CDC: Antibiotic resistance in foodborne germs an ongoing threat

According to the Centers for Disease Control and Prevention, there are an estimated 430,000 illnesses in the U.S. annually caused by antibiotic-resistant infections from foodborne germs.

CDC recently released data showing both progress and problems from the public health threat of antibiotic-resistant foodborne bacteria.

As part of foodborne disease outbreak response and surveillance in Wisconsin, the Wisconsin State Laboratory of Hygiene tests all Salmonella and Shigella bacteria isolates it receives from clinical laboratories for drug resistance. Campylobacter isolates are selectively screened.  All these bacteria are isolated from ill patients.

Antibiotic resistance profiles of bacteria can help identify clusters of human illness.

The WSLH shares this data with the Wisconsin Division of Public Health and, if requested, CDC.

The WSLH also participates in the National Antimicrobial Resistance Monitoring Systems (NARMS), a tri-agency surveillance system that tracks antibiotic resistance in humans (CDC), retail meats (Food and Drug Administration) and food animals (U.S. Department of Agriculture).

The WSLH sends every 20th Salmonella and Shigella isolate and every Listeria, Vibrio and Salmonella Typhi isolate to CDC for further characterization as part of NARMS.

 

Story by: Jan Klawitter, WSLH Public Affairs Manager

Warshauer Receives National TB Laboratorian Award

Philip Wegner and Pa Vang from the WI Division of Public Health TB Program flank Dr. Dave Warshauer, who’s holding his Ed Desmond TB Laboratorian of the Year award.

Philip Wegner and Pa Vang from the WI Division of Public Health TB Program flank Dr. Dave Warshauer, who’s holding his Ed Desmond TB Laboratorian of the Year award.

Wisconsin TB laboratory scientists are on a streak, receiving the National Tuberculosis Controllers Association (NTCA) Ed Desmond Award two years in a row.

WSLH Communicable Disease Division Deputy Director Dr. Dave Warshauer received his award earlier this month at the NTCA annual conference in Atlanta. Last year WSLH TB Program Coordinator Julie Tans-Kersten received the same award.

The Ed Desmond Laboratorian Award is given for “exemplary service, dedication and leadership of a tuberculosis laboratory professional.” The award is named in honor of Dr. Ed Desmond, a distinguished TB laboratorian who is currently a Research Scientist Supervisor in the Microbial Diseases Laboratory of the California Department of Public Health.

Warshauer was nominated for the award both by colleagues nationally and in Wisconsin.

The national Association of Public Health Laboratories (APHL) nomination cited Warshauer’s multiple terms as chair of their TB subcommittee, authorship on nearly all of APHL’s TB-related publications, trainer at APHL’s regional TB training sessions, and leadership on incorporating new testing technologies and assuring the quality of current ones in TB laboratories nationwide.

Warshauer’s colleagues in the Wisconsin Division of Public Health (WDPH)’s Tuberculosis Program also commended his work with APHL and the impact it has on TB public health laboratory science, practice and policy – now and in the future.

Focusing on Wisconsin, the WDPH nomination praised Warshauer as a scientist and a manager.

From the WDPH nomination:

“Dave has built the Wisconsin public health mycobacteriology laboratory into a superb laboratory, serving as a reference lab for many others, and acting as a hub for Wisconsin laboratory services, data, and education provided to private, clinical and other public health laboratories throughout the state. …

“Dave is not a one-man show; he encourages growth and expertise among his staff, and many of them also are nationally known in their areas of expertise. Development of new tests, validation of existing ones, and meticulous quality control are strong features of his laboratories. His close collaboration with state and local public health agencies ensures that joint guidance for appropriate testing and interpretation of results is always available, whether on an emergent basis for an unknown entity, or when providing routine testing. …

“Through these significant time commitments and exchanges of knowledge, Dave has contributed to the control, prevention and elimination of tuberculosis in Wisconsin and nationally.”

Congratulations Dr. Warshauer!

 

Story by: Jan Klawitter, WSLH Public Affairs Manager (submitted photo)

24th Annual Wisconsin Virology Conference

More than 50 laboratory scientists from across Wisconsin gathered on the University of Wisconsin-Madison campus July 12th for the 24th annual Wisconsin Virology Conference.

The conference, which is hosted by the Wisconsin State Laboratory of Hygiene, allows scientists working in clinical and hospital laboratories to learn about new emerging diseases like MERS-CoV, as well as old but resurging ones such as measles and mumps. Other topics included tickborne disease testing, respiratory disease surveillance and new testing technology.

