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NCW APIC Public Health Update

NCW APIC Public Health Update. September, 2008. Public Health Update. MRSA Data Safe injection practices Infection control for LHDs Pressure ulcer coalition New epidemiologists. MRSA. Wisconsin legislation APIC/BCD MRSA survey Metastar projects SafeCare Wisconsin

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NCW APIC Public Health Update

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  1. NCW APIC Public Health Update September, 2008

  2. Public Health Update • MRSA • Data • Safe injection practices • Infection control for LHDs • Pressure ulcer coalition • New epidemiologists

  3. MRSA • Wisconsin legislation • APIC/BCD MRSA survey • Metastar projects • SafeCare Wisconsin • MRSA infection reduction in acute care

  4. Figure 1. Number of persons reported with HIV infectionby year of report, Wisconsin, 1990-2007 Average number of cases 1998-2007 = 383 7 cases/100,000 population

  5. 66% increase Reported cases of STD* by year of diagnosis, Wisconsin , 1997-2007 * Chlamydia, gonorrhea, syphilis and genital HSV infection.

  6. WI Antibiotic Resistance ReportInvasive S. pneumoniae • Invasive isolates with high-level penicillin resistance decreased from 8.5% in 2005 to 4.8% in 2006. • Isolates with reduced susceptibility to multiple drugs (penicillin and two or more beta lactam antibiotics) increased from 6.2% in 2005 to 8.3% in 2006. • Only two isolates with fluoroquinolone resistance • Total of non-susceptible isolates decreased in the Western, Southern and Northern Regions but increased in the Northern and Southeastern Regions.

  7. WNV How many confirmed/probable human cases in WI for 2008 to date?

  8. Tuberculosis • 70 cases in WI in 2007 compared to 75 in 2006 • About 250,000 WI residents are infected • Milwaukee County: 30 cases in 2007 • ___ and ___Counties each had 4 cases

  9. HCW Influenza Vaccination 2007 • 107 facilities made the 80% Club • 35 hospitals (25%) • 72 nursing homes (18%)

  10. WI Immunization Data • 81% vaccination rate by age 2 • 93% vaccination rate by school age • 3% opt out under personal conviction • 0.4% opt out for religious reasons

  11. Measles • 131 cases in US from January through July • 7 confirmed cases in southeastern WI • 2 cases of rubella

  12. Recommendations for HCW March 14, 2008 memo from DPH and WCIP: Acceptable evidence of rubella immunity is documented vaccination OR a positive titer

  13. Recommendations for HCW “Negative measles, mumps, rubella, or varicella titers in immunized persons cannot be interpreted as non-immune status, therefore testing of HCW for immunity after documented receipt of these vaccines is not recommended.”

  14. Safe Injection Practices • Outbreaks of Hepatitis C in NY, OK, NE, and Nevada due to unsafe injection practices • Typical sources of transmission • Re-use of syringes • Use of multi-dose vials on more than one patient • CDC estimates 1-3% of health care workers have unsafe injection practices

  15. Infection Control for LHDs • Information will be posted on the DHS website • Std and transmission based precautions • BBP standard • Respiratory protection • TB • PPE • Pandemic influenza • FAQ

  16. WI Pressure Ulcer Coalition One year initiative to emphasize ways to prevent pressure ulcers in all HC settings • WAHSA • WHCA • Metastar • DQA • Rural Health Cooperative

  17. Carrie Nielson, PhD EIS officer

  18. Stephanie Schauer, PhD Immunization Program

  19. Gwen Borlaug, CIC, MPHBureau of Communicable Diseases 1 West Wilson Street Room 318Madison, WI 53702608-267-7711gwen.borlaug@wisconsin.gov

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