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Zika in Latin America and the Caribbean – HEALTH AND TRAVEL ADVISORY – Feb 2017

Written by Karen Smith on . Posted in Alerts, Front Page, News

Certain regions of Latin America and the Caribbean have experienced a significant increase in Zika infections in 2015‐2017. If you are traveling to an area with Zika, the California Department of Public Health recommends taking appropriate precautions for avoiding mosquito bites during the day and at night. Pregnant women are advised not to travel to regions where there is Zika virus transmission.

Health Department Seeks Individuals Potentially Exposed to Tuberculosis

Written by Karen Smith on . Posted in Alerts, Front Page, News

While conducting a disease investigation, the Monterey County Health Department determined that individuals who were present at Department (Courtroom) 11 and Department (Courtroom) 8 of the Monterey County Superior Court in Salinas during the dates and times listed below may have been in contact with a person with active tuberculosis (TB):

  • Salinas Courthouse, Courtroom 11, September 13, 2016, from 8:00 am to 4:00 pm
  • Salinas Courthouse, Courtroom 8, October 28, 2016, from 8:00 am to 1:30 pm

The Salinas Courthouse is located at 240 Church St, Salinas, CA 93901. There is no risk of exposure for individuals who visited other courtrooms or areas of the Salinas Courthouse on September 13th and October 28th, and there is no risk of exposure for individuals who visited Salinas Courthouse courtrooms 8 and 11 at other dates and times. 

Health Advisory: Influenza Activity Increasing Locally

Written by Karen Smith on . Posted in Alerts

Current Situation

The Centers for Disease Control and Prevention (CDC) reports widespread influenza in California.  The Monterey County Health Department received an increased number of influenza positive laboratory reports during the last week.  Additionally, reports of increased influenza activity in congregate living facilities have been received.  Influenza A (H3) is the predominant circulating subtype currently; this may change as the influenza season progresses. 

Recommendations for Healthcare Providers

Health Update: Updated Influenza Guidance for Long-Term Care Facilities

Written by Karen Smith on . Posted in Alerts

header-hu-ltc-influenza-28nov16Current Situation

Local surveillance data indicates influenza activity is increasing.  The California Department of Public Health recently released updated guidance on the prevention and control of influenza in long term care facilities.  Facilities should take the opportunity now to review the updated guidance and make preparations for increased influenza activity.  

Summary of Updated Guidance

Health Advisory: Coccidioidomycosis Increasing Locally

Written by Karen Smith on . Posted in Alerts

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

  Coccidioidomycosis Increasing Locally  

___________________________________________________________________________

 Health officials urge medical providers to include coccidioidomycosis in their differential diagnoses when evaluating patients with progressive respiratory illness.

Coccidioidomycosis, also known as Valley Fever, results from inhalation of Coccidioides immitis and Coccidioides posadasii spores.  Monterey County is a Coccidioides endemic area, particularly the Salinas Valley and South County regions.  In October 2016, an unusually high number of coccidioidomycosis cases among Monterey County residents was reported by local medical providers.  Some individuals were severely ill and required extensive medical care.  At this time, Public Health Officials recommend medical providers:

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.