The federal government may soon ask states to notify them when doctors or epidemiologists identify infections caused by a common bacteria that can cause severe illness in the very young and was at the center of last year’s baby formula crisis.
A working group convened by the Council of State and Territorial Epidemiologists, which advises the federal government on disease surveillance, is expected to recommend that the Centers for Disease Control and Prevention require states to track and report cases of. As they do with salmonella and more than 100 other pathogens, state and local health departments would be required to notify documented cases to the CDC so the bacteria can be tracked nationally.
“Any time we have a large-scale national outbreak or a multi-jurisdictional outbreak, that is something that warrants additional review,” said CSTE executive director Janet Hamilton. “Every time we run into these kinds of scenarios it’s worthwhile to do a review. Public health surveillance evolves over time.”
She had several caveats: The recommendation would not come with funding, so “we have to look at the realities around resources,” she said. And it might not immediately be added to states’ rules, with many states operating for a while under their current regulations. Newborns, premature infants and immunocompromised babies are more at risk of becoming very sick from the bacteria, and it is more prevalent in powdered formula than in sterile liquid formula, facts that are sometimes insufficiently conveyed by doctors, nurses or formula manufacturers.
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