CDC: Salmonella Outbreak Updates

This information is from the CDC.

http://www.cdc.gov/salmonella/typhimurium/

CDC is collaborating with public health officials in many states and the United States Food and Drug Administration (FDA) to investigate a multistate outbreak of human infections due to Salmonella serotype Typhimurium.

As of 9pm EDT, Wednesday, January 14, 2009, 448 persons infected with the outbreak strain of Salmonella Typhimurium have been reported from 43 states. The number of ill persons identified in each state is as follows: Alabama (1), Arizona (8), Arkansas (4), California (60), Colorado (10), Connecticut (8), Georgia (6), Hawaii (1), Idaho (10), Illinois (5), Indiana (3), Iowa (1), Kansas (2), Kentucky (3), Maine (4), Maryland (7), Massachusetts (40), Michigan (25), Minnesota (33), Missouri (8), Mississippi (1), Nebraska (1), New Hampshire (11), New Jersey (18), New York (18), Nevada (5), North Carolina (1), North Dakota (10), Ohio (57), Oklahoma (2), Oregon (5), Pennsylvania (13), Rhode Island (4), South Dakota (2), Tennessee (8), Texas (6), Utah (3), Vermont (4), Virginia (20), Washington (13), West Virginia (2), Wisconsin (3), and Wyoming (2). Among the 432 persons with dates available, illnesses began between September 08 and December 31, 2008. Patients range in age from <1>

The investigation is ongoing, and exposures to peanut butter and other peanut butter-containing products are being examined. Preliminary analysis of an epidemiologic study conducted by CDC and public health officials in multiple states comparing foods eaten by ill and well persons has suggested peanut butter as a likely source of the bacteria causing the infections. To date, no association has been found with common brand names of peanut butter sold in grocery stores.

An epidemiologic investigation by the Minnesota Department of Health suggested King Nut creamy peanut butter as a likely source of Salmonella infections among many ill persons in Minnesota. The Minnesota Department of Agriculture Laboratory isolated the outbreak strains of Salmonella Typhimurium from an open 5-pound container of King Nut brand creamy peanut butter. The product is distributed in Minnesota to establishments such as long-term care facilities, hospitals, schools, universities, restaurants, delis, cafeterias, and bakeries. It is not sold directly to consumers and is not known to be distributed for retail sale in grocery stores.

Clusters of infections in several states have been reported in schools and other institutions, such as long-term care facilities and hospitals. King Nut is the only brand of peanut butter used in those facilities for which we have information.

CDC and other public health officials are continuing to conduct surveillance for cases of infection with the outbreak strains, and to gather and analyze data on exposures to peanut butter and other peanut butter-containing products that may be associated with illness.

Most persons infected with Salmonella develop diarrhea, fever, and abdominal cramps 12–72 hours after infection. Infection is usually diagnosed by culture of a stool sample. The illness usually lasts 4 to 7 days. Although most people recover without treatment, severe infections may occur. Infants, elderly persons, and those with impaired immune systems are more likely than others to develop severe illness. When severe infection occurs, Salmonella may spread from the intestines to the bloodstream and then to other body sites and can cause death unless the person is treated promptly with antibiotics.

CDC launches SNAPS: Snap Shots of State Population Data

http://emergency.cdc.gov/snaps/

SNAPS provides local-level community profile information nationwide. It can be browsed by county and state and searched by zip code. SNAPS serves as a valuable tool when responding to public health emergency events at the state, Tribal, and local levels. It provides a "snap shot" of key variables for consideration in guiding and tailoring health education and communication efforts to ensure diverse audiences receive critical public health messages that are accessible, understandable, and timely.

SNAPS data is derived from the 2000 US Census and several 2003 CDC databases. For more information, see Credits.

FDA Alert: Innohep (12/31/08)

Celgene has issued a Dear Healthcare Professional letter describing a controlled clinical study suggesting that Innohep may increase the risk for death, compared to unfractionated heparin when used to treat elderly patients with renal insufficiency. It recommended consideration of alternatives to Innohep when treating these patients for deep vein thrombosis with or without pulmonary embolism.

Read the complete MedWatch 2008 Safety summary, including a link to the Dear Healthcare Professional letter and the December 2 FDA Ongoing Safety Review, at: http://www.fda.gov/medwatch/safety/2008/safety08.htm#Innohep

Be Aware Of Carbon Monoxide (CO) Poisoning

Winter months are the peak danger season for carbon monoxide poisoning. Review this information from the CDC.

Carbon monoxide (CO) is an odorless, colorless gas that can cause sudden illness and death if inhaled.

Carbon monoxide is found in combustion fumes, such as those produced by small gasoline engines, stoves, generators, lanterns, and gas ranges, or by burning charcoal and wood. CO from these sources can build up in enclosed or partially enclosed spaces. People and animals in these spaces can be poisoned and can die from breathing CO.

Exposure to CO can cause loss of consciousness and death. The most common symptoms of CO poisoning are headache, dizziness, weakness, nausea, vomiting, chest pain, and confusion. People who are sleeping or who have been drinking alcohol can die from CO poisoning before ever having symptoms.