The Wisconsin Virology Conference started as an informal gathering of less than 10 people sitting around a table at the UW’s old Union South building. While the conference has grown in size, its focus on scientists learning from each other remains.

 

 

WSLH Virology Laboratory and Surveillance Team Leader Erik Reisdorf greets conference attendees.

WSLH Virology Laboratory and Surveillance Team Leader Erik Reisdorf greets conference attendees.

 

WSLH Electronic Laboratory Reporting Coordinator Mary Wedig reviews influenza surveillance data from the last flu season.

WSLH Electronic Laboratory Reporting Coordinator Mary Wedig reviews influenza surveillance data from the last flu season.

 

 

 

Story and photos by: Jan Klawitter, WSLH Public Affairs Manager

WSLH Staff Shave to Save

Story and photos by: Jan Klawitter, WSLH Public Affairs Manager

Four WSLH staffers spent their lunch breaks on July 12th supporting childhood cancer research and getting new summer hair-do’s.

Kathleen Cleary and Mark Conklin (Purchasing), Blake Speaker (Building Services) and Steve Marshall (Administration) had their heads shaved as a fundraiser for the St. Baldrick’s Foundation, a volunteer-driven charity committed to funding the most promising research to find cures for childhood cancers. Erin McCarthy (Cytology) handled shaving duties.

St. Baldrick’s is currently funding more than $2 million of pediatric cancer research at the University of Wisconsin-Madison.

The WSLH staffers are just one of the Madison-area Shave to Save teams. The other “shavees” will get clipped on Saturday, June 14th at Hilldale Mall in Madison.

In addition to shaving her WSLH colleagues’ heads, McCarthy is a volunteer coordinator for the main Madison event.

“Many people don’t realize how underfunded pediatric oncology research really is. Only about 4% of U.S. federal funding for cancer research goes towards pediatrics, and funding for drug development from pharmaceutical companies is essentially non-existent. Raising money for St. Baldrick’s is one way to help fill this gap,” McCarthy said. “The head shaving event has been a great opportunity to make a financial impact and bring attention to the issue, while also showing support and solidarity for patients undergoing radiation and chemotherapy. I’m so excited and thankful to have an awesome team from WSLH joining in the fun!”

The Madison Shave to Save event will also feature a silent auction and raffle with proceeds directly benefiting patient care at the University of Wisconsin Carbone Cancer Center.

 

The WSLH team BEFORE the shaving. Seated: Kathleen Cleary. Standing from left: Erin McCarthy, Mark Conklin, Steve Marshall and Blake Speaker.

The WSLH team BEFORE: Seated: Kathleen Cleary. Standing from left: Erin McCarthy, Mark Conklin, Steve Marshall and Blake Speaker.

WSLH Henry Mall Building Manager Blake Speaker said that his Grandpa used to shave his and his brothers' heads every summer when they were kids.

WSLH Henry Mall Building Manager Blake Speaker said that his Grandpa used to shave his and his brothers’ heads every summer when they were kids.

WSLH Purchasing Office Operations Associate Kathleen Cleary smiles while losing her locks. Kathleen said shaving her head to raise money for childhood cancer research was an easy thing to do. "It's just hair," she explained.

WSLH Purchasing Office Operations Associate Kathleen Cleary smiles while losing her locks. Kathleen said shaving her head to raise money for childhood cancer research was an easy thing to do. “It’s just hair,” she explained.

WSLH Interim Deputy Director Steve Marshall is excited to help raise money for childhood cancer research and get a low-maintenance summer hairstyle all at the same time.

WSLH Interim Deputy Director Steve Marshall is excited to help raise money for childhood cancer research and get a low-maintenance summer hairstyle all at the same time.

WSLH Purchasing Manager Mark Conklin decided that since he was having his hair shaved off, he would have fun with it for a few days and dyed it red last weekend.

WSLH Purchasing Manager Mark Conklin decided that since he was having his hair shaved off, he would have fun with it for a few days and dyed it red last weekend.

The WSLH team AFTER: Sated: Kathleen Cleary. Standing from left: Erin McCarthy, Mark Conklin, Steve Marshall and Blake Speaker.

The WSLH team AFTER: Seated: Kathleen Cleary. Standing from left: Erin McCarthy, Mark Conklin, Steve Marshall and Blake Speaker.

