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U.S. CDC: Important Updates on Outbreak of Fungal Meningitis in U.S. Patients Who Underwent Surgical Procedures under Epidural Anesthesia in Matamoros, Mexico

The United States Centers for Disease Control and Prevention (U.S. CDC) is issuing this Health Alert Network (HAN) Health Update to supplement the U.S. CDC HAN Health Advisory issued on May 17, 2023. This Health Update provides updates on the status of the ongoing fungal meningitis outbreak and highlights interim recommendations for diagnosis and treatment.

Canadian Wildfires Prompts Air Quality Advisory for Maine

24-hour particle pollution concentrations are expected to reach Moderate levels Tuesday late afternoon into Wednesday according to the Maine Department of Environmental Protection (DEP). Several fires have been burning for more than a day in Nova Scotia. The smoke has moved into the Gulf of Maine where winds from a small High-Pressure system combined with an afternoon sea breeze are expected to bring the smoke ashore in Maine during the afternoon to evening hours. The plume of smoke is expected to move inland overnight.

COVID-19 Testing, Vaccines, Treatment, Reporting, Guidance, and Resources

COVID-19 infections, hospitalizations, and deaths have decreased substantially in recent months. SARS-CoV-2, the virus that causes COVID-19, continues to circulate worldwide and new variants are expected to continue to appear. Vaccines continue to provide the best protection against infection and severe illness. Medications that reduce progression to severe disease are widely available for people at highest risk for severe disease. The U.S.

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.

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