Health Officer Monthly Newsletter for Orange County Clinicians
March 2025
March 18, 2025
Regina Chinsio-Kwong, DO County Health Officer
Measles, Tuberculosis (TB), Nutrition
Measles
On March 7, 2025, the Centers for Disease Control & Prevention (CDC) issued a Health Alert notifying the medical community of expanding measles outbreak in the US and to provide guidance for the upcoming travel season With the rising number of identified cases across the US (301 as of March 14, 2025) from outbreaks occurring in different states as well as imported cases from other countries, and busy travel seasons around the corner (Spring and Summer Breaks) potentially increasing exposures during travel, messaging from clinicians remains a critical step in informing the public to take positive preventive measures to protect themselves and their community.
Of note, all 5 identified measles cases in California in 2025 have been associated with recent travel to Vietnam, a country that has been experiencing a surge in measles cases last year (45,000 suspected cases and 7,500 confirmed cases, 16 deaths in 2024). Recently, there were 2 reported deaths in children related to the outbreak in Nam Tra My District, Quang Nam Province.
Multiple countries across the globe have been experiencing measles outbreaks, hence ensuring one is protected before travel is important Top 10 countries with measles outbreaks according to the CDC include Pakistan, Thailand, India, Yemen, Ethiopia, Afghanistan, Indonesia, Russia, Kyrgyzstan, and Vietnam
Key points to keep in mind when educating patients and the community:
• The measles vaccine (MMR or MMRV) is highly effective.
o A single dose is 93% effective, and a two-dose regimen is approximately 97% effective in preventing disease
o Before the introduction of the measles vaccine, close to 500,000 measles cases were reported annually to the CDC and resulted in 48,000 hospitalizations, 1,000 cases of encephalitis, and 400 to 500 deaths annually in the US
o Upon the licensing and distribution of the measles vaccine in 1963, reported measles cases across the US significantly declined from close to 500,000 annually to 37 people reported in the US in 2004.
o Prior to this year, the last reported measles death in the US occurred in 2015.
o Measles Severity and Complications in the US (http://www.cdc.gov/measles/about/complications.html)
1 out of 5 cases required hospitalization
1 out of 1,000 people with measles develops swelling of the brain which can lead to long term consequences
1-2 per 1000 measles cases result in death
*Complications are more common in children < 5 and adults > 20 years old
A rare but fatal disease Subacute Sclerosing Panencephalitis (SSPE) can develop 7-10 years after a measles infection. Since measles was eliminated in 2000, SSPE is rarely reported in the US. Among people who contracted measles during the resurgence in the US in 1989 to 1991, 4 to 11 out of every 100,000 were estimated to be at risk for developing SSPE (CDC). The risk of developing SSPE may be higher for a person who gets measles before they are two years of age.
Studies demonstrate that severe complications such as pneumonia, encephalitis and death can be prevented with adequate immunity gained from vaccination.
Studies show that most people who receive 2 doses of a measles vaccine achieve vaccine-induced long-term immunity, which is lifelong for most.
• Safety of Measles containing vaccines MMR and MMRV
o Studies have shown that MMR and MMRV vaccines are well tolerated
o Adverse reactions/symptoms following MMR/MMRV include the following (incidence listed in %)
Fever of 103°F (39.4°C) or higher 5%–15%
Rash 5%
Febrile seizures 1 in every 3,000 to 4,000 doses
Anaphylactic reactions 8 to 14.4 cases per million doses
Arthralgias and other joint symptoms 25% (adult women)
• Vaccine recommendations
o Children are advised to get two doses of the MMR vaccine- one at the age of 12-15 months and the second at 4-6 years of age to get closer to a 97% efficacy rate.
o The MMR vaccine can be given to infants 6-11 months of age before traveling internationally as an addition to the two recommended doses for protection.
o Adults who have been vaccinated with 2 doses of vaccine have a >95% chance of being protected for life.
