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Health Advisory for Schools and Daycares: Potential Respiratory Health Issues Due to Wildfire Smoke Continue

Written by Jeff Domalanta on . Posted in Alerts

Health Alert:  Warrants immediate action or attention.   Health Advisory:  Provides information for a specific incident or situation; may not require immediate action. Health Update:  Provides updated information regarding an incident or situation; unlikely to require immediate action 

Health Advisory for Schools and Daycares

August 12, 2016

From:   Edward L. Moreno, MD, MPH                                           Kristy Michie, MS

             Health Officer    831-755-4585                                         Epidemiologist   831-755-4503

 

Potential Respiratory Health Issues Due to Wildfire Smoke Continue

Schools are urged to check air quality frequently and take appropriate actions to reduce exposure.

Health Update: Bicillin® L-A (benzathine penicillin G) Supplies Returning to Normal

Written by Jeff Domalanta on . Posted in Alerts

MCHD Letterhead_EJ 2016

Health Update

August 8, 2016

From:  Edward L. Moreno, MD, MPH                                                      Kristy Michie, MS

            Health Officer   831-755-4585                                                      Epidemiologist   831-755-4503

 

Bicillin® L-A (benzathine penicillin G)  Supplies Returning to Normal

 

Current Situation

In April 2016, the Food and Drug Administration (FDA) announced that Pfizer, the sole manufacturer of Bicillin® L-A, was experiencing manufacturing delays.  In early August, Pfizer stated that production of Bicillin® L-A has since resumed, and Bicillin® L-A  is shipping to meet normal market demand at this time.  Syphilis incidence remains high in Monterey County.  In 2015, there were 57 cases of early syphilis (primary, secondary, and early latent) among Monterey County residents.  To date in 2016, there have been 23 reported cases of early syphilis.  Gay, bisexual, and other men who have sex with men are at particularly high risk of acquiring syphilis.  In 2015, Monterey County reported its first congenital syphilis case in over 5 years.

Health Advisory: First Travel-Associated Zika Virus Infection Reported in Monterey County Resident; Local Transmission of Zika Virus Reported in Miami, Florida

Written by Karen Smith on . Posted in Alerts

Health Alert:  Warrants immediate action or attention.   Health Advisory:  Provides information for a specific incident or situation; may not require immediate action. Health Update:  Provides updated information regarding an incident or situation; unlikely to require immediate action. 

Health Advisory

August 1, 2016

From:   Edward L. Moreno, MD, MPH                              Kristy Michie, MS
             Health Officer    831-755-4585                             Epidemiologist   831-755-4503

First Travel-Associated Zika Virus Infection Reported in Monterey County Resident; Local Transmission of Zika Virus Reported in Miami, Florida

 Testing may be offered to symptomatic individuals as well as asymptomatic pregnant women who recently traveled to areas with Zika virus transmission or had potential sexual exposure.

Current Situation

On July 30, 2016, Monterey County Health Officials reported the first travel-associated Zika virus infection in a Monterey County resident.  The individual traveled to Central America in June and July and developed symptoms upon return to the United States.  On July 29, 2016, the Centers for Disease Control and Prevention (CDC) announced that four cases of Zika virus infection in the Miami, Florida, area were likely acquired locally.  Zika virus continues to be transmitted in parts of Mexico, Central America, South America and some Pacific islands.  To date, there have been 114 travel-associated Zika virus infections among California residents, including 21 pregnant women. 

Zika virus is transmitted to people by Aedes mosquitoes, as well as through sexual contact.  To date, there has been no local transmission of Zika virus in California.  However, the Aedes mosquitoes that carry Zika virus can be found in 12 California counties.  Zika virus can be passed from mother to baby during pregnancy.  The virus can also be spread by unprotected sexual contact with an infected partner, male or female.  Transmission via blood transfusion and laboratory exposure has also been reported nationally.

There have been increased reports of microcephaly, fetal demise, as well as visual and hearing defects among babies born to mothers who were infected with Zika virus while pregnant in impacted areas globally.  Most people infected with Zika virus are asymptomatic.  If symptoms develop, the most common are fever, rash, arthralgia, headache, and conjunctivitis.  Symptoms usually begin 3 to 7 days after exposure and last several days to a week.  Treatment is limited to supportive care. 

Health Advisory – Potential Respiratory Health Issues Due to Smoke From Soberanes Wildfire Increasing Locally

Written by Karen Smith on . Posted in Alerts

July 27, 2016

From:   Edward L. Moreno, MD, MPH                                   Kristy Michie, MS
             Health Officer    831-755-4585                                  Epidemiologist   831-755-4503

Potential Respiratory Health Issues Due to Smoke from Soberanes Wildfire Increasing Locally

Sensitive populations may experience worsening of chronic respiratory conditions and need enhanced care at this time.

