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CAHAN Disease Notification – First Marburg Virus Disease Outbreak in the Republic of Rwanda

The Centers for Disease Control and Prevention (CDC) is issuing this Health Alert Network (HAN) Health Advisory to inform clinicians and health departments about the Republic of Rwanda’s first confirmed outbreak of Marburg virus disease (MVD) with 36 laboratory confirmed cases and 11 deaths reported as of October 2, 2024, including at least 19 cases in healthcare workers. This report summarizes CDC’s recommendations for public health departments and clinicians in the United States on case identification and testing and clinical laboratory biosafety considerations.

No confirmed cases of MVD related to this outbreak have been reported in the United States or other countries outside of the Republic of Rwanda to date. Currently, the risk of MVD in the United States is low; however, clinicians should be aware of the potential for imported cases.

Please see the full CDC Health Advisory here: https://emergency.cdc.gov/han/2024/han00517.asp

County of Orange Now Managing Operations at Be Well Orange Campus

(Santa Ana, CA) - The OC Health Care Agency (HCA) has officially assumed management along with operations of the Be Well Orange Campus, located at 265 South Anita Drive, Orange, CA 92868. As of October 1, 2024, the County of Orange (County) began overseeing the delivery of vital mental health and substance use disorder (SUD) services at the campus, ensuring continued support for the wellbeing of Orange County (OC) residents.
 
The Be Well Orange Campus provides essential services designed to address behavioral health crises and substance use disorders. With this transition, the County will uphold its commitment to providing high-quality care, maintaining existing programs, while seeking to enhance the services offered. The following services will continue to be offered:

  • The Crisis Stabilization Unit (CSU), operated by Exodus, offers emergency psychiatric evaluation, treatment, and crisis stabilization services for residents experiencing behavioral health crises. Available 24/7, 365 days a year, the CSU serves individuals 13 years and older, offering services such as psychiatric evaluation, individual and group therapy, family education, and peer mentorship. For access, residents can call (714) 410-3500.
  • The Crisis Residential Program (CRP), also provided by Exodus, offers short-term, voluntary services for adults in need of additional support to avoid hospitalization, stabilize symptoms, and return to their previous level of functioning. The program specializes in providing care for individuals with co-occurring behavioral health and substance use issues, ensuring culturally sensitive, peer-supported care in a homelike environment.
  • Substance Use Disorder (SUD) residential treatment services, managed by HealthRIGHT 360, will continue uninterrupted at the campus. This program includes treatment for 30 adults, with designated beds for both men and women, offering comprehensive care including treatment planning, counseling, medication services, and care coordination.
  • The Sobering Center at the Orange campus is temporarily closed and will reopen soon in partnership with CalOptima Health. In the interim, sobering services are available at Phoenix House in Santa Ana. For more information, please call (714) 953-9373, extension 2 during business hours, or (714) 752-0854 after hours and on weekends.


The County of Orange remains committed to enhancing behavioral health services for our community and looks forward to continuing to build on the Be Well brand as a trusted resource for mental health and substance use treatment in Orange County.
 
For more information about the Be Well Orange Campus or to access services, please contact OC Links at (855) 625-4657, available 24/7, or visit OCNavigator.org.

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CD HEALTH ALERT: Mpox in Orange County Updated Guidance on Exposures

Mpox infections, from Clade II Monkeypox virus, continue to be endemic in the United States. Orange County has had an increase in mpox cases over the summer. Orange County Pride Parade and Festival is scheduled for October 5th. Pride events have been associated with an increase in risk behaviors and mpox transmission. Los Angeles County Department of Public Health recently had a press release reporting a significant increase in mpox cases in their jurisdiction. Providers should remain vigilant for people presenting with signs of mpox, test appropriately and notify OCHCA Communicable Disease Control Division (CDCD) at 714-834-8180 with any suspect cases.  

In addition, providers should continue to monitor the evolving situation of Clade I mpox in Africa and educate patients traveling to Africa about the risk and prevention strategies. The CDC recently released a Health Alert - Prevention Strategies for Mpox, including Vaccinating People at Risk via Sexual Exposure, for U.S. Travelers Visiting Countries with Clade I Mpox Outbreaks. More info...

CD HEALTH ALERT: Dengue Virus Infection in Travelers

In 2024, Orange County has already identified 25 cases of dengue virus infection. This exceeds the number of county residents identified with dengue virus infection in any year over the last 10 years. All of these cases have been among international travelers and no locally acquired dengue virus infections have been identified in Orange County to date.

