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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


Virginia s 2013 14 flu season is concluding
Virginia’s 2013-14 Flu Season is Concluding

Recent uptick in Flu B


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