Past Updates from the Clinician Listserv

Update Sent March 29, 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.

Update Sent March 22, 2010
The following updates were made to CDC information and guidance from Mar 22 – Mar 29, 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 H1N1 Influenza Resources for Clinicians
Emergency Preparedness & Response
Emerging Infectious Disease (EID) Journal

Upcoming CO CA Conference Call

Date & Time: Tuesday, April 6, 2010 2:00 PM – 3:00 PM (EST)

Title: A Primer of New Advisory Committee on Immunization Practices Guidelines on Human Rabies
Prophylaxis

Speaker: Charles E. Rupprecht, VMD, PhD, Chief, Rabies Program, Centers for Disease Control and
Prevention

Call-in information and powerpoint presentation will be forthcoming.

Haiti Earthquake

New: Interim Guidance Document for Rescue Groups Bringing Dogs and Cats from Haiti – CDC – Mar 23
The earthquake on January 12, 2010 and resulting aftershocks have left many animals injured, vulnerable to illness, and in search of food. In an attempt to care for the pets and strays left after the earthquake, several rescue groups have inquired about bringing dogs and cats into the United States. This guidance document was written for U.S. pet rescue and humanitarian relief workers who are considering bringing animals to the United States from Haiti.
http://www.cdc.gov/animalimportation/interim-guidance-rescue-groups-dogs-cats-haiti.html

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 – Mar 25
During week 11 (March 14-20, 2010), influenza activity in the U.S. remained at approximately the same levels as last week. One hundred and thirty nine (4.6%) specimens tested by U.S. World Health Organization (WHO) and National Respiratory and Enteric Virus Surveillance System (NREVSS) 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, 2009 to March 13, 2010 - CDC – Mar 26
FluView reports that for the week of March 14 – March 20, 2010, flu activity in the United States remained at approximately the same level as the previous week. Approximately 99% of 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 – Mar 26
As of 21 March 2010, more than 213 countries and overseas territories or communities have reported laboratory confirmed cases of pandemic influenza H1N1 2009, including over 16,931 deaths.
http://www.who.int/csr/don/2010_03_26/en/index.html

2009 H1N1 Influenza Resources for Clinicians

New: 2009 H1N1 Influenza Vaccine with Long-Dated Expiration Q & A – CDC – Mar 24
The 2010-11 seasonal trivalent influenza vaccine will contain a 2009 H1N1-like influenza A strain. The timing of its production and availability is not yet known. The purpose of this document is to address questions raised by the long-expiry vaccine.
http://www.cdc.gov/h1n1flu/vaccination/qa_longdated_vaccine.htm

New: Changes to the 2009 H1N1 Vaccine and Supply Distribution Effective April 1, 2010 – CDC – Mar 23
Since mid - February 2010, CDC has been working closely with its centralized vaccine distributor to prepare for a second phase of distribution of 2009 H1N1 vaccine and supplies that will take effect on April 1, 2010. The purpose of this document is to describe the key changes to distribution that grantees can expect beginning April 1, 2010.
http://www.cdc.gov/h1n1flu/vaccination/changes_h1n1_vaccine_supply_dist.htm

New: Everyday Preventive Actions That Can Help Fight Germs, Like Flu – CDC – Mar 22
Flyer summarizing everyday preventive actions that can help slow the spread of germs that cause respiratory illness, like flu.
http://www.cdc.gov/flu/freeresources/2009-10/pdf/everyday_preventive_actions.pdf

2009 Pandemic Influenza A (H1N1) in Pregnant Women Requiring Intensive Care - New York City – CDC/MMWR – Mar 26
Pregnant women are at increased risk for severe illness and complications from infection with seasonal influenza and 2009 pandemic influenza A (H1N1). To characterize the severity of 2009 H1N1 virus infection in pregnant women, the New York City Department of Health and Mental Hygiene conducted surveillance for cases in pregnant women requiring intensive care. The findings indicated that, during 2009, 16 pregnant women and one who was postpartum were admitted to intensive-care units. To view the complete article visit: http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5911a1.htm

Rapid Development of Drug-Resistant 2009 H1N1 Influenza Reported in Two Cases
– NIH – Mar 26
Two people with compromised immune systems who became ill with 2009 H1N1 influenza developed drug-resistant strains of virus after less than two weeks on therapy. Doctors who treat prolonged influenza infection should be aware that even a short course of antiviral treatment may lead to drug-resistant virus, and clinicians should consider this possibility as they develop initial treatment strategies for their patients who have impaired immune function.
http://www3.niaid.nih.gov/news/newsreleases/2010/resistantflu.htm

1918 and 2009 Pandemic Influenza Viruses Lack a Sugar Topping, Finding Could Aid Vaccine Design – NIH – Mar 24
Although they emerged more than 90 years apart, the influenza viruses responsible for the pandemics of 1918 and 2009 share a structural detail that makes both susceptible to neutralization by the same antibodies.
http://www3.niaid.nih.gov/news/newsreleases/2010/pandemicflusugar.htm

Locate all H1N1 Flu guidance documents
http://www.cdc.gov/h1n1flu/guidance/

H1N1 Information for Healthcare Providers
http://www.cdc.gov/h1n1flu/clinicians/

Emergency Preparedness & Response

The Federal Communications Commission’s (FCC’s) Public Safety and Homeland Security Bureau (Bureau) set a new date for a colloquium to discuss the public safety and homeland security portion of the National broadband Plan (Plan). The new date and time for the event will be Wednesday, March 31, 2010 from 9:30 a.m.-11:30 a.m. The event, which will be held in the Commission Meeting Room (TW-C305), was originally scheduled for March 26th at 9:00 a.m. and has been pushed back to the new date and time due to necessary scheduling changes.
http://www.fcc.gov/pshs/event-registration.html

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 April 2010 issue of the EID journal at the following link:
http://www.cdc.gov/ncidod/EID/index.htm

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