US - CDC reports 63 dead, 749 infected with fungal meningitis in 20 states (Update Aug 5, 2013)

[mixin]

Re: Five dead, 35 sick from suspected fungal meningitis as outbreak worsens

BREAKING: Victim of meningitis outbreak confirmed in Elkhart (Indiana)

OSMC Surgery Center CEO Don Hammond says test results received Friday morning confirmed that one of the Elkhart clinic's patients had contracted the rare illness that's tied to a widening U.S. outbreak that's killed five people.

Indiana State Department of Health spokesman Ken Severson says there are two confirmed cases but won't disclose the locations.

http://www.wsbt.com/news/wsbt-doctors-worry-as-meningitis-may-have-been-spread-to-local-patients-20121005,0,3549396.story

[Pathfinder]

Re: Five dead, 35 sick from suspected fungal meningitis as outbreak worsens

Minnesota -

Clinic CEO: 4 Patients Have Meningitis Symptoms

October 5, 2012 9:54 AM

ST. PAUL, Minn. (AP) ? The CEO of Minnesota pain clinics that used a steroid now linked to a fungal meningitis outbreak says four patients have shown symptoms.

The patients have been directed to be tested for the disease.

Marsha Thiel heads Medical Advanced Pain Specialists, which has several locations in the Minneapolis-St. Paul area. Thiel said Friday that the MAPS and Minnesota Surgery Center clinics are working with the state Health Department to track down about 700 patients who got the steroid product from a Massachusetts specialty pharmacy.

More...

http://minnesota.cbslocal.com/2012/10/05/clinic-ceo-4-patients-have-meningitis-symptoms/

[Pathfinder]

Re: Five dead, 35 sick from suspected fungal meningitis as outbreak worsens

Michigan -

Suspect Steroid Sent to 4 Michigan Facilities

Posted: Oct 05, 2012 9:47 AM CDT
...
While no cases of the rare kind of meningitis linked to the outbreak in six states have been reported in Michigan, state Department of Community Health spokeswoman Angela Minicuci said Friday MDCH is working with the four clinics to reach out to patients "out of an abundance of caution."

According to Minicuci, the four facilities that received a shipment of the medication involved in the investigation are Michigan Neurosurgical Institute in Grand Blanc, Michigan Pain Specialists in Brighton, Neuromuscular & Rehabilitation in Traverse City and Southeast Michigan Surgical Hospital in Warren.
...

http://www.wlns.com/story/19744981/suspect-steroid-sent-to-4-michigan-facilities

[Emily]

Re: Five dead, 35 sick from suspected fungal meningitis as outbreak worsens

This is from the most recent copy of NECCRX's website on archive.org. It dates back to 2011, so the product lists could have deletions and additions by now. Hopefully the FDA will release a current product list for the public soon.

http://web.archive.org/web/201102081...ww.neccrx.com/

[Pathfinder]

Re: Five dead, 35 sick from suspected fungal meningitis as outbreak worsens

Tennessee -

One case of fungal meningitis reported in Crossville

Tennessee reports 25 infections and three deaths

Staff writerThe Crossville Chronicle
Fri Oct 05, 2012, 10:09 AM CDT

CROSSVILLE ? Twenty-five patients in Tennessee have been infected with a rare form of fungal meningitis, according to the Tennessee Department of Health, and three patients in the state have died.

The infection is thought to be tied to either cervical or lumbar epidural steroid injections at clinics in Nashville and Crossville. Patients at a third facility in Oak Ridge may have been exposed to medication from an contaminated lot, but no cases of illness have been confirmed at that facility.

...The date range for possible exposure includes July 1 to Sept. 28. According to a Wednesday media briefing, one patient received an epidural steroid injection at the Crossville clinic.
...
The TDH and the Tennessee Poison Control Center have partnered to answer questions from the public about meningitis. Call 1-800-222-1222.

