Wednesday, April 01, 2020
     

KANSAS GOVERNOR LAURA KELLY'S EXECUTVE ORDER 20-16  Statewide "stay home" order unless performing an essential activity (read the order for details)

Information regarding the Coronavirus (COVID-19) from the Marion County Health Department.

 
THE MARION COUNTY COURTHOUSE IS TEMPORARILY CLOSED  to public walk-in traffic

PUBLIC ATTENDANCE OF COUNTY COMMISSION MEETINGS BY TELECOMMUNICATION ONLY.  Pursuant to KS Governor Order 20-16, in-person attendance at the County Commission meetings will not be allowed at this time.  We encourage attendance by telecommunication which also allows public interaction.
To join the County Commission meetings from your computer, tablet or smartphone, go to https://global.gotomeeting.com/join/639484901 or by phone dial 1-866-899-4679.  The access code is 639-484-901#.

Please contact individual County offices directly for any questions or assistance.


Botulism

Epidemiology:

  • Botulism neurotoxins (a-f) could be transmitted by aerosol or contamination of food and water supplies
  • Botulism is not transmitted from person to person

Clinical:

  • Incubation period is 12-36 hours (can be several days)
  • Early symptoms include blurred vision, diplopia, and dry mouth
  • Later symptoms include dysarthria, dysphagia, dysphonia, ptosis and the development of a symmetrical, descending progressive paralysis and respiratory failure
  • Patients are usually alert and afebrile

Laboratory Diagnosis:

  • Diagnosis is primarily based on a compatible clinical presentation
  • Spinal protein is normal and characteristic findings are seen on emg (facilitation of the compound muscle action potential on repetitive nerve stimulation)
  • Toxin can bae detected in serum (collect 30 cc in red top) and stool (foodborne botulism) by mouse neutralization bioassay performed at California Microbial Diseases Laboratory

Patient Isolation:

  • Standard precautions. Patients do not require isolation rooms

Treatment:

  • Supportive care is the mainstay of therapy; prolonged ventilatory support is often required in severe cases
  • Botulism anti-toxin (for a, b and e toxins) is in limited supply and is available only from the division of communicable disease control, california dept. of health services

Prophylaxis:

  • Currently, there is no available post-exposure prophylaxis