Monthly Archives: January 2016

Detecting Outbreak Causes Faster with New Technology

By Jim Beasley

In a disease outbreak that threatens the public’s health, time is of the essence.

Thanks to the new FilmArray BioFire system acquired recently by DHEC’s Bureau of Laboratories, identifying the pathogens that cause these outbreaks has been reduced to approximately 90 minutes. Prior to this important acquisition, identification of the causes of disease could take one-to-three days.

BioFire proved its significance when five people fell ill after swimming in a Lowcountry community pool. Using regular testing procedures, the pool’s water sample provided nothing of major concern to DHEC’s investigators. The tests found only extremely low levels of germs, and it appeared the pool would be allowed to reopen.

However, a different type of sample was sent to DHEC’s lab to undergo further testing using the new BioFire system. BioFire identified the microscopic parasite Cryptosporidium, also known as “Crypto,” which can cause severe diarrheal illness. Because of its outer shell, Crypto is able to survive outside the body for long periods of time — and can even survive disinfection by chlorine used in swimming pools.

“This technology not only allows us to get results faster,” explains Dr. Shahiedy Shahied, bureau chief of DHEC’s Bureau of Laboratories, “but it expands the number of pathogens that we can identify. For a gastrointestinal outbreak it allows us to test for an additional seven pathogens, and the respiratory panel allows us to detect seven additional pathogens that we have no other way to detect.”

Dr. Shahied adds that running samples through the BioFire system is more expensive than more commonly used tests but, in this case, it proved its worth. Identification of Crypto enabled health care providers to offer the appropriate treatments for the five swimmers, helping them on their path to recovery more quickly.

Speaking of BioFire, Rachel Radcliffe, director of DHEC’s Surveillance and Outbreak Investigation Section, said, “It is particularly useful when a pathogen is initially unknown during an outbreak investigation because it can provide timely results that allow us to implement appropriate preventive measures and limit disease transmission.”

BioFire enables DHEC’s public health investigators to respond more rapidly to outbreak situations and makes possible a quicker response and containment of the outbreak. As a result, DHEC can identify threats like Crypto more quickly, helping protect you from bugs that can make you sick.

New 2015 Dietary Guidelines for Americans

By Shorus E. Manning, RD, LD, SNAP-Education Dietitian, DHEC Professional and Community Nutrition Services

Dietary Guidelines are released every five years by the United States Department of Agriculture and the United States Department of Health and Human Services. These recommendations influence various federal nutrition programs and the day-to-day lives of Americans. The vast majority of the recent report is similar to previous guidelines, but there are some key differences.

What You Need to Know

  • Cholesterol – The new guidelines no longer include a limit of 300 mg a day. Instead, just focus consuming as little as possible. Remember that we don’t need cholesterol from outside sources, since we make our own.
  • Overall Healthy Eating Pattern – Instead of focusing a great deal on individual components, the new guidelines emphasize an overall healthy eating pattern. So don’t look for specific foods to reduce your risk of chronic illnesses. Consider your whole diet. Your overall diet has the greatest potential to make you healthy instead of specific foods.
  • Sugar – This is one of the biggest changes in the new guidelines. We need to limit our added sugar to just 10 percent of our calories. On a 2,000-calorie diet, that is about 50 grams of added sugar per day.
  • Protein – The lean protein recommendations stay the same. However, there is an emphasis on incorporating 8 oz. of seafood into your weekly protein consumption. A single serving of fish is 3 oz., which is about the size of your checkbook. When it comes to eating too much protein, there was a specific focus on over consumption of protein by men and boys. The average amount should be between 5 to 6 oz. per day. A lower intake of processed meat like bacon, sausage and sandwich meats are encouraged, but this is a part of the whole healthy eating diet plan.

Click here to read the full content of the Eighth Edition of the 2015 – 2020 Dietary Guidelines for Americans.

4 Tips for Keeping Your Family Safe Indoors This Winter

 

By Marian Nanney, ESF-8 Response Program Assistant, DHEC Office of Public Health Preparedness

While the holidays may be over,  winter has just begun. It’s important to stay safe outside during inclement weather like ice and snow storms, but remember that there can be health hazards indoors too.

Indoor air can be up to 10 times more polluted than outdoor air, and the sources of indoor air pollution can be fire and safety hazards. Here are some easy steps to eliminate some common hazards and improve the air quality inside your home to keep your family healthy and safe.

fireplaceInspect your chimney.

