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  Flash Report

November, 2012 A Brief Report of Public Health Activity Within Jackson County
In This Issue
  • Flu Update
  • Tdap Vaccination for Pregnant Women
  • Signs and Symptoms of Mumps
  • Voluntary Recall of All Ameridose Medical Products
  • NECC Laboratory Testing and Results
Contact Us
Communicable Disease Reporting at JCPH:
After Hours:
Jackson County Health & Human Services
Jim Shames
Medical Director
Please print a poster of Reporting Guidelines
Look for the December edition in the first week of the month!
Flu Update
Oregonís Weekly Surveillance Report for Influenza and other Respiratory Viruses, Flu Bites, is up and running: http://healthoregon.org/fludata  
During week 43 (Oct. 21-27, 2012) no specimen tested positive for influenza. Influenza-like Illness remains below the season threshold. During week 42, there was one specimen that tested positive for influenza A/H3 at the Oregon State Public Health Laboratory.

Tdap Vaccination for Pregnant Women
The CDCís Advisory Committee on Immunizations Practices (ACIP) recommends that Health-care personnel should administer a dose of Tdap during each pregnancy irrespective of the patientís prior history of receiving Tdap.  If not administered during pregnancy, Tdap should be administered immediately postpartum, before leaving the hospital or birthing center. (1)
By getting Tdap during pregnancy, maternal pertussis antibodies transfer to the newborn, likely providing protection against pertussis in early life, before the baby starts getting DTaP vaccines. Tdap will also protect the mother at time of delivery, making her less likely to transmit pertussis to her infant. (1)
Jackson County Public Health continues to advise fathers, grandparents and other adults around newborns to get a Tdap vaccination.

 Signs and Symptoms of Mumps
In October, Jackson County Public Health had one reported case of suspect mumps. From this report, Jackson County Public Health wanted to address the subject by providing education about the signs and symptoms of mumps, address testing for mumps and send out a reminder that mumps is a reportable disease.  All physicians are required to report all cases of mumps, including suspected cases, to the Jackson County Public Health within one working day.

Mumps is a viral illness caused by a paramyxovirus of the genus Rubulavirus. The classic symptoms of mumps include parotitis (inflammation and swelling of the parotid salivary glands) in about 50% either unilateral bilateral, which develops an average of 16 to 18 days after exposure. Swelling can also be seen in the submandibular and sublingual gland in a small percentage. (2)
Prodromal symptoms are nonspecific and can include myalgia, anorexia, malaise, headache and low-grade fever, lasting 3-4 days. Up to 20% of infections are asymptomatic; an additional 40-50% may only have nonspecific or primarily respiratory symptoms.
The average incubation period for mumps is 16-18 days, with a range of 12-25 days. Fever may persist for 3-4 days and parotitis, when present, usually lasts 7-10 days. Persons with mumps are usually considered most infectious from 1-2 days before until 5 days after onset of parotitis. (2)
If mumps is considered a real possibility, a provider should contact Jackson County Public Health at 541-774-8045 to arrange for testing.  Hospital laboratories can send serum anti-mumps IgM antibody to Mayo Laboratory. 
At the initial visit, a serum specimen should be obtained to test for mumps IgM antibodies. In unvaccinated cases, IgM is present by day 5 post onset of symptoms. Therefore, among unvaccinated persons, if an acute IgM is collected less than 5 days after onset of parotitis and the IgM is negative, mumps cannot be ruled out, and a second serum sample collected at least 5 days after onset is recommended. The timing of the IgM response to mumps infection in vaccinated persons is highly variable. The IgM response may be absent or short lived, and false-positive and false-negative results are possible with IgM tests. Ideally, buccal swabs should be collected within 3 days of onset of parotitis, and are not useful if collected 5 or more days after parotitis begins.

Voluntary Recall of All Ameridose Medical Products
For important information on the recall of Ameridose Medical Products, please read the CDC Health Advisory release that is attached to the Flash Report email.

NECC Laboratory Testing and Results
For important information on the NECC laboratory testing and results, please read the CDC Health Advisory release that is attached to the Flash Report email.

ďThe mission of Jackson County Health and Human Services is to plan, coordinate and provide public services that protect and promote the health and well being of county residents.Ē


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