MMWR (Journal)

Notes from the Field: Borrelia mayonii Lyme Disease — New York, 2025

Thu, 04 Jun 2026 13:00:00 EST

This report describes an outbreak of 39 cases of amatoxin mushroom poisoning in Northern California.

Measles Outbreak in a Child Care Facility — Lubbock, Texas, March–April 2025

Thu, 04 Jun 2026 13:00:00 EST

This report describes characteristics of patients who were hospitalized during a large measles outbreak in west Texas.

Characteristics of Patients Hospitalized with Measles During an Outbreak — West Texas, January–March 2025

Thu, 28 May 2026 13:00:00 EST

This report describes characteristics of patients who were hospitalized during a large measles outbreak in west Texas.

Amanita Species Mushroom Poisonings — Northern California, November 2025–March 2026

Thu, 28 May 2026 13:00:00 EST

This report describes an outbreak of 39 cases of amatoxin mushroom poisoning in Northern California.

Prevalence and Context of Sunburn Among U.S. Adults — United States, 2024

Thu, 21 May 2026 13:00:00 EST

This report describes sunburns among adults.

Klebsiella pneumoniae Carbapenemase–Producing Enterobacterales Infection and Colonization in a Long-Term Care Facility — Ontario, Canada, May 2024–January 2025

Thu, 21 May 2026 13:00:00 EST

This report describes an 8-month outbreak of carbapenemase-producing Enterobacterales in a long-term care facility in Ontario, Canada.

Knowledge, Attitudes, and Practices Regarding Avian Influenza Among Owners of Backyard Flocks — United States, July–December 2025

Thu, 14 May 2026 13:00:00 EST

This report describes survey results from backyard flock owners’ attitudes towards avian influenza.

Increase in Travel-Associated and Locally Acquired Dengue Cases — United States, 2024

Thu, 14 May 2026 13:00:00 EST

This report describes an increase in dengue cases reported during 2024.

Fatal Human Case of Highly Pathogenic Avian Influenza A(H5N5) in a Backyard Flock Owner — Washington, November 2025

Thu, 07 May 2026 13:00:00 EST

This report describes a fatal human case of highly pathogenic avian influenza in Washington.

Serologic Evidence of Highly Pathogenic Avian Influenza A(H5N1) Virus Infection in a Veterinary Professional Exposed to an Infected Domestic Cat — Los Angeles County, California, December 2024–January 2025

Thu, 07 May 2026 13:00:00 EST

This report describes 139 human exposures to cats infected with A(H5N1) in Los Angeles, California.

Large Tuberculosis Outbreaks — United States, 2017–2023

Thu, 30 Apr 2026 13:00:00 EST

This report describes 50 large tuberculosis outbreaks in 23 states during 2017–2023.

Notes from the Field: Increase in Eastern Equine Encephalitis Virus Activity — Vermont, 2023–2024

Thu, 30 Apr 2026 13:00:00 EST

This report describes an increase in eastern equine encephalitis in northern Vermont during 2023–2024.

Notes from the Field: Contact Tracing for Monkeypox virus Clade I Cases Associated with Air Travel — United States, November 2024–January 2025

Thu, 23 Apr 2026 13:00:00 EST

This report describes contact tracing following mpox exposures during commercial air travel.

Influenza Vaccination Coverage Among Nursing Home Residents and Health Care Personnel — United States, 2024–25 Influenza Season

Thu, 23 Apr 2026 13:00:00 EST

This report describes flu vaccination coverage among nursing home residents and health care providers working in nursing homes.

Notes from the Field: Tetanus in Four Children — Idaho, Minnesota, Missouri, and Wisconsin, 2024

Thu, 16 Apr 2026 13:00:00 EST

This report describes four cases of tetanus among children who had not received a primary tetanus toxoid-containing virus series before exposure.

Clusters of Invasive Haemophilus influenzae Type b Disease Among Adults Using Substances or Experiencing Homelessness or Housing Instability — Alaska, Oregon, and Washington, 2023─2025

Thu, 16 Apr 2026 13:00:00 EST

This report describes two clusters of invasive of Haemophilus influenzae type b among adults with special risk factors in Alaska, Oregon, and Washington.

Severe Illness Associated with Eating Mushroom-Containing Chocolate Products — United States, January–October 2024

Thu, 09 Apr 2026 13:00:00 EST

This report describes severe illness associated with eating mushroom-containing chocolate products.

Emergence of Extensively Drug-Resistant Shigellosis — United States, 2011–2023

Thu, 09 Apr 2026 13:00:00 EST

This report describes the emergence of drug-resistant shigellosis in the United States during 2011-2023.

Influenza and COVID-19 Vaccination Coverage Among Health Care Personnel — United States, 2024–25 Respiratory Virus Season

Thu, 02 Apr 2026 13:00:00 EST

This report describes influenza and COVID-19 vaccination coverage among health care providers in the United States during the 2024-25 respiratory virus season.

Increase in Poison Center Reports Linked to Kratom-Containing Kava Products — National Poison Data System, United States, 2000–2025

Thu, 02 Apr 2026 13:00:00 EST

This report describes an increase in reports linked to kratom-containing kava products in the United States from 2000-2025.

Vaccination Coverage by Age 24 Months Among Children Born in 2021 and 2022 — National Immunization Survey-Child, United States, 2022–2024

Thu, 26 Mar 2026 13:00:00 EST

This report describes vaccination coverage by age 2 among children born in 2021 and 2022.

Increases in Kratom-Related Reports to Poison Centers — National Poison Data System, United States, 2015–2025

Thu, 26 Mar 2026 13:00:00 EST

This report describes kratom-related exposures in the United States from 2015-2024.

Early Detection and Surveillance of the SARS-CoV-2 Variant BA.3.2 — Worldwide, November 2024–February 2026

Thu, 19 Mar 2026 13:00:00 EST

This report describes early detection and surveillance of the SARS-CoV-2 variant BA.3.2.

Interim Estimates of 2025–26 Seasonal Influenza Vaccine Effectiveness — California, October 2025–January 2026

Thu, 12 Mar 2026 14:50:00 EST

This report describes interim estimates of 2025-26 flu vaccine effectiveness in California during October 2025-January 2026.

Interim Estimates of 2025–26 Seasonal Influenza Vaccine Effectiveness — United States, September 2025–February 2026

Thu, 12 Mar 2026 13:00:00 EST

This report describes interim estimates of 2025-26 seasonal flu vaccine effectiveness.

Measles Outbreak — New Mexico, 2025

Thu, 12 Mar 2026 13:00:00 EST

This report describes a measles outbreak in New Mexico in 2025.

Notes from the Field: Exposures to Chemical Munitions During Commercial Fishing Operations — New Jersey, 2016–2023

Thu, 05 Mar 2026 13:00:00 EDT

This report describes exposures to chemical munitions during commercial fishing operations.

Notes from the Field: Congenital Rubella Syndrome — Florida, 2025

Thu, 05 Mar 2026 13:00:00 EDT

This report describes cases of congenital rubella in Florida.

Kaposi Sarcoma–Associated Herpesvirus Infection and Complications Among Solid Organ Transplant Recipients — United States, January 2021–September 2025

Thu, 05 Mar 2026 13:00:00 EDT

This report describes Kaposi sarcoma in an organ transplant recipient.

Multicounty Outbreak of Salmonella Agbeni Linked to Ice in a Cooler at a County Fair — Illinois, August 2024

Thu, 26 Feb 2026 12:58:00 EDT

This report describes a 2024 Salmonella outbreak linked to ice in a cooler at a county fair in Illinois.

Regional Increases in Incidence of Coccidioidomycosis (Valley Fever) — Arizona, 2005–2022

Thu, 19 Feb 2026 12:58:00 EDT

This report describes regional increases in Valley fever in Arizona during 2005-2022.

COVID-19 Antiviral Prescription Receipt Among Outpatients Aged ≥65 Years — United States, June 1, 2023–September 30, 2025

Thu, 19 Feb 2026 12:58:00 EDT

This report describes receipt of COVID-19 antiviral prescriptions among outpatients aged 65 and older from June 1, 2023-September 30, 2025.

Respiratory Virus Activity — United States, July 1, 2024–June 30, 2025

Thu, 19 Feb 2026 12:58:00 EDT

This report describes respiratory virus activity in the United States during July 1, 2024-June 30, 2025.

Pseudo-Outbreak of Purpureocillium lilacinum Skin Infections at a Dermatology Clinic — Washington, 2024

Fri, 13 Feb 2026 08:50:00 EDT

This report describes an outbreak of Purpureocillium lilacinum fungal skin infections associated with a dermatology clinic in Washington.

Purpureocillium lilacinum Keratitis Outbreak Associated with an Ophthalmology Clinic — New York City, 2024

Thu, 12 Feb 2026 12:56:00 EDT

This report describes the public health response to a Purpureocillium lilacinum keratitis outbreak in New York City associated with an ophthalmology clinic.

Measles Outbreak Associated with an Infectious Traveler — Colorado, May–June 2025

Thu, 29 Jan 2026 13:00:00 EDT

This report describes the public health response to a measles outbreak in Colorado among people exposed to an infectious traveler who arrived in Colorado in May 2025 on an international flight.

Notes from the Field: Maximizing Tuberculosis Testing After a School-Based Exposure — Lake County, Illinois, 2025

Thu, 29 Jan 2026 13:00:00 EDT

This report describes the prevalence of physical and sexual violence perpetration by young men and associations of these events with their exposure to violence during childhood.

Prevalence of Violence Perpetration by Men Aged 18–24 Years in Low- and Middle-Income Countries Who Were Exposed to Violence During Childhood — Eight Countries, 2018–2023

Thu, 22 Jan 2026 13:00:00 EDT

This report describes the prevalence of physical and sexual violence perpetration by young men and associations of these events with their exposure to violence during childhood.

Continuity of Care for Patients with Tuberculosis Relocating to Other Countries — CureTB Program, 2016–2023

Thu, 22 Jan 2026 13:00:00 EDT

This report evaluates CureTB program performance during 2016-2023.

Imported Human Rabies — Kentucky and Ohio, 2024

Thu, 15 Jan 2026 13:00:00 EDT

This report describes a human rabies case with a delayed diagnosis that led to health care provider exposures in two states: Kentucky and Ohio.

Human Rabies Deaths — Minnesota and California, 2024

Thu, 15 Jan 2026 13:00:00 EDT

This report describes a human rabies case with a delayed diagnosis that led to health care provider exposures in two states: Kentucky and Ohio.

Notes from the Field: Wastewater Surveillance for Measles Virus During a Measles Outbreak — Colorado, August 2025

Thu, 15 Jan 2026 13:00:00 EDT

This report describes a measles outbreak in Colorado in August 2025.

Notes from the Field: Retrospective Analysis of Wild-Type Measles Virus in Wastewater During a Measles Outbreak — Oregon, March 24–September 22, 2024

Thu, 15 Jan 2026 13:00:00 EDT

This report describes a measles outbreak in Oregon in 2024.

Zika Virus Outbreak — Bangladesh, September–December 2024

Thu, 08 Jan 2026 13:00:00 EDT

This report describes a Zika outbreak in Dhaka, Bangladesh, during September-December 2024

Use of the GSK MenACWY-CRM/MenB-4C Pentavalent Meningococcal Vaccine Among Persons Aged ≥10 Years: Recommendations of the Advisory Committee on Immunization Practices — United States, 2025

Thu, 08 Jan 2026 13:00:00 EDT

This report updates recommendations for the use meningococcal vaccine among people 10 years of age and older.

Welder’s Anthrax Treated with Obiltoxaximab — Louisiana, 2024

Tue, 30 Dec 2025 13:00:00 EDT

The Morbidity and Mortality Weekly Report (MMWR) Series is prepared by the Centers for Disease Control and Prevention (CDC).

Progress Toward Eradication of Dracunculiasis (Guinea Worm Disease) — Worldwide, January 2024–June 2025

Tue, 30 Dec 2025 13:00:00 EDT

This report describes progress in the eradication of Guinea worm disease during 2024 and from January-June 2025.

Coal Workers’ Pneumoconiosis–Associated Deaths — United States, 2020–2023

Thu, 18 Dec 2025 13:00:00 EDT

This report describes death rates associated with pneumoconiosis among coal workers between 2020 and 2023.

Leisure-Time Physical Activity Among Women of Reproductive Age — United States, 2022 and 2024

Thu, 18 Dec 2025 13:00:00 EDT

This report describes physical activity among women of reproductive age (18-44 years).

Effectiveness of 2024–2025 COVID-19 Vaccines in Children in the United States — VISION, August 29, 2024–September 2, 2025

Thu, 11 Dec 2025 13:00:00 EDT

This report describes COVID-19 vaccine effectiveness among children ages 9 months to 17 years.

Detection of Paraburkholderia in Clinical Specimens Associated with Use of Nonsterile Ultrasound Gel for Percutaneous Procedures — United States, Canada, and Israel, May 2023⎯April 2025

Thu, 11 Dec 2025 13:00:00 EDT

This report describes the international public health response to patients with Paraburkholderia in their clinical cultures.

Rabies Cluster Among Steers on a Dairy Farm — Minnesota, 2024

Thu, 11 Dec 2025 13:00:00 EDT

This report describes a cluster of rabid steers on a Minnesota dairy farm infected by a single skunk.

Human-to-Human Rabies Transmission via Solid Organ Transplantation from a Donor with Undiagnosed Rabies — United States, October 2024–February 2025

Thu, 04 Dec 2025 13:00:00 EDT

This report describes the public health response to a patient who died after transplantation with an organ from a donor with undiagnosed rabies.

Notes From the Field: Severe Illnesses After Self-Injection of Botulinum Toxin Purchased Online — New York, Texas, and Wisconsin, 2025

Wed, 26 Nov 2025 13:00:00 EDT

This report describes the public health response to three patients from different states who developed severe illness after self-injecting botulinum toxin.

Notes from the Field: Outbreak of Escherichia coli O157:H7 Infections Linked to Organic Walnuts — Washington and California, 2024

Wed, 26 Nov 2025 13:00:00 EDT

This report describes CDC’s multistate investigation to confirm the genetic relatedness of infections in an E. coli outbreak linked to walnuts and identify additional cases.

Nirsevimab Effectiveness Against Intensive Care Unit Admission for Respiratory Syncytial Virus in Infants — 24 States, December 2024–April 2025

Thu, 20 Nov 2025 13:00:00 EDT

This report describes a multicenter case-control investigation that found nirsevimab was 80% effective at preventing RSV-associated ICU admissions among infants.

Notes from the Field: Expanding Birthing Hospital Enrollment in the Vaccines for Children Program to Increase Infant Immunization Against Respiratory Syncytial Virus — United States, October 2023–March 2025

Thu, 20 Nov 2025 13:00:00 EDT

This report describes a CDC collaboration with professional organizations and health departments to enroll birthing hospitals in the Vaccines for Children Program to increase infant immunization against respiratory syncytial virus.

Influenza-Associated Pediatric Deaths — United States, 2024–25 Influenza Season

Thu, 25 Sep 2025 13:00:00 EST

This report describes pediatric deaths during the 2024–25 influenza season.

Pediatric Influenza-Associated Encephalopathy and Acute Necrotizing Encephalopathy — United States, 2024–25 Influenza Season

Thu, 25 Sep 2025 13:00:00 EST

This report describes 109 U.S. cases of pediatric influenza-associated encephalopathy during the 2024–25 flu season – a high-severity season.

Interim Effectiveness Estimates of 2025 Southern Hemisphere Influenza Vaccines in Preventing Influenza-Associated Outpatient and Hospitalized Illness — Eight Southern Hemisphere Countries, March–September 2025

Thu, 25 Sep 2025 13:00:00 EST

This report describes flu vaccine effectiveness in the Southern Hemisphere during the 2025 flu season.

Notes from the Field: Differences in Suicide Rates, by Race and Ethnicity and Age Group — United States, 2018–2023

Thu, 18 Sep 2025 13:00:00 EST

This report describes suicide rates by age and by race and ethnicity during 2018–2023.

Clinical Recommendation for the Use of Injectable Lenacapavir as HIV Preexposure Prophylaxis — United States, 2025

Thu, 18 Sep 2025 13:00:00 EST

This report describes a clinical recommendation to use injectable lenacapavir as an HIV preexposure prophylaxis.

Influenza-Associated Hospitalizations During a High Severity Season — Influenza Hospitalization Surveillance Network, United States, 2024–25 Influenza Season

Thu, 11 Sep 2025 13:00:00 EST

This report describes the severity of the 2024–25 flu season and flu-associated hospitalizations.

Notes from the Field: Invasive Group G β-Hemolytic Streptococcus Outbreak at a Long-Term Care Facility — Pennsylvania, 2024

Thu, 11 Sep 2025 13:00:00 EST

This report describes two residents of a long-term care facility (both older than age 85) who developed Group G β-hemolytic Streptococcus in a long-term care facility.

Highly Pathogenic Avian Influenza A(H5N1) Virus Infection in a Child with No Known Exposure — San Francisco, California, December 2024–January 2025

Thu, 04 Sep 2025 13:00:00 EST

This report describes a case of highly pathogenic avian influenza A(H5N1) identified in a school-aged child in California with no known source of exposure.

Outbreak of Neisseria meningitidis Conjunctivitis in Military Trainees — Texas, February–May 2025

Thu, 04 Sep 2025 13:00:00 EST

This report describes 41 cases of Neisseria meningitidis conjunctivitis among military trainees living in a communal setting in Texas.

Drug Overdose Deaths Involving Stimulants ― United States, January 2018–June 2024

Thu, 28 Aug 2025 12:58:00 EST

This report describes overdose deaths involving stimulants during January 2018–June 2024.

Use of Clesrovimab for Prevention of Severe Respiratory Syncytial Virus–Associated Lower Respiratory Tract Infections in Infants: Recommendations of the Advisory Committee on Immunization Practices — United States, 2025

Thu, 28 Aug 2025 12:58:00 EST

This report describes CDC’s recommendation for use of clesrovimab for prevention of severe respiratory syncytial virus (RSV) in infants.

Prevention and Control of Seasonal Influenza with Vaccines: Recommendations of the Advisory Committee on Immunization Practices — United States, 2025–26 Influenza Season

Thu, 28 Aug 2025 12:58:00 EST

This report describes the Advisory Committee on Immunization Practices’ updated seasonal flu vaccination recommendations for 2025–26 flu season..

Respiratory Syncytial Virus Immunization Coverage Among Infants Through Receipt of Nirsevimab Monoclonal Antibody or Maternal Vaccination — United States, October 2023–March 2024

Thu, 21 Aug 2025 12:58:00 EST

This report describes an analysis of infants born from October 2023–March 2024 that had respiratory syncytial virus (RSV) immunization coverage through nirsevimab monoclonal antibodies or maternal vaccination.

Rabies Outbreak in an Urban, Unmanaged Cat Colony — Maryland, August 2024

Thu, 21 Aug 2025 12:58:00 EST

This report describes a multistate investigation into a rabies outbreak in Maryland that was linked to a rabid, feral cat.

Reoccurring Salmonella Cotham Outbreak Linked to Pet Bearded Dragons — United States, 2024

Thu, 21 Aug 2025 12:58:00 EST

This report describes an outbreak of Salmonella infection in 2024 that was found to be linked to household exposure to pet bearded dragons.

Vaccination Coverage Among Adolescents Aged 13–17 Years — National Immunization Survey-Teen, United States, 2024

Thu, 14 Aug 2025 12:58:00 EST

This report describes adolescent vaccination coverage in 2024 compared to 2023.

Notes from the Field: Hepatitis B Virus Transmission Associated with Assisted Blood Glucose Monitoring in a Skilled Nursing Facility — North Carolina, 2024

Thu, 07 Aug 2025 12:58:00 EST

This report describes acute hepatitis B infection in a nursing home resident who used a shared glucometer that was also used on a resident with chronic hepatitis B.

Emergency Department Survey of Vaccination Knowledge, Vaccination Coverage, and Willingness to Receive Vaccines in an Emergency Department Among Underserved Populations — Eight U.S. Cities, April–December, 2024

Thu, 07 Aug 2025 12:58:00 EST

This report describes an emergency department (ED) survey of vaccine knowledge, self-reported vaccination status, and willingness to receive vaccines if offered in an ED.

Solar Panel Installation Workers Exposed to Pesticides During Two Agricultural Applications — Michigan, August 2023 and May 2024

Thu, 31 Jul 2025 15:32:00 EST

This report describes exposure of solar panel installation workers to pesticides during agricultural application near their worksite.

Baylisascariasis (Raccoon Roundworm Infection) in Two Unrelated Children — Los Angeles County, California, 2024

Thu, 31 Jul 2025 12:58:00 EST

This report describes two cases of baylisascariasis in unrelated children associated with ingestion of racoon feces and contaminated soil.

Tetrahydrocannabinol Intoxication from Food at a Restaurant — Wisconsin, October 2024

Thu, 24 Jul 2025 12:58:00 EST

This report describes THC intoxication among patrons at a Wisconsin restaurant that was later linked to mislabeled THC-infused oil used to prepare food in a kitchen shared with a vendor licensed to sell THC products.

Outbreak of Salmonella Typhimurium Infections Linked to Commercially Distributed Raw Milk — California and Four Other States, September 2023–March 2024

Thu, 24 Jul 2025 12:58:00 EST

This report describes a Salmonella outbreak linked to raw milk and cheese in late 2023 and early 2024.

Evaluation of a Combined Text Messaging and Online Survey Protocol for Giardiasis Case Investigation — Colorado, September 2023–May 2024

Thu, 17 Jul 2025 12:58:00 EST

This report describes an investigation in Colorado that combined text message invitations with an online survey to facilitate rapid capture of complete case data for one third of Colorado patients with laboratory-confirmed Giardia reported during September 2023–May 2024.

Notes from the Field: Early-Season Human Plague Transmitted from an Infected Cat — Oregon, January 2024

Thu, 17 Jul 2025 12:58:00 EST

This report describes transmission of plague from a pet cat to its owner.

Candida auris Containment Responses in Health Care Facilities that Provide Hemodialysis Services — New Jersey, North Carolina, South Carolina, and Tennessee, 2020–2023

Thu, 10 Jul 2025 13:27:00 EST

This report describes containment responses at five facilities that provided dialysis for patients with colonized C. auris and screened potentially exposed patient contacts.

Foodborne Botulism Outbreak After Consumption of Home-Canned Cactus (Nopales) — Fresno County, California, June 2024

Thu, 03 Jul 2025 12:58:00 EST

This report describes an outbreak of eight cases of foodborne botulism linked to improperly canned prickly pear cactus.

Mycoplasma pneumoniae Infections in Hospitalized Children — United States, 2018–2024

Thu, 26 Jun 2025 12:58:00 EST

This report describes an increase in the number of hospital discharges of children with Mycoplasma pneumonia–associated community-acquired pneumonia from U.S. pediatric hospitals in 2024.

Notes from the Field: Parvovirus B19 Activity — United States, January 2024–May 2025

Thu, 26 Jun 2025 12:58:00 EST

This report describes an increase in sera specimens positive for B19 antibodies during January–May 10, 2025, compared to the same period in 2024.

Notes from the Field: Increase in New Delhi Metallo-β-Lactamase–Producing Carbapenem-Resistant Enterobacterales — New York City, 2019–2024

Thu, 26 Jun 2025 12:58:00 EST

This report describes increases in the annual number of New Delhi metallo-β-lactamase–positive carbapenem-resistant Enterobacterales cases in New York City from 2019 to 2024.

Clade Ib Mpox Outbreak — Kenya, July 2024–February 2025

Wed, 18 Jun 2025 12:58:00 EST

This report describes clade Ib mpox cases diagnosed in Kenya from July 2024–February 2025.

Use of JYNNEOS (Smallpox and Mpox Vaccine, Live, Nonreplicating) for Persons Aged ≥18 Years at Risk for Mpox During an Mpox Outbreak: Recommendations of the Advisory Committee on Immunization Practices — United States, 2023

Wed, 18 Jun 2025 12:58:00 EST

This report describes ACIP’s 2023 recommendation for JYNNEOS vaccine use in people 18 years and older who are at risk for mpox during an mpox outbreak.

Clade II Mpox Infections Among Cruise Ship Passengers and Crew Members — United States, 2024

Wed, 18 Jun 2025 12:58:00 EST

This report describes eight mpox cases on four cruise ships: four among crew members and four among passengers.

West Nile Virus and Other Nationally Notifiable Arboviral Diseases — United States, 2023

Thu, 12 Jun 2025 13:00:00 EST

This report describes arboviral disease cases reported in the United States during 2023.

Health Care Use Preceding Suicide by Firearm Compared with Suicide by Other Means — Alaska, Colorado, and Washington, 2020–2022

Thu, 12 Jun 2025 13:00:00 EST

This report describes health care encounters among people who died by firearm suicide.

Prescriptions for Obesity Medications Among Adolescents Aged 12–17 Years with Obesity — United States, 2018–2023

Thu, 05 Jun 2025 12:58:00 EST

This report describes the proportion of adolescents with obesity who were prescribed an obesity medication during 2018–2023.

Notes from the Field: Public Health Response to Surveillance for Recent HIV Infections — Malawi, May 2024

Thu, 05 Jun 2025 12:58:00 EST

This report describes the public health response to surveillance data in Malawi that identified higher-than-expected recent HIV infections.

Missed Opportunities for Congenital Syphilis Prevention — Clark County, Nevada, 2017–2022

Thu, 05 Jun 2025 12:58:00 EST

This report describes missed opportunities to treat syphilis during pregnancy in mothers of newborns with congenital syphilis.

Field Testing and Validation of a New Question Set to Measure Housing Status — Fulton County, Georgia, August–September 2023

Thu, 05 Jun 2025 12:58:00 EST

This report describes a new question set to evaluate housing status among respondents at food pantries and health clinics in Atlanta, Georgia.

Update on the Epidemiology of Middle East Respiratory Syndrome Coronavirus — Worldwide, 2017–2023

Thu, 29 May 2025 12:58:00 EST

This report describes cases of Middle East Respiratory Syndrome coronavirus worldwide.

Nursing Pillows in the Sleep Environment and Sudden Unexpected Infant Deaths — Georgia, January 2013–December 2022

Thu, 29 May 2025 12:58:00 EST

This report describes sudden unexpected infant deaths associated with nursing pillows in the sleep environment.

Notes from the Field: Primary Amebic Meningoencephalitis Associated with Nasal Irrigation Using Water from a Recreational Vehicle — Texas, 2024

Thu, 29 May 2025 12:58:00 EST

This report describes a fatal case of primary amebic meningoencephalitis in a person who used tap water from a recreation vehicle for nasal irrigation.

Economic Hardship and Health Within Sociodemographic and Occupational Groups — Behavioral Risk Factor Surveillance System, United States, 2022–2023

Thu, 29 May 2025 12:58:00 EST

This report describes an association between economic hardships.

Elevated Blood Lead Levels in a Pregnant Woman and her Family from Traditional Kansa (Bronze) and Pital (Brass) Metalware — New York City, 2024

Thu, 22 May 2025 12:58:00 EST

This report describes how blood lead screening in New York City identified elevated lead levels among a pregnant woman and her family associated with the use of kansa (bronze) and pital (brass) metalware.

Estimated Current and Future Congenital Rubella Syndrome Incidence with and Without Rubella Vaccine Introduction — 19 Countries, 2019–2055

Thu, 22 May 2025 12:58:00 EST

This report describes estimated current and future rubella cases among 19 countries that have not yet introduced a rubella-containing vaccine.

Notes from the Field: HeatRisk Forecasts and Emergency Department Visits for Heat-Related Illness — New York, May–September 2024

Thu, 22 May 2025 12:58:00 EST

This report describes the analysis of HeatRisk 24-hour forecasts and associated heat-related illness in New York during May–September 2024.

Notes from the Field: Multistate Outbreak of Salmonella enterica I 4:I:- Infections Linked to Charcuterie-Style Meats — United States, 2023–2024

Thu, 15 May 2025 12:58:00 EST

This report describes a multistate outbreak of Salmonella enterica I 4:I:- infection linked to contaminated charcuterie-style meats.

Cave-Associated Histoplasmosis Outbreak Among Travelers Returning from Costa Rica — Georgia, Texas, and Washington, December 2024–January 2025

Thu, 15 May 2025 12:58:00 EST

This report describes a cluster of suspected histoplasmosis cases affecting 12 members of an extended family who had all visited the Venado Caves in Costa Rica.

Interim Evaluation of Respiratory Syncytial Virus Hospitalization Rates Among Infants and Young Children After Introduction of Respiratory Syncytial Virus Prevention Products — United States, October 2024–February 2025

Thu, 08 May 2025 13:00:00 EST

This report describes RSV-associated hospitalization rates among infants and young children during the 2024–25 respiratory virus season.

Trends in Suspected Fentanyl-Involved Nonfatal Overdose Emergency Department Visits, by Age Group, Sex, and Race and Ethnicity — United States, October 2020–March 2024

Thu, 08 May 2025 13:00:00 EST

This report describes emergency department visit rates for fentanyl-involved nonfatal overdoses during October 2020–March 2024.

Notes from the Field: Suspected Medetomidine Withdrawal Syndrome Among Fentanyl-Exposed Patients — Philadelphia, Pennsylvania, September 2024–January 2025

Thu, 01 May 2025 12:58:00 EST

This report describes 165 patients hospitalized for suspected medetomidine withdrawal syndrome in Philadelphia.

Overdoses Involving Medetomidine Mixed with Opioids — Chicago, Illinois, May 2024

Thu, 01 May 2025 12:58:00 EST

This report describes 12 confirmed and 26 probable medetomidine-involved opioid overdoses in Chicago, Illinois.

Notes from the Field: Severe Medetomidine Withdrawal Syndrome in Patients Using Illegally Manufactured Opioids — Pittsburgh, Pennsylvania, October 2024–March 2025

Thu, 01 May 2025 12:58:00 EST

This report describes a possible withdrawal syndrome experienced by 23 patients who sought treatment at hospitals in Pittsburgh, Pennsylvania, following use of illegally manufactured opioids.

Measles Update — United States, January 1–April 17, 2025

Thu, 24 Apr 2025 12:58:00 EST

The Morbidity and Mortality Weekly Report (MMWR) Series is prepared by the Centers for Disease Control and Prevention (CDC).

Notes from the Field: Assessment of Awareness, Use, and Access Barriers to Cooling Centers in Maricopa County, Arizona — August 1–September 15, 2023

Thu, 24 Apr 2025 12:58:00 EST

The Morbidity and Mortality Weekly Report (MMWR) Series is prepared by the Centers for Disease Control and Prevention (CDC).

Tobacco-Related Clinical Services and Tobacco-Free Policies in Behavioral Health Treatment Facilities — United States, 2023

Thu, 24 Apr 2025 12:58:00 EST

The Morbidity and Mortality Weekly Report (MMWR) Series is prepared by the Centers for Disease Control and Prevention (CDC).

Investigation of Lead and Chromium Exposure After Consumption of Contaminated Cinnamon-Containing Applesauce — United States, November 2023–April 2024

Thu, 24 Apr 2025 12:58:00 EST

The Morbidity and Mortality Weekly Report (MMWR) Series is prepared by the Centers for Disease Control and Prevention (CDC).

Notes from the Field: Increase in Human and Animal Tularemia Cases — Minnesota, 2024

Thu, 17 Apr 2025 12:58:00 EST

This report describes human and animal cases of tularemia reported in Minnesota during 2024.

Outbreak of Cyclosporiasis Among Patrons of a Mexican-Style Restaurant — Limestone County, Alabama, May–June 2023

Thu, 17 Apr 2025 12:58:00 EST

This report describes cases of cyclosporiasis associated with the consumption of food from a Mexican-style restaurant in Alabama.

Concurrent Norovirus Outbreaks Associated with Consumption of Oysters Harvested in Mexico — California, December 2023–January 2024

Thu, 17 Apr 2025 12:58:00 EST

This report describes approximately 400 cases of gastrointestinal illness among people who consumed raw oysters.

Routes of Marijuana Use — Behavioral Risk Factor Surveillance System, 22 U.S. States and Two Territories, 2022

Thu, 10 Apr 2025 12:58:00 EST

This report describes different ways U.S. adults use marijuana.

Notes from the Field: Suicidal Thoughts and Knowing Someone Who Died by Suicide Among Adults — United States, 2023

Thu, 10 Apr 2025 12:58:00 EST

This report describes estimates of U.S. adults who personally knew someone who died by suicide and adults who had suicidal thoughts.

Notes from the Field: Recreational Nitrous Oxide Misuse — Michigan, 2019–2023

Thu, 10 Apr 2025 12:58:00 EST

This review describes annual poison center exposures, emergency department visits, and emergency medical services responses related to nitrous oxide misuse in Michigan.

Controlled Substance Prescribing Patterns Among Fatal Overdose Decedents with an Opioid, Stimulant, or Both Contributing to Death — Pennsylvania, 2017–2022

Thu, 10 Apr 2025 12:58:00 EST

This report describes opioid prescribing patterns preceding overdose deaths in Pennsylvania that included a contributing opioid, stimulant, or both.

Notes from the Field: Response to a Case of Travel-Associated Lassa Fever — Iowa, October–November 2024

Thu, 03 Apr 2025 12:58:00 EST

This report describes a fatal Lassa fever case in a patient returning form Liberia.

Epidemiology of Symptomatic Human Metapneumovirus Infection in the CASCADIA Community-Based Cohort — Oregon and Washington, 2022–2024

Thu, 03 Apr 2025 12:58:00 EST

This report describes a community cohort study on the average incidence of symptomatic human metapneumovirus infection in Oregon and Washington.

Human Metapneumovirus Seasonality and Co-Circulation with Respiratory Syncytial Virus — United States, 2014–2024

Thu, 03 Apr 2025 12:58:00 EST

This report describes co-circulation of human metapneumovirus and respiratory syncytial virus.

Fatal Case of Splash Pad–Associated Naegleria fowleri Meningoencephalitis — Pulaski County, Arkansas, September 2023

Thu, 27 Mar 2025 12:58:00 EST

This report describes a fatal case of Naegleria fowleri infection associated with a splash pad in Arkansas.

Notes from the Field: Fatal Acanthamoeba Encephalitis in a Patient Who Regularly Used Tap Water in an Electronic Nasal Irrigation Device and a Continuous Positive Airway Pressure Machine at Home — New Mexico, 2023

Thu, 27 Mar 2025 12:58:00 EST

This report describes a fatal case of Acanthamoeba infection associated with using tap water in an electronic nasal irrigation device and a CPAP machine at home.

Synthetic Opioid and Stimulant Co-Involved Overdose Deaths by Occupation and Industry — United States, 2022

Thu, 27 Mar 2025 12:58:00 EST

This report describes an analysis of synthetic opioid and stimulant co-involved overdose deaths by occupations and industries.

Newly Reported Chronic Hepatitis C Among Adults — Alaska, 2016–2023

Thu, 27 Mar 2025 12:58:00 EST

This report describes the annual rate of newly reported chronic hepatitis C among adults in Alaska.

Notes from the Field: Rhodesiense Human African Trypanosomiasis (Sleeping Sickness) in a Traveler Returning from Zimbabwe — United States, August 2024

Thu, 20 Mar 2025 13:00:00 EST

This report describes a case of rhodesiense human African trypanosomiasis among a U.S. traveler returning from Zimbabwe.

Case Finding Among and Comprehensive Management of Household Contacts of Persons with Pulmonary Tuberculosis: a Pilot Project — Uganda, 2023–2024

Thu, 20 Mar 2025 13:00:00 EST

This report describes management of tuberculosis (TB) risk among household contacts of people living with TB.

Functional Disability, Violence, HIV Status, and Risk Factors for HIV Among Adolescent Girls and Young Women — Eswatini, 2022

Thu, 20 Mar 2025 13:00:00 EST

This report describes adolescent girls and young women with functional disabilities had who higher prevalence of experiencing sexual, physical and emotional violence.

Notes from the Field: Neurosyphilis, Ocular Syphilis, and Otic Syphilis — Chicago, January–October 2023

Thu, 13 Mar 2025 14:25:00 EST

This report describes neurosyphilis, ocular syphilis, and otic syphilis cases in Chicago during January 1–October 31, 2023.

Pedestrian and Overall Road Traffic Crash Deaths — United States and 27 Other High-Income Countries, 2013–2022

Thu, 13 Mar 2025 13:00:00 EST

This report describes traffic-related deaths rates in the U.S. and 27 high-income countries.

Human Cases of Highly Pathogenic Avian Influenza A(H5N1) — California, September–December 2024

Thu, 13 Mar 2025 13:00:00 EST

This report describes cases of highly pathogenic avian influenza detected among 38 people in California.

Notes from the Field: Detection of Vaccine-Derived Poliovirus Type 2 in Wastewater — Five European Countries, September–December 2024

Thu, 06 Mar 2025 16:22:00 EDT

This report describes vaccine-derived poliovirus type 2 detected in wastewater samples in 16 cities in five European countries.

Notes from the Field: Tobacco Product Use Among Adults — United States, 2017–2023

Thu, 06 Mar 2025 16:22:00 EDT

This report describes a decrease in the number of adults who exclusively smoke cigarettes and an increase in the number who exclusively use e-cigarettes.

Notes From the Field: Enhanced Identification of Tobacco Use Among Adult Medicaid Members — King County, Washington, 2016–2023

Thu, 06 Mar 2025 16:20:00 EDT

This report describes tobacco use among Medicaid members during 2016–2023.

Idiopathic Pulmonary Fibrosis Mortality by Industry and Occupation — United States, 2020–2022

Thu, 06 Mar 2025 16:20:00 EDT

This report describes idiopathic pulmonary fibrosis deaths among U.S. workers by industry and occupation.

Trends in Cervical Precancers Identified Through Population-Based Surveillance — Human Papillomavirus Vaccine Impact Monitoring Project, Five Sites, United States, 2008–2022

Thu, 27 Feb 2025 13:00:00 EDT

This report describes decreases in cervical precancer incidence among women ages 20-24 years.

Interim Estimates of 2024-2025 COVID-19 Vaccine Effectiveness Among Adults Aged ≥18 Years - VISION and IVY Networks, September 2024–January 2025

Thu, 27 Feb 2025 13:00:00 EDT

This report describes 2024–2025 COVID-19 vaccine effectiveness against COVID-19-associated emergency department or urgent care encounters.

Avian Influenza A(H5) Subtype in Wastewater — Oregon, September 15, 2021–July 11, 2024

Thu, 27 Feb 2025 13:00:00 EDT

This report describes an analysis of Oregon wastewater surveillance data that detected avian influenza A(H5) in communities with no concurrent outbreaks from dairy facilities or dairy farms.

Reports of Encephalopathy Among Children with Influenza-Associated Mortality — United States, 2010–11 Through 2024–25 Influenza Seasons

Thu, 27 Feb 2025 13:00:00 EDT

This report describes cases of influenza-associated encephalopathy or encephalitis among children during 2010-11 through 2024-25 flu seasons.

Interim Estimates of 2024–2025 Seasonal Influenza Vaccine Effectiveness — Four Vaccine Effectiveness Networks, United States, October 2024–February 2025

Thu, 27 Feb 2025 13:00:00 EDT

This report describes interim 2024–2025 seasonal flu vaccine effectiveness estimates in outpatient settings and against flu-associated hospitalizations.

Notes from the Field: Elevated Atmospheric Lead Levels During the Los Angeles Urban Fires - California, January 2025

Thu, 20 Feb 2025 13:15:00 EDT

This report describes an increase in particulate matter lead levels in Los Angeles, California during the January 2025 fires.

Notes from the Field: Genomic and Wastewater Surveillance Data to Guide a Hepatitis A Outbreak Response - Los Angeles County, March 2024-June 2024

Thu, 20 Feb 2025 13:00:00 EDT

This report describes significant increase in hepatitis A virus (HAV) wastewater concentrations during an HAV outbreak in Los Angeles County, California.

Dengue Outbreak and Response - Puerto Rico, 2024

Thu, 20 Feb 2025 00:00:00 EDT

This report describes a local public health emergency triggered by dengue cases in Puerto Rico during 2024.

Notes from the Field: Seroprevalence of Highly Pathogenic Avian Influenza A(H5) Virus Infections Among Bovine Veterinary Practitioners - United States, September 2024

Thu, 13 Feb 2025 13:00:00 EDT

This report describes evidence of recent highly pathogenic avian influenza infection among three veterinary practitioners.

First Clade Ib Monkeypox Virus Infection Reported in the Americas - California, November 2024

Thu, 13 Feb 2025 13:00:00 EDT

This report describes the first reported case of clade Ib monkeypox virus infection in the United States.

Notes from the Field: Serum Concentrations of Perfluoroalkyl and Polyfluoroalkyl Substances Among First Responders to the Maui Wildfires - Hawaii, September 2023

Thu, 06 Feb 2025 18:06:00 EDT

This report describes concentrations of perfluoroalkyl and polyfluoroalkyl substances among Maui County, Hawaii employees one month after the 2023 Maui wildfires.

Notes from the Field: Emergency Department Use During the Los Angeles County Wildfires, January 2025

Thu, 06 Feb 2025 17:41:00 EDT

This report describes wildfire-associated emergency department encounters immediately after the 2025 Los Angeles County wildfires.

Advisory Committee on Immunization Practices Recommended Immunization Schedule for Adults Aged 19 Years or Older — United States, 2025

Thu, 16 Jan 2025 13:00:00 EDT

This report describes CDC’s 2025 immunization schedule for adults aged 19 years and older.

Advisory Committee on Immunization Practices Recommended Immunization Schedule for Children and Adolescents Aged 18 Years or Younger — United States, 2025

Thu, 16 Jan 2025 13:00:00 EDT

This report describes CDC’s 2025 immunization schedule for children and adolescents aged 18 years or younger.

Gaps in Mental Health Care–Seeking Among Health Care Providers During the COVID-19 Pandemic — United States, September 2022–May 2023

Thu, 16 Jan 2025 13:00:00 EDT

This report describes barriers to health care providers seeking mental health care during the COVID-19 pandemic.

Expanded Recommendations for Use of Pneumococcal Conjugate Vaccines Among Adults Aged ≥50 Years: Recommendations of the Advisory Committee on Immunization Practices — United States, 2024

Wed, 08 Jan 2025 13:00:00 EDT

This report describes CDC’s updated pneumococcal conjugate vaccine recommendation for all adults aged ≥50 years who are PCV-naïve or who have unknown vaccination history.

Notes from the Field: Severe Health Outcomes Linked to Consumption of Mushroom-Based Psychoactive Microdosing Products — Arizona, June–October 2024

Wed, 08 Jan 2025 13:00:00 EDT

This report describes cases of adverse health effects after ingestion of Diamond Shruumz-brand chocolate bars.

Occupational Exposure to Mercury at an Electronics Waste and Lamp Recycling Facility — Ohio, 2023

Wed, 08 Jan 2025 13:00:00 EDT

This report describes mercury exposures among workers at an Ohio electronics waste and lamp recycling facility.

Outbreak of Blastomycosis Among Paper Mill Workers — Michigan, November 2022–May 2023

Mon, 30 Dec 2024 13:00:00 EDT

This report describes an outbreak of blastomycosis among workers at a paper mill in Michigan.

Tularemia — United States, 2011–2022

Mon, 30 Dec 2024 13:00:00 EDT

This report describes an increase in Tularemia cases in 2011–2022 compared to 2001–2010.

Notes from the Field: Long COVID and Significant Long COVID–Associated Activity Limitation Among Adults, by Jurisdiction — United States, 2023

Thu, 19 Dec 2024 13:00:00 EDT

The Morbidity and Mortality Weekly Report (MMWR) Series is prepared by the Centers for Disease Control and Prevention (CDC).

Notes from the Field: School-Based Surveillance of Mycoplasma pneumoniae Trends and Impact on School Attendance by Students and Staff Members — Missouri, Fall 2024

Thu, 19 Dec 2024 13:00:00 EDT

The Morbidity and Mortality Weekly Report (MMWR) Series is prepared by the Centers for Disease Control and Prevention (CDC).

Notes from the Field: Geo-Temporal Trends in Fentanyl Administration Routes Among Adults Reporting Use of Illegally Manufactured Fentanyl When Assessed for Substance-Use Treatment — 14 U.S. States, 2017–2023

Thu, 19 Dec 2024 13:00:00 EDT

The Morbidity and Mortality Weekly Report (MMWR) Series is prepared by the Centers for Disease Control and Prevention (CDC).

Surveillance of Human Adenovirus Types and the Impact of the COVID-19 Pandemic on Reporting — United States, 2017–2023

Thu, 19 Dec 2024 13:00:00 EDT

The Morbidity and Mortality Weekly Report (MMWR) Series is prepared by the Centers for Disease Control and Prevention (CDC).

Progress Toward Poliomyelitis Eradication - Afghanistan, January 2023-September 2024

Thu, 12 Dec 2024 13:30:00 EDT

This report describes progress towards eliminating wild poliovirus type 1 in Afghanistan.

New Dosing Interval and Schedule for the Bexsero MenB-4C Vaccine: Updated Recommendations of the Advisory Committee on Immunization Practices - United States, October 2024

Thu, 12 Dec 2024 13:30:00 EDT

This report describes CDC's updated recommendations for the MenB-4C vaccine to align the dosing interval and schedule with the new FDA label.

Epidemiology of Dengue - Puerto Rico, 2010-2024

Thu, 12 Dec 2024 13:30:00 EDT

This report describes changing trends among patients with dengue in Puerto Rico.

Use of Additional Doses of 2024–2025 COVID-19 Vaccine for Adults Aged ≥65 Years and Persons Aged ≥6 Months with Moderate or Severe Immunocompromise: Recommendations of the Advisory Committee on Immunization Practices — United States, 2024

Thu, 12 Dec 2024 13:00:00 EDT

This report describes CDC’s recommendation that all people aged ≥65 years and people ages 6 months–64 years with moderate or severe immunocompromise receive a second 2024–2025 COVID-19 vaccine dose 6 months after their last dose.

Notes from the Field: Rollout of Nirsevimab to Protect Infants and Young Children During the Respiratory Syncytial Virus Season — New York City, 2023–2024

Thu, 05 Dec 2024 13:00:00 EDT

This report describes the percentage of New York City infants born during the recommended nirsevimab adminstration period who received nirsevimab.

Updated Recommendation for Universal Hepatitis B Vaccination in Adults Aged 19–59 Years — United States, 2024

Thu, 05 Dec 2024 13:00:00 EDT

This report describes an update to the recommendation for Hepatitis B vaccination in adults aged 19-59 years.

Detection of Illegally Manufactured Fentanyls and Carfentanil in Drug Overdose Deaths — United States, 2021–2024

Thu, 05 Dec 2024 13:00:00 EDT

This report describes overdose deaths where illegally manufactured fentanyls, including carfentanil, were detected.

Intimate Partner Violence and Pregnancy and Infant Health Outcomes — Pregnancy Risk Assessment Monitoring System, Nine U.S. Jurisdictions, 2016–2022

Thu, 05 Dec 2024 13:00:00 EDT

This report describes intimate partner violence among pregnant women and related outcomes.

Notes from the Field: Increase in Diagnoses of Human Parvovirus B19–Associated Aplastic Crises in Children and Adolescents with Sickle Cell Disease — Atlanta, Georgia, December 14, 2023–September 30, 2024

Wed, 27 Nov 2024 13:00:00 EDT

This report describes a higher incidence rate of human parvovirus B19-associated aplastic crises among children and adolescents with sickle cell disease.

Notes from the Field: Human Parvovirus B19 Infections Among Pregnant Persons — Minnesota, January–September 2024

Wed, 27 Nov 2024 13:00:00 EDT

This report describes an increase in the frequency of human parvovirus B19 infections among pregnant women in Minnesota.

Progress Toward UNAIDS Global HIV Pre-Exposure Prophylaxis Targets: CDC-Supported Oral Pre-Exposure Prophylaxis — 37 Countries, 2017─2023

Wed, 27 Nov 2024 13:00:00 EDT

This report describes PrEP initiations in 37 countries as part of the United Nations Programme on HIV/AIDS.

Detection of Increased Activity of Human Parvovirus B19 Using Commercial Laboratory Testing of Clinical Samples and Source Plasma Donor Pools — United States, 2024

Wed, 27 Nov 2024 13:00:00 EDT

This report describes an increase in positive human parvovirus B19 laboratory test results in 2024 compared to 2018–2019.

Severe and Fatal Rocky Mountain Spotted Fever After Exposure in Tecate, Mexico — California, July 2023–January 2024

Wed, 27 Nov 2024 13:00:00 EDT

This report describes six cases of Rocky Mountain spotted fever among people who were exposed in Tecate, Mexico.

Notes from the Field: Trends in Emergency Department Visits for Firearm Injuries — United States, January 2018–December 2023

Thu, 21 Nov 2024 18:16:00 EDT

This report describes trends in emergency department visits for firearm injuries between 2018–2023.

Coverage with Influenza, Respiratory Syncytial Virus, and COVID-19 Vaccines Among Nursing Home Residents - National Healthcare Safety Network, United States, November 2024

Thu, 21 Nov 2024 16:30:00 EDT

This report describes the percentage of nursing home residents who received a 2024-2025 COVID-19 vaccine, flu vaccines, and influenza vaccine.

Detection of Real-Time Changes in Direction of COVID-19 Transmission Using National- and State-Level Epidemic Trends Based on Rt Estimates — United States Overall and New Mexico, April–October 2024

Thu, 21 Nov 2024 16:30:00 EDT

This report describes trend categories and nowcasting that provided an early indication of COVID-19 transmissions.

Influenza, COVID-19, and Respiratory Syncytial Virus Vaccination Coverage Among Adults — United States, Fall 2024

Thu, 21 Nov 2024 13:00:00 EDT

This report describes the percentage of eligible adults who received influenza, COVID-19, and RSV vaccines.

Nirsevimab Effectiveness Against Medically Attended Respiratory Syncytial Virus Illness and Hospitalization Among Alaska Native Children — Yukon-Kuskokwim Delta Region, Alaska, October 2023–June 2024

Thu, 14 Nov 2024 13:00:00 EDT

This report describes nirsevimab effectiveness in preventing RSV-associated hospitalizations among children in Alaska’s Yukon-Kuskokwim Delta region.

Underutilization of Influenza Antiviral Treatment Among Children and Adolescents at Higher Risk for Influenza-Associated Complications — United States, 2023–2024

Thu, 14 Nov 2024 13:00:00 EDT

This report describes data from two national influenza surveillance networks on antiviral treatment of hospitalized children and adolescents with influenza.

Progress Toward Measles Elimination — Worldwide, 2000–2023

Thu, 14 Nov 2024 13:00:00 EDT

This report describes an update on measles cases and vaccination coverage worldwide.

Pediatric Rash Illness Outbreak with Initial Positive Measles Immunoglobulin M Antibody Test Results — American Samoa, March–July 2023

Thu, 14 Nov 2024 13:00:00 EDT

This report describes instances of positive measles immunoglobulin tests among two children in American Samoa that were later confirmed to be alternative viral etiologies.

Notes from the Field: Ketamine Detection and Involvement in Drug Overdose Deaths — United States, July 2019–June 2023

Thu, 07 Nov 2024 13:00:00 EDT

This report describes the detection of ketamine in overdose deaths.

Serologic Evidence of Recent Infection with Highly Pathogenic Avian Influenza A(H5) Virus Among Dairy Workers — Michigan and Colorado, June–August 2024

Thu, 07 Nov 2024 13:00:00 EDT

This report describes serologic testing to identify recent highly pathogenic avian influenza infections among dairy workers in two states.

Personal Protective Equipment Use by Dairy Farmworkers Exposed to Cows Infected with Highly Pathogenic Avian Influenza A(H5N1) Viruses — Colorado, 2024

Thu, 07 Nov 2024 13:00:00 EDT

This report describes dairy farmworkers in Colorado who were interviewed about PPE use during work activities around cows infected with highly pathogenic avian influenza.

Progress Toward Global Dracunculiasis (Guinea Worm Disease) Eradication, January 2023–June 2024

Thu, 07 Nov 2024 13:00:00 EDT

This report describes cases of dracunculiasis reported during 2023-24.

Notes from the Field: Trichophyton mentagrophytes Genotype VII — New York City, April–July 2024

Thu, 31 Oct 2024 13:00:00 EST

This report describes four Trichophyton mentagrophytes gentotype VII infections diagnosed in New York City men who have sex with men.

Routine Vaccination Coverage — Worldwide, 2023

Thu, 31 Oct 2024 13:00:00 EST

This report provides an update on global immunization coverage.

Statewide Outbreak of Neisseria meningitidis Serogroup Y, Sequence Type 1466 — Virginia, 2022–2024

Thu, 31 Oct 2024 13:00:00 EST

This report describes an outbreak of meningococcal disease in Virginia.

Laboratory-Confirmed Influenza Hospitalizations During Pregnancy or the Early Postpartum Period — Suzhou City, Jiangsu Province, China, 2018–2023

Thu, 31 Oct 2024 13:00:00 EST

This report describes influenza hospitalization rates among pregnant and postpartum women in China with influenza.

Influenza and COVID-19 Vaccination Coverage Among Health Care Personnel — National Healthcare Safety Network, United States, 2023–24 Respiratory Virus Season

Thu, 31 Oct 2024 13:00:00 EST

This report describes influenza vaccination and COVID-19 vaccination coverage among health care personnel during the 2023–24 respiratory virus season (October 1, 2023–March 31, 2024).

Notes from the Field: First Locally Acquired Dengue Virus Infections — Pasadena, California, October–December 2023

Thu, 24 Oct 2024 13:00:00 EST

This report describes the public health response after a case of dengue was reported in California.

Two Outbreaks of Legionnaires Disease Associated with Outdoor Hot Tubs for Private Use — Two Cruise Ships, November 2022–July 2024

Thu, 24 Oct 2024 13:00:00 EST

This report describes two outbreaks of Legionnaires reported among travelers of two cruise ships during November 2022–June 2024.

Locally Acquired (Autochthonous) Mosquito-Transmitted Plasmodium vivax Malaria — Saline County, Arkansas, September 2023

Thu, 24 Oct 2024 13:00:00 EST

This report describes the public health response to 10 cases of locally acquired mosquito-borne malaria in the U.S.

Genomic Surveillance for SARS-CoV-2 Variants: Circulation of Omicron XBB and JN.1 Lineages — United States, May 2023–September 2024

Thu, 24 Oct 2024 13:00:00 EST

This report summarizes U.S. trends in variant proportion estimates during May 2023–September 2024, a period when SARS-CoV-2 lineages primarily comprised descendants of Omicron variants XBB and JN.1

Coverage with Selected Vaccines and Exemption Rates Among Children in Kindergarten - United States, 2023–24 School Year

Thu, 17 Oct 2024 13:00:00 EST

This report describes national kindergarten vaccination coverage with state-required vaccinations.

Notes from the Field: Enhanced Surveillance for Raccoon Rabies Virus Variant and Vaccination of Wildlife for Management — Omaha, Nebraska, October 2023–July 2024

Thu, 17 Oct 2024 13:00:00 EST

This report describes detection of racoon rabies virus variant in Omaha, Nebraska, 850 miles west of the variant’s known range.

Tobacco Product Use Among Middle and High School Students — National Youth Tobacco Survey, United States, 2024

Thu, 17 Oct 2024 13:00:00 EST

This report describes use of any tobacco product among middle and high school students from 2023 to 2024.

Update on Vaccine-Derived Poliovirus Outbreaks — Worldwide, January 2023–June 2024

Thu, 17 Oct 2024 13:00:00 EST

This report describes cases of vaccine-derived polioviruses in 39 countries during January 2023–June 2024.

Attention-Deficit/Hyperactivity Disorder Diagnosis, Treatment, and Telehealth Use in Adults — National Center for Health Statistics Rapid Surveys System, United States, October–November 2023

Thu, 10 Oct 2024 13:00:00 EST

This report describes adults with attention-deficit/hyperactivity disorder, treatment, and use of telehealth for ADHD services.

Notes from the Field: Suspected Outbreak of Trichinellosis Associated with Undercooked Bear Meat — North Carolina, November 2023

Thu, 10 Oct 2024 13:00:00 EST

This report describes a presumed outbreak of trichinellosis in North Carolina associated with undercooked bear meat.

Notes from the Field: Mpox Cluster Caused by Tecovirimat-Resistant Monkeypox Virus — Five States, October 2023–February 2024

Thu, 10 Oct 2024 13:00:00 EST

This report describes a cluster of mpox cases cause by tecovirimat-resistant mpox.

Risk of Clade II Mpox Associated with Intimate and Nonintimate Close Contact Among Men Who Have Sex with Men and Transgender Adults — United States, August 2022–July 2023

Thu, 10 Oct 2024 13:00:00 EST

This report describes mpox risk among men who have sex with men and transgender persons who reported close contact with a person with mpox.

Differences in COVID-19 Outpatient Antiviral Treatment Among Adults Aged ≥65 Years by Age Group — National Patient-Centered Clinical Research Network, United States, April 2022–September 2023

Thu, 03 Oct 2024 13:00:00 EST

This report describes the percentage of older adults with a COVID-19 diagnosis who received a recommended COVID-19 antiviral medication.

Burkholderia multivorans Infections Associated with Use of Ice and Water from Ice Machines for Patient Care Activities ― Four Hospitals, California and Colorado, 2020–2024

Thu, 03 Oct 2024 13:00:00 EST

This report describes Burkholderia multivorans Infections Associated with Use of Ice and Water from Ice Machines.

COVID-19–Associated Hospitalizations Among U.S. Adults Aged ≥18 Years — COVID-NET, 12 States, October 2023–April 2024

Thu, 03 Oct 2024 13:00:00 EST

This report describes COVID-19–associated hospitalizations among adults.

Interim Effectiveness Estimates of 2024 Southern Hemisphere Influenza Vaccines in Preventing Influenza-Associated Hospitalization — REVELAC-i Network, Five South American Countries, March–July 2024

Thu, 03 Oct 2024 13:00:00 EST

This report describes the effectiveness of the seasonal influenza vaccine in five South American countries.

Maternal Respiratory Syncytial Virus Vaccination and Receipt of Respiratory Syncytial Virus Antibody (Nirsevimab) by Infants Aged 8 Months — United States, April 2024

Thu, 26 Sep 2024 13:00:00 EST

This report describes the percentage of infants protected against respiratory syncytial virus from maternal RSV vaccination, nirsevimab, or both.

Vaccination Coverage by Age 24 Months Among Children Born During 2017–2021 — U.S.-Affiliated Pacific Islands

Thu, 26 Sep 2024 13:00:00 EST

This report describes trends in childhood vaccination coverage in the U.S.-affiliated Pacific Islands.

