CDC Influenza Technical Key Points February 15, 2018
|
|
- Derick Poole
- 6 years ago
- Views:
Transcription
1 CDC Influenza Technical Key Pints In this dcument: Summary Key Pints U.S. Vaccine Effectiveness U.S. Flu Activity Update Summary Key Pints On Thursday, tw influenza-related reprts appeared in the Mrbidity and Mrtality Weekly Reprt (MMWR): Interim Estimates f Seasnal Influenza Vaccine Effectiveness United States, February 2018 and Update: Influenza Activity United States, Octber 1, 2017 February 3, 2018 This flu seasn started early and has been intense, with recrd-breaking levels f influenza-like illness and hspitalizatin rates. As f February 3, flu activity was high and widespread acrss mst f the cuntry and significant activity is expected t cntinue fr several weeks. CDC estimates that U.S. flu vaccines this seasn were 36% effective verall against all influenza A and B viruses. This means that this seasn s vaccine reduced a vaccinated persn's risk f getting sick and having t g t the dctr fr flu by abut ne-third. Estimates shwed that effectiveness varied by virus type, subtype and even by the age f the peple being vaccinated in sme cases. As expected, effectiveness against the mst cmmn H3N2 virus was lwer (25%) while effectiveness against H1N1 (67%) and influenza B viruses (42%) was higher. A ntable exceptin t lwer VE against H3N2 viruses was that it ffered gd prtectin (51%) fr children 6 mnths t 8 years. This seasn s vaccine perfrmed as we expected and ffers prtectin fr many peple wh received it. These findings als underscre the need fr better flu vaccines, and the scientific data t help guide effrts t imprve flu vaccines. CDC cntinues t recmmend getting a flu vaccine. While flu vaccine varies in hw well it wrks, it is the best available way t prevent influenza and can reduce illnesses, dctr's visits and hspitalizatins. While flu vaccine effectiveness can vary, CDC recmmends an annual flu vaccine as the best way t prevent seasnal flu. CDC als recmmends rapid treatment f seriusly ill and high-risk suspect flu patients with influenza antiviral drugs. U.S. Flu Vaccine Effectiveness Estimates Tpline Messages On February 15, CDC published a Mrbidity and Mrtality Weekly Reprt (MMWR) entitled Interim Estimates f Seasnal Influenza Vaccine Effectiveness United States, February This reprt is available nline at During each flu seasn since , CDC has estimated the effectiveness f seasnal flu vaccines t prevent labratry-cnfirmed flu illness resulting in a dctr s visit.*
2 CDC Influenza Technical Key Pints *Clinically what is being measured is labratry cnfirmed influenza assciated with medically attended acute respiratry illness (ARI). This reprt uses data frm 4,562 children and adults enrlled in the U.S. Influenza Vaccine Effectiveness Netwrk (U.S. Flu VE Netwrk) during Nvember 2, 2017 February 3, During this perid, verall adjusted vaccine effectiveness (VE) against influenza A and B virus infectin was 36% (95% CI: 27% t 44%). This means that CDC s early estimates shw the flu vaccine has perfrmed similarly t what CDC expected at the beginning f the seasn with A(H3N2) viruses driving the majrity f flu activity. Overall, the seasnal flu vaccine has reduced the risk f getting sick and having t g t the dctr frm flu by abut ne third. Influenza A(H3N2) viruses were respnsible fr mst (69%) f the flu infectins reprted in this study, and as expected, VE was lwer against influenza A(H3N2) viruses. VE was 25% (95% CI: 13% 36%) against illness caused specifically by influenza A(H3N2) viruses. Of nte: VE was much higher in children 6 mnths thrugh 8 years f age: verall VE against influenza A and B viruses was 59% (95% CI: 44% 69%) in this age grup. Children in this age grup als had higher VE specifically against A(H3N2). VE against A(H3N2) viruses was 51% (95% CI: 29% 66%) in children 6 mnths thrugh 8 years f age. This means the risk fr A(H3N2) illness that required a dctr s visit was reduced by mre than half amng this grup f vaccinated children. VE against ther flu viruses, including against influenza A(H1N1) and influenza B viruses, als was higher than against A(H3N2). VE was 67% (CI:54% 76%) against influenza A(H1N1)pdm09 viruses VE was 42% (CI: 25% 56%) against influenza B viruses, prviding a mderate level f prtectin. These interim VE estimates reflect the nging challenges with creating effective flu vaccines against influenza A(H3N2) viruses. (H3N2 viruses have prven prblematic since the seasn.) The interim estimate f 25% VE against A(H3N2) viruses this seasn shws that seasnal flu vaccines are prviding sme prtectin, in cntrast t recently reprted, nn-significant interim estimates f 17% frm Canada and 10% frm Australia. These results als are similar t the final U.S. VE estimates f 32% against A(H3N2) viruses reprted last seasn ( ). Hwever, there is rm fr imprvement. There are many pssible reasns fr lwer effectiveness against H3N2 viruses, and it s imprtant t get mre data t help develp better flu vaccines.
3 CDC Influenza Technical Key Pints Several hyptheses fr why flu vaccines prvide less benefit against H3N2 viruses culd include the fllwing: Hst factrs, such as hw a persn s unique immune system respnds t vaccinatin r previus flu infectins. Nte: sme existing science suggests that the flu viruses peple are expsed t early in life will affect the way their immune systems respnd t flu infectin r vaccinatin later in life a prcess called imprinting r riginal antigenic sin. Anther factr culd be the unique characteristics f circulating H3N2 viruses and changes that ccur in H3N2 viruses ver time. And lastly, the egg-adapted changes that ccur with greater frequency in H3N2 viruses when they are grwn in eggs as part f the flu vaccine manufacturing prcess. Nte: A(H3N2) viruses are particularly difficult t grw in eggs. While these pints represent factrs that public health scientists and fficials must study and better understand in the future, these early VE estimates als underscre the need fr nging influenza preventin and treatment measures nw. CDC cntinues t recmmend flu vaccinatin because the flu vaccine can still prevent sme infectins with flu viruses that are expected t cntinue circulating fr several weeks. Vaccine effectiveness pint estimates fr influenza B and A (H1N1) indicate that flu vaccines will reduce peple s risk f flu illness assciated with influenza B r A(H1N1) viruses that results in a dctr s visit by 42% t 67%. Als, even with vaccine effectiveness f 25% against H3N2 viruses, flu vaccinatin will still prevent a substantial amunt f illness due t this virus. Flu vaccinatin has prevented thusands f hspitalizatins during previus seasns when A(H3N2) viruses were predminant, including during the seasn when interim VE estimates were similar t thse reprted here. In the United States, annual vaccinatin against seasnal flu is recmmended fr all peple 6 mnths f age and lder. In additin, apprpriate use f flu antiviral medicatins fr treatment f severely ill peple r peple at high risk fr cmplicatins frm the flu wh develp flu symptms is imprtant, especially amng lder adults, wh currently have the highest hspitalizatin rates. The VE estimates being reprted tday are interim estimates fr the seasn, and the final VE estimates will be published after the seasn is ver. The final seasn VE estimates may differ frm these interim estimates, and based n previus end f seasn estimates, they may be a little lwer than the interim estimates. CDC will cntinue t mnitr vaccine effectiveness thrugh the rest f the seasn. Yearly mnitring f vaccine effectiveness is critical t identifying vaccine issues that need t be understd and crrected.
