CDC COCA Learn: December 19, 2018

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

Recent COCA Call

Hepatitis A Outbreaks in Multiple States: CDC Recommendations and Guidance

Hepatitis A is a highly contagious, vaccine-preventable, viral disease spread via a fecal-oral route or by exposure to contaminated food or water. Hepatitis A rates have declined substantially in the United States since the introduction of the hepatitis A vaccine in 1996. However, since early 2017, the Centers for Disease Control and Prevention (CDC) has observed an increase in the number of community-wide hepatitis A outbreaks in multiple states. For these outbreaks, CDC recommends vaccination for persons who report drug use (injection and non-injection), persons at high risk for drug use (e.g., participating in drug substitution programs, receiving substance abuse counseling or treatment, recently or currently incarcerated), men who have sex with men, and persons experiencing homelessness. CDC also encourages vaccination in certain settings such as emergency departments and corrections facilities in outbreak-affected areas when feasible. During this COCA call, subject matter experts from CDC discussed vaccination to stop these outbreaks and current CDC recommendations for the hepatitis A vaccine.

If you were unable to attend this live COCA Call, it is now available on demand and free continuing education (CE) is still available. Just click on the link to the call page above and the webinar is available for viewing under the “Call Materials” tab.

Archived COCA Calls

COCA Calls offer the most up-to-date information and guidance for clinicians about key emergency preparedness and response topics and emerging public health threats. If you were unable to attend a live call, archived COCA Calls are available here. Free continuing education (CE) is 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 to information on emergency preparedness and response training resources that CDC, other federal agencies, and COCA partners offer—be sure to check out these valuable resources!   

Conference and Training Opportunities


The Conference and Training Opportunities webpage has been updated to include conferences from December 2018–November 2019. Visit the webpage to learn about conferences that CDC, other federal agencies, and COCA partners sponsor.

December COCA Partner Spotlight

Partner Spotlight

COCA is pleased to feature The American Academy of Pediatrics (AAP) in our December COCA Partner Spotlight! AAP was founded in 1930 by 35 pediatricians to serve as an independent forum to address children’s health needs. At that time, the idea that children had unique developmental and health needs was new. Practices that are now standard preventive care (i.e., immunization, regular health exams) were only just beginning to change the custom of treating children as “miniature adults.” The mission of AAP is to attain optimal physical, mental, and social health and well-being for all infants, children, adolescents and young adults. AAP accomplishes this by supporting the professional needs of its 67,000 pediatrician members.

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.

To learn more about AAP, visit their website and follow them on Facebook.

Other Training Opportunities

Opioid Training

Two New Opioid Trainings for Providers: Initiating Opioid Therapy and Implementing the CDC Guideline

CDC launched two new opioid trainings that support providers in safer prescribing of opioids for chronic pain. The modules are part of a series of interactive online trainings that feature recommendations from the CDC Guideline for Prescribing Opioids for Chronic Pain.  The seventh module, Determining Whether to Initiate Opioids for Chronic Pain, helps providers identify and consider important patient factors when starting or continuing opioid therapy, while the eighth module, Implementing CDC’s Opioid Prescribing Guideline into Clinical Practice, walks providers through a quality improvement (QI) process using a set of 16 clinical measures outlined in the Quality Improvement and Care Coordination: Implementing the CDC Guideline for Prescribing Opioids for Chronic Pain. Both modules include clinical scenarios and tools and a resource library to enhance learning. These and all the modules in the series offer free continuing education, available on our Trainings for Providers webpage.

CDC Grand Rounds

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 discusses recommendations for future research and practice. Visit Grand Rounds On-Demand to browse upcoming and previous presentations. Free CE is available for most topics.


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.

New CDC Learning Connection

CDC Learning Connection’s Courses: Opioids, Health Disparities, & Chagas Disease

Finish 2018 strong with a featured course on the CDC Learning Connection!

  • More than 40% of the 42,249 opioid overdose deaths in the U.S. in 2016 involved a prescription opioid. Take CDC’s Dosing and Titration of Opioids training to learn how to safely prescribe, titrate, taper, and discontinue opioid therapy. Free CE is available.
  • Healthy People 2030’s goals include eliminating health disparities. Learn how to calculate key measures of health disparity with the Michigan Public Health Training Center’s Measuring Health Disparities course. Nurses and health educators can obtain CE for a small fee.
  • Chagas disease is a parasitic disease endemic throughout Latin America that affects an estimated 300,000 people living in the United States. Take CDC’s Chagas Disease in the United States course to learn about the transmission, diagnosis, and treatment of the disease through patient scenarios. Free CE is available.

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

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Clinician’s Corner Featuring Flor Munoz, MD, MSc, FAAP


Welcome to the Clinician’s Corner! Each month we will feature a CDC clinician, a clinician who has collaborated with COCA, or someone who has presented on a COCA call. This month, we’re featuring Flor Munoz, MD, MSc, FAAP.

Flor is an Associate Professor of Pediatrics at the Baylor College of Medicine. She is a Pediatric Infectious Diseases specialist at Texas Children’s Hospital in Houston, Texas, and is a member of the Committee on Infectious Diseases (COID) of the American Academy of Pediatrics (AAP). She is also the COID representative at the Influenza working group of the Advisory Committee on Immunization Practices (ACIP).

She received her MD from Universidad Francisco Marroquin in Guatemala, and her specialties in Pediatrics and Infectious Disease from Baylor College of Medicine in Houston, Texas. She is the author of the chapter on Influenza in Up to Date and conducts research on influenza epidemiology for the CDC and influenza vaccination for the NIH. Her work includes the evaluation of vaccines for the prevention of seasonal and pandemic influenza in vulnerable populations, including children, pregnant women, and immunocompromised hosts, particularly stem cell and solid organ transplant recipients and patients with underlying chronic medical conditions that increase their risk for complications of influenza.

Be sure to listen to Flor and her colleagues discuss “2018-2019 Recommendations for Influenza Prevention and Treatment in Children: An Update for Pediatric Providers” and get free CE before they expire October 30, 2020. If you were unable to attend the live call, archived COCA calls are available here. Free Continuing Education (CE) is available for most COCA calls. More information about free CE is available here.


Acute Flaccid Myelitis (AFM) Interim Consideration for Clinical Management

Clinicians, although the reduction in reported cases of acute flaccid myelitis (AFM) continues, be watchful. For up-to-date considerations on clinical management of AFM, how to report patients who may have it, and updated information on treatment options, visit the AFM clinical management page here.