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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>>
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>>
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