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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Cancer registry awards

Cancer Registry staff pose with awards

L-R: Dr. Molly Schwenn and Katherine Boris of the Maine Cancer Registry and Debra Wigand, Director of Maine CDC's Division of Population Health,  pictured with the two honors from US CDC.


The Maine Cancer Registry has been recognized with two national honors from the US CDC National Program of Cancer Registries (NPCR)

Maine was recognized as one of 19 states to receive the Registry of Excellence designation. In addition, the registry was recognized for achieving the highest standards for data completeness, timeliness and quality. According to the NPCR, Maine’s data are so thorough and accurate that they will be included in this year's United States Cancer Statistics report and other analytic data sets. 

Achievement of these standards and certification is important to ensure accurate information is available about cancer in Maine and to monitor trends in cancer diagnosis. Detecting cancer at an earlier stage can improve outcomes. Maine hospitals are partners in this effort, providing up-to-date local information to the Maine Cancer Registry.


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 198 reported cases of Lyme disease. 

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

  • 56 cases of anaplasmosis, compared to 191 for all of 2014
  • Four cases of babesiosis, compared to 42 cases for all of 2014

For more information:

   

Arboviral diseases

Summer is here, which means mosquitoes are here as well.  Arboviral diseases, including eastern equine encephalitis (EEE) and West Nile virus (WNV), are very serious infections that are transmitted by the bite of an infected mosquito.  Additionally, Powassan virus is an arboviral disease transmitted by the bite of an infected tick.  Although rare, these diseases have potentially severe and even fatal consequences for those who contract them.  Maine CDC reminds clinicians of the potential for human disease activity in Maine and to consider testing for arboviral disease in patients presenting with unexplained encephalitis, meningitis or fever (≥100.4°F or 38°C) during the summer and early fall.

EEE and WNV were first detected in Maine in 2001 in birds.  In 2009, Maine experienced unprecedented EEE activity with 19 animals and two mosquito pools testing positive.  In 2012, Maine reported its first human case of locally-acquired WNV neuroinvasive illness.  In 2014, Maine reported its first human case of locally-acquired EEE neuroinvasive illness. Powassan was first identified in Maine in 2000 but is rarely reported; a confirmed case in 2013 was the first reported case in nearly a decade.  In 2014, Maine reported EEE in an emu from Cumberland County, 22 mosquito pools from York County and one human from York County.

Many people infected with arboviral illness remain asymptomatic. The following groups of people are at higher risk for clinically significant arboviral infection:

  • Residents of and visitors to areas with mosquito or tick activity
  • People who engage in outdoor work and recreational activities
  • People older than 50 and younger than 15 


Additional Information

  • Disease consultation and reporting available through Maine CDC at 1-800-821-5821

 

Pertussis (whooping cough)

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

As of July 8, 185 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