Practice Management
The Centers for Disease Control and Prevention has served notice that 47 states and the District of Columbia have confirmed cases of West Nile virus (WNV) in people, birds, or mosquitoes this year. All told, there have been 1,295 cases among humans. California has seen the most—258 cases, with 47 popping up in a single week this month, including 12 fatalities. Texas is second in the country, with 105 cases, but has a higher number …
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Urgent care clinicians have been told to test, or refer for testing, pregnant patients who could have been exposed to Zika virus (or had sexual relations with a partner would could have been exposed). Now the Food and Drug Administration says some such patients could have tested positive for Zika even though they don’t actually have not been infected. LabCorp’s ZIKV Detect test, specifically, should not be relied on to make “significant patient management decisions,” …
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The Centers for Disease Control and Prevention has again revised its recommendations on how long men who could have been exposed to the Zika virus should wait before trying to conceive, or to have unprotected sex at all. The CDC now says man should wait 6 months—up from 8 weeks—before having sex without a condom even if they have no symptoms. The new guidance is intended to minimize the likelihood of transmitting the virus before …
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We told you earlier that residents of Miami have been infected with Zika virus transmitted by local mosquitos, prompting the Centers for Disease Control and Prevention to dispatch an emergency response team and revise its guidance on testing and prevention. Regardless of how likely or unlikely further domestic exposure may be, media attention and summer travel plans are likely to drive more patients with concerns about Zika to urgent centers. As such, operators are advised …
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With the number of domestic cases of Zika infection still growing, the Centers for Disease Control and Prevention has issued a new interim guidance for diagnosing the virus. The latest issue of Morbidity and Mortality Weekly Report notes that “on the basis of newly available data, CDC recommends that Zika virus rRT-PCR be performed on urine collected <14 days after onset of symptoms in patients with suspected Zika virus disease.” The new directive should help …
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The Zika virus has not had a significant impact on the health of the US population; however, worried patients may still be turning to urgent care providers if they have suspicious symptoms after traveling in affected areas in Latin America and the Caribbean. Still others may have questions about what precautions to take if they have a trip planned. Operators would be wise to be armed with reassuring answers, and to know what to do …
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As public health officials in California warn of a jump in reported cases of norovirus—also known as winter vomiting disease—across the state, a preholiday gathering in Seattle illustrates the speed with which the virus can wreak havoc in tightly packed events. The California Department of Public Health has confirmed 32 outbreaks that sickened hundreds between October and the end of 2015. Meanwhile, more than 200 people came down with symptoms of norovirus, which include abdominal …
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