Past Updates from the Clinician Listserv

Update Sent March 01, 2010

NOTE: This document is provided for historical purposes only and may not provide our most accurate and up-to-date information. The most current Clinician's information can be found on the Clinician Home Page.

The following updates were made to CDC information and guidance from Feb 22 – Mar 01, 2010. If you have any questions on these or other clinical issues, please write to us at coca@cdc.gov.

Today's topics Include:

Upcoming COCA Call
Haiti Earthquake
Influenza Situation Update
2009 Influenza Key Points and Messages
2009 H1N1 Influenza Resources for Clinicians
Emerging Infectious Disease (EID) Journal
Emergency Preparedness & Response
Food and Drug Safety

Upcoming COCA Call

Physical and Psychological Impact of Limb Loss Among Haiti Earthquake Survivors
This call will address the physical and mental health implications of amputation. Speakers will review epidemiology, physiology and classifications of limb loss; compare and contrast the incidence and management of limb loss in the United States with the Haiti Earthquake; review amputee pre-operative predictors of outcome for rehabilitation and lifelong follow through; and discuss essential information for the management of psychosocial issues following limb loss.
Date: March 3, 2010 (Wednesday)
Time: 4:00 pm - 5:00pm (EST)

Speakers: Terrance P. Sheehan, MD and Stephen T. Wegener, MD
Call- In #: 888-566-6585

Passcode: 9411583

Influenza Vaccine Update
CDC experts will provide an update on influenza vaccine and Vaccine Adverse Event Report System (VAERS). This call will cover Advisory Committee on Immunization Practices (ACIP) recommendations for use of influenza vaccines; recent epidemiologic findings and vaccine coverage for groups at higher risk for influenza-related complications; U.S. safety monitoring in place for 2009 Influenza A (H1N1) monovalent vaccines; and preliminary findings from the U.S. Vaccine Adverse Event Reporting System.
Date: March 23, 2010 (Tuesday)
Time: 2:00 pm – 3:00 pm (EST)
Call-In: 888-566-6585
Passcode: 9411583

Haiti Earthquake

Haiti Pre-decision Briefs for Public Health Action - CDC – Feb 25
In order to prepare for potential outbreaks or epidemics of infectious disease as a result of the earthquake in Haiti, CDC subject matter experts (SME) have prepared a series of short pre-decisional briefs for public health action on specific high-priority threats. These briefs have been designed to provide key recommendations with relevant background information for decision makers in the Haiti Ministry of Health, the U.S. Government, non-governmental organizations, and elsewhere. These documents can be found at: http://emergency.cdc.gov/disasters/earthquakes/haiti/pre-decision_briefs.asp

Updated: Guidance for Healthcare Providers Assisting Travelers Preparing for Haiti Earthquake Response - CDC – Feb 24
The vaccine recommendations on this page are based on diseases previously observed in Haiti and the possibility for outbreaks in the aftermath of the earthquake. At this time, vaccines for diseases such as polio, cholera, and meningitis are not recommended.
http://wwwnc.cdc.gov/travel/content/id/2450.aspx

Earthquake Information for Clinicians
http://emergency.cdc.gov/disasters/earthquakes/clinicians.asp

CDC Travelers’ Health: Haiti Earthquake and Travel
http://wwwnc.cdc.gov/travel/content/haiti-earthquake-travel.aspx

CDC Emergency Preparedness and Response Earthquake Information http://emergency.cdc.gov/disasters/earthquakes/

Influenza Situation Update

Weekly FluView Map and Surveillance Report - CDC – Feb 26
During week 7 (February 14-20, 2010), influenza activity remained at approximately the same levels as last week in the U.S. One hundred and eighty five (4.4%) specimens tested by U.S. World Health Organization (WHO) and National Respiratory and Enteric Virus Surveillance System (NREVSS) collaborating laboratories and reported to CDC/Influenza Division were positive for influenza.
http://www.cdc.gov/flu/weekly/
Influenza and Pneumonia-Associated Hospitalizations and Deaths from August 30 to February 20, 2010 - CDC – Feb 26
FluView reports that for the week of February 14 - 20, 2010, flu activity in the United States remained about the same level as the previous week. All subtyped influenza A viruses reported to CDC were 2009 influenza A (H1N1) viruses.
http://www.cdc.gov/h1n1flu/updates/us/#totalcases

WHO Updates International H1N1 Situation - WHO – Feb 26
As of 21 February 2010, worldwide more than 213 countries and overseas territories or communities have reported laboratory confirmed cases of pandemic influenza H1N1 2009, including at least 16,226 deaths.
http://www.who.int/csr/don/2010_02_26/en/index.html

2009 Influenza Key Points and Messages

Asthma is the most common underlying health condition reported among adult 2009 H1N1 hospitalizations and was reported in 30% of adults hospitalized with 2009 H1N1 flu, according to EIP data.
Diabetes is the second most common underlying condition associated with 2009 H1N1 hospitalization, accounting for 23% of those hospitalizations in adults.
Minority groups have consistently had higher rates of serious 2009 H1N1 disease, including hospitalizations, than non-minority groups, when comparing hospitalization rates across racial/ethnic groups during the spring-summer versus the fall-winter.
On February 24, 2010 the Advisory Committee on Immunization Practices (ACIP) voted to expand the recommendation for annual influenza vaccination to include all people aged 6 months and older.

