Update on Mumps, Pertussis, and Hepatitis A Morbidity Los Angeles County
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1 Update on Mumps, Pertussis, and Hepatitis A Morbidity Los Angeles County Emmanuel Mendoza, MPH Immunization Coalition Meeting October 12, 2017 Los Angeles County Department of Public Health, Vaccine Preventable Disease Control Program
2 What we will be covering today I. Overview of Vaccine Preventable Disease (VPD) Morbidity in Los Angeles County (LAC) II. Update on the LAC mumps outbreak among men who have sex with men (MSM) III. Anticipating the next pertussis epidemic in LAC IV. Hepatitis A outbreak 2
3 Vaccine-Preventable Diseases Reported in Los Angeles County (Confirmed and Probable) Disease year Average ( ) Diphtheria Haemophilus influenzae Type B (<5 years of age) Measles Mumps Pertussis Polio (paralytic) Rubella Congenital Rubella Tetanus Varicella, Hospitalized Varicella, Fatal
4 Mumps outbreaks in LAC and U.S. 4
5 As of October 11, 2017 Total number of cases: 55 LAC MSM Mumps Outbreak First case reported on January 10, reside in LAC 44 are MSM 20% are HIV positive 41 of the cases frequented: Bars, clubs, and gyms In the Downtown LA, West and East Hollywood areas Only 2 cases produced proof of immunity 5
6 Other Mumps Outbreaks in the U.S. Arkansas Mumps Outbreak Total number of cases: 2,954 (August 2016 August 2017) Second largest mumps outbreak in the U.S. in the last 30 years Declared over September 8, 2017 North Carolina Mumps Outbreak Total number of cases: 8 (as of August 31, 2017) Majority are MSM and persons living with HIV Hawaii Mumps Outbreak Total number of cases: 452 (as of October 5, 2017) Two clusters reported (total of 9 cases) beginning in March
7 Anticipating the next pertussis epidemic in LAC 7
8 LAC Pertussis Epidemics: 2010 and 2014 Number of Cases Incidence Rate (per 100,000 population) Cases per day Percentage of Adults/Adolescents 2010 Epidemic % 2014 Epidemic 1, % 2018 Epidemic???? 8
9 Hepatitis A Outbreaks in San Diego, Santa Cruz, and LA Counties 9
10 San Diego hepatitis A outbreak First case on November 24, 2016 As of October 10, cases 342 (70%) hospitalizations 18 (3.7%) deaths 80% of patients are homeless and/or used illicit drugs (as of September 19, 2017) 10
11 San Diego hepatitis A outbreak Small groups of cases have taken place in people who: Used the same homeless service providers In facilities with shared restrooms Jails Residential drug treatment facilities Single room occupancy hotels Assisted living facilities There have also been cases among volunteers at homeless shelters, sanitation workers, healthcare workers, and a parole officer 11
12 Santa Cruz hepatitis A Outbreak From April 1, 2017 to October 5, cases 33 (45%) hospitalizations 1 (1.4%) death 80% of patients are homeless and/or used illicit drugs 12
13 LA County hepatitis A outbreak Outbreak declared in LA County on September 19, 2017 There have been 12 confirmed cases as of October 9, 2017 Majority of cases are homeless and/or drug users (injection and non-injection) as of September 22, 2017 Other cases are among people who provide services to the homeless Visit for updated information 13
14 What is Public Health doing to address the outbreak in LA? Working to prevent the spread in local communities by: Investigating all hepatitis A cases and recommending preventive treatment for all close contacts Providing hepatitis A vaccinations for homeless people Conducting health education and promoting vaccination and improved hygiene (cleanliness) 14
15 Questions Main Line:
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