Public health information that is vital, time sensitive and specific to an incident or situation. Information posted here warrants immediate action or attention. 

There are no alerts as of 7.14.2022

Public health information that is specific to an incident or situation. Information contains recommendations or actionable items. Advisory information may not require immediate attention. 

10.26.22 NC Division of Public Health Increase in Respiratory Illness

This memo:

• describes, as observed by current surveillance, an increase in activity of multiple respiratory viruses other than SARS-CoV-2 across the state including influenza, RSV, and rhinovirus/enterovirus

• includes recommended actions for clinicians for influenza, RSV, rhinoviruses and/or enteroviruses, including EV-D68, and COVID-19 

9.15.2022 NC Division of Public Health Acute Flaccid Myelitis (AFM) and Poliomyelitis Testing and Reporting (Replaces version dated October 24, 2018) 

This memo provides updated information regarding identification and management of suspected cases of acute flaccid myelitis (AFM) and poliomyelitis and to provide guidance on reporting of such cases to public health officials. 

9.9.2022 CDC Health Alert Network No. 474 Severe Respiratory Illnesses Associated with Rhinoviruses and/or Enteroviruses Including EV-D68 Multistate, 2022

The purpose of this Health Alert Network (HAN) Health Advisory is to:

1. Notify healthcare providers, laboratories, infection control specialists, and public health departments about recent increases in severe respiratory illness requiring hospitalization in children
2. Urge healthcare providers to consider EV-D68 as a possible cause of acute, severe respiratory illness (with or without fever) in children
3. Advise of the potential for an increase in AFM cases in the upcoming weeks, and 
4. Provide CDC recommendations to healthcare providers, laboratories, infection preventionists, public health departments, and the public. 

7.30.2022 CDC Health Alert Network No. 472: Update for Clinicians on Monkeypox in People with HIV, Children and Adolescents, and People who are Pregnant or Breastfeeding 

This Health Alert Network (HAN) Health Update serves to alert clinicians to clinical considerations for preventing, diagnosing, and managing monkeypox in people with HIV, children, adolescents, and people who are pregnant or breastfeeding.

7.28.2022 CDC Health Alert Network No. 471: Update for Clinicians on Testing and Treatment for Monkeypox

This Health Alert Network (HAN) Health Update serves to alert clinicians on commercial testing capability, collecting clinical specimens for testing, and using TPOXX® (tecovirimat) for treating monkeypox.

7.28.2022 NC Division of Public Health Memo for HIV PrEP Providers

This memo reaches out to HIV PrEP and sexual health care providers. It :

• asks providers to get monkeypox vaccine to patients who may be eligible

• includes current eligibility criteria for the monkeypox vaccine and 

• links providers to information about vaccination sites

7.21.2022 New York State Department of Health  New York State Department of Health and Rockland County Department of Health Alert the Public to a Case of Polio in the County

7.14.2022 NC Division of Health and Human Services Person-to-Person Monkeypox Transmission in Multiple Countries (UPDATED)

This memo replaces the version dated July 12, 2022. It intends to provide an update regarding the prevention of monkeypox and the evaluation and response to possible cases. Key updates include expanded testing availability, vaccine eligibility, and treatment information. 

7.12.2022 Centers for Disease Control and Prevention  Recent Reports of Human Parechovirus (PeV) in the United States - 2022 

The Centers for Disease Control and Prevention issued this Health Alert Network (HAN) Health Advisory to inform clinicians and public health departments that parechovirus (PeV) is currently circulating in the United States. The advisory includes background information about human parechoviruses and recommendations for clinicians and public health departments.

6.14.2022 Centers for Disease Control and Prevention  Updated Case-finding Guidance: Monkeypox Outbreak—United States, 2022

This Health Alert Network (HAN) Health Update serves to

• alert clinicians to clinical presentations of monkeypox seen so far in the United States

• provide updated and expanded case definitions intended to encourage testing for monkeypox among persons presenting for care with relevant history, signs, and symptoms

• provide an update to the CDC HAN Health Advisory issued May 20, 2022, titled Monkeypox Virus Infection in the United States and Other Non-endemic Countries—2022. In people with epidemiologic risk factors, rashes initially considered characteristic of more common infections (e.g., varicella zoster, herpes, syphilis) should be carefully evaluated for concurrent characteristic monkeypox rash (see images and links in update) and considered for testing.

5.24.2022 CDC COVID-19 Rebound after Paxlovid Treatment

This advisory updates healthcare providers, public health departments, and the public on the potential recurrence of COVID-19 or "COVID-19 rebound". 

4.22.2022 NC Division of Public Health Increase in Reports of Pediatric Hepatitis Internationally, 2022

This memo provides information regarding identification and reporting of acute pediatric hepatitis cases of unknown etiology.

4.21.2022 CDC Recommendations for Adenovirus Testing and Reporting of Children with Acute Hepatitis of Unknown Etiology

This CDC advisory:

• describes a cluster of children identified with hepatitis and adenovirus
• recommends clinician consideration of adenovirus testing in pediatric patients with hepatitis of unknown etiology
• describes preferred testing 
• requests notification of possible cases

12.6.2021 NC Division of Public Health Increasing Seasonal Influenza A (H3N2) Activity

This memo provides guidance and information to providers on increased influenza A (H3N2) activity and updated guidance on the use of antiviral post-exposure prophylaxis (PEP) in the setting of co-circulation of SARS-CoV-2.

11.24.2021  Centers for Disease Control and Prevention Increasing Seasonal Influenza A (H3N2) Activity , Especially Among Young Adults and in College and University Settings, During SARS-CoV-2 Circulation

The CDC issued this health advisory to notify health practitioners and clinicians about increased Influenza A (H3N2) activity that could mark the beginning of the 2021-2022 influenza season. The advisory contains recommended actions for health practitioners, clinicians, and the public.

