{"id":13347,"date":"2025-08-19T17:53:00","date_gmt":"2025-08-19T17:53:00","guid":{"rendered":"https:\/\/www.vdh.virginia.gov\/disease-prevention\/?p=13347"},"modified":"2025-08-19T17:53:34","modified_gmt":"2025-08-19T17:53:34","slug":"ddp-e-bulletin-august-2025","status":"publish","type":"post","link":"https:\/\/www.vdh.virginia.gov\/disease-prevention\/2025\/08\/19\/ddp-e-bulletin-august-2025\/","title":{"rendered":"DDP E-Bulletin: August 2025"},"content":{"rendered":"<div id=\"pl-13347\"  class=\"panel-layout\" ><div id=\"pg-13347-0\"  class=\"panel-grid panel-has-style\" ><div class=\"panel-row-style panel-row-style-for-13347-0\" ><div id=\"pgc-13347-0-0\"  class=\"panel-grid-cell\" ><div id=\"panel-13347-0-0-0\" class=\"so-panel widget widget_sow-image panel-first-child panel-last-child\" data-index=\"0\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-image so-widget-sow-image-default-8b5b6f678277-13347\"\n\t\t\t\n\t\t>\n<div class=\"sow-image-container\">\n\t\t<img \n\tsrc=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/10\/shutterstock_2564640617_crop-scaled.jpg\" width=\"2560\" height=\"1063\" srcset=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/10\/shutterstock_2564640617_crop-scaled.jpg 2560w, https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/10\/shutterstock_2564640617_crop-300x125.jpg 300w, https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/10\/shutterstock_2564640617_crop-1024x425.jpg 1024w, https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/10\/shutterstock_2564640617_crop-768x319.jpg 768w, https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/10\/shutterstock_2564640617_crop-1536x638.jpg 1536w, https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/10\/shutterstock_2564640617_crop-2048x850.jpg 2048w\" sizes=\"(max-width: 2560px) 100vw, 2560px\" alt=\"August E-Bulletin Photo, Virginia Beach, Frothy Oceanfront\" \t\tclass=\"so-widget-image\"\/>\n\t<\/div>\n\n<\/div><\/div><\/div><\/div><\/div><div id=\"pg-13347-1\"  class=\"panel-grid panel-has-style\" ><div id=\"mpox\" class=\"panel-row-style panel-row-style-for-13347-1\" ><div id=\"pgc-13347-1-0\"  class=\"panel-grid-cell\" ><div id=\"panel-13347-1-0-0\" class=\"so-panel widget widget_sow-editor panel-first-child panel-last-child\" data-index=\"1\" ><div class=\"panel-widget-style panel-widget-style-for-13347-1-0-0\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t><h3 class=\"widget-title\"><h1>Virginia Mpox Updates<\/h1><\/h3>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<p><img loading=\"lazy\" decoding=\"async\" class=\"alignright  wp-image-13282\" src=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/10\/mpox_square.jpg\" alt=\"Mpox Photo, Square\" width=\"342\" height=\"342\" srcset=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/10\/mpox_square.jpg 853w, https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/10\/mpox_square-300x300.jpg 300w, https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/10\/mpox_square-150x150.jpg 150w, https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/10\/mpox_square-768x768.jpg 768w\" sizes=\"auto, (max-width: 342px) 100vw, 342px\" \/><\/p>\n<p>As of August 19, 2025, 22 mpox cases have been reported to VDH this year. To compare, Virginia had 27 cases in 2024. A concerning increase occurred this July with 13 of the 22 cases being reported. Of 2025 cases, 12 were in the Northern region, five in Central, four in Eastern, and one in Southwest. Among this year\u2019s cases with available information, six of 19 (32%) were in people who recently traveled. This suggests that most infections were locally acquired. Five of 21 (24%) cases were in people with HIV. Thirteen of 19 (68%) were in people who were not vaccinated. As in recent years, most of this year\u2019s cases occurred in adult males.<\/p>\n<p>To date, all mpox cases in Virginia have been caused by Clade II monkeypox virus. This is the strain responsible for the global outbreak that began in 2022. Large Clade I and Clade II <span style=\"text-decoration: underline;\"><a href=\"https:\/\/www.cdc.gov\/mpox\/situation-summary\/index.html\" target=\"_blank\" rel=\"noopener\">outbreaks<\/a><\/span> are occurring, including in Central and Eastern African and in West Africa.<\/p>\n<p>While our local health departments received this update and the below recommendations, we ask our valued community partners to continue to:<\/p>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li>Educate the public about mpox <span style=\"text-decoration: underline;\"><a href=\"https:\/\/www.vdh.virginia.gov\/disease-prevention\/mpox\/\">prevention<\/a><\/span> and <span style=\"text-decoration: underline;\"><a href=\"https:\/\/www.vdh.virginia.gov\/disease-prevention\/mpox\/vaccination\/\">vaccination<\/a><\/span><\/li>\n<li>Include mpox in appropriate outreach and education services<\/li>\n<li>Refer eligible clients to their <span style=\"text-decoration: underline;\"><a href=\"https:\/\/www.vdh.virginia.gov\/health-department-locator\/\">local health department<\/a><\/span> for vaccination and relevant services<\/li>\n<li>Download, use, and share VDH mpox digital and print resources<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>Contact <strong>Diana Prat<\/strong>, Deputy Director, Division of Disease Prevention, at <span style=\"text-decoration: underline;\"><a href=\"mailto:diana.prat@vdh.virginia.gov\">diana.prat@vdh.virginia.gov<\/a><\/span>, or 804-864-7961, with any questions about DDP mpox efforts or for additional assistance.