If your home has a fireplace, inspect the chimney at the beginning and end of each fireplace season, clean the flue liner and repair any cracks. Periodic maintenance will ensure that you and your children are not breathing in harmful air pollutants which can build up in the chimney. It may also reveal a need for repairs which, done in a timely manner, will prevent the chimney from collapsing or catching fire.

Install smoke detectors.

smoke detectorProtect yourself and your family by installing smoke detectors throughout your home and replacing the batteries twice each year. If you have a house fire in the middle of the night, you might not be awakened by the smell of smoke before hazardous smoke and flames have traveled through portions of your home. Smoke detectors can help prevent injuries and smoke inhalation by alerting you as soon as possible.

Install a battery-powered carbon monoxide detector.

Carbon Monoxide Alarm

If you have a gas furnace, stove or water heater, then you are at risk for carbon monoxide buildup in your home. Carbon monoxide is a colorless, odorless gas which can cause fatal poisoning in homes. Buy a carbon monoxide detector at your local home improvement store, test it once per month and replace the batteries twice each year.

Test Your Home for Radon

radon test kitJanuary is Radon Action Month and it’s a great reminder to test your home for radon. Radon is a naturally occurring gas that can get into your home through foundation cracks, plumbing and construction joints, and it’s the second leading cause of lung cancer next to tobacco use. You can get a free radon test kit by visiting www.scdhec.gov/radon.

While we can’t always predict when winter weather will force us indoors for long periods of time, we can do a great deal to reduce our exposure to indoor air pollutants and rid our homes of fire and safety hazards before winter weather strikes.

For more information on how to best prepare yourself and your family for a winter weather emergency, visit:

 

DHEC Awards South Carolina Water Utilities for Achieving Optimal Quality Standards

By Bryony Wardell

Pictured above: Columbia Lake Murray Water Treatment Plant was one of the 2014 AWOP Award Recipients. 

Congratulations to the 34 South Carolina water treatment plants who were recently honored by S.C. Department of Health and Environmental Control for their achievements in meeting the Area-Wide Optimization Program (AWOP) water quality goals. The recognized plants voluntarily increased filtration and treatment systems to help protect and serve the health of the public – achieving water quality that is about 10 times better than regulatory standards.

DHEC Director of Environmental Affairs Myra Reece and Interim Bureau of Water Chief David Baize presented the awards at the annual surface water systems meeting on December 9, 2015.

“The AWOP goals that were set for settled and filtered water turbidity are rigorous – no system meets the performance goals by accident,” said Baize. “These water plants demonstrate to the state and to EPA Region 4 their dedication to maximizing public health by providing the great  water quality to their customers.”

Systems Meeting Both AWOP Goals in 2014

System Receiving Plant Raw

Avg

Settled

95th

Filtered

95th

Pop.

Served

Anderson Co Regional Lake Hartwell WTP 2.79 0.51 0.09 116,789
Beaufort-Jasper W&SA Chelsea WTP 26.67 1.69 0.05 102,005
Beaufort-Jasper W&SA Purrysburg WTP 5.52 1.13 0.06 58,849
Catawba River Catawba River WTP 14.78 0.71 0.09 200,025
Charleston Water System Hanahan WTP 2.68 0.51 0.09 306,800
City of Aiken Shaws Creek WTP 6.70 0.36 0.07 16,393
City of Camden Camden WTP 13.61 1.48 0.07 15,613
City of Cayce Stanley L. Goodwin WTP 7.99 1.16 0.08 17,272
City of Clinton Clinton WTP 18.30 1.96 0.07 18,350
City of Columbia Columbia Lake Murray WTP 4.63 0.50 0.09 148,576
City of Georgetown Georgetown WTP 16.20 0.67 0.08 10,060
City of Florence Pee Dee River Regional WTP 19.94 1.41 0.10 67,965
City of North Augusta North Augusta WTP 10.45 1.38 0.06 28,608
City of Rock Hill Rock Hill WTP 10.00 1.33 0.03 81,056
City of Seneca Seneca WTP 1.16 0.64 0.08 43,765
City of Union Union WTP 12.56 0.54 0.04 24,617
Easley Central WD Easley Central WD WTP 9.91 0.92 0.08 9,715
Easley Combined Utilities Easley Combined WTP 22.37 1.20 0.06 62,153
Edgefield County W&SA Edgefield County WTP 18.17 1.47 0.08 25,856
Gaffney Victor WTP 8.69 0.60 0.09 34,409
Georgetown County WSD Waccamaw Regional WTP 13.26 0.64 0.07 37,640
Grand Strand W&SA Myrtle Beach WTP 9.16 0.56 0.08 28,681
Greenville Water System Adkins WTP 1.04 0.44 0.05 176,346
Greenville Water System Stovall WTP 0.43 0.19 0.04 195,941
Greenwood CPW WR Wise WTP 10.67 0.85 0.08 52,075
Greer CPW Greer WTP 6.64 0.56 0.04 56,064
Lake Marion Regional Lake Marion Regional WTP* 9.00 1.00 0.02 3,267
Lugoff Elgin Water Authority Lugoff Elgin WTP 9.96 0.58 0.09 18,057
Orangeburg DPU John F. Pearson WTP 3.03 0.41 0.08 44,813
Santee Cooper Regional Santee Cooper Regional WTP 2.41 0.42 0.03 152,923
SJWD SJWD WTP 10.58 1.66 0.07 39,939
Spartanburg Water System Landrum WTP 7.90 0.75 0.06 4,022
Town of Whitmire Whitmire WTP 29.00 1.92 0.07 2,358
Woodruff Roebuck Woodruff Roebuck WTP 18.26 0.83 0.08 24,904
Total         2,225,906

