Guardian of Public Health - February 2016

Bureau of EMS, Trauma & Preparedness

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News and Articles

What can States do during Public Health Crises? Lessons Learned from Environmental Threats in Michigan, Rhode Island, and West Virginia

When it comes to prevention, identification, and mitigation of public health crises states are at the forefront. These crises require a multi-sector state agency approach as often they disproportionally impact disadvantaged communities and are linked with challenging social determinants of health.

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Training & Events

Highly Infectious Disease Exercise Planning Tools

March 7, 2017 2pm-3pm ET

Live Webinar

The National Ebola Training and Education Center (NETEC) and ASPR Technical Resources, Assistance Center, and Information Exchange (ASPR TRACIE) are partnering on a webinar featuring jurisdictions with first-hand experience developing special pathogen exercise materials and executing such exercises of varying type and magnitude. Speakers will share the suite of free, fully customizable, ASPR and CDC-approved, HSEEP-compliant exercise materials NETEC has developed and how these exercises support the identified HPP measures. 

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Tools & Resources

FDNY (Fire Department of New York) World Trade Center Health Program: Health Impacts on FDNY Rescue/Recovery Workers 15 Years: 2001 to 2016

This 100-page report provides a summary of the 15 years of health studies by the FDNY (Fire Department of New York) World Trade Center (WTC) Health Program, and is the most comprehensive post-disaster health report ever released. It includes updated numbers and metrics demonstrating the effective utilization of the FDNY WTC Health Program funded by the National Institute of Occupational Safety and Health under the Zadroga Act of 2010, which was reauthorized in 2015. Chapter topics include Physical Health Assessment, Mental Health Assessment, and Participation in Physical and Mental Health Services Provided to WTC-Exposed Members.

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Michigan Prepares


MI Volunteer Registry

About the Guardian

The Guardian of Public Health is a monthly newsletter from the Bureau of EMS, Trauma, and Preparedness (BETP) within the Michigan Department of Health and Human Services (MDHHS). The Guardian aims to provide its readers with relevant content on topics that affect the public health of citizens and communities in Michigan. For questions or comments please contact Kerry Chamberlain at

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The Michigan Update

Hepatitis A Increase in Southeast Michigan

Danielle Donovan and Tiffany Henderson, Bureau of Epidemiology, Michigan Department of Health and Human Services

Since late July 2016, 58 lab-confirmed cases of hepatitis A have been reported in four counties in Southeast Michigan.  This is about 10 times the number of cases that the City of Detroit, Macomb, Oakland, and Wayne Counties combined typically see between July and December months. The distribution of cases has been slanted towards males, contributing to 65.5% of the total cases.  The median age is 46.5 years, with an age range of 24–83 years. Many of the sick individuals have presented with severe illness. The overall hospitalization rate is over 87% and three deaths have been reported.  According to national surveillance data from the Centers for Disease Control and Prevention (CDC), the hospitalization rate for hepatitis A is 11-22%.  The Michigan Department of Health and Human Services (MDHHS), the Michigan Department of Agriculture and Rural Development (MDARD), and the CDC have been assisting the local health departments with their investigations.

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Protecting Children in Michigan from Disease

Stefanie Cole, RN, BSN, MPH, Pediatric Immunization Nurse Educator, Michigan Department of Health and Human Services (MDHHS), Division of Immunization

When the Centers for Disease Control and Prevention (CDC) released the 2015 National Immunization Survey (NIS) data last year, Michigan was ranked 44th in the nation for pediatric immunization coverage. Only 67.6 percent of Michigan children aged 19-35 months-old are fully immunized with the 4313314 series, compared to 72.2 percent nationally.1 While this represents a modest improvement from the previous year (ranked 47th in the nation with 65.0 percent series coverage), it is unacceptable that 32.4 percent of our young children are not protected from vaccine preventable diseases.

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Assessing Sensitivity and Specificity of Surveillance Case Definitions for Zika Virus Disease

Researchers evaluated the performance of 5 Zika case definitions recommended by the Council of State and Territorial Epidemiologists, World Health Organization, Pan American Health Organization, European Centers for Disease Control, and the Singapore Ministry of Health. They utilized these definitions for Zika virus disease surveillance in a human cohort of 359 adult patients with suspected Zika virus disease during an outbreak in Singapore, August 26–September 5, 2016. Because laboratory tests are largely inaccessible, use of case definitions that include rash as a required clinical feature are useful in identifying this disease.

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