Influenza Virus Afflicts Tens of Millions of Americans Annually, Resulting in Millions of Medical Visits, Several Hundred Thousand Hospitalizations, Thousands of Fatalities, and a Costly Impact on the U.S. Economy and the Health Care Delivery System

Now is the time for Virginians to get their annual influenza shot to protect against illness as cold, flu, and respiratory virus season approaches. That message was shared by Virginia State Health Commissioner Dr. Karen Shelton, Richmond Mayor Levar Stoney, and other health care leaders during an event today at the Bon Secours Sarah Garland Jones Center for Healthy Living. Through words and deeds, leaders participating in the event encouraged Virginians to receive their seasonal flu shots – several rolled up their sleeves and received a flu shot today as an example to the public.  A livestream video of the flu shot event can be viewed online here.

“Getting your annual flu shot is one of the simplest things every Virginian can do to protect themselves and others as the fall respiratory illness season draws near,” said Virginia State Health Commissioner Dr. Karen Shelton, MD. “Flu sickens millions of people across the U.S. each year and, in the latest flu season, killed tens of thousands nationally. One quick shot can protect you from the flu and help prevent hospitalization or death. The flu shot is proven safe and effective – get yours as soon as you can for this flu season.”

Each year, the flu affects millions of Americans, resulting in doctor visits, hospitalizations, and in some cases, death. Flu season spans October-March. During the 2023-2024 flu season, preliminary estimates  from the U.S. Centers for Disease Control and Prevention (CDC) indicate there were at least 31 million flu illnesses, 14 million flu-related medical visits, 350,000 flu hospitalizations, and at least 22,000 flu deaths. This flu season, the CDC projects that the fall and winter respiratory illness period could see a similar number of peak hospitalizations compared to last season. In addition to the physical toll of influenza on patients and health care providers, flu season also has a significant financial impact, with one multi-year study showing more than $11 billion in direct medical and indirect economic costs associated with U.S. adults who contract vaccine-preventable illness such as the flu. According to the Virginia Department of Health, Virginia reported 111,940 emergency department and urgent care visits with diagnosed influenza and an estimated 149 influenza-associated deaths, including three pediatric deaths, during the 2023-2024 flu season.

Vaccination can reduce these numbers by providing a layer of defense against severe illness and helping to reduce the spread of illness. Flu season typically runs from the fall through the spring, with peak activity in the winter months. Symptoms of the flu may include fever, chills, coughing, sore throat, congestion, fatigue, and body aches.

“Every year I roll-up my sleeve to get my flu shot,” said Richmond Mayor Levar Stoney. “I’m grateful to stand with members of the health care community and show our mutual support for vaccinations that help to protect ourselves and our loved ones from infection. Thank you to all our health care professionals who work around the clock to help people stay healthy.”

“Bon Secours is focused on improving and ensuring the health of our community,” said Mike Lutes, President, Bon Secours Richmond. “With flu season upon us, it’s important that members of our community know that by getting the influenza vaccine and lessening the likelihood of serious illness for themselves, that also lessens the potential burden on area hospitals as well. We encourage members of the community to talk with their trusted medical providers about protecting themselves against the flu.”

“Annual flu shots are a proven, effective way to prevent serious illness and to protect yourself and the people in your household,” added Virginia Hospital & Healthcare Association (VHHA) President and CEO Sean T. Connaughton. “Getting a flu shot can also help relieve undue burden on hospitals and health care providers, which often encounter increased patient demand for medical care during flu season. When people get sick, it impacts them, their families, and the broader community. It can cost people lost time at work, lost days at school, or worse. Annual flu shots can help protect against those outcomes. By getting vaccinated, people can do their part to keep communities healthier.”

The CDC recommends an annual flu shot for most Americans six months and older. Flu shots are safe, effective, and widely available. They are often covered by private insurance, Medicare, and Medicaid. Those looking for more information are encouraged to visit this website and enter their zip code to find a convenient flu shot location. The flu shot and COVID-19 booster can be received at the same time. People who need more information about COVID-19 boosters can visit this link.

About VDH: The mission of the Virginia Department of Health is to protect the health and promote the well-being of all people in Virginia. Learn more at https://www.vdh.virginia.gov/.

About VHHA: The Virginia Hospital & Healthcare Association is an alliance of 111 hospitals and 26 health delivery systems that develops and advocates for sound health care policy in the Commonwealth. Its mission is to achieve excellence in both health care and health to make Virginia the healthiest state in the nation. Its vision is through collaboration with members and stakeholders, to ensure the sustainability of Virginia health care system, transform the delivery of care to promote lower costs and high value across the continuum of care, and to improve health for all Virginians. Connect with VHHA through Facebook, Twitter, Instagram, TikTok , LinkedIn, and YouTube.

About Bon Secours – Richmond 
Bon Secours – Richmond is part of Bon Secours Mercy Health , one of the 20 largest health systems in the United States and the fifth-largest Catholic health system in the country. The ministry’s quality, compassionate care is provided by more than 60,000 associates serving communities in Florida, Kentucky, Maryland, New York, Ohio, South Carolina and Virginia, as well as throughout Ireland. Bon Secours – Richmond provides compassionate medical care through a network of hospitals, primary and specialty care practices and ambulatory care sites. As one of Richmond’s largest employers, the not-for-profit health system employs more than 9,000 people, including nearly 420 providers as part of the Bon Secours Medical Group. Bon Secours – Richmond includes St. Mary’s Hospital, Memorial Regional Medical Center, Richmond Community Hospital, St. Francis Medical Center, Rappahannock General Hospital, Southside Medical Center, Southern Virginia Medical Center, Westchester Emergency Center, Chester Emergency Center, Short Pump Emergency Center and Southside Emergency Care Center. The mission of Bon Secours is to extend the compassionate ministry of Jesus by improving the health and well-being of our communities and bring good help to those in need, especially people who are poor, dying and underserved. For more information visit  BonSecours.com.

Versión en español

The Virginia Department of Health advises the public to avoid natural water bodies across the commonwealth after Tropical Cyclone Helene. During heavy rainfall and flooding, pollution and debris from the land washes into rivers, lakes and streams and eventually winds up in our coastal waterways. Pet, livestock and wildlife wastes, and untreated wastewater from sewage treatment plants that are overloaded by an excess of rainwater can all end up in natural waters used for recreation and pose risks to human health.

