Hot Topics in Infectious Diseases: Enteric Infections in the Arctic
|
|
- Austen Golden
- 5 years ago
- Views:
Transcription
1 Hot Topics in Infectious Diseases: Enteric Infections in the Arctic Tobey Audcent MD, FRCPC Department of Pediatrics Children s Hospital of Eastern Ontario 6 th International Meeting on Indigenous Child Health March 21, 2015
2 Faculty/Presenter Disclosure Tobey Audcent has no relevant financial relationships with the manufacturer(s) of commercial services discussed in this CME activity AND Tobey Audcent does not intend to discuss an unapproved/investigative use of a commercial product/device in my presentation
3 Acknowledgements Thanks to: with permission Dr. David Goldfarb slides and data (ID/Micro, BC Children s Hospital) Dr. Cedric Yansouni (ID/Micro, McGill University) for data from Nunavik Dr. Sherilee Harper (Guelph University) for Iqaluit and Rigolet data
4 Session Objectives: 1. Review the contribution of chronic enteropathy to childhood development 2. Describe an overview of enteric infections in the Arctic 3. Discuss cryptosporidium as an emerging childhood enteric infection in the Arctic
5 Hot Infection Topics Tuberculosis Sexually Transmitted Infections
6 Diarrhoea
7 Global Burden of Diarrheal Disease Diarrhea kills 2,195 children every day more than AIDS, malaria, and measles combined 2 nd leading cause of child death Lancet. 2012;379(9832):
8 Environmental Enteropathy: Unifying Mechanism Nutr Rev September; 66(9): [15] PLoS Negl Trop Dis 7(4): e2125. doi: /journal.pntd
9 With permission D Goldfarb from: Guerrant R, Ped Academic Soc Mtg, April
10 Arctic Communities: More Diarrhea? Among American Indian (AI) and Alaskan Native (AN) children: diarrhea-associated hospitalization ~2X general U.S vs per 10,000 population diarrhea-associated outpatient visits also higher than general U.S. 2,255.4 vs. 1,647.9 per 10,000 population Singlelton RJ et al; Pediatr Infect Dis J. 2007;26(11):
11 Arctic Communities: Emerging Data Acute gastrointestinal illness in two Inuit communities: burden of illness in Rigolet and Iqualuit, Canada. SL Harper et al. Epidemiol Infect Lived experience of acute gastrointestinal illness in Rigolet, Nunatsiavut: Just suffer through it. SL Harper et al. Social Sci and Med Nanolitre real-time PCR detection of bacterial, parasitic and viral agents from patients with diarrhoea in Nunavut, Canada. DM Goldfarb et al. Int J Circumpolar Health
12 AGI in Arctic Communities Data from Dr. Sheri Harper, University of Guelph
13 Changes in Diagnostic Methods? Conventional Testing Multiplex PCR Bacteria Bacteria No Pathogen Virus Parasite No Pathogen with permission Goldfarb DM et al; Int J Circumpolar Health. 2013;72:19903.
14 Molecular Testing old specimens, new tools with permission Goldfarb et al; Int J Circumpolar Health 2013;72:19903.
15 Cryptosporidium: New Kid on the Map Spring 2013: Crypto retrospectively found to be leading stool pathogen July 2013: first observed Crypto outbreak in Arctic July 2014: new outbreak With permission, D Goldfarb
16 Crypto-whaaa? Oocyst forming coccidian protozoa Fecal-oral transmission, no intermediate maturation cycle Causes frequent non-bloody watery diarrhea +/- abdo cramps, fatigue, fever, wt. loss, vomiting, anorexia Self limited in immune competent hosts, incubation 3-14 days, illness usually lasts 6-14 days, continue to shed oocysts for 2 weeks Extensive waterborne disease outbreaks associated with contaminated drinking and recreational water (oocysts are chlorine tolerant) and in low resource settings and transmission from livestock and animals such as petting zoos (C. Parvum) Red Book. 29 th Ed
17 Sources: Not the Petting Zoo or the Pool! Giardia duodenalis and Cryptosporidium Spp. in the Intestinal Contents of Ringed Seals (Phoca Hispida) and Bearded Seals (Erignathus Barbatus) in Nunavik, Quebec, Canada Region. J Parasitology. Dixon et al.2008;94(5): Molecular characterization of Cryptosporidium sp isolated from northern Alaskan Caribou (Rangifer tarandus). J Parasitology. Siefker et al 2002;88:
18 Detection & Treatment Might not be detected on routine O & P of stools intermittent shedding- need 3 stools on 3 separate days small size of oocysts (4-6 um) concentration techniques + modified AF stain specific DFA gold standard, emerging role for flocked swabs/molecular testing No treatment in immune-competent
19 Crypto in Canada Thomas MK et al. Foodborne Pathogens and Dis. 2013; 10(7)
20 Crypto in the Arctic SL Harper et al. Epidemiol Infect. 2015
21 Crypto in kids? With permission. C. Yansouni
22 Crypto: QGH vs. the world? QGH detection rate Slide with permission D Goldfarb. Graphic from Shirley DT et al., Curr Opin Infect Dis 2012, 25:
23 Practical Implications: Diagnosis Gamma dynacare is doing acid fast staining on all O and P samples
24 So what? It s Self-Limiting Villous blunting Can have lasting effects in children, including increased diarrheal burden months after infection linear growth failure cognitive impairment Developmental delays has also been found in children with apparently asymptomatic infections May remain carrier for months No effective treatment (prevention is key) Guerrant et al (Eds); Tropical Infectious Diseases (2 nd Ed)
