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CIDRAP NEWS SCAN: Water, hygiene, wastewater & antibiotic resistance; Wedding-linked mumps outbreak

Shiloh

Editor, Senior Moderator
Source: https://www.cidrap.umn.edu/news-perspective/2020/06/news-scan-jun-04-2020

News Scan for Jun 04, 2020
Water, hygiene, wastewater & antibiotic resistance; Wedding-linked mumps outbreak
Filed Under:
Antimicrobial Stewardship; Mumps


WHO posts plan on drinking water, hygiene, wastewater to curb AMR

The World Health Organization (WHO) this week published a technical brief on water, sanitation, hygiene (WASH), and wastewater management to prevent infections and curb the spread of antimicrobial resistance (AMR).
The Global Action Plan to Combat AMR has identified WASH and wastewater management as crucial elements in the battle against AMR spread, but key participants and actions haven't been well represented in stakeholder platforms and national action plans, the WHO said.
The 32-page technical summary was compiled by the WHO, United National (UN) Food and Agriculture Organization (FAO), and World Organization for Animal Health (OIE), all UN agencies. It lays out the evidence and rationale within AMR national action plans and highlights sector-specific policies to fight AMR.
Evidence and suggested actions are grouped under six domains: coordination and leadership, households and communities, healthcare facilities, animal and plant production, manufacturing of antimicrobials, and surveillance and research.
Jun 1 WHO technical brief

Report: Wedding transmission fueled multistate mumps outbreak

A mumps outbreak that sickened 62 people in six states last year was triggered by transmission at a wedding in Nebraska attended by a fully vaccinated guest who had an asymptomatic infection, investigators from the US Centers for Disease Control and Prevention (CDC), Nebraska, and South Dakota reported today in Morbidity and Mortality Weekly Report (MMWR).
The 25-year-old index patient from Nebraska contracted the virus after taking care of a sick child who had returned from a vacation to Florida and Antigua. The patient's symptoms began a day after the wedding, which was attended by about 325 people from multiple states.
After the index patient's illness was found, health officials launched an investigation and identified 31 cases linked to wedding exposure. They also found 27 tertiary cases and 3 quaternary cases. Most (54) of the patients were from Nebraska, but five other states had patients: South Dakota, North Dakota, Minnesota, Idaho, and Wyoming. Two thirds of the patients had received two or more doses of measles, mumps, and rubella (MMR) vaccine.
Isolation and an MMR vaccine campaign helped end the outbreak. The authors noted that mumps is most infectious just before and during onset of parotitis (inflammation of the parotid gland) and that the timing of the wedding exposure probably contributed to transmission, with the event a conducive environment for droplet transmission, given close social interactions. Also, waning vaccine immunity probably contributed to the outbreak, they added.
Jun 4 MMWR report
 
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