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Saturday, 6 January 2018
Smileband general news
The Chinese have quietly taken control of a £5 billion, Lonfon based company that stores vast amounts of highly sensitive data, sparking fears for Britain’s national security. Politicians and experts last night called for the security services to investigate the £100 million share swoop over the New Year that gave Chinese investors majority control over Global Switch, Europe’s largest data centre operator.
Smileband general news
A former Bristol police officer who became a victim of pervert doctor Reg Bunting has spoken of what she believes was a “cover up” in the force.
The woman was subjected to the force doctor fondling her breasts in what should have been a routine medical examination.
The former officer said when she told her colleagues what had happened she was pressurised not to say anything by those senior to her.
A report into the doctor’s behaviour while at Avon and Somerset police has revealed how he inappropriately touched staff and recruits during routine medical examinations. Various complaints were made by officers and recruits over the years – but no action was taken until after the doctor had died.
One of his victims said the doctor had the power of careers in his hands and abused that. “I thought it was a bit weird and I went to him for an unrelated issue,” she said.
“Looking back now it makes me feel sick.
“Even I may not have seen it at the time, but I was sexually abused by this man who had a lot of power.
“I am completely embarrassed and ashamed of what happened, but I did say something at the time. “I mentioned what had happened to a colleague and I was later told by others in the force to keep quiet if I wanted to keep my job.
“They knew about this for a very long time and it was all swept under the carpet for years.
“We were all told to never leave people alone with him in the detention centre, but he must have had connections and friends high up in the force because no one ever did anything.
“It makes me just so angry and upset when I raised it and was basically told to shut up.
“No one took it seriously – no one listened.
Smileband health topics
Vancomycin-resistant Enterococci are bacteria that are resistant to an antibiotic that is usually used to treat enterococci. Enterococci are found normally in the human intestine and female genital tract as well as the environment. Most VRE infections occur in hospital settings.
VRE can cause infections in the urinary tract, bloodstream or in wounds associated with catheters or surgical procedures. These infections can lead to more severe issues such as bacteremia.
Transmission
Transmission occurs from person to person. Individuals who have had contact with someone with VRE or with a contaminated object and then have contact with another individual can pass the VRE.
Lab Tests & Specimen Info
Test*
|
Specimen
|
Culture
|
Specimen from
any site |
Susceptibility testing
|
Isolate
|
Standard and contact precautions are recommended in healthcare settings.
Prevention for Patients
- Maintain good hand and body hygiene. Wash hands often, and clean body regularly, especially after exercise.
- Keep cuts, scrapes, and wounds clean and covered until healed.
- Avoid sharing personal items such as towels and razors.
- Seek care early if there are signs of infection.
Smileband health topics
Typhoid fever is a life-threatening illness caused by the bacterium Salmonella typhi. Salmonella typhi lives only in humans. Persons with typhoid fever carry the bacteria in their bloodstream and intestinal tract. A small number of persons, called carriers, recover from typhoid fever but continue to carry the bacteria. Both ill persons and carriers shed S. typhi in their feces (stool).
Often characterized by:
- insidious onset of sustained fever
- headache
- malaise
- anorexia
- relative bradycardia
- constipation or diarrhea
- nonproductive cough
However, many mild and atypical infections occur.
In Arizona, there is a range of 5 to 15 cases of typhoid fever reported every year. In 2015, all cases had international travel or travel outside of Arizona.
Arizona 5 year median: 7 cases
Transmission
Transmission occurs when an individual consumes water or food that has been contaminated. Transmission through sexual contact, particularly among men who have sex with men, has been rarely documented. Isolation Precautions
Standard precautions are recommended in healthcare settings.
Prevention for Patients
- If traveling to a country where typhoid is common, consider getting vaccinated against typhoid.
- Avoid eating undercooked or raw meats and seafood and drinking unfiltered or untreated water.
Public Health Actions
Public health will conduct case investigation to determine the source, identify contacts, and transmission setting.
Public health will conduct case investigation to determine the source, identify contacts, and transmission setting.
Cases or contacts should be excluded from working as a food handler, caring for children in or attending a child care establishment, or caring for patients or residents in a healthcare institution.
Public health will facilitate forwarding specimens to the Arizona State Public Health Laboratory.
Smileband health topics
Gonorrhea is caused by the bacterium Neisseria gonorrhoeae. It is the second most commonly reported infectious disease in Arizona and the United States.
Over the last five years, counts and rates of reported gonococcal infections have significantly increased in the state of Arizona. The number of reported infections increased 133.5% from 3,249 in 2010 to 7,585 in 2014.
Transmission
Gonorrhea is transmitted through sexual contact with the penis, vagina, mouth, or anus of an infected partner. Ejaculation does not have to occur for gonorrhea to be transmitted or acquired. Gonorrhea can also be spread perinatally from mother to baby during childbirth.
