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Ohio - Outbreak of fungal meningitis and associated infections - 19 cases

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  • Ohio - Outbreak of fungal meningitis and associated infections - 19 cases

    Ohio Department of Health

    "The Ohio Department of Health (ODH) has linked two additional cases of meningitis to steroid injections produced at New England Compounding Center. This brings the total number of cases to three in Ohio: a 65-year-old man from Hamilton County; a 39-year-old female from Morrow County; and a 40-year-old female from Crawford County.

    Quick Facts
    • 3 Case in Ohio
    • 422 Patients who Received Injection in Ohio
    • 419 Patients Successfully Contacted through Outreach


    ODH was informed by the four clinics in Ohio that received the possibly tainted drug that 422 patients received the injections. Through aggressive outreach, 419 patients have been reached and advised to monitor closely for a change in symptoms. Outreach to remaining patients is ongoing.

    “This outreach and contact with healthcare providers needs to continue even if the patient is feeling well during the initial conversation,” said Dr. Ted Wymyslo, Director of ODH. “Because of the rare nature of this infection, no one is sure of the incubation period; we don’t know how long after an injection it is safe to say you won’t get sick.”

    The medication at the center of the recall is a widely-distributed steroid medication used to treat back pain and is administered by injection. Certain lots of the medication provided by the New England Compounding Center in Framingham, Mass. may be contaminated with a fungus that has led to some patients to develop a rare form of fungal meningitis (brain infection) and stroke.

    On October 3, 2012, the company ceased all production and initiated recall of all methylprednisolone acetate (a steroid medication) and other drug products prepared for injections in and around the spinal cord (known as intrathecal administration).ODH alerted healthcare providers in Ohio to inform them of symptoms that could be cause by the tainted drug as well as updated lists of recalled products. ODH teamed with local public health departments and other resources such as law enforcement to contact every patient who received an injection with the potentially contaminated steroid."
    Last edited by Catbird; October 11th, 2012, 03:56 PM. Reason: tweak



    "What information consumes is rather obvious: it consumes the attention of its recipients. Hence a wealth of information creates a poverty of attention, and a need to allocate that attention efficiently among the overabundance of information sources that might consume it." - Herbert Simon

    "The benefits of education and of useful knowledge, generally diffused through a community, are essential to the preservation of a free government." - Sam Houston

  • #2
    Re: Ohio - Outbreak of fungal meningitis - 3 cases

    Update from Ohio Dept. of Health website:

    Fungal Meningitis Outbreak Investigation

    Unlike bacterial or viral meningitis, fungal meningitis cannot be spread person-to-person. Ohio currently has seven cases of fungal meningitis (no deaths), all linked to back injections with steroids distributed by NECC. The case numbers for Ohio could change as CDC adjusts their case definition and Ohio further evaluates each patient.
    • Crawford County: 40-year-old female
    • Hamilton County: 65-year-old male
    • Marion County: 55-year-old female; 45-year-old male; 47-year-old female; 50-year-old female
    • Morrow County: 39-year-old female



    "What information consumes is rather obvious: it consumes the attention of its recipients. Hence a wealth of information creates a poverty of attention, and a need to allocate that attention efficiently among the overabundance of information sources that might consume it." - Herbert Simon

    "The benefits of education and of useful knowledge, generally diffused through a community, are essential to the preservation of a free government." - Sam Houston

    Comment


    • #3
      Re: Ohio - Outbreak of fungal meningitis - 7 cases

      Update from Ohio Dept. of Health:

      Fungal Meningitis Outbreak Investigation

      The Ohio Department of Health (ODH) is encouraging all health care providers to follow-up with patients who received any injectable products from New England Compounding Center (NECC) since May 2012. The Centers for Disease Control and Prevention (CDC) has provided states with a list from the Food and Drug Administration (FDA) of all facilities that purchased NECC products during that time frame. ODH is making the list of the 64 Ohio facilities available online to aid in the outreach to patients. The list includes any provider who bought a NECC product since May 21, 2012, even topical products, which FDA has indicated are low- or no-risk products.

      “We are working with health care providers to reach out to patients, but we need two-way communication,” said Dr. Ted Wymyslo, Director at ODH. “At this time, ODH does not have a count on the number of patients that received drugs in the expanded recall list. Since this investigation is changing so rapidly, it’s critical that Ohioans who received these injections or solutions be informed and watch closely for any change in how they are feeling.”

