Page 24 - Volume 69 Number 3
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Washtenaw County Public Health (WCPH)
Medical Director Report
JUNE 2017
COMMUNICABLE DISEASE: Influenza: Sporadic cases of influenza continue to be reported in Washtenaw County. Influenza A levels peaked locally at the end
of February. Influenza B activity peaked at the end
of March 2017. A few flu-associated hospitalizations
are still occurring. This flu season has resulted in the second highest number of hospitalizations in the past decade. Unfortunately, a flu-related death occurred in a Washtenaw County child in early April 2017, the first one reported locally since 2003.
Tuberculosis: An evidenced-based protocol for the diagnosis and management of Latent Tuberculosis Infection (LTBI) for local primary care providers will be released summer 2017 by WCPH.
Vaccine Preventable Diseases: WCPH staff gave public testimony opposing House Bills (HB) 4425 and 4426 before the House Education Reform Committee in Lansing, MI on May 25, 2017. These bills sought to rescind local public health officers’ ability to exclude un-vaccinated children from school during times of outbreaks of vaccine-preventable diseases and to rescind the requirement of a vaccine-waiver education session with local public health for those parents/care- givers who decline vaccines for their children.
These bills have not made it out of the Education Reform Committee.
Vector-borne diseases will emerge as the weather warms in Michigan ... Zika: The CDC wants health care providers to encourage pregnant women to follow CDC’s Zika prevention recommendations and help affected babies by providing screening and follow-up care:
 Educate families on Zika prevention
 Provide all needed tests and follow-up care
for babies with possible Zika.  Support babies and families
Click on the link for more information:
https://www.cdc.gov/vitalsigns/zika-babies/index.html
Lyme Disease: MDHHS has recently released a Lyme disease toolkit for providers. The toolkit includes a link to a CME-based educational webinar and printed resources. Click on the link for more information: http://www.michigan.gov/documents/ emergingdiseases/provider_LD_toolkit_493634_7.pdf
MENTAL HEALTH: Suicide: WCPH in conjunction with National Alliance on Mental Illness-Washtenaw County (NAMI-WC) and other community partners are currently working on developing a support group for parents caring for children with suicide ideations and behaviors.
OPIOID EPIDEMIC: Naloxone Standing Order for MI Pharmacies: A Standing Order issued by the State of Michigan’s Chief Medical Executive Dr. Eden Wells
was signed by Gov. Rick Snyder on May 25, 2017
which authorizes the Michigan Department of Health and Human Services to issue a standing order pre- authorizing the distribution of naloxone by pharmacists to eligible individuals. This standing order is intended to ensure that individuals within the State of Michigan who are at risk of experiencing an opioid-related overdose, or who are family members, friends or other persons who are in a position to assist a person at
risk of experiencing an opioidrelated overdose, are able to obtain naloxone. http://www.michigan.gov/ s n y d e r / 0 , 4 6 6 8 ,7 - 2 7 7 - - 413 0 5 0 - - , 0 0 . h t m l
The group discussed the importance of having leadership from WCMS and WCPH present science- based, evidenced-based information on vaccinations to fight anti-government/anti-vaccine supporters. It was agreed a community campaign to inform and influence community thinking is a high priority. A proposed Town Hall or Community Forum on this will be discussed at the September meeting.
VECTOR-BORNE DISEASES
Zika: The CDC wants health care providers to encourage pregnant women to follow CDC’s Zika prevention recommendations and help affected babies by providing screening and follow-up care:
 Educate families on Zika prevention
 Provide all needed tests and follow-up care for babies
with possible Zika
 Support babies and families
Click on the link for more information:
https://www.cdc.gov/vitalsigns/zika-babies/index.html
Lyme Disease: MDHHS has recently released a Lyme disease toolkit for providers. The toolkit includes a link to a CME-based educational webinar and printed resources. Click on the link for more information: http://www.michigan.gov/documents/ emergingdiseases/provider_LD_toolkit_493634_7.pdf
MENTAL HEALTH
Suicide: WCPH in conjunction with National Alliance on Mental Illness-Washtenaw County (NAMI-WC), and other community partners, are currently working on developing a support group for parents caring for children with suicide ideations and behaviors.
24 Washtenaw County Medical Society BULLETIN JULY / AUGUST / SEPTEMBER 2017
































































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