Full text:

http://crossville-chronicle.com/local/x371807376/One-case-of-fungal-meningitis-reported-in-Crossville

[Pathfinder]

Re: Five dead, 35 sick from suspected fungal meningitis as outbreak worsens

Virginia -

Investigation of Meningitis and Stroke after Spinal Injections

Investigation of Meningitis and Stroke after Spinal Injections

Virginia Department of Health is working with the Centers for Disease Control and Prevention and other states on a multi-state investigation of meningitis and strokes in patients who received spinal injections. While the investigation into the source of the infection is not yet known, all infected patients received preservative-free methylprednisolone acetate among three lots which have been voluntarily recalled by the New England Compounding Center, in Framingham, Massachusetts. This product of concern was distributed to 23 states.

Virginia Department of Health (VDH) is working closely with the only two medical facilities known to have received and used this product from this manufacturer. Both facilities have contacted their patients who received this medication via any route of injection between July 2012 and September 2012. Insight Imaging in Roanoke contacted more than 600 patients and New River Valley Surgery Center in Christiansburg contacted less than 30 patients.

The manufacturer has recalled the implicated lots of the medication and the product is no longer being used.

As of October 4, 2012, CDC is reporting 35 cases from 6 states with a clinical presentation consistent with fungal infection. Tragically, these numbers include 5 deaths. In Virginia, 4 cases, including 1 fatal case, have been identified. Fungus has been identified in specimens obtained from 5 patients thus far. Additional suspect cases are being investigated.

Patients who had spinal injection procedures at these two facilities are being asked if they developed any new symptoms since their spinal injection. Patients are being advised to seek immediate evaluation and let a physician know about this investigation and the concern for possible infection. Symptoms of concern are new or worsening headache, fever, localized weakness, falls, difficulty walking, slurred speech or other symptoms that may suggest a stroke.

VDH will continue to provide new information as it becomes available and daily updates will be provided on the CDC web page,

www.cdc.gov/hai/outbreaks/meningitis.html

If you have questions or concerns that you may be experiencing illness after receiving a spinal injection, please contact your health care provider.
For more information, you can also call your local health department.

http://www.vdh.virginia.gov/Meningitis.htm

[Catbird]

Re: Five dead, 35 sick from suspected fungal meningitis as outbreak worsens

4 more confirmed cases in TN.

TDH Update on Infections Associated with Epidural Steroid Injections


"...As of 11 a.m. today, the number of people in Tennessee identified with meningitis, abscess or stroke associated with this outbreak is 29. The number of deaths is unchanged at three.

...Following the CDC/FDA joint press conference yesterday, we issued another alert through the Tennessee Health Alert Network, or T-HAN, advising Tennessee clinicians to NOT USE ANY materials from the New England Compounding Center. While we have identified every facility that has the lots of the methylprednisolone acetate of concern in this investigation, to protect the safety of Tennesseans, we are directing clinicians to not use ANY material from NECC until further notice. We are working on identifying those facilities that received other NECC products.

Without certainty as to their other products? integrity, we believe it is important these products not be used. We know the CDC and FDA are investigating other NECC products and we believe that is an important effort. "



While I'm not suggesting that products from any other company are in question, the following article might explain why clinics in Tennessee seem to have gotten such a large percentage of the contaminated products.

"Top officials at source of meningitis outbreak connected to TN company"

"Corporation records filed with the Massachusetts secretary of state show Barry J. Cadden and Gregory Conigliaro, who head New England Compounding Center, also are listed as the top officials of Ameridose LLC.

Ameridose has a contract with HealthTrust Purchasing Group ? based in Brentwood and partially owned by Nashville-based hospital chain HCA ? to provide member hospitals with sterile compounded drugs and repackaging services.

Similar products were offered by New England Compounding, which voluntarily surrendered its license this week amid state and federal investigations of the meningitis outbreak.

HealthTrust in June said its members included more than 1,400 acute-care hospitals and thousands of ambulatory surgery centers."

[Catbird]

Re: Five dead, 35 sick from suspected fungal meningitis as outbreak worsens

According to a report from WLFI, another patient from the OSMC Surgery Center in Elkhart, IN, has tested positive, raising the count in IN to 3 confirmed cases.


