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PubMed2004

Preliminary medical examiner reports of mortality associated with Hurricane Charley--Florida, 2004.

On August 13, 2004, at approximately 3:45 p.m. EDT, Hurricane Charley made landfall at Cayo Costa, a Gulf of Mexico barrier island west of Cape Coral, Florida, as a Category 4 storm, with sustained winds estimated at 145 mph. Charley was the strongest hurricane to make landfall in the United States since Hurricane Andrew in August 1992. Charley created a 7-foot storm surge in Fort Myers, then traversed the state in 9 hours, continuing in a northeast direction across eight counties. This report presents preliminary data from Florida medical examiners (MEs), which indicated that 31 deaths were associated with Hurricane Charley. Deaths might be reduced through coordinated hurricane planning, focused evacuations, and advance communication to the public regarding the environmental hazards after a natural disaster.

Adolescent↗
PubMed1992

Oral hydration therapy for children in Florida.

Eighty-six children in Florida died of complications associated with diarrhea between 1985 and 1990, deaths which constituted an important preventable fraction of infant mortality. The state will support health professionals in reducing the number of hospitalizations and deaths due to diarrheal complications, Governor Lawton Chiles announced in September 1991, and the Florida Department of Health and Rehabilitative Services is being awarded a $100,000 grant from the Centers for Disease Control for a three-year study on the effectiveness and utilization of oral rehydration therapy. During the last 20 years, a worldwide experience has developed indicating that sodium-glucose cotransport is preserved in both secretory diarrhea (cholera) and diarrhea produced by loss of surface area. This experience indicates that almost no one would die (adult or infant) if oral rehydration solutions and someone with knowledge in their use were readily available. This presentation has three objectives: (1) increase physicians' awareness regarding the state's oral rehydration therapy project; (2) provide a ready practical guide for those using oral rehydration therapy; and (3) promote use of the therapy as treatment for infantile dehydration rather than the more expensive intravenous therapy.

Child, Preschool↗
PubMed1992

Florida's response to the Physician's National Cholesterol Education Program.

To assess the impact of the National Cholesterol Education Program (NCEP) guidelines, the 7,347 primary care members of the Florida Medical Association received a confidential mailed questionnaire. A follow-up survey polling 5% of the nonresponders validated the initial observations. Of the 1,909 analyzed returns, 96% of the physicians' responses indicated that they believed cholesterol is an important factor in preventing atherosclerosis. However, responses to other questions were far less uniform. For example, 92% of general internists (n = 495) reported being aware of the NCEP guidelines versus 98% of cardiologists (n = 212) (p less than .01) and only 78.7% of OB/GYN specialists (n = 218) (p less than .0001). While 88.2% of general internists responded that the guidelines were relevant in treating their patients, 80.2% of OB/GYN physicians answered likewise (p less than .03). Moreover, only 54% of OB/GYN specialists reported routinely measuring serum cholesterol in their patients compared to 96.7% of general internists (p less than .0001). Most Florida primary care physicians are aware of the NCEP guidelines; however, the impact varies widely among practitioners.

Arteriosclerosis↗
PubMed2004

Culex (Culex) declarator, a mosquito species new to Florida.

One specimen of a mosquito new to Florida, Culex declarator, was first found in 1998 in Indian River County. A 2nd specimen was collected in 2002. Beginning in September 2003, Cx. declarator adults were regularly encountered in routine mosquito surveillance sampling, with more than 300 specimens appearing in 45 collections. Prior to our find, the U.S. distrubution was thought to be restricted to south Texas. The full extent of this species' distribution in Florida has yet to be determined.

Animals↗
PubMed2005

Congenital pulmonary tuberculosis associated with maternal cerebral tuberculosis--Florida, 2002.

In 2002, congenital tuberculosis (TB), a rare disease with nonspecific signs and symptoms, was diagnosed in an infant in Florida. If untreated, congenital TB is fatal, which underscores the importance of suspecting congenital TB in newborns and infants who are at risk and who have unexplained febrile illnesses. This report summarizes the investigation of the case in Florida. Health-care practitioners should administer a tuberculin skin test to women who have risks for Mycobacterium tuberculosis infection and treat those who have latent TB infection (LTBI) to prevent maternal and congenital TB disease.

Adult↗
PubMed2005

Outbreaks of Escherichia coli O157:H7 associated with petting zoos--North Carolina, Florida, and Arizona, 2004 and 2005.

