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U.S. CDC: Outbreak of Suspected Fungal Meningitis in U.S. Patients who Underwent Surgical Procedures under Epidural Anesthesia in Matamoros, Mexico

The U.S. Centers for Disease Control and Prevention (U.S. CDC) is issuing this Health Alert Network Health Advisory about an outbreak of suspected fungal meningitis among U.S. patients hospitalized in Texas after undergoing cosmetic procedures under epidural anesthesia in the city of Matamoros, state of Tamaulipas, Mexico. It is currently unknown which organism(s) is causing the outbreak. A fungal etiology is suspected based on elevated cerebrospinal fluid (CSF) levels of the fungal biomarker (1,3)-beta-D-glucan in at least one patient.

2023 Lyme and Other Tickborne Disease Information

Ticks are already active this year. As the weather continues to get warmer into the spring and summer months, Maine expects the number of Lyme and other tickborne disease case reports to increase. The purpose of this advisory is to provide healthcare providers with useful information on how to assess and care for patients with possible tickborne disease infections. May is Lyme Disease Awareness Month in Maine and Maine CDC encourages all Mainers to stay "Tick Free ME."

Measles Exposure in Maine

Maine's Health and Environmental Testing Laboratory has notified Maine CDC of a positive PCR test for measles in a child. The individual is now isolated at home. Potentially exposed individuals should check their immunization status and monitor for symptoms. The best protection against measles is vaccination. Maine CDC is asking clinicians to increase surveillance for rash illness suggestive of measles to identify early potential cases and prevent the spread of disease and to promptly see any patients seeking post-exposure prophylaxis.

Marburg Virus Disease Outbreaks in Equatorial Guinea and Tanzania

The U.S. Centers for Disease Control and Prevention (U.S. CDC) is issuing this Health Alert Network (HAN) Health Advisory to inform clinicians and public health departments in the United States about two confirmed outbreaks of Marburg virus disease (MVD)-one in Equatorial Guinea and one in Tanzania. Currently, there is no evidence to suggest that these two outbreaks are related; most experts agree that these represent two independent animal-to-human spillover events.

U.S. CDC: Increased Chikungunya Virus Activity in Paraguay and Associated Risk to Travelers

Please review this advisory on the potential for chikungunya infection after travel to Paraguay. Consider testing for chikungunya in patients with unexplained encephalitis, meningitis, fever, or polyarthralgia. Chikungunya is a serious arboviral infection transmitted from the bite of an infected mosquito. Maine does not have mosquitoes that transmit this virus and there is no risk of local transmission. Most people are infected while travelling abroad to an area with known chikungunya activity. This disease has potentially severe and even fatal consequences for those who contract it.

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