Skip Ribbon Commands
Skip to main content
SharePoint

Health Advisory Documents

  
  
  
  
  
Advisory Summary
  
Count= 171
Measles Clinician Guidance October 11, 2019.pdf
  
Approved10/14/2019 4:47 PM10/14/2019
The following memo contains information and guidance for clinicians regarding possible exposures to Measles in Guilford County.  These exposures occured in a hotel and a airport, exposed individuals may live across North Carolina
No
Increase in Legionnaires disease in western North Carolina.pdf
  
Approved9/30/2019 10:04 AM9/28/2019
September 28, 2019:  This memo provides clinicians information regarding the increase in Legionnaires' disease in western NC and recommendations for diagnosis and reporting
No
Increase in Mumps Cases.pdf
  
Approved9/30/2019 10:04 AM9/28/2019
September 28, 2019:  This memo is intended to alert clinicians about a recent increase in Mumps cases in NC.  The memo discusses reporting, testing, prevention, control measures, as well as immunity documentation requirements for healthcare workers
No
Updated Animal Bite and Scratch referral form.pdf
  
Approved8/22/2019 11:43 AM8/22/2019
August 22, 2019:  This is the updated animal bite/scratch referrral form that clinicans should fax to Charlotte Mecklenuburg Animal Care & Control after assessing clients with an animal bite or scratch
No
State Lab v11 LIMS upgrades for Viral and Rabies specimens.pdf
  
Approved7/30/2019 3:11 PM7/29/2019
July 29, 2019:  This memo explains the changes in format and content to reports as the Viral Culture/Rabies Section goes live with its StarLIMS V11 platform on 7/29/19.  The most significant changes will be seen on reports performed for Influenza testing
No
Tuberculin Shortage 2019.pdf
  
Approved7/15/2019 2:59 PM7/15/2019
July 15, 2019:  This memo summarizes the recommendations from the North Carolina TB Control Program regarding the current shortage of both Aplisol and Tubersol Tuberculin skin test solutions
No
Updated Guidance for Measles specimen collection, submission, and testing at the State Lab.pdf
  
Approved6/27/2019 1:06 PM6/27/2019
June 27, 2019:  The purpose of this memo is to provide clinicians with updated guidance for Measles specimen collection, submission, and testing provided by the North Carolina State Laboratory of Public Health
No
Disinfection of Ophthalmology Equipment.pdf
  
Approved6/24/2019 11:28 AM6/24/2019
June 24, 2019:  This document provides a notice from the CDC regarding disinfection of ophthalmology equipment to reduce the risk of transmission of Communicable Diseases
No
Increase in Measles Cases in the United States.pdf
  
Approved5/20/2019 9:29 AM5/20/2019
May 20, 2019: The purpose of this memo is to provide an update on the number of Measles cases in the U.S, as well as recommendations for identifying disease, laboratory testing, and vaccine recommendations 
No
US Measles Total Climbs to 206 cases.pdf
  
Approved3/14/2019 12:18 PM3/14/2019
March 14, 2019:  This memo summarizes the increase in the number of Measles cases in the United States, recommendations for the MMR vaccine, clinical symptoms of Measles, and the importance of contacting the health department if Measles is suspected
No
Zika virus surveillance and reporting.pdf
  
Approved3/4/2019 2:32 PM3/4/2019
March 4, 2019:  This memo provides updated guidance on Zika virus testing through the North Carolina State Laboratory of Public Health effective April 1, 2019
No
Communicable Disease Reporting Requirements.pdf
  
Approved3/4/2019 2:31 PM3/4/2019
March 4, 2019:  This memo summarizes communicable disease reporting laws for physicians, medical facilities, and laboratories and provides reporting instructions for providers in Mecklenburg County
No
Meningococcal Disease Guidance.pdf
  
Approved3/1/2019 4:43 PM3/1/2019
March 1, 2019:  This memo is intended to provide information regarding identification and management of patients with suspected meningococcal disease and to request reporting of such cases to public health officials.
No
CD and STD HIV Investigations New Office Location.pdf
  
Approved1/10/2019 3:54 PM1/10/2019
January 10, 2019:  The purpose of this document is to inform health care providers in Mecklenburg County of the new office location for the Communicable Disease and STD/HIV Investigation Programs.  The telephone and fax numbers will remain the same
No
Hepatitis A Outbreak Update.pdf
  
Approved1/7/2019 3:04 PM1/7/2019
January 7, 2019:  This provides an update on the current Mecklenburg County Hepatitis A outbreak, high risk groups for Hepatitis A infection, as well health department locations and hours where Hepatitis A immunizations may be received
No
State Requirements for Infection Prevention in Health Care Settings.pdf
  
Approved12/4/2018 12:20 PM12/4/2018
December 4, 2018: The purpose of this memo is remind all North Carolina healthcare providers of state requirements for infection prevention in health care settings and to provide resources for meeting these requirements.
No
Increase in Reports of Acute Flaccid Myelitis Nationally 2018.pdf
  
Approved10/24/2018 3:15 PM10/24/2018
October 24, 2018: This memo is intended to provide updated information regarding identification and management of suspected acute flaccid myelitis cases and to request reporting of such cases to public health officials.
No
Animal Bite and Exposure Management for Healthcare Providers.pdf
  
