COCA Email Updates: December 19 - January 3

Available for download: January 3, 2017, COCA Email Update

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COCA News and Announcements

Upcoming COCA Calls:

No upcoming calls at this time.

Recent COCA Calls:

Gearing up for the Travel Season: How Clinicians Can Ensure Their Patients are Packed with Knowledge on Zika Prevention
Date: Thursday, December 8, 2016
Throughout this holiday season, many clinicians will see patients who plan to travel or have recently traveled to areas with active Zika transmission. During this COCA Call, clinicians will learn about current CDC travel recommendations, how to determine which patients should receive Zika testing after traveling to an area with Zika, and the recommendations for patients before and after travel to help them protect themselves and others from Zika.

Archived COCA Conference Calls

Free continuing education credits (CME, CNE, ACPE, CEU, CECH, and AAVSB/RACE) are available for most calls. More information about free CE.

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CDC Emergency Response

2016 Zika Virus

NEW: MMWR: Zika Virus—10 Public Health Achievements in 2016 and Future Priorities
Seventy years after CDC was founded to fight mosquitoes that carried malaria, CDC found itself entrenched in combat with another mosquito-borne illness, Zika virus. CDC activated its Emergency Operations Center to fight Zika on January 22, 2016, after a widespread Zika outbreak in the Americas was linked to a large increase in the number of babies born with microcephaly. As the emergency response approaches one year, CDC’s Morbidity and Mortality Weekly Report highlights 10 critical contributions towards the fight against Zika virus this year.

NEW: Information Sheets for Patients
What to know: If your doctor suspects microcephaly during pregnancy
What to know: If your baby was born with congenital Zika syndrome
What to know: If your baby may have been affected by Zika but has no related health conditions at birth

Zika Virus Information for Healthcare Providers

Key Messages - Zika Virus
A collection of the most up-to-date and cleared information on the ongoing Zika virus outbreak.

Zika Training for Healthcare Providers
View recorded webinars and on-demand trainings.

Print Resources in Different Languages
CDC fact sheets and posters for distribution to patients are available in languages, including Spanish, Arabic, Tagalog, Vietnamese, Mandarin, Creole, and Korean. These resources cover a variety of topics, including travel information, insect repellent, sexual transmission, and mosquito control.

Clinicians Caring for Pregnant Women and Women of Reproductive Age 

Pregnancy and Zika Testing Clinical Algorithm
The interactive clinical algorithm allows healthcare providers to receive recommendations tailored to their pregnant patients with possible Zika exposure. Healthcare providers can answer questions about pregnant patients and, based on the responses, receive information regarding the type of testing indicated as well as clinical management recommendations. It can be used on computers and mobile devices/tablets.

U.S. Zika Pregnancy Registry
CDC and state, tribal, local, and territorial health departments request that healthcare providers, especially obstetric and pediatric healthcare providers, participate in the US Zika Pregnancy Registry.

Clinical Guidance for Healthcare Providers Caring for Pregnant Women

Clinical Guidance for Healthcare Providers Caring for Women of Reproductive Age

Clinicians Caring for Infants and Children

Measuring Infant Head Circumference: An Instructional Video for Healthcare Providers in English and Spanish
CDC is working to ensure that infants with microcephaly and other brain abnormalities receive the services they need. Accurately identifying infants with microcephaly is crucial. The goal of this instructional video is to provide clinicians with the tools needed to accurately measure infant head circumference and length.
In English: https://www.youtube.com/watch?v=HWV1JdAhsSo
En Español: https://www.youtube.com/watch?v=tPBxXkIIjt0

Clinical Guidance for Healthcare Providers Caring for Infants & Children

Sexual Transmission

Zika and Sexual Transmission

Travel Information

Advice For People Living In or Traveling to Brownsville, Texas
On December 14, 2016, CDC issued guidance related to Zika for people living in or traveling to Brownsville, Cameron County, TX and has designated Brownsville as a Zika cautionary area (yellow area).. On November 28, the Texas Department of State Health Services reported the state’s first case of local mosquito-borne Zika virus infection in Brownsville. Additional cases of mosquito-borne Zika have been identified in the area, suggesting that there is a risk of continued spread of Zika virus in Brownsville.

Zika Travel Information

Advice for People Living in or Traveling to South Florida
On December 9, 2016, CDC removed the red area designation for the remaining 1.5-square-mile area of South Miami Beach after three mosquito incubation periods (45 days) passed without any new locally transmitted cases of Zika. Guidance for yellow areas now applies to the South Miami Beach area and all of Miami-Dade County.

Clinical Evaluation and Testing

NEW: ZIKV Detect IgM Capture ELISA by InBios International, Inc: FDA Safety Communication—Wait for Confirmatory Test Results Before Making Patient Management Decisions – (FDA)
FDA is alerting physicians who care for pregnant women meeting CDC Zika virus clinical criteria and/or CDC Zika virus epidemiologic criteria that the U.S. commercial testing facility, Laboratory Corporation of America (LabCorp), has reported some false positive results from the ZIKV Detect test.