4 CDC Influenza Technical Key Pints Methds At five study sites, patients 6 mnths f age and lder seeking utpatient medical care fr ARI with cugh within 7 days f illness nset were enrlled. The five study sites f the U.S. Flu VE Netwrk are lcated in the fllwing states: Wiscnsin, Michigan, Washingtn Pennsylvania, and Texas. Participants were interviewed t cllect demgraphic data, infrmatin n general and current health status, and symptms, and vaccinatin status. (Nte: a limitatin f this current data is that vaccinatin status included self-reprt at fur f five sites. Self-reprting can bias results twards higher vaccinatin rates.) Nasal and rpharyngeal swabs (r nasal swabs) were cllected t btain respiratry specimens. Specimens were tested at U.S. Flu VE Netwrk labratries using CDC s rrt-pcr prtcl. VE against all influenza virus types cmbined and against viruses by type/subtype were estimated as 100% x (1 dds rati). Estimates were adjusted fr study site, age grup, sex, race/ethnicity, self-rated general health, number f days frm illness nset t enrllment, and week f illness. Results Interim VE estimates fr the seasn were based n patients enrlled thrugh February 3, Amng the 4,562 children and adults with ARI enrlled at the five study sites frm Nvember 2, 2017 thrugh February 3, 2018, a ttal f 1,712 (38%) tested psitive fr influenza by rrt-pcr, including 1,392 (81%) influenza A viruses and 323 (19%) influenza B viruses. Amng 1,340 subtyped influenza A viruses, 1,143 (85%) were A/(H3N2) viruses and 208 (16%) were A(H1N1)pdm09 viruses. Mst (98%) f influenza B viruses belnged t the B/Yamagata lineage. The prprtin f patients with influenza differed by study site, sex, age grup, race/ethnicity, self-rated health status, and interval frm illness nset t enrllment. The percentage f patients wh were vaccinated ranged frm 45% t 59% amng study sites and differed by sex, age grup, race/ethnicity, and self-rated health status.
5 CDC Influenza Technical Key Pints Amng ARI patient participants, 43% f thse with influenza had received the seasnal influenza vaccine, cmpared with 53% f influenza negative participants. VE During this perid, verall adjusted vaccine effectiveness (VE) against influenza A and B virus infectin assciated with medically attended ARI was 36% (95% CI: 27% t 44%). Mst (69%) f influenza infectins were caused by influenza A(H3N2) viruses. VE was estimated t be 25% (95% CI: 13% 36%) against illness caused by influenza A(H3N2) viruses Of nte: statistically significant prtectin against medically attended influenza was fund amng children 6 mnths thrugh 8 years f age: VE was 59% (95% CI: 44% 69%). VE was estimated t be 67% (CI:54% 76%) against A(H1N1)pdm09 viruses VE was estimated t be 42% (CI: 25% 56%) against influenza B viruses. As f February 3, 2018, a ttal f 257 influenza A(H3N2) viruses frm U.S. Flu VE Netwrk participants had been characterized by CDC. 240 (93%) belnged t either genetic grup 3C.2a (226 viruses) r t the related subgrup 3C.2a1 (14), whereas 17 (7%) belnged t grup 3C.3a. Genetic grup 3C.2a includes the A/Hng Kng/4801/2014 reference virus representing the A(H3N2) cmpnent f the Nrthern Hemisphere influenza vaccines. Backgrund Each seasn, CDC studies hw well flu vaccines wrk by cllecting data thrugh the U.S. VE netwrk f five sites acrss the United States. Flu vaccine effectiveness can vary each year based n a number f factrs, including the match between vaccine viruses and circulating viruses, what viruses are circulating, and the age and immune factrs f the persn being vaccinated. CDC will cntinue t publish influenza labratry and disease surveillance data weekly in FluView. Updated VE estimates will be prvided as warranted and final VE estimates will be published after the seasn ends. Final seasn VE estimates may differ frm the interim estimates, and may be a little lwer than the interim estimates. U.S. Flu Activity Update MMWR: Influenza Activity Influenza Activity United States, Octber 1, 2017 February 3, 2018 Seasnal Flu Update: The MMWR reprt is available n CDC s website at: Influenza illness during the seasn has been substantial thus far, with sme f the highest levels f ILI and hspitalizatin rates in recent years and elevated activity ccurring in mst f the cuntry simultaneusly.
6 CDC Influenza Technical Key Pints Clinical labratries tested 666,493 specimens fr influenza virus, and 124,316 (18.7%) tested psitive. The percentage f specimens testing psitive fr influenza A viruses peaked at 21.8% during the week ending January 13; the percentage testing psitive fr influenza B viruses has cntinued t increase and was 8.1% during the week ending February 3. Public health labratries tested 51,014 specimens fr influenza virus, and 27,669 tested psitive. This includes 23,257 (84.1%) fr influenza A and 4,412 (15.9%) fr influenza B viruses. Nearly all the influenza viruses characterized during this perid were genetically r antigenically similar t the cell grwn reference viruses representing vaccine cmpnents recmmended fr prductin in the Nrthern Hemisphere influenza vaccines. Fr the A(H3N2) viruses, 98.1% were antigenically similar t the cell-prpagated reference virus representing the vaccine cmpnent but nly 64.4% were antigenically similar t the egg-prpagated reference virus representing the vaccine cmpnent. Fur viruses (all A(H1N1pdm09 viruses) cllected in the U.S. this seasn were fund t be resistant t seltamivir and peramivir. N antiviral resistance t seltamivir, zanamivir, r peramivir has been identified amng influenza A(H3N2) r influenza B viruses cllected since Octber 1, Influenza-like Illness The weekly percentage f utpatient visits t heath care prviders participating in ILINet fr ILI ranged frm 1.3% t 7.7%. The percentage first exceeded the natinal baseline level f 2.2% during the week ending Nvember 25, 2017 (week 47) and has remained at r abve the baseline fr 11 cnsecutive weeks. Frm the week ending December 23, 2017, (week 51), thrugh the week ending February 3, 2018, (week 5), all 10 HHS regins reprted a percentage f utpatient visits fr ILI at r abve their regin-specific baseline levels. Since the week ending December 30, 2017, mre than half f the 53 jurisdictins (50 states, District f Clumbia, New Yrk City, and Puert Ric) experienced high ILI activity each week, with the largest number f jurisdictins (46, 87%) experiencing high ILI activity during the week ending February 3, During the past five seasns, the largest number f jurisdictins experiencing high ILI activity in a single week ranged frm 16 (30%) during the seasn t 31 (58%) during the and seasns. Gegraphic Spread: During the seasn, the peak number f jurisdictins reprting widespread activity in a single week was 50 (93%); this ccurred fr the 3 cnsecutive weeks (weeks ending January 6, January 13, and January 20, 2018).