Decline in Vaccination Coverage by Age 24 Months and Vaccination Inequities Among Children Born in 2020 and 2021 — National Immunization Survey-Child, United States, 2021–2023

Thu, 26 Sep 2024 13:00:00 EST

This report describes estimated childhood vaccination coverage among children born during 2020–2021.

COVID-19–Associated Hospitalizations and Maternal Vaccination Among Infants Aged 6 Months — COVID-NET, 12 States, October 2022–April 2024

Thu, 26 Sep 2024 13:00:00 EST

This report describes COVID-19-associated hospitalization rates among infants <6 months.

Use of COVID-19 Vaccines for Persons Aged ≥6 Months: Recommendations of the Advisory Committee on Immunization Practices — United States, 2024–2025

Thu, 19 Sep 2024 13:43:00 EST

This report describes the Advisory Committee on Immunization Practices’ recommendations for the 2024-25 COVID-19 vaccines.

Vital Signs: Suicide Rates and Selected County-Level Factors — United States, 2022

Thu, 19 Sep 2024 13:42:00 EST

This report describes suicide rates in the U.S. overall and by demographic factors.

Notes from the Field: Support for Wastewater Monitoring and Influence on Protective Behavioral Intentions Among Adults — United States, July 2024

Thu, 19 Sep 2024 13:23:00 EST

This report describes public support for wastewater monitoring among surveyed U.S. adults.

Wastewater Surveillance for Influenza A Virus and H5 Subtype Concurrent with the Highly Pathogenic Avian Influenza A(H5N1) Virus Outbreak in Cattle and Poultry and Associated Human Cases — United States, May 12–July 13, 2024

Thu, 19 Sep 2024 13:00:00 EST

This report describes levels of influenza A virus and the H5 subtype detected in wastewater in some states.

Use of Haemophilus influenzae Type b–Containing Vaccines Among American Indian and Alaska Native Infants: Updated Recommendations of the Advisory Committee on Immunization Practices ― United States, 2024

Thu, 12 Sep 2024 13:00:00 EST

This report describes the Advisory Committe on Immunization Practices recommendation for use of Haemophilus influenzae type b (Hib) vaccine for American Indian and Alaska Native infants.

Use of 21-Valent Pneumococcal Conjugate Vaccine Among U.S. Adults: Recommendations of the Advisory Committee on Immunization Practices — United States, 2024

Thu, 12 Sep 2024 13:00:00 EST

This report describes the Advisory Committee on Immunization Practices recommendation for use of the 21-valent pneumococcal conjugate vaccine as an option for some adults.

Progress Toward Poliomyelitis Eradication — Pakistan, January 2023–June 2024

Thu, 12 Sep 2024 13:00:00 EST

his report describes changes in the number of wild poliovirus type 1 cases in Pakistan from January 2022–June 2023 to January 2023–June 2024.

Progress Toward Achieving National HIV/AIDS Strategy Goals for Quality of Life Among Persons Aged ≥50 Years with Diagnosed HIV — Medical Monitoring Project, United States, 2017–2023

Thu, 12 Sep 2024 13:00:00 EST

This report found that as of 2022, none of the 2025 U.S. National HIV/AIDS Strategy goals for improving quality of life among people with diagnosed HIV were met.

Notes from the Field: E-Cigarette and Nicotine Pouch Use Among Middle and High School Students — United States, 2024

Thu, 05 Sep 2024 13:00:00 EST

This report describes e-cigarette and nicotine pouch use among middle and high school students.

Oropouche Virus Disease Among U.S. Travelers — United States, 2024

Thu, 05 Sep 2024 13:00:00 EST

This report describes cases of Oropouche virus disease among U.S. travelers returning from Cuba.

Leptospirosis Outbreak in Aftermath of Hurricane Fiona — Puerto Rico, 2022

Thu, 05 Sep 2024 13:00:00 EST

This report describes a large leptospirosis outbreak in Puerto Rico following Hurricane Fiona.

Contact Tracing for Mpox Clade II Cases Associated with Air Travel — United States, July 2021–August 2022

Thu, 05 Sep 2024 13:00:00 EST

This report describes cases of clade II mpox among people traveling on commercial airline flights.

Notes from the Field: Intimate Partner Homicide Among Women — United States, 2018–2021

Thu, 29 Aug 2024 13:00:00 EST

This report describes rates of intimate partner homicide among women.

Reported Non–Substance-Related Mental Health Disorders Among Persons Who Died of Drug Overdose — United States, 2022

Thu, 29 Aug 2024 13:00:00 EST

This report describes non-substance-related mental health disorders among people who died of drug overdose.

Changes in Health Indicators Among Caregivers — United States, 2015–2016 to 2021–2022

Thu, 29 Aug 2024 13:00:00 EST

This report describes the prevalence of certain health indicators among caregivers compared to noncaregivers.

Cluster of Influenza A(H5) Cases Associated with Poultry Exposure at Two Facilities — Colorado, July 2024

Thu, 29 Aug 2024 13:00:00 EST

This report describes the first known cluster of U.S. human influenza A(H5) cases.

Vital Signs: Trends and Disparities in Childhood Vaccination Coverage by Vaccines for Children Program Eligibility — National Immunization Survey-Child, United States, 2012–2022

Thu, 22 Aug 2024 13:30:00 EST

This report describes trends in vaccination coverage among eligible children in the U.S.

National Vaccination Coverage Among Adolescents Aged 13–17 Years — National Immunization Survey-Teen, United States, 2023

Thu, 22 Aug 2024 13:00:00 EST

This report describes vaccination coverage among Vaccine for Children (VCF)-eligible adolescents and non-VCF eligible adolescents across recent years.

Notes from the Field: Tularemia Associated with Harbor Seal Necropsy — Kitsap County, Washington, October 2023

Thu, 22 Aug 2024 13:00:00 EST

This report describes a case of tularemia in a wildlife volunteer after exposure to a deceased, infected harbor seal.

Human Papillomavirus Vaccination Coverage Among Adolescent Girls Aged 13–17 Years — U.S.-Affiliated Pacific Islands, 2013–2023

Thu, 22 Aug 2024 13:00:00 EST

This report describes trends in HPV vaccination coverage among adolescent girls in U.S.-affiliated Pacific Islands.

Notes from the Field: Heightened Precautions for Imported Dogs Vaccinated with Potentially Ineffective Rabies Vaccine — United States, August 2021−April 2024

Thu, 15 Aug 2024 13:30:00 EST

This report describes the potentially ineffective rabies vaccination of 132 dogs imported into the U.S. from high-risk countries.

Use of Respiratory Syncytial Virus Vaccines in Adults Aged ≥60 Years: Updated Recommendations of the Advisory Committee on Immunization Practices — United States, 2024

Thu, 15 Aug 2024 13:00:00 EST

This report describes ACIP recommendations for the use of the RSV vaccine for older adults.

Notes from the Field: Universal Newborn Screening and Surveillance for Congenital Cytomegalovirus — Minnesota, 2023–2024

Thu, 15 Aug 2024 13:00:00 EST

This report describes Minnesota’s universal newborn screening and population-based surveillance for congenital cytomegalovirus.

Invasive Nontypeable Haemophilus influenzae Disease Outbreak at an Elementary School — Michigan, May 2023

Thu, 15 Aug 2024 13:00:00 EST

This report describes four cases of nontypeable Haemophilus disease that occurred at an elementary school in Detroit, Michigan.

Health and Economic Benefits of Routine Childhood Immunizations in the Era of the Vaccines for Children Program — United States, 1994–2023

Thu, 08 Aug 2024 13:00:00 EST

This report describes health and economic benefits from routine childhood vaccines among children born during 1994–2023.

Notes from the Field: Prevalence of Previous Dengue Virus Infection Among Children and Adolescents Aged 7–16 Years — American Samoa, September–October 2023

Thu, 08 Aug 2024 13:00:00 EST

This report describes previous dengue infections in American Samoa during 2023.

Mortality in the United States — Provisional Data, 2023

Thu, 08 Aug 2024 13:00:00 EST

This report describes 2023 provisional mortality data in the United States.

Progress Toward the Elimination of Hepatitis B and Hepatitis C in the Country of Georgia, April 2015–April 2024

Thu, 01 Aug 2024 13:00:00 EST

This report describes progress toward eliminating hepatitis B and C in the country of Georgia.

Notes from the Field: Detection of Medetomidine Among Patients Evaluated in Emergency Departments for Suspected Opioid Overdoses — Missouri, Colorado, and Pennsylvania, September 2020–December 2023

Thu, 01 Aug 2024 13:00:00 EST

This report describes detection of medetomidine in five patients in a hospital for suspected overdose.

Lead Poisoning in a Mother and Her Four Children Using a Traditional Eye Cosmetic — New York City, 2012–2023

Thu, 01 Aug 2024 13:00:00 EST

This report describes cases of elevated blood lead levels among a mother and three children following the use of surma, a traditional eye cosmetic.

Notes from the Field: Health Monitoring, Testing, and Case Identification Among Persons Exposed to Influenza A(H5N1) — Michigan, 2024

Thu, 25 Jul 2024 13:00:00 EST

This report describes symptom monitoring and testing among exposed dairy and poultry workers in Michigan during the H5N1 outbreak.

Progress Toward Elimination of Mother-to-Child Transmission of Hepatitis B Virus — Region of the Americas, 2012–2022

Thu, 25 Jul 2024 13:00:00 EST

This report describes vaccination efforts to eliminate mother-to-child hepatitis B.

Suspected Counterfeit M-30 Oxycodone Pill Exposures and Acute Withdrawals Reported from a Single Hospital — Toxicology Investigators Consortium Core Registry, U.S. Census Bureau Western Region, 2017–2022

Thu, 25 Jul 2024 13:00:00 EST

This report describes cases of suspected exposure to counterfeit pills containing fentanyl at a hospital in the Western U.S.

Adult Smoking Cessation — United States, 2022

Thu, 25 Jul 2024 13:00:00 EST

This report describes intent and method to quit smoking among U.S. adults.

Notes from the Field: Schedule I Substances Identified in Nootropic Gummies Containing Amanita muscaria or Other Mushrooms — Charlottesville, Virginia, 2023–2024

Thu, 18 Jul 2024 13:00:00 EST

This report describes five people who required hospital evaluation after ingesting Nootropic gummies labeled to contain A. muscaria but instead contained unlabeled, potentially harmful substances.

Progress Toward Achieving and Sustaining Maternal and Neonatal Tetanus Elimination — Worldwide, 2000–2022

Thu, 18 Jul 2024 13:00:00 EST

This report describes progress toward global maternal and neonatal tetanus elimination during 2000-2022.

Childhood Lead Exposure Linked to Apple Cinnamon Fruit Puree Pouches — North Carolina, June 2023–January 2024

Thu, 18 Jul 2024 13:00:00 EST

This report describes lead exposure among four children in North Carolina linked to WanaBana Apple Cinnamon Fruit Puree pouches.

Notes from the Field: Illnesses After Administration of Presumed Counterfeit Botulinum Toxin in Nonmedical Settings — Tennessee and New York City, March 2024

Thu, 11 Jul 2024 13:00:00 EST

This report describes illnesses among women who received counterfeit botulinum toxin injections.

Notes from the Field: Respiratory Viral Panel as an Early Diagnostic Tool for Neonatal Enterovirus Infection — San Diego, California 2023

Thu, 11 Jul 2024 13:00:00 EST

This report describes a cluster of neonatal enterovirus infections identified by respiratory panel polymerase chain reaction testing.

Human Case of Leptospirosis During a Canine Disease Outbreak — Wyoming, 2023

Thu, 11 Jul 2024 13:00:00 EST

This report describes a case of human leptospirosis reported in Wyoming during a a canine outbreak.

Reported Xylazine Use Among Adults Aged ≥18 Years Evaluated for Substance Use Treatment — United States, July 2022–September 2023

Wed, 03 Jul 2024 13:00:00 EST

This report describes reports of xylazine use among adults evaluated for substance use treatment.

Reported Incidence of Infections Caused by Pathogens Transmitted Commonly Through Food: Impact of Increased Use of Culture-Independent Diagnostic Tests — Foodborne Diseases Active Surveillance Network, 1996–2023

Wed, 03 Jul 2024 13:00:00 EST

This report describes illnesses commonly transmitted through food.

Treatment for Opioid Use Disorder: Population Estimates — United States, 2022

Thu, 27 Jun 2024 13:00:00 EST

This report describes treatment for opioid use disorder (OUD) during 2022.

Notes from the Field: Multidisciplinary Approach to Investigating Brucella canis Exposures — South Carolina, September 2023

Thu, 27 Jun 2024 13:00:00 EST

This report describes an investigation in South Carolina that found 17 people and five animals were exposed to Brucella canis while caring for a pregnant stray dog that was found to be infected.

Persistent Transmission of Circulating Vaccine-Derived Poliovirus — Somalia, January 2017–March 2024

Thu, 27 Jun 2024 13:00:00 EST

This report describes transmission of circulating vaccine-derived polioviruses (cVDPVs) since the 2016 global withdrawal of type 2 oral poliovirus vaccine in Somalia.

Loneliness, Lack of Social and Emotional Support, and Mental Health Issues — United States, 2022

Thu, 20 Jun 2024 13:23:00 EST

This report describes the prevalence of loneliness among U.S. adults.

Successful Distribution of Tecovirimat During the Peak of the Mpox Outbreak — Los Angeles County, June 2022–January 2023

Thu, 20 Jun 2024 13:00:00 EST

This report describes distribution of tecovirimat in Los Angeles County during the 2022-23 mpox outbreak.

Findings from the First Year of a Federally Funded, Direct-to-Consumer HIV Self-Test Distribution Program — United States, March 2023–March 2024

Thu, 20 Jun 2024 13:00:00 EST

This report describes a CDC-funded program that delivered approximately 440,000 HIV self-tests to U.S. residents.

Emergency Medical Services Encounters for Firearm Injuries — 858 Counties, United States, January 2019–September 2023

Thu, 20 Jun 2024 13:00:00 EST

This report describes rates of emergency medical services encounters for firearm injuries in 858 counties.

Notes from the Field: Rapid Linkage of a Salmonella Livingstone Outbreak to a Restaurant, Using Open-Ended Interviews and Patient Purchase Histories — Utah, 2023–2024

Thu, 13 Jun 2024 13:00:00 EST

This report describes the rapid identification and response to cases of Salmonella Livingstone infections linked to a Utah restaurant.

Notes from the Field: Toxigenic Corynebacterium ulcerans in Humans and Household Pets — Utah and Colorado, 2022–2023

Thu, 13 Jun 2024 13:00:00 EST

This report describes investigations in Utah and Colorado that found transmission of Corynebacterium ulcerans between humans and household pets occurred, although the direction of transmission could not be determined.

Migration from Epi Info to District Health Information Software 2 for Vaccine-Preventable Disease Surveillance — World Health Organization African Region, 2019–2023

Thu, 13 Jun 2024 13:00:00 EST

This report describes the implementation of the District Health Information Software 2 platform, a free and open-source software platform for electronic IDSR and case-based surveillance reporting, in the WHO African Region.

Firearm Storage Behaviors — Behavioral Risk Factor Surveillance System, Eight States, 2021–2022

Thu, 13 Jun 2024 13:00:00 EST

This report describes firearm storage behaviors reported through the Behavior Risk Factor Surveillance System survey.

Notes from the Field: Anthrax on a Sheep Farm in Winter — Texas, December 2023–January 2024

Thu, 06 Jun 2024 13:00:00 EST

This report describes an unexpected anthrax outbreak during winter at a Texas sheep farm.

Cases of Meningococcal Disease Associated with Travel to Saudi Arabia for Umrah Pilgrimage — United States, United Kingdom, and France, 2024

Thu, 06 Jun 2024 13:00:00 EST

This report describes 12 meningococcal disease cases associated with travel to Saudi Arabia for Umrah.

Mpox Surveillance Based on Rash Characteristics — 13 Emergency Departments, United States, June–December 2023

Thu, 06 Jun 2024 13:00:00 EST

This report describes mpox cases identified during patient visits to emergency departments for mpox-like rashes.

West Nile Virus and Other Nationally Notifiable Arboviral Diseases — United States, 2022

Thu, 30 May 2024 13:15:00 EST

This report describes cases of arboviral disease in the U.S. during 2022.

Outbreak of Highly Pathogenic Avian Influenza A(H5N1) Viruses in U.S. Dairy Cattle and Detection of Two Human Cases — United States, 2024

Thu, 30 May 2024 13:00:00 EST

This report describes the joint investigation between CDC, the U.S. Department of Agriculture, and the Food and Drug Administration after influenza A (H5N1) was detected in a U.S. farm worker.

State-Specific Hepatitis C Virus Clearance Cascades — United States, 2013–2022

Thu, 30 May 2024 13:00:00 EST

This report describes hepatitis C viral clearance proportions among people with hepatitis C by state.

Early Safety Findings Among Persons Aged ≥60 Years Who Received a Respiratory Syncytial Virus Vaccine — United States, May 3, 2023–April 14, 2024

Thu, 30 May 2024 13:00:00 EST

This report describes safety findings a year after the respiratory syncytial virus (RSV) vaccine was recommended for adults 60 and older.

Varicella Outbreak Among Recent Arrivals to New York City, 2022–2024

Thu, 30 May 2024 13:00:00 EST

This report describes an outbreak of varicella cases in people staying at New York City shelters and residential facilities who recently arrived in New York City from Central or South America.

Vital Signs: Drowning Death Rates, Self-Reported Swimming Skill, Swimming Lesson Participation, and Recreational Water Exposure — United States, 2019–2023

Thu, 23 May 2024 13:00:00 EST

This report describes drowning death rates before and after the COVID-19 pandemic.

Notes from the Field: Clade II Mpox Surveillance Update — United States, October 2023–April 2024

Thu, 23 May 2024 13:00:00 EST

This report describes mpox surveillance during October 2023 –April 2024.

Monkeypox Virus Infections After 2 Preexposure Doses of JYNNEOS Vaccine — United States, May 2022–May 2024

Thu, 23 May 2024 13:00:00 EST

This report describes monkeypox virus infections after receiving two JYNNEOS vaccine doses.

Outbreak of Human Trichinellosis — Arizona, Minnesota, and South Dakota, 2022

Thu, 23 May 2024 13:00:00 EST

This report describes human trichinellosis cases associated with eating black bear meat.

Prevalence of Stroke — Behavioral Risk Factor Surveillance System, United States, 2011–2022

Thu, 23 May 2024 13:00:00 EST

This report describes increases in U.S. stroke from 2011–2013 to 2020–2022.

Measles Outbreak Associated with a Migrant Shelter — Chicago, Illinois, February–May 2024

Thu, 16 May 2024 13:00:00 EST

This report describes a measles outbreak at a migrant shelter in Chicago.

Progress Toward Poliomyelitis Eradication — Worldwide, January 2022–December 2023

Thu, 16 May 2024 13:00:00 EST

This report describes the status of polio eradication during January 1, 2022–December 31, 2023.

U.S. Preparedness and Response to Increasing Clade I Mpox Cases in the Democratic Republic of the Congo — United States, 2024

Thu, 16 May 2024 13:00:00 EST

This report describes the investigation of cases in the Democratic Republic of the Congo (DRC), CDC’s support to DRC, and U.S. public health preparedness activities to date.

Real-Time Use of a Dynamic Model To Measure the Impact of Public Health Interventions on Measles Outbreak Size and Duration — Chicago, Illinois, 2024

Thu, 16 May 2024 13:00:00 EST

This report describes how dynamic models can be used to measure the impact of public health interventions on measles outbreak size and duration.

Notes from the Field: Increase in Nontoxigenic Corynebacterium diphtheriae - Washington, 2018-2023

Thu, 16 May 2024 12:19:00 EST

This report describes an increase in nontoxigenic C. diphtheriae cases in Washington during a 5-year period.

Notes from the Field: Potential Outbreak of Extrapulmonary Mycobacterium abscessus subspecies massiliense Infections from Stem Cell Treatment Clinics in Mexico — Arizona and Colorado, 2022

Thu, 09 May 2024 13:00:00 EST

This report discusses three cases of extrapulmonary Myocobacterium abscessus infections associated with stem cell treatment clinics in Mexico.

Notes from the Field: Increases in Imported Malaria Cases — Three Southern U.S. Border Jurisdictions, 2023

Thu, 09 May 2024 13:00:00 EST

This report describes an increase in cases of imported malaria in three U.S. southern border jurisdictions.

Shiga Toxin–Producing Escherichia coli O157:H7 Illness Outbreak Associated with Untreated, Pressurized, Municipal Irrigation Water — Utah, 2023

Thu, 09 May 2024 13:00:00 EST

This report describes an outbreak of Shiga-toxin producing Escherichia coli among 13 children who played in or drank untreated irrigation water.

Cigarette Smoking Among Pregnant Women During the Perinatal Period: Prevalence and Health Care Provider Inquiries — Pregnancy Risk Assessment Monitoring System, United States, 2021

Thu, 02 May 2024 13:00:00 EST

This report describes smoking behaviors among women before, during, and after pregnancy.

Prevalence of Positive Childhood Experiences Among Adults — Behavioral Risk Factor Surveillance System, Four States, 2015–2021

Thu, 02 May 2024 13:00:00 EST

This report describes the prevalence of positive childhood experiences among adults.

Emergency Department Visits for Pedestrians Injured in Motor Vehicle Traffic Crashes — United States, January 2021–December 2023

Thu, 02 May 2024 13:00:00 EST

This report describes emergency department visits for traffic-related pedestrian injuries.

SARS-CoV-2 Viral Shedding and Rapid Antigen Test Performance — Respiratory Virus Transmission Network, November 2022–May 2023

Thu, 25 Apr 2024 13:20:00 EST

This report describes the sensitivity of different kinds of tests that detect SARS-CoV-2, the virus that causes COVID-19.

Notes from the Field: Group A Streptococcus Bacteremia in Persons Who Inject Drugs — Northern Vermont, January 2020–October 2023

Thu, 25 Apr 2024 13:00:00 EST

This report describes an increase in group A streptococcal infections among people who inject drugs in Vermont.

Use of an Additional Updated 2023–2024 COVID-19 Vaccine Dose for Adults Aged ≥65 Years: Recommendations of the Advisory Committee on Immunization Practices — United States, 2024

Thu, 25 Apr 2024 13:00:00 EST

This report describes a recommendation from the Advisory Committee on Immunization Practices that all people ages ≥65 years and older receive one additional dose of any updated (2023–2024 Formula) COVID-19 vaccine.

Investigation of Presumptive HIV Transmission Associated with Receipt of Platelet-Rich Plasma Microneedling Facials at a Spa Among Former Spa Clients — New Mexico, 2018–2023

Thu, 25 Apr 2024 13:00:00 EST

This report describes an investigation of multiple HIV infections among people who received microneedling facials.

Use of Ebola Vaccines — Worldwide, 2021–2023

Thu, 25 Apr 2024 13:00:00 EST

This report describes repurposing Ebola vaccines in the absence of large outbreaks.

Notes from the Field: Dengue Outbreak - Peru, 2023

Wed, 24 Apr 2024 12:51:00 EST

Dengue, a mosquitoborne viral disease, is endemic to Peru, with highest seasonal transmission usually occurring between November and May (1). All four dengue viruses (DENV 1-4) have circulated in Peru, most commonly DENV-1 and DENV-2 (2). Historically, departments (the first level administrative subdivision) in the north have reported the highest dengue incidence, whereas incidence in the Lima metropolitan area on the central Pacific coast (population approximately 11 million) has been low.

Heat-Related Emergency Department Visits — United States, May–September 2023

Thu, 18 Apr 2024 13:15:00 EST

This report describes rates of emergency department visits for heat-related illnesses in 2023.

Vital Signs: Mammography Use and Association with Social Determinants of Health and Health-Related Social Needs Among Women — United States, 2022

Thu, 18 Apr 2024 13:00:00 EST

This report describes the association between mammography use and specific social determinants of health and health-related social needs.

Use of the Pfizer Pentavalent Meningococcal Vaccine Among Persons Aged ≥10 Years: Recommendations of the Advisory Committee on Immunization Practices ― United States, 2023

Thu, 18 Apr 2024 13:00:00 EST

This report describes recommendations for using Pfizer pentavalent meningococcal vaccines among people ages 10 years and older.

COVID-19 Vaccination Coverage, and Rates of SARS-CoV-2 Infection and COVID-19–Associated Hospitalization Among Residents in Nursing Homes — National Healthcare Safety Network, United States, October 2023–February 2024

Thu, 18 Apr 2024 13:00:00 EST

This report describes COVID-19 rates, hospitalizations, and vaccination coverage among nursing home residents.

Durability of Original Monovalent mRNA Vaccine Effectiveness Against COVID-19 Omicron–Associated Hospitalization in Children and Adolescents — United States, 2021–2023

Thu, 18 Apr 2024 13:00:00 EST

This report describes the duration of protection provided by the original monovalent COVID-19 vaccines.

Measles — United States, January 1, 2020–March 28, 2024

Thu, 11 Apr 2024 13:15:00 EST

This report describes measles cases in the United States during 2020–2024.

Notes from the Field: Neonatal Salmonellosis Associated with Backyard Poultry — Oregon, November 2023

Thu, 11 Apr 2024 13:00:00 EST

This report describes a case of salmonellosis associated with backyard poultry in a newborn.

Assessment of Risk for Sudden Cardiac Death Among Adolescents and Young Adults After Receipt of COVID-19 Vaccine — Oregon, June 2021–December 2022

Thu, 11 Apr 2024 13:00:00 EST

This report describes a review of Oregon death certificate data to assess whether young people in Oregon might be dying after receiving a COVID-19 vaccine.

Infections Associated with Medtronic Duet External Ventricular Drains — Rhode Island Hospital, Providence, Rhode Island, January 2023–January 2024

Thu, 11 Apr 2024 13:00:00 EST

This report describes an investigation of external ventricular drain-associated infections at a Rhode Island hospital.

COVID-19 Vaccination Coverage — World Health Organization African Region, 2021–2023

Thu, 11 Apr 2024 13:00:00 EST

This report describes COVID-19 vaccination coverage in the World Health Organization African Region during 2021–2023.

State Medicaid Coverage for Tobacco Cessation Treatments and Barriers to Accessing Treatments — United States, 2018–2022

Thu, 11 Apr 2024 13:00:00 EST

This report describes state Medicaid coverage of tobacco cessation treatments.

Federal Retail Pharmacy Program Contributions to Bivalent mRNA COVID-19 Vaccinations Across Sociodemographic Characteristics — United States, September 1, 2022–September 30, 2023

Thu, 04 Apr 2024 17:45:00 EST

This report describes the number of COVID-19 bivalent vaccine doses administered by Federal Retail Pharmacy Program partners.

Surveillance To Track Progress Toward Polio Eradication — Worldwide, 2022–2023

Thu, 04 Apr 2024 13:00:00 EST

This report describes poliovirus surveillance in countries at high risk for polio transmission.

Ceftriaxone-Resistant Gonorrhea — China, 2022

Fri, 29 Mar 2024 10:07:00 EST

This report describes increases in the prevalence of antibiotic-resistant strains of Neisseria gonorrhoeae in China.

Tuberculosis — United States, 2023

Thu, 28 Mar 2024 13:30:00 EST

This report describes increases in tuberculosis cases among all age groups in the United States during 2023.

Birth Prevalence of Sickle Cell Disease and County-Level Social Vulnerability — Sickle Cell Data Collection Program, 11 States, 2016–2020

Thu, 28 Mar 2024 13:00:00 EST

This report describes the prevalence of sickle cell disease among newborns born to mothers in counties with high social vulnerability.

Interim Effectiveness of Updated 2023–2024 (Monovalent XBB.1.5) COVID-19 Vaccines Against COVID-19–Associated Hospitalization Among Adults Aged ≥18 Years with Immunocompromising Conditions — VISION Network, September 2023–February 2024

Thu, 28 Mar 2024 13:00:00 EST

This report describes the effectiveness of the updated COVID-19 vaccine in preventing hospitalizations in adults with immunocompromising conditions.

Implications of Measles Inclusion by Commercial Syndromic Polymerase Chain Reaction Panels — United States, May 2022–April 2023

Thu, 28 Mar 2024 13:00:00 EST

This report describes incidental detection of the measles vaccine strain when using syndromic polymerase chain reaction panels on patients who recently received a measles vaccine.

Notes from the Field: Expanded Laboratory Testing for Varicella — Minnesota, 2016–2023

Thu, 21 Mar 2024 13:00:00 EST

This report describes expanded laboratory testing for varicella by the Minnesota Department of Health.

Surveillance for Coccidioidomycosis, Histoplasmosis, and Blastomycosis During the COVID-19 Pandemic — United States, 2019–2021

Thu, 21 Mar 2024 13:00:00 EST

This report describes trends in coccidioidomycosis, histoplasmosis, and blastomycosis cases during the COVID-19 pandemic.

Tuberculosis Preventive Treatment Update — U.S. President’s Emergency Plan for AIDS Relief, 36 Countries, 2016–2023

Thu, 21 Mar 2024 13:00:00 EST

This report describes trends in the initiation and completion of preventive treatment for tuberculosis in people with HIV through PEPFAR-supported programs.

Notes from the Field: Measles Outbreak — Cook County, Illinois, October–November 2023

Thu, 14 Mar 2024 13:00:00 EST

This report describes a measles outbreak occurring in unvaccinated, vaccine-eligible children at an apartment complex in Cook County, Illinois.

Notes from the Field: Surveillance for Multisystem Inflammatory Syndrome in Children — United States, 2023

Thu, 14 Mar 2024 13:00:00 EST

This report describes changes in multisystem inflammatory syndrome cases among children since early in the COVID-19 pandemic.

Outbreak Linked to Morel Mushroom Exposure — Montana, 2023

Thu, 14 Mar 2024 13:00:00 EST

This report describes an outbreak linked to consumption of raw morel mushrooms.

Early Estimate of Nirsevimab Effectiveness for Prevention of Respiratory Syncytial Virus–Associated Hospitalization Among Infants Entering Their First Respiratory Syncytial Virus Season — New Vaccine Surveillance Network, October 2023–February 2024

Thu, 07 Mar 2024 13:00:00 EDT

This report describes effectiveness of nirsevimab against respiratory syncytial virus-associated hospitalizations in infants.

Racial and Ethnic Differences in Social Determinants of Health and Health-Related Social Needs Among Adults — Behavioral Risk Factor Surveillance System, United States, 2022

Thu, 07 Mar 2024 13:00:00 EDT

This report describes the prevalence of adverse social determinants of health and health-related social needs across racial and ethnic groups in the U.S.

Notes from the Field: Emergency Department Visits for Unsupervised Pediatric Melatonin Ingestion — United States, 2019–2022

Thu, 07 Mar 2024 13:00:00 EDT

This report describes emergency department visits for unsupervised melatonin ingestion by infants and young children.

Years of Potential Life Lost and Mean Age of Adults Experiencing Nontraumatic, Out-of-Hospital Cardiac Arrests — Chicago, 2014–2021

Thu, 07 Mar 2024 13:00:00 EDT

This report describes years of potential life lost among adults in Chicago who experienced out-of-hospital cardiac arrest.

Prevalence of Self-Reported Hypertension and Antihypertensive Medication Use Among Adults — United States, 2017–2021

Thu, 07 Mar 2024 13:00:00 EDT

This report describes increases in the prevalence of adults reporting hypertension and antihypertensive medication use.

Interim Effectiveness of Updated 2023–2024 (Monovalent XBB.1.5) COVID-19 Vaccines Against COVID-19–Associated Emergency Department and Urgent Care Encounters and Hospitalization Among Immunocompetent Adults Aged ≥18 Years — VISION and IVY Networks, September 2023–January 2024

Thu, 29 Feb 2024 13:11:00 EDT

This report describes vaccine effectiveness for the updated 2023-24 COVID-19 vaccine.

Interim Influenza Vaccine Effectiveness Against Laboratory-Confirmed Influenza — California, October 2023–January 2024

Thu, 29 Feb 2024 13:00:00 EDT

This report describes estimated vaccine effectiveness for laboratory-confirmed flu in California.

Interim Estimates of 2023–24 Seasonal Influenza Vaccine Effectiveness — United States

Thu, 29 Feb 2024 13:00:00 EDT

This report describes estimates of 2023-24 influenza vaccine effectiveness among different age groups.

Progress Toward Rubella and Congenital Rubella Syndrome Elimination — Worldwide, 2012–2022

Thu, 29 Feb 2024 13:00:00 EDT

This report updates a previous report and summarizes global progress toward elimination of rubella and congenital rubella syndrome from 2012-2022.

Deaths from Excessive Alcohol Use — United States, 2016–2021

Thu, 29 Feb 2024 13:00:00 EDT

This report describes increases in the average annual number of deaths from excessive alcohol use from 2016–2017 to 2020–2021.

Notes from the Field: Reemergence of Mycoplasma pneumoniae Infections in Children and Adolescents After the COVID-19 Pandemic, United States, 2018–2024

Thu, 22 Feb 2024 13:00:00 EDT

This report describes an increase in Mycoplasma pneumoniae, a common cause of respiratory illness, beginning in fall 2023.

Outbreak of Mycobacterium orygis in a Shipment of Cynomolgus Macaques Imported from Southeast Asia — United States, February–May 2023

Thu, 22 Feb 2024 13:00:00 EDT

This report describes a discovery of Mycobacterium orgis in a shipment of imported nonhuman primates (NHPs) quarantined through CDC’s imported NHP quarantine program.

Progress Toward Measles Elimination — World Health Organization Eastern Mediterranean Region, 2019–2022

Thu, 22 Feb 2024 13:00:00 EDT

This report describes progress toward measles elimination in the World Health Organization’s Eastern Mediterranean Region.

Notes from the Field: Long COVID Prevalence Among Adults — United States, 2022

Thu, 15 Feb 2024 14:40:00 EDT

This report describes the prevalence of adults who reported ever experiencing Long COVID.

Hepatitis A Exposure Response and Outbreak Prevention in a Large Urban Jail — Los Angeles County, California, May–July 2023

Thu, 15 Feb 2024 13:19:00 EDT

This report describes Correctional Health Services and LA County Jail’s response to a confirmed case of Hepatitis A in a person who is incarcerated.

Surveillance for Lyme Disease After Implementation of a Revised Case Definition — United States, 2022

Thu, 15 Feb 2024 13:15:00 EDT

This report describes the first year of Lyme disease surveillance data collected using the 2022 case definition compared to cases reported during 2017–2019.

Routes of Drug Use Among Drug Overdose Deaths — United States, 2020–2022

Thu, 15 Feb 2024 13:00:00 EDT

This report describes different routes of drug use observed in drug overdose deaths.

Notes from the Field: Rapidly Linking an Outbreak of Salmonella Typhimurium Infections to Domestically Grown Cantaloupes Through Early Collaboration — United States, 2022

Fri, 09 Feb 2024 10:37:00 EDT

This report describes the use of bacterial genetic data to quickly identify cantaloupes as the source of a Salmonella Typhimurium outbreak.

Characteristics of Alcohol, Marijuana, and Other Drug Use Among Persons Aged 13–18 Years Being Assessed for Substance Use Disorder Treatment — United States, 2014–2022

Thu, 08 Feb 2024 13:00:00 EDT

This report describes self-reported reasons for drug and alcohol use among teens in the U.S.

Comparison of Administration of 8-Milligram and 4-Milligram Intranasal Naloxone by Law Enforcement During Response to Suspected Opioid Overdose — New York, March 2022–August 2023

Thu, 08 Feb 2024 13:00:00 EDT

This report describes real-world comparisons of survival, the average number of doses administered, the presence of postnaloxone signs and symptoms, and hospital transport refusal among people receiving 8-mg and 4-mg intranasal naloxone.

Severe Work-Related Injuries in the Oil and Gas Extraction Industry — 32 Federal Occupational Safety and Health Administration Jurisdictions, United States, January 2015–July 2022

Thu, 08 Feb 2024 13:00:00 EDT

This report describes severe work-related injuries among oil and gas extraction workers.

Selection of Antibiotics as Prophylaxis for Close Contacts of Patients with Meningococcal Disease in Areas with Ciprofloxacin Resistance — United States, 2024

Thu, 08 Feb 2024 13:00:00 EDT

This report describes CDC guidance for health departments for using a preferred selection of antibiotics when an area has reached a certain threshold of ciprofloxacin-resistant, meningococcal cases.

Early Estimates of Updated 2023–2024 (Monovalent XBB.1.5) COVID-19 Vaccine Effectiveness Against Symptomatic SARS-CoV-2 Infection Attributable to Co-Circulating Omicron Variants Among Immunocompetent Adults — Increasing Community Access to Testing Program, United States, September 2023–January 2024

Thu, 01 Feb 2024 13:00:00 EDT

This report describes vaccine effectiveness for the updated COVID-19 vaccine in preventing symptomatic SARS-CoV-2 infection.

Notes from the Field: Cluster of Severe Illness from Neptune’s Fix Tianeptine Linked to Synthetic Cannabinoids — New Jersey, June–November 2023

Thu, 01 Feb 2024 13:00:00 EDT

This report describes cases of tianeptine ingestion associated with severe illness.

Notes from the Field: Severe Vibrio vulnificus Infections During Heat Waves — Three Eastern U.S. States, July–August 2023

Thu, 01 Feb 2024 13:00:00 EDT

This report describes cases of Vibrio vulnificus infections after a period of heat waves in three eastern U.S. states.

Surveillance for Acute Flaccid Myelitis ― United States, 2018–2022

Thu, 01 Feb 2024 13:00:00 EDT

This report describes acute flaccid myelitis cases in the U.S. during 2018–2022.

Underuse of Antiviral Drugs to Prevent Progression to Severe COVID-19 — Veterans Health Administration, March–September 2022

Thu, 25 Jan 2024 13:00:00 EDT

This report describes a review of immunosuppressed patients with nonsevere COVID-19 who were not treated with an antiviral drug.

Notes from the Field: Nontuberculous Mycobacteria Infections After Cosmetic Surgery Procedures in Florida — Nine States, 2022–2023

Thu, 25 Jan 2024 13:00:00 EDT

This report describes an investigation of nontuberculous mycobacteria infections in patients who received a cosmetic procedure in Florida

Deaths of U.S. Citizens Undergoing Cosmetic Surgery — Dominican Republic, 2009–2022

Thu, 25 Jan 2024 13:00:00 EDT

This report describes an increase in deaths of U.S. citizens after cosmetic surgery in the Dominican Republic.

Prevalence of Cardiometabolic Diseases Among Racial and Ethnic Subgroups in Adults — Behavioral Risk Factor Surveillance System, United States, 2013–2021

Thu, 25 Jan 2024 13:00:00 EDT

This report describes the racial and ethnic disparities in the prevalence of diagnosed heart disease and diabetes.

Mpox Outbreak — Los Angeles County, California, May 4–August 17, 2023

Thu, 18 Jan 2024 13:00:00 EDT

This report describes an mpox outbreak in Los Angeles County, California during summer 2023.

Detecting Mpox Cases Through Wastewater Surveillance — United States, August 2022–May 2023

Thu, 18 Jan 2024 13:00:00 EDT

This report describes mpox detection using wastewater surveillance.

Pseudomonas Infection Outbreak Associated with a Hotel Swimming Pool — Maine, March 2023

Thu, 18 Jan 2024 13:00:00 EDT

This report describes an outbreak of Pseudomonas infections associated with swimming in a hotel pool.

Cannabis Use Among Students in Grades 8, 10, and 12, by Sex — King County, Washington, 2008–2021

Thu, 18 Jan 2024 13:00:00 EDT

This report describes recent trends in cannabis use among male and female students in grades 8,10, and 12.

Effectiveness of Bivalent mRNA COVID-19 Vaccines in Preventing COVID-19–Related Thromboembolic Events Among Medicare Enrollees Aged ≥65 Years and Those with End Stage Renal Disease — United States, September 2022–March 2023

Thu, 11 Jan 2024 13:00:00 EDT

This report describes how bivalent COVID-19 vaccines were nearly 50% effective in preventing COVID-19-related thromboembolic events among adults aged 65 and older and those on dialysis.

Advisory Committee on Immunization Practices Recommended Immunization Schedule for Adults Aged 19 Years or Older — United States, 2024

Thu, 11 Jan 2024 13:00:00 EDT

This report describes the Advisory Committee on Immunization Practices recommended 2024 immunization schedule for adults.

Advisory Committee on Immunization Practices Recommended Immunization Schedule for Children and Adolescents Aged 18 Years or Younger — United States, 2024

Thu, 11 Jan 2024 13:00:00 EDT

This report describes the Advisory Committee on Immunization Practices recommended 2024 immunization schedule for children.

Topical Antifungal Prescribing for Medicare Part D Beneficiaries — United States, 2021

Thu, 11 Jan 2024 13:00:00 EDT

This report describes prescribing trends in topical antifungals for Medicare Part D beneficiaries.

Notes from the Field: Seizures, Hyperthermia, and Myocardial Injury in Three Young Adults Who Consumed Bromazolam Disguised as Alprazolam — Chicago, Illinois, February 2023

Thu, 04 Jan 2024 13:00:00 EDT

This report describes a cluster of three patients treated at a local emergency department after consuming bromazolam.

Notes from the Field: Supply Interruptions of First- and Second-Line Oral Drugs to Treat Tuberculosis During the Previous 12 Months — California, January–March, 2023

Thu, 04 Jan 2024 13:00:00 EDT

This report describes a survey among tuberculosis (TB) programs in California to assess delays and shortages of TB drugs.

Second Nationwide Tuberculosis Outbreak Caused by Bone Allografts Containing Live Cells — United States, 2023

Thu, 04 Jan 2024 13:00:00 EDT

This report describes an investigation of a tuberculosis outbreak among bone allograft recipients.

Influenza, Updated COVID-19, and Respiratory Syncytial Virus Vaccination Coverage Among Adults — United States, Fall 2023

Thu, 21 Dec 2023 13:00:00 EDT

This report describes influenza, updated COVID-19, and respiratory syncytial virus vaccination coverage among adults.

Coverage with Influenza, Respiratory Syncytial Virus, and Updated COVID-19 Vaccines Among Nursing Home Residents - National Healthcare Safety Network, United States, December 2023

Thu, 21 Dec 2023 13:00:00 EDT

This report describes respiratory syncytial virus, influenza, and COVID-19 vaccination coverage among nursing home residents.

Evaluation of SARS-CoV-2 RNA Rebound After Nirmatrelvir/Ritonavir Treatment in Randomized, Double-Blind, Placebo-Controlled Trials — United States and International Sites, 2021–2022

Thu, 21 Dec 2023 13:00:00 EDT

This report describes data from two randomized, double-blind clinical trials that investigated COVID-19 rebound following treatment with or without nirmatrelvir/ritonavir.

SARS-CoV-2 Rebound With and Without Use of COVID-19 Oral Antivirals

Thu, 21 Dec 2023 13:00:00 EDT

CDC reviewed COVID-19 rebound studies among patients who did and did not receive antiviral treatment.

Notes from the Field: COVID-19 Pandemic-Related Changes in Blood Lead Screening — Chicago, Illinois, 2017–2022

Thu, 14 Dec 2023 13:00:00 EDT

This report describes decreases in blood lead level testing among young children during the COVID-19 pandemic.

Notes from the Field: Transmission of Mpox to Nonsexual Close Contacts — Two U.S. Jurisdictions, May 1–July 31, 2022

Thu, 14 Dec 2023 13:00:00 EDT

This report describes the number of reported nonsexual close contacts of mpox patients in Tennessee and the District of Columbia.

Suicide Rates by Industry and Occupation — National Vital Statistics System, United States, 2021

Thu, 14 Dec 2023 13:00:00 EDT

This report describes suicide rates by sex for industry and occupational groups reported in 49 states.

Unintentional Firearm Injury Deaths Among Children and Adolescents Aged 0–17 Years — National Violent Death Reporting System, United States, 2003–2021

Thu, 14 Dec 2023 13:00:00 EDT

This report describes unintentional firearm injury deaths among children and adolescents.

Large Community Outbreak of Legionnaires Disease Potentially Associated with a Cooling Tower — Napa County, California, 2022

Thu, 07 Dec 2023 13:15:00 EDT

This report describes a Legionnaires disease outbreak in California associated with a cooling tower.

Notes from the Field: Responding to the Wartime Spread of Antimicrobial-Resistant Organisms — Ukraine, 2022

Thu, 07 Dec 2023 13:00:00 EDT

This report describes an international collaboration among partners to address increased antimicrobial resistance in Ukraine.

Notes from the Field: Undiagnosed Tuberculosis During Pregnancy Resulting in a Neonatal Death — United States, 2021

Thu, 07 Dec 2023 13:00:00 EDT

This report describes an infant death following a case of undiagnosed tuberculosis during pregnancy.

Use of Inactivated Polio Vaccine Among U.S. Adults: Updated Recommendations of the Advisory Committee on Immunization Practices — United States, 2023

Thu, 07 Dec 2023 13:00:00 EDT

This report describes updated Advisory Committee on Immunization Practices recommendations for the use of inactivated polio vaccine for U.S. adults.

Progress in Immunization Safety Monitoring — Worldwide, 2020–2022

Thu, 07 Dec 2023 13:00:00 EDT

This report describes progress in the use of the immunization safety monitoring indicator and progress on joint adverse events following immunization among World Health Organization-affiliated countries and territories.

Notes from the Field: The National Wastewater Surveillance System’s Centers of Excellence Contributions to Public Health Action During the Respiratory Virus Season — Four U.S. Jurisdictions, 2022–23

Thu, 30 Nov 2023 13:13:00 EDT

This report describes how wastewater surveillance informed public health action during the 2022–23 respiratory virus season.

Notes from the Field: Firearm Suicide Rates, by Race and Ethnicity — United States, 2019–2022

Thu, 30 Nov 2023 13:00:00 EDT

This report describes increases in firearm suicide rates from 2019 through 2022 in the United States.

SARS-CoV-2 Epidemiology and COVID-19 mRNA Vaccine Effectiveness Among Infants and Children Aged 6 Months–4 Years — New Vaccine Surveillance Network, United States, July 2022–September 2023

Thu, 30 Nov 2023 13:00:00 EDT

This report describes the effectiveness of COVID-19 mRNA vaccines among infants and children aged 6 months–4 years.

Mortality Among Children Aged 5 Years Living with HIV Who Are Receiving Antiretroviral Treatment — U.S. President’s Emergency Plan for AIDS Relief, 28 Supported Countries and Regions, October 2020–September 2022

Thu, 30 Nov 2023 13:00:00 EDT

This report describes higher proportions of deaths among children younger than 5 with HIV receiving antiretroviral treatment (ART) compared with older children and adults with HIV receiving ART.

Notes from the Field: House-to-House Campaign Administration of Inactivated Poliovirus Vaccine — Sokoto State, Nigeria, November 2022

Wed, 22 Nov 2023 13:00:00 EDT

This report describes results of a house-to-house poliovirus vaccination campaign in Nigeria.

Notes from the Field: Diagnosis of Congenital Syphilis and Syphilis Among Females of Reproductive Age Before and During the COVID-19 Pandemic — Chicago, 2015–2022

Wed, 22 Nov 2023 13:00:00 EDT

This report describes increases in cases of congenital syphilis during the COVID-19 pandemic.

A Cluster of Ocular Syphilis Cases with a Common Sex Partner — Southwest Michigan, 2022

Wed, 22 Nov 2023 13:00:00 EDT

This report describes five cases of ocular syphilis in women who shared a sex partner.

Vital Signs: Missed Opportunities for Preventing Congenital Syphilis — United States, 2022

Thu, 16 Nov 2023 13:00:00 EDT

This report describes how health care providers outside of prenatal care settings can help prevent newborn syphilis through syphilis testing and treatment during pregnancy.

Notes from the Field: A Cluster of Multi-Strain Invasive Pneumococcal Disease Among Persons Experiencing Homelessness and Use of Pneumococcal Conjugate Vaccine — El Paso County, Colorado, 2022

Thu, 16 Nov 2023 13:00:00 EDT

This report describes cases of invasive pneumococcal disease among people experiencing homelessness in Colorado.

Notes from the Field: Surveillance of Silicosis Using Electronic Case Reporting — California, December 2022–July 2023

Thu, 16 Nov 2023 13:00:00 EDT

This report describes using electronic case reporting to identify cases of silicosis.

Progress Toward Measles Elimination — Worldwide, 2000–2022

Thu, 16 Nov 2023 13:00:00 EDT

This report describes progress towards global measles elimination.

Fatal Occupational Asthma in Cannabis Production — Massachusetts, 2022

Thu, 16 Nov 2023 13:00:00 EDT

This report describes a death attributed to occupational asthma in a U.S. cannabis production worker.

Trends in the Prevalence of Chronic Obstructive Pulmonary Disease Among Adults Aged ≥18 Years — United States, 2011–2021

Thu, 16 Nov 2023 13:00:00 EDT

This report describes prevalence of chronic obstructive pulmonary disease among adults in the United States.

Arthritis Prevalence Among Veterans — United States, 2017–2021

Thu, 09 Nov 2023 13:00:00 EDT

This report describes the number of U.S. veterans who reported being diagnosed with arthritis during 2017–2021.

Declines in Influenza Vaccination Coverage Among Health Care Personnel in Acute Care Hospitals During the COVID-19 Pandemic — United States, 2017–2023

Thu, 09 Nov 2023 13:00:00 EDT

This report describes declines in influenza vaccination coverage among health care personnel working in hospitals during the COVID-19 pandemic.

Influenza and Up-to-Date COVID-19 Vaccination Coverage Among Health Care Personnel — National Healthcare Safety Network, United States, 2022–23 Influenza Season

Thu, 09 Nov 2023 13:00:00 EDT

This report describes the percentage of health care personnel working in hospitals and nursing homes who received a flu vaccine and the percentage who received a COVID-19 vaccine.

Progress Toward Eradication of Dracunculiasis — Worldwide, January 2022–June 2023

Thu, 09 Nov 2023 13:00:00 EDT

This report updates previous reports and describes progress toward eradicating endemic dracunculiasis in five countries.

Strain of Multidrug-Resistant Salmonella Newport Remains Linked to Travel to Mexico and U.S. Beef Products — United States, 2021–2022

Thu, 09 Nov 2023 13:00:00 EDT

This report describes increases in human infections with a strain of multidrug-resistant Salmonella linked to travel to Mexico and U.S. beef products.

Coverage with Selected Vaccines and Exemption from School Vaccine Requirements Among Children in Kindergarten - United States, 2022–23 School Year

Thu, 09 Nov 2023 13:00:00 EDT

This report describes vaccination coverage and changes in exemption from school vaccine requirements among kindergartners.

Tuberculosis Testing and Latent Tuberculosis Infection Treatment Practices Among Health Care Providers — United States, 2020–2022

Thu, 02 Nov 2023 13:38:00 EST

This report describes tuberculosis-related practices among health care providers in the United States.

Vaccination Coverage by Age 24 Months Among Children Born in 2019 and 2020 — National Immunization Survey-Child, United States, 2020–2022

Thu, 02 Nov 2023 13:00:00 EST

This report describes vaccination coverage and disparities in coverage by age 24 months among children born in 2019 and 2020.

Tobacco Product Use Among U.S. Middle and High School Students — National Youth Tobacco Survey, 2023

Thu, 02 Nov 2023 13:00:00 EST

This report describes findings from the 2023 National Youth Tobacco Survey (NYTS) and compares those results to the 2022 NYTS.

Vital Signs: Health Worker–Perceived Working Conditions and Symptoms of Poor Mental Health — Quality of Worklife Survey, United States, 2018–2022

Thu, 02 Nov 2023 13:00:00 EST

This report describes and compares self-reported well-being and working conditions for health workers, other essential workers, and all other workers in 2018 and 2022.

Notes from the Field: Early Identification of the SARS-CoV-2 Omicron BA.2.86 Variant by the Traveler-Based Genomic Surveillance Program — Dulles International Airport, August 2023

Thu, 26 Oct 2023 13:00:00 EST

CDC detected BA.2.86 variant in a traveler within days of being reported. Timely detection provides early warning of new COVID-19 variants entering the U.S.

Early Detection and Surveillance of the SARS-CoV-2 Variant BA.2.86 — Worldwide, July–October 2023

Thu, 26 Oct 2023 13:00:00 EST

Early detection of emerging SARS-CoV-2 variants is critical to assessing risk, providing clear and timely communication messages, and coordinating public health action. CDC used a multicomponent surveillance approach to track the global spread of the SARS-CoV-2 variant BA.2.86.

Routine Vaccination Coverage — Worldwide, 2022

Thu, 26 Oct 2023 13:00:00 EST

From 2021 to 2022, global coverage with the first dose of diphtheria-tetanus-pertussis-containing vaccine increased from 86% to 89%, and with the first dose of measles-containing vaccine from 81% to 84%, but neither returned to 2019 prepandemic coverage levels of 90% and 86%, respectively.

Notes from the Field: Mycobacterium abscessus Outbreak Related to Contaminated Water Among Ventilator-Dependent Residents of a Pediatric Facility ― Pennsylvania, 2022

Thu, 19 Oct 2023 13:00:00 EST

This report describes a Mycobacterium abscessus outbreak among ventilator-dependent residents at a pediatric facility.

Notes from the Field: Firearm Homicide Rates, by Race and Ethnicity — United States, 2019–2022

Thu, 19 Oct 2023 13:00:00 EST

This report shows the overall U.S. firearm homicide rate during 2019 – 2022

Notes from the Field: Severe Bartonella quintana Infections Among Persons Experiencing Unsheltered Homelessness — New York City, January 2020–December 2022

Thu, 19 Oct 2023 13:00:00 EST

This report describes severe cases of Bartonella quintana infection, a rare but serious disease transmitted by body lice, detected among people experiencing unsheltered homelessness in NYC.

Progress Toward Measles and Rubella Elimination — Indonesia, 2013–2022

Thu, 19 Oct 2023 13:00:00 EST

This report describes progress made toward measles and rubella elimination in Indonesia.

Preventable Deaths During Widespread Community Hepatitis A Outbreaks — United States, 2016–2022

Thu, 19 Oct 2023 13:00:00 EST

This report describes deaths related to hepatitis A outbreaks.

Use of Updated COVID-19 Vaccines 2023–2024 Formula for Persons Aged ≥6 Months: Recommendations of the Advisory Committee on Immunization Practices — United States, September 2023

Thu, 19 Oct 2023 13:00:00 EST

This report describes the Advisory Committee on Immunization Practices' recommendation that all people aged 6 months and older get an updated COVID-19 vaccine.

Prevalence of Diagnosed Arthritis — United States, 2019–2021

Thu, 12 Oct 2023 13:00:00 EST

This report describes estimates of U.S. adults with arthritis during 2019–2021.

Use of the Pfizer Respiratory Syncytial Virus Vaccine During Pregnancy for the Prevention of Respiratory Syncytial Virus–Associated Lower Respiratory Tract Disease in Infants: Recommendations of the Advisory Committee on Immunization Practices — United States, 2023

Thu, 12 Oct 2023 13:00:00 EST

This report describes the Advisory Committee on Immunization Practices recommendation for the seasonal administration of a single dose of RSV vaccine during weeks 32 through 36 of pregnancy to help prevent severe RSV illness in infants younger than 6 months.

Notes from the Field: Locally Acquired Mosquito-Transmitted (Autochthonous) Plasmodium falciparum Malaria — National Capital Region, Maryland, August 2023

Thu, 12 Oct 2023 13:00:00 EST

This report describes cases of locally acquired mosquito-transmitted malaria in Maryland in August2023.

High Influenza Incidence and Disease Severity Among Children and Adolescents Aged 18 Years ― United States, 2022–23 Season

Thu, 12 Oct 2023 13:00:00 EST

This report describes the 2022–23 influenza season among children, including seasonal severity, estimated incidence, and characteristics of hospitalized patients.

Disparities in COVID-19 Vaccination Status Among Long-Term Care Facility Residents — United States, October 31, 2022–May 7, 2023

Thu, 05 Oct 2023 13:00:00 EST

This report describes COVID-19 vaccination coverage among long-term care facility residents.

COVID-19–Associated Hospitalizations Among U.S. Adults Aged ≥65 Years — COVID-NET, 13 States, January–August 2023

Thu, 05 Oct 2023 13:00:00 EST

This report describes COVID-19-associated hospitalizations among older adults.

Disease Severity of Respiratory Syncytial Virus Compared with COVID-19 and Influenza Among Hospitalized Adults Aged ≥60 Years — IVY Network, 20 U.S. States, February 2022–May 2023

Thu, 05 Oct 2023 13:00:00 EST

This report describes the severity of respiratory syncytial virus disease among hospitalized older adults compared to hospitalizations for COVID-19 or influenza.

Characteristics and Outcomes Among Adults Aged ≥60 Years Hospitalized with Laboratory-Confirmed Respiratory Syncytial Virus — RSV-NET, 12 States, July 2022–June 2023

Thu, 05 Oct 2023 13:00:00 EST

This report describes characteristics and outcomes of older adults hospitalized with respiratory syncytial virus.

Inequities in COVID-19 Vaccination Coverage Among Pregnant Persons, by Disaggregated Race and Ethnicity — Massachusetts, May 2021–October 2022

Thu, 28 Sep 2023 13:04:09 EST

Influenza, Tdap, and COVID-19 Vaccination Coverage and Hesitancy Among Pregnant Women — United States, April 2023

Thu, 28 Sep 2023 13:00:00 EST

This report describes influenza, Tdap, and COVID-19 vaccination coverage and hesitancy among pregnant people.

Effectiveness of Maternal mRNA COVID-19 Vaccination During Pregnancy Against COVID-19–Associated Hospitalizations in Infants Aged 6 Months During SARS-CoV-2 Omicron Predominance — 20 States, March 9, 2022–May 31, 2023

Thu, 28 Sep 2023 13:00:00 EST

This report describes how young infants of people who received a COVID-19 vaccine while pregnant were less likely to be hospitalized or experience serious complications from COVID-19.

COVID-19 Vaccination Recommendations and Practices for Women of Reproductive Age by Health Care Providers — Fall DocStyles Survey, United States, 2022

Thu, 28 Sep 2023 13:00:00 EST

This report describes results from a survey of clinicians who offered or administered COVID-19 vaccines to women of reproductive age, including pregnant patients.

Notes from the Field: Circulating Vaccine-Derived Poliovirus Type 2 Emergences Linked to Novel Oral Poliovirus Vaccine Type 2 Use — Six African Countries, 2021–2023

Thu, 21 Sep 2023 13:00:00 EST

This report describes the circulation of vaccine-derived poliovirus type 2 in six African countries.