Guidance for U.S. Laboratories Testing for Zika Virus Infection 
The guidance was updated to be inclusive of the currently available Emergency Use Authorization (EUA) assays; it takes into account the recent updates to the CDC Trioplex Real-time RT-PCR Assay EUA, which includes the addition of whole blood as an acceptable specimen type. The updated guidance also specifies that plaque reduction neutralization testing (PRNT) confirmation is currently not routinely recommended in Puerto Rico, where dengue is endemic.

Clinical Evaluation & Disease
Zika virus is transmitted to humans primarily through the bite of an infected Aedes species mosquito. The most common symptoms of Zika virus disease are fever, rash, joint pain, and conjunctivitis. Most people infected with Zika virus are asymptomatic. Characteristic clinical findings are acute onset of fever with maculopapular rash, arthralgia, or conjunctivitis. Other commonly reported symptoms include myalgia and headache.

Testing for Zika Virus
Contact your state or local health department to facilitate testing.

State, Local, Tribal and Territorial Health Department Resources

State, Local, Tribal, and Territorial Health Department Resources

Interim CDC Zika Response Plan
The purpose of this document is to describe the CDC response plan for the first locally acquired cases of Zika virus infection in the continental United States and Hawaii.

Zika Community Action Response Toolkit (Z-CART)
The Z-CART outlines an approach to risk communication and community engagement planning and is intended as a template for state, local, and tribal agencies to adapt to their needs and to use for reviewing plans for communicating about Zika during the event of a locally transmitted Zika virus.

CDC News and Announcements

NEW: CDC Awards Nearly $184 Million to Continue the Fight Against Zika
CDC announced it is awarding nearly $184 million in funding to states, territories, local jurisdictions, and universities to support efforts to protect Americans from Zika virus infection and associated adverse health outcomes, including microcephaly and other serious birth defects. These awards are part of the $350 million in funding provided to CDC under the Zika Response and Preparedness Appropriations Act of 2016.

CDC Science Clips: Volume 8, Issue: 52

Each week select science clips are shared with the public health community to enhance awareness of emerging scientific knowledge. The focus is applied public health research and prevention science that has the capacity to improve health now.

Public Health Preparedness

Emergency Preparedness and Response - (CDC)
Find preparedness resources for all hazards.

Emergency Preparedness and Response Training Resources for Clinicians – (CDC)
Find online and in-person training resources.

Natural Disasters and Severe Weather

Winter Weather – (CDC)

Food and Water Needs: Preparing for a Disaster or Emergency – (CDC)

Health and Safety Concerns for All Disasters – (CDC)

Morbidity and Mortality Weekly Report (MMWR)

The MMWR series is CDC’s primary vehicle for scientific publication of timely, reliable, authoritative, accurate, objective, and useful public health information and recommendations. To subscribe electronically, go to. Electronically Subscribe.

December 30, 2016 / Vol. 65/Nos. 50 & 51 Download .pdf document of this issue

• Marijuana Use Among 10th Grade Students — Washington, 2014
• Characteristics of Electronic Cigarette Use Among Middle and High School Students — United States, 2015
• Outbreak of Salmonella Oslo Infections Linked to Persian Cucumbers — United States, 2016
• CDC Grand Rounds: Chronic Fatigue Syndrome — Advancing Research and Clinical Education
• Update: Influenza Activity — United States, October 2–December 17, 2016
• Increases in Drug and Opioid-Involved Overdose Deaths — United States, 2010–2015

Infectious, Vector-Borne, and Zoonotic Diseases

Seasonal Influenza

NEW: 2016–2017 Flu Season - (CDC)

Influenza Vaccination Information for Health Care Workers - (CDC)

Information for Health Professionals– (CDC)

Weekly Flu View - November 26 – (CDC)
Flu View is a weekly influenza surveillance report prepared by CDC Influenza Division. All data are preliminary and may change as CDC receives more reports.

Planning and Preparedness: Health Professionals and Seasonal Flu  – (HHS)
Healthcare providers play an important role during flu season. The following guidance and information will assist healthcare providers and service organizations to plan and respond to seasonal flu.

Travel Safety

Current Travel Warnings - December 23 (US Department of State)
The U.S. Department of State issues Travel Warnings when long-term, protracted conditions make a country dangerous or unstable. Travel Warnings recommend that Americans avoid or carefully consider the risk of travel to that country. The State Department also issues Travel Warnings when the U.S. Government's ability to assist American citizens is constrained due to the closure of an embassy or consulate, or because of a drawdown of State Department staff.

Food, Drug and Device Safety

MedWatch: The FDA Safety Information and Adverse Event Reporting Program – (FDA)
MedWatch is your Food and Drug Administration (FDA) gateway for clinically important safety information and reporting serious problems with human medical products.

FoodSafety.gov: Reports of FDA and USDA Food Recalls, Alerts, Reporting, and Resources – (HHS/USDA/FDA/CDC/NIH)
Foodsafety.gov lists notices of recalls and alerts from both FDA and USDA. Visitors to the site can report a problem or make inquiries.