7 CDC Influenza Technical Key Pints During the previus five influenza seasns, the peak number f jurisdictins reprting widespread activity in a single week during each seasn has ranged frm 41 (76%) in the seasn t 48 (89%) during the seasn. Hspitalizatins: Frm Octber 1, 2017 February 3, 2018, 17,101 labratry-cnfirmed influenza-related hspitalizatins were reprted, representing a cumulative incidence amng all age grups f 59.9 per 100,000 ppulatin. The cumulative influenza hspitalizatin rates per 100,000 ppulatin during Octber 1, 2017 February 3, 2018, fr persns aged 0 4 years, 5 17 years, years, years, and 65 years were 40.0, 10.3, 18.3, 63.1, and 263.6, respectively. Persns aged 65 years had the highest rate and accunted fr 59% f reprted influenza-assciated hspitalizatins. Amng all hspitalizatins, 14,770 (86.4%) were assciated with influenza A virus infectin. The remaining hspitalizatins included 2,251 (13.2%) with influenza B virus infectin, 43 (0.3%) with influenza A virus and influenza B virus cinfectin, and 37 (0.2%) with influenza virus infectin fr which the type was nt determined. Amng the 3,841 patients fr whm influenza A subtype infrmatin was available, 3,308 (86.1%) were infected with influenza A(H3N2) viruses and 533 (13.9%) with influenza A(H1N1)pdm09 viruses. Amng hspitalized persns aged 0 64 years fr whm influenza A subtype infrmatin was available, 23.6% were infected with influenza A(H1N1)pdm09 viruses, cmpared with nly 7.0% f thse aged 65 years. Infrmatin n underlying medical cnditins was available fr 2,147 (12.6%) hspitalized patients with labratry-cnfirmed influenza as f February 3, Amng 1,955 hspitalized adults with infrmatin n underlying medical cnditin available, 1,325 (67.8%) had at least ne underlying medical cnditin that placed them at high risk fr influenza-assciated cmplicatins. The mst cmmnly reprted medical cnditins were cardivascular disease (35.5%), metablic disrders (33.0%), besity (25.2%), and chrnic lung disease (23.6%). Amng 192 hspitalized children with infrmatin n underlying medical cnditins available, 97 (50.5%) had at least ne underlying medical cnditin. The mst cmmnly reprted cnditins were asthma (22.8%), neurlgic disrders (14.4%), and besity (10.1%). Amng 151 hspitalized wmen aged years with infrmatin n pregnancy status, 36 (23.8%) were pregnant.
8 CDC Influenza Technical Key Pints Pneumnia and Influenza-Attributed Deaths: CDC tracks pneumnia and influenza (P&I) attributed deaths thrugh the Natinal Center fr Health Statistics (NCHS) Mrtality Reprting System. Accrding t this CDC surveillance system: Frm Octber 1, 2017, t January 20, 2018, the weekly percentage f deaths attributed t P&I has ranged frm 5.8% t 10.1% and has exceeded the epidemic threshld fr 5 cnsecutive weeks. P&I percentages fr recent weeks are likely t be artificially lw because f a delay in manual cding fr deaths ccurring in The percentage f deaths caused by P&I is higher amng manually cded death certificates than amng machine-cded death certificates. The percentage f deaths caused by P&I will likely increase as mre data becme available. Pediatric Deaths: As f February 3, 2018, (week 5), 63 labratry-cnfirmed influenza-assciated pediatric deaths ccurring during the seasn were reprted t CDC. Of the 63 deaths: Fifteen deaths were assciated with an influenza A(H1N1)pdm09 virus infectin Sixteen were assciated with an influenza A(H3N2) virus infectin Furteen were assciated with infectin with an influenza A virus fr which n subtyping was perfrmed, and 18 were assciated with an influenza B virus infectin. Amng the children fr whm medical histry is knwn, 54% were therwise healthy. Of the children wh were eligible fr vaccinatin ( 6 mnths f age) and fr whm vaccinatin status was knwn, 26% received at least 1 dse f influenza vaccine befre nset f illness. Since influenza-assciated pediatric mrtality became a natinally ntifiable cnditin in 2004, the number f influenza-assciated pediatric deaths per seasn has ranged frm 37 t 171, excluding the 2009 pandemic, when there were 358 pediatric deaths during April 15, 2009 Octber 2, 2010 were reprted t CDC. Flu Severity: With several mre weeks f elevated influenza activity anticipated this seasn, it is t early t assess verall severity f the seasn. Hwever, estimates f the burden f influenza disease frm the and seasns prvide an indicatin f what might be anticipated fr the seasn. CDC estimated that during each f thse seasns influenza accunted fr as many as 35.6 millin illnesses, 16.6 millin medically attended visits, 710,000 hspitalizatins and 56,000 deaths. CDC Discussin/Recmmendatins:
9 CDC Influenza Technical Key Pints Influenza A(H3N2) is the predminant influenza virus circulating this seasn. Past A(H3N2) virus predminant seasns such as the and seasns had increased numbers f influenza related infectins, hspitalizatins, and deaths cmpared with A(H1N1)pdm09 virus-predminant seasns. With several mre weeks f elevated influenza activity expected, an increasing prprtin f influenza A(H1N1)pdm09 and influenza B viruses, and the ptential t prevent significant illness thrugh influenza vaccinatin, CDC cntinues t recmmend influenza vaccinatin at this time. In the United States, annual vaccinatin against seasnal flu is recmmended fr all peple 6 mnths f age and lder. During influenza seasns with increased severity, influenza antiviral medicatins fr treatment f influenza are an even mre imprtant adjunct t vaccinatin. Three neuraminidase inhibitr antiviral medicatins are apprved and recmmended fr use in the United States during the influenza seasn: Oral seltamivir (available as a generic r under the trade name Tamiflu), Inhaled zanamivir Intravenus peramivir Treatment with