NCDPHNorth Carolina Division of Public Health
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NC DETECT is funded with federal funds by NCDPH, Public Health Emergency Preparedness Grant, and managed though a collaboration between NCDPH and the UNC Department of Emergency Medicine's Carolina Center for Health Informatics.
NCDPH initiated an investigation to determine the extent of the outbreak, identify the transmission source, and implement control measures.
Fred Lorey and Ajit Bhandal (CDPH), Shu Chaing (NCDPH) for deidentified normal DBS, Hui Zhou and Robert Vogt (CDC) for QC spots, and Gwen Dickerson of Duke BGL for technical assistance.
For NICU patients identified as contacts, NCDPH recommended a TST and interferon-gamma release assay (IGRA), clinical evaluation including a chest radiograph, preemptive treatment with 9 months of isoniazid, and clinical monitoring until age 2 years.
NCDPH conducted a case-control study to identify the source of transmission.
In accordance with NCDPH recommendations, the facility now uses individually assigned blood glucose meters and single-use, autodisabling fingerstick lancing devices.
On December 27, 2007, NCDPH was notified of these three cases by a District of Columbia nephrologist who had treated one of the patients.
A .joint investigation by NCDPH and the South Carolina Department of Health and Environmental Control revealed that, on August 24, the two girls had swum in an unchlorinated, in-ground swimming pool belonging to the family of the older girl.
The mother provided her travel history to NCDPH, which then contacted SCDHEC on July 23 to alert the department about the possible human rabies exposures in Spartanburg County.
During November 1-2, teams from FDOH, CDC, NCDPH, and North Carolina Public Health Regional Surveillance Teams (PHRST) traveled to Clewiston, on Lake Okeechobee in south-central Florida, to assess the needs of residents in the two communities 8 days after Hurricane Wilma.
NCDPH notified all local health departments to report cases of diarrheal illnesses.
NCDPH and CDC developed a modified cluster-sampling method for population-based sampling in post-disaster needs assessments (2,3).