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Increased Respiratory Syncytial Virus (RSV) Activity in Maine

Respiratory syncytial virus (RSV) is circulating in Maine at a higher rate than usual for this time of year. Health care providers should consider testing patients with acute respiratory illness for RSV. To prevent transmission of RSV and other respiratory viruses, people with respiratory symptoms should refrain from in-person work, school, or daycare while acutely ill. This recommendation applies even if they have tested negative for SARS-CoV-2, the virus that causes COVID-19.

Use of an additional mRNA COVID-19 vaccine dose after an initial 2-dose primary mRNA COVID-19 vaccine series for immunocompromised people

On August 12, 2021, the U.S. Food and Drug Administration modified the Emergency Use Authorizations (EUAs) for the Pfizer-BioNTech and Moderna COVID-19 vaccines to allow for administration of an additional dose (i.e., a third dose) of an mRNA COVID-19 vaccine after an initial 2-dose primary mRNA COVID-19 vaccine series for certain immunocompromised people.

Varicella Testing and Reporting Recommendations

Maine CDC is seeing a rise in the number of reported cases of varicella (chickenpox). Varicella is a notifiable condition in Maine, and all confirmed or suspect cases of varicella should be reported to Maine CDC.

The number of reported cases of varicella decreased in 2020, likely due to reduced person-to-person transmission because of COVID-19 restrictions. Since January 1, 2021, Maine has identified 46 cases of varicella from all 16 counties (data as of 07/29/2021), including two outbreaks in child care facilities.

Human Powassan Case and Arbovirus Update for Healthcare Providers in Maine

The purpose of this health advisory is to alert clinicians to the potential for human arboviral disease activity in Maine and to consider testing for arboviruses in patients presenting with unexplained encephalitis, meningitis or high fever (100.4F or 38C) during the summer and fall.

Maine CDC identified a human case of Powassan encephalitis in a Maine resident who resides in midcoastal Maine. The individual was symptomatic in late June and hospitalized. CDC Fort Collins confirmed the Powassan result in this individual by neutralization testing.

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