25 Practical Implications: Infection Control Infection Control (daycare exclusion, handwashing, animal handling, water ingestion) Most healthy individuals with acute diarrhea will only need supportive care
26 Survey: Health Behaviours
27 Survey: Health Beliefs
28 Practical Implications: Treatment Nitazoxanide is only FDA approved medication (is Health Canada special access) RCT -Diarrhea was resolved in 80% of adults and children within 7 days of being randomized to receive a 3-day course of nitazoxanide compared with only 41% of those randomized to placebo Indicated in: immunocompromised Chronic disease, particularly with growth failure Rossignol JF, et al. J Infect Dis 2001; 184:
29 Research Questions: 1. What is the incidence and prevalence of (i) intestinal infections and of (ii) diarrhea in Arctic communities? 2. What are the main infectious causes? 3. Are children being affected by repeated or chronic infections (Growth? Development?) 4. How can enteric infections be prevented in these communities?
30 Child under 5 years old? Has Gastroenteritis? You may have a patient eligible for the.. Nunavut Gastroenteritis Study Pick up the study pack for details If they are eligible and consent obtained, collect a swab sample to send to the lab If you have any questions please contact Dr. David Goldfarb (goldfarb@mcmaster.ca) or Dr. Amber Miners (aminers@gov.nu.ca)
31 Take Home Points 1. Diarrhoeal disease is an important, multifactorial, and underappreciated contributor to child health. 2. The burden of disease is higher in Arctic communities, unique prevention challenges. 3. Cryptosporidium is an emerging pathogen, diagnostic challenges, need more data. 4. There is a role for treatment of this pathogen in children with chronic disease.
32 Questions? Clyde River, Nunavut. Image courtesy of T Audcent
What s New in Number Two?: An update on pediatric acute gastroenteritis. David Goldfarb BC Children s Hospital/UBC March 2 nd, 2017
What s New in Number Two?: An update on pediatric acute gastroenteritis David Goldfarb BC Children s Hospital/UBC March 2 nd, 2017 Tropical and Geographic Medicine Intensive Short Course 2015 Disclosure
More informationCryptosporidiosis. By: Nikole Stewart
Cryptosporidiosis By: Nikole Stewart Cryptosporidiosis ("Crypto"); Etiological agent- Cryptosporidium (1) Transmission: Transmission occurs via the fecal-oral route when individuals ingest water or food
More informationGiardiasis. Table of Contents
Table of Contents Case Definition... Error! Bookmark not defined. Reporting Requirements... 2 Etiology... Error! Bookmark not defined. Clinical Presentation... Error! Bookmark not defined. Diagnosis...
More informationGastrointestinal Disease from 2007 to 2014
Data Requested by Amber Erickson, Epidemiologist, North Central Health District Gastrointestinal Disease from 2007 to 2014 North Central Health District Aemon Weaver, Epidemiology Intern, NCHD September
More informationGiardiasis Surveillance Protocol
Provider Responsibilities 1. Report all cases to your local health department by completing the provider section of the WVEDSS form within the timeframe indicated: Sporadic case of - should be reported
More informationNovember, Re: Cryptosporidiosis Reporting and Case Investigation. Reporting of cryptosporidiosis (Cryptosporidium species) is as follows:
Public Health and Primary Health Care Communicable Disease Control 4th Floor, 300 Carlton St, Winnipeg, MB R3B 3M9 T 204 788-6737 F 204 948-2040 www.manitoba.ca November, 2015 Re: Cryptosporidiosis Reporting
More informationCONTROL OF VIRAL GASTROENTERITIS OUTBREAKS IN CALIFORNIA LONG-TERM CARE FACILITIES
CONTROL OF VIRAL GASTROENTERITIS OUTBREAKS IN CALIFORNIA LONG-TERM CARE FACILITIES California Department of Health Services Division of Communicable Disease Control In Conjunction with Licensing and Certification
More informationEnteric Illness. Shigellosis
Section 3 Page 1 of 7 Notification Timeline: From Lab/Practitioner to Public Health: Immediately. From Public Health to Saskatchewan Health: Within 72 hours. Public Health Follow-up Timeline: Initiate
More informationSurviving Norovirus. Not Just a Cruise Ship Issue. Maria Wellisch, RN, LFNA Vice President of Corporate Education Morningside Ministries
Surviving Norovirus Not Just a Cruise Ship Issue Maria Wellisch, RN, LFNA Vice President of Corporate Education Morningside Ministries How Prevalent is Norovirus 21 million cases 71,000 individuals hospitalized
More informationWYANDOT COUNTY 2016 COMMUNICABLE DISEASE REPORT
WYANDOT COUNTY 216 COMMUNICABLE DISEASE REPORT February 217 Wyandot County saw a.87% increase in communicable disease cases from 21 to 216 (11 cases and 116 cases respectively). Numerous infectious diseases
More informationAlberta Health and Wellness Public Health Notifiable Disease Management Guidelines August 2011
August 2011 Giardiasis Revision Dates Case Definition Reporting Requirements Remainder of the Guideline (i.e., Etiology to References sections inclusive) Case Definition August 2011 August 2011 October
More informationGastroenteritis Outbreaks Including Norovirus. Module 7
Gastroenteritis Outbreaks Including Norovirus Module 7 Learner Outcomes By the end of this module you will be able to: Outline the case definition for a gastroenteritis outbreak. Explain the difference
More informationWhat is cryptosporidiosis? How is cryptosporidiosis spread?
