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  • February 2019 Florida Department of Health - Hillsborough County

    Disease Surveillance Newsletter

    1

    EpiNotes

    Ron Desantis

    Governor Mission: To protect, promote & improve the health of all

    people in Florida through integrated state & community

    efforts.

    Vision: To be the Healthiest State in the Nation

    Director

    Douglas Holt, MD

    813.307.8008

    Medical Director (HIV/STD/EPI)

    Charurut Somboonwit, MD

    813.307.8008

    Medical Director (TB/Refugee)

    Beata Casanas, MD

    813.307.8008

    Medical Director (Vaccine Outreach)

    Jamie P. Morano, MD, MPH

    813.307.8008

    Community Health Director

    Leslene Gordon, PhD, RD, LD/N

    813.307.8015 x7107

    Disease Control Director

    Carlos Mercado, MBA

    813.307.8015 x6321

    Environmental Administrator

    Brian Miller, RS

    813.307.8015 x5901

    Epidemiology

    Michael Wiese, MPH, CPH

    813.307.8010 Fax 813.276.2981

    TO REPORT A DISEASE:

    Epidemiology

    813.307.8010

    After Hours Emergency

    813.307.8000

    HIV/AIDS Surveillance

    Erica Botting

    813.307.8011

    Lead Poisoning

    Cynthia O. Keeton

    813.307.8015 x7108 Fax 813.272.6915

    Sexually Transmitted Disease

    Sophia Romeus

    813.307.8045 Fax 813.307.8027

    Tuberculosis

    Irma B. Polster

    813.307.8015 x4758 Fax 813.975.2014

    Articles and Attachments Included This Month

    Health Advisories and Alerts 1

    January 2019 Reportable Disease Summary 2

    Florida Food Recalls 5

    Greater Tampa Bay Area Community Health Needs Assessment 5

    County Influenza Report 6

    New Synthetic Cannabinoid Alert 7

    Community Health Needs Assessment Flyer 8

    Reportable Diseases/Conditions in Florida, Practitioner List 10

    FDOH, Practitioner Disease Report Form 11

    • DOH-MIAMI-DADE IDENTIFIES CASE OF HEPATITIS A IN FOOD WORKER; ENCOURAGES VACCINATION

    • FREE Continuing Education from MMWR and Medscape: Update: Recommendations of the Advisory Committee on Immunization Practices for Use of Hepatitis A Vaccine for Postexposure Prophylaxis and for Preexposure Prophylaxis for International Travel

    • 2019 Child/Adolescent and Adult Immunization Schedules are now available!

    • CDC Travel Notices:

    • Drug Resistant Infections in Mexico: Recently, some US

    residents returning from Tijuana, Baja California, Mexico,

    were diagnosed with infections caused by an antibiotic-

    resistant form of Pseudomonas aeruginosa bacteria after

    receiving an invasive medical procedure.

    • Yellow Fever in Nigeria

    • Ebola in Democratic Republic of the Congo

    Health Advisories, News, and Alerts

    http://miamidade.floridahealth.gov/newsroom/2019/02/2019-02-15-Hepatitis-A-Press-Release.html http://miamidade.floridahealth.gov/newsroom/2019/02/2019-02-15-Hepatitis-A-Press-Release.html https://www.cdc.gov/mmwr/cme/medscape_cme.html 2019%20Child/Adolescent%20and%20Adult%20Immunization%20Schedules%20are%20now%20available! 2019%20Child/Adolescent%20and%20Adult%20Immunization%20Schedules%20are%20now%20available! https://wwwnc.cdc.gov/travel/notices/alert/drug-resistant-infections-mexico https://wwwnc.cdc.gov/travel/notices/watch/yellow-fever-nigeria https://wwwnc.cdc.gov/travel/notices/alert/ebola-democratic-republic-of-the-congo

  • 2 February 2019

    January Reportable Disease Summary – Enteric Infections

    January Reportable Disease Summary – Other Common Reportable

    Infections

    17.0

    5.7

    2.3 4.3

    18.7

    6.7

    0.7

    22

    8

    4

    8

    22

    5

    0

    Campylobacteriosis Cryptosporidiosis Escherichia coli, Shiga toxin-

    producing (STEC)

    Giardiasis Salmonellosis Shigellosis Vibriosis

    January 2016-2018 Average

    January 2019

    0.0

    6.0

    4.7

    0.0 0.3 0.0 1.3

    0.70

    12

    4

    0

    2

    0 1

    0

    Mumps Pertussis Varicella Listeriosis Meningitis (Bacterial,

    Cryptococcal, Mycotic)

    Meningococcal Disease

    Legionellosis Vibriosis

    January 2016-2018 Average

    January 2019

    These vaccine reportable diseases are summarized monthly in the state Vaccine

    Preventable Disease Report, which is available online at:

    http://www.floridahealth.gov/diseases-and-conditions/vaccine-preventable-

    disease/vaccine-preventable-disease-report-archive.html

    Cases of pertussis were above average,

    including a family cluster of three cases

    and nine unrelated cases.

    http://www.floridahealth.gov/diseases-and-conditions/vaccine-preventable-disease/vaccine-preventable-disease-report-archive.html http://www.floridahealth.gov/diseases-and-conditions/vaccine-preventable-disease/vaccine-preventable-disease-report-archive.html

  • 3 February 2019

    January Reportable Disease Summary – Arboviral Infections

    Cases of any infection are reported based on the county where the person’s home address is.

