All Health Advisories

AlertDateFile(s)

Vaping-associated Pulmonary Illness - Reporting Now Required

October 3, 2019 Advisory (PDF)  | Disease Reporting Form
The purpose of this health advisory is to inform clinicians that, effective immediately, and pursuant to 22 M.R.S. 802(1)(B), pulmonary disease associated with e-cigarette use is now temporarily added to the list of Notifiable Conditions that are required to be reported to Maine CDC. Summary: There has been an increase in the number of cases of significant lung illness related to e-cigarette use in Maine. As of Wednesday, October 2, four additional cases of lung illness related to e-cigarette use have been confirmed, bringing Maine's total to five cases. No deaths from this illness have been reported in Maine. Recommendations: Consider e-cigarette-associated illness with patients who present with respiratory illness of unclear etiology and who have vaped or dabbed within the past 90 days. Clinicians should ask about and document extent of use, type of instrument used, type of vaping liquid used (i.e. nicotine, THC), place of purchase, and if the patient still has the vaping liquid they used. Clinicians should also complete a respiratory viral panel and test for influenza to rule out a possible viral cause of illness. Reporting: Clinicians should report cases with onset on or after May 1, 2019, that meet the criteria of (1) significant respiratory illness of unclear etiology and (2) a history of vaping. All suspect cases should be reported by phone to Maine CDCs 24/7 disease reporting and consultation line at 1-800-821-5821 or by fax to 1-800-293-7534 using the Disease Reporting Form (attached). Attention: On October 9, 2019, Maine CDC will be hosting a live webinar to discuss pulmonary illness associated with e-cigarette use. More information to follow.

Influenza Arrives in Maine

September 27, 2019 Advisory (PDF) 
Influenza has officially arrived in Maine. Multiple Maine facilities reported influenza positive lab results in the last week, including a PCR confirmed case, which tested positive for influenza A and was typed at Maine's Health and Environmental Testing Lab (HETL) as influenza A/H3. This individual is an adult who was not hospitalized, was unvaccinated, and had recent travel history. The 2019-2020 influenza season officially begins on September 29, 2019. Individuals should NOT wait to get vaccinated as influenza is already present in the state. Both Influenza A and B strains are currently circulating nationally. The 2019-2020 quadrivalent influenza vaccine contains components of both A strains (H1 and H3) as well as two B strains (Yamagata and Victoria). Quadrivalent vaccine is recommended for optimal protection, however if only trivalent vaccine is available the recommendation is not to wait and obtain the vaccine as soon as possible.

"Start of Influenza Season" Conference Call Agenda

September 23, 2019 Agenda 
The agenda for the upcoming 2019 "Start of Influenza Season" conference call.

Maine Reports a Case of Lung Illness Related to E-Cigarette Use

September 20, 2019 Advisory (PDF) 
The purpose of this health advisory is to alert clinicians to the first case in Maine of severe pulmonary disease linked to e-cigarette product use, or "vaping". Clinicians should consider vaping-associated pulmonary illness in the evaluation of patients with significant respiratory illness and a history of vaping. Patients presenting with significant respiratory illness of unclear etiology should be asked about their use of vaping products. For patients who have used vaping products, clinicians should ask about the extent of use, the type of instrument used, the type of vaping liquid used, and the place of purchase. Patients should also be asked if they still have the vaping liquid they used. If so, Maine CDC can assist with arranging laboratory testing of the liquid. Reporting: Maine CDC asks that clinicians report cases that meet the criteria of (1) significant respiratory illness of unclear etiology and (2) a history of vaping. All suspect cases should be reported by phone to Maine CDC's 24/7 disease reporting and consultation line at 1-800-821-5821 or by fax to 1-800-293-7534 using the Disease Reporting Form.