Seasonal Trends in Emergency Department Visits for Mental and Behavioral Health Conditions Among Children and Adolescents Aged 5–17 Years — United States, January 2018–June 2023

Thu, 21 Sep 2023 13:00:00 EST

This report describes an increase in the number of emergency department visits for certain mental and behavioral health conditions among children 10–17 years during fall and spring school semesters.

Thrombocytopenia Associated with Elemental Mercury Poisoning in Two Siblings — Connecticut, July 2022

Thu, 21 Sep 2023 13:00:00 EST

This report describes two cases of thrombocytopenia in siblings after elemental mercury vapor exposure.

Progress Toward Poliomyelitis Eradication — Afghanistan, January 2022–June 2023

Thu, 21 Sep 2023 13:00:00 EST

This report describes activities and progress toward polio eradication in Afghanistan during January 2022–June 2023. 2023.

Interim Effectiveness Estimates of 2023 Southern Hemisphere Influenza Vaccines in Preventing Influenza-Associated Hospitalizations — REVELAC–i Network, March–July 2023

Thu, 14 Sep 2023 13:00:00 EST

This report describes flu vaccine effectiveness data from five South American countries during the 2023 Southern Hemisphere flu season.

Notes from the Field: Online Weight Loss Supplements Labeled as Tejocote (Crataegus mexicana) Root, Substituted with Yellow Oleander (Cascabela thevetia) — United States, 2022

Thu, 14 Sep 2023 13:00:00 EST

This report describes flu vaccine effectiveness data from five South American countries during the 2023 Southern Hemisphere flu season.

Wastewater Surveillance Data as a Complement to Emergency Department Visit Data for Tracking Incidence of Influenza A and Respiratory Syncytial Virus — Wisconsin, August 2022–March 2023

Thu, 14 Sep 2023 13:00:00 EST

Wastewater Surveillance Data as a Complement to Emergency Department Visit Data for Tracking Incidence of Influenza A and Respiratory Syncytial Virus — Wisconsin, August 2022–March 2023

Suspected Legionella Transmission from a Single Donor to Two Lung Transplant Recipients — Pennsylvania, May 2022

Thu, 14 Sep 2023 13:00:00 EST

This report describes two cases of Legionnaires’ disease reported in patients who each received a lung transplant from the same donor.

Notes from the Field: Gastrointestinal Illness Among Hikers on the Pacific Crest Trail — Washington, August–October 2022

Thu, 07 Sep 2023 13:00:00 EST

This report describes cases of gastroenteritis among Pacific Crest Trail hikers in Washington State.

Reduced Odds of Mpox-Associated Hospitalization Among Persons Who Received JYNNEOS Vaccine — California, May 2022–May 2023

Thu, 07 Sep 2023 13:00:00 EST

This report describes the risk for mpox-associated hospitalizations by JYNNEOS vaccination status.

Progress Toward Measles Elimination — African Region, 2017–2021

Thu, 07 Sep 2023 13:00:00 EST

This report describes trends in overdose deaths with evidence of counterfeit pill use from July–September 2019 to October–December 2021.

Health Care Provider Knowledge and Attitudes Regarding Adult Pneumococcal Conjugate Vaccine Recommendations — United States, September 28–October 10, 2022

Thu, 07 Sep 2023 13:00:00 EST

This report describes knowledge gaps and implementation challenges among health care providers in meeting pneumococcal vaccine recommendations.

Outbreak of Locally Acquired Mosquito-Transmitted (Autochthonous) Malaria — Florida and Texas, May–July 2023

Thu, 07 Sep 2023 13:00:00 EST

This report describes eight cases of autochthonous malaria reported to CDC by health departments in Florida and Texas.

Vital Signs: Maternity Care Experiences — United States, April 2023

Thu, 31 Aug 2023 13:00:00 EST

This report describes mistreatment during maternity care.

Notes from the Field: Outbreak of Norovirus Illness Caused by Consumption of Oysters Harvested from Galveston Bay, Texas — November–December 2022

Thu, 31 Aug 2023 13:00:00 EST

This report describes an outbreak of norovirus in Texas associated with consumption of oysters.

Outbreak of Multidrug-Resistant Tuberculosis — Kansas, 2021–2022

Thu, 31 Aug 2023 13:00:00 EST

This report describes a multidrug-resistant tuberculosis outbreak in Kansas.

Drug Overdose Deaths with Evidence of Counterfeit Pill Use — United States, July 2019–December 2021

Thu, 31 Aug 2023 13:00:00 EST

This report describes trends in overdose deaths with evidence of counterfeit pill use from July–September 2019 to October–December 2021.

Possible Exposures Among Mpox Patients Without Reported Male-to-Male Sexual Contact — Six U.S. Jurisdictions, November 1–December 14, 2022

Thu, 31 Aug 2023 13:00:00 EST

This report describes possible mpox exposures among patients who did not report male-to-male sexual contact.

Nonfatal and Fatal Falls Among Adults Aged ≥65 Years — United States, 2020–2021

Thu, 31 Aug 2023 13:00:00 EST

This report describes the percentage of nonfatal and fatal falls among older adults during the previous year.

Notes from the Field: Asthma-Associated Emergency Department Visits During a Wildfire Smoke Event — New York, June 2023

Thu, 24 Aug 2023 13:00:00 EST

This report describes asthma-associated emergency department visits in New York following exposure to wildfire smoke.

Asthma-Associated Emergency Department Visits During the Canadian Wildfire Smoke Episodes — United States, April– August 2023

Thu, 24 Aug 2023 13:00:00 EST

This report describes asthma-associated emergency department visits across the U.S. during 19 days of wildfire smoke.

Use of Nirsevimab for the Prevention of Respiratory Syncytial Virus Disease Among Infants and Young Children: Recommendations of the Advisory Committee on Immunization Practices — United States, 2023

Thu, 24 Aug 2023 13:00:00 EST

This report describes the Advisory Committee on Immunization Practices’ recommendation for using nirsevimab for infants and children to prevent severe respiratory syncytial virus disease.

Vaccination Coverage Among Adolescents Aged 13–17 Years — National Immunization Survey–Teen, United States, 2022

Thu, 24 Aug 2023 13:00:00 EST

This report describes trends in routine vaccination coverage among adolescents.

Sepsis Program Activities in Acute Care Hospitals — National Healthcare Safety Network, United States, 2022

Thu, 24 Aug 2023 13:00:00 EST

This report describes sepsis programs in hospitals and identifies areas of opportunities to improve sepsis programs.

West Nile Virus and Other Nationally Notifiable Arboviral Diseases — United States, 2021

Thu, 24 Aug 2023 13:00:00 EST

This report describes increased rates of West Nile virus in the U.S. during 2021 compared to the median rate during 2010–2020.

Notes from the Field: Outbreak of Norovirus Linked to a Food Establishment — Illinois, November 2022

Thu, 17 Aug 2023 13:15:00 EST

This report describes an outbreak of norovirus linked to a restaurant in Illinois.

Epidemiologic and Clinical Features of Mpox in Adults Aged 50 Years — United States, May 2022–May 2023

Thu, 17 Aug 2023 13:00:00 EST

This report describes age group-specific features of mpox among adults compared to features in adults over 50 years old by JYNNEOS vaccination status.

Effectiveness of Monovalent and Bivalent mRNA Vaccines in Preventing COVID-19–Associated Emergency Department and Urgent Care Encounters Among Children Aged 6 Months–5 Years — VISION Network, United States, July 2022–June 2023

Thu, 17 Aug 2023 13:00:00 EST

This report describes the effectiveness of monovalent and bivalent mRNA COVID-19 vaccines among children 6 months–5 years.

Progress Toward Poliomyelitis Eradication — Pakistan, January 2022–June 2023

Thu, 17 Aug 2023 13:00:00 EST

This report describes progress towards eliminating wild poliovirus type 1 cases in Pakistan.

SARS-CoV-2 Infection and Death Rates Among Maintenance Dialysis Patients During Delta and Early Omicron Waves — United States, June 30, 2021–September 27, 2022

Thu, 10 Aug 2023 13:00:00 EST

This report describes rates of SARS-CoV-2 infection and COVID-19 related deaths were higher among maintenance dialysis patients compared to rates in the U.S. population.

Long COVID and Significant Activity Limitation Among Adults, by Age — United States, June 1–13, 2022, to June 7–19, 2023

Thu, 10 Aug 2023 13:00:00 EST

This report describes the prevalence of long COVID among U.S. adults.

Prevalence of Symptoms ≤12 Months After Acute Illness, by COVID-19 Testing Status Among Adults — United States, December 2020–March 2023

Thu, 10 Aug 2023 13:00:00 EST

This report describes a study of COVID-like symptoms among adults up to 12 months after a positive or negative SARS-CoV-2 test.

An Outbreak of Salmonella Typhimurium Infections Linked to Ready-To-Eat Tofu in Multiple Health Districts — Ontario, Canada, May–July 2021

Thu, 10 Aug 2023 13:00:00 EST

This report describes an outbreak of Salmonella Typhimurium infections in Ontario, Canada that were linked to the consumption of tofu.

Notes from the Field: Safety Monitoring of Novavax COVID-19 Vaccine Among Persons Aged ≥12 Years — United States, July 13, 2022–March 13, 2023

Thu, 03 Aug 2023 13:00:00 EST

This report describes safety monitoring of the Novavax COVID-19 vaccine in people aged 12 years and older who received the vaccine.

Notes from the Field: Measles Outbreak — Central Ohio, 2022–2023

Thu, 03 Aug 2023 13:00:00 EST

This report describes a community measles outbreak in central Ohio.

Cluster of Carbapenemase-Producing Carbapenem-Resistant Pseudomonas aeruginosa Among Patients in an Adult Intensive Care Unit — Idaho, 2021–2022

Thu, 03 Aug 2023 13:00:00 EST

This report describes an investigation of two cases of carbapenemase-producing carbapenem-resistant Pseudomonas aeruginosa among ICU patients who stayed in the same hospital room.

Fleaborne Typhus–Associated Deaths — Los Angeles County, California, 2022

Thu, 03 Aug 2023 13:00:00 EST

This report describes an increase in fleaborne typhus cases in Los Angeles County, California.

Timing of Introduction of Complementary Foods — United States, 2016–2018

Thu, 27 Jul 2023 13:00:00 EST

This report describes the introduction of complementary foods before the age of four months.

Notes from the Field: Cruise Ship Norovirus Outbreak Associated with Person-to-Person Transmission — United States Jurisdiction, January 2023

Thu, 27 Jul 2023 13:00:00 EST

This report describes an outbreak of acute gastroenteritis on a cruise ship headed to a U.S. port.

Demographic Disparities in Mpox Vaccination Series Completion, by Route of Vaccine Administration — California, August 9, 2022–March 31, 2023

Thu, 27 Jul 2023 13:00:00 EST

This report describes demographic disparities among people who completed the 2-dose mpox vaccination series by intradermal or subcutaneous administration.

Travel-Associated Dengue Cases — United States, 2010–2021

Thu, 27 Jul 2023 13:00:00 EST

This report describes an increase in travel-associated dengue cases in the U.S. in 2019 compared to 2010–2018 and 2020–2021.

Geographic Distribution of Suspected Alpha-gal Syndrome Cases — United States, January 2017–December 2022

Thu, 27 Jul 2023 13:00:00 EST

This report describes the number of suspected Alpha-gal syndrome cases in the United States.

Health Care Provider Knowledge Regarding Alpha-gal Syndrome — United States, March–May 2022

Thu, 27 Jul 2023 13:00:00 EST

This report describes a survey that found a limited number of health care providers knew about alpha-gal syndrome.

Notes from the Field: An Outbreak of Shiga Toxin–Producing Escherichia coli O157:H7 Associated with a Farming Camp — Tennessee, 2022

Thu, 20 Jul 2023 13:00:00 EST

This report describes an outbreak of E. coli associated with baby goats at a farming camp.

Notes from the Field: Autism Spectrum Disorder Among Children with Laboratory Evidence of Prenatal Zika Virus Exposure — Puerto Rico, 2023

Thu, 20 Jul 2023 13:00:00 EST

This report describes autism spectrum disorder diagnoses among children with possible prenatal Zika virus exposure.

Use of Respiratory Syncytial Virus Vaccines in Older Adults: Recommendations of the Advisory Committee on Immunization Practices - United States, 2023

Thu, 20 Jul 2023 13:00:00 EST

This report describes respiratory syncytial virus (RSV) vaccine recommendations for adults 60 years and older.

Arthritis Among Children and Adolescents Aged 18 Years — United States, 2017–2021

Thu, 20 Jul 2023 13:00:00 EST

This report describes the number of children and adolescents with arthritis.

Progress Toward Hepatitis B Control and Elimination of Mother-to-Child Transmission of Hepatitis B Virus — World Health Organization African Region, 2016–2021

Thu, 20 Jul 2023 13:00:00 EST

This report describes progress towards hepatitis B control and elimination in the World Health Organization African region.

Soft Tick Relapsing Fever — United States, 2012–2021

Thu, 20 Jul 2023 13:00:00 EST

This report describes cases of soft tick relapsing fever identified in 11 states during 2012–2021.

Notes from the Field: Multipathogen Respiratory Virus Testing Among Primary and Secondary School Students and Staff Members in a Large Metropolitan School District — Missouri, November 2, 2022–April 19, 2023

Thu, 13 Jul 2023 13:00:00 EST

This report describes the prevalence of respiratory viruses in students and staff members in a Missouri School District.

Notes from the Field: Emergency Department Visits for Nonfatal Pedal Cyclist Injuries Before and During the COVID-19 Pandemic, United States, 2019–2020

Thu, 13 Jul 2023 13:00:00 EST

This report describes emergency department visits for nonfatal pedal cyclist injuries.

Updated Operational Guidance for Implementing CDC’s Recommendations on Testing for Hepatitis C Virus Infection

Thu, 13 Jul 2023 13:00:00 EST

This report describes higher cannabis-involved emergency department visits among young people during the COVID-19 pandemic compared to before.

Cannabis-Involved Emergency Department Visits Among Persons Aged 25 Years Before and During the COVID-19 Pandemic — United States, 2019–2022

Thu, 13 Jul 2023 13:00:00 EST

This report describes higher cannabis-involved emergency department visits among young people during the COVID-19 pandemic compared to before.

Notes from the Field: Scrub Typhus Outbreak — Los Lagos Region, Chile, January–February 2023

Thu, 06 Jul 2023 13:00:00 EST

This report describes cases of scrub typhus reported in southern Chile.

Notes from the Field: Doubling of Cyclosporiasis Cases Partially Attributable to a Salad Kit — Florida, 2021–2022

Thu, 06 Jul 2023 13:00:00 EST

This report describes cases of cyclosporiasis linked to a brand of Caesar salad kits.

Status of New Vaccine Introduction — Worldwide, 2016–2021

Thu, 06 Jul 2023 13:00:00 EST

This report describes the percentage of countries that provided all eight World Health Organization-recommended new and underutilized vaccines in their immunization schedules.

Inpatient Hospitalization Costs Associated with Birth Defects Among Persons Aged 65 Years — United States, 2019

Thu, 06 Jul 2023 13:00:00 EST

This report describes estimates of medical costs from hospitalizations associated with birth defects.

Notes from the Field: Outbreak of Cryptosporidiosis Among Collegiate Swimmers and Evidence of Secondary Transmission — Massachusetts and Rhode Island, 2023

Wed, 28 Jun 2023 20:24:25 EST

This report describes an outbreak of cryptosporidiosis among college swimmers in Massachusetts and Rhode Island.

Notes from the Field: Multistate Outbreak of Escherichia coli O157:H7 Infections Linked to a National Fast-Food Chain — United States, 2022

Wed, 28 Jun 2023 20:18:27 EST

This report describes a large multistate outbreak of Escherichia coli infection linked to a national fast-food chain.

Disparities in COVID-19 Disease Incidence by Income and Vaccination Coverage — 81 Communities, Los Angeles, California, July 2020–September 2021

Wed, 28 Jun 2023 20:14:45 EST

This report describes higher COVID-19 incidence in lower-income communities in Los Angeles, California, during two surges that occurred before vaccine availability.

Illicitly Manufactured Fentanyl–Involved Overdose Deaths with Detected Xylazine — United States, January 2019–June 2022

Wed, 28 Jun 2023 20:10:57 EST

This report describes increases in illicitly manufactured fentanyl-involved overdose deaths with the nonopioid sedative xylazine detected.

Hepatitis C Virus Clearance Cascade — United States, 2013–2022

Wed, 28 Jun 2023 20:06:12 EST

This report describes progress towards achieving hepatitis C viral clearance by 2030.

Prevalence of Adverse Childhood Experiences Among U.S. Adults — Behavioral Risk Factor Surveillance System, 2011–2020

Wed, 28 Jun 2023 19:50:59 EST

This report describes a survey that found two-thirds of U.S. adults experienced adverse childhood experiences.

Notes from the Field: Emergence of an Mpox Cluster Primarily Affecting Persons Previously Vaccinated Against Mpox — Chicago, Illinois, March 18–June 12, 2023

Wed, 28 Jun 2023 19:26:12 EST

This report describes an investigation into mpox clusters among previously vaccinated individuals in Chicago.

Notes from the Field: E-Cigarette–Associated Cases Reported to Poison Centers — United States, April 1, 2022–March 31, 2023

Wed, 28 Jun 2023 19:23:45 EST

This report describes e-cigarette exposure cases reported to poison centers.

Effectiveness of Up-to-Date COVID-19 Vaccination in Preventing SARS-CoV-2 Infection Among Nursing Home Residents — United States, November 20, 2022–January 8, 2023

Wed, 28 Jun 2023 19:21:55 EST

This report describes COVID-19 bivalent vaccine effectiveness among nursing home residents.

Trends in Laboratory-Confirmed SARS-CoV-2 Reinfections and Associated Hospitalizations and Deaths Among Adults Aged ≥18 Years — 18 U.S. Jurisdictions, September 2021–December 2022

Wed, 28 Jun 2023 19:19:19 EST

This report describes an increase in COVID-19 cases as new Omicron lineages became predominant.

E-cigarette Unit Sales by Product and Flavor Type, and Top-Selling Brands, United States, 2020–2022

Wed, 28 Jun 2023 19:11:39 EST

This report describes an increase in e-cigarette unit sales during January 2020– December 2022.

Progress Toward Rubella Elimination — World Health Organization South-East Asia Region, 2013–2021

Wed, 28 Jun 2023 19:08:46 EST

This report describes progress toward rubella elimination in WHO’s South-East Asia Region.

Preliminary Incidence and Trends of Infections Caused by Pathogens Transmitted Commonly Through Food — Foodborne Diseases Active Surveillance Network, 10 U.S. Sites, 2022

Wed, 28 Jun 2023 18:33:05 EST

This report describes higher incidences of certain infections caused by pathogens transmitted through food during 2022 compared with 2016–2018.

Notes from the Field: Increase in Meningococcal Disease Among Persons with HIV — United States, 2022

Thu, 15 Jun 2023 13:00:00 EST

This report describes an increase in meningococcal disease cases among people with HIV during 2022 compared to previous years.

Notes from the Field: Comparison of COVID-19 Mortality Rates Among Adults Aged ≥65 Years Who Were Unvaccinated and Those Who Received a Bivalent Booster Dose Within the Preceding 6 Months — 20 U.S. Jurisdictions, September 18, 2022–April 1, 2023

Thu, 15 Jun 2023 13:00:00 EST

This report describes COVID-19 mortality rates of adults aged ≥65 years who were unvaccinated compared to adults aged ≥65 years who received a bivalent booster dose.

Notes from the Field: Tetanus in an Unvaccinated Man from Mexico — Oregon, 2022

Thu, 15 Jun 2023 13:00:00 EST

This report describes a case of tetanus identified at an emergency department in Oregon.

Interim Recommendations for Use of Bivalent mRNA COVID-19 Vaccines for Persons Aged ≥6 Months — United States, April 2023

Thu, 15 Jun 2023 13:00:00 EST

This report describes CDC’s recommendation for bivalent COVID-19 vaccinesfor people aged ≥6 months.

Genomic Surveillance for SARS-CoV-2 Variants: Circulation of Omicron Lineages — United States, January 2022–May 2023

Thu, 15 Jun 2023 13:00:00 EST

This report describes how multiple omicron lineages were identified using genomic surveillance.

National, State-Level, and County-Level Prevalence Estimates of Adults Aged ≥18 Years Self-Reporting a Lifetime Diagnosis of Depression — United States, 2020

Thu, 15 Jun 2023 13:00:00 EST

This report describes estimates of the prevalence of depression among U.S. adults.

Notes from the Field: Rift Valley Fever Outbreak — Mbarara District, Western Uganda, January–March 2023

Thu, 08 Jun 2023 13:00:00 EST

This report describes an outbreak of Rift Valley fever in Uganda linked to livestock.

Notes from the Field: Chikungunya Outbreak — Paraguay, 2022–2023

Thu, 08 Jun 2023 13:00:00 EST

This report describes an outbreak of chikungunya virus transmitted by mosquitoes in Paraguay.

Notes from the Field: Exposures to Mpox Among Cases in Children Aged ≤12 Years — United States, September 25–December 31, 2022

Thu, 08 Jun 2023 13:00:00 EST

This report describes cases of mpox among children who were exposed by household contacts or caregivers with mpox.

Progress Toward Equitable Mpox Vaccination Coverage: A Shortfall Analysis — United States, May 2022–April 2023

Thu, 08 Jun 2023 13:00:00 EST

This report describes shortfalls in mpox vaccination among vaccine-eligible persons.

Safety Monitoring of mRNA COVID-19 Vaccine Third Doses Among Children Aged 6 Months–5 Years — United States, June 17, 2022–May 7, 2023

Thu, 08 Jun 2023 13:00:00 EST

This report describes adverse reaction to a third dose of the COVID-19 vaccine among children aged 6 Months–5 Years.

Surveillance To Track Progress Toward Poliomyelitis Eradication - Worldwide, 2021–2022

Thu, 08 Jun 2023 13:00:00 EST

This report describes polio surveillance targets and gaps in countries experiencing high risk for poliovirus transmission.

Evaluation of the Cherokee Nation Hepatitis C Virus Elimination Program — Cherokee Nation, Oklahoma, 2015–2020

Thu, 01 Jun 2023 13:00:00 EST

This report describes the effectiveness of the Cherokee Nation Health Services hepatitis C elimination program after 5 years.

Notes from the Field: Update on Pediatric Intracranial Infections — 19 States and the District of Columbia, January 2016–March 2023

Thu, 01 Jun 2023 13:00:00 EST

This report describes a CDC investigation of pediatric intracranial infections caused by Streptococcus bacteria.

Notes from the Field: Pediatric Intracranial Infections — Clark County, Nevada, January–December 2022

Thu, 01 Jun 2023 13:00:00 EST

This report describes a cluster of pediatric intracranial infections in Nevada during 2015–2022.

Estimates of SARS-CoV-2 Seroprevalence and Incidence of Primary SARS-CoV-2 Infections Among Blood Donors, by COVID-19 Vaccination Status — United States, April 2021–September 2022

Thu, 01 Jun 2023 13:00:00 EST

This report describes the effectiveness of hybrid immunity among people aged 16 years and older from a blood donor cohort.

Urban and Rural Mpox Incidence Among Persons Aged 15–64 Years — United States, May 10–December 31, 2022

Thu, 25 May 2023 13:00:00 EST

This report describes mpox incidence among people in rural and urban areas.

Potential for Recurrent Mpox Outbreaks Among Gay, Bisexual, and Other Men Who Have Sex with Men — United States, 2023

Thu, 25 May 2023 13:00:00 EST

This report describes the risk for mpox recurrence among gay, bisexual, and other men who have sex with men.

Notes from the Field: Multistate, Multiserotype Outbreak of Salmonella Infections Linked to Cashew Brie — United States, 2021

Thu, 25 May 2023 13:00:00 EST

This report describes a multistate outbreak of salmonella linked to cashew brie.

Estimates of Bivalent mRNA Vaccine Durability in Preventing COVID-19–Associated Hospitalization and Critical Illness Among Adults with and Without Immunocompromising Conditions — VISION Network, September 2022–April 2023

Thu, 25 May 2023 13:00:00 EST

This report describes durability of protection for bivalent COVID-19 vaccination among immunocompromised adults.

Notes from the Field: Legionnaires Disease in a U.S. Traveler After Staying in a Private Vacation Rental House in the U.S. Virgin Islands — United States, February 2022

Thu, 18 May 2023 13:00:00 EST

This report describes a case of Legionnaires disease in a U.S. traveler who went to the U.S. Virgin Islands.

Effectiveness of JYNNEOS Vaccine Against Diagnosed Mpox Infection — New York, 2022

Thu, 18 May 2023 13:00:00 EST

This report describes the effectiveness of the JYNNEOS vaccine in preventing mpox based on surveillance data from New York City.

Estimated Effectiveness of JYNNEOS Vaccine in Preventing Mpox: A Multijurisdictional Case-Control Study — United States, August 19, 2022–March 31, 2023

Thu, 18 May 2023 13:00:00 EST

This report describes JYNNEOS vaccine effectiveness in preventing mpox based on cases reported in 12 U.S. jurisdictions during August 19, 2022–March 31, 2023

The CDC Domestic Mpox Response — United States, 2022–2023

Thu, 18 May 2023 13:00:00 EST

This report describes how the CDC adapted smallpox preparedness systems and HIV prevention programs to respond to 2022–2023 mpox cases.

Prevalence of Disability by Occupation Group — United States, 2016–2020

Thu, 18 May 2023 13:00:00 EST

This report describes the percentage of employed U.S. adults from 35 states and Guam who reported having a disability.

COVID-19 Surveillance After Expiration of the Public Health Emergency Declaration ― United States, May 11, 2023

Thu, 11 May 2023 13:00:00 EST

This report describes COVID-19 surveillance after the expiration of the U.S. Public Health Emergency declaration.

Correlations and Timeliness of COVID-19 Surveillance Data Sources and Indicators ― United States, October 1, 2020–March 22, 2023

Thu, 11 May 2023 13:00:00 EST

This report describes an evaluation of national COVID-19 surveillance data sources and indicators for ongoing monitoring.

Notes from the Field: First Reported U.S. Cases of Tinea Caused by Trichophyton indotineae — New York City, December 2021–March 2023

Thu, 11 May 2023 13:00:00 EST

This report describes two cases of severe tinea reported by a New York City dermatologist.

Progress Toward Poliomyelitis Eradication — Worldwide, January 2021–March 2023

Thu, 11 May 2023 13:00:00 EST

This report describes detection of poliovirus in areas of the African region where it had previously been eliminated.

Multistate Outbreak of Salmonella Thompson Infections Linked to Seafood Exposure — United States, 2021

Thu, 11 May 2023 13:00:00 EST

This report describes Salmonella Thompson injections in 15 states linked to seafood consumption.

Emergency Department Visits Involving Mental Health Conditions, Suicide-Related Behaviors, and Drug Overdoses Among Adolescents — United States, January 2019–February 2023

Thu, 11 May 2023 13:00:00 EST

This report describes an increase in emergency department visits among adolescents for mental health conditions in 2022 compared to the prepandemic baseline.

Provisional Mortality Data — United States, 2022

Thu, 04 May 2023 13:00:00 EST

This report describes overall death rates, causes of deaths, and rates of COVID-19-associated deaths in the U.S. during 2022.

Notes from the Field: Vibriosis Cases Associated with Flood Waters During and After Hurricane Ian — Florida, September–October 2022

Thu, 04 May 2023 13:00:00 EST

This report describes cases of vibriosis cases and deaths in Florida during Hurricane Ian.

COVID-19 Mortality Update — United States, 2022

Thu, 04 May 2023 13:00:00 EST

This report describes age-adjusted COVID-19–associated deaths in 2022 compared to 2020 and 2021.

Salmonella Outbreaks Associated with Not Ready-to-Eat Breaded, Stuffed Chicken Products — United States, 1998–2022

Thu, 04 May 2023 13:00:00 EST

This report describes 11 Salmonella outbreaks linked to not ready-to-eat breaded, stuffed chicken products that weren’t cooked properly.

Tobacco Product Use Among Adults – United States, 2021

Thu, 04 May 2023 13:00:00 EST

This report describes the percentage of adults in the U.S. using tobacco in 2021.

Notes from the Field: Posttreatment Lesions After Tecovirimat Treatment for Mpox — New York City, August–September 2022

Thu, 27 Apr 2023 13:00:00 EST

This report describes treatment of lesions following completion of tecovirimat therapy for mpox.

Notes from the Field: Shiga Toxin-Producing Escherichia coli O157:H7 Linked to Raw Milk Consumption Associated with a Cow-Share Arrangement — Tennessee, 2022

Thu, 27 Apr 2023 13:00:00 EST

This report describes cases of E.coli among two infants in Tennessee that were linked to raw milk.

Effectiveness of Monovalent mRNA COVID-19 Vaccination in Preventing COVID-19–Associated Invasive Mechanical Ventilation and Death Among Immunocompetent Adults During the Omicron Variant Period — IVY Network, 19 U.S. States, February 1, 2022–January 31, 2023

Thu, 27 Apr 2023 13:00:00 EST

This report describes effectiveness of monovalent mRNA vaccination in preventing COVID-19-associated invasive mechanical ventilation and death.

Rapid Analysis of Drugs: A Pilot Surveillance System To Detect Changes in the Illicit Drug Supply To Guide Timely Harm Reduction Responses — Eight Syringe Services Programs, Maryland, November 2021–August 2022

Thu, 27 Apr 2023 13:00:00 EST

This report describes findings from an analysis of drug paraphernalia collected from syringe service programs during 2021–2022.

Unprecedented Outbreak of West Nile Virus — Maricopa County, Arizona, 2021

Thu, 27 Apr 2023 13:00:00 EST

This report describes an outbreak of West Nile Virus in Maricopa County, Arizona during 2021.

Use of COVIDTests.gov At-Home Test Kits Among Adults in a National Household Probability Sample — United States, 2022

Thu, 20 Apr 2023 13:00:00 EST

This report describes high awareness and acceptability of the COVIDTests.gov program and improved access to COVID-19 testing in U.S. households.

The Association of Reported Experiences of Racial and Ethnic Discrimination in Health Care with COVID-19 Vaccination Status and Intent — United States, April 22, 2021–November 26, 2022

Thu, 20 Apr 2023 13:00:00 EST

This report describes how adults reporting experiences of racial and ethnic discrimination in health care had a higher prevalence of being unvaccinated against COVID-19.

Stroke Mortality Among Black and White Adults Aged ≥35 Years Before and During the COVID-19 Pandemic — United States, 2015–2021

Thu, 20 Apr 2023 13:00:00 EST

This report describes an increase in age-adjusted stroke mortality among both Black and White adults during the COVID-19 pandemic.

Suspected Suicide Attempts by Self-Poisoning Among Persons Aged 10–19 Years During the COVID-19 Pandemic — United States, 2020–2022

Thu, 20 Apr 2023 13:00:00 EST

This report describes an increase in self-poisoning suicide attempts among children and adolescents aged 10–19 years.

Cancer Distribution Among Asian, Native Hawaiian, and Pacific Islander Subgroups — United States, 2015–2019

Thu, 20 Apr 2023 13:00:00 EST

This report describes the distribution of new cancer cases among different racial and ethnic subgroups.

Association of Mental Health Conditions, Recent Stressful Life Events, and Adverse Childhood Experiences with Postpartum Substance Use ― Seven States, 2019–2020

Thu, 20 Apr 2023 13:00:00 EST

This report describes an association between depression, anxiety, adverse childhood experiences, and stressful life events with higher substance and polysubstance use among postpartum women.

Notes From the Field: Campylobacteriosis Outbreak Associated with Consumption of Raw Water — Montana, 2022

Thu, 13 Apr 2023 13:00:00 EST

This report describes cases of Campylobacter infections in Sanders County, Montana.

Epidemiologic and Clinical Features of Mpox-Associated Deaths — United States, May 10, 2022–March 7, 2023

Thu, 13 Apr 2023 13:00:00 EST

This report describes mpox-associated deaths that occurred in the U.S. during May 10, 2022–March 7, 2023

Racial and Ethnic Disparities in Mpox Cases and Vaccination Among Adult Males — United States, May–December 2022

Thu, 13 Apr 2023 13:00:00 EST

This report describes disparities in mpox incidence among non-Hispanic Black and Hispanic or Latino males compared to non-Hispanic white males.

Update on Wild Poliovirus Type 1 Outbreak — Southeastern Africa, 2021–2022

Thu, 13 Apr 2023 13:00:00 EST

This report describes wild poliovirus type 1 surveillance in southeastern Africa.

Secondary Cases of Invasive Disease Caused by Encapsulated and Nontypeable Haemophilus influenzae — 10 U.S. Jurisdictions, 2011–2018

Thu, 13 Apr 2023 13:00:00 EST

This report describes eight instances of secondary transmission of non-type b Haemophilus influenzae among patients with underlying conditions.

Chronic Pain Among Adults — United States, 2019–2021

Thu, 13 Apr 2023 13:00:00 EST

This report describes a high prevalence of chronic pain among U.S. adults.

Ventilation Improvements Among K–12 Public School Districts — United States, August–December 2022

Thu, 06 Apr 2023 13:00:00 EST

This report describes implementation of ventilation improvement strategies by K-12 public schools to reduce school transmission of COVID-19.

Widespread Community Transmission of Hepatitis A Virus Following an Outbreak at a Local Restaurant — Virginia, September 2021–September 2022

Thu, 06 Apr 2023 13:00:00 EST

This report describes the spread of hepatitis A following an outbreak in Virginia.

Update on Vaccine-Derived Poliovirus Outbreaks — Worldwide, January 2021–December 2022

Thu, 06 Apr 2023 13:00:00 EST

This report describes outbreaks of circulating vaccine-derived polioviruses during January 2021–December 2022.

Seasonality of Respiratory Syncytial Virus — United States, 2017–2023

Thu, 06 Apr 2023 13:00:00 EST

This report describes RSV circulation during the 2022–2023 season compared to other seasons.

Notes from the Field: Cluster of Blastomycosis Among Neighborhood Residents — St. Croix County, Wisconsin, 2022

Thu, 30 Mar 2023 13:00:00 EST

This report describes clusters of blastomycosis occurring primarily among people engaging in recreational activities along waterways or areas with ongoing excavation.

JYNNEOS Vaccination Coverage Among Persons at Risk for Mpox — United States, May 22, 2022–January 31, 2023

Thu, 30 Mar 2023 13:00:00 EST

This report describes JYNNEOS mpox vaccination coverage among people at risk.

Safe Listening at Venues and Events with Amplified Music — United States, 2022

Thu, 30 Mar 2023 13:00:00 EST

This report describes a survey that found more than half of U.S. adults are opting to take actions at events with amplified music to protect their hearing.

Emergency Department Visits for Firearm Injuries Before and During the COVID-19 Pandemic — United States, January 2019–December 2022

Thu, 30 Mar 2023 13:00:00 EST

This report describes an increase in weekly emergency department visits for firearm injuries during 2019–2022.

Trends in Stimulant Prescription Fills Among Commercially Insured Children and Adults — United States, 2016–2021

Wed, 29 Mar 2023 16:49:00 EST

This report describes an increase in the percentage of adolescent and adult prescription stimulant fills during 2016–2021.

Vital Signs: Progress Toward Eliminating HIV as a Global Public Health Threat Through Scale-Up of Antiretroviral Therapy and Health System Strengthening Supported by the U.S. President’s Emergency Plan for AIDS Relief — Worldwide, 2004–2022

Thu, 23 Mar 2023 14:45:00 EST

This report describes the worldwide progress of eliminating HIV as a global public health threat through the use of antiretroviral therapy.

Recommendations for Use of Video Directly Observed Therapy During Tuberculosis Treatment — United States, 2023

Thu, 23 Mar 2023 13:00:00 EST

This report describes an evaluation of treatment adherence to video direct observed therapy for tuberculosis treatment.

Tuberculosis Outbreak in a State Prison System — Washington, 2021–2022

Thu, 23 Mar 2023 13:00:00 EST

This report describes reported tuberculosis cases among people who were incarcerated in Washington state.

Retaining Patients with Drug-Resistant Tuberculosis on Treatment During the COVID-19 Pandemic — Dharavi, Mumbai, India, 2020–2022

Thu, 23 Mar 2023 13:00:00 EST

This report describes disruptions to continuity of care for people in Dharavi with drug-resistant tuberculosis.

Tuberculosis — United States, 2022

Thu, 23 Mar 2023 13:00:00 EST

This report describes an increase in TB in the United States during 2022 and ongoing disparities in TB incidence among certain race and ethnicity groups

Notes From the Field: First Evidence of Locally Acquired Dengue Virus Infection — Maricopa County, Arizona, November 2022

Thu, 16 Mar 2023 13:00:00 EST

This report describes the identification of dengue virus in Maricopa County, Arizona.

Notes From the Field: Prevalence of Previous Dengue Virus Infection Among Children and Adolescents — U.S. Virgin Islands, 2022

Thu, 16 Mar 2023 13:00:00 EST

This report describes the prevalence of previous dengue virus infection among children and adolescents in the U.S. Virgin Islands.

School-Based Interventions to Increase Student COVID-19 Vaccination Coverage in Public School Populations with Low Coverage — Seattle, Washington, December 2021–June 2022

Thu, 16 Mar 2023 13:00:00 EST

This report describes an increase in primary COVID-19 vaccination series completion among Seattle Public School students through a COVID-19 vaccination program.

Emergency Department Visits by Incarcerated Adults for Nonfatal Injuries — United States, 2010–2019

Thu, 16 Mar 2023 13:00:00 EST

This report describes the proportion of nonfatal injury-related emergency department visits among incarcerated adults compared to nonincarcerated adults.

Trends in Reported Babesiosis Cases — United States, 2011–2019

Thu, 16 Mar 2023 13:00:00 EST

This report describes an increase in babesiosis cases in the U.S. during 2011–2019.

Notes from the Field: Increase in Pediatric Invasive Group A Streptococcus Infections — Colorado and Minnesota, October–December 2022

Thu, 09 Mar 2023 13:00:00 EDT

This report describes surveillance of a resurgence of invasive group A Streptococcus in children and adolescents in Colorado and Minnesota.

Public Health Response to Clusters of Rapid HIV Transmission Among Hispanic or Latino Gay, Bisexual, and Other Men Who Have Sex with Men — Metropolitan Atlanta, Georgia, 2021–2022

Thu, 09 Mar 2023 13:00:00 EDT

This report describes the identification of HIV cluster among Hispanic or Latino gay, bisexual, and other men who have sex with men in Atlanta.

Voluntary Medical Male Circumcisions for HIV Prevention — 13 Countries in Eastern and Southern Africa, 2017–2021

Thu, 09 Mar 2023 13:00:00 EDT

This report describes efforts to reduce female-to-male transmission of HIV through CDC supported voluntary male circumcision programs.

Racial and Ethnic Differences in Subjective Cognitive Decline — United States, 2015–2020

Thu, 09 Mar 2023 13:00:00 EDT

This report describes the percentage of adults aged ≥45 years who reported subjective cognitive decline.

Interim Clinical Treatment Considerations for Severe Manifestations of Mpox — United States, February 2023

Thu, 02 Mar 2023 13:00:00 EDT

This report describes interim clinical treatments for severe mpox developed following the evaluation of treatment data, cases, input from clinicians, and more.

Possible Undetected Mpox Infection AmonAg Persons Accessing Homeless Services and Staying in Encampments — San Francisco, California, October–November 2022

Thu, 02 Mar 2023 13:00:00 EDT

This report describes a survey of people accessing homeless services or staying in encampments who may have been previously infected with undetected mpox.

Cronobacter sakazakii Infections in Two Infants Linked to Powdered Infant Formula and Breast Pump Equipment — United States, 2021 and 2022

Thu, 02 Mar 2023 13:00:00 EDT

This report describes detection of Cronobacter sakazakii in two infants linked to powdered infant formula and breast pump equipment.

Acute Kidney Injury Among Children Likely Associated with Diethylene Glycol–Contaminated Medications — The Gambia, June–September 2022

Thu, 02 Mar 2023 13:00:00 EDT

This report describes acute kidney injury linked to imported pediatric medications among children in Gambia.

Notes from the Field: Epidemiologic Characteristics of SARS-CoV-2 Recombinant Variant XBB.1.5 — New York City, November 1, 2022–January 4, 2023

Thu, 23 Feb 2023 13:00:00 EDT

This report describes characteristics of the XBB 1.5 Variant in New York City during November–December 2022.

Notes from the Field: Aircraft Wastewater Surveillance for Early Detection of SARS-CoV-2 Variants — John F. Kennedy International Airport, New York City, August–September 2022

Thu, 23 Feb 2023 13:00:00 EDT

This report describes surveillance of aircraft wastewater for early detection of potential COVID-19 variants.

Effect of Predeparture Testing on Postarrival SARS-CoV-2–Positive Test Results Among International Travelers — CDC Traveler-Based Genomic Surveillance Program, Four U.S. Airports, March–September 2022

Thu, 23 Feb 2023 13:00:00 EDT

This report describes postarrival COVID-19 testing among volunteering international air travelers.

Interim Estimates of 2022–23 Seasonal Influenza Vaccine Effectiveness — Wisconsin, October 2022–February 2023

Thu, 23 Feb 2023 13:00:00 EDT

This report describes 54% effectiveness for the 2023-23 influenza vaccine for preventing medically attended influenza A infection in people older than 65 years.

COVID-19 Vaccination Coverage and Demographic Characteristics of Infants and Children Aged 6 Months–4 Years — United States, June 20–December 31, 2022

Thu, 16 Feb 2023 13:35:00 EDT

This report describes low COVID-19 vaccination coverage with one or more dose among younger children compared to older children.

Preliminary Estimates of Effectiveness of Monovalent mRNA Vaccines in Preventing Symptomatic SARS-CoV-2 Infection Among Children Aged 3–5 Years — Increasing Community Access to Testing Program, United States, July 2022–February 2023

Thu, 16 Feb 2023 13:35:00 EDT

This report describes up to 4 months of protection against COVID-19 among children aged 3–5 and 3–4 year who received monovalent primary series vaccinations.

COVID-19 Bivalent Booster Vaccination Coverage and Intent to Receive Booster Vaccination Among Adolescents and Adults — United States, November–December 2022

Thu, 16 Feb 2023 13:00:00 EDT

This report describes COVID-19 bivalent booster vaccination coverage and intent to receive booster vaccination among adolescents and adults.

Typhoid Fever Surveillance, Incidence Estimates, and Progress Toward Typhoid Conjugate Vaccine Introduction — Worldwide, 2018–2022

Thu, 16 Feb 2023 13:00:00 EDT

This report describes high typhoid incidence in South-East Asian, Easter Mediterranean, and African regions.

Fruit, Vegetable, and Sugar-Sweetened Beverage Intake Among Young Children, by State — United States, 2021

Thu, 16 Feb 2023 13:00:00 EDT

This report describes infrequent intake of fruits and vegetables among young children in the United States.

Notes from the Field: Recent Changes in Suicide Rates, by Race and Ethnicity and Age Group — United States, 2021

Thu, 09 Feb 2023 13:00:00 EDT

This report describes an increase in suicide rates during 2021 in the United States.

COVID-19 Incidence and Mortality Among Unvaccinated and Vaccinated Persons Aged ≥12 Years by Receipt of Bivalent Booster Doses and Time Since Vaccination — 24 U.S. Jurisdictions, October 3, 2021–December 24, 2022

Thu, 09 Feb 2023 13:00:00 EDT

This report describes higher protection against COVID-19 infection and death among people who received an updated booster than people who received a monovalent booster.

Advisory Committee on Immunization Practices Recommended Immunization Schedule for Adults Aged 19 Years or Older — United States, 2023

Thu, 09 Feb 2023 13:00:00 EDT

This report describes vaccine-specific changes in the 2023 immunization schedule for adults aged ≥19 years.

Advisory Committee on Immunization Practices Recommended Immunization Schedule for Children and Adolescents Aged 18 Years or Younger — United States, 2023

Thu, 09 Feb 2023 13:00:00 EDT

This report describes changes to the 2023 immunization schedule for children and adolescents aged ≤18 years.

Vital Signs: Health Disparities in Hemodialysis-Associated Staphylococcus aureus Bloodstream Infections — United States, 2017–2020

Mon, 06 Feb 2023 13:00:00 EDT

This report describes how race, ethnicity, and socioeconomic factors affected hemodialysis-associated S. aureus bloodstream infections.

COVID-19 Mortality and Progress Toward Vaccinating Older Adults — World Health Organization, Worldwide, 2020–2022

Thu, 02 Feb 2023 13:00:00 EDT

This report describes how the median completed COVID-19 vaccinations series among older adults in 2022 was 76%, which is below the WHO goal, especially in middle- and low-income countries

Information for Persons Who Are Immunocompromised Regarding Prevention and Treatment of SARS-CoV-2 Infection in the Context of Currently Circulating Omicron Sublineages — United States, January 2023

Thu, 02 Feb 2023 13:00:00 EDT

This report describes measures that people who are immunocompromised can take to prevent and treat COVID-19.

Spike Gene Target Amplification in a Diagnostic Assay as a Marker for Public Health Monitoring of Emerging SARS-CoV-2 Variants — United States, November 2021–January 2023

Thu, 02 Feb 2023 13:00:00 EDT

This report describes how continued monitoring of S-gene target failure and S-gene target presence patterns will likely serve as a useful complement to genomic surveillance of SARS-CoV-2 lineages.

Early Estimates of Bivalent mRNA Booster Dose Vaccine Effectiveness in Preventing Symptomatic SARS-CoV-2 Infection Attributable to Omicron BA.5– and XBB/XBB.1.5–Related Sublineages Among Immunocompetent Adults — Increasing Community Access to Testing Program, United States, December 2022–January 2023

Thu, 02 Feb 2023 13:00:00 EDT

This report describes how a bivalent mRNA booster dose provided additional protection against symptomatic XBB/XBB.1.5 infection for at least the first 3 months after vaccination in persons who had previously received 2–4 monovalent vaccine doses.

SARS-CoV-2 Antibody Responses to the Ancestral SARS-CoV-2 Strain and Omicron BA.1 and BA.4/BA.5 Variants in Nursing Home Residents After Receipt of Bivalent COVID-19 Vaccine — Ohio and Rhode Island, September–November 2022

Thu, 26 Jan 2023 13:00:00 EDT

This report describes a broadened antibody response among nursing home residents who received an updated COVID-19 vaccine.

Laboratory-Confirmed COVID-19 Case Incidence Rates Among Residents in Nursing Homes by Up-to-Date Vaccination Status — United States, October 10, 2022–January 8, 2023

Thu, 26 Jan 2023 13:00:00 EDT

This report describes lower weekly rates of COVID-19 among nursing home residents who are up to date with COVID-19 vaccination.

Scale-Up of HIV Antiretroviral Therapy and Estimation of Averted Infections and HIV-Related Deaths — Uganda, 2004–2022

Thu, 26 Jan 2023 13:00:00 EDT

This report describes an increase in people with HIV infection receiving PEPFAR-supported antiretroviral therapy in Uganda.

Prevalence of Meeting Aerobic, Muscle-Strengthening, and Combined Physical Activity Guidelines During Leisure Time Among Adults, by Rural-Urban Classification and Region — United States, 2020

Thu, 26 Jan 2023 13:00:00 EDT

This report describes survey data showing a low proportion of U.S. adults met leisure-time physical activity guidelines.

Erratum: Vol. 70, No. RR-4

Thu, 26 Jan 2023 13:00:00 EDT

Erratum for MMWR Vo. 70, RR-4

Substance Use Among Persons with Syphilis During Pregnancy — Arizona and Georgia, 2018–2021

Thu, 19 Jan 2023 13:20:00 EDT

This report describes the prevalence of substance use among person with syphilis during pregnancy.

Alcohol Use, Screening, and Brief Intervention Among Pregnant Persons — 24 U.S. Jurisdictions, 2017 and 2019

Thu, 19 Jan 2023 13:00:00 EDT

This report describes inconsistencies and disparities in alcohol screening and brief intervention among pregnant persons in 2017 and 2019.

Early and Increased Influenza Activity Among Children — Tennessee, 2022–23 Influenza Season

Thu, 19 Jan 2023 13:00:00 EDT

This report describes higher rates of pediatric hospitalization and symptomatic illness from influenza among children during the 2022–23 season in Tennessee.

Notes from the Field: Follow-Up Assessment 1 Year After a Chemical Exposure Investigation — Winnebago County, Illinois, July–August 2022

Thu, 19 Jan 2023 13:00:00 EDT

This report describes an investigation of mental and physical health symptoms reported among residents a year after a chemical exposure fire in Winnebago County, Illinois.

Reasons for Receiving or Not Receiving Bivalent COVID-19 Booster Vaccinations Among Adults — United States, November 1–December 10, 2022

Thu, 19 Jan 2023 13:00:00 EDT

This report describes an online survey of previously vaccinated residents and their reasons for not getting a bivalent COVID-19 booster dose.

Epidemiology of Human Mpox — Worldwide, 2018–2021

Thu, 19 Jan 2023 13:00:00 EDT

This report describes epidemiology of mpox cases in six African counties and additional cases associated with travel that followed during 2018–2021.

Safety Monitoring of Bivalent COVID-19 mRNA Vaccine Booster Doses Among Children Aged 5–11 Years — United States, October 12–January 1, 2023

Thu, 12 Jan 2023 13:00:00 EDT

This report describes similar early safety findings from the Vaccine Adverse Event Reporting System for bivalent booster vaccination in children aged 5–11 years as the monovalent booster vaccination.

Vaccination Coverage by Age 24 Months Among Children Born During 2018–2019 — National Immunization Survey–Child, United States, 2019–2021

Thu, 12 Jan 2023 13:00:00 EDT

This report describes declines in vaccination coverage reported by the National Immunization Survey–Child among young children born during 2018–2019 living below the federal poverty level and in rural areas.

Vaccination Coverage with Selected Vaccines and Exemption Rates Among Children in Kindergarten — United States, 2021–22 School Year

Thu, 12 Jan 2023 13:00:00 EDT

This report describes a decrease in vaccination coverage among children in kindergarten in the United States during the 2021–22 school year.

Cholera Outbreak — Haiti, September 2022–January 2023

Thu, 12 Jan 2023 13:00:00 EDT

This report describes a cholera outbreak of more than 20,000 cases in Port-au-Prince.

Mpox Cases Among Cisgender Women and Pregnant Persons — United States, May 11–November 7, 2022

Thu, 05 Jan 2023 13:00:00 EDT

This report describes cases of mpox among cisgender women and the use of tecovirimat with no reported adverse reaction to treat four pregnant people with mpox.

Racial and Ethnic Differences in COVID-19 Vaccination Coverage Among Children and Adolescents Aged 5–17 Years and Parental Intent to Vaccinate Their Children — National Immunization Survey–Child COVID Module, United States, December 2020–September 2022

Thu, 05 Jan 2023 13:00:00 EDT

This report describes overall low COVID-19 vaccination coverage among children and adolescents 5–17 years old and parental intent to vaccinate their child.

Notes from the Field: Influenza A(H3N2) Outbreak Following a School Event - Los Angeles, California, March 2022

Thu, 02 Jun 2022 13:00:00 EST

This report describes a flu outbreak in Los Angeles California following an off-campus school event.

Advisory Committee on Immunization Practices Recommended Immunization Schedule for Adults Aged 19 Years or Older - United States, 2022

Thu, 17 Feb 2022 00:00:00 EDT

This report describes changes in the 2022 adult immunization schedule.

Advisory Committee on Immunization Practices Recommended Immunization Schedule for Children and Adolescents Aged 18 Years or Younger - United States, 2022

Thu, 17 Feb 2022 00:00:00 EDT

This report describes changes in the 2022 child and adolescent immunization schedule.

Multistate Outbreak of SARS-CoV-2 B.1.1.529 (Omicron) Variant Infections Among Persons in a Social Network Attending a Convention - New York City, November 18-December 20, 2021

Thu, 17 Feb 2022 00:00:00 EDT

This report describes an outbreak of the SARS-CoV-2 Omicron variant among people attending a convention in New York City.

Investigation of SARS-CoV-2 Transmission Associated With a Large Indoor Convention - New York City, November-December 2021

Thu, 17 Feb 2022 00:00:00 EDT

This report describes SARS-CoV-2 transmission at a large indoor convention among a highly vaccinated population.

Safety Monitoring of COVID-19 Vaccine Booster Doses Among Adults - United States, September 22, 2021-February 6, 2022

Thu, 17 Feb 2022 00:00:00 EDT

This report describes how local and systemic reactions and myocarditis are less frequent after a homologous COVID-19 booster dose.

Waning 2-Dose and 3-Dose Effectiveness of mRNA Vaccines Against COVID-19-Associated Emergency Department and Urgent Care Encounters and Hospitalizations Among Adults During Periods of Delta and Omicron Variant Predominance - VISION Network, 10 States, August 2021-January 2022

Thu, 17 Feb 2022 00:00:00 EDT

This report describes how vaccine effectiveness against COVID-19-associated emergency department/urgent care visits and hospitalizations was higher after the third dose but decreased with time.

Effectiveness of Maternal Vaccination with mRNA COVID-19 Vaccine During Pregnancy Against COVID-19-Associated Hospitalization in Infants Aged <6 Months - 17 States, July 2021-January 2022

Thu, 17 Feb 2022 00:00:00 EDT

This report describes maternal mRNA vaccine effectiveness against COVID-19 hospitalizations among infants under 6 months of age.

Hospitalizations of Children and Adolescents with Laboratory-Confirmed COVID-19 - COVID-NET, 14 States, July 2021-January 2022

Thu, 17 Feb 2022 00:00:00 EDT

This report describes increases in COVID-19 hospitalization rates among children and adolescents during Omicron, especially among children not yet eligible for vaccination.

Notes from the Field: Outbreak of COVID-19 Among a Highly Vaccinated Population Aboard a U.S. Navy Ship After a Port Visit - Reykjavik, Iceland, July 2021

Thu, 17 Feb 2022 00:00:00 EDT

This report describes an outbreak of Delta variant aboard a U.S. Navy ship.

Preventive Dental Care and Oral Health of Children and Adolescents With and Without Heart Conditions - United States, 2016-2019

Thu, 10 Feb 2022 00:00:00 EDT

This report describes dental care rates among children with and without heart conditions.

Progress Toward Rubella and Congenital Rubella Syndrome Control and Elimination - Worldwide, 2012-2020

Thu, 10 Feb 2022 00:00:00 EDT

This report describes global progress towards rubella elimination.

Identifying Higher-Volume Antibiotic Outpatient Prescribers Using Publicly Available Medicare Part D Data - United States, 2019

Thu, 10 Feb 2022 00:00:00 EDT

This report describes antibiotic prescribing rates in a peer comparison.

Genomic Surveillance for SARS-CoV-2 Variants: Predominance of the Delta (B.1.617.2) and Omicron (B.1.1.529) Variants - United States, June 2021-January 2022

Thu, 10 Feb 2022 00:00:00 EDT

This report describes genomic surveillance sequencing of COVID-19 variants by jurisdiction.

Effectiveness of Face Mask or Respirator Use in Indoor Public Settings for Prevention of SARS-CoV-2 Infection - California, February-December 2021

Thu, 10 Feb 2022 00:00:00 EDT

This report describes face mask or respirator effectiveness in helping protect against COVID-19 infection.

Clinical Characteristics and Outcomes Among Adults Hospitalized with Laboratory-Confirmed SARS-CoV-2 Infection During Periods of B.1.617.2 ...

Thu, 10 Feb 2022 00:00:00 EDT

This report describes how COVID-19 vaccinations and booster doses were associated with lower chances of ICU admission for hospitalized SARS-CoV-2 infected adults during Omicron predominance.

Self-Rated Physical Health Among Working-Aged Adults Along the Rural-Urban Continuum - United States, 2021

Thu, 03 Feb 2022 00:00:00 EDT

This report describes self-reported physical health among adults in both rural and urban areas of the United States.

Association Between Social Vulnerability and Rates of HIV Diagnoses Among Black Adults, by Selected Characteristics and Region of Residence - United States, 2018

Thu, 03 Feb 2022 00:00:00 EDT

This report describes social vulnerability and rates of HIV diagnoses among black adults.

COVID-19 Vaccination Coverage and Vaccine Confidence by Sexual Orientation and Gender Identity - United States, August 29-October 30, 2021

Thu, 03 Feb 2022 00:00:00 EDT

This report describes COVID-19 vaccination coverage by sexual orientation and gender identity.

SARS-CoV-2 Infection and Hospitalization Among Adults Aged ≥18 Years, by Vaccination Status, Before and During SARS-CoV-2 B.1.1.529 (Omicron) Variant Predominance - Los Angeles County, California, November 7, 2021-January 8, 2022

Thu, 03 Feb 2022 00:00:00 EDT

This report describes COVID-19 incidence and hospitalization rates during Omicron predominance in January 2022.

Notes from the Field: COVID-19 Vaccination Among Persons Living with Diagnosed HIV Infection - New York, October 2021

Thu, 03 Feb 2022 00:00:00 EDT

Analyses show that people living with diagnosed HIV infection (PLWDH) are more likely to be hospitalized and to experience death from COVID-19 than are those not known to be PLWDH. PLWDH who are not receiving HIV treatment are at elevated risk for severe COVID-19 outcomes.

Notes from the Field: COVID-19–Associated Mucormycosis — Arkansas, July–September 2021

Thu, 16 Dec 2021 13:00:00 EDT

This report describes cases of COVID-19-associated Mucormycosis in Arkansas.

COVID-19 Vaccination Coverage Among Pregnant Women During Pregnancy — Eight Integrated Health Care Organizations, United States, December 14, 2020–May 8, 2021

Thu, 17 Jun 2021 13:00:00 EST

As of May 2021, 16% of pregnant people identified in CDC’s Vaccine Safety Datalink had received ≥1 dose of a COVID-19 vaccine during pregnancy in the U.S. Vaccination was lowest among Hispanic people (12%), non-Hispanic Black people (6%), and people aged 18–24 years (6%), and highest among non-Hispanic Asian people (25%) and people aged 35–49 years (23%).

Progress Toward Rubella Elimination - World Health Organization European Region, 2005-2019

Thu, 10 Jun 2021 13:00:00 EST

This report describes rubella incidence in European regions for the years 2005 to 2019.

Impact of the COVID-19 Pandemic on Administration of Selected Routine Childhood and Adolescent Vaccinations - 10 U.S. Jurisdictions, March-September 2020

Thu, 10 Jun 2021 13:00:00 EST

This report describes trends in administered childhood and adolescent vaccinations during the COVID-19 pandemic.