What is cryptosporidiosis? Cryptosporidiosis is a diarrheal disease caused by microscopic parasites of the genus Cryptosporidium. Once an animal or person is infected, the parasite lives in the intestine
More informationPersonal Injury TYPES OF HOLIDAY ILLNESSES.
TYPES OF HOLIDAY ILLNESSES Whilst on holiday many different contractable illnesses exist, the list below contains the most common. This list is by no means exhaustive and if you have suffered from an illness
More informationWYANDOT COUNTY 2016 COMMUNICABLE DISEASE REPORT
WYANDOT COUNTY 216 COMMUNICABLE DISEASE REPORT February 217 Wyandot County saw a.87% increase in communicable disease cases from 21 to 216 (11 cases and 116 cases respectively). Numerous infectious diseases
More information(and what you can do about them)
(and what you can do about them) What s an outbreak? In general, more cases than expected (baseline) More cases clustered in a specific unit or facility than you d expect at a particular time of year Some
More informationFoodborne Disease in the Region of Peel
Foodborne Disease in the Region of Peel HIGHLIGHTS The incidence of selected foodborne diseases was generally higher in Peel than in Ontario between 1993 and 22. A higher incidence was observed in Peel
More informationNorovirus. Dr Bhakti Vasant Public Health Physician. Metro South Public Health Unit
Metro South Public Health Unit Norovirus Dr Bhakti Vasant Public Health Physician Source of image: http://www.hillingdontimes.co.uk/news/11808717.four_wards_closed_as_hillingdo n_hospital_fights_norovirus_outbreak/
More informationPREVALENCE OF DIFFERENT PROTOZOAN PARASITES IN PATIENTS VISITING AT ICDDR B HOSPITAL, DHAKA
J. Asiat. Soc. Bangladesh, Sci. 39(1): 117-123, June 213 PREVALENCE OF DIFFERENT PROTOZOAN PARASITES IN PATIENTS VISITING AT ICDDR B HOSPITAL, DHAKA SHAHELA ALAM, HAMIDA KHANUM 1, RIMI FARHANA ZAMAN AND
More informationAnnual Epidemiological Report
November 2018 Annual Epidemiological Report 1 Giardiasis in Ireland, 2017 Key Facts There were 240 notifications of giardiasis in Ireland in 2017. This represents a greater than five-fold increase in notifications
More information33. I will recommend this primer to my colleagues. A. Strongly Agree D. Disagree B. Agree E. Strongly Disagree C. Neither agree nor disagree
27. The primer increased my ability to recognize foodborne illnesses and increased the likelihood that I will consider such illnesses in my patients. 28. The primer increased my knowledge and skills in
More informationLaboratory Investigation of. Infectious Diarrhoea. Quiz Feedback. bpac nz better medicine
Laboratory Investigation of Infectious Diarrhoea Quiz Feedback bpac nz better medicine GP Review Panel: Dr Janine Bailey, Motueka Dr Stephen Kuzmich, Wellington Dr Randall Sturm, Auckland Dr Neil Whittaker,
More informationOutline EP1201. NEHA 2012 AEC June 2012
Food and Water Borne Enteric Protozoa: Environmental Health Perspectives Stephanie M. Fletcher, PhD (c) NEHA AEC & Exhibition San Diego June 30, 2012 Outline Introduction Overview of the Epidemiology of
More informationWashington State Department of Health (DOH) Cryptosporidium in Drinking Water Position Paper. Purpose
Washington State Department of Health (DOH) Cryptosporidium in Drinking Water Position Paper Purpose Cryptosporidium is a micro-organism which has gained increased public health significance as a result
