Information for Health Care Providers
The Florida Department of Health in Santa Rosa County (FDOH-SCR) appreciates all the hard work and effort that you as our county's health care providers do for our community. On a daily basis you tirelessly diagnose, advise, treat, prescribe, refer and use your medical expertise to help the people of Santa Rosa County maintain good health.
This section of our website is designed to provide information and resources that will assist our county's health care providers in keeping our community healthy.
Fungal Meningitis Outbreak Due to Recalled Steroid
The Centers for Disease Control and Prevention (CDC) and the Food and Drug Administration (FDA) continue to work closely with state public health departments on a multistate investigation of fungal meningitis among patients who received an epidural or joint steroid injection. Some of these patients also suffered strokes that may have resulted from their infection. These cases are associated with a potentially contaminated steroid, preservative-free methylprednisolone acetate (80mg/ml) prepared by New England Compounding Center (NECC), located in Framingham, Massachusetts.
Fungus has been identified in specimens obtained from at least nine patients, one of whom also had Propionibacterium acnes, of unclear clinical significance, isolated from a post-mortem central nervous system specimen. In addition to an Aspergillus spp. isolated from a Tennessee patient, the fungus Exserohilum rostratum was identified in other patients, indicating the possibility of infections caused by multiple organisms. Fungal meningitis is not transmitted from person to person.
On September 26, 2012, the NECC voluntarily recalled the following three lots of methylprednisolone acetate (PF) 80mg/ml:
Methylprednisolone Acetate (PF) 80 mg/ml Injection, Lot #05212012@68, BUD 11/17/2012
Methylprednisolone Acetate (PF) 80 mg/ml Injection, Lot #06292012@26, BUD 12/26/2012
Methylprednisolone Acetate (PF) 80 mg/ml Injection, Lot #08102012@51, BUD 2/6/2013
All infections detected as of October 8 have occurred after injections with methylprednisolone acetate products from one of these lots. At this time, there is no evidence of infection related to other NECC products.
The Florida Department of Health and Centers for Disease Control are asking for your support by assuring that your patients who received injections between May 21 - September 28, 2012 are followed for symptoms. Patients who are symptomatic with meningitis symptoms should be referred to the ER for further evaluation.
For more information about the fungal meningitis outbreak, please visit the CDC's Guidance for Clinicians
One of the responsibilities of the FDOH-SRC is to investigate cases of communicable disease. The Florida Bureau of Epidemiology relies on local health departments, healthcare providers, laboratories and other public health professionals to notify them concerning the occurrence of reportable diseases. Without your help, trends cannot be accurately detected and monitored; unusual disease outbreaks could be missed which might delay public health disease control efforts.
To report an outbreak or unusual trend, please call the FDOH-SRC:
Hours: Monday - Friday from 8:00 am - 5:00 pm.
Phone: (850) 983-5200
Urgent after-hours reporting: (850) 418-5566
If you are unable to reach us and this is a public health emergency, please contact the Bureau of Epidemiology 24/7 at (850) 245-4401.
The Florida Department of Health's current List of Reportable Diseases (.pdf 72kb)
The above link and some of the other links on this page open documents that are in Portable Document Format (.pdf) and require Adobe Reader to view them. If you don't have the Reader, please click on the logo to install it.
Sentinel Physician Influenza Surveillance Program
The FDOH-SRC also needs physicians to help monitor outbreaks of influenza in our community. To learn more about this program and become a Santa Rosa County Sentinel Physician, contact the Epidemiology Department at (850) 983-5200 or download the Sentinel Physician Information Packet. (.pdf 1.7 MB)
2009 October Newsletter (.pdf - 393kb)
2010 January Newsletter (.pdf - 260kb)
2010 March Newsletter (.pdf - 299kb)
2011 January Newsletter (.pdf - 624kb)
2011 July Newsletter (.pdf - 743kb)
Medical Reserve Corps (MRC)
MRC volunteers include medical and public health professionals such as physicians, nurses, phar-macists, dentists, veterinarians, and epidemi-ologists. But you don't have to be a medical professional to volunteer. Other community members such as interpreters, chaplains, office workers, and legal advisors, can fill other vital support roles within the MRC.
To learn more about the Medical Reserve Corps, visit Medical Reserve Corps.
To become a member of the MRC - Santa Rosa unit, visit Florida Emergency Health Volunteer Registry or call the Santa Rosa County Health Department at 850-983-5200.
Other Helpful Resources
Epi Update - Data on selected notifiable diseases are published in this monthly report.
Florida CHARTS (Community Health Assessment Resource Tool Set)