Eastern Equine Encephalitis Positive Horse

September 3, 2019 Advisory (PDF) 
The purpose of this health advisory is to alert clinicians to the potential for human Eastern Equine Encephalitis (EEE) disease activity in Maine and to consider testing for EEE in patients presenting with unexplained encephalitis, meningitis or high fever (100.4F or 38C) during the summer and early fall. Maine Department of Agriculture, Conservation, and Forestry notified Maine CDC of a case of Eastern Equine Encephalitis (EEE) in a horse from York County late Friday August 30th. The Animal Health Diagnostic Center at Cornell University in New York confirmed the EEE result in this horse. Maine has not detected EEE to date in mosquito collections. However, public health officials in other Northeast states have seen significant increases in EEE activity this year. Massachusetts has reported four human cases and one human death, as well as four animal deaths from EEE. New Hampshire has reported one animal death from EEE. Maine has not identified a human case of EEE since 2015. EEE is a rare, but potentially fatal arboviral disease. It is the most severe arboviral infection found in the United States. EEE virus is transmitted to humans through the bite of an infected mosquito. Signs and symptoms can include fever, headache, myalgias, vomiting, weakness, confusion, seizures, and memory loss. In more serious cases, the illness may progress to encephalitis, coma, and death. The case-fatality rate for infected individuals is approximately 33% and up to 50% for those who show symptoms. Most survivors are left with significant and long-term brain damage. Symptoms can begin anytime from four to ten days after the mosquito bite, and usually last one to two weeks. It is possible some people will not show any signs of EEE illness. There is no specific treatment, but people with severe EEE illness often need to be hospitalized.

Severe Pulmonary Disease Associated with Using E-Cigarette Products

August 30, 2019 Advisory (PDF) 
In an ongoing effort to provide the most up-to-date information on respiratory illnesses related to e-cigarette use, the Maine Center for Disease Control and Prevention is sharing this advisory from the federal Centers for Disease Control and Prevention. There have been no confirmed cases of vaping-related respiratory illness in Maine as of Friday, August 30, 2019. Maine CDC continues to ask that clinicians report cases of severe pulmonary disease of unclear etiology and a history of e-cigarette product use within the past 90 days to Maine CDC's 24/7 disease reporting and consultation line at 1-800-821-5821 or by fax to 1-800-293-7534 using the Disease Reporting Form.

Vaping-associated Pulmonary Illness - Call for Cases

August 21, 2019 Advisory (PDF) 
The purpose of this health advisory is to alert clinicians to reports of severe pulmonary disease linked to e-cigarette product use, or "vaping". As of August 15, 2019, 94 possible cases of severe lung illness associated with vaping have been reported in 14 states since June 28, 2019. Clusters are occurring in multiple states, including Wisconsin, Illinois, California, Indiana and Minnesota, primarily among adolescents and young adults. Additional states have alerted federal CDC to possible (not confirmed) cases and investigations into these cases are ongoing. There is no conclusive evidence that an infectious disease is causing the illnesses. While some cases in each of the states are similar and appear to be linked to e-cigarette product use, more information is needed to determine the etiology. Clinicians should consider vaping-associated pulmonary illness in the evaluation of patients with significant respiratory illness and a history of vaping. Patients presenting with significant respiratory illness of unclear etiology should be asked about their use of vaping products. For patients who have used vaping products, clinicians should ask about the extent of use, the type of instrument used, the type of vaping liquid used, and the place of purchase. It is not yet known if similar cases are occurring in Maine.

Cases of Varicella (Chickenpox) Associated with the Portland Expo Center

August 3, 2019 Advisory (PDF) 
Maine CDC is aware of cases of varicella (chickenpox) in individuals who are staying at the Portland Expo Center. Varicella is a contagious viral disease that can spread easily to individuals who have not had varicella and have not gotten the varicella vaccine. There are several diseases that can cause a febrile rash in children, so Maine CDC encourages laboratory testing when assessing patients when possible. If diagnosed with varicella, patients may return to their congregate living setting if clinically stable and indicated by a provider. Individuals staying at the Portland Expo are already considered exposed. Providers should encourage patients to practice good hand and respiratory hygiene and stay away from non-immune individuals as much as possible.