During 2004-2005, three outbreaks of Escherichia coli O157:H7 infections occurred among agricultural fair, festival, and petting zoo visitors in North Carolina, Florida, and Arizona. One hundred eight cases, including 15 cases of hemolytic uremic syndrome (HUS), were reported in the North Carolina outbreak; 63 cases, including seven HUS cases, were reported in the Florida outbreak; and two cases were reported in Arizona. No fatalities occurred. Illnesses primarily affected children who visited petting zoos at these events. This report summarizes findings from these outbreak investigations, which indicated the need for adequate control measures to reduce zoonotic transmission of E. coli O157:H7.

Adolescent↗
PubMed2005

South Florida: a national microcosm of diversity and health disparities.

South Florida is a microcosm of diversity that reflects a changing national population. The purpose of this paper is to examine some common health status indicators in the four counties that comprise South Florida. The researchers look at birthweight, neonatal and infant death rates, receipt of prenatal care, major causes of death, availability of health care facilities and services, and expenditures for health. Data indicate that, of the four counties, the most affluent has the worst health indicators, and the least affluent--with the highest proportion of minority residents--has some of the best health status indicators. The researchers provide implications for practitioners and future research.

Adolescent↗
PubMed1991

Human T-cell lymphotropic virus infection among blood donors in south Florida. The Transfusion Safety Study Group.

Knowledge of the epidemiologic pattern of human T-lymphotropic virus (HTLV) in the United States is being enlarged by blood donor screening. We tested stored sera from 29,937 donations made in South Florida in 1984-1985. Twenty-three donors were confirmed as seropositive, a prevalence of 0.8 per 1,000 donations. Specificity was supported by serologic retesting and virus culture of 11 donors located for follow-up. Sex- and age-specific prevalences did not differ significantly; blacks, however, accounted for 65% of seropositive donations. Within South Florida, one section of Miami had a prevalence of 4.5 per 1,000 donations, significantly above the 0.1 to 1.1 per 1,000 rates for other parts. An epidemiologic association with known HTLV-I endemic areas could account for most infections; all seven typed isolates were characterized as HTLV-I. Exposures, however, were diverse, sometimes multiple, and had no necessary relationship to personal lifestyle. This finding suggests that sources of infection were varied. Seropositive family members emphasize familial clustering of HTLV-I infection.

Adult↗
PubMed1991

A review of current salt marsh management issues in Florida.

For the past decade, salt marsh management in Florida has been a central issue in attempts to reconcile mosquito control and natural resource interests. Progress has been made in trying to maintain effective mosquito control while protecting and enhancing salt marsh resources primarily due to: 1) efforts by the Florida Coordinating Council on Mosquito Control and its Subcommittee on Managed Marshes, which are committees comprised of agencies responsible for wetlands resources, those mandated to provide mosquito control, and research institutions; and 2) funding of research to investigate ecosystem effects of marsh management techniques. Research and management experience have demonstrated that Rotational Impoundment Management (RIM) and rotary ditching can provide ecologically sound source reduction benefits. Salt marsh ownership, management of state lands and mariculture remain controversial salt marsh management issues.

Animals↗
PubMed2006

Botulism associated with commercial carrot juice--Georgia and Florida, September 2006.

On September 8, 2006, the Georgia Division of Public Health (GDPH) and CDC were notified of three suspected cases of foodborne botulism in Washington County, Georgia. On September 25, the Florida Department of Health and CDC were notified of an additional suspected case in Tampa, Florida. This report describes the joint investigation and control measures undertaken by state and local health departments, CDC, and the Food and Drug Administration (FDA).

Beverages↗
PubMed1991

Eastern equine encephalitis--Florida, eastern United States, 1991.

The Florida Department of Health and Rehabilitative Services (HRS) has confirmed five human cases of eastern equine encephalitis (EEE) in elderly residents of Bradford, Duval, and Washington counties in northern Florida. Dates of illness onset were in mid-June and early July. One patient partially recovered and has residual neurologic deficits, two patients remain comatose, and two patients died.(ABSTRACT TRUNCATED AT 250 WORDS)

Aged↗
PubMed1991

Cholera--New Jersey and Florida.

Through April 30, 1991, epidemic cholera has been reported from five countries in South America: Brazil, Chile, Colombia, Ecuador, and Peru. In addition, in the United States a total of 10 confirmed cases of epidemic-associated cholera have been reported in Georgia, New Jersey, and Florida. This report summarizes information regarding the cases reported in New Jersey and Florida.

