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Stay updated on the latest reportable disease list changes, with new mandatory conditions nationally and proposals at the state level. Improve detection of potential threats and understand the process for submitting isolates and specimens. Sign up for alerts and access tools like REDCap. Current influenza activity and Hepatitis A outbreak information included. Follow the evolving guidelines for disease reporting!
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Outbreak Response Update Cat Waters, BSN, RN, ORS Nurse Manager Dirk Haselow, MD, PhD, State Epidemiologist
Topics • Reportable disease list update • HAN/alerts for ICPs • REDCap • Flu update • Hepatitis A update
Reportable Disease List Rules and Regs update- still in process, will send out alert when final
Reportable Disease List Conditions newly made mandatorily reportable nationally: • Carbapenem-resistantEnterobacteriaciae (CRE): These rare but highly drug-resistant infections are emerging nationally as an important clinical problem. They are highly fatal and often reflect major deviations in recommended antibiotic prescribing and thus are a focus of intensive infection containment and quality improvement efforts.
Reportable Disease List Conditions newly defined nationally: Candida Auris (Candida haemulonii): • This non-albicansCandida species emerged internationally in the last 12 months and has been found to be resistant to all anti-fungal medicines. Infections are often fatal and risk factors are poorly defined. Identifying the organism is challenging and it is routinely mis-identified as C. haemulonii, so we propose to add both rare organisms to the list.
Reportable Disease List Conditions newly proposed to be added at the state level: • Bacillus cereus as well as Bacillus species that cannot be ruled out as B. anthracis or B. cereus bvanthracis, and Yersinia enterocolitica: Both B. cereus and Y. enterocoliticaare rarely diagnosed, but are thought to be an important cause of preventable foodborne disease outbreaks. If an Arkansan tests positive for these infections via a lab test, we would want to know of it.
Reportable Disease List Conditions proposed to be removed from the state’s reportable disease list: Non-fatal and non-hospitalized influenza infection- We still intend to require that all influenza hospitalizations and deaths be reported as before.
Reportable Disease List Conditions added to improve detection of potential terrorist events/radiation misadministration: • Suspected unintentional radiation exposure • Clinical radiation adverse event
Reportable Disease List Updates regarding isolates or specimens that must be submitted to the ADH public health laboratory: • Bacillus cereus bvanthracisor Bacillus species that cannot be ruled out as B. anthracisor B. cereus bvanthracis, • Candida Auris (Candida haemulonii),
Reportable Disease List Updates regarding isolates or specimens that must be submitted to the ADH public health laboratory: • Vibrio Cholera, V. parahaemoliticus, V. vulnificus, • Brucellosis, • Melioidosis (Burkholderiapseudomallei), • Glanders (Burkholderia mallei)
Reportable Disease List Clarifications: • All outbreaks of diseases on the list (or other emerging diseases not specifically mentioned on the list) should be reported immediately (within 4 hours) via phone to the ADH • All unusually drug resistant infections should be reported within 24 hours to the ADH
Arkansas Health Alert Network (HAN) Sign up today for alerts and information: https://www.healthy.arkansas.gov/programs-services/topics/arkansas-health-alert-network-han OR https://hanregistration.adh.arkansas.gov/Security/SignIn.aspx • Alerts sent out to ICP’s as needed
REDCap • Report communicable diseases and upload documents without having to fax them in: REDCaplink –http://j.mp/2pwiUli
Current Influenza Activity • Arkansas is reporting “Sporadic” activity for geographic distribution and “Minimal 1/10” for intensity. ~baseline • Looks like it will be an Influenza A H1N1 dominant season, things may change (flu is unpredictable). • Last year we had an A H3N2 season. • Had 2 influenza related deaths in AR already • Outpatients and emergency ILI visits are at baseline
Influenza Reporting to ADH • Report influenza cases that are hospitalized, all influenza deaths (all ages), and any unusual clusters or concerns. • Encourage your facility to continue to report flu testing on all patients if this can be done without a significant time burden on your staff • Currently in the process of changing the Rules and Regulations for reporting to no longer require individual reporting of routine, non-hospitalized cases
Influenza Reporting to ADH • Influenza Surveillance Web Reporting is Now Available to Replace the Fax Reporting • The direct link to the website is https://flureport.adh.arkansas.gov/. • You can also use the main ADH page http://www.healthy.arkansas.gov/ • using the A-Z index, look for “Seasonal Flu” and then “Flu Reporting” link is on the left menu. • Or click Diseases & Conditions, Influenza (Flu).