influenza antiviral medicatins initiated as clse t the nset f illness as pssible is recmmended fr patients with cnfirmed r suspected influenza wh have severe, cmplicated, r prgressive illness. Clinical benefit f antiviral treatment is greatest when treatment begins within 48 hurs after symptm nset; hwever, antiviral treatment initiated later than 48 hurs after illness nset can still be beneficial fr sme patients. A CDC health advisry released n December 27, 2017, regarding treatment with antiviral medicatins is available at Fr cmplete CDC antiviral guidelines, please see Nvel Influenza A Viruses: Six human infectins with nvel influenza A viruses were reprted t CDC during Octber 1, 2017 February 3, All f these were variant virus infectins (human infectins with influenza viruses that nrmally circulate in swine). Five f these infectins were previusly described. The sixth human infectin with a nvel influenza A virus was caused by an influenza A(H3N2) variant (A[H3N2]v) virus in Iwa in an adult patient with nset f respiratry symptms in Nvember This patient reprted expsure t swine during the week preceding illness nset, was nt hspitalized, and has fully recvered. N sustained human-t-human transmissin was identified. Fr mre infrmatin:
10 CDC Influenza Technical Key Pints Influenza surveillance reprts fr the United States are psted nline weekly ( Additinal infrmatin regarding influenza viruses, influenza surveillance, influenza vaccine, influenza antiviral medicatins, and nvel influenza A infectins in humans is available nline (
CDC Influenza Division Key Points MMWR Updates February 20, 2014
CDC Influenza Divisin Key Pints MMWR Updates In this dcument: Summary Key Messages Seasnal Influenza Vaccine Effectiveness: Interim Adjusted Estimates Influenza Surveillance Update: September 29, 2013-February
More informationCDC Influenza Division Key Points November 7, 2014
In this dcument: Summary Key Messages FluView Activity Update LAIV Effectiveness and Vaccinatin f Children H3N2 Match and Vaccinatin Vaccine Supply Summary Key Messages This week s FluView reprt indicates
More informationCDC Influenza Division Key Points December 9, 2016
In this dcument: Summary Key Pints Summary f Influenza Virus Labratry Data FluView Activity Update Early Influenza Vaccine Cverage Estimates fr 2016-17 Influenza Vaccine Prgram Impact Estimates fr 2015-16
More informationKey Points Enterovirus D68 in the United States, 2014 Note: Newly added information is in red.
Key Pints Entervirus D68 in the United States, 2014 Nte: Newly added infrmatin is in red. Over the last several mnths, the United States has experienced a natinwide utbreak f entervirus D68 (EV- D68) assciated
More informationKey Points Enterovirus D68 in the United States, 2014 Note: Newly added information is in red.
Key Pints Entervirus D68 in the United States, 2014 Nte: Newly added infrmatin is in red. The United States is currently experiencing a natinwide utbreak f entervirus D68 (EV-D68) assciated with severe
More informationVaccine Information Statement: LIVE INTRANASAL INFLUENZA VACCINE
Vaccine Infrmatin Statement: LIVE INTRANASAL INFLUENZA VACCINE Many Vaccine Infrmatin Statements are available in Spanish and ther languages. See www.immunize.rg/vis. Hjas de Infrmacián Sbre Vacunas están
More informationEye on Influenza. o Available Vaccine Products and Indications: See
Archived Dcument Archive Disclaimer: The fllwing Health Care Agency dcument is fr histrical purpses nly. The infrmatin prvided was accurate at the time it was riginally presented. The Health Care Agency
More informationFlu Season Key Points ( )
2014-2015 Flu Seasn Key Pints (10-31-14) Cntents Overarching Framewrk f CDC Influenza Messaging... 3 Take 3 Messages... 3 Statements fr General Audiences... 4 Disease... 4 Vaccinatin... 6 Vaccinatin Timing...
More informationInfluenza (Flu) Fact Sheet
Influenza (Flu) Fact Sheet What is the flu? The flu is a cntagius respiratry illness caused by influenza viruses. It can cause mild t severe illness, and at times can lead t death. Sme peple, such as lder
More informationVaccine Information Statement: PNEUMOCOCCAL CONJUGATE VACCINE
Vaccine Infrmatin Statement: PNEUMOCOCCAL CONJUGATE VACCINE Many Vaccine Infrmatin Statements are available in Spanish and ther languages. See www.immunize.rg/vis. Hjas de Infrmacián Sbre Vacunas están
More informationThe estimator, X, is unbiased and, if one assumes that the variance of X7 is constant from week to week, then the variance of X7 is given by
ESTIMATION PROCEDURES USED TO PRODUCE WEEKLY FLU STATISTICS FROM THE HEALTH INTERVIEW SURVEY James T. Massey, Gail S. Pe, Walt R. Simmns Natinal Center fr Health Statistics. INTRODUCTION In April 97, the
More informationBreast Cancer Awareness Month 2018 Key Messages (as of June 6, 2018)
Breast Cancer Awareness Mnth 2018 Key Messages (as f June 6, 2018) In this dcument there are tw sectins f messages in supprt f Cancer Care Ontari s Breast Cancer Awareness Mnth 2018: 1. Campaign key messages
More informationHuman papillomavirus (HPV) refers to a group of more than 150 related viruses.
HUMAN PAPILLOMAVIRUS This infrmatin may help answer sme f yur questins and help yu think f ther questins that yu may want t ask yur cancer care team; it is nt intended t replace advice r discussin between
More informationFrequently asked questions: Influenza A (H1N1)v
July 30 th 2009 V1.0 Frequently asked questins: Influenza A (H1N1)v (Swine Flu) infrmatin fr parents The fllwing advice is fr parents f children in all educatinal institutins, including crèches, childcare,
More informationThis information shows what new challenges are likely to require prevention efforts moving forward.
