Infant Sleep Positioners: FDA Warning – Risk of Suffocation

FDA is reminding parents and caregivers not to put babies in sleep positioners. These products—sometimes also called “nests” or “anti-roll” products—can cause suffocation (a struggle to breathe) that can lead to death.

In the last 13 years, the federal government has received 12 reports of babies known to have died from suffocation associated with their sleep positioners. Most of the babies suffocated after rolling from the side to the stomach. In addition to the deaths, the commission has received dozens of reports of babies who were placed on their back or side in the positioners only to be found later in hazardous positions within or next to the product.

To reduce the risk of sleep-related infant deaths, including accidental suffocation and Sudden Infant Death Syndrome (SIDS), the American Academy of Pediatrics recommends that infants sleep on their backs, positioned on a firm, empty surface. This surface should not contain soft objects, toys, pillows, or loose bedding. More

CDC: New study shows Tdap vaccination during pregnancy can prevent whooping cough in babies

A new CDC study published today in Clinical Infectious Diseases reported that vaccination with whooping cough vaccine, Tdap, during the third trimester of pregnancy prevented more than three out of four (78 percent) cases of whooping cough (also known as pertussis) in babies younger than two months. However, only 49 percent of pregnant women who delivered between fall 2015 and spring 2016 received the vaccine. CDC recommends women get Tdap during each pregnancy to provide critical short-term protection to babies when they are most at risk for this life-threatening illness. More

Pregnant Women Should Still Get The Flu Vaccine, Doctors Advise

lu symptoms can be more severe when you’re pregnant, landing women in the hospital, threatening their lives and even leading to preterm birth or miscarriage. The virus is a risk to the woman and the baby.

So, it’s particularly important that people who are pregnant get the flu vaccine. And it’s also important that the effects of those vaccines be studied in pregnant women. More

CDC Health Advisory: Rifampin/Penicillin-Resistant Strain of RB51 Brucella Contracted from Consumption of Raw Milk

The Texas Department of State Health Services, with assistance from CDC, is investigating Brucella RB51 exposures and illnesses that may be connected to the purchase and consumption of raw (unpasteurized) milk from K-Bar Dairy in Paradise, Texas. Symptoms of brucellosis can include: fever, sweats, malaise, anorexia, headache, fatigue, muscle & joint pain, and potentially more serious complications (e.g., swelling of heart, liver, or spleen, neurologic symptoms). Read the full CDC Health Advisory.

For More Information
Risks from Unpasteurized Dairy Products
Brucellosis and Expecting Mothers
Raw Milk Questions and Answers

Update: Increase in Human Infections with Novel Asian Lineage Avian Influenza A(H7N9) Viruses During the Fifth Epidemic — China, October 1, 2016–August 7, 2017

Summary

What is already known about this topic?

The current Asian lineage avian influenza A(H7N9) virus (Asian H7N9) epidemic in China is the fifth and largest epidemic on record.

What is added by this report?

Human infections with Asian H7N9 virus were reported from more provinces, regions, and municipalities in China during the fifth epidemic than in the previous four epidemics combined. Because of antigenic variation between the Yangtze River Delta lineage viruses, the newly emerged high pathogenic Asian H7N9 viruses, and 2013 candidate vaccine viruses, new candidate vaccine viruses have been produced.

What are the implications for public health practice?

These candidate vaccine viruses, as well as others being developed by other World Health Organization Collaborating Centers for Influenza, could be used for vaccine production, clinical trials, stockpiling, and other pandemic preparedness purposes, based on ongoing public health risk assessment. CDC has partnered with China CDC, and other China government organizations, United Nations organizations, and surrounding countries to enhance surveillance and laboratory capacity to detect and respond to Asian H7N9 in animals and humans.

Read the full MMWR. 

Hajj and Umrah in Saudi Arabia

The annual Hajj, or pilgrimage to Mecca, Saudi Arabia, is among the largest mass gatherings in the world. In 2017, Hajj will take place from approximately August 30 to September 4. Umrah is a similar pilgrimage that can be undertaken at any time of the year, but is likely to be more crowded during the month of Ramadan (approximately May 27 to June 24).

Because of the crowds, mass gatherings such as Hajj and Umrah are associated with unique health risks. Before you go, you should visit a travel health specialist for advice, make sure you are up to date on all routine and recommended vaccines, and learn about other health and safety issues that could affect you during your trip.

Clinicians

In advance of this event, the Centers for Disease Control and Prevention (CDC) has developed the attached brief notice regarding Middle East Respiratory Syndrome Coronavirus (MERS-CoV) testing.  Because of the potential increase in travelers returning from Hajj that may be ill, consider MERS-CoV testing if the person meets CDC’s patient under investigation (PUI) testing guidelines.  CDC also recently updated reporting guidelines for a MERS PUI (EPI-X, July 25, 2017).

CDC: Increase in Reported cases of Cyclospora cayetanensis Infection, United States, Summer 2017

The Centers for Disease Control and Prevention (CDC), State and Local Health Departments, and the Food and Drug Administration (FDA) are investigating an increase in reported cases of cyclosporiasis. The purpose of this HAN Advisory is to notify public health departments and healthcare facilities and to provide guidance to healthcare providers of the increase in reported cases. Please disseminate this information to healthcare providers in hospitals and emergency rooms, to primary care providers, and to microbiology laboratories.

Healthcare providers should consider a diagnosis of cyclosporiasis in patients with prolonged or remitting-relapsing diarrheal illness. Testing for Cyclospora is not routinely done in most U.S. laboratories, even when stool is tested for parasites. Healthcare providers must specifically order testing for Cyclospora, whether testing is requested by ova and parasite (O&P) examination, by molecular methods, or by a gastrointestinal pathogen panel test. Cyclosporiasis is a nationally notifiable disease; healthcare providers should report suspect and confirmed cases of infection to public health authorities.

Learn more

FDA Investigates Multiple Salmonella Outbreak Strains Linked to Papayas

The FDA is advising consumers not to eat Caribeña brand Maradol papayas because they are linked to an outbreak of salmonellosis. Maradol papayas are green before they ripen and turn yellow, so consumers should not eat Caribeña brand regardless of the color. If anyone has these papayas in their home, they should dispose of them immediately. CDC reports 141 cases, 45 hospitalizations and one death from 19 states in the Salmonella Kiambu and Salmonella Thompson outbreak . The states involved are CT, DE, IA, IL, KY, LA, MA, MD, MI, MN, NC, NJ, NY, OH, OK, PA, TX, VA, and WI.

For updated information on this outbreak and associated recalls, please visit VDH’s Food Recalls webpage.

Pertussis (Whooping Cough)

Pertussis is a very contagious disease characterized by severe coughing and caused by the bacteria Bordetella pertussis. Among vaccine-preventable diseases, pertussis is one of the most commonly occurring in the United States. The disease can be very serious in children less than 1 year of age when it can cause lung infections and, less often, seizures or inflammation of the brain. In rare cases, pertussis can result in death in children less than 1 year of age. Read the Pertussis FAQ.