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.


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 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.

Viral Hemmorhagic Fever

Etiologic Agents:

  • Arenaviradae (lassa, junin, machupo, guanarito, and sabia), filoviradae (marburg and ebola), Bunyaviradae (congo-crimean hemmorhagic fever virus and hantaviruses) and Flaviradae (yellow fever and dengue) can all cause Viral Hemmorhagic Fever (VHF)


  • Highly infectious after aerosolization
  • Infectious dose can be as low as 1-10 organisms
  • Risk of person-to-person transmission depends on virus


  • Incubation period is 4 - 21 days, depending on virus
  • Clinical presentation would vary by viral agent; however, dominant clinical features of all are a consequence of microvascular damage and changes in vascular permeability. fever, myalgia, and prostration may evolve to shock, generalized mucous membrane hemmorhage, and neurologic, hematopoietic, or pulmonary involvement

Laboratory Diagnosis:

  • Viral isolation should be handled in a biosafety level 3 or 4 facility and may take 3 - 10 days
  • Elisa or reverse transcriptase PCR available for most V.H.F. viruses

Patient Isolation:

  • Isolation room with Contact Precautions


  • Ribavirin (30 mg/kg iv x 1, then 15 mg/kg iv q 6 h x 4 days, y.5 mg/kg iv q 8 x 6 days) may be helpful for congo-crimean hemmorhagic fever or arenaviruses


  • Licensed vaccine available only for yellow fever