Tag Archives: idph

Testing for suspected cases of Zika in McHenry County

Screening for Zika

  1. Health care providers should contact the McHenry County Department of Health (815–334–4500) to discuss testing of persons that meet testing criteria established by the Centers for Disease Control and Prevention (CDC). Do not send specimens directly to the CDC
  2. Health care providers should complete both CDC’s 50.34 Laboratory Submission Form (please view in Adobe Reader, you may see an error if viewed in the browser) and the IDPH Zika Virus Test Request Form.
  3. Steps to fill out the CDC 50.34 form
    1. In the upper left hand corner box first select “Human” from the “Select the Specimen Origin to Begin the Form” box.
    2. Under “test order name” select Arbovirus Serology
    3. The test order code will be automatically entered
    4. Leave suspected agent blank as Zika is not on the list.
    5. Enter Zika Virus testing in “At CDC, bring to the attention of:”
  4. The McHenry County Department of Health will thoroughly review each request, provide specimen authorization number(s) to medical providers, and enter information (demographics, travel history, and pregnancy status) into the Illinois National Electronic Disease Surveillance System (I-NEDSS). specimens without an authorization number will not be accepted
  5. IDPH CDCS (Communicable Disease Control Section) staff will review case information and coordinate with the IDPH laboratory to ensure the lab knows which specimens are approved to be sent to the CDC for testing. Unauthorized specimens will not be sent to CDC.
  6. Printed form CDC 50.34 are to be sent with the specimen to the IDPH Chicago Laboratory.
  7. After test results have been received from CDC, the IDPH laboratory will relay results to the appropriate submitter (health care providers, infection control preventionist, etc.) and IDPH CDCS staff.

Reference links

Enterovirus D68 update

Enterovirus D68 (EV-D68) is one of many non-polio enteroviruses. Enterovirus D68 (EV-D68) infections are thought to occur less commonly than infections with other enteroviruses. EV-D68 was first identified in California in 1962. Compared with other enteroviruses, EV-D68 has been rarely reported in the United States for the last 40 years.

EV-D68 Infections Reported

Hospitals in Missouri and Illinois are seeing more children than usual with severe respiratory illness caused by enterovirus D68. Several other states are investigating clusters of children with severe respiratory illness, possibly due to enterovirus D68. CDC is watching this situation closely and helping the states with testing of specimens.

Symptoms

EV-D68 has been reported to cause mild to severe respiratory illness. However, the full spectrum of EV-D68 illness is not well-defined.

Transmission

EV-D68 is not frequently identified, so it is less studied and the ways it spreads are not as well-understood as other enteroviruses. EV-D68 causes respiratory illness, and the virus can be found in respiratory secretions such as saliva, nasal mucus, or sputum. The virus likely spreads from person to person when an infected person coughs, sneezes, or touches contaminated surfaces.

Treatment

  • There is no specific treatment for EV-D68 infections.
  • Many infections will be mild and self-limited, requiring only treatment of the symptoms.
  • Some people with severe respiratory illness caused by EV-D68 may need to be hospitalized and receive intensive supportive therapy.
  • No antiviral medications are currently available for treating of EV-D68 infections.

Prevention

  • There are no vaccines for preventing EV-D68 infections.
  • You can help protect yourself from respiratory illnesses by following these steps:
  • Wash hands often with soap and water for 20 seconds, especially after changing diapers
  • Avoid touching eyes, nose and mouth with unwashed hands
  • Avoid kissing, hugging, and sharing cups or eating utensils with people who are sick
  • Disinfect frequently touched surfaces, such as toys and doorknobs, especially if someone is sick

Laboratory Testing

Test to be ordered is “Enterovirus Molecular by PCR” from  ARUP .  Will be a Miscellaneous test in Paragon. 

Specimen: Respiratory-bronch wash, BAL, Nasopharyngeal aspirate, sputum or tracheal aspirate.  Volume is 1.5ml.

