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Communicable Diseases Newsletter Taney and Barry County Volume 7 , Issue 5 July-August 2012 Opportunities Inside this issue: October 12 Disease Spotlight 2 Communicable Disease Report 3 Multi-State Salmonella Outbreak 4 Traveler’s Health 5 17TH ANNUAL BI-STATE INFECTIOUS DISEASE CONFERENCE “The only way to keep your health is to eat what you don't want, drink what you don't like, and do what you'd rather not.” Mark Twain The 17th Annual Bi-State Infectious Disease Conference will be held on Friday, October 12, at the Hilton St. Louis Airport in St. Louis. Topics for this conference include: E. coli outbreak investigation, “No Flu For You” campaign, emerging pathogens/ biocontainment, sterile processing, HIV Coinfections, Central Line -Associated Bloodstream Infection (CLABSI)/Biofilm, and more! On-line registration information is available at www.bistateidconference.org. Taney County Health Department Branson Office 320 Rinehart Rd Branson, MO 65616 417-334-4544 www.taneycohealth.org Barry County Health Department 65 Main Street Cassville, MO 65625 417-847-2114 www.barrycountyhealth.org Taney County Health Department Forsyth Office 15479 US Highway 160 Forsyth, MO 65653 417-546-4725 www.taneycohealth.org Barry County Health Department Satellite Office 1000 S. Lincoln Highway 37S Monett, MO 65708 417-354-8686 www.barrycountyhealth.org Communicable Disease Newsletter Page 2 Salmonella Case Definition Clinical description: An illness of variable severity commonly manifested by diarrhea, abdominal pain, nausea, and sometimes vomiting. Asymptomatic infections may occur and the organism may cause extraintestinal infections . Laboratory criteria for diagnosis: Isolation of Salmonella from a clinical specimen Case classification Confirmed: a case that is laboratory confirmed Probable: a clinically compatible case that is epidemiologically linked to a confirmed case Comment Laboratory-confirmed isolates are reported to CDC via the Public Health Laboratory Information System (PHLIS), which is managed by the Foodborne and Diarrheal Diseases Branch, Division of Bacterial and Mycotic Diseases, National Center for Infectious Diseases, CDC. Both probable and confirmed cases are reported to the National Notifiable Diseases Surveillance System, but only confirmed cases are reported to PHLIS. Both asymptomatic infections and infections at sites other than the gastrointestinal tract, if laboratory confirmed, are considered confirmed cases that should be reported to PHLIS. Source: CDC.gov . Communicable Disease Surveillance Communicable disease surveillance is a multi-component system that monitors and analyzes data that includes, but is not limited to, demographic, geographic, and disease/condition-specific information. Accurate identification and timely reporting are integral parts of successful disease control, enabling public health agencies to: Identify contacts who may be infected or other individuals at risk for infection, Determine the incidence and prevalence of disease in a specific area of the state, Assist physicians and hospitals in evaluating illnesses in their patients and communities, and Assist the public in making better decisions regarding their health and lifestyle. Successful communicable disease surveillance enhances control efforts; such as developing prevention/ intervention strategies and policies, and responding to events involving potential exposure to communicable disease. The goal of MoDHSS disease surveillance is to maintain an integrated statewide surveillance system for communicable, zoonotic, and environmentally induced health threats and to disseminate this information rapidly to customers. Source: MoDHSS Volume 7, Issue 5 Page 3 Communicable Disease Report Cumulative Cases from July Through August in Barry and Taney County: (Includes only confirmed or probable cases entered into the MOHSIS database) Barry Taney Southwest District 2011 2012 2011 2012 2011 2012 Campylobacter 2 1 1 0 57 20 Coccidioidomycosis 0 0 0 0 0 0 Cryptosporidiosis 0 0 0 0 24 6 E. coli Shiga Toxin Positive 0 0 0 0 15 6 E. coli 0157:H7 1 1 0 0 3 4 Ehrilichia Chaffeensis 0 0 1 0 18 20 Giardiasis 2 0 0 0 18 12 Haemophilus Influenzae, Invasive 0 0 0 1 5 1 Hepatitis B Acute 0 0 0 0 