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Hamburger Mary's in Ybor City Florida Department of Health - Hillsborough County Disease Surveillance Newsletter October 2018 EpiNotesDirector 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 Florida Food Recalls 2 Medical Director (TB/Refugee) Beata Casanas, MD Vaccine Preventable Disease Update 2 813.307.8008 Epi in the News 2 County Influenza Report 3 Medical Director (Vaccine Outreach) Jamie P. Morano, MD, MPH Hepatitis A Surveillance Summary 4 813.307.8008 Reportable Disease Surveillance Data 5 Community Health Director Hepatitis A Updated Press Release 8 Leslene Gordon, PhD, RD, LD/N Reportable Diseases/Conditions in Florida, Practitioner List 10 813.307.8015 x7107 FDOH, Practitioner Disease Report Form 11 Disease Control Director Carlos Mercado, MBA 813.307.8015 x6321 Environmental Administrator Health Advisories and Alerts Brian Miller, RS 813.307.8015 x5901 Epidemiology • DOH-Hillsborough Identifies Case Of Michael Wiese, MPH, CPH Hepatitis A in Food Service Worker – 813.307.8010 Fax 813.276.2981 Hamburger Mary’s in Ybor City TO REPORT A DISEASE: Epidemiology 813.307.8010 • Updates on Red Tide After Hours Emergency 813.307.8000 • Acute Flaccid Myelitis in U.S. Children CDC continues to receive reports of children with acute flaccid Food and Waterborne Illness Patrick Rodriguez myelitis (AFM), a rare but serious condition. CDC is working 813.307.8015 x5944 Fax 813.272.7242 hard to find the causes of these AFM cases. HIV/AIDS Surveillance Erica Botting • CDC Travel Notices: 813.307.8011 • Earthquake and Tsunami in Indonesia Lead Poisoning • Ebola in Democratic Republic of the Congo (North Kivu Cynthia O. Keeton and Ituri provinces) 813.307.8015 x7108 Fax 813.272.6915 • Rubella in Japan Sexually Transmitted Disease • Monkeypox in Nigeria Sophia Hector 813.307.8045 Fax 813.307.8027 Tuberculosis Irma B. Polster 813.307.8015 x4758 Fax 813.975.2014 Rick Scott Mission: To protect, promote & improve the health of all people Governor in Florida through1 integrated state & community efforts. 1 Celeste Philip, MD, MPH Vision: To be the Healthiest State in the Nation 1 State Surgeon General & Secretary EpiNotes October 2018 Florida Food Recalls (September 30 – October 25) Date of Link to Brand Names Food Health Risk Recall Recall Bakkavor Foods Meat and Poultry Products 10/21/2018 Salmonella/Listeria Details USA, Inc. Ruiz Food Beef and Poultry Products 10/19/2018 Salmonella/Listeria Details Products, Inc. Chicken and Beef Products Envolve Foods 10/19/2018 Salmonella/Listeria Details Containing Vegetables Chicken Wrap Products SK Food Group 10/19/2018 Salmonella/Listeria Details Containing Vegetables Working Cow Ice Cream Products - 10/18/2018 Listeria Details Homemade, Inc. Expanded Salads Containing Meat GHSE, LLC 10/17/2018 Salmonella/Listeria Details Product with Corn Ingredient Malone's Fine Pork Head Cheese Products 10/10/2018 Listeria Details Sausage, Inc. JBS Tolleson, Inc. Raw Beef products 10/4/2018 Salmonella Details Callie's Charleston Country Ham Biscuits and 10/4/2018 Listeria Details Biscuits, LLC Cocktail Ham Biscuits No Sugar Added Vanilla and Working Cow No Sugar