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Upcoming COCA Call
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Multidrug-resistant
Candida auris: Update
on Current U.S. Epidemiology, Clinical Profile, Management, and Control
Strategies
Date: Thursday, June
20, 2019
Time: 2:00
- 3:00 p.m. (Eastern Time)
Candida auris (C. auris) is an
emerging fungus that presents a serious global health threat. CDC is
concerned about C.
auris for 3 main reasons:
- It is often
multidrug-resistant, meaning multiple antifungal drugs are less or
not at all effective in treating C. auris.
- It is difficult to
identify with standard laboratory methods, and it can be
misidentified in labs without specific technology.
Misidentification may lead to inappropriate management.
- It has caused outbreaks
in healthcare settings. It is important to quickly identify C. auris in a
hospitalized patient so that healthcare facilities can take
special precautions to stop its spread.
Most
C. auris cases
in the United States have been detected in the New York City area, New
Jersey, and the Chicago area. Clusters of cases have also recently been
described in Florida, Texas, and California. C. auris cases in
the United States are originally a result of inadvertent introduction
in the United States from a patient who had received healthcare in a
country where C. auris
has been reported. Most cases now are a result of local spread
after such an introduction.
During
this COCA Call, CDC presenters will
- Provide an update on
the current status of C.
auris
- Explain why it is a
public health threat
- Review current U.S.
epidemiology and resistance patterns to antifungal drugs
- Discuss clinical
considerations when treating patients for C. auris
- Lay out steps for
identifying and controlling C.
auris
If
you are unable to attend this live COCA Call, the webinar
will be available to view under the “Call Materials” tab
a few days after the call takes place. Free continuing education (CE) will
still be available.
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Recent COCA Calls
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Travel-associated
Rickettsioses Guidance: Pre-travel Counseling, Diagnosis, Treatment,
and Reporting
During
this COCA Call, subject matter experts discussed the epidemiology,
clinical presentation, diagnosis, and treatment of three of the most
common rickettsial diseases—African tick bite fever, Mediterranean
spotted fever, and scrub typhus. The presenters also addressed these
diseases in the context of pre-travel and post-travel evaluations.
If
you were unable to attend the live COCA Call, it is now available
to view on
demand. Free CE is
available.
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Emergency
Preparedness and Response
2019 Hurricane Season
The
2019 Hurricane Season has begun and will officially end on November 30,
2019. CDC's Safety
Information for Health Care Professionals page has
resources to assist in the aftermath of a hurricane including
information about medical management and
patient advisement, protecting children from
environmental exposure, safely
reopening health facilities, and many other helpful topics.
Health and Safety Concerns for All
Disasters
See
below for information about a variety of health and safety concerns for
all disasters, including—
Resources for Emergency Health
Professionals
CDC
offers a variety of resources
and educational materials for
clinicians, communicators, laboratorians, emergency planners and
responders, and disaster relief volunteers to help them prepare and
respond to a public health emergency. These resources include
free educational materials, such as flyers, posters, stickers, and public
service announcements in various languages that are suitable for printing
and sharing.
CDC News and
Announcements
One Health Zoonotic Disease Prioritization
Workshop Names Eight Zoonotic Diseases of Most Concern in the United
States
CDC
and its U.S. government partners have released the first federal
collaborative report listing the top zoonotic diseases of national
concern for the United States.
CDC,
U.S. Department of the Interior (DOI), and U.S. Department of Agriculture
(USDA) developed the report after jointly hosting a One Health
Zoonotic Disease Prioritization Workshop for the United States.
During the workshop, agencies agreed on a list of eight zoonotic diseases
that are of greatest concern to the nation and made recommendations for
next steps using a One Health approach.
"Every
year, tens of thousands of Americans get sick from diseases spread
between animals and people. CDC's One Health Office is collaborating with
DOI, USDA, and other partners across the government to bring together
disease detectives, laboratorians, physicians, and veterinarians to
prevent those illnesses and protect the health of people, animals, and
our environment," said Casey Barton Behravesh, M.S., D.V.M.,
Dr.P.H., Director, One Health Office, CDC.
The
zoonotic diseases of most concern in the United States are—
Six
out of every ten infectious diseases in people are zoonotic, which makes
it crucial that the nation strengthen its capabilities to prevent and
respond to these diseases using a One Health approach. One Health
recognizes the connection between people, animals, plants and their
shared environment and calls for experts in human, animal, and
environmental health to work together to achieve the best health outcomes
for all.
This
workshop was the first time multiple government agencies in the United
States worked together on this topic and is a critical step towards a
coordinated U.S.-specific approach to One Health. The workshop report
outlines the process, the resulting list of prioritized zoonotic
diseases, and participants' discussions and recommendations.
The
report is a new resource for One Health organizations, the media,
and other stakeholders that includes recommendations on how to work
together to address the prioritized diseases and strengthen One Health
efforts in the United States.
The
U.S. One Health Zoonotic Disease Prioritization Report full
version as well as a two page
overview of the report are both available to
download on CDC's One Health Domestic Activities webpage.
To
receive a monthly update about CDC's One Health work, you can submit
your email address on the One Health webpage.
Seasonal Influenza
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2018–2019 Influenza Season Week 21
ending May 25, 2019
All data are preliminary and may change as more reports
are received.
According
to this week’s FluView report,
influenza activity is low with levels of influenza-like-illness (ILI)
remaining at 1.5%. While only one state reported widespread flu
activity, another three flu-related pediatric deaths were reported to
CDC this week. Two occurred during the current 2018–2019 season,
bringing the total number of flu-related deaths in children this season
to 111. One death occurred during a prior season.
