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The Centers for Disease Control and Prevention (CDC) and state health departments are investigating hepatitis A outbreaks in multiple states among persons reporting drug use and/or homelessness and their contacts. This Health Alert Network (HAN) Advisory alerts public health departments, healthcare facilities, and programs providing services to affected populations about these outbreaks of hepatitis A infections and provides guidance to assist in identifying and preventing new infections.

This Health Alert Network (HAN) Update provides current recommendations on management and reporting of Shigella infections that have been treated with ciprofloxacin or azithromycin and resulted in possible clinical treatment failure. This is a follow-up to HAN 401: CDC Recommendations for Diagnosing and Managing Shigella Strains with Possible Reduced Susceptibility to Ciprofloxacin (https://emergency.cdc.gov/han/han00401.asp).

The Centers for Disease Control and Prevention (CDC) is providing information on: 1) the current status of a multistate outbreak of coagulopathy from exposure to synthetic cannabinoid products containing a vitamin K-dependent antagonist agent, such as brodifacoum; 2) signs and symptoms of presenting patients from this outbreak and which patients are at risk; 3) laboratory testing options that are available to help identify and classify cases; 4) available resources that may help clinicians make decisions; and 5) to whom to report possible cases.

Health communication and marketing campaigns that promote positive behavior change are a cornerstone of public health and behavioral science. Designing and implementing quality campaigns on a tight budget and in an urgent timeframe is a challenge that most health communication professionals share. Research and evaluation are critical for a successful campaign. CDC is using leading research and evaluation methods to develop quality campaigns, while keeping costs low and sticking to tight timelines.

What if there was a way to evaluate the needs of a community after a natural disaster? Or understand a community’s attitudes and beliefs about a specific public health behavior? Enter CASPER: Community Assessment for Public Health Emergency Response, a tool for health departments and public health professionals to assess community needs in real-time.

Let’s face it: your colon isn’t exactly a dinner party topic. It takes a lot of guts to bring up colorectal cancer—to your parents, your spouse, your doctor, your friends. Don’t be afraid to pipe up about the second-leading cancer killer of both men and women, because it’s proven that simple steps save lives.

Communication experts often say, “When you’re communicating during an emergency, always think about what you’d say to your mom. What information would she need the most? How would you explain it to her? What would you need to know for sure before you told her? And just how far would you go to reach her?” When Hurricanes Irma and Maria hit the U.S. Virgin Islands (USVI) in September 2017, this wasn’t just advice for Nykole Tyson. Nykole is the USVI Department of Health’s (DOH’s) Director of Public Relations. She serves as the DOH spokesperson and emergency communicator. Like all of USVI’s responders and government officials, she is a survivor who was impacted by the storms. Nykole’s home had water and roof damage and she was without water or power for four months. “I caught rain water in barrels and used solar lights sent to me by friends living stateside,” Nykole said. She lived on a cot in her office in the DOH for several weeks between and after both storms. . The storms destroyed most of the territory’s communication infrastructure, making both personal and mass communication nearly impossible. Nykole was unable to reach her own family for four days after the second hurricane. However, within hours of both storms, she was on the radio talking to her community about how to stay safe, find shelter, and stay strong. Nykole wasn’t just talking to the public, she was talking to her neighbors, her community, her family, and even her mom.

As I waited in the exam room on a recent visit to my doctor’s office, I noticed there was a large wall display with an interactive screen. It resembled a smartphone and I could use the touchscreen to scroll and learn about various conditions, diabetes, heart disease, Alzheimer’s, and colon health. Each menu included signs and symptoms of illness, and information on diagnosis, treatment, and prognosis. The designs were bright, jargon was kept to a minimum and defined when used, and navigating was simple for routine smartphone users. The display also included short videos supporting the on-screen text. “Great!” I thought, “But what about patients who don’t have strong English skills or those who don’t feel confident engaging with the display? How do they get the information if they don’t directly ask for it?”

The nonmedical use of prescription opioids and illicit opioids causes significant morbidity in the United States. The latest data indicate that rates of overdoses treated in emergency departments are rising across all regions and require a coordinated response between public health, clinicians, public safety, and community organizations. During this COCA call, clinicians will learn about the increases in opioid-related morbidity and steps clinicians can take in advancing protocols to reverse these trends.

The Centers for Disease Control and Prevention (CDC) is providing: 1) a notice about increased influenza A(H3N2) activity and its clinical implications; 2) a summary of influenza antiviral drug treatment recommendations; 3) an update about approved treatment drugs and supply this season; and 4) background information for patients about influenza treatment.