Genomic Surveillance for SARS-CoV-2 Variants Circulating in the United States, December 2020-May 2021

Thu, 10 Jun 2021 13:00:00 EST

This report describes surveillance for SARS-CoV-2 variants circulating in the United States.

Hospitalization of Adolescents Aged 12-17 Years with Laboratory-Confirmed COVID-19 - COVID-NET, 14 States, March 1, 2020-April 24, 2021

Thu, 10 Jun 2021 13:00:00 EST

COVID-19 adolescent hospitalization rates peaked at 2.1 per 100,000 in early January 2021, declined to 0.6 in mid-March, and rose to 1.3 in April. Among hospitalized adolescents, nearly one-third required intensive care unit admission and 5% required invasive mechanical ventilation, but no associated deaths occurred.

Decreases in COVID-19 Cases, Emergency Department Visits, Hospital Admissions, and Deaths Among Older Adults Following the Introduction of COVID-19 Vaccine - United States, September 6, 2020-May 1, 2021

Thu, 10 Jun 2021 13:00:00 EST

By May 2021, 69%, 45%, and 26% of adults aged ≥65, 50-64, and 18-49 years were fully vaccinated. From November-December 2020 to April-May 2021, the rate ratios of COVID-19 incidence, emergency department visits, hospital admissions, and deaths among persons aged ≥65 (≥70 for hospitalizations) to persons aged 18-49 years declined 40%, 59%, 65%, and 66% respectively.

Estimated Annual Number of HIV Infections ─ United States, 1981-2019

Thu, 03 Jun 2021 13:00:00 EST

This report describes estimated HIV infections in the United States during 1981-2019.

COVID-19 Severity and COVID-19-Associated Deaths Among Hospitalized Patients with HIV Infection - Zambia, March-December 2020

Thu, 03 Jun 2021 13:00:00 EST

This report describes how HIV-positive patients with severe HIV disease were more likely to develop severe COVID-19 or die of COVID-19.

Impact of Policy and Funding Decisions on COVID-19 Surveillance Operations and Case Reports - South Sudan, April 2020-February 2021

Thu, 03 Jun 2021 13:00:00 EST

This report describes the effect of policy, funding, and strategy changes on COVID-19 surveillance in the South Sudan.

Patterns in COVID-19 Vaccination Coverage, by Social Vulnerability and Urbanicity - United States, December 14, 2020-May 1, 2021

Thu, 03 Jun 2021 13:00:00 EST

Disparities in county-level vaccination coverage by social vulnerability have increased as vaccine eligibility has expanded. By May 2021, vaccination coverage was lower among adults living in counties with low socioeconomic status and higher percentages of households with children, single parents, and people with disabilities.

Excess Death Estimates in Patients with End-Stage Renal Disease - United States, February-August 2020

Thu, 03 Jun 2021 13:00:00 EST

Based on the national trend in ESRD deaths during the first 7 months of the U.S. COVID-19 pandemic (February-August 2020), an estimated 8.7-12.9 excess deaths per 1,000 patients or 6,953-10,316 excess deaths in a population of 798,611 U.S. ESRD patients occurred.

Racial and Ethnic Disparities in Breastfeeding Initiation ─ United States, 2019

Thu, 27 May 2021 13:00:00 EST

This report describes racial/ethnic disparities in breastfeeding initiation across states.

HIV Viral Load Monitoring Among Patients Receiving Antiretroviral Therapy - Eight Sub-Saharan Africa Countries, 2013-2018

Thu, 27 May 2021 13:00:00 EST

This report describes how Sub-Saharan African countries have overcome challenges to initiate and scale up HIV viral load testing to monitor patients receiving Antiretroviral therapy.

Mask Use and Ventilation Improvements to Reduce COVID-19 Incidence in Elementary Schools - Georgia, November 16-December 11, 2020

Thu, 27 May 2021 13:00:00 EST

COVID-19 incidence was 37% lower in schools that required teachers and staff to use masks and 39% lower in schools that improved ventilation. Ventilation strategies associated with lower school incidence included dilution methods alone (35% lower incidence) or in combination with filtration methods (48% lower incidence).

COVID-19 Testing to Sustain In-Person Instruction and Extracurricular Activities in High Schools - Utah, November 2020-March 2021

Thu, 27 May 2021 13:00:00 EST

Utah implemented two high school COVID-19 testing programs to sustain in-person instruction and extracurricular activities. During November 30, 2020-March 20, 2021, among 59,552 students who received testing, 1,886 (3.2%) had a positive result. These programs facilitated the completion of approximately 95% of high school athletic events and saved an estimated 109,752 in-person instruction student-days.

COVID-19 Vaccine Breakthrough Infections Reported to CDC - United States, January 1-April 30, 2021

Thu, 27 May 2021 13:00:00 EST

As of April 30, 2021, approximately 101 million people in the U.S. had been fully vaccinated against COVID-19. Almost 10,300 COVID-19 vaccine breakthrough infections were reported from 46 states and territories. Vaccine breakthrough infections occur in only a small fraction of all vaccinated people.

Outbreaks Associated with Treated Recreational Water - United States, 2015-2019

Thu, 20 May 2021 13:00:00 EST

This report describes outbreaks caused by pathogens or chemicals in treated recreational water.

Update to U.S. Selected Practice Recommendations for Contraceptive Use: Self-Administration of Subcutaneous Depot Medroxyprogesterone Acetate

Thu, 20 May 2021 13:00:00 EST

This report describes updated recommendations for the use of self-administered injectable contraception.

Characteristics of COVID-19 Cases and Outbreaks at Child Care Facilities - District of Columbia, July-December 2020

Thu, 20 May 2021 13:00:00 EST

This report describes COVID-19 cases and outbreaks in child care facilities in the District of Columbia.

The Advisory Committee on Immunization Practices' Interim Recommendation for Use of Pfizer-BioNTech COVID-19 Vaccine in Adolescents Aged 12-15 Years - United States, May 2021

Thu, 20 May 2021 13:00:00 EST

In May 2021, after a systematic review of all available data, the Advisory Committee on Immunization Practices made an interim recommendation for use of the Pfizer-BioNTech COVID-19 vaccine in adolescents aged 12-15 years for the prevention of COVID-19.

Interim Estimates of Vaccine Effectiveness of Pfizer-BioNTech and Moderna COVID-19 Vaccines Among Health Care Personnel - 33 U.S. Sites, January-March 2021

Thu, 20 May 2021 13:00:00 EST

The first U.S. multisite test-negative design vaccine effectiveness study among health care personnel found a single dose of Pfizer-BioNTech or Moderna COVID-19 vaccines to be 82% effective against symptomatic COVID-19 and 2 doses to be 94% effective.

Disparities in COVID-19 Vaccination Coverage Between Urban and Rural Counties - United States, December 14, 2020-April 10, 2021

Thu, 20 May 2021 13:00:00 EST

COVID-19 vaccination coverage was lower in rural counties (38.9%) than in urban counties (45.7%); disparities persisted among age groups and by sex.

Emergency Department Visits for Bicycle-Related Traumatic Brain Injuries Among Children and Adults - United States, 2009-2018

Thu, 13 May 2021 13:00:00 EST

This report describes emergency department visits for bicycle-related traumatic brain injuries during 2009-2018.

Prevalence of Inflammatory Bowel Disease Among Medicare Fee-For-Service Beneficiaries - United States, 2001−2018

Thu, 13 May 2021 13:00:00 EST

This report describes the prevalence of Inflammatory Bowel Disease among Medicare fee-for-service beneficiaries aged ≥67 years.

Diagnostic Performance of an Antigen Test with RT-PCR for the Detection of SARS-CoV-2 in a Hospital Setting - Los Angeles County, California, June-August 2020

Thu, 13 May 2021 13:00:00 EST

This report describes the performance of the Quidel rapid antigen SARS-CoV-2 test in a hospital setting.

Community-Based Testing for SARS-CoV-2 - Chicago, Illinois, May-November 2020

Thu, 13 May 2021 13:00:00 EST

This report describes how COVID-19 community-based testing programs can help reach underrepresented groups with limited access to testing.

Rapid Emergence and Epidemiologic Characteristics of the SARS-CoV-2 B.1.526 Variant - New York City, New York, January 1-April 5, 2021

Thu, 13 May 2021 13:00:00 EST

The NYC Department of Health and Mental Hygiene analyzed laboratory and epidemiologic data to characterize cases of B.1.526 infection and the associated potential for breakthrough infection and reinfection. Preliminary evidence suggests that, to date, B.1.526 does not lead to more severe disease or increased risk for infection after vaccination.

Identification of and Surveillance for the SARS-CoV-2 Variants B.1.427 and B.1.429 - Colorado, January-March 2021

Thu, 13 May 2021 13:00:00 EST

On January 24, the Colorado Department of Public Health and Environment (CDPHE) identified the first Colorado case of COVID-19 attributed to the B.1.427 and B.1.429 variants. To improve convenience sampling to identify and track emerging variants, CDPHE established a 30-site statewide sentinel surveillance system.

Modeling of Future COVID-19 Cases, Hospitalizations, and Deaths, by Vaccination Rates and Nonpharmaceutical Intervention Scenarios - United States, April-September 2021

Thu, 13 May 2021 13:00:00 EST

Data from six models indicate that with high vaccination coverage and moderate nonpharmaceutical intervention (NPI) adherence, hospitalizations and deaths will likely remain low nationally, with a sharp decline in cases projected by July 2021. Lower NPI adherence could lead to substantial increases in severe COVID-19 outcomes, even with improved vaccination coverage

Demographic and Social Factors Associated with COVID-19 Vaccination Initiation Among Adults Aged ≥65 Years - United States, December 14, 2020-April 10, 2021

Thu, 13 May 2021 13:00:00 EST

After the first 3.5 months of the U.S. COVID-19 vaccination program, 79.1% of adults aged ≥65 years had received ≥1 dose, with higher vaccination initiation among men. Counties with lower vaccination initiation rates had higher percentages of older adults with social vulnerabilities.

Emergency Department Visits and Hospitalizations for Selected Nonfatal Injuries among Adults Aged ≥65 Years - United States, 2018

Thu, 06 May 2021 13:00:00 EST

This report describes the number of emergency department visits and hospitalizations occurring among older adults from falls and other accidents.

Surveillance to Track Progress Toward Polio Eradication - Worldwide, 2019-2020

Thu, 06 May 2021 13:00:00 EST

This report describes an analysis of polio surveillance data from 42 countries during 2019-2020.

Effectiveness of Pfizer-BioNTech and Moderna Vaccines Against COVID-19 Among Hospitalized Adults Aged ≥65 Years - United States, January-March 2021

Thu, 06 May 2021 13:00:00 EST

In U.S. hospitals during January-March 2021, receipt of Pfizer-BioNTech or Moderna COVID-19 vaccines was 94% effective against COVID-19 hospitalization among fully vaccinated adults and 64% effective among partially vaccinated adults aged ≥65 years.

Safety Monitoring of the Janssen (Johnson & Johnson) COVID-19 Vaccine - United States, March-April 2021

Thu, 06 May 2021 13:00:00 EST

Nearly 8 million doses of the Janssen COVID-19 vaccine had been administered. Review of safety monitoring data found that 97% of reported reactions after vaccine receipt were nonserious, consistent with preauthorization clinical trials data. A total of 17 thrombotic events with thrombocytopenia were detected, including three non-CVST events.

Anxiety-Related Adverse Event Clusters After Janssen COVID-19 Vaccination - Five U.S. Mass Vaccination Sites, April 2021

Thu, 06 May 2021 13:00:00 EST

Five mass vaccination sites reported 64 anxiety-related events, including 17 events of syncope (fainting) after receipt of Janssen COVID-19 vaccine. The reporting rates of syncope to VAERS after Janssen COVID-19 and influenza vaccines (2019-20) were 8.2 and 0.05 per 100,000 doses, respectively.

RECOMMENDATIONS AND REPORTS: Clinical Guidelines for Diagnosis and Treatment of Botulism, 2021

Thu, 06 May 2021 13:00:00 EST

This report describes recommendations for diagnosing, monitoring, and treating botulism in conventional, contingency, and crisis care settings.

Health Status and Health Care Use Among Adolescents Identified With and Without Autism in Early Childhood - Four U.S. Sites, 2018-2020

Thu, 29 Apr 2021 13:00:00 EST

This report describes healthcare use among adolescents with autism.

Emergency Department Visits for Tick Bites - United States, January 2017-December 2019

Thu, 29 Apr 2021 13:00:00 EST

This report describes emergency department visits attributed to tick bites.

COVID-19 Outbreak Among Farmworkers - Okanogan County, Washington, May-August 2020

Thu, 29 Apr 2021 13:00:00 EST

This report describes a COVID-19 outbreak among farmworkers in Okanogan County.

COVID-19 Among Workers in the Seafood Processing Industry: Implications for Prevention Measures - Alaska, March-October 2020

Thu, 29 Apr 2021 13:00:00 EST

This report describes a review of COVID-19 cases in the seafood processing industry in Alaska.

Linked Clusters of SARS-CoV-2 Variant B.1.351 - Maryland, January-February 2021

Thu, 29 Apr 2021 13:00:00 EST

This report describes an investigation in Maryland of two linked clusters of COVID-19 cases identified as the B.1.351 variant.

Postvaccination SARS-CoV-2 Infections Among Skilled Nursing Facility Residents and Staff Members - Chicago, Illinois, December 2020-March 2021

Thu, 29 Apr 2021 13:00:00 EST

Twenty-two possible breakthrough SARS-CoV-2 infections occurred among fully vaccinated persons ≥14 days after their second dose of COVID-19 vaccine. Two thirds of persons were asymptomatic. A minority of persons with breakthrough infection experienced mild to moderate COVID-19-like symptoms; two COVID-19-related hospitalizations and one death occurred. No facility-associated secondary transmission was identified.

COVID-19 Outbreak Associated with a SARS-CoV-2 R.1 Lineage Variant in a Skilled Nursing Facility After Vaccination Program - Kentucky, March 2021

Thu, 29 Apr 2021 13:00:00 EST

In a COVID-19 outbreak at a Kentucky skilled nursing facility involving a newly introduced variant to the region, unvaccinated residents and health care personnel (HCP) had 3.0 and 4.1 times the risk of infection as did vaccinated residents and HCP. Vaccine was 86.5% protective against symptomatic illness among residents and 87.1% protective among HCP.

Health Care Utilization and Clinical Characteristics of Nonhospitalized Adults in an Integrated Health Care System 28-180 Days After COVID-19 Diagnosis - Georgia, May 2020-March 2021

Thu, 29 Apr 2021 13:00:00 EST

Among 3,171 nonhospitalized adult COVID-19 patients, 69% had one or more outpatient visits 28-180 days after the diagnosis. Two thirds had a visit for a new primary diagnosis, and approximately one third had a new specialist visit. Symptoms potentially related to COVID-19 were common new visit diagnoses. Visits for these symptoms decreased after 60 days but for some patients continued through 120-180 days.

Updated Recommendations from the Advisory Committee on Immunization Practices for Use of the Janssen (Johnson & Johnson) COVID-19 Vaccine After Reports of Thrombosis with Thrombocytopenia Syndrome Among Vaccine Recipients - United States, April 2021

Thu, 29 Apr 2021 13:00:00 EST

The Advisory Committee on Immunization Practices concluded that the benefits of resuming Janssen COVID-19 vaccination among persons aged ≥18 years outweighed the risks and reaffirmed its interim recommendation under FDA's Emergency Use Authorization, which includes a new warning for rare clotting events among women aged 18-49 years.

Workers' Compensation Claim Rates and Costs for Musculoskeletal Disorders Related to Overexertion Among Construction Workers - Ohio, 2007-2017

Thu, 22 Apr 2021 13:00:00 EST

This report describes workers' compensation claims for work-related musculoskeletal disorders among construction workers in the United States.

Airport Traveler Testing Program for SARS-CoV-2 - Alaska, June-November 2020

Thu, 22 Apr 2021 13:00:00 EST

This report describes passenger arrival testing for SARS-CoV-2 in Alaska airports.

COVID-19 Outbreaks in Correctional Facilities with Work-Release Programs - Idaho, July-November 2020

Thu, 22 Apr 2021 13:00:00 EST

This report describes COVID-19 outbreaks among incarcerated persons in Idaho correctional facilities.

Laboratory Modeling of SARS-CoV-2 Exposure Reduction Through Physically Distanced Seating in Aircraft Cabins Using Bacteriophage Aerosol - November 2020

Thu, 22 Apr 2021 13:00:00 EST

Based on laboratory scenarios, COVID-19 exposures were reduced by 23% to 57% in single-aisle and twin-aisle aircraft when the middle seat was kept vacant, compared with full aircraft occupancy.

Notes from the Field: Multistate Outbreak of Escherichia coli O26 Infections Linked to Raw Flour - United States, 2019

Thu, 22 Apr 2021 13:00:00 EST

This report describes an outbreak of Shiga toxin-producing E. Coli linked to contaminated flour in the United States.

State-Level Economic Costs of Opioid Use Disorder and Fatal Opioid Overdose - United States, 2017

Thu, 15 Apr 2021 13:00:00 EST

This report describes state-level costs of opioid use disorder and fatal opioid overdose in the United States for 2017.

Progress in Immunization Safety Monitoring - Worldwide, 2010-2019

Thu, 15 Apr 2021 13:00:00 EST

This report describes immunization safety monitoring using surveillance for adverse events following immunization.

Update: COVID-19 Pandemic-Associated Changes in Emergency Department Visits - United States, December 2020-January 2021

Thu, 15 Apr 2021 13:00:00 EST

This report describes changes in the number of emergency department visits during December 2020-January 2021 compared with the same months the year before.

Factors Associated with Participation in Elementary School-Based SARS-CoV-2 Testing - Salt Lake County, Utah, December 2020-January 2021

Thu, 15 Apr 2021 13:00:00 EST

Investigators analyzed data on in-school COVID-19 testing among 594 students who were exposed to 33 index patients at 13 elementary schools. Participation in the program was higher among students identifying as Hispanic/Latino White or members of another racial minority group than among non-Hispanic White students.

Trends in Racial and Ethnic Disparities in COVID-19 Hospitalizations, by Region - United States, March-December 2020

Thu, 15 Apr 2021 13:00:00 EST

Within each U.S. Census region, the proportion of hospitalized patients with COVID-19 was highest for Hispanic or Latino patients. Racial and ethnic disparities were largest during May-July 2020 and became less pronounced as the pandemic spread throughout the country; however, disparities remained in December 2020 in all regions.

Emergency Department Visits for COVID-19 by Race and Ethnicity - 13 States, October-December 2020

Thu, 15 Apr 2021 13:00:00 EST

Data from 13 states indicate that compared with White persons, Hispanic and American Indian or Alaska Native persons experienced 1.7 times the rate, and Black persons experienced 1.4 times, the rate of emergency department care visits for COVID-19 during October-December 2020.

Notes from the Field: Update on Excess Deaths Associated with the COVID-19 Pandemic - United States, January 26, 2020-February 27, 2021

Thu, 15 Apr 2021 13:00:00 EST

This report provides an update on excess deaths in the United States associated with the COVID-19 pandemic.

Provisional Mortality Data - United States, 2020

Thu, 08 Apr 2021 13:00:00 EST

The age-adjusted death rate increased by 15.9% in 2020. Overall death rates were highest among Black and American Indian or Alaska Native people. COVID-19 was the third leading cause of death, and the COVID-19 death rate was highest among Hispanics.

Death Certificate-Based ICD-10 Diagnosis Codes for COVID-19 Mortality Surveillance - United States, January-December 2020

Thu, 08 Apr 2021 13:00:00 EST

Among 378,048 death certificates from 2020 listing COVID-19 as a cause of death, 5.5% listed COVID-19 without codes for any other conditions. Among 357,133 death certificates with at least one other diagnosis, 97% had a co-occurring diagnosis of a plausible chain-of-event condition, a significant contributing condition, or both.

Community Transmission of SARS-CoV-2 Associated with a Local Bar Opening Event - Illinois, February 2021

Thu, 08 Apr 2021 13:00:00 EST

Forty-six cases of COVID-19 were linked to an indoor bar opening event that occurred during February 2021 in a rural Illinois county. Event patrons were linked to secondary cases among household, long-term care facility, and school contacts.

Use of Real-Time PCR for Chlamydia psittaci Detection in Human Specimens During an Outbreak of Psittacosis - Georgia and Virginia, 2018

Thu, 08 Apr 2021 13:00:00 EST

This report describes testing used during a psittacosis outbreak in 2018.

COVID-19 Incidence and Mortality Among American Indian/Alaska Native and White Persons - Montana, March 13-November 30, 2020

Thu, 08 Apr 2021 13:00:00 EST

This report describes COVID-19 incidence and mortality rates among American Indian/Alaska Native and White persons in Montana.

Use of Stay-at-Home Orders and Mask Mandates to Control COVID-19 Transmission - Blackfeet Tribal Reservation, June-December 2020

Thu, 08 Apr 2021 13:00:00 EST

This report describes use of stay-at-home orders and mask mandates by the Blackfeet Tribal Reservation as a mitigation effort to reduce COVID-19.

Notes from the Field: COVID-19 Case Investigation and Contact Tracing Program - Spirit Lake Tribe, North Dakota, September-November 2020

Thu, 08 Apr 2021 13:00:00 EST

This report describes COVID-19 contact tracing and case investigation efforts on the Spirit Lake reservation in South Dakota.

Interim Estimates of Vaccine Effectiveness of BNT162b2 and mRNA-1273 COVID-19 Vaccines in Preventing SARS-CoV-2 Infection Among Health Care Personnel, First Responders, and Other Essential and Frontline Workers - Eight U.S. Locations, December 2020-March 2021

Thu, 01 Apr 2021 13:00:00 EST

mRNA COVID-19 vaccine effectiveness against SARS-CoV-2 infection was 90% for full immunization (≥14 days after second dose) and 80% for partial immunization (≥14 days after first dose but before second dose) in real-world conditions.

Use of Selected Recommended Clinical Preventive Services - Behavioral Risk Factor Surveillance System, United States, 2018

Thu, 01 Apr 2021 13:00:00 EST

This report describes use of preventive services based on insurance coverage, income level, and rurality.

Willingness to Receive a COVID-19 Vaccination Among Incarcerated or Detained Persons in Correctional and Detention Facilities - Four States, September-December 2020

Thu, 01 Apr 2021 13:00:00 EST

This report describes the willingness among incarcerated persons to receive a COVID-19 vaccination.

Counties with High COVID-19 Incidence and Relatively Large Racial and Ethnic Minority Populations - United States, April 1-December 22, 2020

Thu, 01 Apr 2021 13:00:00 EST

This report describes a population-based analysis of COVID-19 incidence among counties with relatively large percentages of persons belonging to five racial and ethnic minority groups.

Rapid Spread of SARS-CoV-2 in a State Prison after Introduction by Newly Transferred Incarcerated Persons - Wisconsin, August 14-October 22, 2020

Thu, 01 Apr 2021 13:00:00 EST

This report describes an outbreak of COVID-19 in a correctional facility after exposure from newly transferred incarcerated persons.

Community-Associated Outbreak of COVID-19 in a Correctional Facility - Utah, September 2020-January 2021

Thu, 01 Apr 2021 13:00:00 EST

This report describes an outbreak of COVID-19 in a correctional facility after incarcerated persons were exposed by a visiting dental health care provider.

Symptoms of Anxiety or Depressive Disorder and Use of Mental Health Care Among Adults During the COVID-19 Pandemic - United States, August 2020-February 2021

Thu, 01 Apr 2021 13:00:00 EST

From August 2020-February 2021, adults with recent symptoms of an anxiety or depressive disorder increased from 36% to 42%. Increases were largest among adults 18-29 years and those with less than a high school education.

Pilot Investigation of SARS-CoV-2 Secondary Transmission in Kindergarten Through Grade 12 Schools Implementing Mitigation Strategies - St. Louis County and City of Springfield, Missouri, December 2020

Thu, 25 Mar 2021 13:00:00 EST

In 22 participating K-12 schools implementing multiple COVID-19 mitigation strategies, school-based SARS-CoV-2 secondary transmission was detected in two of 102 tested close contacts of 37 persons with COVID-19.

Low SARS-CoV-2 Transmission in Elementary Schools - Salt Lake County, Utah, December 3, 2020-January 31, 2021

Thu, 25 Mar 2021 13:00:00 EST

In a high community transmission setting in Salt Lake County, Utah, low school-associated transmission was observed. Mask adherence was high, but physical distancing of >=6 feet was not possible so classroom seats were a median of 3 ft apart.

COVID-19 in Primary and Secondary School Settings During the First Semester of School Reopening - Florida, August-December 2020

Thu, 25 Mar 2021 13:00:00 EST

COVID-19 school-related cases among Florida students correlated with community incidence in the counties observed, and was highest in smaller counties, districts without mask requirements, and those that reopened earliest.

County-Level COVID-19 Vaccination Coverage and Social Vulnerability - United States, December 14, 2020-March 1, 2021

Thu, 25 Mar 2021 13:00:00 EST

This report describes how national COVID-19 vaccination coverage was lower in counties with some of the most socially vulnerable communities and higher in counties with some of the least socially vulnerable communities.

Tuberculosis - United States, 2020

Thu, 25 Mar 2021 13:00:00 EST

This report describes changes in tuberculosis incidence in the United States.

Declines in Prevalence of Human Papillomavirus Vaccine-Type Infection Among Females after Introduction of Vaccine - United States, 2003-2018

Thu, 25 Mar 2021 13:00:00 EST

This report describes declines in HPV vaccine-type infection prevalence among females when compared with prevalence before vaccination.

Rapid Scale-up of an Antiretroviral Therapy Program Before and During the COVID-19 Pandemic - Nine States, Nigeria, March 31, 2019-September 30, 2020

Thu, 25 Mar 2021 13:00:00 EST

This report describes a program that increased the number of persons with HIV infections who initiated antiretroviral therapy before and during the COVID-19 pandemic.

Epidemiology of Tuberculosis and Progress Toward Meeting Global Targets - Worldwide, 2019

Thu, 25 Mar 2021 13:00:00 EST

This report describes current progress toward achieving global targets for reducing tuberculosis incidence.

Association of Children's Mode of School Instruction with Child and Parent Experiences and Well-Being During the COVID-19 Pandemic - COVID Experiences Survey ...

Thu, 18 Mar 2021 13:00:00 EST

This report describes the effect of the COVID-19 pandemic on child and parent well-being associated to virtual learning.

Notes from the Field: SARS-CoV-2 Transmission Associated with High School Football Team Members - Florida, September-October 2020

Thu, 18 Mar 2021 13:00:00 EST

This report describes transmission of COVID-19 among team members of a high school football team in Florida.

Minimal SARS-CoV-2 Transmission After Implementation of a Comprehensive Mitigation Strategy at a School - New Jersey, August 20-November 27, 2020

Thu, 18 Mar 2021 13:00:00 EST

This report describes the comprehensive COVID-19 mitigation strategy of a New Jersey school.

COVID-19 Vaccine Second-Dose Completion and Interval Between First and Second Doses Among Vaccinated Persons - United States, December 14, 2020−February 14, 2021

Thu, 18 Mar 2021 13:00:00 EST

This report describes persons who received both doses of a two-dose COVID-19 vaccination series and the interval between the first and second dose among those who were vaccinated.

Racial and Ethnic Disparities in COVID-19 Incidence by Age, Sex, and Period Among Persons Aged <25 Years - 16 U.S. Jurisdictions, January 1-December 31, 2020

Thu, 18 Mar 2021 13:00:00 EST

This report describes racial and ethnic disparities in COVID-19 incidence among persons aged <25 years in the United States.

Effectiveness of the Pfizer-BioNTech COVID-19 Vaccine Among Residents of Two Skilled Nursing Facilities Experiencing COVID-19 Outbreaks - Connecticut, December 2020-February 2021

Thu, 18 Mar 2021 13:00:00 EST

This report describes an analysis of two Connecticut skilled nursing facilities that found partial vaccination, >14 days after the first dose through 7 days after the second dose, with the Pfizer-BioNTech COVID-19 vaccine 63% effective against SARS-CoV-2 infection.

First Identified Cases of SARS-CoV-2 Variant P.1 in the United States - Minnesota, January 2021

Thu, 11 Mar 2021 14:00:00 EDT

This report describes the first two U.S. cases of the SARS-CoV-2 variant P.1, which were identified in Minnesota.

Travel from the United Kingdom to the United States by a Symptomatic Patient Infected with the SARS-CoV-2 B.1.1.7 Variant - Texas, January 2021

Thu, 11 Mar 2021 14:00:00 EDT

This report describes findings of a SARS-CoV-2 variant, B.1.17, identified first in the United Kingdom, now in Texas.

Association of State-Issued Mask Mandates and Allowing On-Premises Restaurant Dining with County-Level COVID-19 Case and Death Growth Rates - United States, March 1-December 31, 2020

Thu, 11 Mar 2021 14:00:00 EDT

This report describes changes in COVID-19 case and death growth rates associated with mask mandates and on-premises restaurant dining.

Body Mass Index and Risk for COVID-19-Related Hospitalization, Intensive Care Unit Admission, Invasive Mechanical Ventilation, and Death - United States, March-December 2020

Thu, 11 Mar 2021 14:00:00 EDT

This report describes the association between body mass index (BMI) and COVID-19 severity.

Health Care Utilization and Outcomes Associated with Accidental Poisonous Mushroom Ingestions - United States, 2016-2018

Thu, 11 Mar 2021 14:00:00 EDT

This report describes the frequency of emergency department visits, hospitalizations, and outcomes associated with accidental ingestion of poisonous mushrooms.

Screening for HIV Among Patients at Tuberculosis Clinics - Results from Population-Based HIV Impact Assessment Surveys, Malawi, Zambia, and Zimbabwe, 2015-2016

Thu, 11 Mar 2021 14:00:00 EDT

This report describes screening for HIV in patients at tuberculosis clinics in Africa.

Notes from the Field: Opioid Overdose Deaths Before, During, and After an 11-Week COVID-19 Stay-at-Home Order - Cook County, Illinois, January 1, 2018-October 6, 2020

Thu, 11 Mar 2021 14:00:00 EDT

This report describes rates of opioid overdose deaths before, during, and after an 11-week stay-at-home order in Illinois during the COVID-19 pandemic.

Giardiasis Outbreaks - United States, 2012-2017

Thu, 04 Mar 2021 14:00:00 EDT

This report describes giardiasis outbreaks in 26 states.

Prevalence of Electronic Cigarette Use Among Adult Workers - United States, 2017-2018

Thu, 04 Mar 2021 14:00:00 EDT

This report describes e-cigarette use among adult workers aged 18-24 years.

SARS-CoV-2 Infection Risk Among Active Duty Military Members Deployed to a Field Hospital - New York City, April 2020

Thu, 04 Mar 2021 14:00:00 EDT

This report describes rates of COVID-19 infection among U.S. military personnel deployed to a New York City field hospital.

Estimated SARS-CoV-2 Seroprevalence Among Persons Aged <18 Years - Mississippi, May-September 2020

Thu, 04 Mar 2021 14:00:00 EDT

This report describes trends in SARS-CoV-2 antibody seroprevalence among young persons in Mississippi during the COVID-19 pandemic.

Community Transmission of SARS-CoV-2 at Three Fitness Facilities - Hawaii, June-July 2020

Thu, 04 Mar 2021 14:00:00 EDT

This report describes an investigation of COVID-19 transmission linked to a fitness instructor at a Hawaii exercise facility.

COVID-19 Outbreak Among Attendees of an Exercise Facility - Chicago, Illinois, August-September 2020

Thu, 04 Mar 2021 14:00:00 EDT

This report describes an investigation of COVID-19 transmission among attendees of indoor high-intensity classes at a Chicago exercise facility.

Reduction in COVID-19 Patients Requiring Mechanical Ventilation Following Implementation of a National COVID-19 Vaccination Program - Israel, December 2020-February 2021

Thu, 04 Mar 2021 14:00:00 EDT

This report describes a reduction in the number of COVID-19 patients requiring mechanical ventilation following initiation of a national vaccination campaign in Israel.

The Advisory Committee on Immunization Practices' Interim Recommendation for Use of Janssen COVID-19 Vaccine - United States, February 2021

Thu, 04 Mar 2021 14:00:00 EDT

This report describes the Advisory Committee on Immunization Practices' (ACIP's) interim recommendation for use of the Janssen COVID-19 vaccine for the prevention of COVID-19.

Changes in Suicide Rates - United States, 2018-2019

Thu, 25 Feb 2021 14:00:00 EDT

This report describes changes and disparities in suicide rates in the United States.

Estimated Medicaid Costs Associated with Hepatitis A During an Outbreak - West Virginia, 2018-2019

Thu, 25 Feb 2021 14:00:00 EDT

Medicaid Costs Associated With Hepatitis A, Hepatitis A Outbreak In West Virginia, Medicaid Costs Of Hep A Outbreak, Hep A Outbreak And Medicaid Costs, West Virginia Hep A Outbreak And Medicaid Costs

Suspected Recurrent SARS-CoV-2 Infections Among Residents of a Skilled Nursing Facility During a Second COVID-19 Outbreak - Kentucky, July-November 2020

Thu, 25 Feb 2021 14:00:00 EDT

This report describes possible reoccurring SARS-CoV-2 infections among nursing facility residents.

First Identified Cases of SARS-CoV-2 Variant B.1.1.7 in Minnesota - December 2020-January 2021

Thu, 25 Feb 2021 14:00:00 EDT

This report describes the SARS-CoV-2 variant B.1.1.7 identified in eight specimens from Minnesota residents.

Detection of B.1.351 SARS-CoV-2 Variant Strain - Zambia, December 2020

Thu, 25 Feb 2021 14:00:00 EDT

This report describes detection of the B.1.351 variant in Zambia that establishes an epidemiologic linkage between COVID-19 outbreaks in Zambia and South Africa.

First Month of COVID-19 Vaccine Safety Monitoring - United States, December 14, 2020-January 13, 2021

Thu, 25 Feb 2021 14:00:00 EDT

This report describes monitoring, conducted as part of the U.S. vaccination program, which indicates reassuring safety profiles for COVID-19 vaccines.

Clusters of SARS-CoV-2 Infection Among Elementary School Educators and Students in One School District - Georgia, December 2020-January 2021

Thu, 25 Feb 2021 14:00:00 EDT

This report describes an investigation of clusters of SARS-CoV-2 infection in a Georgia school district during December 1, 2020-January 22, 2021.

Care Outcomes Among Black or African American Persons with Diagnosed HIV in Rural, Urban, and Metropolitan Statistical Areas - 42 U.S. Jurisdictions, 2018

Thu, 18 Feb 2021 14:00:00 EDT

This report describes disparities in HIV care among Black persons.

Trends in Use of Telehealth Among Health Centers During the COVID-19 Pandemic - United States, June 26-November 6, 2020

Thu, 18 Feb 2021 14:00:00 EDT

This report describes trends in telehealth visits during the COVID-19 pandemic.

Required and Voluntary Occupational Use of Hazard Controls for COVID-19 Prevention in Non-Health Care Workplaces - United States, June 2020

Thu, 18 Feb 2021 14:00:00 EDT

This report describes use of hazard controls for COVID-19 prevention in the workplace.

Decline in Receipt of Vaccines by Medicare Beneficiaries During the COVID-19 Pandemic - United States, 2020

Thu, 18 Feb 2021 14:00:00 EDT

This report describes a decline in receipt of vaccines by Medicare beneficiaries during the COVID-19 pandemic.

Mortality Among Minority Populations with Systemic Lupus Erythematosus, Including Asian and Hispanic/Latino Persons - California, 2007-2017

Thu, 18 Feb 2021 14:00:00 EDT

This report describes mortality among minority populations with systemic lupus erythematosus.

Maximizing Fit for Cloth and Medical Procedure Masks to Improve Performance and Reduce SARS-CoV-2 Transmission and Exposure, 2021

Thu, 18 Feb 2021 14:00:00 EDT

This report describes experiments conducted by CDC to assess two ways of improving the fit of medical procedure masks.

COVID-19 Stats: Percentage of Middle and High School Students Aged 13-21 Years Attending In-Person Classes Who Reported Observing Fellow Students Wearing a Mask All the Time, by School Setting and Activity - United States, October 2020

Thu, 11 Feb 2021 14:00:00 EDT

This report describes the percentage of middle and high school students who observed mask use by fellow students attending in-person classes.

COVID-19 Vaccination Intent, Perceptions, and Reasons for Not Vaccinating Among Groups Prioritized for Early Vaccination --- United States, September and December 2020

Thu, 11 Feb 2021 14:00:00 EDT

This report describes increases in intent and decreases in nonintent to receive COVID-19 vaccination among adults and across all vaccine priority groups from September to December 2020.

Decline in COVID-19 Hospitalization Growth Rates Associated with Statewide Mask Mandates - 10 States, March-October 2020

Thu, 11 Feb 2021 14:00:00 EDT

This report describes a decline in weekly COVID-19-associated hospitalization growth rates reported by 10 sites in states with statewide mask mandates.

Comorbidities Among Young Adults with Congenital Heart Defects: Results from the Congenital Heart Survey To Recognize Outcomes, Needs, and well-beinG --- Arizona, Arkansas, and Metropolitan Atlanta, 2016--2019

Thu, 11 Feb 2021 14:00:00 EDT

This report describes comorbidities among young adults with congenital heart defects.

Advisory Committee on Immunization Practices Recommended Immunization Schedule for Adults Aged 19 Years or Older --- United States, 2021

Thu, 11 Feb 2021 14:00:00 EDT

This report describes updates to the recommended immunization schedule for adults in the United States.

Observed Face Mask Use at Six Universities --- United States, September--November 2020

Thu, 11 Feb 2021 14:00:00 EDT

This report describes direct observation of mask use at six universities with mask mandates during September-November 2020.

Trends and Geographic Patterns in Drug and Synthetic Opioid Overdose Deaths --- United States, 2013--2019

Thu, 11 Feb 2021 14:00:00 EDT

This report describes trends in drug and synthetic opioid overdose deaths.

Advisory Committee on Immunization Practices Recommended Immunization Schedule for Children and Adolescents Aged 18 Years or Younger --- United States, 2021

Thu, 11 Feb 2021 14:00:00 EDT

This report describes updates to the recommended immunization schedule for children and adolescents in the United States.

Decreases in Young Children Who Received Blood Lead Level Testing During COVID-19---34 Jurisdictions, January-May 2020

Thu, 04 Feb 2021 14:00:00 EDT

This report describes a decrease in blood lead level testing among children aged <6 years during the COVID-19 pandemic.

Racial and Ethnic Disparities in the Prevalence of Stress and Worry, Mental Health Conditions, and Increased Substance Use Among Adults During the COVID-19 Pandemic --- United States, April and May 2020

Thu, 04 Feb 2021 14:00:00 EDT

This report describes racial and ethnic disparities in stress and worry, mental health, and substance use during the COVID-19 pandemic.

Vital Signs: Prevalence of Multiple Forms of Violence and Increased Health Risk Behaviors and Conditions Among Youths --- United States, 2019

Thu, 04 Feb 2021 14:00:00 EDT

This report describes adolescents' experiences with multiple forms of violence at school and in the community.

Demographic Characteristics of Persons Vaccinated During the First Month of the COVID-19 Vaccination Program --- United States, December 14, 2020-January 14, 2021

Thu, 04 Feb 2021 14:00:00 EDT

This report describes demographic data of persons who received at least 1 dose of vaccine during the first month of the U.S. COVID-19 vaccination program.

Early COVID-19 First-Dose Vaccination Coverage Among Residents and Staff Members of Skilled Nursing Facilities Participating in the Pharmacy Partnership for Long-Term Care Program --- United States, December 2020-January 2021

Thu, 04 Feb 2021 14:00:00 EDT

This report describes vaccination receipt among residents and staff members of skilled nursing facilities during the first month of the Pharmacy Partnership for Long-Term Care Program.

Sexual Orientation Disparities in Risk Factors for Adverse COVID-19-Related Outcomes, by Race/Ethnicity --- Behavioral Risk Factor Surveillance System, United States, 2017-2019

Thu, 04 Feb 2021 14:00:00 EDT

This report describes sexual orientation disparities in risk factors for adverse COVID-19 outcomes.

Impact of COVID-19 on Cervical Cancer Screening Rates Among Women Aged 21-65 Years in a Large Integrated Health Care System - Southern California, January 1-September 30, 2019 and January 1-Septemb…

Thu, 28 Jan 2021 14:00:00 EDT

This report describes how California's stay-at-home order during the COVID-19 pandemic has affected cervical cancer screening rates.

Trends in Outbreak-Associated Cases of COVID-19 - Wisconsin, March-November 2020

Thu, 28 Jan 2021 14:00:00 EDT

This report describes trends in COVID-19 outbreaks on college campuses in Wisconsin.

Response to a COVID-19 Outbreak on a University Campus - Indiana, August 2020

Thu, 28 Jan 2021 14:00:00 EDT

This report describes an Indiana university's response to a COVID-19 outbreak on campus.

Notes from the Field: An Outbreak of West Nile Virus-Arizona, 2019

Thu, 28 Jan 2021 14:00:00 EDT

This report describes an outbreak of West Nile virus in Arizona during 2019.

Allergic Reactions Including Anaphylaxis After Receipt of the First Dose of Moderna COVID-19 Vaccine - United States, December 21, 2020-January 10, 2021

Thu, 28 Jan 2021 14:00:00 EDT

This report describes cases of anaphylaxis after administration of first doses of the Moderna COVID-19 vaccine during December 21, 2020-January 10, 2021.

Implementation and Evolution of Mitigation Measures, Testing, and Contact Tracing in the National Football League, August 9-November 21, 2020

Thu, 28 Jan 2021 14:00:00 EDT

This report describes the National Football League's intensive mitigation protocols that effectively reduced close interactions with COVID-19 high-risk contacts.

COVID-19 Cases and Transmission in 17 K-12 Schools - Wood County, Wisconsin, August 31-November 29, 2020

Thu, 28 Jan 2021 14:00:00 EDT

This report describes reported student mask-wearing and COVID-19 rates among students and staff members in 17 rural Wisconsin schools.

SARS-CoV-2 Transmission Associated with High School Wrestling Tournaments - Florida, December 2020-January 2021

Thu, 28 Jan 2021 14:00:00 EDT

This report describes SARS-CoV-2 transmission among attendees of two high school wrestling tournaments and their contacts.

Evaluation of Abbott BinaxNOW Rapid Antigen Test for SARS-CoV-2 Infection at Two Community-Based Testing Sites - Pima County, Arizona, November 3-17, 2020

Thu, 21 Jan 2021 14:00:00 EDT

This report describes the performance of the BinaxNOW rapid antigen test on specimens collected from persons at two community testing sites in Pima County, Arizona.

Percentage of Adolescents Meeting Federal Fruit and Vegetable Intake Recommendations - Youth Risk Behavior Surveillance System, United States, 2017

Thu, 21 Jan 2021 14:00:00 EDT

This report describes fruit and vegetable intake among adolescents in the United States.

Vaccination Coverage with Selected Vaccines and Exemption Rates Among Children in Kindergarten - United States, 2019-20 School Year

Thu, 21 Jan 2021 14:00:00 EDT

This report describes vaccination and exemption rates among children in kindergarten.

COVID-19 Case Investigation and Contact Tracing Efforts from Health Departments - United States, June 25-July 24, 2020

Thu, 21 Jan 2021 14:00:00 EDT

This report describes COVID-19 contact tracing efforts from health departments in the United States.

COVID-19 Trends Among Persons Aged 0-24 Years - United States, March 1-December 12, 2020

Thu, 21 Jan 2021 14:00:00 EDT

This report describes trends in laboratory-confirmed COVID-19 incidence among U.S. children, adolescents, and young adults.

Emergence of SARS-CoV-2 B.1.1.7 Lineage - United States, December 29, 2020-January 12, 2021

Thu, 21 Jan 2021 14:00:00 EDT

This report describes SARS-CoV-2 variants of concern, including the B.1.1.7 variant, and modeling data indicating that B.1.1.7 has the potential to increase the U.S. pandemic trajectory in the coming months.

Cancer Screening Test Receipt - United States, 2018

Thu, 14 Jan 2021 14:00:00 EDT

This report describes progress toward national cancer screening targets in 2018.

CDC's Emergency Management Program Activities - Worldwide, 2013-2018

Thu, 14 Jan 2021 14:00:00 EDT

This report describes the CDC Emergency Management Program activities.

Assessment of Neonatal Abstinence Syndrome Surveillance - Pennsylvania, 2019

Thu, 14 Jan 2021 14:00:00 EDT

This report describes neonatal abstinence syndrome surveillance efforts in Pennsylvania.

Allergic Reactions Including Anaphylaxis After Receipt of the First Dose of Pfizer-BioNTech COVID-19 Vaccine - United States, December 14-23, 2020

Thu, 14 Jan 2021 14:00:00 EDT

This report describes cases of anaphylaxis after administration of first doses of the Pfizer-BioNTech COVID-19 vaccine during December 14-23, 2020.

Rates of COVID-19 Among Residents and Staff Members in Nursing Homes - United States, May 25-November 22, 2020

Thu, 14 Jan 2021 14:00:00 EDT

This report describes the increase in rates of COVID-19 among nursing home residents and staff members during June and July 2020, and again in November.

Candida auris Outbreak in a COVID-19 Specialty Care Unit - Florida, July-August 2020

Thu, 14 Jan 2021 14:00:00 EDT

This report describes a Candida auris outbreak in patients with coronavirus disease 2019 (COVID-19) who received care in the same dedicated COVID-19 unit of an acute care hospital.

Mitigation Policies and COVID-19-Associated Mortality - 37 European Countries, January 23-June 30, 2020

Thu, 14 Jan 2021 14:00:00 EDT

This report describes earlier implementation of stringent mitigation policies by European countries and reported COVID-19 deaths through the end of June 2020.

Predicted Heart Age Among Cancer Survivors - United States, 2013-2017

Thu, 07 Jan 2021 14:00:00 EDT

This report describes cardiovascular health and predicted heart age among cancer survivors.

Time from Start of Quarantine to SARS-CoV-2 Positive Test Among Quarantined College and University Athletes - 17 States, June-October 2020

Thu, 07 Jan 2021 14:00:00 EDT

This report describes the time from college athletes' start of quarantine to a positive SARS-CoV-2 test.

Assessment of Day-7 Postexposure Testing of Asymptomatic Contacts of COVID-19 Patients to Evaluate Early Release from Quarantine - Vermont, May-November 2020

Thu, 07 Jan 2021 14:00:00 EDT

This report describes day-7 postexposure testing of asymptomatic persons who came in contact with COVID-19 patients.

Opening of Large Institutions of Higher Education and County-Level COVID-19 Incidence - United States, July 6-September 17, 2020

Thu, 07 Jan 2021 14:00:00 EDT

This report describes the effectiveness of large colleges or universities instructional format on COVID-19 incidence.

Participation in Fraternity and Sorority Activities and the Spread of COVID-19 Among Residential University Communities - Arkansas, August 21-September 5, 2020

Thu, 07 Jan 2021 14:00:00 EDT

This report describes incidence of COVID-19 spread related to fraternity and sorority activities.

RECOMMENDATIONS AND REPORTS: Use of Ebola Vaccine: Recommendations of the Advisory Committee on Immunization Practices, United States, 2020

Thu, 07 Jan 2021 14:00:00 EDT

Summary of the Advisory Committee on Immunization Practices' recommendations for use of Ebola vaccine in the United States.

Implications of Shortened Quarantine Among Household Contacts of Index Patients with Confirmed SARS-CoV-2 Infection - Tennessee and Wisconsin, April-September 2020

Thu, 31 Dec 2020 14:00:00 EDT

This report describes COVID-19 infections among household members following a shortened quarantine period of 7 days.

Opportunities to Address Men's Health During the Perinatal Period - Puerto Rico, 2017

Thu, 31 Dec 2020 14:00:00 EDT

This report describes opportunities to address men's health during the perinatal period.

Performance of an Antigen-Based Test for Asymptomatic and Symptomatic SARS-CoV-2 Testing at Two University Campuses - Wisconsin, September-October 2020

Thu, 31 Dec 2020 14:00:00 EDT

This report describes the performance of COVID-19 antigen-based tests for asymptomatic and symptomatic persons at two universities.

Impact of COVID-19 Pandemic on Global Poliovirus Surveillance

Thu, 31 Dec 2020 14:00:00 EDT

This report describes a decline in polio case reporting during the first 9 months of 2020.

The Advisory Committee on Immunization Practices' Interim Recommendation for Use of Moderna COVID-19 Vaccine - United States, December 2020

Thu, 31 Dec 2020 14:00:00 EDT

This report describes the interim recommendation made by the Advisory Committee on Immunization Practices on December 19, 2020, for use of the Moderna COVID-19 vaccine in persons aged ≥18 years.

The Advisory Committee on Immunization Practices' Updated Interim Recommendation for Allocation of COVID-19 Vaccine - United States, December 2020

Thu, 31 Dec 2020 14:00:00 EDT

This report describes updated interim vaccine allocation recommendations made by the Advisory Committee on Immunization Practices on December 20, 2020.

Tobacco Product Use Among Middle and High School Students - United States, 2020

Thu, 17 Dec 2020 14:00:00 EDT

This report describes current tobacco product use among middle and high school students.

Surveillance for Harmful Algal Bloom Events and Associated Human and Animal Illnesses - One Health Harmful Algal Bloom System, United States, 2016-2018

Thu, 17 Dec 2020 14:00:00 EDT

This report describes a reporting system for harmful algal bloom.

Health Center Testing for SARS-CoV-2 During the COVID-19 Pandemic - United States, June 5-October 2, 2020

Thu, 17 Dec 2020 14:00:00 EDT

This report describes COVID-19 response at health centers funded by the Health Resources and Services Administration.

Telehealth Practice Among Health Centers During the COVID-19 Pandemic - United States, July 11-17, 2020

Thu, 17 Dec 2020 14:00:00 EDT

This report describes telehealth services provided at health centers during the COVID-19 pandemic.

Factors That Might Affect SARS-CoV-2 Transmission Among Foreign-Born and U.S.-Born Poultry Facility Workers - Maryland, May 2020

Thu, 17 Dec 2020 14:00:00 EDT

This report describes the risk for COVID-19 transmission among workers at poultry facilities.

Update to CDC's Treatment Guidelines for Gonococcal Infection, 2020

Thu, 17 Dec 2020 14:00:00 EDT

This report describes treatment recommendations for gonococcal infections.

Estimated Resource Costs for Implementation of CDC's Recommended COVID-19 Mitigation Strategies in Pre-Kindergarten through Grade 12 Public Schools - United States, 2020-21 School Year

Thu, 17 Dec 2020 14:00:00 EDT

This report describes the cost information necessary to budget and prioritize school resources during the COVID-19 pandemic.

The Advisory Committee on Immunization Practices' Interim Recommendation for Use of Pfizer-BioNTech COVID-19 Vaccine - United States, December 2020

Thu, 17 Dec 2020 14:00:00 EDT

This report describes the interim recommendation made by the Advisory Committee on Immunization Practices on December 12, 2020, for use of the Pfizer-BioNTech COVID-19 vaccine in persons aged ≥16 years.

Factors Associated with Positive SARS-CoV-2 Test Results in Outpatient Health Facilities and Emergency Departments Among Children and Adolescents Aged <18 Years - Mississippi, September-November 2020

Thu, 17 Dec 2020 14:00:00 EDT

This report describes factors associated with SARS-CoV-2 infection among children and adolescents aged <18 years in Mississippi.

Trends in U.S. Emergency Department Visits Related to Suspected or Confirmed Child Abuse and Neglect Among Children and Adolescents Aged <18 Years Before and During the COVID-19 Pandemic - United States, January 2019-September 2020

Thu, 10 Dec 2020 14:00:00 EDT

This report compares emergency department visits related to child abuse and neglect before and during the COVID-19 pandemic.

Racial and Ethnic Differences in Parental Attitudes and Concerns About School Reopening During the COVID-19 Pandemic - United States, July 2020

Thu, 10 Dec 2020 14:00:00 EDT

This report describes parental attitudes and concerns about school reopenings during the COVID-19 pandemic.

COVID-19 Mortality Among American Indian and Alaska Native Persons - 14 States, January-June 2020

Thu, 10 Dec 2020 14:00:00 EDT

This report describes COVID-19-associated mortality among American Indian and Alaska Native persons compared with non-Hispanic White persons.

The Advisory Committee on Immunization Practices' Interim Recommendation for Allocating Initial Supplies of COVID-19 Vaccine - United States, 2020

Thu, 10 Dec 2020 14:00:00 EDT

This report describes the Advisory Committee on Immunization Practices (ACIP) recommendations as interim guidance for the first allocation of COVID-19 vaccine.

Summary of Guidance for Public Health Strategies to Address High Levels of Community Transmission of SARS-CoV-2 and Related Deaths, December 2020

Thu, 10 Dec 2020 14:00:00 EDT

This report describes the need for implementation and adherence to mitigation strategies to reduce SARS-CoV-2 transmission and deaths.

Implementing Mitigation Strategies in Early Care and Education Settings for Prevention of SARS-CoV-2 Transmission - Eight States, September-October 2020

Thu, 10 Dec 2020 14:00:00 EDT

This report describes implementation of CDC-recommended guidance by Head Start and Early Head Start child care programs, allowing them to continue offering in-person learning.

Notes from the Field: Understanding Smoke Exposure in Communities and Fire Camps Affected by Wildfires - California and Oregon, 2020

Thu, 10 Dec 2020 14:00:00 EDT

This report describes public health issues in communities affected by wildfire smoke.

Notes from the Field: First Case in the United States of Neisseria gonorrhoeae Harboring Emerging Mosaic penA60 Allele, Conferring Reduced Susceptibility to Cefixime and Ceftriaxone

Thu, 10 Dec 2020 14:00:00 EDT

This report describes an instance of an antibiotic-resistant strain of gonorrhea occurring in Nevada.

Sex Differences in HIV Testing - 20 PEPFAR-Supported Sub-Saharan African Countries, 2019

Thu, 03 Dec 2020 14:00:00 EDT

This report describes sex differences in human immunodeficiency virus testing in sub-Saharan African countries.

Multidisciplinary Community-Based Investigation of a COVID-19 Outbreak Among Marshallese and Hispanic/Latino Communities - Benton and Washington Counties, Arkansas, March 2020-June 2020

Thu, 03 Dec 2020 14:00:00 EDT

This report describes an investigation of a COVID-19 outbreak among Marshallese and Hispanic communities in Arkansas.

Disproportionate Incidence of COVID-19 Infection, Hospitalizations, and Deaths Among Persons Identifying as Hispanic or Latino - Denver, Colorado March-October 2020

Thu, 03 Dec 2020 14:00:00 EDT

This report describes the disproportionate incidence of COVID-19 among Hispanic persons in Denver, Colorado.

Regional Analysis of Coccidioidomycosis Incidence - California, 2000-2018

Thu, 03 Dec 2020 14:00:00 EDT

This report describes regional analysis of coccidioidomycosis in California.

Survey of Teen Noise Exposure and Efforts to Protect Hearing at School - United States, 2020

Thu, 03 Dec 2020 14:00:00 EDT

This report describes a survey of adolescents' noise exposure.

Increase in Hospital-Acquired Carbapenem-Resistant Acinetobacter baumannii Infection and Colonization in an Acute Care Hospital During a Surge in COVID-19 Admissions - New Jersey, February-July 2020

Thu, 03 Dec 2020 14:00:00 EDT

This report describes a cluster of 34 carbapenem-resistant Acinetobacter baumannii cases in a New Jersey hospital that peaked during a surge in COVID-19 hospitalizations.

Notes from the Field: Interpretation of Rapid Diagnostic Tests for Leptospirosis During a Dengue Outbreak - Yap State, Federated States of Micronesia, 2019

Thu, 03 Dec 2020 14:00:00 EDT

This report describes the interpretation of leptospirosis detection during a dengue outbreak in Micronesia.

COVID-19 Outbreak Associated with a 10-Day Motorcycle Rally in a Neighboring State - Minnesota, August-September 2020

Wed, 25 Nov 2020 14:00:00 EDT

This report describes COVID-19 cases identified in Minnesota residents after a 10-day motorcycle rally in South Dakota.

Trends in County-Level COVID-19 Incidence in Counties With and Without a Mask Mandate - Kansas, June 1-August 23, 2020

Wed, 25 Nov 2020 14:00:00 EDT

This report describes COVID-19 incidence in Kansas counties with and without mask mandates.

The Advisory Committee on Immunization Practices' Ethical Principles for Allocating Initial Supplies of COVID-19 Vaccine - United States, 2020

Wed, 25 Nov 2020 14:00:00 EDT

This report describes ethical principles that will assist the Advisory Committee on Immunization Practices (ACIP) in formulating recommendations for the initial allocation of COVID-19 vaccine.

Sexual Violence in the Media: An Exploration of Traditional Print Media Reporting in the United States, 2014-2017

Wed, 25 Nov 2020 14:00:00 EDT

This report describes an assessment of media portrayals of sexual violence.

Decline in SARS-CoV-2 Antibodies After Mild Infection Among Frontline Health Care Personnel in a Multistate Hospital Network - 12 States, April-August 2020

Wed, 25 Nov 2020 14:00:00 EDT

This report describes a decline in antibody levels among frontline health care workers who had previously received a positive COVID-19 antibody test and were retested 60 days later.

Implementation of Hospital Practices Supportive of Breastfeeding in the Context of COVID-19 - United States, July 15-August 20, 2020

Wed, 25 Nov 2020 14:00:00 EDT

This report describes hospital practices supporting breastfeeding during the COVID-19 pandemic.

Timing of Introduction of Complementary Foods - United States, 2016-2018

Wed, 25 Nov 2020 14:00:00 EDT

This report describes the timing of infants receiving complementary foods.

Prevalence and Trends in Cigarette Smoking Among Adults with Epilepsy - United States, 2010-2017

Wed, 25 Nov 2020 14:00:00 EDT

This report describes trends in cigarette smoking among adults with epilepsy.

Implementation of a Pooled Surveillance Testing Program for Asymptomatic SARS-CoV-2 Infections on a College Campus - Duke University, Durham, North Carolina, August-October, 2020

Thu, 19 Nov 2020 14:00:00 EDT

This report describes pooled SARS-CoV-2 polymerase chain reaction student testing conducted at Duke University in fall 2020.

Vital Signs: Deaths Among Persons with Diagnosed HIV Infection, United States, 2010-2018

Thu, 19 Nov 2020 14:00:00 EDT

This report describes progress toward reducing deaths among persons with diagnosed human immunodeficiency virus.

COVID-19 Outbreak - New York City, February 29-June 1, 2020

Thu, 19 Nov 2020 14:00:00 EDT

This report describes cases of COVID-19 among New York City residents.