In June, the CDC released a Health Alert: Increased Risk of Dengue Virus Infections in the United States. While cases of dengue virus infection in the Americas have declined over the last several weeks based on data from the Pan American Health Organization (PAHO), counts remain above the 5 year average. Dengue also remains endemic in many parts of Asia and Africa.

The Aedes aegypti mosquito is the primary vector for dengue virus. Aedes aegypti are widespread in Orange County. Their presence, along with increasing numbers of travel-associated dengue virus infection, increase the risk for local transmission of dengue. More info...

OC Health Care Agency Issues Health Advisory as Smoke from Local Wildfires Causes Unhealthy Air Quality

(Santa Ana, CA) - The OC Health Care Agency (HCA) has issued a health advisory due to smoke drift from local wildfires. The health advisory follows a Wildfire Smoke Advisory for parts of Southern California from the South Coast Air Quality Management District (AQMD) which indicates unhealthy air quality for parts of Orange County (OC). The HCA is urging individuals in smoke impacted areas to exercise caution and avoid unnecessary outdoor activity.
 
“Individuals with heart and respiratory diseases, older adults, children and pregnant women are among those who can be most directly affected by smoke exposure,” said County Health Officer Dr. Regina Chinsio-Kwong. “Air pollution levels from the fire can change rapidly, depending on weather conditions, so we especially recommend that individuals in these higher-risk groups limit outdoor activity and physical exertion until the situation is over.” Other recommendations include:

  • Keeping the windows and doors in your home closed, and using your air conditioner on the re-circulate mode, if available. This will limit the intake of outdoor air and keep your home comfortable.
  • Keeping your mouth and nasal passageways moist by drinking lots of water. This helps your body filter out potentially harmful particles in the smoke.
  • Contacting your health provider if you have symptoms such as chest pain, chest tightness, shortness of breath, or severe fatigue. People who have not been previously diagnosed with lung or heart disease may begin having problems in smoky conditions.  
  • Those with asthma should follow an asthma management plan, making sure to have at least a five-day supply of asthma medication on hand.

For more information on the smoke advisory visit the AQMD website at https://www.aqmd.gov.

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OC Health Care Agency Launches 3rd Annual “Light Up Hope OC” Campaign

(Santa Ana, CA) - The OC Health Care Agency (HCA) announces the return of the "Light Up Hope OC" Campaign during the month of September for Suicide Prevention Month, as part of its ongoing commitment to raising awareness and spreading hope. The campaign aligns with the statewide "Strive for Zero" initiative, an effort to prevent suicides. The County of Orange (County) will light up the County Administration Buildings in teal and purple, the official colors of suicide prevention.

“Light Up Hope OC shows the County’s commitment to suicide prevention for all, and especially for at risk populations hardest hit by suicide deaths, historically, like Veterans, older adults, members of the LGBTQ+ community and immigrant populations,” said Board of Supervisors Chairman Donald P. Wagner, Third District. “On behalf of the entire Board, I want to emphasis that help is available. If you or someone you know are struggling with suicidal thoughts, please call 988, or visit lightuphopeoc.com for resources.”

Suicide impacts all communities, regardless of race, age, gender, or income. Some key facts:

  •  It is the third leading cause of death among young adults 15-29 years of age.
  •  Nearly one in five women living in Orange County experience symptoms of depression during or after pregnancy, known as post-partum depression. Suicide is the leading cause of maternal death in the first year following childbirth due to added stressors.
  •  In 2024, an average of 24 individuals died by suicide in Orange County each month and the median age was 49.

The HCA’s Office of Wellness and Suicide Prevention (OWSP) coordinates suicide prevention efforts at the Agency level and interfaces with local and statewide initiatives to build community awareness and reduce suicides in Orange County. The office has aligned with the state’s “Striving for Zero Suicide Plan” framework to implement local strategies for suicide prevention.

"Even one suicide is one too many,” said Dr. Veronica Kelley, HCA Director. “Through the “Light Up Hope OC” Campaign, as well as the ongoing efforts of the HCA’s Office of Wellness and Suicide Prevention, we are striving for zero suicides in Orange County. We all play a role in preventing suicide. I encourage our OC community to support one another in prioritizing mental wellness and not be afraid to talk about suicide prevention with loved ones who may be struggling.”

To learn more about the warning signs of suicide or the "Light Up Hope OC" Campaign, visit www.LightUpHopeOC.com. For immediate assistance or support, call the National Suicide Prevention Lifeline at 9-8-8. For additional resources visit www.OCNavigator.org or call (855) OC-LINKS.

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