Clinical

Despite your best efforts—and those of your colleagues, employers, and the entire U.S. healthcare system—and the highest flu-related death toll in decades last year, many adults have no intention of getting a flu shot this year, according to data just released by NORC (formerly known as the National Opinion Research Center) at the University of Chicago. Nearly 41% of adults surveyed hadn’t been immunized as of mid-November and said they weren’t planning to this year. …

Healthcare providers who took an online CME program specific to seasonal influenza in children, and that took into account flu shot hesitancy in parents, were more likely to vaccinate infants against the flu, according to a study out of Western University in Canada. Authors of the paper, which was presented at IDWeek recently, concluded that the results show a distinct cause-and-effect relationship between providing timely clinical education and clinical action by participants. “Timely” may be …

If current data hold true in the years to come, antimicrobial-resistant infection is expected to kill 1 million Americans and cost developed countries $3.5 billion per year by the year 2050. Conversely, according to a new report from the Organisation for Economic Co-Operation and Development (OECD), 75% of deaths could be averted by investing $2 per person per year in measures to stem resistance. That model presumes that the current growth rate of antibiotic resistance …

Addiction may not be the only risk for patients who take opioid pain medications—even if they follow prescribing directions to the letter. A paper presented at the American Heart Association Scientific Sessions reveals increased risk for atrial fibrillation in patients who take opioids. Accounting for comorbidities, demographics, and mental health conditions, patients who took opioids were found to be 34% more likely to develop AFib than those who did not take opioids. The data are …

Cases of measles and chickenpox are spreading in North Carolina and South Carolina, respectively, leading public health officials in both states to urge residents to get themselves and their children vaccinated. At least 12 students have been diagnosed with chickenpox at a single private school in Asheville, NC. Buncome County, which includes Asheville, has North Carolina’s highest rate of kindergarteners who have not been immunized because of religious exemptions. Without immunization, chickenpox is highly contagious. …

Fewer young children are getting vaccination against many diseases than in years past, opening the door for preventable disease outbreaks, according to new data from the Centers for Disease Control and Prevention. The threat is especially acute in uninsured and Medicaid-insured children. The CDC report, Vaccination Coverage Among Children Aged 19–35 Months—United States, 2018, notes that children under 2 years of age, in particular, are less likely to receive all the recommended vaccinations than in …

Using pooled data from state and local health departments across the country, the Centers for Disease Control and Prevention reports that 2017 saw a record number of medical visits due to tick-borne disease in the United States. Including cases of Lyme disease, anaplasmosis/ehrlichiosis, spotted fever rickettsiosis (including Rocky Mountain spotted fever), babesiosis, tularemia, and Powassan virus disease, there were 59,349 visits last year—a 22% increase from 2016. The CDC noted that there were probably far …

The Centers for Disease Control and Prevention is alerting healthcare providers that confirmed cases of mumps are becoming more prevalent, with 142 cases reported across the U.S. That’s already more than were seen in all of 2018. Michigan and New York are seeing a disproportionate number of those cases, based on data from local and state health officials there. Michigan already has more cases this year (15) than it has seen in any full calendar …

It’s painfully clear, from the frenzied media reports to your case load, that we’re heading into the heart of influenza season. A new report from Columbia University’s Department of Environmental Health Sciences, published in PLOS Pathogens, claims there’s a seasonality to many other infectious disease states as well, however. Many of those identified in the report are likely to present to urgent care centers. The paper identifies 69 diseases that have a fairly distinct “season,” …

Urgent care operators and occupational medicine providers alike should be aware that prescription opioids continue to be found to blame more often than other substances in overdose deaths in the United States. The Drug Enforcement Administration’s just-released 2018 National Drug Threat Assessment reveals that controlled prescription drugs are the second most commonly abused substance, making the number of deaths slightly out of proportion to the incidence of abuse. The DEA report shows fentanyl and other …