Characterization of COVID-19 in Assisted Living Facilities - 39 States, October 2020

Thu, 19 Nov 2020 14:00:00 EDT

This report describes surveillance and characterization of COVID-19 in assisted living facilities.

Tobacco Product Use Among Adults - United States, 2019

Thu, 19 Nov 2020 14:00:00 EDT

This report describes tobacco product use among adults in the United States.

Progress Toward Poliomyelitis Eradication - Pakistan, January 2019−September 2020

Thu, 19 Nov 2020 14:00:00 EDT

This report describes progress towards poliomyelitis eradication in Pakistan.

COVID-19-Stats: COVID-19 Incidence, by Urban-Rural Classification - United States, January 22-October 31, 2020

Thu, 19 Nov 2020 14:00:00 EDT

This report describes COVID-19 Incidence by Urban-Rural Classification in the United States.

Declines in SARS-CoV-2 Transmission, Hospitalizations, and Mortality After Implementation of Mitigation Measures- Delaware, March-June 2020

Thu, 12 Nov 2020 14:00:00 EDT

This report describes mitigation measures that contributed to a reduction in COVID-19 incidence, hospitalizations, and mortality in Delaware during late April-June.

Characteristics of Hospitalized COVID-19 Patients Discharged and Experiencing Same-Hospital Readmission - United States, March-August 2020

Thu, 12 Nov 2020 14:00:00 EDT

This report describes risk factors for readmission after discharge from an initial COVID-19 hospitalization.

Imputed State-Level Prevalence of Achieving Goals To Prevent Complications of Diabetes in Adults with Self-Reported Diabetes - United States, 2017-2018

Thu, 12 Nov 2020 14:00:00 EDT

This report describes the proportion of U.S. adults who met goals to prevent complications of self-reported diabetes.

COVID-19 Outbreak in an Amish Community - Ohio, May 2020

Thu, 12 Nov 2020 14:00:00 EDT

This report describes mitigation efforts following a COVID-19 outbreak in an Amish community.

Mental Health-Related Emergency Department Visits Among Children Aged <18 Years During the COVID-19 Pandemic - United States, January 1-September 19, 2020

Thu, 12 Nov 2020 14:00:00 EDT

This report describes the proportion of children's mental health-related emergency department visits among all pediatric emergency department visits.

Risk Assessment and Management of COVID-19 Among Travelers Arriving at Designated U.S. Airports, January 17-September 13, 2020

Thu, 12 Nov 2020 14:00:00 EDT

This report describes passenger entry screenings at airports for travelers entering the United States.

Multiple COVID-19 Outbreaks Linked to a Wedding Reception in Rural Maine - August 7-September 14, 2020

Thu, 12 Nov 2020 14:00:00 EDT

This report describes a COVID-19 outbreak linked to a wedding reception in a rural town in Maine.

Progress Toward Regional Measles Elimination - Worldwide, 2000-2019

Thu, 12 Nov 2020 14:00:00 EDT

This report describes an update on current progress toward global measles elimination.

Routine Vaccination Coverage - Worldwide, 2019

Thu, 12 Nov 2020 14:00:00 EDT

This report describes an update on worldwide routine vaccination coverage.

Transmission of SARS-COV-2 Infections in Households - Tennessee and Wisconsin, April-September 2020

Thu, 05 Nov 2020 14:00:00 EDT

This report describes findings from a household study that indicate transmission of SARS-CoV-2 among household members was frequent from either children or adults.

Birth and Infant Outcomes Following Laboratory-Confirmed SARS-CoV-2 Infection in Pregnancy - SET-NET, 16 Jurisdictions, March 29-October 14, 2020

Thu, 05 Nov 2020 14:00:00 EDT

This report describes pregnancy and infant outcomes among approximately 5,252 women with laboratory-confirmed SARS-CoV-2 infection reported during March 29-October 14, 2020.

Update: Characteristics of Symptomatic Women of Reproductive Age with Laboratory-Confirmed SARS-CoV-2 Infection by Pregnancy Status - United States, January 22-October 3, 2020

Thu, 05 Nov 2020 14:00:00 EDT

This report provides an analysis of approximately 400,000 women aged 15-44 years with symptomatic COVID-19 during January 22-October 3, 2020.

Sociodemographic and Geographic Variation in Awareness of Stroke Signs and Symptoms Among Adults - United States, 2017

Thu, 05 Nov 2020 14:00:00 EDT

This report describes awareness of stroke signs and symptoms and the need for quick response among adults in the United States.

Computerized Capability of Office-Based Physicians to Identify Patients Who Need Preventive or Follow-up Care - United States, 2017

Thu, 05 Nov 2020 14:00:00 EDT

This report describes how computerized capability, like an electronic health records system, improves physicians' ability to identify patients who need follow-up or preventive care.

Network Characteristics and Visualization of COVID-19 Outbreak in a Large Detention Facility in the United States - Cook County, Illinois, 2020

Thu, 05 Nov 2020 14:00:00 EDT

This report describes analyses of network characteristics of a COVID-19 outbreak in a detention facility.

Telework Before Illness Onset Among Symptomatic Adults Aged ≥18 Years With and Without COVID-19 in 11 Outpatient Health Care Facilities - United States, July 2020

Thu, 05 Nov 2020 14:00:00 EDT

This report describes the impact of telework on risk for SARS-CoV-2 infection.

A SARS-CoV-2 Outbreak Illustrating the Challenges in Limiting the Spread of the Virus - Hopi Tribe, May-June 2020

Thu, 05 Nov 2020 14:00:00 EDT

This report describes challenges in limiting the spread of COVID-19 among members of the Hopi Tribe.

Notes from the Field: Development of an Enhanced Community-Focused COVID-19 Surveillance Program - Hopi Tribe, June‒July 2020

Thu, 05 Nov 2020 14:00:00 EDT

This report describes a surveillance program used for COVID-19 mitigation among the members of the Hopi Tribe in Arizona.

Dietary Supplement Use in Children and Adolescents Aged ≤19 Years - United States, 2017-2018

Thu, 29 Oct 2020 13:00:00 EST

This report describes a survey of dietary supplement use in children and adolescents aged ≤19 years in the United States.

Progress Toward Global Eradication of Dracunculiasis, January 2019-June 2020

Thu, 29 Oct 2020 13:00:00 EST

This report describes global progress towards eradicating dracunculiasis, also known as Guinea worm disease.

COVID-19 in a Correctional Facility Employee Following Multiple Brief Exposures to Persons with COVID-19 - Vermont, July-August 2020

Thu, 29 Oct 2020 13:00:00 EST

This report describes how a correctional facility employee contracted COVID-19 after multiple brief encounters with six incarcerated or detained persons with COVID-19.

Adoption of Strategies to Mitigate Transmission of COVID-19 During a Statewide Primary Election - Delaware, September 2020

Thu, 29 Oct 2020 13:00:00 EST

This report describes survey responses of Delaware's September 15, 2020 primary election poll workers related to implementing CDC guidance and highlighting infection prevention gaps.

COVID-19-Associated Hospitalizations Among Health Care Personnel - COVID-NET, 13 States, March 1-May 31, 2020

Thu, 29 Oct 2020 13:00:00 EST

This report describes an analysis of COVID-19 hospitalization data from 13 sites, which indicated that 6% of adults hospitalized with COVID-19 were health care personnel.

COVID-19 Mitigation Behaviors by Age Group - United States, April-June 2020

Thu, 29 Oct 2020 13:00:00 EST

This report describes the prevalence of COVID-19 mitigation behaviors among adults by age group during April-June 2020.

COVID-19 Outbreak Among a University's Men's and Women's Soccer Teams - Chicago, Illinois, July-August 2020

Thu, 29 Oct 2020 13:00:00 EST

This report describes an investigation of 17 COVID-19 cases among a university's men's and women's soccer team in Chicago, Illinois.

Trends in the Use of Telehealth During the Onset of the COVID-19 Pandemic - United States, January-March 2020

Thu, 29 Oct 2020 13:00:00 EST

This report describes trends in the use of telehealth during the beginning of the COVID-19 pandemic in the United States.

COVID-19 Outbreak at an Overnight Summer School Retreat - Wisconsin, July-August 2020

Thu, 29 Oct 2020 13:00:00 EST

This report describes a COVID-19 outbreak at an overnight high school summer retreat in Wisconsin.

SARS-CoV-2 Exposure and Infection Among Health Care Personnel - Minnesota, March 6-July 11, 2020

Thu, 29 Oct 2020 13:00:00 EST

This report describes an assessment of health care personnel's risk for exposure to COVID-19 in Minnesota.

Vaccination Coverage by Age 24 Months Among Children Born in 2016 and 2017 - National Immunization Survey-Child, United States, 2017-2019

Thu, 22 Oct 2020 13:00:00 EST

This report describes a National Immunization Survey of vaccination coverage among children born in the United States during 2016 and 2017.

Valley Fever (Coccidioidomycosis) Awareness - California, 2016-2017

Thu, 22 Oct 2020 13:00:00 EST

This report describes a survey of the general awareness of Valley fever in California.

Excess Deaths Associated with COVID-19, by Age and Race and Ethnicity - United States, January 26-October 3, 2020

Thu, 22 Oct 2020 13:00:00 EST

This report describes the estimated excess deaths reported in the United States from late January through October 3, 2020, with 66% of these excess deaths attributed to COVID-19.

Race, Ethnicity, and Age Trends in Persons Who Died from COVID-19 - United States, May-August 2020

Thu, 22 Oct 2020 13:00:00 EST

This report describes an analysis of 114,411 COVID-19-associated deaths reported to the National Vital Statistics System during May-August 2020.

Risk for In-Hospital Complications Associated with COVID-19 and Influenza - Veterans Health Administration, United States, October 1, 2018-May 31, 2020

Thu, 22 Oct 2020 13:00:00 EST

The figure explains that, compared with Veterans Health Administration patients hospitalized with flu, hospitalized COVID-19 patients had a higher risk for complications and death.

Mitigating a COVID-19 Outbreak Among Major League Baseball Players - United States, 2020

Thu, 22 Oct 2020 13:00:00 EST

This report describes the Major League Baseball's response to a COVID-19 outbreak among players.

Notes from the Field: Characteristics of E-cigarette, or Vaping, Products Confiscated in Public High Schools in California and North Carolina -March and May 2019

Thu, 22 Oct 2020 13:00:00 EST

This report describes an assessment of e-cigarette, or vaping products used on school grounds in California and North Carolina public high schools during 2019.

Association Between Social Vulnerability and a County's Risk for Becoming a COVID-19 Hotspot - United States, June 1-July 25, 2020

Thu, 22 Oct 2020 13:00:00 EST

This report describes the potential for counties with more social vulnerabilities to become COVID-19 hotspots.

Rapid Adaptation of HIV Treatment Programs in Response to COVID-19 - Namibia, 2020

Thu, 22 Oct 2020 13:00:00 EST

This report describes the rapid adaptation of human immunodeficiency virus treatment programs during the COVID-19 outbreak.

First 100 Persons with COVID-19 - Zambia, March 18-April 28, 2020

Thu, 22 Oct 2020 13:00:00 EST

This report describes an overview of the first 100 cases of COVID-19 in Zambia and the mitigation and response efforts that followed.

Prostate Cancer Incidence and Survival, by Stage and Race/Ethnicity - United States, 2001-2017

Thu, 15 Oct 2020 13:00:00 EST

This report describes incidence of prostate cancer in the United States.

Breast Cancer Survival Among Males by Race, Ethnicity, Age, Geographic Region, and Stage - United States, 2007-2016

Thu, 15 Oct 2020 13:00:00 EST

This report describes the survival rate of males diagnosed with breast cancer.

Demographic Characteristics, Experiences, and Beliefs Associated with Hand Hygiene Among Adults During the COVID-19 Pandemic - United States, June 24-30, 2020

Thu, 15 Oct 2020 13:00:00 EST

This report describes hand hygiene habits among adults in the United States during the COVID-19 pandemic.

An Outbreak of COVID-19 Associated with a Recreational Hockey Game - Florida, June 2020

Thu, 15 Oct 2020 13:00:00 EST

This report describes an outbreak of COVID-19 at a hockey game in Florida.

Transmission Dynamics by Age Group in COVID-19 Hotspot Counties - United States, April-September 2020

Thu, 15 Oct 2020 13:00:00 EST

This report describes an analysis of temporal trends in percent positivity by age group in COVID-19 hotspot counties before and after their identification as hotspots.

Factors Influencing COVID-19 Exposure Risk Among Young Adults - Winnebago County, Wisconsin, March-July 2020

Thu, 15 Oct 2020 13:00:00 EST

This report describes drivers of behaviors that might influence risk for COVID-19 exposure among young adults in Winnebago County, Wisconsin.

Barriers to Antiretroviral Therapy Adherence Among HIV-Positive Hispanic and Latino Men Who Have Sex with Men -United States, 2015-2019

Thu, 08 Oct 2020 13:00:00 EST

This report describes self-reported antiretroviral therapy among HIV-positive Hispanic and Latino men who have sex with men.

Characteristics Associated with Adults Remembering to Wash Hands in Multiple Situations Before and During the COVID-19 Pandemic - United States, October 2019 and June 2020

Thu, 08 Oct 2020 13:00:00 EST

This report describes handwashing behavior among U.S. adults before and during the COVID-19 pandemic.

Case Series of Multisystem Inflammatory Syndrome in Adults Associated with SARS-CoV-2 Infection - United Kingdom and United States, March-August 2020

Thu, 08 Oct 2020 13:00:00 EST

This report describes case reports and case series of multisystem inflammatory syndrome in adults (MIS-A) associated with SARS-CoV-2 infection since June 2020.

Adolescent with COVID-19 as the Source of an Outbreak at a 3-Week Family Gathering - Four States, June-July 2020

Thu, 08 Oct 2020 13:00:00 EST

This report describes an investigation of a COVID-19 outbreak during a 3-week family gathering of five households at which an adolescent aged 13 years was the index patient.

Trends in COVID-19 Incidence After Implementation of Mitigation Measures - Arizona, January 22-August 7, 2020

Thu, 08 Oct 2020 13:00:00 EST

This report describes trends in the number of COVID-19 cases in Arizona after sustained implementation and enforcement of statewide and locally enhanced mitigation measures.

Progress Toward Poliomyelitis Eradication - Afghanistan, January 2019-July 2020

Thu, 08 Oct 2020 13:00:00 EST

This report describes the increase of wild poliovirus circulation in Afghanistan.

Influenza and Tdap Vaccination Coverage Among Pregnant Women --- United States, April 2020

Thu, 01 Oct 2020 16:37:00 EST

This report describes influenza and Tdap vaccination coverage among pregnant women during the 2019-20 influenza season.

Infant Homicides Within the Context of Safe Haven Laws - United States, 2008-2017

Thu, 01 Oct 2020 15:38:00 EST

This report describes the rate of infant homicides in the United States within the context of Safe Haven Laws.

CDC Deployments to State, Tribal, Local, and Territorial Health Departments for COVID-19 Emergency Public Health Response - United States, January 21-July 25, 2020

Thu, 01 Oct 2020 15:37:00 EST

This report describes CDC response to official request for assistance from state, tribal, local, and territorial health departments to support COVID-19 emergency public health response activities.

Notes from the Field: Botulism Type B After Intravenous Methamphetamine Use - New Jersey, 2020

Thu, 01 Oct 2020 15:37:00 EST

This report describes the risk for wound botulism among all persons who inject drugs.

Changing Age Distribution of the COVID-19 Pandemic - United States, May-August 2020

Thu, 01 Oct 2020 15:36:00 EST

This report describes the changing age distribution of the COVID-19 pandemic in the United States with an increase in incidence among younger adults.

Recent Increase in COVID-19 Cases Reported Among Adults Aged 18-22 Years - United States, May 31-September 5, 2020

Thu, 01 Oct 2020 15:35:00 EST

This report describes the national increase in weekly COVID-19 cases among persons aged 18-22 years during August 2-September 5, 2020.

Multiple COVID-19 Clusters on a University Campus - North Carolina, August 2020

Thu, 01 Oct 2020 15:35:00 EST

This report describes the rapid spread of COVID-19 at a North Carolina university despite implementing measures consistent with CDC guidance for institutions of higher education.

COVID-19 Trends Among School-Aged Children - United States, March 1-September 19, 2020

Thu, 01 Oct 2020 15:35:00 EST

This report describes COVID-19 incidence, characteristics, and health outcomes among children and adolescents aged 5-17 years with COVID-19.

Trends in Diagnosis of HIV Infection, Linkage to Medical Care, and Viral Suppression Among Men Who Have Sex with Men, by Race/Ethnicity and Age - 33 Jurisdictions, United States, 2014-2018

Thu, 24 Sep 2020 13:00:00 EST

This report describes how increased linkage to care among men who have sex with men promotes viral suppression, which can prevent human immunodeficiency virus transmission.

Public Awareness of Invasive Fungal Diseases - United States, 2019

Thu, 24 Sep 2020 13:00:00 EST

This report describes how public awareness of fungal diseases can prevent incorrect treatment and improve outcomes.

Characteristics and Maternal and Birth Outcomes of Hospitalized Pregnant Women with Laboratory-Confirmed COVID-19 - COVID-NET, 13 States, March 1-August 22, 2020

Thu, 24 Sep 2020 13:00:00 EST

This report describes clinical characteristics and birth outcomes of hospitalized U.S. pregnant women with COVID-19 during March 1-August 22, 2020.

SARS-CoV-2 Infection Among Hospitalized Pregnant Women: Reasons for Admission and Pregnancy Characteristics - Eight U.S. Health Care Centers, March 1-May 30, 2020

Thu, 24 Sep 2020 13:00:00 EST

This report describes that the prevalence of prepregnancy obesity and gestational diabetes were higher among pregnant women hospitalized for COVID-19-related illness than among those admitted for pregnancy-related treatment or procedures and found to have COVID-19.

COVID-19 Contact Tracing in Two Counties - North Carolina, June-July 2020

Thu, 24 Sep 2020 13:00:00 EST

This report describes the percentage of investigated persons with COVID-19 who reported contacts and the percentage of contacts who were not reached in two counties in North Carolina.

Update: Characteristics of Health Care Personnel with COVID-19 - United States, February 12-July 16, 2020

Thu, 24 Sep 2020 13:00:00 EST

This report describes demographic characteristics, underlying medical conditions, and hospital admissions of health care personnel with COVID-19 during February-July 2020.

Disparities in COVID-19 Incidence, Hospitalizations, and Testing, by Area-Level Deprivation - Utah, March 3-July 9, 2020

Thu, 24 Sep 2020 13:00:00 EST

This report describes disproportionate incidence of COVID-19 infections among Utah residents living in deprived areas.

Rabies in a Dog Imported from Egypt - Kansas, 2019

Thu, 24 Sep 2020 13:00:00 EST

This report describes an instance of canine rabies in a rescue dog imported from Egypt.

Notes from the Field: Travel-Associated Measles in a Person Born Before 1957 - Pinellas County, Florida, 2019

Thu, 24 Sep 2020 13:00:00 EST

This report discusses a patient aged 72 years who contracted measles following a trip to Asia.

Racial and Ethnic Disparities in Fetal Deaths - United States, 2015-2017

Thu, 17 Sep 2020 13:00:00 EST

This report describes that fetal mortality rates in the United States were higher among Black women than among White women in four of the five death categories examined for racial and ethnic disparities.

Cancers Associated with Human Papillomavirus in American Indian and Alaska Native Populations - United States, 2013-2017

Thu, 17 Sep 2020 13:00:00 EST

This report describes incidence of human papillomavirus--associated cancers in American Indian and Alaska Native populations in the United States during 2013-2017.

Serial Testing for SARS-CoV-2 and Virus Whole Genome Sequencing Inform Infection Risk at Two Skilled Nursing Facilities with COVID-19 Outbreaks - Minnesota, April-June 2020

Thu, 17 Sep 2020 13:00:00 EST

This report describes how serial COVID-19 testing and genome sequencing in skilled nursing facilities in Minnesota led to early identification of infections.

Preventing COVID-19 Outbreaks in Long-term Care Facilities Through Preemptive Testing of Residents and Staff Members - Fulton County, Georgia, March-May 2020

Thu, 17 Sep 2020 13:00:00 EST

This report describes an analysis of facility-wide COVID-19 testing at long-term care facilities in Fulton County, Georgia, which found that active testing of staff and residents could help identify cases of COVID-19 early and prevent widespread infection.

Association Between CMS Quality Ratings and COVID-19 Outbreaks in Nursing Homes - West Virginia, March 17-June 11, 2020

Thu, 17 Sep 2020 13:00:00 EST

This report describes an association between Centers for Medicare & Medicaid Services quality ratings and COVID-19 outbreaks in nursing homes in West Virginia.

Decreased Influenza Activity During the COVID-19 Pandemic - United States, Australia, Chile, and South Africa, 2020

Thu, 17 Sep 2020 13:00:00 EST

This report describes the global decline in influenza virus circulation during the COVID-19 pandemic and possible contributing factors.

E-cigarette Use Among Middle and High School Students - United States, 2020

Thu, 17 Sep 2020 13:00:00 EST

This report describes the use of e-cigarettes, including flavored products and disposable products, among youths in the United States.

E-cigarette Unit Sales, by Product and Flavor Type - United States, 2014-2020

Thu, 17 Sep 2020 13:00:00 EST

This report indicates that e-cigarette sales increased during 2014-2020, but there were fluctuations overall and by product and flavor type, which could be due to consumer preferences and accessibility.

Transmission Dynamics of COVID-19 Outbreaks Associated with Child Care Facilities - Salt Lake City, Utah, April-July 2020

Thu, 17 Sep 2020 13:00:00 EST

This report describes transmission of SARS-CoV-2 among household members following exposure of 46 non-child care facility contacts linked to 12 children with COVID-19.

SARS-CoV-2-Associated Deaths Among Persons Aged <21 Years - United States, February 12-July 31, 2020

Thu, 17 Sep 2020 13:00:00 EST

This report describes SARS-CoV-2-associated deaths among persons aged <21 years reported to CDC by July 31, 2020.

Progress Toward Poliovirus Containment Implementation - Worldwide, 2019-2020

Thu, 17 Sep 2020 13:00:00 EST

This report describes the global progress of the World Health Assembly's resolution to eradicate poliovirus.

Frequent Mental Distress Among Adults, by Disability Status, Disability Type, and Selected Characteristics - United States, 2018

Thu, 10 Sep 2020 13:00:00 EST

This report describes a comparison of mental distress among adults with and without disabilities.

Prevalence of Underlying Medical Conditions Among Selected Essential Critical Infrastructure Workers - Behavioral Risk Factor Surveillance System, 31 States, 2017-2018

Thu, 10 Sep 2020 13:00:00 EST

This report describes the prevalence of underlying medical conditions in workers from six essential occupations and seven essential industries.

Delay or Avoidance of Medical Care Because of COVID-19-Related Concerns - United States, June 2020

Thu, 10 Sep 2020 13:00:00 EST

This report describes a disruption of routine and nonemergency care during June, with 41% of adults delaying medical care because of concerns about COVID-19.

Community and Close Contact Exposures Associated with COVID-19 Among Symptomatic Adults ≥18 Years in 11 Outpatient Health Care Facilities - United States, July 2020

Thu, 10 Sep 2020 13:00:00 EST

This report describes close contact and community COVID-19 exposures among adults who visited outpatient health care facilities and received either a positive COVID-19 test result or negative COVID-19 test result.

Infants with Congenital Disorders Identified Through Newborn Screening - United States, 2015-2017

Thu, 10 Sep 2020 13:00:00 EST

This report describes how newborn screenings in the United States during 2015-2017 identified congenital disorders.

Newborn Screening Practices and Alpha-Thalassemia Detection - United States, 2016

Thu, 10 Sep 2020 13:00:00 EST

This report describes a 2016 analysis of newborn screenings in the United States, which found that practices to detect alpha-thalassemia varied state to state.

Hurricane Evacuation Laws in Eight U.S. Coastal States - December 2018

Thu, 10 Sep 2020 13:00:00 EST

This report describes hurricane evacuation laws in eight southern U.S. coastal states and how those laws affect safety of the people living in those regions.

Vital Signs: Characteristics of Drug Overdose Deaths Involving Opioids and Stimulants - 24 States and the District of Columbia, January-June 2019

Thu, 03 Sep 2020 13:00:00 EST

This report describes characteristics of drug overdose deaths that involved opioids and stimulants during 2019 and how changes to prevention, treatment, and response strategies could help prevent overdose deaths.

Timing of State and Territorial COVID-19 Stay-at-Home Orders and Changes in Population Movement - United States, March 1-May 31, 2020

Thu, 03 Sep 2020 13:00:00 EST

This report describes how stay-at-home orders issued to limit the spread of COVID-19 affected population movement in the United States.

Nonfatal Occupational Injuries to Younger Workers - United States, 2012-2018

Thu, 03 Sep 2020 13:00:00 EST

This report describes the increased rates of injury among young workers aged 15-24 years compared with workers aged 25-44 years.

Hydroxychloroquine and Chloroquine Prescribing Patterns by Provider Specialty Following Initial Reports of Potential Benefit for COVID-19 Treatment - United States, January-June 2020

Thu, 03 Sep 2020 13:00:00 EST

This report describes prescribing patterns for hydroxychloroquine and chloroquine based on provider specialty following initial reports of treatment benefits for COVID-19.

Preventing and Mitigating SARS-CoV-2 Transmission - Four Overnight Camps, Maine, June-August 2020

Thu, 03 Sep 2020 13:00:00 EST

This report describes the COVID-19 prevention and mitigation strategy implemented by four Maine overnight camps during the 2020 summer camp season.

Seroprevalence of SARS-CoV-2 Among Frontline Health Care Personnel in a Multistate Hospital Network - 13 Academic Medical Centers, April-June 2020

Thu, 03 Sep 2020 13:00:00 EST

This report describes the prevalence of antibody evidence of previous SARS-CoV-2 infection among frontline United States health care personnel.

Notes from the Field: Phenibut Exposures Reported to Poison Centers - United States, 2009-2019

Thu, 03 Sep 2020 13:00:00 EST

This report describes an increase in phenibut-related exposures reported to poison centers during 2009-2019.

COVID-19 Among American Indian and Alaska Native Persons - 23 States, January 31-July 3, 2020

Thu, 27 Aug 2020 13:00:00 EST

This report describes the cumulative incidence of laboratory-confirmed COVID-19 among American Indian and Alaska Native persons in 23 states.

Nonfatal Drug and Polydrug Overdoses Treated in Emergency Departments - 29 States, 2018-2019

Thu, 27 Aug 2020 13:00:00 EST

This report describes an analysis of suspected nonfatal drug overdoses treated in emergency departments during 2018-2019 in 29 states.

Support for Transition from Adolescent to Adult Health Care Among Adolescents With and Without Mental, Behavioral, and Developmental Disorders - United States, 2016-2017

Thu, 27 Aug 2020 13:00:00 EST

This report found that only one in six adolescents with mental, behavioral, or developmental disorders received the recommended support from their health care provider to help them transition from pediatric health care to adult health care.

Progress Toward Hepatitis B and Hepatitis C Elimination Using a Catalytic Funding Model - Tashkent, Uzbekistan, December 6, 2019-March 15, 2020

Thu, 27 Aug 2020 13:00:00 EST

This report describes a funding program in Uzbekistan designed to identify and treat cases of hepatitis B virus (HBV) and hepatitis C virus (HCV) infection at a lowered cost with the goal of meeting the World Health Organization's targets to eliminate HBC and HCV infection.

Notes from the Field: CDC Polio Surge Response to Expanding Outbreaks of Type 2 Circulating Vaccine-Derived Poliovirus - Africa and Philippines, September 2019-March 2020

Thu, 27 Aug 2020 13:00:00 EST

This report describes how disruptions in routine immunizations because of the COVID-19 pandemic have elevated the risk for increases in vaccine-preventable diseases such as polio in Africa and the Philippines.

Limited Secondary Transmission of SARS-CoV-2 in Child Care Programs - Rhode Island, June 1-July 31, 2020

Thu, 27 Aug 2020 13:00:00 EST

This report describes investigations of any reported COVID-19 case in a child or adult present at child care programs and mitigation efforts in Rhode Island during June 1-July 31, 2020.

Key Indicators to Systematically Monitor COVID-19 Mitigation and Response- Kentucky, May 19-July 15, 2020

Thu, 27 Aug 2020 13:00:00 EST

This report describes Kentucky's indicator monitoring report that allows systematic assessment of the state's mitigation, response, and reopening efforts.

Notes from the Field: Universal Statewide Laboratory Testing for SARS-CoV-2 in Nursing Homes - West Virginia, April 21-May 8, 2020

Thu, 27 Aug 2020 13:00:00 EST

This report describes how nursing homes in West Virginia used universal COVID-19 testing of residents and staff members to slow the spread of infections and prevent large outbreaks in this population at higher risk.

Notes from the Field: Candida auris and Carbapenemase-Producing Organism Prevalence in a Pediatric Hospital Providing Long-Term Transitional Care - Chicago, Illinois, 2019

Thu, 27 Aug 2020 13:00:00 EST

This report describes the prevalence of the emerging fungal pathogen Candida auris in a Chicago pediatric hospital that provides long-term care.

Trends in Number and Distribution of COVID-19 Hotspot Counties - United States, March 8-July 15, 2020

Thu, 20 Aug 2020 13:00:00 EST

This report describes identification of U.S. counties as COVID-19 hotspots during March 8-July 15, 2020.

Disparities in Incidence of COVID-19 Among Underrepresented Racial/Ethnic Groups in Counties Identified as Hotspots During June 5-18, 2020 - 22 States, February-June 2020

Thu, 20 Aug 2020 13:00:00 EST

This report describes an analysis of data from 79 hotspot counties that showed a disproportionate number of COVID-19 cases among underrepresented racial/ethnic groups during February-June 2020.

Racial and Ethnic Disparities Among COVID-19 Cases in Workplace Outbreaks by Industry Sector - Utah, March 6-June 5, 2020

Thu, 20 Aug 2020 13:00:00 EST

This report describes workplace outbreak-associated COVID-19 cases in 15 industry sectors in Utah during March 6-June 5, 2020.

National, Regional, State, and Selected Local Area Vaccination Coverage Among Adolescents Aged 13-17 Years - United States, 2019

Thu, 20 Aug 2020 13:00:00 EST

This report describes national, regional, state, and local vaccination coverage among adolescents aged 13-17 years in the United States based on data CDC received from the 2019 National Immunization Survey-Teen.

Overdose Education and Naloxone Distribution Within Syringe Service Programs - United States, 2019

Thu, 20 Aug 2020 13:00:00 EST

This report describes overdose education and naloxone distribution programs within syringe service programs in the United States.

Mass Testing for SARS-CoV-2 in 16 Prisons and Jails - Six Jurisdictions, United States, April-May 2020

Thu, 20 Aug 2020 13:00:00 EST

This report describes the results of mass COVID-19 testing among incarcerated persons in prisons and jails in 16 adult correctional and detention facilities in the United States.

Notes from the Field: COVID-19 Prevention Practices in State Prisons - Puerto Rico, 2020

Thu, 20 Aug 2020 13:00:00 EST

This report describes how the Puerto Rico Department of Health implemented protocols for the diagnosis, management, and prevention of COVID-19 in prisons in Puerto Rico.

Characteristics of Marijuana Use During Pregnancy -- Eight States, Pregnancy Risk Assessment Monitoring System, 2017

Thu, 13 Aug 2020 13:00:00 EST

This report describes the percentage of women using marijuana during pregnancy.

Notes from the Field: Emergency Visits for Complications of Injecting Transmucosal Buprenorphine Products - United States, 2016-2018

Thu, 13 Aug 2020 13:00:00 EST

This report describes emergency department visits due to the misuse of buprenorphine, a drug used for treating opioid use disorder.

Notes from the Field: Multidrug-Resistant Tuberculosis Among Workers at Two Food Processing Facilities - Ohio, 2018-2019

Thu, 13 Aug 2020 13:00:00 EST

This report describes an investigation of three cases of multidrug-resistant tuberculosis that occurred at two food processing facilities in Ohio.

Notes from the Field: Seroprevalence Estimates of SARS-CoV-2 Infection in Convenience Sample - Oregon, May 11-June 15, 2020

Thu, 13 Aug 2020 13:00:00 EST

This report describes the seroprevalence of SARS-CoV-2 infection in Oregon.

Top Food Category Contributors to Sodium and Potassium Intake - United States, 2015-2016

Thu, 13 Aug 2020 13:00:00 EST

This report describes the main sources of sodium and potassium in U.S. residents' diets.

Mental Health, Substance Use, and Suicidal Ideation During the COVID-19 Pandemic - United States, June 24-30, 2020

Thu, 13 Aug 2020 13:00:00 EST

This report describes mental health challenges faced by communities during the COVID-19 pandemic.

Facility-Wide Testing for SARS-CoV-2 in Nursing Homes - Seven U.S. Jurisdictions, March-June 2020

Thu, 13 Aug 2020 13:00:00 EST

This report describes health department efforts to target facility-wide testing for SARS-CoV-2 within nursing homes.

Transmission of SARS-CoV-2 Involving Residents Receiving Dialysis in a Nursing Home - Maryland, April 2020

Thu, 13 Aug 2020 13:00:00 EST

This report describes the prevalence of COVID-19 among residents receiving dialysis in a Maryland nursing home.

Hospitalization Rates and Characteristics of Children Aged <18 Years Hospitalized with Laboratory-Confirmed COVID-19 - COVID-NET, 14 States, March 1-July 25, 2020

Thu, 13 Aug 2020 13:00:00 EST

This report describes findings from an analysis of pediatric COVID-19 hospitalization data from 14 states during March-July, 2020.

COVID-19-Associated Multisystem Inflammatory Syndrome in Children - United States, March-July 2020

Thu, 13 Aug 2020 13:00:00 EST

This report describes clinical signs and symptoms of multisystem inflammatory syndrome in children (MIS-C), which has been reported after the onset of COVID-19 in children and adolescents.

Serious Adverse Health Events, Including Death, Associated with Ingesting Alcohol-Based Hand Sanitizers Containing Methanol - Arizona and New Mexico, May-June 2020

Thu, 13 Aug 2020 13:00:00 EST

This report describes 15 cases of methanol poisoning associated with swallowing alcohol-based hand sanitizers that were reported in Arizona and New Mexico in May through June.

SARS-CoV-2 Transmission and Infection Among Attendees of an Overnight Camp - Georgia, June 2020

Thu, 06 Aug 2020 13:00:00 EST

This report describes SARS-CoV-2 spread and infection among attendees of an overnight camp in Georgia resulting in high attack rates among persons in all age groups.

Characteristics and Outcomes of Contacts of COVID-19 Patients Monitored Using an Automated Symptom Monitoring Tool - Maine, May-June 2020

Thu, 06 Aug 2020 13:00:00 EST

This report describes the use of automated symptom monitoring in Maine to promptly identify COVID-19 diagnoses among contacts.

Alcohol Use and Co-Use of Other Substances Among Pregnant Females Aged 12-44 Years - United States, 2015-2018

Thu, 06 Aug 2020 13:00:00 EST

This report describes use of alcohol along with other substances among pregnant females aged 12-44 years.

COVID-19 Outbreak Among Employees at a Meat Processing Facility - South Dakota, March-April 2020

Thu, 06 Aug 2020 13:00:00 EST

This report describes an outbreak of COVID-19 among employees at a meat processing facility in South Dakota.

Notes from the Field: Characteristics of Meat Processing Facility Workers with Confirmed SARS-CoV-2 Infection - Nebraska, April-May 2020

Thu, 06 Aug 2020 13:00:00 EST

This report describes characteristics of workers with confirmed SARS-CoV-2 at a meat processing facility in Nebraska.

Increase in Antiretroviral Therapy Enrollment Among Persons with HIV Infection During the Lusaka HIV Treatment Surge - Lusaka Province, Zambia, January 2018-June 2019

Thu, 06 Aug 2020 13:00:00 EST

This report describes how Zambia's Lusaka Province HIV Treatment Surge increased the number of people receiving antiretroviral therapy as well as the number of people with documented viral load suppression.

Vital Signs: Clinical Characteristics of Patients with Confirmed Acute Flaccid Myelitis, United States, 2018

Thu, 06 Aug 2020 13:00:00 EST

This report describes symptoms, physical findings, test and imaging results, and hospitalization data of patients with confirmed acute flaccid myelitis during 2018.

Deaths and Years of Potential Life Lost From Excessive Alcohol Use --- United States, 2011-2015

Thu, 30 Jul 2020 13:00:00 EST

This report describes the number of deaths and potential years of life lost because of excessive alcohol use in the United States.

Symptom Duration and Risk Factors for Delayed Return to Usual Health Among Outpatients with COVID-19 in a Multistate Health Care Systems Network --- United States, March--June 2020

Thu, 30 Jul 2020 13:00:00 EST

This report describes symptom duration and risk factors for delayed return to usual health among adults who had a positive outpatient test result for SARS-CoV-2 infection.

Notes from the Field: Rebound in Routine Childhood Vaccine Administration Following Decline During the COVID-19 Pandemic --- New York City, March 1--June 27, 2020

Thu, 30 Jul 2020 13:00:00 EST

This report describes a rebound in the number of routine childhood vaccines being administered in New York City after a concerning decline during the COVID-19 pandemic.

Notes from the Field: Public Health Efforts to Mitigate COVID-19 Transmission During the April 7, 2020 Election --- City of Milwaukee, Wisconsin, March 13--May 5, 2020

Thu, 30 Jul 2020 13:00:00 EST

This report describes public health efforts to mitigate COVID-19 transmission during an election in Milwaukee, Wisconsin.

Notes from the Field: Amphetamine Use Among Workers with Severe Hyperthermia --- Eight States, 2010--2019

Thu, 30 Jul 2020 13:00:00 EST

This report describes cases of workers who developed heat-related illnesses after taking amphetamines and working in a hot environment.

Progress Toward Hepatitis B Control --- South-East Asia Region, 2016-2019

Thu, 30 Jul 2020 13:00:00 EST

This report describes progress of countries in the World Health Organization's South-East Asia region toward reaching 90% hepatitis B vaccination coverage.

Identification of Substance-Exposed Newborns and Neonatal Abstinence Syndrome Using ICD-10-CM --- 15 Hospitals, Massachusetts, 2017

Thu, 23 Jul 2020 13:00:00 EST

This report describes how well International Classification of Diseases, Tenth Revision, Clinical Modification codes worked for estimating the prevalence of substance-exposed newborns and neonatal abstinence syndrome in Massachusetts.

Evaluation of Online Risk Assessment To Identify Rabies Exposures Among Health Care Workers --- Utah, 2019

Thu, 23 Jul 2020 13:00:00 EST

This report describes the use of online risk assessment tools to help health care workers identify if they have been exposed to rabies and require postexposure prophylaxis.

Population Point Prevalence of SARS-CoV-2 Infection --- Indiana, April 25-29, 2020

Thu, 23 Jul 2020 13:00:00 EST

This report describes random sample testing of persons aged ≥12 years in Indiana to assess the prevalence of active COVID-19 infection and SARS-CoV-2 antibodies.

Estimated Community Seroprevalence of SARS-CoV-2 Antibodies --- Two Georgia Counties, April 28 --May 3, 2020

Thu, 23 Jul 2020 13:00:00 EST

This report describes the use of serologic tests to detect the presence of SARS-CoV-2 antibodies in two counties in Georgia.

Notes from the Field: Effects of the COVID-19 Response on Tuberculosis Prevention and Control Efforts --- United States, March--April 2020

Thu, 23 Jul 2020 13:00:00 EST

This report describes the importance of continuing to provide resources for tuberculosis testing during the COVID-19 pandemic.

Notes from the Field: Characteristics of Tetrahydrocannabinol-Containing E-cigarette, or Vaping, Products Used by Adults --- Illinois, September--October 2019

Thu, 23 Jul 2020 13:00:00 EST

This report describes an online survey conducted by the Illinois Department of Public Health to increase the amount of data available regarding the prevalence of tetrahydrocannabinol-containing e-cigarette, or vaping, product use.

Estimated County-Level Prevalence of Select Underlying Medical Conditions Associated with Increased Risk of Severe COVID-19 Illness --- United States, 2018

Thu, 23 Jul 2020 13:00:00 EST

This report describes U.S. county-level prevalence estimates of select underlying medical conditions that are associated with higher risk for severe illness from COVID-19.

Factors Associated with Cloth Face Covering Use Among Adults During the COVID-19 Pandemic --- United States, April and May 2020

Thu, 16 Jul 2020 13:33:00 EST

This report describes the rates of cloth face covering use among U.S. adults in April and May 2020.

Absence of Apparent Transmission of SARS-CoV-2 from Two Stylists After Exposure at a Hair Salon with a Universal Face Covering Policy --- Springfield, Missouri, May 2020

Thu, 16 Jul 2020 13:33:00 EST

This report describes absence of SARS-CoV-2 transmission at a hair salon when the stylists and their clients adhered to the community's and company's face-covering policy.

Characteristics of Persons Who Died with COVID-19 --- United States, February 12--May 18, 2020

Thu, 16 Jul 2020 13:33:00 EST

This report describes the race/ethnicity, underlying conditions, and age group of persons from 16 public health jurisdictions who died with coronavirus disease 2019.

Mumps Cases Disproportionately Affecting Persons Living with HIV Infection and Men Who Have Sex with Men --- Chicago, Illinois, 2018

Thu, 16 Jul 2020 13:30:00 EST

This report describes the use of spatiotemporal analysis to identify clusters of people with mumps and target public health response efforts in Chicago.

Symptom Profiles of a Convenience Sample of Patients with COVID-19 --- United States, January--April 2020

Thu, 16 Jul 2020 13:00:00 EST

This report describes the use of COVID-19 symptom profiles to inform clinical case definitions and guidance.

Vital Signs: Prescription Opioid Pain Reliever Use During Pregnancy --- 34 U.S. Jurisdictions, 2019

Thu, 16 Jul 2020 13:00:00 EST

This report describes the importance of health care providers speaking with patients about the benefits and risks of opioid use for chronic pain management and screening pregnant women for potential misuse of opioids.

Update on Immunodeficiency-Associated Vaccine-Derived Polioviruses --- Worldwide, July 2018-December 2019

Thu, 16 Jul 2020 13:00:00 EST

This report describes the need to strengthen surveillance for vaccine-derived polio virus among immunodeficient patients to maintain eradication of all polioviruses.

Update: COVID-19 Among Workers in Meat and Poultry Processing Facilities - United States, April-May 2020

Thu, 09 Jul 2020 13:00:00 EST

This report describes COVID-19 outbreaks in meat and poultry processing facilities reported among 23 states with 87% occurring among racial or ethnic minorities.

Increases in Health-Related Workplace Absenteeism Among Workers in Essential Critical Infrastructure Occupations During the COVID-19 Pandemic --- United States, March--April 2020

Thu, 09 Jul 2020 13:00:00 EST

This report describes the risks and concerns surrounding occupational transmission of SARS-CoV-2.

Provision of Pediatric Immunization Services During the COVID-19 Pandemic: an Assessment of Capacity Among Pediatric Immunization Providers Participating in the Vaccines for Children Program --- United States, May 2020

Thu, 09 Jul 2020 13:00:00 EST

This report describes findings from a May 2020 survey of practices participating in the Vaccines for Children program offering immunization services to pediatric patients.

Race/Ethnicity, Underlying Medical Conditions, Homelessness, and Hospitalization Status of Adult Patients with COVID-19 at an Urban Safety-Net Medical Center --- Boston, Massachusetts, 2020

Thu, 09 Jul 2020 13:00:00 EST

This report describes COVID-19 patients treated during March-May 2020 at an urban safety-net hospital serving predominantly low-income racial/ethnic minority populations.

Trends in Emergency Department Visits for Contact Sports-Related Traumatic Brain Injuries Among Children --- United States, 2001--2018

Thu, 09 Jul 2020 13:00:00 EST

This report describes the rate of emergency department visits among children due to contact sports-related traumatic brain injuries during 2001-2018.

Trends in Nonfatal Falls and Fall-Related Injuries Among Adults Aged ≥65 Years --- United States, 2012--2018

Thu, 09 Jul 2020 13:00:00 EST

This report describes falls and fall-related injuries among older adults and how health care providers can help reduce their risk of falling.

Initial and Repeated Point Prevalence Surveys to Inform SARS-CoV-2 Infection Prevention in 26 Skilled Nursing Facilities --- Detroit, Michigan, March--May 2020

Thu, 09 Jul 2020 13:00:00 EST

This report describes initial and repeated point prevalence surveys used to detect COVID-19 cases across 26 skilled nursing facilities in Detroit.

Medical Expenditures Attributed to Asthma and Chronic Obstructive Pulmonary Disease Among Workers - United States, 2011-2015

Thu, 02 Jul 2020 13:00:00 EST

This report describes a new study that shows annual medical expenditures in the public administration industry had the highest medical expenditure per person for treatment of both diseases.

Salmonellosis Outbreak Detected by Automated Spatiotemporal Analysis - New York City, May-June 2019

Thu, 02 Jul 2020 13:00:00 EST

This report describes a May 2019 outbreak of foodborne illness in New York City that was detected by using automated spatiotemporal analysis.

Use of Molecular Epidemiology to Inform Response to a Hepatitis A Outbreak - Los Angeles County, California, October 2018-April 2019

Thu, 02 Jul 2020 13:00:00 EST

This report describes molecular testing used during a hepatitis A outbreak in Los Angeles County, California.

Screening for SARS-CoV-2 Infection Within a Psychiatric Hospital and Considerations for Limiting Transmission Within Residential Psychiatric Facilities - Wyoming, 2020

Thu, 02 Jul 2020 13:00:00 EST

This report describes a psychiatric facility's response to prevent SARS-CoV-2 transmission after admitting two patients with COVID-19.

COVID-19 Outbreak Among College Students After a Spring Break Trip to Mexico - Austin, Texas, March 26-April 5, 2020

Thu, 02 Jul 2020 13:00:00 EST

This report describes the transmission of SARS-CoV-2 during and after a college spring break trip and the measures which helped control the outbreak.

Serial Laboratory Testing for SARS-CoV-2 Infection Among Incarcerated and Detained Persons in a Correctional and Detention Facility - Louisiana, April-May 2020

Thu, 02 Jul 2020 13:00:00 EST

This report describes the findings of testing among quarantined contacts of patients with coronavirus disease 2019 in a Louisiana correctional and detention facility.

Characteristics of Adult Outpatients and Inpatients with COVID-19 - 11 Academic Medical Centers, United States, March-May 2020

Thu, 02 Jul 2020 13:00:00 EST

This report describes survey findings of adult inpatients and outpatients who tested positive for SARS-CoV-2 infection.

Exposures Before Issuance of Stay-at-Home Orders Among Persons with Laboratory-Confirmed Coronavirus Disease 2019 - Colorado, March 2020

Thu, 02 Jul 2020 13:00:00 EST

This report describes exposures to SARS-CoV-2 of persons in Colorado before implementation of stay-at-home orders.

Characteristics of Women of Reproductive Age with Laboratory-Confirmed SARS-CoV-2 Infection by Pregnancy Status --- United States, January 20--June 7, 2020

Thu, 25 Jun 2020 13:00:00 EST

Data findings on pregnant and nonpregnant women with laboratory-confirmed SARS-CoV-2 infection and found that pregnant women are more likely admitted to an intensive care unit admission and to receive mechanical ventilation.

HIV Testing Trends at Visits to Physician Offices, Community Health Centers, and Emergency Departments --- United States, 2009--2017

Thu, 25 Jun 2020 13:00:00 EST

This report describes that during 2009--2017, human immunodeficiency virus testing at U.S. physician offices, community health centers, and emergency departments remained low.

Outbreaks Associated with Untreated Recreational Water --- California, Maine, and Minnesota, 2018--2019

Thu, 25 Jun 2020 13:00:00 EST

This report highlights three examples of disease outbreaks linked to untreated recreational water that occurred during 2018--2019.

Progress Toward Polio Eradication --- Worldwide, January 2018--March 2020

Thu, 25 Jun 2020 13:00:00 EST

This report describes efforts to conduct polio immunization and surveillance activities and the impact of coronavirus disease 2019 on these efforts.

Potential Indirect Effects of the COVID-19 Pandemic on Use of Emergency Departments for Acute Life-Threatening Conditions --- United States, January--May 2020

Thu, 25 Jun 2020 13:00:00 EST

This report describes the decline in emergency department visits for heart attack, stroke, and hyperglycemic crisis in the 10 weeks following declaration of the COVID-19 national emergency.

Notes from the Field: E-cigarette, or Vaping, Product Use--Associated Lung Injury Cases During the COVID-19 Response --- California, 2020

Thu, 25 Jun 2020 13:00:00 EST

This report describes eight patients hospitalized with e-cigarette, or vaping, product use--associated lung injury and reported to the California Department of Public Health in April 2020 during the early coronavirus disease 2019 pandemic.

Notes from the Field: Measles Outbreak Associated with International Air Travel --- California, March--April 2017

Thu, 25 Jun 2020 13:00:00 EST

This report describes a 2017 measles outbreak in California associated with international air travel.

Characteristics Associated with Hospitalization Among Patients with COVID-19 in Metropolitan Atlanta, March--April 2020

Thu, 25 Jun 2020 13:00:00 EST

This report describes data findings for hospitalized and nonhospitalized COVID-19 patients from six metropolitan Atlanta, Georgia, hospitals and associated outpatient clinics.

Heat-Related Deaths - United States, 2004-2018

Thu, 18 Jun 2020 13:00:00 EST

This report describes the number and rate of heat-related deaths that occurred in the United States during 2004-2018.

Detection of Ciprofloxacin-Resistant, β-Lactamase-Producing Neisseria meningitidis Serogroup Y Isolates - United States, 2019-2020

Thu, 18 Jun 2020 13:00:00 EST

This report describes a novel, antibiotic-resistant strain of Neisseria meningitidis bacteria that has been detected in the United States.

Outbreak of Severe Hypoglycemia After Ingestion of a Male Enhancement Supplement - Virginia, August-November 2019

Thu, 18 Jun 2020 13:00:00 EST

This report documents that consumers who purchase and use over-the-counter male enhancement supplements could be at risk for life-threatening complications from undeclared prescription ingredients.

Progress Toward Rubella Elimination - Western Pacific Region, 2000-2019

Thu, 18 Jun 2020 13:00:00 EST

This report describes progress in rubella elimination in the Western Pacific Region.

Public Attitudes, Behaviors, and Beliefs Related to COVID-19, Stay-at-Home Orders, Nonessential Business Closures, and Public Health Guidance - United States, New York City, and Los Angeles, May 5-12, 2020

Thu, 18 Jun 2020 13:00:00 EST

This report describes a survey taken during May among adults in the United States that found widespread support for stay-at-home orders and nonessential business closures and a high degree of adherence to COVID-19 mitigation guidelines.

Coronavirus Disease 2019 Case Surveillance - United States, January 22-May 30, 2020

Thu, 18 Jun 2020 13:00:00 EST

This report describes the most common underlying health conditions among COVID-19 cases in the United States as of May 30, 2020.

Trends in Pneumoconiosis Deaths - United States, 1999-2018

Thu, 11 Jun 2020 13:00:00 EST

This report describes the trends in pneumoconiosis-associated deaths and the need for maintaining exposure prevention measures and continued surveillance.

Impact of the COVID-19 Pandemic on Emergency Department Visits - United States, January 1, 2019-May 30, 2020

Thu, 11 Jun 2020 13:00:00 EST

This report describes that emergency department visits have declined 42% during the coronavirus disease 2019 pandemic according to the National Syndromic Surveillance Program.

Knowledge and Practices Regarding Safe Household Cleaning and Disinfection for COVID-19 Prevention - United States, May 2020

Thu, 11 Jun 2020 13:00:00 EST

This report describes gaps in knowledge about safe preparation, use, and storage of cleaners and disinfectants identified by an internet panel survey.

First Reported Cases of SARS-CoV-2 Infection in Companion Animals - New York, March-April 2020

Thu, 11 Jun 2020 13:00:00 EST

This report indicates that two domestic cats are the first reported companion animals with SARS-CoV-2 infection in the United States.

SARS-CoV-2 Infections and Serologic Responses from a Sample of U.S. Navy Service Members - USS Theodore Roosevelt, April 2020

Thu, 11 Jun 2020 13:00:00 EST

This report describes a coronavirus disease 2019 outbreak among young adult U.S. service members aboard an aircraft carrier.

Notes from the Field: Measles Outbreak on an Army Post and a Neighboring Community - El Paso, Texas, July-September 2019

Thu, 11 Jun 2020 13:00:00 EST

This report describes two suspected cases of measles in early July 2019 by the El Paso Department of Public Health and Army Public Health at Fort Bliss.

Notes from the Field: High Prevalence of Fentanyl Detected by the Maryland Emergency Department Drug Surveillance System - Baltimore, Maryland, 2019

Thu, 11 Jun 2020 13:00:00 EST

This report describes a new University of Maryland study that found that after implementing enhanced testing methods, fentanyl topped the list of drugs detected in overdose patients at two Baltimore hospital emergency departments.

COVID-19 Monitoring and Response Among U.S. Air Force Basic Military Trainees - Texas, March-April

Thu, 04 Jun 2020 13:00:00 EST

Employment of nonpharmaceutical interventions helped limit COVID-19 incidence among basic trainees in Texas.

Missed Opportunities for Prevention of Congenital Syphilis - United States, 2018

Thu, 04 Jun 2020 13:00:00 EST

In 2018, half of U.S. syphilis cases in newborns occurred due to gaps in testing and treatment during prenatal care.

Multistate Mumps Outbreak Originating from Asymptomatic Transmission at a Nebraska Wedding - Six States, August-October 2019

Thu, 04 Jun 2020 13:00:00 EST

This report describes a multistate outbreak following contact with an asymptomatic, fully vaccinated index patient who reported extensive social interactions at a wedding.

Mortality Among Persons with Both Asthma and Chronic Obstructive Pulmonary Disease Aged ≥25 Years, by Industry and Occupation - United States, 1999-2016

Thu, 04 Jun 2020 13:00:00 EST

This report describes higher rates of death for persons aged ≥25 years with both asthma and chronic obstructive pulmonary disease in certain industries and occupations.

Evidence for Early Spread of COVID-19 Within the United States, January-February 2020

Thu, 04 Jun 2020 13:00:00 EST

Evidence suggests that limited U.S. community transmission of COVID-19 likely began in late January or early February 2020, after a single importation from China, followed by multiple importations from Europe.

Prevalence of and Changes in Tooth Loss Among Adults Aged ≥50 Years with Selected Chronic Conditions - United States, 1999-2004 and 2011-2016

Thu, 28 May 2020 13:00:00 EST

Having chronic conditions is associated with increased tooth loss. Primary care providers can educate their patients about the importance of good oral health and screen and refer them for needed dental care.

Evaluation of a Program to Improve Linkage to and Retention in Care Among Refugees with Hepatitis B Virus Infection - Three U.S. Cities, 2006-2018

Thu, 28 May 2020 13:00:00 EST

Identification and management of hepatitis B infection in children and adults from countries with a high prevalence of infection, including refugees, is important for protecting their health and preventing transmission to others.

Universal and Serial Laboratory Testing for SARS-CoV-2 at a Long-Term Care Skilled Nursing Facility for Veterans - Los Angeles, California, 2020

Thu, 28 May 2020 13:00:00 EST

This report describes how universal, serial reverse transcription-polymerase chain reaction testing of residents in a long-term care skilled nursing facility in Los Angeles, California, helped interrupt transmission of coronavirus disease 2019 in the facility

Notes from the Field: Impact of a Mass Drug Administration Campaign Using a Novel Three-Drug Regimen on Lymphatic Filariasis Antigenemia - American Samoa, 2019

Thu, 28 May 2020 13:00:00 EST

Progress has been made toward lymphatic filariasis elimination in American Samoa, but success will depend on continuing recommended control activities in the territory, including mass drug administration.

Outbreak of Norovirus Illness Among Wildfire Evacuation Shelter Populations - Butte and Glenn Counties, California, November 2018

Thu, 21 May 2020 13:00:00 EST

This report describes norovirus outbreaks in eight out of nine emergency shelters that housed people fleeing from California's Camp Fire in 2018.

Update on Extensively Drug-Resistant Salmonella Serotype Typhi Infections Among Travelers to or from Pakistan and Report of Ceftriaxone-Resistant Salmonella Serotype Typhi Infections Among Travelers to Iraq - United States, 2018-2019

Thu, 21 May 2020 13:00:00 EST

New findings from CDC's enhanced surveillance system show that ceftriaxone-resistant Salmonella Typhi, the bacteria that causes typhoid fever, is a growing public health threat in Pakistan and Iraq.

Surveillance to Track Progress Toward Polio Eradication - Worldwide, 2018-2019

Thu, 21 May 2020 13:00:00 EST

This report describes 2018-2019 poliovirus surveillance data, focusing on 40 outbreak and high-risk priority countries.

Decline in Child Vaccination Coverage During the COVID-19 Pandemic - Michigan Care Improvement Registry, May 2016-May 2020

Thu, 21 May 2020 13:00:00 EST

This report describes data analyzed from the Michigan Care Improvement Registry to assess changes in vaccine doses administered to children and the effects of those changes on up-to-date status for vaccinations recommended at milestone ages.

High COVID-19 Attack Rate Among Attendees at Events at a Church - Arkansas, March 2020

Thu, 21 May 2020 13:00:00 EST

This report describes the high COVID-19 attack rate among 92 attendees at a rural Arkansas church during March 6-11.

Notes from the Field: Assessing the Role of Food Handlers in Hepatitis A Virus Transmission - Multiple States, 2016-2019

Thu, 21 May 2020 13:00:00 EST

This report describes hepatitis A outbreak cases reported from 26 states as of September 13, 2019.

High Prevalence of Hepatitis C Infection Among Adult Patients at Four Urban Emergency Departments - Birmingham, Oakland, Baltimore, and Boston, 2015-2017

Thu, 14 May 2020 13:00:00 EST

This report describes a new study that found universal hepatitis C testing in emergency departments identified a greater number of previously unrecognized infections, especially in persons born after 1965.

COVID-19 in Correctional and Detention Facilities - United States, February-April 2020

Thu, 14 May 2020 13:00:00 EST

: This report describes confirmed coronavirus disease 2019 cases among incarcerated or detained persons or staff members across 420 correctional and detention facilities in the United States.