Release f CDC s Healthcare-Assciated Infectins (HAI) Pint Prevalence Survey and Annual Natinal and State HAI Prgress Reprt Embarged until: Wednesday, March 26 th at 12 nn ET Key Messages Overall These
More informationSwindon Joint Strategic Needs Assessment Bulletin
Swindn Jint Strategic Needs Assessment Bulletin Swindn Diabetes 2017 Key Pints: This JSNA gives health facts abut peple with diabetes r peple wh might get diabetes in Swindn. This helps us t plan fr medical
More informationOsteoporosis Fast Facts
Osteprsis Fast Facts Fast Facts n Osteprsis Definitin Osteprsis, r prus bne, is a disease characterized by lw bne mass and structural deteriratin f bne tissue, leading t bne fragility and an increased
More informationCommissioning Policy: South Warwickshire CCG (SWCCG)
Cmmissining Plicy: Suth Warwickshire CCG (SWCCG) Treatment Indicatin Criteria FreeStyle Libre Flash Cntinuus Glucse Mnitring System Type I Diabetes Prir apprval must be requested frm the Individual Funding
More informationChildhood Immunization Status (NQF 0038)
Childhd Immunizatin Status (NQF 0038) EMeasure Name Childhd Immunizatin EMeasure Id Pending Status Versin Number 1 Set Id Pending Available Date N infrmatin Measurement Perid January 1, 20xx thrugh December
More informationUS Public Health Service Clinical Practice Guidelines for PrEP
Webcast 1.3 US Public Health Service Clinical Practice Guidelines fr PrEP P R E S ENTED BY: M A R K T H R U N, M D A S S O C I AT E P R O F E S S O R, U N I V E R S I T Y O F C O L O R A D O, D I V I S
More informationMeasures to Minimize Influenza Transmission at Swine Exhibitions
Measures t Minimize Influenza Transmissin at Swine Exhibitins It is estimated that 150 millin peple visit agricultural fairs each year in Nrth America. Agricultural exhibitins prvide valuable educatinal
More informationH1N1 Influenza 09 Guidance for Residential Aged Care
H1N1 Influenza 09 Guidance fr Residential Aged Care 11 June 2009 As knwledge abut H1N1 Influenza 09 develps, further advice will be prvided. Please check www.healthemergency.gv.au fr the latest infrmatin.
More informationCSHCN Services Program Benefits to Change for Outpatient Behavioral Health Services Information posted November 10, 2009
CSHCN Services Prgram Benefits t Change fr Outpatient Behaviral Health Services Infrmatin psted Nvember 10, 2009 Effective fr dates f service n r after January 1, 2010, benefit criteria fr utpatient behaviral
More informationRisk factors in health and disease
Risk factrs in health and disease Index 1 Intrductin 2 Types f risk factrs 2.1 Behaviural risk factrs 2.2 Psychlgical risk factrs 2.3 Demgraphic risk factrs 2.4 Envirnmental risk factrs 2.5 Genetic risk
More informationHealth Screening Record: Entry Level Due: August 1st MWF 150 Entry Year
Health Screening Recrd: Entry Level MIDWIFERY EDUCATION PROGRAM HEALTH SCREENING REQUIREMENTS (Rev. June 2017) 1. Hepatitis B: Primary vaccinatin series (3 vaccines 0, 1 and 6 mnths apart), plus serlgic
More informationBRCA1 and BRCA2 Mutations
BRCA1 and BRCA2 Mutatins ROBERT LEVITT, MD JESSICA BERGER-WEISS, MD ADRIENNE POTTS, MD HARTAJ POWELL, MD, MPH COURTNEY LEVENSON, MD LAUREN BURNS, MSN, RN, WHNP OBGYNCWC.COM v Cancer is a cmplex disease
More informationThe data refer to persons aged between 15 and 54.
Drug-related hspital stays in Australia 1993-2005 Prepared by Amanda Rxburgh and Luisa Degenhardt, Natinal Drug and Alchl Research Centre Funded by the Australian Gvernment Department f Health and Ageing
More informationLTCH QUALITY REPORTING PROGRAM
4 LTCH QUALITY REPORTING PROGRAM GENERAL INFORMATION...3 LTCH FACILITY-LEVEL QUALITY MEASURE REPORT...5 LTCH PATIENT-LEVEL QUALITY MEASURE REPORT...18 LTCH REVIEW AND CORRECT REPORT...23 09/2018 v1.04
More informationFrequently Asked Questions: IS RT-Q-PCR Testing
Questins 1. What is chrnic myelid leukemia (CML)? 2. Hw des smene knw if they have CML? 3. Hw is smene diagnsed with CML? Frequently Asked Questins: IS RT-Q-PCR Testing Answers CML is a cancer f the bld
More informationHospital Preparedness Checklist
Hspital Preparedness Checklist http://pandemicflu.gv Preparedness Subject 1. Structure fr planning and decisin making An internal, multidisciplinary planning cmmittee fr influenza preparedness has been
More informationThe principles of evidence-based medicine
The principles f evidence-based medicine By the end f this mdule yu shuld be able t: Describe what evidence based medicine is Knw where t find quality evidenced based medicine n the internet Be able t
More informationThis clinical study synopsis is provided in line with Boehringer Ingelheim s Policy on Transparency and Publication of Clinical Study Data.
abcd Clinical Study Synpsis fr Public Disclsure This clinical study synpsis is prvided in line with Behringer Ingelheim s Plicy n Transparency and Publicatin f Clinical Study Data. The synpsis which is
More informationChildhood Immunization Status (NQF 0038)
Childhd Immunizatin Status (NQF 0038) EMeasure Name Childhd Immunizatin EMeasure Id Pending Status Versin Number 1 Set Id Pending Available Date N infrmatin Measurement Perid January 1, 20xx thrugh December
More informationA Phase I Study of CEP-701 in Patients with Refractory Neuroblastoma NANT (01-03) A New Approaches to Neuroblastoma Therapy (NANT) treatment protocol.
