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Top 5 Contagion® News Articles for the Week of June 25, 2017


#5: 2015 Ontario Measles Outbreak Underscores the Need for Immunizations 

“This outbreak is an excellent example of why it is important that everybody ensures that their immunization status is up to date,” senior author Shelley L. Deeks, MD, interim chief of Communicable Disease, Emergency Preparedness and Response for Public Health Ontario, told Contagion®. “We live in a global and interconnected world. We are continually exposed to other people in our everyday lives. For a disease such as measles, that is extremely contagious and transmitted through the air, an individual can be exposed to an infected person and be at risk of disease with limited interaction.”
Dr. Deeks notes that measles can be transmitted through limited contact with a contagious individual, a noninfected individual can catch it by sitting beside someone on a plane who is infected, or walking into a room an hour after an infected individual has left; it’s also easily spread to others through coughing and sneezing.
More on the needs for immunizations in Ontario is available here

#4: The Never-Ending Story of Endoscope Exposures 

Although this exposure is different than the infamous outbreak of carbapenem-resistant Enterobacteriaceae (CRE) at University of California, Los Angeles (UCLA) Medical Center, it highlights the consistent disinfection issues associated with endoscopic equipment and procedures. The UCLA outbreak involved duodenoscopes and design flaws that made disinfection extremely challenging. This recent exposure involving the base in Qatar is centered around poor disinfecting practices between procedures. The endoscopes were not cleaned according to US Food and Drug Administration (FDA) guidelines and further review found that the medical technicians responsible for disinfection used “an alternate method that included manual cleaning and inspection, rather than the recommended automated process. Specifically, it was noted that during equipment reprocessing, the flushing and brushing of the scope lumens were not completed as recommended by the manufacturer.”  
This is particularly concerning on several levels—first, given all the attention that was placed on duodenoscope reprocessing, healthcare facilities have ramped up disinfection monitoring methods for all flexible endoscopes to ensure compliance and avoid adverse events. Was this increased scrutiny not present at the Al Udeid clinic?
Read more about the never-ending story of endoscope-related infections here.

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