Hepatitis C/HIV; Zika Update 1/28/16

February 3rd, 2016

We have identified an increase in the number of Hepatitis C (most chronic) and HIV in the past year. While in most cases we cannot determine how long they have had hepatitis C – the increase is striking. Prelim data reveals a 16% increase in accidental overdose deaths as well.

Please try and screen at risk patients for hepatitis C and HIV – feel free to refer to our low cost clinic for an appointment (449-7504 – the appointment is $15).

Countries with Zika:
•Dominican Republic
•The Commonwealth of Puerto Rico, a U.S. territory
•Saint Martin
•U.S. Virgin Islands
Cape Verde
•El Salvador
•French Guiana

Zika virus infection should be considered in patients with acute onset of fever, maculopapular rash, arthralgia, or conjunctivitis who recently returned from affected areas. To confirm evidence of Zika virus infection, RT-PCR should be performed on serum specimens collected within the first week of illness. Immunoglobulin M and neutralizing antibody testing should be performed on specimens collected ≥4 days after onset of illness. Call the local health department (449-4838, 449-7661(after hours) or ISDH for assistance.

Questions call Deb McMahan, MD