Lab Tests & Specimen Info
Test*
|
Specimen
|
PCR
|
Genital Swab,
Urine |
IgG/IgM
Serology |
Serum,
Whole Blood |
Culture
|
Genital Swab,
Urine |
Gram Stain
|
Genital Swab
|
Infected individuals should be advised to refrain from sexual activity for at least 7 days after being fully treated.
Standard precautions are recommended in healthcare settings.
Prevention for Patients
There are several ways to prevent sexually transmitted infection:
There are several ways to prevent sexually transmitted infection:
- Condoms
- Monogamous relationships
- Abstinence
Expedited partner therapy (EPT) is an available option in Arizona in order to treat partners.
Pregnant females should be screened during Public Health Actions
Public health monitors gonorrhea case counts and trends statewide. Due to the high morbidity in Arizona, case investigations may only occur in more severe cases (I.e. co-infection or reinfection).
Public Health in Arizona has developed a plan for addressing the possibility of gonorrhea antimicrobial resistance. Public health recommends following the CDC recommended treatment guidelines to avoid further antimicrobial resistance development.
Smileband health topics
Relapsing fever is a systemic spirochetal disease in which periods of fever lasting 2–7 days alternate with afebrile periods of 4–14 days; the number of relapses varies from 1 to 10 without treatment. Febrile periods are often associated with shaking chills, sweats, headache, muscle and joint pain, and can be associated with a rash. Photophobia, eye pain, dizziness, dry cough, nausea, vomiting, or lack of appetite can also occur. Each febrile period terminates by a crisis (abrupt symptom change). Symptoms can be more severe without treatment.
TBRF occurs in the western U.S. and is usually linked to sleeping in rustic, rodent-infested cabins in mountainous areas and high elevations.
Arizona 5 year median: 1 cases
Transmission
Transmission occurs when an individual is bitten by an infected tick. Transmission can also occur mother to child in pregnant women.
Incubation period is 2 to 18 days. Isolation Precautions
Tick-borne relapsing fever is not directly transmitted person-to-person.
Standard precautions are recommended in healthcare settings.
Prevention for Patients
- Avoid sleeping in rodent infested buildings
- Inspect buildings on a regular basis for rodent activity
- Eliminate rodent nesting areas
- Use proper food and waste handling practices that eliminate food sources for rodents
- Rodent–proof cabin/buildings by sealing holes in foundation and walls and use screens to prevent rodent entry
Public Health Actions
Public health will conduct an epidemiological investigation on a case or suspect case.
Public health will conduct an epidemiological investigation on a case or suspect case.
Smileband health topics
Salmonellosis is a bacterial infection that is caused by Salmonella species. The most common species seen in the United States are Salmonella serotype Typhimurium and Salmonella serotype Enteritidis.
The illness can have variable severity and is commonly manifested by:
- diarrhea (sometimes bloody)
- abdominal pain
- nausea
- vomiting
Asymptomatic infections may occur and the organism may cause extraintestinal infections.
In Arizona, there is usually a range from 600 to 1000 cases of Salmonellosis (excluding S. Typhi and S. Paratyphi) reported yearly.
Arizona 5 year median: 1,010 cases
Transmission
Salmonella is transmitted through contaminated food or water, or contact with infected animals. Salmonella is also transmitted person-to-person by the fecal-oral route.
Salmonella is transmitted through contaminated food or water, or contact with infected animals. Salmonella is also transmitted person-to-person by the fecal-oral route.
Animals may be a source of Salmonella infection for humans. Salmonella may also be found in the feces of some pets, especially those with diarrhea. Reptiles, such as turtles, lizards, and snakes, and amphibians, such as frogs, are particularly likely to harbor Salmonella. Many chicks and young birds carry Salmonella in their feces. Lab Tests & Specimen Info
Test*
|
Specimen
|
Culture
(All positive Salmonella samples are automatically forwarded to the State Public Health Laboratory for further serotyping.) |
Stool
|
Immunoassay tests are not recommended.
Isolation Precautions
Enteric precautions are recommended in healthcare settings.
Enteric precautions are recommended in healthcare settings.
Prevention for Patients
- If served undercooked meat, poultry or eggs in a restaurant, send it back to the kitchen for further cooking.
- Wash hands, kitchen work surfaces, and utensils with soap and water immediately after they have been in contact with raw meat or poultry.
- Be particularly careful with foods prepared for infants, the elderly, and the immunocompromised.
- Wash hands with soap after handling reptiles, birds, or baby chicks, and after contact with pet feces.
- Avoid direct or even indirect contact between reptiles (turtles, iguanas, other lizards, snakes) and infants or immunocompromised persons.
- Don't work with raw poultry or meat, and an infant (e.g., feed, change diaper) at the same time.
- Mother's milk is the safest food for young infants. Breastfeeding prevents salmonellosis and many other health problems.
Public Health Actions
Public health will conduct an epidemiologic investigation to determine the source, risk factors, and transmission settings.
Public health will conduct an epidemiologic investigation to determine the source, risk factors, and transmission settings.
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