References

Salmonella Typhimurium: JPXX01.0146 cases in Northern Illinois

This is a memo from the McHenry County Health Department:

This memo is to update McHenry County healthcare providers of an ongoing investigation of an outbreak of Salmonella Typhimurium with the same fingerprint of JPXX0.0146 by the McHenry County Department of Health (MCDH) in cooperation with Lake, Kane, and Cook counties as well as the Illinois Department of Public Health. Continue reading

Cases of Mumps Identified in Morgan County

Two cases of mumps, a vaccine preventable communicable viral disease, were identified in Morgan County.

Mumps, an acute vaccine-preventable viral illness transmitted by respiratory droplets and saliva, has an incubation period of 16–18 days (12–25 days min/max respectively). A statewide notification is being sent since the cases are widespread across the Morgan County community and a common exposure has not been identified. Continue reading

Influenza update 2013-14 season

Remember

  • Think of influenza in patients presenting with respiratory illness
  • Test those who are admitted with respiratory illness
  • Use droplet precautions for those with respiratory symptoms
  • It is still not too late to get vaccinated

Multistate Cyclospora outbreak – IDPH and CDC alert

The following is an IDPH alert released on July 26th 2013: Continue reading

Victories in Infectious Diseases – Video of lecture

This lecture was presented at the July 2013 Centegra summer symposium. Continue reading

Measles cases in Illinois UPDATE and attendance at Chicago area soccer game – IDPH alert

The following is an IDPH alert released on July 17, 2013.

The Illinois Department of Public Health, along with the Centers for Disease Control and Prevention and local health departments, have been investigating two additional cases of measles who traveled from Germany/Poland to Illinois in late June. This brings the total to three cases in Illinois residents from the same family and two cases among family members who are international residents. The investigations are still ongoing, but it appears all cases are related to importation. Continue reading

Measles case in Illinois – IDPH alert

The following is a memo from the Illinois Department of Public Health dated July 12th 2013. Images were added from CDC public domain for clarity.


The Illinois Department of Public Health, along with the Centers for Disease Control and Prevention and local health departments, have been investigating a confirmed and suspect case of measles in persons who traveled together to Poland and returned to Illinois in late June. The investigations are still ongoing, but it appears both cases are imported. Measles cases are rare in Illinois but do occur. Since 2009, only three other cases have been reported and all had onset in 2011.

Measles Disease

Measles is a highly contagious viral illness that is characterized by a rash, fever, cold symptoms, conjunctivitis, malaise, and Koplik’s spots (tiny white spots with bluish-white center inside the mouth).
Koplik spots - courtesy CDC
While measles is almost eradicated in the United States due to high vaccination coverage levels, it still kills nearly 200,000 people each year around the world. Currently the virus is endemic in many African, Asian, and European countries. Measles should be considered as a diagnosis in unvaccinated persons presenting with a febrile rash illness as described above and recent international travel or contact with travelers or other persons with rash illness.

Reporting of Suspicious Cases

Physicians and other providers should contact their local health department to report a suspected measles case as soon as possible but within 24 hours. In highly suspicious cases, health care providers should not wait for laboratory results before contacting their local health department.

Measles cases can develop complications, including encephalitis, pneumonia, ear infections (permanent loss of hearing can result) or diarrhea. These complications are more common among children under five years of age and adults over 20 years old. Measles infection can be fatal and can cause miscarriage, premature birth or a low-birth-weight baby in pregnant women.
Laboratories should also report to their local health department positive lab tests for measles within 24 hours. In turn, local health departments should report cases to the IDPH CD Section within the same time period.

Measles - photo courtesy CDC

Prompt recognition, reporting and investigation of measles cases are important since transmission can be limited with early case identification and vaccination of susceptible contacts. For cases that have recently traveled, obtaining travel details (e.g. flight dates, times and numbers) are important for identifying contacts among fellow travelers. Persons traveling abroad should inquire about vaccinations before traveling abroad to prevent measles illness.

Resources

The following resources on measles infections are available:

Avoiding exposure to rabies by avoiding bats – an IDPH alert

Illinois dept of public health released an alert on avoiding exposure to rabies as summer activities increase.

For additional information see the CDC site.