More informationEPIDEMIOLOGY OF CRYPTOSPORIDIOSIS IN IRELAND
EPIDEMIOLOGY OF CRYPTOSPORIDIOSIS IN IRELAND Table of Contents Acknowledgements 3 Summary 4 Introduction 5 Case Definitions 6 Materials and Methods 7 Results Incidence 8 Age distribution 9 Seasonality
More informationFor Vets General Information Prevalence and Risk Factors Humans
For Vets General Information Cryptosporidium spp. are intestinal protozoal parasites of animals and humans that cause the disease cryptosporidiosis. The primary clinical sign of infection is diarrhea,
More informationEffect of Nitazoxanide in Diarrhea and Enteritis Caused by Cryptosporidium Species
CLINICAL GASTROENTEROLOGY AND HEPATOLOGY 2006;4:320 324 Effect of Nitazoxanide in Diarrhea and Enteritis Caused by Cryptosporidium Species JEAN FRANÇOIS ROSSIGNOL,* SAMIR M. KABIL, YEHIA EL GOHARY, and
More informationVibrio Cholerae (non-o1, non-o139)
August 2011 Vibrio Cholerae (non-o1, non-o139) Revision Dates Case Definition Reporting Requirements Remainder of the Guideline (i.e., Etiology to References sections inclusive) August 2011 August 2011
More informationU.S. Food & Drug Administration Center for Food Safety & Applied Nutrition Foodborne Pathogenic Microorganisms and Natural Toxins Handbook.
U.S. Food & Drug Administration Center for Food Safety & Applied Nutrition Foodborne Pathogenic Microorganisms and Natural Toxins Handbook Rotavirus 1. Name of the Organism: Rotavirus Rotaviruses are classified
More informationBacillary Dysentery (Shigellosis)
Bacillary Dysentery (Shigellosis) An acute bacterial disease involving the large and distal small intestine, caused by the bacteria of the genus shigella. Infectious agent Shigella is comprised of four
More informationccess safe drinking wa r is everyone s right Protozoans that cause diarrheal disease
ccess safe drinking wa r is everyone s right Protozoa: Protozoans that cause diarrheal disease 1. Giardia lamblia 2. Entameba histolytica 3. Cryptosporidium parvum 4. Cyclospora cayetanensis 1 Giardia
More informationViral gastroenteritis Gastrointestinal infections caused by viruses are the most common and the most contagious.3
CMA Today Quick Clinic May/Jun 2017 (Issue 3/Volume 50) GI woes Gastroenteritis affects patients at home and abroad By Nancy Solomon We expect patients to come into the office a few times a year with that
More informationCryptosporidium and Zoonoses. Extracts from Nibblers online discussion group
Cryptosporidium and Zoonoses Extracts from Nibblers online discussion group Some of you are aware of the difficulties that Cryptosporidium (a protozoan parasite of cattle, sheep and other wild mammals)
More informationCampylobacter jejuni
U.S. Food & Drug Administration Center for Food Safety & Applied Nutrition Foodborne Pathogenic Microorganisms and Natural Toxins Handbook Campylobacter jejuni 1. Name of the Organism: Campylobacter jejuni
More informationAnnexe 1. Listing of diseases related to water and environmental sanitation
ANNEXE 1: LISTING OF DISEASES Annexe 1 Listing of diseases related to water and environmental sanitation Annexes A1 105 CONTROLLING AND PREVENTING DISEASE A1 Annexes 106 ANNEXE 1: LISTING OF DISEASES Bacterial
More informationFIGHT INFECTIOUS BACTERIA AND VIRUSES MAKE HANDWASHING CONTAGIOUS!!!!!!!!!!!!!!!!!!!!!!!!!!!