Added Chocolate 10/4/2018 Listeria Details Homemade, Inc. Ice Cream Vaccine Preventable Disease Update In Hillsborough County, cases of varicella (chickenpox) decreased from eight in August to six in September, which is within numbers seen in previous years. Cases of pertussis (whooping cough) decreased to four in September from fourteen in August. No confirmed or probable cases of mumps have been reported in 2018 in Hillsborough County. Statewide data for vaccine preventable diseases is compiled into a monthly surveillance report, available online here. Epi in the News • Liveyon, LLC Issues a Voluntary Nationwide Recall of the Regen Series ® Product, Manufactured by Genetech, Inc. • Hepatitis A outbreak reported in Orange County among homeless, drug users • DOH-Pinellas Urges Prevention and Vaccination for Hepatitis A 2 EpiNotes October 2018 DOH-Hillsborough Weekly Influenza Report Week 42 (October 14 – October 20) Hillsborough County Influenza Summary: Influenza activity in Hillsborough County was reported as mild and sporadic during week 42 according to the state activity report. Influenza has remained at levels typically seen during the beginning of flu season. • The number of laboratory confirmed influenza cases reported by Hillsborough County medical providers remains at levels normally seen in the beginning of flu season. Very low numbers of positive flu tests were seen during week 42. • Emergency Department and Urgent Care Center visits have remained at low levels. See graph below.* • In week 42, no outbreaks of influenza or ILI were reported. Two outbreaks of influenza or ILI have been reported in Hillsborough County during the 2018-2019 influenza season. • No influenza-associated pediatric mortalities were reported in week 42 in Hillsborough County. Hillsborough County has reported no pediatric mortalities during the current influenza season. Electronic Surveillance System for the Early Notification of Community-based Epidemics (ESSENCE- FL) measures trends in ILI visits from emergency departments (ED) and urgent care clinics (UCC). Participating EDs and UCCs in Hillsborough County (n=20) electronically transmit visit data into ESSENCE-FL daily or hourly. The ESSENCE-FL influenza-like illness (ILI) syndrome is composed of chief complaints that include the words “influenza” or “flu,” or chief complaints that include the words “fever” and “cough,” or “fever” and “sore throat.” 3 EpiNotes October 2018 Hepatitis A Surveillance Summary Hillsborough County has been experiencing 2018 Case Summary an unprecedented number of hepatitis A Number of cases 38 Incidence rate (per cases in 2018. The county has reported 38 100,000 cases of hepatitis A as of October 25, 2018. population) 2.54 Age (in Years) Mean 38 Min-max 22-71 Number Gender (%) Rate Female 11 (29) 1.51 Male 27 (71) 3.91 Number Race (%) Rate White 30 (79) 2.83 Black 3 (8) 1.2 Other 3 (8) 2.84 Number Ethnicity (%) Rate Non-Hispanic 32 (84) 3.12 Hispanic 3 (8) 0.77 4 For cases reporting any type of drug use they EpiNotes October 2018 Reportable Disease Surveillance Data Annual Totals Year-To-Date Disease Category Jan- Jan- 3 Year Sept Sept 2015 2016 2017 Average 2017 2018 