Cholera↗
PubMed1991

Epidemic early syphilis--Escambia County, Florida, 1987 and July 1989-June 1990.

In Escambia County, Florida, the average number of early syphilis cases reported per quarter increased from 15 in 1987 to 75 in 1990 (Figure 1). To identify potential reasons for this epidemic, the Florida Department of Health and Rehabilitative Services and CDC used patient interview records to compare characteristics of patients with syphilis diagnosed before and during the epidemic. This report summarizes the characteristics of 82 patients diagnosed and treated from January through December 1987 (the preepidemic period) and 256 patients diagnosed and treated from July 1989 through June 1990 (the epidemic period).

Adult↗
PubMed1991

Acquired immunodeficiency syndrome--Dade County, Florida, 1981-1990.

In the United States, the impact of the epidemic of acquired immunodeficiency syndrome (AIDS) has been most substantial in urban areas. In addition, AIDS has differentially affected racial/ethnic minority groups. This report characterizes the epidemiology of AIDS through 1990 in Dade County (which includes incorporated Miami), Florida (1990 population: 1,937 million), an urban area with a diversity of racial/ethnic groups and cultures. The findings in this report are based on surveillance data from CDC's AIDS Public Information Data Set and from the Florida Department of Health and Rehabilitative Services' (HRS) AIDS Program.

Acquired Immunodeficiency Syndrome↗
PubMedDate not supplied

Clinical and epidemiological features of sporadic infections with Vibrio fluvialis in Florida, USA.

The clinical and epidemiological features of sporadic illness were investigated in 12 persons from whom Vibrio fluvialis was recovered and who were reported to the Florida Department of Health and Rehabilitative Services between 1982 and 1988. All 12 patients lived in Florida and denied any recent travel out of the state prior to the onset of their illness. V. fluvialis was recovered from the stools of 10 patients who presented clinically with gastroenteritis, from a wound in one patient, and from a caecostomy drainage specimen in one patient. Eight of the 10 patients with gastroenteritis reported eating seafood during the week before becoming ill: raw oysters (five patients), shrimp (two patients), and cooked fish (one patient). This represents the largest clinical series of V. fluvialis cases described in the United States.

Female↗
PubMed1990

Use of an enzyme-linked immunosorbent assay to estimate prevalence of paratuberculosis in cattle of Florida.

A survey was conducted from 1986 through 1987, for which an ELISA was used to obtain information on the prevalence of Mycobacterium paratuberculosis infection in cattle of Florida. Results revealed prevalence of 8.6% in beef cattle and 17.1% in dairy cattle. In beef and dairy cattle, prevalence increased with increasing herd size. It was concluded that ELISA-detectable circulating antibodies to M paratuberculosis are widespread in cattle of Florida.

Animals↗
PubMed1990

Road to a smoke-free fire service for Florida: policies and progress.

In 1986 the Professional Fire Fighters of Florida (PFFF), a labor organization of 11,000 members, passed an unprecedented resolution to create a "smoke-free fire service." The PFFF's commitment arose from its (i) concern for the health of fire fighters, (ii) need to address the issue of smoking to protect the fire fighters' "Heart and Lung Law," and (iii) attempt to avert criticism of its proposed presumptive "Cancer Bill." In 1987 the PFFF gained support for its resolution from a council representing chiefs, fire instructors and inspectors, and volunteer fire fighters. Prior to the "smoke-free" resolution, one fire department in Florida required that new fire fighters be non-smokers. Since the resolution passed, 14 departments added this requirement. In 1989 the PFFF succeeded in getting a landmark bill passed requiring that new fire fighters be non-users of tobacco for at least one year prior to application. Important implications of the PFFF's efforts to create a "smoke-free fire service" are also discussed.

Fires↗
PubMed1989

[Heart transplant: development and maturity of the program at the University of South Florida and the General Hospital of Tampa].

Cardiac transplantation has evolved from an experimental procedure to an accepted mode of therapy that prolongs life in patients with severe heart failure. The University of South Florida-Tampa General Hospital began performing cardiac transplantation for the treatment of end-stage cardiac disease in June 1985. Since then, 50 heart transplantations have been performed and 37 patients are alive and well. The one-year actuarial survival is 78% and the two-year actuarial survival is 72%. Multiple complications have been encountered, most notably rejection and infection. The recent approval of the USF/TGH program as a Medicare funded cardiac transplantation center is expected to greatly expand the number of potential recipients and will provide the residents of Florida, the Southeastern United States and the Caribbean with an additional health care resource.

Aftercare↗