FIGHT INFECTIOUS BACTERIA AND VIRUSES MAKE HANDWASHING CONTAGIOUS!!!!!!!!!!!!!!!!!!!!!!!!!!! It s contagious!! HANDWASHING TO ATTACK NOROVIRUS!! HELP FIGHT INFECTIOUS BACTERIA AND VIRUSES MAKE HANDWASHING
More informationAlberta Health and Wellness Public Health Notifiable Disease Management Guidelines August 2011
August 2011 Campylobacteriosis Revision Dates Case Definition Reporting Requirements Remainder of the Guideline (i.e., Etiology to References sections inclusive) August 2011 August 2011 October 2005 Case
More informationGUIDELINE ON CHOLERA OUTBREAK MANAGEMENT ETHIOPIA
page 1 / 5 page 2 / 5 guideline on cholera outbreak pdf INTRODUCTION Cholera is an acute secretory diarrheal illness caused by toxin-producing strains of the gram-negative bacterium Vibrio cholerae.severe
More informationGastroenteritis and viral infections
Gastroenteritis and viral infections A Large number of viruses are found in the human gut; these include some that are associated with gastroenteritis Rotaviruses Adenoviruses 40/41 Caliciviruses Norwalk-like
More informationInvestigation of a Giardia Cluster Associated with a Private Club, Cook County, 2011
Investigation of a Giardia Cluster Associated with a Private Club, Cook County, 2011 Alicia M. Siston, PhD, MPH, MS Chicago Department of Public Health Giardia Background Most common intestinal human parasite
More informationa) decide whether an investigation can be carried out (sample(s) or other evidence is available for analysis)
ENT-1 ENTERIC DISEASE Background At the Surveillance Advisory Group workshop held in March 1999, it was agreed that all reported cases of enteric disease, whether via doctor notification, self-report or
More informationAdvisory on Gastroenteritis
10 December 2018 Advisory on Gastroenteritis Background Singapore has seen a spate of four food poisoning outbreaks since November 2018, affecting more than 400 people. The most serious involved a fatality,
More informationBacterial Enteric Pathogens: Clostridium difficile, Salmonella, Shigella, Escherichia coli, and others
GUIDE TO INFECTION CONTROL IN THE HOSPITAL CHAPTER 48 Bacterial Enteric Pathogens: Clostridium difficile, Salmonella, Shigella, Escherichia coli, and others Authors Olivier Vandenberg, MD, PhD Michèle
More informationAppendix A: Disease-Specific Chapters
Infectious Diseases Protocol Appendix A: Disease-Specific Chapters Chapter: Giardiasis Revised Giardiasis Communicable Virulent Health Protection and Promotion Act: Ontario Regulation 558/91 Specification
More informationComparative Evaluation of Efficacy of Antibiotic in Treating Bacterial Enteritis in Children: A Hospital Based Study
Original article: Comparative Evaluation of Efficacy of Antibiotic in Treating Bacterial Enteritis in Children: A Hospital Based Study Radheshyam Shrotriya, Anju Kochar Principal Specialist (Pediatrics),
More informationNorovirus Outbreak in a Children s Hospital. Jennifer Adams, MT, MPH, CIC April 23, 2015
Norovirus Outbreak in a Children s Hospital Jennifer Adams, MT, MPH, CIC April 23, 2015 Objectives Discuss the epidemiology, symptoms, and transmission of norovirus. Identify key infection control activities
More informationNorovirus. Kristin Waroma. Michelle Luscombe. Public Health Inspector. Infection Control Nurse
Norovirus Kristin Waroma Public Health Inspector Michelle Luscombe Infection Control Nurse Objectives of Presentation Clinical presentation of Norovirus disease Transmission of Norovirus Treatment of Norovirus
More informationBacterial Enteropathogens Faecal PCR and Culture Results
Bacterial Enteropathogens - 2019 Faecal PCR and Culture Results Because most diarrhoeal illness is self-limiting, microbiological investigation is usually not indicated. It should however be considered
More informationAmebiasis rev Jan 2018
rev Jan 2018 BASIC EPIDEMIOLOGY Infectious Agent Entamoeba histolytica, a protozoan parasite. The trophozoite is the active form of the parasite which causes symptoms. Cysts are the infectious form which
More informationLesson 1.5. The Usual Suspects. Estimated time: Two 50 min periods. Instructional overview. Instructional objectives. Assessment
Lesson 1.5 The Usual Suspects Estimated time: Two 50 min periods Instructional overview Using information from peer presentations, students will identify the ten most common foodborne pathogens and recognize
More informationWaterborne Disease Risk.
Waterborne Disease Risk http://extension.usu.edu/agwastemanagement/permits/cafo-permit Outline 1. The Global Problem 2. The epidemiological link 3. The US 4. Assessing risk 5. Small water systems the Walkerton
More informationTrue Pathogens of the Enterobacteriaceae: Salmonella, Shigella & Yersinia Salmonella
Lec. 6 Oral Microbiology Dr. Chatin True Pathogens of the Enterobacteriaceae: Salmonella, Shigella & Yersinia Salmonella General Characteristics of Salmonella جامعة تكريت كلية طب االسنان Coliform bacilli
More informationGiardia lamblia (flagellates)
Giardia lamblia (flagellates) Dr. Hala Al Daghistani Giardia lamblia (Giardia duodenalis or Giardia intestinalis) is the causative agent of giardiasis and is the only common pathogenic protozoan found
More informationE. coli O157:H7 Outbreak Associated with Consumption of Unpasteurized Milk, Kentucky, 2014
E. coli O157:H7 Outbreak Associated with Consumption of Unpasteurized Milk, Kentucky, 2014 Association of Food and Drug Officials of the Southern States Fall Educational Conference September 15, 2015 Speakers
More informationI. Statement of the Problem: The case definition of giardiasis, a disease under public health surveillance, is in need of a revision.
