Develop stakeholders’ (the ones you identified in assignment 4) communication plan outline (no more than 500 words) in a form of a Memo.

-Propose the main and alternative communication channels; Be specific and practical. 

-List minimum 1 policy (list the full name) besides HIPAA that might set restrictions or specific requirements for the communication channels chosen and engagement with the stakeholders; make sure to remember the policies affecting digital and nondigital technological channels.   

-Propose subordination communication points for at least 1 linked or affiliated stakeholder(for example, the Administrative officer to the Attorney General and vice versa or the Communication Coordinator to the news program and news program director);

-List 2 ethical considerations influencing the communication with this stakeholder. Be specific and applicable to this HC delivery managerial issues. Privacy is not a good choice as it is mandated and regulated. 

        Cite and reference the resources as appropriate. Follow the appropriate Memo format and English grammar rules.

Morbidity and Mortality Weekly Report Weekly / Vol. 66 / No. 27 July 14, 2017

INSIDE 718 Mortality from Amyotrophic Lateral Sclerosis and

Parkinson’s Disease Among Different Occupation Groups — United States, 1985–2011

723 Racial and Geographic Differences in Breastfeeding — United States, 2011–2015

728 Pneumococcal Vaccination Among Medicare Beneficiaries Occurring After the Advisory Committee on Immunization Practices Recommendation for Routine Use Of 13-Valent Pneumococcal Conjugate Vaccine and 23-Valent Pneumococcal Polysaccharide Vaccine for Adults Aged ≥65 Years

734 High Risk for Invasive Meningococcal Disease Among Patients Receiving Eculizumab (Soliris) Despite Receipt of Meningococcal Vaccine

738 Announcement 739 QuickStats

Continuing Education examination available at

U.S. Department of Health and Human Services Centers for Disease Control and Prevention

Measles Outbreak — Minnesota April–May 2017 Victoria Hall, DVM1,2; Emily Banerjee, MPH2; Cynthia Kenyon, MPH2; Anna Strain, PhD2; Jayne Griffith, MPH2; Kathryn Como-Sabetti, MPH2;

Jennifer Heath, DNP2; Lynn Bahta2; Karen Martin, MPH2; Melissa McMahon, MPH2; Dave Johnson, MPH3; Margaret Roddy, MPH2; Denise Dunn, MPH2; Kristen Ehresmann, MPH2

On April 10, 2017, the Minnesota Department of Health (MDH) was notified about a suspected measles case. The patient was a hospitalized child aged 25 months who was evaluated for fever and rash, with onset on April 8. The child had no history of receipt of measles-mumps-rubella (MMR) vaccine and no travel history or known exposure to measles. On April 11, MDH received a report of a second hospitalized, unvaccinated child, aged 34 months, with an acute febrile rash illness with onset on April 10. The second patient’s sibling, aged 19 months, who had also not received MMR vaccine, had similar symptoms, with rash onset on March 30. Real- time reverse transcription–polymerase chain reaction (rRT-PCR) testing of nasopharyngeal swab or throat specimens performed at MDH confirmed measles in the first two patients on April 11, and in the third patient on April 13; subsequent genotyping identified genotype B3 virus in all three patients, who attended the same child care center. MDH instituted outbreak investigation and response activities in collaboration with local health departments, health care facilities, child care facilities, and schools in affected settings. Because the outbreak occurred in a community with low MMR vaccination coverage, measles spread rapidly, resulting in thousands of exposures in child care centers, schools, and health care facilities. By May 31, 2017, a total of 65 confirmed measles cases had been reported to MDH (Figure 1); transmission is ongoing.

Investigation and Results After receiving notification of the first case on April 10, MDH

and the Hennepin County Human Services and Public Health Department began an investigation. The Council of State and Territorial Epidemiologists and CDC case definition* was used

* An acute illness in a Minnesota resident during January 1, 2017–May 12, 2017, characterized by generalized, maculopapular rash lasting ≥3 days with a temperature ≥101°F (≥38.3°C) and cough, coryza, or conjunctivitis. A confirmed case is an acute febrile rash illness with isolation of measles virus from a clinical specimen; or detection of measles-virus specific nucleic acid from a clinical specimen using polymerase chain reaction; or immunoglobulin G seroconversion or a significant rise in measles immunoglobulin G antibody using an evaluated and validated method; or a positive serologic test for measles immunoglobulin M antibody; or direct epidemiologic linkage to a case confirmed by one of these methods.

to identify confirmed cases of measles in Minnesota (1). A health alert was issued April 12, which notified health care providers of the two measles cases in Hennepin County and provided recommendations concerning laboratory testing for measles and strategies to minimize transmission in health care settings. Emphasis was placed on recommendations for all children aged ≥12 months to receive a first dose of MMR. Providers identified patients with suspected measles based on clinical findings and reported suspected cases to MDH. Testing with rRT-PCR was performed at MDH on nasopharyngeal or throat swabs and urine specimens. Among persons testing positive by rRT-PCR who had received vaccine ≤21 days before the test, genotyping was performed to distinguish wild-type measles virus

Morbidity and Mortality Weekly Report

714 MMWR / July 14, 2017 / Vol. 66 / No. 27 US Department of Health and Human Services/Centers for Disease Control and Prevention

The MMWR series of publications is published by the Center for Surveillance, Epidemiology, and Laboratory Services, Centers for Disease Control and Prevention (CDC), U.S. Department of Health and Human Services, Atlanta, GA 30329-4027. Suggested citation: [Author names; first three, then et al., if more than six.] [Report title]. MMWR Morb Mortal Wkly Rep 2017;66:[inclusive page numbers].

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