People born before 1957 are considered to have presumptive immunity. However, health care workers born before 1957 who don’t have proof of immunity should consider getting the vaccine.
Those born after 1957 should get at least one MMR shot unless they have had laboratory-confirmed measles infection or have laboratory evidence (serum measles IgG) of immunity.
• Where can individuals get vaccines?
o MMR and MMRV vaccines are widely available across the county.
o Insured individuals should consult their health plan to understand where they can receive covered vaccines.
o MyTurn.ca.gov provides information about vaccines as well as where to locate a local pharmacy or clinic that provides vaccines.
o Additional locations for centers (locally and nationally) that are part of the Vaccines for Children and Vaccines for Adults programs are available at the HRSA website.
• Measles Clinical Flowchart (meant for settings where there is not an active outbreak) Measles should be considered for individuals with history of a fever, as well as any of the 3 C’s can be present (Cough, Coryza, or conjunctivitis) followed by a rash that starts on the head or face and spreads downward. During active outbreak, testing can be pursued without meeting all 3 criteria of history of fever, rash and 3 C’s.
Flowsheet adapted from CDC Clinical Provider Flowsheet for evaluating patient presenting with rash or fever
What to do if you suspect measles in a patient (refer to CDC HAN March 7, 2025 for details)
- Isolate the patient/protect health care providers
o Follow precautions to minimize exposure to staff/patients (CDPH, CDC)
- Don’t wait for results- Immediately notify the OC Health Care Agency (HCA) Communicable Disease Control Division (CDCD) at (714) 834-8180
o Contact us immediately if measles is suspected! The team can assist with next steps, including facilitation of testing and management with post-exposure prophylaxis for those who are eligible.
- Test- Lab confirmation (usually by measles PCR testing) should be pursued for all patients with suspected measles. OCHCA’s Public Health Laboratory can perform expedited PCR testing for any suspect case, with results back in 24 hours for high-risk patients.
o Lab Collection resources
CDPH Collecting Respiratory Specimens poster
CDC Testing and Lab Confirmation for Measles, Mumps, Rubella, Varicella
- Manage
o Post-exposure prophylaxis (PEP): In coordination with the HCA, provide appropriate measles PEP to close contacts without evidence of immunity, as soon as possible after exposure, either with MMR vaccine (within 72 hours) or immunoglobulin (within 6 days). The choice of PEP is based on elapsed time from exposure or medical contraindications to vaccination.
o Supportive care: There is no specific antiviral therapy for measles. Medical care is supportive to help relieve symptoms and address complications such as pneumonia and secondary bacterial infections. Use of vitamin A for patients with measles has recently been in the news. Please see the following link for information: Call-to-Action-Vitamin-A-for-the-Management-of-Measles-in-theUS-FINAL.pdf
Resources for having the conversation about vaccines with patients:
• How to have crucial conversations with vaccine-hesitant patients | American Medical Association
• Strategies for Improving Vaccine Communication and Uptake | Pediatrics | American Academy of Pediatrics
• Communicating More Effectively About Vaccines - Public Health Communications Collaborative
• California Department of Public Health (CDPH) Office of Communications Measles Toolkit
• HCA Measles page (updated Vaccine Flyer will be posted on this website)
Previously recorded webinars by local experts:
• California Immunization Coalition- Emerging Conversation Series
• California Immunization Coalition Emerging Conversations: Preparing Patients for International Travel- with featured speakers: Jeff Goad, Pharm.D., MPH, APh and Kate Williamson, MD, FAAP August 2024
• California Immunization Coalition Everything Old is New Again: The Return of VaccinePreventable Diseases with featured speakers: Jasjit Singh, MD, FIDSA, FPIDS and Jeffrey Silvers, MD February 2024
World TB Day - March 24, 2025
World TB Day is celebrated annually to bring attention and awareness to this ancient disease that continues to infect people today. In 2023, California reported the highest number of TB cases in the nation, with Orange County ranking as the third highest in number of TB cases behind Los Angeles and San Diego Counties in California. In 2023, 204 new TB cases were reported in Orange County, a 19% increase compared with 171 in 2022. TB disproportionately affects vulnerable populations in Orange County. The highest burden of disease continues to be among non-US born persons, Asians, males and adults 65 years and older. Nearly 1 in 3 adult TB cases in Orange County has diabetes or are current or past smokers.