Survival and HIV-Free Survival Among Children Aged ≤3 Years - Eight Sub-Saharan African Countries, 2015-2017

Thu, 14 May 2020 13:00:00 EST

Providing antiretroviral treatment to women living with human immunodeficiency virus (HIV) infection before, during, and after pregnancy is critical for preventing mother-to-child transmission of HIV and improving child survival.

Vital Signs: Postpartum Depressive Symptoms and Provider Discussions About Perinatal Depression - United States, 2018

Thu, 14 May 2020 13:00:00 EST

Not all women who see a health care provider during or after pregnancy are asked about depression, which means opportunities to identify and treat women with depression might be missed.

Effects of the COVID-19 Pandemic on Routine Pediatric Vaccine Ordering and Administration - United States, 2020

Thu, 14 May 2020 13:00:00 EST

This report describes the impact of the pandemic on pediatric vaccination in the United States by examining two data sources: Vaccines for Children Program and Vaccine Safety Datalink.

Public Health Response to COVID-19 Cases in Correctional and Detention Facilities - Louisiana, March-April 2020

Thu, 14 May 2020 13:00:00 EST

This report describes coronavirus disease 2019 (COVID-19) cases among incarcerated or detained persons in facilities in Louisiana and the COVID-19 Management Assessment and Response tool used to identify awareness and understanding of guidance.

Identification and Monitoring of International Travelers During the Initial Phase of an Outbreak of COVID-19 - California, February 3-March 17, 2020

Thu, 14 May 2020 13:00:00 EST

This report describes efforts by the California Department of Public Health in screening travelers at airports and subsequent monitoring to prevent introduction of COVID-19 to California communities.

Preliminary Estimate of Excess Mortality During the COVID-19 Outbreak - New York City, March 11-May 2, 2020

Thu, 14 May 2020 13:00:00 EST

This report provides an estimate of excess deaths in New York City during the coronavirus disease 2019 pandemic.

High SARS-CoV-2 Attack Rate Following Exposure at a Choir Practice - Skagit County, Washington, March 2020

Thu, 14 May 2020 13:00:00 EST

This report describes the high attack rate of SARS-CoV-2 following a choir practice attended by 61 persons in Skagit County, Washington.

Prevalence of Self-Reported Hypertension and Antihypertensive Medication Use by County and Rural-Urban Classification - United States, 20170

Thu, 07 May 2020 13:00:00 EST

This report indicates that hypertension is highest in rural areas (40%), compared with the most urban areas (29%).

Improving Detection and Response to Respiratory Events - Kenya, 2016-2019

Thu, 07 May 2020 13:00:00 EST

Piloted in Kenya, the Detection and Response to Respiratory Events (DaRRE) strategy could serve as a model for other countries in the region to build capacity for prevention, detection, and response to respiratory disease outbreaks.

Characteristics and Clinical Outcomes of Adult Patients Hospitalized with COVID-19 - Georgia, March 2020

Thu, 07 May 2020 13:00:00 EST

This report characterizes a cohort of hospitalized adults with coronavirus disease 2019 (COVID-19) in Georgia in which black patients were overrepresented and one in four hospitalized patients had no recognized risk factors for severe COVID-19.

Public Health Response to the Initiation and Spread of Pandemic COVID-19 in the United States, February 24-April 21, 2020

Thu, 07 May 2020 13:00:00 EST

This report describes various factors that contributed to accelerated spread of coronavirus disease 2019 during February-April 2020.

COVID-19 Among Workers in Meat and Poultry Processing Facilities - 19 States, April 2020

Thu, 07 May 2020 13:00:00 EST

This report indicates that coronavirus disease 2019 cases among workers in 115 meat or poultry processing facilities were reported by 19 states.

Notes from the Field: Large Measles Outbreak in Orthodox Jewish Communities - Jerusalem District, Israel, 2018-2019

Thu, 07 May 2020 13:00:00 EST

Global measles elimination is hindered by recurrent outbreaks, emerging characteristically in undervaccinated populations.

Preliminary Incidence and Trends of Infections with Pathogens Transmitted Commonly Through Food - Foodborne Diseases Active Surveillance Network, 10 U.S. Sites, 2016-2019

Thu, 30 Apr 2020 13:00:00 EST

This report indicates that incidence of infections caused by Listeria, Salmonella, and Shigella remained unchanged, and those caused by all other pathogens reported to the Foodborne Diseases Active Surveillance Network increased during 2019.

Progress Toward Maternal and Neonatal Tetanus Elimination - Worldwide, 2000-2018

Thu, 30 Apr 2020 13:00:00 EST

This report indicates that during 2000-2018, 45 countries achieved maternal and neonatal tetanus elimination, reported neonatal tetanus cases decreased 90%, and estimated deaths declined 85%.

Notes from the Field: Cholera Outbreak - Zimbabwe, September 2018-March 2019

Thu, 30 Apr 2020 13:00:00 EST

A 2018 cholera outbreak in Zimbabwe underscored the importance of community-wide water, sanitation, and hygiene interventions, as well as vaccination and outbreak detection in reducing cholera's impact.

COVID-19 Outbreak Among Three Affiliated Homeless Service Sites - King County, Washington, 2020

Thu, 30 Apr 2020 13:00:00 EST

This report describes a coronavirus disease 2019 outbreak detected at three affiliated homeless shelters in Seattle, Washington.

Community Transmission of SARS-CoV-2 at Two Family Gatherings - Chicago, Illinois, February-March 2020

Tue, 28 Apr 2020 11:06:00 EST

Investigation of COVID-19 cases in Chicago identified a cluster of 16 confirmed or probable cases, including three deaths, likely resulting from one introduction.

Cleaning and Disinfectant Chemical Exposures and Temporal Associations with COVID-19 - National Poison Data System, United States, January 1, 2020-March 31, 2020

Tue, 28 Apr 2020 08:13:00 EST

Exposures to cleaners and disinfectants reported to the National Poison Data System, a surveillance system of poison center calls, increased substantially beginning in March 2020.

Assessment of SARS-CoV-2 Infection Prevalence in Homeless Shelters - Four U.S. Cities, March 27-April 15, 2020

Tue, 28 Apr 2020 08:13:00 EST

This report describes an investigation of coronavirus disease 2019 in residents and staff members from homeless shelters in four U.S. cities.

Update on Vaccine-Derived Poliovirus Outbreaks - Worldwide, July 2019-February 20202016

Thu, 23 Apr 2020 13:00:00 EST

Circulating vaccine-derived polioviruses can emerge in settings with low poliovirus immunity and can cause paralysis.

Notes from the Field: Outbreak of Human Immunodeficiency Virus Infection Among Persons Who Inject Drugs - Cabell County, West Virginia, 2018-2019

Thu, 23 Apr 2020 13:00:00 EST

A recent human immunodeficiency virus (HIV) outbreak among people who inject drugs in Cabell County, West Virginia, underscores the importance of HIV prevention, diagnosis, and care in communities with high rates of substance use disorder.

Notes from the Field: Multiple Cruise Ship Outbreaks of Norovirus Associated with Frozen Fruits and Berries - United States, 2019

Thu, 23 Apr 2020 13:00:00 EST

This investigation highlights the importance of acute gastroenteritis (AGE) surveillance at sea to identify contaminated foods at sea not yet implicated on land and to prevent transmission of AGE illness through U.S. ports.

Timing of Community Mitigation and Changes in Reported COVID-19 and Community Mobility - Four U.S. Metropolitan Areas, February 26-April 1, 2020

Thu, 16 Apr 2020 13:00:00 EST

During February 26-April 1, 2020, community mobility (a proxy measure for social distancing) in the metropolitan areas of San Francisco, Seattle, New Orleans, and New York City declined, decreasing with each community mitigation policy issued and as case counts increased.

Progress Toward Measles Elimination - Eastern Mediterranean Region, 2013-2019

Thu, 16 Apr 2020 13:00:00 EST

The number of children in the Eastern Mediterranean Region receiving 2 doses of measles vaccine increased during 2013-2018, but vaccination coverage remains below levels (≥95%) that the World Health Organization recommend for measles elimination.

Notes from the Field: Brucella abortus RB51 Infections Associated with Consumption of Raw Milk from Pennsylvania - 2017 and 2018

Thu, 16 Apr 2020 13:00:00 EST

All milk should be pasteurized to prevent infections from harmful bacteria in raw milk.

Trends in Incidence of Cancers of the Oral Cavity and Pharynx - United States 2007-2016

Thu, 16 Apr 2020 13:00:00 EST

From 2007 to 2016, incidence of cancers of the oral cavity and pharynx combined increased. The increase could be driven by increases in human papillomavirus-associated cancers.

Hospitalization Rates and Characteristics of Patients Hospitalized with Laboratory-Confirmed Coronavirus Disease 2019 - COVID-NET, 14 States, March 1-30, 2020

Thu, 16 Apr 2020 13:00:00 EST

The Coronavirus Disease 2019-Associated Hospitalization Surveillance Network (COVID-NET) was implemented to produce robust, weekly, age-stratified COVID-19-associated hospitalization rates.

Geographic Differences in COVID-19 Cases, Deaths, and Incidence - United States, February 12-April 7, 2020

Thu, 16 Apr 2020 13:00:00 EST

This report highlights geographic differences in COVID-19 cases, deaths, incidence, and changing incidence in the United States.

Characteristics of Health Care Personnel with COVID-19 - United States, February 12-April 9, 2020

Thu, 16 Apr 2020 13:00:00 EST

Improving surveillance through routine reporting of occupation and industry not only benefits health care personnel, but all workers during the coronavirus disease 2019 pandemic.

Transmission of COVID-19 to Health Care Personnel During Exposures to a Hospitalized Patient - Solano County, California, February 2020

Thu, 16 Apr 2020 13:00:00 EST

Unprotected, prolonged patient contact, as well as certain exposures, including some aerosol-generating procedures, were associated with SARS-CoV-2 infection among health care personnel.

Presymptomatic Transmission of SARS-CoV-2 - Singapore, January 23-March 16, 2020

Thu, 09 Apr 2020 13:00:00 EST

Investigation of all 243 cases of COVID-19 reported in Singapore during January 23-March 16 identified seven clusters of cases in which presymptomatic transmission is the most likely explanation for the occurrence of secondary cases.

Detection of SARS-CoV-2 Among Residents and Staff Members of an Independent and Assisted Living Community for Older Adults - Seattle, Washington, 2020

Thu, 09 Apr 2020 13:00:00 EST

Following identification of two coronavirus disease 2019 cases in a Seattle independent and assisted living facility, stringent preventive measures were implemented.

Rapid Sentinel Surveillance for COVID-19 - Santa Clara County, California, March 2020

Thu, 09 Apr 2020 13:00:00 EST

On February 27, 2020, Santa Clara County, California, identified its first case of coronavirus disease 2019 (COVID-19) associated with probable community transmission.

Coronavirus Disease 2019 in Children - United States, February 12-April 2, 2020

Thu, 09 Apr 2020 13:00:00 EST

In this preliminary description of pediatric U.S. COVID-19 cases, relatively few children with COVID-19 are hospitalized, and fewer children than adults experience fever, cough, or shortness of breath.

Prevalence of Self-Reported Hypertension and Antihypertensive Medication Use Among Adults - United States, 2017

Thu, 09 Apr 2020 13:00:00 EST

Analysis of 2017 Behavioral Risk Factor Surveillance System data found that approximately one third of U.S. adults reported having hypertension, and an estimated 75% of those reporting having hypertension reported using antihypertensive medication.

Vital Signs: Newly Reported Acute and Chronic Hepatitis C Cases - United States, 2009-2018

Thu, 09 Apr 2020 13:00:00 EST

New report shows hepatitis C is increasing dramatically in the United States, especially among younger adults.

Update to U.S. Medical Eligibility Criteria for Contraceptive Use, 2016: Updated Recommendations for the Use of Contraception Among Women at High Risk for HIV Infection

Thu, 09 Apr 2020 13:00:00 EST

Women at high risk for human immunodeficiency virus are eligible to use all hormonal contraceptive methods and intrauterine devices.

Notes from the Field: Seasonal Human Influenza A(H3N2) and Influenza A(H1N1)pdm09 Reassortant Infection - Idaho, 2019

Thu, 09 Apr 2020 13:00:00 EST

This report describes CDC's first detection of this type of seasonal human influenza A(H3N2) and influenza A(H1N1)pdm09 reassortment.

Nonfatal Drug Overdoses Treated in Emergency Departments - United States, 2016-2017

Thu, 02 Apr 2020 13:00:00 EST

In the United States, rates of nonfatal overdose visits to emergency departments increased from 2016 to 2017 for all drugs (4.3%), all opioids (3.1%), nonheroin opioids (3.6%), heroin (3.6%), and cocaine (32.9%), while rates of overdoses involving benzodiazepines decreased (5.2%).

Asymptomatic and Presymptomatic SARS-CoV-2 Infections in Residents of a Long-Term Care Skilled Nursing Facility - King County, Washington, March 2020

Thu, 02 Apr 2020 13:00:00 EST

Following identification of a case of coronavirus disease 2019 (COVID-19) in a health care worker, 76 of 82 residents of a long-term care skilled nursing facility were tested for SARS-CoV-2; 23 (30.3%) had positive test results, approximately half of whom were asymptomatic or presymptomatic on the day of testing.

Preliminary Estimates of the Prevalence of Selected Underlying Health Conditions Among Patients with Coronavirus Disease 2019 - United States, February 12-March 28, 2020

Thu, 02 Apr 2020 13:00:00 EST

Based on preliminary U.S. data, people with select underlying health conditions (e.g. diabetes, cardiovascular disease, and chronic lung disease) and known risk factors for respiratory infections (e.g. smoking) appear to be at higher risk for severe disease (hospitalizations and admission to intensive care units) from COVID-19 than people without these conditions.

Notes from the Field: First Evidence of Locally Acquired Dengue Since 1944 - Guam, 2019

Thu, 02 Apr 2020 13:00:00 EST

Local transmission of dengue virus on Guam was reported for the first time in 75 years. Transmission was likely driven by Aedes albopictus mosquitoes after the previously known vector, Aedes aegypti, was eradicated by the US military after World War II.

Antiretroviral Therapy and Viral Suppression Among Active Duty Service Members with Incident HIV Infection - United States, January 2012-June 2018

Thu, 02 Apr 2020 13:00:00 EST

The Department of Defense model of human immunodeficiency virus care demonstrates that the goals of high antiretroviral therapy uptake and viral suppression can be achieved and maintained in a large health care system.

Lifetime Prevalence of Self-Reported Work-Related Health Problems Among U.S. Workers - United States, 2018

Thu, 02 Apr 2020 13:00:00 EST

Work-related health problems affect a large number of the workers in the United States.

Severe Outcomes Among Patients with Coronavirus Disease 2019 (COVID-19) --- United States, February 12--March 16, 2020

Fri, 27 Mar 2020 21:35:00 EST

: Coronavirus disease 2019 (COVID-19) can result in severe disease, including hospitalization, admission to an intensive care unit, and death, especially among older adults. Everyone can take actions, such as social distancing, to help slow the spread of COVID-19 and protect older adults from severe illness.

Notes from the Field: Ongoing Cluster of Highly Related Disseminated Gonococcal Infections --- Southwest Michigan, 2019

Thu, 26 Mar 2020 15:20:00 EST

Gonorrhea is a sexually transmitted infection that rarely can spread to other parts of the body and cause serious complications. In addition to prevention, early diagnosis and treatment might prevent severe disease and complications.

Notes from the Field: Nationwide Hepatitis E Outbreak Concentrated in Informal Settlements --- Namibia, 2017-2020

Thu, 26 Mar 2020 15:20:00 EST

This hepatitis E outbreak has developed into Namibia's first reported nationwide outbreak and is a protracted event occurring mainly in informal settlements with poor water, sanitation, and hygiene conditions.

Public Health Responses to COVID-19 Outbreaks on Cruise Ships --- Worldwide, February--March 2020

Thu, 26 Mar 2020 15:10:00 EST

Approximately 800 cases of laboratory-confirmed coronavirus disease 2019 cases occurred during outbreaks on three cruise ship voyages, and cases linked to several additional cruises have been reported across the United States.

Tuberculosis Preventive Treatment Scale-Up Among Antiretroviral Therapy Patients --- 16 Countries Supported by the U.S. President's Emergency Plan for AIDS Relief, 2017--2019

Thu, 26 Mar 2020 15:00:00 EST

Tuberculosis preventive treatment (TPT) decreases morbidity and mortality among persons living with human immunodeficiency virus infection but remains underutilized. The U.S. President's Emergency Plan for AIDS Relief has committed to providing TPT to all eligible persons receiving antiretroviral therapy by 2021.

Genotyping and Subtyping Cryptosporidium To Identify Risk Factors and Transmission Patterns --- Nebraska, 2015--2017

Thu, 26 Mar 2020 15:00:00 EST

Molecular typing of Cryptosporidium in Nebraska during 2015-2017 found that C. parvum cases were associated with animal exposures in rural settings, whereas C. hominis cases were more likely to occur in urban areas.

COVID-19 in a Long-Term Care Facility --- King County, Washington, February 27--March 9, 2020

Thu, 26 Mar 2020 15:00:00 EST

This report describes outbreaks of coronavirus disease 2019 in long-term care facilities that can spread rapidly and have significant impact on older adults with chronic underlying medical conditions.

Nonfatal Violent Workplace Crime Characteristics and Rates by Occupation --- United States, 2007--2015

Thu, 26 Mar 2020 14:33:00 EST

Approximately eight nonfatal violent workplace crimes were reported per 1,000 U.S. workers during 2007-2015; 58% of crimes were not reported to police. Highest rates of crime were among protective services, community and social services, and health care occupations.

Patterns and Characteristics of Methamphetamine Use Among Adults --- United States, 2015--2018

Thu, 26 Mar 2020 14:28:00 EST

Methamphetamine is a highly addictive central nervous system stimulant. In recent years, methamphetamine availability and methamphetamine-related harms have been increasing in the United States.

World TB Day --- March 24, 2020

Thu, 19 Mar 2020 13:00:00 EST

World TB Day is observed each year on March 24, providing an opportunity to increase awareness about tuberculosis (TB) and the actions needed to find, treat, and prevent this devastating disease.

Tuberculosis --- United States, 2019

Thu, 19 Mar 2020 13:00:00 EST

Progress towards eliminating tuberculosis (TB) in the United States has slowed, underscoring the need to ramp up TB prevention efforts.

Drug and Opioid-Involved Overdose Deaths --- United States, 2017--2018

Thu, 19 Mar 2020 13:00:00 EST

From 2017 to 2018, U.S. overdose death rates involving synthetic opioids (excluding methadone) increased by 10%, death rates involving heroin decreased by 4%, and prescription opioid-involved overdose death rates decreased by 13.5%.

Variation in Adult Outpatient Opioid Prescription Dispensing by Age and Sex --- United States, 2008-2018

Thu, 19 Mar 2020 13:00:00 EST

Efforts to improve opioid prescribing need to consider the unique needs of women and older adults while using multimodal approaches to pain management.

Delayed Identification of Infants Who Are Deaf or Hard of Hearing --- Minnesota, 2012-2016

Thu, 19 Mar 2020 13:00:00 EST

Using the findings from this report to develop public health initiatives that target certain populations could improve timely identification, reduce the risk for language delay, and enhance outcomes in children who are deaf or hard of hearing.

Evaluation of the Effectiveness of Surveillance and Containment Measures for the First 100 Patients with COVID-19 in Singapore --- January 2--February 29, 2020

Thu, 19 Mar 2020 13:00:00 EST

First detected in China in late 2019, coronavirus disease 2019 (COVID-19) transmission has spread globally. Singapore implemented a multipronged surveillance and containment strategy that contributed to enhanced case ascertainment and slowing of the outbreak.

Initial Investigation of Transmission of COVID-19 Among Crew Members During Quarantine of a Cruise Ship --- Yokohama, Japan, February 2020

Thu, 19 Mar 2020 13:00:00 EST

This report describes findings from the initial phase of an investigation into COVID-19 cases among cruise ship crew members quarantined at the Port of Yokohama, Japan, during February 4-12, 2020.

Global Epidemiology of Tuberculosis and Progress Toward Meeting Global Targets --- Worldwide, 2018

Thu, 19 Mar 2020 09:44:00 EST

Worldwide, tuberculosis (TB) is the leading cause of death from a single infectious disease and is especially deadly for persons living with human immunodeficiency virus (HIV) infection. Although recent trends point to modest progress towards global TB targets, more focus and commitment is needed to find, cure, and prevent TB.

Vital Signs: Colorectal Cancer Screening Test Use --- United States, 2018

Thu, 12 Mar 2020 13:00:00 EST

Of cancers that affect both men and women, colorectal cancer (CRC) is the second leading cause of cancer death in the United States. This report describes current CRC screening prevalence by age, various demographic factors, and state.

Investigation of Presumptive HIV Transmission Associated with Hospitalization Using Nucleotide Sequence Analysis --- New York, 2017

Thu, 12 Mar 2020 13:00:00 EST

Health care associated transmission of human immunodeficiency virus (HIV) is rare in the United States; however, investigations of acute HIV infection in persons with recent health care exposure and no traditional risk factors should consider whether health care-associated transmission likely occurred.

Screening for Alcohol Use and Brief Counseling of Adults --- 13 States and the District of Columbia, 2017

Thu, 12 Mar 2020 13:00:00 EST

Screening all adults for excessive alcohol use, including binge drinking, using validated tools can help health care providers advise adults who drink too much. Advice should include the impact of excessive alcohol use on the patient's health and helping interested patients to take steps to reduce their drinking.

Notes from the Field: Opioid-Involved Overdose Deaths with Fentanyl or Fentanyl Analogs Detected --- 28 States and the District of Columbia, July 2016--December 2018

Thu, 12 Mar 2020 13:00:00 EST

The declines in overdose deaths with fentanyl analogs (carfentanil, furanylfentanyl, acrylfentanyl, and cyclopropylfentanyl) detected contributed to declines in opioid-involved overdose deaths during 2018 among a subset of states, even as deaths with fentanyl detected increased over time, which highlights the continued need to test for fentanyl analogs.

Notes from the Field: Carbapenemase-Producing Klebsiella pneumoniae in a Ventilator-Capable Skilled Nursing Facility --- Maricopa County, Arizona, July--November 2018

Thu, 12 Mar 2020 13:00:00 EST

Maricopa County Department of Public Health in Arizona investigated a cluster of two genetically similar antibiotic-resistant bacterial infections in residents of the ventilator-capable unit of a skilled nursing facility to look for health care-associated bacterial spread.

Brain Injury Awareness Month --- March 2020

Thu, 05 Mar 2020 14:00:00 EDT

Brain Injury Awareness Month, recognized each March, provides an important opportunity to bring attention to the prevention of traumatic brain injury (TBI) and to promote strategies to improve the quality of life for persons living with TBI and their families.

Deaths from Fall-Related Traumatic Brain Injury --- United States, 2008-2017

Thu, 05 Mar 2020 14:00:00 EDT

Nationally, there was a 17% increase in age-adjusted rate of traumatic brain injury-related deaths due to falls, highlighting the importance of preventing falls, especially among older adults.

Student-Reported School Safety Perceptions, Connectedness, and Absenteeism Following a Multiple-Fatality School Shooting --- Broward County, Florida, February 14--21, 2018

Thu, 05 Mar 2020 14:00:00 EDT

The findings of this report reveal detrimental changes to perceived school safety and absenteeism and an increase in school connectedness among students immediately following a shooting in a nearby school.

E-cigarette, or Vaping, Product Use-Associated Lung Injury Among Clusters of Patients Reporting Shared Product Use --- Wisconsin, 2019

Thu, 05 Mar 2020 14:00:00 EDT

This report further confirms that tetrahydrocannabinol cartridges containing vitamin E acetate are strongly linked to e-cigarette, or vaping, product use-associated lung injuries in Wisconsin.

Active Monitoring of Persons Exposed to Patients with Confirmed COVID-19 --- United States, January--February 2020

Thu, 05 Mar 2020 14:00:00 EDT

CDC and public health authorities have learned more about coronavirus disease 2019 (COVID-19) through active contact tracing and monitoring of people who have been exposed to the virus that causes COVID-19.

Intervention To Stop Transmission of Imported Pneumonic Plague --- Uganda, 2019

Thu, 05 Mar 2020 14:00:00 EDT

Rapid identification of a suspected case of pneumonic plague in the remote West Nile region of Uganda and the timely response by well-trained Ugandan health officials in the form of contact tracing, antibiotic prophylaxis, and community education prevented any additional cases of plague from occurring.

Notes from the Field: Monkey Bite in a Public Park and Possible Exposure to Herpes B Virus --- Thailand, 2018

Thu, 05 Mar 2020 14:00:00 EDT

Macaques in public settings, such as parks, often carry herpes B virus, and persons visiting areas with free-ranging macaques should avoid close contact with these animals.

Screening for Lung Cancer - 10 States, 2017

Thu, 27 Feb 2020 14:00:00 EDT

Lung cancer is the leading cause of cancer death in the United States; 148,869 lung cancer-associated deaths occurred in 2016 (1). Mortality might be reduced by identifying lung cancer at an early stage when treatment can be more effective (2).

Notes from the Field: Syndromic Surveillance Used To Monitor Emergency Department Visits During a Synthetic Cannabinoid Overdose Outbreak - Connecticut, August 2018

Thu, 27 Feb 2020 14:00:00 EDT

On the morning of August 15, 2018, the Connecticut Department of Public Health (CTDPH) learned from media reports about multiple persons found unresponsive in a city park in New Haven County after using synthetic cannabinoids (SCs), manmade psychoactive substances that can cause unpredictable and sometimes severe health effects

Fatal Case of Legionnaires' Disease After Home Exposure to Legionella pneumophila Serogroup 3 - Wisconsin, 2018

Thu, 27 Feb 2020 14:00:00 EDT

In January 2018, the Wisconsin Department of Health Services, Division of Public Health (DPH), received a report of a culture-confirmed case of Legionnaires' disease.

Expansion of HIV Preexposure Prophylaxis to 35 PEPFAR-Supported Early Program Adopters, October 2016-September 2018

Thu, 27 Feb 2020 14:00:00 EDT

The U.S. President's Emergency Plan for AIDS Relief (PEPFAR), the largest bilateral funder of human immunodeficiency virus (HIV) prevention and control programs worldwide, currently supports implementation of preexposure prophylaxis (PrEP) to reduce HIV incidence among persons at substantial risk for infection, including female sex workers, men who have sex with men (MSM), and transgender women (hereafter referred to as key populations).

Update: Public Health Response to the Coronavirus Disease 2019 Outbreak - United States, February 24, 2020

Thu, 27 Feb 2020 14:00:00 EDT

An outbreak of coronavirus disease 2019 (COVID-19) caused by the 2019 novel coronavirus (SARS-CoV-2) began in Wuhan, Hubei Province, China in December 2019, and has spread throughout China and to 31 other countries and territories, including the United States (1).

Interim Estimates of 2019--20 Seasonal Influenza Vaccine Effectiveness --- United States, February 2020

Thu, 20 Feb 2020 14:00:00 EDT

During the 2019-20 influenza season, influenza-like illness (ILI)* activity first exceeded the national baseline during the week ending November 9, 2019, signaling the earliest start to the influenza season since the 2009 influenza A(H1N1) pandemic.

Characteristics and Health Status of Informal Unpaid Caregivers --- 44 States, District of Columbia, and Puerto Rico, 2015--2017

Thu, 20 Feb 2020 14:00:00 EDT

In 2015, an estimated 17.7 million U.S. persons were informal caregivers who provided substantial services through in-home, unpaid assistance to their family members and friends (1).

State and Territorial Laws Prohibiting Sales of Tobacco Products to Persons Aged <21 Years --- United States, December 20, 2019

Thu, 20 Feb 2020 14:00:00 EDT

Raising the minimum legal sales age (MLSA) for tobacco products to 21 years (T21) is a strategy to help prevent and delay the initiation of tobacco product use (1).

Autochthonous Chagas Disease --- Missouri, 2018

Thu, 20 Feb 2020 14:00:00 EDT

On December 13, 2017, the Missouri Department of Health and Senior Services (MDHSS) was notified of a suspected case of Chagas disease in a Missouri woman.

Notes from the Field: Characteristics of Million Hearts Hypertension Control Champions, 2012--2019

Thu, 20 Feb 2020 14:00:00 EDT

Million Hearts is a national initiative co-led by CDC and the Centers for Medicare & Medicaid Services that aims to prevent 1 million heart attacks, strokes, and other related acute cardiovascular events by 2022 (1,2).

Travel-Associated and Locally Acquired Dengue Cases --- United States, 2010-2017

Thu, 13 Feb 2020 14:00:00 EDT

Dengue is a potentially fatal acute febrile illness caused by any of four mosquito-transmitted dengue viruses (DENV-1 to DENV-4) belonging to the family Flaviviridae and endemic throughout the tropics.

State Medicaid Coverage for Tobacco Cessation Treatments and Barriers to Accessing Treatments --- United States, 2008--2018

Thu, 13 Feb 2020 14:00:00 EDT

The prevalence of current cigarette smoking is approximately twice as high among adults enrolled in Medicaid (23.9%) as among privately insured adults (10.5%), placing Medicaid enrollees at increased risk for smoking-related disease and death (1).

Trends in Incidence of Type 1 and Type 2 Diabetes Among Youths --- Selected Counties and Indian Reservations, United States, 2002--2015

Thu, 13 Feb 2020 14:00:00 EDT

Diabetes is one of the most common chronic diseases among persons aged <20 years (1).

Persons Evaluated for 2019 Novel Coronavirus --- United States, January 2020

Thu, 13 Feb 2020 14:00:00 EDT

In December 2019, a cluster of cases of pneumonia emerged in Wuhan City in central China's Hubei Province. Genetic sequencing of isolates obtained from patients with pneumonia identified a novel coronavirus (2019-nCoV) as the etiology (1).

Notes from the Field: Carbapenem-resistant Klebsiella pneumoniae with mcr-1 Gene Identified in a Hospitalized Patient --- Wyoming, January 2019

Thu, 13 Feb 2020 14:00:00 EDT

In mid-December 2018, an adult with a history of recurrent urinary tract infections was admitted to a Wyoming hospital with acute confusion.

RECOMMENDATIONS AND REPORTS: Guidelines for the Treatment of Latent Tuberculosis Infection: Recommendations from the

Thu, 13 Feb 2020 14:00:00 EDT

One fourth of the global population (approximately 2 billion persons) is estimated to be infected with Mycobacterium tuberculosis (1),

Human Rabies --- Utah, 2018

Thu, 06 Feb 2020 14:00:00 EDT

On November 3, 2018, the Utah Department of Health (UDOH) was notified of a suspected human rabies case in a man aged 55 years.

Carfentanil Outbreak --- Florida, 2016-2017

Thu, 06 Feb 2020 14:00:00 EDT

Increased prevalence of illicitly manufactured fentanyl and fentanyl analogs has contributed substantially to overdose deaths in the United States (1-3).

Advisory Committee on Immunization Practices Recommended Immunization Schedule for Children and Adolescents Aged 18 Years or Younger --- United States, 2020

Thu, 06 Feb 2020 14:00:00 EDT

At its October 2019 meeting, the Advisory Committee on Immunization Practices (ACIP)* approved the 2020 Recommended Child and Adolescent Immunization Schedule for Ages 18 Years or Younger.

Advisory Committee on Immunization Practices Recommended Immunization Schedule for Adults Aged 19 Years or Older --- United States, 2020

Thu, 06 Feb 2020 14:00:00 EDT

t its October 2019 meeting, the Advisory Committee on Immunization Practices (ACIP)* voted to recommend approval of the 2020 Recommended U.S. Adult Immunization Schedule for Persons Aged 19 Years and Older.

Licensure of a Diphtheria and Tetanus Toxoids and Acellular Pertussis, Inactivated Poliovirus, Haemophilus influenzae Type b Conjugate, and Hepatitis B Vaccine, and Guidance for Use in Infants

Thu, 06 Feb 2020 14:00:00 EDT

On December 21, 2018 the Food and Drug Administration (FDA) licensed a hexavalent combined diphtheria and tetanus toxoids and acellular pertussis (DTaP) adsorbed, inactivated poliovirus (IPV), Haemophilus influenzae type b (Hib) conjugate (meningococcal protein conjugate) and hepatitis B (HepB) (recombinant) vaccine, DTaP-IPV-Hib-HepB (Vaxelis; MCM Vaccine Company),* for use as a 3-dose series in infants at ages 2, 4, and 6 months (1).

Initial Public Health Response and Interim Clinical Guidance for the 2019 Novel Coronavirus Outbreak --- United States, December 31, 2019--February 4, 2020

Thu, 06 Feb 2020 14:00:00 EDT

On December 31, 2019, Chinese health officials reported a cluster of cases of acute respiratory illness in persons associated with the Hunan seafood and animal market in the city of Wuhan, Hubei Province, in central China.

Syndromic Surveillance of Suicidal Ideation and Self-Directed Violence - United States, January 2017-December 2018

Thu, 30 Jan 2020 14:00:00 EDT

Analysis of CDC's National Syndromic Surveillance Program data showed that nationwide, emergency department visit rates related to suicidal ideation, self-directed violence, or both increased 25.5% overall, with an average increase of 1.2% per month, from January 2017 to December 2018.

Notes from the Field: Four Cases of Lyme Disease at an Outdoor Wilderness Camp - North Carolina, 2017 and 2019

Thu, 30 Jan 2020 14:00:00 EDT

The recent discovery of Lyme-infected ticks at the location of an outdoor wilderness program in North Carolina highlights the importance of vectorborne disease prevention.

Anhydrous Ammonia Chemical Release - Lake County, Illinois, April 2019

Thu, 30 Jan 2020 14:00:00 EDT

An accidental residential-area release of anhydrous ammonia gas, used as an agricultural fertilizer, resulted in multiple emergency department evaluations and further hospitalizations, including some for cases of respiratory failure.

HIV Testing Outcomes Among Blacks or African Americans - 50 Local U.S. Jurisdictions Accounting for the Majority of New HIV Diagnoses and Seven States with Disproportionate Occurrences of HIV in Rural Areas, 2017

Thu, 30 Jan 2020 14:00:00 EDT

Locally tailored evidence-based human immunodeficiency virus (HIV) prevention programs, especially those for blacks and African Americans in jurisdictions targeted by the Ending the HIV Epidemic (EHE) initiative, are critical for reducing HIV-related disparities and achieving the goals of EHE.

Suicide Rates by Industry and Occupation - National Violent Death Reporting System, 32 States, 2016

Thu, 23 Jan 2020 14:00:00 EDT

This report from CDC provides suicide rates by industry and occupation for 32 states in 2016 with workers in the Construction and Extraction occupations experiencing the highest suicide rates.

Trends in HIV-2 Diagnoses and Use of the HIV-1/HIV-2 Differentiation Test - United States, 2010-2017

Thu, 23 Jan 2020 14:00:00 EDT

This report says diagnoses of human immunodeficiency virus (HIV)-2 remain low in the United States, and the current HIV testing approach could be updated to streamline efficiencies.

Variation in Tdap and Influenza Vaccination Coverage Among Pregnant Women by Insurance Type - Florida, 2016-2018

Thu, 23 Jan 2020 14:00:00 EDT

Pregnant women need to receive vaccines during pregnancy to keep themselves and their infants safe. Barriers to receiving vaccines, such as lack of insurance coverage, need to be removed so mothers and infants can be protected.

Use of Tetanus Toxoid, Reduced Diphtheria Toxoid, and Acellular Pertussis Vaccines: Updated Recommendations of the Advisory Committee on Immunization Practices - United States, 2019

Thu, 23 Jan 2020 14:00:00 EDT

New Advisory Committee on Immunization Practices recommendations allow more flexibility for use of either tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis (Tdap) or tetanus and diphtheria toxoids (Td) vaccines in three scenarios where only Td had been previously recommended, most notably for tetanus booster doses recommended every 10 years for all adults.

Characteristics of Persons Who Report Using Only Nicotine-Containing Products Among Interviewed Patients with E-cigarette, or Vaping, Product Use-Associated Lung Injury - Illinois, August-December 2019

Thu, 23 Jan 2020 14:00:00 EDT

Vitamin E acetate, which has been detected in tetrahydrocannabinol -containing e-cigarette, or vaping, products, is strongly linked to the e-cigarette, or vaping, product use-associated lung injury outbreak; however, evidence is not sufficient to rule out the contribution of other chemicals of concern, including chemicals in either THC- or non-THC-containing products, in some reported EVALI cases.

Update: Characteristics of a Nationwide Outbreak of E-cigarette, or Vaping, Product Use-Associated Lung Injury - United States, August-January 2020

Thu, 23 Jan 2020 14:00:00 EDT

CDC updates demographic characteristics, self-reported substance use, and hospitalization dates for e-cigarette, or vaping, product use-associated lung injury patients reported to CDC, as well as the distribution of emergency department visits related to e-cigarette, or vaping, products.

Population-Based Surveillance for Birth Defects Potentially Related to Zika Virus Infection - 22 States and Territories, January 2016-June 2017

Thu, 23 Jan 2020 14:00:00 EDT

This report describes that birth defects potentially related to Zika virus infection during pregnancy increased fourfold in Puerto Rico and the U.S. Virgin Islands, areas with widespread local transmission of Zika virus during the study period.

Infant Mortality Attributable to Birth Defects - United States, 2003-2017

Thu, 16 Jan 2020 14:00:00 EDT

During 2003-2017, infant deaths due to birth defects have declined by 10% overall, but significant differences among groups, based on race and ethnicity.

Trends in Total Binge Drinks per Adult Who Reported Binge Drinking - United States, 2011-2017

Thu, 16 Jan 2020 14:00:00 EDT

From 2011 to 2017, the total number of binge drinks consumed by U.S. adults who reported binge drinking increased significantly, from 472 to 529 drinks per year.

HIV Partner Service Delivery Among Transgender Women - United States, 2013-2017

Thu, 16 Jan 2020 14:00:00 EDT

This report describes that human immunodeficiency virus partner services for transgender women must address social and structural barriers unique to this population.

Early Season Pediatric Influenza B/Victoria Virus Infections Associated with a Recently Emerged Virus Subclade - Louisiana, 2019

Thu, 16 Jan 2020 14:00:00 EDT

This report describes CDC's and Louisiana health officials' investigation of the state's early and intense flu activity in the fall of 2019

Update: Product, Substance-Use, and Demographic Characteristics of Hospitalized Patients in a Nationwide Outbreak of E-cigarette, or Vaping, Product Use-Associated Lung Injury - United States, August 2019-January 2020

Thu, 16 Jan 2020 14:00:00 EDT

This report updates demographic characteristics and self-reported sources of tetrahydrocannabinol-containing and nicotine-containing e-cigarette, or vaping, products based on e-cigarette, or vaping, product use-associated lung injury patient data reported to CDC by state health departments.

Notes from the Field: Multistate Outbreak of Eastern Equine Encephalitis Virus - United States, 2019

Thu, 16 Jan 2020 14:00:00 EDT

This summer's record-breaking outbreak of Eastern equine encephalitis highlights the importance of cities and states ability to prepare for and respond to vectorborne disease threats.

Neural Tube Defects in Pregnancies Among Women With Diagnosed HIV Infection - 15 Jurisdictions, 2013-2017

Thu, 09 Jan 2020 14:00:00 EDT

The risk for neural tube defects among pregnancies of women diagnosed with human immunodeficiency virus is similar to that of the general U.S. population.

Candida auris Isolates Resistant to Three Classes of Antifungal Medications - New York, 2019

Thu, 09 Jan 2020 14:00:00 EDT

Although rare, Candida auris resistant to all three classes of commonly used antifungal drugs was identified in three patients in New York. CDC considers C. auris an urgent threat, the highest category of concern.

Population Movement Patterns Among the Democratic Republic of the Congo, Rwanda, and Uganda During an Outbreak of Ebola Virus Disease: Results from Community Engagement in Two Districts - Uganda, March 2019

Thu, 09 Jan 2020 14:00:00 EDT

Trade and business, need for health care, visits to family, refugee support, and insecurity in the Democratic Republic of the Congo (DRC) drive population movement patterns among Rwanda, Uganda, and the provinces in eastern DRC that are experiencing an Ebola virus disease outbreak.

Case Definitions Used During the First 6 Months of the 10th Ebola Virus Disease Outbreak in the Democratic Republic of the Congo - Four Neighboring Countries, August 2018-February 2019

Thu, 09 Jan 2020 14:00:00 EDT

The Democratic Republic of Congo (DRC) is experiencing its 10th Ebola virus disease outbreak in an area with a high volume of cross-border population movement.

State-Specific Prevalence and Characteristics of Frequent Mental Distress and History of Depression Diagnosis Among Adults with Arthritis - United States, 2017

Thu, 02 Jan 2020 14:00:00 EDT

In 2017, frequent mental distress and depression were commonly reported by adults with arthritis in all states, especially in the Appalachian and southern states.

Description of Eschar-Associated Rickettsial Diseases Using Passive Surveillance Data - United States, 2010-2016

Thu, 02 Jan 2020 14:00:00 EDT

Eschars are underutilized clinical signs in rickettsial disease surveillance that can help differentiate less severe rickettsioses from potentially deadly Rocky Mountain spotted fever.

Characteristics of Patients Experiencing Rehospitalization or Death After Hospital Discharge in a Nationwide Outbreak of E-cigarette, or Vaping, Product Use-Associated Lung Injury - United States, 2019

Thu, 02 Jan 2020 14:00:00 EDT

This report provides a nationwide comparison of clinical characteristics of e-cigarette, or vaping, product use-associated lung injury patients who were rehospitalized or died after hospital discharge, among cases reported to CDC as of December 10, 2019.

Update: Interim Guidance for Health Care Professionals Evaluating and Caring for Patients with Suspected E-cigarette, or Vaping, Product Use-Associated Lung Injury and for Reducing the Risk for Rehospitalization and Death Following Hospital Discharge - United States, December 2019

Thu, 02 Jan 2020 14:00:00 EDT

CDC releases updated interim guidance for health care providers evaluating and caring for patients with suspected e-cigarette, or vaping, product use-associated lung injury.

Estimating the Incidence of Influenza at the State Level - Utah, 2016-17 and 2017-18 Influenza Seasons

Thu, 19 Dec 2019 14:00:00 EDT

Timely state- or local-level estimates of the number of persons who are ill and seek medical care due to influenza (flu) contribute to preparedness and communication messages needed during flu season and in the event of a flu pandemic.

Ebola Virus Disease Outbreak - Democratic Republic of the Congo, August 2018-November 2019

Thu, 19 Dec 2019 14:00:00 EDT

This report describes the Ebola virus disease outbreak in the Democratic Republic of the Congo and the successes and challenges faced by response efforts.

Notes from the Field: Methylmercury Toxicity from a Skin Lightening Cream Obtained from Mexico - California, 2019

Thu, 19 Dec 2019 14:00:00 EDT

This report describes a case of methylmercury poisoning in in a Mexican-American woman, aged 47 years, in Sacramento, California.

Notes from the Field: First Reported Case of Shewanella haliotis in the Region of the Americas - New York, December 2018

Thu, 19 Dec 2019 14:00:00 EDT

This report describes the first reported case of Shewanella haliotis in the Region of the Americas.

Driving Under the Influence of Marijuana and Illicit Drugs Among Persons Aged 16 Years - United States, 2018

Thu, 19 Dec 2019 14:00:00 EDT

This report describes the serious public health concern of driving under the influence of drugs and alcohol that kills approximately 30 persons per day.

Nonadherence to Any Prescribed Medication Due to Costs Among Adults with HIV Infection - United States, 2016-2017

Thu, 12 Dec 2019 14:00:00 EDT

This report estimates the proportion of U.S. adults with human immunodeficiency virus who did not adhere to medication due to cost during May 2016-June 2017.

Hospitalizations for Inflammatory Bowel Disease Among Medicare Fee-For-Service Beneficiaries - United States, 1999-2017

Thu, 12 Dec 2019 14:00:00 EDT

From 1999 to 2017, hospitalization rates for inflammatory bowel disease decreased among non-Hispanic white Medicare beneficiaries but not among non-Hispanic black Medicare beneficiaries.

Patient Characteristics and Product Use Behaviors Among Persons with E-cigarette, or Vaping, Product Use-Associated Lung Injury - Indiana, June-October 2019

Thu, 12 Dec 2019 14:00:00 EDT

This report describes the number of United States persons who have been hospitalized with cases of e-cigarette, or vaping, product use-associated lung injury as of December 2019.

Update: Demographic, Product, and Substance-Use Characteristics of Hospitalized Patients in a Nationwide Outbreak of E-cigarette, or Vaping, Product Use-Associated Lung Injuries - United States, December 2019

Thu, 12 Dec 2019 14:00:00 EDT

This report updates demographic and self-reported product-use and substance-use characteristics of hospitalized e-cigarette, or vaping, product use-associated lung injury patients.

Notes from the Field: Hospital Water Contamination Associated with a Pseudo-Outbreak of Mycobacterium porcinum, Wisconsin, 2016-2018

Thu, 12 Dec 2019 14:00:00 EDT

This report describes an investigation into a pseudo-outbreak of Mycobacterium porcinum at a Wisconsin hospital.

Progress Toward Regional Measles Elimination - Worldwide, 2000-2018

Thu, 05 Dec 2019 14:00:00 EDT

This report updates a previous report and describes progress toward World Health Assembly milestones and regional measles elimination during 2000-2018.

Vital Signs: Status of Human Immunodeficiency Virus Testing, Viral Suppression, and HIV Preexposure Prophylaxis - United States, 2013-2018

Thu, 05 Dec 2019 14:00:00 EDT

Accelerated efforts to diagnose, treat, and prevent human immunodeficiency virus (HIV) infection are needed to achieve the U.S. goal of at least 90% reduction in the number of new HIV infections by 2030.

Progress Toward Measles Elimination - China, January 2013-June 2019

Thu, 05 Dec 2019 14:00:00 EDT

This report describes progress toward measles elimination in China during January 2013-June 2019.

World AIDS Day --- December 1, 2019

Wed, 27 Nov 2019 14:05:00 EDT

World AIDS Day is observed annually on December 1.

Status of HIV Case-Based Surveillance Implementation --- 39 U.S. PEPFAR-Supported Countries, May--July 2019

Wed, 27 Nov 2019 14:05:00 EDT

Human immunodeficiency virus (HIV) case-based surveillance continuously and systematically monitors HIV-positive patients throughout their clinical care until death.

Characteristics of E-cigarette, or Vaping, Products Used by Patients with Associated Lung Injury and Products Seized by Law Enforcement --- Minnesota, 2018 and 2019

Wed, 27 Nov 2019 14:05:00 EDT

This report evaluated e-cigarette, or vaping, products used by e-cigarette, or vaping, product use-associated lung injury patients and products intended for the illicit market and seized by law enforcement.

QuickStats: Age-Adjusted Percentage of Adults Who Had Ever Used an E-cigarette, by Race and Ethnicity --- National Health Interview Survey, United States, 2014 and 2018

Wed, 27 Nov 2019 14:05:00 EDT

From 2014 to 2018, the percentage of all U.S. adults aged ≥18 years who had ever used an e-cigarette increased from 13.0% to 15.7% overall.

Multistate Outbreak of Salmonella Infections Linked to Raw Turkey Products --- United States, 2017--2019

Thu, 21 Nov 2019 14:05:00 EDT

During November 2017-March 2019, a multistate outbreak of Salmonella Reading involving 356 cases in 42 states occurred.

Traumatic Brain Injury-Related Deaths by Race/Ethnicity, Sex, Intent, and Mechanism of Injury --- United States, 2000--2017

Thu, 21 Nov 2019 14:05:00 EDT

In this report, CDC analyzed traumatic brain injury-related death data from the National Vital Statistics System over an 18-year period (2000-2017).

State-Specific Prevalence of Obesity Among Children Aged 2-4 Years Enrolled in the Special Supplemental Nutrition Program for Women, Infants, and Children --- United States, 2010--016

Thu, 21 Nov 2019 14:05:00 EDT

In 2010, the overall upward trend in obesity prevalence turned downward among children aged 2-4 years enrolled in WIC, the Special Supplemental Nutrition Program for Women, Infants, and Children.

Guidance for Using Tafenoquine for Prevention and Antirelapse Therapy for Malaria --- United States, 2019

Thu, 21 Nov 2019 14:05:00 EDT

The Food and Drug Administration approved tafenoquine for prophylaxis of malaria and antirelapse therapy.

Use of 13-Valent Pneumococcal Conjugate Vaccine and 23-Valent Pneumococcal Polysaccharide Vaccine Among Adults Aged ≥65 Years: Updated Recommendations of the Advisory Committee on Immunization Practices

Thu, 21 Nov 2019 14:05:00 EDT

Pneumococcal conjugate vaccine use in children has led to sharp declines in pneumococcal disease among adults and children.

Characteristics of Hospitalized and Nonhospitalized Patients in a Nationwide Outbreak of E-cigarette, or Vaping, Product Use-Associated Lung Injury --- United States, November 2019

Thu, 21 Nov 2019 14:05:00 EDT

This report provides updated data on patient demographic characteristics and substances used in e-cigarette, or vaping, products among hospitalized and nonhospitalized patients.

Update: Interim Guidance for Health Care Providers for Managing Patients with Suspected E-cigarette, or Vaping, Product Use-Associated Lung Injury --- United States, November 2019

Thu, 21 Nov 2019 14:05:00 EDT

As rates of influenza increase, providers evaluating patients with respiratory illnesses should ask them about e-cigarette, or vaping, product use.

QuickStats: Percentage of Currently Employed Adults Aged 18-64 Years Who Have Paid Sick Leave, by Poverty Status --- National Health Interview Survey,¶ United States, 2008 and 2018

Thu, 21 Nov 2019 14:05:00 EDT

The percentage of currently employed adults aged 18-64 years who have paid sick leave increased from 57.8% in 2008 to 61.7% in 2018.

Great American Smokeout --- November 21, 2019

Thu, 14 Nov 2019 14:05:00 EDT

The 44th annual Great American Smokeout will occur on November 21, 2019.

Tobacco Product Use and Cessation Indicators Among Adults --- United States, 2018

Thu, 14 Nov 2019 14:05:00 EDT

Cigarette smoking is the leading cause of preventable disease and death in the United States.

Disparities in Receipt of Eye Exams Among Medicare Part B Fee-for-Service Beneficiaries with Diabetes --- United States, 2017

Thu, 14 Nov 2019 14:05:00 EDT

Diabetic retinopathy, the most common diabetes-related eye disease, affects 29% of U.S. adults aged ≥40 years with diabetes.

Update on Vaccine-Derived Poliovirus Outbreaks --- Worldwide, January 2018--June 2019

Thu, 14 Nov 2019 14:05:00 EDT

Since the launch of the Global Polio Eradication Initiative in 1988 and broad use of live, attenuated oral poliovirus vaccine, the number of wild poliovirus cases has declined >99.99%.

Progress Toward Poliomyelitis Eradication --- Pakistan, January 2018--September 2019

Thu, 14 Nov 2019 14:05:00 EDT

Afghanistan and Pakistan are the only countries that continue to confirm ongoing wild poliovirus type 1 transmission.

Risk Factors for E-Cigarette, or Vaping, Product Use-Associated Lung Injury (EVALI) Among Adults Who Use E-Cigarette, or Vaping, Products --- Illinois, July--October 2019

Thu, 14 Nov 2019 14:05:00 EDT

The Illinois Department of Public Health conducted an online public survey during September-October 2019 targeting e-cigarette, or vaping, product users aged ≥18 years in Illinois.

Evaluation of Bronchoalveolar Lavage Fluid from Patients in an Outbreak of E-cigarette, or Vaping, Product Use-Associated Lung Injury --- 10 States, August--October 2019

Thu, 14 Nov 2019 14:05:00 EDT

Bronchoscopy and bronchoalveolar lavage can be part of the clinical and diagnostic workup of e-cigarette, or vaping, product use-associated lung injury patients.

QuickStats: Percentage of Adults Aged ≥25 Years Who Had Seen a Health Care Professional in the Past 12 Months and Who Easily Understood Information from Their Health Care Providers Most or All of the Time, by Sex and Education Level --- National Health Interview Survey, United States, 2017

Thu, 14 Nov 2019 14:05:00 EDT

In 2017, 91.6% of adults aged ≥25 years easily understood information from their health care providers most or all of the time.

Lung Cancer Incidence in Nonmetropolitan and Metropolitan Counties --- United States, 2007--2016

Thu, 07 Nov 2019 14:05:00 EDT

During 2007-2016, lung cancer incidence rates decreased more in metropolitan than nonmetropolitan counties.

Notes from the Field: Unexplained Dermatologic, Respiratory, and Ophthalmic Symptoms Among Health Care Personnel at a Hospital --- West Virginia, November 2017--January 2018

Thu, 07 Nov 2019 14:05:00 EDT

During November 8-December 25, 2017, health care personnel at an acute care facility in West Virginia reported occupational health encounters possibly related to construction activities.

Vital Signs: Estimated Proportion of Adult Health Problems Attributable to Adverse Childhood Experiences and Implications for Prevention --- 25 States, 2015--2017

Thu, 07 Nov 2019 14:05:00 EDT

Exposure to adverse childhood experiences can be traumatic, evoking toxic stress responses that have immediate and long-term adverse physiologic and psychologic impacts.

Notes from the Field: Botulism Type E After Consumption of Salt-Cured Fish --- New Jersey, 2018

Thu, 07 Nov 2019 14:05:00 EDT

An emergency department in New Jersey treated two patients for suspected foodborne botulism associated with eating uneviscerated salt-cured fish.

Diabetes Prevalence and Incidence Among Medicare Beneficiaries - United States, 2001-2015

Thu, 31 Oct 2019 13:00:00 EST

Diabetes affects approximately 12% of the U.S. adult population and approximately 25% of adults aged ≥65 years. From 2009 to 2017, there was no significant change in diabetes prevalence overall or among persons aged 65-79 years (1).

Racial/Ethnic and Age Group Differences in Opioid and Synthetic Opioid-Involved Overdose Deaths Among Adults Aged ≥18 Years in Metropolitan Areas - United States, 2015-2017

Thu, 31 Oct 2019 13:00:00 EST

Among the 47,600 opioid-involved overdose deaths in the United States in 2017, 59.8% (28,466) involved synthetic opioids (1). Since 2013, synthetic opioids, particularly illicitly manufactured fentanyl (IMF), including fentanyl analogs, have been fueling the U.S. overdose epidemic (1,2).

Progress Toward Global Eradication of Dracunculiasis - January 2018-June 2019

Thu, 31 Oct 2019 13:00:00 EST

Dracunculiasis (also known as Guinea worm disease) is caused by the parasite Dracunculus medinensis and is acquired by drinking water containing copepods (water fleas) infected with D. medinensis larvae.

Tobacco Use in Top-Grossing Movies - United States, 2010-2018

Thu, 31 Oct 2019 13:00:00 EST

The Surgeon General has concluded that there is a causal relationship between depictions of smoking in movies and initiation of smoking among young persons (1).

Update: Characteristics of Patients in a National Outbreak of E-cigarette, or Vaping, Product Use-Associated Lung Injuries - United States, October 2019

Thu, 31 Oct 2019 13:00:00 EST

CDC, the Food and Drug Administration, state and local health departments, and other public health and clinical stakeholders are investigating a national outbreak of electronic-cigarette (e-cigarette), or vaping, product use-associated lung injury (EVALI) (1).

Global Routine Vaccination Coverage, 2018

Thu, 24 Oct 2019 13:00:00 EST

Endorsed by the World Health Assembly in 2012, the Global Vaccine Action Plan 2011-2020 (GVAP) (1) calls on all countries to reach ≥90% national coverage with all vaccines in the country's national immunization schedule by 2020.

Novel Treatment of a Vaccinia Virus Infection from an Occupational Needlestick --- San Diego, California, 2019

Thu, 24 Oct 2019 13:00:00 EST

Vaccinia virus (VACV) is an orthopoxvirus used in smallpox vaccines, as a vector for novel cancer treatments, and for experimental vaccine research (1).

Proficiency Testing of Viral Marker Screening in African Blood Centers --- Seven African Countries, 2017

Thu, 24 Oct 2019 13:00:00 EST

A 2014 report evaluating accuracy of serologic testing for transfusion-transmissible viruses at African blood center laboratories found sensitivities of 92%, 87%, and 90% for detecting infections with human immunodeficiency virus (HIV), hepatitis B virus (HBV), and hepatitis C virus (HCV), respectively (1).

E-cigarette Use, or Vaping, Practices and Characteristics Among Persons with Associated Lung Injury --- Utah, April--October 2019

Thu, 24 Oct 2019 13:00:00 EST

In August 2019, the Utah Department of Health (UDOH) received reports from health care providers of several cases of lung injury in persons who reported use of electronic cigarette (e-cigarette), or vaping, products (1,2).

QuickStats: Age-Adjusted Percentages of Adults Aged 18--64 Years Who Never Felt Rested in the Past Week by Sex, Race, and Hispanic Origin --- National Health Interview Survey, 2017-2018

Thu, 24 Oct 2019 13:00:00 EST

During 2017-2018, among persons aged 18-64 years, women were more likely than men to report they never felt rested in the past week overall (21.1% versus 14.3%) and in each race and Hispanic origin group.

Vaccination Coverage with Selected Vaccines and Exemption Rates Among Children in Kindergarten --- United States, 2018--19 School Year

Thu, 17 Oct 2019 13:00:00 EST

State and local school vaccination requirements exist to ensure that students are protected against vaccine-preventable diseases (1).

Vaccination Coverage by Age 24 Months Among Children Born in 2015 and 2016 --- National Immunization Survey-Child, United States, 2016--2018

Thu, 17 Oct 2019 13:00:00 EST

The Advisory Committee on Immunization Practices (ACIP) recommends that children be vaccinated against 14 potentially serious illnesses during the first 24 months of life (1).

Update: Interim Guidance for Health Care Providers Evaluating and Caring for Patients with Suspected E-cigarette, or Vaping, Product Use Associated Lung Injury --- United States, October 2019

Thu, 17 Oct 2019 13:00:00 EST

CDC, the Food and Drug Administration (FDA), state and local health departments, and public health and clinical partners are investigating a multistate outbreak of lung injury associated with the use of electronic cigarette (e-cigarette), or vaping, products.

Tobacco Use and Tobacco-Related Behaviors --- 11 Countries, 2008--2017

Thu, 17 Oct 2019 13:00:00 EST

Each year, tobacco use is responsible for approximately 8 million deaths worldwide, including 7 million deaths among persons who use tobacco and 1.2 million deaths among nonsmokers exposed to secondhand smoke (SHS) (1).

