CDC has published a Health Alert Network advisory on vitamin K-dependent antagonist coagulopathy caused by synthetic cannabinoids apparently contaminated with the rodenticide brodifacoum. While CDC does not report any cases from the West Coast, they advise proceduralists who deal with blood, and others, to be aware of the possibility. The HAN includes:
Recommendations for clinicians, including notifying health authorities, especially in cases where a synthetic cannabinoid user has recently donated blood
Recommendations for public health officials, including notifying CDC
Recommendations for the general public, including avoiding synthetic cannabinoids
There is no suggestion that natural, non-synthetic cannabinoids are similarly contaminated; these are regulated and legal by state law in all of Networks 16 and 18 except Idaho, and increasingly used for medical purposes. There is also no suggestion that natural, non-synthetic, non-psychoactive CBD oil made from industrial hemp, which is available throughout the US, is similarly contaminated; however, outside of the regulated marketplace, industrial-hemp CBD oil is unregulated, so the potential for contamination of some kind is always present.
The 2018 NWRD Annual Conference will be held March 8-9, 2018 in Spokane WA. Payment received by February 15, 2018 will be discounted $50. Register at http://www.nwrdonline.org/registration-2018. The agenda includes CKD, disparities, and diet among Native American patients, hurricane relief, vegetarian and vegan diets, transplantation, diabetes, home hemo, new medications, EOL, mentoring, and a “3K Walk and Talk” along the Spokane River featuring best practices to “Renew, Refocus, and Refresh.” Fourteen CPEUs are available. Find the agenda at https://s3-us-west-2.amazonaws.com/nwrn.org/files/N/NWRD/NWRD.0318.pdf.
The Conference also includes an evening networking opportunity, cooking class, and renal diet workshop called Cultivate your CKD Culinary Skills led by NKF chef instructor Duane Sunwold of the Inland Northwest Culinary Academy. Chef Sunwold, an experienced chef, culinary arts instructor, and former kidney patient, was able to put his kidney disease in remission, in part by changing his lifestyle and diet. He will share professional techniques for teaching patients how to improve their diet. Two additional CPEUs are offered for the evening. Find more information at https://s3-us-west-2.amazonaws.com/nwrn.org/files/N/NWRD/NWRD.0318.Networking.pdf.
CDC has issued a “HAN” Health Advisory on increased influenza A(H3N2) activity and its clinical implications. The HAN also includes a summary of influenza antiviral drug treatment recommendations, an update about approved treatment drugs and current supply, and background information for patients about influenza treatment. Find the HAN at https://emergency.cdc.gov/han/han00409.asp.