To stay safe while in natural waters throughout the state all Virginians should:

• Avoid contact swimming in natural waterways for three days following rain events. Heavy rain picks up anything it comes in contact with, including germs from overflowing sewage, polluted storm water, and runoff from land.
• Never swallow untreated water and don’t swim if your skin has cuts or open wounds.
• Wash hands frequently, including after swimming and before preparing and eating food.
• Shower or bathe after swimming to wash off possible germs and contaminants.
• Check the water and the area around it before swimming. Avoid going in water if there is a green film on the water or if the water is cloudier than usual. Avoid swimming near storm drains or livestock.
• Avoid swimming if you are vomiting or have diarrhea.
• Avoid any area where there is water with a foul or chemical odor, dead or dying fish, or discolored water.
• If taking fish caught from natural waters, remove the skin from filets and dispose of viscera and internal organs. Cook filets to proper temperature and clean knives and cutting boards with soapy water. Follow posted fish consumption advisories.
• Check with your healthcare provider before swimming in oceans, lakes, rivers, and other natural bodies of water if your body’s ability to fight germs is already affected by other health problems or medicines.

For additional questions, contact VDH’s Call Center at 877-829-4682 (Option 2), The VDH Call Center is available Monday–Friday (except holidays) from 8 a.m. to 5 p.m.  For more information on recreational water safety, visit www.SwimHealthyVA.com.

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Versión en español

El Departamento de Salud de Virginia aconseja a los habitantes de Virginia que eviten los cuerpos de agua naturales tras el ciclón tropical Helene.

El Departamento de Salud de Virginia aconseja al público que evite los cuerpos de agua naturales en todo el estado después del ciclón tropical Helene. Durante las lluvias torrenciales y las inundaciones, la contaminación y los desechos llegan a los ríos, lagos y arroyos y acaban desembocando en nuestras aguas costeras. Los desechos de animales domésticos, ganado y fauna silvestre, así como las aguas residuales sin tratar procedentes de depuradoras sobrecargadas por el exceso de agua de lluvia, pueden acabar en cuerpos de agua naturales donde se practican actividades de recreo y suponer un riesgo para la salud de las personas.

Para evitar riesgos para la salud al entrar en contacto con cualquier cuerpo de agua natural (ríos, lagos, arroyos) en Virginia, se recomienda:

• Evitar el baño en cuerpos de aguas naturales tres días después de que haya llovido. Las lluvias torrenciales arrastran todo a su paso, incluidos los gérmenes de las aguas residuales desbordadas, las aguas pluviales contaminadas y la basura de la tierra.
• No tragar nunca agua no tratada y no bañarse si se tienen cortes o heridas abiertas en la piel.
• Lavarse las manos con frecuencia, incluso después de nadar y antes de preparar y comer alimentos.
• Ducharse o bañarse después de nadar para eliminar posibles gérmenes y productos contaminantes.
• Antes de bañarse, revise el agua y la zona alrededor de la misma. Evitar entrar en el agua si observa una capa verde o si el agua está más turbia de lo habitual. Evitar bañarse cerca de los desagües pluviales (tuberías que drenan el agua contaminada de las calles) y de las zonas donde hay ganado.
• Evitar entrar en el agua si tiene vómitos o diarrea.
• Evitar cualquier zona donde haya agua con olor fétido o químico, peces muertos o moribundos, o agua descolorida.
• Si consume pescado procedente de aguas naturales, retire la piel de los filetes y deseche las vísceras y los órganos internos. Cocine los filetes a una temperatura adecuada y limpie los cuchillos y las tablas de cortar con agua y jabón. Siga las recomendaciones sobre el consumo de pescado.
• Consultar a su médico antes de bañarse en océanos, lagos, ríos y otros cuerpos de agua naturales si la capacidad de su organismo para luchar contra los gérmenes ya está afectada por otros problemas de salud o por el uso medicamentos.

Si tiene alguna pregunta adicional, póngase en contacto con el centro de atención telefónica de VDH llamando al 877-829-4682 (opción 2), disponible de lunes a viernes (excepto festivos) de 8 de la mañana a 5 de la tarde.  Para más información sobre la seguridad en las aguas de recreo, visite www.SwimHealthyVA.com.

Today, the Virginia Department of Health (VDH) announced the first recipients of the Earn to Learn program to address critical workforce shortages for nurses across the Commonwealth of Virginia. The Earn to Learn Nursing Education Acceleration Program aims to transform nurse clinical education to accelerate the development of practice-ready nurse graduates. The grant was open to educational institutions or organizations that offer Virginia Board of Nursing-approved nursing education programs for pre-licensure Registered Nurses (RN) and Licensed Practical Nurses (LPN).

“The Earn to Learn program is a win all around for nursing students, schools, hospitals, and communities,” said State Health Commissioner Karen Shelton, MD. “Nursing students will be able to earn a stipend while completing classes and clinical training. The program has academic and hospital partners in every region of the state, ensuring opportunities are spread across Virginia. For communities, more nursing graduates means more nurses to take care of patients in doctor’s offices, hospitals, urgent care centers, clinics and other settings.”

“Preparing future clinicians for careers in medicine is imperative at a time when we face serious shortages of nurses, doctors, and behavioral health professionals,” said Virginia Hospital & Healthcare Association (VHHA) President and CEO Sean T. Connaughton. “The Earn to Learn program is an innovative apprenticeship model that promotes collaboration between nursing schools and hospitals by providing hands-on clinical experience and compensation to nurses in training. It aligns with work already happening in Virginia hospitals where many aspiring nurses and doctors receive training. VHHA and its members are also working to strengthen Virginia’s health care workforce through initiatives such as the On Board Virginia campaign to recruit new nurses to practice in the Commonwealth. Earn to Learn is an essential tool to help address nursing shortages. We are excited to see its implementation and we commend Governor Youngkin and the Virginia General Assembly for enacting this important program.”

The Earn to Learn program was included in the adopted 2024 budget. In establishing the program, the General Assembly directed VDH to utilize $5 million of Coronavirus State and Local Fiscal Recovery Funds (SLRF) authorized by the American Rescue Plan Act (ARPA) to establish the Commonwealth’s Earn to Learn Nursing Education Acceleration Program in Fiscal Year 2024. For Fiscal Year 2025 and Fiscal Year 2026, $4 million in general funds was appropriated to the program.