<\/p>\n<\/div>\n<\/div><\/div><\/div><\/div><\/div><\/div><div id=\"pg-13347-2\"  class=\"panel-grid panel-has-style\" ><div id=\"dashboards\" class=\"panel-row-style panel-row-style-for-13347-2\" ><div id=\"pgc-13347-2-0\"  class=\"panel-grid-cell\" ><div id=\"panel-13347-2-0-0\" class=\"so-panel widget widget_sow-editor panel-first-child panel-last-child\" data-index=\"2\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t><h3 class=\"widget-title\"><h1>DDP Data Dashboards<\/h1><\/h3>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<p><img loading=\"lazy\" decoding=\"async\" class=\"alignright  wp-image-13354\" src=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/10\/RW-Map.jpeg\" alt=\"Ryan White Map Dashboard Screen Capture\" width=\"678\" height=\"297\" srcset=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/10\/RW-Map.jpeg 872w, https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/10\/RW-Map-300x131.jpeg 300w, https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/10\/RW-Map-768x336.jpeg 768w\" sizes=\"auto, (max-width: 678px) 100vw, 678px\" \/>In collaboration with the Division of Informatics and Information Systems (DIIS), DDP has released a new interactive dashboard for Ryan White services. The dashboard is a map of service providers throughout the Commonwealth. It allows users to filter providers by region or service type (part A, B, C, or D). Pop out maps are provided on the map to provide detailed views of areas with higher provider density. You can find the interactive map on the <a href=\"https:\/\/www.vdh.virginia.gov\/disease-prevention\/disease-prevention\/hiv-care-services\/va-rwhapb-resources\/\">Ryan White Resources page<\/a>. The webpage includes a description of the different Ryan White parts beneath the map. Please note that this dashboard does not take the place of a service directory and does not contain detailed contact information for agencies. If you see corrections or changes needed to the dashboard, please contact <strong>Rivkah Meder<\/strong> at <a href=\"mailto:rebecca.meder@vdh.virginia.gov\">rebecca.meder@vdh.virginia.gov<\/a>. Updates to the Resource Connections database can be submitted to <strong>Brandon Cunningham<\/strong> at <a href=\"mailto:brandon.cunningham@vdh.virginia.gov\">brandon.cunningham@vdh.virginia.gov<\/a>.<\/p>\n<p>Additionally, DDP has relaunched the <a href=\"https:\/\/www.vdh.virginia.gov\/disease-prevention\/mpox\/#data\">mpox data dashboard<\/a>. This dashboard is separate from the Monthly Surveillance Report. This will allow for a closer look at mpox data and will get updated weekly, not monthly.<\/p>\n<\/div>\n<\/div><\/div><\/div><\/div><\/div><div id=\"pg-13347-3\"  class=\"panel-grid panel-has-style\" ><div class=\"panel-row-style panel-row-style-for-13347-3\" ><div id=\"pgc-13347-3-0\"  class=\"panel-grid-cell\" ><div id=\"panel-13347-3-0-0\" class=\"so-panel widget widget_sow-editor panel-first-child panel-last-child\" data-index=\"3\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<hr \/>\n<p>&nbsp;<\/p>\n<\/div>\n<\/div><\/div><\/div><\/div><\/div><div id=\"pg-13347-4\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-13347-4-0\"  class=\"panel-grid-cell\" ><div id=\"panel-13347-4-0-0\" class=\"so-panel widget widget_sow-editor panel-first-child\" data-index=\"4\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t><h3 class=\"widget-title\"><h1>Changes to National Clinician Consultation Center Hotline<\/h1><\/h3>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<p>The National Clinician Consultation Center (NCCC) now has one phone number for all programs, including:<\/p>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li>PrEP<\/li>\n<li>NPEP<\/li>\n<li>Hepatitis C<\/li>\n<li>Substance Use<\/li>\n<li>HIV\/AIDS<\/li>\n<li>Perinatal HIV\/AIDS<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p><strong>NCCC Hotline Number: 844-ASK-NCCC or 844-275-6222<\/strong><\/p>\n<p>Hotline hours are Monday through Friday from 11 a.m. to 7 p.m. ET, excluding holidays.<\/p>\n<p>For now, if you call the previous numbers, you will automatically be forwarded to the new line.<\/p>\n<p>Please note that Perinatal HIV\/AIDS consultations will continue to be available 24 hours, seven days a week.