WLFI:

"Indiana reports 3rd meningitis case tied to outbreak

...Indiana State Department of Health spokesman Ken Severson said Friday three cases have been confirmed, but he would not disclose further details.

OSMC Surgery Center CEO Don Hammond told The Associated Press that two of the Elkhart clinic's patients tested positive for the rare illness.

Six Indiana health facilities received batches of the medication that was recently recalled by a Massachusetts manufacturer. The affected clinics are in Evansville, Fort Wayne, Elkhart, South Bend, Terre Haute and Columbus.

The clinics are contacting more than 1,000 patients who received injections."

[Catbird]

Re: Five dead, 35 sick from suspected fungal meningitis as outbreak worsens

Latest update from CDC:

"Centers for Disease Control: Number of confirmed US fungal meningitis cases rises to 47 in 7 states; no new deaths - @Reuters"

CDC now has a specific page for this on their HAI section, with the HAN Advisory, case counts, map, etc.:

"Multistate Meningitis Outbreak Investigation"

[Pathfinder]

Re: Five dead, 47 sick from suspected fungal meningitis as outbreak worsens

Idaho Public Notified of Meningitis Risk: Two Idaho Facilities Received Recalled Epidural Steroid Injections

posted on October 05, 2012 13:45

The Idaho Department of Health and Welfare and Public Health Districts are working closely with the Centers for Disease Control and Prevention and two Idaho medical facilities in a 23-state investigation of non-contagious fungal meningitis in patients who received epidural steroid injections, commonly used to control back pain. The injections have been recalled by the facility that produced them. It is believed the solutions injected may have had fungal contamination.

No illnesses have been reported in Idaho patients who have received the injection. Nationally, 47 people have been diagnosed with infection, with five deaths reported. All infections occurred in seven states located east of the Mississippi River.

The two Idaho facilities that received shipments of the recalled injections are the Walter Knox Memorial Hospital in Emmett and Pain Specialists of Idaho in Idaho Falls. Both facilities were notified by public health officials of the danger and are cooperating with the public health investigation and are working with their doctors to notify patients who may have received an injection with the recalled drugs.

Fungal meningitis is not transmitted from person to person. All infected patients did receive an injection with preservative-free methylprednisolone acetate prepared by New England Compounding Center in Framingham, Mass., but investigators continue to examine all possibilities as the source for the outbreak.

Anyone who has received this type of injection from either of the Idaho facilities since July 1st should seek evaluation from their health care provider immediately if they experience symptoms. Symptoms may include a new or worsening headache, dizziness, fever, nausea, and sensitivity to light. A number of people who became ill also had symptoms of stroke, such as weakness or difficulty with speech.

Patients who received the injections can also contact either of the two facilities at:

• Walter Knox Memorial Hospital: 208-365-3561 extension 3212
• Pain Specialists of Idaho: 208-522-7246

Healthcare providers who evaluate symptomatic patients who have had exposure to the recalled product have been asked to contact their local public health district or the Idaho Division of Public Health to report cases.

Events are ongoing so we will provide updates as new information becomes available. For additional information, please visit the Centers for Disease Control and Prevention website at: http://www.cdc.gov/HAI/outbreaks/meningitis.html

http://www.healthandwelfare.idaho.gov/AboutUs/Newsroom/tabid/130/ctl/ArticleView/mid/3061/articleId/1676/Idaho-Public-Notified-of-Meningitis-Risk-Two-Idaho-Facilities-Received-Recalled-Epidural-Steroid-Injections.aspx

[Pathfinder]

Re: Five dead, 47 sick from suspected fungal meningitis as outbreak worsens

Updated: 4:40 p.m. Friday, Oct. 5, 2012 | Posted: 4:39 p.m. Friday, Oct. 5, 2012

Ind. reports 3 meningitis cases tied to steroid

By CHARLES WILSON
The Associated Press
INDIANAPOLIS ?

Two patients treated at a northern Indiana health clinic have tested positive for fungal meningitis after receiving a recalled back pain medication that's been linked to a deadly nationwide outbreak, the clinic's chief executive said Friday.

