CDC's Clinician Outreach and Communication Activity (COCA) has developed partnerships with national clinician organizations to facilitate communication regarding disease outbreaks and terrorism events. CDC communicates with its clinician partners via monthly conference calls and weekly e-mail updates. https://emergency.cdc.gov/coca/ https://emergency.cdc.gov/coca/images/COCA_banner_300px.png https://emergency.cdc.gov/coca/ 144 400 en-US ixy7@cdc.gov Emergency Preparedness & Response Public Health Typhoid fever is caused by Salmonella enterica serotype Typhi (Typhi). Typhi is an important public health problem in developing countries. The estimated global burden of Typhi is 12 to 27 million cases annually. During 2016-2018, an extensively drug-resistant (XDR) Salmonella Typhi strain-only susceptible to azithromycin and carbapenems-emerged in Pakistan. More than 5,300 cases have been reported in the ongoing outbreak. During 2016-2018, typhoid fever was diagnosed in 29 patients in the United States with recent Pakistan travel; 5 had XDR Typhi. The Centers for Disease Control and Prevention (CDC) recommends pre-travel vaccination and adherence to safe food and water practices to prevent typhoid fever. Empiric azithromycin should be used to treat patients with suspected, uncomplicated typhoid fever who have traveled to or from Pakistan. Carbapenems should be used for patients with suspected severe or complicated typhoid fever who have traveled to or from Pakistan. During this COCA Call, clinicians will learn about CDC recommendations for diagnosing, managing, and preventing XDR typhoid. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=396848 https://www.cdc.gov/coca/calls/2019/callinfo_031919.asp Mon, 04 Mar 2019 16:21:00 EDT Emergency Preparedness & Response COCA Learn: February 20, 2019 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=396843 https://content.govdelivery.com/accounts/USCDC/bulletins/22d327a Wed, 20 Feb 2019 10:04:00 EDT Emergency Preparedness & Response Cholera is a disease spread by drinking water or eating food contaminated with toxigenic Vibrio cholerae bacteria. Severe cholera is characterized by large amounts of watery diarrhea, often described as "rice-water stool" because it can have a pale, milky appearance. It can also be accompanied by nausea and vomiting. If untreated, the loss of fluid can be deadly. But simple treatment, including replacing lost body fluids, can lower mortality to less than 1%. From 2010 through 2014, 91 cases of cholera were confirmed in the United States among people who had traveled internationally in the week before illness onset. Of these, 75% were associated with travel to the Caribbean, and 10% were associated with travel to India or Pakistan. Cholera can be prevented by heeding food and water precautions and receiving cholera vaccine before travel. During this COCA Call, CDC travel medicine subject matter expert and infectious diseases physician Dr. Kristina Angelo and food and water expert Dr. Erin Conners will: - Highlight critical information about cholera biology and prevention; - Discuss strategies primary care providers and medical subspecialists can use to decrease the likelihood of cholera illness in their patients; and - Review CDC resources on the epidemiology of cholera vaccine to use in clinical decision making about offering vaccine to patients. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=396847 https://www.cdc.gov/coca/calls/2019/callinfo_020719.asp Thu, 07 Feb 2019 14:00:00 EDT Emergency Preparedness & Response COCA Digest: February 6, 2019 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=396830 https://content.govdelivery.com/accounts/USCDC/bulletins/22aad89 Wed, 06 Feb 2019 23:52:00 EDT Emergency Preparedness & Response Influenza activity in the United States is increasing and is expected to continue at elevated levels for several more weeks. Influenza A(H1N1)pdm09 viruses have been most common this season; influenza A(H3N2) and influenza B viruses are also circulating. In the southeastern part of the country, influenza A(H3N2) viruses have been most commonly reported this season. Annual influenza vaccination is recommended for all people 6 months and older and is the best way to prevent influenza and its potentially serious complications. Available evidence consistently indicates that antiviral treatment initiated as early as possible can be a useful second line of defense to treat influenza illness when indicated and can reduce severe outcomes of influenza. During this COCA Call, clinicians will learn about 2018 - 2019 influenza activity and hear an overview of CDC's recommendations for health care providers regarding influenza vaccination and the use of influenza antiviral medications for the 2018 - 2019 influenza season, including a new antiviral medication approved by the FDA in October 2018. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=396846 https://www.cdc.gov/coca/calls/2019/callinfo_020519.asp Tue, 05 Feb 2019 14:00:00 EDT Emergency Preparedness & Response Antibiotic resistance (AR) has the potential to impact all Americans at every stage of life. The Centers for Disease Control and Prevention (CDC) is a leader in the fight against this global threat. Through its AR Solutions Initiative, CDC works with partners to drive aggressive action and empower the nation to comprehensively respond. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=396833 https://content.govdelivery.com/accounts/USCDC/bulletins/228d85a Thu, 17 Jan 2019 13:17:00 EDT Emergency Preparedness & Response COCA Learn: January 16, 2019 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=396842 https://content.govdelivery.com/accounts/USCDC/bulletins/228aadf Wed, 16 Jan 2019 14:38:00 EDT Emergency Preparedness & Response The Centers for Disease Control and Prevention (CDC) has released new data that so far during the 2018-2019 season between about 6 and 7 million people have been sick with flu, up to half of those people have sought medical care for their illness, and between 69,000 and 84,000 people have been hospitalized from flu. This is the first time these estimates-which cover the period from October 1, 2018 through January 5, 2019-are being provided during the flu season. CDC has estimated the burden of flu since 2010. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=396832 https://content.govdelivery.com/accounts/USCDC/bulletins/22796e8 Fri, 11 Jan 2019 13:20:00 EDT Emergency Preparedness & Response The Surgeon General of the United States Public Health Service, VADM Jerome Adams, is emphasizing the importance of protecting our children from a lifetime of nicotine addiction and associated health risks by immediately addressing the epidemic of youth e-cigarette use. A great concern is the recent surge in e-cigarette use among youth, which has been fueled by new types of e-cigarettes that have recently entered the market. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=396831 https://content.govdelivery.com/accounts/USCDC/bulletins/2276234 Thu, 10 Jan 2019 13:30:00 EDT Emergency Preparedness & Response COCA Digest: January 2, 2019 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=396829 https://content.govdelivery.com/accounts/USCDC/bulletins/220a40f Wed, 02 Jan 2019 14:59:00 EDT Emergency Preparedness & Response COCA Learn: December 19, 2018 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=396837 https://content.govdelivery.com/accounts/USCDC/bulletins/2234d8d Wed, 19 Dec 2018 11:00:00 EDT Emergency Preparedness & Response COCA Digest: December 6, 2018 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=396828 https://content.govdelivery.com/accounts/USCDC/bulletins/21e086a Thu, 06 Dec 2018 12:02:00 EDT Emergency Preparedness & Response Hepatitis A is a highly contagious, vaccine-preventable, viral disease spread via a fecal-oral route or by exposure to contaminated food or water. Hepatitis A rates have declined substantially in the United States since the introduction of the hepatitis A vaccine in 1996. However, since early 2017, the Centers for Disease Control and Prevention (CDC) has observed an increase in the number of community-wide hepatitis A outbreaks in multiple states. For these outbreaks, CDC recommends vaccination for persons who report drug use (injection and non-injection), persons at high risk for drug use (e.g., participating in drug substitution programs, receiving substance abuse counseling or treatment, recently or currently incarcerated), men who have sex with men, and persons experiencing homelessness. CDC also encourages vaccination in certain settings such as emergency departments and corrections facilities in outbreak-affected areas when feasible. During this COCA call, subject matter experts from CDC will discuss vaccination to stop these outbreaks and current CDC recommendations for the hepatitis A vaccine. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=396845 https://www.cdc.gov/coca/calls/2018/callinfo_112918.asp Thu, 29 Nov 2018 14:00:00 EDT Emergency Preparedness & Response Since the index case of hypocoagulopathy associated with synthetic cannabinoids use was identified on March 8, 2018, in Illinois, at least 320 more people have presented to healthcare facilities with serious bleeding and strikingly abnormal coagulation profile. The largest number of patient presentations were in Illinois, followed by Wisconsin, Maryland, Missouri, Florida, North Carolina, Indiana, Pennsylvania, Kentucky, Virginia, and West Virginia. Laboratory investigation confirmed brodifacoum exposure in at least 150 patients. There have been at least eight (8) fatalities. Since the last COCA Clinical Action update, two (2) new clinical scenarios have emerged: -Several repeat blood brodifacoum concentrations are higher than the initial blood concentrations. -At least one patient has become pregnant since starting outpatient oral Vitamin K1 treatment. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=396834 https://content.govdelivery.com/accounts/USCDC/bulletins/21e1a0f Mon, 26 Nov 2018 13:44:00 EDT Emergency Preparedness & Response COCA Learn: November 21, 2018 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=396836 https://content.govdelivery.com/accounts/USCDC/bulletins/21c7f1b Wed, 21 Nov 2018 14:04:00 EDT Emergency Preparedness & Response The Centers for Disease Control and Prevention (CDC) is actively investigating acute flaccid myelitis, or AFM, a serious condition that causes weakness in the arms or legs. From August 2014 through October 2018, CDC has received information on a total of 396 confirmed cases of AFM across the US; most of the cases have occurred in children. As of October 26, there are 72 confirmed cases of AFM so far in 2018. The patients' symptoms have been most similar to complications of infection with certain viruses, including poliovirus, non-polio enteroviruses, adenoviruses, and West Nile virus. CDC has not confirmed the cause for the majority of these cases. During this COCA call, subject matter experts from CDC will highlight the importance of reporting cases to learn more about this condition and the process for reporting. They will also cover specimen collection and testing, and what CDC is doing for its AFM investigation. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=396844 https://www.cdc.gov/coca/calls/2018/callinfo_111318.asp Tue, 13 Nov 2018 14:00:00 EDT Emergency Preparedness & Response COCA Digest: November 7, 2018 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=396827 https://content.govdelivery.com/accounts/USCDC/bulletins/216ecb8 Wed, 07 Nov 2018 15:36:00 EDT Emergency Preparedness & Response COCA Learn: October 17, 2018 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=396835 https://content.govdelivery.com/accounts/USCDC/bulletins/214f018 Wed, 17 Oct 2018 13:00:00 EST Emergency Preparedness & Response COCA Digest: October 3, 2018 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=387262 https://content.govdelivery.com/accounts/USCDC/bulletins/20dd0b1 Wed, 03 Oct 2018 12:44:00 EST Emergency Preparedness & Response The Centers for Disease Control and Prevention's (CDC) National Center for Injury Prevention and Control has developed and released the Quality Improvement and Care Coordination: Implementing the CDC Guideline for Prescribing Opioids for Chronic Pain. The quality improvement (QI) measures provided in the resource are meant to be flexible so that healthcare systems and practice leaders can pick interventions that will work best for their practice and patient population. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=387261 https://content.govdelivery.com/accounts/USCDC/bulletins/211b5c4 Wed, 03 Oct 2018 09:28:00 EST Emergency Preparedness & Response Candida auris is an emerging yeast that causes healthcare-associated infections. It can be misidentified by laboratories and often is resistant to antifungal medications. Authors affiliated with the New York State Department of Public Health describe an outbreak of C. auris infections in healthcare facilities in New York City, New York, USA. Of the 51 clinical case-patients identified in the study, 45% died within 90 days and isolates were resistant to fluconazole for 98%. Eleven percent (11%) of screening cultures performed were C. auris positive. Environmental cultures were positive for samples from 15 of 20 facilities. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=386953 https://content.govdelivery.com/accounts/USCDC/bulletins/20c2944 Mon, 01 Oct 2018 11:11:00 EST Emergency Preparedness & Response Influenza remains a serious threat to children due to its potential to cause serious morbidity and mortality. More than 175 flu-associated deaths in children were reported to the Centers for Disease Control and Prevention (CDC) during the 2017-2018 influenza season. Clinicians play a critical role in taking action to immunize children, the children's family members and caregivers, and themselves. The early use of antiviral drugs in children can reduce the duration of symptoms and prevent serious complications of influenza. However, immunization remains the most effective way to prevent influenza illness and its complications, including death. During this COCA call, subject matter experts from the American Academy of Pediatrics (AAP) and CDC will discuss strategies primary care providers and medical subspecialists can use to improve flu prevention and control in children for the 2018-2019 season. The presenters will share AAP and CDC recommendations about influenza vaccination and antiviral treatment, including updated recommendations for the use of intranasal live attenuated influenza vaccine (LAIV4) in children. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=387080 https://www.cdc.gov/coca/calls/2018/callinfo_092718.asp Thu, 27 Sep 2018 14:00:00 EST Emergency Preparedness & Response Exposure to flood waters does not increase the risk of tetanus, so tetanus immunization campaigns are not needed for evacuees from flooding disasters. However, during evacuation and flood cleanup, emergency responders, cleanup workers, volunteers, and residents may be at increased risk for wounds, such as puncture to the skin, cuts, bruises, lacerations, scrapes, or other skin injuries that become contaminated with flood waters, human or animal waste, soil, dirt, or saliva. These workers and residents should make sure they are up-to-date with tetanus vaccination before starting cleanup activities. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=386952 https://content.govdelivery.com/accounts/USCDC/bulletins/20ee74a Fri, 21 Sep 2018 14:41:00 EST Emergency Preparedness & Response The Centers for Disease Control and Prevention (CDC) is working with federal, state, territorial, and local agencies in response to recent hurricanes. Clinicians assessing patients affected by Hurricane Florence should be vigilant in looking for certain infectious diseases, including leptospirosis, hepatitis A, vibriosis, and influenza. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=386951 https://content.govdelivery.com/accounts/USCDC/bulletins/20eb8ab Thu, 20 Sep 2018 16:20:00 EST Emergency Preparedness & Response COCA Learn: September 19, 2018 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=386958 https://content.govdelivery.com/accounts/USCDC/bulletins/20dd052 Wed, 19 Sep 2018 09:55:00 EST Emergency Preparedness & Response The Centers for Disease Control and Prevention (CDC) activated its Emergency Operations Center (EOC) on Wednesday, September 12 to coordinate 24/7 all CDC activities for public health needs before, during, and after Hurricane Florence, including the deployment of resources and personnel, as requested. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=386950 https://content.govdelivery.com/accounts/USCDC/bulletins/20d0855 Thu, 13 Sep 2018 13:50:00 EST Emergency Preparedness & Response COCA Digest: September 5, 2018 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=386954 https://content.govdelivery.com/accounts/USCDC/bulletins/206a66b Wed, 05 Sep 2018 15:17:00 EST Emergency Preparedness & Response CDC, public health and regulatory officials in several states, and the U.S. Department of Agriculture's Food Safety and Inspection Service (USDA-FSIS) are investigating a multistate outbreak of Salmonella infections linked to kosher chicken. Seventeen people infected with the outbreak strain of Salmonella I 4,[5],12:i:- have been reported from four states, and eight people have been hospitalized, including one death reported from New York. A list of the states and the number of cases in each can be found on the Map of Reported Cases page. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=386949 https://content.govdelivery.com/accounts/USCDC/bulletins/209b8f2 Thu, 30 Aug 2018 10:43:00 EST Emergency Preparedness & Response Routine, annual influenza vaccination for all persons aged ≥6 months who do not have contraindications has been recommended by CDC and CDC's Advisory Committee on Immunization Practices (ACIP) since 2010. This latest Morbidity and Mortality Weekly Report (MMWR) updates the 2017-18 ACIP recommendations regarding the use of seasonal influenza vaccines and provides recommendations and guidance for vaccine providers regarding the use of influenza vaccines for the 2018-19 season. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=386948 https://content.govdelivery.com/accounts/USCDC/bulletins/2081b1c Fri, 24 Aug 2018 14:06:00 EST Emergency Preparedness & Response From January 1 to July 14, 2018, CDC received reports of 107 people with measles in 21 states (Arkansas, California, Connecticut, Florida, Illinois, Indiana, Kansas, Louisiana, Maryland, Michigan, Missouri, Nevada, New Jersey, New York, North Carolina, Oklahoma, Oregon, Pennsylvania, Tennessee, Texas, and Washington) and the District of Colombia. This is not a current, multi-state measles outbreak, despite recent media outlet reporting. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=386947 https://content.govdelivery.com/accounts/USCDC/bulletins/206aa7e Fri, 17 Aug 2018 14:30:00 EST Emergency Preparedness & Response In less than a year after cases of Zika virus infection were reported from Brazil, the virus spread across South America, Central America, the Caribbean, and parts of Mexico. As is common for other mosquitoborne diseases, infections were eventually detected in Florida and Texas, USA. Another state where public health officials are concerned about Zika virus infection is California. Because California has a growing number of the mosquitoes that transmit this virus (Aedes mosquitoes), and because California borders Mexico, where Zika virus is common, researchers explored the extent of infection in this state. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=386946 https://content.govdelivery.com/accounts/USCDC/bulletins/2061e9f Thu, 16 Aug 2018 11:16:00 EST Emergency Preparedness & Response COCA Learn: August 15, 2018 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=386957 https://content.govdelivery.com/accounts/USCDC/bulletins/204cad0 Wed, 15 Aug 2018 10:00:00 EST Emergency Preparedness & Response Want to stay in the know? Download these free CDC apps to get important public health information faster. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=386945 https://content.govdelivery.com/accounts/USCDC/bulletins/204f87b Tue, 14 Aug 2018 09:58:00 EST Emergency Preparedness & Response CDC now recommends that men with possible Zika virus exposure who are planning to conceive with their partner wait at least 3 months after symptoms or possible exposure (travel to or residence in an area with risk of Zika). This shortened timeframe also applies for men who are not planning to conceive with their partners but who want to prevent passing Zika virus through sex. These updated recommendations, published in MMWR, are based on emerging data, which suggest that risk of infectious Zika virus in semen appears to decline substantially during the 3 months after onset of symptoms. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=382680 https://content.govdelivery.com/accounts/USCDC/bulletins/204b551 Thu, 09 Aug 2018 09:00:00 EST Emergency Preparedness & Response According to the latest CDC Vital Signs report, about 14 percent of babies (1 in 7) exposed to Zika virus before birth had one or more health problems possibly caused by Zika among 1,450 infants who were at least one year old and had any follow up reported. Some problems were not apparent at birth and were identified as the babies grew older. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=382637 https://content.govdelivery.com/accounts/USCDC/bulletins/204394d Tue, 07 Aug 2018 09:00:00 EST Emergency Preparedness & Response Tianeptine (marketed as Coaxil or Stablon) is an atypical tricyclic drug used an antidepressant drug in Europe, Asia, and Latin America. In the United States, it is not approved by the Food and Drug Administration (FDA) for medical use, however, it is readily available for purchase online as a dietary supplement or research chemical. Several online discussion forums among users describe the euphoregenic effects of tianeptine. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=382636 https://content.govdelivery.com/accounts/USCDC/bulletins/2035aa9 Fri, 03 Aug 2018 09:00:00 EST Emergency Preparedness & Response COCA Digest: August 1, 2018 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=382635 https://content.govdelivery.com/accounts/USCDC/bulletins/1ffbb24 Wed, 01 Aug 2018 09:00:00 EST Emergency Preparedness & Response COCA Learn: July 6, 2018 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=386956 https://content.govdelivery.com/accounts/USCDC/bulletins/1f556f2 Fri, 06 Jul 2018 11:29:00 EST Emergency Preparedness & Response COCA Learn: June 1 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=380966 https://content.govdelivery.com/accounts/USCDC/bulletins/1f04357 Fri, 01 Jun 2018 10:00:00 EST Emergency Preparedness & Response Update on Ebola Virus Disease Outbreak in Democratic Republic of Congo, 2018 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=380965 https://content.govdelivery.com/accounts/USCDC/bulletins/1f2a3cd Tue, 29 May 2018 13:17:00 EST Emergency Preparedness & Response The Centers for Disease Control and Prevention (CDC) is providing information on: 1) the current status of a multistate outbreak of coagulopathy from exposure to synthetic cannabinoid products containing a vitamin K-dependent antagonist agent, such as brodifacoum; 2) signs and symptoms of presenting patients from this outbreak and which patients are at risk; 3) laboratory testing options that are available to help identify and classify cases; 4) available resources that may help clinicians make decisions; and 5) to whom to report possible cases. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=380684 https://www.cdc.gov/han/han00410.asp Fri, 25 May 2018 11:30:00 EST Emergency Preparedness & Response Emergency Preparedness & Response New Rapid Rabies Test Could Revolutionize Testing and Treatment https://tools.cdc.gov/podcasts/download.asp?m=320671&c=380450 https://content.govdelivery.com/accounts/USCDC/bulletins/1f086a6 Wed, 16 May 2018 15:14:00 EST Emergency Preparedness & Response UPDATE: Multistate Outbreak of Salmonella Braenderup Infections Linked to Rose Acre Farms Shell Eggs https://tools.cdc.gov/podcasts/download.asp?m=320671&c=380435 https://content.govdelivery.com/accounts/USCDC/bulletins/1ef7aa2 Fri, 11 May 2018 11:36:00 EST Emergency Preparedness & Response UPDATE: Multistate Outbreak of E. coli O157:H7 Infections Linked to Romaine Lettuce https://tools.cdc.gov/podcasts/download.asp?m=320671&c=380434 https://content.govdelivery.com/accounts/USCDC/bulletins/1ef18c5 Wed, 09 May 2018 09:00:00 EST Emergency Preparedness & Response COCA Digest: May 7, 2018 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=380367 https://content.govdelivery.com/accounts/USCDC/bulletins/1e91df5 Mon, 07 May 2018 09:00:00 EST Emergency Preparedness & Response COCA Learn: May 4, 2018 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=380336 https://content.govdelivery.com/accounts/USCDC/bulletins/1ed5073 Fri, 04 May 2018 11:00:00 EST Emergency Preparedness & Response As of May 1, 2018, 121 people infected with the outbreak strain of E. coli O157:H7 have been reported from 25 states. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=380335 https://content.govdelivery.com/accounts/USCDC/bulletins/1eda298 Wed, 02 May 2018 16:31:00 EST Emergency Preparedness & Response UPDATE: Multistate Outbreak of E. coli O157:H7 Infections Linked to Chopped Romaine Lettuce https://tools.cdc.gov/podcasts/download.asp?m=320671&c=380219 https://content.govdelivery.com/accounts/USCDC/bulletins/1eca9d3 Mon, 30 Apr 2018 10:01:00 EST Emergency Preparedness & Response U.S. Surgeon General Issues Public Health Advisory on Naloxone and Opioid Overdoses https://tools.cdc.gov/podcasts/download.asp?m=320671&c=380135 https://content.govdelivery.com/accounts/USCDC/bulletins/1e7828c Thu, 26 Apr 2018 15:05:00 EST Emergency Preparedness & Response Public Health This COCA Clinical Action updates the message sent on April 5, 2018: https://content.govdelivery.com/accounts/USCDC/bulletins/1e6dac3 Since the index case was identified on March 8, 2018 in Illinois, at least 160 people have presented to Healthcare facilities with serious unexplained bleeding. The preponderant number of patient presentations were in Illinois with other cases being reported from Florida, Indiana, Kentucky, Maryland, Missouri, Pennsylvania, Virginia, and Wisconsin. Laboratory investigation confirms brodifacoum exposure in at least 60 patients. There are at least 3 fatalities. At least 7 synthetic cannabinoids product samples related to this outbreak have tested positive for brodifacoum. At least one synthetic cannabinoids product has tested positive for both synthetic cannabinoid AB-FUBINACA and brodifacoum. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=386955 https://content.govdelivery.com/accounts/USCDC/bulletins/1eb9503 Mon, 23 Apr 2018 14:06:00 EST Emergency Preparedness & Response Clinical Action: April 5, 2018 - Outbreak Alert: Potential Life-Threatening Vitamin K-Dependent Antagonist Coagulopathy Associated With Synthetic Cannabinoids Use https://tools.cdc.gov/podcasts/download.asp?m=320671&c=375554 https://content.govdelivery.com/accounts/USCDC/bulletins/1e6dac3 Thu, 05 Apr 2018 05:00:00 EST Emergency Preparedness & Response Public Health COCA Now: April 4, 2018 - Containing Unusual Resistance - Early, aggressive action can prevent spread https://tools.cdc.gov/podcasts/download.asp?m=320671&c=375555 https://content.govdelivery.com/accounts/USCDC/bulletins/1e72324 Wed, 04 Apr 2018 05:00:00 EST Emergency Preparedness & Response Public Health COCA Now: March 23, 2018 - Multistate Outbreak of Salmonella Typhimurium Infections Linked to Dried Coconut https://tools.cdc.gov/podcasts/download.asp?m=320671&c=375556 https://content.govdelivery.com/accounts/USCDC/bulletins/1e3ddea Fri, 23 Mar 2018 05:00:00 EST Emergency Preparedness & Response Public Health COCA Now: March 16, 2018 - Multistate Outbreak of Salmonella Infections Linked to Kratom https://tools.cdc.gov/podcasts/download.asp?m=320671&c=375557 https://content.govdelivery.com/accounts/USCDC/bulletins/1e28f80 Fri, 16 Mar 2018 05:00:00 EST Emergency Preparedness & Response Public Health COCA Now: March 7, 2018 - Emergency Department Data Show Rapid Increases in Opioid Overdoses https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356797 https://content.govdelivery.com/accounts/USCDC/bulletins/1e044a0 Wed, 07 Mar 2018 04:00:00 EDT Emergency Preparedness & Response Public Health COCA Now: March 6, 2018 - How can health departments respond to the 30% increase in Emergency Department visits for suspected opioid overdoses? https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356798 https://content.govdelivery.com/accounts/USCDC/bulletins/1dfb9fa Tue, 06 Mar 2018 04:00:00 EDT Emergency Preparedness & Response Public Health COCA Digest: March 5, 2018 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356799 https://content.govdelivery.com/accounts/USCDC/bulletins/1dad51e Mon, 05 Mar 2018 04:00:00 EDT Emergency Preparedness & Response Public Health COCA Learn: March 2, 2018 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356800 https://content.govdelivery.com/accounts/USCDC/bulletins/1d9a6c7 Fri, 02 Mar 2018 04:00:00 EDT Emergency Preparedness & Response Public Health Join the 20th US Surgeon General, Acting CDC Director, a CDC subject matter expert, and other clinical and public health professionals for a webinar discussing new data and coordinated efforts by clinicians, public health government, and communities to respond to increasing opioid overdose emergency department visits. This combined webinar joins these two audiences together to provide a discussion on how clinicians and public health communities can work together in coordinating a more robust response to the opioid overdose epidemic. The nonmedical use of prescription opioids and illicit opioids causes significant morbidity in the United States. The latest data indicate that rates of overdoses treated in emergency departments are rising across all regions and require a coordinated response between public health, clinicians, public safety, and community organizations. During this call, clinicians and public health practitioners will learn about the increases in opioid-related morbidity and steps they can take together to reverse these trends. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356801 https://www.cdc.gov/coca/calls/2018/callinfo_031318.asp Thu, 01 Mar 2018 04:00:00 EDT Emergency Preparedness & Response Public Health Influenza-related hospitalization rates so far in the 2017-2018 season are exceeding milestones set during the 2014-2015 season-a high severity, H3N2-predominant season. During this COCA call, CDC flu experts will address clinical issues for influenza patients, including those with severe disease, and provide the latest updates on the 2017-2018 influenza season. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356802 https://www.cdc.gov/coca/calls/2018/callinfo_020818.asp Mon, 05 Feb 2018 04:00:00 EDT Emergency Preparedness & Response Public Health Environmental hazards are often not considered during patient intake. Taking a full exposure history of patients during intake can ensure an accurate diagnosis, both during a disaster situation, or in an everyday consult. During this COCA call, clinicians will learn how to utilize the expertise and support from the Pediatric Environmental Health Specialty Units (PEHSUs). https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356803 https://www.cdc.gov/coca/calls/2018/callinfo_021318.asp Mon, 05 Feb 2018 04:00:00 EDT Emergency Preparedness & Response Public Health COCA Digest: February 5, 2018 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356804 https://content.govdelivery.com/accounts/USCDC/bulletins/1d54519 Mon, 05 Feb 2018 04:00:00 EDT Emergency Preparedness & Response Public Health COCA Now: January 26 - Multistate Outbreak of Shiga toxin-producing Escherichia coli O157:H7 Infections Linked to Leafy Greens (Final Update) https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356805 https://content.govdelivery.com/accounts/USCDC/bulletins/1d5e959 Fri, 26 Jan 2018 04:00:00 EDT Emergency Preparedness & Response Public Health COCA Now: January 23 - CDC Investigation Announcement Regarding a Multistate Outbreak of Salmonella Infections Linked to Raw Sprouts https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356806 https://content.govdelivery.com/accounts/USCDC/bulletins/1d54589 Tue, 23 Jan 2018 04:00:00 EDT Emergency Preparedness & Response Public Health COCA Now: January 17 - Multistate Outbreak of Salmonella Infections Linked to Coconut Tree Brand Frozen Shredded Coconut https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356807 https://content.govdelivery.com/accounts/USCDC/bulletins/1d3c6aa Wed, 17 Jan 2018 04:00:00 EDT Emergency Preparedness & Response Public Health COCA Now: January 16 - January 16 Session of CDC Public Health Grand Rounds topic change to: 'Public Health Response to Severe Influenza' https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356808 https://content.govdelivery.com/accounts/USCDC/bulletins/1d37b7f Tue, 16 Jan 2018 04:00:00 EDT Emergency Preparedness & Response Public Health COCA Now: January 11 - UPDATE: CDC Investigating Multistate Outbreak of E. coli O157:H7 Infections https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356809 https://content.govdelivery.com/accounts/USCDC/bulletins/1d26559 Thu, 11 Jan 2018 04:00:00 EDT Emergency Preparedness & Response Public Health COCA Digest: January 8, 2018 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356810 https://content.govdelivery.com/accounts/USCDC/bulletins/1ca290a Mon, 08 Jan 2018 04:00:00 EDT Emergency Preparedness & Response Public Health COCA Learn: January 5, 2018 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356811 https://content.govdelivery.com/accounts/USCDC/bulletins/1cbff4c Fri, 05 Jan 2018 04:00:00 EDT Emergency Preparedness & Response Public Health COCA Now: January 2, 2018 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356812 https://content.govdelivery.com/accounts/USCDC/bulletins/1cd543f Tue, 02 Jan 2018 04:00:00 EDT Emergency Preparedness & Response Public Health The Centers for Disease Control and Prevention (CDC) is providing: 1) a notice about increased influenza A(H3N2) activity and its clinical implications; 2) a summary of influenza antiviral drug treatment recommendations; 3) an update about approved treatment drugs and supply this season; and 4) background information for patients about influenza treatment. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356813 https://www.cdc.gov/han/han00409.asp Wed, 27 Dec 2017 05:30:00 EDT Emergency Preparedness & Response Public Health COCA Now: December 19, 2017 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356814 https://content.govdelivery.com/accounts/USCDC/bulletins/1cd5ae0 Tue, 19 Dec 2017 06:00:00 EDT Emergency Preparedness & Response Public Health COCA Now: December 15, 2017 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356815 https://content.govdelivery.com/accounts/USCDC/bulletins/1cc78ec Fri, 15 Dec 2017 06:00:00 EDT Emergency Preparedness & Response Public Health COCA Digest: December 4, 2017 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356816 https://content.govdelivery.com/accounts/USCDC/bulletins/1c841d6 Mon, 04 Dec 2017 04:00:00 EDT Emergency Preparedness & Response Public Health COCA Learn: December 1, 2017 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356817 https://content.govdelivery.com/accounts/USCDC/bulletins/1c45a55 Fri, 01 Dec 2017 04:00:00 EDT Emergency Preparedness & Response Public Health COCA Now: November 22, 2017 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356818 https://content.govdelivery.com/accounts/USCDC/bulletins/1c6c45b Wed, 22 Nov 2017 06:00:00 EDT Emergency Preparedness & Response Public Health Clinical Action: November 21, 2017 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356819 https://content.govdelivery.com/accounts/USCDC/bulletins/1c69437 Tue, 21 Nov 2017 06:00:00 EDT Emergency Preparedness & Response Public Health COCA Now: November 17, 2017 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356820 https://content.govdelivery.com/accounts/USCDC/bulletins/1c58e93 Fri, 17 Nov 2017 06:00:00 EDT Emergency Preparedness & Response Public Health COCA Now: November 16, 2017 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356821 https://content.govdelivery.com/accounts/USCDC/bulletins/1c4f6e1 Thu, 16 Nov 2017 06:00:00 EDT Emergency Preparedness & Response Public Health COCA Digest: November 6, 2017 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356824 https://content.govdelivery.com/accounts/USCDC/bulletins/1c2db81 Tue, 07 Nov 2017 06:00:00 EDT Emergency Preparedness & Response Public Health COCA Learn: November 3, 2017 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356823 https://content.govdelivery.com/accounts/USCDC/bulletins/1c1dbf1 Tue, 07 Nov 2017 06:00:00 EDT Emergency Preparedness & Response Public Health Over the last three decades, several tick species have increased in number and distribution worldwide. The reasons for these changes are multifactorial and include shifts in climate, habitat, wildlife hosts, and human land use patterns. The expansion in tick populations has directly led to an increased risk of infection for both people and animals with established tick-borne agents and newly identified pathogens, creating a true One Health crisis. During the call, clinicians will learn specific examples of changes in the distribution of ticks and tick-borne infections in North America and the recommended strategies to limit transmission and disease in the face of increasing risk. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356822 https://www.cdc.gov/coca/calls/2017/callinfo_120717.asp Tue, 07 Nov 2017 06:00:00 EDT Emergency Preparedness & Response Public Health Influenza remains a serious threat to child morbidity and mortality. More than 100 flu-associated deaths in children during the 2016-2017 influenza season were reported to the Centers for Disease Control and Prevention (CDC). Clinicians play a critical role in taking action to immunize children, children's family members, caregivers, and themselves. The early use of antiviral drugs in children can reduce the duration of symptoms, and prevent serious complications of influenza. However, immunization remains the most effective way to prevent influenza illness and its complications. During this COCA call, subject matter experts from the American Academy of Pediatrics (AAP) and CDC will highlight critical information about this year's flu season, and discuss strategies primary care providers and medical subspecialists can use to improve flu prevention and control in children. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356825 https://www.cdc.gov/coca/calls/2017/callinfo_110717.asp Mon, 30 Oct 2017 07:00:00 EST Emergency Preparedness & Response Public Health The Centers for Disease Control and Prevention (CDC) is working with federal, state, territorial, and local agencies and global health partners in response to recent hurricanes. CDC is aware of media reports and anecdotal accounts of various infectious diseases in hurricane-affected areas, including Puerto Rico and the US Virgin Islands (USVI). Because of compromised drinking water and decreased access to safe water, food, and shelter, the conditions for outbreaks of infectious diseases exist. The purpose of this HAN advisory is to remind clinicians assessing patients currently in or recently returned from hurricane-affected areas to be vigilant in looking for certain infectious diseases, including leptospirosis, dengue, hepatitis A, typhoid fever, vibriosis, and influenza. Additionally, this Advisory provides guidance to state and territorial health departments on enhanced disease reporting. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356826 https://www.cdc.gov/han/han00408.asp Tue, 24 Oct 2017 09:30:00 EST Emergency Preparedness & Response Public Health Zoonotic viruses-those which are transmitted between animals and people, represent an important group of pathogens that are responsible for a growing number of significant epidemics. SARS coronavirus, Ebola, Nipah virus, avian influenza, and perhaps most importantly, HIV, are all recently emergent zoonotic viruses that originated in wild animal populations and have caused significant morbidity and mortality in human, and in some cases, animal populations. Zoonotic viruses can have profound health and economic impacts globally, even when occurring in relatively isolated regions, thereby making them a significant challenge for the global health community. The majority of viral pandemics are triggered by human activities such as deforestation, agricultural expansion and intensification, urbanization, hunting, travel, and wildlife trade. To be able to minimize the impact of emerging viral zoonoses requires an understanding of the viral diversity within key wildlife reservoirs, the types of human behaviors that increase exposure to an infection with zoonotic viruses, and the ability to rapidly identify the etiologic agent behind clusters of human or domestic animal disease so that effective interventions can be implemented. During this COCA Call, participants will gain a broad understanding of how spillover and disease emergence occurs. This COCA Call will use Nipah virus and Ebola virus as case studies and discuss effective interventions that reduce the risk of spillover of both known and unknown pathogens from wildlife. We will also discuss efforts that are currently underway to enhance the global community's capacity to detect and respond to the emergence of novel zoonoses. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356828 https://www.cdc.gov/coca/calls/2017/callinfo_110217.asp Mon, 23 Oct 2017 08:00:00 EST Emergency Preparedness & Response Public Health Primary care providers are essential for promoting children's mental health and well-being throughout the recovery process following hurricanes. Disasters such as Hurricanes Harvey, Irma and Maria can cause short and long-term effects on the psychological functioning, emotional adjustment, health, and developmental trajectory of children. Additionally, disasters often impact healthcare providers to at least the same degree they impact others in the community, and being with suffering children and families can be distressing for providers. During this COCA Call, clinicians will learn to identify common adjustment difficulties in children, practical strategies to promote effective coping skills in children and their parents, and the importance of professional self-care and strategies to address this need. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356827 https://www.cdc.gov/coca/calls/2017/callinfo_102617.asp Mon, 23 Oct 2017 08:00:00 EST Emergency Preparedness & Response Public Health Healthcare professionals (HCPs) play a critical role in protecting older adults (age 65 years and older) against influenza (flu). Despite concerted efforts to promote annual influenza vaccination in older adults, persistent knowledge gaps exist regarding the burden of disease and the risk of flu and related complications for this vulnerable population. According to recent research, the phenomenon known as immunosenescence leaves older adults less responsive to standard influenza vaccines. HCPs play a critical role in strongly recommending and ensuring flu vaccination for older adults. During this COCA Call, presenters will share easy-to-use education materials available to support HCPs in discussing flu prevention with older adult patients. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356829 https://www.cdc.gov/coca/calls/2017/callinfo_101217.asp Thu, 28 Sep 2017 09:00:00 EST Emergency Preparedness & Response Public Health The Texas Department of State Health Services, with assistance from CDC, is investigating Brucella RB51 exposures and illnesses that may be connected to the purchase and consumption of raw (unpasteurized) milk from K-Bar Dairy in Paradise, Texas. Symptoms of brucellosis can include: fever, sweats, malaise, anorexia, headache, fatigue, muscle & joint pain, and potentially more serious complications (e.g., swelling of heart, liver, or spleen, neurologic symptoms). https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356830 https://www.cdc.gov/han/han00407.asp Wed, 13 Sep 2017 08:30:00 EST Emergency Preparedness & Response Public Health Carbon monoxide (CO) is an odorless, colorless, poisonous gas that can cause sudden illness and death if present in sufficient concentration in the ambient air. During a significant power outage, persons using alternative fuel or power sources such as generators or gasoline powered engine tools such as pressure washers might be exposed to toxic CO levels if the fuel or power sources are placed inside or too close to the exterior of the building causing CO to build up in the structure. The purpose of this HAN advisory is to remind clinicians evaluating persons affected by the storm to maintain a high index of suspicion for CO poisoning. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356831 https://www.cdc.gov/han/han00406.asp Sat, 09 Sep 2017 17:30:00 EST Emergency Preparedness & Response Public Health The Centers for Disease Control and Prevention (CDC), State and Local Health Departments, and the Food and Drug Administration (FDA) are investigating an increase in reported cases of cyclosporiasis. The purpose of this HAN Advisory is to notify public health departments and healthcare facilities and to provide guidance to healthcare providers of the increase in reported cases. Please disseminate this information to healthcare providers in hospitals and emergency rooms, to primary care providers, and to microbiology laboratories. Healthcare providers should consider a diagnosis of cyclosporiasis in patients with prolonged or remitting-relapsing diarrheal illness. Testing for Cyclospora is not routinely done in most U.S. laboratories, even when stool is tested for parasites. Healthcare providers must specifically order testing for Cyclospora, whether testing is requested by ova and parasite (O&P) examination, by molecular methods, or by a gastrointestinal pathogen panel test. Cyclosporiasis is a nationally notifiable disease; healthcare providers should report suspect and confirmed cases of infection to public health authorities. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356832 https://www.cdc.gov/han/han00405.asp Mon, 07 Aug 2017 10:00:00 EST Emergency Preparedness & Response Public Health CDC has updated its interim guidance for pregnant women with possible exposure to Zika virus to include separate recommendations for pregnant women with symptoms and pregnant women without symptoms. In addition, CDC recently released its latest findings from the Zika pregnancy and infant registries on pregnancy outcomes for pregnant women with Zika virus infection in the U.S. territories and has new updates for healthcare providers on pediatric ophthalmologic findings in infants with possible congenital Zika virus exposure. During this COCA Call, clinicians will learn about the recent updates to CDC's interim guidance for pregnant women with possible exposure to Zika virus; hear about the latest findings on pregnancy outcomes in the U.S. territories, based on the Zika pregnancy and infant registries; and receive new information on pediatric ophthalmologic findings to assist in caring for patients based on currently available data. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356833 https://www.cdc.gov/coca/calls/2017/callinfo_072717.asp Mon, 24 Jul 2017 07:00:00 EST Emergency Preparedness & Response Public Health COCA Digest: July 3, 2017 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356834 https://www.cdc.gov/coca/cocadigest/2017/2017July3.asp Tue, 11 Jul 2017 07:00:00 EST Emergency Preparedness & Response Public Health Eculizumab (Soliris®) recipients have a 1,000 to 2,000-fold greater risk of invasive meningococcal disease compared to the general U.S. population. The Food and Drug Administration (FDA)-approved prescribing information for eculizumab includes a black box warning for increased risk of meningococcal disease, and the Advisory Committee on Immunization Practices (ACIP) recommends meningococcal vaccination for all patients receiving eculizumab. Recent data show that some patients receiving eculizumab who were vaccinated with the recommended meningococcal vaccines still developed meningococcal disease, most often from nongroupable Neisseria meningitidis, which rarely causes invasive disease in healthy individuals. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356835 https://www.cdc.gov/han/han00404.asp Fri, 07 Jul 2017 07:00:00 EST Emergency Preparedness & Response Public Health COCA Digest: June 5, 2017 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356836 https://www.cdc.gov/coca/cocadigest/2017/2017June5.asp Wed, 07 Jun 2017 07:00:00 EST Emergency Preparedness & Response Public Health On May 17, 2017, the U.S. Food and Drug Administration (FDA) issued a safety communication warning about the use of Magellan Diagnostics' LeadCare® analyzers with venous blood samples because they might result in falsely low test results. FDA is now advising that Magellan Diagnostics' LeadCare® analyzers should no longer be used with venous blood samples. The safety alert does not apply to capillary blood lead test results collected by fingerstick of heelstick. During this COCA call, clinicians will learn the importance of lead testing for children and pregnant or lactating women, which patients may be impacted, and CDC's recommendations for re-testing. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356837 https://www.cdc.gov/coca/calls/2017/callinfo_052417.asp Wed, 24 May 2017 07:00:00 EST Emergency Preparedness & Response Public Health The U.S. Food and Drug Administration (FDA) has issued a safety communication warning about the use of Magellan Diagnostics' LeadCare® analyzers (LeadCare, LeadCare II, LeadCare Ultra and LeadCare Plus) with venous blood samples because they might result in falsely low test results. FDA is now advising that Magellan Diagnostics' LeadCare® analyzers should no longer be used with venous blood samples. The safety alert does not apply to capillary blood lead test results collected by fingerstick or heelstick. The purpose of this Health Advisory is to notify state and local health departments, healthcare providers, and laboratories about CDC's re-testing guidance in light of the safety alert. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356838 https://www.cdc.gov/han/han00403.asp Wed, 17 May 2017 05:00:00 EST Emergency Preparedness & Response Public Health In July 2016, CDC issued Interim Guidance for Health Care Providers Caring for Pregnant Women with Possible Zika Virus Exposure - United States, July 2016 (https://www.cdc.gov/mmwr/volumes/65/wr/mm6529e1.htm) that includes Zika virus immunoglobulin M (IgM) testing of pregnant women. However, some flavivirus infections can result in prolonged IgM responses (>12 weeks) that make it difficult to determine the timing of infection, especially in testing of asymptomatic people. Emerging epidemiologic and laboratory data indicate that Zika virus IgM can persist beyond 12 weeks in a subset of infected people. Therefore, detection of IgM may not always indicate a recent infection. Although IgM persistence could affect IgM test interpretation for all infected people, it would have the greatest effect on clinical management of pregnant women with a history of living in or traveling to areas with Zika virus transmission. Pregnant women who test positive for IgM antibody may have been infected with Zika virus and developed an IgM response before conception. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356839 https://www.cdc.gov/han/han00402.asp Fri, 05 May 2017 07:30:00 EST Emergency Preparedness & Response Public Health This Health Advisory describes the identification of emerging Shigella strains with elevated minimum inhibitory concentration values for ciprofloxacin and outlines new recommendations for clinical diagnosis, management, and reporting, as well as new recommendations for laboratories and public health officials. Current interpretive criteria provided by the Clinical and Laboratory Standards Institute (CLSI) categorize these strains as susceptible to ciprofloxacin, which is a fluoroquinolone antibiotic and a key agent in the management of Shigella infections. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356840 https://www.cdc.gov/han/han00401.asp Tue, 18 Apr 2017 12:00:00 EST Emergency Preparedness & Response Public Health Clinician Outreach and Communication Activity (COCA) Email Updates for February 27, 2017 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356841 https://www.cdc.gov/coca/updates/2017/2017march13.asp Mon, 13 Mar 2017 05:00:00 EST Emergency Preparedness & Response Public Health Clinician Outreach and Communication Activity (COCA) Email Updates for February 27, 2017 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356842 https://www.cdc.gov/coca/updates/2017/2017february27.asp Tue, 28 Feb 2017 04:00:00 EDT Emergency Preparedness & Response Public Health Influenza activity in the United States began to increase in early December, remained elevated through mid-January, and is expected to continue for several more weeks. Influenza A(H3N2) viruses have been most common this season, and influenza A(H3N2)-predominant seasons are often associated with more severe illness, particularly among young children and people 65 years and older. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356843 https://www.cdc.gov/coca/calls/2017/callinfo_021617.asp Tue, 07 Feb 2017 07:00:00 EDT Emergency Preparedness & Response Public Health CDC and health officials from Wisconsin and Illinois are conducting an investigation of Seoul virus infections among pet rats and persons exposed to rats at rat-breeding facilities in Wisconsin and Illinois. Seoul virus is a member of the hantavirus group of rodent-borne viruses. Trace-back and trace-out investigations of possibly infected rodents have identified distribution chains in other states that may require additional investigations. People who become infected with this virus often exhibit relatively mild or no symptoms, but some will develop a form of hemorrhagic fever with renal syndrome (HFRS) with death in approximately 1-2% of HFRS cases. Although serologic studies have indicated the presence of Seoul virus in wild rats in the United States, this is the first known outbreak associated with pet rats in the United States. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356844 https://www.cdc.gov/han/han00400.asp Tue, 24 Jan 2017 09:00:00 EDT Emergency Preparedness & Response Public Health Clinician Outreach and Communication Activity (COCA) Email Updates for January 17, 2017 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356845 https://www.cdc.gov/coca/updates/2017/2017january17.asp Thu, 19 Jan 2017 08:00:00 EDT Emergency Preparedness & Response Public Health Clinician Outreach and Communication Activity (COCA) Email Updates for January 3, 2017 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356846 https://www.cdc.gov/coca/updates/2017/2017january3.asp Tue, 03 Jan 2017 05:00:00 EDT Emergency Preparedness & Response Public Health Clinician Outreach and Communication Activity (COCA) Email Updates for December 19, 2016 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356847 https://www.cdc.gov/coca/updates/2016/2016december19.asp Tue, 20 Dec 2016 09:00:00 EDT Emergency Preparedness & Response Public Health On November 28, 2016, the Texas Department of State Health Services (TDSHS) reported the first case of locally acquired mosquito-borne Zika virus infection in the city of Brownsville, Cameron County, Texas. On December 9, 2016, four additional cases in people living in proximity to the first case were reported. TDSHS continues to investigate Zika virus transmission in Brownsville. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356848 https://www.cdc.gov/han/han00399.asp Wed, 14 Dec 2016 12:57:00 EDT Emergency Preparedness & Response Public Health Clinician Outreach and Communication Activity (COCA) Email Updates for December 5, 2016 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356849 https://www.cdc.gov/coca/updates/2016/2016December5.asp Wed, 07 Dec 2016 05:00:00 EDT Emergency Preparedness & Response Public Health Effective communication between patient and provider is critical when initiating opioid therapy. Often providers will need to adjust prescribing practices and motivate patients to stay committed to the changes. During this COCA Call, clinicians will learn how to apply principles of motivational interviewing and a six-step process that is patient-centered and supports clinical judgment when conflict arises. Presenters will review two case studies in which they will apply communication strategies, and provide examples of patient-provider dialogue. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356850 https://www.cdc.gov/coca/calls/2016/callinfo_121316.asp Tue, 06 Dec 2016 06:00:00 EDT Emergency Preparedness & Response Public Health When prescribing opioids, risk mitigation strategies can be an effective way to reduce abuse and overdose. Strategies described in CDC's Guideline for Prescribing Opioids for Chronic Pain include reviewing prescription drug monitoring program (PDMP) data, urine drug testing (UDT), and co-prescribing naloxone. During this COCA Call, clinicians will learn about steps they can take when concerning information is discovered through PDMP checks or UDT. Presenters will review how to evaluate factors that increase risk for opioid overdose and how to determine when co-prescribing naloxone would be beneficial. In addition, a case study of a 46-year-old man with chronic low back pain, on high-dose opioid, will be presented to illustrate how PDMP and UDT results and medical evaluation can be used for opioid treatment decision-making. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356851 https://www.cdc.gov/coca/calls/2016/callinfo_120616.asp Wed, 30 Nov 2016 05:05:00 EDT Emergency Preparedness & Response Public Health CDC and several state and local health departments are testing for Zika virus. Every day, CDC learns more about Zika. CDC has recently released revised Zika virus laboratory testing guidance. During this COCA Call, clinicians will learn about the updated recommendations in CDC's Guidance for U.S. Laboratories Testing for Zika Virus Infection and understand their role in testing specimens collected from patients. In addition, subject matter experts from CDC, the American Society for Microbiology, and the Association of Public Health Laboratories will discuss changes to the CDC Trioplex Real-time RT-PCR (rRT-PCR) Assay Emergency Use Authorization, examine the use of non-CDC developed assays, and review recommendations for plaque reduction neutralization testing in Puerto Rico. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356852 https://www.cdc.gov/coca/calls/2016/callinfo_120116.asp Wed, 23 Nov 2016 09:45:00 EDT Emergency Preparedness & Response Public Health One substantial risk associated with prescribing opioids for chronic pain is opioid use disorder (OUD). This disorder is associated with specific criteria, such as unsuccessful efforts to cut down or control opioid use, as well as use resulting in social problems and a failure to fulfill obligations at work, school, or home. During this COCA Call, clinicians will learn about OUD diagnosis criteria, evidence-based treatment options, and patient education techniques. Presenters will use actual case studies to illustrate how clinicians can use recommendations from the CDC Guideline for Prescribing Opioids for Chronic Pain to select OUD evidence-based treatment options such as medication-assisted treatment with buprenorphine or methadone in combination with behavioral therapies. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356853 https://www.cdc.gov/coca/calls/2016/callinfo_112916.asp Fri, 18 Nov 2016 04:00:00 EDT Emergency Preparedness & Response Public Health The U.S. Centers for Disease Control and Prevention (CDC) previously issued travel, testing, and other guidance related to areas of active Zika virus transmission in Florida. Because local transmission of Zika virus continues to be reported in Miami-Dade County, CDC is strengthening travel recommendations for pregnant women to Miami-Dade County and also reinforcing recommendations for use of protective measures to prevent exposure to Zika. CDC is updating recommendations to emphasize testing for pregnant women with an epidemiologic link to Miami-Dade County. An epidemiologic link means that they lived in, traveled to, or had unprotected sex with someone who lived in or traveled to, the designated area. In addition, CDC has made specific recommendations for areas of identified active transmission. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356854 https://www.cdc.gov/han/han00398.asp Wed, 19 Oct 2016 13:00:00 EST Health Alert Network (HAN) The Centers for Disease Control and Prevention (CDC) is advising hospitals to notify patients who underwent open-heart (open-chest) surgery involving a Stöckert 3T heater-cooler that the device was potentially contaminated, possibly putting patients at risk for a life threatening infection. New information indicates that these devices, manufactured by LivaNova PLC (formerly Sorin Group Deutschland GmbH), were likely contaminated with the rare bacteria Mycobacterium chimaera during manufacturing. Hospitals should advise potentially exposed patients to seek medical care if they are experiencing symptoms such as night sweats, muscle aches, unexplained weight loss, fatigue, or unexplained fever. In addition, hospitals that use or have used this device are strongly encouraged to make and execute a plan to communicate with potentially exposed patients and to increase awareness among healthcare providers. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356855 https://www.cdc.gov/han/han00397.asp Thu, 13 Oct 2016 09:00:00 EST Health Alert Network (HAN) CDC previously issued travel, testing, and other guidance related to local mosquito-borne Zika virus transmission (active Zika virus transmission) that the Florida Department of Health (FL DOH) identified in two areas of Miami-Dade County: (1) a one-square-mile area in Wynwood, and (2) a 1.5-square-mile area in Miami Beach. CDC has updated the guidance for people who live in or traveled to these areas. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356856 https://www.cdc.gov/han/han00396.asp Tue, 20 Sep 2016 07:45:00 EST Health Alert Network (HAN) On October 26, 2015, CDC issued HAN 384 (http://emergency.cdc.gov/han/han00384.asp) that alerted (1) public health departments, health care professionals, first responders, and medical examiners and coroners of the increase in fentanyl-related unintentional overdose fatalities in multiple states primarily driven by illicitly manufactured fentanyl (IMF) (i.e., non-pharmaceutical fentanyl); (2) provided recommendations for improving detection of fentanyl-related overdose outbreaks; and (3) encouraged states to expand access to naloxone and training for administering naloxone to reduce opioid overdose deaths. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356857 https://www.cdc.gov/han/han00395.asp Thu, 25 Aug 2016 13:00:00 EST Health Alert Network (HAN) CDC has previously issued travel, testing, and other guidance for local mosquito-borne Zika virus transmission (active Zika virus transmission) for a one-square-mile area in the Wynwood area of Miami that the Florida Department of Health (FL DOH) identified. The guidance for those who live in or traveled to this area any time after June 15, 2016, remains in effect. FL DOH continues to investigate active Zika virus transmission in South Florida. Investigation has revealed a new area of active transmission in a 1.5-square-mile section of Miami Beach. In addition, FL DOH has identified multiple other individual instances of mosquito-borne Zika virus infection and an increase in travel-related cases. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356858 https://www.cdc.gov/han/han00394.asp Fri, 19 Aug 2016 12:35:00 EST Health Alert Network (HAN) Zika virus infection during pregnancy is a cause of microcephaly and other severe fetal brain defects; however, the full spectrum of infant outcomes is not yet known. CDC has updated its interim guidance for U.S. healthcare providers caring for infants born to mothers with possible Zika virus infection during pregnancy. During this COCA Call, clinicians will learn about these updated interim clinical guidelines, which include evaluation and management recommendations. This information can help pediatric healthcare providers better understand the appropriate tests and clinical approaches for evaluating and managing infants, born to mothers in the United States and its territories, with laboratory evidence of Zika virus infection. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356859 https://www.cdc.gov/coca/calls/2016/callinfo_082316.asp Thu, 18 Aug 2016 11:30:00 EST Emergency Preparedness & Response Public Health The Florida Department of Health (FL DOH) has identified an area with local mosquito-borne Zika virus transmission (active Zika virus transmission) in Miami (http://www.cdc.gov/zika/intheus/florida-update.html). Based on the earliest time of symptom onset and a maximal two-week incubation period for Zika virus, this guidance applies to women of reproductive age and their partners who live in or traveled to this area after June 15, 2016. This is an ongoing investigation, and CDC is rapidly learning more about the extent of active Zika virus transmission in the area identified by the FL DOH. With the recommendations below, CDC is applying existing guidance to the occurrence of Zika virus transmission in this area of Florida. As more information becomes available, we will update these recommendations. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356860 https://www.cdc.gov/han/han00393.asp Mon, 01 Aug 2016 10:05:00 EST Health Alert Network (HAN) CDC's top priority for the Zika response is to protect pregnant women and their fetuses from the adverse effects of Zika virus infection in pregnancy. As a result, CDC continues to evaluate all available evidence and update recommendations as new information becomes available. CDC has updated its interim guidance for U.S. healthcare providers caring for pregnant women with possible Zika virus exposure based on emerging evidence about laboratory testing for the diagnosis of Zika. A primary strategy to reduce Zika-related pregnancy complications is to prevent pregnancy among women who want to delay or avoid pregnancy. CDC published contraceptive use data for states where mosquito-borne transmission of Zika is possible. During this COCA Call, clinicians will learn about the updated CDC interim guidance for caring for pregnant women with possible Zika virus exposure, and strategies for increasing access to contraceptive methods and services to minimize the number of pregnancies affected by Zika. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356861 https://www.cdc.gov/coca/calls/2016/callinfo_080916.asp Wed, 27 Jul 2016 11:00:00 EST Emergency Preparedness & Response Public Health Antibiotic-resistant gonorrhea is a public health issue. CDC estimates there are more than 800,000 new gonorrhea infections each year. Left untreated, it can cause pelvic inflammatory disease in women, which can lead to serious reproductive complications including tubal infertility, ectopic pregnancy, and chronic pelvic pain. Prevention relies largely on prompt detection and effective antimicrobial treatment; however, treatment has been compromised by the evolution of antibiotic resistance to the antibiotics used to treat gonorrhea. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356862 https://www.cdc.gov/coca/reminders/2016/2016july14.asp Fri, 15 Jul 2016 09:41:00 EST Emergency Preparedness & Response Public Health Although evidence supports short-term effectiveness of opioids to treat pain, there is insufficient data that long-term use of opioids effectively treats chronic pain. In fact, long-term use of opioids in high doses can contribute to opioid-use disorder and overdose. Therefore, long-term opioid therapy should only be used when the benefits outweigh the risks. During this COCA Call, presenters will explore a case study on how recommendations from the CDC Guideline for Prescribing Opioids for Chronic Pain were used to ascertain the associated benefits and risks when a patient with fibromyalgia was prescribed oxycodone following a motor vehicle crash. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356863 https://www.cdc.gov/coca/calls/2016/callinfo_080316.asp Fri, 15 Jul 2016 08:00:00 EST Emergency Preparedness & Response Public Health Between 1999-2014, nonopioid treatments for chronic pain were used less frequently while the amount of opioids prescribed in the United States quadrupled. Unfortunately, long-term opioid use for chronic pain is associated with serious risks, including abuse, dependence, and overdose. In addition, there is insufficient evidence to determine whether pain relief, function, or quality of life improves with long-term opioid therapy. The CDC Guideline for Prescribing Opioids for Chronic Pain provides recommendations for safer and more effective prescribing of opioids for chronic pain in patients 18 years of age and older in outpatient settings outside of active cancer treatment, palliative care, and end-of-life care. During this COCA Call, a case study will be used to illustrate how clinicians can identify appropriate treatment strategies for chronic pain. In addition, clinicians will learn about the effectiveness and risks of nonopioid medications and nonpharmacologic treatments for chronic pain. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356864 https://www.cdc.gov/coca/calls/2016/callinfo_072716.asp Wed, 13 Jul 2016 10:45:00 EST Emergency Preparedness & Response Public Health Testing for Zika virus infection using real-time reverse-transcription polymerase chain reaction (rRT-PCR) molecular assays is now commercially available. When requesting Zika rRT-PCR testing from a commercial laboratory, providers should be aware that commercial laboratories performing rRT-PCR currently do not also offer Zika IgM enzyme-linked immunosorbent assay (ELISA) or confirmatory serologic testing (plaque reduction neutralization test, or PRNT). Therefore, if possible, providers should store a serum aliquot for subsequent Zika IgM ELISA testing if the rRT-PCR assay is negative. Otherwise, collection of an additional serum sample may be necessary. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356865 https://www.cdc.gov/han/han00392.asp Tue, 21 Jun 2016 07:40:00 EST Health Alert Network (HAN) Determining serotype for Haemophilus influenzae (Hi) and serogroup for Neisseria meningitidis (Nm) is crucial for identifying potential outbreaks and determining appropriate public health responses. Several new commercial multiplex polymerase chain reaction (PCR) assays capable of simultaneously testing a single specimen for an array of pathogens that cause blood infections, meningitis, or encephalitis are available. These assays can rapidly identify Hi and Nm species, but most do not determine serotype or serogroup. Laboratories should continue to perform culture and use validated, specific real-time PCR assays capable of detecting and differentiating all six serotypes (a-f) of Hi and six serogroups (A, B, C, W, X, and Y) of Nm; otherwise, additional steps need to be taken including performing a reflex culture or at a minimum retaining a clinical sample for further testing. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356866 https://www.cdc.gov/han/han00391.asp Fri, 17 Jun 2016 09:30:00 EST Health Alert Network (HAN) The Centers for Disease Control and Prevention (CDC) is collaborating in a coordinated public health response to the Department of Defense (DoD) announcement on May 26 of the first mcr-1 gene found in bacteria from a human in the United States. Escherichia coli (E. coli) bacteria carrying the mcr-1 gene were found in a urine sample from a person in Pennsylvania with no recent travel outside of the United States who presented to a clinic with a urinary tract infection. The mcr-1 gene makes bacteria resistant to the antibiotic colistin, which is used as a last-resort drug to treat patients with infections caused by multidrug-resistant bacteria, including carbapenem-resistant Enterobacteriaceae (CRE). The mcr-1 gene exists on a plasmid, a small piece of DNA that is capable of moving from one bacterium to another, potentially spreading antibiotic resistance to other bacterial species. CDC is issuing this HAN notice as a reminder to U.S. healthcare facilities about recommendations to prevent antibiotic resistant infections and alert them to additional recommendations for detecting and reporting bacteria with the mcr-1 gene. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356867 https://www.cdc.gov/han/han00390.asp Mon, 13 Jun 2016 09:35:00 EST Health Alert Network (HAN) The amount of opioids prescribed in the U.S. quadrupled from 1999-2014. Unfortunately, opioid-related overdose deaths have increased in parallel with prescribing increases, and the amount of pain that patients report remains unchanged. The CDC Guideline for Prescribing Opioids for Chronic Pain provides recommendations for safer and more effective prescribing of opioids for chronic pain in patients 18 and older in outpatient settings outside of active cancer treatment, palliative care, and end-of-life care. During this COCA Call, clinicians will hear an overview of the CDC recommendations and learn when and how opioids should be initiated for chronic pain, how to assess risk and address harms of opioid use, and when and how opioids should be discontinued. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356868 https://www.cdc.gov/coca/calls/2016/callinfo_062216.asp Wed, 08 Jun 2016 09:00:00 EST Emergency Preparedness & Response Public Health On May 13, 2016, the Centers for Disease Control and Prevention (CDC) issued interim guidance (http://www.cdc.gov/mmwr/volumes/65/wr/mm6518e1.htm) that recommends Zika virus rRT-PCR testing of urine collected less than 14 days after symptom onset, along with testing of patient-matched serum samples, for the diagnosis of suspected Zika virus infection (1). The purpose of this Health Alert Network (HAN) health update is to further disseminate information about the interim guidance to clinical and public health professionals. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356869 https://www.cdc.gov/han/han00389.asp Wed, 25 May 2016 13:00:00 EST Health Alert Network (HAN) Ticks transmit over a dozen infectious pathogens in the United States, including Lyme disease and Rocky Mountain spotted fever. Recent discoveries of emerging pathogens such as Borrelia mayonii and Ehrlichia muris add to the complexity of properly diagnosing and treating tickborne diseases. As we approach summer and people become more active in the outdoors, reports of tick bites and tickborne diseases are expected to increase. Clinicians can help prevent complications associated with tickborne diseases with early recognition and prompt treatment. During this COCA Call, clinicians will learn about the treatment, management, and prevention of tickborne diseases in the U.S., with an emphasis on Lyme disease, Rocky Mountain spotted fever and newly emerging tickborne diseases. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356870 https://www.cdc.gov/coca/calls/2016/callinfo_052416.asp Tue, 10 May 2016 09:30:00 EST Emergency Preparedness & Response Public Health Synthetic cannabinoids are an emerging class of recreational drugs of abuse. Often sold as "spice," "herbal incense," or "potpourri," synthetic cannabinoid chemicals are smoked for their anticipated marijuana-like effects. Since the first reports of trafficking in the United States in 2008, there have been a growing number of reports of related adverse events, including outbreaks of severe illnesses and death. During this COCA Call, clinicians will learn about synthetic cannabinoids, their clinical effects, and the role clinicians can play in the public health response. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356871 https://www.cdc.gov/coca/calls/2016/callinfo_033116.asp Tue, 01 Mar 2016 07:45:00 EDT Emergency Preparedness & Response Public Health The Centers for Disease Control and Prevention (CDC) recently published recommendations for protecting people against sexual transmission of Zika virus (1). As stated in that report, information about possible sexual transmission of Zika virus was based on one published report of transmission from a man to a woman, one published report in which Zika virus was detected in semen of a man with hematospermia, and one case of possible sexual transmission then under investigation in Texas. An additional case of Zika virus detected in semen in a man was reported after the CDC recommendations were published (2). As of February 23, 2016, CDC and state public health departments are investigating 14 additional reports of possible sexual transmission of the virus, including several involving pregnant women. While additional investigations are being completed, CDC is issuing this HAN Advisory as a strong reminder to state, local, and US territorial public health departments, clinicians, and the public to be aware of and adhere to current recommendations for preventing sexual transmission of Zika virus, particularly for men with pregnant partners. These recommendations may change as more information becomes available. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356872 https://www.cdc.gov/han/han00388.asp Mon, 22 Feb 2016 21:15:00 EDT Health Alert Network (HAN) CDC continues to evaluate all available evidence to assess the effect of Zika virus disease during pregnancy and in infants and children with possible Zika virus infection. Updated interim guidelines for healthcare providers caring for pregnant women and women of reproductive age include a new recommendation to offer serologic testing to asymptomatic pregnant women (women who do not report clinical illness consistent with Zika virus disease) who have traveled to areas with ongoing transmission of Zika virus. Updated guidelines for healthcare providers caring for infants and children with possible Zika infection have been expanded to cover children up to 18 years old, and contain a new recommendation to provide routine care to infants with no abnormal findings on prenatal or postnatal ultrasound, normal physical examination and whose mothers were not previously tested for Zika virus infection. The guideline document contains new recommendations for the care of infants and children with possible acute Zika virus disease. During this COCA Call, participants will learn why CDC has updated the clinical guidelines and how they can use the guidelines for Zika virus evaluation and testing. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356873 https://www.cdc.gov/coca/calls/2016/callinfo_022516.asp Mon, 22 Feb 2016 06:00:00 EDT Emergency Preparedness & Response Public Health In the shadows of exotic viruses that spark public health emergency responses, are the lingering health effects from cardiovascular disease-the leading cause of death in the United States. Cardiovascular disease, including heart disease and stroke, continues to represent the primary cause of life years lost for one in every three adults. To reduce the burden of heart attack and stroke in the U.S., the Department of Health and Human Services launched Million Hearts®. This initiative aligns policies, programs, and resources to help clinicians improve cardiovascular health for all. During this COCA Call, clinicians will learn about the components of Million Hearts® and the strategies to help find and address the needs of those at greatest risk for cardiovascular disease. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356874 https://www.cdc.gov/coca/calls/2016/callinfo_022316.asp Wed, 10 Feb 2016 06:05:00 EDT Emergency Preparedness & Response Public Health Influenza activity is increasing across the United States and CDC has received several reports of severe influenza illness. Since October 2015, CDC has detected co-circulation of multiple seasonal influenza virus types and sub-types, with recent reports of severe respiratory illness among young- to middle-aged adults with H1N1pdm09 virus infection. During this COCA Webinar, clinicians will learn about 2015-2016 influenza activity, hear an overview of CDC's current recommendations for vaccination and antiviral medications, and gain insight into data supporting the recommendations. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356875 https://www.cdc.gov/coca/calls/2016/callinfo_021616.asp Wed, 10 Feb 2016 06:00:00 EDT Emergency Preparedness & Response Public Health Influenza activity is increasing across the country and CDC has received reports of severe influenza illness. Clinicians are reminded to treat suspected influenza in high-risk outpatients, those with progressive disease, and all hospitalized patients with antiviral medications as soon as possible, regardless of negative rapid influenza diagnostic test (RIDT) results and without waiting for RT-PCR testing results. Early antiviral treatment works best, but treatment may offer benefit when started up to 4-5 days after symptom onset in hospitalized patients. Early antiviral treatment can reduce influenza morbidity and mortality https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356876 https://www.cdc.gov/han/han00387.asp Mon, 01 Feb 2016 03:50:00 EDT Health Alert Network (HAN) The Centers for Disease Control and Prevention (CDC) has received an increased number of reports of newly acquired hepatitis C virus (HCV) infection among patients undergoing hemodialysis. Infection control lapses in dialysis care could expose patients to HCV. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356877 https://www.cdc.gov/han/han00386.asp Wed, 27 Jan 2016 05:30:00 EDT Health Alert Network (HAN) Zika virus is a mosquito-borne flavivirus transmitted primarily by Aedes aegypti mosquitoes and an estimated 80% of persons infected with Zika virus are asymptomatic. Symptomatic disease is generally mild, with symptoms of fever, maculopapular rash, arthralgia, or nonpurulent conjunctivitis that typically last from several days to one week. Sporadic cases and outbreaks of Zika virus disease have occurred in countries in Africa and Southeast Asia. In 2015, the first local Zika virus transmission in the Americas was reported in Brazil and local transmission has now been in several countries or territories in the Americas. In the current outbreak in Brazil, a marked increase in the number of infants born with microcephaly has been reported and Zika virus infections have been confirmed in some infants with microcephaly. However, it is not known how many of the microcephaly cases are associated with Zika virus infection. Travelers to areas with ongoing outbreaks are at risk of becoming infected and spreading the virus to new areas, including the continental United States. During this COCA Call, participants will learn about the epidemiology and clinical manifestation of Zika virus disease and how early recognition and reporting of suspected cases can mitigate the risk of local transmission. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356878 https://www.cdc.gov/coca/calls/2016/callinfo_012616.asp Mon, 25 Jan 2016 11:00:00 EDT Emergency Preparedness & Response Public Health In May 2015, the World Health Organization reported the first local transmission of Zika virus in the Western Hemisphere, with autochthonous (locally acquired) cases identified in Brazil. As of January 15, 2016, local transmission had been identified in at least 14 countries or territories in the Americas, including Puerto Rico (See Pan American Health Organization [PAHO] link below for countries and territories in the Americas with Zika virus transmission). Further spread to other countries in the region is likely. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356879 https://www.cdc.gov/han/han00385.asp Fri, 15 Jan 2016 16:30:00 EDT Health Alert Network (HAN) The Centers for Disease Control and Prevention (CDC) and the Drug Enforcement Administration (DEA) are investigating recent increases in fentanyl-related unintentional overdose fatalities in multiple states across the U.S. The purpose of this HAN advisory is to: (1) alert public health departments, health care providers, first responders, and medical examiners and coroners to the possibility of additional increases in other jurisdictions, (2) provide recommendations for improving detection of fentanyl-related overdose outbreaks and (3) encourage states to expand access to naloxone and training for administering naloxone to reduce opioid overdose deaths. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356880 https://www.cdc.gov/han/han00384.asp Mon, 26 Oct 2015 04:15:00 EST Health Alert Network (HAN) On September 11, 2015, CDC issued HAN 00382 alerting healthcare providers and facilities about the public health need to properly maintain, clean, and disinfect or sterilize reusable medical devices. Recent infection control lapses due to non-compliance with recommended reprocessing procedures highlight a critical gap in patient safety. Healthcare facilities (e.g., hospitals, ambulatory surgical centers, clinics, and doctors' offices) that utilize reusable medical devices are urged to immediately review current reprocessing practices at their facility to ensure they (1) are complying with all steps as directed by the device manufacturers, and (2) have in place appropriate policies and procedures that are consistent with current standards and guidelines. After considering feedback from vendors that perform servicing and repair of reusable medical devices, we are amending HAN Advisory 382 to remove the following sentence: "If healthcare facilities contract maintenance and repair of these devices to third-party vendors, healthcare facilities should verify that these vendors are approved or certified by the manufacturer to provide those services." We are making this change because there are currently no formal standardized programs or processes through which all manufacturers certify third-party vendors. We are also further clarifying that healthcare facilities which hire contractors to perform device reprocessing should verify that the contractor has an appropriate training program (i.e., consistent with what would be required in the healthcare facility) and that the training program includes the specific devices used by the healthcare facility. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356881 https://www.cdc.gov/han/han00383.asp Mon, 05 Oct 2015 11:00:00 EST Health Alert Network (HAN) Upcoming webinar on advancements made in health care for Americans with disabilities over the last twenty-five years and recommendations for further progress will feature Thomas R. Harkin, JD, former U.S. Senator, Dr. Georgina Peacock, CDC's Director of the Division of Human Development and Disability, and Dr. Lisa I. Iezzoni, Professor of Medicine, Harvard Medical School. Join the discussion - Tuesday, September 29, 2015, 10:00 am -11:00 am (Eastern Time). https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356882 https://events-na3.adobeconnect.com/content/connect/c1/1005431686/en/events/event/shared/default_template_simple/event_registration.html?sco-id=1645888512&_charset_=UTF-8 Tue, 22 Sep 2015 10:30:00 EST Emergency Preparedness & Response Public Health Hurricane Sandy was an unprecedented natural disaster that resulted in deaths, injuries, and other disaster-related health effects. A substantial number of people exposed to the storm experienced mental health problems to include, post-traumatic stress disorder, depression and serious psychological distress. Research conducted by Project LIGHT, a collaborative effort between Mount Sinai, North Shore-LIJ and the Nassau County Department of Human Services, and the New York City Health Department examined mental health effects of the storm and identified subgroups of individuals who were most vulnerable to the hurricane mental health effects. The research was conducted through the application of multiple methodologies including the collection of survey data from residents of affected areas as well as analysis of Emergency Department data. During the COCA Call, participants will learn about a natural disaster related epidemiologic studies focusing on mental health issues. Participants will also hear about the implications of these findings on disaster preparedness and response activities and how clinicians can help address mental health among those impacted by disasters. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356885 https://www.cdc.gov/coca/calls/2015/callinfo_091715.asp Mon, 14 Sep 2015 04:00:00 EST Emergency Preparedness & Response Public Health The nonmedical use of prescription opioids and the use of the illicit opioid heroin cause significant morbidity and mortality in the United States. Recent data indicate these public health problems are intertwined with one another and require a coordinated response between public health, healthcare providers, public safety, and the community. During this COCA Call, participants will learn about the drivers of the increases in opioid-related morbidity and mortality and steps clinicians can take to reverse these concerning trends. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356884 https://www.cdc.gov/coca/calls/2015/callinfo_092415.asp Mon, 14 Sep 2015 04:00:00 EST Emergency Preparedness & Response Public Health Children, especially those with chronic medical conditions or neurologic and neurodevelopmental disorders, are at higher risk of influenza-associated complications. Influenza prevention and control strategies in this at-risk population should include annual seasonal influenza immunization for all people 6 months and older and prompt antiviral treatment when influenza disease is indicated. During this COCA call, subject matter experts will discuss strategies that providers can use to improve influenza prevention and control in children at highest risk. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356883 https://www.cdc.gov/coca/calls/2015/callinfo_100115.asp Mon, 14 Sep 2015 04:00:00 EST Emergency Preparedness & Response Public Health The Centers for Disease Control and Prevention (CDC) and U.S. Food and Drug Administration (FDA) are alerting healthcare providers and facilities about the public health need to properly maintain, clean, and disinfect or sterilize reusable medical devices. Recent infection control lapses due to non-compliance with recommended reprocessing procedures highlight a critical gap in patient safety. Healthcare facilities (e.g., hospitals, ambulatory surgical centers, clinics, and doctors' offices) that utilize reusable medical devices are urged to immediately review current reprocessing practices at their facility to ensure they (1) are complying with all steps as directed by the device manufacturers, and (2) have in place appropriate policies and procedures that are consistent with current standards and guidelines. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356886 https://www.cdc.gov/han/han00382.asp Fri, 11 Sep 2015 08:15:00 EST Health Alert Network (HAN) We're at a tipping point: an increasing number of germs no longer respond to the drugs designed to kill them. Inappropriate prescribing of antibiotics and lack of infection control actions can contribute to drug resistant infections such as carbapenem-resistant Enterobacteriaceae (CRE) and put patients at risk for deadly diarrhea (caused by Clostridium difficile). Even if one facility is following recommended infection controls, germs can be spread inside of and between healthcare facilities when patients are transferred from one healthcare facility to another without appropriate actions to stop spread. During this call, clinicians will hear from some of the nation's top clinical experts on preventing antibiotic resistant infections and improving antibiotic stewardship. Join the discussion to learn about best practices that can be implemented today to protect patients from these potentially deadly infections. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356887 https://www.cdc.gov/coca/calls/2015/callinfo_082015.asp Wed, 12 Aug 2015 11:00:00 EST Emergency Preparedness & Response Public Health Clinician Outreach and Communication Activity (COCA) Email Updates for June 9, 2015 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356889 https://www.cdc.gov/coca/updates/2015/2015june9.asp Wed, 24 Jun 2015 07:00:00 EST Emergency Preparedness & Response Public Health Clinician Outreach and Communication Activity (COCA) Email Updates for June 22, 2015 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356888 https://www.cdc.gov/coca/updates/2015/2015june22.asp Wed, 24 Jun 2015 07:00:00 EST Emergency Preparedness & Response Public Health During this COCA call, clinicians will receive guidance for healthcare providers presented with a patient who has traveled from Liberia in the last 21 days. Clinicians will get guidance on taking thorough histories (covering health, travel, and exposure) and on using clinical judgment to evaluate patients based on those histories and their symptoms, and will be advised to consider other illnesses occurring among travelers returning from West Africa in the differential diagnosis, including malaria. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356890 https://www.cdc.gov/coca/calls/2015/callinfo_061715.asp Mon, 15 Jun 2015 12:00:00 EST Emergency Preparedness & Response Public Health The Centers for Disease Control and Prevention (CDC) continues to work with the World Health Organization (WHO) and other partners to closely monitor Middle East Respiratory Syndrome Coronavirus (MERS-CoV) globally, including the cases of MERS-CoV infection recently reported by China and the Republic of Korea, to better understand the risks to public health. The purpose of this HAN Advisory is to provide updated guidance to state health departments and healthcare providers in the evaluation of patients for MERS-CoV infection, which have been revised in light of the current situation in the Republic of Korea. Healthcare providers and public health officials should maintain awareness of the need to consider MERS-CoV infection in ill persons who have recently traveled from countries in or near the Arabian Peninsula1 or in the Republic of Korea as outlined in the guidance below. Please disseminate this information to healthcare providers, especially infectious diseases specialists, intensive care physicians, internists, infection preventionists, and to emergency departments and microbiology laboratories. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356891 https://www.cdc.gov/han/han00380.asp Thu, 11 Jun 2015 10:00:00 EST Health Alert Network (HAN) On May 20, 2015, the Republic of Korea (Korea) reported to the World Health Organization an initial case of laboratory-confirmed MERS-CoV infection, the first case in what is now the largest single outbreak of MERS-CoV outside of the Arabian Peninsula. During today's call, clinicians will be provided information about the global situation and the current status of the MERS-CoV outbreak in the Republic of Korea, updated guidance to healthcare providers and state and local health departments regarding who should be evaluated and tested for MERS-CoV infection, and further guidance on "Interim Infection Prevention and Control Recommendations for Hospitalized Patients with Possible MERS-CoV. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356892 https://www.cdc.gov/coca/calls/2015/callinfo_061115.asp Wed, 10 Jun 2015 05:45:00 EST Emergency Preparedness & Response Public Health CDC continues to receive new reports of infections with Shigella strains that are not susceptible to ciprofloxacin and/or azithromycin, the antimicrobial agents most commonly used to treat shigellosis. Most cases have been reported among gay, bisexual, and other men who have sex with men (collectively referred to as MSM) in Illinois, Minnesota, and Montana and among international travelers, but cases are also occurring among other populations. Shigellosis is very contagious and can spread quickly through communities and across different segments of the population. CDC recommends meticulous handwashing and other hygiene practices to prevent shigellosis and encourages patients with symptoms of shigellosis such as diarrhea and fever to visit a healthcare provider. Clinicians should obtain stool cultures from patients suspected of having shigellosis, counsel patients about shigellosis prevention, and, when treatment is required, select drugs based on antimicrobial susceptibility test results. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356893 https://www.cdc.gov/han/han00379.asp Thu, 04 Jun 2015 12:15:00 EST Health Alert Network (HAN) Cyclosporiasis is an enteric illness caused by Cyclospora cayetanensis, an enigmatic emerging parasite that was named as recently as the early 1990s and that has repeatedly caused U.S. foodborne outbreaks. Especially during spring and summer months, clinicians should consider Cyclospora as a potential cause of prolonged or remitting-relapsing diarrheal illness and, if indicated, should explicitly request stool testing for this parasite. During this COCA call, clinicians will learn about the known risk factors for transmission of this parasite, the remaining gaps in our knowledge, and the limitations in the available approaches for diagnosing, treating, and preventing Cyclospora infection. In addition, clinicians will learn why timely reporting and investigations of cases and outbreaks of cyclosporiasis are essential. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356894 https://www.cdc.gov/coca/calls/2015/callinfo_061815.asp Wed, 03 Jun 2015 10:45:00 EST Emergency Preparedness & Response Public Health Highly-pathogenic avian influenza A H5 viruses have been identified in birds in the United States since December 2014. The purpose of this HAN Advisory is to notify public health workers and clinicians of the potential for human infection with these viruses and to describe CDC recommendations for patient investigation and testing, infection control including the use personal protective equipment, and antiviral treatment and prophylaxis. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356895 https://www.cdc.gov/han/han00378.asp Tue, 02 Jun 2015 11:30:00 EST Health Alert Network (HAN) The Indiana State Department of Health (ISDH) and the Centers for Disease Control and Prevention (CDC) are investigating a large outbreak of recent human immunodeficiency virus (HIV) infections among persons who inject drugs (PWID). Many of the HIV-infected individuals in this outbreak are co-infected with hepatitis C virus (HCV). The purpose of this HAN Advisory is to alert public health departments and healthcare providers of the possibility of HIV outbreaks among PWID and to provide guidance to assist in the identification and prevention of such outbreaks. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356896 https://www.cdc.gov/han/han00377.asp Fri, 24 Apr 2015 07:00:00 EST Health Alert Network (HAN) Clinician Outreach and Communication Activity (COCA) Email Updates for April 13, 2015 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356897 https://www.cdc.gov/coca/updates/2015/2015apr13.asp Tue, 14 Apr 2015 08:00:00 EST Emergency Preparedness & Response Public Health Clinician Outreach and Communication Activity (COCA) Email Updates for February 17, 2015 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356899 https://www.cdc.gov/coca/updates/2015/2015feb17.asp Wed, 11 Mar 2015 08:00:00 EST Emergency Preparedness & Response Public Health Clinician Outreach and Communication Activity (COCA) Email Updates for March 2, 2015 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356898 https://www.cdc.gov/coca/updates/2015/2015mar02.asp Wed, 11 Mar 2015 08:00:00 EST Emergency Preparedness & Response Public Health Clinician Outreach and Communication Activity (COCA) Email Updates for February 2, 2015 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356900 https://www.cdc.gov/coca/updates/2015/2015feb02.asp Mon, 09 Mar 2015 08:00:00 EST Emergency Preparedness & Response Public Health Natural disasters, industrial accidents, terrorism attacks, and pandemics all have the capacity to result in large numbers of critically ill or injured patients. A barrage of patients with various clinical needs can quickly exhaust the care delivery capacity of a healthcare system. It is important for clinicians to have a disaster response plan that addresses approaches to maintaining quality care during times of patient surge and resource scarcity. During this COCA Call, participants will learn about the series of suggestions that focus on the management of multiple critically ill patients during a disaster or pandemic, and the importance of collaboration among front-line clinicians, hospital administrators, professional societies, and public health or government officials. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356901 https://www.cdc.gov/coca/calls/2015/callinfo_032615.asp Wed, 04 Mar 2015 19:00:00 EDT Emergency Preparedness & Response Public Health From January 1 to February 6, 2015, 121 people from 17 states and Washington DC were reported to have measles. Most of these cases are part of a large, ongoing multi-state outbreak linked to an amusement park in California; however, unlinked importations continue to occur. The majority of the people who got measles were unvaccinated or did not know their vaccination status. This highly contagious, acute viral illness spreads quickly in unvaccinated populations, highlighting the importance of protecting children and adults against measles in the U.S. through vaccination. During this COCA call, clinicians will learn about the current measles situation in the US. In addition, they will learn about clinical guidelines for patient assessment and management, and age-appropriate vaccination recommendations for US residents including those who travel abroad. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356902 https://www.cdc.gov/coca/calls/2015/callinfo_021915.asp Tue, 10 Feb 2015 19:00:00 EDT Emergency Preparedness & Response Public Health A recent analysis by the Centers for Disease Control and Prevention (CDC) has found influenza A (H3N2) viruses are the predominant strain this year, and a little more than half of samples analyzed were found to be antigenically different (drifted) from the H3N2 vaccine strain. During this COCA Webinar, clinicians will learn about the current state of flu activity related to children, the importance of continued vaccination despite the mismatch and low vaccine effectiveness, and strategies for using antiviral therapy early to prevent and treat influenza. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356903 https://www.cdc.gov/coca/calls/2015/callinfo_022615.asp Mon, 09 Feb 2015 19:00:00 EDT Emergency Preparedness & Response Public Health The U.S. Food and Drug Administration (FDA) and the Centers for Disease Control and Prevention (CDC) are continuing to investigate multiple instances of Wallcur simulated saline solution being administered to patients. To date, we are aware of more than 40 patients who have received infusions of the simulated saline products. Some of the patients experienced adverse events associated with these products including fever, chills, tremors and headache. FDA and CDC have taken a number of steps to remove the simulated saline products from medical settings, to raise awareness among health care providers, and to provide information to state and local health officials in order to prevent exposure to additional patients. FDA has been working closely with Wallcur to make several changes to their labeling and marketing practices to prevent this from occurring again. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356904 https://www.cdc.gov/coca/reminders/2015/2015feb03.asp Wed, 04 Feb 2015 03:00:00 EDT Health Alert Network (HAN) The Centers for Disease Control and Prevention (CDC) and State Health Departments are investigating a multi-state outbreak of measles associated with travel to Disneyland Resort Theme Parks (which includes Disneyland and Disney California Adventure). The purpose of this HAN Advisory is to notify public health departments and healthcare facilities about this measles outbreak and to provide guidance to healthcare providers. Healthcare providers should ensure that all of their patients are current on MMR (measles, mumps, and rubella) vaccine. They should consider measles in the differential diagnosis of patients with fever and rash and ask patients about recent international travel or travel to domestic venues frequented by international travelers. They should also ask patients about their history of measles exposures in their community. Please disseminate this information to healthcare providers in hospitals and emergency rooms, to primary care providers, and to microbiology laboratories. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356905 https://www.cdc.gov/han/han00376.asp Fri, 23 Jan 2015 11:00:00 EDT Health Alert Network (HAN) Clinician Outreach and Communication Activity (COCA) Email Updates for January 20, 2015 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356906 https://www.cdc.gov/coca/updates/2015/2015jan20.asp Thu, 22 Jan 2015 07:00:00 EDT Emergency Preparedness & Response Public Health The latest FluView report indicates that flu activity remains high in the United States and is now widespread in 46 states and Guam. It has been recognized for many years that people 65 years and older are at higher risk of serious complications from the flu, and this flu season the hospitalization rates in this age group are climbing steeply. CDC recommends that all hospitalized and high risk patients (either hospitalized or outpatient) with suspected influenza should be treated as soon as possible with one of three available influenza antiviral medications, without waiting for confirmatory influenza testing. During this COCA Webinar, clinicians will learn about 2014-2015 influenza activity, hear a summary of CDC's current antiviral recommendations, and gain insight into data that inform the antiviral recommendations. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356907 https://www.cdc.gov/coca/calls/2015/callinfo_011415.asp Mon, 12 Jan 2015 19:00:00 EDT Emergency Preparedness & Response Public Health Widespread influenza activity is being reported in most U.S. states, with influenza A (H3N2) viruses most common. H3N2-predominant flu seasons have been associated with more hospitalizations and deaths in older people and young children in the past. In addition, approximately two-thirds of H3N2 viruses that have been tested at CDC are antigenically or genetically different from the H3N2 vaccine virus. This difference suggests that vaccine effectiveness may be reduced this season. High hospitalization rates are being observed, similar to what was seen during the 2012-2013 influenza season. Hospitalization rates are especially high among people 65 years and older. In this context, the use of influenza antiviral drugs as an adjunct to vaccination becomes even more important than usual in protecting people from influenza. Antiviral medications are effective in treating influenza and reducing complications. Antivirals are available and recommended, but evidence from the current and previous influenza seasons suggests that they are severely underutilized. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356908 https://www.cdc.gov/han/han00375.asp Fri, 09 Jan 2015 06:00:00 EDT Health Alert Network (HAN) Clinician Outreach and Communication Activity (COCA) Email Updates for January 05, 2015 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356909 https://www.cdc.gov/coca/updates/2015/2015jan05.asp Mon, 05 Jan 2015 07:00:00 EDT Emergency Preparedness & Response Public Health Clinician Outreach and Communication Activity (COCA) Email Updates for December 29, 2014 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356910 https://www.cdc.gov/coca/updates/2014/2014dec29.asp Mon, 05 Jan 2015 03:46:00 EDT Emergency Preparedness & Response Public Health Clinician Outreach and Communication Activity (COCA) Email Updates for December 22, 2014 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356911 https://www.cdc.gov/coca/updates/2014/2014dec22.asp Mon, 05 Jan 2015 03:45:00 EDT Emergency Preparedness & Response Public Health Clinician Outreach and Communication Activity (COCA) Email Updates for December 15, 2014 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356912 https://www.cdc.gov/coca/updates/2014/2014dec15.asp Wed, 17 Dec 2014 09:30:00 EDT Emergency Preparedness & Response Public Health Clinician Outreach and Communication Activity (COCA) Email Updates for December 8, 2014 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356913 https://www.cdc.gov/coca/updates/2014/2014dec8.asp Wed, 10 Dec 2014 10:00:00 EDT Emergency Preparedness & Response Public Health Viral suppression is the goal of HIV medical care. Yet, in 2011, only 40% of people living with HIV received HIV medical care and only 30% achieved viral suppression. Many persons living with HIV are not in medical care or are undiagnosed. When patients with HIV are in medical care, they are more likely to be prescribed antiretroviral medications, achieve viral suppression, and have a normal lifespan. Clinicians play a critical role in helping their patients move through the HIV care continuum by influencing the likelihood of patients engaging in medical care. During this COCA Webinar, clinicians will learn about current strategies to engage patients in HIV testing, counseling and medical care. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356914 https://www.cdc.gov/coca/calls/2014/callinfo_121814.asp Fri, 05 Dec 2014 10:30:00 EDT Emergency Preparedness & Response Public Health Healthcare systems across the United States are actively preparing to treat patients with Ebola. Emergency Medical Services (EMS) play an important role in the identification, assessment, and transportation of suspected or confirmed patients with Ebola. As designated treatment facilities, Emory University Hospital and the University of Nebraska Medical Center have received patients with confirmed Ebola. During this COCA Call, clinicians will learn about the field experiences of EMS personnel in the two jurisdictions and discuss unique planning considerations for EMS. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356915 https://www.cdc.gov/coca/calls/2014/callinfo_121514.asp Thu, 04 Dec 2014 06:30:00 EDT Emergency Preparedness & Response Public Health Influenza activity is currently low in the United States as a whole, but is increasing in some parts of the country. This season, influenza A (H3N2) viruses have been reported most frequently and have been detected in almost all states. During past seasons when influenza A (H3N2) viruses have predominated, higher overall and age-specific hospitalization rates and more mortality have been observed, especially among older people, very young children, and persons with certain chronic medical conditions compared with seasons during which influenza A (H1N1) or influenza B viruses have predominated. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356916 https://www.cdc.gov/han/han00374.asp Wed, 03 Dec 2014 13:00:00 EDT Health Alert Network (HAN) Clinician Outreach and Communication Activity (COCA) Email Updates for November 3, 2014 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356918 https://www.cdc.gov/coca/updates/2014/2014nov03.asp Mon, 01 Dec 2014 10:30:00 EDT Emergency Preparedness & Response Public Health Clinician Outreach and Communication Activity (COCA) Email Updates for November 24, 2014 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356917 https://www.cdc.gov/coca/updates/2014/2014nov24.asp Mon, 01 Dec 2014 10:30:00 EDT Emergency Preparedness & Response Public Health The Centers for Disease Control and Prevention (CDC), Food and Drug Administration (FDA), and Connecticut Departments of Public Health and Consumer Protection are investigating a fatal case of gastrointestinal (GI) mucormycosis caused by Rhizopus oryzae in a premature infant. The infant received ABC Dophilus® Powder, a dietary supplement product containing viable microbial ingredients purchased from Solgar, Inc., Leonia, New Jersey. The product claimed to have "probiotic" properties and is marketed for infants and children. Subsequent testing of the same lot of unopened Solgar ABC Dophilus® Powder revealed contamination with Rhizopus oryzae. The purpose of this HAN advisory is to provide awareness about this fatal case of GI mucormycosis following ingestion of a contaminated dietary supplement and to provide guidance to state health departments and health care providers. Please disseminate this information to healthcare workers in neonatal intensive care units, hospital pharmacies, pediatricians, and primary care providers, as well as to microbiology and pathology laboratories. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356919 https://www.cdc.gov/han/han00373.asp Tue, 25 Nov 2014 10:30:00 EDT Health Alert Network (HAN) On November 13, 2014, the Centers for Disease Control and Prevention (CDC) released a travel alert (Level 2) for Mali following reports of a cluster of Ebola cases in Bamako, Mali, that were linked to a man who had become sick in Guinea and traveled to Bamako, Mali. CDC is working with the government of Mali, the World Health Organization (WHO), and other partners to control further spread of Ebola in Mali. In addition, CDC is working with the Department of Homeland Security (DHS) to expand enhanced entry screening at U.S. airports and post-arrival monitoring of people whose travel originates in Mali. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356920 https://www.cdc.gov/han/han00372.asp Mon, 24 Nov 2014 10:30:00 EDT Health Alert Network (HAN) Hospital based emergency providers are invited to participate in a conference call with leaders from the Office of the Assistant Secretary for Preparedness and Response (ASPR) and CDC on preparing for possible Ebola cases. During this call, leaders will discuss the evaluation and management of patients who present with possible Ebola Virus Disease and provide an overview of the Identify, Isolate, Inform: Emergency Department Evaluation and Management for Patients Who Present with Possible Ebola Virus Disease guidance and algorithm. Dial: Call: 800-857-0664; Passcode: 8614132 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356921 https://www.phe.gov/Preparedness/responders/ebola/Pages/ebola-calls.aspx Wed, 19 Nov 2014 11:51:00 EDT Emergency Preparedness & Response Public Health Health care organizations across the country are preparing to respond to the possibility of Ebola cases in their communities. Several U.S. hospitals have treated patients with the disease and can provide important information to other health care workers related to personal protective equipment, staffing models, and critical care nursing. During this COCA Call, clinicians will learn about the clinical management experiences of nurses from Emory Healthcare and Nebraska Medical Center who cared for patients with Ebola. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356922 https://www.cdc.gov/coca/calls/2014/callinfo_112414.asp Tue, 18 Nov 2014 07:45:00 EDT Emergency Preparedness & Response Public Health Clinician Outreach and Communication Activity (COCA) Email Updates for November 17, 2014 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356923 https://www.cdc.gov/coca/updates/2014/2014nov17.asp Tue, 18 Nov 2014 07:30:00 EDT Emergency Preparedness & Response Public Health Clinician Outreach and Communication Activity (COCA) Email Updates for November 10, 2014 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356924 https://www.cdc.gov/coca/updates/2014/2014nov10.asp Wed, 12 Nov 2014 04:30:00 EDT Emergency Preparedness & Response Public Health Clinician Outreach and Communication Activity (COCA) Email Updates for October 27, 2014 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356925 https://www.cdc.gov/coca/updates/2014/2014oct27.asp Mon, 03 Nov 2014 09:02:00 EDT Emergency Preparedness & Response Public Health Clinician Outreach and Communication Activity (COCA) Email Updates for October 20, 2014 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356926 https://www.cdc.gov/coca/updates/2014/2014oct20.asp Mon, 03 Nov 2014 09:01:00 EDT Emergency Preparedness & Response Public Health Clinician Outreach and Communication Activity (COCA) Email Updates for October 13, 2014 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356927 https://www.cdc.gov/coca/updates/2014/2014oct13.asp Mon, 03 Nov 2014 09:00:00 EDT Emergency Preparedness & Response Public Health Cervical cancer is vastly preventable, but there are still women who develop and die from cervical cancer every year. Human papillomavirus (HPV) types associated with cervical cancer can be prevented through screening tests and HPV vaccination. These measures are effective to prevent HPV infection and highlight the importance of clinicians taking action to establish evidence-based practices in screening and vaccination. During this COCA Webinar, clinicians will learn about CDC's HPV vaccination recommendations and the USPSTF cervical cancer screening recommendations. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356928 https://www.cdc.gov/coca/calls/2014/callinfo_112014.asp Mon, 03 Nov 2014 06:00:00 EDT Emergency Preparedness & Response Public Health The 2014 Ebola epidemic is the largest in history, affecting multiple countries in West Africa. A small number of patients with Ebola virus disease (EVD) have been medically evacuated from West Africa to receive care in U.S. hospitals. The first imported case of Ebola was diagnosed in the United States in a person who had traveled from West Africa to Dallas, Texas and two secondary Ebola cases in health care workers have been identified as of October 14, 2014. CDC and our partners are taking precautions to prevent the spread of Ebola by sharing information with clinicians who may provide care for patients with EVD. During this COCA Call, clinicians will learn the clinical features and complications associated with Ebola and recommendations from Emory University Hospital and the University of Nebraska Medical Center on clinical management of patients with EVD. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356929 https://www.cdc.gov/coca/calls/2014/callinfo_102014.asp Fri, 17 Oct 2014 13:00:00 EST Emergency Preparedness & Response Public Health The Ebola outbreak in West Africa has increased the possibility of patients traveling from the impacted countries to U.S. hospitals. A few patients with Ebola virus disease have been medically evacuated to receive care in U.S. hospitals. Recently, the first case of Ebola virus disease was diagnosed in the United States in a person who traveled to Dallas, Texas from West Africa; this patient passed away on October 8, 2014. CDC and our partners are taking precautions to prevent the spread of Ebola within the United States. During this COCA Call, the presenters will focus on healthcare systems preparedness, and participants will learn how Emory Healthcare and Nebraska Medical Center prepared for patients with Ebola and the lessons learned. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356930 https://www.cdc.gov/coca/calls/2014/callinfo_101414.asp Mon, 13 Oct 2014 13:00:00 EST Emergency Preparedness & Response Public Health Clinician Outreach and Communication Activity (COCA) Email Updates for October 6, 2014 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356931 https://www.cdc.gov/coca/updates/2014/2014oct06.asp Thu, 09 Oct 2014 10:30:00 EST Emergency Preparedness & Response Public Health The first case of Ebola Virus Disease (Ebola) diagnosed in the United States was reported to CDC by Dallas County Health and Human Services on September 28, 2014, and laboratory-confirmed by CDC and the Texas Laboratory Response Network (LRN) laboratory on September 30. The patient departed Monrovia, Liberia, on September 19, and arrived in Dallas, Texas, on September 20. The patient was asymptomatic during travel and upon his arrival in the United States; he fell ill on September 24 and sought medical care at Texas Health Presbyterian Hospital of Dallas on September 26. He was treated and released. On September 28, he returned to the same hospital, and was admitted for treatment. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356932 https://www.cdc.gov/han/han00371.asp Thu, 02 Oct 2014 16:00:00 EST Health Alert Network (HAN) CDC is working closely with partners in Colorado and other state and local health departments to investigate an acute neurologic illness of unknown etiology occurring in children. Characterized by focal limb weakness and abnormalities of the spinal cord gray matter on MRI, a cluster of these illnesses was first reported from Colorado in September, 2014. These neurological findings are coincident with an increase of respiratory illnesses among children. During this COCA Call, clinicians will learn about the latest situation, surveillance, and CDC clinical guidance for testing, patient evaluation and case reporting. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356933 https://www.cdc.gov/coca/calls/2014/callinfo_100314.asp Wed, 01 Oct 2014 11:30:00 EST Emergency Preparedness & Response Public Health Clinician Outreach and Communication Activity (COCA) Email Updates for September 22, 2014 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356935 https://www.cdc.gov/coca/updates/2014/2014sep22.asp Tue, 30 Sep 2014 07:45:00 EST Emergency Preparedness & Response Public Health Clinician Outreach and Communication Activity (COCA) Email Updates for September 8, 2014 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356934 https://www.cdc.gov/coca/updates/2014/2014sep08.asp Tue, 30 Sep 2014 07:45:00 EST Emergency Preparedness & Response Public Health The Centers for Disease Control and Prevention (CDC) is working closely with the Colorado Department of Public Health and Environment (CDPHE) and Children's Hospital Colorado to investigate a cluster of nine pediatric patients hospitalized with acute neurologic illness of undetermined etiology. The illness is characterized by focal limb weakness and abnormalities of the spinal cord gray matter on MRI. These illnesses have occurred since August 1, 2014 coincident with an increase of respiratory illnesses among children in Colorado. The purpose of this HAN Advisory is to provide awareness of this neurologic syndrome under investigation with the aim of determining if children with similar clinical and radiographic findings are being cared for in other geographic areas. Guidance about reporting cases to state and local health departments and CDC is provided. Please disseminate this information to infectious disease specialists, intensive care physicians, pediatricians, neurologists, radiologists/neuroradiologists, infection preventionists, and primary care providers, as well as to emergency departments and microbiology laboratories. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356936 https://www.cdc.gov/HAN/han00370.asp Fri, 26 Sep 2014 13:00:00 EST Health Alert Network (HAN) The Centers for Disease Control and Prevention (CDC) is working closely with hospitals and local and state health departments to investigate recent increases in hospitalizations of patients with severe respiratory illness. Enterovirus D68 (EV-D68) has been detected in specimens from children with severe illness in Missouri and Illinois. Investigations into suspected clusters in other jurisdictions are ongoing. The purpose of this HAN Advisory is to provide awareness of EV-D68 as a possible cause of acute unexplained respiratory illness, and to provide guidance to state health departments and health care providers. Please disseminate this information to infectious disease specialists, intensive care physicians, pediatricians, internists, infection preventionists, and primary care providers, as well as to emergency departments and microbiology laboratories. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356937 https://www.cdc.gov/HAN/han00369.asp Fri, 12 Sep 2014 13:00:00 EST Health Alert Network (HAN) Hospitals across the U.S., especially in Missouri and Illinois, are seeing more children with severe respiratory illness caused by enterovirus D68 (EV-D68). Several states are also investigating similar clusters of severe respiratory illness. There are no vaccines for preventing EV-D68 infections. Clinicians should consider EV-D68 as a potential cause of clusters of severe respiratory illness, particularly in children. During this COCA call, clinicians will learn about the current EV-D68 situation in the U.S., laboratory testing, reporting suspected clusters, and approaches to prevention and treatment. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356938 https://www.cdc.gov/coca/calls/2014/callinfo_091614.asp Fri, 12 Sep 2014 11:30:00 EST Emergency Preparedness & Response Public Health Clinician Outreach and Communication Activity (COCA) Email Updates for August 25, 2014 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356939 https://www.cdc.gov/coca/updates/2014/2014aug25.asp Tue, 02 Sep 2014 05:15:00 EST Emergency Preparedness & Response Public Health The Centers for Disease Control and Prevention (CDC) is working with other U.S. government agencies, the World Health Organization, and other domestic and international partners in an international response to the current Ebola outbreak in West Africa. This document summarizes key messages about the outbreak and the response. It will be updated as new information becomes available and distributed regularly. Please share the document with others as appropriate. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356940 https://www.cdc.gov/HAN/han00368.asp Thu, 28 Aug 2014 08:00:00 EST Health Alert Network (HAN) Influenza is the most common cause of vaccine-preventable morbidity and mortality in children each year. Before flu season arrives, healthcare organizations should consider approaches to optimize influenza prevention and control. Taking action to immunize children and their close contacts, and early and aggressive use of antiviral therapies can lessen the impact of influenza infection. During this COCA webinar, subject matter experts from CDC and the American Academy of Pediatrics will discuss strategies to improve influenza prevention and control in children, and will describe ways to leverage seasonal influenza planning to improve pandemic preparedness. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356941 https://www.cdc.gov/coca/calls/2014/callinfo_091814.asp Mon, 25 Aug 2014 07:45:00 EST Emergency Preparedness & Response Public Health The Centers for Disease Control and Prevention (CDC) is working with other U.S. government agencies, the World Health Organization, and other domestic and international partners in an international response to the current Ebola outbreak in West Africa. This document summarizes key messages about the outbreak and the response. It will be updated as new information becomes available and distributed regularly. Please share the document with others as appropriate. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356942 https://www.cdc.gov/HAN/han00367.asp Fri, 22 Aug 2014 18:30:00 EST Health Alert Network (HAN) The Centers for Disease Control and Prevention (CDC) is working with other U.S. government agencies, the World Health Organization, and other domestic and international partners in an international response to the current Ebola outbreak in West Africa. This document summarizes key messages about the outbreak and the response. It will be updated as new information becomes available and distributed regularly. Please share the document with others as appropriate. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356943 https://www.cdc.gov/HAN/han00366.asp Thu, 21 Aug 2014 11:30:00 EST Health Alert Network (HAN) The Centers for Disease Control and Prevention (CDC) is working with other U.S. government agencies, the World Health Organization, and other domestic and international partners in an international response to the current Ebola outbreak in West Africa. This document summarizes key messages about the outbreak and the response. It will be updated as new information becomes available and distributed regularly. Please share the document with others as appropriate. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356944 https://www.cdc.gov/HAN/han00365.asp Wed, 13 Aug 2014 08:00:00 EST Health Alert Network (HAN) Clinicians and healthcare providers: CDC will host a Twitter chat TOMORROW Friday, August 8th from 2-3PM ET on what US hospitals need to know about Ebola and infection control. Follow @CDCgov on Twitter, and use the hashtag #CDCchat to participate in the chat. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356945 https://twitter.com/CDCgov Thu, 07 Aug 2014 11:35:00 EST Emergency Preparedness & Response Public Health Clinician Outreach and Communication Activity (COCA) Email Updates for July 28, 2014 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356946 https://www.cdc.gov/coca/updates/2014/2014jul28.asp Tue, 05 Aug 2014 07:45:00 EST Emergency Preparedness & Response Public Health The recent Ebola virus disease (or Ebola hemorrhagic fever) outbreak in West Africa has increased the possibility of patients traveling from the impacted countries to U.S. hospitals. Additionally, two American citizens with Ebola virus disease are being medically evacuated to the United States to receive care in a U.S. hospital. During this COCA Call, clinicians will receive updates on the status of the outbreak in West Africa and guidance on what steps U.S. healthcare facilities can take to prepare for the possibility of caring for a patient with Ebola virus disease. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356947 https://www.cdc.gov/coca/calls/2014/callinfo_080514.asp Mon, 04 Aug 2014 08:30:00 EST Emergency Preparedness & Response Public Health The Centers for Disease Control and Prevention (CDC) continues to work closely with the World Health Organization (WHO) and other partners to better understand and manage the public health risks posed by Ebola Virus Disease (EVD). To date, no cases have been reported in the United States. The purpose of this health update is 1) to provide updated guidance to healthcare providers and state and local health departments regarding who should be suspected of having EVD, 2) to clarify which specimens should be obtained and how to submit for diagnostic testing, and 3) to provide hospital infection control guidelines. U.S. hospitals can safely manage a patient with EVD by following recommended isolation and infection control procedures. Please disseminate this information to infectious disease specialists, intensive care physicians, primary care physicians, hospital epidemiologists, infection control professionals, and hospital administration, as well as to emergency departments and microbiology laboratories. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356949 https://www.cdc.gov/HAN/han00364.asp Fri, 01 Aug 2014 16:00:00 EST Health Alert Network (HAN) Clinician Outreach and Communication Activity (COCA) Email Updates for July 14, 2014 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356950 https://www.cdc.gov/coca/updates/2014/2014jul14.asp Fri, 25 Jul 2014 10:45:00 EST Emergency Preparedness & Response Public Health Data suggest that where health care providers practice influences how they prescribe. Higher prescribing of painkillers is associated with more overdose deaths. More can be done at every level to prevent overprescribing while ensuring patients' access to safe, effective pain treatment. Changes at the state level show particular promise. Join the call on July 8, 2014, 2:00-3:00pm (EDT). Dial 800-857-0764 (U.S. Callers) with Passcode 795-4413 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356951 https://www.cdc.gov/public-health-gateway/townhall/2014/07/vitalsigns.html Tue, 08 Jul 2014 07:10:00 EST Emergency Preparedness & Response Public Health Enteric illnesses are common, costly, preventable, and increasingly attributable to animal contact. Animals provide many benefits to people; however, even clean and healthy animals may be responsible for spreading germs such as Salmonella, E.coli O157:H7, and Cryptosporidium, some of the frequent causes of diarrheal illness in children and adults. During this COCA call, clinicians will learn about enteric zoonoses, and the 'One Health' approach to helping patients prevent illness and maintain optimal health. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356952 https://www.cdc.gov/coca/calls/2014/callinfo_071714.asp Thu, 03 Jul 2014 11:00:00 EST Emergency Preparedness & Response Public Health Clinician Outreach and Communication Activity (COCA) Email Updates for June 30, 2014 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356953 https://www.cdc.gov/coca/updates/2014/2014jun30.asp Thu, 03 Jul 2014 10:00:00 EST Emergency Preparedness & Response Public Health Within seconds, explosions can cause chaos, yet few health professionals in the United States have experience with mass casualty explosive events. To address this gap, CDC consolidated up-to-date clinical guidance about blast injuries into an easy-to-use mobile application. Download the CDC Blast Injury mobile application for free from the App Store. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356954 https://itunes.apple.com/au/app/cdc-blast-injury/id890434999?mt=8&ign-mpt=uo%3d2 Wed, 02 Jul 2014 06:00:00 EST Emergency Preparedness & Response Public Health Clinician Outreach and Communication Activity (COCA) Email Updates for June 16, 2014 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356955 https://www.cdc.gov/coca/updates/2014/2014jun16.asp Thu, 19 Jun 2014 06:00:00 EST Emergency Preparedness & Response Public Health In May 2014, the United States recorded the largest number of reported measles cases since 1994 and the number continues to rise. Most cases reported have been acquired in the U.S. and are associated with importations from countries where measles is still common. This highly contagious, acute viral illness spreads quickly in unvaccinated populations once reaching the U.S. The recent measles outbreaks highlight the importance of maintaining high vaccination coverage in the U.S. and ensuring age-appropriate vaccination for international travelers. During this COCA call, clinicians will learn the status of measles in the U.S. and CDC vaccination recommendations and guidelines for patient assessment and management. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356956 https://www.cdc.gov/coca/calls/2014/callinfo_070114.asp Wed, 18 Jun 2014 03:30:00 EST Emergency Preparedness & Response Public Health Healthcare providers should consider Cyclospora as a potential cause of prolonged diarrheal illness, particularly in patients with a history of recent travel to tropical or subtropical regions. In the United States, most reported cases have occurred during the months of May through August, peaking in June and July. For more information, please visit CDC's cyclosporiasis site at or call 404.718.4745 for clinical consults. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356957 https://www.cdc.gov/cyclosporiasis/hcp/clinical-overview/index.html Thu, 12 Jun 2014 11:15:00 EST Emergency Preparedness & Response Public Health Swimming and other water-related activities are popular during the summer. However, Naegleria fowleri, known as the brain-eating ameba, may be present in warm freshwater and can result in primary amebic meningoencephalitis (PAM) - a rare disease that is almost always fatal. Additionally, the chlorine-tolerant parasite Cryptosporidium, is one of the most frequent causes of waterborne disease among humans in the United States. During this COCA call, clinicians will learn about PAM and diarrhea resulting from Cryptosporidium, how to prevent these diseases, and what to do if you suspect your patient has one of them. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356958 https://www.cdc.gov/coca/calls/2014/callinfo_061914.asp Fri, 06 Jun 2014 07:00:00 EST Emergency Preparedness & Response Public Health Clinician Outreach and Communication Activity (COCA) Email Updates for June 2, 2014 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356959 https://www.cdc.gov/coca/updates/2014/2014jun02.asp Wed, 04 Jun 2014 10:15:00 EST Emergency Preparedness & Response Public Health Clinician Outreach and Communication Activity (COCA) Email Updates for May 19, 2014 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356960 https://www.cdc.gov/coca/updates/2014/2014may19.asp Thu, 29 May 2014 06:55:00 EST Emergency Preparedness & Response Public Health Middle East Respiratory Syndrome Coronavirus (MERS-CoV) has caused severe respiratory illness and death in several countries. All cases have been linked, through residence or travel, to countries in and near the Arabian Peninsula. Epidemiologic investigations have demonstrated that this virus can spread from person to person during close contact, such as within families and healthcare facilities. Investigations of the two imported cases of MERS in the US are ongoing. During this COCA Call, clinicians will learn about the latest situation, surveillance, travelers' health, and updates to CDC clinical guidance for testing, patient evaluation and infection control. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356961 https://www.cdc.gov/coca/calls/2014/callinfo_052814.asp Fri, 23 May 2014 13:10:00 EST Emergency Preparedness & Response Public Health Clinician Outreach and Communication Activity (COCA) Email Updates for May 5, 2014 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356962 https://www.cdc.gov/coca/updates/2014/2014may05.asp Tue, 06 May 2014 07:00:00 EST Emergency Preparedness & Response Public Health Middle East Respiratory Syndrome Coronavirus (MERS-CoV) is a virus that has caused severe respiratory illness and death in the Middle East. Epidemiologic investigations have demonstrated that this virus spreads from person to person during close contact, such as within families and healthcare facilities. The first case of imported MERS-CoV was reported last week in the state of Indiana. Clinicians have a critical role in recognizing and managing suspected cases of MERS-CoV. During this COCA Call, CDC subject matter experts will discuss the epidemiology, clinical signs, and infection control recommendations for MERS-CoV. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356963 https://www.cdc.gov/coca/calls/2014/callinfo_050614.asp Mon, 05 May 2014 18:15:00 EST Emergency Preparedness & Response Public Health Confirmed Middle East Respiratory Syndrome Coronavirus (MERS-CoV) Case in Indiana, 2014 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356964 https://www.cdc.gov/HAN/han00361.asp Sat, 03 May 2014 15:00:00 EST Health Alert Network (HAN) Clinician Outreach and Communication Activity (COCA) Email Updates for April 21, 2014 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356965 https://www.cdc.gov/coca/updates/2014/2014apr21.asp Mon, 28 Apr 2014 08:00:00 EST Emergency Preparedness & Response Public Health Clinician Outreach and Communication Activity (COCA) Email Updates for April 7, 2014 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356966 https://www.cdc.gov/coca/updates/2014/2014apr07.asp Tue, 08 Apr 2014 08:00:00 EST Emergency Preparedness & Response Public Health From May through July, people get tick bites and tickborne diseases more often than any other time of year in the United States. Tickborne diseases can cause symptoms that range from mild to life-threatening. Early recognition and treatment of tickborne diseases decreases the risk of serious complications. During this COCA call, CDC subject matter experts will describe the signs and symptoms, treatment, management, and prevention of tickborne diseases in the U.S., with an emphasis on Lyme disease and Rocky Mountain spotted fever. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356967 https://www.cdc.gov/coca/calls/2014/callinfo_041014.asp Tue, 01 Apr 2014 10:15:00 EST Emergency Preparedness & Response Public Health Clinician Outreach and Communication Activity (COCA) Email Updates for March 24, 2014 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356968 https://www.cdc.gov/coca/updates/2014/2014mar24.asp Tue, 25 Mar 2014 08:00:00 EST Emergency Preparedness & Response Public Health Clinician Outreach and Communication Activity (COCA) Email Updates for March 10, 2014 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356969 https://www.cdc.gov/coca/updates/2014/2014mar10.asp Fri, 14 Mar 2014 08:00:00 EST Emergency Preparedness & Response Public Health March 11, 2014, 2:00-3:00pm (EDT). Join CDC subject matter experts and other public health professionals for a CDC Vital Signs town hall teleconference on Improving Antibiotic Prescribing in Hospitals Town Hall Teleconference. Dial 800-857-0764 with passcode 7954413. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356970 https://www.cdc.gov/public-health-gateway/townhall/2014/03/vitalsigns.html Tue, 11 Mar 2014 08:00:00 EST Emergency Preparedness & Response Public Health Clinician Outreach and Communication Activity (COCA) Email Updates for February 24, 2014 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356971 https://www.cdc.gov/coca/updates/2014/2014feb24.asp Thu, 27 Feb 2014 05:30:00 EDT Emergency Preparedness & Response Public Health Clinician Outreach and Communication Activity (COCA) Email Updates for February 10, 2014 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356972 https://www.cdc.gov/coca/updates/2014/2014feb10.asp Fri, 14 Feb 2014 05:30:00 EDT Emergency Preparedness & Response Public Health Chikungunya virus is a mosquito-borne virus that can cause fever and severe polyarthralgia. Outbreaks of the chikungunya have occurred in countries in Africa, Asia, Europe, and the Indian and Pacific Oceans. Travelers to areas with ongoing outbreaks are at risk of becoming infected and spreading the virus to new areas, including the United States. During this COCA call, a CDC subject matter expert will provide information on chikungunya virus epidemiology, clinical findings, diagnosis, treatment, and prevention. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356973 https://www.cdc.gov/coca/calls/2014/callinfo_021814.asp Wed, 12 Feb 2014 08:20:00 EDT Emergency Preparedness & Response Public Health Clinician Outreach and Communication Activity (COCA) Email Updates for January 27, 2014 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356974 https://www.cdc.gov/coca/updates/2014/2014jan27.asp Mon, 03 Feb 2014 05:30:00 EDT Emergency Preparedness & Response Public Health This influenza season, 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. For the 2013-14 season, if pH1N1 virus continues to circulate widely, illness that disproportionately affects young and middle-aged adults may occur. Annual influenza vaccination is recommended for all persons aged 6 months and older, and is the best way to prevent influenza. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356975 https://www.cdc.gov/coca/calls/2014/callinfo_012314.asp Tue, 21 Jan 2014 04:30:00 EDT Emergency Preparedness & Response Public Health On January 8, 2014, the Public Health Agency of Canada reported the first confirmed case of human infection with avian influenza A (H5N1) virus identified in North America. The patient exhibited symptoms while returning from travel to Beijing, China, on December 27, 2013. Since avian influenza A (H5N1) viruses have only been rarely, and never sustainably, transmitted from person to person, there is a very low risk of subsequent related cases. To date, no cases of human infection with avian influenza A (H5N1) viruses have been reported in the United States. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356976 https://www.cdc.gov/HAN/han00360.asp Fri, 17 Jan 2014 06:05:00 EDT Health Alert Network (HAN) Clinician Outreach and Communication Activity (COCA) Email Updates for January 13, 2014 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356977 https://www.cdc.gov/coca/updates/2014/2014jan13.asp Wed, 15 Jan 2014 05:30:00 EDT Emergency Preparedness & Response Public Health 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. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356978 https://www.cdc.gov/HAN/han00359.asp Thu, 26 Dec 2013 04:55:00 EDT Health Alert Network (HAN) On December 7, 2013, the World Health Organization (WHO) reported the first local (autochthonous) transmission of chikungunya virus in the Americas. As of December 12th, 10 cases of chikungunya have been confirmed in patients who reside on the French side of St. Martin in the Caribbean. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356979 https://www.cdc.gov/HAN/han00358.asp Mon, 16 Dec 2013 06:05:00 EDT Health Alert Network (HAN) The purposes of this advisory is to alert healthcare professionals about a prolonged meningococcal disease outbreak at Princeton University and a recent outbreak at the University of California, Santa Barbara and the potential for cases to occur among students traveling to their home states for Thanksgiving break, to advise healthcare providers about reporting suspected cases of meningococcal disease to their Department of Health, and to provide information about PCR testing of isolates from serogroup B meningococcal disease cases at CDC. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356980 https://www.cdc.gov/HAN/han00357.asp Mon, 02 Dec 2013 07:15:00 EDT Health Alert Network (HAN) CDC received 1,925 reported cases of malaria in the U.S., including five deaths, in 2011. This is the highest number since 1971 and a 14% increase since 2010. Most cases were in people who traveled overseas in malaria-endemic countries. Most travelers who contract malaria either did not take an antimalarial drug to prevent the illness or did not take the appropriate drug or dose. Malaria, a reportable disease, is largely preventable. To learn more about prevention and treatment of malaria, visit www.cdc.gov/malaria. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356982 https://www.cdc.gov/malaria/ Thu, 31 Oct 2013 11:30:00 EST Emergency Preparedness & Response Public Health CDC recommends increased vigilance by public health agencies, emergency departments, and healthcare providers for patients who develop acute hepatitis or liver failure following use of a weight loss or muscle building nutritional supplement. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356983 https://www.cdc.gov/HAN/han00356.asp Tue, 08 Oct 2013 10:30:00 EST Health Alert Network (HAN) Children with chronic medical conditions, including asthma, diabetes, and neurologic and neurodevelopmental disorders, are at higher risk for influenza-associated complications. Using antiviral therapies early and aggressively in these vulnerable children can lessen the impact of influenza infection. Please join us for this webinar where subject matter experts from CDC and the American Academy of Pediatrics will discuss strategies that primary care providers and medical subspecialists can use in partnership with parents to improve influenza prevention and control in children at highest risk. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356984 https://www.cdc.gov/coca/calls/2013/callinfo_092413.asp Wed, 18 Sep 2013 11:00:00 EST Emergency Preparedness & Response Public Health Throughout September, CDC and more than 3000 organizations - national, regional, and local governments, as well as private and public organizations - will support emergency preparedness efforts and encourage Americans to take action. Visit the CDC National Preparedness Month webpage to find products that can help get you ready. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356985 https://www.cdc.gov/phpr/preparedness_month.htm Fri, 13 Sep 2013 08:30:00 EST Emergency Preparedness & Response Public Health Clinician Outreach and Communication Activity (COCA) Email Updates for September 9, 2013 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356986 https://www.cdc.gov/coca/updates/2013/2013aug26.asp Thu, 12 Sep 2013 06:30:00 EST Emergency Preparedness & Response Public Health Investigational Drug Available Directly from CDC for the Treatment of Free-Living Ameba Infections https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356987 https://www.cdc.gov/HAN/han00354.asp Fri, 23 Aug 2013 10:30:00 EST Health Alert Network (HAN) Clinician Outreach and Communication Activity (COCA) Email Updates for August 12, 2013 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356988 https://www.cdc.gov/coca/updates/2013/2013aug12.asp Thu, 15 Aug 2013 05:30:00 EST Emergency Preparedness & Response Public Health Nationwide Voluntary Recall of All Products for Sterile Use from Compounding Pharmacy located in Cedar Park, Texas https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356989 https://www.cdc.gov/HAN/han00353.asp Wed, 14 Aug 2013 16:00:00 EST Health Alert Network (HAN) Vaccines prevent children and adults from potentially harmful or deadly diseases. To promote health and prevent disease, CDC publishes written recommendations for vaccinating children and adults. These recommendations are based on information from the Advisory Committee on Immunization Practices (ACIP). It is important for pediatric and adult providers to stay up to date on the most recent ACIP recommendations. During this webinar, a CDC subject matter expert will address recent vaccine recommendations along with available immunization resources. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356990 https://www.cdc.gov/coca/calls/2013/callinfo_081313.asp Wed, 07 Aug 2013 09:45:00 EST Emergency Preparedness & Response Public Health Clinician Outreach and Communication Activity (COCA) Email Updates for July 29, 2013 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356991 https://www.cdc.gov/coca/updates/2013/2013jul29.asp Tue, 30 Jul 2013 10:30:00 EST Emergency Preparedness & Response Public Health In planning an effective response to a bioterrorism incident, it is critical to understand and anticipate the public's viewpoint, their perceptions of the threat and their intended behaviors. This includes their likelihood of taking recommended precautions and their likelihood of taking matters into their own hands. In particular, it is important to understand the perspective of racial/ethnic minority groups given that these communities may be disproportionately affected in a real attack. During this webinar, subject matter experts will discuss results from public opinion polls conducted between December 2012 to January 2013, which assessed how people would respond to a possible release of anthrax spores in an unidentified area. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356992 https://www.cdc.gov/coca/calls/2013/callinfo_072313.asp Wed, 17 Jul 2013 05:45:00 EST Emergency Preparedness & Response Public Health Clinician Outreach and Communication Activity (COCA) Email Updates for July 15, 2013 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356993 https://www.cdc.gov/coca/updates/2013/2013jul15.asp Mon, 15 Jul 2013 10:30:00 EST Emergency Preparedness & Response Public Health Injuries following tornadoes and hurricanes result in significant morbidity and mortality. Both CDC and State Health Departments play important roles in providing assistance in disaster preparedness and response, including pre-hospital transport decision making, injury surveillance, and emergency risk communication. Following hurricanes and tornadoes, it is critical to have alternative treatment sites, appropriate wound management, injury data collection, and health messaging to reduce injuries. During this COCA call, subject matter experts will discuss the current state of science and epidemiology and state level response, with specific examples from Florida. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356994 https://www.cdc.gov/coca/calls/2013/callinfo_071113.asp Wed, 10 Jul 2013 05:45:00 EST Emergency Preparedness & Response Public Health This Health Alert Network Health Advisory provides an update on H3N2 variant virus (or "H3N2v") activity and summarizes CDC's updated H3N2v case definitions and recommendations for H3N2v surveillance for the summer and fall of 2013. It supersedes the last H3N2v-related HAN Health Advisory, HAN 325, which was issued August 3, 2012. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356995 https://www.cdc.gov/HAN/han00351.asp Fri, 05 Jul 2013 11:00:00 EST Health Alert Network (HAN) Nearly 48,000 women have died of prescription painkiller overdoses in the US (1999-2010). You can help stop the epidemic. Use prescription drugs only as prescribed and never sell or share them with others. Store prescription drugs in a secure place and dispose of them properly. Learn more. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356996 https://www.cdc.gov/vitalsigns/PrescriptionPainkillerOverdoses/ Fri, 05 Jul 2013 06:30:00 EST Emergency Preparedness & Response Public Health Clinician Outreach and Communication Activity (COCA) Email Updates for June 17, 2013 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356997 https://www.cdc.gov/coca/updates/2013/2013jun17.asp Tue, 18 Jun 2013 07:00:00 EST Emergency Preparedness & Response Public Health Clinician Outreach and Communication Activity (COCA) Email Updates for June 3, 2013 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356998 https://www.cdc.gov/coca/updates/2013/2013jun03.asp Wed, 05 Jun 2013 11:00:00 EST Emergency Preparedness & Response Public Health Middle East Respiratory Syndrome Coronavirus (MERS-CoV) is a newly identified virus that can cause severe acute respiratory illness and death. MERS cases have been linked to the Middle East, and there is documented spread of the virus internationally. So far, no cases of MERS have been reported in the United States. However, clinicians need to remain vigilant. Epidemiologic investigations have demonstrated that this unique virus spreads from person to person during close contact, such as within families and healthcare facilities. Clinicians have a critical role in recognizing and managing suspect cases of MERS. During this COCA call, a CDC subject matter expert will discuss the clinical signs, epidemiology and infection control recommendations for MERS-CoV. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=356999 https://www.cdc.gov/coca/calls/2013/callinfo_061313.asp Tue, 04 Jun 2013 17:00:00 EST Emergency Preparedness & Response Public Health Clinician Outreach and Communication Activity (COCA) Email Updates for May 20, 2013 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357000 https://www.cdc.gov/coca/updates/2013/2013may20.asp Thu, 23 May 2013 06:30:00 EST Emergency Preparedness & Response Public Health Clinician Outreach and Communication Activity (COCA) Email Updates for May 6, 2013 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357001 https://www.cdc.gov/coca/updates/2013/2013may06.asp Tue, 07 May 2013 12:30:00 EST Emergency Preparedness & Response Public Health Clinician Outreach and Communication Activity (COCA) Email Updates for April 22, 2013 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357002 https://www.cdc.gov/coca/updates/2013/2013apr22.asp Wed, 24 Apr 2013 04:45:00 EST Emergency Preparedness & Response Public Health Resources Available for Local and State Public Health Officials: Preparing for and Responding to Bombing Events https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357003 https://www.cdc.gov/HAN/han00346.asp Wed, 17 Apr 2013 18:45:00 EST Health Alert Network (HAN) The World Health Organization and CDC China, along with U.S. CDC are working together to investigate the avian influenza A (H7N9) virus cases detected in China. At this time, no cases of human infection with avian influenza A (H7N9) viruses have been detected in the United States. During this COCA Conference Call, a CDC subject matter expert will provide an update on the current H7N9 situation in China, review interim avian influenza A (H7N9) recommendations for clinicians and state and local health departments related to case investigation, testing, infection control, and treatment, and discuss what CDC is doing to closely monitor the situation. Dial in Number: 1-888-233-9077; Passcode 2082221 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357004 https://www.cdc.gov/coca/calls/2013/callinfo_041813.asp Tue, 16 Apr 2013 12:20:00 EST Emergency Preparedness & Response Public Health Nationwide Shortage of Tuberculin Skin Test Antigens: CDC Recommendations for Patient Care and Public Health Practice https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357005 https://www.cdc.gov/HAN/han00345.asp Fri, 12 Apr 2013 07:00:00 EST Health Alert Network (HAN) Clinician Outreach and Communication Activity (COCA) Email Updates for March 25, 2013 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357006 https://www.cdc.gov/coca/updates/2013/2013mar25.asp Wed, 27 Mar 2013 05:15:00 EST Emergency Preparedness & Response Public Health Clinician Outreach and Communication Activity (COCA) Email Updates for March 11, 2013 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357007 https://www.cdc.gov/coca/updates/2013/2013mar11.asp Wed, 13 Mar 2013 11:00:00 EST Emergency Preparedness & Response Public Health "Save the date! Wednesday March 13 at 5pm ET. CDC has released updated recommendations for clinical management of patients involved in the outbreak of fungal meningitis and other infections. Join CDC expert Dr. Tom Chiller and Dr. Anu Malani from St. Joseph's Mercy Medical Center in Michigan to learn more about these new recommendations and ask questions of the leading experts. Additional details about the call can be found on CDC's website" https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357008 https://www.cdc.gov/healthcare-associated-infections/outbreaks/clinicians/index.html?s_cid=fb_hpot113 Mon, 11 Mar 2013 09:20:00 EST Emergency Preparedness & Response Public Health Notice to Health Care Providers: Updated Guidelines for Evaluation of Severe Respiratory Illness Associated with a Novel Coronavirus https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357009 https://www.cdc.gov/HAN/han00343.asp Fri, 08 Mar 2013 07:00:00 EDT Health Alert Network (HAN) Notice to Clinicians: Continued Vigilance Urged for Fungal Infections among Patients Who Received Contaminated Steroid Injections https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357010 https://www.cdc.gov/HAN/han00342.asp Mon, 04 Mar 2013 11:30:00 EDT Health Alert Network (HAN) Clinician Outreach and Communication Activity (COCA) Email Updates for February 25, 2013 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357011 https://www.cdc.gov/coca/updates/2013/2013feb25.asp Wed, 27 Feb 2013 13:00:00 EDT Emergency Preparedness & Response Public Health New Carbapenem-Resistant Enterobacteriaceae Warrant Additional Action by Healthcare Providers https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357012 https://www.cdc.gov/HAN/han00341.asp Thu, 14 Feb 2013 12:30:00 EDT Health Alert Network (HAN) Clinician Outreach and Communication Activity (COCA) Email Updates for February 11, 2013 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357013 https://www.cdc.gov/coca/updates/2013/2013feb11.asp Thu, 14 Feb 2013 05:30:00 EDT Emergency Preparedness & Response Public Health Upcoming COCA Call for Feb 12, 2013: Emergency Preparedness: Understanding Physicians' Concerns and Readiness to Respond https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357014 https://www.cdc.gov/coca/calls/2013/callinfo_021213.asp Mon, 11 Feb 2013 11:00:00 EDT Emergency Preparedness & Response Public Health Chemical emergencies have the potential to cause widespread death and illness. Both CDC and Poison Control Centers play important roles in helping define the public health response to chemical emergencies, by providing rapid detection and accurate identification of chemical agents, toxicology information, education programs, and assistance with medical management of exposures. During this COCA call, subject matter experts will discuss biomedical testing for chemical agents, state level poison control center practices, and clinical resources for chemical emergencies. Earn free continuing education. Dial in Number: 1-888-790-6180, Passcode: 1281914 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357015 https://www.cdc.gov/coca/calls/2013/callinfo_013113.asp Tue, 29 Jan 2013 10:45:00 EDT Emergency Preparedness & Response Public Health Recommendations for Drug Allocation, Tuberculosis Prevention, and Patient Care During Isoniazid Shortages https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357016 https://www.cdc.gov/HAN/han00340.asp Mon, 28 Jan 2013 06:00:00 EDT Health Alert Network (HAN) Health Concerns about Misuse of Pesticides for Bed Bug Control Notice to Clinicians: Summary of CDC Recommendations for Influenza Antiviral Medications https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357017 https://www.cdc.gov/HAN/han00339.asp Thu, 17 Jan 2013 04:00:00 EDT Health Alert Network (HAN) Clinician Outreach and Communication Activity (COCA) Email Updates for January 14, 2013. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357019 https://www.cdc.gov/coca/updates/2013/2013jan14.asp Mon, 14 Jan 2013 09:30:00 EDT Emergency Preparedness & Response Public Health Clinician Outreach and Communication Activity (COCA) Email Updates for December 31, 2012 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357020 https://www.cdc.gov/coca/updates/2012/2012dec31.asp Mon, 31 Dec 2012 09:30:00 EDT Emergency Preparedness & Response Public Health Clinician Outreach and Communication Activity (COCA) updates https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357022 https://www.cdc.gov/coca/updates/2012/2012dec17.asp Mon, 17 Dec 2012 10:30:00 EDT Emergency Preparedness & Response Public Health Summary: As part of the ongoing investigation of the multistate outbreak of fungal meningitis and other infections, the Centers for Disease Control and Prevention (CDC) and the Food and Drug Administration (FDA) continue to test medical products from the New England Compounding Center (NECC) in Framingham, Mass. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357023 https://www.cdc.gov/HAN/han00337.asp Mon, 03 Dec 2012 11:55:00 EDT Emergency Preparedness & Response Public Health The Agency for Toxic Substances and Disease Registry (ATSDR) and the Centers for Disease Control and Prevention (CDC) are alerting the public to an emerging national concern regarding misuse of pesticides to treat infestations of bed bugs and other insects indoors. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357024 https://www.cdc.gov/HAN/han00336.asp Thu, 29 Nov 2012 04:45:00 EDT Emergency Preparedness & Response Public Health CDC continues to work closely with state public health departments on a multistate investigation of fungal meningitis and other infections among patients who received a methylprednisolone acetate injection prepared by the New England Compounding Center in Framingham, Mass. Although cases of fungal meningitis continue to be reported, CDC recently observed an increase in the number of patients presenting with evidence of other infections associated with contaminated steroid medication. These complications have occurred in patients with and without evidence of fungal meningitis. During this COCA Call, CDC subject matter experts will provide updated information on epidural abscess and other clinical syndromes being diagnosed in exposed patients and will review CDC's diagnostic and treatment recommendations for clinicians. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357025 https://www.cdc.gov/coca/calls/2012/callinfo_112712.asp Mon, 26 Nov 2012 07:45:00 EDT Emergency Preparedness & Response Public Health Update: Multistate Outbreak of Fungal Meningitis and Other Infections Associated with Contaminated Steroid Medication https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357026 https://www.cdc.gov/HAN/han00335.asp Tue, 20 Nov 2012 10:00:00 EDT Emergency Preparedness & Response Public Health Clinician Outreach and Communication Activity (COCA) updates https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357028 https://www.cdc.gov/coca/updates/2012/2012nov05.asp Wed, 07 Nov 2012 06:30:00 EDT Emergency Preparedness & Response Public Health Clinician Outreach and Communication Activity (COCA) Clinical Reminder: October 15, 2012 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357027 https://www.cdc.gov/coca/reminders/2012/2012oct15.asp Wed, 07 Nov 2012 06:30:00 EDT Emergency Preparedness & Response Public Health NEW: Health Alert Network (HAN) - Voluntary Recall of All Ameridose Medical Products https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357031 https://www.cdc.gov/HAN/han00332.asp Fri, 02 Nov 2012 07:00:00 EST Emergency Preparedness & Response Public Health NEW: Health Alert Network (HAN) - Contamination Identified in Additional Medical Products from New England Compounding Center https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357030 https://www.cdc.gov/HAN/han00333.asp Fri, 02 Nov 2012 07:00:00 EST Emergency Preparedness & Response Public Health NEW: Health Alert Network (HAN) - CDC Disaster Epidemiology Resources for Hurricane Sandy Response https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357029 https://www.cdc.gov/HAN/han00334.asp Fri, 02 Nov 2012 07:00:00 EST Emergency Preparedness & Response Public Health Cluster of Cases of Thrombotic Thrombocytopenic Purpura (TTP) Associated with Intravenous Nonmedical Use of Opana ER https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357032 https://www.cdc.gov/HAN/han00331.asp Sat, 27 Oct 2012 11:30:00 EST Emergency Preparedness & Response Public Health Issuance of Guidance on Management of Asymptomatic Patients Who Received Epidural or Paraspinal Injections with Contaminated Steroid Products https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357033 https://www.cdc.gov/HAN/han00330.asp Wed, 24 Oct 2012 18:30:00 EST Emergency Preparedness & Response Public Health The Centers for Disease Control and Prevention (CDC) and the Food and Drug Administration (FDA) continue to work closely with state public health departments on a multistate investigation of fungal meningitis among patients who received an epidural steroid injection. These cases are associated with a potentially contaminated steroid medication prepared by New England Compounding Center (NECC), located in Framingham, Mass. During this COCA Call, subject matter experts will provide updates to the current epidemiology of the outbreak, describe clinical presentation and features of fungal meningitis, and review CDC's recommended treatment guidance. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357034 https://www.cdc.gov/coca/calls/2012/callinfo_102512.asp Wed, 24 Oct 2012 14:00:00 EST Emergency Preparedness & Response Public Health The Centers for Disease Control and Prevention (CDC) and the Food and Drug Administration (FDA) continue to work closely with state public health departments on a multistate investigation of fungal meningitis and joint infections among patients who received a methylprednisolone acetate injection prepared by the New England Compounding Center (NECC) in Framingham, Mass. Some of these patients who received epidural injections also suffered strokes that may have resulted from their infection. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357035 https://www.cdc.gov/HAN/han00329.asp Wed, 17 Oct 2012 10:15:00 EST Emergency Preparedness & Response Public Health The Centers for Disease Control and Prevention (CDC) and the Food and Drug Administration (FDA) continue to work closely with state public health departments on a multistate investigation of fungal meningitis among patients who received an epidural steroid injection. These cases are associated with a potentially contaminated steroid medication prepared by New England Compounding Center (NECC), located in Framingham, Mass. During this COCA Call, subject matter experts will provide updates to the current epidemiology of the outbreak, describe clinical presentation and features of fungal meningitis, and review CDC's recommended treatment guidance. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357036 https://www.cdc.gov/coca/calls/2012/callinfo_101612.asp Mon, 15 Oct 2012 16:00:00 EST Emergency Preparedness & Response Public Health CDC, FDA, and Massachusetts Department of Public Health hosted a telephone-only media availability to provide updates about the multistate investigation of meningitis among patients who have received an epidural steroid injection (medication injected into the spine) and joint injections. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357037 https://www.cdc.gov/media/releases/2012/t1011_meningitis_outbreak.html Mon, 15 Oct 2012 13:45:00 EST Emergency Preparedness & Response Public Health The Centers for Disease Control and Prevention (CDC) and the Food and Drug Administration (FDA) continue to work closely with state public health departments on a multistate investigation of fungal meningitis among patients who received an epidural steroid injection. These cases are associated with a potentially contaminated steroid medication prepared by New England Compounding Center (NECC), located in Framingham, Mass. During this COCA Call, CDC subject matter experts will review current epidemiology of the outbreak, describe clinical presentation and features of fungal meningitis, and review CDC's recommended treatment guidance. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357038 https://www.cdc.gov/coca/calls/2012/callinfo_101012.asp Wed, 10 Oct 2012 04:00:00 EST Emergency Preparedness & Response Public Health The Centers for Disease Control and Prevention (CDC) and the Food and Drug Administration (FDA) continue to work closely with state public health departments on a multistate investigation of fungal meningitis among patients who received an epidural steroid injection. Some of these patients also suffered strokes that may have resulted from their infection. These cases are associated with a potentially contaminated steroid medication prepared by New England Compounding Center (NECC), located in Framingham, Mass. This HAN notice provides updated information about the investigation (including a change in the case definition*), laboratory findings, an expanded voluntary recall of products, and recommendations for clinicians. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357039 https://www.cdc.gov/HAN/han00328.asp Mon, 08 Oct 2012 12:15:00 EST Emergency Preparedness & Response Public Health The Centers for Disease Control and Prevention (CDC) and the Food and Drug Administration (FDA) are coordinating a multi-state investigation of fungal meningitis among ... patients who received an epidural steroid injection. Several of these patients also suffered strokes that are believed to have resulted from their infection. As of October 4, 2012, five deaths have been reported. Fungal meningitis is not transmitted from person to person. These cases are associated with a potentially contaminated medication. Investigation into the exact source is ongoing; however, interim data show that all infected patients received injection with preservative-free methylprednisolone acetate (80mg/ml) prepared by New England Compounding Center, located in Framingham, MA. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357040 https://www.cdc.gov/HAN/han00327.asp?s_cid=fb_hpot75 Fri, 05 Oct 2012 09:30:00 EST Emergency Preparedness & Response Public Health Children with underlying medical conditions, to include neurological disorders, are at higher risk for influenza-associated complications. During the 2009-2010 Influenza A (H1N1) Pandemic, children with neurological disorders experienced a greater burden of morbidity and mortality. Influenza prevention and control strategies in this at-risk population should include coordinated care among clinicians and the children's families. During this COCA call, subject matter experts will discuss subspecialist and primary care pediatrician collaborations regarding influenza prevention and control strategies for improving care for high-risk children. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357041 https://www.cdc.gov/coca/calls/2012/callinfo_092712.asp Tue, 25 Sep 2012 04:10:00 EST Emergency Preparedness & Response Public Health Public health emergencies often evolve rapidly and become too complex for effective improvisation; therefore, an effective response requires planning in advance of the event. Effective planning strategies should include Disaster Risk Reduction tactics to mitigate the health impact of disasters. CDC is working in partnership with the Medical Reserve Corps to provide public health, medical and other volunteers with an accurate understanding of the principles of Disaster Risk Reduction. These principles will assist volunteers to make decisions that support building community public health resiliency. Please join us for this COCA call where a subject matter expert will discuss the principles for effective, efficient and orderly processes for disaster planning. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357042 https://www.cdc.gov/coca/calls/2012/callinfo_091812.asp Mon, 17 Sep 2012 05:30:00 EST Emergency Preparedness & Response Public Health Since 1999, more than 30,000 people in the United States have been reported with West Nile virus disease. Outbreaks occur each summer however, this year, some areas of the country are experiencing earlier and greater activity. People over 50 years of age and those with certain medical conditions, such as cancer, diabetes, hypertension, kidney disease, and solid-organ transplants, are at greater risk for serious illness if they are infected. Understanding the epidemiology and clinical features of West Nile virus disease is valuable for clinicians. Join us for this COCA call where a subject matter expert will review epidemiology, modes of transmission, clinical features, appropriate use of diagnostics, and treatment and prevention options for West Nile virus infections. Participate by Phone: 1-888-603-7038 / Passcode: COCA and join us online. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357043 https://www.cdc.gov/coca/calls/2012/callinfo_083012.asp Wed, 29 Aug 2012 07:30:00 EST Emergency Preparedness & Response Public Health The overall approach to emergencies and disasters has recently shifted from post-impact activities to a more systematic and comprehensive process of risk management. Disaster risk management underlying goal is to reduce risk to both human life and systems important to livelihood, and includes both pre-impact disaster risk reduction and post-impact humanitarian and development action. During this call, a CDC subject matter expert will discuss the importance of disaster risk reduction for reducing adverse health effects of disasters and how application of the basic tenets of preventive medicine and public health can result in a more humane and cost-effective approach to emergency management. Participate by Phone: 1-800-619-2685 / Passcode: COCA and join us online. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357044 https://emergencydev.cdc.gov/coca/calls/2012/callinfo_082112.asp Mon, 20 Aug 2012 14:00:00 EST Emergency Preparedness & Response Public Health CDC will host a telephone-only media availability to provide an update on the domestic influenza A (H3N2) variant ("H3N2v") virus situation. A number of additional cases of human infection with H3N2v virus have been confirmed in the United States and are being reported on Friday. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357045 https://www.cdc.gov/media/releases/2012/a0809_h3n2_variant_virus.html Thu, 09 Aug 2012 08:30:00 EST Emergency Preparedness & Response Public Health COCA subscribers now receive COCA Updates, Conference and Training Announcements, CDC Health Alert Network (HAN) Messages, Clinical Reminders, and COCA Call Announcements through the new listserv. COCA no longer distributes E-mails through CDC-Clinician Terrorism Training Listserv or CDC-Clinician Terrorism Update Listserv. Visit the COCA website and update your COCA subscriber contact information at http://emergency.cdc.gov/coca/subscribe.asp https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357046 https://www.cdc.gov/coca/subscribe.asp Tue, 15 May 2012 11:00:00 EST Emergency Preparedness & Response Public Health CDC estimates that influenza virus infections in the United States result in an average of more than 200,000 related hospitalizations, and between 3,300 to 49,000 deaths each year, depending upon the severity of the influenza season. Annual influenza vaccination is recommended for all persons aged 6 months and older, and is the best way to prevent influenza. However, available evidence consistently indicates that antiviral treatment, when initiated as early as possible in patients with confirmed or suspected influenza, can reduce severe outcomes of influenza. During this COCA conference call, a subject matter expert will review current Advisory Committee on Immunization Practices (ACIP) and CDC guidance on the use of antiviral medications in the prevention and treatment of influenza. Participate by Phone: 800-779-7163 / Passcode: 7319016 and join us online. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357047 https://www.cdc.gov/coca/calls/2012/callinfo_022812.asp Tue, 28 Feb 2012 04:20:00 EDT Emergency Preparedness & Response Public Health More than 50% of Americans have some type of functional disability. Over 133 million have at least one chronic medical condition and 1 in 3 Americans take prescription drugs for a long-term illness. Emergency management should be inclusive of individuals with access and functional needs, and communities should understand and meet the true needs of the entire community affected by a disaster. During this COCA conference call, subject matter experts will discuss how clinicians can work within their communities to integrate and coordinate emergency preparedness, response and recovery efforts for children and adults with disabilities and others with access and functional needs before, during and after a disaster. Participate by Phone: 888-790-6180 / Passcode: 1281914 and join us online. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357048 https://www.cdc.gov/coca/calls/2012/callinfo_021412.asp Tue, 14 Feb 2012 01:00:00 EDT Emergency Preparedness & Response Public Health One of the nation's key preparedness challenges has been determining appropriate state and local public health preparedness priorities. In March 2011 CDC released the Public Health Preparedness Capabilities: National Standards for State and Local Planning to serve as national public health preparedness standards that can support public health, medical, and mental/behavioral health systems during emergency incidents. Clinicians have a vital role in helping public health departments assure the public's health during emergency incidents. During this COCA conference call, a CDC subject matter expert will provide an overview of this National Standards document and highlight opportunities for clinician engagement. Participate by Phone: 888-677-1801 / Passcode: 6902857 and join us online. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357049 https://www.cdc.gov/coca/calls/2012/callinfo_012512.asp Tue, 24 Jan 2012 19:00:00 EDT Emergency Preparedness & Response Public Health CDC Vital Signs is hosting an upcoming conference call on Nov 29 (3:30 pm ET) for health care providers in conjunction with the Vital Signs Town Hall Teleconference series. It will highlight the importance of HIV testing, appropriate use of medications, and the importance of viral suppression and prevention counseling. Speakers Thomas Frieden, CDC Director and Jonathan Mermin, Director of the CDC Division of HIV/AIDS Prevention will bring focus to new data being released. Call Number: 1-888-790-3994 and Passcode: 53075 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357050 https://www.cdc.gov/ostlts/townhall/index.html Mon, 21 Nov 2011 10:51:00 EDT Emergency Preparedness & Response Public Health Influenza can spread rapidly in health care settings. By getting vaccinated health care personnel can protect themselves, their families, and their patients. Join us at 2:00pm (EST) on Nov 15 for a COCA call/webinar, Update on Influenza Vaccination for Health Care Personnel: Recent Coverage, Recommendations, Reporting, and Resources. CDC subject matter experts will review the recent coverage data, current recommendations, improvements for reporting, and provide resources for clinician education and vaccine promotion. Participate by Phone: 888-324-7813 / Passcode: 5531691 and join us online. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357051 https://www.cdc.gov/coca/calls/2011/callinfo_111511.asp Mon, 14 Nov 2011 03:32:00 EDT Emergency Preparedness & Response Public Health COCA wants to hear from you! - Share your preparedness related success stories this week. We want to feature real stories about emergency preparedness and response successes from our partners. We want stories that highlight the people whose lives have been positively affected by best practices in emergency preparedness. Share tools, tips, and resources that have helped you prepare! Tell us your story! https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357052 https://www.facebook.com/CDCHealthPartnersOutreach Mon, 26 Sep 2011 04:06:00 EST Emergency Preparedness & Response Public Health Carbon monoxide (CO) poisoning can occur after a hurricane due to use of alternative energy and cooking sources such as generators, grills, and camp stoves. Patients may present with headache, dizziness, weakness, nausea, vomiting, chest pain, confusion, and loss of consciousness. Ask patients if they have been using alternative fuel sources and consider testing for CO poisoning. If confirmed, treat your patient; notify your local Poison Control Center and emergency services. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357055 https://www.cdc.gov/disasters/co_guidance.asp Wed, 31 Aug 2011 13:09:00 EST Emergency Preparedness & Response Public Health COCA is hosting a webinar on August 31 (2:00 pm ET) titled, The Community Assessment Tool - Readiness From a Total Healthcare Perspective. The Community Assessment Tool (CAT) is intended to help community stakeholders come together and address medical surge capabilities and future planning needs. This COCA webinar will illustrate how the CAT can assist in identifying core agency partners' capabilities and resources, address gaps in a community's capabilities, and can be used to improve a community's emergency preparedness plan. Earn free CE/CME credits. Register online and Participate by Phone: 800-369-2138 using Passcode: 9946347 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357056 https://www.cdc.gov/coca/calls/2011/callinfo_083111.asp Tue, 30 Aug 2011 14:30:00 EST Emergency Preparedness & Response Public Health The CDC Emergency Preparedness and Response Web site has hurricane response resources and materials to help healthcare providers in impacted communities after the storm. CDC provides guidance on reopening healthcare facilities, licensure issues for displaced physicians, and hurricane recovery. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357057 https://www.cdc.gov/disasters/hurricanes/hcp.asp Mon, 29 Aug 2011 04:54:00 EST Emergency Preparedness & Response Public Health COCA is hosting a webinar on Aug 25 (3:00pm ET) titled, Brucellosis in the United States - Current Perspectives. Brucellosis is one of the most common zoonoses in the world. Diagnosis and treatment of brucellosis is challenging because of nonspecific symptoms, limited availability of validated tests, and variety of antimicrobials regimens and duration of therapy. Join us for this COCA webinar where a subject matter expert will review the current status of brucellosis, available diagnostics, and treatment regimens. Earn free CE/CME/CNE/CPE! Register Today! https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357059 https://www.cdc.gov/coca/calls/2011/callinfo_082511.asp Fri, 19 Aug 2011 07:25:00 EST Emergency Preparedness & Response Public Health COCA is hosting a webinar, Emergency Preparedness: Considerations in Chronic Fatigue Syndrome, on Aug 18 (2:00 pm ET). Chronic fatigue syndrome (CFS) is a complex illness characterized by disabling fatigue and accompanying case-defining symptoms that are medically unexplained. CFS can impair an individual's ability to prepare for, respond to, or recover from a disaster. Join subject matter experts as they review clinical guidance for evaluating CFS, discuss management options, and provide emergency preparedness considerations. Earn free CEs credits. Register today! Call-in: 1-888-829-8675, Passcode:3189025 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357060 https://www.cdc.gov/coca/calls/2011/callinfo_081811.asp Wed, 17 Aug 2011 12:46:00 EST Emergency Preparedness & Response Public Health COCA is hosting a call/webinar on July 14 at 2:00pm (ET) titled, Applying Cultural Competency to Emergency Risk Communication. Using a culturally and linguistically appropriate emergency risk communication framework in the context of a disaster can aid in the reduction of health disparities associated with disaster response and recovery. Join as our subject matter expert illustrates the importance of cultural competency between clinicians and patients, and discuss culturally competent emergency risk communication strategies. Earn Free CE credits (CME, CNE, CEU, CECH, and CPE)! Participate by Phone: 888-790-6180 and Passcode: 1281914. Register online today! https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357061 https://www.cdc.gov/coca/calls/2011/callinfo_071411.asp Tue, 12 Jul 2011 09:02:00 EST Emergency Preparedness & Response Public Health Disease outbreak reports associated with pools, hot tubs, and other recreational water venues have increased in recent years. Join us today, June 28, 2011 at 3:00pm (ET) for this COCA webinar where CDC subject matter experts will review updated recommendations for interventions to reduce the risk of acute otitis externa (AOE) and other recreational water illnesses. CE Credits are available! https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357062 https://www.cdc.gov/coca/calls/2011/callinfo_062811.asp Tue, 28 Jun 2011 04:18:00 EST Emergency Preparedness & Response Public Health CDC issued a Health Advisory on June 22, 2011 through the Health Alert Network (HAN). The United States is experiencing a high number of reported measles cases in 2011, many of which were acquired during international travel. From January 1 through June 17 this year, 156 confirmed cases of measles were reported to CDC. Most cases were associated with importations from measles-endemic countries or countries where large outbreaks are occurring. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357063 https://www.cdc.gov/HAN/han00323.asp Wed, 22 Jun 2011 13:45:00 EST Emergency Preparedness & Response Public Health CDC distributed a Health Advisory on June 03, 2011 through the Health Alert Network (HAN). CDC is monitoring a large outbreak of Shiga toxin-producing Escherichia coli O104:H4 (STEC O104:H4) infections ongoing in Germany. This notice to health care providers about Shiga Toxin-producing E. coli O104 (STEC O104:H4) infections in U.S. travelers returning from Germany can be found on the HAN website. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357065 https://www.cdc.gov/HAN/han00322.asp Fri, 03 Jun 2011 12:16:00 EST Emergency Preparedness & Response Public Health COCA is hosting a webinar on April 21, 2011 (2:00 pm - 3:00pm ET), titled Measures to Prevent Disease Associated with Animals in Public Settings. Disease outbreaks associated with animals in public settings have been increasingly reported in recent years. Join subject matter experts as they discuss the importance of public health reporting of clusters, review CDC and NASPHV recommendations to minimize associated disease and injury risks related to animals contact. Free Continuing Education Credits are available for this call. Phone: 888-989-3090 and Passcode: 4443385 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357068 https://www.cdc.gov/coca/calls/2011/callinfo_042111.asp Wed, 20 Apr 2011 13:42:00 EST Emergency Preparedness & Response Public Health COCA is hosting a webinar on April 20, 2011 (4:00 pm - 5:00pm ET), titled State Level Pediatric Emergency Preparedness. States play a critical role in the recovery of pediatric health following a disaster, and should have appropriate "All- Hazards" emergency preparedness plans that address the unique needs of pediatrics. Join subject matter experts as they discuss gaps in pediatric preparedness and national recommendations. Free Continuing Education Credits are available for this call. Phone: 888-673-9802 and Passcode: 4829527 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357069 https://www.cdc.gov/coca/calls/2011/callinfo_042011.asp Thu, 14 Apr 2011 20:00:00 EST Emergency Preparedness & Response Public Health This fact sheet from the CDC gives you some basic information about Radiation and Potassium Iodide (KI). For additional information for professionals involved in planning for and responding to radiation emergencies visit http://emergency.cdc.gov/radiation/ https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357070 https://www.cdc.gov/radiation/japan/ki.asp Sun, 20 Mar 2011 20:00:00 EST Emergency Preparedness & Response Public Health On March 11, a 9.0 magnitude earthquake occurred off the east coast of Japan resulting in an ongoing leak of radiation from the Fukushima nuclear power plant facility. CDC has a key role in protecting the public's health in an emergency involving the release of radiation. Travelers to tsunami-affected areas may return with a variety of physical concerns. Join our CDC subject matter expert Monday, March 21, 2011 as he discusses CDC's interim guidance for clinicians evaluating travelers returning from Tsunami-Affected areas and provides information for clinicians involved in planning for and responding to this type of emergency. Time: 6:00 PM - 7:00 PM (Eastern Time); Participate by Phone: 888-790-6180 and Passcode: 1281914 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357071 https://www.cdc.gov/coca/calls/2011/callinfo_032111.asp Thu, 17 Mar 2011 20:00:00 EST Emergency Preparedness & Response Public Health On March 11, 2011, a massive 8.9-magnitude earthquake and tsunami occurred in Japan. Tsunamis can have serious public health consequences. CDC has posted tsunami-related information for healthcare providers to its website. For additional information related to the 2011 Japan Earthquake and Tsunami visit http://emergency.cdc.gov/disasters/tsunamis/ https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357072 https://www.cdc.gov/disasters/tsunamis/clinicians.asp Sun, 13 Mar 2011 20:00:00 EST Emergency Preparedness & Response Public Health COCA is hosting a webinar, "Engaging Youth in Public Health Preparedness and Response" on January 27, 2011 from 2:00 - 3:00 pm (ET). During this call, leaders from the Health Occupations Students of America (HOSA) and the Office of the Civilian Volunteer Medical Reserve Corps will discuss the importance of identifying and collaborating with community partners to strengthen public health infrastructure through student volunteerism, and examples of how to provide opportunities for students to engage in public health preparedness activities. Continuing Education Credits (CME, CNE, ACPE, CEU, and CECH) are available for this call. Call Number: 877-918-2308 and Passcode: 9224597 Join webinar at http://events.r20.constantcontact.com/register/event?oeidk=a07e3a4hvopbc6c5867&llr=pf7m85dab https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357073 https://www.cdc.gov/coca/calls/2011/callinfo_012711.asp Wed, 26 Jan 2011 19:00:00 EDT Emergency Preparedness & Response Public Health COCA is hosting a conference call today, January 25, 2011 from 1:00 - 2:00 pm (ET) on Electronic Health Records (EHR). During this call, clinicians will learn how EHRs can improve patient workflow, clinical service delivery, and administrative processes. Continuing Education Credits (CME, CNE, ACPE, CEU, and CECH) are available for this call titled, Medicare and Medicaid Electronic Health Records Incentive Program: Promoting the Adoption of Electronic Health Information Technology. Call Number: 800-857-5751 and Passcode: 6030871 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357075 https://www.cdc.gov/coca/calls/2011/callinfo_012511.asp Mon, 24 Jan 2011 19:00:00 EDT Emergency Preparedness & Response Public Health Join today's COCA Call: Cholera in Haiti - Why U.S. Clinicians Need to Care (December 15, 2010) from 12:00pm - 1:00pm (ET). CDC subject matter experts will provide an update on the current cholera situation in Haiti and information on the epidemiology, diagnosis, and treatment of cholera. Call Number: 800-857-1754 Passcode: 5676778 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357078 https://www.cdc.gov/coca/calls/2010/callinfo_121510.asp Tue, 14 Dec 2010 19:00:00 EDT Emergency Preparedness & Response Public Health COCA is hosting an Influenza Preparedness in the Pediatric Population conference call today, December 14, 2010 from 2:00pm - 3:00pm (ET). Subject matter experts will provide an overview of the current influenza activity; discuss recommendations for prevention and treatment of influenza in children and strategies to improve emergency preparedness response. CE/CEUs are available for this call! Call Number: 800-779-4364 and Passcode: 9765748 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357079 https://www.cdc.gov/coca/calls/2010/callinfo_121410.asp Mon, 13 Dec 2010 19:00:00 EDT Emergency Preparedness & Response Public Health COCA is hosting a conference call today December 07, 2010 from 1:00pm - 2:00pm (ET) titled, Deepwater Horizon Oil Spill: Public and Occupational Health Surveillance. Please join CDC subject matter experts as they discuss the surveillance activities conducted for possible oil-spill related health effects among the response workers and populations residing in the areas affected by the 2010 Deepwater Horizon oil-spill. CE/CEUs are available for this call! Call Number: 888-790-6180 and Passcode: 1281914 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357081 https://www.cdc.gov/coca/calls/2010/callinfo_120710.asp Mon, 06 Dec 2010 19:00:00 EDT Emergency Preparedness & Response Public Health COCA is hosting a webinar today November 9, 2010 from 2:00 - 3:00pm (ET) on Practical Tools for Radiation Emergency Preparedness. Healthcare providers play an important role in any radiation emergency. Clinicians of all specialties will be responsible for providing care and information to patients in multiple settings from hospitals to community reception centers (CRCs). Join subject matter experts as they describe the process flow and stations in a Community Reception Center; identify the unique psychological effects of radiation disasters; and define skills and techniques used when performing psychological first aid in radiation disasters. CE credits will be available for this call. Participate by Phone: 800-619-8497 Passcode: 3381626. For webinar access go to https://www.livemeeting.com/cc/communique/join (Meeting ID: 110910 Password: CDC) https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357083 https://www.cdc.gov/coca/calls/2010/callinfo_110910.asp Mon, 08 Nov 2010 19:00:00 EDT Emergency Preparedness & Response Public Health COCA is hosting a conference call today (November 02, 2010) 2:00pm - 3:00pm (ET) titled, Neglected Infections of Poverty in the United States. Neglected infections of poverty are a group of parasitic, bacterial, and viral infections that disproportionately affect impoverished groups, and lead to illness in a significant number of individuals in vulnerable populations. Join our CDC subject matter expert as he describes the epidemiology, diagnosis, and treatment of Chagas Disease, Toxocariasis, and Trichomoniasis. CE/CEUs are available for this call! Call Number: 888-790-6180 and Passcode: 1281914 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357084 https://www.cdc.gov/coca/calls/2010/callinfo_110210.asp Mon, 01 Nov 2010 20:00:00 EST Emergency Preparedness & Response Public Health An outbreak of cholera was confirmed in Haiti on October 21, 2010. Cholera infection is most often asymptomatic or causes a mild gastroenteritis. The first line of treatment for cholera is rehydration. Severe cases of cholera should be treated with antimicrobial agents to which the circulating strain is susceptible. As with other causes of acute watery diarrhea, the prevention and control of cholera require surveillance, heightened measures to ensure the safety of drinking water and food, and appropriate facilities and practices for disposal of feces and for hand washing. Cholera Resources for Health Professionals can be found at http://www.cdc.gov/cholera/professionals.html https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357085 https://www.cdc.gov/haiticholera/ Tue, 26 Oct 2010 20:00:00 EST Emergency Preparedness & Response Public Health You are invited to join Surgeon General Regina Benjamin on a COCA supported HHS Conference Call. Dr. Benjamin is conducting this outreach call today at 11:00am (ET) to engage the public and professionals in the development of the National Prevention and Health Promotion Strategy. Join her in this National effort to improve the health of all Americans. Call Number: 888-283-2975 and Passcode: 1862596 http://www.healthcare.gov/center/councils/nphpphc https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357086 https://www.cdc.gov/coca/calls/2010/callinfo_100110.asp Thu, 30 Sep 2010 20:00:00 EST Emergency Preparedness & Response Public Health Join subject matter experts Wednesday, September 22, 2010 (3:00PM - 4:00 PM Eastern Time)as they highlight challenges that private practices and hospitals may face in preparing for an increased volume of pediatric patients. This webinar will address strategies and tools to help clinicians plan for and respond to pediatric emergency care across a community. CE credit/contact hours will be available for this call! Call Number: 888-810-9641 and Passcode: 7228444 Direct Access: https://www.mymeetings.com/nc/join.php?i=PW4291018&p=7228444&t=c https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357087 https://www.cdc.gov/coca/calls/2010/callinfo_092210.asp Tue, 21 Sep 2010 20:00:00 EST Emergency Preparedness & Response Public Health CDC's COCA is hosting a conference call, Impact of Deployment on the Health of Service Members and Their Families - Why Clinicians Should Ask, today September 21, 2010, (1:00pm - 2:00pm ET). This call will address the impact of deployment on the health of both those who deploy and their families. Join subject matter experts as they discuss how impending and past deployment may impact a patient's health, how deployment impacts family health, and potential strategies clinicians may use to identify deployment-related health issues. CE credit/contact hours will be available for this call! Call Number: 888-810-3147and Passcode: 1237697 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357088 https://www.cdc.gov/coca/calls/2010/callinfo_092110.asp Mon, 20 Sep 2010 20:00:00 EST Emergency Preparedness & Response Public Health COCA is hosting a conference call, "Shiga Toxin-Producing Escherichia Coli Infections: What Clinicians Need to Know" today September 16, 2010 (1:00 pm - 2:00 pm ET). Join leading experts in infectious disease medicine as they provide guidance on how to effectively manage patients with Shiga toxin-producing Escherchia coli. Continuing Education Credits are available for this call! Call Number: 877-918-3038 and Passcode: 1180634 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357089 https://www.cdc.gov/coca/calls/2010/callinfo_091610.asp Wed, 15 Sep 2010 20:00:00 EST Emergency Preparedness & Response Public Health The Department of Health and Human Services (HHS) and the Centers for Disease Control and Prevention (CDC) are co-hosting a COCA conference call today August 30, 2010 (3:00pm - 4:00pm ET). Join Dr. Howard Koh, Assistant Secretary for Health (HHS), Dr. Garth Graham, Deputy Assistant Secretary for Minority Health (HHS), and Dr. Carolyn Bridges, Influenza Division Associate Director for Science (CDC), as they discuss influenza vaccination. Call Number: 888-790-2034 and Passcode: 4027970 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357090 https://www.cdc.gov/coca/callinfo.asp Sun, 29 Aug 2010 20:00:00 EST Emergency Preparedness & Response Public Health CDC has new Gulf Oil Spill resources available for healthcare providers treating response workers and coastal residents. A "Condensed Human Health Interim Clinical Guidance with Mental Health Guidance" (pdf) has posted to the CDC Gulf Oil Spill Health Professionals page. The clinical guidance and related talking points provide information about potential health hazards, patient care considerations, health effects surveillance data, behavioral health risks and additional resources. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357093 https://www.cdc.gov/gulfoilspill2010/health_professionals.asp Thu, 29 Jul 2010 20:00:00 EST Emergency Preparedness & Response Public Health Access the latest COCA Commentary podcast for a preview of the upcoming would like to announce the latest COCA Commentary podcast on our upcoming COCA Call Promoting Health and Preventing Disease: Childhood and Adult Vaccine Updates and Recommendations. In this podcast, a CDC expert will provide a preview of the call and briefly present its main topics, including immunization resources for providers, immunization administration issues, and the promotion of childhood and adult immunizations in provider practices. For additional call information, visit http://emergency.cdc.gov/coca/callinfo.asp https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357095 https://www.cdc.gov/coca/calls/2011/callinfo_081611.asp Sun, 11 Jul 2010 20:00:00 EST Emergency Preparedness & Response Public Health CDC will host a phone-only telebriefing today (Thursday April 1) at 1:00 p.m. E.T. to provide an update on 2009 H1N1 flu. Listen Only: 800-475-4934 Passcode: CDC Media This press briefing media will also be available via listen-only audio web site at http://www.cdc.gov/media. We strongly encourage non-media participants to use the webcast. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357100 https://www.cdc.gov/media/ Wed, 31 Mar 2010 20:00:00 EST Emergency Preparedness & Response Public Health This includes a background section, an update on antiviral availability, alternatives to Tamiflu® oral suspension for pediatric patients and a note on Tamiflu Oral Suspension Syringe. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357124 https://www.cdc.gov/H1N1flu/pharmacist/pharmacist_info.htm Mon, 21 Sep 2009 20:00:00 EST Emergency Preparedness & Response Public Health CDC will host a telephone-only briefing to discuss an update in the investigation of cases of novel Influenza A (H1N1). Date/Time: Friday July 24, 2009 at 11:30 AM ET. Call-in: 800-593-9977, PASSCODE: CDC Media Call in 10-15 minutes prior to start of briefing. This press briefing will be available as a webcast at www.cdc.gov/media. We strongly encourage use of the webcast. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357128 https://www.cdc.gov/media Thu, 23 Jul 2009 20:00:00 EST Emergency Preparedness & Response Public Health As of 2:30 PM ET on July 2, 2009, CDC is reporting 33,902 confirmed and probable cases and 170 deaths in 53 states and territories (including the District of Columbia, Puerto Rico, and the U.S. Virgin Islands). https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357130 https://www.cdc.gov/h1n1flu/update.htm Wed, 01 Jul 2009 20:00:00 EST Emergency Preparedness & Response Public Health This issue highlights the COCA Conference Call on novel H1N1 Influenza and Pediatric Health Issues, situational update on the novel H1N1 Influenza investigation, emergency preparedness and response podcast from AHRQ, and a Travel Warning on non-essential travel to Mexico. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357131 https://www.cdc.gov/coca/updates/2009/2009may11.asp Sun, 10 May 2009 20:00:00 EST Emergency Preparedness & Response Public Health This issue highlights the upcoming COCA Conference Call on Public Health Law, new emergency preparedness resources from FEMA, the FDA recall of the Arrow International Intra Aortic Balloon Pump, a new Widget to track recalled pistachio products, and travelers' health updates from Brazil and Australia. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357133 https://www.cdc.gov/coca/updates/2009/2009apr20.asp Sun, 19 Apr 2009 20:00:00 EST Emergency Preparedness & Response Public Health This issue highlights the information on the wildfires in Texas and Oklahoma, a FDA recall of ZOLL AED Plus Defibrillator, CDC Reports Progress in Foodborne Illness Prevention has Reached a Plateau, FDA clears aRapid Test for Avian Influenza A Virus in Humans, Seasonal Influenza Update, and Cholera in Zimbabwe https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357134 https://www.cdc.gov/coca/updates/2009/2009apr13.asp Sun, 12 Apr 2009 20:00:00 EST Emergency Preparedness & Response Public Health This issue highlights the New Public Service Announcements for the Floods, Recommendations for the Selection and Use of Respirators and Protective Clothing for Protection Against Biological Agents, FDA Food recalls, FDA Class 1 Recall: Tri-State Hospital Supply Corporation, Centurion Brand Trays and Kits and Seasonal Influenza Update. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357135 https://www.cdc.gov/coca/updates/2009/2009apr06.asp Sun, 05 Apr 2009 20:00:00 EST Emergency Preparedness & Response Public Health This issue highlights the MMWR article, Guidance for Control of Infections with Carbapenem-Resistant or Carbapenemase-Producing Enterobacteriaceae in Acute Care Facilities. Additional information includes a new video titled, Screening People for External Contamination: How to Use Hand-held Radiation Survey Equipment. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357136 https://www.cdc.gov/coca/updates/2009/2009mar23.asp Sun, 22 Mar 2009 20:00:00 EST Emergency Preparedness & Response Public Health Access the new frequently asked questions on who should receive the smallpox vaccine and what are the potential adverse reactions. This edition also includes resources from AHRQ on emergency protocols for pediatric hospitals and schools. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357137 https://www.cdc.gov/coca/updates/2009/2009mar16.asp Sun, 15 Mar 2009 20:00:00 EST Emergency Preparedness & Response Public Health Access the new "Key Findings - Public Health Preparedness: Strengthening CDC's Emergency Response" document on the CDC Emergency website as well as a CDC-authored JAMA article on Oseltamivir resistance in seasonal influenza (H1N1). https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357139 https://www.cdc.gov/coca/updates/2009/2009mar02.asp Sun, 08 Mar 2009 20:00:00 EST Emergency Preparedness & Response Public Health Access the newly created CDC portal for Health Care Facilities, the March 2009 Emerging Infectious Diseases Journal, and the CDC-authored article from JAMA documenting the decrease of MRSA infections in the Intensive Care setting from 2000-2007 https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357142 https://www.cdc.gov/coca/updates/2009/2009feb23.asp Sun, 22 Feb 2009 19:00:00 EDT Emergency Preparedness & Response Public Health Latest news on salmonella and food product recalls, including Harvard School of Public Health survey and HHS blog. Additional items include an increase in Coccidioidomycosis in California, update on the global status of Polio, and seasonal influenza. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357143 https://www.cdc.gov/coca/updates/2009/2009feb17.asp Mon, 16 Feb 2009 19:00:00 EDT Emergency Preparedness & Response Public Health Latest news on salmonella and food product recalls, including CDC social media resources. Additional items include winter weather, Anthrax vaccination question and answers, and seasonal influenza. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357144 https://www.cdc.gov/coca/updates/2009/2009feb09.asp Mon, 09 Feb 2009 09:19:00 EDT Emergency Preparedness & Response Public Health Latest news on salmonella and food product recalls, as well as information on antibiotic resistance, seasonal influenza, traveler's health, and recent CDC publications on emergency preparedness and emerging infectious diseases. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357145 https://www.cdc.gov/coca/updates/2009/2009feb02.asp Mon, 02 Feb 2009 09:19:00 EDT Emergency Preparedness & Response Public Health Latest news on salmonella, food product recalls, revised field triage guidelines, vaccine preventable diseases, seasonal influenza, and pandemic influenza. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357146 https://www.cdc.gov/coca/updates/2009/2009jan26.asp Mon, 26 Jan 2009 09:19:00 EDT Emergency Preparedness & Response Public Health Latest news on salmonella, smallpox preparedness, potential hazards of using skin numbing products, seasonal influenza, and pandemic influenza. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357148 https://www.cdc.gov/coca/updates/2009/2009jan19.asp Mon, 19 Jan 2009 09:19:00 EDT Emergency Preparedness & Response Public Health Latest news on emergency preparedness for inauguration events, seasonal influenza, pandemic influenza, salmonella investigation, infetion control, and traveler's health. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357149 https://www.cdc.gov/coca/updates/2009/2009jan12.asp Mon, 12 Jan 2009 09:19:00 EDT Emergency Preparedness & Response Public Health An update to changes made in antiviral recommendations guidance. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357150 https://www.cdc.gov/coca/confcall_archive.asp Thu, 08 Jan 2009 09:19:00 EDT Emergency Preparedness & Response Public Health Latest news on emergency preparedness resources, seasonal influenza, pandemic influenza, food product recalls, and immunization recommendations. https://tools.cdc.gov/podcasts/download.asp?m=320671&c=357151 https://www.cdc.gov/coca/updates/2009/2009jan05.asp Mon, 05 Jan 2009 09:19:00 EDT Emergency Preparedness & Response Public Health