1. Presented by Koreen Schultz RN, Kristen Mathison RN, and Meghan Ketchens RN

2. Pertussis/Whooping Cough Family review in Chippewa County Confirmed or Probable Case Definition http://streaming.cdc.gov/vod.php?id=7ffe0c683b0dc2 765090991b8f8018c920120904104432647 Close Contact Definition

3. Pertussis/Whooping Cough Catarrhal Stage Cold like-symptoms, runny nose, sneezing, cough Paroxysmal Stage Explosive coughing fits: Whoop and/or post-tussive vomiting Apnea Duration of cough at final interview (>14 days) Treatment Prevention

4. WASH HANDS Water And Soap Hinder Harmful And Nasty Disease Strands kschultz@co.chippewa.wi.us

5. Gastrointestinal Communicable Diseases “Tummy Bugs” E-Coli Cryptosporidiosis Campylobacteriosis Cyclosporiasis Signs and Symptoms include diarrhea, bloody diarrhea, abdominal cramping, nausea, vomiting, fever, headache, loss of appetite, bloating, increased gas and tiredness.

6. E-Coli According to 2013 Chippewa County Department of Public Health Quarterly (April-June) Disease Report, Chippewa County with one suspect case.

7. Cryptosporidiosis According to 2013 Chippewa County Department of Public Health Quarterly (April-June) Disease Report, Chippewa County had 4 confirmed cases

8. Campylobacteriosis According to 2013 Chippewa County Department of Public Health Quarterly (April-June) Disease Report, Chippewa County had 7 confirmed cases

9. Cyclosporiasis According to 2013 Chippewa County Department of Public Health Quarterly (April-June) Disease Report, Chippewa County has had no cases

10. Tickborne Illnesses

11. Ehrlichiosis and Anaplasmosis Black legged or deer tick Confirmed case Fever/Chills/Sweats and at least one other symptom with supportive laboratory results Probable case

12. Ehrlichiosis Lone Star Tick New to Wisconsin Red meat allergy

13. Lyme Disease Black legged or deer tick Confirmed case Erythema Migrans (EM) rash Probable case

14. Other Tickborne Illnesses Rocky Mountain Spotted Fever Babesiosis Q fever

15. Education Minimize exposed skin Use of repellents Tick checks

16. Arbovirus Definition Examples

17. West Nile Virus Brief History Symptoms

20. Surveillance and Prevention

21. Tuberculosis (TB) Brief Background/Risk Latent/Active TB

22. WI TB Incidence & Investigation Contact Investigations Chippewa County Sheboygan Outbreak

23. TB Screening TB Skin Test T-SPOT

24. TB Treatment Duration/Expense WI TB Program Directly Observed Therapy (DOT)

25. References http://www.dhs.wisconsin.gov/publications/P4/P42070.pdf http://www.dhs.wisconsin.gov/publications/p4/p42045.pdf http://www.dhs.wisconsin.gov/publications/p4/p42086.pdf http://www.dhs.wisconsin.gov/publications/p4/p42028.pdf http://www.dhs.wisconsin.gov/communicable/diseasepages/qfever.htm http://www.cdc.gov/lyme/signs_symptoms/index.html http://www.cdc.gov/lyme/transmission/index.html http://www.cdc.gov/ticks/life_cycle_andhosts.html http://www.cdc.gov/rmsf/symptoms/index.html http://www.jsonline.com/news/wisconsin/new-to-wisconsin-lone-star-ticks-may-be-invading-state- b995936721-216462351.html http://www.jsonline.com/news/wisconsin/new-to-wisconsin-lone-star-ticks-may-be-invading-state- b995936721-216462351.html http://www.medicinenet.com/west_nile_virus_pictures_slideshow/article.htm http://www.dhs.wisconsin.gov/communicable/ArboviralDiseases/WestNileVirus/ http://www.dhs.wisconsin.gov/communicable/ArboviralDiseases/WestNileVirus/MapPage.htm http://host.madison.com/news/local/health_med_fit/sheboygan-outbreak-shows-tb-still-cause-for- concern/article_95b8c6b9-a74e-5733-9389-513340b67c20.html http://host.madison.com/news/local/health_med_fit/sheboygan-outbreak-shows-tb-still-cause-for- concern/article_95b8c6b9-a74e-5733-9389-513340b67c20.html http://www.dhs.wisconsin.gov/News/PressReleases/2013/060313.htm

26. References http://www.tspot.com/where-to-get-it/ http://www.dhs.wisconsin.gov/tb/statistics/DocsStatistics/TBCaseByCounty2010.pdf http://www.cdc.gov/tb/ http://www.cdc.gov/westnile/faq/deadBirds.html#howdobirds http://impossible2possible.com/india/images/education/Global_TB_incidence_2010.jpg http://mainepest.com/wp-content/uploads/tickmosquito.png http://www.horsenation.com/wp-content/uploads/2012/09/West_Nile_virus_transmission_cycle.jpg http://www.medindia.net/health-images/multidrug-resistant-tuberculosis-bacterium.jpg http://www.wisconsinbrokernet.com/wp-content/uploads/2011/05/wisconsincounty.jpg http://upload.wikimedia.org/wikipedia/commons/f/fa/Mantoux_tuberculin_skin_test.jpg http://streaming.cdc.gov/vod.php?id=7ffe0c683b0dc2765090991b8f8018c920120904104432647 http://www.dhs.wisconsin.gov/communicable/ http://upload.wikimedia.org/wikipedia/commons/f/fa/Mantoux_tuberculin_skin_test.jpg