Tuesday, March 31, 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.

Epidemiology:

  • Highly infectious after aerosolization
  • Person-to-person and animal-to-human transmission can occur with pneumonic plague via respiratory droplet

Clinical:

  • Incubation period is 1-3 days (ranges up to 7 days)
  • Aerosolization would most likely result in pneumonic plague
  • Pneumonic plague presents with acute onset of high fevers, chills, headache, malaise and a productive cough, that is initially watery before becoming bloody

Laboratory Diagnosis:

  • Bacterial cultures (blood, sputum, or lymph node aspirate specimens) should be handled in a bio-safety level 2 facility
  • Wright, giemsa, or wayson stain show gram negative coccobacilli with bipolar "saftety-pin" appearance
  • Organism grows slowly (48 hrs for observable growth) on standard blood and macconkey agar
  • Immunoflourescent staining for capsule (f1 antigen) is diagnostic

Patient Isolation:

  • Strict respiratory isolation with droplet precautions (gown, gloves, and eye protection) until the patient has received at least 48 hours of antibiotic therapy and shows clinical improvement

Treatment:

  • Streptomycin (1 g im bid) or gentamicin (5 mg/kg im or iv qd) are the referred antibiotics
  • Tetracyclines or flouroquinolones are alternative choices
  • Co-trimoxazole is recommended for pregnant women and children between the ages of 2 months and 8 years
  • Chloramphenicol should be used for plague meningitis

Prophylaxis:

  • Antibiotic prophylaxis is recommended for all persons exposed to the aerosol or persons in close physical contact with confirmed case
  • Tetracyclines or flouroquinolones are recommended for 7 days from last exposure to a case