Sharpen your skills and learn more about how to screen, diagnose and treat this disease by registering and attending a webinar provided by the Orange County Tuberculosis Controller- Dr. Helene Calvet on March 24. To receive CME or CE credit, attendees must register ahead of the webinar, attend the entire webinar, and complete an online survey. Learn more about the webinar and gain access to HCA’s TB dashboard here
National Nutrition Month
National Nutrition Month® is an annual campaign established in 1973 by the Academy of Nutrition and Dietetics. During the month of March, everyone is invited to learn about making informed food choices and developing healthy eating and physical activity habits.
This year's theme is "Food Connects Us." Food is a connecting factor for many of us. It connects us to our cultures, our families, and our friends. Sharing a meal is an opportunity to learn about its preparation, who made it, and where the ingredients were sourced. Click here for the 2025 National Nutrition Month tip sheet from the Academy of Nutrition and Dietetics. Additional resources including social media toolkits can be found here.
Clinicians interested in making sustainable changes with nutrition across the county are encouraged to participate in the Community Health Improvement Plan (CHIP) Diabetes and Obesity workgroup. If you would like to join us or learn more, please email us at occhip@ochca.com To access the OC CHIP plan please visit: OC Health Improvement Plan | Orange County California - Health Care Agency.
Health Alerts (CDC, CDPH, HCA, FDA)
Nitrous Oxide
On March 14, 2205, the Food and Drug Administration (FDA) issued a Consumer Advisory- advising consumers not to inhale nitrous oxide products from any size canisters, tanks, or chargers as inhaling nitrous oxide recreationally can lead to serious health effects, including death.
Just last month, after the introduction of a local ordinance to ban nitrous oxide (for recreational use) for concerns of harms posed by recreational use by Vice Chair Katrina Foley, the County of Orange Board of Supervisors (BOS) approved the ordinance to reduce access for those desiring to misuse the product. Under direction from the Board of Supervisors, I am continuing to collect data from hospitals, clinics and the community to include in a County of Orange report on Nitrous Oxide and Use, Misuse and Sales in Orange County. Clinicians and First Responders serving Orange County residents and visitors are encouraged to complete a short anonymous survey from March 18, 2025 to March 31, 2025.
Clinician Survey
https://ochca.sjc1.qualtrics.com/jfe/form/SV_d4G4fqqDr2qcU9E
1st Responder-Law Enforcement Survey
https://ochca.sjc1.qualtrics.com/jfe/form/SV_6DXnafn8aTUt0tU
1st Responder-EMT/Paramedic Survey
https://ochca.sjc1.qualtrics.com/jfe/form/SV_bj7JafK4zSEom5E
CDC Health Alert – March 18, 2025
Health Alert Network (HAN) - 00523 | Dengue Virus Infections in the United States
With Dengue transmission remaining high in the US and locally acquired cases reported in Florida, California and Texas as well as other countries, the CDC posted an alert advising clinicians to:
• Review recommendations from the June 2024 HAN (CDCHAN-00511) on Dengue.
• Take a thorough travel history for those presenting with febrile illness.
• Advise travelers to take steps to prevent mosquito bites during travel and for 3 weeks upon return from areas with Dengue transmission.
• Have an increased suspicion among people with fever who have been in areas with Dengue transmission within 14 days before symptom onset.
• For cases suspected to have Dengue infection, test with RT-PCR (i.e., a nucleic acid amplification test [NAAT]) or an NS1 antigen test, as well as with an IgM enzyme-linked immunosorbent assay (ELISA) antibody test. Contact HCA CDCD at (714) 834-8180 for guidance and assistance.
