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TB-LBTI                                                           1(confirmed)
                   Zika virus infection                                           2(revoked)

                   COMMUNICABLE DISEASE FOLLOW-UP YEAR END TOTAL      23

                       ·  Tick-borne  infections  (Anaplasmosis,  Babesiosis,  and  Ehrlichiosis)  totaled
                          thirteen.10  were  revoked  as  they  did  not  meet  the  clinical  definition  for  the
                          infection.
                       ·   Enteric infections included Campylobacter and Salmonella which were seven in
                          2016. All were separate instances and no cluster found..
                       ·  Lyme – follow-up is conducted by the providers. There were 35 total cases. Of
                          these, one was confirmed, 34 were suspect. VNA nurse continues to monitor these
                          numbers for clustering and trends.
                       ·  Influenza – As of this report, there are seven confirmed cases of influenza from
                          October 2016 through December 31, 2016.
                       ·  Mumps – One case reported..  Remains suspect.
                       ·  Chronic  Hepatitis  C  (three  cases-1  confirmed  2  probable)  and  Chronic
                          Hepatitis  A:one  suspect  case.  Cases  received  follow-up  by  physicians.  There
                          were no acute cases of Hepatitis B this year.

                       ·  FALL PREVENTION

                   VNA Care and the Boxford fire department presented a fire and fall prevention program
                   in the spring at the Council on Aging. It was a train the trainer program with 2 individuals
                   being  trained  from  the  senior  center.  There  was  no  cost  to  the  Town  for  program
                   implementation. Feedback was  highly  positive.   VNA would  be happy to provide this
                   program in 2017, at the Boxford COA and/or the fire department as previous.

                                                        PUBLICITY
                   The clinics  are  advertised on  an  on-going  basis  in  the  Salem  Evening  News,  Tri-town
                   Transcript, Lawrence Eagle Tribune, Boston Globe North Weekly Section, and Boxford
                   Council  on  Aging  Newsletter.    Information  is  also  dispersed  at  Health  Fairs  and  in
                   internal  publications  such  as  patient  admission  folders,  which  allows  for  additional
                   referral  sources.    Flyers  are also  posted at  individual  clinic  sites.  Clinic schedules  are
                   listed on our agency web site www.vnacare.org.


                   Also,  N.  Faith  Theokas  has  retired  her  per  diem  position  with  the  VNA  and  we  have
                   replaced her with Karen Fletcher, who has extensive experience in community nursing.

                   Submitted by:
                   Beverly Salate RN, BSN
                   VNA Care Network
                   Director, Preventative Health
                   199 Rosewood Drive
                   Danvers, MA  01923
                   1-888-663-3688 ext. 5603
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