Transcript Zika Presentation - Florida Association of Code Enforcement

Zika in 2016
Cynthia Goldstein, MPH, REHS
Environmental Health Administrator - POLK
Presentation to Code Enforcement
August 10, 2016
What is Public Health?
 Public health is the science of protecting and
improving the health of families and
communities by
 promotion of healthy lifestyles
 disease and injury prevention
 detection and control of infectious diseases
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Major Infectious Diseases over Time
 Infectious diseases that have impacted the world’s
population over history
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Cholera
Scurvy
Plagues
Poor sanitation and enteric diseases
Smallpox
Malaria
Yellow Fever
Tuberculosis
Rabies
HIV/AIDS
Modern Day threats
 Emerging Infectious Diseases
 H1N1 flu and other flu illnesses
 Ebola
 Zika
 Chronic Diseases – modern day perils impacted by our
lifestyles
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Tobacco
Healthy foods
Physical Activity
Conditions such as obesity, diabetes, hypertension,
cancer, heart and lung disease
Local Public Health System
Schools
EMS
Civic Groups
Nursing
Homes
Non-Profit
Organizations
Neighborhood
Organizations
Home
Health
Hospitals
Drug
Treatment
Public Health
Agency
Laboratories
Mental
Health
Doctors
Community
Health
Centers
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Law
Faith Institutions
Enforcement
Tribal Health
Employers
Corrections
Recreation
Centers
Elected
Officials
Fire
Transit
D2D Zika Outreach
DOOR TO DOOR ZIKA OUTREACH
Florida Department of Health (DOH)
Polk County Health Department
Summer 2016
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Objectives
After this training, you will be able to:
 Relay general information regarding Zika
 Describe your role in the local response to Zika.
 Talk to the public about mosquito bite prevention
 Effectively explain and demonstrate how to protect
yourself from mosquito bites
 Identify and eliminate mosquito breeding grounds
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General Information about Zika Virus
 Flavivirus
 Originally identified in Africa and Southeast Asia
 First identified in Uganda’s Zika Forest in 1947
 Transmission
 Mosquito – Aedes aegypti, possibly Aedes albopictus
 Transmission in the womb and at the time of birth
 Sexual - several cases documented
 Transfusion-acquired cases documented
 Lab exposures
 Detected in breast milk, saliva, and urine but no documented
transmission
 Outbreaks since 2007
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Sexual Transmission
Zika is still primarily a mosquito-borne disease
What we know:
• There is evidence that the Zika virus can be sexually
transmitted by a man to his sex partners
• The virus is present in semen longer than in blood
What we do not know:
• We do not know how long the virus is present in semen in
men who have had Zika
• We do not know if a woman can transmit Zika virus to her sex
partners
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Zika Fever Symptoms
 Incubation period: 2-14 days
 1 in 5 people infected will become symptomatic
 Few hospitalizations
Most common signs and symptoms
 Fever (often low-grade)  Muscle ache
 Rash
 Headache
 Joint pain
 Pain behind the eyes
 Red eyes
 Vomiting
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Zika Fever (continued)
 Presentation similar (but milder) to other
illnesses like dengue and chikungunya
 Symptomatic treatment
 Avoid aspirin and similar drugs (NonSteroidal Anti-Inflammatory Drugs)
 No vaccine but research underway
 Poor pregnancy outcomes
 Linked to Guillain-Barré Syndrome (GBS)
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Zika Virus Link to Microcephaly
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http://www.cdc.gov/ncbddd/birthdefects/microcephaly.html
FAQ’s: Pregnant Women
 Pregnant and nursing women can use EPA-approved mosquito
repellent according to label instructions
 Sexual transmission precautions if a sexual partner is potentially
exposed
 Information to collect for suspect Zika fever cases:
 Symptoms and onset date
 Travel history (throughout pregnancy)
 How far along in pregnancy?
 Refer to obstetrician for follow up
 Consider Zika virus testing
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How to protect from mosquito bites
 Apply EPA registered mosquito repellent to bare
skin and clothing.
 Always use repellents according to the label.
 Repellents with DEET, picaridin, oil of lemon
eucalyptus, para-menthane-diol, and IR3535 are
effective.
 Use netting to protect children younger than 2
months.
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Mosquito Repellents
 How often to reapply?
 What precautions should I follow when using
repellents?
 Can repellent be used on children?
 Can pregnant or nursing women use insect repellent?
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Applying mosquito repellent
 Spray
 Pump
 Aerosol
 Liquids or creams
 Wipes
 Clothing with permethrin
 Netting
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Identify and eliminate mosquito
breeding grounds
 Water
 Mosquito life cycle
 Places you will find enough water to breed mosquitos
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Mosquito Life Cycle from CDC.gov
Water is where mosquitos breed
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Your role in the local response to Zika
 Door to door (D2D) outreach
 Provide educational information about bite
prevention
 Distribute insect repellent
 Assist with Drain and Cover activities.
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DRAIN standing water to stop mosquitoes from
multiplying
 Drain water from garbage cans, house gutters,
buckets, pool covers, coolers, toys, flower pots
or any other containers where sprinkler or rain
water has collected.
 Discard old tires, drums, bottles, cans, pots and
pans, broken appliances and other items that
aren't being used.
 Empty and clean birdbaths and pet's water
bowls at least once or twice a week.
 Protect boats and vehicles from rain with tarps
that don’t accumulate water.
 Maintain swimming pools in good condition and
appropriately chlorinated. Empty plastic
swimming pools when not in use.
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What do they need to know?
 What is in it for them? WIIFM
 Do a mental check when visiting
 Screens
 Open Doors
 Air conditioning
 Standing water
 Pregnant or woman of childbearing age?
 Customizing the message
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Picture courtesy of IFAS
Available Resources
 DOH Zika virus webpage: www.floridahealth.gov/zika
 CDC Zika virus webpage: http://www.cdc.gov/zika/
 Handouts review
 Florida:
 Mosquito Bite Protection in Florida
 CDC:
 Zika: The Basics of the Virus and How to Protect Against It
 Zika: What Can be Done
 Protect your Pregnancy
 Keep mosquitos out of your septic tank
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Summary Questions
 Identify what you will and will not do during Door to Door
(D2D) activities for Zika. Yes or No on each option.
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Provide educational information about bite prevention
Provide medical care
Distribute insect repellent
Assist with Drain and Cover activities.
 How often should outdoor containers holding water be
dumped and cleaned? Pick one.
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Daily
Weekly
Hourly
Monthly
Summary Questions
 List 2 ways to protect yourself from mosquito bites.
 Use mosquito repellent
 Cover with long sleeves and long pants
 Do mosquitos breed and multiply in air or water?
 Air
 Water
Are these statements True or False?
 Zika is a bacteria.
 Zika is primarily spread by mosquito bites.
 Pregnant women can safety use mosquito repellent.
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More Information
 For more information on Zika virus, Florida
residents and visitors can call State Zika Hotline
at:
855-622-6735
 Contact Nicole Riley, DOH-Polk Communications
for specific fliers at 863-519-7900 ext. 11063
 Contact Jenn Brandow, Preparedness
Planner/Polk / Hardee MRC at 863-519-7900 ext.
11142
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