Nurse's Notes

State Public Health Officials Alert Residents About Potential Exposure to Measles in Multiple Locations - 2025-12-24.   SEE HERE for more information

DPH Clinical Advisory on Tick Bite Prophylaxis - July 14, 2025

The Massachusetts Department of Public Health (MDPH) is announcing the first case of Clade I mpox confirmed in Massachusetts - June 17, 2025.

The Massachusetts Department of Public Health (DPH) is investigating four recent cases of suspect botulism linked to cosmetic botulinum toxin (Botox) injections in the South Shore area. These cases highlight the risk of iatrogenic botulism, a rare but serious adverse event resulting from the administration of botulinum toxin products. DPH is advising healthcare providers to be alert for symptoms consistent with botulism occurring after botulinum toxin injections. Botulism cases linked to cosmetic botulinum toxin (Botox), June 5, 2025

DPH Clinical Advisory on Update regarding the spread of measles in the United States. As of December 31, 2024, there were 285 measles cases reported for 2024 by 33 jurisdictions including Massachusetts, New Hampshire, Vermont, New York City and New York State. Cases were seen primarily in young people (42% of cases under five years of age – 31% age 5-19 years).   Almost 90% of cases were unvaccinated or had unknown vaccination history. 40% of cases were hospitalized for isolation or management of measles complications. Massachusetts had a single case in an adult with unknown vaccination history who had known close contact to a confirmed measles case during international travel.  Update regarding the spread of measles in the United States, March 11, 2025

DPH Clinical Advisory on Neurologic Complications of Influenza in Pediatric Patients: The Massachusetts Department of Public Health (DPH) is investigating reports of pediatric patients experiencing neurologic complications associated with influenza virus infection.   Neurologic Complications of Influenza in Pediatric Patients, February 14, 2025.

DPH Clinical Advisory on Syphilis Screening: The Massachusetts Department of Public Health (DPH) has released the attached Clinical Advisory:  Increase Syphilis Screening in Massachusetts. The clinical advisory has been posted on Mass.Gov here. It is attached and here is the direct link: Increase Syphilis Screening in Massachusetts, February 10, 2025. For more information, please call the DPH Division of STD Prevention at 617-983-6940.

DPH Clinical Advisory on Increase in Hepatitis B Transmission in Lawrence Associated with Injection Drug Use: The Massachusetts Department of Public Health (DPH) is alerting healthcare providers about increased hepatitis B transmission associated with injection drug use in Lawrence, Massachusetts related to the ongoing epidemic of substance use. Increase in Hepatitis B Transmission in Lawrence Associated with Injection Drug Use, February 6, 2025.

State environmental and health officials are informing the public that Highly Pathogenic Avian Influenza (HPAI) H5N1 virus, which rarely infects humans, is suspected to be the cause of death in cases of both wild and domestic birds in several Massachusetts municipalities.   SEE HERE FOR MORE INFORMATION, January 29, 2025.             HOW AVIAN FLU IS SPREADING