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Concerning Surge in Leprosy in Florida Points to Potential Disease Establishment in Southeastern U.S.

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Recent revelations from the Graduate Medical Education/Advanced Dermatology and Cosmetic Surgery Consortium at Kansas City University have unveiled a disquieting escalation in leprosy cases in Florida. These findings are particularly concerning given that many of these cases do not present the typical risk factors.

Data from the U.S. Centers for Disease Control and Prevention (CDC) paints an even more alarming picture. The growing number of leprosy cases, combined with the declining diagnoses in foreign-born citizens, indicates a possible establishment of leprosy within the confines of the southeastern U.S. Given this possibility, experts suggest factoring in Florida visits when performing contact tracing for leprosy across the nation.

Hansen’s disease, widely known as leprosy, is a long-term infectious ailment instigated by Mycobacterium leprae. It predominantly damages the skin and peripheral nervous system. Though the U.S. witnessed its zenith in leprosy cases in 1983, followed by a significant plunge throughout the subsequent decades, there has been a recent and unsettling climb. Southeastern states, in particular, have documented a doubling of cases over the past ten years. The National Hansen’s Disease Program reported 159 fresh cases in 2020 alone, with Florida prominently on the list.

A staggering 81% of these cases emerged from Central Florida, contributing to nearly one-fifth of the national numbers. Breaking from older trends where leprosy was mainly diagnosed in immigrants from areas where the disease was rampant, recent data indicates that approximately 34% of the cases from 2015-2020 were locally contracted. This includes a particularly puzzling instance of a 54-year-old man in central Florida who exhibited no discernible risk factors.

The exact transmission pathways for leprosy remain a topic of debate among scientists. Though direct, sustained human-to-human contact via respiratory secretions is a widely accepted mode, recent revelations point to a potential animal connection. Many leprosy patients have been found to harbor the same distinctive strain of M. leprae as the regional nine-banded armadillos. Nonetheless, a significant number of diagnosed individuals in eastern U.S., including many in Central Florida, had no known contact with these creatures or any recent overseas travel.

These observations challenge previous theories, hinting that international movement may not be the sole reason for the disease’s spread. With the number of diagnoses in foreign-born individuals dropping since 2002, there’s growing evidence suggesting that Florida might be witnessing an endemic leprosy occurrence. Scientists are now pressing for deeper exploration into other indigenous transmission methods.

In the Sunshine State, leprosy is not just a health concern but a mandated reportable condition, closely monitored via passive surveillance. Medical professionals must promptly report any detected cases. Notably, many recent cases, such as the one involving the 54-year-old, did not display any conventional risk factors. This underscores the pressing need to probe into potential environmental reservoirs as alternative transmission sources.

Given this backdrop, experts are voicing their concerns that Central Florida might be on its way to becoming a hotbed for leprosy. Travelers to the region are now urged to be cautious, even if they don’t exhibit the typical risk indicators. Reinforcing the reporting protocols for local doctors and investing in research to unearth transmission pathways are the need of the hour, aimed at staunching the spread of this ancient affliction.

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Health

Reconstruction of Schneider Regional Medical Center Pegged at Over $700M and a Decade Long Journey

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he Schneider Regional Medical Center’s reconstruction in St. Thomas is poised to break the $700 million mark, shares Adrienne Octalien-Williams, the steward at the V.I. Office of Disaster Recovery. A recent discussion with the Public Finance Authority Board of Directors threw light on the steady progress of this massive undertaking.

Early in the year, the Territorial Hospital Redevelopment Team’s Executive Director of Facilities and Capital Development, Darryl Smalls, addressed the Senate Committee on Disaster Recovery, Infrastructure, and Planning. He expressed that the financial details for the revamped hospital would be ironed out by September. Validating this timeline, Mrs. Octalien-Williams recently assured the PFA board of the developments. “Our discussions with FEMA are in the final stages, working out the definite cost,” she articulated. She also revealed that preliminary strides in the architectural domain of the project have commenced.

The strategy, as outlined by the ODR head, revolves around refurbishing the medical center around its present blueprint. This approach involves leveraging ‘swing spaces’ to ensure an uninterrupted flow of operations. Post the construction of the new edifice, plans are to dismantle the old one. PFA Board’s Chair, Governor Albert Bryan Jr., drew attention to the scale of this endeavor. He juxtaposed it against a recent $40 million waterfront project that spanned three years. “We’re looking at a cost exponentially higher, nearly 20-fold. The real challenge here is amassing the requisite workforce,” he remarked, emphasizing the hurdles due to the current labor scarcity, especially for projects of such magnitude.

