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Outbreak Response

Outbreak Response. TISWG, 2010 Rachel Wiseman, MPH DSHS Infectious Disease Control Unit. Mumps Outbreak, 2010. July 16: 2 mumps cases identified in county jail Since then: 10 additional cases in the county jail 1 possible community case identified 4 cases identified in a TDCJ facility

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Outbreak Response

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  1. Outbreak Response TISWG, 2010 Rachel Wiseman, MPH DSHS Infectious Disease Control Unit

  2. Mumps Outbreak, 2010 • July 16: • 2 mumps cases identified in county jail • Since then: • 10 additional cases in the county jail • 1 possible community case identified • 4 cases identified in a TDCJ facility • Several other community and correctional based suspects have been ruled out

  3. Public Health Response • Interview • Lab confirmation • Identify who was exposed • Locate exposed contacts • Quarantine exposed contacts (inmates) • Vaccinate contacts of exposed contacts • Education of cases and contacts • Continue to look for mumps in correctional facilities

  4. Parties Involved • Central Office • Immunizations Branch • Laboratory Services • Infectious Disease Control Unit • Five Health Service Regions • Two Local Health Departments • TDCJ (and UTMB) • Two County Jails • Four Hospitals • CDC

  5. Resources Used • Staff, staff, staff! • Over 1,600 MMR doses • Multiple vaccine clinics • Blast fax to local physicians and ERs • Media • CDC Consultation • Laboratory services • Private, state and federal

  6. Pertussis • California pertussis • 1,964 cases reported to CDC (8/7/10) • Spread throughout the state • Seven infant deaths reported • Texas pertussis • 1,519 cases reported to CDC (8/7/10) • Regionally focused distribution • No deaths reported

  7. Distribution of Texas Pertussis • Primarily in Central Texas in 2009 and 2010 • Multiple outbreaks identified in 2009 in two counties in Central Texas • Surveillance and laboratory practices specific to Central Texas led to over-identification of potential cases • Pertussis case definition not specific enough to rule out all symptomatic people • Case numbers continue to be elevated, possibly artificially • Surveillance/lab practices have been addressed to be uniform across the state and for all diseases

  8. Pertussis Campaigns • 2002 Controlling Pertussis in Texas--Provider Workshop • The Immunization Branch held a pertussis symposium for providers • 2002/2003 Pertussis Campaign • A parent and general audience awareness and education campaign • 2006 Pertussis Public Awareness Campaign • The incidence of pertussis continued, and in 2005 there were 9 deaths, a new campaign was launched to address the issue

  9. Pertussis Campaigns, cont’d • 2007 Pertussis Campaign • DSHS Immunization Branch conducted a campaign to raise public awareness of pertussis • 2008 4th DTaP Healthcare Provider Campaign • Campaign for healthcare providers on the importance of not missing opportunities to provide the fourth dose of DTaP • 2008 DTaP Study • Survey of children in ImmTrac who did not have the fourth DTaP to identify barriers to on-time DTaP

  10. Pertussis Campaigns, cont’d • 2010 Cocooning Initiative • The Immunization Branch has contracted with the Texas Medical Association (TMA), Texas Pediatric Society (TPS), Texas Academy of Family Physicians (TAFP), and Texas Association of Obstetricians & Gynecologists (TAOG) to promote the Cocooning strategy in all health care settings • TVFC Educational Message, Ongoing • Educational message on the importance of the fourth DTaP for Texas Vaccine for Children (TVFC) participating doctors’ offices

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