SAMPLE INFORMED CONSENT A Phase I Study f CEP-701 in Patients with Refractry Neurblastma NANT (01-03) A New Appraches t Neurblastma Therapy (NANT) treatment prtcl. The wrd yu used thrughut this dcument
More informationPandemic H1N1 2009: DrillSafe Update. David Blizzard BD Manager, Energy Mining and Infrastructure
Pandemic H1N1 2009: DrillSafe Update David Blizzard BD Manager, Energy Mining and Infrastructure Pandemic H1N1 Update CDC.Gv USA Pandemic H1N1 Summary Pints Virus cntinues t spread with nearly all WHO
More informationMinistry of Health and Long-Term Care
Ministry f Health and Lng-Term Care Infrmatin n Nvel H1N1 Influenza A - Frequently Asked Questins fr Primary Care Practitiners May 7, 2009 This infrmatin is subject t change based n evlving infrmatin n
More informationCONTACT: Amber Hamilton TYPE 2 DIABETES AND OBESITY: TWIN EPIDEMICS OVERVIEW
FACT SHEET CONTACT: Amber Hamiltn 212-266-0062 TYPE 2 DIABETES AND OBESITY: TWIN EPIDEMICS OVERVIEW Type 2 diabetes accunts fr 90-95% f the 29.1 millin diabetes cases in the U.S. 1 Obesity is a majr independent
More informationLyme Disease Surveillance in North Carolina
Lyme Disease Surveillance in Nrth Carlina 2008-2014 Carl Williams DVM Megan Sanza MPH Cmmunicable Disease Branch Divisin f Nrth Carlina Public Health Lyme Disease Surveillance in Nrth Carlina 2008-2014
More informationDear Student, IMMUNIZATION RECORD INSTRUCTIONS
Dear Student, Welcme t the University f Chicag! The State f Illinis and University regulatins require students t prvide prf f required immunizatins prir t registratin fr classes. In rder t cmplete this
More informationCONSENT FOR KYBELLA INJECTABLE FAT REDUCTION
CONSENT FOR KYBELLA INJECTABLE FAT REDUCTION INSTRUCTIONS This is an infrmed cnsent dcument which has been prepared t help yur Dctr infrm yu cncerning fat reductin with an injectable medicatin, its risks,
More informationSafety of HPV vaccination: A FIGO STATEMENT
FIGO Statement n HPV Vaccinatin Safety, August 2nd, 2013 Safety f HPV vaccinatin: A FIGO STATEMENT July, 2013 Human papillmavirus vaccines are used in many cuntries; glbally, mre than 175 millin dses have
More informationCLINICAL MEDICAL POLICY
Plicy Name: Plicy Number: Respnsible Department(s): CLINICAL MEDICAL POLICY Supervised Exercise Therapy fr Peripheral Artery Disease (PAD) MP-077-MD-DE Medical Management Prvider Ntice Date: 01/15/2019
More informationPediatric and adolescent preventive care and HEDIS *
Pediatric and adlescent preventive care and HEDIS * * HEDIS is a registered trademark f the Natinal Cmmittee fr Quality Assurance (NCQA). UniCare Health Plan f West Virginia, Inc. Healthcare Effectiveness
More informationDATA RELEASE: UPDATED PRELIMINARY ANALYSIS ON 2016 HEALTH & LIFESTYLE SURVEY ELECTRONIC CIGARETTE QUESTIONS
DATA RELEASE: UPDATED PRELIMINARY ANALYSIS ON 216 HEALTH & LIFESTYLE SURVEY ELECTRONIC CIGARETTE QUESTIONS This briefing has been specifically prepared fr the Ministry f Health t prvide infrmatin frm this
More informationMANITOBA HEALTH, HEALTHY LIVING & SENIORS WEEKLY WEST NILE VIRUS SURVEILLANCE REPORT (WEEK 27)
MANITOBA HEALTH, HEALTHY LIVING & SENIORS WEEKLY WEST NILE VIRUS SURVEILLANCE REPORT (WEEK 27) The weekly West Nile Virus Surveillance Reprt utlines the mst current surveillance data and is psted weekly
More informationChapter 6: Impact Indicators
Overview Chapter 6: Impact Indicatrs The best measure f the lng-term impact f all HIV preventin activities is the HIV incidence rate, namely the number f new cases f HIV infectin per year divided by the
More informationCHAPTER 2. HEALTH SERVICES
CHAPTER 2. HEALTH SERVICES 2.1 Treatment f substance use disrders within health services Thmas F Babr and Kerstin Stenius Overview Since the end f the Secnd Wrld War there has been a cnsistent grwth f
More informationMedication Assisted Treatment for Opioid Use Disorder in Rural Colorado
Medicatin Assisted Treatment fr Opiid Use Disrder in Rural Clrad Why is piid use disrder getting s much attentin? Opiid Use Disrder (OUD) has seen an epidemic rise in the United States ver the past decade.
More informationImmunisation and Disease Prevention Policy
Immunisatin and Disease Preventin Plicy Quality Area 2: Children s Health and Safety 2.1 Each child s health is prmted 2.1.4 Steps are taken t cntrl the spread f infectius diseases and t manage injuries
More informationZika Virus. Where has Zika virus been found? Zika in the United States and its territories:
Where has Zika virus been fund? Zika Virus Prir t 2015, Zika virus utbreaks have ccurred in areas f Africa, Sutheast Asia, and the Pacific Islands. In May 2015, the Pan American Health Organizatin (PAHO)
More informationiprex Fact Sheet: Key Results
EMBARGOED UNTIL RELEASE Tuesday, 23 Nvember 2010, 8 a.m. EST CONTACT Mark Aurigemma; 646-270-9451; mark@aucmm.net Pedr Gicchea; 415-490-8350 pgicchea@gladstne.ucsf.edu iprex Fact Sheet: Key Results iprex
More informationCompleting the NPA online Patient Safety Incident Report form: 2016
Cmpleting the NPA nline Patient Safety Incident Reprt frm: 2016 The infrmatin cntained within this dcument is in line with the current Data Prtectin Act (DPA) requirements. This infrmatin may be subject
More information2017 CMS Web Interface
CMS Web Interface PREV-5 (NQF 2372): Breast Cancer Screening Measure Steward: NCQA Web Interface V1.0 Page 1 f 18 11/15/2016 Cntents INTRODUCTION... 3 WEB INTERFACE SAMPLING INFORMATION... 4 BENEFICIARY
More information2017 CMS Web Interface
CMS Web Interface CARE-2 (NQF 0101): Falls: Screening fr Future Fall Risk Measure Steward: NCQA Web Interface V1.0 Page 1 f 18 11/15/2016 Cntents INTRODUCTION... 3 WEB INTERFACE SAMPLING INFORMATION...
More informationPain relief after surgery
Pain relief after surgery Imprtant infrmatin fr patients www.mchft.nhs.uk We care because yu matter This leaflet is designed t help yu cntrl any pain yu may have at hme fllwing yur peratin. Please read
More informationEvaluation of a Shared Decision Making Intervention between Patients and Providers to Improve Menopause Health Outcomes: Issue Brief
Evaluatin f a Shared Decisin Making Interventin between Patients and Prviders t Imprve Menpause Health Outcmes: Issue Brief Key Findings Tablet technlgy can be successfully incrprated int primary practices
More informationTick fever is a cattle disease caused by any one of the following blood parasites:
Tick fever Tick fever is a cattle disease caused by any ne f the fllwing bld parasites: Babesia bvis Babesia bigemina Anaplasma marginale These parasites are all transmitted by the cattle tick (Bphilus
More informationHigh Performance Network Quality Criteria for Designation
Selected quality measures include: Specialty Measure Descriptin Allergy / Immunlgy Asthma Drug Mgt Vaccine Pneumnia Vaccine High Perfrmance Netwrk Quality Criteria fr Designatin AvMed has selected certain
More informationIowa Early Periodic Screening, Diagnosis and Treatment Care for Kids Program Provider Training
Iwa Early Peridic Screening, Diagnsis and Treatment Care fr Kids Prgram Prvider Training The Early Peridic Screening, Diagnsis and Treatment (EPSDT) Care fr Kids prgram is Iwa s Medicaid prgram fr children.