      ODH used a statewide health emergency alerting system to contact health care providers and hospitals throughout the state with this additional guidance from FDA. Local health departments are being tasked with calling each facility in their jurisdiction and supporting those facilities with patient outreach. ODH expects every patient who received a recalled injection to be contacted.

      Unlike bacterial or viral meningitis, fungal meningitis cannot be spread person-to-person. Ohio currently has seven cases of fungal meningitis (no deaths), all linked to back injections with steroids distributed by NECC. The case numbers for Ohio could change as CDC adjusts their case definition and Ohio further evaluates each patient.

      Cases in Ohio:
      • Crawford County: 40-year-old female
      • Hamilton County: 65-year-old male
      • Marion County: 55-year-old female; 45-year-old male; 47-year-old female; 50-year-old female
      • Morrow County: 39-year-old female

      The medication at the center of the recall is a widely distributed steroid medication used to treat back pain and is administered by injection. Medication provided by NECC may be contaminated with a fungus that has led to some patients to develop a rare form of fungal meningitis (brain infection) and stroke.

      On October 3, 2012, the company ceased all production and initiated recall of all methylprednisolone acetate (a steroid medication) and other drug products prepared for injections in and around the spinal cord (known as intrathecal administration). On October 6, NECC announced a recall of all its products. A complete list of all products subject to this recall can be accessed here. ODH alerted health care providers in Ohio to inform them of symptoms that could be cause by the tainted drug as well as updated lists of recalled products. ODH teamed with local public health departments and other resources such as law enforcement to contact every patient who received an injection with methylprednisolone acetate.

      ODH’s call for additional outreach to patients comes after the FDA reported that two transplant patients with Aspergillus fumigatus infection were administered NECC cardioplegic solution during surgery. FDA has not confirmed that these two infections were, in fact, caused by an NECC product. The cases did not occur in Ohio.



      "What information consumes is rather obvious: it consumes the attention of its recipients. Hence a wealth of information creates a poverty of attention, and a need to allocate that attention efficiently among the overabundance of information sources that might consume it." - Herbert Simon

      "The benefits of education and of useful knowledge, generally diffused through a community, are essential to the preservation of a free government." - Sam Houston

      Comment


      • #4
        Re: Ohio - Outbreak of fungal meningitis - 7 cases

        Ohio Department of Health:

        Fungal Meningitis Outbreak Investigation

        "Ohio currently has ten cases of fungal meningitis (no deaths), all linked to back injections with steroids distributed by NECC. The case numbers for Ohio could change as CDC adjusts their case definition and Ohio further evaluates each patient.

        10 Cases in Ohio:
        • Crawford County: 40-year-old female
        • Franklin County: 44-year-old female
        • Hamilton County: 65-year-old male
        • Marion County: 45-year-old male; 47-year-old female; 50-year-old female; 55-year-old female; 62-year-old female
        • Morrow County: 39-year-old female
        • Warren County:52-year-old male



        "What information consumes is rather obvious: it consumes the attention of its recipients. Hence a wealth of information creates a poverty of attention, and a need to allocate that attention efficiently among the overabundance of information sources that might consume it." - Herbert Simon

        "The benefits of education and of useful knowledge, generally diffused through a community, are essential to the preservation of a free government." - Sam Houston

        Comment


        • #5
          Re: Ohio - Outbreak of fungal meningitis - 11 cases

          Fungal Meningitis Outbreak Investigation

          The Ohio Department of Health (ODH) is encouraging all health care providers to follow-up with patients who received any injectable products from New England Compounding Center (NECC) since May 2012. The products on the expanded list have not been linked to any illnesses, FDA is providing the information out of an abundance of caution.

          The Centers for Disease Control and Prevention (CDC) has provided states with a list from the Food and Drug Administration (FDA) of all facilities that purchased NECC products during that time frame. ODH is making the list of the 64 Ohio facilities available online to aid in the outreach to patients. The list includes any provider who bought a NECC product since May 21, 2012, even topical products, which FDA has indicated are low- or no-risk products.

          “We are working with health care providers to reach out to patients, but we need two-way communication,” said Dr. Ted Wymyslo, Director at ODH. “At this time, ODH does not have a count on the number of patients that received drugs in the expanded recall list. Since this investigation is changing so rapidly, it’s critical that Ohioans who received these injections or solutions be informed and watch closely for any change in how they are feeling.”