Vital Signs: Burden and Prevention of Influenza and Pertussis Among Pregnant Women and Infants --- United States

Thu, 10 Oct 2019 13:00:00 EST

Vaccinating pregnant women with influenza vaccine and tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis vaccine (Tdap) can reduce influenza and pertussis risk for themselves and their infants.

National Latinx AIDS Awareness Day --- October 15, 2019

Thu, 10 Oct 2019 13:00:00 EST

National Latinx AIDS Awareness Day, October 15, is observed each year to focus on the continuing and disproportionate impact of human immunodeficiency virus (HIV) infection and acquired immunodeficiency syndrome (AIDS) on Hispanics/Latinos in the United States.

Trends in Sexual Risk Behaviors Among Hispanic/Latino Men Who Have Sex with Men --- 19 Urban Areas, 2011--2017

Thu, 10 Oct 2019 13:00:00 EST

Correct and consistent condom use and human immunodeficiency virus (HIV) preexposure prophylaxis (PrEP) are protective against sexual transmission of HIV (1,2).

Update: Influenza Activity --- United States and Worldwide, May 19--September 28, 2019, and Composition of the 2020 Southern Hemisphere Influenza Vaccine

Thu, 10 Oct 2019 13:00:00 EST

During May 19-September 28, 2019,* low levels of influenza activity were reported in the United States, with cocirculation of influenza A and influenza B viruses.

Notes from the Field: Environmental Contamination from E-cigarette, Cigarette, Cigar, and Cannabis Products at 12 High Schools --- San Francisco Bay Area, 2018--2019

Thu, 10 Oct 2019 13:00:00 EST

The United States is experiencing an epidemic of lung injury associated with youth electronic cigarette (e-cigarette) use, or vaping (1); in 2018, 20.8% of U.S. high school students reported currently using e-cigarettes (1).

National Update on Measles Cases and Outbreaks ---United States, January 1--October 1, 2019

Fri, 04 Oct 2019 13:00:00 EST

During January 1-October 1, 2019, a total of 1,249 measles cases and 22 measles outbreaks were reported in the United States.

National Trends in Hepatitis C Infection by Opioid Use Disorder Status Among Pregnant Women at Delivery Hospitalization --- United States, 2000--2015

Thu, 03 Oct 2019 13:00:00 EST

Hepatitis C virus (HCV) is transmitted primarily through parenteral exposures to infectious blood or body fluids that contain blood (e.g., via injection drug use, needle stick injuries) (1).

Flavored Tobacco Product Use Among Middle and High School Students --- United States, 2014--2018

Thu, 03 Oct 2019 13:00:00 EST

The 2009 Family Smoking Prevention and Tobacco Control Act prohibits the inclusion of characterizing flavors (e.g., candy or fruit) other than tobacco and menthol in cigarettes; however, characterizing flavors are not currently prohibited in other tobacco products at the federal level.

Trends and Characteristics in Marijuana Use Among Public School Students --- King County, Washington, 2004--2016

Thu, 03 Oct 2019 13:00:00 EST

Use of marijuana at an early age can affect memory, school performance, attention, and learning; conclusions have been mixed regarding its impact on mental health conditions, including psychosis, depression, and anxiety.

Evaluation of Infection Prevention and Control Readiness at Frontline Health Care Facilities in High-Risk Districts Bordering Ebola Virus Disease--Affected Areas in the Democratic Republic of the Congo --- Uganda, 2018

Thu, 03 Oct 2019 13:00:00 EST

Infection prevention and control (IPC) in health care facilities is essential to protecting patients, visitors, and health care personnel from the spread of infectious diseases, including Ebola virus disease (Ebola).

Progress Toward Rubella and Congenital Rubella Syndrome Control and Elimination --- Worldwide, 2000--2018

Thu, 03 Oct 2019 13:00:00 EST

Progress toward rubella elimination has resulted in 168 (87%) of 194 countries protecting infants with RCV and 81 (42%) eliminating rubella transmission.

Characteristics of a Multistate Outbreak of Lung Injury Associated with E-cigarette Use, or Vaping --- United States, 2019

Thu, 03 Oct 2019 13:00:00 EST

Electronic cigarettes (e-cigarettes), also called vapes, e-hookas, vape pens, tank systems, mods, and electronic nicotine delivery systems (ENDS), are electronic devices that produce an aerosol by heating a liquid typically containing nicotine, flavorings, and other additives; users inhale this aerosol into their lungs (1).

E-cigarette Product Use, or Vaping, Among Persons with Associated Lung Injury --- Illinois and Wisconsin, April--September 2019

Thu, 03 Oct 2019 13:00:00 EST

In July 2019, the Illinois Department of Public Health and the Wisconsin Department of Health Services launched a coordinated epidemiologic investigation after receiving reports of several cases of lung injury in previously healthy persons who reported electronic cigarette (e-cigarette) use, or vaping (1).

Severe Silicosis in Engineered Stone Fabrication Workers - California, Colorado, Texas, and Washington, 2017-2019

Thu, 26 Sep 2019 13:01:00 EST

Eighteen cases of silicosis among workers in the stone fabrication industry are reported in California, Colorado, Texas, and Washington.

Prescription Opioid Use in Patients With and Without Systemic Lupus Erythematosus - Michigan Lupus Epidemiology and Surveillance Program, 2014-2015

Thu, 26 Sep 2019 13:01:00 EST

This report is a study that documents the extent of prescription opioid use in patients with and without systemic lupus erythematosus.

Progress Toward Poliovirus Containment Implementation - Worldwide, 2018-2019

Thu, 26 Sep 2019 13:01:00 EST

Facilities continuing to work with polioviruses after global eradication must minimize the risk for reintroduction into communities by adopting effective biorisk management practices.

Racial/Ethnic Disparities in HIV Preexposure Prophylaxis Among Men Who Have Sex with Men - 23 Urban Areas, 2017

Thu, 19 Sep 2019 13:01:00 EST

Prevention efforts need to increase PrEP use among all MSM and target eliminating racial/ethnic disparities in PrEP use.

Notes from the Field: Zoonotic Mycobacterium bovis Disease in Deer Hunters - Michigan, 2002-2017

Thu, 19 Sep 2019 13:01:00 EST

In May 2017, the Michigan Department of Health and Human Services was notified of a case of pulmonary tuberculosis caused by Mycobacterium bovis in a man aged 77 years.

State Strategies to Address Opioid Use Disorder Among Pregnant and Postpartum Women and Infants Prenatally Exposed to Substances, Including Infants with Neonatal Abstinence Syndrome

Thu, 12 Sep 2019 13:01:00 EST

Since 1999, the rate of opioid use disorder has more than quadrupled.

Outbreak of Electronic-Cigarette-Associated Acute Lipoid Pneumonia - North Carolina, July-August 2019

Thu, 12 Sep 2019 13:01:00 EST

During July and August 2019, five patients were identified at two hospitals in North Carolina with acute lung injury potentially associated with e-cigarette use.

Severe Pulmonary Disease Associated with Electronic-Cigarette-Product Use - Interim Guidance

Thu, 12 Sep 2019 13:01:00 EST

The figure shows the words, "Read CDC's Updated Guidance on severe lung disease associated with e-cigarette use" over a purple background containing e-cigarette products.

Notes from the Field: Interventions to Reduce Measles Virus Exposures in Outpatient Health Care Facilities - New York City, 2018

Thu, 12 Sep 2019 13:01:00 EST

This report shares strategies to attempt to reduce measles exposures in health care facilities.

Notes from the Field: Fatal Naegleria fowleri Meningoencephalitis After Swimming in Hot Spring Water - California, 2018

Thu, 12 Sep 2019 13:01:00 EST

In October 2018, a previously healthy boy died of primary amebic meningoencephalitis after swimming in hot spring water in California.

Notes from the Field: Rabies Exposures from Fox Bites and Challenges to Completing Postexposure Prophylaxis After Hurricane Irma - Palm Beach County, Florida, August-September 2017

Thu, 12 Sep 2019 13:01:00 EST

Because of difficulties caused by Hurricane Irma, three patients in Palm Beach County, Florida experienced modifications to their rabies vaccination schedules.

Participation in Community Preparedness Programs in Human Services Organizations and Faith-Based Organizations --- New York City, 2018

Thu, 05 Sep 2019 13:01:00 EST

This report presents evaluation data collected by New York City's community preparedness program following implementation of training.

Racial/Ethnic Disparities in Pregnancy-Related Deaths --- United States, 2007--2016

Thu, 05 Sep 2019 13:01:00 EST

Most pregnancy-related deaths can be prevented, and significant racial/ethnic disparities in pregnancy-related mortality need to be addressed.

Impact of Public Health Interventions on Drinking Water-Associated Outbreaks of Hepatitis A --- United States, 1971--2017

Thu, 05 Sep 2019 13:01:00 EST

This report analyzes drinking water-associated hepatitis A outbreaks reported to the Waterborne Disease and Outbreak Surveillance System during 1971-2017.

Notes from the Field: Hantavirus Pulmonary Syndrome --- Denver, Colorado, 2018

Thu, 05 Sep 2019 13:01:00 EST

In 2018, the first reported case of apparent locally acquired hantavirus pulmonary syndrome was confirmed in Denver, Colorado.

Notes from the Field: Mumps in Detention Facilities that House Detained Migrants - United States, September 2018-August 2019

Thu, 29 Aug 2019 13:05:00 EST

On October 12, 2018, five confirmed cases of mumps among detained migrants in detention facilities were reported.

Notes from the Field: Multistate Outbreak of Salmonella Agbeni Associated with Consumption of Raw Cake Mix - Five States, 2018

Thu, 29 Aug 2019 13:05:00 EST

In August 2018, two Oregon patients with diagnosed Salmonella infection reported having eaten raw cake mix.

Racial Disparities in Breastfeeding Initiation and Duration Among U.S. Infants Born in 2015

Thu, 29 Aug 2019 13:05:00 EST

Black-white disparities in breastfeeding duration result, in part, from disparities in initiation.

Changes in Opioid-Involved Overdose Deaths by Opioid Type and Presence of Benzodiazepines, Cocaine, and Methamphetamine - 25 States, July-December 2017 to January-June 2018

Thu, 29 Aug 2019 13:05:00 EST

From 2013 to 2017, the number of opioid-involved overdose deaths in the United States increased 90%.

National, Regional, State, and Selected Local Area Vaccination Coverage Among Adolescents Aged 13-17 Years - United States, 2018

Thu, 22 Aug 2019 13:05:00 EST

This report presents vaccination coverage estimates for 18,700 adolescents in the United States aged 13-17 years.

Outbreak of Salmonella Newport Infections with Decreased Susceptibility to Azithromycin Linked to Beef Obtained in the United States and Soft Cheese Obtained in Mexico - United States, 2018-2019

Thu, 22 Aug 2019 13:05:00 EST

This report summarizes an investigation of a multistate multidrug resistant Salmonella outbreak in Mexico and the United States.

Human Papillomavirus-Attributable Cancers - United States, 2012-2016

Thu, 22 Aug 2019 13:05:00 EST

Human papillomavirus vaccination is an important component of cancer prevention.

Progress Toward Poliomyelitis Eradication - Afghanistan, January 2018-May 2019

Thu, 22 Aug 2019 13:05:00 EST

This report describes polio eradication activities and progress in Afghanistan during January 2018-May 2019.

Updated CDC Recommendation for Serologic Diagnosis of Lyme Disease

Thu, 15 Aug 2019 13:05:00 EST

Lyme disease is a tickborne zoonosis for which serologic testing is the principal means of laboratory diagnosis.

Healthy Contact Lens Behaviors Communicated by Eye Care Providers and Recalled by Patients - United States, 2018

Thu, 15 Aug 2019 13:05:00 EST

Most of the 45 million contact lens wearers in the United States practice at least some behaviors that put them at risk for serious eye infections.

Human Papillomavirus Vaccination for Adults: Updated Recommendations of the Advisory Committee on Immunization Practices

Thu, 15 Aug 2019 13:05:00 EST

After reviewing new evidence, CDC updated new human papillomavirus vaccination recommendations for U.S. adults.

Notes from the Field: A Multi-Partner Response to Prevent a Binational Rabies Outbreak - Anse-à-Pitre, Haiti 2019

Thu, 15 Aug 2019 13:05:00 EST

Canine rabies is endemic in Haiti and the Dominican Republic.

Notes from the Field: Rabies Outbreak Investigation - Pedernales, Dominican Republic, 2019

Thu, 15 Aug 2019 13:05:00 EST

On July 13, 2018, a child from Pedernales, Dominican Republic, died after developing clinical signs and symptoms consistent with rabies.

Notes from the Field: Unintentional Fentanyl Overdoses Among Persons Who Thought They Were Snorting Cocaine - Fresno, California, January 7, 2019

Thu, 08 Aug 2019 14:00:00 EST

On January 7, 2019, three patients arrived at the Community Regional Medical Center emergency department in Fresno, California, after snorting white powder they thought was cocaine.

Vital Signs: Pharmacy-Based Naloxone Dispensing - United States, 2012-2018

Thu, 08 Aug 2019 13:05:00 EST

The number of naloxone prescriptions dispensed from retail pharmacies increased substantially from 2012 to 2018, including a 106% increase from 2017 to 2018 alone.

West Nile Virus and Other Domestic Nationally Notifiable Arboviral Diseases - United States, 2018

Thu, 08 Aug 2019 13:05:00 EST

This report summarizes surveillance data reported to CDC for 2018 on nationally notifiable arboviruses.

Injection Practices and Sexual Behaviors Among Persons with Diagnosed HIV Infection Who Inject Drugs --- United States, 2015-2017

Thu, 01 Aug 2019 13:05:00 EST

Interventions that reduce high-risk injection practices and sexual behaviors and increase rates of viral suppression might decrease human immunodeficiency virus (HIV) transmission risk among HIV-positive persons who inject drugs.

Threefold Increases in Population HIV Viral Load Suppression Among Men and Young Adults --- Bukoba Municipal Council, Tanzania, 2014--2017

Thu, 01 Aug 2019 13:05:00 EST

A set of human immunodeficiency virus (HIV) interventions in Bukoba, Tanzania, more than doubled the number of HIV-positive residents aged 18-49 years who achieved viral load suppression.

Candida auris in a U.S. Patient with Carbapenemase-Producing Organisms and Recent Hospitalization in Kenya

Thu, 01 Aug 2019 13:05:00 EST

Candida auris is an emerging drug-resistant yeast that has now been reported in approximately 30 countries.

Notes from the Field: Clinical Klebsiella pneumoniae Isolate with Three Carbapenem Resistance Genes Associated with Urology Procedures --- King County, Washington, 2018

Thu, 01 Aug 2019 13:05:00 EST

Carbapenem-resistant Enterobacteriaceae screening should be considered for patients who have undergone medical procedures abroad and who will be hospitalized or undergo invasive procedures in the United States.

World Hepatitis Day --- July 28, 2019

Thu, 25 Jul 2019 13:05:00 EST

World Hepatitis Day, observed each year on July 28, was established to raise awareness and promote understanding of viral hepatitis around the world.

Progress in Testing for and Treatment of Hepatitis C Virus Infection Among Persons Who Inject Drugs --- Georgia, 2018

Thu, 25 Jul 2019 13:05:00 EST

Following the launch of the hepatitis C elimination program, the number of hepatitis C virus antibody tests performed at needle and syringe programs has increased fivefold.

Progress Toward Poliomyelitis Eradication --- Nigeria, January 2018--May 2019

Thu, 25 Jul 2019 13:05:00 EST

The number of children living in insurgent-held areas in Borno State, Nigeria, who have not had access to poliovirus vaccines was reduced by 87% during December 2016--May 2017.

Notes from the Field: Targeted Biomonitoring for GenX and Other Per- and Polyfluoroalkyl Substances Following Detection of Drinking Water Contamination --- North Carolina, 2018

Thu, 25 Jul 2019 13:05:00 EST

In June 2017, local health departments asked the North Carolina Health Department to provide health information regarding specific chemicals detected in a drinking water source.

State-Specific Prevalence of Quit Attempts Among Adult Cigarette Smokers --- United States, 2011--2017

Thu, 18 Jul 2019 13:05:00 EST

During 2011-2017, quit attempt prevalence increased in four states and decreased in two states. In 2017, the prevalence of past-year quit attempts ranged from 58.6% to 72.3%.

Successive Norovirus Outbreaks at an Event Center --- Nebraska, October--November, 2017

Thu, 18 Jul 2019 13:05:00 EST

An investigation into an ongoing gastrointestinal illness outbreak identified 159 persons reporting illness meeting the case definition; laboratory testing confirmed norovirus cases.

Notes from the Field: Hurricane Florence-Related Emergency Department Visits --- North Carolina, 2018

Thu, 18 Jul 2019 13:05:00 EST

In September 2018, in North Carolina, medication refill emergency department (ED) visits were significantly more prevalent during Hurricane Florence than before or after the hurricane; 31% of ED visits during Hurricane Florence were for medication refills.

Changes in HIV Preexposure Prophylaxis Awareness and Use Among Men Who Have Sex with Men --- 20 Urban Areas, 2014 and 2017

Thu, 11 Jul 2019 13:05:00 EST

During 2014--2017, preexposure prophylaxis (PrEP) awareness among men who have sex with men increased from 60% to 90%, and PrEP use increased from 6% to 35%.

Workplace Secondhand Tobacco Smoke Exposure Among U.S. Nonsmoking Workers ---National Health Interview Survey, 2015

Thu, 11 Jul 2019 13:05:00 EST

Nonsmoking workers residing in states without comprehensive smoke-free laws and workers employed in certain industries were more likely to be frequently exposed to workplace secondhand tobacco smoke.

Vital Signs: Surveillance for Acute Flaccid Myelitis --- United States, 2018

Thu, 11 Jul 2019 13:05:00 EST

During 2018, 233 confirmed acute flaccid myelitis cases were reported, the largest number since surveillance began in 2014.

Notes from the Field: Conjunctivitis Caused by Toxigenic Corynebacterium ulcerans --- Missouri, 2018

Thu, 11 Jul 2019 13:05:00 EST

In December 2018, an immunocompromised man was evaluated by an ophthalmologist for left eyelid redness and eye discharge and received a diagnosis of ligneous conjunctivitis.

Bacterial and Fungal Infections in Persons Who Inject Drugs --- Western New York, 2017

Wed, 03 Jul 2019 13:10:00 EST

Among a sample of persons in Western New York who inject drugs and were hospitalized for a bacterial and fungal infection, Staphylococcus aureus was the most common pathogen causing their infection.

Genetic Characterization of Measles and Rubella Viruses Detected Through Global Measles and Rubella Elimination Surveillance, 2016--2018

Wed, 03 Jul 2019 13:10:00 EST

During 2016--2018, the number of reported measles virus genotypes declined from six to four; two (B3 and D8) accounted for 95% of reported sequences.

Health-Related Workplace Absenteeism Among Full-Time Workers --- United States, 2017--18 Influenza Season

Wed, 03 Jul 2019 13:10:00 EST

During the 2017--18 influenza season, absenteeism increased sharply in November and peaked in January, at a level significantly higher than the average during the previous five seasons.

HIV Testing in 50 Local Jurisdictions Accounting for the Majority of New HIV Diagnoses and Seven States with Disproportionate Occurrence of HIV in Rural Areas, 2016-2017

Thu, 27 Jun 2019 13:00:00 EST

Since 2006, CDC has recommended universal screening for human immunodeficiency virus (HIV) infection at least once in health care settings and at least annual rescreening of persons at increased risk for infection, but data from national surveys and HIV surveillance demonstrate that these recommendations have not been fully implemented.

Cryptosporidiosis Outbreaks - United States, 2009-2017

Thu, 27 Jun 2019 13:00:00 EST

Cryptosporidium is a parasite that causes cryptosporidiosis, a profuse, watery diarrhea that can last up to 3 weeks in immunocompetent patients and can lead to life-threatening malnutrition and wasting in immunocompromised patients.

Chronic Obstructive Pulmonary Disease and Smoking Status --- United States, 2017

Thu, 20 Jun 2019 13:00:00 EST

Cigarette smoking is the leading cause of chronic obstructive pulmonary disease (COPD) in the United States; however, an estimated one fourth of adults with COPD have never smoked.

Update: Influenza Activity in the United States During the 2018--19 Season and Composition of the 2019--20 Influenza Vaccine

Thu, 20 Jun 2019 13:00:00 EST

U.S. World Health Organization (WHO) collaborating laboratories and National Respiratory and Enteric Virus Surveillance System laboratories, which include both clinical and public health laboratories throughout the United States, contribute to virologic surveillance for influenza.

Nationwide Shortage of Tuberculin Skin Test Antigens: CDC Recommendations for Patient Care and Public Health Practice

Thu, 20 Jun 2019 13:00:00 EST

CDC is expecting a 3-10 month nationwide shortage of Aplisol, a product of Par Pharmaceuticals, and one of two purified-protein derivative (PPD) tuberculin antigens licensed by the Food and Drug Administration (FDA) for use in performing tuberculin skin tests.

Trends in the Laboratory Detection of Rotavirus Before and After Implementation of Routine Rotavirus Vaccination --- United States, 2000--2018

Thu, 20 Jun 2019 13:00:00 EST

Before the introduction of rotavirus vaccine in the United States in 2006, rotavirus infection was the leading cause of severe gastroenteritis among U.S. children.

Notes from the Field: Meningeal and Pulmonary Tuberculosis on a Commercial Fishing Vessel --- Hawaii, 2017

Thu, 20 Jun 2019 13:00:00 EST

In December 2016, U.S. Customs and Border Protection notified the CDC Honolulu Quarantine Station of a crewman on a commercial fishing vessel who was hospitalized with suspected tuberculosis (TB); the crewman, in his mid-30s, was unconsciousness, intubated, and dependent upon mechanical ventilation to maintain his respiratory status.

Trends in Meeting Physical Activity Guidelines Among Urban and Rural Dwelling Adults --- United States, 2008--2017

Thu, 13 Jun 2019 13:00:00 EST

Since the release of the 2008 Physical Activity Guidelines for Americans the age-adjusted percentage of adults meeting the combined aerobic and muscle-strengthening guidelines increased from 18.2% to 24.3% in 2017.

Vital Signs: Trends in Human Rabies Deaths and Exposures --- United States, 1938--2018

Thu, 13 Jun 2019 13:00:00 EST

Each year, rabies causes approximately 59,000 deaths worldwide, including approximately two deaths in the United States.

Sepsis Attributed to Bacterial Contamination of Platelets Associated with a Potential Common Source --- Multiple States, 2018

Thu, 13 Jun 2019 13:00:00 EST

During May-October 2018, four patients from three states experienced sepsis after transfusion of apheresis platelets contaminated with Acinetobacter calcoaceticus-baumannii complex (ACBC) and Staphylococcus saprophyticus; one patient died.

Notes from the Field: Administration of Expired Injectable Influenza Vaccines Reported to the Vaccine Adverse Event Reporting System - United States, July 2018-March 2019

Thu, 13 Jun 2019 13:00:00 EST

Influenza vaccination is recommended annually for persons aged ≥6 months for the prevention and control of influenza.

Dengue and Zika Virus Diagnostic Testing for Patients with a Clinically Compatible Illness and Risk for Infection with Both Viruses

Thu, 13 Jun 2019 13:00:00 EST

Dengue and Zika viruses are closely related mosquitoborne flaviviruses with similar transmission cycles, distribution throughout the tropics and subtropics, and disease manifestations including fever, rash, myalgia, and arthralgia.

Receipt of Breast Milk by Gestational Age --- United States, 2017

Thu, 06 Jun 2019 13:00:00 EST

Breast milk is the optimal source of infant nutrition. For the nearly one in 10 infants born prematurely in the United States annually, breast milk is especially beneficial, helping prevent sepsis and necrotizing enterocolitis and promoting neurologic development.

Annual Out-of-Pocket Expenditures and Financial Hardship Among Cancer Survivors Aged 18--64 Years --- United States, 2011--2016

Thu, 06 Jun 2019 13:00:00 EST

In the United States in 2019, an estimated 16.9 million persons are living after receiving a cancer diagnosis.

Community Assessments for Mosquito Prevention and Control Experiences, Attitudes, and Practices --- U.S. Virgin Islands, 2017 and 2018

Thu, 06 Jun 2019 13:00:00 EST

Aedes aegypti, the mosquito that carries dengue, chikungunya, and Zika viruses, is present throughout the U.S. Virgin Islands (USVI).

Progress Toward Measles Elimination --- Pakistan, 2000--2018

Thu, 06 Jun 2019 13:00:00 EST

In 1997, the 21 countries in the World Health Organization (WHO) Eastern Mediterranean Region (EMR) passed a resolution during the 41st session of the Regional Committee for the Eastern Mediterranean to eliminate measles.

Hurricane-Associated Mold Exposures Among Patients at Risk for Invasive Mold Infections After Hurricane Harvey --- Houston, Texas, 2017

Thu, 30 May 2019 13:00:00 EST

Among a convenience sample of immunosuppressed residents in the Hurricane Harvey-affected area of Houston, Texas, 49% of residents engaged in cleanup activities in water-damaged and mold-contaminated homes.

Scaling Up Testing for Human Immunodeficiency Virus Infection Among Contacts of Index Patients --- 20 Countries, 2016--2018

Thu, 30 May 2019 13:00:00 EST

From October 2016 to March 2018, both the number of persons tested for human immunodeficiency virus (HIV) and the number who received a diagnosis of HIV infection using index testing increased in 20 CDC-supported countries.

Using Social Media To Increase HIV Testing Among Men Who Have Sex with Men --- Beijing, China, 2013--2017

Thu, 30 May 2019 13:00:00 EST

A geolocation-based online human immunodeficiency virus (HIV) testing promotion campaign from China's largest social media platform was effective in promoting HIV testing among men who have sex with men.

Notes from the Field: Acute Intoxications from Consumption of Amanita muscaria Mushrooms --- Minnesota, 2018

Thu, 30 May 2019 13:00:00 EST

In October 2018, an ethnic Karen man from Burma was evaluated at a Minnesota emergency department with suspected possible cholinergic mushroom toxicosis.

Vision Impairment and Subjective Cognitive Decline-Related Functional Limitations --- United States, 2015--2017

Thu, 23 May 2019 13:00:00 EST

Analysis of 2015-2017 Behavioral Risk Factor Surveillance System data determined that 18% of adults who reported vision impairment also reported subjective cognitive decline-related functional limitations.

Progress Toward Polio Eradication --- Worldwide, January 2017--March 2019

Thu, 23 May 2019 13:00:00 EST

Countries with endemic polio have revised emergency action plans to innovate and intensify strategies to reach and vaccinate every child in underimmunized populations.

Notes from the Field: Verona Integron-Encoded Metallo-β-Lactamase-Producing Carbapenem-Resistant Pseudomonas aeruginosa Infections in U.S. Residents Associated with Invasive Medical Procedures in Mexico, 2015--2018

Thu, 23 May 2019 13:00:00 EST

Verona integron-encoded metallo-β-lactamase-producing carbapenem-resistant Pseudomonas aeruginosa and other carbapenemase-producing organisms represent an emerging U.S. public health threat.

Pool Chemical Injuries in Public and Residential Settings --- United States, 2008--2017, and New York, 2018

Thu, 16 May 2019 13:00:00 EST

During 2015-2017, pool chemical injuries led to an estimated 13,508 emergency department visits in the United States.

Tuberculosis Screening, Testing, and Treatment of U.S. Health Care Personnel: Recommendations from the National Tuberculosis Controllers Association and CDC, 2019

Thu, 16 May 2019 13:00:00 EST

A systematic review found a low percentage of health care personnel have a positive tuberculosis test at baseline and upon serial testing.

Notes from the Field: Measles Outbreaks from Imported Cases in Orthodox Jewish Communities --- New York and New Jersey, 2018--2019

Thu, 16 May 2019 13:00:00 EST

On October 1, 2018, the Rockland County Department of Health alerted the New York State Department of Health of an unvaccinated teen traveler with diagnosed measles.

Notes from the Field: Community Outbreak of Measles --- Clark County, Washington, 2018--2019

Thu, 16 May 2019 13:00:00 EST

On December 31, 2018, Clark County Public Health in Washington was notified of a suspected case of measles in an unvaccinated child who had recently arrived from Ukraine.

Notes from the Field: Acanthamoeba Keratitis Cases --- Iowa, 2002--2017

Thu, 16 May 2019 13:00:00 EST

In 2015, the University of Iowa Hospitals & Clinics diagnosed 15 new Acanthamoeba keratitis cases.

Increase in Hepatitis A Virus Infections --- United States, 2013-2018

Thu, 09 May 2019 13:00:00 EST

During 2016-2018, reports of hepatitis A infections in the United States increased by 294% compared with 2013-2015.

Disparities in Incidence of Human Immunodeficiency Virus Infection Among Black and White Women --- United States, 2010-2016

Thu, 09 May 2019 13:00:00 EST

Addressing social determinants of health and applying tailored strategies to reduce human immunodeficiency virus incidence in black women and their partners are key elements to achieving health equity.

Racial Disparities in Mortality Associated with Systemic Lupus Erythematosus --- Fulton and DeKalb Counties, Georgia, 2002--2016

Thu, 09 May 2019 13:00:00 EST

Following systemic lupus erythematosus (SLE) patients carefully defined in a population-based registry, standardized mortality ratios were two to four times higher in persons with SLE than in the general population.

Vital Signs: Pregnancy-Related Deaths, United States, 2011--2015, and Strategies for Prevention, 13 States, 2013--2017

Thu, 09 May 2019 13:00:00 EST

Among pregnancy-related deaths for which timing was known, three in five pregnancy-related deaths were preventable.

State-Specific Severe Joint Pain and Physical Inactivity Among Adults with Arthritis --- United States, 2017

Thu, 02 May 2019 13:00:00 EST

In 2017, among adults with arthritis, age-standardized, state-specific prevalence of both severe joint pain and physical inactivity were highest in southeastern states.

Drug Overdose Deaths Involving Cocaine and Psychostimulants with Abuse Potential --- United States, 2003--2017

Thu, 02 May 2019 13:00:00 EST

From 2016 to 2017, death rates involving cocaine and psychostimulants increased across age groups, racial/ethnic groups, county urbanization levels, and multiple states.

Progress Toward Measles Elimination --- European Region, 2009--2018

Thu, 02 May 2019 13:00:00 EST

During 2017-2018, a resurgence of measles occurred in the European Region, with large-scale outbreaks in Ukraine, Serbia, and some countries that had achieved elimination.

Increase in Measles Cases --- United States, January 1--April 26, 2019

Thu, 02 May 2019 13:00:00 EST

During January 1-April 26, 2019, a total of 704 cases were reported, the highest number of cases reported in any year since 1994.

Notes from the Field: Outbreak of Multidrug-Resistant Shigella sonnei Infections in a Retirement Community --- Vermont, October--November 2018

Thu, 02 May 2019 13:00:00 EST

In October 2018, the Vermont Department of Health notified CDC of an outbreak of diarrhea caused by Shigella sonnei in a retirement community in Chittenden County.

Notes from the Field: Live Poultry Shipment Box Sampling at Feed Stores as an Indicator for Human Salmonella Infections --- Michigan, 2016--2018

Thu, 02 May 2019 13:00:00 EST

Sampling of poultry shipment boxes upon arrival at agricultural feed stores in the spring can provide an early indicator of Salmonella species present in hatchery-sourced live poultry.

Consumption of Alcohol Beverages and Binge Drinking Among Pregnant Women Aged 18-44 Years - United States, 2015-2017

Thu, 25 Apr 2019 13:00:00 EST

Analysis of 2015-2017 Behavioral Risk Factor Surveillance System data found that 11.5% of pregnant women reported current drinking, and 3.9% reported binge drinking during the past 30 days

Preliminary Incidence and Trends of Infections with Pathogens Transmitted Commonly Through Food - Foodborne Diseases Active Surveillance Network, 10 U.S. Sites, 2015-2018

Thu, 25 Apr 2019 13:00:00 EST

Regulatory agencies continue to implement new controls to decrease contamination of food that leads to most Campylobacter and Salmonella infections.

Hepatitis C Virus Potentially Transmitted by Opioid Drug Diversion from a Nurse - Washington, August 2017-March 2018

Thu, 25 Apr 2019 13:00:00 EST

Investigation identified an outbreak of at least 12 hepatitis C virus infections in patients who had received opioid injections from a nurse who admitted to diverting injectable narcotic drugs.

Outbreak of Human Immunodeficiency Virus Infection Among Heterosexual Persons Who Are Living Homeless and Inject Drugs - Seattle, Washington, 2018

Thu, 18 Apr 2019 13:00:00 EST

From 2017 to mid-November 2018, the number of human immunodeficiency virus diagnoses among Seattle heterosexuals who inject drugs increased 286%.

Estimated Number of Cases of High-Grade Cervical Lesions Diagnosed Among Women -United States, 2008 and 2016

Thu, 18 Apr 2019 13:00:00 EST

During 2008-2016, high-grade cervical lesions rates declined in women aged 18-24 years targeted by the human papillomavirus vaccination program.

Prevalence of Violence Victimization and Perpetration Among Persons Aged 13-24 Years - Four Sub-Saharan African Countries, 2013-2015

Thu, 18 Apr 2019 13:00:00 EST

Early intervention is critical to preventing the adverse effects of violence victimization in Malawi, Nigeria, Uganda, and Zambia.

Notes from the Field: Identification of a Triatoma sanguisuga "Kissing Bug" - Delaware, 2018

Thu, 18 Apr 2019 13:00:00 EST

In July 2018, a family requested assistance identifying an insect that had bitten their child's face during the late evening hours.

Notes from the Field: Six Cases of Acute Flaccid Myelitis in Children - Minnesota, 2018

Thu, 18 Apr 2019 13:00:00 EST

During September 14-October 1, 2018, the Minnesota Department of Health was notified of six children hospitalized with symptoms consistent with acute flaccid myelitis.

Notes from the Field: Unintentional Drug Overdose Deaths with Kratom Detected - 27 States, July 2016-December 2017

Thu, 11 Apr 2019 13:00:00 EST

Data on 27,340 overdose deaths revealed 0.56% of these decedents tested positive for kratom on postmortem toxicology.

Notes from the Field: Hepatitis A Outbreak Associated with Drug Use and Homelessness - West Virginia, 2018

Thu, 11 Apr 2019 13:00:00 EST

As of August 28, 2018, 664 outbreak-associated hepatitis A cases were identified by the Kanawha-Charleston Health Department.

Notes from the Field: Multistate Coccidioidomycosis Outbreak in U.S. Residents Returning from Community Service Trips to Baja California, Mexico - July-August 2018

Thu, 11 Apr 2019 13:00:00 EST

In 2018, CDC was notified about students hospitalized for pneumonia of unknown etiology after returning from Mexico.

Notes from the Field: Acute Hepatitis A Virus infection Among Previously Vaccinated Persons with HIV Infection - Tennessee, 2018

Thu, 11 Apr 2019 13:00:00 EST

Among 249 confirmed cases of hepatitis A virus infection, 4% occurred among persons with human immunodeficiency virus infection.

Extragenital Chlamydia and Gonorrhea Among Community Venue-Attending Men Who Have Sex with Men - Five Cities, United States, 2017

Thu, 11 Apr 2019 13:00:00 EST

In 2017, approximately one in eight men who have sex with men had an extragenital chlamydial or gonococcal infection.

Outbreak of Cyanide Poisoning Caused by Consumption of Cassava Flour - Kasese District, Uganda, September 2017

Thu, 04 Apr 2019 13:00:00 EST

In September 2017, an outbreak of suspected cyanide poisoning related to consumption of cassava flour, involving 98 cases with two deaths, occurred in western Uganda.

Surveillance to Track Progress Toward Polio Eradication - Worldwide, 2017-2018

Thu, 04 Apr 2019 13:00:00 EST

Sensitive surveillance is the cornerstone of polio eradication programs.

Nonfatal Assaults and Homicides Among Adults Aged ≥60 Years - United States, 2002-2016

Thu, 04 Apr 2019 13:00:00 EST

The estimated nonfatal assault rate among older U.S. adults increased 75.4% among men (2002-2016) and 35.4% among women (2007-2016).

Chronic Obstructive Pulmonary Disease Prevalence Among Adults Who Have Never Smoked, by Industry and Occupation - United States, 2013-2017

Thu, 04 Apr 2019 13:00:00 EST

During 2013-2017, an estimated 2.4 million U.S. working adults aged ≥18 years who never smoked had chronic obstructive pulmonary disease.

Enterovirus D68-Associated Acute Respiratory Illness --- New Vaccine Surveillance Network, United States, July--October, 2017 and 2018

Thu, 28 Mar 2019 13:05:00 EST

Based on active, prospective surveillance of acute respiratory illness through the New Vaccine Surveillance Network, EV-D68 was detected in two (0.8%) patients in 2017 and 358 (13.9%) in 2018. Detections in 2018 peaked in September.

Imported Toxin-Producing Cutaneous Diphtheria --- Minnesota, Washington, and New Mexico, 2015--2018

Thu, 28 Mar 2019 13:05:00 EST

Toxin-producing Corynebacterium diphtheriae was identified in cutaneous wounds from four U.S. residents after return from international travel. Public health response for toxin-producing diphtheria includes treating patients, providing chemoprophylaxis to close contacts, testing patients and close contacts for C. diphtheriae carriage, and providing diphtheria toxoid-containing vaccine to incompletely immunized patients and close contacts.

Candida Bloodstream Infections Among Persons Who Inject Drugs --- Denver Metropolitan Area, Colorado, 2017--2018

Thu, 28 Mar 2019 13:05:00 EST

Among 203 candidemia cases in the Denver metropolitan area, 23 (11%) occurred in 22 patients who had a recent history of injection drug use. Six of the patients were observed injecting or attempting to inject drugs while hospitalized.

Notes from the Field: Investigation of Colorado Tick Fever Virus Disease Cases --- Oregon, 2018

Thu, 28 Mar 2019 13:05:00 EST

In early summer 2018, four cases of Colorado tick fever (CTF) were reported in residents of central Oregon; CTF virus infection was confirmed at CDC using reverse transcription-polymerase chain reaction assay.

World TB Day --- March 24, 2019

Thu, 21 Mar 2019 13:05:00 EST

World TB Day is observed each year on March 24. This observance provides an opportunity to raise awareness about tuberculosis (TB) and the measures needed to find, treat, and prevent this devastating disease.

Tuberculosis --- United States, 2018

Thu, 21 Mar 2019 13:05:00 EST

U.S. tuberculosis incidence in 2018 (2.8 cases per 100,000 persons) was the lowest ever reported. Cases in persons born outside the United States accounted for approximately two thirds of cases.

Global Epidemiology of Tuberculosis and Progress Toward Achieving Global Targets --- 2017

Thu, 21 Mar 2019 13:05:00 EST

In 2017, an estimated 10 million incident tuberculosis (TB) cases and 1.6 million TB deaths occurred, reductions of 1.8% and 3.9% from 2016, respectively. TB epidemiology varied by World Health Organization region.

Emergency Department Visits for Sports- and Recreation-Related Traumatic Brain Injuries Among Children --- United States, 2010--2016

Thu, 14 Mar 2019 13:05:00 EST

An estimated, 283,000 children seek care in U.S. emergency departments (EDs) each year for a sports- or recreation-related traumatic brain injury (TBI). TBIs sustained in contact sports account for approximately 45% of these visits. Football, bicycling, basketball, playground activities, and soccer account for the highest number of ED visits.

Diagnostic Methods Used to Classify Confirmed and Probable Cases of Spotted Fever Rickettsioses --- United States, 2010--2015

Thu, 14 Mar 2019 13:05:00 EST

A total of 16,807 spotted fever rickettsioses supplemental case report forms were provided to CDC with illness onset during 2010-2015; 1.0% met criteria for confirmation. Reasons for nonconfirmation included failure to submit a second serum specimen and low utilization of molecular diagnostic techniques.

Brain Injury Awareness Month --- March 2019

Thu, 14 Mar 2019 13:05:00 EST

Brain Injury Awareness Month, observed each March, was established 3 decades ago to educate the public about the incidence of brain injury and the needs of persons with brain injuries and their families.

Risk Factors for Congenital Syphilis Transmitted from Mother to Infant --- Suzhou, China, 2011--2014

Thu, 14 Mar 2019 13:05:00 EST

In a cohort of mothers with recently diagnosed syphilis, migrant women and those who received a diagnosis at >36 gestational weeks were approximately five times and 25 times more likely, respectively, to deliver an infected baby than were nonmigrant women and those who received a diagnosis earlier in pregnancy.

Notes from the Field: Botulism Outbreak Associated with Home-Canned Peas --- New York City, 2018

Thu, 14 Mar 2019 13:05:00 EST

In June 2018, the New York City Department of Health and Mental Hygiene investigated an outbreak of botulism among three related, adult women, which was traced to ingestion of home-canned peas. Botulinum antitoxin was administered and all three patients survived but required prolonged intensive care and rehabilitation.

Notes from the Field: HIV Diagnoses Among Persons Who Inject Drugs --- Northeastern Massachusetts, 2015--2018

Thu, 14 Mar 2019 13:05:00 EST

Opioid overdose deaths have increased rapidly in northeastern Massachusetts since 2013, with postmortem fentanyl detection increasing statewide. Molecular data indicate multiple introductions of human immunodeficiency virus (HIV) among persons who inject drugs as well as recent and rapid transmission in the context of some longstanding HIV infections.

Notes from the Field: Tetanus in an Unvaccinated Child --- Oregon, 2017

Thu, 07 Mar 2019 14:14:00 EDT

In 2017, a boy aged 6 years who had received no immunizations sustained a forehead laceration while playing outdoors on a farm; the wound was cleaned and sutured at home. Six days later, he had episodes of crying, jaw clenching, and involuntary upper extremity muscle spasms, followed by arching of the neck and back (opisthotonus) and generalized spasticity.

Update on Vaccine-Derived Poliovirus Outbreaks --- Democratic Republic of the Congo and Horn of Africa, 2017--2018

Thu, 07 Mar 2019 14:09:00 EDT

During 2017-2018, four circulating vaccine-derived poliovirus (cVDPV) type 2 outbreaks, with 42 cases to date, occurred in six provinces of the Democratic Republic of the Congo and required multiple response supplementary immunization activities. In Somalia, concurrent cVDPV type 2 and cVDPV type 3 outbreaks occurred, first identified by sewage testing months before occurrence of 12 paralytic cases to date.

Associations Among School Absenteeism, Gastrointestinal and Respiratory Illness, and Income --- United States, 2010--2016

Thu, 07 Mar 2019 14:05:00 EDT

During 2010-2016, parents of children from low-income households were more likely to report recent childhood gastrointestinal and respiratory illnesses that could affect school absences than were higher income parents. Although parents of children from low-income households were less likely to report missing any school, these children tended to miss more school days, on average, when they did miss school.

Vital Signs: Epidemiology and Recent Trends in Methicillin-Resistant and in Methicillin-Susceptible Staphylococcus aureus Bloodstream Infections -- United States

Thu, 07 Mar 2019 14:05:00 EDT

Nearly 120,000 Staphylococcus aureus bloodstream infections and 20,000 associated deaths occurred in the United States in 2017. After years of progress, the rate of decline of MRSA bloodstream infections has slowed in the United States, whereas bloodstream infections caused by methicillin-susceptible S. aureus are increasing slightly in the community (3.9% annually, 2012-2017).

Vital Signs: Trends in Staphylococcus aureus Infections in Veterans Affairs Medical Centers --- United States, 2005--2017

Thu, 07 Mar 2019 14:03:00 EDT

During 2005-2017, U.S. Department of Veterans Affairs medical centers across the United States experienced a sharp decline in Staphylococcus aureus infections following introduction of a multifaceted infection control intervention. Most reductions were explained by decreases in methicillin-resistant S. aureus (MRSA). Decreased MRSA transmission likely played a substantial role.

Use of Electronic Vapor Products Before, During, and After Pregnancy Among Women with a Recent Live Birth - Oklahoma and Texas, 2015

Thu, 28 Feb 2019 14:00:00 EDT

Electronic vapor products (EVPs) comprise a diverse group of devices, including electronic cigarettes (e-cigarettes). EVP users inhale an aerosol that typically contains nicotine, flavorings, and other additives.

Progress toward Hepatitis B Control and Elimination of Mother-to-Child Transmission of Hepatitis B Virus - Western Pacific Region, 2005-2017

Thu, 28 Feb 2019 14:00:00 EDT

Hepatitis B vaccine (HepB), which has been available since 1982, provides lifelong protection against hepatitis B virus (HBV) infection and the associated 20%-30% increased lifetime risk for developing cirrhosis or hepatocellular carcinoma among >95% of vaccine recipients.

Notes from the Field: Measles Outbreak in an Era of Stricter Immunization Requirements - California, March 2018

Thu, 28 Feb 2019 14:00:00 EDT

On March 4, 2018, an unvaccinated adolescent boy (patient A, aged 15 years) who had recently returned from England and Wales, where measles outbreaks were occurring, was evaluated by a physician for fever, cough, coryza, conjunctivitis, Koplik spots, and rash.

Notes from the Field: Age Distribution of Patients with Laboratory-Detected Respiratory Syncytial Virus - Arizona, 2013-2017

Thu, 28 Feb 2019 14:00:00 EDT

Respiratory syncytial virus (RSV)-positive laboratory detections have been reportable in Arizona since 2004 as part of the state's passive infectious disease surveillance.

Notes from the Field: Identifying Risk Behaviors for Invasive Group A Streptococcus Infections Among Persons Who Inject Drugs and Persons Experiencing Homelessness - New Mexico, May 2018

Thu, 28 Feb 2019 14:00:00 EDT

In the spring of 2018, the New Mexico Department of Health (NMDOH) contacted CDC about an increase in the number and prevalence of invasive group A Streptococcus (GAS) infections reported through New Mexico's Active Bacterial Core surveillance (ABCs) system.

Campylobacteriosis Outbreak Associated with Contaminated Municipal Water Supply - Nebraska, 2017

Thu, 21 Feb 2019 14:00:00 EDT

In March 2017, the Nebraska Department of Health and Human Services (NDHHS) and the Southwest Nebraska Public Health Department were notified of an apparent cluster of Campylobacter jejuni infections in city A and initiated an investigation.

Public Health Emergency Risk Communication and Social Media Reactions to an Errant Warning of a Ballistic Missile Threat - Hawaii, January 2018

Thu, 21 Feb 2019 14:00:00 EDT

On January 13, 2018, at 8:07 a.m. Hawaii Standard Time, an errant emergency alert was sent to persons in Hawaii. An employee at the Hawaii Emergency Management Agency (EMA) sent the errant alert via the Wireless Emergency Alert (WEA) system and the Emergency Alert System (EAS) during a ballistic missile preparedness drill, advising persons to seek shelter from an incoming ballistic missile.

Notes from the Field: Lead and Cadmium Exposure in Electronic Recyclers - Two States, 2015 and 2017

Thu, 21 Feb 2019 14:00:00 EDT

In 2012, CDC's National Institute for Occupational Safety and Health (NIOSH) became aware of the potential for occupational and take-home exposures to lead and cadmium in the electronics recycling industry and contacted electronics industry stakeholders to discuss these exposures and provide information about NIOSH's ability to investigate workplace hazards.

Leveraging Existing Birth Defects Surveillance Infrastructure to Build Neonatal Abstinence Syndrome Surveillance Systems - Illinois, New Mexico, and Vermont, 2015-2016

Thu, 21 Feb 2019 14:00:00 EDT

Neonatal abstinence syndrome (NAS) is a drug withdrawal syndrome that can occur following prenatal exposure to opioids (1). NAS surveillance in the United States is based largely on diagnosis codes in hospital discharge data, without validation of these codes or case confirmation.

Notes from the Field: Enteroinvasive Escherichia coli Outbreak Associated with a Potluck Party - North Carolina, June-July 2018

Thu, 21 Feb 2019 14:00:00 EDT

On July 2, 2018, the North Carolina Division of Public Health was notified that approximately three dozen members of an ethnic Nepali refugee community had been transported to area hospitals for severe gastrointestinal illness after attending a potluck party on June 30.

Notes from the Field: Human Brucella abortus RB51 Infections Caused by Consumption of Unpasteurized Domestic Dairy Products - United States, 2017-2019

Thu, 21 Feb 2019 14:00:00 EDT

Since August 2017, CDC has confirmed three cases of brucellosis attributed to Brucella abortus cattle vaccine strain RB51 (RB51). Each case was associated with consumption of domestically acquired unpasteurized (raw) milk products.

Update: Influenza Activity - United States, September 30, 2018-February 2, 2019

Thu, 14 Feb 2019 14:00:00 EDT

CDC collects, compiles, and analyzes data on influenza activity and viruses in the United States. During September 30, 2018-February 2, 2019, influenza activity in the United States was low during October and November, increased in late December, and remained elevated through early February.

Interim Estimates of 2018-19 Seasonal Influenza Vaccine Effectiveness - United States, February 2019

Thu, 14 Feb 2019 14:00:00 EDT

In the United States, annual vaccination against seasonal influenza is recommended for all persons aged ≥6 months (https://www.cdc.gov/flu/protect/whoshouldvax.htm).

Days' Supply of Initial Opioid Analgesic Prescriptions and Additional Fills for Acute Pain Conditions Treated in the Primary Care Setting - United States, 2014

Thu, 14 Feb 2019 14:00:00 EDT

During 2017, opioids were associated with 47,600 deaths in the United States, approximately one third of which involved a prescription opioid. Amid concerns that overprescribing to patients with acute pain remains an essential factor underlying misuse, abuse, diversion, and unintentional overdose, several states have restricted opioid analgesic prescribing.

Increased Methamphetamine, Injection Drug, and Heroin Use Among Women and Heterosexual Men with Primary and Secondary Syphilis - United States, 2013-2017

Thu, 14 Feb 2019 14:00:00 EDT

During 2013-2017, the national annual rate of reported primary and secondary (P&S) syphilis cases in the United States increased 72.7%, from 5.5 to 9.5 cases per 100,000 population.

Transmission Patterns in a Low HIV-Morbidity State - Wisconsin, 2014-2017

Thu, 14 Feb 2019 14:00:00 EDT

Public health interviews (i.e., partner services), during which persons with diagnosed human immunodeficiency virus (HIV) infection name their sexual or needle-sharing partners (named partners), are used to identify HIV transmission networks to guide and prioritize HIV prevention activities.

Recommendations of the Advisory Committee on Immunization Practices for Use of Hepatitis A Vaccine for Persons Experiencing Homelessness

Thu, 14 Feb 2019 14:00:00 EDT

Hepatitis A (HepA) vaccination is recommended routinely for children at age 12-23 months, for persons who are at increased risk for hepatitis A virus (HAV) infection, and for any person wishing to obtain immunity.

Vital Signs: Tobacco Product Use Among Middle and High School Students - United States, 2011-2018

Thu, 14 Feb 2019 14:00:00 EDT

Tobacco use is the leading cause of preventable disease and death in the United States; nearly all tobacco product use begins during youth and young adulthood.

Notes from the Field: Assessment of State-Level Influenza Season Severity - Minnesota and Utah, 2017-18 Influenza Season

Thu, 14 Feb 2019 14:00:00 EDT

The U.S. 2017-18 influenza season was a high-severity season, with the highest number of outpatient visits for influenza-like illness* (ILI) since the 2009-10 pandemic and the highest rate of influenza-associated hospitalizations since surveillance expanded to include adult hospitalizations during the 2005-06 season.

Awareness of Heart Attack Symptoms and Response Among Adults - United States, 2008, 2014, and 2017

Thu, 07 Feb 2019 14:00:00 EDT

Heart disease is the leading cause of death in the United States (1). Heart attacks (also known as myocardial infarctions) occur when a portion of the heart muscle does not receive adequate blood flow, and they are major contributors to heart disease, with an estimated 750,000 occurring annually (2).

Actions in Support of Newborn Screening for Critical Congenital Heart Disease - United States, 2011-2018

Thu, 07 Feb 2019 14:00:00 EDT

In 2011, the U.S. Department of Health and Human Services added critical congenital heart disease (CCHD), which occurs in two of every 1,000 births, to the list of conditions recommended to states for universal newborn screening.

Advisory Committee on Immunization Practices Recommended Immunization Schedule for Children and Adolescents Aged 18 Years or Younger - United States, 2019

Thu, 07 Feb 2019 14:00:00 EDT

At its October 2018 meeting, the Advisory Committee on Immunization Practices (ACIP)* voted to recommend approval of the Recommended Immunization Schedule for Children and Adolescents Aged 18 Years or Younger, United States, 2019.

Advisory Committee on Immunization Practices Recommended Immunization Schedule for Adults Aged 19 Years or Older - United States, 2019

Thu, 07 Feb 2019 14:00:00 EDT

In October 2018, the Advisory Committee on Immunization Practices (ACIP)* voted to recommend approval of the Recommended Immunization Schedule for Adults, Aged 19 Years or Older, United States, 2019.

Notes from the Field: Circulating Vaccine-Derived Poliovirus Type 1 and Outbreak Response - Papua New Guinea, 2018

Thu, 07 Feb 2019 14:00:00 EDT

The last poliomyelitis cases reported in Papua New Guinea occurred in 1996. Papua New Guinea is one of 37 countries (or areas) of the World Health Organization Western Pacific Region that were certified free of indigenous wild poliovirus in 2000.

HIV Partner Service Delivery among Blacks or African Americans --- United States, 2016

Thu, 31 Jan 2019 14:15:00 EDT

In 2016, 78% of black index patients were interviewed for partner services. However, among black partners, fewer than half were tested for human immunodeficiency virus (HIV) infection, 17% received a new diagnosis of HIV infection, and 9% were previously infected. The prevalence of newly diagnosed HIV infection was particularly high among black partners who were gay, bisexual, and other men who have sex with men (37%) and transgender persons (38%).

Use of Toothpaste and Toothbrushing Patterns Among Children and Adolescents --- United States, 2013--2016

Thu, 31 Jan 2019 14:15:00 EDT

In a survey of toothbrushing practices, 14.5% of children aged 3-15 years began toothbrushing at age ≥3 years, approximately one third brushed once daily, and nearly 40% of children aged 3-6 years used too much toothpaste.

Postlicensure Safety Surveillance of Recombinant Zoster Vaccine (Shingrix) --- United States, October 2017--June 2018

Thu, 31 Jan 2019 14:15:00 EDT

Early recombinant zoster vaccine safety monitoring findings are consistent with prelicensure clinical trial data. Serious adverse events were rare, and no unexpected patterns were detected.

Notes From The Field: Mumps Outbreak in a Recently Vaccinated Population --- Kosrae, Federated States of Micronesia, August--December, 2017

Thu, 31 Jan 2019 14:15:00 EDT

On August 6, 2017, the Kosrae Department of Health Services in the Federated States of Micronesia reported a confirmed case of mumps in a resident aged 18 years. The patient had documentation of receipt of 2 doses of measles-mumps-rubella vaccine and had recently traveled to Seattle, Washington, which was experiencing a large mumps outbreak among members of its Pacific Islander population.

Characteristics of School-Associated Youth Homicides --- United States, 1994--2018

Thu, 24 Jan 2019 14:15:00 EDT

Single-victim homicide rates did not significantly change over the study period from 1994 to 2016. School-associated single-victim homicides share characteristics with youth homicides in the community, often involving racial/ethnic minorities and males aged 15-18 years, and occurring in urban areas. Firearm-related injuries were the cause of death in 247 (62.8%) and 115 (95%) single- and multiple-victim homicides, respectively. During 1994-2016, 18.6% of all school-associated homicide victims died in multiple-victim incidents. Multiple-victim incidence rates increased significantly from July 2009 to June 2018.

Characteristics of Deceased Solid Organ Donors and Screening Results for Hepatitis B, C, and Human Immunodeficiency Viruses --- United States, 2010--2017

Thu, 24 Jan 2019 14:15:00 EDT

The number and proportion of increased risk donors have increased since 2010, likely because of the epidemic of opioid overdose deaths. Compared with standard risk donors, increased risk donors were significantly more likely to have hepatitis B virus and hepatitis C virus infection. Rates of nucleic acid testing have reached nearly 100%.

Transgender Identity and Experiences of Violence Victimization, Substance Use, Suicide Risk, and Sexual Risk Behaviors Among High School Students --- 19 States and Large Urban School Districts, 2017

Thu, 24 Jan 2019 14:15:00 EDT

Population-based survey data from 10 state and nine urban school districts found that an average of 1.8% of high school students identify as transgender. Transgender students were more likely than were cisgender students to report violence victimization, substance use, and suicide risk, and, although generally more likely to report sexual risk behaviors, were also more likely to report having been tested for human immunodeficiency virus.

Scurvy Outbreak Among South Sudanese Adolescents and Young Men --- Kakuma Refugee Camp, Kenya, 2017--2018

Thu, 24 Jan 2019 14:15:00 EDT

An outbreak of scurvy caused by vitamin C deficiency occurred among South Sudanese adolescent and young adult males living in a refugee camp who were receiving food rations and electronic cash to purchase food and add diversity and choice in their diets. However, rather than purchasing micronutrient-rich fresh foods they selected more calorie-dense cereal and pulses to meet their caloric needs. Symptoms resolved after vitamin C treatment.

Notes from the Field: Outbreak of Listeriosis Likely Associated with Prepackaged Caramel Apples --- United States, 2017

Thu, 24 Jan 2019 14:15:00 EDT

On December 1, 2017, PulseNet, CDC's molecular subtyping network for foodborne disease surveillance, identified a cluster of three Listeria monocytogenes clinical isolates. Review of reported exposures indicated that all three patients had consumed prepackaged caramel apples purchased from retail establishments in the month preceding illness onset.

Opioid Prescribing Rates in Nonmetropolitan and Metropolitan Counties Among Primary Care Providers Using an Electronic Health Record System --- United States, 2014--2017

Thu, 17 Jan 2019 14:15:00 EDT

Analysis of patient opioid prescription data from a national electronic health record vendor during 2014-2017 found that the percentage of patients prescribed an opioid was higher in rural than in urban areas. Significant decreases in opioid prescribing occurred across all urban-rural categories after the March 2016 release of the CDC Guideline for Prescribing Opioids for Chronic Pain.

Gastroschisis Trends and Ecologic Link to Opioid Prescription Rates --- United States, 2006--2015

Thu, 17 Jan 2019 14:15:00 EDT

During 2011-2015, gastroschisis prevalence was 4.5 per 10,000 live births, which was 10% higher than the prevalence during 2006-2010. An ecologic analysis found a higher prevalence of gastroschisis where opioid prescriptions rates were high, supporting epidemiologic data suggesting an association between opioid use during pregnancy and gastroschisis.