The Earn to Learn program provides funding to educational institutions in the Commonwealth to foster collaborative clinical training arrangements between grant recipients, hospitals, and health providers with the goals of:

• increasing the number of nursing students in Virginia’s nursing programs,
• creating more employment opportunities for nursing students so that they are more likely to secure jobs upon completion of their training, and
• producing more practice-ready Registered Nurses and Licensed Practical Nurses thus enhancing RN and LPN retention in the Commonwealth.

Students participating in the program will be placed at partner clinical sites to receive paid, hands-on training and mentorship that complements their academic studies. This pay enables students to earn a wage comparable to their current level of practice while training to obtain a higher certification level. The Earn to Learn model is based on a growing body of evidence that suggests better workforce program outcomes come from programs that incorporate hands-on, work-based trainings alongside academic engagement and include access to one-on-one career navigation assistance and other wraparound services.

The following educational institutions received Earn to Learn grants:

Paul D. Camp Community College	Franklin	$500,000.00
Rappahannock Community College	Warsaw	$267,885.04
Germanna Community College	Locust Grove	$500,000.00
Northern Virginia Community College	Annandale	$213,180.00
Marymount University	Arlington	$500,000.00
New River Community College	Dublin	$358,911.00
Virginia Western Community College	Roanoke	$439,521.22
James Madison University	Harrisonburg	$372,749.00
Blue Ridge Community College	Weyers Cave	$374,967.00
Southside Community College	Alberta	$367,994.53
Galen College of Nursing – Richmond	Richmond	$470,819.00
Laurel Ridge Community College	Middletown	$500,000.00
Virginia Commonwealth University	Richmond	$493,964.00

Virginia Area Health Education Centers (AHECs)

• Each red dot represents an ETL awardee on the map.

The awardee institutions are expected to:

• provide coordinated educational training, paid clinical experience, and mentorship for RN and/or LPN students,
• routinely collect data on participant skill acquisition and post-graduation employment readiness, employer satisfaction, nursing shortages among clinical sites, increased RN and/or LNP enrollments at participating schools, and
• participate in technical assistance/ cohort activities hosted by VDH.

For more information about the Earn to Learn program, visit the VDH Earn to Learn website.

VDH implements critical reforms and strengthens financial oversight to support a more efficient and accountable EMS system

On Wednesday, Virginia Department of Health (VDH) Commissioner Dr. Karen Shelton and Chief Operating Officer Christopher Lindsay shared the results of a year-long audit they had requested into VDH’s Office of Emergency Medical Services (OEMS).

The audit identified significant financial irregularities by former OEMS leadership, dating back to 2019. This resulted in $33 million in unpaid debts and over-obligations, including over $4 million in fraudulent charges, and has since led to major reforms and the conviction of a former employee.

In the summer of 2023, Dr. Karen Shelton requested the internal audit after discovering the financial irregularities. The Internal Audit revealed multi-million-dollar contracts that bypassed state procurement rules through the use of Regional EMS Councils, as well as the improper allocation of funds from the mandated Trauma Fund and Rescue Squad Assistance Fund grants to cover the costs for the EMS Symposium, inflated operating expenses, and EMS-related technology.

“Lack of oversight and internal controls within OEMS led to financial irregularities and criminal fraud that had impacts at state, regional, and local EMS levels,” said VDH Commissioner Karen Shelton. “While these findings are difficult to confront, VDH has been taking proactive measures to address these issues which will lead to a well supported EMS system across the Commonwealth.”

The Internal Audit Report outlined 63 key recommendations for VDH Leadership and the OEMS. Dr. Shelton and Mr. Lindsay presented the key findings of the audit, highlighting initiatives that have already been completed or that are planned as part of the effort to bring OEMS into compliance with the audit findings.

The following are some of the significant changes which have been implemented:

• Placement of an interim director of OEMS since the fall 2023
• Reorganization of the OEMS leadership structure, including the permanent placement of a dedicated business operations manager to consult on financial decisions
• Weekly briefings for VDH senior leadership on all aspects of OEMS restructuring and financial status
• Evaluation and restructuring of all OEMS contracts and business relations to ensure compliance with the Commonwealth of Virginia procurement and contracting requirements
• Redesign of the Trauma Fund payout plan to create more transparency and regularity of payment for Virginia’s trauma centers
• Ensuring that all funds committed to the “Return to Locality,” “Rescue Squad Assistance Fund,” and “Trauma Funds” are used in accordance with the Virginia Code

“The changes we have implemented will ensure that the Office of Emergency Medical Services is now in a much stronger financial position, with the right leadership structure and resources in place,” said Chief Operating Officer Christopher Lindsay. “This allows EMS providers across the Commonwealth to be better supported and ready to respond when Virginians need them most.”

Following a review of the audit findings, Fitch & Associates, an EMS consulting firm contracted by VDH, presented on recommendations to improve the strategic direction of the OEMS based on best practices. Proposals included:

• A plan to position OEMS for stronger oversight
• A proposed revised Regional Council structure and oversight model
• A recommended policy and regulatory framework
• Suggested enhancements to the EMS Advisory Board, EMS programs, and their functions

To learn more about the VDH’s OEMS, visit www.vdh.virginia.gov/emergency-medical-services/.

Tuesday, the Virginia Department of Health (VDH) launched a new Respiratory Illness Dashboard, which replaces several older dashboards. This dashboard provides key insights into respiratory illnesses, including COVID-19, influenza (flu), and respiratory syncytial virus (RSV). By integrating data from multiple sources, the dashboard offers a comprehensive and streamlined view of respiratory disease trends across Virginia.

The new Respiratory Illness Dashboard can be found at www.vdh.virginia.gov/epidemiology/respiratory-diseases-in-virginia/data/.

“We believe this new resource will empower Virginians with the information they need to make informed decisions to protect themselves and their loved ones during respiratory illness season,” said State Health Commissioner Karen Shelton, MD. “By staying informed and taking preventive measures — such as keeping up with vaccines, improving air quality, covering coughs and sneezes, washing hands frequently, and staying home when sick — everyone can contribute to reducing the spread of illness.”

