update on hiv increase in northern kentuckyjanuary 2017 –october 2018 ‐89 cases in hamilton...
TRANSCRIPT
![Page 1: Update on HIV Increase in Northern KentuckyJanuary 2017 –October 2018 ‐89 cases in Hamilton County ‐45 cases in Northern Kentucky …previously less than 20 cases each year in](https://reader034.vdocuments.site/reader034/viewer/2022050214/5f606339ba3dbd243131af5d/html5/thumbnails/1.jpg)
Dr. Jeffrey D. Howard, Commissioner
Update on HIV Increase in Northern KentuckyErin Blau, DNP, MPH, RN
February 21, 2019
![Page 2: Update on HIV Increase in Northern KentuckyJanuary 2017 –October 2018 ‐89 cases in Hamilton County ‐45 cases in Northern Kentucky …previously less than 20 cases each year in](https://reader034.vdocuments.site/reader034/viewer/2022050214/5f606339ba3dbd243131af5d/html5/thumbnails/2.jpg)
![Page 3: Update on HIV Increase in Northern KentuckyJanuary 2017 –October 2018 ‐89 cases in Hamilton County ‐45 cases in Northern Kentucky …previously less than 20 cases each year in](https://reader034.vdocuments.site/reader034/viewer/2022050214/5f606339ba3dbd243131af5d/html5/thumbnails/3.jpg)
January 2017 – October 2018‐ 89 cases in Hamilton County‐ 45 cases in Northern Kentucky
…previously less than 20 cases each year in this area.
![Page 4: Update on HIV Increase in Northern KentuckyJanuary 2017 –October 2018 ‐89 cases in Hamilton County ‐45 cases in Northern Kentucky …previously less than 20 cases each year in](https://reader034.vdocuments.site/reader034/viewer/2022050214/5f606339ba3dbd243131af5d/html5/thumbnails/4.jpg)
What is an Epi‐Aid?
• Urgent public health problem
• Request for assistance from CDC
• Rapid, short‐term (1‐3 weeks)
• Assist partners in making rapid decisions
![Page 5: Update on HIV Increase in Northern KentuckyJanuary 2017 –October 2018 ‐89 cases in Hamilton County ‐45 cases in Northern Kentucky …previously less than 20 cases each year in](https://reader034.vdocuments.site/reader034/viewer/2022050214/5f606339ba3dbd243131af5d/html5/thumbnails/5.jpg)
What is an Epi‐Aid?
• Urgent public health problem
• Request for assistance from CDC
• Rapid, short‐term (1‐3 weeks)
• Assist partners in making rapid decisions
NKY Epi‐Aid
• Integrate and analyze data across 5 county region
• Rapid assessment through key informant interviews
• Conduct case reviews • Better understand current response and identify additional prevention and control measures
![Page 6: Update on HIV Increase in Northern KentuckyJanuary 2017 –October 2018 ‐89 cases in Hamilton County ‐45 cases in Northern Kentucky …previously less than 20 cases each year in](https://reader034.vdocuments.site/reader034/viewer/2022050214/5f606339ba3dbd243131af5d/html5/thumbnails/6.jpg)
Findings
• Rapid transmission among PWID networks
• New HIV diagnoses continue
• Sharing and reuse of needles and equipment • Increase access to SSPs
• Mental health issues and stigma
• Missed opportunities for earlier HIV diagnosis
![Page 7: Update on HIV Increase in Northern KentuckyJanuary 2017 –October 2018 ‐89 cases in Hamilton County ‐45 cases in Northern Kentucky …previously less than 20 cases each year in](https://reader034.vdocuments.site/reader034/viewer/2022050214/5f606339ba3dbd243131af5d/html5/thumbnails/7.jpg)
Recommendations
• Comprehensive syringe service program delivery
• Expand HIV testing in jails and emergency departments
• Improve care coordination
• Continue efforts to share and integrate data
7
![Page 8: Update on HIV Increase in Northern KentuckyJanuary 2017 –October 2018 ‐89 cases in Hamilton County ‐45 cases in Northern Kentucky …previously less than 20 cases each year in](https://reader034.vdocuments.site/reader034/viewer/2022050214/5f606339ba3dbd243131af5d/html5/thumbnails/8.jpg)
![Page 9: Update on HIV Increase in Northern KentuckyJanuary 2017 –October 2018 ‐89 cases in Hamilton County ‐45 cases in Northern Kentucky …previously less than 20 cases each year in](https://reader034.vdocuments.site/reader034/viewer/2022050214/5f606339ba3dbd243131af5d/html5/thumbnails/9.jpg)
Harm Reduction Resources
Monica Lee Ridgeway, MPAHIV Harm Reduction Initiatives Program Coordinator502‐564‐6539 ext. [email protected]
![Page 10: Update on HIV Increase in Northern KentuckyJanuary 2017 –October 2018 ‐89 cases in Hamilton County ‐45 cases in Northern Kentucky …previously less than 20 cases each year in](https://reader034.vdocuments.site/reader034/viewer/2022050214/5f606339ba3dbd243131af5d/html5/thumbnails/10.jpg)
Dr. Jeffrey D. Howard, Commissioner
Update on Vaccine Adverse Event InvestigationErin Blau, DNP, MPH, RN
February 21, 2019
![Page 11: Update on HIV Increase in Northern KentuckyJanuary 2017 –October 2018 ‐89 cases in Hamilton County ‐45 cases in Northern Kentucky …previously less than 20 cases each year in](https://reader034.vdocuments.site/reader034/viewer/2022050214/5f606339ba3dbd243131af5d/html5/thumbnails/11.jpg)
Overview
2018 September October November December January February
2019
KDPH notified
4
