Meningococcal Disease Prevention and Control Strategies for Practice-based Physicians

PEDIATRICS ◽  
1996 ◽  
Vol 97 (3) ◽  
pp. 404-412 ◽  
Author(s):  
◽  
Keyword(s):  
Meningococcal Disease ◽  
Primary Care Physicians ◽  
Disease Risk ◽  
Control Strategies ◽  
The United States ◽  
Invasive Meningococcal Disease ◽  
Appropriate Use ◽  
Local Public Health ◽  
Public Health Authorities ◽  
Control And Prevention

Localized outbreaks of meningococcal disease in the United States and Canada continue to cause serious alarm within communities as a result of the fulminating pattern of the disease, high mortality rate, and high incidence among adolescents. The increasing number of outbreaks since 1991 has raised questions about the management and prevention of further cases during an outbreak. The purpose of this statement is to guide primary-care physicians in their role in infection control and prevention of both sporadic cases and outbreaks of invasive meningococcal disease. This statement provides information on the epidemiology of meningococcal disease, including definitions of sporadic, secondary, and coprimary cases, clusters of cases, and outbreaks. Data are presented on identification of cases, disease risk of contacts, and agents for chemoprophylaxis, and recommendations are given for: (1) risk assessment of contacts, (2) administration of chemoprophylaxis, (3) appropriate use of meningococcal vaccine, (4) appropriate use of the microbiology laboratory, (5) the necessity for timely and appropriate reporting of invasive meningococcal disease to local public health authorities, and (6) information on counseling and public education that may be helpful during an outbreak to minimize public anxiety. An additional section, "Information for Sharing," which uses a question-and-answer format and which may be helpful to parents and community and health care workers during an outbreak, is also provided.

scholarly journals Users’ Beliefs Toward Physical Distancing in Facebook Pages of Public Health Authorities During COVID-19 Pandemic in Early 2020

2021 ◽  
pp. 109019812110144
Author(s):  
Soon Guan Tan ◽  
Aravind Sesagiri Raamkumar ◽  
Hwee Lin Wee
Keyword(s):  
Public Health ◽  
Health Belief Model ◽  
United States Public Health ◽  
Health Belief ◽  
The United States ◽  
Health Authorities ◽  
Public Health Authorities ◽  
Control And Prevention ◽  
Belief Model ◽  
The Health Belief Model

This study aims to describe Facebook users’ beliefs toward physical distancing measures implemented during the Coronavirus disease (COVID-19) pandemic using the key constructs of the health belief model. A combination of rule-based filtering and manual classification methods was used to classify user comments on COVID-19 Facebook posts of three public health authorities: Centers for Disease Control and Prevention of the United States, Public Health England, and Ministry of Health, Singapore. A total of 104,304 comments were analyzed for posts published between 1 January, 2020, and 31 March, 2020, along with COVID-19 cases and deaths count data from the three countries. Findings indicate that the perceived benefits of physical distancing measures ( n = 3,463; 3.3%) was three times higher than perceived barriers ( n = 1,062; 1.0%). Perceived susceptibility to COVID-19 ( n = 2,934; 2.8%) was higher compared with perceived severity ( n = 2,081; 2.0%). Although susceptibility aspects of physical distancing were discussed more often at the start of the year, mentions on the benefits of intervention emerged stronger toward the end of the analysis period, highlighting the shift in beliefs. The health belief model is useful for understanding Facebook users’ beliefs at a basic level, and it provides a scope for further improvement.

scholarly journals Risk and Prevention of Meningococcal Disease among Education Workers: A Review

2004 ◽  
Vol 15 (2) ◽  
pp. 89-93 ◽  
Author(s):  
Philippe De Wals ◽  
Pierre Deshaies ◽  
Gaston De Serres ◽  
Bernard Duval ◽  
Lise Goulet ◽  
...  
Keyword(s):  
United Kingdom ◽  
Pregnant Women ◽  
Meningococcal Disease ◽  
Disease Risk ◽  
The United States ◽  
Population Based ◽  
Work Place ◽  
Societal Benefit ◽  
The United Kingdom ◽  
The Cost

