Past Updates from the Clinician Registry Listserv
Update Sent October 22, 2007
NOTE: This document is provided for historical purposes only and may not provide our most accurate and up-to-date information. The most current Clinician's information can be found on the Clinician Home Page.
Today's topics Include:
- COCA Conference Call Reminder
- Methicillin–resistant staph aureus (MRSA)
- Seasonal Influenza
- Avian Influenza
- Acute Respiratory Distress Syndrome
- Streptococcus pneumoniae
- Travelers' Health
- West Nile Virus
- Adult Immunization Schedule
- Pediatric Pandemic Preparations
COCA Conference Call - tomorrow!
Title: Seasonal Influenza Vaccination - Now is the Time!
Speaker: Andrew Kroger, MD
Date: Tuesday, October 23, 2007
Time: 1:00 - 2:00 PM ET
Dial-in number: 888-390-2955
Passcode: COCA
Speaker Information
Andrew Kroger graduated from Yale University in 1998 with a joint MD/MPH, concentrating in International Health. He trained in Pediatrics for two years at Rainbow Babies and Children's Hospital in Cleveland before transferring to Emory University where he boarded in Public Health and Preventive Medicine. From 2001-2003 he worked at CDC in notifiable disease surveillance before beginning his current work in the National Center for Immunizations and Respiratory Diseases. As one of the traveling trainers in the Education, Information and Partnership Branch, Dr. Kroger has given over one hundred presentations that include immunization updates and pandemic influenza preparedness. He is also involved with some of the new distance learning activities of the branch, including the Current Issues in Immunization Series delivered through NetConferencing, and is the author of the newest edition of the CDCs General Recommendations on Immunization.
Objectives
After the presentation, the participant should be able to:
(1) Recommend seasonal influenza vaccination to those groups at high risk for complications from influenza.
(2) Recommend seasonal influenza vaccination to those groups at risk of transmitting influenza to high-risk persons .
(3) Schedule vaccination visits for season influenza vaccine in line with CDC recommendations.
The PowerPoint presentation is now available: http://www.emergency.cdc.gov/coca/callinfo.asp
Methicillin–resistant staph aureus (MRSA)
CDC estimates 94,000 invasive drug-resistant staph infections occurred in the U.S. in 2005 - CDC Press Release - Oct. 16The study in the Oct. 17 edition of the Journal of American Medical Association (JAMA) establishes the first national baseline by which to assess future trends in invasive MRSA infections. Methicillin–resistant staph aureus (MRSA) caused more than 94,000 life–threatening infections and nearly 19,000 deaths in the United States in 2005, most of them associated with health care settings.
http://www.cdc.gov/od/oc/media/pressrel/2007/r071016.htm
For more information on MRSA, please visit: http://www.cdc.gov/ncidod/diseases/submenus/sub_mrsa.htm.
For more information on CDC′s guidelines for the prevention of MRSA in health care settings, visit:
http://www.cdc.gov/ncidod/dhqp/ar_mrsa_prevention.html.
For Questions and Answers about Methicillin-Resistant Staphylococcus aureus (MRSA) in Schools, please visit:
http://www.cdc.gov/Features/MRSAinSchools/
We are in the process of coordinating a COCA Conference Call on this important topic in the near future. Please look out for another update with additional information.
Seasonal Influenza
Weekly Report: Influenza Summary Update - October 13
During week 41 (October 7-13, 2007), a low level of influenza activity was reported in the United States. Twenty-one (1.9%) specimens tested by U.S. World Health Organization (WHO) and National Respiratory and Enteric Virus Surveillance System (NREVSS) collaborating laboratories were positive for influenza. The proportion of deaths attributed to pneumonia and influenza was slightly above the epidemic threshold. The proportion of outpatient visits for influenza-like illness (ILI) and acute respiratory illness (ARI) was below national and region-specific baseline levels. Twelve states and the District of Columbia reported sporadic influenza activity; and 38 states reported no influenza activity.