![Page 12: Update on HIV Increase in Northern KentuckyJanuary 2017 –October 2018 ‐89 cases in Hamilton County ‐45 cases in Northern Kentucky …previously less than 20 cases each year in](https://reader034.vdocuments.site/reader034/viewer/2022050214/5f606339ba3dbd243131af5d/html5/thumbnails/12.jpg)
Overview
2018 September October November December January February
2019
KDPH notified
First Provider HAN
4 7
![Page 13: Update on HIV Increase in Northern KentuckyJanuary 2017 –October 2018 ‐89 cases in Hamilton County ‐45 cases in Northern Kentucky …previously less than 20 cases each year in](https://reader034.vdocuments.site/reader034/viewer/2022050214/5f606339ba3dbd243131af5d/html5/thumbnails/13.jpg)
Overview
2018 September October November December January February
2019
Vaccinations administered
KDPH notified
First Provider HAN
4 7
![Page 14: Update on HIV Increase in Northern KentuckyJanuary 2017 –October 2018 ‐89 cases in Hamilton County ‐45 cases in Northern Kentucky …previously less than 20 cases each year in](https://reader034.vdocuments.site/reader034/viewer/2022050214/5f606339ba3dbd243131af5d/html5/thumbnails/14.jpg)
Overview
2018 September October November December January February
2019
Vaccinations administered
KDPH notified
First Provider HAN
4 7
Companies and employees interviewed
![Page 15: Update on HIV Increase in Northern KentuckyJanuary 2017 –October 2018 ‐89 cases in Hamilton County ‐45 cases in Northern Kentucky …previously less than 20 cases each year in](https://reader034.vdocuments.site/reader034/viewer/2022050214/5f606339ba3dbd243131af5d/html5/thumbnails/15.jpg)
Overview
2018 September October November December January February
2019
Vaccinations administered
KDPH notified
Second Provider HAN
First Provider HAN
4 7 19
Companies and employees interviewed
![Page 16: Update on HIV Increase in Northern KentuckyJanuary 2017 –October 2018 ‐89 cases in Hamilton County ‐45 cases in Northern Kentucky …previously less than 20 cases each year in](https://reader034.vdocuments.site/reader034/viewer/2022050214/5f606339ba3dbd243131af5d/html5/thumbnails/16.jpg)
Overview
2018 September October November December January February
2019
Vaccinations administered
KDPH notified
Second Provider HAN
Third Provider HAN
First Provider HAN
4 7 19 18
Companies and employees interviewed
![Page 17: Update on HIV Increase in Northern KentuckyJanuary 2017 –October 2018 ‐89 cases in Hamilton County ‐45 cases in Northern Kentucky …previously less than 20 cases each year in](https://reader034.vdocuments.site/reader034/viewer/2022050214/5f606339ba3dbd243131af5d/html5/thumbnails/17.jpg)
Overview
2018 September October November December January February
2019
Vaccinations administered
KDPH notified
KDPH Press Release
Second Provider HAN
Third Provider HAN
First Provider HAN
4 7 119 18
Companies and employees interviewed
![Page 18: Update on HIV Increase in Northern KentuckyJanuary 2017 –October 2018 ‐89 cases in Hamilton County ‐45 cases in Northern Kentucky …previously less than 20 cases each year in](https://reader034.vdocuments.site/reader034/viewer/2022050214/5f606339ba3dbd243131af5d/html5/thumbnails/18.jpg)
1. Company and provider names released
2. Timeline of events
3. Need for medical care
4. Need for revaccination
5. Report cases to KDPH
6. Related to provider storage and handling
![Page 19: Update on HIV Increase in Northern KentuckyJanuary 2017 –October 2018 ‐89 cases in Hamilton County ‐45 cases in Northern Kentucky …previously less than 20 cases each year in](https://reader034.vdocuments.site/reader034/viewer/2022050214/5f606339ba3dbd243131af5d/html5/thumbnails/19.jpg)
Key Points
• Advise patients with reactions to seek appropriate medical care
• Report reactions to KDPH
• Complete a VAERS report form
• Revaccination is recommended
• This investigation is limited to vaccines administered by one company/provider
![Page 20: Update on HIV Increase in Northern KentuckyJanuary 2017 –October 2018 ‐89 cases in Hamilton County ‐45 cases in Northern Kentucky …previously less than 20 cases each year in](https://reader034.vdocuments.site/reader034/viewer/2022050214/5f606339ba3dbd243131af5d/html5/thumbnails/20.jpg)
Vaccine Handling and Storage Guidelines
Checklist for Safe Vaccine Storage and Handlinghttp://www.immunize.org/catg.d/p3035.pdf
Skills Checklist for Vaccine Administrationhttp://www.immunize.org/catg.d/p7010.pdf
Tools to Assist Satellite, Temporary, and Off‐Site Vaccination Clinicshttps://www.izsummitpartners.org/naiis‐workgroups/influenza‐workgroup/off‐site‐clinic‐resources/
Vaccine Storage and Handling Toolkit 2019https://www.cdc.gov/vaccines/hcp/admin/storage/toolkit/storage‐handling‐toolkit.pdf
![Page 21: Update on HIV Increase in Northern KentuckyJanuary 2017 –October 2018 ‐89 cases in Hamilton County ‐45 cases in Northern Kentucky …previously less than 20 cases each year in](https://reader034.vdocuments.site/reader034/viewer/2022050214/5f606339ba3dbd243131af5d/html5/thumbnails/21.jpg)
Thank you!Erin Blau, DNP, MPH, RN
Epidemic Intelligence Service [email protected]
502‐564‐3261 ext. 4231
Andrea Flinchum, MPH, BSN, CICHAI Prevention Program Manager
[email protected]‐564‐3261 ext. 4248