<\/p>\n<\/div>\n<\/div><\/div><div id=\"panel-13347-4-0-1\" class=\"so-panel widget widget_sow-button panel-last-child\" data-index=\"5\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-button so-widget-sow-button-flat-4c852e8f91bd-13347\"\n\t\t\t\n\t\t><div class=\"ow-button-base ow-button-align-center\"\n>\n\t\t\t<a\n\t\t\t\t\thref=\"https:\/\/nccc.ucsf.edu\/\"\n\t\t\t\t\tclass=\"sowb-button ow-icon-placement-left ow-button-hover\" target=\"_blank\" rel=\"noopener noreferrer\" \t>\n\t\t<span>\n\t\t\t\n\t\t\tVisit the NCCC website\t\t<\/span>\n\t\t\t<\/a>\n\t<\/div>\n<\/div><\/div><\/div><\/div><div id=\"pg-13347-5\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-13347-5-0\"  class=\"panel-grid-cell\" ><div id=\"panel-13347-5-0-0\" class=\"so-panel widget widget_sow-editor panel-first-child panel-last-child\" data-index=\"6\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<hr \/>\n<p>&nbsp;<\/p>\n<\/div>\n<\/div><\/div><\/div><\/div><div id=\"pg-13347-6\"  class=\"panel-grid panel-has-style\" ><div id=\"chrpartnership\" class=\"panel-row-style panel-row-style-for-13347-6\" ><div id=\"pgc-13347-6-0\"  class=\"panel-grid-cell\" ><div id=\"panel-13347-6-0-0\" class=\"so-panel widget widget_sow-editor panel-first-child panel-last-child\" data-index=\"7\" ><div id=\"hepposter\" class=\"panel-widget-style panel-widget-style-for-13347-6-0-0\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t><h3 class=\"widget-title\"><h1>New Partnership Expands Access to Treatment for CHR Clients <\/h1><\/h3>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<p>The Comprehensive Harm Reduction (CHR) programs in the Lenowisco and Cumberland Plateau Health Districts are excited to announce a new partnership with Revida Recovery Centers to provide Medication-Assisted Treatment (MAT) via telemedicine.<\/p>\n<p>Through this initiative, CHR clients who express interest will receive a warm, supportive, and streamlined introduction to treatment:<\/p>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li>A public health nurse will explain the service.<\/li>\n<li>If the client chooses to participate, vital signs will be taken, enrollment paperwork completed, and a point-of-care urine drug screen performed onsite.<\/li>\n<li>Specimens will be sent to Labcorp for confirmation testing.<\/li>\n<li>The client will then meet\u2014 in our telemedicine room\u2014with an addiction specialist from Revida Recovery.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>This approach eliminates the stress of a first appointment in an unfamiliar setting and ensures CHR staff is right there to offer encouragement. We know that many clients receive referrals but never take that next step\u2014by bridging the gap with onsite support, we hope to make the path to recovery less intimidating and more accessible.<\/p>\n<\/div>\n<\/div><\/div><\/div><\/div><\/div><\/div><div id=\"pg-13347-7\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-13347-7-0\"  class=\"panel-grid-cell\" ><div id=\"panel-13347-7-0-0\" class=\"so-panel widget widget_sow-editor panel-first-child panel-last-child\" data-index=\"8\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<hr \/>\n<p>&nbsp;<\/p>\n<\/div>\n<\/div><\/div><\/div><\/div><div id=\"pg-13347-8\"  class=\"panel-grid panel-has-style\" ><div id=\"chrwomen\" class=\"panel-row-style panel-row-style-for-13347-8\" ><div id=\"pgc-13347-8-0\"  class=\"panel-grid-cell\" ><div id=\"panel-13347-8-0-0\" class=\"so-panel widget widget_sow-editor panel-first-child panel-last-child\" data-index=\"9\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t><h3 class=\"widget-title\"><h1>DDP is awarded funding for a Harm Reduction Program with Pregnant Women <\/h1><\/h3>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<p>The Opioid Abatement Authority (OAA) awarded $631,420 per year for a three-year pilot project to support women who are pregnant and using drugs. Programs will center on patient navigation and case management for participants. Pilot sites will work closely with Title X programs in local health departments and Contraceptive Access Initiative funded agencies. Over-the-counter birth control and condoms are available to CHR female participants who do not wish to become pregnant until they can be linked to a provider for prescription birth control pills or a longer lasting birth control method the woman might choose.<\/p>\n<p>This project was born out of a pilot syphilis testing program for women of childbearing years at CHR sites. In that project, if a woman tested positive for syphilis, she was given a pregnancy test. CHR sites realized that they were serving more pregnant women than they thought. This pilot was created to link women to prenatal care and follow along services after birth. Follow-along services will last until the child turns two.<\/p>\n<p>Several entities contributed to the development of this strategy, including:<\/p>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li>VDH\u2019s Office or Family Health Services,<\/li>\n<li>Department of Behavioral Health and Developmental Services,<\/li>\n<li>Department of Medical Assistance Services,<\/li>\n<li>Department of Social Services,<\/li>\n<li>local health departments,<\/li>\n<li>Child Protection Services (CPS),<\/li>\n<li>CHR Site Staff, and<\/li>\n<li>pregnant mothers who are\/were using drugs.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>If successful, rates of opioid abstinence syndrome will decrease, women who enter treatment will stay in treatment after the child is born, women will deliver healthy babies, and the mother will be connected to needed resources for both her and her baby.