Flu
viruses circulate year-round, though at low levels over the summer in
the United States so sporadic flu infections and outbreaks may
continue to occur. CDC continues to recommend vaccination as
long as flu viruses are circulating until all vaccine expires at the end
of June. CDC also recommends prompt antiviral treatment in people
with flu symptoms who are very sick or who are at high risk of developing
serious flu illness.
An overview
of CDC's influenza surveillance system, including methodology and
detailed descriptions of each data component, is available. Read the
full situational update. View the current
United States flu activity map.
Novel Influenza A Virus:
One
human infection with a novel influenza A virus was reported by
Michigan. This person was infected with an influenza A(H1N1) variant
(A(H1N1)v) virus. The patient is over 65 years of age. The
patient was hospitalized, and completely recovered from
the illness. While no exposure to swine has been reported, an
investigation is ongoing into the source of the patient’s infection.
This is the first A(H1N1)v virus infection detected in the United
States in 2019.
Influenza
viruses that circulate in swine are called swine influenza viruses when
isolated from swine, but are called variant viruses when isolated from
humans. Seasonal influenza viruses that circulate worldwide in the
human population have important antigenic and genetic differences from
influenza viruses that circulate in swine.
Early
identification and investigation of human infections with novel
influenza A viruses are critical so that the risk of infection can be
more fully understood and appropriate public health measures can be
taken. Additional
information on influenza in swine, variant influenza
infection in humans, strategies to interact safely with swine and additional
information regarding human infections with novel influenza
A viruses are available.
Seasonal Influenza Resource Center
Visit
CDC's Seasonal Influenza
Resource Center to sign up for weekly email
updates from the CDC Seasonal Influenza Newsletter. Receive the
latest on flu research and guidance, flu season updates, and CDC's
seasonal flu vaccination campaign. In addition, you can subscribe
to CDC's weekly email for technical flu season updates on this webpage.
This email will provide weekly updates during flu season on
influenza-related key points, surveillance and vaccination data, health
alerts, publication notices, and other timely scientific immunization
information. This page also contains communication resources
including images, infographics, print materials, multi-language
factsheets, videos, podcasts, and other communication materials about
seasonal flu.
2019–2020 Flu Season
Bookmark
CDC's Information
for Health Professionals page for information
about the upcoming 2019–2020 flu season. This page also
offers public health and health care professionals key information
about vaccination, infection control, prevention, treatment, and
diagnosis of seasonal influenza.
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Travelers' Health
The
mission of CDC's Travelers' Health Branch is to reduce
illness and injury in U.S. residents traveling internationally or living
abroad. Applying the best science, the Travelers' Health Branch provide
alerts, recommendations, education, and technical support to travelers
and the healthcare providers who serve them.
General Resources
CDC Health Information for
International Travel
(the "Yellow Book") contains
the U.S. government's most current travel health guidelines, including
pre-travel vaccine recommendations, destination-specific health advice,
and easy-to-reference maps, tables, and charts. The CDC Yellow Book is
available free online
and for iOS or Android.
General Vaccine Information
Pre-travel Care Tools
Disease-specific Resources
- Zika
Interactive Map: Search by location to find out if Zika
is in a particular destination.
- Yellow
Fever Travel Information: A one-stop shop for yellow
fever information, including risk areas, travel notices, and vaccine
availability.
- Yellow
Fever & Malaria Information by Country:
Country-specific information and maps on yellow fever vaccine
requirements and recommendations, as well as malaria
transmission information and prophylaxis recommendations.
- Disease directory:
Information concerning specific diseases that can affect travelers.
- Travel Notices for
International Travelers: Travel notices inform travelers
and clinicians about current health issues related to specific
international destinations. These issues may arise from disease
outbreaks, special events or gatherings, and natural disasters
affecting travelers' health.
Ebola in Democratic Republic of the Congo
- There is an outbreak of
Ebola in the North Kivu (Kivu Nord) and Ituri provinces in the
northeastern part of the Democratic Republic of the Congo (DRC).
- Travelers to this area
could be infected with Ebola if they come into contact with an
infected person’s blood or other body fluids.
- Travelers should seek
medical care immediately
if they develop fever, headache, body aches, sore throat, diarrhea,
weakness, vomiting, stomach pain, rash, or red eyes during or after
travel.
·
CDC has provided recommendations
to ensure workers with potential occupational exposure to Ebola are
healthy when they return to the United States.
Clinician
Information
- Health
Information for Travelers to DRC
- Viral
Hemorrhagic Fevers in
CDC Health Information for International Travel
("Yellow Book")
- North Kivu and Ituri
provinces are among the most populated in DRC. These provinces share
borders with other countries (Rwanda, South Sudan, and Uganda) with
frequent cross-border movement for personal travel and trade. The
provinces have been experiencing a prolonged humanitarian crisis and
deteriorating security, which are limiting public health efforts to
respond to this outbreak. The US Department of State has identified
this part of the country as a “reconsider travel” zone because of
armed conflict.
Food, Drug, and
Device Safety
MedWatch: The FDA Safety Information and Adverse
Event Reporting Program—(FDA)
MedWatch is your FDA gateway for clinically important safety information
and reporting serious problems with human medical products.
FoodSafety.gov: Reports of FDA and USDA Food Recalls,
Alerts, Reporting, and Resources—(HHS/USDA/FDA/CDC/NIH)
Foodsafety.gov lists notices of recalls and alerts from both FDA and
USDA. Visitors to the site can report a problem, make inquiries, and sign
up to receive email updates about the content on this page. You
can also embed the Food Safety Alerts and Tips widget on your
website, blog, or other platform.
CDC Current
Outbreak List
Stay
up to date on the infectious disease outbreaks that CDC is currently
reporting. CDC's Current Outbreak List provides a
complete list of U.S. and international outbreaks, travel notices
affecting international travelers, food recalls, and further sources for
content about specific outbreaks.
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