2009 H1N1 Influenza Resources for Clinicians

CDC’s Advisory Committee on Immunization Practices (ACIP) Recommends Universal Annual Influenza Vaccination - CDC – Feb 24
A panel of immunization experts voted on February 24, 2010 to expand the recommendation for annual influenza vaccination to include all people aged 6 months and older.
http://www.cdc.gov/media/pressrel/2010/r100224.htm

New: Questions and Answers: Underlying Health Conditions Among Adults and Children Hospitalized with 2009 H1N1 – CDC – Feb 24
This Q&A provides updated information about underlying health conditions among hospitalized 2009 H1N1 patients in the United States as reported to CDC from April 15, 2009 – February 16, 2010. CDC first reported information about underlying health conditions related to 2009 H1N1.
http://www.cdc.gov/H1N1flu/eip_underlying_conditions.htm
Questions and Answers: Behavioral Risk Factor Surveillance System (BRFSS) 2009 H1N1 Flu Modules for Influenza-like Illness (ILI) and Vaccination – CDC – Feb 24
The Behavioral Risk Factor Surveillance System (BRFSS) is a state-based system of health surveys that collects information on health risk behaviors, preventive health practices, and health care access primarily related to chronic disease and injury.
http://www.cdc.gov/h1n1flu/behavior_risk_factors_surv_sys.htm

Questions and Answers: Information on 2009 H1N1 impact by Race and Ethnicity – CDC – Feb 24
This page provides summary information about the impact of 2009 H1N1 across racial and ethnic groups in the United States. This information was reported to CDC through the Emerging Infections Program from April 15, 2009 through January 26, 2010, and through the Behavioral Risk Factor Surveillance System (BRFSS) 2009 H1N1 Flu Modules for Influenza-like Illness (ILI) from September 1 to December 31, 2009.
http://www.cdc.gov/h1n1flu/race_ethnicity_qa.htm

Protection Against 2009 H1N1 To Be Included in 2010-2011 Seasonal Flu Vaccine – CDC – Feb 22
Key FDA Advisory Committee Recommends Inclusion of 2009 H1N1 Strain in the 2010-2011 Seasonal Influenza Vaccine.
http://www.flu.gov/news/blogs/blog20100222.html

Reduction of Inventory and Allocations at the McKesson 2009 H1N1 Vaccine/ Ancillary Supply Distribution Depots – CDC – Feb 22
This document is intended to provide PHER-funded awardees with information regarding the reduction of vaccine inventory and allocation at the McKesson 2009 H1N1 vaccine/ancillary supply distribution depots.
http://www.cdc.gov/h1n1flu/vaccination/reduction_of_inventory_and_allocations.htm
Locate all H1N1 Flu guidance documents
http://www.cdc.gov/h1n1flu/guidance/

2009 H1N1 Influenza: Resources for Clinicians
http://www.cdc.gov/h1n1flu/clinicians/

Emerging Infectious Disease (EID) Journal

The Emerging Infectious Diseases (EID) journal provides recognition of new and re-emerging infections and understanding of factors involved in disease emergence, prevention, and elimination. It also represents the scientific communications component of CDC's efforts against the threat of emerging infections. See the March 2010 issue of the EID journal at the following link:
http://www.cdc.gov/ncidod/EID/index.htm

Emergency Preparedness & Response

Remarks by the President on the Earthquake in Chile – The White House Blog – Feb 27
The President made a statement on the earthquake in Chile and preparations for a possible tsunami that could reach American shores.
http://www.whitehouse.gov/blog/2010/02/27/information-chilean-earthquake-and-tsunami-warnings

Food and Drug Safety

Recalls, Market Withdrawals, & Safety Alerts – FDA – Feb 26
For additional information on recent FDA recalls, market recalls & safety alerts please click on the following link: http://www.fda.gov/Safety/Recalls/default.htm

FDA Update on the Investigation into the Salmonella Montevideo Outbreak – FDA – Feb 25
The Food and Drug Administration, along with the Centers for Disease Control and Prevention and the U.S. Department of Agriculture’s Food Safety and Inspection Service, continues to work closely with the Rhode Island Department of Health and other states in the investigation of an outbreak of Salmonella Montevideo infections associated with certain Italian-style sausage products including salami/salame.
http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm202128.htm

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