The dashboard consolidates data from previous influenza and COVID-19 dashboards, which were crucial tools during the height of the pandemic. The dashboard tracks emergency department (ED) visit data for COVID-19, flu, and RSV. Trends are highlighted by age group to show which populations are most affected. ED visit data can be one of the fastest ways to spot changing trends in respiratory illness activity. To view local data for your community, visit the updated Emergency Visits for Respiratory Illnesses dashboard.

In addition to tracking ED visits, the dashboard shows the number of deaths attributed to COVID-19, flu, or RSV, offering insights into the severity of these illnesses. It also identifies which viruses are circulating, including seasonal flu subtypes, and tracks outbreak trends by setting, such as, in schools, daycares, and nursing homes. Vaccination coverage rates for respiratory viruses are also displayed, offering a glimpse of community protection levels across the Commonwealth.

With the launch of the new respiratory illness dashboard, VDH will retire the Influenza surveillance, COVID-19 summary, COVID-19 cases, and COVID-19 case demographics dashboards. The number of COVID-19 cases is no longer a reliable measure for tracking trends due to the widespread use of at-home tests, which are not reported to VDH.

The Virginia Department of Health’s (VDH) Tobacco Control Program partnership with Eliminate Tobacco Use (ETU) Virginia, launched the Virginia Higher Education Tobacco Policy Dashboard to encourage colleges and universities to strengthen campus policies to reduce student and employee tobacco use and increase cessation efforts. The dashboard presents the current landscape of tobacco policies, via tobacco policy report cards, across 49 public and private college and university campuses in Virginia and will be updated on an annual basis.

“The Virginia Higher Education Tobacco Policy Dashboard is a vital tool for fostering healthier campuses across the Commonwealth,” said VDH Tobacco Control Program Epidemiologist Kyle Girone. “By providing a detailed overview of current tobacco policies and offering targeted recommendations for improvement, this initiative empowers institutions to take proactive steps in reducing tobacco use and supporting cessation efforts. This collaborative effort, backed by a coalition of dedicated partners, underscores our commitment to creating tobacco-free environments that benefit students, employees, and the broader community.”

The tobacco policy report cards for each college and university evaluate existing tobacco policies and identify key areas needing improvement based on standards established by the Americans for Non-Smokers Rights Foundation. These assessments consider various factors, such as the types of tobacco products covered by the policies, whether the campus has designated smoking locations, availability of cessation resources, and the effectiveness of school prevention efforts. The report cards offer valuable insights, highlighting both the strengths of current policies and the specific areas where enhancements are necessary.

According to a college campus analysis performed by the American for Non-Smokers Rights Foundation, Virginia currently ranks second to last in the United States for tobacco-free higher education. Executive Order 41 (2006) authorizes state agency heads, including those of higher education institutions, to set appropriate guidelines for smoking on state-owned property. A clarifying document released in 2021 confirmed that public institutions of higher education can ban smoking in all spaces deemed appropriate by the institution. Research shows that nearly nine out of ten adults who smoke cigarettes daily, first tried smoking by age 18, and 99% by age 26. Since most college students fall within this age range, implementing policies that prevent tobacco use and support health is crucial. Tobacco-free campus policies have proven effective in reducing exposure to secondhand smoke, preventing tobacco use among students, and aiding individuals in overcoming nicotine dependence.

For more information, visit Eliminate Tobacco Use or the VDH Tobacco Control Program.

Waynesboro and Staunton join the Stroke Smart Virginia initiative, partnering with public health officials for life-saving stroke education efforts

The City of Waynesboro and the City of Staunton in partnership with the Central Shenandoah EMS Council and the Virginia Department of Health’s (VDH) Office of Emergency Medical Services (OEMS), recently committed to supporting stroke education through the Stroke Smart Virginia initiative.

Stroke Smart Virginia is a public health initiative to reduce pre-hospital delays and increase timely stroke treatment through simple education and actions. This life-saving initiative also was joined in partnership with the Central Shenandoah Health District, Augusta Health, Waynesboro First Aid Crew and Waynesboro Emergency Management’s fire and EMS personnel and Staunton Augusta County First Aid & Rescue Squad, Inc.

Local government officials and city dignitaries from the Waynesboro and Staunton City Councils presented Stroke Smart proclamations to the Central Shenandoah EMS Council and Regional Office of EMS during two separate city council meetings held on June 24 and June 27. Members of the Waynesboro City Council shared their personal stories of the impact of stroke and pledged their support to improving the lives of the people of Waynesboro. The City of Staunton local government shared their passion to promote public education about stroke recognition and emergency care. Both localities join this initiative and commitment to partner with public health professionals for a “Stroke Smart” city.

“This special initiative connects public health advocates who are committed to a collaborative effort to educate people on the signs and symptoms of stroke and the importance of calling 911,” said Director Daniel Linkins, Central Shenandoah EMS Council. “Patients experiencing common stroke symptoms, including facial droop, arm weakness, slurred speech or confusion, need the right care quickly. EMS providers are trained to recognize the signs of stroke and perform additional tests to determine the best facility to treat specific types of stroke.”

“Stroke awareness, to include prevention, recognition and access to early treatment is not just a healthcare responsibility, it is the responsibility of the entire community,” said Gary Critzer, State Board of Health Chair, Central Shenandoah EMS Council President and City of Waynesboro Director of Emergency Management and EMS. “The Central Shenandoah EMS Council, in cooperation with VDH, local governments, first responder agencies, 911 centers and area hospitals, is working to improve stroke awareness in our communities. Increasing awareness improves early recognition of stroke symptoms and access to appropriate care. Early access to care at a stroke ready hospital is critical to reducing disability and death.”

Waynesboro and Staunton are the second and third cities in Western Virginia to join the Stroke Smart Initiative, and the first and second cities in the Central Shenandoah EMS Region and Health District to demonstrate a commitment to lead efforts that support the VDH’s vision to become the healthiest state in the nation and mission to protect the health and promote the well-being of all people in Virginia.

For more information about the Stroke Smart initiative in Virginia, visit www.vdh.virginia.gov/stroke/stroke-smart-virginia/. For more information about the Central Shenandoah EMS Council, Inc., visit www.csems.org/.

Versión en español

Latest Water Testing Did Not Detect Shiga Toxin-Producing Escherichia coli (STEC) O157

The Virginia Department of Health (VDH) reports that the most recent testing of water samples collected from Lake Anna did not detect the presence of Shiga toxin-producing Escherichia coli (STEC) O157. Additional fecal bacteria results for the water samples did not show levels that typically rise to public health concern. VDH would like to remind the public that the upper section of North Anna Branch of Lake Anna in Louisa County remains under a swimming advisory due to harmful algal blooms (HABs) not related to this STEC outbreak.

