Mylan recently recalled several lots of Epi-Pen and Epi-Pen Jr. This is a voluntary recall, meaning there is a very small chance the device may fail to activate correctly. Check your devices with the list on this link and follow the product return directions. DO NOT return Epi-Pens to your pharmacy. .
Patient Flu Shots
Flu Season is almost here! Below find important information regarding flu vaccines for patients.
Flu shots for patients at Main Campus, Highlands Ranch and South Denver are currently available for patients with clinic appointments. Starting Monday, October 2, we will open the walk-in clinic for flu vaccination at main campus.
The CDC recommends universal vaccination for everyone over six months of age.
We stock high dose vaccine intended for high risk patients over 65. Patients over 65 will receive the high dose vaccine.
Flu shots are available for current National Jewish patients, not the general public. At the discretion of the physician, family members of high-risk patients may also be vaccinated. We are unable to bill insurance for family members who are not National Jewish patients; they will be required to pay at the time of service.
We will continue to bill most patient insurances this year if scheduled for a physician appointment. For most patients who walk in for a flu shot without a physician appointment the flu vaccination will continue to be self-pay. Consistent with prices in the community, we are billing $30 for the regular dose and $50 for the high dose. Patients without insurance coverage for flu shots will be required to pay at the time of service. CICP does not cover flu vaccine, and Medicaid requires patients to go to a designated location.
Pediatric and Highlands Ranch patients need to schedule an appointment for flu vaccine if not here for a clinic appointment.
Reported Flu activity is very low across the country currently. Colorado region tends to see flu infections later than many other states as well, so our best way to improve the health of our patient population is to encourage vaccination.
View information about how to prepare for the flu season.
ASV Device Warning
Attention Patients Using Adaptive Servo Ventilation
Results of a recently conducted clinical trial suggest that certain patients with central sleep apnea and symptomatic heart failure should not be treated with adaptive servo ventilation (ASV) due to an associated increased risk of cardiovascular death.
If you are currently using an ASV device, (or if you're not sure what type of positive airway pressure device you are using), and have a history of heart failure, please contact your treating physician to discuss options for ongoing management of your sleep apnea.
The study findings do not apply to patients being treated with other positive airway pressure modalities such as CPAP or BiPAP, but if you have any questions or concerns you are advised to consult with your treating physician.
Manufacturer warning messages:
Recently you may have seen warnings from the FDA about a possible infection acquired through a GI procedure called an ERCP, which is performed with a special device called a duoedenoscope. A duodenoscope is a special camera used mainly for ERCPs, and is not used at National Jewish Health for any procedures.
In addition, National Jewish Health has never had a case of an endoscopy-related infection due to inadequate sterilization.
If you have further questions, please contact Renee Mondragon-Miller, the director of our procedure center, at 303.270.2537 who would be glad to discuss our operations and state of the art processes for equipment sterilization.
Zika Virus Disease
About Zika Virus Disease
Zika virus disease (Zika) is caused by the Zika virus which is transmitted to people primarily through the bite of an infected Aedes species mosquito. Zika can also be passed through sex from a person who has Zika to his or her sex partners. The most common symptoms of Zika are fever, rash, joint pain, and conjunctivitis (red eyes). Illness is usually mild and lasts for several days to a week after being bitten by an infected mosquito. Sexual transmission can occur even if the infected person does not have symptoms.
Zika & Pregnancy
Zika virus infection during pregnancy can cause microcephaly and other severe fetal brain defects. It is currently unknown if a pregnant woman is infected by mosquito bite or sexual contact, how likely it is that the virus will infect the fetus and cause birth defects.
Prevention of Zika
There are no vaccines to prevent Zika and no medicine to treat Zika. Anyone traveling to areas of Zika transmission should strictly follow steps to prevent mosquito bites including protective clothing and mosquito repellant. To prevent potential severe birth defects, pregnant women should avoid travel to areas with Zika transmission if possible. Use of condoms can reduce the chance of getting Zika from sex.
Zika in the United States
From January 1, 2015 – March 15, 2017, there were 5,139 Zika virus disease cases reported in the United States. The majority of those cases (5,139) were travel related. However, there were 222 cases presumed to be acquired through local mosquito-borne transmission in Florida (216 cases) and Texas (6 cases). There were also 45 cases from sexual transmission, 28 congenital infections, 1 laboratory transmission and 1 case through an unknown route.
Infection Prevention in Healthcare Settings
Healthcare workers must follow standard precautions including hand hygiene, safe injection practices, and the use of personal protective equipment (PPE) to avoid direct contact with blood and other potentially infectious materials from all patients. These precautions prevent exposure to Zika Virus in the healthcare setting. Laboratory personnel must also ensure practices meet the appropriate Biosafety Level (BSL) for the type of work being conducted.
Information on Zika is rapidly being updated as we learn more. For up-to-date Zika Information: