4th Quarter Bulletin Online

Upcoming Washtenaw County Updates and Events

Please see the upcoming events from our Washtenaw County partners:

Save the Date: 2015 Conference on Adolescent Health

The UMHS Adolescent Health Initiative presents the 2nd Annual Conference on Adolescent Health: Translating Research Into Practice

Thursday, April 23rd-Friday, April 25th at the Ann Arbor Marriott Ypsilanti at Eagle Crest

Workshops and Breakout Sessions include Motivational Interviewing, Adolescent Brain Development, Minor Consent and Confidentiality, Social Media and Technology, Dating Violence, ADHD and much, MUCH more! http://www.cvent.com/events/2015-conference-on-adolescent-health/event-summary-4ff462a938bc4910af4c194d84ac61be.aspx


Women’s Health and Fitness Day

An annual FREE community event sponsored by the American Medical Women’s Association (AMWA) at the University of Michigan Medical School. Our goal is the raise awareness about health and fitness issues important to women of all ages. The event will be on Saturday January 10, at Ypsilanti High School. Register online at http://www.umich.edu/~amwa/whfd/. Walk-ins are also welcome.

Annual Depression on College Campuses Conference

Join us March 11-12, 2015 to learn about new research findings and model programs which demonstrate how a focus on managing the climate of stress on campus and helping students to cope more effectively with the inevitable bouts of stress that will occur can improve overall student wellness and allow students to achieve their full potential. The conference will feature a choice of intensive three-hour workshops in addition to keynote presentations, panel discussions, and concurrent sessions. Registration is now open. Find details, nominate someone for the Student Mental Health Advocate Award and register online at http://www.depressioncenter.org/docc/

Up

Washtenaw County Public Health Influenza Surveillance – 12/16/14

Lab-confirmed Cases: Reports of confirmed influenza in Washtenaw County are very high. The predominant strain being reported locally is A/H3N2, with a few cases of influenza B reported as well. The age range of confirmed flu cases is 1 to 100 years old.

Please see the local flu curve:

http://www.ewashtenaw.org/government/departments/public_health/disease_control/flu-graph-16dec2014

Hospitalizations and Deaths:
New flu-related hospitalizations reported in Washtenaw residents last week were higher than at any time in the past 5 years. The majority of local hospitalizations (68%) are in individuals 65 years and older. The first hospitalized cases in Washtenaw children have been reported, representing 5% of the total flu hospitalizations to date. The age range of hospitalized children is 7 to 16 years; none received flu vaccine this season.

Hospitalizations and Deaths in Washtenaw Residents with Confirmed Influenza

Total Hospitalizations (starting September 28)
76

Hospitalizations Week of 12/7 – 12/13/14
39

Child Deaths
0
(0 – 17 years)

Adult Deaths
(18 years and older)
0

Flu Vaccine Availability

Currently, vaccine supply is good. Washtenaw County Public Health still has flu vaccine available for all ages. Please call (734) 544-6700 for an appointment.

For local influenza information: http://www.ewashtenaw.org/flu

For Michigan influenza information: http://www.michigan.gov/flu

For national information: http://www.cdc.gov/flu

Health Care Providers: New Childhood Immunization Guidelines will Mean Healthier, Safer Michigan

LANSING, MI – Dec. 11, 2014 – Physician, nurse and health care leaders from across Michigan issued the following joint statement in support of new childhood immunization guidelines developed by the Snyder Administration and approved today by the Legislature’s Joint Committee on Administrative Rules:

“Childhood immunizations protect our kids from dangerous infectious diseases such as measles, mumps and whooping cough, but more and more Michigan kids are at risk as non-medical exemption rates rise and immunization rates fall. In fact, Michigan unfortunately boasts the nation’s 4th highest rate of vaccination exemptions. This puts everyone at risk.

“Today’s update to state regulations regarding immunizations is about information and education and ensuring parents have enough of both as they make critical health decisions that impact their families and communities. Families choosing not to immunize their children will still be able to do so, but they will be supported with a consistent, detailed assessment of the personal and public health implications of their choices. We commend the Snyder Administration, state Senator Jim Marleau, and lawmakers for their leadership on this essential issue and for making this important update to state rules.”

The Michigan Academy of Family Physicians, Michigan State Medical Society, Michigan Osteopathic Association, Michigan Chapter of the American Academy of Pediatrics, the Michigan Association of School Nurses, the Michigan Council for Maternal and Child Health, the School Community Health Alliance of Michigan, the Michigan Association of Health Plans, and the Michigan Association for Local Public Health are working together to protect Michigan children by increasing immunization rates and immunization awareness across the state.

