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Alabama - Outbreak of Fungal Meningitis - 1 death counted in FL

Catbird

Senior Moderator
Alabama currently has no cases originating in state.

Update dated Oct. 16:


NEWS RELEASE

ALABAMA DEPARTMENT OF PUBLIC HEALTH

www.adph.org

Alabama residents received contaminated NECC products
FOR IMMEDIATE RELEASE
CONTACT:
Mary McIntyre, M.D., M.P.H.
(334) 206-5325

The Alabama Department of Public Health has been made aware of 19 residents who have received New England Compounding Center (NECC) contaminated steroid products from procedures in Tennessee and Florida. At this time, 12 residents have been contacted and do not have symptoms of meningitis or fungal infection. One resident has died and an autopsy is
pending. ADPH is actively working to contact the remaining six residents. It is likely that additional Alabamians who received treatment in other states may be identified and contacted.

At this point in FDA?s investigation, the sterility of any injectable drugs produced by NECC is of significant concern. Out of an abundance of caution, patients who had procedures after May 21, 2012, that utilized an injectable NECC product should be notified by their health care practitioner about potential risk of infection. Examples of procedures include, but are not limited to, epidurals, joint injections, eye surgeries and heart surgeries.

Earlier Tuesday, CDC provided ADPH with a list of 44 Alabama health care facilities that received NECC products. ADPH is validating the list and will be contacting these facilities to ensure that NECC products have been removed from inventory and to discuss the process for contacting their patients who received the NECC products of concern.

If any patients are identified with symptoms suggestive of meningitis or other infections, they should be referred to the appropriate medical provider. In addition, a report should be made to
both FDA MedWatch (1-800-332-1088 or www.fda.gov/medwatch) and to ADPH (1-800-338-7384 or www.adph.org/Extranet/Forms/Form.asp?formID=3768). Once the list of Alabama facilities is validated, it will be posted at adph.org.

Patients who received a procedure at one of the identified facilities after May 21, 2012, should self-monitor for at least 3 months following the procedure. Signs and symptoms of meningitis include fever, headache, stiff neck, nausea and vomiting. Signs and symptoms of possible infections include fever, swelling, increasing pain or drainage from surgical site. Patients experiencing any of these should contact their primary care provider and the health care practitioner who performed the procedure.
 
Re: Alabama - Outbreak of Fungal Meningitis - 1 death counted in FL

ADPH releases list of facilities that received NECC products

FOR IMMEDIATE RELEASE
CONTACT:
Mary McIntyre, M.D., M.P.H.
(334) 206-5325

The Alabama Department of Public Health is releasing a list of health care facilities in Alabama
that received products included in a third recall from the New England Compounding Center
(NECC). These products have no known association with confirmed disease nor have they been
proven to be contaminated. Public health officials have notified each facility in order to ensure
that NECC products have been removed from their inventory and to discuss the process for
contacting their patients. (Please see the list of facilities below.)

Out of an abundance of caution, the Food and Drug Administration, Centers for Disease Control
and Prevention and ADPH have asked health care facilities to notify all individuals for whom
they administered an injectable NECC product, including an ophthalmic drug that is injectable or
used in conjunction with eye surgery, or a cardioplegic solution after May 21, 2012. The types of
procedures include, but are not limited to, epidurals, joint injections, eye surgeries, and heart
surgeries.

?Alabama health care facilities have had very limited exposure to NECC products, but
individuals who have had certain medical procedures using these specific products are being
notified,? Dr. Donald Williamson, state health officer, said. ?If you have had adverse reactions,
contact your health care provider.?

Nineteen Alabama residents have received NECC contaminated steroid products from
procedures in Tennessee and Florida. If any patients are identified with symptoms suggestive of
meningitis or other infections, they should be referred to the appropriate medical provider. In
addition, a report should be made to both FDA MedWatch (1-800-332-1088 or
www.fda.gov/medwatch) and to ADPH (1-800-338-7384 or www.adph.org, Meningitis
Outbreak).

Patients who had a procedure at one of the identified facilities after May 21, 2012, should selfmonitor
for at least 3 months following the procedure for the signs and symptoms of an adverse
event, meningitis or infection related to their procedure. Symptoms of fungal meningitis are new
or worsening headache, fever, sensitivity to light, stiff neck, new weakness or numbness in any
part of your body, slurred speech, increased pain, and redness or swelling at your injection site.

Symptoms of joint infections are fever, increased pain, redness, warmth or swelling in the joint
that received the injection or at the injection site. Infections at other sites may involve fever,
chills, redness, swelling, drainage and pain. If you experience any of these, please contact your
primary care provider and the health care facilities that performed the procedure.

To speak to a pharmacist about NECC products, please call FDA Drug Information 855-543-
DRUG (3784).

LIST OF FACILITIES THAT RECEIVED ANY NECC PRODUCT
(List includes second and third recall)

Andalusia Regional Hospital, Andalusia
Northeast Alabama Regional Medical Center, Anniston
Atmore Community Hospital, Atmore
Healthcare Authority for UAB Medical West, Bessemer
Alabama Pain Physicians, Birmingham
Baptist Medical Center-Princeton, Birmingham
Birmingham Surgery Center, Birmingham
Brookwood Medical Center, Birmingham
Children?s Hospital, Birmingham
Ginsburg Dermatology Center, Birmingham
Montclair Dermatology, Birmingham
Premier Plastic Surgery Center-AL, Birmingham
Rousso Facial Plastic Surgery, Birmingham
St. Vincent?s Hospital, Birmingham
St. Vincent?s Hospital Outpatient Surgery, Birmingham
Trinity Medical Center, Birmingham
Veterans Medical Center-GALA, Birmingham
Cullman Regional Medical Center, Cullman
Parkway Medical Center, Decatur
Dothan Surgery Center, Dothan
Flowers Hospital, Dothan
Southeast Alabama Medical Center, Dothan
Southeast Eye Clinic, Dothan
Surgery Center South, Dothan
Medical Center Enterprise, Enterprise
Gulf Health Hospital, Fairhope
South Baldwin Regional Medical Center, Foley
North Alabama Medical Center-Coffee Campus, Florence
DeKalb Regional Medical Center, Fort Payne
Gadsden Regional Medical Center, Gadsden
Marion Regional Medical Center, Hamilton
Huntsville Hospital, Huntsville
Alabama Outpatient Surgery Center, Jasper
Alabama Orthopaedic Clinic, PC, Mobile
Mobile Infirmary, Mobile
Mobile Surgery Center, Mobile
Springhill Medical Center-Cardio, Mobile
Central Alabama Pain Management Center, Montgomery
Jackson Hospital and Clinic, Montgomery
The Surgery Center, Oxford
Bigelow Cosmetic Surgery Center, Scottsboro
Vaughan Regional Medical Center, Selma
Lanier Health Services, Valley
Brookwood Dermatology, Vestavia Hills
10/18/12

http://adph.org/news/assets/121018.pdf
 
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