Global & Disaster Medicine

Archive for August, 2016

Florida: There are 14 new travel-related cases 8/10/16 & 1 new non-travel related case today being investigated in Miami-Dade County.

Florida Health


Baghdad, Iraq: Hospital fire kills 11 premature babies

BBC

https://www.youtube.com/watch?v=4vibhO2mhVU


“At a minimum, the U.N. requires a full-fledged cease-fire or weekly 48-hour humanitarian pauses to reach the millions of people in need throughout Aleppo and replenish the food and medicine stocks, which are running dangerously low.”

NY Times

“….Two million people in the contested Syrian city of Aleppo lack access to running water because of escalated fighting…”

 


Cardinals: The possible reason why Georgia’s infection rate for WNV since 2001 is quite low (about 3.3 per 100,000 people), even though evidence showed that about 1/3 of birds in the Atlanta area have been exposed to the disease.

ASTMH

Supersuppression: Reservoir Competency and Timing of Mosquito Host Shifts Combine to Reduce Spillover of West Nile Virus


Texas: An infant who recently died had microcephaly linked to the Zika virus

Texas-Health

Infant Death in Texas Linked to Zika

News Release
August 9, 2016

Texas has confirmed that an infant who recently died in Harris County had microcephaly linked to the Zika virus. The baby passed away shortly after birth and is the first Zika-related death reported in Texas.

During her pregnancy, the mother was in Latin America, where she was infected, and the baby acquired the infection in the womb. Recent test results confirmed the baby’s condition and link to Zika. The mother and baby are classified as travel-related cases, and there is no additional associated risk in Texas.

Last month Texas reported the state’s first case of microcephaly linked to Zika, also a Harris County infant.

“Zika’s impact on unborn babies can be tragic, and our hearts are with this family,” said Dr. John Hellerstedt, Texas Department of State Health Services commissioner. “Our central mission from the beginning has been to do everything we can to protect unborn babies from the devastating effects of Zika.”

DSHS is coordinating with Harris County Public Health and the U.S. Centers for Disease Control and Prevention to follow the cases.

Texas has reported 99 cases of Zika virus disease, including the two infants with microcephaly from Harris County. All Texas cases are related to travel abroad to areas with active Zika transmission. There have been no reported cases of Zika virus disease transmitted by mosquitoes in Texas, but Texas is on alert for the possibility local transmission.

With its link to microcephaly, Zika poses a serious threat to unborn children. DSHS is tracking the number of pregnant women with Zika in the state, working with providers and reporting weekly data to the national Zika pregnancy registry. DSHS is studying past microcephaly data to understand the prevalence and patterns of this condition in Texas.

DSHS has been emphasizing precautions, specifically for travelers and pregnant women, through an ongoing public education campaign and via www.TexasZika.org.


Florida reported four more locally acquired Zika cases, all from the same small area thought to be the source of nearly all of the infections

Florida Health

Aug. 9, 2016

DEPARTMENT OF HEALTH DAILY ZIKA UPDATE

 

Contact:
Communications Office
NewsMedia@flhealth.gov
(850) 245-4111

Tallahassee, Fla.—In an effort to keep Florida residents and visitors safe and aware about the status of the Zika virus, the department will continue to issue a Zika virus update each week day at 2 p.m. Updates will include a CDC-confirmed Zika case count by county and information to better keep Floridians prepared.

The department has conducted testing for the Zika virus for more than 2,567 people statewide. Florida currently has the capacity to test 6,053 people for active Zika virus and 1,691 for Zika antibodies. Per the Governor’s direction on August 3, all county health departments are now offering free Zika risk assessment and testing to any pregnant woman who would like to be tested.

There are 14 new travel-related cases today with four in Miami-Dade County, three in Orange County, two in Hernando County, one in Broward County, one in Lee County, one in Monroe County and two involving pregnant women. This is Hernando and Monroe counties first travel-related cases of Zika and they have been added to the Declaration of Public Health Emergency. Please visit our website to see the full list of travel-related cases.

There are four new non-travel related cases today being investigated in Miami-Dade County. All four were exposed in the identified area of concern in Miami-Dade County.The department still believes active transmissions are only taking place within the identified area that is less than one-square mile in Miami-Dade County.

For a complete breakdown of non-travel and travel-related Zika infections to-date, please see below.

Infection Type

Infection Count

Travel-Related Infections of Zika

369

Non-Travel Related Infections of Zika

21 *six of these meet CDC’s case definition

Infections Involving Pregnant Women

57

ACTIVE INVESTIGATIONS

The department is currently conducting three active investigations. Under each section below, the department outlines the original cases that spurred these investigations, the number of samples collected and results in connection with each investigation to-date.

1)     Identified one-square mile in Miami-Dade – Two (2) original cases

Total # of Samples Collected

Negative Samples

Positive Samples

Pending Results

455

424

17

14

Door to door outreach and sampling continue. Mosquito abatement and reduction activities are on-going.

On August 4, the department announced we have completed testing in a 10 block area of the northwest quadrant of the one-square mile area and no people within the 10 block radius tested positive. The department has cleared that area and is continuing to test people within the one-square mile radius. A map detailing the area is below. The CDC continues to monitor the area per their guidelines.

2)     Miami-Dade investigation outside the one-square mile: One (1) case

Total # of Samples Collected

Negative Samples

Positive Samples

Pending Results

19

16

0

3

Sample collection and door-to-door outreach continues. Mosquito abatement and reduction activities are on-going.