VDH is concluding the STEC outbreak investigation associated with exposure to Lake Anna over the Memorial Day weekend. It has been more than 20 days (two ten-day incubation periods) since the last person who visited Lake Anna over the holiday became ill. Laboratory testing by the Virginia Department of General Services Division of Consolidated Laboratory Services (DCLS) was not able to identify STEC O157 bacteria in water samples from the lake. Additionally, VDH was not able to identify the source of the bacteria in the water.

Water testing is a snapshot in time and at a specific location. The samples used for STEC testing were collected about four weeks after the Memorial Day Weekend and might not reflect the water environment during the holiday weekend. These results also cannot predict future risk. Swimming or other activities in any natural body of water always pose some health risk because the water is not disinfected. Children under the age of five years, older adults, and those with weakened immune systems are at higher risk of contracting illness from natural bodies of water.

VDH will conduct enhanced public health surveillance through July 17, because of anticipated upcoming Fourth of July celebrations. Information will be provided as it develops. This surveillance involves monitoring emergency department and urgent care visits, in addition to investigating any STEC case reported by a healthcare provider. VDH and its local health departments will continue to work with local partners to better understand potential risks in the area and prevention strategies to address those risks. DEQ will continue the routine bacterial monitoring of Lake Anna that occurs each year between April and October. This monitoring includes testing for fecal bacteria, but not STEC. The DEQ results are available at Water Quality Data Home.

To prevent illness when swimming, boating, wading, or recreating in natural bodies of water, people should:

• Never swallow untreated water and don’t swim if your skin has cuts or open wounds.
• Wash hands frequently, including after swimming and before preparing and eating food.
• Shower or bathe after swimming to wash off possible germs and contaminants.
• Check the water and the area around it before swimming. Avoid going in water if there is a green film on the water or if the water is cloudier than usual. Avoid swimming near storm drains or livestock.
• Avoid swimming if you are vomiting or have diarrhea.
• Avoid swimming for three days after a heavy rain. Heavy rain picks up anything it comes in contact with, including germs from overflowing sewage, polluted storm water, and runoff from land.
• Properly dispose of human waste by discharging boat sewage at marinas with a pump-out unit or dump station.
• Check with your healthcare provider before swimming in oceans, lakes, rivers, and other natural bodies of water if your body’s ability to fight germs is already affected by other health problems or medicines.

VDH and the Virginia Harmful Algal Bloom Task Force will continue to monitor water quality in the lake for HAB. In general, advisories will be lifted following two consecutive test results with acceptable levels for algal cell counts and/or toxin concentration. More recommendations for healthy practices during water activities are available at www.SwimHealthyVA.com and CDC’s How to Safely Visit Oceans, Lakes, and Rivers website.

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Versión en español

El Departamento de Salud de Virginia da por finalizada la investigación sobre el brote en Lake Anna durante el fin de semana de Memorial Day
Los últimos análisis del agua no detectaron Escherichia coli productora de la toxina Shiga (STEC, por sus siglas en inglés) O157

RICHMOND, Va. – El Departamento de Salud de Virginia (VDH, por sus siglas en inglés) informa que los últimos análisis de las muestras de agua recogidas en Lake Anna no detectaron la presencia de Escherichia coli productora de la toxina Shiga (STEC, por sus siglas en inglés) O157. Los resultados de pruebas adicionales de las muestras de agua con respecto a las bacterias fecales no mostraron niveles preocupantes para la salud pública. Aun así, VDH quiere recordar al público que la sección superior de North Anna Branch de Lake Anna en Louisa County permanece bajo aviso de precaución para el baño debido a la proliferación de algas nocivas (HAB, por sus siglas en inglés) no relacionadas con este brote de STEC.

VDH da por finalizada la investigación del brote de STEC asociada con la exposición en Lake Anna durante el fin de semana de Memorial Day. Han pasado más de 20 días (dos periodos de incubación de diez días) desde que enfermó la última persona que estuvo en Lake Anna durante esa festividad. Las pruebas de laboratorio realizadas por Virginia’s Department of General Services Division of Consolidated Laboratory Services (DCLS, por sus siglas en inglés) –División de Servicios de Laboratorio Consolidados del Departamento de Servicios Generales de Virginia– no detectaron la presencia de STEC O157 en las muestras de agua de Lake Anna analizadas. Además, VDH no ha sido capaz de identificar la fuente de la bacteria en el agua.

Los análisis del agua son una instantánea en el tiempo y en un lugar concreto. Las muestras utilizadas para las pruebas de STEC se recogieron unas cuatro semanas después del fin de semana del Memorial Day y podrían no reflejar las condiciones del agua durante ese fin de semana. Estos resultados tampoco permiten predecir riesgos futuros. Bañarse o realizar otras actividades en cualquier cuerpo de agua natural siempre conlleva algún riesgo para la salud, ya que el agua no está desinfectada. Los niños menores de cinco años, las personas mayores y aquellas que tienen un sistema inmunitario debilitado corren un mayor riesgo de contraer enfermedades procedentes de los cuerpos de agua naturales.

VDH reforzará la vigilancia de salud pública hasta el 17 de julio, debido a la próxima festividad del 4 de Julio. Les mantendremos informados. Esta vigilancia implica un seguimiento de las visitas a los servicios de urgencias y emergencias, además de la investigación de cualquier caso de STEC notificado por un proveedor médico. VDH y sus departamentos de salud locales, junto con sus colaboradores, seguirán trabajando para comprender mejor los posibles riesgos en la zona y las estrategias de prevención para hacer frente a esos riesgos. El Department of Environmental Quality (DEQ, por sus siglas en inglés) –Departamento de Calidad Medioambiental– continuará el control rutinario de bacterias en Lake Anna que se realiza cada año entre abril y octubre. Este seguimiento incluye pruebas de detección de bacterias fecales, pero no de STEC. Los resultados del DEQ están disponibles en Water Quality Data Home.