OSMC Surgery Center CEO Don Hammond said two of the Elkhart clinic's patients have been hospitalized with the rare illness.

Indiana State Department of Health spokesman Ken Severson said three Indiana patients have contracted the illness after receiving spinal injections, revising an earlier report that had downgraded the number from three to two. He said a case thought to involve an out-of-state patient actually involved an Indiana resident.

Six Indiana health facilities received batches of the medication that was recently recalled by a Massachusetts manufacturer. The other clinics are in Evansville, Fort Wayne, South Bend, Terre Haute and Columbus.

Hammond said about 400 people had received the tainted injections at the clinic, which is about 15 miles east of South Bend.

More...

http://www.wtov9.com/news/ap/health/ind-reports-2nd-meningitis-case-tied-to-outbreak/nSTz3/

[Pathfinder]

Re: Five dead, 47 sick from suspected fungal meningitis as outbreak worsens

FOR IMMEDIATE RELEASE Contact: DOH Communications
October 4, 2012 Press Office: (850) 245-4111

THE FLORIDA DEPARTMENT OF HEALTH INVESTIGATING MENINGITIS OUTBREAK
- Multi-state meningitis investigation ongoing-

TALLAHASSEE
- The Florida Department of Health (DOH) is working closely with the Centers for Disease Control and Prevention (CDC), state partners and other states on the meningitis outbreak associated with epidural (spinal) injection of methylprednisolone. DOH is currently investigating two confirmed cases in Marion County (87 year old male and a 65 year old female.) DOH will continue our work with Florida health care facilities in receipt of the contaminated drug to determine if there are additional potential cases. ?Our Department has asked the facilities to contact all patients who may have been treated with the implicated product to
identify patients with neurologic illness in need of testing and treatment,? said State Surgeon General and Secretary of Health Dr. John Armstrong. ?Rest assured that this outbreak is not contagious and we will continue our work with all stakeholders to ensure that Florida?s residents and visitors are safe.?
...

http://newsroom.doh.state.fl.us/wp-content/uploads/newsroom/2011/08/10412meningitis.pdf

------------------------------------------------------------------------------------------------------------------------------
FOR IMMEDIATE RELEASE Contact: DOH Communications
October 5, 2012 Jessica Hammonds or Ashley Carr
(850) 245-4111

FLORIDA DEPARTMENT OF HEALTH IDENTIFIES FACILITIES THAT HAVE RECEIVED CONTAMINATED PAIN MEDICATION
DOH and DBPR working with eight facilities in Florida-

TALLAHASSEE
- The Florida Department of Health (DOH) is working closely with the Centers for Disease Control and Prevention (CDC), state partners and other states on the meningitis outbreak associated with spinal injections of methylprednisolone for back pain. To date, eight facilities in Florida have been identified as having received shipments from one or more of the CDC-identified contaminated lot numbers of this medication. DOH is currently working with Florida health care facilities in receipt of the contaminated drug to determine if there are additional potential cases. DOH and the Department of Business and Professional Regulation (DBPR) are working to ensure that this medication is quarantined for reverse distribution in accordance with Food and Drug Administration (FDA) and CDC recall procedures.

Florida identified facilities:

Florida Pain Clinic, Ocala, FL
Interventional Rehab Center, Pensacola, FL
Marion Pain Management Center, Ocala, FL
North County Surgicenter, Palm Beach, FL
Orlando Center for Outpatient Surgery, Orlando, FL
Pain Consultants of West Florida, Pensacola, FL
Surgery Center of Ocala, Ocala, FL
Surgical Park Center, Miami, FL

The Department of Business and Professional Regulation?s Drugs, Devices and Cosmetics Division recommends that all remaining Methylprednisolone Acetate received from the New England Compounding Center (NECC) in Lot Nos. 05212012@68, 06292012@26 and 08102012@51 be quarantined immediately and returned in accordance with FDA recall procedures. Any patients known or suspected to have been injected with products in these three lots should be evaluated immediately for infection and subsequently monitored or treated as necessary.