10-ID-17 Committee: Infectious Disease Title: Update to Giardiasis Case Definition I. tatement of the Problem: The case definition of giardiasis, a disease under public health surveillance, is in need
More informationDevelopment and Application of an Enteric Pathogens Microarray
Development and Application of an Enteric Pathogens Microarray UC Berkeley School of Public Health Sona R. Saha, MPH Joseph Eisenberg, PhD Lee Riley, MD Alan Hubbard, PhD Jack Colford, MD PhD East Bay
More informationCHAPTER 4: DISEASES SPREAD BY FOOD AND WATER
CHAPTER 4: DISEASES SPREAD BY FOOD AND WATER Highlights The incidence of diseases spread by food and water was generally higher in Peel than Ontario with the exceptions of hepatitis A and verotoxinproducing
More informationWater Laboratories and Waterborne Disease Outbreaks. Patrick Luedtke MD, MPH and Sanwat Chaudhuri, PhD
Water Laboratories and Waterborne Disease Outbreaks Patrick Luedtke MD, MPH and Sanwat Chaudhuri, PhD Objectives Quiz: The privilege of fresh water Review: The varieties of waterborne diseases Discuss:
More informationInfectious Disease Outbreaks in confined spaces
Infectious Disease Outbreaks in confined spaces Dr Andrew Ebringer Senior Medical Director, Medical Services - Australia International SOS 1 2013 AEA International Holdings Pte. Ltd. All rights reserved.
More informationAdvances in Gastrointestinal Pathogen Detection
Advances in Gastrointestinal Pathogen Detection Erin McElvania TeKippe, Ph.D., D(ABMM) Director of Clinical Microbiology Children s Health System, Assistant Professor of Pathology and Pediatrics UT Southwestern
More informationDISCLOSURE Relevant relationships with commercial entities Wyeth (received advisory board & speaker honoraria) Potential for conflicts of interest wit
GASTROENTERITIS DISCLOSURE Relevant relationships with commercial entities Wyeth (received advisory board & speaker honoraria) Potential for conflicts of interest within this presentation fidaxomicin (which
More informationEpidemiology Update Hepatitis A
December 2011 Epidemiology Update Hepatitis A Hepatitis A Key Points Between 2000 and 2010, 209 cases of hepatitis A were reported in Hennepin County residents. This represents 30% of the cases reported
More informationEpidemiology of Diarrheal Diseases. Robert Black, MD, MPH Johns Hopkins University
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike License. Your use of this material constitutes acceptance of that license and the conditions of use of materials on this
More informationPublic Health Microbiology. CE421/521 Lecture Prof. Tim Ellis
Public Health Microbiology CE421/521 Lecture 10-03-06 Prof. Tim Ellis Pathogens and parasites Epidemiology Definitions epidemiology = study of spread of d in populations infectious disease = disease that
More informationRisk to public health associated with private water supplies. Dr Emmanuel Okpo
Risk to public health associated with private water supplies Dr Emmanuel Okpo Private Water Supply Workshop October 2013 Outline Water quality standards/drivers Contaminants (pathogens, chemicals) Population
More informationGASTROINTESTINAL ILLNESSES CAUSED BY MICROBES IN SYDNEY, AUSTRALIA
GASTROINTESTINAL ILLNESSES CAUSED BY MICROBES IN SYDNEY, AUSTRALIA Stephanie M. Fletcher Doctor of Philosophy (Science) 2013 CERTIFICATE OF ORIGINAL AUTHORSHIP I certify that the work in this thesis has
More informationVIRAL AGENTS CAUSING GASTROENTERITIS
VIRAL AGENTS CAUSING GASTROENTERITIS VIRAL AGENTS CAUSING GASTROENTERITIS Pathogens discussed in our lectures 1. Rotavirus 2. Enteric adenoviruses 3. Caliciviruses 4. Astroviruses 5. Toroviruses Viruses
More informationCryptosporidium is a protozoa in the Phylum Apicomplexa Cryptosporidium Parvum genotype 1
September, 2010 Cryptosporidium is a protozoa in the Phylum Apicomplexa Cryptosporidium Parvum genotype 1 Livestock not commonly infected but can occur through contamination of feeds by other species,
More informationWYANDOT COUNTY 2018 COMMUNICABLE DISEASE REPORT. The communicable disease summary of reportable infectious diseases for January 2018 December 2018.
