Date Sent: 08/28/2015 10:14 AM EDT
Sender: Michigan Health Alert Network
Subject: CDC Notice to Clinicians and Health Departments re Acute Flaccid Myelitis
Message: The Centers for Disease Control and Prevention (CDC) has continued to receive sporadic reports of acute flaccid myelitis (AFM) since the fall of 2014. The apparent increase in AFM cases that began in August 2014 coincided with a national outbreak of severe respiratory illness among children caused by enterovirus-D68 (EV-D68). Despite this close association in timing between the EV-D68 outbreak and the increase in AFM cases, an etiology for the 2014 AFM cases was not determined. It is unclear if an increase could occur again this fall, coinciding with enterovirus season. This year CDC is emphasizing the importance of continued vigilance by clinicians for cases of AFM among all age groups, irrespective of enterovirus status - see attached CDC notification with the new case definition for AFM. Reporting of cases will help states and CDC monitor potential increases in this illness and better understand potential causes, risk factors, and preventive measures or therapies.
Clinicians treating patients who meet the AFM case definition may report them to the Michigan Department of Health and Human Services (MDHHS) by completing the attached 2015 AFM patient summary form. MDHHS will forward any patient summary forms received to the respective LHD and CDC. If clinicians have specimens from AFM patients to be tested, instructions regarding specimen collection can be found athttp://www.cdc.gov/ncird/investigation/viral/specimen-collection.html. Clinicians are asked to speak to a subject matter expert (SME) at MDHHS (517-335-8165; office hours 8:00am-5:00pm) prior to submission of specimens for testing to the MDHHS Bureau of Laboratories (BOL) and CDC. The completed patient summary form may be faxed to MDHHS at 517-335-8263. After approval for testing by the MDHHS SME, specimens may be submitted to BOL with the completed MDHHS BOL and CDC lab requisitions forms (links to requisition forms are found on the cover sheet of the patient summary form).
Current AFM forms and guidance will be posted to the MDHHS CDInfo website: www.michigan.gov/cdinfo.