    Hillsborough County has reported infections of imported mosquito-borne diseases every year,

    which means the individual was infected while traveling outside of the county. Hillsborough

    County did not have any infections of chikungunya, dengue, zika, or malaria acquired through

    mosquitos in our county in 2018.

    The Florida Department of Health releases a weekly arboviral surveillance report that is

    available here: http://www.floridahealth.gov/%5C/diseases-and-conditions/mosquito-borne-

    diseases/surveillance.html

    0.3 0.0 0.0 0.0

    2.3

    0 0 0 0 0

    Chikungunya Dengue Lyme Disease Malaria Zika Fever

    January 2016-2018 Average

    January 2019

    The data in these charts represent the most common reportable diseases investigated by the

    Epidemiology Program. All of the state’s reportable disease data is available for the public to search

    on FL CHARTS here: http://www.flhealthcharts.com/charts/CommunicableDiseases/default.aspx To

    build your own search, click on the link for “Reportable Diseases Frequency Report”.

    The case numbers for 2018 and 2019 are provisional and subject to change until the yearly

    database is closed, usually around April of the following year. Once the numbers are finalized, the

    state puts together a comprehensive Florida Annual Morbidity Statistics Report that details case

    trends and notable outbreak investigations. The report for 2017 and previous years are available at:

    http://www.floridahealth.gov/diseases-and-conditions/disease-reporting-and-management/disease-

    reporting-and-surveillance/data-and-publications/fl-amsr1.html

    http://www.floridahealth.gov/%5C/diseases-and-conditions/mosquito-borne-diseases/surveillance.html http://www.floridahealth.gov/%5C/diseases-and-conditions/mosquito-borne-diseases/surveillance.html http://www.flhealthcharts.com/charts/CommunicableDiseases/default.aspx http://www.floridahealth.gov/diseases-and-conditions/disease-reporting-and-management/disease-reporting-and-surveillance/data-and-publications/fl-amsr1.html http://www.floridahealth.gov/diseases-and-conditions/disease-reporting-and-management/disease-reporting-and-surveillance/data-and-publications/fl-amsr1.html

  • 4 February 2019

    January Reportable Disease Summary – Viral Hepatitis

    January 2018 to Date Case Summary

    Total Number of cases 103

    Number of cases acquired in Florida or Unknown 96

    Age Mean 38

    Median 38

    Min-max 19-71

    Cases by Age Category Number (%) 0-18 0 (0)

    19-29 20 (21)

    30-39 38 (40)

    40-49 27 (28) 50-59 8 (8)

    60+ 3 (3)

    Gender Number (%)

    Female 28 (29) Male 68 (71)

    Race Number (%)

    White 86 (90)

    Black 2 (2) Other 6 (6)

    Unknown race 2 (2)

    Ethnicity Number (%)

    Non-Hispanic 85 (89) Hispanic 9 (9)

    Unknown ethnicity 2 (2)

    Hillsborough County is currently

    experiencing a large increase in

    infections of hepatitis A, which is

    a viral infection transmitted

    through the fecal-oral route.

    There is a vaccine available to

    prevent hepatitis A.

    0.7 4.0 1.7 24.3

    103.3

    19 4 0

    31

    118

    Hepatitis A Hepatitis B (Acute) Hepatitis C (Acute) Hepatitis B (Chronic) Hepatitis C (Chronic)

    January 2016-2018 Average

    January 2019

    62% 29%

    9%

    Hepatitis A Cases That Report Drug Use as Risk Factor

    Yes No Unknown

  • 5 February 2019

    Florida Food Recalls (January 20, 2019 – February 20, 2019)

    GREATER TAMPA BAY AREA RESIDENTS URGED TO TAKE

    COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY

    Brand Name Food Date of Recall Health Risk

    Lean Culinary Services, LLC Ready to Eat Chicken Salad

    Products 2/19/2019 Listeria Details

    Richwell Group, Inc. Siluriformes Products

    (Sheat fish) 2/5/2019

    Without Benefit

    of Inspection Details

    Sound Shellfish (WA‐1400‐SS) and

    Hama Hama Company (WA‐0259