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Epinotes Disease Surveillance Newsletter

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Epinotes Disease Surveillance Newsletter June 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) Health Advisories and Alerts 1 Charurut Somboonwit, MD 813.307.8008 May 2019 Reportable Disease Summary 2 Medical Director (TB/Refugee) Florida Food Recalls 5 Beata Casanas, MD 813.307.8008 CDC Vaccine Schedules App for Healthcare Providers 5 Medical Director (Vaccine Outreach) County Influenza Report 6 Jamie P. Morano, MD, MPH CDC Health Advisory #420 7 813.307.8008 National HIV Testing Day 10 Community Health Director Leslene Gordon, PhD, RD, LD/N Candida auris Update 13 813.307.8015 x7107 Arboviral Clinician Letter and One Pagers 15 Disease Control Director Carlos Mercado, MBA Reportable Diseases/Conditions in Florida, Practitioner List 23 813.307.8015 x6321 FDOH, Practitioner Disease Report Form 24 Environmental Administrator Brian Miller, RS 813.307.8015 x5901 Health Advisories, News, and Alerts Epidemiology Michael Wiese, MPH, CPH 813.307.8010 Fax 813.276.2981 • CDC Health Advisory #420: Nationwide Shortage of Tuberculin Skin Test Antigens: CDC Recommendations for Patient Care and TO REPORT A DISEASE: Public Health Practice Epidemiology 813.307.8010 • CDC Travel Notices: • Global Measles Outbreak Notice - Measles is in many After Hours Emergency 813.307.8000 countries and outbreaks of the disease are occurring around the world. Before you travel internationally, regardless of HIV/AIDS Surveillance where you are going, make sure you are protected fully Erica Botting against measles. If you are not sure, see your healthcare 813.307.8011 provider at least one month before your scheduled departure. Lead Poisoning • Hajj in Saudi Arabia - The Hajj, or pilgrimage to Mecca, Saudi Cynthia O. Keeton Arabia, is one of the world’s largest mass gatherings. In 2019, 813.307.8015 x7108 Fax 813.272.6915 Hajj will take place August 9–14. Because of the crowds, Sexually Transmitted Disease mass gatherings such as Hajj are associated with unique Sophia Romeus health risks. Before you go, visit a travel health specialist for 813.307.8045 Fax 813.307.8027 advice, make sure you are up-to-date on all routine and travel-related vaccines, and learn about other health and Tuberculosis safety issues that could affect you during your trip. 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. Scott A. Rivkees, MD Vision: To be the Healthiest State in the Nation State Surgeon General January-May Reportable Disease Summary - Enteric Infections May YTD 2016-2018 Average 140 May YTD 2019 109.7 84.7 85 38 30.3 34.7 12 24.7 25 10.7 17 Campylobacteriosis Cryptosporidiosis Escherichia coli, Shiga Giardiasis Salmonellosis Shigellosis toxin-producing (STEC) January-May Reportable Disease Summary - Other Common Reportable Infections 27 May YTD 2016-2018 Average 23.7 23 Two cases of mumps were reported May YTD 2019 related to an increase of cases at the 18.0 University of Florida. Read more here: https://shcc.ufl.edu/2019/06/03/mum ps-prevention-treatment/ 6.3 6 5 4 4 1.3 3.7 0.0 1.0 0 2.7 0 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 2 June 2019 January-May Reportable Disease Summary - Viral Hepatitis May YTD 2016-2018 Average 634.7 527 May YTD 2019 127.7 143 97 33 23 15.3 10.3 3.7 Hepatitis A Hepatitis B (Acute) Hepatitis C (Acute) Hepatitis B (Chronic) Hepatitis C (Chronic) Hillsborough County is currently January 2018 to May 2019 Case Summary Total Number of cases 181 experiencing a large increase in Number of cases acquired in Florida or Unknown 169 infections of hepatitis A, which is Age a viral infection transmitted Mean 40 through the fecal-oral route. Median 38 There is a vaccine available to Min-max 7-71 prevent hepatitis A. Cases by Age Category Number (%) 0-18 1 (1) 19-29 32 (19) Cases Who Report Drug Use 30-39 59 (35) 40-49 49 (29) as a Risk Factor 50-59 21 (12) 60+ 7 (4) Gender Number (%) Female 51 (30) 14% Male 118 (70) Unknown gender 0 Race Number (%) 27% 59% White 143 (85) Black 10 (6) Other 14 (8) Unknown race 2 (1) Ethnicity Number (%) Non-Hispanic 146 (86) Yes No Unknown Hispanic 18 (11) Unknown ethnicity 5 (3) 3 June 2019 January-May 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 has not had any infections of chikungunya, dengue, zika, or malaria acquired through mosquitos in our county in 2018 or 2019. 