Para prevenir enfermedades al bañarse, nadar, navegar, chapotear o recrearse en cuerpos de agua naturales, se debe:

• No tragar nunca agua no tratada y no bañarse si se tienen cortes o heridas abiertas en la piel.
• Lavarse las manos con frecuencia, incluso después de nadar y antes de preparar y comer alimentos.
• Ducharse o bañarse después de nadar para eliminar posibles gérmenes y productos contaminantes.
• Revisar el agua y la zona alrededor de ella antes de bañarse. Evitar entrar en el agua si observa una capa verde o si el agua está más turbia de lo habitual. Evitar bañarse cerca de los desagües pluviales (tuberías que drenan el agua contaminada de las calles) y de las zonas donde hay ganado.
• Evitar entrar en el agua si tiene vómitos o diarrea.
• Evitar el entrar en el agua hasta tres días después de una lluvia torrencial. La lluvia torrencial arrastra todo a su paso, incluidos los gérmenes de las aguas residuales desbordadas, las aguas pluviales contaminadas y la basura de la tierra.
• Eliminar correctamente los desechos fecales vertiendo las aguas residuales de la embarcación en los puertos deportivos que cuenten con una unidad de bombeo o un vertedero.
• Consultar a su médico antes de bañarse en océanos, lagos, ríos y otros cuerpos de agua naturales si la capacidad de su organismo para luchar contra los gérmenes ya está afectada por otros problemas de salud o por el uso medicamentos.

VDH y Virginia Harmful Algal Bloom Task Force (Equipo de trabajo para el control de proliferaciones de algas nocivas de Virginia) seguirán vigilando la calidad del agua de Lake Anna para detectar la presencia de algas nocivas. Por lo general, las advertencias se retiran después de dos pruebas consecutivas con niveles aceptables de recuento celular de algas y/o concentración de toxinas. Para obtener más recomendaciones sobre prácticas saludables durante las actividades en el agua, visite www.SwimHealthyVA.com y el sitio web de los CDC How to Safety Visit Oceans, Lakes, and Rivers (Cómo visitar los océanos, lagos y ríos de manera segura).

Versión en español

The Virginia Department of Health (VDH) is providing an update on the outbreak of Shiga toxin-producing Escherichia coli (STEC) in people who were in the Lake Anna area around Memorial Day weekend. The number of STEC cases (25) has not changed.

People who have been exposed to STEC typically develop symptoms within 3-4 days, but it can take up to 10 days. Among the 25 cases, 23 patients reported visiting the lake between May 24 and May 27 and the most recent illness onset date is June 4. Two patients did not visit the lake but had close contact with a person with STEC infection. VDH continues to investigate reports of ill patients and closely monitor the situation. It is possible that more outbreak cases will be identified.

As part of this investigation, the Virginia Department of Environmental Quality (DEQ) collected water samples at six priority locations in Lake Anna on June 11 and June 17 that were tested at Virginia’s Department of General Services Division of Consolidated Laboratory Services (DCLS). The purpose of this testing was to determine if there was fecal contamination (human or animal waste) in the water. Water test results for samples collected on both June 11 and June 17 indicated that fecal bacteria concentrations were well below a level of public health concern. This type of testing has some limitations. Water testing can provide clues about the water environment and level of general fecal contamination at a point in time, but they are not specific to all types of bacteria that can cause illness.

The timeline of illnesses and reported exposures, combined with water testing results, is reassuring; it suggests (but does not confirm) that the reported illnesses were associated with a lake exposure that occurred over the Memorial Day weekend. However, at this time, it is not known whether the type of E. coli that causes severe illness, STEC, is present in Lake Anna. VDH emphasizes that exposure to any natural body of water, including swallowing untreated water or swimming with open wounds, represents a possible health risk. Children under the age of five, older adults, and those with weakened immune systems) are at higher risk of contracting illness from natural bodies of water.

To prevent illness when swimming, boating, wading, or recreating in natural bodies of water, people should:

• Never swallow untreated water, and don’t swim if the skin has cuts or open wounds. Natural waters, such as rivers, lakes, and oceans contain germs and contaminants, which can cause illness.
• Avoid splashing water in faces and mouths.
• Keep sand away from their mouth and children’s mouths. Sand contains germs that can cause illness if swallowed.
• Wash hands after using the bathroom and before preparing and eating food.
• Avoid swimming near storm drains (pipes that drain polluted water from streets).
• Avoid swimming near livestock. Farm animals can carry germs that can cause a variety of illnesses in people.
• Avoid swimming if they are vomiting or have diarrhea.
• Avoid going in water if there is a green film on the water and keep pets out as well. This film might indicate an algal bloom and some algae produce toxins that can make people and pets sick.
• Avoid going in the water if it is cloudier than usual. Cloudy water can be a warning that more germs are in the water than normal.
• Shower or bathe after swimming to wash off possible germs and contaminants.
• Avoid swimming for three days after a heavy rain. Heavy rain picks up anything it comes in contact with, including germs from overflowing sewage, polluted storm water, and runoff from land.
• Properly dispose of human waste by discharging boat sewage at marinas with a pump-out unit or dump station.
• Check with your healthcare provider before swimming in oceans, lakes, rivers, and other natural bodies of water if your body’s ability to fight germs is already affected by other health problems or medicines.

For the most current information about this outbreak, visit VDH’s website or call the VDH Call Center at 877-829-4682 (option 2). The VDH Call Center is open Monday–Friday (except holidays) from 8 a.m. to 5 p.m. For more healthy and safe swimming tips, visit www.SwimHealthyVA.com.

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Versión en español

El Departamento de Salud de Virginia (VDH, por sus siglas en inglés) informa sobre el brote en la zona de Lake Anna asociado con el fin de semana de Memorial Day

El Departamento de Salud de Virginia (VDH) está proporcionando una actualización sobre el brote de Escherichia coli productora de la toxina Shiga (STEC, por sus siglas en inglés) en personas que se encontraban en el área de Lake Anna durante el fin de semana de Memorial Day. El número de personas afectadas (25) por la toxina STEC no ha variado.

Las personas que han estado expuestas a STEC suelen desarrollar síntomas en un plazo de 3-4 días, pero también pueden tardar en aparecer hasta 10 días. De los 25 casos, 23 pacientes declararon haber visitado Lake Anna entre el 24 y el 27 de mayo y la última fecha de aparición de la enfermedad fue el 4 de junio. Dos pacientes no fueron a Lake Anna, pero tuvieron un contacto estrecho con una persona infectada por STEC. VDH sigue investigando los informes de los pacientes enfermos y vigilando de cerca la situación. Cabe la posibilidad de que se identifiquen más casos.