<\/p>\n<p>More information will be shared when it is available.<\/p>\n<\/div>\n<\/div><\/div><\/div><\/div><\/div><div id=\"pg-13347-9\"  class=\"panel-grid panel-has-style\" ><div class=\"panel-row-style panel-row-style-for-13347-9\" ><div id=\"pgc-13347-9-0\"  class=\"panel-grid-cell\" ><div id=\"panel-13347-9-0-0\" class=\"so-panel widget widget_sow-editor panel-first-child panel-last-child\" data-index=\"10\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<hr \/>\n<p>&nbsp;<\/p>\n<\/div>\n<\/div><\/div><\/div><\/div><\/div><div id=\"pg-13347-10\"  class=\"panel-grid panel-has-style\" ><div id=\"guidelinesupdates\" class=\"panel-row-style panel-row-style-for-13347-10\" ><div id=\"pgc-13347-10-0\"  class=\"panel-grid-cell\" ><div id=\"panel-13347-10-0-0\" class=\"so-panel widget widget_sow-editor panel-first-child panel-last-child\" data-index=\"11\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t><h3 class=\"widget-title\"><h1>Clinical Guidelines Update: Advancing Perinatal HIV Care <\/h1><\/h3>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<p>On June 12, 2025, the U.S. Department of Health and Human Services (HHS) Panel on Treatment of HIV During Pregnancy and Prevention of Perinatal Transmission has updated the recommendations for the use of antiretroviral drugs during pregnancy and interventions to reduce perinatal HIV transmission in the Unites States. The new updates to perinatal HIV care guidelines reflect the latest data and refining clinical practices.<\/p>\n<p>Some key updates are summarized below:<\/p>\n<p style=\"padding-left: 40px;\"><strong>Pregnancy and Postpartum HIV Testing and Identification of Perinatal and Postnatal Exposure<\/strong><\/p>\n<p style=\"padding-left: 80px;\">When determining the timing of repeat HIV testing in the third trimester, some clinicians conduct testing at or around 28 weeks of gestation together with the recommended timing of syphilis testing. This limits the number of blood draws and allows adequate time for syphilis treatment and congenital syphilis prophylaxis. Some clinicians also conduct a third test for HIV at the time of delivery hospitalization admission.<\/p>\n<p style=\"padding-left: 40px;\"><strong>HIV Testing during Labor When HIV Status is Unknown<\/strong><\/p>\n<p style=\"padding-left: 80px;\">When there are plans to breastfeed, the panel strongly advises against initiating breastfeeding given the high risk of perinatal transmission. Breast milk should be expressed and stored appropriately. It should not be used for infant feeding unless all supplemental HIV test results are reviewed and determined to be negative.<\/p>\n<p style=\"padding-left: 40px;\"><strong>Clinical Management of PrEP Use during Periconception, Antepartum, and Postpartum Periods<\/strong><\/p>\n<p style=\"padding-left: 80px;\">When prescribing PrEP, clinicians should confirm that no acute, potential exposure to HIV has occurred in the past 72 hours. In such cases, nPEP should be administered for 28 days prior to initiating PrEP.<\/p>\n<p style=\"padding-left: 40px;\"><strong>Pre-Pregnancy Counseling and Partner Care<\/strong><\/p>\n<p style=\"padding-left: 80px;\">Assess knowledge about partner HIV status and the need to screen partner(s) for HIV and sexually transmitted infections. Provide testing or refer to services as needed. Discuss whether HIV status has been disclosed to sexual partner(s). Discuss options for PrEP when indicated.<\/p>\n<p style=\"padding-left: 40px;\"><strong>Recommendations for the Use of Antiretroviral (ART) Drugs<\/strong><\/p>\n<p style=\"padding-left: 80px;\">If ART is not already being used during pregnancies impacted by HIV, ART should be initiated as early in pregnancy as possible, regardless of HIV RNA level or CD4 T lymphocyte cell count. This is to maximize health and prevent perinatal HIV transmission and sexual transmission.<\/p>\n<p style=\"padding-left: 80px;\">During pregnancy, when there is a lack of experience with ART and no previous use of long-acting cabotegravir (CAB-LA) as pre-exposure prophylaxis (PrEP), Preferred regimens consist of the integrase strand transfer inhibitors (INSTIs) dolutegravir (DTG) or bictegravir (BIC) plus a tenofovir-containing dual\u2013nucleoside reverse transcriptase inhibitor combination.<\/p>\n<p style=\"padding-left: 80px;\">Abacavir (ABC) is also classified as an Alternative ARV drug for use in pregnancy.<\/p>\n<p>These changes will help providers to deliver evidence-based care to pregnant women and infants. Visit <a href=\"https:\/\/clinicalinfo.hiv.gov\/en\/guidelines\/perinatal\/whats-new\" target=\"_blank\" rel=\"noopener\">HIV.gov<\/a> to view all of the updates\/revisions.<\/p>\n<p>For more information, please contact <strong>Jasmine Christine Ford<\/strong>, HIV Care Services Clinical Coordinator, at <a href=\"mailto:jasmine.ford@vdh.virginia.gov\">jasmine.ford@vdh.virginia.gov<\/a>. You may also contact <strong>Safere Diawara<\/strong>, HIV Care Services Manager of Clinical and Data Administration, at <a href=\"mailto:safere.diawara@vdh.virginia.gov\">safere.diawara@vdh.virginia.gov<\/a>.