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Communicable Disease Control & Surveillance


Frequently Asked Questions (FAQs)
1.  What are reportable diseases?
2.  Where and how can I report an Infectious Disease?
3.  What is West Nile virus?
4.  What should I do if I think I've been exposed to rabies?
5.  What can people do to protect thenselves against rabies?
6.  What is meningitis?
7.  What is meningococcal meningitis?
8.  What are head lice?
9.  How can head lice be treated and controlled?
10.  What is Tuberculosis?
11.  What is the difference between latent tuberculosis infection and tuberculosis disease?
12.  What is a communicable disease?
13.  What is disease control?
14.  What is disease surveillance?
15.  I am looking into purchasing a mosquito collection device and effectiveness depends on the types of mosquitoes in an area.  What is the predominant type of mosquito in NH?
 
Questions & Answers:
1.  What are reportable diseases?Back to top

Reportable diseases are conditions that, due to their infectious nature and the risks they pose in being spreading to others, are mandated under the NH law to be reported to DHHS.  Reporting of suspected or confirmed communicable diseases is mandatory.  Primary responsibility to report rests with health care providers and laboratories, but anyone with knowledge of a reportable disease is required to notify DHHS.

 
2.  Where and how can I report an Infectious Disease?Back to top

Mail reports to CDCS or contact us directly.

 
3.  What is West Nile virus?Back to top

West Nile Virus (WNV) normally lives in birds and is passed bird to bird by some types of mosquitoes.  Occasionally, an infected mosquito will pass the virus to humans or other animals.  Most healthy people do not get sick from the virus, but sometimes it may cause symptoms.  When humans get ill from West Nile Virus, they may have symptoms including encephalitis (inflammation of the brain) or meningitis (inflammation of the lining of the brain and spinal cord).  Encephalitis and meningitis can also be caused by head injury, bacterial infections or more commonly, other viral infections.

 
4.  What should I do if I think I've been exposed to rabies?Back to top
If you have been bitten, scratched or have had contact with the saliva of an animal that you believe is rabid, immediately wash the exposed area with soap and water (or flush with water if contact involves the eyes, nose, or mouth) for at least 10 minutes and call your doctor.  If your doctor recommends treatment, you will undergo a series of injections that will prevent you from developing illness.  Most human rabies cases in recent years have been associated with bats.  If there is a chance you have had exposure to a bat through an unapparent bite, for example, the bat had direct contact with someone or was in a room with a sleeping individual, an unattended child or someone with mental impairment, you should contact your healthcare provider immediately to discuss the situation.  Staff of CDCS are available for consultation regarding rabies exposures.
 
5.  What can people do to protect thenselves against rabies?Back to top

Don't feed, touch or adopt wild animals, stray dogs or cats.  Be sure your dogs, cats and ferrets are up-to-date on their rabies vaccinations.  Vaccinated pets serve as a buffer between rabid wildlife and humans.  Don't try to separate two fighting animals.  Wear waterproof gloves if you handle your pet after a fight.  Keep family pets indoors at night.  Don't let them roam free or allow them to be outside unattended.  Feed pets indoors.  Encourage children to immediately tell an adult if they are bitten by an animal. 

 
6.  What is meningitis?Back to top

Meningitis is an inflammation of the meninges, or the thin lining that covers the brain and spinal cord.  People can develop meningitis from certain viruses, bacteria, and fungi. Viral meningitis (sometimes called aseptic meningitis) is the most common type, caused by any number of viruses.  With viral meningitis most patients recover on their own, their doctors recommending bedrest, plenty of fluids and medicine to relieve headache and fever.  Bacterial meningitis can be caused by organisms such as Haemophilus influenzae type b; Streptococcus pneumoniae; and Neisseria meningitidis.  Neisseria meningitides is of particular concern; it is also called "meningococcal meningitis".

