Maine CDC Public Health Update

Maine Center for Disease Control and Prevention An Office of the Department of Health and Human Services

Public Health Update

=============

In this update

Quick Links

Website
Facebook
Twitter
Blog

Suicide prevention conference

Maine Suicide Prevention Program’s CAL ME Award Presentation
From left to right-Ken Albert, Director and Chief Operating Officer, Maine CDC; Kyle Poissonnier, founder of Katalyst; MaKayla Reed, volunteer for The Trevor Project; Jodi Beck, Director of Clinical Integration and Physician Practice Improvement for Kennebec Regional Health Alliance, MaineGeneral Health; Anthony Ronzio, Director of news for the Bangor Daily News; Kristen McAuley, Team Lead, Healthy and Safe Living, Division of Population Health, Maine CDC; Brian Walsh, Principal of Hermon High School. CAL ME Award recipients not pictured- Ethel Jalbert and Tonya Bailey-Curry, community volunteers.

  

More than 200 people attended the Maine Suicide Prevention Program’s conferece, 2015 Beyond the Basics: Pathway to Suicide Prevention, last week. Ken Albert, Director and Chief Operating Officer of Maine CDC, presented the Caring About Lives in Maine Awards to seven Individuals and agencies for their leadership and dedication to suicide prevention. 

 

Hepatitis

May is National Hepatitis Awareness Month, and Maine CDC urges people to talk with their providers about testing for hepatitis. 

US CDC reports that people born from 1945 through 1965 are five times more likely to be infected with Hepatitis C than other adults.  There are approximately 3.2 million individuals living with hepatitis C in the country, and it is estimated that 75 percent of these individuals are Baby Boomer age (ages 50 to 70). 

Most people living with hepatitis C do not know they are infected and can live with the disease for decades without having symptoms or feeling sick. If left untreated, hepatitis C can lead to serious liver damage, including cirrhosis and liver cancer.  Hepatitis C is the leading cause of liver transplant in the United States. 

Symptoms of hepatitis C include fever, fatigue and loss of appetite, nausea, vomiting, abdominal pain, darkened urine, clay-colored stools, joint paint and jaundice.  It is estimated that only 20 to 30 percent of individuals who have Hepatitis C experience symptoms. People who have ever injected drugs, shared needles and equipment, or who were born to a Hepatitis C positive mother join Baby Boomers in the highest risk category. 

Recent advancement in therapies for treatment of hepatitis C can cure up to 95 percent of infections. Maine CDC recommends that people talk to their health care provider about their risk for hepatitis C. 

Testing days are scheduled in May for individuals who are uninsured and at high risk for hepatitis C. The dates and locations are:

  • May 18: Waterville Family Planning  18 Silver Street Waterville 207-509-3267
  • May 19: Florence House (women's shelter) via Portland Public Health. 103 India St Portland 207-874-8446

Those who are interested in being tested should call the test site prior to the testing day to find out if they qualify for the free test. 

For more information about hepatitis, visit: http://www.cdc.gov/knowmorehepatitis 

For more information about viral hepatitis resources in Maine, visit: www.mainepublichealth.gov/hepatitis

 

Lyme and other tickborne diseases

Lyme disease is the most common vector-borne disease in Maine. Cases have been increasing each year in Maine, and occur in all 16 counties. More than 1,395 cases of Lyme disease were reported statewide in 2014, a record high for Maine.  Lyme disease is most common among school age children and mature adults over the age of 65. Most infections occur during the summer months. A total of 71 cases have already been reported in 2015.

The most common early symptom of Lyme disease is an expanding red rash that occurs 3-30 days after being bitten. Fever, headache, joint and muscle pains and fatigue are also common during the first several weeks. Later features of Lyme disease can include arthritis in one or more joints (often the knee), Bell's palsy and other cranial nerve palsies, meningitis and carditis (AV block). Lyme disease is treatable, and the majority of patients recover after receiving appropriate therapy.

Lyme disease is a reportable condition in the State of Maine.  Providers should report all diagnosed erythema migrans rashes and all positive lab diagnoses.  Cases can be reported by fax at 1-800-293-7534 or by phone at 1-800-821-5821.

Other tickborne diseases: 

Other diseases that are carried by ticks in Maine include anaplasmosis, babesiosis, ehrlichiosis, Powassan and Rocky Mountain spotted fever. They are all reportable in Maine.

In 2014, providers reported 191 cases of anaplasmosis, more the twice the number of cases reported in 2013.  Providers reported 42 cases of babesiosis, a slight increase from 2013.  Four anaplasmosis cases and one babesiosis case have already been reported in 2015.  

