danielsen sendel emerging infections diseases of the 21st
TRANSCRIPT
2/14/2017
1
Randy D. Danielsen, PhD, PADean & Professor, Arizona School of health Sciences, A.T. Still University
O.T. “Ted” Wendel, PhDSenior Vice‐President for Strategic InitiativesA.T. Still University
Thursday, March 3, 2017 11:15‐12:15
2/14/2017
2
2/14/2017
3
2/14/2017
4
Leading causes of death worldwide. Nearly 15 million (>25%) of the 57 million annual deaths worldwide are caused by infectious disease .
Fauci, A. S., Touchette, N. A., & Folkers, G. K. (2005). Emerging Infectious Diseases: a 10‐Year Perspective from the National Institute of Allergy and Infectious Diseases. Emerging Infectious Diseases, 11(4), 519‐525. https://dx.doi.org/10.3201/eid1104.041167.
Emerging Infectious Diseases1975‐2015
2/14/2017
5
2/14/2017
6
Why have EIDS emerged?
2/14/2017
7
Factors Contributing to Emergence of New Infectious Diseases
Categories Specific Examples
Societal Events War or civil conflict; population growth and migration;urban decay; economic impoverishment
Health Care Medical devices; organ transplantation;immunosuppression; widespread use of antibiotics
Food Production Globalization of food supplies; changes in foodprocessing, packaging, and preparation
Factors Contributing to Emergence of New Infectious Diseases
Categories Specific Examples
Human Behavior Sexual behavior; drug use; travel; diet; outdoorrecreation; day‐care for children
Environmental Changes Deforestation/reforestation; changes in waterecosystems; flood/drought; famine; global warming
Factors Contributing to Emergence of New Infectious Diseases
Categories Specific Examples
Public Health Infrastructure Curtailment or reduction of prevention programs;inadequate communicable disease surveillance;inadequate trained personnel ( epidemiologists,laboratory scientists, vector/rodent controlspecialists)
Microbial adaptation and change Genuine new pathogen and no population immunity;changes in virulence; antiinfective drug resistance;Bioterrorism
2/14/2017
8
Preparing for EIDs at the global, national, state, and local levels
CDC’s Emerging Infectious DiseaseThreats Plan & Response Strategy
2/14/2017
9
Aedes aegypti
Aedes albopictus
http://www.cdc.gov/zika/geo/index.html
2/14/2017
10
https://www.cdc.gov/zika/geo/active‐countries.html
https://www.cdc.gov/zika/intheus/maps‐zika‐us.html
2/14/2017
11
3 – 14 days
2/14/2017
12
CDC does not recommend testing for asymptomatic men, children, and women who are not pregnant.
2/14/2017
13
S
Based on typical clinical features, the differential diagnosis for Zika virus infection is broad. Considerations include
2/14/2017
14
US Zika Pregnancy Registry (USZPR) and the Zika Active Pregnancy Surveillance System (ZAPSS)
2/14/2017
15
2/14/2017
16
Baby with microcephaly
2/14/2017
17
2/14/2017
18
Download at: http://www.cdc.gov/zika/pdfs/pediatric-evaluation-follow-up-tool.pdf
2/14/2017
19
2/14/2017
20
2/14/2017
21
control mosquitoes inside and outside your home
Environmental Protection Agency (EPA)‐registered
2/14/2017
22
• http://www.cdc.gov/zika/index.html
• http://www.cdc.gov/zika/hc‐providers/index.html
• http://www.cdc.gov/zika/hc‐providers/index.html
https://www.cdc.gov/zika/resources/index.html