2 1 Hepatitis B Chronic 0 0 0 0 5 10 Hepatitis B Pregnancy 0 0 0 0 0 3 Legionellosis 0 0 0 0 0 3 Listeriosis 0 0 0 0 0 0 Lyme 0 0 0 0 0 0 Pertussis 0 0 0 0 6 10 Rabies Post Exposure Prophylaxis 4 3 0 0 14 13 Rocky Mountain Spotted Fever 1 0 4 3 34 30 Salmonellosis 1 0 3 1 36 46 Shigellosis 0 3 0 0 6 7 Strep Disease, Group A Invasive 0 0 0 0 1 1 TB Disease 0 0 0 0 2 0 TB Infection 0 0 1 2 69 58 Varicella (Chickenpox) 0 0 0 0 6 11 11 8 10 7 321 262 Total Source: Crystal Reports Missouri Communicable Disease Reporting Rules For more information go to: HTTP://health.mo.gov/living/healthcondiseases/communicable/communicabledisease/pdf/reportablediseaselist2.pdf Communicable Disease Newsletter Page 4 Multi-State Outbreak of Salmonella Bredeney Infections Linked to Peanut Butter Consumers who recently purchased recalled peanut butter or other products containing nuts and seeds are advised not to eat them and dispose of any remaining jars of these products or return the jars to the place of purchase. Source: CDC.gov Source: CDC.gov Peanut Butter Recall On September 24, 2012, Sunland, Inc. announced a voluntary recall of its peanut butter and other products containing nuts and seeds, manufactured between May 1, 2012 and September 24, 2012, because these products may be contaminated with Salmonella. A total of 30 persons infected with the outbreak strain of Salmonella Bredeney have been reported from 19 states. Collaborative investigation efforts of state, local, and federal public health and regulatory agencies indicate that Trader Joe's Valencia Creamy Salted Peanut Butter made with Sea Salt is a likely source of this outbreak. Based on available information, CDC recommends that consumers do not eat recalled peanut butter and other products containing nuts and seeds and dispose of any remaining jars of product in the home or return the product to the place of purchase. This is especially important for children under the age of 5 years, older adults, and people with weak immune systems. Please visit: http://www.cdc.gov/salmonella/bredeney-09-12/advice-consumers.html for more information. Source: CDC.gov Page 5 Communicable Disease Newsletter Outbreak Notice-Measles TRAVELER’S HEALTH What Is the Current Situation? In the United States, measles was declared eliminated in 2000 due to high vaccination coverage and effective public health response. That means measles no longer occurs in the United States. However, measles is still common in some parts of Europe, Asia, the Pacific, and Africa. Travelers who have not been vaccinated are at risk of getting the disease and spreading it to their friends and family members who may not be up to date with vaccinations. Because of this risk, all travelers six months and older should be up to date on their vaccinations, regardless of where they are going. Measles is one of the most contagious diseases, and even domestic travelers may be exposed on airplanes or in airports. What is Measles? Measles is spread by contact with an infected person and through coughing and sneezing. Measles virus can remain active and contagious for up to 2 hours in the air or on surfaces. People with measles usually have a rash, high fever, cough, runny nose, and red, watery eyes. Some people who become sick with measles also get an ear infection, diarrhea, or a serious lung infection, such as pneumonia. Although severe cases are rare, measles can cause swelling of the brain and even death. Measles can be especially severe in infants and in people who are malnourished or who have weakened immune systems (such as from HIV infection or cancer or from certain drugs or therapies). Prevention: Ensure that travelers are immune to measles before they travel. Upcoming Educational Opportunities TUBERCULOSIS INTENSTIVE CONFERENCE – December 5-7 The Heartland National Tuberculosis Center Training is announcing its new Tuberculosis Intensive Conference being held in Texas. If you have further questions, please feel free to contact Heartland at 1-800-TEXLUNG (1-800-839-5864). CDC-TV– Watch, listen and learn. Many popular health topics can be viewed at any time. To view go to: http:// www.cdc.gov/cdctv/. Questions or Comments about the CD Newsletter? Please contact: Kimberly Foster at 417-334-4544 ext 255 or [email protected]