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Clusters of acute hepatitis in kids—many resulting in liver failure—in Europe and the United States are triggering investigations from the World Health Organization (WHO) and the Centers for Disease Control and Prevention (CDC), as the illnesses appear to be linked to infections with adenoviruses, in particular Adenovirus 41. The New Jersey Department of Health (NJDOH) is working in concert with CDC to better characterize and understand this illness in New Jersey, Children with this condition typically present to healthcare providers with markedly elevated liver enzymes, often with jaundice, and they sometimes have gastrointestinal symptoms, including vomiting. Illness is severe enough that liver transplant is sometimes required.
New Jersey providers are encouraged to report cases using this form of acute hepatitis of unknown etiology (with OR without positive adenovirus testing) in children < 10 years of age. Cases may be either current patients, or those in the past that meet these general criteria. You may be contacted to provide for additional information. Note that this is a secure survey, and that personally identifiable information is protected. In addition, under HIPAA disclosures are permitted to public health authorities authorized by law to collect or receive such information for the purpose of preventing or controlling disease, injury, or disability. 45 C.F.R. § 164.512(b)(1)(i). As such, an individual’s authorization is not required for the release of Protected Health Information to a public health authority conducting a public health investigation into a disease. For up-to-date information related to this investigation, please visit https://www.nj.gov/health/cd/topics/hepatitis_viral.shtml
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Your name (or person to be contacted) ✱ required
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Patient name ✱ required
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Patient address and phone ✱ required
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Patient date of birth ✱ required
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Patient sex (at birth) ✱ required
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Patient ethnicity ✱ required
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Approximate date of illness onset/Date first became ill ✱ required
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Signs and Symptoms (check all that apply) ✱ required
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Results of laboratory test for adenovirus ✱ required
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If adenovirus testing was performed, which samples were tested and which were positive?
Respiratory (including NP swab) | | | | | |
Stool or rectal swab | | | | | |
Blood (plasma/serum) | | | | | |
Blood (whole blood) | | | | | |
Other | | | | | |
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Please provide the following labs if available. If more than one such lab was obtained, please include the largest value to date.
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Were the following potential causes of hepatitis ruled out?
Hepatitis A/B/C | | | | |
Medication Toxicity | | | | |
Autoimmune Hepatitis | | | | |
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Please indicate if the patient had a NEGATIVE test ruling out acute infection/involvement with any of the following (check all that apply) ✱ required
Please submit any laboratory test results in the file upload option at the end of the survey |
Was the patient hospitalized? ✱ required
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If yes, what was the date of hospitalization?
Date of hospitalization |
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Is the patient still hospitalized?
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If the patient was hospitalized, which facility/name of hospital
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Did the patient experience any severe complications or outcomes? ✱ required
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If yes, please select all that apply
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What is that patient's current status?
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Please upload any pertinent part of the patient's medical record (e.g. case summary, consultant reports) as well as and laboratory test results
First file |
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Second file |
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Please provide any additional information you believe would be useful to this investigation for example potential exposures, clinical course of illness, biopsy results, etc.
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Thank you for providing this important information. The NJDOH may follow-up if there are additional questions.
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