DOH and DBPR strongly endorse FDA?s recommendation that all practitioners, pharmacies and clinics discontinue use of all NECC products until and unless CDC and FDA can make determinations indicating that the products are safe.
...

http://newsroom.doh.state.fl.us/wp-content/uploads/newsroom/2011/08/10512MngtsFac1.pdf

http://newsroom.doh.state.fl.us/

[Catbird]

Re: Five dead, 47 sick from suspected fungal meningitis as outbreak worsens

CDC just posted a list of facilities known to have received the contaminated lots.


"Healthcare Facilities which Received Lots of Methylprednisolone Acetate (PF) Recalled from New England Compounding Center on September 26, 2012"

[Pathfinder]

Re: Five dead, 47 sick from suspected fungal meningitis as outbreak worsens

CDC just posted a list of facilities known to have received the contaminated lots.


"Healthcare Facilities which Received Lots of Methylprednisolone Acetate (PF) Recalled from New England Compounding Center on September 26, 2012"

Map of Healthcare Facilities which Received Lots of Methylprednisolone Acetate (PF) Recalled from New England Compounding Center on September 26, 2012


List of Healthcare Facilities which Received Lots of Methylprednisolone Acetate (PF) Recalled from New England Compounding Center on September 26, 2012
<TABLE cellSpacing=0 cellPadding=0><COLGROUP><COL width=289><COL width=120><COL width=139><COL width=66><TBODY><TR><TD width=289>CYPRESS SURGERY CENTER DBA</TD><TD width=120>559 740 4094</TD><TD width=139>VISALIA</TD><TD width=66>CA</TD></TR><TR><TD>ENCINO OUTPATIENT SURGICENTER</TD><TD>818-986-1037</TD><TD>ENCINO </TD><TD>CA</TD></TR><TR><TD>UKIAH VALLEY MEDICAL CENTER</TD><TD>707 463 7345</TD><TD>UKIAH</TD><TD>CA</TD></TR><TR><TD>UNIVERSAL PAIN MANAGEMENAT</TD><TD>661-267-6876 x166</TD><TD>PALMDALE</TD><TD>CA</TD></TR><TR><TD>INTERVENTIONAL SPINE AND SPORTS MED</TD><TD>203 598 7246</TD><TD>MIDDLEBURY</TD><TD>CT</TD></TR><TR><TD>FLORIDA PAIN CLINIC</TD><TD>352-237-5906</TD><TD>OCALA</TD><TD>FL</TD></TR><TR><TD>INTERVENTIONAL REHAB CENTER</TD><TD>850 484 8800</TD><TD>PENSACOLA</TD><TD>FL</TD></TR><TR><TD>MARION PAIN MANAGEMENT CENTER</TD><TD>352 622 1845</TD><TD>OCALA</TD><TD>FL</TD></TR><TR><TD>NORTH COUNTY SURGICENTER</TD><TD>561 626 6446</TD><TD>PALM BEACH GARDENS</TD><TD>FL</TD></TR><TR><TD>ORLANDO CENTER FOR OUTPATIENT SURGERY</TD><TD>407-426-8331</TD><TD>ORLANDO</TD><TD>FL</TD></TR><TR><TD>PAIN CONSULTANTS OF WEST FLORIDA</TD><TD>850 494 0000</TD><TD>PENSACOLA</TD><TD>FL</TD></TR><TR><TD>SURGERY CENTER OF OCALA</TD><TD>352-237-5906</TD><TD>OCALA</TD><TD>FL</TD></TR><TR><TD>SURGICAL PARK CENTER</TD><TD>305-271-9100 x226</TD><TD>MIAMI</TD><TD>FL</TD></TR><TR><TD>FORSYTH STREET AMBULATORY SURG. CTR.