Housing & Harm Reduction Training Series Begins December 10, 2014

Housing & Harm Reduction:
Understanding and Implementing Harm Reduction Strategies in the Context of Supportive Housing

Training #1:
Wednesday, December 10, 2014, 8:00AM to 4:00PM
Saint Joseph Mercy Hospital Education Center
5305 Elliott Drive, Ypsilanti, MI

Morning Keynote Speaker:
“The Diagnosis of Destitution: Pain, Addiction, & the Complicated Patient”
Dr. Corey Waller

Center for Integrative Medicine
Spectrum Health, Grand Rapids, MI

    Afternoon Panelists:

Steve Aslum, The Grand Rapids Red Project
Lemont Gore, HIV/AIDS Resource Center
Pamela Lynch, MIWhoSoEver Collaborative

This training series is free! Intended for staff at:

 Housing and Homeless service providers
 Substance use disorder treatment providers
 Mental health providers
 Hospitals and clinics
 Law enforcement

Training #1 has been approved by the Michigan Social Work Continuing Education Collaborative for 4 CE hours.
*CAADC credits for MCBAP pending.*

register online:

http://bit.ly/1pjSKIk

Washtenaw County Flu Update

Washtenaw County Public Health has reported that since November 1, almost 40 cases of lab-confirmed influenza A have been reported in Washtenaw residents. Of the cases that have been subtyped, all have been A/H3. Six Washtenaw adults had flu-related hospitalizations last week; ages ranging from 57 – 93 years old.

On November 14, the first influenza outbreak in a long-term care facility in Washtenaw for this season was confirmed. Influenza A was detected in multiple residents on the same unit and three individuals were hospitalized. Samples have been sent to the State Lab for confirmation and subtyping.

Actions for Clinicians:

· Continue to promote vaccination in all persons 6 months and older.

· Consider antivirals for symptomatic individuals, especially if they are at high risk for complications from influenza infection. See the CDC webpage for current recommendations: http://www.cdc.gov/flu/professionals/antivirals/summary-clinicians.htm

See the Washtenaw County Flu Activity webpage for more details on local flu surveillance: http://www.ewashtenaw.org/government/departments/public_health/disease_control/ph_flusurveillance.html

Washtenaw County Medical Society Continues to Hold Ebola Preparedness Meetings

Ann Arbor, Mich, November 13, 2014 – The Washtenaw County Medical Society held its second Ebola Preparedness meeting for health and medical leaders within Washtenaw County. Over 40 representatives from Washtenaw County Public Health, The Michigan Department of Community Health, University of Michigan Health System, Saint Joseph Mercy Health System, Michigan Department of Community Health, EMS, and independent physician association Integrated Healthcare Associates (IHA) were present to discuss Ebola preparedness at all levels.

The group reviewed the Ebola virus situation worldwide and in the U.S. Representatives from Saint Joseph Mercy Health System and the University of Michigan Health System gave updates on their patient screening process, isolation plan for persons exposed to the virus, and training of clinical care teams. Also, Dr. Matt Davis, the Chief Medical Executive at MDCH, discussed the state preparations and answered questions from the group. The recently updated CDC Guidance for Monitoring and Movement of Persons with Potential Ebola Virus Exposure was reviewed and is currently being followed by Washtenaw County Public Health.

The group will meet again in 1-2 months (or sooner if necessary) to review Ebola preparedness efforts in Washtenaw County. “These meetings will help us all be on the same page regarding what we’ll do when, and if, a confirmed case of Ebola appears in Washtenaw County,” said Charles Koopmann, Jr., MD, Washtenaw County Medical Society President. Ebola has infected more than 13, 000 and killed more than 4,950 people since it broke out in West Africa earlier this year, according to the World Health Organization. The majority of the cases and deaths have occurred in Sierra Leone, Liberia and Guinea.

Washtenaw County Epi Update: Ebola 10/30/14

Washtenaw County Public Health (WCPH) is working with Michigan Dept of Community Health (MDCH) and Centers for Disease Control and Prevention (CDC) to actively monitor individuals with recent travel from Ebola-affected countries. Currently, these counties include Liberia, Guinea and Sierra Leone. Public Health will actively monitor the recent traveler for the 21 days after departure from the affected country. As of today, WCPH is actively monitoring one low risk traveler who is asymptomatic.

WCPH is following the Traveler Evaluation and Monitoring (TEAM) protocol recently developed for MDCH and Local Health Departments to conduct active monitoring and follow-up for travelers returning from Ebola-affected countries. Stated in this protocol, Michigan state and local authorities will require travelers to report the following information twice daily:

· Temperature

· Presence or absence of other Ebola symptoms such as headache, joint and muscle aches, weakness, diarrhea, vomiting, stomach pain, lack of appetite, or abnormal bleeding

· If they intend to move during the monitoring period

In the event a traveler does not report in, state or local public health officials will take immediate steps to locate the individual to ensure that active monitoring continues on a twice daily basis.

Actions for clinicians:

· Assess all clients for recent travel (within 21 days) from the affected countries.

· If they have a positive travel history, assess for symptoms. If they have symptoms, isolate patient and call MDCH at (517) 335-8165 regarding next steps.

· If asymptomatic with a positive travel history, ask the individual if they are being monitored by the Health Department. If yes, no further action needed. If they are not being monitored, please call MDCH at (517) 335-8165.

Feel free to call us here at WCPH at (734) 544-6700 if you have questions.

CDC guidance for active monitoring of travelers and individuals exposed to Ebola:

http://www.cdc.gov/vhf/ebola/exposure/monitoring-and-movement-of-persons-with-exposure.html

MDCH guidance and resources on Ebola: http://www.michigan.gov/ebola

Washtenaw County Medical Society Holds First Ebola Preparedness Meeting

Ann Arbor – The Washtenaw County Medical Society held its first Ebola Preparedness meeting for health and medical leaders within Washtenaw County. Representatives from Washtenaw County Public Health, University of Michigan Health System, Saint Joseph Mercy Health System, Michigan Department of Community Health, and independent physician association Integrated Healthcare Associates (IHA) were present to discuss Ebola preparedness at all levels. Over 40 health care professionals were present at the meeting. The group discussed the personal protective equipment (PPE) that will be used by healthcare workers caring for possible patients with the Ebola virus, including rigorous and repeated training of donning and doffing of PPE, the newly introduced CDC guidelines stressing no skin exposure when PPE is worn, and the use of a trained observer to monitor PPE use and safe removal. The group also discussed the screening and management of possible Ebola patients; including quarantine guidelines and proper procedures when a healthcare worker may become exposed to the Ebola virus. “These meetings will help us all be on the same page regarding what we’ll do when, and if, a confirmed case of Ebola appears in Washtenaw County,” said Charles Koopmann, Jr., MD, Washtenaw County Medical Society President. The group will meet again in several weeks to further discuss these issues as well as bring additional stakeholders to the table.

WCMS Survey – Take the Survey and Win a New iPad

We would like to have a better understanding of the concerns and interests of physicians in Washtenaw County, in order to provide you with more relevant and useful services.

This survey will take you less than 10 minutes to complete. Your survey responses are completely anonymous. Upon completion, you may choose to enter a drawing for a new iPad Mini with retina display.

Your opinions are important, and your participation would be very much appreciated. To start the survey, click this link: https://www.surveymonkey.com/s/9GJVWFG

CDC Releases New Guidelines for Personal Protective Wear for Healthcare Workers Treating Patients with the Ebola Virus

Yesterday, the CDC released new detailed guidance on the types of personal protective equipment (PPE) to be used and on the processes for donning and doffing (i.e., putting on and removing) PPE for all healthcare workers entering the room of a patient hospitalized with Ebola virus disease (Ebola). For that information, and to read the CDC’s other recommendations, please click on the following link:

http://www.cdc.gov/vhf/ebola/hcp/procedures-for-ppe.html

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