WYANDOT COUNTY 2018 COMMUNICABLE DISEASE REPORT The communicable disease summary of reportable infectious diseases for January 2018 December 2018. TABLE OF CONTENTS Annual Communicable Diseases... 3 Communicable
More informationwith a state park - New Jersey 2012 Rebecca Greeley, MPH Antimicrobial Resistance & Waterborne Disease Coordinator, NJDOH
Waterborne outbreak of Shigella sonnei associated with a state park - New Jersey 20 Rebecca Greeley, MPH Antimicrobial Resistance & Waterborne Disease Coordinator, NJDOH - 2013 Steps of an Outbreak Investigation
More informationSHIGA-TOXIN PRODUCING ESCHERICHIA COLI STEC Update. Roshan Reporter, MD, MPH Rita Bagby, PS-PHN Leticia Martinez, PS-PHN
SHIGA-TOXIN PRODUCING ESCHERICHIA COLI STEC Update Roshan Reporter, MD, MPH Rita Bagby, PS-PHN Leticia Martinez, PS-PHN Objectives At the conclusion of this presentation the participant should be able
More informationFire and Feces: Cryptosporidium parvum Outbreak Associated with Fighting a Barn Fire Indiana and Michigan, June 2011
Fire and Feces: Cryptosporidium parvum Outbreak Associated with Fighting a Barn Fire Indiana and Michigan, June 2011 Jenna M. Webeck, DVM, MPH CDC EIS Officer Michigan Department of Community Health Michigan
More informationPrevalence of Intestinal Parasites in HIV Seropositive Patients with and without Diarrhoea and its Correlation with CD4 Counts
International Journal of Current Microbiology and Applied Sciences ISSN: 2319-7706 Volume 5 Number 10 (2016) pp. 527-532 Journal homepage: http://www.ijcmas.com Original Research Article http://dx.doi.org/10.20546/ijcmas.2016.510.058
More informationDr. Jabar Etaby Lecture GIARDIASIS(lambliasis) Etiology: Giardia lamblia (flagellate)
Dr. Jabar Etaby Lecture Two GIARDIASIS(lambliasis) Etiology: Giardia lamblia (flagellate) Epidemiology: It has worldwide distribution and is not uncommon in South Carolina. It is the most frequent protozoan
More informationEscherichia coli Verotoxigenic Infections
Revision Dates Case Definition Reporting Requirements Epidemiology/Public Health Management March 2011 May 2018 March 2011 Includes O157:H7 Case Definition Confirmed Case Laboratory confirmation of infection
More informationMcHenry County Norovirus Outbreaks November McHenry County Department of Health November 29,2010
McHenry County Norovirus Outbreaks November 2010 McHenry County Department of Health November 29,2010 What is Norovirus The most common cause of gastrointestinal illness resulting from an inflammation
More informationEnteric Outbreak Control Measures
Enteric Outbreak Control Measures Guidelines for Childcare Centres January 2014 ENTERIC OUTBREAK CONTROL MEASURES Guidelines for Child Care Centres WHAT IS AN ENTERIC OUTBREAK? An enteric outbreak may
More informationNorovirus. Causes. What causes infection with a norovirus? How is it spread?
- Fact sheet - Public Health Agency of Canada es are a group of viruses that cause gastroenteritis, an illness that usually includes diarrhea and/or vomiting. es are commonly found throughout North America
More informationVIRAL GASTRO-ENTERITIS
VIRAL GASTRO-ENTERITIS Dr Esam Ibraheem Azhar (BSc, MSc, Ph.D Molecular Medical Virology) Asst. Prof. Medical Laboratory Technology Department ١ Gastroenteritis Introduction (1) Paediatric diarrhoea remains
More informationProduce Food Safety. Understand what you want to prevent
Produce Food Safety Dr. Karen Killinger Washington State University Understand what you want to prevent The better we understand how pathogens function, the better we can prevent their survival and growth
More informationTraining in Infectious Diseases Modeling. A reflection on vaccination as a disease control measure
Training in Infectious Diseases Modeling A reflection on vaccination as a disease control measure -Example of Rotavirus disease- Participant s Guide Adapted by Nathalie Elomeiri; Camelia Savulescu; Fernando
More information16 HIV/AIDS Infection and Cell Organelles ALTHOUGH MANY OF their characteristics are similar to those of cells, viruses
16 HIV/AIDS Infection and Cell Organelles ALTHOUGH MANY OF their characteristics are similar to those of cells, viruses are not cells. They contain genetic material and a few proteins, but they do not
More informationCommunicable diseases. Gastrointestinal track infection. Sarkhell Araz MSc. Public health/epidemiology
Communicable diseases Gastrointestinal track infection Sarkhell Araz MSc. Public health/epidemiology Communicable diseases : Refer to diseases that can be transmitted and make people ill. They are caused
More informationTRAINER: Read this page ahead of time to prepare for teaching the module.
