Past Updates from the Clinician Registry Listserv

Update Sent February 21, 2006

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 from February 13-21, 2006, or reflect current events. If you have any questions on these or other clinical issues, please write to us at coca@cdc.gov.

Avian Influenza

Avian Influenza: Current Situation -
Austria, Egypt, and France added to list of countries reporting animal cases.
On this page: Summary, human H5N1 cases, animal H5N1 cases, assessment of current situation, bird import ban, travel, and CDC response.
http://www.cdc.gov/flu/avian/outbreaks/current.htm

Update: Guidelines and Recommendations
Interim Guidance about Avian Influenza A (H5N1) for U.S. Citizens Living Abroad -
Avian influenza A (H5N1) viruses usually affect wild birds but have infected and caused serious disease among poultry, such as chickens. Countries that have experienced confirmed outbreaks of H5N1 infection among poultry and other birds in 2005-2006 include Azerbaijan, Bulgaria, Cambodia, China (including Hong Kong SAR), Croatia, Germany, Greece, Indonesia, Iran, Italy, Kazakhstan, Mongolia, Nigeria, Romania, Russia, Thailand, Turkey, Ukraine, and Vietnam. Poultry outbreaks were also reported in Japan, Laos, and Malaysia during 2004. Human infections with H5N1 viruses are rare, but have occurred during 2003 - 2006 in Cambodia, China, Indonesia, Iraq, Thailand, Turkey, and Vietnam.
http://wwwn.cdc.gov/travel/contentAvianFluAmericansAbroad.aspx

Update: Human Infection with Avian Influenza A (H5N1) Virus -
CDC remains in communication with WHO and continues to closely monitor the H5N1 situation in countries reporting human cases and bird outbreaks.
http://wwwn.cdc.gov/travel/contentAvianFluAsia.aspx

Update: Confirmed Human Infections with Avian Influenza A (H5N1) Virus in Turkey -
According to the World Health Organization (WHO), 12 of the 21 human cases of influenza A/H5 reported by the Turkish Ministry of Health have been confirmed as H5N1 by a WHO collaborating laboratory in the United Kingdom. Four of the confirmed cases were fatal. Since early January 2006, Turkey has reported human cases of influenza A/H5 from several provinces. In addition to the human cases, poultry outbreaks have been confirmed or are under investigation in numerous provinces.
http://wwwn.cdc.gov/travel/contentAvianFluAsia.aspx

Seasonal Influenza

Current Weekly Flu Report -
During week 6 (February 5 – February 11, 2006), influenza activity increased in the United States, primarily in the eastern half of the country. Four hundred fifty-five specimens (18.7%) tested by U.S. World Health Organization (WHO) and National Respiratory and Enteric Virus Surveillance System (NREVSS) collaborating laboratories were positive for influenza. The proportion of patient visits to sentinel providers for influenza-like illness (ILI) was above the national baseline. The proportion of deaths attributed to pneumonia and influenza was below the baseline level. Thirteen states reported widespread influenza activity; 21 states and New York City reported regional influenza activity; 11 states and the District of Columbia reported local influenza activity; and 5 states and Puerto Rico reported sporadic influenza activity.
http://www.cdc.gov/flu/weekly/

MMWR Report -
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5506a4.htm

Flu Activity Reports -
Weekly Surveillance Reports
http://www.cdc.gov/flu/weekly/fluactivity.htm

Emergency Preparedness

Spanish Translation: Public Health Emergency Response Guide for State, Local, and Tribal Public Health Directors

State, local, and tribal public health departments play an extremely important role in all-hazards emergency preparedness and response. Public health professionals within these departments should have immediate access to guidance and information that will assist them in rapidly establishing priorities and undertaking necessary actions during the response to an emergency or disaster. The National Center for Environmental Health (NCEH), Division of Emergency and Environmental Health Services (EEHS), Environmental Public Health Readiness Branch (EPHRB) has developed an all-hazards public health emergency response guide to address this need.
http://www.bt.cdc.gov/planning/espanol/pdf/cdcresponseguide_spanish.pdf PDF File

Flowchart- Chemical Terrorism Event Shipping Instructions - Blood -
Guidance in Accordance with Packaging Instructions IATA 650 Biological Specimen Category B
http://www.bt.cdc.gov/labissues/pdf/chemspecimenshipping-blood.pdf PDF File

Flowchart- Chemical Terrorism Event Shipping Instructions - Urine -
Guidance in Accordance with Packaging Instructions IATA 650 Biological Specimen Category B
http://www.bt.cdc.gov/labissues/pdf/chemspecimenshipping-urine.pdf PDF File

Polio

Resurgence of Wild Poliovirus Type 1 Transmission and Consequences of Importation
During 2002--2005, wild poliovirus (WPV) type 1 was imported into 21 countries that had previously been polio-free. Thirteen countries experienced multiple polio outbreaks lasting at least 6 months. Transmission of imported WPV was attributable to deficiencies in routine vaccination, discontinuation of supplementary immunization activities, and delayed responses to WPV detection. This report describes the origins and consequences of the WPV importations and recommends measures to prevent import-associated WPV outbreaks in polio-free countries.
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5506a1.htm

West Nile Virus

Assessing Capacity for Surveillance, Prevention, and Control of West Nile Virus Infection - United States, 1999 and 2004
Indigenous human disease caused by West Nile virus (WNV) was first identified in the United States in August 1999 in the greater New York City area. By the end of 2004, human WNV disease had been reported in all states except Washington, Hawaii, and Alaska, and WNV transmission to humans had been documented by five routes: mosquito bites (principally from Culex spp.), blood transfusions, organ transplantation, transplacental transfer, and breastfeeding. During 1999 - 2005, a total of 19,525 cases of WNV disease in humans and 771 deaths were reported in the United States.
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5506a2.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.

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Page last updated February 21, 2006
Content source: CDC Emergency Communication System (ECS), Division of Health Communication and Marketing (DHCM), National Center for Health Marketing (NCHM)