Tuberculosis (tb) Information

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The Floyd County Health Department (FCHD) has passed the 100 patient mark in our response to a Tuberculosis (tb) outbreak in Southern Indiana. To date 15 people have had positive skin tests in Floyd County.

The index case in the outbreak is a Clark County resident, however, the case was diagnosed at Floyd Memorial Hospital. The FCHD is cooperating with local health care providers, the Indiana State Department of Health, and the Clark County Health Department to provide a rapid coordinated response. The initial activities are designed to identify at risk groups and provide PPD skin testing, the primary screening tool. Currently, less than 20 individuals remain to be tested in at risk groups in Floyd County. These groups have already been contacted. There is no need to start testing the general population. 

The PPD test involves injecting the patient's arm with a small quantity of reagent. A positive test occurs when erythema and firmness develop at the site. The test is read 48 to 72 hours post injection. Positive tests are then evaluated with X-rays or CT scans; blood tests may also be in order. Cases that are skin test positive but asymptomatic are usually treated with a single drug for 9 months; active, symptomatic cases are generally treated with a 4 drug regimen. Tb is a disease with a cure.

The Tb cases are not related to the Scott County HIV epidemic or the spike in Hepatitis C cases in Louisville and Southern Indiana. The Center for Disease Control reports there are about 10,000 new cases of tuberculosis each year in the US, although about 2/3 of these cases originate outside our borders.

If you have additional questions or need additional information about TB, individuals are encouraged to call the TB Services Hotline at (877) 826-0011. The hotline will be open during the normal Indiana State Department of Health business hours from 8:15 a.m. to 4:45 p.m., Monday through Friday. You may also click here for a pamphlet from the Centers for Disease Control outlining general information about TB.

Click here for additional information from the Indiana State Department of Health.

For further information contact the Floyd County Health Department at 812-948-4726.

HIV Outbreak in Southeastern Indiana

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State health officials are working closely with local health departments, health care providers and others to contain the spread of HIV in southeastern Indiana. Disease intervention specialists are in the area, interviewing each newly identified HIV positive individual to obtain information about needle sharing and sex partners, as well as recommending care coordination services, medical care and HIV prevention information.

Additional HIV Related Information: 

 

Update for Floyd County Schools

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Several Indiana School Districts have experienced outbreaks of chickenpox and measles in the past few years. During these outbreaks, both students and staff were required to provide proof that they were immune or had been properly vaccinated against the disease causing the outbreak. An outbreak is defined as a single case of measles.

To avoid the possibility that you could be excluded from work during an outbreak, please consider contacting your healthcare provider to verify your immunization history or to request appropriate laboratory testing. Your provider can also direct you to a location where you can receive the appropriate immunizations. If you are unable to contact your healthcare provider, you may also contact the Floyd County Health department to obtain an order for the titer or to obtain the vaccination.

The CDC guidelines used during an outbreak that would verify your immunity or vaccine status are the following:

Measles and Mumps - Adults born before 1957 are likely to have had measles and/or mumps disease as a child, and do not need to present any additional documentation for proof of immunity. Adults born in or after 1957 should also have documentation of 2 live measles, 2 live mumps or 2 doses of MMR (measles, mumps and rubella) vaccine. If a vaccine record is not available, a single blood test called a “titer” can be drawn to verify immunity status to measles and mumps. The titer will detect the presence of IgG antibody levels in the blood which indicate a history of effective vaccination or previous exposure to the disease.

Varicella (“chicken pox”) – Most adults born before 1980 are likely to have had chickenpox during their life-time; no additional documentation is needed. For adults born in or after 1980, we ask that you report the month & year that you had disease. Two doses of varicella vaccine are recommended for all individuals who do not have a history of disease. Laboratory testing following varicella vaccination is not recommended.

At this time, there are currently no cases in the Indiana.

For more information on vaccine-preventable disease you may visit the website for the Indiana
Immunization Coalition (IIC) at: http://www.vaccinateindiana.org/diseaseinfo. You may also contact the Indiana State Department of Health Immunization Program at 1-800-701-0704 for more information. Locally, you can contact the Floyd County Health department for additional information, a titer prescription to take your insurance preferred laboratory, and/or to schedule a vaccination, please call 812-948-4726.

We thank you for helping us be proactive and keeping our school community healthy!

Sincerely,

Thomas M. Harris, MD, FACEP
Floyd County Health Officer