Public Health/Communicable Disease Control Division Updates
Respiratory Virus Updates
As of March 14, 2025, CDC Respiratory Data Channel indicates that on a national level seasonal flu activity remains elevated, but has been decreasing over the past few weeks. COVID-19 activity is declining nationally but is elevated in some areas of the country.
CDPH data indicates that influenza activity is moderate and continues to decrease in the state for the week of March 2 to March 8, 2025, with RSV and COVID-19 activity remaining low. The majority of positive influenza specimens are type A. CDC data indicates that both H1N1 and H3N2 strains are circulating nationally. Influenza type B represents a small minority of positive specimens currently, though an influenza B surge may yet occur.
The HCA has added the Respiratory Virus Surveillance trends to our website. The information is available at www.ochealthinfo.com/respiratoryvirus.
Vaccination Rates
It’s not too late to encourage more people to catch up on vaccines, including the updated 2024-2025 COVID-19, Tdap, flu and other vaccines for other preventable diseases. National vaccination trends reported by the CDC as of March 14, 2025 on COVID, Flu, and RSV vaccination show the following:
• Percentage of the population reporting receipt of the updated 2024─25 COVID-19 vaccine
o 12.5% - children
o 23.2% - adults age 18+
o 45% among adults age 65+
• Percentage of the population reporting receipt of an influenza vaccine
o 47.6% - children
o 46.3% - adults age 18+
o 70.6% among adults age 65+
• Percentage of adults age 75+ reporting ever receiving an RSV vaccine is 47.4%.
According to CDPH as of March 3, 2025, 13.5% of eligible Californians and 12 1% of eligible Orange County residents are up-to-date with COVID-19 vaccines. (CDPH Immunization Branch Provider Updates are provided every other Friday, and posts recordings and slides presented on their website.)
Are flu vaccines still recommended?
While the flu vaccine is typically recommended in the late Fall/early Winter (OctoberDecember), for those who have not received a flu vaccine for the season (especially vulnerable individuals), receiving a flu vaccine is still recommended as long as influenza continues to circulate in the community.
Communicable Disease Control Division Updates
H5N1 Avian Influenza Updates
Review of recent events:
• Case counts of human cases remained steady at 70 as H5N1 continues to affect dairy cattle and poultry farms across the nation. More reports are making headlines as more cats are being identified with H5N1 after consuming raw milk or raw cat food. Pet owners are advised to avoid feeding their cats raw pet food or raw milk.
• Those who cannot avoid exposure to sick or dead animals should take additional steps to protect themselves. More information is available at: CDPH Bird Flu, CalOSHA, Bird Flu PPE, H5N1 Bird Flu Working With Wildlife.
• CDPH guidance for people with possible or confirmed bird flu infection includes staying home unless necessary to see a health care provider or to go to work, notifying your health care provider of your possible bird flu exposures, avoiding contact with other people and pets where possible. More information is available on the CDPH website.
Updated Influenza Testing Recommendations for Clinicians:
o Assess Exposure History: Ask hospitalized patients with suspected/confirmed influenza if they’ve had recent contact with someone with H5N1 or exposure to high-risk settings (e.g., dairy farms).
o Infection Control:
• Use standard and droplet precautions for all suspected/confirmed influenza cases.
• If H5N1 is suspected or confirmed, place the patient in an Airborne Infection
Isolation Room (AIIR) and ensure caregivers use standard, contact, and airborne precautions (including goggles/face shield).
o Treatment: Start oseltamivir antiviral therapy immediately for ICU patients with seasonal or avian influenza (H5N1).
o CDC Testing Recommendation: All influenza A-positive respiratory specimens from hospitalized patients should be subtyped within 24 hours for better patient care, infection control, and public health surveillance. See advisory: Health Alert Network Advisory to Accelerate subtyping of influenza A in Hospitalized patients
o Report Cases: If H5N1 infection is suspected, notify the HCA Communicable Disease Control Division immediately at (714) 834-8180.
o Additional information on the California situation can be found here.