<\/p>\n<\/div>\n<\/div><\/div><\/div><\/div><\/div><div id=\"pg-13347-11\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-13347-11-0\"  class=\"panel-grid-cell\" ><div id=\"panel-13347-11-0-0\" class=\"so-panel widget widget_sow-editor panel-first-child panel-last-child\" data-index=\"12\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<hr \/>\n<p>&nbsp;<\/p>\n<\/div>\n<\/div><\/div><\/div><\/div><div id=\"pg-13347-12\"  class=\"panel-grid panel-has-style\" ><div id=\"gsh\" class=\"panel-row-style panel-row-style-for-13347-12\" ><div id=\"pgc-13347-12-0\"  class=\"panel-grid-cell\" ><div id=\"panel-13347-12-0-0\" class=\"so-panel widget widget_sow-editor panel-first-child panel-last-child\" data-index=\"13\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t><h3 class=\"widget-title\"><h1>\u201cGas Station Heroin\u201d<\/h1><\/h3>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<p>U.S. poison centers have reported an increase in calls related to \u201ctianeptine.\u201d Tianeptine, also known as \u201cgas station heroin,\u201d is an antidepressant used in some Latin American, Asian, and European countries. Like opioids, tianeptine binds to opioid receptors in the brain. In the United States, it is not approved by the U.S. Food and Drug Administration (FDA) for human use and is not regulated under the Controlled Substances Act. In countries where tianeptine is prescribed, dosage ranges from 30 to 50 mg\/daily. In the U.S., those who use tianeptine report much higher doses, on average approximately 1,500 mg\/daily, with some reporting use in excess of 4,000 mg\/daily. It is consumed orally, injected, or inhaled.<\/p>\n<p>Tianeptine can be easily purchased in gas stations and online. It is typical sold as a nootropic (chemical to improve cognitive functioning), dietary supplement, or research chemical, with brand names such as \u201cPegasus,\u201d \u201cZaZa Red,\u201d \u201cTianna,\u201d \u201cTianaa,\u201d or \u201cTD Red.\u201d It is often sold as a powder or in tablet form. The Drug Enforcement Administration (DEA) reports law enforcement has seized tianeptine in the form of counterfeit pharmaceutical pills.<\/p>\n<p>In high doses, tianeptine has opioid-like effects, and can lead to opioid-like dependance and withdrawal. Signs and symptoms can include:<\/p>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li>Fast heart rate,<\/li>\n<li>High blood pressure<\/li>\n<li>Nausea and vomiting<\/li>\n<li>Irritability or fatigue<\/li>\n<li>Blue lips or skin, small pupils, unresponsiveness<\/li>\n<li>Respiratory depression<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>First responders have reported that naloxone effectively reverses respiratory depression similar to opioid overdose. Withdrawal symptoms include:<\/p>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li>Gastrointestinal complaints<\/li>\n<li>Agitation and anxiety<\/li>\n<li>Muscle spasms<\/li>\n<li>Fast heart rate<\/li>\n<li>High blood pressure<\/li>\n<li>Tremors<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>Users have reported onset of severe withdrawal symptoms within only a few hours after use. The assumption that tianeptine can treat opioid use disorder among opioid users is false.<\/p>\n<h2>Recommendations<\/h2>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li>Make <a href=\"https:\/\/www.vdh.virginia.gov\/naloxone\/\">naloxone<\/a> available to the public and encourage its use when someone\u2019s respiration is depressed, even when there are no signs of opioid use.<\/li>\n<li>Consider messages informing the public that just because a product is easy to obtain, does not mean that it is approved by the FDA or safe.<\/li>\n<li>In Virginia, the <a href=\"https:\/\/med.virginia.edu\/brpc\/\" target=\"_blank\" rel=\"noopener\">Blue Ridge Poison Center<\/a> is available 24\/7 to assist both the public, as well as clinicians seeking consultation. (Public: 1-800-222-1222; Healthcare professional hotline: 1-800-451-1428)<\/li>\n<li>Health care providers can submit adverse tianeptine effects to the FDA\u2019s <a href=\"https:\/\/www.fda.gov\/safety\/medwatch-fda-safety-information-and-adverse-event-reporting-program\" target=\"_blank\" rel=\"noopener\"><em>MedWatch<\/em> reporting system<\/a>.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h2>Resources<\/h2>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li><a href=\"https:\/\/www.deadiversion.usdoj.gov\/drug_chem_info\/tianeptine.pdf\" target=\"_blank\" rel=\"noopener\">DEA, Drug and Chemical Evaluation Section: Tianeptine<\/a><\/li>\n<li><a href=\"https:\/\/www.fda.gov\/consumers\/consumer-updates\/tianeptine-products-linked-serious-harm-overdoses-death\" target=\"_blank\" rel=\"noopener\">FDA, Consumer Updates: Tianeptine Products Linked to Serious Harm, Overdoses, Death<\/a><\/li>\n<li><a href=\"https:\/\/www.fda.gov\/consumers\/health-fraud-scams\/new-gas-station-heroin-tianeptine-product-trend\" target=\"_blank\" rel=\"noopener\">FDA: Health Fraud Scam, New \u201cGas Station Heroin\u201d Tianeptine Product Trend<\/a><\/li>\n<li><a