Vaccine Preventable Diseases Diphtheria 0 0 0 0.00 0 0 Measles 0 0 0 0.00 0 0 Mumps 1 2 8 3.67 4 0 Pertussis 41 73 45 53.00 39 58 Poliomyelitis 0 0 0 0.00 0 0 Rubella 0 1 0 0.33 0 0 Smallpox 0 0 0 0.00 0 0 Tetanus 0 0 0 0.00 0 0 Varicella 74 70 35 59.67 26 46 CNS Diseases & Bacteremias Creutzfeldt-Jakob Disease 3 3 2 2.67 1 1 H. influenzae (Invasive Disease in children <5) 2 4 4 3.33 3 2 Listeriosis 2 0 4 2.00 2 3 Meningitis (Bacterial, Cryptococcal, Mycotic) 16 9 6 10.33 6 4 Meningococcal Disease 2 2 0 1.33 0 2 Staphylococcus aureus (VISA, VRSA) 0 0 1 0.33 1 0 S. pneumoniae (Invasive Disease in children <6) 2 3 2 2.33 0 2 Enteric Infections Campylobacteriosis 152 197 315 221.33 250 268 Cholera 0 0 0 0.00 0 0 Cryptosporidiosis 101 62 55 72.67 36 63 Cyclospora 1 1 12 4.67 12 3 Escherichia coli, Shiga toxin-producing (STEC) 16 24 16 18.67 13 46 Giardiasis 55 105 73 77.67 57 51 Hemolytic Uremic Syndrome 2 1 3 2.00 3 1 Salmonellosis 287 308 315 303.33 227 238 Shigellosis 216 76 165 152.33 148 25 Typhoid Fever 0 1 3 1.33 2 5 Viral Hepatitis Hepatitis A 5 5 10 6.67 6 29 Hepatitis B (Acute) 62 53 55 56.67 43 34 Hepatitis C (Acute) 48 31 35 38.00 26 17 Hepatitis +HBsAg in Pregnant Women 27 23 14 21.33 12 9 Hepatitis D, E, G 1 0 1 0.67 1 2 5 EpiNotes October 2018 Reportable Disease Surveillance Data Annual Totals Year-To-Date Disease Category Jan- Jan- 3 Year Sept Sept 2015 2016 2017 Average 2017 2018 Vectorborne, Zoonoses Chikungunya 10 1 1 4.00 0 1 Dengue 7 2 0 3.00 0 4 Eastern Equine Encephalitis 0 0 0 0.00 0 0 Ehrlichiosis/Anaplasmosis 0 0 1 0.33 1 1 Leptospirosis 1 0 1 0.67 0 2 Lyme Disease 12 6 12 10.00 11 2 Malaria 2 6 7 5.00 4 4 Plague 0 0 0 0.00 0 0 Psittacosis 0 0 0 0.00 0 0 Q Fever (Acute and Chronic) 0 0 1 0.33 0 0 Rabies (Animal) 3 3 4 3.33 4 9 Rabies (Human) 0 0 0 0.00 0 0 Rocky Mountain Spotted Fever 0 0 1 0.33 1 1 St. Louis Encephalitis 0 0 0 0.00 0 0 Trichinellosis 0 0 0 0.00 0 0 Tularemia 0 0 0 0.00 0 0 Typhus Fever (Epidemic) 0 0 0 0.00 0 0 Venezuelan Equine Encephalitis 0 0 0 0.00 0 0 West Nile Virus 2 1 0 1.00 0 0 Western Equine Encephalitis 0 0 0 0.00 0 0 Yellow Fever 0 0 0 0.00 0 0 Zika Fever NA 39 15 25.00 13 5 Others Anthrax 0 0 0 0.00 0 0 Botulism, Foodborne 0 0 0 0.00 0 0 Botulism, Infant 0 0 0 0.00 0 0 Brucellosis 0 1 0 0.33 0 1 Glanders 0 0 0 0.00 0 0 Hansen's Disease (Leprosy) 0 0 0 0.00 0 0 Hantavirus Infection 0 0 0 0.00 0 0 Legionellosis 20 25 19 21.33 17 23 Melioidosis 0 0 0 0.00 0 0 Vibriosis 11 11 21 14.33 20 10 6 EpiNotes October 2018 Reportable Disease Surveillance Data Annual Totals Year-To-Date Disease Category Jan- Jan- 3 Year Sept Sept 2015 2016 2017 Average 2017 2018 Chemicals/Poisoning Arsenic 0 0 0 0.00 0 0 Carbon Monoxide 20 20 32 24.00 21 7 Lead 246 154 315 238.33 247 335 Mercury 13 0 3 5.33 0 0 Pesticide 1 2 6 3.00 5 9 Influenza Influenza, Pediatric Associated Mortality 0 0 5 1.67 4 0 Influenza, Novel or Pandemic Strain 0 0 0 0.00 0 0 Tuberculosis TB 41 43 28 37.33 20 21 **Includes confirmed and probable cases reported in Florida residents (regardless of where infection was acquired) by date reported to the Bureau of Epidemiology in Merlin.
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