11.15.2021 NC Division of Public Health Statewide Increase in Syphilis Infections

This public health advisory describes the continuing increase in syphilis infections in North Carolina, outlines actions for clinicians and provides links to relevant resources.

10.14.2021 NC Division of Public Health 2021-2022 Influenza Season: Update for NC Clinicians

This memo provides information and guidance to NC clinicians regarding updates for the 2021-22 influenza season. As guidance may change during the influenza season, up to date information can be found at flu.nc.gov.

9.21.2021 CDC Health Advisory COVID-19 Vaccination for Pregnant People to Prevent Serious Illness, Deaths, and Adverse Pregnancy Outcomes from COVID-19

The Centers for Disease Control and Prevention (CDC) recommends urgent action to increase Coronavirus Disease 2019 (COVID-19) vaccination among people who are pregnant, recently pregnant (including those who are lactating), who are trying to become pregnant now, or who might become pregnant in the future.

7.30.2021 NC Division of Public Health Out of Season Increases in RSV

This memo provides information and guidance to providers on out of season increases in cases of respiratory syncytial virus (RSV) in North Carolina and on Medicaid coverage of Palivizumab (Synagis) in high-risk infants for passive immunoprophylaxis against RSV.

Memo: Out of Season Increases in RSV

Updated public health information specific to an incident or situation. Information posted here is unlikely to require immediate action.  

There are no updates as of 7.14.2022

• What communicable diseases must be reported?
  • Reportable diseases and conditions in North Carolina
• Who must report communicable diseases?
  • Physicians, school administrators and child care operators, medical facilities and operators of restaurants and other food or drink establishments (G.S. § 130A-135 through 130A-139) must report cases or suspected cases of reportable diseases to their local health department.
• How do you report communicable diseases in Wake County?
  • Report communicable diseases to Wake County Health & Human Services Communicable Disease Surveillance Team
    Call: 919-250-4462
    Fax: 919-212-9291

    • Non-urgent reports. Non urgent reports can be made outside of normal business hours, on weekends or holidays by leaving a message on the Communicable Disease Line, 919-250-4462. Please provide a contact name and number for the CD Nurse to call you back the following business day. This number is checked during weekends and holidays at 9 a.m., 1 p.m. and 5 p.m.

    • Urgent reports. Should you need to alert us of an immediate Public Health threat, specifically as it relates to suspicion or confirmation of the conditions or events noted below, the Emergency CD Line 919-404-7575 will be answered immediately or will return your call within 15 minutes: 

      • Novel and/or highly infectious diseases (measles, mumps, Ebola, Middle Eastern Respiratory Syndrome)

      • Biologic toxins, hazardous chemicals or mass casualties

Confidential Communicable Disease Report Form - Part 1 (fillable form and instructions)

North Carolina Communicable Disease Report Forms

NC Communicable Disease Manual. North Carolina Reportable Diseases and Conditions, Reporting Forms, Case Definitions and more.

Reportable Diseases in North Carolina

• Rabies Resources for the Medical Professional
• Wake County Animal and Rabies Control Ordinances 
•  Educational Materials
  • Stop Rabies (English) 
  • Stop Rabies (Spanish) 
• Be Safe Around Dogs ( A coloring book for children and parents; English and Spanish)

CDC
NC Department of Health and Human Services
NC Division of Public Health
Wake County Government
 

• CRE Prevention and Control Toolkit

Wake County Public Health Data

NC HIV/STD Regulations

STD Assessment, Prevention and Treatment Protocols – NC DHHS

HIV and STD Community Program – Wake County Health & Human Services 

HIV Clinic – Wake County Health & Human Services 

STD and HIV Testing
Wake County Health & Human Services 
HIV/AIDS/STD Program contact information: 
Call: 919-250-4717 
Fax: 919-212-7400 

Immunizations and Foreign Travel
Call: 919-250-3900 

Immunization Outreach & NC Immunization Registry 
Call: 919-250-4518 

Influenza information, surveillance data, information for health care providers (NC DHHS)

Social media resources: 

What to do about the flu social posts (English) 

What to do about the flu social posts (en español​) 

CDC

Monkeypox outbreak information
Monkeypox vaccine information
COCA call for clinicians about the Monkeypox outbreak

NC DHHS

Monkeypox information
Monkeypox Communications Toolkit
Monkeypox Provider Webinar 7.28.22 

Norovirus Outbreak: What to do

• Opioid Crisis (NCDHHS) 
• ​Wake County Drug Overdose Prevention Coalition (WCHHS) 

Call: 919-250-3894 

CDC treatment guidelines 

Do You Feel Ill After Exposure to Ticks or Tick Habitats? (Poster, NCDPH) 

Tick-borne Illness Information for Healthcare Providers (Web page, NCDPH) 

Tickborne Diseases of the United States: A Reference Manual for Health Care Providers (CDC) 

• Frequently Asked Questions about TB Skin Testing and Reporting (WCHHS) 
• TB Skin Testing Guidelines (NC TB Policy Manual) 
• NC TB Statistics (NC DHHS) 
• CDC TB Statistics (Centers for Disease Control and Prevention) 
• Educational Materials for Patients (NC DHHS)
• Educational Materials for Patients (WCHHS)  
• Wake County Tuberculosis Control team contact information: Call: 919-250-1228 or 919-212-9508 

• Arboviruses: Information for Health Care Providers (NC DPH) 
• Zika Virus (NCDPH) 
• Zika Virus Fact Sheet (WCHHS) - English
• Zika Virus Fact Sheet (WCHHS) - en Español