11111

Advice for Health Care Providers Treating Patients in or Recently Returned from Hurricane-Affected Areas, Including Puerto Rico and the US Virgin Islands

CDC HEALTH ADVISORY
Distributed via the CDC Health Alert Network
October 24, 2017, 1330 ET (1:30 PM ET)
CDCHAN-00408
 Advice for Health Care Providers Treating Patients in or Recently Returned from Hurricane-Affected Areas, Including Puerto Rico and the US Virgin Islands
Summary
The Centers for Disease Control and Prevention (CDC) is working with federal, state, territorial, and local agencies and global health partners in response to recent hurricanes. CDC is aware of media reports and anecdotal accounts of various infectious diseases in hurricane-affected areas, including Puerto Rico and the US Virgin Islands (USVI). Because of compromised drinking water and decreased access to safe water, food, and shelter, the conditions for outbreaks of infectious diseases exist.
The purpose of this HAN advisory is to remind clinicians assessing patients currently in or recently returned from hurricane-affected areas to be vigilant in looking for certain infectious diseases, including leptospirosis, dengue, hepatitis A, typhoid fever, vibriosis, and influenza. Additionally, this Advisory provides guidance to state and territorial health departments on enhanced disease reporting.
Background
Hurricanes Irma and Maria made landfall in Puerto Rico and USVI in September 2017, causing widespread flooding and devastation. Natural hazards associated with the storms continue to affect many areas. Infectious disease outbreaks of diarrheal and respiratory illnesses can occur when access to safe water and sewage systems are disrupted and personal hygiene is difficult to maintain. Additionally, vector borne diseases can occur due to increased mosquito breeding in standing water; both Puerto Rico and USVI are at risk for outbreaks of dengue, Zika, and chikungunya.
Health care providers and public health practitioners should be aware that post-hurricane environmental conditions may pose an increased risk for the spread of infectious diseases among patients in or recently returned from hurricane-affected areas; including leptospirosis, dengue, hepatitis A, typhoid fever, vibriosis, and influenza. The period of heightened risk may last through March 2018, based on current predictions of full restoration of power and safe water systems in Puerto Rico and USVI.
In addition, providers in health care facilities that have experienced water damage or contaminated water systems should be aware of the potential for increased risk of infections in those facilities due to invasive fungi, nontuberculous Mycobacterium species, Legionella species, and other Gram-negative bacteria associated with water (e.g., Pseudomonas), especially among critically ill or immunocompromised patients.
Cholera has not occurred in Puerto Rico or USVI in many decades and is not expected to occur post-hurricane.
Recommendations 
These recommendations apply to healthcare providers treating patients in Puerto Rico and USVI, as well as those treating patients in the continental US who recently traveled in hurricane-affected areas (e.g., within the past 4 weeks), during the period of September 2017 – March 2018. 

Continue reading

Print Friendly, PDF & Email
Share
Posted in Physician Resources | Tagged | Comments Off on Advice for Health Care Providers Treating Patients in or Recently Returned from Hurricane-Affected Areas, Including Puerto Rico and the US Virgin Islands

October 2017 Bulletin

OCt 2017 Bulletin

Click to read online

Opinion

Editorial …………………………. 346
How can I help me today?
Deval (Reshma) Paranjpe, MD, FACS

Editorial …………………………. 348
A new order?
John Kokales, MD

Perspective ……………………. 350
Pipelines: High school to college vs.high school to incarceration – The dark side of zero-tolerance policies for African-Americans
William Simmons, MD

 

 

 

 

Continue reading

Print Friendly, PDF & Email
Share
Posted in Benefits, BULLETIN, Physician Resources, Practice Management | Comments Off on October 2017 Bulletin

Lawrence John, MD Elected Vice President of the Pennsylvania Medical Society

Lawrence R. John, MD, a board-certified family medicine specialist from Pittsburgh, was elected by his peers to serve as vice president of the Harrisburg-based Pennsylvania Medical Society (PAMED).

Dr. John will serve one year as vice president. Afterwards, he becomes president-elect for one year. In October 2019, he’ll take over as president of the statewide organization.

Dr. John was elected to the position of vice president during the organization’s annual statewide meeting held this year in Hershey, Pa., on October 14. He begins his new position immediately.

A 39-year member of PAMED, he is currently chair of the board of trustees at the Allegheny County Medical Society (ACMS). He is also a past president of ACMS, and has held numerous positions with the organization. Most notable at ACMS, Dr. John leads its Primary Care Coalition to address issues affecting primary care physicians and to encourage more young physicians to choose a primary care specialty.

In addition, he holds memberships in the American Medical Association, American Academy of Family Practice, and American Board of Family Medicine.

In 2017, Pittsburgh Magazine named Dr. John as one of “Pittsburgh’s Best Doctors.”

Dr. John practices with Drs John Chantz Biedrzycki & Associates – UPMC, and is licensed in both Pennsylvania and Ohio. He is affiliated with UPMC St. Margaret’s Hospital, and is a clinical instructor in the Department of Family Medicine at the University of Pittsburgh School of Medicine.

He earned his medical degree from Case Western Reserve University in Cleveland, Ohio, and his bachelor’s degree from the University of Notre Dame in Indiana.

Print Friendly, PDF & Email
Share
Posted in News | Comments Off on Lawrence John, MD Elected Vice President of the Pennsylvania Medical Society

2017 Bulletin Photo Contest Results

The first-place winner of the 2017 ACMS Bulletin Photo Contest is Terence W. Starz, MD, for his photo “Evening Reflection.” His photo will appear on the January 2018 cover of the Bulletin. Congratulations, Dr. Starz!

 

Additional winners include: Frederick Doerfler Jr., MD (“Eclipse, Corona 2017” and “Reflections of 4th Avenue”); Alan H. Klein, MD (“Strasbourg, France” and “Portofino, Italy”); Jim Jacobson, MD (“Umbrella Sky” and “Point of View”); Kimberly A. Hennon, MD (“Blue Eyes in the Woods” and “Tranquility”); Adam Z. Tobias, MD (“Summer Sunflowers”); Leo Bastiens, MD (“Bugged”); and Mark E. Thompson, MD (“The Ibis Apartment, Venice, FL”). These photos will appear on 2018 covers of the Bulletin.

Congratulations to all winners, and thank you to all who participated in the 2017 ACMS Bulletin Photo Contest!

View all photos


 

 

Print Friendly, PDF & Email
Share
Posted in BULLETIN, Photo Contest, Uncategorized | Comments Off on 2017 Bulletin Photo Contest Results

Allegheny County Medical Society
713 Ridge Avenue
Pittsburgh, PA  15212
412-321-5030  FAX 412-321-5323