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2016 BOXFORD COMMUNICABLE DISEASE FOLLOW-UP

Boxford Board of Health staff and VNA Care nurses use MDPH’s MAVEN
(Massachusetts Virtual Epidemiological Network) a secure web-based surveillance
system for infectious disease investigation, case management and follow-up.

Overall, the number of communicable disease infections requiring LBOH follow-up was
23 confirmed, 4 probable, 38 suspect and 14 cases were revoked. The VNA did the
appropriate follow up on all these cases (79 cases). All the cases listed in attachment A
were monitored by the VNA until follow up complete or revoked by DPH. Case
investigations and relevant follow-up are conducted per MDPH protocol. As in previous
years, physicians are responsible for follow-up for Chronic Hepatitis B, Chronic Hepatitis
C, Influenza and Lyme. This was previously done by the LBOH, and these cases are
acknowledged through the MAVEN system.

Beverly Salate and Joan Fitzpatrick attended many programs sponsored by MAVEN in
relation to communicable disease. MAVEN sponsored monthly webinar programs, which
can be accessed at any time in their archived section.

st
Joan Fitzpatrick attended a two day training course in Jamaica Plain at DPH on June 1
nd
and 2 on Epi-Ready Team Training Foodborne Illness Response.

Infections Number
Ehrlichiosis & Anaplasmosis 4 (all revoked)
Babesiosis 9 (2 confirmed, 6 revoked)
Campylobacter 6 (all confirmed)
Salmonella 1 (all confirmed)
Cryptosporidiosis 0
Pertussis 0
Legionellosis 0
Viral Meningitis 0
Varicella 0
Ehrlichiosis 0
Gardiasis 2 (confirmed)
Group B Streptococcus 0
Hepatits A 1 (suspect)MD follow up
Hepatitis C 1(confirmed) 2 probable MD Follow up
Human Granulocytic Anaplasmosis 6(1confirmed/2 revoked/1 probable/2
suspect)
Influenza 7 (MD follow up)
Listeriosis 0
Lyme Disease 1 (confirmed) 34 (suspect) MD follow up
Measles 0
Mumps 1 (suspect)
Pertussis 0

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