Multiple states across the country have reported outbreaks of hepatitis A, primarily among people who use drugs and people experiencing homelessness. Since the hepatitis A outbreaks were first identified in 2016, more than 15,000 cases, 8,500 (57%) hospitalizations, and 140 deaths as a result of hepatitis A virus (HAV) infection have been reported. This Health Alert Network (HAN) update recommends that public health departments, healthcare facilities, and partners and programs providing services to affected populations vaccinate at-risk groups against hepatitis A, applying the updated recommendations of the Advisory Committee on Immunization Practices (ACIP).
This is an update to the Health Alert Network (HAN) advisory released on June 11, 2018 titled Outbreak of Hepatitis A Virus (HAV) Infections among Persons Who Use Drugs and Persons Experiencing Homelessness(https://emergency.cdc.gov/han/han00412.asp). Read the entire HAN.
For many decades, death was likely for people with tuberculosis (TB). World TB Day celebrates the day in 1882 when Dr. Robert Koch discovered the cause of tuberculosis. Tuberculosis is a small rod-shaped bacteria. At the time of Koch’s announcement, TB was raging through both Europe and the Americas. It caused the death of one out of every seven people. Dr. Koch’s discovery was an important step toward the control and elimination of this deadly disease.
Scientists later learned that there are two types of TB Conditions:
- TB Disease and
- Latent (or inactive) TB infection.
People with TB Disease are sick from active TB bacteria. They usually have symptoms such as cough, fever, tiredness, or weight loss. They may spread the bacteria to others.
People with latent TB infection:
- Do not feel sick,
- Do not have symptoms, and
- Cannot spread TB bacteria to others.
If left untreated, the inactive, non-contagious form of TB can become an infectious form of the disease.
TB in Virginia
TB was the first disease that the Virginia Department of Health (VDH) addressed when it was formed in 1908. At that time, VDH had a staff of four and a budget of $40,000. At least half of the budget was used to help the 12,100 Virginians living with TB at that time. Today, TB remains an important preventable disease in Virginia. Treating cases of infectious TB disease is important, but it’s only the tip of the iceberg. We will never end TB without screening people for latent TB infection and treating it to prevent its progression. Treatment for LTBI can be as short as one dose of medicine a week for 12 weeks!
Should you be screened for latent (or inactive) TB Infection? You may want to contact your health provider or local health department if you:
- Have close contact (in your home or workplace) with a person with infectious TB disease;
- Have lived or visited for 3 months or more in a country where tuberculosis is common;
- Have been homeless and lived in a shelter or other setting where many people live together;
- Have a medical condition that makes it hard for your body to fight infections, such as diabetes mellitus, severe kidney disease or HIV infection;
- Take medical treatments such as steroids on a regular basis or take special medicines for rheumatoid arthritis or Crohn’s Disease.
Want more information about Latent Tuberculosis Infections? Please visit:
- FDA is proposing to end current compliance policy as it applies to flavored electronic nicotine delivery system (ENDS) products such as electronic cigarettes (other than tobacco-, mint-, and menthol-flavored products), and prioritize enforcement of such products offered for sale in ways that pose a greater risk for minors to access these tobacco products.
- In addition, FDA expects manufacturers of all flavored ENDS products (other than tobacco-, mint-, and menthol-flavored) that remain on the market under these new conditions to submit premarket applications to the agency by Aug. 8, 2021. This application date is one year earlier than the agency previously proposed.
When we first announced our comprehensive plan for tobacco and nicotine regulation in July 2017, we outlined a framework to better protect kids and to significantly reduce tobacco-related disease and death. We are continuing to implement that framework today. It remains the blueprint for the agency’s tobacco-related policymaking. Read the full Release.
Update: November 26, 2018
The FDA, along with CDC, state and local agencies, is investigating a multistate outbreak of E. coli O157:H7 illnesses likely linked to romaine lettuce grown in California this fall. The Public Health Agency of Canada (PHAC) and Canadian Food Inspection Agency are also coordinating with U.S. agencies as they investigate a similar outbreak in Canada.
The FDA has been conducting a traceback investigation, reviewing shipping records and invoices to trace the supply of romaine from the place where ill people were exposed to the place where that romaine was grown.
Preliminary traceback information indicates that ill people in several areas across the country were exposed to romaine lettuce harvested in California. Specifically, current evidence indicates this romaine was harvested in the Central Coast growing regions of northern and central California.
