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Epinotes Disease Surveillance Newsletter

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Epinotes Disease Surveillance Newsletter January 2019 Florida Department of Health - Hillsborough County EpiNotes Disease Surveillance Newsletter Director Douglas Holt, MD 813.307.8008 Articles and Attachments Included This Month Medical Director (HIV/STD/EPI) Charurut Somboonwit, MD 813.307.8008 Health Advisories and Alerts 1 Medical Director (TB/Refugee) 2018 Reportable Disease Summary 2 Beata Casanas, MD 813.307.8008 Florida Food Recalls 6 Medical Director (Vaccine Outreach) CDC Update on Contaminated Stem Cell Products 6 Jamie P. Morano, MD, MPH 813.307.8008 County Influenza Report 7 Reportable Diseases/Conditions in Florida, Practitioner List 8 Community Health Director Leslene Gordon, PhD, RD, LD/N FDOH, Practitioner Disease Report Form 9 813.307.8015 x7107 Disease Control Director Carlos Mercado, MBA 813.307.8015 x6321 Health Advisories, News, and Alerts Environmental Administrator Brian Miller, RS 813.307.8015 x5901 • CDC HAN 417: Third Case of Rifampin/Penicillin-Resistant Strain of RB51 Epidemiology Michael Wiese, MPH, CPH 813.307.8010 Fax 813.276.2981 • CDC Food Safety Alert: Final CDC update on the outbreak of E. coli O157:H7 infections linked to romaine lettuce TO REPORT A DISEASE: Epidemiology • CDC Provides First In-Season Estimates of Flu Illnesses, 813.307.8010 Medical Visits, and Hospitalizations After Hours Emergency 813.307.8000 • CDC Investigation Notice: Outbreak of Salmonella Infections Linked to Pet Hedgehogs HIV/AIDS Surveillance Erica Botting • CDC Travel Notices: 813.307.8011 • Drug Resistant Infections in Mexico: Recently, some US Lead Poisoning residents returning from Tijuana, Baja California, Mexico, Cynthia O. Keeton were diagnosed with infections caused by an antibiotic- 813.307.8015 x7108 Fax 813.272.6915 resistant form of Pseudomonas aeruginosa bacteria after receiving an invasive medical procedure. Sexually Transmitted Disease • Measles in Kazakhstan Sophia Romeus 813.307.8045 Fax 813.307.8027 • Yellow Fever in Nigeria Tuberculosis Irma B. Polster 813.307.8015 x4758 Fax 813.975.2014 Mission: To protect, promote & improve the health of all Ron Desantis people in Florida through integrated state & community 1 Governor efforts. Vision: To be the Healthiest State in the Nation 2018 Reportable Disease Summary – Enteric Infections Shiga-toxin producing E. Coli infections were almost 3x higher than the previous three-year average. Three national outbreaks of E. Coli infections were reported in 2018, two related to romaine lettuce and one related to ground beef. 2015-2017 Average 2018 338 336 303.0 242.7 152.3 72.7 76 77.7 32 18.7 54 62 14.3 11 Shigellosis cases tend to be Cases of campylobacteriosis have been cyclical with peaks every 3-5 increasing in Florida as the use of culture- years. In 2015 Hillsborough independent diagnostic testing increases. The County saw a large increase case definition has changed a few times in recent in cases of shigellosis, with years to allow for reporting these newer type of a smaller increase in 2017. laboratory results as probable cases. From 2015- This year cases were well 2017 the number of culture confirmed cases of below the previous three- campylobacteriosis has remained steady (range year average. 79-87) while the number of probable cases has increased each year (165 in 2015 to 252 in 2018). 2 January 2019 2018 Reportable Disease Summary – Arboviral Infections Cases of any infection are reported based on the county where the person’s home address is. Hillsborough County has reported infections of imported mosquito-borne diseases every year, which means the individual was infected while traveling outside of the county. Hillsborough County did not have any infections of chikungunya, dengue, zika, or malaria acquired through mosquitos in our county this year. The Florida Department of Health releases a weekly arboviral surveillance report that is available here: http://www.floridahealth.gov/%5C/diseases-and- conditions/mosquito-borne-diseases/surveillance.html 2015-2017 Average 25.0* 2018 10.3 9 6 4.0 1 3.0 4 5.0 5 Chikungunya Dengue Lyme Disease Malaria Zika Fever Cases of Lyme disease are Zika fever emerged as a new infectious usually reported in persons disease in South/Central America and who have traveled to other the Caribbean in 2015, with the first states or countries, but cases reported in Florida residents in infections do occur in Florida. 