More informationA. Catalonia World Health Organization Demonstration Project
A. Catalnia Wrld Health Organizatin Demnstratin Prject In 1989, the Health Department f Catalnia (Spain) and the Cancer Unit at the WHO (Geneva) designed and planned a demnstratin prject fr implementatin
More informationBefore Your Visit: Mohs Skin Cancer Surgery
Befre Yur Visit: Mhs Skin Cancer Surgery Yur Kaiser Permanente Care Instructins Skin Cancer Infrmatin What is skin cancer? Skin cancers are tumrs, r malignancies, f the skin. Skin cancer is assciated with
More informationPodcast Transcript Title: Common Miscoding of LARC Services Impacting Revenue Speaker Name: Ann Finn Duration: 00:16:10
Pdcast Transcript Title: Cmmn Miscding f LARC Services Impacting Revenue Speaker Name: Ann Finn Duratin: 00:16:10 NCTCFP: Welcme t this pdcast spnsred by the Natinal Clinical Training Center fr Family
More informationResponse to. type 2 vaccine-derived polioviruses. prior to global topv withdrawal. Interim Guidelines
Respnse t type 2 vaccine-derived pliviruses prir t glbal topv withdrawal Interim Guidelines August 2015 GPEI peratinal guidance nte August 2015 Summary Prepare fr prmpt actin fr any area r ppulatin at
More informationFOUNDATIONS OF DECISION-MAKING...
Table f Cntents FOUNDATIONS OF DECISION-MAKING... Errr! Bkmark nt Describe the decisin-making prcess pp.62-66... Errr! Bkmark nt Explain the three appraches managers can use t make decisins pp.67-70 Errr!
More informationIntravenous Vancomycin Use in Adults Intermittent (Pulsed) Infusion
Backgrund This plicy cvers the use f intravenus vancmycin prescribed as an intermittent (pulsed) infusin. This can be used fr treatment r prphylaxis. Evidence supprting this guidance is detailed belw.
More informationObesity/Morbid Obesity/BMI
Obesity/mrbid besity/bdy mass index (adult) Obesity/Mrbid Obesity/BMI Definitins and backgrund Diagnsis cde assignment is based n the prvider s clinical judgment and crrespnding medical recrd dcumentatin
More informationPolicy Guidelines: Genetic Testing for Carrier Screening and Reproductive Planning
Plicy Guidelines: Genetic Testing fr Carrier Screening and Reprductive Planning Cntents Overview... 1 Cverage guidelines... 2 General cverage guidelines... 2 Rutine carrier screening... 2 Carrier screening
More informationTOP TIPS Lung Cancer Update Dr Andrew Wight Consultant respiratory Physician - WUTH
Tpic Circulatin list In case f query please cntact Executive Summary TOP TIPS Lung Cancer Update Dr Andrew Wight Cnsultant respiratry Physician - WUTH All Wirral GP s JaneFletcher2@nhs.net Dear Clleagues,
More informationMedical Student Immunization Requirements
Medical Student Immunizatin Requirements The State f Illinis cde, Reference: (110 ILCS 20) Cllege Student Immunizatin Act, requires students t prvide prf f immunity: Measles (Rubela), Mumps, Rubella (German
More informationRecommendations for Risk Management at Swine Exhibitions and for Show Pigs August 2012
Recmmendatins fr Risk Management at Swine Exhibitins and fr Shw Pigs August 2012 Backgrund: The Natinal Prk Bard facilitated in develping this dcument. These recmmendatins were develped by a wrking grup
More informationIntravenous Vancomycin Use in Adults Intermittent (Pulsed) Infusion
Intravenus Vancmycin Use in Adults Intermittent (Pulsed) Infusin Backgrund This plicy cvers the use f intravenus vancmycin prescribed as an intermittent (pulsed) infusin. This can be used fr treatment
More informationReferral Criteria: Inflammation of the Spine Feb
Referral Criteria: Inflammatin f the Spine Feb 2019 1 5.7. Inflammatin f the Spine Backgrund Ankylsing spndylitis and axial spndylarthrpathy are fund in arund 0.3-1.2% f the ppulatin. Spndylarthritis encmpasses
More informationDear University of Chicago Student,
Dear University f Chicag Student, The state f Illinis and the University f Chicag require students t have prf f immunity fr certain diseases including Measles (Rubela), Mumps, Rubella (German Measles)
More informationImproving Surveillance and Monitoring of Self-harm in Irish Prisons
HSE Mental Health Divisin Stewart s Hspital, Palmerstwn, Dublin 20 Tel: 01 6201670 Email: inf@nsp.ie www.nsp.ie Imprving Surveillance and Mnitring f Self-harm in Irish Prisns Prject Scpe Dcument 8 th June
More informationGUIDANCE DOCUMENT FOR ENROLLING SUBJECTS WHO DO NOT SPEAK ENGLISH
GUIDANCE DOCUMENT FOR ENROLLING SUBJECTS WHO DO NOT SPEAK ENGLISH Aurra Health Care s Research Subject Prtectin Prgram (RSPP) This guidance dcument will utline the prper prcedures fr btaining and dcumenting
More informationHEALTH SURVEILLANCE INDICATORS: CERVICAL CANCER SCREENING. Public Health Relevance. Highlights.
HEALTH SURVEILLANCE INDICATORS: CERVICAL CANCER SCREENING Public Health Relevance Cervical cancer is 90% preventable by having regular Papaniclau (Pap) tests. The Pap test, als knwn as a cervical smear,
More informationMy Symptoms and Medical History for Adult Chronic Immune Thrombocytopenia (ITP)
My Symptms and Medical Histry fr Adult Chrnic Immune Thrmbcytpenia (ITP) Call t talk t a registered nurse 1-855-7Nplate (1-855-767-5283), Mnday Friday, 9:00 AM 9:00 PM ET Indicatin Nplate is a man-made
More informationWhat You Need to Know About ZIKA VIRUS
What Yu Need t Knw Abut ZIKA VIRUS Refugee and Immigrant Health Seminar Tuesday, Nvember 1, 2016 Malaya Fletcher, MPH Glbal Migratin & Mnitring Crdinatr PDPH Divisin f Disease Cntrl 1 Backgrund n Zika
More informationThe research question: What was discovered in the 1940s that could treat syphilis?
