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Today: & High null°F / Low 66°F.--- Fri: Cloudy & High 76°F / Low 61°F.--- Sat: Showers & High 67°F / Low 53°F.--- Sun: & Beyond.... For more details?

Cloudy, and 76 ° F. For more details?

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Chance of Precipitation: Fri: % / Sat: % / Sun: %. For complete forecast details...

Today: & High null°F / Low 67°F.--- Fri: Cloudy & High 77°F / Low 62°F.--- Sat: AM Showers & High 68°F / Low 54°F.--- Sun: & Beyond.... For more details?

Zika virus infection during pregnancy is a cause of microcephaly and other severe fetal brain defects; however, the full spectrum of infant outcomes is not yet known. CDC has updated its interim guidance for U.S. healthcare providers caring for infants born to mothers with possible Zika virus infection during pregnancy. During this COCA Call, clinicians will learn about these updated interim clinical guidelines, which include evaluation and management recommendations. This information can help pediatric healthcare providers better understand the appropriate tests and clinical approaches for evaluating and managing infants, born to mothers in the United States and its territories, with laboratory evidence of Zika virus infection.

Sometimes, emergencies don’t wait for you to be ready. In 2015, the country of Georgia invited CDC to conduct a training on the principles of Crisis and Emergency Risk Communication (CERC). But before we could get there, the capital city of Tblisi was struck by a major flood. The flash flood and ensuing mudslide killed 20 people and covered much of the city in water and mud. There were news reports about the massive damage, human casualties, and even escaped zoo animals. Ready or not, responders had to jump in and communicate clearly about the emergency.

The Florida Department of Health (FL DOH) has identified an area with local mosquito-borne Zika virus transmission (active Zika virus transmission) in Miami (http://www.cdc.gov/zika/intheus/florida-update.html). Based on the earliest time of symptom onset and a maximal two-week incubation period for Zika virus, this guidance applies to women of reproductive age and their partners who live in or traveled to this area after June 15, 2016. This is an ongoing investigation, and CDC is rapidly learning more about the extent of active Zika virus transmission in the area identified by the FL DOH. With the recommendations below, CDC is applying existing guidance to the occurrence of Zika virus transmission in this area of Florida. As more information becomes available, we will update these recommendations.

The Florida Department of Health (FL DOH) has identified an area with local mosquito-borne Zika virus transmission (active Zika virus transmission) in Miami (http://www.cdc.gov/zika/intheus/florida-update.html). Based on the earliest time of symptom onset and a maximal two-week incubation period for Zika virus, this guidance applies to women of reproductive age and their partners who live in or traveled to this area after June 15, 2016. This is an ongoing investigation, and CDC is rapidly learning more about the extent of active Zika virus transmission in the area identified by the FL DOH. With the recommendations below, CDC is applying existing guidance to the occurrence of Zika virus transmission in this area of Florida. As more information becomes available, we will update these recommendations.

Countries need to be prepared to handle emergencies. Having the right laws in place is an important part of the preparation. When laws are not clearly defined, responders can have a hard time figuring out what to do during a public health emergency and who has the authority to take action. When a deadly disease outbreak hits, this can have devastating consequences.

School is out, and summer is a time for hanging out with family and friends, taking vacations and going away to camp. It is also the season for disasters like tornadoes (http://emergency.cdc.gov/disasters/tornadoes/index.asp), hurricanes (http://emergency.cdc.gov/disasters/hurricanes/index.asp) and wildfires (http://emergency.cdc.gov/disasters/wildfires/index.asp). Include your children in planning and preparing for emergencies to help keep them safe.

Antibiotic-resistant gonorrhea is a public health issue. CDC estimates there are more than 800,000 new gonorrhea infections each year. Left untreated, it can cause pelvic inflammatory disease in women, which can lead to serious reproductive complications including tubal infertility, ectopic pregnancy, and chronic pelvic pain. Prevention relies largely on prompt detection and effective antimicrobial treatment; however, treatment has been compromised by the evolution of antibiotic resistance to the antibiotics used to treat gonorrhea.

Although evidence supports short-term effectiveness of opioids to treat pain, there is insufficient data that long-term use of opioids effectively treats chronic pain. In fact, long-term use of opioids in high doses can contribute to opioid-use disorder and overdose. Therefore, long-term opioid therapy should only be used when the benefits outweigh the risks. During this COCA Call, presenters will explore a case study on how recommendations from the CDC Guideline for Prescribing Opioids for Chronic Pain were used to ascertain the associated benefits and risks when a patient with fibromyalgia was prescribed oxycodone following a motor vehicle crash.

Between 1999-2014, nonopioid treatments for chronic pain were used less frequently while the amount of opioids prescribed in the United States quadrupled. Unfortunately, long-term opioid use for chronic pain is associated with serious risks, including abuse, dependence, and overdose. In addition, there is insufficient evidence to determine whether pain relief, function, or quality of life improves with long-term opioid therapy. The CDC Guideline for Prescribing Opioids for Chronic Pain provides recommendations for safer and more effective prescribing of opioids for chronic pain in patients 18 years of age and older in outpatient settings outside of active cancer treatment, palliative care, and end-of-life care. During this COCA Call, a case study will be used to illustrate how clinicians can identify appropriate treatment strategies for chronic

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