Important CO Poisoning Prevention Tips

• Never use a gas range or oven to heat a home.
• Never use a charcoal grill, hibachi, lantern, or portable camping stove inside a home, tent, or camper.
• Never run a generator, pressure washer, or any gasoline-powered engine inside a basement, garage, or other enclosed structure, even if the doors or windows are open, unless the equipment is professionally installed and vented. Keep vents and flues free of debris, especially if winds are high. Flying debris can block ventilation lines.
• Never run a motor vehicle, generator, pressure washer, or any gasoline-powered engine outside an open window, door, or vent where exhaust can vent into an enclosed area.
• Never leave the motor running in a vehicle parked in an enclosed or partially enclosed space, such as a garage.
• If conditions are too hot or too cold, seek shelter with friends or at a community shelter.
• If CO poisoning is suspected, consult a health care professional right away.

ftp://ftp.cdc.gov/pub/epr/disasters/hurricanes/video/high/CarbonMonoxideCarbonMonoxide.rmvb

CDC: Winter Weather Indoor Safety

This information is provided by the Centers for Disease Control and Prevention (CDC). For more resources, please visit http://www.bt.cdc.gov/disasters/winter/

Heat Your Home Safely
If you plan to use a wood stove, fireplace, or space heater, be extremely careful. Follow the manufacturer’s instructions and remember these safety tips:

• Use fireplace, wood stoves, or other combustion heaters only if they are properly vented to the outside and do not leak flue gas into the indoor air space.
• Do not burn paper in a fireplace.
• Ensure adequate ventilation if you must use a kerosene heater.
• Use only the type of fuel your heater is designed to use—don’t substitute.
• Do not place a space heater within 3 feet of anything that may catch on fire, such as drapes, furniture, or bedding, and never cover your space heater.
• Never place a space heater on top of furniture or near water.
• Never leave children unattended near a space heater.
• Make sure that the cord of an electric space heater is not a tripping hazard but do not run the cord under carpets or rugs.
• Avoid using extension cords to plug in your space heater.
• If your space heater has a damaged electrical cord or produces sparks, do not use it.
• Store a multipurpose, dry-chemical fire extinguisher near the area to be heated.
• Protect yourself from carbon monoxide (CO) poisoning by installing a battery-operated CO detector and never using generators, grills, camp stoves, or similar devices indoors. Cook SafelyNever use a charcoal or gas grill indoors—the fumes are deadly.
• Never use an electric generator indoors, inside the garage, or near the air intake of your house because of the risk of carbon monoxide poisoning.
• Plug in appliances to the generator using individual heavy-duty, outdoor-rated cords.
• Do not use the generator or appliances if they are wet because of the risk of electrocution.
• Do not store gasoline indoors where the fumes could ignite.

If there is a power failure:

• Use battery-powered flashlights or lanterns rather than candles, if possible.
• Never leave lit candles unattended.
• Conserve Heat
• You may need fresh air coming in for your heater or for emergency cooking arrangements.
• However, if you don’t need extra ventilation, keep as much heat as possible inside your home.
• Avoid unnecessary opening of doors or windows. Close off unneeded rooms, stuff towels or rags in cracks under doors, and close draperies or cover windows with blankets at night.
  

Monitor Body Temperature
Older adults often make less body heat because of a slower metabolism and less physical activity. If you are over 65 years of age, check the temperature in your home often during severely cold weather. Also, check on elderly friends and neighbors frequently to ensure that their homes are adequately heated.

Eat and Drink Wisely
Eating well-balanced meals will help you stay warmer. Do not drink alcoholic or caffeinated beverages—they cause your body to lose heat more rapidly. Instead, drink warm, sweet beverages or broth to help maintain your body temperature. If you have any dietary restrictions, ask your doctor.

Avoid Exertion
Cold weather puts an extra strain on the heart. If you have heart disease or high blood pressure, follow your doctor’s advice about shoveling snow or performing other hard work in the cold. Otherwise, if you have to do heavy outdoor chores, dress warmly and work slowly. Remember, your body is already working hard just to stay warm, so don’t overdo it.

Avoid Ice
Walking on ice is extremely dangerous. Many cold-weather injuries result from falls on ice-covered sidewalks, steps, driveways, and porches. Keep your steps and walkways as free of ice as possible by using rock salt or another chemical de-icing compound. Sand may also be used on walkways to reduce the risk of slipping.

Be Cautious About Travel
Listen for radio or television reports of travel advisories issued by the National Weather Service. Do not travel in low visibility conditions. Avoid traveling on ice-covered roads, overpasses, and bridges if at all possible. If you must travel by car, use tire chains and take a mobile phone with you. If you must travel, let someone know your destination and when you expect to arrive. Ask them to notify authorities if you are late. Check and restock the winter emergency supplies in your car before you leave. Never pour water on your windshield to remove ice or snow; shattering may occur. Don’t rely on a car to provide sufficient heat; the car may break down. Always carry additional warm clothing appropriate for the winter conditions.

What to Do if You Get Stranded
Staying in your vehicle when stranded is often the safest choice if winter storms create poor visibility or if roadways are ice covered. These steps will increase your safety when stranded:

• Tie a brightly colored cloth to the antenna as a signal to rescuers and raise the hood of the car (if it is not snowing).
• Move anything you need from the trunk into the passenger area.
• Wrap your entire body, including your head, in extra clothing, blankets, or newspapers.
• Stay awake. You will be less vulnerable to cold-related health problems.
• Run the motor (and heater) for about 10 minutes per hour, opening one window slightly to let in air.
• Make sure that snow is not blocking the exhaust pipe—this will reduce the risk of carbon monoxide poisoning.
• As you sit, keep moving your arms and legs to improve your circulation and stay warmer.
• Do not eat unmelted snow because it will lower your body temperature.
• Huddle with other people for warmth.