Approved10/23/2018 3:58 PM10/23/2018
October 23, 2018: This update for Health Care Providers summarizes the step-by-step process that occurs when someone has an animal bite/scratch/saliva exposure in Mecklenburg County
No
Reporting Carbapenemase-Producing Carbapenem-Resistant Enterobacteriaceae and Candida auris in North Carolina.pdf
  
Approved10/1/2018 3:13 PM10/1/2018
October 1, 2018:  This memo provides information to North Carolina clinicians and laboratories regarding implementation of reporting requirements for Carbpenemase-Producing Carbapenem-Resistant Enterobacteriaceae and Candida auris in North Carolina
No
Update Regarding Vitamin K- Dependent Coagulopathy Associated with Synthetic Cannabinoids Use.pdf
  
Approved7/31/2018 12:57 PM7/31/2018
July 31, 2018:  This provides an update to a previous memo from June 11, 2018 regarding Vitamin K- Dependent Coagulopathy  Associated with Synthetic Cannabinoids Use
No
Increase in Hepatitis A Infections.pdf
  
Approved7/17/2018 2:44 PM7/17/2018
July 17, 2018: This memo gives a background of the national Hepatitis A outbreak, increased number of Hepatitis A cases in the Charlotte area, actions for clinicians, case reporting, and information on laboratory testing
No
Increases in Reported Cases of Legionnaires' Disease.pdf
  
Approved7/5/2018 2:56 PM7/5/2018
July 5, 2018: This memo provides clinicians with information regarding increases in reported Legionnaires' disease cases in North Carolina and nationally and recommendations for diagnosis, prevention, and reporting
No
Hepatitis A Update and Immunization clinic schedule.pdf
  
Approved6/27/2018 1:56 PM6/27/2018
June 27, 2018: This news release provides information with vaccination dates, times, and locations for patrons possibly exposed to Hepatitis A who ate at a Mecklenburg County restaurant between June 13, 2018 and June 23, 2018
No
Confirmed Measles in Wake County June 2018.pdf
  
Approved6/20/2018 10:58 AM6/18/2018
June 16, 2018: This memo provides clinicians with information  about an unvaccinated resident of Wake County diagnosed with Measles
No
HAN.Outbreak of Life_threatening Coagulopathy associated with Synthetic Cannabinoids Use.pdf
  
Approved6/13/2018 4:35 PM6/13/2018
June 13, 2018: This is a CDC Health Alert Network that discusses the Outbreak of Life-threatening Coagulopathy associated with Synthetic Cannabinoids use
No
Vitamin K-Dependent Coagulopathy Associated with Synthetic Cannabinoid Use.pdf
  
Approved6/13/2018 4:35 PM6/13/2018
June 13, 2018: This memo is to alert providers about a recently received report of a case of Vitamin K-dependent coagulopathy in a patient who reported using synthetic cannabinoid use and gives recommendations to providers 
No
Hepatitis A Health Advisory.pdf
  
Approved6/13/2018 4:35 PM6/6/2018
This advisory provides information on a recent cluster of Hepatitis A cases in Mecklenburg County
No
Ebola Virus Disease Update.pdf
  
Approved6/13/2018 4:35 PM6/5/2018
June 5, 2018: This memo provides information on the Ebola virus disease outbreak in the Democratic Republic of the Congo, and current CDC recommendations
No
Diagnosis and Surveillance for Tickborne Disease 2018.pdf
  
Approved6/13/2018 4:35 PM5/15/2018
May 11, 2018: This memo provides an update on diagnosis and surveillance for Tickborne diseases
No
Diagnosis and Surveillance for Arboviral Disease 2018.pdf
  
Approved6/13/2018 4:35 PM5/15/2018
May 11, 2018: This memo provides an update on diagnosis and surveillance for Arboviral disease
No
CRE in North Carolina April 2018.pdf
  
Approved6/13/2018 4:35 PM4/20/2018
This memo provides information to clinicians and laboratories on Carbapenem Resistant Enterobacteriaceae (CRE)
No
Updated NC HIV Control Measures.pdf
  
Approved6/13/2018 4:35 PM3/19/2018
March 13, 2018 This memo provides modernized HIV control measures based on scientific advances
No
Reporting Communicable Diseases.pdf
  
Approved6/13/2018 4:35 PM2/10/2018
February 9, 2018 This memo summarizes communicable disease reporting laws for physicians, medical facilities, and laboratories and provides reporting instructions for providers in Mecklenburg County
No
Influenza Update 2018.pdf
  
Approved6/13/2018 4:35 PM2/1/2018
January 31, 2018 This memo provides clinicians with updated information on the 2017-2018 flu season
No
NCPertussisUpdate.pdf
  
Approved6/13/2018 4:35 PM1/25/2018
January 25, 2018 This memo discusses the increase in cases of pertussis in some NC counties primarily in school -aged children and provides guidance to clinicians for laboratory testing, vaccination, and post-exposure prophylaxis
No
TestingAfterBite-Updated.pdf
  
Approved6/13/2018 4:35 PM1/22/2018
January 22, 2018 This memo provides updated guidance for testing children after a bite incident
No
AntibioticStewardship.pdf
  
Approved6/13/2018 4:35 PM1/22/2018
January 22, 2018 New resource for healthcare providers when prescribing antibiotics for adults and children
No
Update on Seasonal Influenza.pdf
  