Media/Articles/Press Releases
• March 14, 2025: Aging might not be enough to eliminate H5N1 viruses in raw-milk cheese | CIDRAP
• March 13, 2025: H5N1 dairy cow study finds sustained milk production drop, extensive transmission across herd | CIDRAP
• March 12, 2025: The Latest on Bird Flu Research, Infected Cats, and More | Scientific American
• March 10, 2025: Avian flu detected in Belgian cats as outbreaks continue on US poultry, dairy farms | CIDRAP
• March 5, 2025: Avian flu was in Oregon wastewater weeks before state's first bird outbreaks, study shows | CIDRAP
• March 3, 2025: H5N1 findings prompt another raw pet food recall | CIDRAP CDPH Resources:
• CDPH Human Avian Influenza A(H5N1) Quicksheet
• CDPH Toolkit: Bird Flu
• CDPH Avian Influenza A Infection Control for Healthcare Providers
• First cases of human Avian Influenza A (H5N1) in California & Preparation for Respiratory Virus Season (COVID-19, Influenza and RSV)
• Raw Milk and Raw Dairy Products
Additional Website links:
• CDFA - Animal Health - Avian Influenza
• H5 Bird Flu: Current Situation | Bird Flu | CDC
ALERTS/RECALLS
Lead
About 2,400 Rebecca’s Toys & Prizes Bowling Pin Sipper Cups were recalled because the red tape on the neck of the cup was found to contain levels of lead in violation of the Federal Hazardous Substances Act. These products were sold at bowling alleys nationwide from January 2018 through July 2019. More information about this recall is available on the United States Consumer Product Safety Commission website. Images of the products are seen here.
CDPH recommends providers to:
• Advise families to:
o Immediately take the recalled cups away from children and stop using them.
o Contact Nazzaro Enterprise Texas Inc., of Hurst, Texas for a full refund. Nazzaro is contacting all known purchasers directly.
• Test children for lead exposure if children came into contact with this product.
Please help share this information with your families and clients and contact Orange County Childhood Lead Poisoning Prevention Program (CLPPP) at (714) 567-6220 if you have any questions or concerns.
For additional information and resources, please refer to the OC CLPPP website at: https://ochealthinfo.com/lead and CDPH website at: https://www.cdph.ca.gov/Programs/CCDPHP/DEODC/CLPPB/Pages/CLPPBhome.aspx.
Foodborne
Illness - Multistate Outbreaks
Recalls, Market Withdrawals, & Safety Alerts | FDA
Date Brand Name(s)
Recall Reason Description Comp any Name
03/15/2025 Savage Pet Cat Food Chicken Animal & Veterinary Possible Bird Flu Health Risk Savage Pet
03/15/2025 Seabear Alehouse Clam Chowder and Smoked Salmon Chowder
Food & Beverages Potential contamination with Clostridium botulinum Seabear Company
03/12/2025 Daily Veggies Enoki Mushroom Food & Beverages, Foodborne Illness Listeria monocytogenes New Age International Inc.
03/10/2025 Zaarah Herbals Dietary Supplements Dietary Supplements, Contaminants, Food & Beverages, Contaminants
Product may be contaminated with elevated levels of lead and arsenic New York Wholesale Group
03/03/2025 Multiple brands Prepared vegetable products. Food & Beverages, Foodborne Illness Potential risk of Clostridium botulinum AKT Trading, Inc.
