Beyfortis and VFC updates

Oncology drug shortages

New monoclonal approved but no current distribution

FDA EUA for monovalent vaccines withdrawn

Single dose of bivalent now considered sufficient for primary series

All monovalent Moderna vaccine in system expired on 4/1/23

The bivalent Moderna is still ok but primary series must use Pfizer

The U.S. Food and Drug Administration (FDA) has issued an Emergency Use Authorization (EUA) to permit the emergency use of the unapproved products, Pfizer-BioNTech COVID-19 Vaccine¹ and Pfizer-BioNTech COVID-19 Vaccine, Bivalent (Original and Omicron BA.4/BA.5)², for active immunization to prevent COVID-19 in individuals 6 months of age and older.

FDA EUA (emergency use authorization) update – no longer need positive Covid test result for PAXLOVID (nirmatrelvir) or LAGEVRIO (molnupiravir).

Unclear how to differentiate Covid from other URIs.

NOVOVAX Covid-19 Vaccine expiring end of February. Ordering for product has been discontinued.

VRBTAC (vaccines and related biologic products advisory committee) recommends harmonizing vaccine strains into a single vaccination dose, likely to start September 2023. Net new vaccinations will be two doses and annual booster for those already with a prior vaccinations will be a single does injection mirroring Influenza vaccines.

MedSmart – compliance packaging program

FDA resuming its site visits for pharma which should lead to decrease recalls and eventually restoration of pharma supply

Telehealth psych visit limitations may help with ADHD medication shortages

“Generic Deflation” generics impacted more than brand names medications as more drug companies made more generics and supply exceeds demand.

Current OP medication shortages for ADHD continues across the board

FDA Drug Shortages Link

21 billion dollar lawsuit just now impacting local market for opioid limitations and supply issues

Pediatric Approval of Veklury for COVID-19 Treatment Further Expanded

————————————————–Past Updates

FDA RoundUp

Why Older Adults Need Another COVID-19 Shot

CDC officially drops five-day covid isolation guidelines

CDC says it has no plans to ease COVID isolation yet

COVID variant JH.1

CA Changes Isolation requirements for mild COVID+

Free Federal Program for FLU/Covid At Home Tests

NIH Homes Test to Treat Announcement

Home Test to Treat sign up site

Updated Novavax COVID-19 vaccine

COVID-19 Treatment Costs

CDC’s Bridge Access Program

Free COVID Test from the Government

Updated COVID-19 Vaccine for Fall/Winter Season

Eris, BA 2.86 new COVID lineage with 36 mutations

Covid Summer Questions, Answers, and Updates

CDC Will Launch Vaccination Program for Uninsured, Underinsured

FDA Approves Veklury® (Remdesivir) for COVID-19 Treatment in Patients With Severe Renal Impairment, Including Those on Dialysis

Locally Acquired Malaria Cases in the US

FDA asks drugmakers to update Covid boosters to target XBB.1.5 for the fall

Pfizer’s COVID antiviral Paxlovid gains full US approval

CMS Withdraws COVID vaccine mandate for healthcare workers

J & J Covid-19 vaccine no longer available in the US

First Reported US Case of Tinea caused by Trichophyton indotineae

Simplified COVID-19 vaccine recommendations

New Itchy COVID Symptom – Arcturus

Healthy adults don’t need to keep getting COVID-19 boosters, says WHO

New evidence shows that the COVID-19 antiviral drug Paxlovid is not actually linked to “rebound” cases.

Identification of Bradycardia Following Remdesivir Administration

FDA Authorizes 1st OTC At-Home Test to Detect Both Influenza and COVID-19 Viruses

COVID-19 Incidence and Mortality Among Unvaccinated and Vaccinated Persons Aged ≥12 Years

COVID-19 action plan for those with weakened immune system

Make My Test Count – NIH establishes website for self-reporting COVID-19 test results

CDC launches website to help consumers find free COVID-19 testing sites

Testing Locator

Update of LOS and Mortality Index initiatives

Mishandled Botulinum Toxin Injections

—————————-past updates

Management of People Exposed to Novel and Variant Influenza

Increase in Ciprofloxacin- and Penicillin-Resistant Meningococcal Disease

NC Leading the Way to Expanded Treatments for Syphilis

CDC Measles Alert

• Isolate
• Notify
• Test
• Manage
• Vaccinate

MPox spread in DRC

NC HHS Memo on MPox

Confirmed Rocky Mountain Spotted Fever

Continued Rise in Female and Congenital Syphilis Infections_2023

Robeson County CD Report 2022-2023

Meningitis Provider Memo Oct 2023

New updates on vibrio, covid vaccine, and changes at the health department

Severe Vibrio vulnificus Infections in the United States Associated with Warming Coastal Waters – CDC HEALTH ADVISORY Sept 1 2023

National Immunization Awareness Month

Bicillin L-A Shortage

National increase in meningococcal disease among persons with HIV (PWH)