Module 2 Overview: Employee Illness TRAINER: Read this page ahead of time to prepare for teaching the module. PARTICIPANTS WILL: 1. Describe FOODBORNE ILLNESS symptoms. 2. Explain the difference between
More informationUNION COUNTY 2017 COMMUNICABLE DISEASE REPORT
UNION COUNTY 7 COMMUNICABLE DISEASE REPORT The communicable disease summary of reportable infectious disease for January 7 December 7. TABLE OF CONTENTS Annual Communicable Diseases... 3 Communicable
More informationNorovirus in Long Term Care Facilities Outbreak Checklist
Norovirus in Long Term Care Facilities Outbreak Checklist Norovirus Description The typical symptoms are nausea, vomiting, fever, abdominal cramps, and watery non-bloody diarrhea. The usual incubation
More informationMy presentation is about bovine neonatal diarrhea, more commonly referred to as calf scours. As always, good management is an important factor when
My presentation is about bovine neonatal diarrhea, more commonly referred to as calf scours. As always, good management is an important factor when dealing with herd health. This applies to calf rearing
More information1. Developed January Revised September 2017; August 2015; December 2013; February 2012; April 2010; March 2007.
Texas Vendor Drug Program Drug Use Criteria: Nitazoxanide (Alinia ) Publication History 1. Developed January 2007. 2. Revised September 2017; August 2015; December 2013; February 2012; April 2010; March
More informationClimate Change and Infectious Disease Research and Surveillance Activities in Arctic Canada: Zoonotic Diseases and Food and Water Safety & Security
Climate Change and Infectious Disease Research and Surveillance Activities in Arctic Canada: Zoonotic Diseases and Food and Water Safety & Security Manisha Kulkarni, PhD Public Health Agency of Canada
More informationAcute respiratory illness This is a disease that typically affects the airways in the nose and throat (the upper respiratory tract).
Influenza glossary Adapted from the Centers for Disease Control and Prevention, US https://www.cdc.gov/flu/glossary/index.htm and the World Health Organization http://www.wpro.who.int/emerging_diseases/glossary_rev_sept28.pdf?ua=1
More informationFecal shedding of rotavirus vaccine in premature babies in the neonatal unit
Fecal shedding of rotavirus vaccine in premature babies in the neonatal unit Dr. Manish Sadarangani Director, Vaccine Evaluation Center, BC Children s Hospital Research Institute Assistant Professor, Division
More informationMicrobiological Safety of Drinking Water: To Your Health. Will Robertson & Dennis Neil Health Canada
Microbiological Safety of Drinking Water: To Your Health Will Robertson & Dennis Neil Health Canada Introduction What are the pathogens? Why should we be concerned? How do they enter treated water? How
More informationHepatitis A Case Investigation and Outbreak Response. Terrie Whitfield LPN Public Health Representative
Hepatitis A Case Investigation and Outbreak Response Terrie Whitfield LPN Public Health Representative Training Objectives Provide an overview of HAV epidemiology Present reporting criteria and HAV case
More information5 th Grade Curriculum HIV and Communicable Diseases
5 th Grade Curriculum HIV and Communicable Diseases HIV and Communicable Diseases Serious subject Mature enough Consequences Informational Prevention Hypochondriac Disease HIV-AIDS HIV Human Immunodeficiency
More informationAnalysis of fresh produce in Norway for contamination with Cryptosporidium oocysts and Giardia cysts
Analysis of fresh produce in Norway for contamination with Cryptosporidium oocysts and Giardia cysts Lucy J. Robertson, Norwegian University of Life Sciences, Oslo, Norway Laila Jensvoll, Norwegian Food
More informationGiardiasis (lambliasis)
SURVEILLANCE REPORT Annual Epidemiological Report for 2016 Giardiasis (lambliasis) Key facts In 2016, 18 985 confirmed giardiasis cases were reported in the EU/EEA, representing an increase of 5.3% from
More informationInfectious And Parasitic Diseases Of Captive Carnivores
Infectious And Parasitic Diseases Of Captive Carnivores 1 / 7 2 / 7 3 / 7 Infectious And Parasitic Diseases Of Journal Articles References and abstracts from MEDLINE/PubMed (National Library of Medicine)
More informationGuidelines for the Control of a Suspected or Confirmed Outbreak of Viral Gastroenteritis (Norovirus) in an Assisted Living Facility or Nursing Home
Guidelines for the Control of a Suspected or Confirmed Outbreak of Viral Gastroenteritis (Norovirus) in an Assisted Living Facility or Nursing Home The following is a summary of guidelines developed to
More informationFecal Me This, Fecal Me That Where Are We Now With Giardia and Cryptosporidium Diagnostics?
Fecal Me This, Fecal Me That Where Are We Now With Giardia and Cryptosporidium Diagnostics? Shelley Miller, PhD, D(ABMM) Clinical Instructor Dept of Pathology & Lab Medicine UCLA Objectives Discuss giardiasis
More informationDiarrheal Diseases in Asia: overview and update. G. Balakrish Nair, PhD Ag. Regional Advisor Research Policy and Cooperation WHO, SEARO
Diarrheal Diseases in Asia: overview and update G. Balakrish Nair, PhD Ag. Regional Advisor Research Policy and Cooperation WHO, SEARO Overview of the talk Global and Regional burden of diarrheal disease
More information