Approved6/13/2018 4:35 PM12/28/2017
December 27, 2017 This memo provides an update on the increased activity of influenza A (H3N2) and its clinical implications and summarizes treatment recommendations
No
Treating Patients from Hurricane Affected Areas.pdf
  
Approved6/13/2018 4:35 PM10/24/2017
October 24, 2017 Clinicians should assess patients returning from hurricane-affected areas for infectious diseases including leptospirosis, dengue, hepatitis A, typhoid fever, vibriosis and influenza
No
Reporting Animal Bites October 2017.pdf
  
Approved6/13/2018 4:35 PM10/12/2017
October 12, 2017 This memo describes the process for a health care provider to report a human bitten by an animal and the investigation conducted by animal control officers and public health officials
No
Mumps Update Mecklenburg Region.pdf
  
Approved6/13/2018 4:35 PM8/31/2017
August 31, 2017 This memo from the NC Division of Public Health provides NC clinicians with an update on mumps cases among males who reside in or have traveled to Mecklenburg County
No
Infections Associated with Tattoos by Unpermitted Artists.pdf
  
Approved6/13/2018 4:35 PM8/30/2017
August 29, 2017 This memo provides guidance to NC clinicians regarding infections associated with tattoos from unpermitted tattoo artists.  Clinicians should consider this when evaluating patients with recent tattoos.
No
Increase in Cyclosporiasis.pdf
  
Approved6/13/2018 4:35 PM8/10/2017
August 10, 2017 This memo provides guidance for clinicians regarding an increase in reported cases of cyclosporiasis nationally and in North Carolina
No
Mumps Update.pdf
  
Approved6/13/2018 4:35 PM7/25/2017
July 25, 2017  This memo provides clinicians with an update on mumps in Mecklenburg County and includes details on testing, reporting, prevention and control measures
No
Update Antibiotic Resistance CRE.pdf
  
Approved6/13/2018 4:35 PM6/29/2017
June 28, 2017 Increase in multi-drug resistant organisms, particularly Carbapenem-resistant Enterobacteriaceae (CRE) in the eastern part of NC
No
Zika testing update.pdf
  
Approved6/13/2018 4:35 PM6/27/2017
June 6, 2017 This memo provides healthcare providers in NC with updated guidelines for testing patients for Zika at the NC State Laboratory of Public Health
No
Arboviral Diseases in NC.pdf
  
Approved6/13/2018 4:35 PM6/27/2017
June 2, 2017 This memo provides updated information on reporting and diagnosis of arboviral diseases in NC
No
Tickborne Rickettsial Disease.pdf
  
Approved6/13/2018 4:35 PM6/27/2017
June 2,2017 This memo provides an update on the diagnosis and surveillance of Tickborne Rickettsial Disease in NC
No
Update Lyme Disease.pdf
  
Approved6/13/2018 4:35 PM6/27/2017
June 2, 2017 This memo provides surveillance information for Lyme Disease in NC
No
Emerging Resistance Candida auris.pdf
  
Approved6/13/2018 4:35 PM6/27/2017
May 30, 2017 Information for NC healthcare providers and labs regarding the emergence of multi-drug resistant Candida auris
No
Mumps Advisory for Clinicians.pdf
  
Approved6/13/2018 4:35 PM4/21/2017
April 21, 2017 This memo is a reminder regarding reporting, testing, prevention and control measures for mumps and immunity documentation requirements for healthcare workers
No
Shigella with Reduced Susceptibility.pdf
  
Approved6/13/2018 4:36 PM4/20/2017
April 18, 2017 This CDC memo provides recommendations to clinicians and laboratories for diagnosing and managing Shigella strains with possible reduced susceptibility to Ciprofloxacin
No
Hepatitis C Update.pdf
  
Approved6/13/2018 4:35 PM2/22/2017
February 20, 2017  This memo provides details on the increase of acute hepatitis C related to opioid abuse and provides guidance for clinicians on testing recommendations
No
Acute Flaccid Myelitis (AFM) Update.pdf
  
Approved6/13/2018 4:35 PM2/17/2017
February 15, 2017  This memo replaces memo dated 9-15-16 and provides an update on identification and management of suspected AFM cases and clinical specimen submission guidelines
No
Avian Influenza H7N9.pdf
  
Approved6/13/2018 4:35 PM2/9/2017
February 8, 2017 This memo provides NC clinicians with information regarding potential H7N9 infection in persons with travel history to China in the two weeks before illness onset.
No
Update on Shortage of Penicillin G in US.pdf
  
Approved6/13/2018 4:35 PM12/29/2016
December 29, 2016  This memo provides guidance for treating syphilis with recent shortage of Penicillin G benzathine and Penicillin G procaine in the United States
No
Updated Fax Number to Report Animal Bites.pdf
  
Approved6/13/2018 4:35 PM12/22/2016
December 22, 2016  This memo provides the new fax number for reporting animal bites to Charlotte-Mecklenburg Animal Care and Control and Public Health in Mecklenburg County
No
Animal Bite Process.pdf
  
Approved6/13/2018 4:35 PM10/24/2016
October 24, 2016 This memo outlines the rabies prevention and control processes that occur when a person is bitten or scratched by an animal in Mecklenburg County
No
Contaminated devices used during cardiac bypass.pdf
  
