The Rhode Island Department of Health (HEALTH) is working with Rhode Island Hospital and Roger Williams Medical Center to notify patients who may have been exposed to a person with measles who was in both of these facilities last week. The first potential exposure took place on February 25th at Roger Williams Medical Center, where a man was treated for a sore throat and fever. On February 28th that person developed a rash and was seen at the CVS Minute Clinic in North Attleboro, Massachusetts and the possibility of measles was recognized. He was referred to the Rhode Island Hospital Emergency Department, where he was until early on March 1st.
CDC Health Alert Network Advisory #00359 Summary: From November through December 2013, CDC has received a number of reports of severe respiratory illness among young and middle-aged adults, many of whom were infected with influenza A (H1N1) pdm09 (pH1N1) virus. Multiple pH1N1-associated hospitalizations, including many requiring intensive care unit (ICU) admission, and some fatalities have been reported. The pH1N1 virus that emerged in 2009 caused more illness in children and young adults, compared to older adults, although severe illness was seen in all age groups. While it is not possible to predict which influenza viruses will predominate during the entire 2013-14 influenza season, pH1N1 has been the predominant circulating virus so far. For the 2013-14 season, if pH1N1 virus continues to circulate widely, illness that disproportionately affects young and middle-aged adults may occur.
Pregnant women and new parents of any age can now be referred for evidence-based home visiting. Programs available in Rhode Island have demonstrated improved participant outcomes such as lower rates of preterm birth and child maltreatment, and higher rates of prenatal and well-baby care and economic self-sufficiency. Please refer any patient you feel could benefit from home visiting by calling the First Connections provider in the patient's community or faxing over a referral form.
Don't delay -- register today! The deadline to register for this event is November 22. This day-long program will include sessions on sexual health with a LGBT perspective, the impact of the Affordable Care Act, a plenary on disrupting transmission involving sexual networks, a wide variety of break-out sessions on HIV and STD testing, prevention, and care coordination and more. Network with Rhode Island HIV and STD providers, case managers, community and state agencies, consumers, and other stakeholders to learn about and link the best strategies for the highest impact on prevention and care in RI. Healthcare providers, social workers, case workers, consumers, community partners, decision makers, educators, and anybody who is interested in HIV/STD issues is invited to attend. Continuing medical education credits are available. Conference registration fee of $25.00 includes continental breakfast, lunch, access to an online syllabus, and complimentary parking.
This day-long program will include sessions on sexual health with a LGBT perspective, the impact of the Affordable Care Act, a plenary on disrupting transmission involving sexual networks, a wide variety of break-out sessions on HIV and STD testing, prevention, and care coordination and more. Network with Rhode Island HIV and STD providers, case managers, community and state agencies, consumers, and other stakeholders to learn about and link the best strategies for the highest impact on prevention and care in RI. Healthcare providers, social workers, case workers, consumers, community partners, decision makers, educators, and anybody who is interested in HIV/STD issues is invited to attend. Continuing medical education credits are available. Conference registration fee of $25.00 includes continental breakfast, lunch, access to an online syllabus, and complimentary parking.
The Rhode Island Department of Health (HEALTH) Division of Infectious Disease and Epidemiology has received reports that three students of Ponaganset High School (Foster-Glocester School District) have a prolonged cough illness that resembles pertussis. Parents of students have been advised by letter to be vigilant for cough illness, and this notice might prompt calls to area healthcare providers.
A public health grand rounds titled Seasonal Influenza Update will be held on Thursday, October 3, from 8:30 - 9:30 AM. The speaker will be Nicole E. Alexander-Scott, MD, MPH (Assistant Professor of Pediatrics and Medicine, Warren Alpert Medical School of Brown University; Medical Director, Division of Infectious Disease and Epidemiology, Rhode Island Department of Health).
The Rhode Island Department of Health (HEALTH) Division of Infectious Disease and Epidemiology has released new guidance for Rhode Island clinicians that includes the latest updates and recommendations for adapting to the ongoing nationwide shortage of tuberculin used for tuberculosis skin testing.
On Wednesday, August 14, 2013, the Centers for Disease Control and Prevention (CDC) issued an advisory to alert the public, healthcare providers, and pharmacists of a voluntary nationwide recall of all products produced and distributed for sterile use by Specialty Compounding, LLC, a subsidiary of Peoples Pharmacy Inc. that is based in Cedar Park, Texas. The recall reportedly resulted from Rhodococcus equi bacterial bloodstream infections potentially related to the company's calcium gluconate infusions, according to the CDC HEALTH Alert Network Advisory.
The CDC and the U.S. Food and Drug Administration, working with Texas state officials, have determined that the recalled products were distributed directly to hospitals and physician offices in Texas. Outside Texas, the recalled products were also distributed directly to patients nationwide, including in Rhode Island.
Specialty Compounding is notifying nationwide customers of this recall. Consumers are being advised to contact their physician or healthcare provider for problems related to this recall and Rhode Island healthcare providers might receive calls related to this matter.
Click on the link above for guidance for Rhode Island healthcare providers.
The Centers for Disease Control and Prevention (CDC) Division of STD Prevention is pleased to announce the launch of its free STD Treatment (Tx) Guidelines mobile application ("app") for smart phones and tablets. Healthcare providers can link with ease to diagnostic information and current STD Treatment Guidelines. App users get quick access to information about diagnosing and treating 21 sexually transmitted diseases (STDs) as well as the e-version of the booklet "A Guide to Taking a Sexual History." The app is currently available for Apple and Android devices and can be downloaded for free from the iTunes and Google Play stores.
The Department of Environmental Management (DEM) announced last week that a sample of human-biting mosquitoes collected in Providence had tested positive for West Nile Virus (WNV). All healthcare providers should: (1) Maintain a high index of suspicion for West Nile Viral disease, especially among the elderly and immuno-suppressed individuals who are at higher risk for the neuroinvasive disease. (2) Call 401-222-2577 to report suspected diagnosis of any patient you are attending with clinical diagnosis of viral Encephalitis, aseptic or suspect viral meningitis (CSF pleocytosis of 10 cells or more) in persons 17 years of age or older, and Guillain-Barré syndrome. (3) Review Clinical Specimen Submission Guidance and more information on the HEALTH website (health.ri.gov/disease/carriers/mosquitoes/for/providers). Read the complete press release at: http://www.ri.gov/press/view/20019
A new tool from the CDC/Office on Smoking and Health can help motivate patients to quit smoking – while sitting in your waiting room. A video loop of three Tips from Former Smokers ads is now available for download to play while patients wait. The tool comes with the "Talk With Your Doctor" tag and can be found on the Tips download center under the Healthcare tab. Physicians whose patients express an interest in quitting are encouraged to utilize the QuitWorks-RI physician referral program. (See http://quitworksri.org)