Human Powassan Case

July 24, 2019 Advisory (PDF) 
The purpose of this health advisory is to alert clinicians to the potential for human Powassan encephalitis disease activity in Maine and to consider testing for Powassan in patients presenting with unexplained encephalitis, meningitis or high fever (100.4F or 38C) during the summer and early fall. Maine CDC was notified of a human case of Powassan encephalitis (POW) in a Maine resident who resides in southern Maine. The individual was symptomatic in late June and hospitalized. CDC Fort Collins confirmed the Powassan result in this individual. Powassan virus is transmitted to humans through the bite of an infected Ixodes tick. Signs and symptoms can include fever, headache, vomiting, weakness, confusion, seizures, and memory loss. Long-term neurologic problems may occur. Symptoms can begin anytime from one week to one month after the tick bite. There is no specific treatment, but people with severe Powassan virus illness often need to be hospitalized.

Increase in Legionellosis Cases - Greater Bangor Area, Penobscot County

July 12, 2019 Advisory (PDF) 
In the greater Bangor area, Penobscot County, Maine, physicians have reported 6 confirmed cases of legionellosis from November 2018 to the present. This is an increase from the 5-year median of 3.2 cases for Penobscot County. Cases range in age from over 50 to under 85 years old. Maine CDC is actively investigating the cases and has not identified a common exposure among cases. Health care providers should be aware of this increase in legionellosis cases and consider legionellosis in the differential diagnosis of any pneumonia case. Although urinary antigen assay is an adequate diagnostic test for Legionella, given the recent increase in number of cases, Maine CDC recommends respiratory specimen culture, particularly for patients who live in the greater Bangor area. Culture specimens can detect all species and serogroups of Legionella and may aide in exposure identification. Maine CDC requests Legionella isolates grown from respiratory specimens be sent to the Maine Health and Environmental Testing Laboratory (HETL) for further analysis.

Maine CDC Update on Portland Expo Operations

July 3, 2019  
Maine CDC continues to support the City of Portland in connection with asylum seekers residing at The Expo. The response has involved conducting health screenings, providing vaccinations, and offering assistance through the Women, Infants and Children (WIC) program.

Human Arbovirus Information for Healthcare Providers in Maine

July 2, 2019 Advisory (PDF) 
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 arboviral disease in patients presenting with unexplained encephalitis, meningitis or high fever (100.4F or 38C) during the summer and early fall. Arboviral diseases, including Eastern equine encephalitis (EEE), Jamestown Canyon virus (JCV), and West Nile virus (WNV), are serious infections that are transmitted by the bite of an infected mosquito. Maine reported a fatal case of JCV infection, a relatively rare arboviral disease carried by mosquitoes, in a resident in 2018. Additionally, Powassan virus is an arboviral disease transmitted by the bite of an infected tick. Maine identified zero cases of Powassan virus disease in residents during 2018. Although rare, these diseases have potentially severe and even fatal consequences for those who contract them.

Maine CDC Hepatitis A Update

June 28, 2019 Update (Doc) 
Maine Center for Disease Control and Prevention (Maine CDC) is providing this update on hepatitis A cases in the state in 2019. Providers or labs reported 24 cases of acute hepatitis A to date this year in Maine. Of these cases, six occurred last week and one case is currently under investigation in an out-of-state resident tested in Maine. Nine cases are linked to exposures at a restaurant in Caribou, and five cases are linked to an ongoing outbreak in New Hampshire. The remaining cases are sporadic.

Maine CDC Hepatitis A Update

June 21, 2019 Update (Doc) 
The Maine Center for Disease Control and Prevention (Maine CDC) has identified three additional cases of hepatitis A virus infection in Aroostook County since the last update on June 18, 2019. There is now a total of nine confirmed hepatitis A cases in Aroostook County since May 17, 2019. All nine cases are linked to exposures at a restaurant in Caribou. There is no ongoing risk to the public from eating at this restaurant, nor is there any ongoing risk to the public as a result of the original case.