Approved6/13/2018 4:35 PM10/14/2016
October 13, 2016 The CDC issued an advisory regarding mycobacteria infections following exposure to contaminated heater-cooler devices used to warm and cool a patient's blood during cardiac bypass procedures
No
Statewide Increase Congenital Syphilis.pdf
  
Approved6/13/2018 4:35 PM10/4/2016
October 4 2016 This public health advisory provides action steps for medical providers in NC to prevent and treat syphilis
No
Syphilis Treatment Update.pdf
  
Approved6/13/2018 4:35 PM9/19/2016
September 19, 2016 This memo provides treatment guidance when Procaine Penicillin G is not available
No
Update Acute Flaccid Myelitis Cases Nationally.pdf
  
Approved6/13/2018 4:35 PM9/15/2016
September 15, 2016 Updated information regarding identification and management of suspected acute flaccid myelitis cases
No
NC Zika Update August 2016.pdf
  
Approved6/13/2018 4:35 PM8/31/2016
August 31, 2016  Update on clinical features, epi features, prevention, testing, education, surveillance and reporting of Zika
No
Measles Advisory for Providers.pdf
  
Approved6/13/2018 4:35 PM8/9/2016
August 9, 2016  An unvaccinated person in Wake County has been diagnosed with measles.  Providers should consider measles in patients presenting with clinically compatible symptoms, use airborne isolation, and vaccinate unvaccinated patients/staff.
No
Middle-East Respiratory Syndrome Update.pdf
  
Approved6/13/2018 4:35 PM8/4/2016
July 27, 2016 This version has been modified to include links to updated recommendations for monitoring and movement of persons with potential exposure to MERS-CoV.
No
Update on Reporting Communicable Diseases.pdf
  
Approved6/13/2018 4:35 PM7/15/2016
July 15, 2016  This memo includes the NC reporting form, list of reportable diseases and updated telephone numbers for reporting communicable diseases to the Mecklenburg County Health Department
No
Shigellosis Advisory for Providers.pdf
  
Approved6/13/2018 4:35 PM7/14/2016
July 14, 2016 This advisory updates providers on the increase in shigellosis (Shigella) in children attending child care; provides exclusion criteria; and reporting instructions
No
Primary Amebic Meningoencephalitis (PAM).pdf
  
Approved6/13/2018 4:35 PM6/22/2016
June 22, 2016 This is memo from the local heallth department updates medical providers in Mecklenburg County about a single case of PAM (a rare waterborne infection)
No
Zika Pregnancy Registry.pdf
  
Approved6/13/2018 4:35 PM6/21/2016
June 20, 2016 This memo provides information to NC clinicians regarding the US Zika Pregnancy Registry
No
Scabies In Congregate Living Facilities.pdf
  
Approved6/13/2018 4:35 PM5/18/2016
May 18, 2016 Information regarding diagnosis, management, and reporting of scabies infestations in residents of congregate living facilities
No
Update On Zika Virus.pdf
  
Approved6/13/2018 4:35 PM5/18/2016
May 18, 2016 Updated Zika information related to laboratory testing and birth defects
No
Zika Update for NC Providers and Labs.pdf
  
Approved6/13/2018 4:35 PM4/1/2016
March 31 2016 The version includes more specific information on prevention of sexual transmission and testing of asymptomatic pregnant women who traveled in the 8 weeks prior to conception
No
Middle-East Syndrome CoV Update.pdf
  
Approved6/13/2018 4:34 PM3/24/2016
March 23 2016 This memo provides information to NC clinicians regarding MERS-CoV and replaces version dated June 12, 2015
No
Revised Zika Virus Update for NC Providers.pdf
  
Approved6/13/2018 4:34 PM3/22/2016
March 22 2016 This update includes more specific information about risk of exposure in areas with active transmission and links to  updated laboratory biosecurity guidance
No
Mumps Update for Providers.pdf
  
Approved6/13/2018 4:34 PM3/7/2016
March 7, 2016 This memo provides updated information on mumps activity, diagnosis, management, prevention, surveillance, and reporting
No
Zika Virus Update for Providers Revised.pdf
  
Approved6/13/2018 4:34 PM3/3/2016
March 3, 2016 This memo provides updated guidance to NC medical providers on the diagnosis, management, and reporting of Zika Virus cases
No
Mumps Provider Advisory.pdf
  
Approved6/13/2018 4:34 PM2/12/2016
February 12, 2016 This memo provides clinicians in Mecklenburg County with information on diagnosis, management, and reporting of suspected mumps cases
No
Zika Virus Update for NC Providers.pdf
  
Approved6/13/2018 4:34 PM2/9/2016
January 8 2016 This memo provides updated guidance to NC medical providers on the diagnosis, management, and reporting of Zika Virus cases
No
CDC urges rapid treatment of influenza without waiting for testing.pdf
  
Approved6/13/2018 4:34 PM2/2/2016
February 1 2016 Clinicians are reminded to treat suspected influenza in high risk outpatients, those with progressive disease, and all hospitalized patients ASAP, regardless of negative RIDT results and without waiting on RT-PCR results
No
Zika Virus Update for Providers.pdf
  
Approved6/13/2018 4:34 PM1/28/2016
January 28, 2016  This memo provides guidance to NC providers on the diagnosis, management and reporting of Zika Virus
No
Ebola Update for Providers.pdf
  
