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 July 2020
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Pregnant Patients Need Protection Too!
Alyssa Strouse, MPH, Adult and Adolescent Immunization Coordinator, MDHHS Division of Immunization
Vaccines are considered one of the greatest public health achievements and today, vaccines protect babies, children, adolescents and adults, including pregnant women, from 27 diseases. Except for hepatitis B vaccine, which is given within 24 hours of birth, other routine childhood vaccines are not recommended until at least 2 months of age. Maternal vaccination helps protect newborn infants from dangerous vaccine-preventable diseases, such as pertussis and influenza, until they are old enough to develop their own immunity through vaccination.
Maternal Vaccination >>
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Creating Accessible Documents - First Steps
Public information disseminated online must be accessible for everyone - including people with disabilities. The Americans with Disabilities Act mandates that all people have equal access to all programs, services and activities, including document accessibility.
There are simple steps that content creators can take to improve accessibility for people who use screen readers. These steps are only the first in the process.
Creating Accessible Documents >>
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Decline in Child Vaccination Coverage During the COVID-19 Pandemic - Michigan Care Improvement Registry
May 2016–May 2020
To evaluate whether vaccination coverage has changed during the pandemic, data from the Michigan Care Improvement Registry (the state’s immunization information system) (MCIR) were analyzed. Changes in vaccine doses administered to children and the effects of those changes on up-to-date status were examined for vaccinations recommended at milestone ages.
Decline in Child Vaccination >>
 Initial and Repeated Point Prevalence Surveys to Inform SARS-CoV-2 Infection Prevention in 26 Skilled Nursing Facilities — Detroit, Michigan
March–May 2020
What is already known about this topic?
Symptom-based screening in skilled nursing facilities (SNFs) is inadequate to detect SARS-CoV-2 transmission. Repeated point prevalence surveys can identify asymptomatic cases during outbreaks.
What is added by this report?
Repeated point prevalence surveys at 26 Detroit SNFs identified an attack rate of 44%; within 21 days of diagnosis, 37% of infected patients were hospitalized and 24% died. Among 12 facilities participating in a second survey and receiving on-site infection prevention and control (IPC) support, the percentage of newly identified cases decreased from 35% to 18%.
What are the implications for public health practice?
Repeated point prevalence surveys in SNFs can identify asymptomatic COVID-19 cases, inform cohorting and IPC practices, and guide prioritization of health department resources.
Point Prevalence Surveys, Skilled Nursing Facilities >>
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Equitable Enforcement to Achieve Health Equity
An Introductory Guide for Policymakers and Practitioners
By posing a series of questions to consider when drafting, implementing, and enforcing a policy, ChangeLab Solutions' resource helps policymakers, advocates, and enforcement officials explore (1) the equity implications of traditional public health enforcement tools, and (2) strategies to avoid unintended negative consequences when enforcing violations of the law.
Equitable Enforcement >>
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Long Term Care Intro to the Incident Command System
Online Course
This learning module will provide introductory level information about the Incident Command System (ICS), including basic Incident Command roles and structure, as well as the relevant functions of Long Term Care (LTC) facilities in the ICS structure.
Course ID: 1050947
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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 readers with relevant content on topics that affect the public health of Michigan's citizens and communities. |
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This publication was supported by Cooperative Agreement number 1NU90TP922062-01-00, funded by the Centers for Disease Control and Prevention. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the Centers for Disease Control and Prevention or the Department of Health and Human Services.
Bureau of EMS, Trauma & Preparedness | 1001 Terminal Rd, Lansing, MI 48906 | 517-335-8150
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