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Past Updates from the Clinician Registry Listserv:
Update Sent March 21, 2005

NOTE: This document is provided for historical purposes only and may not provide our most accurate and up-to-date information. The most current Clinician's information can be found on the Clinician Home Page.

UPDATES TO INFORMATION AND GUIDANCE
The following updates were made to CDC information and guidance during the period
of March 14-20, 2005, or reflect last week's current events.  If you have any questions
on these or other clinical issues, please call our toll-free Clinician Information Line at
877-554-4625 or write to us at coca@cdc.gov.

This update contains new information on the following topics:

AVIAN INFLUENZA:

Update: Notice to Travelers about Avian Influenza A (H5N1)
According to the World Health Organization (WHO), since the beginning of
March 2005, an additional 10 cases of human infection with avian influenza A
(H5N1) virus have been confirmed by the Ministry of Health in Vietnam; 3 of
the cases were fatal. The official notification to WHO of these recent cases, some
of which date back to late January, is based on new reporting procedures
established by the Vietnamese Ministry of Health in collaboration with WHO
staff. CDC is in communication with WHO and continues to closely monitor
the H5N1 situation in Asia. CDC has not recommended that the general
public avoid travel to any of the countries affected by H5N1.
http://wwwn.cdc.gov/travel/default.aspx

Key Facts About Avian Influenza (Bird Flu) and Avian Influenza
A (H5N1) Virus updated

The question: ‘How are bird flu viruses different from human flu viruses?’
has been updated on this page. http://www.cdc.gov/flu/avian/gen-info/facts.htm

RABIES:

Compendium of Animal Rabies Prevention and Control, 2005 – MMWR report
The recommendations in this compendium serve as the basis
for animal rabies prevention and control programs throughout the
United States and facilitate standardization of procedures among
jurisdictions, thereby contributing to an effective national rabies-
control program. Principles of rabies prevention and control are
detailed in Part I; Part II contains recommendations for parenteral
vaccination procedures; and all animal rabies vaccines licensed by
the United States Department of Agriculture (USDA) and marketed
in the United States are listed in Part III.
http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5403a1.htm

CHEMICAL EMERGENCIES:

The links below consist of new or updated case definitions for the
following agents, including a clinical description, and laboratory
criteria for diagnosis:

Tetrodotoxin, Vesicants, Nerve Agents, Colchicine, Brevetoxin,
Toxic Alcohols, Digitalis, Caustic or Corrosive Agents, Barium,
Trichothecene Mycotoxin, Sulfuryl Fluoride Sodium Monofluoroacetate,
Nicotine, Methyl Isocyanate, Methyl Bromide

HEALTH ALERT NETWORK (HAN) ADVISORY - Serratia marcescens:

Serratia marcescens blood stream infections associated with contaminated magnesium sulfate solutions – March 2005 – HAN Advisory
The Centers for Disease Control and Prevention (CDC) has learned of 11 cases
of Serratia marcescens (S. marcescens) bacteremia from two states associated
with magnesium sulfate solution manufactured by Pharmedium (Lake Forest, IL)
that may have been intrinsically contaminated with S. marcescens.  In March 2005,
the New Jersey Department of Health and Senior Services (NJDHSS) was notified
of a cluster of S. marcescens blood stream infections involving five patients
hospitalized at a New Jersey health-care facility. For the full report, please
see the link below: http://www2a.cdc.gov/han/ArchiveSys/ViewMsgV.asp?AlertNum=00224

EMERGING INFECTIOUS DISEASES JOURNAL:

The Emerging Infectious Disease (EID) journal provides recognition of new and
re-emerging infections and understanding of factors involved in disease emergence,
prevention, and elimination. It also represents the scientific communications
component of CDC's efforts against the threat of emerging infections.
See the April 2005 issue of the EID journal at the following link:
http://www.cdc.gov/ncidod/eid/index.htm

Our Clinician Communication Team is committed to excellence in reporting our weekly updates.  Please e-mail coca@cdc.gov should you note any written errors or discrepancies.

If you need to unsubscribe or update your information, please go to our website:
http://www.bt.cdc.gov/clinregistry

If you need further information or technical help, please send an e-mail message to: coca@cdc.gov

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