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Health Alerts. David Trump, MD, MPH, MPA Acting Chief Deputy Commissioner for Public Health and Preparedness & State Epidemiologist Health and Medical Subpanel April 28, 2014. Ebola Virus.

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health alerts

Health Alerts

David Trump, MD, MPH, MPA

Acting Chief Deputy Commissioner for Public Health and Preparedness & State Epidemiologist

Health and Medical Subpanel

April 28, 2014

ebola virus
Ebola Virus
  • A viral hemorrhagic fever caused by exposure to animal sources in the environment (fruit bats, monkeys) or blood or body fluids of ill persons
  • Outbreak in Africa (as of Apr 16):
    • Guinea – 197 cases with 122 deaths (24 HCW, 13 deaths)
    • Liberia – 27 cases with 13 deaths
    • Sierra Leone – 12 suspected cases, all tested negative
  • Patient isolation, contact tracing in effect; PPEin healthcare and burial practices
  • No travel restrictions
  • Virginia hospitals and local health departments on alert for incoming ill travelers
influenza a h7n9
Influenza A(H7N9)
  • 375 cases with 115 (31%) deaths – China (98% of cases), Taiwan, Hong Kong, one Chinese traveler in Malaysia
  • Severe illness, disproportionately affecting middle-aged men
  • 1st wave Feb-May 2013; 2nd wave began Oct 2013 & continues
  • 80% exposed to birds or live poultry markets
  • Small clusters; not easily spread between people
  • Surveillance, usual precautions
  • No travel restrictions
influenza a h5n1
Influenza A(H5N1)
  • 649 cases and 385 (59%) deaths since 2003
  • Jan 2014 case in Canada in a person who traveled to China
  • Proper precautions; surveillance of contacts; search for exposure history (e.g., poultry)
  • No travel restrictions
  • WHO now reporting on this monthly unless risk situation changes
mers cov
MERS-CoV*
  • Since September 2012 – 243 cases with 93 (38%) deaths
  • Associated with travel to Middle East, contact with animals or ill persons where disease is occurring
  • Surveillance for severe acute respiratory infections (SARI)
  • Healthcare precautions important
  • No travel restrictions
  • * MERS-CoV: Middle Eastern Respiratory Syndrome coronavirus
chikungunya virus
Chikungunya Virus
  • Mosquito-borne illness, mostly seen in Africa, Asia, Europe
  • In Dec 2013, 1st case in the Americas – St. Martin Island
  • By Apr 4, 2014, >3,290 confirmed cases in multiple Caribbean island nations and in French Guiana
  • Symptoms: high fever (>102ºF), headache, nausea, muscle and joint pain, and rashes
  • Commissioner sent letter to clinicians on Apr 18 Recommended awareness of the illness and assessment of travel history in those with compatible symptoms
  • Potential for cases to be imported and lead to local spread in the US primarily by the Aedesalbopictus “Tiger” mosquito
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