Romaine harvested from locations outside of the California regions identified by the traceback investigation does not appear to be related to the current outbreak. Read More>>
Acute flaccid myelitis or “AFM” is a condition that affects the nervous system, specifically the spinal cord. Most patients have sudden onset of limb (arm and leg) weakness. AFM is thought to be caused by infections with different types of viruses. The infections most commonly mentioned with AFM include polio or West Nile virus and related infections. Most patients with AFM have a respiratory illness or fever before their limbs are affected. Other causes of AFM are still being explored and may include environmental toxins or genetic disorders. Learn More
CDC, public health and regulatory officials in several states, Canada, and the U.S. Food and Drug Administration (FDA) are investigating a multistate outbreak of Shiga toxin-producing Escherichia coli O157:H7 (E. coli O157:H7) infections linked to romaine lettuce. CDC is advising that U.S. consumers not eat any romaine lettuce, and retailers and restaurants not serve or sell any, until they learn more about the outbreak. This investigation is ongoing and the advice will be updated as more information is available. Learn more
This important week alerts individuals to the growing threat of antibiotic resistance – a serious public health issue – and urges everyone to use antibiotics appropriately.
What is antibiotic resistance?
Antibiotic resistance is when bacteria in your body are able to fight the drugs designed to kill them. The antibiotics become useless, and the harmful bacteria are still in your body.
How does antibiotic resistance occur?
Resistance happens when you are exposed to antibiotics inappropriately or over and over again.
How can I protect myself?
Use antibiotics appropriately! This means only taking antibiotics that are prescribed to you, and to take your antibiotics exactly as they are prescribed. It is also important that you do not take antibiotics for infections caused by viruses, because antibiotics do not kill viruses. Some common infections caused by viruses are the common cold, the flu, and most sore throats.
To raise awareness for this week, the Healthcare-Associated Infections and Antimicrobial Resistance (HAI/AR) team at VDH challenged nurses across Virginia to join the fight by studying educational material about antibiotic resistance and completing a quiz to test their knowledge. This initiative was designed to help your nurses protect you from antibiotic resistance. The challenge will wrap up on November 15th. Keep an eye out on the VDH social media pages for results!
The HAI/AR team also released a special edition newsletter about Antibiotics Awareness Week, which spotlights hospital systems committed to reducing antibiotic resistance.
We hope you will use the resources provided in the above links to arm yourselves with information and do your part to reduce antibiotic resistance!
Domestic Violence, also known as intimate partner violence, happens to women and men. Intimate partner violence includes:
- physical violence,
- sexual violence,
- threats of physical or sexual violence,
- stalking and
- emotional or psychological abuse
by a current or former intimate partner. This type of violence can happen to anyone, even if you aren’t sexually intimate. It can range from a single episode of violence to severe episodes over many years.
If you or someone you know needs help, call the Virginia Family Violence & Sexual Assault Hotline, 1-800-838-8238 or the LGBTQ Partner Abuse and Sexual Assault Helpline, 1-800-356-6998. If you are not able to call you can text, 804-793-9999. If you are in immediate danger, please call 911.
Well, my “Listening Tour” of the Commonwealth got off to a fantastic start in Charlottesville this past week. I hope you all have had a chance to see the news clip from the NBC affiliate in Charlottesville, and there was a good article in the October 12th issue of Charlottesville’s newspaper, The Daily Progress. Some 100 people filled the University of Virginia’s Alumni Hall on October 10th to participate in a Town Hall discussion with me about public health. Earlier in the day, I had a wonderful and enlightening discussion with the staff at the Louisa Health Department, who educated me about the health concerns of the population they serve. Later, in Charlottesville, I had the opportunity to go out on a restaurant inspection.
This coming week, the “Listening Tour” heads to southwest Virginia. On Wednesday, October 17th, I’ll be speaking at UVA Wise, and, on October 18th, I’ll join colleagues from DMAS and DBHDS at an event in Roanoke aimed at increasing provider participation in Medicaid expansion.
One of the major themes I’ll address during the tour is the need to ensure living conditions that promote health and foster well-being, including our most vulnerable populations – rural communities and communities of color. We seek to conduct our efforts to improve population health through a health equity lens. Along those lines, I want to encourage all those who can do so to attend this week’s “Health Equity Conference and Think Tank,” which is our Office of Health Equity’s inaugural national conference. The gathering, entitled “Sowing the Seeds of Health Equity: Growing Healthy, Connected Communities,” will be held October 17-18. Register today!
Finally, October is “Domestic Violence Awareness” month. We’re posting an infographic on our Web site to highlight the need to end domestic and intimate partner violence. Let’s all do what we can to end this violence.
Have a great week!
(Pronouns: he, his, him)
Yesterday, Dr. Norm Oliver presented during Primary Care Week Holland lecture on the Unconscious Racial Bias and Clinical Decision-Making at the VCU School of Medicine, Department of Family Medicine and Population Health.
See Dr. Oliver’s Presentation.