Two Cases of Measles Confirmed in NW Michigan

Please share the following with all primary care personnel, urgent/emergency care clinicians,
and infection control/prevention specialists.

Two cases of measles have been confirmed in northwest Michigan. Both cases lacked a vaccination history against measles and recently had traveled to the Philippines where they were exposed. These are the first measles cases in Michigan in 2014. The public health investigation and response is currently ongoing.

Since late 2013 the Philippines has been experiencing a measles outbreak, exceeding 50,000 cases and over 100 deaths. Other Western Pacific Region countries have also been reporting measles outbreaks. In addition measles is endemic in many other parts of the world. This year the U.S. has experienced considerably more measles cases than usual with over 600 confirmed measles cases, the most in the U.S since 1994.

Many healthcare providers in the United States have never seen a patient with measles and may not recognize the signs and symptoms.

Michigan healthcare providers should consider measles in the initial differential diagnosis of patients who
a. present with febrile rash illness and clinically compatible measles symptoms [cough, coryza (or runny nose) or conjunctivitis (pink eye)]
b. recently traveled internationally or were exposed to someone who recently traveled
c. have not been vaccinated against measles

If you suspect measles in a patient, do the following immediately:

1.Promptly isolate patients to avoid disease transmission; measles is highly communicable.
2.Immediately report the suspect measles case to their health department.
3.Obtain specimens for testing from patients with suspected measles, including viral specimens – recommended specimens are 1) serum and 2) throat swab (place swab in viral transport media)

All international travelers should be protected against measles. Persons uncertain of their measles vaccination history or immunity status should receive measles-containing vaccine, such as MMR, preferably 2 or more weeks prior to start of travel.

CDC guidance for healthcare providers can be found at http://www.cdc.gov/measles/hcp/index.html and http://www.cdc.gov/vaccines/pubs/surv-manual/chpt07-measles.html.

Additional Michigan guidance (Key Facts about Measles) is available at

Click to access KeyFacts_Measles_392862_7.pdf

Washtenaw County Flu Update

Lab-confirmed Cases: Reports of confirmed influenza in Washtenaw County are climbing quickly. The predominant strain being reported locally is A/H3N2, with a few cases of influenza B reported as well. The age range of confirmed flu cases is 2 to 99 years.

· 0 – 4 yrs = 7%

· 5 – 17 yrs = 26%

· 18 – 29 yrs = 12%

· 30 – 49 yrs = 15%

· 50 – 64 yrs = 15%

· 65 and older = 25%

Please see the local flu curve:

http://www.ewashtenaw.org/government/departments/public_health/disease_control/flu-graph-3dec2014

Hospitalizations and Deaths: Flu-related hospitalizations in Washtenaw residents are increasing. The great majority of local hospitalizations are in individuals 70 years and older (76%). No reported hospitalizations have occurred in children (0 – 17 years) to date. 81% of cases are female. Influenza A was detected in all hospitalized patients (except for one influenza B), with H3N2 the only A subtype found. No deaths in Washtenaw residents have been reported.

Hospitalizations and Deaths in Washtenaw Residents with Confirmed Influenza

Total Hospitalizations*
21

Hospitalizations
Week ending 11/29/14
3

Child Deaths*
(0 – 17 years)
0

Adult Deaths*
(18 years and older)
0
*Starting Sept 28, 2014

The Washtenaw hospitalization graph is available on our website:

http://www.ewashtenaw.org/government/departments/public_health/disease_control/flu-hospitalizations-3dec2014

Facility outbreak: On November 13, an outbreak of influenza was reported on a memory care unit in Washtenaw County. Nine residents were confirmed with influenza A/H3 and at least 3 were hospitalized.

Flu Vaccine Information

Vaccine match: The Centers for Disease Control and Prevention (CDC) announced on December 3 that of the A/H3N2 strains tested nationally, about half had drifted from the strain in the vaccine. This will likely mean reduced effectiveness of the vaccine. However, other circulating flu strains in the U.S. continue to match the vaccine formulation. Vaccination remains our best tool to prevent influenza infection.

CDC press release: http://www.cdc.gov/media/releases/2014/p1204-flu-season.html

Vaccine availability: Currently, vaccine supply is good. Washtenaw County Public Health still has flu vaccine available for all ages. Please call (734) 544-6700 for an appointment.

For local influenza information: http://www.ewashtenaw.org/flu

For Michigan influenza information: http://www.michigan.gov/flu

For national information: http://www.cdc.gov/flu