href=\"https:\/\/med.virginia.edu\/toxicology\/wp-content\/uploads\/sites\/268\/2021\/11\/Nov21-Tianeptine.pdf\" target=\"_blank\" rel=\"noopener\">Virginia Blue Ridge Poison Center, ToxTalks Bulletin: Tianeptine<\/a><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/div>\n<\/div><\/div><\/div><\/div><\/div><div id=\"pg-13347-13\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-13347-13-0\"  class=\"panel-grid-cell\" ><div id=\"panel-13347-13-0-0\" class=\"so-panel widget widget_sow-editor panel-first-child panel-last-child\" data-index=\"14\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<hr \/>\n<p>&nbsp;<\/p>\n<\/div>\n<\/div><\/div><\/div><\/div><div id=\"pg-13347-14\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-13347-14-0\"  class=\"panel-grid-cell\" ><div id=\"panel-13347-14-0-0\" class=\"so-panel widget widget_sow-image panel-first-child panel-last-child\" data-index=\"15\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-image so-widget-sow-image-default-8b5b6f678277-13347\"\n\t\t\t\n\t\t>\n<div class=\"sow-image-container\">\n\t\t<img \n\tsrc=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/10\/GT360_DoxyPEP_Pedro_s_EN_VA_0320x0480.jpg\" width=\"320\" height=\"480\" srcset=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/10\/GT360_DoxyPEP_Pedro_s_EN_VA_0320x0480.jpg 320w, https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/10\/GT360_DoxyPEP_Pedro_s_EN_VA_0320x0480-200x300.jpg 200w\" sizes=\"(max-width: 320px) 100vw, 320px\" alt=\"\" \t\tclass=\"so-widget-image\"\/>\n\t<\/div>\n\n<\/div><\/div><\/div><div id=\"pgc-13347-14-1\"  class=\"panel-grid-cell\" ><div id=\"panel-13347-14-1-0\" class=\"so-panel widget widget_sow-editor panel-first-child panel-last-child\" data-index=\"16\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t><h3 class=\"widget-title\"><h1>DoxyPEP and PrEP Advertising <\/h1><\/h3>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<p>DDP is running Greater Than digital ads for both DoxyPEP and PrEP throughout Virginia during August.<\/p>\n<p>The ads are being focused in areas where new cases of HIV, syphilis, and congenital syphilis have been diagnosed. Any community partners that offer DoxyPEP or PrEP services and are listed in national locators may receive an increase in inquiries or contact from clients as a result of these efforts. Communications have already been distributed to our local health departments.<\/p>\n<p>For any questions about our digital ad efforts, or for copies of the assets being used for your use on social media and other digital platforms, please contact <strong>Chris Barnett<\/strong>, Public Relations Coordinator, at <a href=\"mailto:christopher.barnett@vdh.virginia.gov\">christopher.barnett@vdh.virginia.gov<\/a>.<\/p>\n<ul>\n<li style=\"list-style-type: none;\"><\/li>\n<\/ul>\n<\/div>\n<\/div><\/div><\/div><\/div><div id=\"pg-13347-15\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-13347-15-0\"  class=\"panel-grid-cell\" ><div id=\"panel-13347-15-0-0\" class=\"so-panel widget widget_sow-editor panel-first-child panel-last-child\" data-index=\"17\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<hr \/>\n<p>&nbsp;<\/p>\n<\/div>\n<\/div><\/div><\/div><\/div><div id=\"pg-13347-16\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-13347-16-0\"  class=\"panel-grid-cell\" ><div id=\"panel-13347-16-0-0\" class=\"so-panel widget widget_sow-editor panel-first-child panel-last-child\" data-index=\"18\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t><h3 class=\"widget-title\"><h1>New Content from the National STD Curriculum\u00a0<\/h1><\/h3>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<p>The National STD Curriculum is a free educational website from the University of Washington STD Prevention Training Center. They have recently added new podcast episodes, mini-lectures, and lessons to their available free resources. Find links to their pages below to access their content and continue your education now.<\/p>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li><a href=\"https:\/\/www.std.uw.edu\/podcast\" target=\"_blank\" rel=\"noopener\">National STD Curriculum<\/a><\/li>\n<li><a href=\"https:\/\/www.hiv.uw.edu\/podcast\" target=\"_blank\" rel=\"noopener\">National HIV Curriculum<\/a><\/li>\n<li><a href=\"https:\/\/www.hivprep.uw.edu\/mini-lectures\" target=\"_blank\" rel=\"noopener\">National HIV PrEP Curriculum<\/a><\/li>\n<li><a href=\"https:\/\/www.hepatitisc.uw.edu\/\" target=\"_blank\" rel=\"noopener\">Hepatitis C Online<\/a><\/li>\n<li><a href=\"https:\/\/www.hepatitisb.uw.edu\/mini-lectures\" target=\"_blank\" rel=\"noopener\">Hepatitis B Online<\/a><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/div>\n<\/div><\/div><\/div><\/div><div id=\"pg-13347-17\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-13347-17-0\"  class=\"panel-grid-cell\" ><div id=\"panel-13347-17-0-0\" class=\"so-panel widget widget_sow-editor panel-first-child panel-last-child\" data-index=\"19\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<hr \/>\n<p>&nbsp;<\/p>\n<\/div>\n<\/div><\/div><\/div><\/div><div id=\"pg-13347-18\"  class=\"panel-grid panel-has-style\" ><div class=\"so-rounded panel-row-style panel-row-style-for-13347-18\" id=\"personnel\" ><div id=\"pgc-13347-18-0\"  class=\"panel-grid-cell\" ><div id=\"panel-13347-18-0-0\" class=\"so-panel widget widget_sow-editor panel-first-child panel-last-child\" data-index=\"20\" ><div id=\"hhpsummit\" class=\"panel-widget-style panel-widget-style-for-13347-18-0-0\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t><h3 class=\"widget-title\"><h1>Personnel Announcements<\/h1><\/h3>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<p>No DDP personnel updates for August 2025.