To circumvent this hurdle, ODR has crafted a strategy to amalgamate projects. The intent is to rope in bigger contracting entities, well-versed in steering hefty construction tasks worth millions, informed Octalien-Williams. She added a pertinent point — the punctual completion of the Schneider Regional Medical Center hinges on these firms’ prowess to amass a sizable workforce. Board member Dorothy Isaacs weighed in, speculating that the endeavor might span a decade from the groundbreaking ceremony to its inauguration.

Nonetheless, with a note of optimism, Octalien-Williams opined that should effective solutions to the workforce deficit emerge, the timeline could potentially be compacted to a window of five to seven years.

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Dr. D. Orlando Smith Hospital Announces Temporary Visitation Restriction for August 20, 2023

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ROAD TOWN, Tortola, USVI – Dr. D. Orlando Smith Hospital’s administration has informed the public of a temporary pause in visitation rights scheduled for Sunday, August 20, 2023. This decision has been taken in light of planned routine maintenance targeting the hospital’s critical high voltage systems.

This maintenance activity is essential to ensuring that the hospital’s power infrastructure remains both robust and reliable. Consequently, prospective visitors should note that the hospital premises will not be accessible for visitation purposes until after 2:00 PM on the specified date.

In an official statement, the hospital emphasized, “The welfare and safety of our patients, visitors, and staff stand as our top priority. We fully recognize the potential challenges this restriction may present and are grateful for the community’s understanding and patience. Our primary goal is to continuously improve our facility’s infrastructure to guarantee the pinnacle of patient care.”

Despite the brief hiatus in visitation rights, the hospital assures the community that all other services will be available as usual. There will be no disruption in patient care, medical procedures, or any other regular functions during the maintenance period.

The hospital authorities further added, “Our commitment is to ensure the seamless operation of our hospital systems, even if it occasionally means taking these essential preventive measures. We deeply regret any inconvenience this might cause to the community and thank everyone in advance for their understanding and cooperation during this time.”

This announcement serves as a reminder of the hospital’s ongoing dedication to providing the USVI community with top-tier medical services, always prioritizing safety and efficiency.

For up-to-date information on visitation rights and other related news, always refer to official releases from Dr. D. Orlando Smith Hospital or check with the USVI News website.

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USVI Launches Advanced System for Improved Patient Evacuation Management

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In a significant move to boost emergency response readiness, the V.I. Department of Health recently held a press event in partnership with disaster management professionals to unveil the newly developed Joint Patient Assessment and Tracking System (JPATS). This state-of-the-art system is primed to streamline and monitor patient evacuations under exigent circumstances.

VITEMA Director Daryl Jacschen reminisced about the shifts in disaster response after the devastating impacts of Hurricanes Irma and Maria in 2017. The dual Category Five storms delivered a hard-learned lesson to the territory. Jacschen explained that in the aftermath, the territory adopted strategic measures, culminating in Act 8151. This legislative move provided a framework for the evacuation and extended medical care of patients beyond the island’s shores. Elaborating on the broad-based collaboration that led to this, Jacschen mentioned, “It’s no longer just a legislative code; it’s an active plan now.” He recognized JPATS’s introduction, an initiative backed by U.S. Health and Human Services, as a pillar of that plan.

Jeannette Guzman, leading the patient evacuation initiative, shed light on the essence of patient tracking. Recounting her personal revelation after the 2017 hurricanes, Guzman confessed, “Only post-Irma and Maria did I genuinely fathom the intricacies of kidney disease and the challenge of sustaining life with scant treatment avenues.” She detailed the innovative barcode bracelet system intrinsic to JPATS, emphasizing, “Such an advancement amplifies our disaster-response aptitude, ensuring our community stays informed about the whereabouts of their kin in the aftermath of unforeseen calamities.” A comprehensive training program for this new setup is slated to kick off, with various health and emergency response stakeholders participating.

Health Commissioner Justa Encarnacion pointed out the regularity of patient transfers between healthcare facilities in the territory. “This practice of patient transfers is an integral aspect of our daily healthcare operations,” she remarked. However, the advent of JPATS, she accentuated, holds a profound significance, especially for high-risk individuals during emergencies—dialysis patients, elderly citizens, critically ill infants, and expectant mothers to name a few. Encarnacion stressed the three pillars that drive successful evacuations – effective communication, meticulous care, and utmost safety.

In essence, the integration of JPATS marks a transformative chapter for the Virgin Islands in the domain of disaster response. The emphasis is not only on utilizing advanced technology but also on the broader themes of foresight, cohesive efforts, and leveraging innovation to protect and serve the community. The enthusiasm and commitment resonated in the voices of the officials present at the JPATS announcement, reflecting their unwavering dedication to preserving the health and safety of the islands’ inhabitants.

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