03/01/2025 Wild Coast Raw Frozen Boneless Free Range Chicken Formula raw pet food for cats
Website Links:
Animal & Veterinary Possible Bird Flu Health Risk Wild Coast LLC dba Wild Coast Raw
• CDC Current Outbreak List | Outbreaks | CDC
• Recalls, Market Withdrawals, & Safety Alerts | FDA
• Recalls & Public Health Alerts | Food Safety and Inspection Service
International Travel Health Notices
March 2025
• Level 2- Ebola Virus in Uganda
February 2025
• Level 2- Chikungunya in Reunion
• Level 2 - Clade I Mpox in Central and Eastern Africa
• Level 2 - Ebola in Uganda
• Level 1- Global Dengue
• Level 1- Global Measles
According to the American Cancer Society, Colorectal Cancer is the 3rd most common cancer worldwide and the 2nd leading cause of death from cancer. Approximately 55% of colorectal cases and deaths could be attributed to modifiable risk factors such as certain diets, not being physically active, smoking and drinking alcohol.
Learn more about the burden of colorectal cancer and what can be done to change it at nccrt.org or watch a recorded webinar 2025 National Colorectal Cancer Awareness Month Webcast from March 12 to hear the latest state of the field updates from national experts.
1. National Social Work Month
2. National Colorectal Cancer Awareness Month
3. National Poison Prevention Week (March 16-22, 2025)
Every year, thousands of poisonings happen locally and across the nation. Common calls to the poison control hotline from local residents over the past year included accidental ingestion of unlabeled containers or exposure to household cleaners or chemicals in poorly ventilated areas. To prevent accidental ingestion or exposure, everyone is advised to never mix chemicals, always store chemicals in the original containers, and follow the manufacturer’s instructions.
California laws and regulations require physicians and other licensed health care professionals to report any known or suspected case of poison/pesticiderelated illness or injury to the Local County Health Officer within 24 hours. This can be accomplished by simply calling California Poison Control’s toll-free Poison Control Hotline 1-800-222-1222. Specialized trained toxicologists provide immediate assistance to clinicians.
Additionally, whenever calls are made to the poison control center, notifications are also automatically sent to the Local County Health Officer and the Local Agricultural Commissioner. The Local Agricultural Commissioner’s office reviews filed cases and performs investigations as necessary.
4. March and April Health Profession, World Health Day, and Public Health Week
Happy Doctor’s Day - March 30 to all of you who continue to care for patients in the community. April 7 Is World Health Day, while April 7-13 is Public Health Week. Keeping our community healthy requires the combined effort of multiple medical professionals. This March, we also celebrate registered dieticians, nutritionists, pulmonary rehabilitations professionals, certified nurses and anesthesiology technicians. In April, we celebrate all the health professions that contribute to public health, as well as volunteers and doulas Thank you for devoting your expert knowledge, skill and heart with caring for our community. Thank you for all that you do!
Orange County Community Health Improvement Plan
The Orange County Community Health Improvement Plan Workgroups are now meeting! Do you know of someone who is interested or who would benefit our community through engagement in these workgroups? Encourage them to get involved by contacting us at occhip@ochca.com
The OC Health Care Agency’s (HCA) has published the Orange County Community Health Improvement Plan (OC CHIP) Plan update for 2024-26. The community identified six priority areas to focus efforts in: mental health, substance use, diabetes/obesity, housing/homelessness, care navigation, and economic disparities. If you would like to join us or learn more, please email us at occhip@ochca.com To access the OC CHIP plan please visit: OC Health Improvement Plan | Orange County California - Health Care Agency.