</TD><TD>478-749-1610</TD><TD>MACON</TD><TD>GA</TD></TR><TR><TD>PAIN SPECIALISTS OF IDAHO</TD><TD>208 522 7246</TD><TD>IDAHO FALLS</TD><TD>ID</TD></TR><TR><TD>WALTER KNOX MEMORIAL HOSPITAL</TD><TD>208-365-3561 x3342</TD><TD>EMMETT</TD><TD>ID</TD></TR><TR><TD>APAC CENTERS FOR PAIN MANAGEMENT</TD><TD>708-483-7007</TD><TD>WESTCHESTER</TD><TD>IL</TD></TR><TR><TD>APAC CENTERS FOR PAIN MANAGEMENT-</TD><TD>773-935-2760</TD><TD>CHICAGO</TD><TD>IL</TD></TR><TR><TD>THOREK MEMORIAL HOSPITAL</TD><TD>773 975-6734</TD><TD>CHICAGO</TD><TD>IL</TD></TR><TR><TD>AMBULATORY CARE CENTER LLC</TD><TD>812 475 1800</TD><TD>EVANSVILLE</TD><TD>IN</TD></TR><TR><TD>FORT WAYNE PHYSICAL MEDICINE</TD><TD>260-436-9337</TD><TD>FORT WAYNE</TD><TD>IN</TD></TR><TR><TD>OSMC OUTPATIENT SURGERY CENTER</TD><TD>574-266-4173</TD><TD>ELKHART</TD><TD>IN</TD></TR><TR><TD>SOUTH BEND CLINIC</TD><TD>574-237-9372</TD><TD>SOUTH BEND</TD><TD>IN</TD></TR><TR><TD>UNION HOSPITAL--</TD><TD>812 238 4964</TD><TD>TERRE HAUTE</TD><TD>IN</TD></TR><TR><TD>WELLSPRING</TD><TD>812-376-0700</TD><TD>COLUMBUS</TD><TD>IN</TD></TR><TR><TD>BALTIMORE PAIN MANAGEMENT</TD><TD>410 682-5040</TD><TD>BALTIMORE</TD><TD>MD</TD></TR><TR><TD>BERLIN INTERVENTIONAL PAIN MANAGEMENT</TD><TD>410 641 3759</TD><TD>BERLIN</TD><TD>MD</TD></TR><TR><TD>BOX HILL SURGERY CENTER</TD><TD>410 877 8141</TD><TD>ABINGDON</TD><TD>MD</TD></TR><TR><TD>GREENSPRING SURGERY CENTER</TD><TD>410 653 0077</TD><TD>BALTIMORE</TD><TD>MD</TD></TR><TR><TD>HARFORD COUNTY ASC, LLC</TD><TD>410 538 7000</TD><TD>EDGEWOOD</TD><TD>MD</TD></TR><TR><TD>PAIN MEDICINE SPECIALISTS</TD><TD>410 825 6945</TD><TD>TOWSON</TD><TD>MD</TD></TR><TR><TD>SURGCENTER OF BEL AIR</TD><TD>410 638 5523</TD><TD>BEL AIR</TD><TD>MD</TD></TR><TR><TD>MICHIGAN NEUROSURGICAL INST.</TD><TD>810 606 7112</TD><TD>GRAND BLANC</TD><TD>MI</TD></TR><TR><TD>MICHIGAN PAIN SPECIALISTS</TD><TD>734 995 7246</TD><TD>BRIGHTON</TD><TD>MI</TD></TR><TR><TD>NEUROMUSCULAR & REHABILITATION</TD><TD>231 935 0860</TD><TD>TRAVERSE CITY</TD><TD>MI</TD></TR><TR><TD>SOUTHEAST MICHIGAN SURGICAL HOSPITAL</TD><TD>586-427-1000</TD><TD>WARREN</TD><TD>MI</TD></TR><TR><TD>MAPS-EDINA MEDICAL PAIN CLINIC</TD><TD>763 537 6000</TD><TD>MINNEAPOLIS</TD><TD>MN</TD></TR><TR><TD>MAPS-MEDICAL ADVANCED PAIN</TD><TD>763 537 6000</TD><TD>FRIDLEY</TD><TD>MN</TD></TR><TR><TD>MEDICAL ADVANCED PAIN SPECIALISTS*</TD><TD>763-537-6000 x238</TD><TD>SHAKOPEE</TD><TD>MN</TD></TR><TR><TD>MEDICAL ADVANCED PAIN SPECIALISTS.</TD><TD>763 537 6000</TD><TD>MAPLE GROVE</TD><TD>MN</TD></TR><TR><TD>MINNESOTA SURGERY CENTER</TD><TD>763-767-7139</TD><TD>EDINA</TD><TD>MN</TD></TR><TR><TD>MINNESOTA SURGERY CENTER-</TD><TD>763 537 6000</TD><TD>MAPLE GROVE</TD><TD>MN</TD></TR><TR><TD>HIGH POINT SURGERY</TD><TD>336 878 6048</TD><TD>HIGH POINT</TD><TD>NC</TD></TR><TR><TD>NORTH CAROLINA ORTHOPAEDIC CLINIC</TD><TD>919 403 5148</TD><TD>DURHAM</TD><TD>NC</TD></TR><TR><TD>SURGERY CENTER OF WILSON</TD><TD>252-237-5649</TD><TD>WILSON</TD><TD>NC</TD></TR><TR><TD>DR. O'CONNELL'S PAIN CARE CTR</TD><TD>603-335-5070</TD><TD>MERRIMACK</TD><TD>NH</TD></TR><TR><TD>DR. O'CONNELL'S