 

 

 

 

 

 

 

 

 

 

What’s Old is New Again: Measles and Mumps

Measles and mumps might sound like diseases of the past but they’re making a comeback in the U.S.

The Centers for Disease Control and Prevention (CDC) announced at the end of May that measles cases in 2014 have reached a 20-year high in the U.S.

boy with measles rash on his face

This 1963 photo shows a boy with a measles rash on his face.
Photo: Courtesy of the CDC Public Health Image Library

In Wisconsin, there have been 2 measles cases so far in 2014 and the state is in the midst of a widespread mumps outbreak, with 56 cases confirmed by laboratory testing as of July 21st.

Measles and mumps are categorized as vaccine-preventable diseases (VPD). These are diseases – along with rubella, pertussis, meningitis, chickenpox and others – that can be prevented or have their disease impact limited by vaccinations.

As cases declined through the years, many public health laboratories shifted away from testing for VPDs to other more immediate public health priorities.

In 2012, the CDC and the Association of Public Health Laboratories (APHL) recognized that while public health laboratories need VPD testing capability, perhaps not every lab needs to be doing the testing. So they created the VPD Project as a pilot and designated 4 state public health laboratories — including the Wisconsin State Laboratory of Hygiene (WSLH) — as VPD Reference Centers.

The VPD Reference Centers utilize CDC test methods to provide routine VPD testing capacity for other public health laboratories as well as surge capacity for CDC in case of a large-scale outbreak. The four centers (Wisconsin, Minnesota, California and New York) also utilize HL7 messaging to electronically send test results to CDC, strengthening public health informatics capability between state labs and the CDC.

The WSLH, a part of the University of Wisconsin-Madison, is not only performing viral and bacterial VPD testing for 18 state and local public health laboratories across the country, it is also the only VPD Reference Center providing test performance evaluation panels to public health laboratories.

According to WSLH Communicable Disease Division Director Dr. Peter Shult, the idea of regional reference centers like the VPD pilot project makes sense both economically and practically.

“These VPDs are resurging for various reasons but the capabilities and capacities in public health laboratories have waned over time,” Shult explains. “For some of these diseases, there aren’t many testing technologies and it doesn’t make sense for all public health laboratories to ramp up capabilities, which costs money, for all these diseases.  Regional reference centers provide enhanced capacity for the public health laboratories and the millions of people they serve, as well as for CDC.”

 

For More Information:

Measleshttp://www.cdc.gov/measles/index.html

Mumpshttp://www.cdc.gov/mumps/index.html

APHL Vaccine Preventable Diseaseshttp://www.aphl.org/aphlprograms/infectious/emerging/Pages/re-emergence.aspx

 

Written By Jan Klawitter, WSLH Public Affairs Manager

Genetics Fellowship Opportunities

BiochemicalGeneticsGraphic-4-BDRThe University of Wisconsin (UW) Cytogenetic Services and Molecular Diagnostics Laboratory at the Wisconsin State Laboratory of Hygiene and the UW School of Medicine and Public Health, Department of Pediatrics, Division of Genetics and Metabolism are recruiting applicants for 2 genetics fellowships accredited by the American Board of Medical Genetics (ABMG).

Deadline for application is May 1, 2014.

Fellowship information and application procedures: http://www.pediatrics.wisc.edu/education/fellowship-programs/genetics-metabolism/

 

Clinical Cytogenetics Fellowship

This training program is designed to prepare individuals with a doctoral degree (Ph.D. or M.D) to function as a clinical cytogenetic laboratory director.

Opportunities for collaborative research are available in a variety of genetic subspecialties and required for completion of training.

The 2–3 year fellowship prepares candidates for the American Board of Medical Genetics (ABMG) General and Clinical Cytogenetics examinations.

 

Molecular Genetics Fellowship

This training program is designed to prepare individuals with a doctoral degree (Ph.D. or M.D) to function as a clinical molecular laboratory director.

This is a 2–3 year fellowship offered in collaboration with the UW Department of Pathology and Laboratory Medicine and in partnership with PreventionGenetics, Inc. in Marshfield and Blood Center of Wisconsin in Milwaukee. This unique relationship with our partner labs provides a broad range of clinical molecular genetic testing in state of the art methods and in a variety of environments.

Completion of the program prepares the fellow to meet the eligibility criteria for the American Board of Medical Genetics (ABMG) board exam in General Genetics and Molecular Genetics.