CORRECTED VERSION: Maine CDC Public Health Update (updated info on flu call)

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

Public Health Update

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Flu

Maine CDC is hosting a “Start of the 2015-16 Influenza Season” conference call at 2 p.m. on Thursday, Oct. 8. 

The intent of this call is to provide updates for this season, outline resources available and remind facilities what the reporting requirements are for the influenza season. This call is particularly relevant to: infection practitioners, providers, laboratorians, employee health, emergency preparedness, hospital administration and long term care facilities. Highlights will be distributed after the call, as well as questions and information discussed on the call.

The number of telephone lines for the call are limited, so if multiple people from one location intend to participate, please call in from one phone line.

The call-in number is 877-455-0244, passcode 668-182-0529

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


Do you know your heart age?

Heart age is the age of your heart and blood vessels as a result of your risk factors for heart attack and stroke.  You want a heart age that is the same or younger than your actual age. Most U.S. adults have a heart age older than their actual age, placing them at greater risk for having a heart attack or stroke.  

In fact, according to the U.S. CDC, around 69 million adults in the U.S. have a heart age five or more years older than their actual age.  In Maine, the percentage of adults whose heart age is five or more years older than their actual age is about 43 percent.

To help keep your heart young and healthy:

  • Work with your doctor to manage your blood pressure, cholesterol and diabetes;
  • Quit tobacco and avoid secondhand smoke;
  • Eat healthy by choosing foods low in sodium and trans fat and eating fresh fruits and vegetables;
  • Get 150 minutes of moderate intensity physical activity every week;
  • Maintain a healthy weight;
  • Work with your doctor to make healthy choices that support having a lower heart age.

Learn your heart age and how to improve it at www.cdc.gov/heartdisease/heartage.htm

 

Accident response exercise

Several members of the Maine CDC team participated in the Federal Emergency Management Agency’s Bangor Large Scale Aviation Accident Response Exercise at the Cross Insurance Center in Bangor on September 24.

The event featured an outreach and training session followed by a scenario-driven tabletop exercise.  The scenario was complex, involving a large commercial aircraft breaking apart in flight, killing 132 passengers representing several different nations, as well as six people on the ground.  Debris was scattered over a five-mile radius and multiple injuries occurred on the ground as a result.  The exercise brought together State, national and federal authorities, as well as local first responders, health care providers, law enforcement, public health representatives and emergency management agencies.

The National Training Safety Board led the training. Participants learned about investigative responsibilities, standard approaches for scene documentation, mass fatality management and family assistance operations for an aviation accident response.

The FEMA and community-led participant breakout group discussions during the tabletop exercise will focus on four key areas:

  • Evolving Response Organization
  • Debris Management and Evidence Preservation
  • Patient Tracking and Fatality Management
  • Family Assistance and Public Communications

The exercise attracted more than 200 individuals from various agencies statewide and offered an opportunity for learning as well as networking which will prove invaluable in planning for an accident or disaster of this magnitude.

 

Mosquito-borne diseases

Maine CDC has identified a human case of neuroinvasive West Nile virus (WNV) in an adult who lives in Cumberland County.  The individual became ill in early September when returning from the mid-Atlantic states and was hospitalized.  The individual is recovering at home.  This is the first identification of WNV in Maine in 2015. 

Maine CDC has confirmed the presence of WNV and eastern equine encephalitis virus (EEE) in mosquitoes collected in York County. Mosquitoes are collected in pools containing between 1-50 mosquitoes.   

These are the first arboviral detections in Maine in 2015.  New Hampshire, Massachusetts and Vermont have detected WNV in mosquitoes this year, and Massachusetts has also identified a human case of WNV. 

These positive results do not change any recommendations, but should serve as a reminder to avoid mosquito bites and remain vigilant throughout the rest of the season.  Mosquitoes may still be active when the temperature is above 50 degrees. 

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

 

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 September 28 include:

  • 870 cases of Lyme disease, compared to 1,400 for all of 2014
  • 120 cases of anaplasmosis, compared to 191 for all of 2014
  • 39 cases of babesiosis, compared to 42 cases for all of 2014

Additional Information

   

Pertussis (whooping cough)

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

As of September 28, 206 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