For more information:

  

Six steps to control blood pressure

High blood pressure, often referred to as the “silent killer,” does not have any symptoms, but can cause serious damage to arteries, leading to heart disease and stroke. Nearly one in three adults in the United States has high blood pressure and many people remain unaware of this condition because there are no symptoms. 

A routine doctor’s appointment often involves a health professional checking your blood pressure. The results of this simple test may identify a condition that, when managed, could help reduce your chances for stroke or heart attack.

The national high blood pressure campaign, Measure Up/Pressure Down®, encourages adults to get in control by making simple lifestyle changes, including:

1. Know your numbers – Understanding what blood pressure is, and what your numbers are, is an important first step. Work with your health care provider to determine your individual blood pressure goals and treatment plan if your numbers are too high.

2. Eat right – A diet with excessive sodium (salt) can lead to higher blood pressure. Check food labels before you buy and choose foods with less than 400 mgs of sodium per serving.

3. Stay active – By being active at least 30 minutes a day at least 5 times a week, you can help reduce your blood pressure.  

4. Reduce stress – A stressful situation can increase blood pressure for a short period of time. Try to reduce the occurrence of these situations and look for healthy ways - like meditation or walking - to help you deal with stress.

5. Set alcohol limits and eliminate tobacco – Over time, consuming a high amount of alcohol can damage the heart. Tobacco use and secondhand smoke can immediately raise blood pressure levels and cause damage to the lining of arteries. If you’re interested in quitting tobacco, call the Maine Tobacco HelpLine 1-800-207-1230. 

6. Take medication – Your doctor may recommend taking a blood pressure medication to keep levels steady. Be sure to follow the directions provided for taking the medications to ensure you’re getting the most benefit from them.

Through Measure Up/Pressure Down®, you are encouraged to measure, monitor and maintain your blood pressure level to stay in control of this health condition. If you don’t know your blood pressure and want more information to determine if you might be at risk for high blood pressure, visit MaineHeartHealth.org.

 

Lab workers recognized

Heather Dyer and Steve Pierce, chemists at Maine CDC’s Health and Environmental Testing Lab, recently presented on toxicology forensics at the Maine Impaired Driving Summit. They were recognized by AAA Northern New England and Maine Bureau of Highway Safety for their support in organizing the statewide summit.

 

Immunization Champion

Cassandra Cote Grantham and Tonya Philbrick
Cassandra Grantham (L) was recently honored as US CDC's Childhood Immunization Champion for Maine. She is pictured with Tonya Philbrick, Director of the Maine Immunization Program at Maine CDC.


The Maine Immunization Program is proud to announce that Cassandra Cote Grantham, a health communication specialist at MaineHealth in Portland, has been selected as the US CDC Childhood Immunization Champion for Maine.

Cassandra was nominated and selected from a pool of health care professionals, community advocates and other immunization leaders for making a significant contribution to public health in Maine through her work in children’s immunization.

In 2010, Cassandra established MaineHealth’s childhood immunization program, with the goal of increasing Maine’s childhood immunization rates to the highest in New England by 2016. Under this program, she has launched several educational initiatives, such as the Vax Maine Kids website and Kohl’s Vax Kids—a program to increase immunization awareness among parents most likely to delay or skip their child’s vaccinations.

To read her profile on the CDC’s website and to learn more about CDC’s Childhood Immunization Champion Award program, please visit http://www.cdc.gov/vaccines/champions 

 

Measles

The United States is currently experiencing a large, multi-state outbreak of measles. As of May 1, 169 cases have been reported in 20 states and the District of Columbia. There are no cases in Maine. The last confirmed case of measles in Maine was in 1997.  

For more information, go to http://www.cdc.gov/measles/ 

 

Pertussis (whooping cough)

Cases of pertussis (whooping cough) continue to be reported statewide.  

A total of 160 cases have been reported in Maine this year, as of May 11. The majority of the cases are in school-aged children. 

Maine CDC encourages providers who see patients for cough in an outbreak area to test for pertussis and treat empirically. (Providers do not need to wait for positive results to return or a two-week history of cough in order to treat.) 

DTaP vaccine is recommended for all infants and children. Tdap vaccine is recommended for all preteens, teens, and adults, including health care providers and during the third trimester of every pregnancy. Per ACOG (American Congress of Obstetricians and Gynecologists), Tdap is also recommended for every pregnancy in the third trimester.  

For more guidance and information, visit http://go.usa.gov/dCO 


Ebola

Liberia has been declared Ebola-free by the World Health Organization (WHO). As of May 9, the latest Ebola case count reported from WHO is 14,954 confirmed cases globally with an estimated 11,079 deaths. 

The Maine CDC Public Health Emergency Operations Center continues to monitor the situation.

For more information, visit http://www.cdc.gov/vhf/ebola/