Psychlgy B30 Human Sexuality Sexually Transmitted Infectins Tuskegee Syphilis Experiment Ppulatin: The research questin: What was discvered in the 1940s that culd treat syphilis? Hw many men died f syphilis
More informationICD-10-CM Coding Basics Chapter Specifics
ICD-10-CM Cding Basics Chapter Specifics Chapter 10 Diseases f the Respiratry System Vilma Smith, LVN, CPC, CCS AHIMA Apprved ICD-10-CM/PCS Trainer Debra Bales, LVN, CPC 1 Rev. May 2015 ICD-10-CM Cnventins
More informationSUICIDE AND MENTAL ILLNESS IN SINGAPORE
Vl. 15, N. 3. SINGAPORE MEDICAL JOURNAL 191 September, 1974. SUICIDE AND MENTAL ILLNESS IN SINGAPORE By W. F. Tsi and B. H. Chia SYNOPSIS This is a study f 112 cases f suicides wh had a past histry f being
More informationAdult Preventive Care Guidelines
Adult Preventive Care Guidelines Gundersen is yur partner fr better health. We want t wrk with yu t make sure that yu and yur family are as healthy as pssible. That can be accmplished best if we wrk tgether
More informationWHAT IS HEAD AND NECK CANCER FACT SHEET
WHAT IS HEAD AND NECK CANCER FACT SHEET This infrmatin may help answer sme f yur questins and help yu think f ther questins that yu may want t ask yur cancer care team; it is nt intended t replace advice
More informationContinuous Quality Improvement: Treatment Record Reviews. Third Thursday Provider Call (August 20, 2015) Wendy Bowlin, QM Administrator
Cntinuus Quality Imprvement: Treatment Recrd Reviews Third Thursday Prvider Call (August 20, 2015) Wendy Bwlin, QM Administratr Gals f the Presentatin Review the findings f Treatment Recrd Review results
More informationQ 5: Is relaxation training better (more effective than/as safe as) than treatment as usual in adults with depressive episode/disorder?
updated 2012 Relaxatin training Q 5: Is relaxatin training better (mre effective than/as safe as) than treatment as usual in adults with depressive episde/disrder? Backgrund The number f general health
More informationWidening of funding restrictions for rituximab and eltrombopag
20 February 2014 Widening f funding restrictins fr rituximab and eltrmbpag PHARMAC is pleased t annunce the apprval f prpsals t widen the restrictin n rituximab use in DHB hspitals and expand the funding
More informationService Change Process. Gateway 1 High-level Proposition. Innovation project name: Patient Self-Monitoring/Management of Warfarin
Service Change Prcess Gateway 1 High-level Prpsitin Innvatin prject name: Patient Self-Mnitring/Management f Warfarin NHS Bury Please describe the service change being prpsed. Please describe what service(s)
More informationBedfordshire and Hertfordshire DRAFT Priorities forum statement Number: Subject: Prostatism Date of decision: January 2010 Date of review:
Bedfrdshire and Hertfrdshire DRAFT Pririties frum statement Number: Subject: Prstatism Date f decisin: January 2010 Date f review: Referral criteria Mst men with lwer urinary tract symptms due t benign
More information23/11/2015. Introduction & Aims. Methods. Methods. Survey response. Patient Survey (baseline)
Intrductin & Aims Drug and Alchl Cnsultatin Liaisn (AOD CL) services aim t imprve identificatin and treatment f patients with AOD mrbidity. The csts and cnsequences f targeting AOD patients presenting
More informationQUALITY AND SAFETY MEASURES UPDATE January 2016
CLINICAL EFFECTIVENESS/SAFETY M CORE MEASURES 2015 See attached Results QUALITY AND SAFETY MEASURES UPDATE January 2016 Jint Cmmissin and CMS Cre Measure Dashbard updated with mst recent data available:
More informationP02-03 CALA Program Description Proficiency Testing Policy for Accreditation Revision 1.9 July 26, 2017
P02-03 CALA Prgram Descriptin Prficiency Testing Plicy fr Accreditatin Revisin 1.9 July 26, 2017 P02-03 CALA Prgram Descriptin Prficiency Testing Plicy fr Accreditatin TABLE OF CONTENTS TABLE OF CONTENTS...
More informationThe clinical trial information provided in this public disclosure synopsis is supplied for informational purposes only.
The clinical trial infrmatin prvided in this public disclsure synpsis is supplied fr infrmatinal purpses nly. Please nte that the results reprted in any single trial may nt reflect the verall ptential
More informationCardiac Rehabilitation Services
Dcumentatin Guidance N. DG1011 Cardiac Rehabilitatin Services Revisin Letter A 1.0 Purpse The Centers fr Medicare and Medicaid Services (CMS) has detailed specific dcumentatin requirements fr Cardiac Rehabilitatin
More informationMEDICATION GUIDE LEMTRADA (lem-tra-da) (alemtuzumab) Injection for intravenous infusion
MEDICATION GUIDE LEMTRADA (lem-tra-da) (alemtuzumab) Injectin fr intravenus infusin Read this Medicatin Guide befre yu start receiving LEMTRADA and befre yu begin each treatment curse. There may be new
More informationPennsylvania Guidelines on the Use of Opioids to Treat Chronic Noncancer Pain
Pennsylvania Guidelines n the Use f Opiids t Treat Chrnic Nncancer Pain Chrnic pain is a majr health prblem in the United States, ccurring with a pintprevalence f abut ne-third f the US ppulatin.(1) Mre
More informationAthabasca Health Authority Keewatin Yatthé Health Region Mamawetan Churchill River Health Region
Athabasca Health Authrity Keewatin Yatthé Health Regin Mamawetan Churchill River Health Regin Nrthern Saskatchewan Health Indicatrs Reprt 2011 Summary Athabasca Health Authrity Keewatin Yatthé Health Regin
More informationBariatric Surgery FAQs for Employees in the GRMC Group Health Plan
Bariatric Surgery FAQs fr Emplyees in the GRMC Grup Health Plan Gergia Regents Medical Center and Gergia Regents Medical Assciates emplyees and eligible dependents wh are in the GRMC Grup Health Plan (Select
More informationHPV VACCINATION IN SANDYFORD SERVICES
HPV VACCINATION IN SANDYFORD SERVICES 1. General infrmatin n HPV Vaccinatin 2. HPV vaccinatin in females 3. Yung Wmen Only 4. HPV vaccinatin in MSM 1. General infrmatin General Infrmatin fr clinicians
More informationLAST UPDATED FEBRUARY 1, Prepared exclusively for UCanQuit2 Chat Team
LAST UPDATED FEBRUARY 1, 2018 Prepared exclusively fr UCanQuit2 Chat Team HOW TO USE THIS GUIDE The UCanQuit2 Live Chat Resurces Guide was created fr the UCanQuit2 Live Chat Team. This guide includes a
More informationTASKFORCE REPORT AIMS TO BOOST CANCER SURVIVAL AND TRANSFORM PATIENT EXPERIENCE
Sunday 19 July, 2015 TASKFORCE REPORT AIMS TO BOOST CANCER SURVIVAL AND TRANSFORM PATIENT EXPERIENCE SIX STRATEGIC pririties have tday (Sunday) been recmmended by the Independent Cancer Taskfrce t help
More information