HCC PARTNERS, PLEASE NOTE THE FOLLOWING: 
Intermedix is consolidating domains to enhance the speed and efficiency of their solution suite. As a result, the eICS, EMResource and EMTrack sites have moved. 
Please update your bookmarks to the new URLs/sites before March 1, 2017. For additional questions, please contact Kevin Chau at chauk@michigan.gov 

• https://eics.intermedix.com
• https://emresource.intermedix.com
  
• https://emtrack.intermedix.com

This 100-page report provides a summary of the 15 years of health studies by the FDNY (Fire Department of New York) World Trade Center (WTC) Health Program, and is the most comprehensive post-disaster health report ever released. It includes updated numbers and metrics demonstrating the effective utilization of the FDNY WTC Health Program funded by the National Institute of Occupational Safety and Health under the Zadroga Act of 2010, which was reauthorized in 2015. Chapter topics include Physical Health Assessment, Mental Health Assessment, and Participation in Physical and Mental Health Services Provided to WTC-Exposed Members.
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Researchers evaluated the performance of 5 Zika case definitions recommended by the Council of State and Territorial Epidemiologists, World Health Organization, Pan American Health Organization, European Centers for Disease Control, and the Singapore Ministry of Health. They utilized these definitions for Zika virus disease surveillance in a human cohort of 359 adult patients with suspected Zika virus disease during an outbreak in Singapore, August 26–September 5, 2016. Because laboratory tests are largely inaccessible, use of case definitions that include rash as a required clinical feature are useful in identifying this disease.
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When it comes to prevention, identification, and mitigation of public health crises states are at the forefront. These crises require a multi-sector state agency approach as often they disproportionally impact disadvantaged communities and are linked with challenging social determinants of health.
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Danielle Donovan and Tiffany Henderson, Bureau of Epidemiology, Michigan Department of Health and Human Services
Since late July 2016, 58 lab-confirmed cases of hepatitis A have been reported in four counties in Southeast Michigan.  This is about 10 times the number of cases that the City of Detroit, Macomb, Oakland, and Wayne Counties combined typically see between July and December months. The distribution of cases has been slanted towards males, contributing to 65.5% of the total cases.  The median age is 46.5 years, with an age range of 24–83 years. Many of the sick individuals have presented with severe illness. The overall hospitalization rate is over 87% and three deaths have been reported.  

​According to national surveillance data from the Centers for Disease Control and Prevention (CDC), the hospitalization rate for hepatitis A is 11-22%.  The Michigan Department of Health and Human Services (MDHHS), the Michigan Department of Agriculture and Rural Development (MDARD), and the CDC have been assisting the local health departments with their investigations.
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