Approved6/13/2018 4:36 PM12/30/2015
December 29, 2015 This memorandum provides updated Ebola related guidance to health care providers and encourages providers to continue screening patients for international travel
No
Ebola Monitoring and Screening Update for International Travel.pdf
  
Approved6/13/2018 4:34 PM11/10/2015
November 10, 2015  This memorandum addresses changes to monitoring for travelers from Sierra Leone, management of ill travelers from Sierra Leone and Liberia, and screening patients for recent international travel
No
Acute Flaccid Myelitis.pdf
  
Approved6/13/2018 4:34 PM10/26/2015
October 26, 2015 This memo is intended to provide information regarding identification and management of suspected acute flaccid myelitis cases and to request reporting of such cases to public health.
No
NTM Infections Associated with Heater-Cooler Devices.pdf
  
Approved6/13/2018 4:34 PM10/26/2015
October 26, 2015 The CDC has identified a need for increased vigilance for Nontuberculous Mycobacterium infections associated with heater-cooler devices commonly used during heart/cardiac surgery.  This is a summary of guidance for healthcare providers.
No
Continued Rise of Early Syphilis in NC.pdf
  
Approved6/13/2018 4:34 PM9/22/2015
September 22, 2015  This public health advisory provides updated epidemiologic information as well as detailed screening, reporting, and treatment recommendations for syphilis.
No
Management of Persons Exposed to Highly Pathogenic Avian Influenza.pdf
  
Approved6/13/2018 4:34 PM9/1/2015
August 31, 2015 This memo provides guidance regarding monitoring and management of persons exposed to birds infected with the highly-pathogenic avian influenza A H5 viruses recently identified in the U.S.
No
Doxycycline Not Recommended for Treatment of Gonorrhea.pdf
  
Approved6/13/2018 4:34 PM8/31/2015
August 25, 2015  Doxycycline has been removed from the dual  treatment regimen for gonococcal infections.  This advisory provides the current STD treatment recommendations for gonorrhea and other sexually transmitted diseases effective June 5, 2015
No
Update on Monitoring Travelers for Ebola.pdf
  
Approved6/13/2018 4:34 PM6/25/2015
June 25, 2015  Update on monitoring for Ebola, management of ill travelers from Liberia, and encourages continued screening for international travel
No
Reporting Animal Bites and Exposures.pdf
  
Approved6/13/2018 4:34 PM6/23/2015
June 23, 2015  Description of animal bite reporting, investigation steps, animal quarantine, treatment referrals, etc. in Mecklenburg County
No
MERS Health Advisory.pdf
  
Approved6/13/2018 4:34 PM6/12/2015
June 12, 2015  Information for all N.C. clinicians regarding the Middle East Respiratory Syndrome Coronavirus or MERS-CoV
No
2015 CDC STD Treatment Guidelines.pdf
  
Approved6/13/2018 4:34 PM6/8/2015
June 8, 2015  All medical providers should use the new CDC STD treatment guidelines published on June 4, 2015
No
Increasing Early Syphilis in NC.pdf
  
Approved6/13/2018 4:34 PM5/14/2015
May 14, 2015  Due to the substantial increase in early syphilis, medical providers are asked to enhance STI prevention services including screening, empiric treatment, partner notification and reporting
No
Listeria Advisory.pdf
  
Approved6/13/2018 4:34 PM4/24/2015
April 24, 2015 Suggested framework for medical management of persons who are exposed to Listeria monocytogenes
No
Update Arboviral, Chikungunya, Lyme, Rickettsial Disease.pdf
  
Approved6/13/2018 4:34 PM4/2/2015
April 1, 2015 Annual update on the diagnosis and surveillance of Arboviral disease, surveillance of Chikungunya Virus, surveillance of Lyme disease, and diagnosis and surveillance of tickborne Rickettsial disease
No
Ocular Syphilis Infections.pdf
  
Approved6/13/2018 4:34 PM3/20/2015
March 20, 2015 NC public health officials are asking medical providers to be proative in ordering syphilis serologies in all paitents who present with visual complaints and risk factors for syphilis infection.
No
Unusual presentations of Influenza infection.pdf
  
Approved6/13/2018 4:34 PM3/12/2015
March 12, 2015 Guidance to providers regarding reports of influenza infections presenting with either parotitis or maculopapular rash during the 2014-2015 season
No
Measles Advisory from the CDC.pdf
  
Approved6/13/2018 4:34 PM1/26/2015
January 23, 2015 Recommendations for health care providers related to the multi-state outbreak of measles
No
Influenza Update from CDC.pdf
  
Approved6/13/2018 4:34 PM1/10/2015
January 9, 2015  CDC health update regarding treatment of patients with influenza with antiviral medications
No
Measles Case Identified.pdf
  
Approved6/13/2018 4:34 PM12/29/2014
December 29, 2014  One confirmed case of measles in unvaccinated individual in Mecklenburg County.  Unvaccinated should obtain MMR vaccine.  Persons planning to travel out of the country should consult their physician about any needed vaccinations
No
Increased Incidence of Syphilis.pdf
  
Approved6/13/2018 4:34 PM12/14/2014
December 12, 2014 Update for providers in Mecklenburg County on reporting, diagnosis, and management of syphilis cases
No
New HIV Prevention Strategy.pdf
  