PAINCARE CENTERS, INC</TD><TD>603 692 3166</TD><TD>SOMERSWORTH</TD><TD>NH</TD></TR><TR><TD>CENTRAL JERSEY ORTHOPEDICS SPECIALISTS PC</TD><TD>908 561 2122</TD><TD>SOUTH PLAINFIELD</TD><TD>NJ</TD></TR><TR><TD>EDISON SURGICAL CENTER</TD><TD>732 452 0123</TD><TD>EDISON</TD><TD>NJ</TD></TR><TR><TD>IF PAIN ASSOCIATES / ISAIAH FLORENCE</TD><TD>201 287 1100</TD><TD>TEANECK</TD><TD>NJ</TD></TR><TR><TD>PREMIER ORTHOPEDICS SURG. ASSOC., LLC</TD><TD>856 690 1750</TD><TD>VINELAND</TD><TD>NJ</TD></TR><TR><TD>Comprehensive Pain Management</TD><TD>973 796 5216</TD><TD>SPARTA</TD><TD>NJ</TD></TR><TR><TD>SOUTH JERSEY HEALTH CARE</TD><TD>856 363 1558</TD><TD>ELMER</TD><TD>NJ</TD></TR><TR><TD>SOUTH JERSEY HEALTHCARE</TD><TD>856-641-7557</TD><TD>VINELAND</TD><TD>NJ</TD></TR><TR><TD>SAHARA SURGERY CENTER</TD><TD>702-362-7874</TD><TD>LAS VEGAS</TD><TD>NV</TD></TR><TR><TD>BUTANI, SUNIL H. PHYSICIAN PC</TD><TD>516 747 5042</TD><TD>MINEOLA</TD><TD>NY</TD></TR><TR><TD>OBOSA MEDICAL SERVICES</TD><TD>914-530-2323</TD><TD>MOUNT VERNON</TD><TD>NY</TD></TR><TR><TD>ROCHESTER BRAIN AND SPINE</TD><TD>585 334 5560</TD><TD>ROCHESTER</TD><TD>NY</TD></TR><TR><TD>BKC PAIN SPECIALISTS,LLC</TD><TD>740-387-7246</TD><TD>MARION</TD><TD>OH</TD></TR><TR><TD>CINCINNATI PAIN MANAGEMENT</TD><TD>513 891 0022</TD><TD>CINCINNATI</TD><TD>OH</TD></TR><TR><TD>MARION PAIN CLINIC</TD><TD>740-375-0200</TD><TD>MARION</TD><TD>OH</TD></TR><TR><TD>ORTHO-SPINE REHAB. CENTER, INC.</TD><TD></TD><TD>DUBLIN</TD><TD>OH</TD></TR><TR><TD>ALLEGHENY PAIN MANAGEMENT</TD><TD>814-940-2000 X 500</TD><TD>ALTOONA</TD><TD>PA</TD></TR><TR><TD>SOUTH HILLS PAIN & REHAB ASSOC.</TD><TD>412 469 7722</TD><TD>JEFFERSON HILLS</TD><TD>PA</TD></TR><TR><TD>NEW ENGLAND ANESTHESIOLOGY (NEA)</TD><TD>401-490-7530</TD><TD>WARWICK</TD><TD>RI</TD></TR><TR><TD>OCEAN STATE PAIN MANAGEMENT</TD><TD>401 766 7700</TD><TD>WOONSOCKET</TD><TD>RI</TD></TR><TR><TD>OCEAN STATE PAIN MANAGEMENT-</TD><TD>401 884 6070</TD><TD>EAST GREENWICH</TD><TD>RI</TD></TR><TR><TD>INTERVENE MD</TD><TD>843-216-4844</TD><TD>MOUNT PLEASANT</TD><TD>SC</TD></TR><TR><TD>PCA PAIN CARE CENTER-</TD><TD>865 835 5196</TD><TD>OAK RIDGE</TD><TD>TN</TD></TR><TR><TD>SPECIALTY SURGERY CENTER</TD><TD>931-484-2500 x125</TD><TD>CROSSVILLE</TD><TD>TN</TD></TR><TR><TD>ST. THOMAS OUTPATIENT NEUROSURGIACL</TD><TD>615 341 3433</TD><TD>NASHVILLE</TD><TD>TN</TD></TR><TR><TD>DALLAS BACK PAIN MANAGEMENT</TD><TD>214 445 5077</TD><TD>DALLAS</TD><TD>TX</TD></TR><TR><TD>HARRIS METHODIST SOUTHLAKE CENTER</TD><TD>817 748 8778</TD><TD>SOUTHLAKE</TD><TD>TX</TD></TR><TR><TD>INSIGHT IMAGING-ROANOKE</TD><TD>540 581 0882</TD><TD>ROANOKE</TD><TD>VA</TD></TR><TR><TD>NEW RIVER VALLEY SURGERY CENTER</TD><TD>540 639 5888</TD><TD>CHRISTIANSBURG</TD><TD>VA</TD></TR><TR><TD>PARS INTERVENTIONAL PAIN</TD><TD>304 865 7277</TD><TD>PARKERSBURG</TD><TD>WV</TD></TR></TBODY></TABLE>




