June 2018 Guardian of Public Health

Bureau of EMS, Trauma & Preparedness

Two boats in the water at sunset

News and Articles

Communicating With Individuals Who Are Non-Verbal in an Emergency

Alice Frame, MA - Program Coordinator, Disability Health Unit - MDHHS

First responders may encounter individuals who are non-verbal or have limited speech. Communicating with people one on one helps the responder understand the situation and act accordingly. Understanding how to best solicit information from and assist non-verbal or limited speech individuals ensures this can still happen.

Communicating With Individuals Who Are Non-Verbal in an Emergency>>

Training & Events

Animal/Plant Health
Joint Criminal-Epidemiological Investigations Course

July 11-12, 2018

Lansing, MI 

Regardless of its origin, early detection, rapid identification, and prompt notification of a zoonotic or emerging disease outbreak originating in domestic, wild animals and/or plants are critical to the successful mitigation of disease spread. Joint investigations are the new frontier for law enforcement and animal and plant health investigators.

To register contact

WMDC Mark E. Davidson at medavidson@fbi.gov.

For more information:

Animal/Plant Health Joint
Investigations Course

Michigan Prepares


MI Volunteer Registry

The Michigan Update

Managing Communicable Diseases in Schools guidance

The Managing Communicable Diseases in Schools guidance document was updated in May 2018.  The Michigan Department of Education and the Michigan Department of Health and Human Services, Divisions of Communicable Disease and Immunization have collaborated to maintain and update the document.  Schools play a major role in helping to reduce or prevent illness among children and adults in our communities.  This document highlights how diseases are spread, promotes hand hygiene and disinfection, provides recommendations for child exclusions, and details disease reporting by schools.  In addition, a chart of disease-specific information with additional key points is included.  A summary of recent changes can be found at the end of the Managing Communicable Diseases in Schools guidance document.   


Outpatient Antibiotic Prescribing for Acute Respiratory Infections During Influenza Seasons

Acute respiratory infections (ARIs) are the syndrome for which antibiotics are most commonly prescribed; viruses for which antibiotics are ineffective cause most ARIs.  A study published in the Journal of the American Medical Association analyzes the appropriateness of antibiotic prescription for different ARI diagnosis.  The purpose of this study is to identify targets for reducing inappropriate antibiotic prescribing for common ARI diagnoses, including among outpatients with laboratory-confirmed influenza.  The researchers studied 14,987 patients 6 months or older with ARI.  6136 of these patients were prescribed antibiotics and 2522 of these patients had a diagnosis for which antibiotics were not indicated.  The research showed, antibiotic overuse remains widespread in the treatment of outpatient ARIs, including among patients with laboratory-confirmed influenza.  Identified targets for improved outpatient antibiotic stewardship include eliminating antibiotic treatment of viral upper respiratory tract infections and bronchitis and improving adherence to prescribing guidelines for pharyngitis and sinusitis. Increased access to sensitive and timely virus diagnostic tests, particularly for influenza, may reduce unnecessary antibiotic use for these syndromes. 

Outpatient Antibiotic Prescribing for Acute Respiratory Infections During Influenza Seasons>>

Tools & Resources

Tribal Legal Preparedness Best Practices Toolkit

The training modules from the University of Pittsburgh provide an introduction to legal preparedness that can be used to educate Tribal leadership, discuss how the law can be used to achieve cross-jurisdictional coordination, and explain the disaster declaration mechanism, including the new direct Tribal disaster declaration process. The last module provides an array of best practices shared by Tribal Nations, including audio and video recordings of Tribal public health/emergency management practitioners, so that Tribal Nations are sharing their success stories and helping other Tribes.

Tribal Legal Preparedness Best Practices Toolkit>>