COCA Digest: August 8, 2017

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Increase in Reported cases of Cyclospora cayetanensis Infection, United States, Summer 2017

The Centers for Disease Control and Prevention (CDC), State and Local Health Departments, and the Food and Drug Administration (FDA) are investigating an increase in reported cases of cyclosporiasis.

Read the full health advisory on the CDC HAN webpage.

COCA News and Announcements

Upcoming COCA Call

Tackling an Invasive, Emerging Multi-drug Resistant Yeast: Candida auris, What Health Care Providers Need to Know

Date: August 15, 2017

Candida auris, an emerging fungus that can cause invasive infections, is associated with high mortality and is often resistant to multiple antifungal drugs. C. auris was first described in 2009, after being isolated from external ear canal discharge of a patient in Japan. Since then, reports of C. auris infections, including bloodstream infections, have been noted from over a dozen countries—and it has now been found in the United States. As of July 14, 2017, 98 cases have been reported to CDC.

The emergence of C. auris raises several serious concerns for public health. First, many isolates are multidrug-resistant, with some strains having elevated minimum inhibitory concentrations to drugs in all three major classes of antifungal medications, a feature not found in other clinically relevant Candida species. Second, C. auris is challenging to identify, requiring specialized methods like MALDI-TOF or ribosomal DNA sequencing. When using common biochemical methods such as analytical profile index strips or the VITEK 2, C. auris is often misidentified as other yeasts (most commonly Candida haemulonii, but also Candida famata, Rhodotorula glutinis). Finally, C. auris has caused outbreaks in health care settings, spreading from patient to patient, and contaminating healthcare environments. During this COCA call, clinicians will learn about the updated identification, treatment, and infection control recommendtions for C. auris.

Recent COCA Call

NEW: Zika Virus: Updates to Clinical Guidance and Recommendations for Pregnant Women and Infants
Date: July 27, 2017
During this COCA Call, clinicians learned about the recent updates to CDC’s interim guidance for pregnant women with possible exposure to Zika virus; heard about the latest findings on pregnancy outcomes in the U.S. territories, based on the Zika pregnancy and infant registries; and received new information on pediatric ophthalmologic findings to assist in caring for patients based on currently available data.

Archived COCA conference calls are available at Free continuing education (CME, CNE, ACPE, CEU, CECH, and AAVSB/RACE) is available for most calls. For more information about free CE, visit

CDC Emergency Response

2016 Zika Virus Response

Aedes aegypti mosquito by Jim Gathany

General Resources

Zika Virus Information for Healthcare Providers
CDC's Zika webpage for healthcare provider resources.

Key Messages—Zika Virus
A collection of the most up-to-date, cleared information on the ongoing Zika virus outbreak.

Print Resources in Different Languages 
CDC fact sheets and posters for distribution to patients are available in Spanish, Portuguese, Arabic, Tagalog, Vietnamese, Mandarin, Creole, Korean, and other languages. These resources cover a variety of topics, including travel information, insect repellent, sexual transmission, and mosquito control. 

pregnant woman with healthcare provider

Clinicians Caring for Pregnant Women and Women of Reproductive Age

U.S. Zika Pregnancy Registry
CDC and state, tribal, local, and territorial health departments request that healthcare providers, especially obstetric and pediatric healthcare providers, participate in the U.S. Zika Pregnancy Registry.

Clinical Guidance for Healthcare Providers Caring for Pregnant Women 

Clinical Guidance for Healthcare Providers Caring for Women of Reproductive Age 

Clinicians Caring for Infants and Children

Clinical Guidance for Healthcare Providers Caring for Infants & Children 

Sexual Transmission

Zika and Sexual Transmission

map of active Zika transmission April 2017

Travel Information

Guidance for Areas with Local Zika Virus Transmission in the Continental United States and Hawaii

Zika Travel Information

CDC News and Announcements

woman holding pills

NEW: Introducing Free Continuing Education on Opioid Prescribing from Medscape and MMWR
CDC’s MMWR is proud to present a FREE continuing education activity on opioid prescribing in partnership with Medscape. Continuing Medical Education (CME), American Board of Internal Medicine Maintenance of Certification (ABIM MOC), and Continuing Education (CE) credits are all available for this activity - CDC Guideline for Prescribing Opioids for Chronic Pain — United States, 2016. This activity is intended for primary care clinicians, nurses, and other clinicians prescribing opioids for chronic pain outside of active cancer treatment, palliative care, and end-of-life care.

CDC Science Clips: Volume 9, Issue: 30
Each week, select science clips are shared with the public health community to enhance awareness of emerging scientific knowledge. The focus is applied public health research and prevention science that has the capacity to improve health now.

Public Health Preparedness

Emergency Preparedness and Response for Health Professionals
Find preparedness resources for health professionals.

Emergency Preparedness and Response Training Resources for Clinicians
Find online and in-person training resources.

Natural Disasters and Severe Weather


Natural Disasters and Severe Weather

Food and Water Needs: Preparing for a Disaster or Emergency

Health and Safety Concerns for All Disasters

Infectious, Vector-Borne, and Zoonotic Diseases

NEW: Multistate Outbreak of Salmonella Kiambu Infections Linked to Imported Maradol Papayas
CDC, public health and regulatory officials in several states, and the U.S. Food and Drug Administration (FDA) are investigating a multistate outbreak of Salmonella Kiambu infections. As of July 21, 2017, 47 people infected with the outbreak strain of Salmonella Kiambu have been reported from 12 states. A list of the states and the number of cases in each can be found on the Case Count Map page.

NEW: Human Salmonella Typhimurium Infections Linked to Exposure to Clinical and Teaching Microbiology Laboratories
CDC and public health officials in several states have identified a multistate outbreak of Salmonella Typhimurium infections linked to various clinical, commercial, and college and university teaching microbiology laboratories. Twenty-four people infected with the outbreak strain of Salmonella Typhimurium have been reported from 16 states.

3D Influenza Virus with Cutaway

Seasonal Influenza

Weekly U.S. Influenza Surveillance Report: Flu View—July 29
Flu View is a weekly influenza surveillance report prepared by CDC’s Influenza Division. All data are preliminary and may change as CDC receives more reports.

Information for Health Professionals
The pages listed offer public health and healthcare professionals key information about vaccination, infection control, prevention, treatment, and diagnosis of seasonal influenza.

Food, Drug, and Device Safety

MedWatch: The FDA Safety Information and Adverse Event Reporting Program—(FDA)
MedWatch is your FDA gateway for clinically important safety information and reporting serious problems with human medical products. Reports of FDA and USDA Food Recalls, Alerts, Reporting, and Resources—(HHS/USDA/FDA/CDC/NIH) lists notices of recalls and alerts from both FDA and the U.S. Department of Agriculture. Visitors to the site can report a problem or make inquiries.