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County report of hepatitis A response finds room for improvement



Closer coordination between county and city governments, better vaccine coverage for homeless and drug-using residents and more prompt use of volunteer nurses are among 21 recommendations included in a hepatitis A outbreak report released Thursday by the San Diego County Board of Supervisors.

Requested in January when the county board issues to the region's hepatitis A health emergency, the 200-page after-action report synthesizes the myriad aspects of the county health department's response to a 588 people and killed 20.

The new report presents one among many potential views of the local hepatitis response. The City of San Diego, which issued a report on the issue of the case-law, announced that it would conduct its own after-action report by Assemblyman Todd Gloria.

There is much to study in March 201

7, which was traced back in time to late 2016 and which has not technically ended, though the number of outbreak-linked cases

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Wilma Wooten, the county's public health officer, was released on Sept. 1, 2017, and, one day earlier, ordered San Diego to begin pressure-washing streets frequented by homeless residents.

At the time, some questioned Why did it happen that there was a problem with the burial of the sanitation work? The after-action report does not delve into the matter directly.

The report's first recommendation does call for the county to "enhance its use of incidental management structures to coordinate regional actions," and "for future outbreaks, to include a" In the early-summer months of 2017, the policy group "that includes" executive leadership from affected jurisdictions many were grumbling.

In a statement, Dianne Jacob, the county supervisor who first called for the examination, said she's satisfied.

"It spells out what I hoped it would have done better during the outbreak, "Jacob said. "There are always lessons learned in a crisis and it's critical that we learn from this one.

Craig Gustafson, a spokesman for San Diego Mayor Kevin Faulconer, What conciliatory while also The city's Office of Homeland Security now wants to perform its own after-action review of the hepatitis outbreak.

"The county report has several solid recommendations including the need for better regional coordination and collaboration," Gustafson said.

San Diego City Councilman David Alvarez, who has dealt with the worst-case scenario of treating the hepatitis outbreak response, said: "We have to deal with our county partners." , said in his own statement Thursday afternoon: "The Hepatitis A epidemic occurred because homelessness is a problem. This report makes it clear that the county does not get it. At the same time homelessness exploded in San Diego, the county on millions of dollars in reserves that were supposed to be used for mental health. San Diego is a must-have homelessness. "

Jacob quickly fired back:" Maybe Councilmember Alvarez should spend more time on ways to combat homelessness and affordable housing than sounding

Assemblyman Gloria, who recently asked the

Those who read the report will come away with an understanding that the county's outbreak-busting efforts were innovative and ultimately successful. [59196] Those 196 196 understanding 196 coun 196 coun coun coun coun coun coun coun 196 coun [19659002] Much ink is given to the health department's use of vaccination foot teams which, starting in May, began to send public health nurses p

At the peak of its vaccination efforts, between the vaccines

San Diego is home to the State's Medical Reserve Corps, a volunteer force of trained and certified health providers designed to help respond to large medical emergencies and public health threats.

Dr. Sayone Thihalolipavan, the county's public health officer, said that while some reserve corps nurses did not participate in county vaccination efforts, their numbers did not come up in the reserve registry.

Other states are not so strict and allow volunteer reserves to participate in and deliver outside of emergencies. Thihalolipavan said,.

"We underutilize them, given that they have a great deal of vaccination, internally, "he said.

No. 16 among the report's recommendations for the county to adopt a state-level policy.

Vaccination has come to an end as the public health effort has stopped community.

But public health experts have noted that they were all infected with HIV

Federal vaccination reports already counseling doctors to offer hepatitis A vaccines to gay men, drug users and those with liver disease, yet many in these high-risk groups (a hepatitis A vaccine) by a medical provider. "

At the moment, the US Centers for Disease Control and Prevention does not consider homelessness to be a specific indication for hepatitis A vaccination.

paul.sisson@sduniontribun e.com

(619) 293-1850

Twitter: @paulsisson


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