Training and Webinar Opportunities:
• National Foundation for Infectious Disease
Title: Improving US Adult Vaccination Rates
Date/Time: March 20, 2025 - 2 p.m. EST
Webinar Registration Link
• The American Public Health Association
Title: Microplastics and Health Webinar Series: Webinar 2: Distribution of Microplastics in the Environment and Human Exposure Pathways
Date/Time: March 20, 2025 – 12 noon EST
Title: Navigating the Vaccine Debate: Science, Misinformation and Policy
Date/Time: April 1, 2025 – 4 p.m. EST
Title: Kickoff Forum Celebrating 30 years of National Public Health Week
Date/Time: April 7, 2025 – 2 p.m. EST
Title: Protecting the Public’s Health: Safeguarding Rights for People with Disabilities
Date/Time: April 8, 2025 – 2 p.m. EST
Title: The Future of Public Health: Voices from the Next Generation
Date/Time: April 9, 2025 – 4 p.m. EST
Title: Building Resilience to Climate Trauma: A Public Health Approach to Mental Well-being
Date/Time: April 11, 2025 – 2 p.m. EST
More information about APHA Webinars available here: https://www.apha.org/events-andmeetings/apha-calendar
• CHOC
Title: Depression & Anxiety: The “Common Colds” of Mental Health: Virtual Pediatric Lecture
Date/Time: Tuesday, April 8, 2025 – 12:30 p.m. PST
Register by April 8, 2025 by 12 noon. More information here: https://choc.org/events/depression-anxiety-the-common-colds-of-mental-healthvirtual-pediatric-lecture/
• SouthWest Regional Trauma Coordinating Committee (SWRTCC)
Virtual Trauma Grand Rounds: An Overview of Prehospital Transfusion in hemorrhagic shock and Panel Discussion
Date: March 15, 2025 – 9 a.m. PST
Registration required by March 2, 2025.
Register here:
https://app.smartsheet.com/b/form/32d278e7ea33473591c267294665bdb3
Details: An Overview of Prehospital Blood Transfusion Program, presented by Dr. Kelsey Wilhelm, Harbor-UCLA Medical Center and Medical Director, Compton Fire Department Prehospital Blood Transfusion in California (CAL-DROP) Panel Discussion Dr. Stephen Patterson, Riverside Community Hospital, and Medical Director, Corona Fire Department Capt. Chris Douglas, Fire Captain-EMS Division, Corona Fire Department
Kelley Long, RN, EMS Educator, Corona Fire Department Edward Campana, FFPM, Ventura County Fire Department
Approved for 2 hours of instructor-based EMS CE, California Board of Registered Nursing CE. CME approval in process.
Target Audience: Physician, RN, MICN, Paramedic, EMT
• OC Health Care Agency
Community Provider’s Role in TB Control: How to Help Stop an Ancient Killer
Date: March 24, 2025 – 12 noon PST
CME and CE’s available for those who attend training Webinar Link: https://securetelehealth.zoom.us/j/88373022327#success
Details: Dr. Helene Calvet, MD, Medical Director and TB controller at the OC Health Care Agency will discuss tuberculosis screening, diagnosis and treatment. She will also review other things to consider in suspected cases. CME and nursing CE’s will be offered to those who sign in, attend the entire training and complete online registration survey. This training is approved for up to 1.0 CME and nursing CE hours.
Previously Recorded Webinars/Podcasts
• California Medical Association (CMA)
Virtual Grand Rounds: Long COVID Update: What We Know Now : CMA
Date: Recorded March 11, 2025
Southern California Wildfire Response- What Clinicians Need to Know Recorded from January 29, 2025. Available on-demand for free.
• National Emerging Special Pathogens Training and Education (NETEC)
Podcast: Transmission Interrupted: https://netec.org/podcast/ Episode 36: March 5, 2025 The New Joint Commission Standards, PPE, and Me
Jill Morgan, Emory University Hospital and Brook Henriksen, Sacred Heart Spokane, Washington
• Online on demand courses from National Special Pathogen System, to H5N1 Town Hall updates and Mpox available at: https://netec.org/education-training/#ceus
• Center for Infectious Disease Research and Policy
Offers daily news headlines, and newsletters for specific communicable disease topics
Podcast: Osterholm Update
Dr. Michael Osterholm discusses the latest infectious disease developments. Link: https://www.cidrap.umn.edu/osterholm-update
National Association Webinar Webpages
• American Public Health Association APHA APHA Webinars
• CMA Recorded Webinars Virtual Grand Rounds (cmadocs.org)
• National Foundation for Infectious Disease Webinars https://www.nfid.org/education-events/webinars/
• Infectious Disease Society of America Public Health Page Public Health (idsociety.org)
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