The numbers in the table represent measures of water turbidity. Turbidity is a measure of the cloudiness of the water.  The first Raw water turbidity is measured before any treatment is done, the Settled water turbidity is measured about halfway through the treatment process and the Filtered is measured after the water has been filtered.  The filtered water regulatory standard is 0.3 Nephelometric Turbidity Unit (NTU.) There’s no regulatory limits on the raw or settled water.

Pee Dee Regional AWOP award 2014

Pee Dee River Regional Water Treatment Plant receiving its AWOP award.

The 34 plants that were recognized serve 2.25 million South Carolinians, or about 75 percent of the population that gets water from a surface water plant. This year Lake Marion Regional Water Treatment Plant was recognized for attaining five years of meeting the AWOP goals – joining the ranks of other high-achieving water systems who have made optimization a priority for many years. DHEC collaborates with utilities across the state – providing consultative support and resources to improve water quality for all South Carolinians.

DHEC’s core focus for water quality standards includes eliminating water pathogens like Cryptosporidium and other contaminants that can pose a threat to public health. Once optimization of these standards is achieved, additional water quality goals include a focus on the control of disinfection byproducts, which represent a major challenge for water systems over large areas of the country.

DHEC became a charter member of the EPA Region 4 AWOP in 1997, and South Carolina has been continually identified as a national leader for the program.

“From the support of senior levels of management right through to the ranks of staff in DHEC’s Drinking Water Protection Division, the continued commitment shown by this agency is second to none among states involved in the program,” said Dale Froneberger with EPA Region 4 Drinking Water Section.

The program provides tools and best practices for drinking water systems to meet water quality optimization goals and provide an increased – and sustainable – level of public health protection to their consumers. The 34 plants recognized this year in South Carolina join a group of 117 treatment plants in the Southeast that together provided enhanced levels of health protection to 8.2 million people during the year.

For more information on drinking water in South Carolina, click here or contact DHEC Drinking Water Permitting & Compliance Manager, Richard Welch at WELCHRA@dhec.sc.gov.

Learn More About Cervical Cancer

By Stephanie Hinton, CPM, MHS, MA, Director, DHEC Division of Cancer Prevention & Control
Cervical cancer symptoms may not be present in early stages.  That’s why routine screenings are so important to detect cervical cancer early before symptoms occur.  When caught and treated early, cervical cancer is highly curable.

You May Qualify for Free Screening

Cervical cancer screenings are available for South Carolina women who meet program eligibility requirements.  DHEC’s Division of Cancer Prevention and Control administers The Best Chance Network (BCN). Contact the American Cancer Society at 1-800-227-2345 for additional information on program eligibility.  You may qualify if you:

  • Are a woman who lives in South Carolina
  • Are 40 to 64-years old
  • Do not have health insurance or are underinsured (meaning your insurance only covers hospital care)
  • Meet income eligibility guidelines

Cervical Cancer is on the Decline                                                                                        

According to the S.C. Central Cancer Registry, 980 women were diagnosed with cervical cancer from 2008 – 2012, while more than 350 women died from the disease during the same period.  Thanks to an increase in routine Pap smears, cervical cancer rates have dropped drastically in the last 60 years, but South Carolina still ranks 14th in the nation for cervical cancer incidence and mortality.

cervical-infographic long