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

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MERS-CoV

U.S. CDC continues to work with the World Health Organization (WHO) and other partners to closely monitor Middle East Respiratory Syndrome Coronavirus (MERS-CoV), including the cases of MERS-CoV infection recently reported by China and the Republic of Korea. 

US CDC recently issued an advisory to update guidance to health care providers in the evaluation of patients for MERS-CoV infection. It is available at http://emergency.cdc.gov/han/han00380.asp 

Health care providers and public health officials should maintain awareness of the need to consider MERS-CoV infection in ill persons who have recently traveled from countries in or near the Arabian Peninsula or in the Republic of Korea as outlined in the guidance. 


Updated STD treatment guidelines

U.S. CDC has released the Sexually Transmitted Disease Treatment Guidelines for 2015.  The STD Treatment Guidelines were developed through a rigorous peer-review process and were created to give clinicians and other health care providers updated testing, treatment and prevention recommendations.   In the United States, there are more than 20 million STDs diagnosed annually. 

The updated guidance includes:

  • alternative treatment regimens for Neisseria gonorrhoeae,
  • updated HPV vaccine recommendations and counseling messages,
  • screening recommendations for gonorrhea and chlamydia,
  • screening recommendations, including hepatitis C, for men who have sex with men, and
  • information on the clinical management of transgender individuals.

 For more guidance and information visit: http://www.cdc.gov/std/tg2015/default.htm

 The updated treatment guidelines app is now available in the Apple iTunes store: https://itunes.apple.com/us/app/std-tx-guide/id655206856?mt=8

 

Lyme and other tickborne diseases

Ticks are generally found in brushy or wooded areas, near the ground; they cannot jump or fly. Ticks are attracted to a variety of host factors, including body heat and carbon dioxide. They will transfer to a potential host when one brushes directly against them and seek a site for attachment.

Ticks cause a variety of diseases, including Lyme disease, anaplasmosis, babesiosis, ehrlichiosis, Powassan and Rocky Mountain spotted fever, all of which are reportable in Maine. 

More than 1,395 cases of Lyme disease were reported statewide in 2014, a record high for Maine. So far in 2015, there have been 149 reported cases of Lyme disease. 

Other case counts for tickborne diseases reported in Maine so far in 2015 include:

  • 38 cases of anaplasmosis, compared to 191 for all of 2014
  • Three cases of babesiosis, compared to 42 cases for all of 2014

For more information:

   

Pertussis (whooping cough)

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

As of June 23, 179 cases have been reported in Maine this year, and 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. According to the American Congress of Obstetricians and Gynecologists, Tdap is also recommended in the third trimester of every pregnancy.

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