Maine CDC Hepatitis A Update

June 18, 2019 Update (Doc) 
The Maine Center for Disease Control and Prevention (Maine CDC) has identified three additional cases of hepatitis A virus infection in Aroostook County over the past week. There are now six confirmed hepatitis A cases in Aroostook County since May 17, 2019. All six cases are linked to exposures at a restaurant in Caribou. There is no ongoing risk of hepatitis A to the public from eating at this restaurant.

Acute Hepatitis A Case in a Food Service Worker in Presque Isle, Maine

June 14, 2019 Advisory (PDF) 
Maine Center for Disease Control and Prevention (Maine CDC) identified additional cases of acute hepatitis A virus infection in Aroostook County. Close contacts at risk are already being notified. The only risk to the public identified by Maine CDC at this time involves a Presque Isle food service worker. The Presque Isle case served food and drink while infectious on May 26, 2019 and June 2, 2019. Maine CDC recommends the hepatitis A vaccine as post-exposure prophylaxis to anyone who ate or worked at the Mai Tai Restaurant in Presque Isle, Maine between 11:00am and 4:30pm on June 2, 2019. Exposed persons can receive post-exposure prophylaxis up to 14 days from exposure, after which the treatment is no longer effective. Anyone who visited the restaurant between 11:00am and 4:30pm on May 26, 2019 is outside the window for which prophylaxis is recommended, but they should watch for symptoms and seek medical attention should they develop symptoms. Health care providers are encouraged to remain vigilant for hepatitis A infection in persons with consistent symptoms. All cases of hepatitis are reportable in Maine. Providers with suspected cases should report them to Maine CDC at 1-800-821-5821.

Meningococcal Disease Case at Wiscasset Middle High School

June 12, 2019 Advisory (PDF) 
The Maine Center for Disease Control and Prevention (Maine CDC) is reporting a case of meningococcal disease in a student who attends Wiscasset Middle High School. Lab tests confirmed the case on June 11, 2019. Maine CDC has informed Wiscasset Middle High School as well as local medical facilities of the case, and is working with them to notify exposed individuals. The student attended two public events during their infectious period: the Wiscasset Middle High School Alumni Banquet on Saturday, June 1st and the Wiscasset Middle High School Graduation on Thursday, June 6th. There are no specific recommendations for students, staff, or visitors to the school, alumni banquet, or graduation. Most cases of meningococcal disease are sporadic, with fewer than 5% associated with secondary cases. Maine CDC is asking clinicians to be aware of potential exposures and increase surveillance for illness suggestive of meningococcal disease.

Maine CDC Health Update

June 11, 2019  

No new cases of Measles or Hepatitis A

June 5, 2019 Advisory (DOC) 

Health Risks from Browntail Moths

May 29, 2019 Advisory (PDF) 
The browntail moth is an invasive species of both forest and human health concern. Maine and Massachusetts are the only states in the U.S. experiencing problems with this moth. The tiny, microscopic hairs found on browntail moth caterpillars, shed skins, and cocoons can cause skin reactions.

Confirmed Measles Case in Maine

May 21, 2019 Advisory (PDF) 
Maine Center for Disease Control and Prevention is reporting the first case of measles in Maine this year. Maine CDC confirmed the case on May 20th, 2019. The case involves a school aged child from Somerset County. The child was vaccinated, did not have any serious complications, and is fully recovered from the disease. Maine CDC is working with the family and clinicians to identify exposed contacts and to assess contacts for evidence of immunity. Measles is a highly contagious respiratory illness caused by a virus. Maine clinicians are asked to encourage vaccination and increase surveillance for rash illness suggestive of measles to identify early potential cases and prevent the spread of disease in Maine.

Hepatitis A in Caribou Update

May 21, 2019  
On Friday, May 17, the Maine Center for Disease Control and Prevention (Maine CDC) alerted Mainers to a confirmed case of acute hepatitis A in a food worker in Caribou. The case was infectious and handled food at Burger Boy restaurant from April 24 to May 13. In response to this case, Maine CDC issued guidance for those who visited the restaurant during the infectious period, and for health providers in this area.