<\/p>\n<\/div>\n<\/div><\/div><\/div><\/div><\/div><\/div><div id=\"pg-13347-19\"  class=\"panel-grid panel-has-style\" ><div class=\"panel-row-style panel-row-style-for-13347-19\" ><div id=\"pgc-13347-19-0\"  class=\"panel-grid-cell\" ><div id=\"panel-13347-19-0-0\" class=\"so-panel widget widget_siteorigin-panels-builder panel-first-child panel-last-child\" data-index=\"21\" ><div id=\"pl-w684c98b80cb10\"  class=\"panel-layout\" ><div id=\"pg-w684c98b80cb10-0\"  class=\"panel-grid panel-has-style\" ><div class=\"panel-row-style panel-row-style-for-w684c98b80cb10-0\" ><div id=\"pgc-w684c98b80cb10-0-0\"  class=\"panel-grid-cell panel-grid-cell-empty\" ><\/div><div id=\"pgc-w684c98b80cb10-0-1\"  class=\"panel-grid-cell\" ><div id=\"panel-w684c98b80cb10-0-1-0\" class=\"so-panel widget widget_sow-button panel-first-child panel-last-child\" data-index=\"0\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-button so-widget-sow-button-flat-eff27d41cd27\"\n\t\t\t\n\t\t><div class=\"ow-button-base ow-button-align-center\"\n>\n\t\t\t<a\n\t\t\t\t\thref=\"http:\/\/www.facebook.com\/vdhgov\"\n\t\t\t\t\tclass=\"sowb-button ow-icon-placement-top\" target=\"_blank\" rel=\"noopener noreferrer\" \t>\n\t\t<span>\n\t\t\t<span class=\"sow-icon-genericons\" data-sow-icon=\"&#xf204;\"\n\t\tstyle=\"color: #13294b\" \n\t\taria-hidden=\"true\"><\/span>\n\t\t\t\t\t<\/span>\n\t\t\t<\/a>\n\t<\/div>\n<\/div><\/div><\/div><div id=\"pgc-w684c98b80cb10-0-2\"  class=\"panel-grid-cell\" ><div id=\"panel-w684c98b80cb10-0-2-0\" class=\"so-panel widget widget_sow-button panel-first-child panel-last-child\" data-index=\"1\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-button so-widget-sow-button-flat-eff27d41cd27\"\n\t\t\t\n\t\t><div class=\"ow-button-base ow-button-align-center\"\n>\n\t\t\t<a\n\t\t\t\t\thref=\"http:\/\/www.facebook.com\/diseasepreventionhotline\"\n\t\t\t\t\tclass=\"sowb-button ow-icon-placement-top\" target=\"_blank\" rel=\"noopener noreferrer\" \t>\n\t\t<span>\n\t\t\t<span class=\"sow-icon-genericons\" data-sow-icon=\"&#xf203;\"\n\t\tstyle=\"color: #13294b\" \n\t\taria-hidden=\"true\"><\/span>\n\t\t\t\t\t<\/span>\n\t\t\t<\/a>\n\t<\/div>\n<\/div><\/div><\/div><div id=\"pgc-w684c98b80cb10-0-3\"  class=\"panel-grid-cell\" ><div id=\"panel-w684c98b80cb10-0-3-0\" class=\"so-panel widget widget_sow-button panel-first-child panel-last-child\" data-index=\"2\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-button so-widget-sow-button-flat-eff27d41cd27\"\n\t\t\t\n\t\t><div class=\"ow-button-base ow-button-align-center\"\n>\n\t\t\t<a\n\t\t\t\t\thref=\"http:\/\/www.x.com\/vdhgov\"\n\t\t\t\t\tclass=\"sowb-button ow-icon-placement-top\" target=\"_blank\" rel=\"noopener noreferrer\" \t>\n\t\t<span>\n\t\t\t<span class=\"sow-icon-genericons\" data-sow-icon=\"&#xf202;\"\n\t\tstyle=\"color: #13294b\" \n\t\taria-hidden=\"true\"><\/span>\n\t\t\t\t\t<\/span>\n\t\t\t<\/a>\n\t<\/div>\n<\/div><\/div><\/div><div id=\"pgc-w684c98b80cb10-0-4\"  class=\"panel-grid-cell\" ><div id=\"panel-w684c98b80cb10-0-4-0\" class=\"so-panel widget widget_sow-button panel-first-child panel-last-child\" data-index=\"3\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-button so-widget-sow-button-flat-eff27d41cd27\"\n\t\t\t\n\t\t><div class=\"ow-button-base ow-button-align-center\"\n>\n\t\t\t<a\n\t\t\t\t\thref=\"http:\/\/www.youtube.com\/myvdh1\"\n\t\t\t\t\tclass=\"sowb-button ow-icon-placement-top\" target=\"_blank\" rel=\"noopener noreferrer\" \t>\n\t\t<span>\n\t\t\t<span class=\"sow-icon-genericons\" data-sow-icon=\"&#xf213;\"\n\t\tstyle=\"color: #13294b\" \n\t\taria-hidden=\"true\"><\/span>\n\t\t\t\t\t<\/span>\n\t\t\t<\/a>\n\t<\/div>\n<\/div><\/div><\/div><div id=\"pgc-w684c98b80cb10-0-5\"  class=\"panel-grid-cell panel-grid-cell-mobile-last\" ><div id=\"panel-w684c98b80cb10-0-5-0\" class=\"so-panel widget widget_sow-button panel-first-child panel-last-child\" data-index=\"4\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-button so-widget-sow-button-flat-eff27d41cd27\"\n\t\t\t\n\t\t><div class=\"ow-button-base ow-button-align-center\"\n>\n\t\t\t<a\n\t\t\t\t\thref=\"https:\/\/www.linkedin.com\/company\/virginia-department-of-health\"\n\t\t\t\t\tclass=\"sowb-button ow-icon-placement-top\" target=\"_blank\" rel=\"noopener noreferrer\" \t>\n\t\t<span>\n\t\t\t<span class=\"sow-icon-genericons\" data-sow-icon=\"&#xf207;\"\n\t\tstyle=\"color: #13294b\" \n\t\taria-hidden=\"true\"><\/span>\n\t\t\t\t\t<\/span>\n\t\t\t<\/a>\n\t<\/div>\n<\/div><\/div><\/div><div id=\"pgc-w684c98b80cb10-0-6\"  