http://www.cdc.gov/flu/weekly/
Weekly US Map - October 13
http://www.cdc.gov/flu/weekly/usmap.htm
Avian Influenza
Avian influenza – situation in Indonesia - WHO Update - Oct. 17
The Ministry of Health of Indonesia has announced the death of a previously confirmed case of H5N1 infection. The 12-year-old male from Tangerang District in Banten Province died on 13 October. Of the 109 cases confirmed to date in Indonesia, 88 have been fatal.
http://www.who.int/csr/don/2007_10_17/en/index.html
Cumulative Number of Confirmed Human Cases of Avian Influenza A/(H5N1) Reported to WHO - Oct. 17
http://www.who.int/csr/disease/avian_influenza/country
Acute Respiratory Distress Syndrome
Acute Respiratory Distress Syndrome in Persons with Tickborne Relapsing Fever - Three States, 2004-2005 - MMWR Weekly - Oct. 19The findings indicate that ARDS might occur more frequently in patients with TBRF than previously recognized. Optimal management of TBRF requires both prompt diagnosis and careful observation during the initial phases of treatment.
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5641a1.htm
Streptococcus pneumoniae
Emergence of Antimicrobial-Resistant Serotype 19A Streptococcus pneumoniae - Massachusetts, 2001-2006 - MMWR Weekly - Oct. 19
The findings indicated that, despite increases in incidence of antimicrobial-nonsusceptible invasive pneumococcal disease (IPD), overall rates of IPD remained stable during 2001-2006. In addition, persons with IPD caused by antimicrobial-nonsusceptible S. pneumoniae had clinical outcomes comparable to persons with IPD caused by antimicrobial-susceptible serotypes. Although heptavalent pneumococcal conjugate vaccine (PCV7) is effective in preventing IPD, these results confirm that antimicrobial resistance among serotypes not covered by PCV7 remains a concern.
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5641a2.htm
Travelers' Health
Prevention of Hepatitis A After Exposure to Hepatitis A Virus and in International Travelers. Updated Recommendations of the Advisory Committee on Immunization Practices (ACIP) - MMWR Weekly - Oct. 19
This report details updated recommendations, made by ACIP in June 2007, for prevention of hepatitis A after exposure to Hepatitis A Virus (HAV) and in departing international travelers and incorporates existing ACIP recommendations for prevention of hepatitis A.
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5641a3.htm
CDC Releases Malaria Risk Map Application - Oct 17
The Malaria Risk Map is an interactive map that provides location-specific information on current CDC assessments of malaria risk and recommendations for preventive malaria treatment.
www.cdc.gov/malaria/risk_map
West Nile Virus
West Nile Virus Update - United States, January 1 -October 16, 2007 - MMWR Weekly - Oct. 19
This report summarizes 2007 West Nile virus (WNV) surveillance data reported to CDC through ArboNET as of 3 a.m. Mountain Daylight Time, October 16, 2007. A total of 42 states have reported 3,022 cases of human WNV illness to CDC. Dates of illness onset ranged from January 8 to October 9; a total of 76 cases were fatal.
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5641a4.htm
Adult Immunization Schedule
Recommended Adult Immunization Schedule - United States, October 2007 -September 2008 - MMWR Weekly - Oct. 19
The Advisory Committee on Immunization Practices (ACIP) annually reviews the recommended Adult Immunization Schedule to ensure that the schedule reflects current recommendations for the licensed vaccines. In June 2007, ACIP approved the Adult Immunization Schedule for October 2007--September 2008.
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5641a7.htm
Pediatric Pandemic Preparations
Report Finds Major Gaps Exist in U.S. Pediatric Pandemic Preparations - TFAH News Release - PDF file - Oct.17
The American Academy of Pediatrics (AAP) and Trust for America’s Health (TFAH) issued a new report today, Pandemic Influenza: Warning, Children At-Risk, which finds that children and teens between the ages of 0-19 account for nearly 46 percent of all H5N1 “bird” flu deaths. The report also identifies gaps in U.S. preparedness for treating and caring for children during a possible pandemic flu outbreak.
http://healthyamericans.org/newsroom/releases/release101707.pdf
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