The aims of the present study were to review the risk of invasive meningococcal disease (IMD) among education workers, particularly pregnant women, and to evaluate preventive measures, in a context of endemicity, outbreak or epidemic as observed in the province of Quebec. The literature was reviewed and persons in charge of IMD surveillance in France, Quebec, the United Kingdom and the United States were interviewed. Surveys of asymptomatic carriage ofNeisseria meningitidisshow that transmission among students is higher than transmission between students and teachers. IMD incidence among education workers was analyzed in Cheshire (United Kingdom) in the period from 1997 to 1999, and the results indicated a risk six times higher than that in the general population. Overestimation of the magnitude of the risk is possible because the analysis focused on a cluster. None of the population-based studies of IMD mentioned a risk of secondary cases among education workers. Six IMD cases in education workers were identified in five clusters in schools in the United Kingdom, but not in the other countries. There is no epidemiological study on IMD risk among pregnant women, and this factor was not mentioned in any published review of IMD. Immunization of education workers at the beginning of their employment, using serogroup C glycoconjugate vaccine or a combined A, C, W-135, and Y conjugate vaccine (still under development), could reduce IMD risk, but the cost effectiveness of this measure should be evaluated. The societal benefit of excluding pregnant women from the work place during an outbreak seems to be very low, even if disease risk could be decreased for this specific group. When chemoprophylaxis is indicated for the control of an outbreak in an educational setting, treatment should be offered both to students and teachers in the group at risk.

scholarly journals Can Wastewater be Used to Improve our COVID-19 Surveillance Efforts?

CommonHealth ◽  
2020 ◽  
Vol 1 (3) ◽  
pp. 141-147
Author(s):  
Shannon McGinnis ◽  
Shane Mclouglin ◽  
Tiffany Buturla ◽  
Nishita D'Souza ◽  
José Logo ◽  
...  
Keyword(s):  
Public Health ◽  
Control Strategies ◽  
Population Level ◽  
The United States ◽  
Control Measures ◽  
Clear Understanding ◽  
Health Control ◽  
Health Authorities ◽  
Public Health Authorities ◽  
Wastewater Samples

As the spread of COVID-19 continues to significantly impact daily life in the United States and globally, there is a need for a clear understanding of disease prevalence in communities. Traditional methods that rely on counting individual cases often result in underreporting due to limited access to testing or healthcare. This issue is further exacerbated by the spread of COVID-19 by asymptomatic or presymptomatic individuals who may not seek testing. Historically, wastewater surveillance has been used to provide population-level data on the prevalence of infectious diseases in communities. Data collected through wastewater surveillance has been used to advise public health control measures, such as vaccination campaigns, and to detect local outbreaks before cases are reported to public health authorities. For this reason, researchers around the globe have been analyzing wastewater samples for SARS-CoV-2 to assist in our response to the existing COVID-19 pandemic. This commentary discusses the potential utility of wastewater-based surveillance to advise public health control strategies for COVID-19 and discusses how it may be used to strengthen local surveillance efforts in Philadelphia.

scholarly journals The Check and Report Ebola (CARE+) Program to Monitor Travelers for Ebola After Arrival to the United States, 2014-2016

2019 ◽  
Vol 134 (6) ◽  
pp. 592-598 ◽  
Author(s):  
Heather A. Joseph ◽  
Abbey E. Wojno ◽  
Kelly Winter ◽  
Onalee Grady-Erickson ◽  
Erin Hawes ◽  
...  
Keyword(s):  
Public Health ◽  
United States ◽  
West Africa ◽  
Emerging Infectious Diseases ◽  
Care Program ◽  
The United States ◽  
The Us ◽  
Us Government ◽  
Public Health Authorities ◽  
Control And Prevention

The 2014-2016 Ebola epidemic in West Africa influenced how public health officials considered migration and emerging infectious diseases. Responding to the public’s concerns, the US government introduced enhanced entry screening and post-arrival monitoring by public health authorities to reduce the risk of importation and domestic transmission of Ebola while continuing to allow travel from West Africa. This case study describes a new initiative, the Check and Report Ebola (CARE+) program that engaged travelers arriving to the United States from countries with Ebola outbreaks. The Centers for Disease Control and Prevention employed CARE ambassadors, who quickly communicated with incoming travelers and gave them practical resources to boost their participation in monitoring for Ebola. The program aimed to increase travelers’ knowledge of Ebola symptoms and how to seek medical care safely, increase travelers’ awareness of monitoring requirements, reduce barriers to monitoring, and increase trust in the US public health system. This program could be adapted for use in future outbreaks that involve the potential importation of disease and require the education and active engagement of travelers to participate in post-arrival monitoring.

