CDC releases new findings and prevention tools to improve food safety in restaurants
Email This Post
Notice to Healthcare Providers: Recognizing and Reporting Serogroup B Meningococcal Disease Associated with Outbreaks at Princeton University and the University of California at Santa Barbara
The purpose of this advisory is
1) to alert healthcare providers and health departments about a prolonged meningococcal disease outbreak at Princeton University and a recent outbreak at the University of California, Santa Barbara (UCSB), and the potential for cases to occur among students traveling to their home states for Thanksgiving break,
2) to advise healthcare providers about reporting suspected cases of meningococcal disease to the New Jersey Department of Health and California Department of Public Health, and
3) to provide information about PCR testing of isolates from serogroup B meningococcal disease cases at CDC.
Eight cases of serogroup B meningococcal disease have been reported in Princeton University students or persons with links to Princeton University during the last eight months, including three cases reported since September. One case occurred in a high school student who stayed in a Princeton dormitory and developed illness within one day of returning home; the other seven cases occurred in Princeton University undergraduate students. Three cases of serogroup B meningococcal disease have been reported among UCSB undergraduate students during the month of November. No epidemiologic links have been identified between the Princeton University and the UCSB cases. Although both outbreaks are caused by serogroup B, additional molecular typing shows that the outbreaks are being caused by two different strains, indicating that the outbreaks are not related.
The Centers for Disease Control and Prevention (CDC), the New Jersey Department of Health (NJDOH), Princeton University officials, and local health authorities have been working closely together since the first case of meningococcal disease associated with Princeton University was reported in March 2013. CDC, the California Department of Public Health, UCSB officials, and local health authorities have also been working closely together since the first case of meningococcal disease associated with UCSB was reported in November 2013.
Increased awareness of meningococcal disease and prompt early case recognition among healthcare providers is critical. If a Princeton University or UCSB student or a person who has had close contact with someone from those university communities develops a fever and headache or rash, meningococcal disease should be suspected; empiric treatment should be considered; blood or cerebrospinal fluid (CSF) cultures should be collected; and suspected cases should be reported to the local health department.
If there is a high degree of clinical suspicion for meningococcal disease, but CSF or blood specimens are sterile, CDC recommends sending specimens to the Meningitis Laboratory at CDC for polymerase chain reaction (PCR) testing. The CDC considers the risk of transmission of these strains beyond the university communities to be low. However, to monitor potential transmission of these strains, CDC is requesting that health departments send all isolates, whether or not they are linked to these universities, from serogroup B meningococcal disease cases occurring during November 1, 2013, through December 31, 2013, to the Meningitis Laboratory at CDC for further molecular testing. Please contact the Meningitis and Vaccine Preventable Diseases Branch at email@example.com to arrange shipment of isolates.
CDC does not recommend a change in normal activity to avoid contact with the affected universities or their students. Good hygiene practices such as handwashing, and coughing or sneezing into the arm are recommended. The licensed quadrivalent meningococcal vaccines are recommended for all adolescents 11 through 18 years old and first year college students living in residence halls, but these vaccines do not protect against serogroup B, the serogroup that is causing the Princeton University and UCSB cases. A serogroup B meningococcal vaccine, which is only licensed for use in Europe and Australia, will be offered at Princeton University. FDA has allowed the use of the vaccine at Princeton University under an Investigational New Drug application.
All suspect cases of invasive meningococcal disease associated with the two universities should be reported as follows:
Guidance on recommendations for prophylactic use of antibiotics in close contacts of persons with meningococcal disease is available at http://www.cdc.gov/mmwr/preview/mmwrhtml/rr6202a2.htm?s_cid=rr6202a2_w.
Where can I get additional information?
The Centers for Disease Control and Prevention (CDC) protects people’s health and safety by preventing and controlling diseases and injuries; enhances health decisions by providing credible information on critical health issues; and promotes healthy living through strong partnerships with local, national, and international organizations.
Department of Health and Human Services
HAN Message Types
This message was distributed to state and local health officers, state and local epidemiologists, state and local laboratory directors, public information officers, HAN coordinators, and clinician organizations.
“…………… We analyzed 849 arrests, with 52 at traditional centers, 84 at alternative exercise sites, and 713 at sites not associated with exercise. The site incident rates of arrests at indoor tennis facilities, indoor ice arenas, and bowling alleys were higher than at traditional fitness centers. Survival to hospital discharge was greater at exercise sites (56% at traditional and 45% at alternative) than at other public indoor locations (34%; p = 0.001)……………….”
CNN: “……China has told the United States to butt out of a territorial
dispute with Japan in the East China Sea …….”
CNN: “The U.S. warns China’s move to claim airspace over disputed
islands will only increase tensions with Japan………………..”
CN: “Do moves in an island dispute with Japan show a more assertive
An Aging Population And Growing Disease Burden Will Require A Large And Specialized Health Care Workforce By 2025
doi: 10.1377/hlthaff.2013.0714 Health Aff November 2013 vol. 32 no. 11 2013-2020
As the US population ages, the increasing prevalence of chronic disease and complex medical conditions will have profound implications for the future health care system. We projected future prevalence of selected diseases and health risk factors to model future demand for health care services for each person in a representative sample of the current and projected future population. Based on changing demographic characteristics and expanded medical coverage under the Affordable Care Act, we project that the demand for adult primary care services will grow by approximately 14 percent between 2013 and 2025. Vascular surgery has the highest projected demand growth (31 percent), followed by cardiology (20 percent) and neurological surgery, radiology, and general surgery (each 18 percent). Market indicators such as long wait times to obtain appointments suggest that the current supply of many specialists throughout the United States is inadequate to meet the current demand. Failure to train sufficient numbers and the correct mix of specialists could exacerbate already long wait times for appointments, reduce access to care for some of the nation’s most vulnerable patients, and reduce patients’ quality of life.
Science 25 October 2013: 415.[DOI:10.1126/science.342.6157.415]
Scientists have discovered a fifth dengue virus. The first new serotype discovered in a half century could complicate control efforts, especially the quest for a vaccine.
October 2013 Last updated at 05:20 ET