Como parte de esta investigación, Virginia Department of Environmental Quality (DEQ, por sus siglas en inglés) – el Departamento de Calidad Medioambiental de Virginia –, recogió muestras de agua en  los días 11 y 17 de junio, que fueron analizadas por Virginia’s Department of General Services Division of Consolidated Laboratory Services (DCLS, por sus siglas en inglés) -División de Servicios de Laboratorio Consolidados del Departamento de Servicios Generales de Virginia-. La finalidad de esos análisis era determinar si había contaminación fecal (residuos humanos o animales) en el agua. Los resultados de los análisis de esas muestras de agua recogidas el 11 y el 17 de junio indicaron que la concentración de bacterias fecales estaban muy por debajo del nivel peligroso para la salud pública. Este tipo de análisis tiene algunas limitaciones. Los análisis del agua pueden dar información sobre el estado del agua y el nivel de contaminación fecal general en un momento dado, pero no son específicos para detectar todos los tipos de bacterias que pueden causar enfermedades. seis puntos prioritarios de Lake Anna los días 11 y 17 de junio, que fueron analizadas por Virginia’s Department of General Services Division of Consolidated Laboratory Services (DCLS, por sus siglas en inglés)  – División de Servicios de Laboratorio Consolidados del Departamento de Servicios Generales de Virginia –. La finalidad de esos análisis era determinar si había contaminación fecal (residuos humanos o animales) en el agua. Los resultados de los análisis de esas muestras de agua recogidas en las fechas anteriormente mencionadas indicaron que la concentración de bacterias fecales estaba muy por debajo del nivel peligroso para la salud pública. Este tipo de análisis tiene algunas limitaciones. Los análisis del agua pueden dar información sobre el estado del agua y el nivel de contaminación fecal general en un momento dado, pero no son específicos para detectar todos los tipos de bacterias que pueden causar enfermedades.

La cronología de las enfermedades y las exposiciones notificadas, junto con los resultados de los análisis del agua, proporcionan una sensación de tranquilidad; sugiere (pero no confirma) que los casos notificados estaban asociados a una exposición en Lake Anna que se produjo durante el fin de semana de Memorial Day. Sin embargo, en este momento, no se sabe si el tipo de E. coli que causa enfermedades graves, STEC, está presente en Lake Anna. VDH hace hincapié en que la exposición a cualquier cuerpo de agua natural, incluida la ingestión de agua no tratada o el baño en las mismas cuando se tienen heridas abiertas, representa un posible riesgo para la salud. Los niños menores de cinco años, las personas mayores y aquellas que tienen un sistema inmunitario debilitado corren un mayor riesgo de contraer enfermedades procedentes de los cuerpos de agua naturales.

Para prevenir enfermedades al nadar, navegar, chapotear o jugar en cuerpos de agua naturales, las personas deberían:

• No tragar nunca agua no tratada y no bañarse en ella si se tienen cortes o heridas abiertas en la piel. Las aguas naturales, como ríos, lagos y océanos, contienen gérmenes y contaminantes que pueden provocar enfermedades.
• Evitar salpicar con agua la cara y la boca.
• Mantener la arena alejada de la boca, especialmente de la boca de los niños. La arena contiene gérmenes que, si se ingieren, pueden causar enfermedades.
• Lavarse las manos después de ir al baño y antes de preparar y comer alimentos.
• Evitar bañarse cerca de los desagües pluviales (tuberías que drenan el agua contaminada de las calles).
• Evitar bañarse cerca de zonas dónde hay ganado. Los animales de granja pueden ser portadores de gérmenes que pueden causar enfermedades diversas a las personas.
• Evitar entrar en el agua si tiene vómitos o diarrea.
• Evitar entrar en el agua si observa una capa verde en el agua. Así mismo, evitar que las mascotas entren en contacto con ella. Esta capa verde podría indicar una proliferación de algas y algunas algas producen toxinas que pueden hacer enfermar a las personas y a las mascotas.
• Evitar meterse en el agua si está más turbia de lo habitual. El agua turbia puede ser un indicio de que hay más gérmenes de lo normal en el agua.
• Ducharse o bañarse después de entrar en contacto con esa agua para eliminar posibles gérmenes y productos contaminantes.
• Evitar el baño hasta tres días después de una lluvia torrencial. La lluvia torrencial arrastra todo a su paso, incluidos los gérmenes de las aguas residuales desbordadas, las aguas pluviales contaminadas y la basura.
• Eliminar correctamente los desechos fecales vertiendo las aguas residuales de las embarcaciones en los puertos deportivos que cuenten con una unidad de bombeo o un vertedero.
• Consultar a su médico antes de bañarse en océanos, lagos, ríos y otros cuerpos de agua naturales si la capacidad de su organismo para luchar contra los gérmenes está afectada por otros problemas de salud o por el uso de medicamentos.

Para obtener la información más actualizada sobre este brote, visite la página web de VDH o llame al 877-829-4682 (opción 2). El servicio de atención telefónica de VDH está abierto de lunes a viernes (excepto festivos) de 8 de la mañana a 5 de la tarde. Para más consejos sobre un baño sano y seguro, visite www.SwimHealthyVA.com.

Versión en español

Public Advised to Avoid Water Contact with Section of Lake Anna Above Route 522

The Virginia Department of Health (VDH) is issuing a swimming advisory for the Upper section of North Anna Branch of Lake Anna in Louisa County. This section of the lake is experiencing a harmful algae bloom (HAB). The public is advised to avoid contact with this specific area of the lake until algae concentrations return to acceptable levels.

The section of the lake currently under a swimming advisory due to unsafe levels of cyanobacteria is:

• North Anna Branch (advisory issued) — From the upper inundated waters of the North Anna arm, to include the “Sandbar” of the lake and downstream to the Route 522 Bridge.

Some harmful algae, called cyanobacteria, can cause skin rash and gastrointestinal illnesses, such as an upset stomach, nausea, vomiting and diarrhea. The area to avoid can be seen on an interactive Harmful Algal Bloom map. A status report containing the updated advisory areas may be viewed at Lake Anna HAB Status Report 6.21.2024.

