Friday, April 03, 2020
     

KANSAS GOVERNOR LAURA KELLY'S EXECUTVE ORDER 20-16  Statewide "stay home" order unless performing an essential activity (read the order for details)

MARION COUNTY HEALTH DEPARTMENT PRESS RELEASE:  1st Confirmed Positive Case in Marion County

Information regarding the Coronavirus (COVID-19) from the Marion County Health Department.

 
THE MARION COUNTY COURTHOUSE IS TEMPORARILY CLOSED  to public walk-in traffic

PUBLIC ATTENDANCE OF COUNTY COMMISSION MEETINGS BY TELECOMMUNICATION ONLY.  Pursuant to KS Governor Order 20-16, in-person attendance at the County Commission meetings will not be allowed at this time.  We encourage attendance by telecommunication which also allows public interaction.
To join the County Commission meetings from your computer, tablet or smartphone, go to https://global.gotomeeting.com/join/639484901 or by phone dial 1-866-899-4679.  The access code is 639-484-901#.

Please contact individual County offices directly for any questions or assistance.

Tularemia

Epidemiology:

  • Highly infectious after aerosolization
  • Infectious dose can be as low as 20-15 organisms
  • Person-to-person transmission does not occur

Clinical:

  • Incubation period is 3-6 days (ranges 1-21 days)
  • Aerosolization would most likely result in typhoidal tularemia, with pneumonic involvement
  • Typhoidal tularemia is a nonspecific illness, with fever, headache, malaise and non-productive cough (mortality rates can be as high as 30-60%)
  • Diagnosis requirea high index of suspicion given nonspecific presentation

Laboratory Diagnosis:

  • Bacterial cultures should be handled in a bio-safety level 3 facility; isolation of organism can otherwise put laboratory workers at risk
  • Organism is difficult to culture and grows poorly on standard media; cysteine-enriched media is required
  • Serology is most commonly used for diagnosis

Patient Isolation:

  • Standard precautions. Droplet isolation not required

Treatment:

  • Streptomycin (7.5 mg/kg im q 12 hours x 10-14 days) or gentamicin (3-5 mg/kg/day iv or im qd in 3 divided doses x 2--14 days) are the preferred antibiotics
  • Tetracyclines are alternative choices, although they are bacteriostatic and associated with higher relapse rates and must be continued for at least 14 days

Prophylaxis:

  • Antibiotic prophylaxis is most effective if begun within 24 hours after exposure to aerosol
  • Tetracyclines are recommended for 14 days