2016. *The average number of cases for In 2018 two of our nine cases Zika includes only 2016-2017 numbers. of Lyme disease were Additional information on Zika in Florida acquired in Florida. is available at: https://zikafreefl.org/ 3 January 2019 2018 Reportable Disease Summary – Other Common Reportable Infections The data in these 2018 charts represent the most common reportable diseases investigated by the Epidemiology Program. All of the state’s reportable disease data is available for the public to search on FL CHARTS here: http://www.flhealthcharts.com/charts/CommunicableDiseases/default.aspx To build your own search, click on the link for “Reportable Diseases Frequency Report”. The case numbers for 2018 are provisional and subject to change until the 2018 database is closed. Once the numbers are finalized, the state puts together a comprehensive Florida Annual Morbidity Statistics Report that details case trends and notable outbreak investigations. The report for 2017 and previous years are available at: http://www.floridahealth.gov/diseases-and-conditions/disease- reporting-and-management/disease-reporting-and-surveillance/data-and-publications/fl-amsr1.html 66 68 2015-2017 Average 59.7 2018 52.7 27 21.3 14.3 3.7 1 2.0 3 10.3 4 1.3 2 11 Mumps Pertussis Varicella Listeriosis Meningitis Meningococcal Legionellosis Vibriosis (Bacterial, Disease Cryptococcal, Mycotic) These vaccine reportable diseases are summarized monthly in the state Vaccine Preventable Disease Report, which is available online at: http://www.floridahealth.gov/diseases-and- conditions/vaccine -preventable-disease/vaccine-preventable- disease-report-archive.html 4 January 2019 2018 Reportable Disease Summary – Viral Hepatitis 2015-2017 Average 1578.3 1760 2018 323.7 341 84 57.3 50 38.3 16 6.7 Hepatitis A Hepatitis B (Acute) Hepatitis C (Acute) Hepatitis B (Chronic) Hepatitis C (Chronic) Hepatitis A Case Summary - 2018 Hillsborough County is currently Total Number of cases 84 Number of cases acquired in experiencing a large increase in Florida or Unknown 77 infections of hepatitis A, which is Age a viral infection transmitted Mean 39 through the fecal-oral route. Median 38 Min-max 19-71 There is a vaccine available to Cases by Age Category Number (%) prevent hepatitis A. 0-18 0 (0) 19-29 15 (19) 30-39 32 (42) 2018 Hepatitis A cases- Drug use 40-49 20 (26) 50-59 7 (9) as reported risk factor 60+ 3 (4) Gender Number (%) Female 23 (30) Male 54 (70) 4% Unknown gender 0 Race Number (%) 34% White 71 (92) Black 2 (3) 62% Other 3 (4) Unknown race 1 (1) Ethnicity Number (%) Non-Hispanic 70 (91) Hispanic 6 (8) Yes No Unknown Unknown ethnicity 1 (1) 5 January 2019 Florida Food Recalls (December 21, 2018 – January 25, 2019) Brand Name Food Date of Recall Health Risk Satur Farms Baby Spinach and Mesclun 1/23/2019 Salmonella Details Oskri Organics Tahini Butter and 1/2/2019 Listeria Details Corporation of Lake Mills Sunflower Butter Eat Smart Salad Shake Apio, Inc. 12/26/2018 Listeria Details Ups Single-Serve Bowls Jennie-O Turkey Store Raw Ground Turkey Salmonella 12/21/2018 Details Sales, Inc. Products Reading CDC Update on Contaminated Stem Cell Products Bacterial infections after use of stem cell products – January 28, 2019 CDC is investigating bacterial infections in patients who have received stem cell products from the ReGen Series® (distributed by Liveyon, LLC). Most of these patients developed symptoms such as pain, swelling, or chills within a few days of receiving the stem cell products. Liveyon, LLC, recalled these products on September 28, 2018. A Food and Drug Administration (FDA) inspection of Genetech, the company that processed these products (which is not related to the biotechnology firm Genentech), found problems with the manufacturing process. FDA also found that the facility did not determine if donors of the umbilical cord blood used to make these products were eligible by appropriately screening them for diseases such as human immunodeficiency virus (HIV), hepatitis B, and hepatitis C. CDC is not currently aware of any HIV, hepatitis B, or hepatitis C infections linked to the ReGen Series® products, and transmission risk is very low. However, as a precaution, we recommend that patients talk to their healthcare provider about getting tested for HIV, hepatitis B virus, and hepatitis C virus. There are treatment options for patients who undergo testing and test positive for any of these three infections. Patients should discuss with their healthcare provider if they should be evaluated for bacterial infection or communicable diseases other than HIV, hepatitis B virus, or hepatitis C virus. Continue reading this CDC update here: https://www.cdc.gov/hai/outbreaks/stem-cell- products.html 6 January 2019 Hillsborough County Weekly Influenza Report (Week 3, 2019) Flu Level: Flu Activity This Week (January 13 - January 19) Moderate • Influenza like illness (ILI) activity slightly increased this week and is above levels seen at this time during previous seasons. (Figure 1) • Positive influenza labs received electronically increased slightly and are mostly influenza type A. • One influenza outbreak in a charter school was reported in week 3. Flu Trend: • No pediatric mortalities were reported in Hillsborough County in week 3. Increasing Flu Activity This Season (September 30-January 19) • Total Outbreaks: Eight outbreaks of influenza or ILI have been reported during the 2018-2019 flu season. For statewide data • Total Deaths: Hillsborough County has reported no pediatric mortalities in the see the Florida Flu current flu season. Review. Figure 1: In week 3, the percent of emergency department and urgent care center visits for ILI* in Hillsborough County increased, and is comparable to levels seen in previous seasons.
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