2022 Meningococcal Disease and PWH Data

Chicken Pox Case – Reporting requirements

Recommendations for Diagnosing and Managing Suspected Fungal Meningitis

Fungal Meningitis_slides

Covid no longer reportable as of May 12, 2023

Northwest AHEC STI Update Course Materials

CDC Marburg Virus Alert

Bicillin shortage

STIs and Perinatal Transmission

Red Springs Middle School TB Case – second round screening 4/18/23

TB Newsletter – US Immigration Status updates and US Interferon Gamma Release Assay (IGRA) testing

CDC Health Advisory– Extensively drug-resistant Shigella (must be considered in STI screening)

NCDHHS C. auris rise – North Carolina seeing rise in Candida Auris

Travel Medicine Vaccine – Cumberland County Health Department

Reporting Communicable Disease:

• Partner Card Template
  • Used to get treatment for partners at Health Dept
  • Tellyourpartner.org
• Who, What, Where, When, & How – Timely reporting is key

Tracy Jones

Communicable Disease Supervisor

[email protected]

(910) 671-3210

CORE – Community Organized Relief Effort & NC Star Network

RCORP – Robeson Rural Communities Opioid Response Consortium

• RHCC Applicant Agency
• Contact Valerie Comrie – [email protected]

Community Provider Notification System under development

• Please watch email for follow up surveys and important information on how we are planning to keep each other informed in real-time of
  • new emergencies
  • natural disasters and post disaster recovery efforts
  • epidemiologic threats
  • medicine/supply shortages as they arise
• HelpMeRobeson.com – Public Health Services Directory
  • • Contact Jason Butler, MD/MPH – [email protected]

NCMB CEO Thom Mansfiled and local medical board member, Joshua Malcom, wants to meet Robeson County group

Next meeting co-sponsored by UNC Health Southeastern

Thursday May 9th at 6:30 pm

——————

Kiwanis Club of Robeson County

Playground Project Presentation

——————

Robeson County Medical Society

Katie Lowry (910) 416-4193 or [email protected]

Go to North Carolina Medical Society to become a member of the State and County societies

Robeson County Medical Society Webpage – under construction but will be available soon

We are developing links to the

• State Office of Rural Health for specific updates
• NC Department of Health and Human Services
  • Injury and Violence Prevention Branch
    • Robeson County Specific Data Reports

IRB approved studies with open enrollment

15.202 Alliance A151216
Adjuvant Lung Cancer Enrichment Marker Identification and Sequencing Trial (ALCHEMIST)

17.236 SMART PILL BOTTLE
Improving Well-Being for Breast Cancer Patients Taking Adjuvant Endocrine Therapy

19.296 PDIGREE Alliance A031704
PD Inhibitor (Nivolumab) and Ipilimumab followed by Nivolumab Vs. VEGF TKI Cabozantinib with Nivolumab: A Phase III Trial in Metastatic Untreated Renal Cell Cancer

20.302 Screening Protocol to Determine Tumor Antigen Adaptimmune Screening

Expression and HLA Sub-Type for Eligibility
Determination for Clinical Trials Evaluating the Safety and Efficacy of Autologous T Cells Expressing Enhanced TCRs in Subjects with Solid or Hematological Malignancies

20.321 The DCN Passport: A Novel, Patient-Centered Approach to Improve Care for Gastric / Gastroesophageal Junction Cancer Across an Academic-Community Oncology Network

20.322 GI/GEJ Registry
Duke Gastric and Gastroesophageal Junction Cancer Patient Registry

21.330 IRONMAN Prostate Cancer Outcomes: An international Registry to Improve Outcomes in Men with Advanced Prostate Cancer (IRONMAN)

21.333 Well-Being After Breast Cancer Surgery (ABCS)

21.334 ICAN NC R01 mHealth behavior cancer pain intervention for medically underserved patients

21.336 DCN MRT
Advancing Cancer Care in the Rural Southeast: Enhancing Precision Medicine and Institutional Collaboration in Community Cancer Centers

21.340 ONE TEAM Study
Onco-primary care networking to support TEAM-based care

22.347 Project Reach Alliance A211901
Reaching Rural Cancer Survivors Who Smoke Using Text-Based Cessations Interventions

23.354 Advanced Directives Education and Knowledge

23.355 Characterizing Pediatric Patients Seeking Behavioral Health Care in a Rural ED

Dr. Eugene Nor will re-join us at the next meeting on October 2, 2023

Tribal Leadership is working with partners across the State and CORE on new Indian Health grant project

Dr. James Slauterbeck, Orthopedic Surgery

Start Date:  March 15, 2024

Will be on next meeting for introduction

——————————–

Dr. Sanjay Patel, Cardiology

Start Date:  March 4, 2024

Dr. Dwayne Callwood, Cardiology

Upon completion of credentialing process

Dr. Michael Abdou, Pain Management

Start Date:  August 2024

Dr. Tope Adebayopedic, Sports Medicine

Start Date:  TBD

Cardiology Mid-levels:

Meagan Oxendine, FNP – Start Date:  02/05/2024

Leigh Hinson, FNP – Start Date:  02/19/2024

Karen Carlisle, FNP – Start Date:  02/05/2024