CDC COCA Learn: April 6, 2018

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c o c a learn - c d c clinical outreach and communication activity

Upcoming COCA Call

RMSF tick

A Leopard without Spots: Clinical Diagnosis and Treatment of Rocky Mountain Spotted Fever

Rocky Mountain spotted fever (RMSF), a life-threatening and rapidly progressive tickborne disease, is caused by infection from the bacterium Rickettsia rickettsii. Infection begins with non-specific symptoms like fever, headache, and muscle pain, but unmitigated damage to the vascular endothelium quickly results in organ failure, necrosis, and ultimately death. Early clinical diagnosis is key—as treatment within the first 5 days of illness has been associated with lower mortality. Additionally, newer diagnostics are now available that can aid in early detection. RMSF is a recently-emerging pathogen in Arizona and along the U.S.-Mexico border region. Case fatality rates in these regions have been extremely high and closely tied to widespread tick and free-roaming dog populations. During this COCA call, clinicians will learn about the detection, diagnosis, and epidemiology of RMSF.

Date: Thursday, April 12, 2018

Time: 2:00 - 3:00 P.M. (ET)

Recent COCA Call


Joint Webinar: Vital Signs Town Hall Teleconference and COCA Call – Coordinating Clinical and Public Health Responses to Opioid Overdoses Treated in Emergency Departments

The nonmedical use of prescription opioids and illicit opioids cause significant morbidity in the United States. The latest data indicate that rates of overdoses treated in emergency departments are rising across all regions and require a coordinated response between public health, clinicians, public safety, and community organizations. During this COCA call, clinicians learned about the increases in opioid-related morbidity and steps clinicians can take in advancing protocols to reverse these trends.

Archived COCA conference calls are available here. Free continuing education available for most COCA calls. More information about free CE is available here.

Emergency Preparedness and Response Training Resources

    Emergency Preparedness and Response

    This page features scheduled and on-demand access information on emergency preparedness and response training resources that CDC, other federal agencies, and COCA partners offer.

    Radiation Emergencies: Information for Clinicians

    Emergency services physicians and nurses will be among the first clinicians to see and treat victims of radiation emergencies. Clinicians of all specialties will be responsible for providing care and information to those involved. Visit this webpage to access information on patient management, guidelines and recommendations, and trainings that CDC provides for radiation emergencies.  

      Conference and Training Opportunities


      The Conference and Training Opportunities webpage has been updated to include conferences from April 2018–October 2018. Visit the webpage to learn about conferences that CDC, other federal agencies, and COCA partners sponsor.

      April COCA Partner Spotlight

      COCA Partner

      COCA is pleased to feature American Association of Poison Control Centers (AAPCC) in our April COCA Partner Spotlight.

      AAPCC supports the nation’s 55 poison centers in their efforts to prevent and treat poison exposures. Their mission is to actively advance the health care role and public health mission of their members through information, advocacy, education and research. 

      Partnerships with professional healthcare associations are vital to CDC’s ability to share information with clinicians about public health emergencies, CDC guidance, health alert messages, and training opportunities.

      Learn more about AAPCC from their website and follow them on Facebook.

      Training Opportunities

      Register for Upcoming June ACIP Meeting

      The Advisory Committee on Immunization Practices (ACIP) comprises medical and public health experts who develop recommendations on the use of vaccines in the civilian population of the United States. The recommendations stand as public health guidance for safe use of vaccines and related biological products.

      Date & Time of Visit: June 20-21, 2018, 7:00 AM - 6:00 PM

      Meeting Location: CDC, Tom Harkin Global Communications Center, Kent 'Oz' Nelson Auditorium

      Deadline for registration:

      • Non-US Citizens: May 16, 2018
      • US Citizens: June 11, 2018

      Registration is NOT required to watch the live meeting webcast or to listen via telephone. 

      Hepatitis B Virus

      Prevention of Hepatitis B Virus Infection in the United States: Recommendations of the Advisory Committee on Immunization Practices

      CDC’s MMWR and Medscape are proud to introduce a new FREE continuing education (CE) activity that describes recommendations regarding prevention of hepatitis B virus (HBV) infection in the United States, based on updated guidance from the Advisory Committee on Immunization Practices.

      Hospital Incident Command Systems: How to Lead When a Crisis Occurs

      This online simulation is designed to highlight effective leadership techniques in the face of various health crises. Expert faculty provide their insights on Hospital Incident Command Systems; communications with staff, media, and the general public; and patient safety concerns.