class=\"panel-grid-cell panel-grid-cell-empty\" ><\/div><\/div><\/div><div id=\"pg-w684c98b80cb10-1\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-w684c98b80cb10-1-0\"  class=\"panel-grid-cell\" ><div id=\"panel-w684c98b80cb10-1-0-0\" class=\"so-panel widget widget_sow-editor panel-first-child panel-last-child\" data-index=\"5\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<div id=\"panel-12697-7-0-1\" class=\"so-panel widget widget_sow-editor\" data-index=\"9\">\n<div class=\"so-widget-sow-editor so-widget-sow-editor-base\">\n<div class=\"siteorigin-widget-tinymce textwidget\">\n<p><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12699 aligncenter\" src=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/10\/2025\/02\/VDH_OEpi_DDP_horizontal.jpg\" sizes=\"auto, (max-width: 391px) 100vw, 391px\" srcset=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/10\/2025\/02\/VDH_OEpi_DDP_horizontal.jpg 391w, https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/10\/2025\/02\/VDH_OEpi_DDP_horizontal-300x35.jpg 300w\" alt=\"VDH OEpi DDP Logo for gray footer\" width=\"391\" height=\"46\" \/><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div><\/div><\/div><\/div><div id=\"pg-w684c98b80cb10-2\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-w684c98b80cb10-2-0\"  class=\"panel-grid-cell\" ><div id=\"panel-w684c98b80cb10-2-0-0\" class=\"so-panel widget widget_sow-editor panel-first-child panel-last-child\" data-index=\"6\" ><div class=\"panel-widget-style panel-widget-style-for-w684c98b80cb10-2-0-0\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<p style=\"text-align: center;\"><strong>DDP Resources<\/strong><\/p>\n<p style=\"text-align: center;\"><a href=\"https:\/\/www.vdh.virginia.gov\/disease-prevention\/\">DDP Website<\/a>\u00a0|\u00a0<a href=\"https:\/\/www.vdh.virginia.gov\/disease-prevention\/partneragencies\/\">Community Partners Page<\/a><br \/>\n<a href=\"https:\/\/www.vdh.virginia.gov\/disease-prevention\/hcw\/\">Health Professionals Page<\/a>\u00a0|\u00a0<a href=\"https:\/\/www.vdh.virginia.gov\/disease-prevention\/ddp-communications-resources\/\">Communications Resources<\/a><br \/>\n<a href=\"https:\/\/bit.ly\/vdhconnections\">Find a Service Provider<\/a>\u00a0|\u00a0<a href=\"https:\/\/www.vdh.virginia.gov\/disease-prevention\/ddp-recruitment\/\">Employment Opportunities<\/a><\/p>\n<\/div>\n<\/div><\/div><\/div><\/div><div id=\"pgc-w684c98b80cb10-2-1\"  class=\"panel-grid-cell panel-grid-cell-empty\" ><\/div><div id=\"pgc-w684c98b80cb10-2-2\"  class=\"panel-grid-cell\" ><div id=\"panel-w684c98b80cb10-2-2-0\" class=\"so-panel widget widget_sow-editor panel-first-child panel-last-child\" data-index=\"7\" ><div class=\"panel-widget-style panel-widget-style-for-w684c98b80cb10-2-2-0\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<p style=\"text-align: center;\"><strong>Subscription Preferences<\/strong><\/p>\n<p style=\"text-align: center;\"><a href=\"https:\/\/public.govdelivery.com\/accounts\/VAVDHORCE\/signup\/44980\" target=\"_blank\" rel=\"noopener\">Join the DDP E-bulletin Mailing List<\/a><br \/>\n<a href=\"https:\/\/links-1.govdelivery.com\/CL0\/https:%2F%2Fpublic.govdelivery.com%2Faccounts%2FVAVDHORCE%2Fsubscriber%2Fedit%3Fpreferences=true%23tab1\/1\/0100019539cbb2d3-f862cebd-e6b0-4b88-b5c2-bb8a3d48ec46-000000\/dMk0xpChdm9Vb_8Ct7bo4W0OREskjgMEHjic7Tvmpkc=393\" target=\"_blank\" rel=\"noopener\">Manage Preferences<\/a> | <a href=\"https:\/\/links-1.govdelivery.com\/CL0\/https:%2F%2Fsubscriberhelp.govdelivery.com%2F\/1\/0100019539cbb2d3-f862cebd-e6b0-4b88-b5c2-bb8a3d48ec46-000000\/mM763JYA2bCzPDDi15PhAL6e18UYGrsefNpKJ4mvPVo=393\" target=\"_blank\" rel=\"noopener\">Subscriber Help<\/a><\/p>\n<\/div>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div>","protected":false},"excerpt":{"rendered":"<p>As of August 19, 2025, 22 mpox cases have been reported to VDH this year. To compare, Virginia had 27 cases in 2024. A concerning increase occurred this July with 13 of the 22 cases being reported. Of 2025 cases, 12 were in the Northern region, five in Central, four in Eastern, and one in [&hellip;]<\/p>\n","protected":false},"author":25,"featured_media":13348,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","footnotes":""},"categories":[9],"tags":[41,40,21,39,20],"class_list":["post-13347","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-ebulletin","tag-data","tag-harm-reduction","tag-hivcare","tag-mpox","tag-training"],"modified_by":"DDP PR Coordinator","yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>DDP E-Bulletin: August 2025 - Disease Prevention<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.vdh.virginia.gov\/disease-prevention\/2025\/08\/19\/ddp-e-bulletin-august-2025\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"DDP E-Bulletin: August 2025 - Disease Prevention\" \/>\n<meta property=\"og:description\" content=\"As of August 19, 2025, 22 mpox cases have been reported to VDH this year. To compare, Virginia had 27 cases in 2024. A concerning increase occurred this July with 13 of the 22 cases being reported. 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