Acute Hepatitis A Case in a Food Service Worker in Caribou, Maine

May 17, 2019 Advisory (PDF) 
Maine Center for Disease Control and Prevention (Maine CDC) identified a case of acute hepatitis A virus infection in a Caribou, Maine food service worker. The case prepped food while infectious from April 24, 2019 thru May 13, 2019. A public health assessment of the employee's illness determined that restaurant patrons may be at risk for hepatitis A infection.

2019 Lyme and other Tickborne Disease Information

May 7, 2019 Advisory (PDF) 
Lyme disease is the most common vectorborne disease in Maine. Ticks are already out and we expect the number of Lyme disease cases to increase as the weather continues to get warmer. May is Lyme Disease Awareness Month in Maine and we want to encourage Mainers to use the "Tick Aware and Tick Alert" strategies to stay tick free.

Viral Hepatitis Awareness Month: Information for Clinicians

May 7, 2019 Advisory (PDF) 
May is Viral Hepatitis Awareness Month. Maine CDC urges clinicians to understand the burden of hepatitis B and C in Maine and to follow key recommendations for testing and prevention. All persons at risk for hepatitis B and C should be tested and those who are susceptible should be vaccinated for hepatitis A and hepatitis B.

MMR Guidance

May 3, 2019 Advisory (PDF) 
Over the past few weeks, multiple news outlets have reported on the MMR vaccine, previous vaccine recommendations, and the potential for some adults to need additional doses of MMR vaccine. This HAN message contains the most current MMR vaccine recommendations from the federal Centers for Disease Control and Prevention (CDC).

Influenza-Associated Pediatric Death

April 9, 2019 Advisory (PDF) 
Maine CDC received notification of an influenza-associated pediatric death on Monday, April 8, 2019.

Influenza Season Continues with Widespread Activity in Maine

April 4, 2019 Advisory (PDF) 
Influenza activity remains elevated and widespread in Maine and throughout the United States.

Measles Exposure in Two Healthcare Offices in Maine

April 2, 2019 Advisory (PDF) 
On April 1, 2019 Maine CDC was notified of a confirmed case of measles in an out of state resident who visited two businesses in Maine while traveling in the state on Wednesday, March 27, 2019.

Rabies Positive Bat in Bangor Potentially Exposes Several Individuals

March 22, 2019 Advisory (PDF) 
Maine Center for Disease Control and Prevention is investigating the circumstances surrounding a rabid bat in the general area outside the Shaw House in Bangor on the weekend of March 16 and 17.

Confirmed Mumps Case in Maine

March 15, 2019 Advisory (PDF) 
Maine CDC is investigating a confirmed case of mumps in an unvaccinated student in York County.

Measles Recommendations and Current Situation in Maine

March 8, 2019 Advisory (PDF) 
The purpose of this advisory is to provide health care providers with the most current information on measles prevention and assessment of suspect cases, should they arise.

Widespread Influenza Activity in Maine

January 30, 2019 Advisory (PDF) 
Influenza activity in Maine is now widespread with providers reporting laboratory confirmed influenza in all sixteen counties.

Confirmed Hepatitis A Case in an Individual Who Stayed in Portland Shelters

October 29, 2018 Alert (PDF)  | Fact Sheet (PDF)
Maine CDC offers free vaccines to those at highest risk as a precaution following confirmed hepatitis A case in Portland shelter.

Maintaining Vigilance for Acute Flaccid Myelitis Cases

October 25, 2018 Advisory (PDF) 
Maine CDC advises clinicians to maintain vigilance for AFM and report patients who meet clinical criteria for AFM to the Maine CDC.

Pertussis Update in Maine

October 24, 2018 Advisory (PDF) 
Maine sees increase in pertussis cases in York and Waldo counties, and an increase in infant cases.

Early Start to Influenza Season in Maine

September 7, 2018 Advisory (PDF) 
Influenza has officially arrived early in Maine. Individuals should not wait to get vaccinated.

Dramatic Increases in Cases of Syphilis and Gonorrhea

September 5, 2018 Advisory (PDF) 
Maine CDC recommends screening for all at-risk people and appropriate treatment for infected individuals as cases continue to rise.