Cyanobacteria have the potential to produce toxins. One cyanotoxin was detected at both Upper North Anna and Pamunkey Branch sites, but below levels of health concern. People and pets are advised to avoid swimming, windsurfing and stand-up-paddle-boarding, as well as other activities that pose a risk of ingesting water. Activities such as boating may continue with proper precaution in advisory areas.

Follow-up monitoring above Route 208 on the lake is planned (weather permitting) for the week of July 15.   Algae blooms can occur when warm water and nutrients combine to make conditions favorable for algae growth. Most algae species are harmless; however, some species may produce irritating compounds or toxins. Avoid discolored water or scums that are green or bluish-green because they are more likely to contain toxins.

To prevent illness, people should:

• Avoid contact with any area of the lake where water is green or an advisory sign is posted,
  • WHEN IN DOUBT, STAY OUT!
• Never allow children or pets to drink from natural bodies of water.
• Keep children and pets out of the areas experiencing a harmful algae bloom and quickly wash them off with plenty of fresh, clean water after coming into contact with algae scum or bloom water.
• Seek medical/veterinarian care if you or your animals experience symptoms after swimming in or near an algal bloom.
• Properly clean fish by removing skin and discarding all internal organs and cooking fish to the proper temperature to ensure fish fillets are safe to eat.
• Contact the Harmful Algal Bloom Hotline at 1-888-238-6154 if they suspect they experienced health-related effects following exposure to a bloom.
• Visit www.SwimHealthyVA.com to learn more about harmful algae blooms or to report an algae bloom or fish kill.

This HAB is not associated with the outbreak of Shiga toxin-producing Escherichia coli (STEC) at Lake Anna area, as that pathogen is not associated with HABs.

VDH and the Virginia Harmful Algal Bloom Task Force, which includes the VDH, the Virginia Department of Environmental Quality, and the Old Dominion University Phytoplankton Laboratory, will continue to monitor water quality in the lake. In general, advisories will be lifted following two consecutive test results with acceptable levels for algal cell counts and/or toxin concentration.

For more information visit www.SwimHealthyVA.com.

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Versión en español

 Aviso de precaución para el baño en la sección superior del North Anna Branch de Lake Anna en Louisa County, debido a la proliferación de algas nocivas
Se aconseja al público que evite el contacto con el agua en la sección de Lake Anna por encima de Route 522  

El Departamento de Salud de Virginia (VDH) está emitiendo un aviso de precaución para el baño en la sección superior de North Anna Branch de Lake Anna en Louisa County. Esta sección del lago está experimentando una proliferación de algas nocivas (FAN, por sus siglas en inglés). Se aconseja al público que evite entrar en contacto con esta zona específica del lago hasta que las concentraciones de algas vuelvan a niveles aceptables.  

La sección del lago que se encuentra actualmente bajo advertencia para el baño debido a niveles peligrosos de cianobacterias es: 

• North Anna Branch (aviso publicado) — Desde las aguas inundadas superiores del North Anna Branch, incluyendo el “Sandbar” del lago y la corriente hacia abajo hasta el puente de Route 522. 

Algunas algas nocivas, llamadas cianobacterias, pueden causar erupciones en la piel y enfermedades gastrointestinales, como malestar en el estómago, náuseas, vómitos y diarrea. La zona a evitar puede verse en el mapa interactivo de proliferación de algas nocivas. Se puede consultar un informe actualizado de las zonas con advertencia en Lake Anna HAB Status Report 6.21.2024. 

Las cianobacterias pueden producir toxinas. Se detectó una cianotoxina tanto en Upper North Anna como en Pamunkey Branch, pero por debajo de niveles peligrosos para la salud. Se recomienda que las personas y las mascotas eviten nadar, hacer windsurf y paddle board y otras actividades que supongan riesgo de tragar agua. Otras actividades, como la navegación, pueden continuar siempre que se tomen las debidas precauciones en las zonas con aviso. 

 El control del agua en la zona del lago por encima de Route 208 está previsto (siempre que el tiempo lo permita) para la semana del 15 de julio. La proliferación de algas puede producirse cuando el agua caliente y los fertilizantes se combinan y crean condiciones favorables para su crecimiento. La mayoría de las especies de algas son inofensivas, pero algunas pueden producir sustancias irritantes o toxinas. Evite el agua descolorida o los residuos de color verde o verde azulado, ya que es muy probable que contengan toxinas. 

 Para prevenir enfermedades, debe: 

• Evitar el contacto con cualquier zona del lago donde el agua esté verde o haya una señal de advertencia, EN CASO DE DUDA, ¡QUÉDESE FUERA! 

• Nunca permita que los niños o las mascotas beban de cuerpos de agua naturales. 
• Mantenga a los niños y a las mascotas alejados de las zonas en las que haya proliferación de algas nocivas y lávelos rápidamente con abundante agua limpia después de entrar en contacto con la espuma o el agua de las algas. 
• Busque atención médica/veterinaria si usted o sus animales experimentan síntomas después de nadar en o cerca de una proliferación de algas. 

• Limpie correctamente el pescado, retirando la piel y desechando todos los órganos internos, y cocínelo a la temperatura adecuada para garantizar que sea seguro para el consumo. 
• Póngase en contacto con la línea directa Harmful Algal Bloom, llamando al 1-888-238-6154, si piensa que tiene síntomas relacionados con la exposición a las algas nocivas. 
• Visite www.SwimHealthyVA.com para obtener más información sobre la proliferación de algas nocivas o para notificar una proliferación de algas o la muerte de peces. 

 Esta proliferación de algas nocivas no está vinculada con el brote de Escherichia coli productora de toxina Shiga (STEC, por sus siglas en inglés) en la zona de Lake Anna, ya que ese patógeno no está relacionado con las algas nocivas.   

VDH y el Virginia Harmful Algal Bloom Task Force (Equipo de trabajo para el control de proliferaciones de algas nocivas de Virginia), que incluye VDH, Virginia Department of Environmental Quality (Departamento de Calidad Medioambiental de Virginia) y Old Dominion University Phytoplankton Laboratory (Laboratorio de Fitoplancton de Old Dominion University), seguirán vigilando la calidad del agua del lago. En general, las advertencias se retiran después de dos pruebas consecutivas con niveles aceptables de recuento de células de algas y/o concentración de toxinas. 

Para más información, visite: www.SwimHealthyVA.com.