Maine Medicine Weekly Update - 05/06/2019  (Plain Text Version)

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In this issue:
IN THE SPOTLIGHT
•  MMA and Leading Medical Associations Hail Ruling in Maine Case Over Medication Assisted Treatment in Jail
•  Eat, Sleep, Console Update
•  Tick Aware and Tick Alert - May is Lyme Disease Awareness Month in Maine
•  Trump Administration Reveals New Refusal Options for Healthcare Personnel
•  Alfond Leaders Program Seeking More Applicants for Student Debt Relief - Applications Being Accepted Through May 15
•  Federal Judge Agrees with AMA, Strikes Down Gag Rule
•  This Week's Public Health Updates from the AMA
•  Experts Fear Rising Number of Unvaccinated Children Will Lead to More Measles Outbreaks
•  Free MAT Training at CMMC June 1
•  Lawrence B. Mutty, M.D., M.P.H., 1934-2019; MMA President 2004-2005
129th MAINE LEGISLATURE
•  MMA Legislative Call Tuesday, May 7th
•  Vaccine Vote Drama and Other State House Highlights of the Week
UPCOMING EVENTS
•  Upcoming Specialty Society Meetings
•  Cumberland County Physicians: Join the MMA at the Foreside Tavern in Falmouth on Thursday, May 16
•  Treatment & Prevention of Medical & Mental Health Emergencies -Substances & Gun Violence -May 17 & 18
•  Quality Counts: Rapid Induction Starting in the ED (RISE) Training, Webinars, ECHO Program
•  "Trust Me, I’m a (Certified) Doctor: Innovations and Improvements in Maintenance of Certification” - Thursday, May 23
•  MICIS 2019 Clinical and Legal Opioid Update - May 29 in Brewer, June 5 in Augusta
•  MaineGeneral Xwaiver Training for Staff - June 3
•  The Maine Concussion Management Initiative Will Be Offering Training Programs – June 21 and October 29
•  Assessing and Managing Non-Suicidal Self-Injury and Suicide Risk in Healthcare Settings - 3 Hour CME Training for Healthcare Professionals at MMA on Friday, June 21, 2019
•  2019 Mary Cushman, MD Award for Exceptional Humanitarian Service as a Medical Volunteer
•  Maine Independent Clinical Information Service 2019 Presentations
HEALTHCARE EMPLOYMENT OPPORTUNITIES
•  BC/BE Family Medicine or Internal Medicine Physician
•  BC/BE Family Medicine Physician or Experienced Family Nurse Practitioner
•  Gastroenterology Lead Physician - Bangor, Maine
•  Physician for Maine Maritime Academy Summer Training Cruise
•  Internal Medicine Outpatient Physician
•  Mid Coast Maine - Adult Psychiatrist and/ Psychiatric NP/PA Opportunity
•  Family Medicine Opportunity in Beautiful Western Maine
•  PCHC in need of Pediatrician for Brand New Pediatric Center!
•  Outpatient Internal Medicine Physician – Bangor, Maine
VOLUNTEER OPPORTUNITIES
•  Opportunities at the VA for Volunteer Physicians
•  Volunteer Opportunity with Partners for World Health

 

Tick Aware and Tick Alert - May is Lyme Disease Awareness Month in Maine

Lyme disease remains the most common tickborne disease in Maine.  Providers reported over 1,400 cases in 2018 (preliminary data as of 3/25/19). While ticks can be active at any temperature above freezing, they are most active in warmer months. May is Lyme Disease Awareness Month in Maine, and the Maine Center for Disease Control and Prevention (Maine CDC) is asking health care providers to help stress the importance of tick education.

 

Lyme disease remains the most common tickborne disease in Maine.  Providers reported over 1,400 cases in 2018 (preliminary data as of 3/25/19). While ticks can be active at any temperature above freezing, they are most active in warmer months. May is Lyme Disease Awareness Month in Maine, and the Maine Center for Disease Control and Prevention (Maine CDC) is asking health care providers to help stress the importance of tick education. Specifically, please encourage patients to be “Tick Aware and Tick Alert” when spending time outdoors.  This includes:
  1. Using caution in areas where ticks may be found;
  2. Wearing light-colored clothing that covers arms and legs;
  3. Using EPA approved repellents; and
  4. Performing daily tick checks after being outdoors on themselves and any pets.  Taking a shower after exposure to a tick habitat is an effective way to wash off any unattached ticks and provides a good opportunity to do a tick check.

Important to Remember

  • Lyme disease is preventable by avoiding contact with infected ticks and tick infested areas.
  • Lyme disease is caused by the bacteria Borrelia burgdorferi, which is transmitted through the bite of an infected deer tick (Ixodes scapularis). The tick must be attached to an individual for 24-48 hours before the bacteria that causes Lyme disease can be transmitted.
  • The most common early symptom of Lyme disease is an erythema migrans (EM), a “bull’s eye” rash that appears 3-30 days after transmission (seen in about 60 to 80 percent of cases nationwide). Other early symptoms include: fatigue, fever, headaches, arthralgia, and myalgia.
  • Disseminated symptoms include: arthritis including joint swelling, Bell’s palsy and other cranial neuritis, encephalitis, lymphocytic meningitis, radiculoneuropathy, and second- or third-degree atrioventricular block.
  • Antibiotic therapy is effective for the treatment of Lyme disease.  Clinical treatment guidelines are available at the Infectious Diseases Society of America (IDSA)’s website.

Lyme disease is not the only disease that can result from a bite by Ixodes scapularis. Anaplasmosis, babesiosis, Borrelia miyamotoi, and Powassan are other tickborne infections found in Maine. In 2018, the number of human anaplasmosis cases decreased to 477, the number of human babesiosis cases decreased to 101, the number of human cases of Borrelia miyamotoi increased to 8, and there were zero identified cases of Powassan (preliminary data as of 3/25/19).   The decrease in cases is likely the result of the hot and dry summer Maine experienced and should not be taken as an indication that the threat of tickborne diseases is diminishing.  The majority of tickborne illnesses occur during the summer months when ticks and humans are active outdoors. 

Thank you for your invaluable help in the prevention and early identification of tickborne diseases here in Maine.

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