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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In this update

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Child immunization rates

A recent U.S. CDC report shows that Maine’s vaccination rates for 19-35-month-olds are the best in the nation.  

These results are a cause for celebration and reflect an effective partnership that has been built across the state to address this important health issue. Our success can be attributed to the hard work of clinicians, partners, educators and funders who have collectively made the vaccination of Maine’s children a public health priority. 

Maine CDC is proud of this accomplishment and looks forward to working with our partners to build upon this success in the coming year. 

Additional information is available in these PowerPoint slides.

 

Shared health needs assessment & planning

The Maine Shared Health Needs Assessment & Planning Process (SHNAPP) Project - a collaborative of Central Maine Healthcare, Eastern Maine Healthcare System, MaineGeneral Health, MaineHealth and the Maine Center for Disease Control and Prevention - works to improve the health status of Maine residents and track results.

The goal is to create a framework and approach for a Shared Community Health Needs Assessment (CHNA) that can:

  • Address community benefit reporting needs of hospitals,
  • Support state and local public health accreditation efforts, and
  • Provide valuable population health assessment data for various organizations concerned with the health of Maine’s communities and citizens.

SHNAPP has DRAFT Shared CHNA reports that are available now for review and input.  Drafts of the State report and the Kennebec County report can be downloaded and comments submitted to us from this site.  We appreciate all of your feedback.


Maine CDC seeks feedback

According to the Institute of Medicine, one of the core functions of public health is assessment:  the systematic collection, assembly, analysis and sharing of information on the health of the community.  As such, Maine CDC provides a great deal of data on its website.  We are working to improve the organization, accessibility and usability of that data and seek your feedback.  Please follow this link to access an outline survey by September 15 to assist us: https://www.surveymonkey.com/r/6TQMDMB

 

Flu

Although most influenza activity occurs from October to May in the U.S., flu viruses are detected year round.  Providers in Maine have reported positive rapid influenza and serology tests in the last month.  Summer and early fall are also the prime time for agricultural fairs, which provides an increased risk for flu associated with swine contact. 

Maine CDC requests that all rapid positive influenza samples during the summer months be forwarded to Maine’s Health and Environmental Testing Laboratory (HETL) for confirmation and typing.  This will allow us to monitor the circulating strains, and identify any variants if present.

If a provider sees a patient with flu-like symptoms who has swine or bird exposures; samples should be sent to HETL for testing.  Rapid tests may not pick up variant strains, and only the state lab is capable of determining if a strain is a variant.

Reporting requirements

  • Suspected novel or variant cases should be reported immediately by phone to 800-821-5821.
  • Outbreaks and pediatric deaths are required to be reported
  • We appreciate all positive lab tests, reported by fax (207-287-6865 or 800-293-7534) or by phone (800-821-5821) but this is not required

Additional Information


Ryan White HIV/AIDS Program anniversary

On August 18, 1990, the Ryan White Comprehensive AIDS Resources Emergency (CARE) Act was signed into law, creating what is now the largest Federal program exclusively providing care and treatment services to people living with HIV – the Ryan White HIV/AIDS Program.

Twenty-five years later, the Health Resources and Services Administration’s (HRSA) HIV/AIDS Bureau commemorates this historic anniversary and honors the Ryan White HIV/AIDS Program, which has played a critical role in the United States’ public health response to the HIV/AIDS epidemic.   The theme:  Moving Forward with CARE: Building on 25 Years of Passion, Purpose, and Excellence”  reflects the passion that inspired the legislation, purpose that continues to drive the Ryan White HIV/AIDS Program and excellence in health outcomes for people living with HIV receiving Ryan White HIV/AIDS Program-funded care.  

HRSA has also produced a new video to highlight the work of the program: http://hab.hrsa.gov/ryanwhite25/

 

Tickborne diseases

Ticks are generally found in brushy or wooded areas and 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.

Cases of tickborne diseases reported in Maine through August 31 include:

  • 673 cases of Lyme disease, compared to 1,400 for all of 2014
  • 115 cases of anaplasmosis, compared to 191 for all of 2014
  • 28 cases of babesiosis, compared to 42 cases for all of 2014

Additional Information

   

Arboviral diseases

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.

Although no cases of EEE and WNV have been identified yet in Maine this year, Maine CDC recommends the following preventative measures to protect against mosquito-borne illnesses:

  • Use an Environmental Protection Agency-approved repellent when outdoors, especially around dawn and dusk. Always follow the instructions on the product’s label;
  • Wear protective clothing when outdoors, including long-sleeved shirts, pants and socks;
  • Keep window and door screens down to keep mosquitoes out of the home;
  • Limit time outdoors at dawn and dusk when many species of mosquitoes are most active;
  • Remove containers holding water in and around the home, as water can attract mosquitoes.

Information on pesticides and repellents is available at the Maine Board of Pesticides Control website at: http://go.usa.gov/jt6F 

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 August 31, 205 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