Travel Warning is also issued when the U.S. Government's ability to assist American citizens is constrained due to the closure of an embassy or consulate or because of a drawdown of its staff.

Food, Drug and Device Safety

MedWatch: The FDA Safety Information and Adverse Event Reporting Program – (HHS/USFDA)
Your FDA gateway for clinically important safety information and reporting serious problems with human medical products.

FoodSafety.gov Reports FDA and USDA Food Recalls, Alerts, Reporting & Resources – (HHS/UDSA/FDA/CDC/NIH)
For recalls and alerts by both FDA and USDA, or to report a problem or make inquiries.

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Links to non-Federal organizations are provided solely as a service to our users. Links do not constitute an endorsement of any organization by CDC or the Federal Government, and none should be inferred. The CDC is not responsible for the content of the individual organizations.

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