Approved6/13/2018 4:34 PM12/14/2014
December 2, 2014  Information about a new HIV Prevention Strategy called Pre-exposure Prophylaxis (PrEP).  PrEP should be considered for HIV-negative adults in certain high risk categories
No
Ebola Guidance for Non-Hospital Settings 11 21 14.pdf
  
Approved6/13/2018 4:34 PM11/21/2014
November 21, 2014  Replaces version dated October 23, 2014
No
Updated Ebola Guidance for NC Health Care Providers and Labs.pdf
  
Approved6/13/2018 4:34 PM11/21/2014
November 21, 2014  Replaces version dated October 23, 2014
No
Updatee Ebola Guidance for Health Care Providers and Laboratories.pdf
  
Approved6/13/2018 4:34 PM10/23/2014
October 23, 2014 This replaces guidance dated 10-15-14
No
Ebola Guidance for Non-Hospital Healthcare Facilities.pdf
  
Approved6/13/2018 4:34 PM10/23/2014
October 23, 2014 General Guidance for assessment and initial management of suspected cases
No
NC Ebola Algorithm.pdf
  
Approved6/13/2018 4:34 PM10/16/2014
October 16, 2014 NC Ebola Algorithm for health care providers revised 10-15-14
No
NC Ebola Provider Guidance 10 15 14 rev.pdf
  
Approved6/13/2018 4:34 PM10/16/2014
October 16, 2014 Updated Ebola information for NC providers and Laboratories that replaces guidance dated 10-10-14
No
Ebola Provider Guidance 10 10 14 rev.pdf
  
Approved6/13/2018 4:34 PM10/10/2014
October 10, 2014 Updated Ebola information for NC providers and laboratories that replaces guidance dated 10-2-14
No
Travel Poster for Patient Triage.pdf
  
Approved6/13/2018 4:34 PM10/2/2014
October 2, 2014 Poster asking patients to immediately report illness after international travel or close contact with someone who traveled internationally
No
CDC Ebola algorithm.pdf
  
Approved6/13/2018 4:34 PM10/2/2014
October 2, 2014  CDC Algorithm for Evaluation of the Returned Traveler with NC 24/7 Contact Line
No
Ebola Provider Guidance 10 2 14 rev.pdf
  
Approved6/13/2018 4:36 PM10/2/2014
October 2, 2014 Updated Ebola information for NC providers and laboratories that replaces guidance dated 8-25-14
No
EV-D68 provider memo 9 22 14 rev.pdf
  
Approved6/13/2018 4:34 PM9/23/2014
September 22, 2014  Updated information that replaces version dated 9/19/14
No
Enterovirus D68 (EV D68).pdf
  
Approved6/13/2018 4:34 PM9/20/2014
September 19, 2014  Updated information that replaces version dated 9/9/14
No
Enterovirus D68.pdf
  
Approved6/13/2018 4:34 PM9/9/2014
September 9, 2014  General information regarding EV-D68 and recommendations for NC health care providers
No
Ebola Risk Algorithm 8-25-14.pdf
  
Approved6/13/2018 4:34 PM8/31/2014
August 25, 2014  Evaluation Algorithm for Ebola Risk in Ill Patients Reporting Recent International Travel
No
NC Ebola Hemorrhagic Fever Guidance for Providers and Laboratories.pdf
  
Approved6/13/2018 4:34 PM8/31/2014
August 25, 2014  Updated guidance for NC providers and laboratories for the management of suspected cses of Ebola Hemorrhagic Fever
No
Update on Increase in Syphilis in NC.pdf
  
Approved6/13/2018 4:34 PM8/15/2014
August 15, 2014  Syphilis cases have been rising in NC.  This update provides guidance to providers, Laboratories, and Correctional Institutions
No
NC Ebola Guidance.pdf
  
Approved6/13/2018 4:34 PM8/3/2014
July 31, 2014 Guidance for NC providers and laboratories for the managment of suspected cases of Ebola Hemorrhagic Fever
No
Public Health Process for Animal Exposures.pdf
  
Approved6/13/2018 4:34 PM7/28/2014
July 28, 2014 Updated information on referrals for rabies post-exposure prophylaxis; updated contact information for the Mecklenburg County Health Department (Rabies Control)
No
Providers Needed for Influenza Surveillance.pdf
  
Approved6/13/2018 4:34 PM7/28/2014
July 23, 2014 the NC Division of Public Health and the Mecklenburg County Health Department are working to recruit new providers to participate in the Influenza-Like Illness Network.
No
Chikungunya Virus Update.pdf
  
Approved6/13/2018 4:34 PM6/26/2014
June 23, 2014 Newly reportable disease in NC; includes information on transmission, clinical presentation, case management, diagnosis, surveillance, reporting, education, and prevention
No
Middle-East Respiratory Syndrome Coronavirus.pdf
  
Approved6/13/2018 4:34 PM6/24/2014
June 24, 2014 Includes the new requirement for physiicans in N.C. to report suspected or confirmed MERS-CoV infections and updates the CDC "patient under investigation" definition
No
Measles Advisory for USA.pdf
  
Approved6/13/2018 4:34 PM5/31/2014
May 31, 2014 Update on the increased incidence of measles in the US among unvaccinated persons traveling abroad, particularly to the Philippines.  Recommendations for clinicians
No
Lyme Disease and STARI update.pdf
  
