Williamson County and Cities Health District
Health AlertsDepatment of State Health Services Health Advisories
Increased Flea-borne (Murine) Typhus Activity in Texas - November 30, 2017
Due to increased reports of flea-borne (murine) typhus during 2017 from multiple areas of Texas, DSHS is requesting that healthcare providers increase their clinical suspicion for patients presenting with fever and one or more of the following: headache, myalgia, anorexia, rash, nausea/vomiting, thrombocytopenia, or any hepatic transaminase elevation. The diagnosis of flea-borne typhus relies on a high index of clinical suspicion and on results of specific laboratory tests.
Brucellosis Contracted from Consumption of Raw Milk - August 14, 2017
Brucellosis is an infectious disease caused by bacteria. It is a reportable condition in Texas. People can get the disease when they are in contact with infected animals or animal products, including raw milk, contaminated with the bacteria. Animals that are most commonly infected include sheep, cattle, goats, and pigs, among others.
Rapidly Growing Clusters of Ongoing HIV Transmission in Texas - August 14, 2017
The Texas Department of State Health Services (DSHS) encourages Texas healthcare providers to enhance efforts to prevent, diagnose and treat HIV in the wake of 16 rapidly growing clusters of HIV infections in the state.
Increase cases of Cyclospora Cayetanensis Alert ID: DSHS-2017-12117 - August 7, 2017
Increase in Reported cases of Cyclospora cayetanensis Infection, United States, Summer 2017 Summary The Centers for Disease Control and Prevention (CDC), State and Local Health Departments, and the Food and Drug Administration (FDA) are investigating an increase in reported cases of cyclosporiasis.
The purpose of this HAN Advisory is to notify public health departments and healthcare facilities and to provide guidance to healthcare providers of the increase in reported cases. Please disseminate this information to healthcare providers i
Please visit https://www.txphin.org/publicalert/12117 to view this alert.
Recommendation to test patients with consistent symptoms for Cyclospora - July 17, 2017
The Texas Department of State Health Services is encouraging healthcare providers to test patients for the parasite Cyclospora if they have diarrheal illness lasting more than a few days or diarrhea accompanied by severe anorexia or fatigue. Diagnosis of cyclosporiasis requires submission of stool specimens for “Ova and Parasite” testing with additional specific orders for Cyclospora identification or testing by molecular methods (e.g., polymerase chain reaction (PCR), or a gastrointestinal (GI) pathogen panel test) that include detection of Cyclospora. A single negative stool specimen does not exclude the diagnosis; three specimens are optimal.
Within the past month, 68 cases of Cyclospora infection have been reported to the Texas Department of State Health Services. Public health is investigating the increased number of cases to identify possible common exposures. Rapid reporting to public health, enabling prompt investigation to identify possible common exposures, is essential to preventing additional cases of cyclosporiasis this year.
Symptoms of cyclosporiasis usually begin 2 to 14 days after ingestion of Cyclospora oocysts in contaminated food or water. Profuse diarrhea can last weeks to months and may relapse. Additional symptoms may include anorexia, fatigue, weight loss, abdominal cramps, bloating, increased gas, nausea, vomiting, and low-grade fever.
Although no common exposure source has yet been identified for the increase in cases this year, past outbreaks in the U.S. have been associated with consumption of imported fresh produce, including fresh cilantro, pre-packaged salad mix, raspberries, basil, snow peas, and mesclun lettuce. Thorough washing of fresh produce is recommended, but may not eliminate the risk of transmission since Cyclospora can be difficult to wash off all types of produce. Infection is generally not transmitted directly from person-to-person.
Healthcare providers and laboratories should promptly report confirmed cyclosporiasis cases to their respective local health department or the Texas Department of State Health Services (Phone: 1-800-705-8868, Fax: 512-776-7616). Information about Cyclospora is available at: www.cdc.gov/parasites/cyclosporiasis/health_professionals/index.html
Texas DSHS Zika Information: www.texaszika.orgwww.texaszika.org
CDC Zika Information: www.cdc.gov/zika
To report a public health emergency:
Call 9-1-1 for all medical or life-threatening emergencies. The public may report public health emergencies to WCCHD Monday-Friday between the hours of 8am - 5pm at 512-943-3660. To report public health emergencies on weekends, after-hours, or holidays call 512-864-8345. The Department of State Health Services mayalso be contacted after-hours at 1-800-252-8239.