scholarly journals Using photos for public health communication: A computational analysis of the Centers for Disease Control and Prevention Instagram photos and public responses

2020 ◽  
Vol 26 (3) ◽  
pp. 2159-2180 ◽  
Author(s):  
Yunhwan Kim ◽  
Jang Hyun Kim
Keyword(s):  
Public Health ◽  
Disease Control ◽  
The United States ◽  
Public Health Communication ◽  
Cognitive Services ◽  
Health Authorities ◽  
Public Health Authorities ◽  
Control And Prevention ◽  
Centers For Disease Control ◽  
Human Faces

This study aims to explore the use of Instagram by the Centers for Disease Control and Prevention, one of the representative public health authorities in the United States. For this aim, all of the photos uploaded on the Centers for Disease Control and Prevention Instagram account were crawled and the content of them were analyzed using Microsoft Azure Cognitive Services. Also, engagement was measured by the sum of numbers of likes and comments to each photo, and sentiment analysis of comments was conducted. Results suggest that the photos that can be categorized into “text” and “people” took the largest share in the Centers for Disease Control and Prevention Instagram photos. And it was found that the Centers for Disease Control and Prevention’s major way of delivering messages on Instagram was to imprint key messages that call for actions for better health on photos and to provide the source of complementary information on text component of each post. It was also found that photos with more and bigger human faces had lower level of engagement than the others, and happiness and neutral emotions expressed on the faces in photos were negatively associated with engagement. The features whose high value would make the photos look splendid and gaudy were negatively correlated with engagement, but sharpness was positively correlated.

Influenza Increases Invasive Meningococcal Disease Risk in Temperate Countries

2019 ◽  
Author(s):  
Angela Salomon ◽  
Isha Berry ◽  
Ashleigh R. Tuite ◽  
Steven Drews ◽  
Todd Hatchette ◽  
...  
Keyword(s):  
Meningococcal Disease ◽  
Disease Risk ◽  
Invasive Meningococcal Disease

National Health Planning in the United States: Prospects and Portents

1975 ◽  
Vol 5 (3) ◽  
pp. 441-453 ◽  
Author(s):  
Leonard S. Rosenfeld ◽  
Irene Rosenfeld
Keyword(s):  
United States ◽  
National Health ◽  
Health Planning ◽  
The United States ◽  
Complete Coverage ◽  
Public Funds ◽  
Local Public Health ◽  
Health Authorities ◽  
Public Health Authorities ◽  
Set Up

The National Health Planning and Resources Development Act of 1974 in the United States demonstrates a growing determination in Congress to motivate the system of health services toward greater efficiency in utilization of resources. The Act was designed to overcome some of the weaknesses in earlier planning legislation. More complete coverage and more functional local jurisdictions for planning should result. The Act provides better financial support, and more effective incentives and inducements to assure adherence to plans. Concern is expressed about aspects of the legislation which the authors feel may deserve consideration. The principle of delegating responsibility to voluntary agencies for disbursement of public funds is questioned, and the authors suggest that local public health authorities apply for designation as planning agencies. Reservation is expressed about the adequacy of regional organization as provided by the Act to accomplish its purposes, and the authors recommend demonstrations of regional administrative agencies to implement plans developed by Health Systems Agencies. Failure to incorporate the provision of the House planning bill to set up a national health policy council in the Act is considered unfortunate. Persistence in pursuing the course outlined in the Act is urged.

scholarly journals Interconnected clusters of invasive meningococcal disease due to Neisseria meningitidis serogroup C ST-11 (cc11), involving bisexuals and men who have sex with men, with discos and gay-venues hotspots of transmission, Tuscany, Italy, 2015 to 2016

2018 ◽  
Vol 23 (34) ◽  
Author(s):  
Alessandro Miglietta ◽  
Cecilia Fazio ◽  
Arianna Neri ◽  
Patrizio Pezzotti ◽  
Francesco Innocenti ◽  
...  
Keyword(s):  
Meningococcal Disease ◽  
Vaccination Campaign ◽  
Case Fatality ◽  
Population Group ◽  
The United States ◽  
Field Investigation ◽  
Invasive Meningococcal Disease ◽  
Close Relationship ◽  
And Bisexual ◽  
Sex With Men