      Defending Against Superbugs: An Interactive Case Study Managing an “Outbreak” of Carbapenem-Resistant Enterobacteriaceae (CRE) in a Hospital Setting

      This simulation is designed to strengthen participants’ ability to develop an effective infection control approach in response to an outbreak of carbapenem-resistant Enterobacteriaceae in a hospital. Two case studies are presented, and participants will make clinical decisions that affect patient outcomes.

      cdc train


      CDC TRAIN provides access to more than 1,000 courses that CDC programs, grantees, and other funded partners have developed. Courses offered by CDC course providers have been approved and verified by CDC.

      Grand Rounds: Hepatitis B & C Elimination

      Public Health Grand Rounds is a monthly webcast created to foster discussion on major public health issues.The Grand Rounds sessions also highlight how CDC and its partners are already addressing these challenges and discuss recommendations for future research and practice. Visit Grand Rounds On-Demand to browse previous presentations.

      Date: Tuesday, April 17, 2018

      Time: 1:00-2:00 P.M. (ET) 

      Learning Connection

      CDC Learning Connection for April: Opioids, Autism, Lab Safety, & Team Development

      • Hot Training Topic: Opioid overdose deaths continue to rise. Find the latest opioid courses on TRAIN via our Hot Training Topic and learn strategies to address the crisis.
      • April is National Autism Awareness Month. Complete CDC’s “Autism Case Training” and learn how to identify, diagnose, and manage autism spectrum disorder. Earn free CE and MOC for pediatricians.
      • In honor of Medical Laboratory Professionals Week (April 22-28), take “Fundamentals of Working Safely in a Biological Safety Cabinet.” Free CE for laboratory workers (ASCLS P.A.C.E.®) is available.
      • Working on a quality improvement (QI) project? Take “Quality Improvement Team Development,” a brief training from the Center for Public Health Continuing Education at the University at Albany School of Public Health, and learn the important aspects of QI project teams.

        • Sign up for the free monthly e-newsletter to stay up-to-date on similar public health learning opportunities from CDC, other federal agencies, and federally funded partners.

        Clinician's Corner Featuring William Karesh, D.V.M.


        Welcome to the Clinician’s Corner! Each month we will feature a CDC clinician or a clinician who has collaborated with COCA or presented on a COCA call. This month, we’re featuring Dr. William Karesh.

        Dr. William Karesh is the Executive Vice President for Health and Policy for EcoHealth Alliance. He is also the President of the OIE (World Organisation for Animal Health) Working Group on Wildlife and chairs the International Union for the Conservation of Nature (IUCN) Species Survival Commission’s Wildlife Health Specialist Group, a network of hundreds of wildlife and health experts around the world. He serves as the inter-project liaison for the USAID Emerging Pandemic Threats PREDICT-2 program and is a member of the World Health Organizations International Health Regulations Roster of Experts. In 2003, he coined the term "One Health" to describe the interdependence of healthy ecosystems, animals and people. He has led programs and projects in more than 45 countries, and has published more than 160 scientific papers and numerous book chapters, as well as written for broader audience publications such as Foreign Affairs. His current field projects include Rift Valley Fever, MERS and SARS related coronaviruses, influenza A's, and filoviruses in Asia, Africa, and the Middle East.  

        During a 2016 COCA Call, Dr. Karesh discussed the drivers of infectious diseases, the approaches to identifying risk factors for zoonotic diseases, and the differences between disease occurrence mapping and correlation-based risk mapping. Be sure to listen to this COCA Call, “Drivers of Infectious Diseases: Connections Matter,” and get free Continuing Education (CE) credits before they expire on June 12, 2018. 

        COCA Tips

        Weekly U.S. Influenza Surveillance Report

        CDC's Influenza Division produces a weekly influenza surveillance report, FluView. See the latest flu reports from around the nation.


        National Outbreak Reporting System (NORS)

        Looking for CDC data on foodborne or waterborne disease outbreaks? CDC’s newest data tool, NORS Dashboard, displays information about foodborne, waterborne, and enteric disease outbreaks on interactive maps and graphs. Users can also download the outbreak information.

        Tracking eHealth Literacy

        You can support eHealth literacy for your patients by asking them how confident they feel managing their own health and giving them a recommendation for top sources of health information on the web.