          ODH used a statewide health emergency alerting system to contact health care providers and hospitals throughout the state with this additional guidance from FDA. Local health departments are being tasked with calling each facility in their jurisdiction and supporting those facilities with patient outreach. ODH expects every patient who received a recalled injection to be contacted.

          Unlike bacterial or viral meningitis, fungal meningitis cannot be spread person-to-person. Ohio currently has eleven cases of fungal meningitis (no deaths), all linked to back injections with steroids distributed by NECC. The case numbers for Ohio could change as CDC adjusts their case definition and Ohio further evaluates each patient.



          11 Cases in Ohio:
          • Crawford County: 40-year-old female
          • Franklin County: 44-year-old female
          • Hamilton County: 65-year-old male
          • Marion County: 28-year-old female; 45-year-old male; 47-year-old female; 50-year-old female; 55-year-old female; 62-year-old female
          • Morrow County: 39-year-old female
          • Warren County:52-year-old male
          The medication at the center of the recall is a widely distributed steroid medication used to treat back pain and is administered by injection. Medication provided by NECC may be contaminated with a fungus that has led to some patients to develop a rare form of fungal meningitis (brain infection) and stroke.
          ...
          http://www.odh.ohio.gov/en/features/...njections.aspx
          "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
          -Nelson Mandela

          Comment


          • #6
            Re: Ohio - Outbreak of fungal meningitis - 11 cases

            Ohio Department of Health:

            Fungal Meningitis Outbreak Investigation



            ...Ohio currently has 14 cases of fungal meningitis (no deaths), all linked to back injections with steroids distributed by NECC. The case numbers for Ohio could change as CDC adjusts their case definition and Ohio further evaluates each patient.

            14 Cases in Ohio:

            Clermont: 39-year-old male
            Crawford County: 40-year-old female
            Franklin County: 44-year-old female
            Hamilton County: 65-year-old male
            Marion County: 28-year-old female; 45-year-old male; 47-year-old female; 50-year-old female; 55-year-old female; 62-year-old female
            Morrow County: 39-year-old female
            Union County: 39-year-old female
            Warren County:52-year-old male; 56-year-old female



            "What information consumes is rather obvious: it consumes the attention of its recipients. Hence a wealth of information creates a poverty of attention, and a need to allocate that attention efficiently among the overabundance of information sources that might consume it." - Herbert Simon

            "The benefits of education and of useful knowledge, generally diffused through a community, are essential to the preservation of a free government." - Sam Houston

            Comment


            • #7
              Re: Ohio - Outbreak of fungal meningitis - 14 cases

              Ohio Dept. of Health:

              Fungal Meningitis Outbreak Investigation

              Unlike bacterial or viral meningitis, fungal meningitis cannot be spread person-to-person. Ohio currently has 16 cases of fungal meningitis (no deaths), linked to back injections with steroids distributed by NECC. The case numbers for Ohio could change as CDC adjusts their case definition and Ohio further evaluates each patient.

              16 Cases in Ohio:

              Clermont: 39-year-old male; 85-year-old male
              Crawford County: 40-year-old female
              Franklin County: 31-year-old female; 44-year-old female
              Hamilton County: 65-year-old male
              Marion County: 45-year-old male; 47-year-old female; 50-year-old female; 55-year-old female; 62-year-old female
              Morrow County: 39-year-old female
              Union County: 39-year-old female
              Warren County:52-year-old male; 56-year-old female
              Kentucky resident who received injection in Ohio: 55-year-old female

              (One case, Marion County's 28-year-old female, was recently removed as that individual no longer met CDC's case definition.)



              "What information consumes is rather obvious: it consumes the attention of its recipients. Hence a wealth of information creates a poverty of attention, and a need to allocate that attention efficiently among the overabundance of information sources that might consume it." - Herbert Simon

              "The benefits of education and of useful knowledge, generally diffused through a community, are essential to the preservation of a free government." - Sam Houston

              Comment


              • #8
                Re: Ohio - Outbreak of fungal meningitis - 16 cases

                Ohio Dept. of Health:

                Fungal Meningitis Outbreak Investigation

                Unlike bacterial or viral meningitis, fungal meningitis cannot be spread person-to-person. Ohio currently has 17 cases of fungal meningitis (no deaths), linked to back injections with steroids distributed by NECC. The case numbers for Ohio could change as CDC adjusts their case definition and Ohio further evaluates each patient.

