COCA News and Announcements - September 26, 2016

This issue contains guidance documents relevant to current public health events and information from September 12 - September 26.

The next COCA Update is scheduled for October 10.

For questions about these or other clinical issues, please write to us at coca@cdc.gov.

Additional Resources
CDC Emergency on Twitter
CDC Clinician Outreach and Communication Activity on Facebook
COCA Home Page

COCA News and Announcements

Recent COCA Calls

Zika Update: Clinical Laboratory Testing and Care of Infants with Congenital Zika Virus Infection
Date: Tuesday, August 23, 2016
During this COCA Call, clinicians learned about these updated interim clinical guidelines, which include evaluation and management recommendations. This information can help pediatric healthcare providers better understand the appropriate tests and clinical approaches for evaluating and managing infants, born to mothers in the United States and its territories, with laboratory evidence of Zika virus infection.
https://emergency.cdc.gov/coca/calls/2016/callinfo_082316.asp

Archived COCA conference calls are available at emergency.cdc.gov/coca/calls/index.asp.
Free continuing education (CME, CNE, ACPE, CEU, CECH, and AAVSB/RACE) is available for most calls. For more information about free CE, visit emergency.cdc.gov/coca/continuingeducation.asp

CDC Emergency Response - 2016 Zika Virus

NEW: Official CDC Health Alert Network (HAN) Health Update - CDC Updates Guidance for Travel and Testing of Pregnant Women and Women of Reproductive Age for Zika Virus Infection Related to the Ongoing Investigation of Local Mosquito-borne Zika Virus Transmission in Miami-Dade County, Florida
https://emergency.cdc.gov/han/han00396.asp

Zika Virus Information for Healthcare Providers
CDC's Zika webpage for healthcare provider resources.
http://www.cdc.gov/zika/hc-providers/index.html

UPDATED: Key Messages—Zika Virus
A collection of the most up-to-date, cleared information on the ongoing Zika virus outbreak.
http://www.cdc.gov/zika/pdfs/zika-key-messages.pdf

Zika Training for Healthcare Providers
View recorded webinars and on-demand trainings.
https://www.cdc.gov/zika/hc-providers/training/training.html

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, Korean, and other languages. These resources cover a variety of topics, including travel information, insect repellent, sexual transmission, and mosquito control. 
http://www.cdc.gov/zika/fs-posters/index.html

Clinicians Caring for Pregnant Women and Women of Reproductive Age

Clinical Guidance for Healthcare Providers Caring for Pregnant Women
http://www.cdc.gov/zika/hc-providers/pregnant-woman.html

Clinical Guidance for Healthcare Providers Caring for Women of Reproductive Age
http://www.cdc.gov/zika/hc-providers/women-reproductive-age.html

Clinicians Caring for Infants and Children

Clinical Guidance for Healthcare Providers Caring for Infants & Children
http://www.cdc.gov/zika/hc-providers/infants-children.html

Sexual Transmission

Zika and Sexual Transmission
http://www.cdc.gov/zika/transmission/sexual-transmission.html

Travel Information

Zika Travel Information
http://wwwnc.cdc.gov/travel/page/zika-information

UPDATED: Advice for People Living in or Traveling to South Florida
As of September 19, CDC has updated guidance for the Wynwood-designated area after three mosquito incubation periods passed without any new locally transmitted cases of Zika.
http://www.cdc.gov/zika/intheus/florida-update.html

Clinical Evaluation and Testing

Clinical Evaluation & Disease
http://www.cdc.gov/zika/hc-providers/preparing-for-zika/clinicalevaluationdisease.html

Testing for Zika
https://www.cdc.gov/zika/hc-providers/testing-for-zikavirus.html

State, Local, Tribal, and Territorial Health Department Resources

State, Local, Tribal, and Territorial Health Department Resources
https://www.cdc.gov/zika/public-health-partners/index.html

Interim CDC Zika Response Plan
The purpose of this document is to describe the CDC response plan for locally acquired cases of Zika virus infection in the continental United States and Hawaii. 
http://www.cdc.gov/zika/pdfs/zika-draft-interim-conus-plan.pdf

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.
http://www.cdc.gov/zika/public-health-partners/z-cart.html

CDC News and Announcements

CDC Science Clips: Volume 8, Issue: 38
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.
www.cdc.gov/library/sciclips/issues/

Public Health Preparedness

Emergency Preparedness and Response for Health Professionals – (CDC)
Find preparedness resources for health professionals at
http://emergency.cdc.gov/health-professionals.asp

Emergency Preparedness and Response Training Resources for Clinicians – (CDC)
Find online and in-person training resources at
emergency.cdc.gov/coca/trainingresources.asp

Natural Disasters and Severe Weather

CDC Feature: Keep Your Cool in Hot Weather – (CDC)
http://www.cdc.gov/features/extremeheat/index.html

Food and Water Needs: Preparing for a Disaster or Emergency – (CDC)
http://www.cdc.gov/disasters/foodwater/ 

Health and Safety Concerns for All Disasters – (CDC)
http://www.cdc.gov/disasters/index.html

Infectious, Vector-Borne, and Zoonotic Diseases -  Seasonal Influenza

Information for Health Professionals – (CDC)
The pages listed offer public health and health care professionals key information about vaccination, infection control, prevention, treatment, and diagnosis of seasonal influenza
http://www.cdc.gov/flu/professionals/index.htm

Weekly U.S. Influenza Surveillance Report: Flu View – September 17 (CDC)
Flu View is a weekly influenza surveillance report prepared by CDC’s Influenza Division. All data are preliminary and may change as CDC receives more reports.
http://www.cdc.gov/flu/weekly/

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.
www.flu.gov/planning-preparedness/hospital/index.html

Travel Safety

Current Travel Warnings – September 23 (U.S. 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.
travel.state.gov/content/passports/english/alertswarnings.html

Morbidity and Mortality Weekly Report (MMWR)

MMWR publications are prepared by CDC. To electronically subscribe, go to www.cdc.gov/mmwr/mmwrsubscribe.html

September 23, 2016 / Vol. 65 / No. 37  Download .pdf document of this issue 

Food, Drug, and Device Safety

NEW: Multistate Outbreak of Shiga toxin-producing Escherichia coli O157:H7 Infections Linked to Beef Products Produced by Adams Farm – (CDC)
CDC is collaborating with public health and regulatory officials in multiple states and the U.S. Department of Agriculture Food Safety and Inspection Service (USDA-FSIS)  to investigate a multistate outbreak of Shiga toxin-producing Escherichia coli O157:H7 (STEC O157:H7) infections
https://www.cdc.gov/ecoli/2016/O157H7-09-16/index.html

Multistate Outbreak of Salmonella Reading and Salmonella Abony Infections Linked to Alfalfa Sprouts – (CDC)
CDC, several states, and the U.S. Food and Drug Administration (FDA) are investigating a multistate outbreak of Salmonella Reading and Salmonella Abony infections.
http://www.cdc.gov/salmonella/reading-08-16/index.html

MedWatch: The FDA Safety Information and Adverse Event Reporting Program – (FDA)
MedWatch is your FDA gateway for clinically important safety information and reporting serious problems with human medical products. 
http://www.fda.gov/Safety/MedWatch/default.htm

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 the U.S. Department of Agriculture. Visitors to the site can report a problem or make inquiries.
www.foodsafety.gov/recalls/recent/index.html

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