In 2015 an increased incidence of invasive meningococcal disease due to serogroup-C (MenC) occurred in Tuscany, Italy. This led the Regional Health Authority of Tuscany to implement a reactive immunisation campaign and to launch an epidemiological field investigation aiming to address targeted immunisation interventions. In 2011–14, 10 MenC cases had been reported compared with 62 cases in 2015–16. The case fatality rate was 21% (n = 13) and 51 cases (82.3%) were confirmed as C:P1.5–1,10–8:F3–6:ST-11(cc11). Overall, 17 clusters were recognised. Six discos and four gay-venues were found to have a role as transmission-hotspots, having been attended by 20 and 14 cases in the 10 days before symptoms onset. Ten and three cases occurred, respectively, among men who have sex with men (MSM) and bisexual individuals, who were involved in 11 clusters. In addition, heterosexual cases (n = 5) attending gay-venues were also found. Secondary cases were not identified. Molecular typing indicated close relationship with MenC clusters recently described among gay, bisexual and other MSM in Europe and the United States, suggesting a possible international spread of the serogroup-C-variant P1.5–1,10–8:F3–6:ST-11(cc11) in this population-group; however, epidemiological links were not identified. In December 2016, a targeted vaccination campaign involving discos and lesbian, gay, bisexual, and transgender (LGBT) associations was implemented. During 2017, 10 cases of MenC occurred, compared with 32 and 30 cases reported in 2015 and 2016 respectively, suggesting the effectiveness of the reactive and targeted immunisation programmes.

scholarly journals Survei Entomologi, Kerentanan Aedes aegypti terhadap Insektisida Organofosfat, dan Identifikasi Gen VGSC di Dusun Malangrejo, Sleman, Yogyakarta

2019 ◽  
Vol 11 (1) ◽  
pp. 37-44
Author(s):  
Novyan Lusiyana ◽  
Siti Fitiah ◽  
Andrias Atmaja Putri ◽  
Muthia Tsabita Rahmi ◽  
Dian Maknalia Ilham
Keyword(s):  
Aedes Aegypti ◽  
Mosquito Control ◽  
Organophosphate Insecticide ◽  
Local Public Health ◽  
Health Authorities ◽  
Public Health Authorities ◽  
Control And Prevention ◽  
Pcr Method ◽  
Dengue Control ◽  
Enzyme Detection

Control and prevention effort of dengue haemorhagic fever relies on the application of insecticidesto control vector mosquito. In Indonesia, application of organophosphate insecticide (temephos andmalathion), and pyrethroid is a key part of the dengue control strategy. This study aimed to determine theentomological survey, susceptibility of Aedes aegypti against organophosphate insecticide and identificationof VGSC gene in Dusun Malangrejo, Sleman Yogyakarta. This study is an observational with a cross sectionaldesign. The entomology survey procedure used a single larvae technique, biological susceptibility test of Ae.aegypti against organophosphate insecticides using WHO (temephos), CDC (malathion), biochemistry andVGSC genes detection using PCR method. Results of this study showed that bath tub was potential breedingplace for Ae. aegypti. Susceptibility status of temephos was still tolerant (95.4%), while malathion showsresistance (13.75%). Bioassay and biochemical test shows potential resistant to insecticides due to elevatedactivity of esterase non specific enzyme. Detection of the VGSC gene shows positive for both genes (V1016G;S989P) and F1534C. Furthermore, regularly assessment of insecticide resistance status will hopefully assistthe local public health authorities to assign policy for managing mosquito control such as by rotation ofdifferent routinely used insecticide to delay Ae. aegypti resistance development.

scholarly journals Serogroup C invasive meningococcal disease among men who have sex with men and in gay-oriented social venues in the Paris region: July 2013 to December 2014

2015 ◽  
Vol 20 (3) ◽  
Author(s):  
L Aubert ◽  
M K Taha ◽  
N Boo ◽  
Y Le Strat ◽  
A E Deghmane ◽  
...  
Keyword(s):  
Public Health ◽  
Meningococcal Disease ◽  
Clonal Complex ◽  
Invasive Meningococcal Disease ◽  
Gay Community ◽  
Health Authorities ◽  
Public Health Authorities ◽  
Paris Region ◽  
Sex With Men

In November 2014, French public health authorities renewed the recommendation to target for vaccination against invasive meningococcal disease men who have sex with men (MSM) and all individuals ≥25 years attending social venues associated with the gay community. This policy was extended beyond the Paris region as a reaction to the continuing spread of serogroup C isolates belonging to a new lineage within clonal complex cc11 since the recommendation was first issued in July 2013.

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