Public Health Updates

1
Public Health Updates

• When and Where to Report
• Presented by
• Russell W. Jones, MPH
• DSHS Region 7

2
What

• The systematic ongoing collection, collation and
  analysis of data with the timely dissemination of
  information to those who need to know so that
  action can be taken.

3
Why

• To protect, maintain or improve the health of the
  community.
• Identify adverse events for and the burden
  experienced
• Texas Administrative code Title 25,part 1,
  chapter 97

4
What

• Identification, Confirmation, and Reporting of
  Notifiable Conditions
• Name, address, telephone number, age, DOB, sex,
  race, ethnicity, disease, onset, physician
• Unusual expressions of disease
• Clusters, outbreaks

5
Who

• Health care providers
• Physicians, veterinarian, chiropractor, advanced
  practice nurse, physician assistant,
• Hospitals and Clinics
• Laboratories
• School authorities
• superintendent, principal, teacher, school health
  official, or counselor

6
Where

• Local health authority for city/county where
  facility is located
• If there is no local health authority, the DSHS
  regional director (office)
• Voice 254/778-6744
• Fax [phone]

7
Conditions of Concern in Schools

• Staphylococcus aureus
• Meningitis
• Influenza
• Pertussis
• Shigellosis
• Hepatitis A, Strep, norovirus

8
Skin infection or bug bite?
May initially present as a pimple or bug bite
- Methicillin resistant
9
High School Sports and Stpah
Fall 2005
10
Meningitis

• Bacterial vs Viral
• Neisseria meningitidis (Immediately reportable)
• Streptococcus pneumonae
• Enteroviruses, Coxsackievirus, Adenovirus,
  Arboviruses

11
Influenza

• Absentee rates up to 30
• Can be prevented

12
Shigellosis

• Caused by one of four species of Shigella
• Most common in Texas is Shigella sonnei
• Extremely low infectious dose
• Elementary schools and Child care centers are
  amplification points
• Other families members often affected.