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 5.7 May YTD 2016-2019 Average May YTD 2019 4 1.3 0.7 0 0.7 1 1.0 0 1 Chikungunya Dengue Lyme Disease Malaria Zika Fever The data in these 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 and 2019 are provisional and subject to change until the yearly database is closed, usually around April of the following year. 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 4 June 2019 Florida Food Recalls (May 25, 2019 – June 25, 2019) Brand Name Food Date of Health Risk Recall Great Value and Tipton Frozen Blackberries and Frozen 6/20/2019 Norovirus Details Grove Mixed Berries Woodstock Organic Grilled Red Peppers 6/19/2019 Listeria monocytogenes Details Table 87 Frozen Pork and Beef Pizza Products 6/14/2019 Without Benefit of Inspection Details King Arthur Flour Unbleached All-Purpose Flour 6/13/2019 E. coli Details Kroger Frozen Private Selection Berries 6/7/2019 Hepatitis A Details Table 87 Frozen Pork Pizza Products 6/6/2019 Without Benefit of Inspection Details J Deluca Fish Company Siluriformes Products 5/29/2019 Without Benefit of Inspection Details Inc. Richwell Group, Inc. Siluriformes Products 5/28/2019 Without Benefit of Inspection Details CDC Vaccine Schedules App for Health Care Providers Use CDC’s Vaccine Schedules app. to access recommended immunization schedules and footnotes. This free tool provides the most current version of the • Adult schedule, including recommended vaccines for adults by age group and by medical conditions • Adult contraindications and precautions table • Child and adolescent schedule with vaccine recommendations for patients aged birth – 18 years • Catch-up schedule for patients aged 4 months - 18 years Features of the App • Colors match printed schedules • Hyperlinked vaccine name opens as a pop-up with dose specifics • Related vaccine resources and websites • Any changes in the schedules will be released through app updates For more information please visit: Immunization Schedules for Health Care Providers. 5 June 2019 Hillsborough County Monthly Influenza Report (Weeks 21-24, 2019) Flu Level: Recent Flu Activity (May 19 -June 15) Mild • Visits to emergency departments and urgent care centers continues to decline (Figure 1). • The number of positive flu labs reported decreased, and are mostly influenza A. • One ILI outbreak was reported in week 21 in a retirement community. 11 residents were ill with ILI symptoms and one was positive for influenza A. Flu Trend: • No pediatric mortalities were reported in the previous four weeks. Decreasing Flu Activity This Season (September 30 – June 15) • Total Outbreaks: Twenty outbreaks of influenza or ILI have been reported during the 2018-2019 flu season. • Total Deaths: Hillsborough County has reported no pediatric mortalities in the For statewide data current flu season. see the Florida Flu Review. Figure 1: In weeks 21-24, the percent of emergency department and urgent care center visits for ILI* in Hillsborough County decreased and are within levels seen in previous seasons. *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=21) electronically transmit visit data into ESSENCE-FL daily or hourly. The ESSENCE-FL ILI syndrome captures visits with chief complaints that include the words “influenza” or “flu,” or chief complaints that include the words “fever” and “cough,” or “fever” and “sore throat.” 6 June 2019 This is an official CDC HEALTH ADVISORY Distributed via the CDC Health Alert Network June 6, 2019, 1130 ET (11:30 AM ET) CDCHAN-00420 Nationwide Shortage of Tuberculin Skin Test Antigens: CDC Recommendations for Patient Care and Public Health Practice Summary The Centers for Disease Control and Prevention (CDC) is expecting a 3 to 10 month nationwide shortage of APLISOL®, a product of Par Pharmaceuticals.
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