3)     One (1) case in Palm Beach County:

Total # of Samples Collected

Negative Samples

Positive Samples

Pending Results

1

0

0

1

Door to door outreach and sample collection in areas of interest around the case are underway. Mosquito abatement and reduction activities will take place around the area of interest.

CLOSED INVESTIGATIONS

  • The department has closed out the investigations into the first cases in Miami-Dade and Broward County (two cases). The department tested 124 close contacts and individuals from the community and found no additional positives.

The department still believes active transmissions are only taking place within the identified one-square mile area in Miami-Dade County. There are no active investigations in Broward County and no areas of active transmission in Broward County.

One case does not mean active transmission is taking place and that’s why the department conducts a thorough investigation by sampling close contacts and community members around each case to determine if additional people are infected. The department has not yet determined where the individual in Palm Beach County or the individual outside the one-square mile in Miami-Dade County likely contracted Zika and will share more details as the investigations progress. If the department finds evidence that active transmission is occurring in an area, we will notify the media and the public.

The department still believes active transmissions of the Zika virus are occurring in one small area in Miami-Dade County, just north of downtown. The exact location is within the boundaries of the following area: NW 5th Avenue to the west, US 1 to the east, NW/NE 38th Street to the north and NW/NE 20thStreet to the south. This area is about one square mile and a map is below to detail the area. This remains the only area of the state where the department has confirmed there are local transmissions of Zika. If investigations reveal additional areas of likely active transmission, the department will announce a defined area of concern.

CDC recommends that women who are pregnant or thinking of becoming pregnant postpone travel to areas with widespread Zika infection. Florida’s small case cluster is not considered widespread transmission, however, pregnant women are advised to avoid non-essential travel to the impacted area in Miami-Dade County (see map below). If you are pregnant and must travel or if you live or work in the impacted area, protect yourself from mosquito bites by wearing insect repellent, long clothing and limiting your time outdoors.

According to CDC guidance, providers should consider testing all pregnant women with a history of travel to a Zika affected area for the virus. It is also recommended that all pregnant women who reside in or travel frequently to the area where active transmission is likely occurring be tested for Zika in the first and second trimester. Pregnant women in the identified area can contact their medical provider or their local county health department to be tested and receive a Zika prevention kit. CDC recommends that a pregnant woman with a history of Zika virus and her provider should consider additional ultrasounds. Additionally, the department is working closely with the Healthy Start Coalition of Miami-Dade County to identify pregnant women in the one square mile area to ensure they have access to resources and information to protect themselves. CDC recommends that a pregnant woman with a history of Zika virus and her provider should consider additional ultrasounds.

Pregnant women can contact their local county health department for Zika risk assessment and testing hours and information. A Zika risk assessment will be conducted by county health department staff and blood and/or urine samples may be collected and sent to labs for testing. It may take one to two weeks to receive results.

Florida has been monitoring pregnant women with evidence of Zika regardless of symptoms since January. The total number of pregnant women who have been or are being monitored is 57.

On Feb. 12, Governor Scott directed the State Surgeon General to activate a Zika Virus Information Hotline for current Florida residents and visitors, as well as anyone planning on traveling to Florida in the near future. The hotline, managed by the Department of Health, has assisted 3,710 callers since it launched. The number for the Zika Virus Information Hotline is 1-855-622-6735.

The department urges Floridians to drain standing water weekly, no matter how seemingly small. A couple drops of water in a bottle cap can be a breeding location for mosquitoes. Residents and visitors also need to use repellents when enjoying the Florida outdoors.

For more information on DOH action and federal guidance, please click here.

For resources and information on Zika virus, click here.

About the Florida Department of Health

The department, nationally accredited by the Public Health Accreditation Board, works to protect, promote and improve the health of all people in Florida through integrated state, county and community efforts.

Follow us on Twitter at @HealthyFla and on Facebook. For more information about the Florida Department of Health, please visit www.FloridaHealth.gov.


Aug. 9, 1945: The United States, during WWII, exploded a nuclear device over Nagasaki, Japan, instantly killing an estimated 39,000 people.


The Pilot Fire tripled in size overnight, growing to 4,500 acres on Aug. 8, 2016.

KTLA News

National SitRep

National Interagency Coordination Center Incident Management Situation Report

Monday, August 8, 2016 – 0530 MT

National Preparedness Level 3
National Fire Activity

Initial attack activity: Light (164 new fires)

New large incidents: 10

Large fires contained: 1

Uncontained large fires:** 32

August 8, 2016

Thirty-five large fires have burned more than a half million acres in 12 states. Ten new large fires were reported, three in Idaho, two in Texas and one in California, Nevada, Oregon, Washington, and Wyoming. Firefighters have done an excellent job with initial attack of lightning fires across the West.

Canada deployed a Convair 580 airtanker group to support wildland fire operations in Montana. Two military C-130s equipped with Modular Airborne Firefighting Systems (MAFFS) are deployed to Boise, Idaho to support fire suppression throughout the Great Basin.

 


At least 40 people, nearly all of them children, have died from an outbreak of measles in a remote, impoverished region of Myanmar

NY Times

Measles image

 


Yellow Fever in Africa: A senior outbreak expert at the WHO acknowledged their response had “lagged” for months.

The Star

“….Much like its fumbled response to the 2014 Ebola outbreak in West Africa, the UN agency’s efforts to stop yellow fever have been undermined by chronic mismanagement, according to internal UN emails and documents obtained by The Associated Press…..”

 


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