Healthcare Provider Information
Notes: November 2011- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -Previous Notes
Summary of Selected Reportable Conditions, 2005-2010
Condition |
State of Maryland (population 5.7 million) |
Garrett County |
Relative Frequency |
Listeriosis |
104 |
2 |
3.85 |
Lyme Disease |
10,925 |
5 |
0.09 |
Legionella |
723 |
0 |
- |
Chlamydia |
137,955 |
170 |
0.25 |
Gonorrhea |
41,617 |
11 |
0.05 |
Syphilis – Primary or Secondary |
1978 |
0 |
- |
Congenital Syphilis |
137 |
1 |
1.46 |
Tuberculosis |
1,503 |
1 |
0.13 |
Animal Bites |
56,487 |
429 |
1.52 |
Animal Rabies |
2,397 |
44 |
3.67 |
Managing Drug Formulary Problems
The health department has staff, “ACCU” in Personal Health, to assist doctors and patients through drug formulary problems, particularly those caused by medical assistance MCOs. Often these problems can be solved with a few telephone calls by the patient, doctor, or knowledgeable assistant to our staff: 301-334-7770. Our staff may be able to gather the necessary documentation from all sources that may be necessary to obtain authorization for certain drugs, or guide the patient to alternative sources for recommended drugs.
Medical Orders for Live-Sustaining Treatment (MOLST)
Maryland MOLST is a portable and enduring medical order form signed by a physician or nurse practitioner. MOLST had been scheduled for implementation this month but implementation has been postponed for 3-6 months. MOLST differs from Advanced Directives in that it is constructed as a series of medical orders that are developed by a person and their physician and then signed by the physician. It does not include a signature by the patient. It is evolved from a form signed by a physician which directs an EMS crew to practice DNR when responding to an emergency call, rather than their usual resuscitation protocols. Debby Ward provided a CME session on this new form last month. When implemented, this form will have to be completed for all individuals admitted to nursing homes, assisted living programs, hospices, home health agencies, and dialysis centers. It must be completed for all hospital inpatients being discharged to another hospital or any of the program types listed above.
Immunization Recommendations Change
Dtap in Pregnancy:
CDC: In order to improve protection for the newborn infant from Pertussis, a single dose of Dtap vaccine, given to the mother at or after 20 weeks of pregnancy, if she has not previously received the Dtap vaccine, is now recommended, rather than waiting for immunization post-partum. Other persons expected to have close contact with the infant should also have had this immunization at least two weeks before being close to the infant.
HPV vaccine for Boys from age 11 now Recommended:
HPV vaccine prevents cancer in both women and men, and since the predominant source of infection is by direct sexual contact, it only makes sense that both sexes should be immunized. Already recommended for this age group are vaccines for the prevention of meningitis (Menactra or Menveo) and pertussis (DtaP).
Cholera Deaths in Haiti Continue to Mount
Since October, 2010, the totals reported in Haiti are, at least: 476,714 cases; 253,901 hospitalizations; 6,648 deaths.
Listerosis Deaths associated with Cantalopes reach 29
Regular Reports: - - - - - - - - - - - - - - - - - - - - - - - - - - -- -Previous Reports
Infection Reports:
GCMH updated January 2010
WMHS Clinical Newsletter (January 2010) DNA Vaccines—A viable alternative?
References:
Advanced Directives/Living Wills
Quick Guideto Protecting Yourself and Your Family
Four Simple Things You Can Do to Protect You and Your family
GCMH Antibiogram, July 2006-June 2007
GCMH Antibiogram, July-December, 2007
Immunization Schedules and State Regulations
Maryland Lead Follow-Up Recommendations