<LI class=last-reviewed>Page last reviewed: October 5, 5:55pm ET, 2012 <LI class=last-updated>Page last updated: October 5, 5:55pm ET, 2012

http://www.cdc.gov/hai/outbreaks/meningitis-facilities-map.html

[Treyfish]

Re: Five dead, 47 sick from suspected fungal meningitis as outbreak worsens

Federal health officials have expanded the recall list of potentially contaminated injectable medications suspected in a multi-state meningitis outbreak and the death of five people. More and more cases are being reported, with 47 people having contracted meningitis in seven states.

The Food and Drug Administration released a list of 34 different drugs this morning that included steroids, epidural anesthetics used to block pain during childbirth, and surgery and saline solutions that are compounded to make different medications. All of the products on the recall list were made by the New England Compound Center (NECC) in Framingham, Mass., and are administered by injection into the spine. ..

..The Centers for Disease Control and FDA have asked the clinics, doctors offices and hospitals in 23 states that have received shipments of medications from NECC to stop using them immediately. Anyone who has received epidural injections since July 1 should watch for symptoms of meningitis. Health officials say the most common symptoms are worsening headache, fever, stiff neck, trouble walking or falling and progressing back pain. Many of these patients have suffered strokes.
Click for a full list of recalled drugs from the FDA...


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List of Recalled Products Related to Fungal Meningitis Outbreak

http://www.fda.gov/Drugs/DrugSafety/ucm322752.htm