Past Updates from the Clinician Listserv

Update Sent February 8, 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 01 - Feb 08, 2010. If you have any questions on these or other clinical issues, please write to us at coca@cdc.gov.

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Today's topics Include:

Haiti Earthquake
2009 Influenza Situational Update
2009 Influenza Key Points and Messages
2009 H1N1 Resources for Clinicians
Emergency Preparedness & Response
Food and Drug Safety

Haiti Earthquake

After an Earthquake: Mental Health Information for Professionals - CDC - Feb 06
First responders or relief workers may encounter extremely stressful situations, such as witnessing a tremendous loss of life, serious injuries, and destruction. It is important to recognize that these experiences may cause psychological or emotional difficulties. Here are some resources for first responders and relief workers.
http://emergency.cdc.gov/disasters/earthquakes/mentalhealth_docs.asp#1

Special Report – Health Concerns in Haiti: Infectious Disease and Mental Health Perspective - NIH - Feb 08
NIH experts discuss health concerns in Haiti from the infectious diseases and mental illness perspectives in this excerpt from episode 102 of the NIH Research Radio Podcast.
http://www.nih.gov/news/radio/feb2010/20100204Haiti.htm

Interim Recommendations for Initial Domestic Medical Screening of Haitian Orphan Parolees - CDC - Feb 02
This document provides medical screening recommendations for diseases of public health importance in orphaned children entering the United States from Haiti under humanitarian parole status. The target audience for this information is domestic medical providers evaluating orphaned children being evacuated from Haiti.
http://www.cdc.gov/immigrantrefugeehealth/exams/recommendations-domestic-medical-screening-haitian-orphan.html

HHS Activates Additional Components of National Disaster Medical System to Help U.S. Hospitals Treat Survivors of Earthquake in Haiti - HHS - Feb 01
As part of the ongoing medical response to the Haiti earthquake, USAID, the agency coordinating the US Government response, announced that the U.S. Department of Health and Human Services (HHS) has activated additional components of the National Disaster Medical System (NDMS) to help U.S. hospitals provide care to critically ill survivors.
http://www.hhs.gov/news/press/2010pres/02/20100201b.html

Haitian Earthquake Victims Seeking to Bring Pets into the United States - CDC - Feb 05
Questions and answers related to this topic can be viewed at the following:
http://www.cdc.gov/animalimportation/questions-answers-haitian-earthquake-pets.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 Earthquakes Information http://emergency.cdc.gov/disasters/earthquakes/

2009 Influenza Situation Update

Weekly FluView Map and Surveillance Report - CDC - Feb 05
Updated CDC FluView for 2009-2010 Influenza Season Week 04 ending January 30, 2010. All data are preliminary and may change as more reports are received.
http://www.cdc.gov/flu/weekly/

Influenza and Pneumonia-Associated Hospitalizations and Deaths from August 30 to January 30, 2010 - CDC - Feb 05
Flu activity remained at approximately the same levels as last week in the United States during the week of January 24 - 30, 2010, as reported in FluView. No states reported widespread influenza activity, six states reported regional influenza activity. Visits to doctors for influenza-like illness and flu-associated hospitalizations was below national baseline. Flu-associated deaths was above the epidemic threshold.
http://www.cdc.gov/h1n1flu/updates/us/#totalcases

WHO Updates International H1N1 Situation - WHO- Feb 06
As of 31 January 2010, worldwide more than 209 countries and overseas territories or communities have reported laboratory confirmed cases of pandemic influenza H1N1 2009, including at least 15,174 deaths.
http://www.who.int/csr/don/2010_02_5/en/index.html

2009 Influenza Key Points and Messages

(New) To ensure that its vaccine meets potency standards, Sanofi Pasteur (the manufacturer) is shortening the expiration period of all its 2009 H1N1 influenza vaccine in pre-filled syringes that are not included in either of the two previous Sanofi Pasteur H1N1 vaccine recalls (See Non-Safety-Related Voluntary Recall of Sanofi Pasteur H1N1 Vaccine in Pre-filled Syringes Questions & Answers (February 2010) and Non-Safety-Related Voluntary Recall of Certain Lots of Sanofi Pasteur H1N1 Pediatric (0.25 mL, for 6-35 month olds) Vaccine in Pre-Filled Syringes Questions & Answers (December 2009)).

(New) There are no safety concerns with the recalled lots of 2009 H1N1 vaccine and no re-administration of the vaccine is required. All of the 2009 H1N1 vaccine lots successfully passed pre-release testing and additional post-release testing supports the conclusion that there is no cause for concern over safety.

(Updated) As of Thursday, February 5, 2010, a cumulative prorata total of 148,077,570 doses had been made available for ordering since vaccine shipping began.

2009 H1N1 Influenza Resources for Clinicians

Questions & Answers: Non-Safety-Related Voluntary Recall Of Sanofi Pasteur 2009 H1N1 Flu Vaccine In Pre-filled Syringes (February 2010) - CDC - Feb 05
Why are some of the doses of H1N1 vaccine manufactured in pre-filled syringes being recalled from the market?
http://www.cdc.gov/h1n1flu/vaccination/qa_recall.htm

Shortened Expiration Period For Sanofi Pasteur 2009 H1N1 Vaccine In Pre-filled Syringes Questions & Answers - CDC - Feb 05
All lots of monovalent 2009 H1N1 influenza vaccine in pre-filled syringes manufactured by Sanofi Pasteur, not included in the two earlier recalls, should now be administered by February 15, 2010 regardless of the expiration imprinted on the package.
http://www.flu.gov/individualfamily/vaccination/expiration_qa.html

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

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

Emergency Preparedness & Response

Coordinating Call Centers for Responding to Pandemic Influenza and Other Public Health Emergencies: A Workbook for State and Local on the CDC Web site - CDC - Feb 04
The workbook was compiled by a group of subject matter experts (SMEs) who provided input on the managerial, operational, technological, medical, legal, and communications aspects of the various types of call centers that exist today and the methodology for coordinating them during a public health emergency. The workbook was produced for those local and state planners who are responsible for developing response plans for public health emergencies, such as an influenza pandemic.
http://emergency.cdc.gov/healthcare/responders.asp

Everyone Wins at the Olympic Winter Games with Healthy Travel Preparations - CDC - Feb 02
The Centers for Disease Control and Prevention offers some simple tips to help travelers share gold medal memories – but not the flu – at the games. Teamwork will be the key to everyone enjoying a healthy experience at the Olympic and Paralympic games. You can help in the fight to control the flu’s spread by remembering to “Stop, Wash and Go".
http://www.cdc.gov/media/pressrel/2010/r100202.htm

Food and Drug Safety

Update: Investigation Update: Multistate Outbreak of Human Salmonella Montevideo Infections - CDC - Feb 05
CDC is collaborating with public health officials in many states, the U.S. Department of Agriculture's Food Safety and Inspection Service (FSIS), the U.S. Food and Drug Administration (FDA), and the State of Rhode Island to investigate a multistate outbreak of Salmonella serotype Montevideo infections.
http://www.cdc.gov/salmonella/montevideo/index.html

Recalls, Market Withdrawals, & Safety Alerts - FDA - Feb 05
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

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