                17 Cases in Ohio:
                • Clermont: 39-year-old male; 85-year-old male
                • Crawford County: 40-year-old female
                • Fairfield County: 43-year-old female (added 11/16/12)
                • Franklin County: 31-year-old female; 44-year-old female
                • Hamilton County: 65-year-old male
                • Marion County: 45-year-old male; 47-year-old female; 50-year-old female; 55-year-old female; 62-year-old female
                • Morrow County: 39-year-old female
                • Union County: 39-year-old female
                • Warren County:52-year-old male; 56-year-old female
                • Kentucky resident who received injection in Ohio: 55-year-old female
                Last edited by Catbird; November 16th, 2012, 01:20 PM. Reason: tweak



                "What information consumes is rather obvious: it consumes the attention of its recipients. Hence a wealth of information creates a poverty of attention, and a need to allocate that attention efficiently among the overabundance of information sources that might consume it." - Herbert Simon

                "The benefits of education and of useful knowledge, generally diffused through a community, are essential to the preservation of a free government." - Sam Houston

                Comment


                • #9
                  Re: Ohio - Outbreak of fungal meningitis - 17 cases



                  Unlike bacterial or viral meningitis, fungal meningitis cannot be spread person-to-person. Ohio currently has 18 cases of fungal meningitis (no deaths), linked to back injections with steroids distributed by NECC. The case numbers for Ohio could change as CDC adjusts their case definition and Ohio further evaluates each patient.

                  18 Cases in Ohio:

                  Clermont: 39-year-old male; 85-year-old male; 85-year-old female (added 11/27/12)
                  Crawford County: 40-year-old female
                  Fairfield County: 43-year-old female
                  Franklin County: 31-year-old female; 44-year-old female
                  Hamilton County: 65-year-old male
                  Marion County: 45-year-old male; 47-year-old female; 50-year-old female; 55-year-old female; 62-year-old female
                  Morrow County: 39-year-old female
                  Union County: 39-year-old female
                  Warren County:52-year-old male; 56-year-old female
                  Kentucky resident who received injection in Ohio: 55-year-old female



                  "What information consumes is rather obvious: it consumes the attention of its recipients. Hence a wealth of information creates a poverty of attention, and a need to allocate that attention efficiently among the overabundance of information sources that might consume it." - Herbert Simon

                  "The benefits of education and of useful knowledge, generally diffused through a community, are essential to the preservation of a free government." - Sam Houston

                  Comment


                  • #10
                    Re: Ohio - Outbreak of fungal meningitis - 18 cases

                    ODH: Fungal Meningitis Outbreak Investigation


                    Ohio currently has 19 cases of fungal meningitis (no deaths), linked to back injections with steroids distributed by NECC. The case numbers for Ohio could change as CDC adjusts their case definition and Ohio further evaluates each patient.

                    19 Cases in Ohio:

                    Clermont: 39-year-old male; 85-year-old male; 85-year-old female
                    Crawford County: 40-year-old female
                    Fairfield County: 43-year-old female
                    Franklin County: 31-year-old female; 44-year-old female
                    Hamilton County: 65-year-old male
                    Marion County: 45-year-old male; 47-year-old female; 50-year-old female; 55-year-old female; 62-year-old female
                    Morrow County: 39-year-old female; 58-year-old female (added 12/03/12)
                    Union County: 39-year-old female
                    Warren County:52-year-old male; 56-year-old female
                    Kentucky resident who received injection in Ohio: 55-year-old female

                    Updated 12/03/12



                    "What information consumes is rather obvious: it consumes the attention of its recipients. Hence a wealth of information creates a poverty of attention, and a need to allocate that attention efficiently among the overabundance of information sources that might consume it." - Herbert Simon

                    "The benefits of education and of useful knowledge, generally diffused through a community, are essential to the preservation of a free government." - Sam Houston

                    Comment


                    • #11
                      Re: Ohio - Outbreak of fungal meningitis and associated infections - 19 cases

                      The Department of Health has not updated any case information since Dec. 3rd, and there have been no media reports of new cases.



                      "What information consumes is rather obvious: it consumes the attention of its recipients. Hence a wealth of information creates a poverty of attention, and a need to allocate that attention efficiently among the overabundance of information sources that might consume it." - Herbert Simon

                      "The benefits of education and of useful knowledge, generally diffused through a community, are essential to the preservation of a free government." - Sam Houston

                      Comment

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