Current Situation

The Monterey Bay Air Resources District advises air quality in portions of Monterey County is being affected by smoke from the Soberanes wildfire.  In Carmel Valley, air quality is currently categorized as “unhealthy” by the District.  Wildfire smoke contains significant quantities of respiratory irritants.  The effects of smoke from wildfires range from eye and respiratory tract irritation to more serious disorders including reduced lung function, bronchitis, and exacerbation of asthma.  Smoke particles have been linked with increased mortality and aggravation of pre-existing respiratory and cardiovascular disease.  Particles can also affect healthy people causing respiratory symptoms, transient reductions in lung function, and pulmonary inflammation.  Populations especially vulnerable to the effects of wildfire smoke include individuals with asthma and other respiratory diseases, individuals with cardiovascular disease, the elderly, children, pregnant women, and smokers.

Health Advisory: Local Influenza-Related Fatality Reported

Written by Karen Smith on . Posted in Alerts

Health Advisory

May 13, 2016

 

From:  Edward L. Moreno, MD, MPH                                           Kristy Michie, MS
             Health Officer   831-755-4585                                            Epidemiologist   831-755-4503

 

Local Influenza-Related Fatality Reported

Current Situation

Influenza continues to circulate regionally in California including Monterey County.  To date, during the 2015-2016 influenza season, there have been 2 ICU admissions and 1 fatality reported among Monterey County residents less than 65 years of age due to complications of influenza virus infection.  Two of these severe cases had onset of illness in April.  The fatality occurred in an unvaccinated individual under the age of 18 years. 

Recommendations for Healthcare Providers

Health Update: Syphilis Incidence Increasing Steadily in Monterey County

Written by Jeff Domalanta on . Posted in Alerts

Syphilis Title

Current Situation

Since 2010, incidence of syphilis has been increasing among Monterey County residents.  The number of early syphilis (primary, secondary, and early latent syphilis) cases rose from 1 in 2009 to 53 in 2015.  Gay, bisexual, and other men who have sex with men were disproportionately affected.  Recently, statewide increases in syphilis among women have resulted in a tripling of congenital syphilis rates in California.  In 2015, Monterey County reported its first congenital syphilis case in over 15 years.  Detailed epidemiologic information about early syphilis in Monterey County can be accessed at http://www.mtyhd.org/wp-content/uploads/2014/11/Syphilis_FactSheet_20160506.pdf.

 

Health Update: Zika Virus Continues to be Transmitted in Latin America

Written by Karen Smith on . Posted in Alerts

Heath Update 27April16

Current Situation

Zika virus continues to be transmitted in parts of Mexico, Central America, South America and some Pacific islands.  Zika virus is transmitted to people by Aedes mosquitos.  To date, there has been no local transmission of Zika virus in California.  However, the Aedes mosquitoes that carry the Zika virus can be found in California.  Zika virus can be passed from mother to baby during pregnancy.  The virus can also be spread by unprotected sexual contact with a symptomatic male.  Transmission via blood transfusion has been reported.

There have been increased reports of microcephaly, fetal demise, as well as visual and hearing defects among babies born to mothers who were infected with Zika virus while pregnant.  Most people infected with Zika virus are asymptomatic.  If symptoms develop, the most common are fever, rash, arthralgia, headache, and conjunctivitis.  Symptoms usually begin 3 to 7 days after being bitten by an infected mosquito and last several days to a week.  Treatment is limited to supportive care. 

Health Update: End of Masking Period for Unvaccinated Healthcare Workers in Licensed Healthcare Facilities

Written by Karen Smith on . Posted in Alerts

April 12, 2016

From:  Edward L. Moreno, MD, MPH                                              Kristy Michie, MS
             Health Officer   831-755-4585                                            Epidemiologist   831-755-4503

End of Masking Period for Unvaccinated Healthcare Workers  in Licensed Healthcare Facilities

On September 11, 2015, the Monterey County Health Officer issued an order that required all licensed healthcare facilities in Monterey County to develop and implement a mandatory influenza vaccination policy and program for the 2015-2016 influenza season.  The order also required masking of healthcare workers who declined influenza vaccination while working in patient care areas.  The 2015-2016 influenza season was defined in the order as November 7, 2015, through April 15, 2016. 

While influenza continues to circulate at seasonally low levels in Monterey County, unvaccinated healthcare workers may stop using masks on April 16, 2016.

Health Update: Updated Guidance on Screening Patients for Recent Travel to Ebola Affected Regions

Written by Karen Smith on . Posted in Alerts

March 31, 2016 
 
From:   Edward L. Moreno, MD, MPH                                 Kristy Michie, MS 
                Health Officer    831-755-4585                               Epidemiologist   831-755-4503 

Updated Guidance on Screening Patients for Recent Travel to Ebola Affected Regions 

Screen all patients with fever, rash, and/or acute respiratory symptoms for recent travel history. 

 Current Situation 

On March 29, 2016, the Emergency Committee of the World Health Organization (WHO) stated that the Ebola situation in West Africa no longer constitutes a Public Health Emergency of International Concern and that affected countries currently have the capacity to respond rapidly to new virus emergencies.  Given that the transmission and occurrence of Ebola virus disease has been greatly reduced, health care facilities should adjust screening practices for acutely ill patients.