Approved6/13/2018 4:33 PM4/15/2014
April 7, 2014  Update on Lyme Disease testing and locations of endemic counties in NC.  Update on Southern Tick associated rash illness (STARI)  in NC.
No
Tickborne Rickettsial Disease Update.pdf
  
Approved6/13/2018 4:33 PM4/15/2014
April 7, 2014  Update on diagnosis and treatment of Spotted Fever Group Rickettsiosis, Ehrlichiosis and Anaplasmosis for Providers
No
Neuroinvasive Arobviral Disease Update.pdf
  
Approved6/13/2018 4:33 PM4/15/2014
April 7, 2014 Update on diagnosis, Chikungunya virus, and arboviral disease prevention for NC providers
No
NC Influenza Advisory.pdf
  
Approved6/13/2018 4:33 PM1/10/2014
January 10 2014 Update on the 2013-2014 influenza season and includes information on vaccine, control measures, and antiviral treatment
No
Shigellosis Advisory.pdf
  
Approved6/13/2018 4:33 PM11/15/2013
November 15, 2013 Update on shigellosis in Mecklenburg County; information on testing, exclusion and reporting cases to the local health department
No
Nationwide Shortage of Doxycycline June 12, 2013.pdf
  
Approved6/13/2018 4:33 PM6/17/2013
June 12, 2013 Resources for Providers and Recommendations for Patient Care
No
Measles Provider Update May 13, 2013.pdf
  
Approved6/13/2018 4:33 PM5/13/2013
May 13, 2013 Update of Measles Outbreak in North Carolina (Stokes and Orange Counties)
No
Measles Outbreak Stokes and Orange Counties NC.pdf
  
Approved6/13/2018 4:33 PM4/18/2013
April 17, 2013 Summary of state guidance for measles outbreak in NC
No
Diagnosis and Surveillance for Lyme.pdf
  
Approved6/13/2018 4:33 PM4/11/2013
April 11 2013 Memo from the state epidemiologist regarding Lyme surveillance, free testing and prevention
No
Diagnosis and Surveillance for Arboviral Disease.pdf
  
Approved6/13/2018 4:33 PM4/11/2013
April 11 2013 Memo from the state epidemiologist regarding diagnosis, free testing, and prevention
No
Diagnosis and Surveillance for Tickborne Rickettsial Disease.pdf
  
Approved6/13/2018 4:33 PM4/11/2013
April 11, 2013 Memo from the NC State Epidemiologist, Free testing for Rickettsial  Disease, Treatment Guidelines
No
N.C. Memo Novel Avian Influenza A.pdf
  
Approved6/13/2018 4:33 PM4/9/2013
April 8 2013 Memo from the N.C. Division of Public Health, guidance for testing, treatment, and infection control for patients who have traveled to countries where human cases of novel influenza A (H7N9) virus infection have recently been detected.
No
Human Infections Novel Influenza A (H7N9) Viruses.pdf
  
Approved6/13/2018 4:33 PM4/5/2013
April 5, 2013 Chinese officials reporting cases of human infection with a novel avian influenza A virus.  Interim recommendations for Clinicians and Public Health
No
Public Health Process for Animal Bites or Exposures.pdf
  
Approved6/13/2018 4:33 PM3/14/2013
Description of process used to evaluate the risk for rabies and need for post-exposure prophylaxis in Mecklenburg County
No
Carbapenem-Resistant Enterobacteriaceae Provider Advisory.pdf
  
Approved6/13/2018 4:33 PM2/22/2013
New Carbapenem-Resistant Enterobacteriaceae Warrants Additional Action by Healthcare Providers
No
Hepatitis A Exposure Two Restaurants.pdf
  
Approved6/13/2018 4:33 PM2/19/2013
February 19, 2013 Guidance for providers of patrons and employees of two restaurants
No
January 15 2013 Notice to Clinicians Influenza Medications.pdf
  
Approved6/13/2018 4:33 PM1/17/2013
Summary of CDC Recommendations including information on shortages of suspension
No
Influenza Update.pdf
  
Approved6/13/2018 4:36 PM1/2/2013
January 2, 2013 Use of Antivirals for Severe Influenza Infections
No
Fungal Meningitis Outbreak Update.pdf
  
Approved6/13/2018 4:33 PM11/27/2012
November 27, 2012 Updated Guidance for Fungal Meningitis Outbreak includng recommendations for MRI with contrast for localized infection
No
Fungal Meningitis Update Oct 31.pdf
  
Approved6/13/2018 4:33 PM10/31/2012
October 31, 2012 Updated Guidance for Fungal Meningitis Outbreak
No
Fungal Meningitis Update Oct 25.pdf
  
Approved6/13/2018 4:33 PM10/25/2012
October 25, 2012 Guidance for Fungal Meningitis Outbreak and FDA Recommendations for Recalled Products
No
Meningitis Advisory 100212.pdf
  
Approved6/13/2018 4:33 PM10/2/2012
Cluster of Aspergillus meningitis following spinal injections (multi-state investigation)
No
Surveillance Activities during the 2012 Democratic National Convention.pdf
  
Approved6/13/2018 4:33 PM8/20/2012
August 20, 2012 Memo from Health Department and NC Division of Public Health regarding Surveillance Activities during the DNC
No
NC DHHS provides pertussis vaccines for children and adults.pdf
  
