Physicians should also be aware that testing of hospitalized patients at the State Laboratory of Public Health (SLPH) will now be available only for those patients who are admitted to the intensive care unit. SLPH will continue to conduct testing for a sample of patients seen by providers in the Sentinel Provider Network and for patients who die with influenza-like illness but have no laboratory confirmation of influenza. Testing at SLPH will also be considered for other situations of public health importance with local health department approval. Testing can be requested through private or hospital-affiliated laboratories if needed for clinical management.
Read the temporary order at: http://www.epi.state.nc.us/epi/gcdc/pdf/TempOrderAdultFluDeathReporting.pdf. You may also want to visit http://www.flu.nc.gov/, where you will find a clinician algorithm and memo to clinicians revised to reflect these changes. Questions concerning the temporary order may be directed to Medical Epidemiologist Zach Moore, MD, at the North Carolina Division of Public Health at firstname.lastname@example.org.
In addition, Dr. Moore, at the request of State Health Director Jeffrey Engel, MD, is asking physicians to read a special email from the CDC asking physicians to be on the lookout for possible “hemorrhagic pneumonia” cases. Read the email at http://www.ncmedsoc.org/.