 
7.  What is meningococcal meningitis?Back to top

Meningococcal disease is a severe bacterial infection of the bloodstream or meninges (a thin lining covering the brain and spinal cord); it is more common in infants and children.  It is a relatively rare disease and usually occurs as a single isolated event.  The meningococcus germ is spread by direct close contact with nose or throat discharges of an infected person.  Many people carry this particular germ in their nose and throat without any signs of illness, while others may develop serious symptoms.  Only people who have been in close contact with a person who is sick with meningococcal meningitis need to be considered for preventive treatment.  Such people are usually advised to obtain a prescription for an antibiotic from their physician.

 
8.  What are head lice?Back to top
Head lice (Pediculosis) is an infestation of the hair with the eggs (nits), larvae, or adult lice.  Lice crawl and feed on human blood, which can result in severe itching.  Head lice infestations are frequently found in school settings or institutions.  Transmission of these insects results from direct contact and sharing of clothing,  hair combs or brushes.
 
9.  How can head lice be treated and controlled?Back to top

Over-the-counter medicated shampoos or cream rinses containing pyrethrins are the preferred treatment for head lice.  Shampoos and rinses containing lindane are available only through a prescription.  Lindane-based shampoos are not recommended for infants, young children and pregnant or lactating women.  Nit combs are available to help remove nits from hair.  Avoid direct contact with infested individuals and their belongings.  Laundering clothing and bedding in a hot wash and hot dryer or dry cleaning to destroy lice and eggs is extremely critical.  Regular direct inspection of children for head lice, and when indicated, of body and clothing, particularly of children in schools, institutions, nursing homes and summer camps, is important.

 
10.  What is Tuberculosis?Back to top

Tuberculosis (TB) is a bacterial disease usually affecting the lungs.  Other parts of the body can also be affected, for example lymph nodes, kidneys, bones, joints, etc.  Tuberculosis can affect anyone, at any age.  People with weakened immune systems are at increased risk of developing TB.  TB is spread through the air when a person with untreated pulmonary TB coughs or sneezes.  Prolonged exposure to a person with untreated TB usually is necessary for infection to occur.

 
11.  What is the difference between latent tuberculosis infection and tuberculosis disease?Back to top
Latent tuberculosis infection (LTBI) means the person has the TB germ in their body but has yet to develop obvious symptoms.  In latent TB, the person has a significant reaction to the Mantoux skin test with no symptoms of tuberculosis, and no TB organisms are found in the sputum.  Tuberculosis disease indicates the person has symptoms, most likely a significant reaction to a Mantoux skin test and organisms found in the sputum.  In order to spread TB germs, a person must have TB disease.  Having latent TB infection is not enough to spread the germ.  Tuberculosis infection may last for a lifetime and never develop into disease.
 
12.  What is a communicable disease?Back to top
A communicable disease is an illness caused by an infectious agent, or its products, that is able to be transmitted between humans or animals.  The transmission can be direct or indirect, through a plant, animal or inanimate object.
 
13.  What is disease control?Back to top
Disease control is the process or ongoing system of preventing or minimizing the occurrence of illness.
 
14.  What is disease surveillance?Back to top
Disease surveillance is the systematic and continuous monitoring of any aspect involving the occurrence of illness in order to implement effective illness control measures.
 
15.  I am looking into purchasing a mosquito collection device and effectiveness depends on the types of mosquitoes in an area.  What is the predominant type of mosquito in NH?Back to top

There are more than 40 different species of mosquitoes found in NH.  Before purchasing a collection device, research independent articles and journals that have tested these types of devices. 

 

The American Mosquito Control Association indicates these devices will trap and kill mosquitoes. Success in mosquito reduction will "depend upon a number of factors, e.g. your tolerance level, absolute mosquito population size, proximity, size and type of breeding habitat producing re-infestation, wind velocity and direction, and species of mosquito present, among many other things."  It is possible traps may actually draw more mosquitoes into your area than the devices can catch.  A Primer on Mosquito Traps, a document of the American Mosquito Control Association, provides additional information about collection devices.

 

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