Approved6/13/2018 4:33 PM6/20/2012
June 20, 2012 Statewide News Release regarding the increase of pertussis cases in NC
No
Arbovirus memo 2012.pdf
  
Approved6/13/2018 4:33 PM4/12/2012
April 10, 2012 Memo from the NC Division of Public Health
No
Lyme memo 2012.pdf
  
Approved6/13/2018 4:33 PM4/12/2012
April 10, 2012 Memo from the NC Division of Public Health
No
TBRD memo 2012.pdf
  
Approved6/13/2018 4:33 PM4/12/2012
April 10, 2012 Memo from the NC Division of Public Health
No
Increase in Reported Salmonellosis Cases.pdf
  
Approved6/13/2018 4:33 PM4/4/2012
Reported cases of salmonellosis have increased in center city/Dilworth area; laboratory recommendations and reporting requirements
No
Hepatitis C 3-29-2012.pdf
  
Approved6/13/2018 4:33 PM3/29/2012
NC Administrative Code now outlines Hepatitis C control measures including Hepatitis C testing for blood exposures. 
No
Health Advisory - HumanHuman Infections with a Novel Influenza Virus.pdf
  
Approved6/13/2018 4:33 PM12/21/2011
Memo from Megan Davies, MD, NC State Epidemiologist
No
Health Advisory  Rabies Death of U.S. Soldier.pdf
  
Approved6/13/2018 4:33 PM11/9/2011
11/8/2011  PEP Recommendations for military personnel at risk for rabies
No
Health Advisory - E. Coli 0157 and HUS.pdf
  
Approved6/13/2018 4:33 PM10/27/2011
October 26, 2011  E. coli 0157 infections and HUS cases identified among Wake County residents during the past two weeks.
No
Health Advisory- Hepatitis A in Fayetteville, NC.pdf
  
Approved6/13/2018 4:33 PM8/10/2011
-August 10, 2011 Recommendations for prophylaxis and testing for Hepatitis A exposure at the Olive Garden Restaurant in Fayetteville, NC
No
Final_E coli O104 HAN_060311.pdf
  
Approved6/13/2018 4:33 PM6/6/2011
-June 3, 2011 CDC Health Advisory
No
Diagnosis and Surveillance for Arboviral Diseases.pdf
  
Approved6/13/2018 4:33 PM3/29/2011
-March 22, 2011 memo from NC Department of Public Health
No
Diagnosis and Surveillance for Lyme Disease.pdf
  
Approved6/13/2018 4:33 PM3/29/2011
-March 22, 2011 memo from NC Department of Public Health
No
Diagnosis and Surveillance for Tick Borne Rickettsial Diseases.pdf
  
Approved6/13/2018 4:33 PM3/29/2011
-March 22, 2011 memo from NC Department of Public Health
No
Influenza B NC Clinician Memo.pdf
  
Approved6/13/2018 4:33 PM3/18/2011
-Testing indicates intermediate susceptibility to oseltamivir among some influenza B viruses in NC
No
Falsenegflu.pdf
  
Approved6/13/2018 4:33 PM2/15/2011
-Rapid tests cannot rule out influenza infection.
-Treatment decisions should be based on clinical and epidemiologic information rather than on test results.
No
Gornorrhea Health Advisory.pdf
  
Approved6/13/2018 4:33 PM10/4/2010
-Screening recommendations
-Recommended treatment regimens
-Reporting requirements
No
Dr. Schuchat's 2010 Letter to Providers.pdf
  
Approved6/13/2018 4:33 PM9/8/2010
- Assistant Surgeon General's Letter regarding flu vaccine.
No
Central H1N1 Vaccine Recovery Phase 2 Memo.pdf
  
Approved6/13/2018 4:33 PM9/8/2010
- Memo from NC Immunization Branch regarding return of H1N1 vaccine
No
NC Central Vaccine RecoveryReference Guide.pdf
  
Approved6/13/2018 4:33 PM9/8/2010
- Reference guide for returning state provided H1N1 vaccine
No
HA_11242009_H1N1.pdf
  
Approved6/13/2018 4:33 PM11/24/2009
- Oseltamivir-resistant 2009 H1N1 influenza
- Mecklenburg County Health Department H1N1 Vaccination Clinics
No
HA_04192010_SchoolImmunizations.pdf
  
Approved7/31/2010 3:16 PM4/12/2010
- Health requirements for school entry
- Other recommended vaccines for teens
HA_10222009_H1N1.pdf
  
Approved6/13/2018 4:33 PM10/22/2009
- Antiviral Recommendations from CDC
- Triage Algorithm for Children with ILI
- Infection Control Measures in Healthcare Settings
- Provider forms for H1N1 Vaccine
- Letter from the Medical Director regarding school-located vaccination clinics
No
HA_10272009_H1N1.pdf
  
Approved6/13/2018 4:33 PM10/27/2009
A CDC 24/7 clinician support line is available to provide clarification on CDC guidance concerning pregnant women and offer clinical consultation with a board-certified OB/GYN.
No
HA_11162009_H1N1.pdf
  
Approved6/13/2018 4:33 PM11/16/2009
- Optimizing use of existing supplies of H1N1 vaccine by following ACIP guidelines
- Algorithm for vaccine use
- Approved usage for H1N1 injectable/Medimmune intranasal (LAIV) vaccine
No