Overdose Deaths Involving Fentanyl and Fentanyl Analogs --- New York City, 2000--2017

Thu, 17 Jan 2019 14:15:00 EDT

Using toxicology data, New York City identified fentanyl in 2% of drug overdose deaths during 2000-2012. By 2017, fentanyl was involved in 57% of all drug overdose deaths in New York City.

Notes from the Field: Fentanyl Drug Submissions --- United States, 2010--2017

Thu, 17 Jan 2019 14:15:00 EDT

In 2017, the United States recorded 70,237 drug overdose deaths; among these, 47,600 (67.8%) involved an opioid and 28,466 (40.5%) involved a synthetic opioid other than methadone.

Notes from the Field: Typhoid Fever Outbreak --- Harare, Zimbabwe, October 2017--February 2018

Thu, 17 Jan 2019 14:15:00 EDT

On October 16, 2017, after identifying a suspected typhoid fever case in a resident of Mbare suburb in Harare, Zimbabwe, the city health department investigated further and, as of February 24, 2018, had identified a total of 3,187 suspected cases.

Notes from the Field: Tuberculosis Control in the Aftermath of Hurricane Maria --- Puerto Rico, 2017

Thu, 17 Jan 2019 14:15:00 EDT

On September 20, 2017, Hurricane Maria made landfall in Puerto Rico as a Category 4 storm. The unprecedented destruction in Puerto Rico caused by Hurricane Maria challenged tuberculosis (TB) control, but the Puerto Rico Department of Health Tuberculosis Control Program's limited personnel, in collaboration with partners, was able to maintain treatment and access to TB laboratory services.

Drug Overdose Deaths Among Women Aged 30-64 Years --- United States, 1999--2017

Thu, 10 Jan 2019 14:15:00 EDT

From 1999 to 2017, the death rate from drug overdose among women aged 30-64 years increased by 260%. Drug overdose deaths involving antidepressants, benzodiazepines, cocaine, heroin, prescription opioids, and synthetic opioids all increased. Among women aged 30-64 years, the average age at death for deaths involving these drugs or drug classes has increased by nearly 3 years.

Evaluation of State-Mandated Reporting of Neonatal Abstinence Syndrome --- Six States, 2013--2017

Thu, 10 Jan 2019 14:15:00 EDT

In 2014 in the United States, an infant with neonatal abstinence syndrome (NAS) was born every 15 minutes. Historically, NAS surveillance has depended on hospital discharge data, frequently with a time lag, limiting ability to rapidly direct public health resources.

Emergence of Extensively Drug-Resistant Salmonella Typhi Infections Among Travelers to or from Pakistan --- United States, 2016--2018

Thu, 10 Jan 2019 14:15:00 EDT

During 2006-2015, 79% of isolates from U.S. typhoid fever patients who traveled to Pakistan were fluoroquinolone nonsusceptible. During 2016-2018, typhoid fever was diagnosed in 29 U.S. patients with recent Pakistan travel; five had extensively drug-resistant Typhi.

Establishing Baseline Cervical Cancer Screening Coverage --- India, 2015--2016

Thu, 10 Jan 2019 14:15:00 EDT

Among women in India aged 30-49 years, less than one-third (29.8%) reported ever having been screened for cervical cancer. There was substantial geographic variation, and screening rates were higher among women with more education, greater wealth, and those who had ever been married.

Notes from the Field: Respiratory Syncytial Virus Infections in a Neonatal Intensive Care Unit --- Louisiana, December 2017

Thu, 10 Jan 2019 14:15:00 EDT

In December 2017, the Louisiana Department of Health was notified of seven cases of respiratory syncytial virus infection at a five-unit, 84-bed neonatal intensive care unit that included 66 individual infant rooms.

Behavioral and Clinical Characteristics of American Indian/Alaska Native Adults in HIV Care --- Medical Monitoring Project, United States, 2011--2015

Thu, 03 Jan 2019 14:15:00 EDT

Among adults receiving human immunodeficiency virus (HIV) care from 2011 to 2015, American Indians/Alaska Natives patients had high poverty levels (51%), depression (27%), HIV stigma (78%), and suboptimal sustained HIV viral suppression (64%).

Human Rabies --- Virginia, 2017

Thu, 03 Jan 2019 14:15:00 EDT

A U.S. citizen was bitten by a puppy while in India; rabies postexposure prophylaxis was not sought. The traveler developed rabies upon return to the United States and died during hospitalization. Seventy-two health care providers were exposed to infectious materials. Treatment for exposures cost approximately $235,000.

Drug and Opioid-Involved Overdose Deaths --- United States, 2013--2017

Thu, 03 Jan 2019 14:15:00 EDT

In 2017, among 70,237 drug overdose deaths, 47,600 (67.8%) involved opioids, with increases across age groups, racial/ethnic groups, county urbanization levels, and in multiple states. From 2013 to 2017, synthetic opioids contributed to increases in drug overdose death rates in several states. From 2016 to 2017, synthetic opioid-involved overdose death rates increased by 45.2%.

Notes from the Field: Mycobacteria chimaera Infections Associated with Heater-Cooler Unit Use During Cardiopulmonary Bypass Surgery --- Los Angeles County, 2012--2016

Thu, 03 Jan 2019 14:15:00 EDT

In December 2016, a hospital in Los Angeles County reported two infections, later identified as Mycobacterium chimaera, in patients with a recent history (<5 years) of cardiopulmonary bypass surgery, which were found to be associated with the heater-cooler units used during surgery.

Notes from the Field: Environmental Investigation of a Multistate Salmonellosis Outbreak Linked to Live Backyard Poultry from a Mail-Order Hatchery --- Michigan, 2018

Thu, 03 Jan 2019 14:15:00 EDT

On June 12, 2018, the Michigan Department of Health and Human Services requested assistance from CDC to investigate risk factors for Salmonella infection linked to live backyard poultry originating at a mail-order hatchery in Michigan.

Wound Botulism Outbreak Among Persons Who Use Black Tar Heroin --- San Diego County, California, 2017--2018

Thu, 03 Jan 2019 14:15:00 EDT

During September 2017-April 2018, nine cases of wound botulism were reported in San Diego County, California; all patients reported injecting heroin and seven used black tar heroin, including subcutaneous injection in six patients. Symptoms were first attributed to drug intoxication for four patients; two received the opioid overdose reversal medication naloxone without improvement in symptoms. One patient died.

Drug, Opioid-Involved, and Heroin-Involved Overdose Deaths in American Indian/Alaska Native Populations - Washington, 1999-2015

Thu, 20 Dec 2018 14:00:00 EDT

During 2013-2015, total drug and opioid-involved overdose mortality rates for American Indians and Alaska Natives were 2.7 times higher than those of whites in Washington. Misclassification of American Indians and Alaska Natives race in death certificates underestimated overdose mortality among American Indians and Alaska Natives in Washington by approximately 40%.

Health Care, Family, and Community Factors Associated with Mental, Behavioral, and Developmental Disorders and Poverty Among Children Aged 2-8 Years - United States, 2016

Thu, 20 Dec 2018 14:00:00 EDT

Parent-reported data from 2016 indicated that a higher percentage of children in lower-income households had ever received a diagnosis of a mental, behavioral, or developmental disorder and a lower percentage had seen a health care provider in the previous year, compared with children in higher-income households. Most children in lower-income households were in families receiving public assistance benefits.

Rabies in a Dog Imported from Egypt - Connecticut, 2017

Thu, 20 Dec 2018 14:00:00 EDT

Importation of a rabid dog into the United States from Egypt, with documentation of rabies vaccination but no medical history, resulted in a six-state investigation and administration of rabies postexposure prophylaxis to multiple persons.

Notes from the Field: Infections After Receipt of Bacterially Contaminated Umbilical Cord Blood-Derived Stem Cell Products for Other Than Hematopoietic or Immunologic Reconstitution - United States, 2018

Thu, 20 Dec 2018 14:00:00 EDT

On September 17, 2018, the Texas Department of State Health Services received notification of Enterobacter cloacae and Citrobacter freundii bloodstream infections in three patients who had received injections or infusions of non-FDA-approved umbilical cord blood-derived stem cell products processed by Genetech, Inc., and distributed by Liveyon, LLC, for other than hematopoietic or immunologic reconstitution at an outpatient clinic on September 12.

Trends and Gaps in National Blood Transfusion Services - 14 Sub-Saharan African Countries, 2014-2016

Thu, 20 Dec 2018 14:00:00 EDT

During 2014-2016, blood collections increased and donor HIV prevalence decreased in seven of 14 countries, but systems to link HIV-positive and donors at high risk to testing and treatment are inadequate.

Frequency of Use Among Middle and High School Student Tobacco Product Users - United States, 2015-2017

Thu, 13 Dec 2018 14:00:00 EDT

During 2015-2017, the proportion of students currently using tobacco products who used a product ≥20 of the past 30 days ranged from 14.0% of cigar smokers to 38.7% of smokeless tobacco users among high school students and from 13.1% of e-cigarette users to 24.5% of hookah smokers among middle school students.

Unresolved Splenomegaly in Recently Resettled Congolese Refugees - Multiple States, 2015-2018

Thu, 13 Dec 2018 14:00:00 EDT

Despite recommendations, most U.S.-bound Congolese refugees with splenomegaly did not have documented receipt of primaquine after resettlement. Most patients were clustered within families. Approximately 50% of patients with available medical records had persistent splenomegaly >6 months after arrival; 63% of patients with splenomegaly had a hematologic abnormality.

Low and Decreasing Prevalence and Rate of False Positive HIV Diagnosis - Chókwè District, Mozambique, 2014-2017

Thu, 13 Dec 2018 14:00:00 EDT

From 2014 to 2017, the annual rate of false positive diagnosis pf human immunodeficiency virus in Chókwè district, Mozambique decreased from 0.66% to 0.00%, and the cumulative false diagnosis rate was 0.56%, compared with the median rate of 3.1% reported in the systematic review.

Influenza Activity - United States, September 30-December 1, 2018

Thu, 13 Dec 2018 14:00:00 EDT

Influenza activity in the United States was low during October 2018, and, although it increased slowly during November, activity remains low across most of the country.

Notes from the Field: Follow-Up on 11 Infants Born to Women with Evidence of Zika Virus Infection During Pregnancy - Los Angeles County, 2016

Thu, 13 Dec 2018 14:00:00 EDT

During 2016, 11 infants were born to women in Los Angeles County who met the Council of State and Territorial Epidemiologists case definition for confirmed (four infants) or probable (seven) Zika virus infection.

Notes from the Field: An Outbreak of Salmonella Agbeni Infections Linked to Turtle Exposure --- United States, 2017

Thu, 06 Dec 2018 14:00:00 EDT

In June 2017, PulseNet, the national molecular subtyping network for foodborne disease surveillance, identified 17 Salmonella Agbeni clinical isolates with indistinguishable XbaI enzyme pattern (outbreak strain) by pulsed-field gel electrophoresis.

Exposure to Secondhand Smoke Among Nonsmokers --- United States, 1988-2014

Thu, 06 Dec 2018 14:00:00 EDT

Although secondhand smoke exposure among U.S. nonsmokers declined from 87.5% to 25.2% during 1988-2014, one in four nonsmokers, including 14 million children, were exposed to secondhand smoke during 2013-2014.

Public Health Response to an Avian Influenza A(H7N8) Virus Outbreak in Commercial Turkey Flocks --- Indiana, 2016

Thu, 06 Dec 2018 14:00:00 EDT

Monitoring procedures for highly pathogenic avian influenza responders were successfully implemented during a 2016 outbreak of highly pathogenic avian influenza A(H7N8) in commercial turkey flocks in Indiana. No human cases of avian influenza were identified.

Uterine Cancer Incidence and Mortality --- United States, 1999-2016

Thu, 06 Dec 2018 14:00:00 EDT

During 1999-2015 and 1999-2016, uterine cancer incidence and mortality rates increased 0.7% and 1.1% per year, respectively, with black women disproportionately affected.

Outbreak of Epidemic Keratoconjunctivitis Caused by Human Adenovirus Type D53 in an Eye Care Clinic --- Los Angeles County, 2017

Thu, 06 Dec 2018 14:00:00 EDT

This report details the first documented outbreak of adenovirus D53 epidemic keratoconjunctivitis in the United States. Seventeen epidemic keratoconjunctivitis cases were identified; after the primary case, all cases occurred in eye care clinic patients or their household contacts. Infection prevention lapses were associated with the outbreak, specifically improper ocular equipment disinfection.

World AIDS Day --- December 1, 2018

Thu, 29 Nov 2018 14:00:00 EDT

World AIDS Day, observed each year on December 1, draws attention to the status of the human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) epidemic worldwide.

Health Disparities Among American Indians/Alaska Natives --- Arizona, 2017

Thu, 29 Nov 2018 14:00:00 EDT

Culturally tailored public health approaches to reducing risk factors and chronic diseases among American Indians/Alaska Natives are needed. Improved surveillance can better equip health professionals to identify priorities and implement interventions to improve health and reduce disparities among American Indians/Alaska Natives.

Implementation of the Treat All Policy Among Persons with HIV Infection Enrolled in Care But Not on Antiretroviral Therapy --- India, May 2017--June 2018

Thu, 29 Nov 2018 14:00:00 EDT

To implement Treat All in India, 46 antiretroviral therapy (ART) centers in two states supported by the President's Emergency Plan for AIDS Relief attempted to contact 25,007 persons enrolled in HIV care but not receiving ART; 9,898 (40%) subsequently initiated ART over a 14-month period. Among those initiating ART, 6,315 (64%) began ART after being reached, including 1,635 (17%) who had been lost to follow-up.

Multistate Infestation with the Exotic Disease-Vector Tick Haemaphysalis longicornis --- United States, August 2017--September 2018

Thu, 29 Nov 2018 14:00:00 EDT

During 2017-2018, Haemaphysalis longicornis has been detected in Arkansas, Connecticut, Maryland, New Jersey, New York, North Carolina, Pennsylvania, Virginia, and West Virginia on various species of domestic animals and wildlife, and from two humans.

Progress Toward Regional Measles Elimination --- Worldwide, 2000--2017

Thu, 29 Nov 2018 14:00:00 EDT

During 2000-2017, annual reported measles incidence decreased 83%, and annual estimated measles deaths decreased 80%. Since 2000, global measles elimination efforts have prevented an estimated 21.1 million deaths. However, measles elimination milestones have not been met, and three regions are experiencing a measles resurgence.

Outbreak of Dengue Virus Type 2 --- American Samoa, November 2016--October 2018

Thu, 29 Nov 2018 14:00:00 EDT

Sustainable, effective interventions are still needed to control dengue, as is continued emphasis on clinical management to reduce mortality. Persons residing in or traveling to areas with risk for dengue should use insect repellent, wear long sleeves and pants, and stay in residences with screens on doors and windows.

Prevalence of Amyotrophic Lateral Sclerosis --- United States, 2015

Wed, 21 Nov 2018 14:00:00 EDT

In 2015, a total of 16,583 persons were identified as having definite amyotrophic lateral sclerosis (ALS). The estimated prevalence of ALS in 2015 was 5.2 cases of ALS per 100,000 population, which is similar to that in 2014 (5.0). Case ascertainment was unaffected by the inclusion of International Classification of Diseases, Tenth Revision codes in the algorithm used to identify cases from national databases.

Lead in Spices, Herbal Remedies, and Ceremonial Powders Sampled from Home Investigations for Children with Elevated Blood Lead Levels --- North Carolina, 2011-2018

Wed, 21 Nov 2018 14:00:00 EDT

A North Carolina study of lead content in spices, herbal remedies, and ceremonial powders in homes of children with elevated blood lead levels found that 28.8% of samples contained ≥1 mg/kg lead, suggesting contaminated products might represent an important source of childhood lead exposure. A survey instrument was created to collect information on product origin and consumption.

Self-Directed Walk With Ease Workplace Wellness Program --- Montana, 2015-2017

Wed, 21 Nov 2018 14:00:00 EDT

Among Montana state workers with and without self-reported arthritis who participated in the self-directed Walk With Ease program, walking levels increased significantly. Among participants not walking for exercise at the start of the program, 97% were walking at 6 weeks and 87% at 6 months. Pain and fatigue decreased among those with moderate or severe pain or fatigue before beginning the program.

Notes from the Field: Multiple Modes of Transmission During a Thanksgiving Day Norovirus Outbreak --- Tennessee, 2017

Wed, 21 Nov 2018 14:00:00 EDT

After a restaurant in Tennessee received 18 complaints of gastrointestinal illness from patrons dining there on Thanksgiving Day, November 23, 2017, the Tennessee Department of Health officials conducted an investigation. Thirty-six patrons eating at the restaurant that day were found to have confirmed or probable cases of norovirus, which could have been caused by an already infected patron.

Suicide Rates by Major Occupational Group --- 17 States, 2012 and 2015

Thu, 15 Nov 2018 14:00:00 EDT

From 2000 to 2016, the U.S. suicide rate among working aged (16-64 years) adults increased 34% from 12.9 per 100,000 population to 17.3.

Progress Toward Global Eradication of Dracunculiasis --- January 2017-June 2018

Thu, 15 Nov 2018 14:00:00 EDT

With only 30 dracunculiasis cases in humans reported in 2017, the goal of eradicating Guinea worm disease appears to be on the horizon. However, infections in dogs and insecurity in Mali and South Sudan remain challenges to eradication efforts.

Updated Framework for Development of Evidence-Based Recommendations by the Advisory Committee on Immunization Practices

Thu, 15 Nov 2018 14:00:00 EDT

The Evidence to Recommendation framework elucidates factors considered in vaccine recommendation deliberations and facilitates transparency, consistency, and communication of recommendations to health care providers, partner organizations, and the public.

Increase in Acute Flaccid Myelitis --- United States, 2018

Thu, 15 Nov 2018 14:00:00 EDT

In August 2018, CDC noted an increase, compared with August 2017, in the number of reports of patients having symptoms clinically compatible with acute flaccid myelitis, a rare condition characterized by rapid onset of flaccid weakness in one or more limbs and spinal cord gray matter lesions.

Notes from the Field: Use of Electronic Cigarettes and Any Tobacco Product Among Middle and High School Students --- United States, 2011-2018

Thu, 15 Nov 2018 14:00:00 EDT

E-cigarettes entered the U.S. marketplace in 2007, and by 2014, e-cigarettes were the most commonly used tobacco product among U.S. youths.

Global Routine Vaccination Coverage --- 2017

Thu, 15 Nov 2018 14:00:00 EDT

Global coverage with the third dose of diphtheria and tetanus toxoids and pertussis-containing vaccine (DTP3), third dose of polio vaccine, and first dose of measles-containing vaccine has remained at 84%-85% since 2010. In 2017, 62% of children who did not receive DTP3 lived in 10 countries; positive trends in vaccination coverage (2007-2017) were observed in seven of these countries.

Notes from the Field: Cronobacter sakazakii Meningitis in a Full-Term Neonate Fed Exclusively with Breast Milk --- Indiana, 2018

Thu, 08 Nov 2018 14:56:00 EDT

In January 2018, the Indiana State Department of Health (ISDH) was notified of a case of Cronobacter sakazakii meningitis in a female neonate who had been fed exclusively maternal breast milk.

Notes from the Field: Increase in Coccidioidomycosis - Arizona, October 2017-March 2018

Thu, 08 Nov 2018 14:30:00 EDT

Beginning in October 2017, the Arizona Department of Health Services (ADHS) noted an increase in the number of reported cases of coccidioidomycosis.

Progress Toward Poliomyelitis Eradication - Pakistan, January 2017-September 2018

Thu, 08 Nov 2018 14:08:00 EDT

Among the three wild poliovirus (WPV) serotypes, only WPV type 1 (WPV1) has been reported in polio cases or detected from environmental surveillance globally since 2012. Pakistan remains one of only three countries worldwide (the others are Afghanistan and Nigeria) that has never had interrupted WPV1 transmission.

Great American Smokeout --- November 15, 2018

Thu, 08 Nov 2018 14:00:00 EDT

The American Cancer Society's 43rd annual Great American Smokeout will be held on November 15, 2018. The Great American Smokeout is an annual event that encourages smokers to make a plan to quit smoking (https://www.cancer.org/healthy/stay-away-from-tobacco/great-american-smokeout.html).

Tobacco Product Use Among Adults --- United States, 2017

Thu, 08 Nov 2018 14:00:00 EDT

Cigarette smoking harms nearly every organ of the body and causes adverse health consequences, including heart disease, stroke, and multiple types of cancer.

Firearm Homicides and Suicides in Major Metropolitan Areas --- United States, 2012--2013 and 2015--2016

Thu, 08 Nov 2018 14:00:00 EDT

Firearm homicides and suicides represent a continuing public health concern in the United States. During 2015-2016, a total of 27,394 firearm homicides (including 3,224 [12%] among persons aged 10-19 years) and 44,955 firearm suicides (including 2,118 [5%] among persons aged 10-19 years) occurred among U.S. residents.

Prevalence of Arthritis Among Adults with Prediabetes and Arthritis-Specific Barriers to Important Interventions for Prediabetes --- United States, 2009--2016

Thu, 08 Nov 2018 14:00:00 EDT

An estimated 54.4 million U.S. adults have doctor-diagnosed arthritis (arthritis), and this number is projected to rise to 78.4 million by 2040 (1,2).

Prevalence and Changes in Preexisting Diabetes and Gestational Diabetes Among Women Who Had a Live Birth - United States, 2012-2016

Thu, 01 Nov 2018 13:00:00 EST

Diabetes during pregnancy increases the risk for adverse maternal and infant health outcomes.

Hepatitis A Virus Outbreaks Associated with Drug Use and Homelessness - California, Kentucky, Michigan, and Utah, 2017

Thu, 01 Nov 2018 13:00:00 EST

During 2017, CDC received 1,521 reports of acute hepatitis A virus (HAV) infections from California, Kentucky, Michigan, and Utah; the majority of infections were among persons reporting injection or noninjection drug use or homelessness.

Violence Victimization, Substance Use, and Suicide Risk Among Sexual Minority High School Students - United States, 2015-2017

Thu, 01 Nov 2018 13:00:00 EST

Youths identifying as lesbian, gay, bisexual, or another nonheterosexual identity (sexual minority youths) report more violence victimization, substance use, and suicide risk than do heterosexual youths.

Update: Recommendations of the Advisory Committee on Immunization Practices for Use of Hepatitis A Vaccine for Postexposure Prophylaxis and for Preexposure Prophylaxis for International Travel

Thu, 01 Nov 2018 13:00:00 EST

Postexposure prophylaxis (PEP) with hepatitis A (HepA) vaccine or immune globulin (IG) effectively prevents infection with hepatitis A virus (HAV) when administered within 2 weeks of exposure.

Notes from the Field: Intestinal Colonization and Possible Iatrogenic Botulism in Mouse-Bioassay-Negative Serum Specimens - Los Angeles County, California, November 2017

Thu, 01 Nov 2018 13:00:00 EST

Mouse bioassay (MBA) is the standard test for botulinum neurotoxin detection.

Influenza A(H3N2) Variant Virus Outbreak at Three Fairs - Maryland, 2017

Thu, 25 Oct 2018 13:00:00 EST

On September 17, 2017, the Maryland Department of Agriculture (MDA) was notified by fair and 4-H officials of ill swine at agricultural fair A, held September 14-17.

Translocation of a Stray Cat Infected with Rabies from North Carolina to a Terrestrial Rabies-Free County in Ohio, 2017

Thu, 25 Oct 2018 13:00:00 EST

On July 24, 2017, the Ohio Department of Health (ODH) was notified of a positive rabies test result from a domestic cat in Summit County, a county considered free from terrestrial rabies

Update: Influenza Activity - United States and Worldwide, May 20-October 13, 2018

Thu, 25 Oct 2018 13:00:00 EST

During May 20-October 13, 2018,* low levels of influenza activity were reported in the United States, with a mix of influenza A and B viruses circulating.

Measles Outbreak in a Highly Vaccinated Population - Israel, July-August 2017

Thu, 25 Oct 2018 13:00:00 EST

The first two cases (in patients A and B) were reported on August 6, 2017.

Update on Vaccine-Derived Polioviruses - Worldwide, January 2017-June 2018

Thu, 25 Oct 2018 13:00:00 EST

Since the Global Polio Eradication Initiative was launched in 1988 (1), the number of polio cases worldwide has declined by >99.99%.

Notes from the Field: Recurrence of a Multistate Outbreak of Salmonella Enteritidis Infections Linked to Contact with Guinea Pigs - Eight States, 2015-2017

Thu, 25 Oct 2018 13:00:00 EST

In December 2017, the Colorado Department of Public Health and Environment reported two human Salmonella Enteritidis infections in persons with exposure to pet guinea pigs.

West Nile Virus and Other Nationally Notifiable Arboviral Diseases - United States, 2017

Thu, 18 Oct 2018 13:00:00 EST

In 2017, 48 states and the District of Columbia reported 2,291 cases of infection from viruses carried by mosquitoes and ticks, with West Nile virus most frequently reported.In 2017, Eastern equine encephalitis virus transmission via organ transplantation was reported for the first time. More cases of Jamestown Canyon and Powassan virus neuroinvasive disease were reported in 2017 than in any previous year.

Mumps Outbreak in a Marshallese Community - Denver Metropolitan Area, Colorado, 2016-2017

Thu, 18 Oct 2018 13:00:00 EST

During 2016-2017, an outbreak of 47 mumps cases occurred in the Denver metropolitan area, mostly among members of a Marshallese community. Public health response included early active surveillance, public education, and prompt implementation of MMR vaccination clinics.

Use of Personal Hearing Protection Devices at Loud Athletic or Entertainment Events Among Adults - United States, 2018

Thu, 18 Oct 2018 13:00:00 EST

Approximately 20% of employer health care spending is associated with modifiable health risks in the U.S. workforce. Among surveyed U.S. adults, approximately 8% reported consistent use of a hearing protection device (HPD) at loud athletic or entertainment events; women and older adults were less likely to use an HPD, whereas adults with hearing impairment, or who had a hearing-impaired household member or some college education were significantly more likely to use an HPD.

CDC Grand Rounds: New Frontiers in Workplace Health

Thu, 18 Oct 2018 13:00:00 EST

CDC's Workplace Health Resource Center is a source for reliable evidence and best practices to improve worker health and productivity, address research gaps, and potentially reduce healthcare costs.

Notes from the Field: Reference Laboratory Investigation of Patients with Clinically Diagnosed Lyme Disease and Babesiosis - Indiana, 2016

Thu, 18 Oct 2018 13:00:00 EST

In June 2016, a physician in northwestern Indiana reported a high prevalence of clinically diagnosed Lyme disease among his patients. To further evaluate these findings, the Indiana State Department of Health and CDC conducted a laboratory investigation using specimens from some of the patients.

Notes from the Field: Contact Tracing Investigation after First Case of Andes Virus in the United States - Delaware, February 2018

Thu, 18 Oct 2018 13:00:00 EST

In January 2018, a patient admitted to a Delaware hospital tested positive for hantavirus immunoglobulin M and immunoglobulin G antibodies by enzyme-linked immunosorbent assay testing.

HIV Preexposure Prophylaxis, by Race and Ethnicity - United States, 2014-2016

Thu, 18 Oct 2018 13:00:00 EST

A new CDC analysis found that during 2014-2016 the number of U.S. residents who filled a prescription for preexposure prophylaxis (PrEP) increased substantially, but remained a small fraction of the estimated 1.1 million U.S. residents who could benefit from PrEP.

Notes from the Field: Rubella Infection in an Unvaccinated Pregnant Woman --- Johnson County, Kansas, December 2017

Thu, 11 Oct 2018 13:00:00 EST

On December 14, 2017, a school nurse notified the Johnson County Department of Health and Environment in Kansas that a student's pregnant mother had received a diagnosis of rubella.

Vaccination Coverage for Selected Vaccines and Exemption Rates Among Children in Kindergarten --- United States, 2017--18 School Year

Thu, 11 Oct 2018 13:00:00 EST

During the 2017-18 school year, median kindergarten vaccination coverage was approximately 95% for selected vaccines.

Vaccination Coverage Among Children Aged 19-35 Months --- United States, 2017

Thu, 11 Oct 2018 13:00:00 EST

In 2017, coverage with most recommended vaccines among children aged 19-35 months remained stable and high but was lower in more rural areas and among uninsured or Medicaid-insured children. A small but increasing proportion of children received no vaccines by age 24 months.

Differences in Characteristics and Clinical Outcomes Among Hispanic/Latino Men and Women Receiving HIV Medical Care --- United States, 2013--2014

Thu, 11 Oct 2018 13:00:00 EST

The prevalence of diagnosed human immunodeficiency virus (HIV) infection among Hispanics/Latinos in the United States is approximately twice that of non-Hispanic whites. Describing Hispanics/Latinos with HIV infection in medical care by sex could inform service delivery.

Notes from the Field: Exported Case of Sin Nombre Hantavirus Pulmonary Syndrome --- Israel, 2017

Thu, 11 Oct 2018 13:00:00 EST

In November 2017, CDC confirmed Sin Nombre virus (SNV) infection in a previously healthy man aged 47 years who was admitted to a hospital in Israel after returning from a trip to the western United States. SNV is a species of hantavirus transmitted to humans primarily through contact with the infected urine or droppings of a deer mouse (Peromyscus maniculatus).

Notes from the Field: Large Cluster of Verona Integron-Encoded Metallo-Beta-Lactamase-Producing Carbapenem-Resistant Pseudomonas aeruginosa Isolates Colonizing Residents at a Skilled Nursing Facility --- Chicago, Illinois, November 2016--March 2018

Thu, 11 Oct 2018 13:00:00 EST

On November 1, 2016, a point prevalence survey was conducted at a Chicago skilled nursing facility with ventilated residents to understand the prevalence of carbapenemase-producing organisms in health care facilities in the Chicago region. The survey identified 20 patients with Verona integron-encoded metallo-beta-lactamase-producing carbapenem-resistant Pseudomonas aeruginosa.

Symptoms of Anxiety and Depression Among Adults with Arthritis - United States, 2015-2017

Thu, 04 Oct 2018 13:00:00 EST

An estimated 54.4 million (22.7%) U.S. adults have doctor-diagnosed arthritis.

Factors Contributing to Congenital Syphilis Cases - New York City, 2010-2016

Thu, 04 Oct 2018 13:00:00 EST

Congenital syphilis occurs when syphilis is transmitted from a pregnant woman to her fetus; congenital syphilis can be prevented through screening and treatment during pregnancy.

Rates of Carpal Tunnel Syndrome in a State Workers' Compensation Information System, by Industry and Occupation - California, 2007-2014

Thu, 04 Oct 2018 13:00:00 EST

Carpal tunnel syndrome (CTS) occurs when the median nerve becomes compressed as it passes through the wrist within the carpal tunnel, resulting in pain, tingling, weakness, or numbness in the hand or the wrist. Occupational risk factors for CTS include engaging in work activities that require forceful, repetitive tasks, prolonged use of the hands or wrists in an awkward posture, or vibration.

Outbreak of Salmonella Chailey Infections Linked To Precut Coconut Pieces - United States and Canada, 2017

Thu, 04 Oct 2018 13:00:00 EST

Foodborne salmonellosis causes an estimated 1 million illnesses and 400 deaths annually in the United States.

Notes from the Field: Multiple Cyclosporiasis Outbreaks - United States, 2018

Thu, 04 Oct 2018 13:00:00 EST

Notes from the Field: Multiple Cyclosporiasis Outbreaks - United States, 2018 Cyclosporiasis is an intestinal illness caused by the parasite Cyclospora cayetanensis through ingestion of fecally contaminated food or water.

Notes from the Field: Lead Exposures Among Employees at a Bullet Manufacturing Company - Missouri, 2017

Thu, 04 Oct 2018 13:00:00 EST

Lead is toxic to all human organ systems, resulting in adverse health effects that include impaired kidney function, elevated blood pressure, and neurologic health effects.

Notes from the Field: Spatially Associated Coincident and Noncoincident Cases of La Crosse Encephalitis - North Carolina, 2002-2017

Thu, 04 Oct 2018 13:00:00 EST

La Crosse virus (LACV) is the most common cause of pediatric arthropod-borne viral (arboviral) encephalitis in the United States.

Influenza and Tdap Vaccination Coverage Among Pregnant Women --- United States, April 2018

Wed, 03 Oct 2018 21:15:00 EST

Vaccinating pregnant women with influenza and tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis (Tdap) vaccines can reduce the risk for influenza and pertussis for themselves and their infants.

Meningococcal Disease Surveillance in Men Who Have Sex with Men --- United States, 2015--2016

Thu, 27 Sep 2018 13:00:00 EST

Meningococcal disease is a rare, but serious, bacterial infection that progresses rapidly and can be life-threatening, even with prompt antibiotic treatment.

Multidrug-Resistant Aspergillus fumigatus Carrying Mutations Linked to Environmental Fungicide Exposure --- Three States, 2010--2017

Thu, 27 Sep 2018 13:00:00 EST

The environmental mold Aspergillus fumigatus is the primary cause of invasive aspergillosis. In patients with high-risk conditions, including stem cell and organ transplant recipients, mortality exceeds 50%. Triazole antifungals have greatly improved survival; however, triazole-resistant

Influenza Vaccination Coverage Among Health Care Personnel --- United States, 2017--18 Influenza Season

Thu, 27 Sep 2018 13:00:00 EST

The Advisory Committee on Immunization Practices (ACIP) recommends that all health care personnel receive an annual influenza vaccination to reduce influenza-related morbidity and mortality among health care personnel and their patients and to reduce absenteeism among health care personnel.

Children with Heart Conditions and Their Special Health Care Needs --- United States, 2016

Thu, 27 Sep 2018 13:00:00 EST

Children with heart conditions often use more health care services and specialized care than children without a heart condition; however, little is known about the number of U.S. children with heart conditions and their special health care needs.

Barriers to Receipt of Prenatal Tetanus Toxoid, Reduced Diphtheria Toxoid, and Acellular Pertussis Vaccine Among Mothers of Infants Aged <4 Months with Pertussis --- California, 2016

Thu, 27 Sep 2018 13:00:00 EST

Vaccination with tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis (Tdap) vaccine is recommended for all pregnant women to protect infants who are too young for vaccination from severe pertussis-related outcomes.

Current Tobacco Smoking, Quit Attempts, and Knowledge About Smoking Risks Among Persons Aged ≥15 Years --- Global Adult Tobacco Survey, 28 Countries, 2008--2016

Thu, 27 Sep 2018 13:00:00 EST

Each year, tobacco use causes approximately 7 million deaths worldwide, including approximately 6 million among tobacco users and an estimated 890,000 among nonsmokers exposed to secondhand smoke.

Notes from the Field: Blastomycosis Cases Occurring Outside of Regions with Known Endemicity --- New York, 2007--2017

Thu, 27 Sep 2018 13:00:00 EST

In October 2017, the New York State Department of Health was alerted by Albany-area infectious disease physicians about local cases of blastomycosis, including multiple severe infections, in the state health department's Capital District, an area where Blastomyces spp. fungi are not considered endemic.

Age-Associated Trends in Diagnosis and Prevalence of Infection with HIV Among Men Who Have Sex with Men --- United States, 2008--2016

Thu, 20 Sep 2018 13:10:00 EST

CDC analyzed national data on HIV diagnoses to examine age-associated trends in diagnosis and prevalence of HIV among gay and bisexual men during 2008-2016.

Multidrug-Resistant Campylobacter jejuni Outbreak Linked to Puppy Exposure --- United States, 2016--2018

Thu, 20 Sep 2018 13:10:00 EST

A multistate investigation of an outbreak of human multidrug-resistant Campylobacter infections during 2017-2018 was linked to contact with pet store puppies.

CDC Grand Rounds: Promoting Well-Being and Independence in Older Adults

Thu, 20 Sep 2018 13:10:00 EST

As the proportion of older adults in the United States continues to grow rapidly, public health can help enhance health and well-being by promoting recommended clinical preventive services and encouraging earlier disease detection and care planning, including discussing any concerns about memory loss with a health care provider.

Notes from the Field: Responding to an Outbreak of Monkeypox Using the One Health Approach --- Nigeria, 2017--2018

Thu, 20 Sep 2018 13:10:00 EST

In September 2018, the first case of an outbreak of monkeypox was reported in Nigeria, which likely resulted from a complex intersection of events and required a robust outbreak response collaboration among human, animal, and environmental health institutions.

Prevalence of Chronic Pain and High-Impact Chronic Pain Among Adults --- United States, 2016

Thu, 13 Sep 2018 13:10:00 EST

CDC researchers estimate that chronic pain affects approximately 50 million U.S. adults, and high-impact chronic pain affects approximately 20 million adults.

Sexual Risk Behavior Differences Among Sexual Minority High School Students --- United States, 2015 and 2017

Thu, 13 Sep 2018 13:10:00 EST

This analysis is the first to examine the subgroup differences in sexual risk behaviors among students who identify as gay, lesbian, bisexual, or who are unsure of their sexual identity.

Sentinel Surveillance for Congenital Rubella Syndrome --- India, 2016--2017

Thu, 13 Sep 2018 13:10:00 EST

The Indian Council of Medical Research and the Indian Ministry of Health and Family Welfare initiated laboratory-supported surveillance for congenital rubella syndrome in five sentinel sites in November 2016.

Notes from the Field: Enterovirus A71 Neurologic Disease in Children --- Colorado, 2018

Thu, 13 Sep 2018 13:10:00 EST

In May 2018, the Colorado Department of Public Health and Environment was notified by Children's Hospital Colorado of an increase in pediatric cases of meningitis and encephalitis, in which patients tested positive for enterovirus, which can cause hand, foot, and mouth disease and neurologic disease in children aged <5 years.

Notes from the Field: Mumps Outbreak Associated with Cheerleading Competitions --- North Texas, December 2016--February 2017

Thu, 13 Sep 2018 13:10:00 EST

An outbreak of 12 mumps cases (five confirmed and seven probable) in five counties was identified in persons who were nonathlete participants or attendees at three cheerleading competitions or were household contacts of mumps patients. This outbreak is the first documented report of mumps transmission during a sporting event with the majority of cases occurring in nonathlete participants or attendees.

Assessment of State, Local, and Territorial Zika Planning and Preparedness Activities --- United States, June 2016--July 2017

Thu, 06 Sep 2018 13:03:00 EST

Health departments need to be prepared for and adapt to emerging public health challenges such as the 2015-2016 Zika virus epidemic.

Vital Signs: State-Level Variation in Nonfatal and Fatal Cardiovascular Events Targeted for Prevention by Million Hearts 2022

Thu, 06 Sep 2018 13:03:00 EST

An analysis of preventable hospitalization, emergency department, and death data provides a comprehensive picture of the number of preventable cardiovascular disease events that occurred at the national and state levels.

Vital Signs: Prevalence of Key Cardiovascular Disease Risk Factors for Million Hearts 2022 --- United States, 2011--2016

Thu, 06 Sep 2018 13:03:00 EST

An analysis of preventable hospitalization and emergency department and death data provides a comprehensive picture of the number of preventable CVD events that have occurred at the national and state levels.

Progress Toward Poliovirus Containment Implementation --- Worldwide, 2017--2018

Thu, 06 Sep 2018 13:03:00 EST

Poliovirus containment requires global participation and is important to ensure polio is not reintroduced into the population after polio eradication.

Notes from the Field: Acquisition of Delamanid Under a Compassionate Use Program for Extensively Drug-Resistant Tuberculosis --- United States, 2017

Thu, 06 Sep 2018 13:03:00 EST

Delamanid, a nitro-imidazole, is a new tuberculosis (TB) drug developed to address some of the adverse reactions and related adherence difficulties associated with currently available mediations for treating drug-resistant TB. A patient with extensively drug-resistant TB was successfully treated in 2017.

Racial/Ethnic Disparities in Tobacco Product Use Among Middle and High School Students - United States, 2014-2017

Thu, 30 Aug 2018 16:30:00 EST

Data from 2014 to 2017 show differences in the types of tobacco products that are used by youths from different racial and ethnic groups.

Cholera Outbreak in Dadaab Refugee Camp, Kenya - November 2015-June 2016

Thu, 30 Aug 2018 16:30:00 EST

A cholera outbreak occurred in the Dadaab refugee camp in Kenya, which hosts a population of nearly 340,000 refugees.

Opportunities to Prevent Overdose Deaths Involving Prescription and Illicit Opioids, 11 States, July 2016-June 2017

Thu, 30 Aug 2018 14:30:00 EST

Measuring opioid overdose deaths in 11 states shows potential opportunities to link people to care during or after release from an institution or after a non-fatal overdose, and to train bystanders to use naloxone.

Notes from the Field: Fatal Vibrio anguillarum Infection in an Immunocompromised Patient - Maine, 2017

Thu, 30 Aug 2018 14:30:00 EST

In July 2017, an immunocompromised woman aged 65 years admitted to a emergency department in Maine was found to have Vibrio anguillarum and developed septic shock and multiorgan failure, dying 2 days after admission.

Notes from the Field: Inspection of 59 "Vape Shops" - United States, October-November, 2016

Thu, 30 Aug 2018 14:30:00 EST

Since given the authority to regulate manufacturing practices of tobacco products in 2009, the Food and Drug Administration conducted its first inspection of 59 vape shops which showed a lack of quality assurance programs, standard operating procedures, and full labeling of ingredients by inspected manufacturers.

National, Regional, State, and Selected Local Area Vaccination Coverage Among Adolescents Aged 13-17 Years - United States, 2017

Thu, 23 Aug 2018 14:30:00 EST

CDC analyzed data from the 2017 National Immunization Survey-Teen to estimate adolescent vaccination coverage for the human papillomavirus (HPV) vaccine, quadrivalent meningococcal conjugate vaccine (MenACWY), and tetanus and diphtheria toxoids and acellular pertussis vaccine (Tdap).

Trends in Human Papillomavirus-Associated Cancers - United States, 1999-2015

Thu, 23 Aug 2018 14:30:00 EST

HPV (human papillomavirus)-associated cancers are rising, especially oropharyngeal (throat) cancers, anal cancers, and vulvar cancers, and 90% of cancers likely caused by HPV can be prevented by HPV vaccine.

Occupational Patterns in Unintentional and Undetermined Drug-Involved and Opioid-Involved Overdose Deaths - United States, 2007-2012

Thu, 23 Aug 2018 14:30:00 EST

A recent CDC study broadens our understanding of how our jobs can affect our health and well-being outside of work, including the potential for increased risk of drug and opioid-related deaths.

Coccidioidomycosis Outbreak Among Workers Constructing a Solar Power Farm - Monterey County, California, 2016-2017

Thu, 23 Aug 2018 14:30:00 EST

An outbreak of coccidioidomycosis (Valley fever) occurred among workers constructing a solar power installation in Monterey County, California from 2016-2017.

Assessment of Epidemiology Capacity in State Health Departments - United States, 2017

Thu, 23 Aug 2018 14:30:00 EST

The 2017 ECA (Epidemiology Capacity Assessment) was completed by the State and Territorial Epidemiologists from all 50 states, the District of Columbia, and three territories, while the workforce continues to grow, more epidemiologists are needed in both well- established and emerging program areas.

Notes from the Field: Mumps Outbreak - Alaska, May 2017-July 2018

Thu, 23 Aug 2018 14:30:00 EST

In response to a mumps outbreak in Anchorage, Alaska, the Alaska Section of Epidemiology (SOE) disseminated educational materials and recommended that all Alaskans ensure that they were up to date on their measles-mumps-rubella (MMR) vaccinations.

Corneal Infections Associated with Sleeping in Contact Lenses - Six Cases, United States, 2016-2018

Thu, 16 Aug 2018 14:30:00 EST

Contact lenses, when worn and cared for properly, are a safe and effective form of vision correction used by an estimated 45 million Americans.

Prevalence of Disabilities and Health Care Access by Disability Status and Type Among Adults - United States, 2016

Thu, 16 Aug 2018 14:30:00 EST

Persons with disabilities face greater barriers to health care than do those without disabilities.

Emergence of Localized Serogroup W Meningococcal Disease in the United States - Georgia, 2006-2016

Thu, 16 Aug 2018 14:30:00 EST

The incidence of meningococcal disease has been declining in the United States for decades, but Neisseria meningitidis serogroup W incidence has been increasing in countries around the world.

Prevalence of Five Health-Related Behaviors for Chronic Disease Prevention Among Sexual and Gender Minority Adults - 25 U.S. States and Guam, 2016

Thu, 16 Aug 2018 14:30:00 EST

In recent decades, public health awareness of health disparities among lesbian, gay, bisexual, and transgender (LGBT) populations has increased.

Contraceptive Use Among Women at Risk for Unintended Pregnancy in the Context of Public Health Emergencies - United States, 2016

Thu, 16 Aug 2018 14:30:00 EST

Ensuring access to and promoting use of effective contraception have been identified as important strategies for preventing unintended pregnancy.

Opioid Use Disorder Documented at Delivery Hospitalization - United States, 1999-2014

Thu, 09 Aug 2018 14:00:00 EST

Opioid use by pregnant women represents a significant public health concern given the association of opioid exposure and adverse maternal and neonatal outcomes, including preterm labor, stillbirth, neonatal abstinence syndrome, and maternal mortality.

Update: Interim Guidance for Preconception Counseling and Prevention of Sexual Transmission of Zika Virus for Men with Possible Zika Virus Exposure - United States, August 2018

Thu, 09 Aug 2018 14:00:00 EST

Zika virus infection can occur as a result of mosquitoborne or sexual transmission of the virus.

Vital Signs: Zika-Associated Birth Defects and Neurodevelopmental Abnormalities Possibly Associated with Congenital Zika Virus Infection - U.S. Territories and Freely Associated States, 2018

Thu, 09 Aug 2018 14:00:00 EST

Zika virus infection during pregnancy can cause serious birth defects, including structural abnormalities of the brain and eye.

Extrapulmonary Nontuberculous Mycobacterial Disease Surveillance - Oregon, 2014-2016

Thu, 09 Aug 2018 14:00:00 EST

Although 77% of NTM diseases manifest as primarily pulmonary illnesses, NTM also infect skin, bones, joints, the lymphatic system, and soft tissue.

Naloxone Administration Frequency During Emergency Medical Service Events - United States, 2012-2016

Thu, 09 Aug 2018 14:00:00 EST

Naloxone administrations obtained from emergency medical services (EMS) patient care records have served as a useful proxy for overdose surveillance in individual communities.

Characteristics of Tianeptine Exposures Reported to the National Poison Data System - United States, 2000-2017

Thu, 02 Aug 2018 13:07:00 EST

Tianeptine (marketed as Coaxil or Stablon) is an atypical tricyclic drug used as an antidepressant in Europe, Asia, and Latin America. In the United States, tianeptine is not approved by the Food and Drug Administration (FDA) for medical use and is an unscheduled pharmaceutical agent.

School District Crisis Preparedness, Response, and Recovery Plans - United States, 2006, 2012, and 2016

Thu, 02 Aug 2018 13:07:00 EST

Children spend the majority of their time at school and are particularly vulnerable to the negative emotional and behavioral impacts of disasters, including anxiety, depressive symptoms, impaired social relationships, and poor school performance.

Deaths Related to Hurricane Irma - Florida, Georgia, and North Carolina, September 4-October 10, 2017

Thu, 02 Aug 2018 13:06:00 EST

Three powerful and devastating hurricanes from the 2017 Atlantic hurricane season (Harvey [August 17-September 1], Irma [August 30-September 13], and Maria [September 16- October 2]) resulted in the deaths of hundreds of persons.

Rat Lungworm Infection Associated with Central Nervous System Disease - Eight U.S. States, January 2011-January 2017

Thu, 02 Aug 2018 13:06:00 EST

Angiostrongyliasis is caused by infection and migration to the brain of larvae of the parasitic nematode Angiostrongylus cantonensis, or rat lungworm.

Coal Workers' Pneumoconiosis-Attributable Years of Potential Life Lost to Life Expectancy and Potential Life Lost Before Age 65 Years - United States, 1999-2016

Thu, 02 Aug 2018 13:06:00 EST

Coal workers' pneumoconiosis (CWP) is a preventable occupational lung disease caused by inhaling coal mine dust that can lead to premature death.

Notes from the Field: Toxigenic Vibrio cholerae O141 in a traveler to Florida - Nebraska, 2017

Thu, 02 Aug 2018 13:05:00 EST

Vibrio cholerae serogroups O1 and O139 are toxigenic strains associated with epidemic cholera; however, other Vibrio cholerae serogroups, such as O75 and O141, can also produce cholera toxin, leading to a cholera-like illness identified as vibriosis.

Progress Toward Poliomyelitis Eradication - Afghanistan, January 2017-May 2018

Thu, 02 Aug 2018 13:05:00 EST

Afghanistan, Pakistan, and Nigeria remain the only countries where transmission of endemic wild poliovirus type 1 (WPV1) continues.

Mumps Outbreaks at Four Universities - Indiana, 2016

Thu, 26 Jul 2018 13:14:00 EST

From February to April 2016, the Indiana State Department of Health (ISDH) confirmed mumps outbreaks at four universities (three public and one private).

Application of a Tool to Identify Undiagnosed Hypertension - United States, 2016

Thu, 26 Jul 2018 13:14:00 EST

Approximately 11 million U.S. adults with a usual source of health care have undiagnosed hypertension, placing them at increased risk for cardiovascular events (1-3).

Characteristics of Patients for Whom Benznidazole Was Released Through the CDC-Sponsored Investigational New Drug Program for Treatment of Chagas Disease - United States, 2011-2018

Thu, 26 Jul 2018 13:13:00 EST

Chagas disease (also known as American trypanosomiasis) is caused by the protozoan parasite Trypanosoma cruzi (1,2).

Notes from the Field: Widespread Transmission of Circulating Vaccine Derived Poliovirus Identified by Environmental Surveillance and Immunization Response --- Horn of Africa, 2017-2018

Thu, 19 Jul 2018 13:10:00 EST

After the declaration of eradication of wild poliovirus type 2 in 2015, all countries using oral poliovirus vaccine (OPV) switched from using trivalent OPV (tOPV) (containing vaccine virus types 1, 2, and 3) to bivalent OPV (bOPV) (containing types 1 and 3) in April 2016 (1).

HIV Testing, Linkage to HIV Medical Care, and Interviews for Partner Services Among Black Men Who Have Sex with Men --- Non-Health Care Facilities, 20 Southern U.S. Jurisdictions, 2016

Thu, 19 Jul 2018 13:10:00 EST

Identifying HIV-infected persons who are unaware of their human immunodeficiency virus (HIV) infection status, linking them to care, and reducing health disparities are important national HIV prevention goals (1).

Identification of Primary Congenital Hypothyroidism Based on Two Newborn Screens --- Utah, 2010-2016

Thu, 19 Jul 2018 13:10:00 EST

Newborn screening for primary congenital hypothyroidism is part of the U.S. Recommended Uniform Screening Panel (1,2).

Access to Treatment for Hepatitis B Virus Infection --- Worldwide, 2016

Thu, 19 Jul 2018 13:09:00 EST

Worldwide, an estimated 257 million persons are living with chronic hepatitis B virus (HBV) infection (1).

Notes from the Field: Occupational Carbon Monoxide Exposure in an Industrial Kitchen Facility --- Wisconsin, 2017

Thu, 19 Jul 2018 13:09:00 EST

On September 6, 2017, the Wisconsin Poison Center was contacted by emergency department (ED) health care providers at two hospitals who requested consultation for management of multiple patients with occupational carbon monoxide (CO) exposure.

World Hepatitis Day --- July 28, 2018

Thu, 19 Jul 2018 13:06:00 EST

World Hepatitis Day is commemorated each year on July 28 with the goal of promoting awareness and inspiring action to prevent and treat viral hepatitis.

Notes from the Field: Overdose Deaths with Carfentanil and Other Fentanyl Analogs Detected - 10 States, July 2016-June 2017

Thu, 12 Jul 2018 13:17:00 EST

Fentanyl and fentanyl analogs are increasingly involved in opioid overdose deaths, and new fentanyl analogs continue to be identified (1).

Occupational Mercury Exposure at a Fluorescent Lamp Recycling Facility - Wisconsin, 2017

Thu, 12 Jul 2018 13:17:00 EST

On May 9, 2017, Public Health Madison & Dane County contacted the Wisconsin Division of Public Health for assistance with investigation of mercury exposure among workers at a fluorescent lamp recycling facility.

Hypertension Among Youths --- United States, 2001--2016

Thu, 12 Jul 2018 13:17:00 EST

Hypertension is an important modifiable risk factor for cardiovascular morbidity and mortality, and hypertension in adolescents and young adults is associated with long-term negative health effects (1,2).

Subjective Cognitive Decline Among Adults Aged ≥45 Years --- United States, 2015-2016

Thu, 12 Jul 2018 13:16:00 EST

Subjective cognitive decline (SCD) is the self-reported experience of worsening or more frequent confusion or memory loss within the previous 12 months (1,2) and one of the earliest noticeable symptoms of Alzheimer's disease (Alzheimer's), a fatal form of dementia (i.e., a decline in mental abilities severe enough to interfere with everyday life) (1).

Notes from the Field: Toxic Leukoencephalopathy Associated with Tianeptine Misuse --- California, 2017

Thu, 12 Jul 2018 13:15:00 EST

During the early morning of October 10, 2017, a California man aged 24 years was noted to be lethargic with slurred speech; at 2:30 p.m., he was found unresponsive. Emergency medical services transported him to an emergency department.

Notes from the Field: Adverse Event Associated with Unintentional Exposure to the Brucella abortus RB51 Vaccine --- Oregon, December 2017

Thu, 05 Jul 2018 14:54:00 EST

On December 7, 2017, a previously healthy, middle-aged male veterinarian was evaluated at an Oregon emergency department (ED) for cough, malaise, myalgia, fever, and arthralgia of 4 days' duration.

Measles-Rubella Supplementary Immunization Activity Readiness Assessment - India, 2017-2018

Thu, 05 Jul 2018 14:49:00 EST

In 2013, during the 66th session of the Regional Committee of the World Health Organization (WHO) South-East Asia Region (SEAR), the 11 SEAR countries adopted goals to eliminate measles and control rubella and congenital rubella syndrome by 2020.

Chagas Disease Surveillance Activities --- Seven States, 2017

Thu, 05 Jul 2018 14:43:00 EST

Chagas disease, a potentially life-threatening disease caused by the protozoan parasite Trypanosoma cruzi, has become a concern in the United States as a result of human emigration from Latin America where Chagas disease is endemic.

Evaluation of Occupational Exposure Limits for Heat Stress in Outdoor Workers --- United States, 2011-2016

Thu, 05 Jul 2018 14:36:00 EST

Heat stress, an environmental and occupational hazard, is associated with a spectrum of heat-related illnesses, including heat stroke, which can lead to death. CDC's National Institute for Occupational Safety and Health (NIOSH) publishes recommended occupational exposure limits for heat stress .

Notes from the Field: HIV Testing in Health Care Facilities --- Lesotho, 2017

Thu, 05 Jul 2018 13:27:00 EST

Lesotho, a small mountainous country surrounded by South Africa, has a population of approximately 2 million persons and an estimated annual income of $1,210 per capita; 73% of the population resides in rural areas.

Outbreaks Associated with Untreated Recreational Water --- United States, 2000--2014

Fri, 29 Jun 2018 09:00:00 EST

Outbreaks associated with untreated recreational water can be caused by pathogens, toxins, or chemicals in fresh water (e.g., lakes, rivers) or marine water (e.g., ocean). During 2000--2014, public health officials from 35 states and Guam voluntarily reported 140 untreated recreational water-associated outbreaks to CDC.

Notes from the Field: Domestically Acquired Verona Integron-Mediated Metallo-B-Lactamase-Producing Enterobacteriaceae --- Indiana, 2016--2017

Fri, 29 Jun 2018 09:00:00 EST

Beginning in January 2016, Verona integron-mediated metallo-B-lactamase (VIM) producing carbapenem-resistant Enterobacteriaceae (CRE) were identified in Indiana.

Fatal Sepsis Associated with Bacterial Contamination of Platelets --- Utah and California, August 2017

Fri, 29 Jun 2018 09:00:00 EST

During August 2017, two separate clusters of platelet transfusion-associated bacterial sepsis were reported in Utah and California. In Utah, two patients died after platelet transfusions from the same donation.

Prevalence and Predictors of Provider-Initiated HIV Test Offers Among Heterosexual Persons at Increased Risk for Acquiring HIV Infection --- Virginia, 2016

Fri, 29 Jun 2018 09:00:00 EST

Since 2006, CDC has recommended routine, provider-initiated human immunodeficiency virus (HIV) screening (i.e., HIV screening at least once in lifetime) for all patients aged 13-64 years in all health care settings.

Geographic Variation in Pediatric Cancer Incidence --- United States, 2003--2014

Fri, 29 Jun 2018 09:00:00 EST

Approximately 15,000 persons aged <20 years receive a cancer diagnosis each year in the United States.

Strategic Response to an Outbreak of Circulating Vaccine-Derived Poliovirus Type 2 - Syria, 2017-2018

Fri, 22 Jun 2018 13:45:00 EST

Since the 1988 inception of the Global Polio Eradication Initiative (GPEI), progress toward interruption of wild poliovirus (WPV) transmission has occurred mostly through extensive use of oral poliovirus vaccine (OPV) in mass vaccination campaigns and through routine immunization services.

Smoke-Free and Tobacco-Free Policies in Colleges and Universities - United States and Territories, 2017

Fri, 22 Jun 2018 13:38:00 EST

CDC report finds at least 2,082 U.S. colleges and universities had smoke-free policies as of November 2017.

Self-Reported Concussions from Playing a Sport or Being Physically Active Among High School Students - United States, 2017

Fri, 22 Jun 2018 13:34:00 EST

High school students who play on team sports are at a higher risk for concussion; playing on more than one team may further increase risk.

National HIV Testing Day - June 27, 2018

Fri, 22 Jun 2018 13:33:00 EST

National HIV Testing Day, June 27, highlights the importance of testing in detecting, treating, and preventing human immunodeficiency virus (HIV) infection. Awareness of HIV infection through HIV testing is the first step to prevention, health care, and social services that improve life quality and length of survival.

Interval Since Last HIV Test for Men and Women with Recent Risk for HIV Infection - United States, 2006-2016

Fri, 22 Jun 2018 13:33:00 EST

Since 2006, CDC has recommended routine screening of all persons aged 13-64 years for human immunodeficiency virus (HIV) and at least annual rescreening of persons at higher risk. However, national surveillance data indicate that many persons at higher risk for HIV infection are not screened annually, and delays in diagnosis persist. CDC analyzed 2006-2016 data from the General Social Survey (GSS)* and estimated that only 39.6% of noninstitutionalized U.S. adults had ever tested for HIV. Among persons ever tested, the estimated median interval since last test was 1,080 days or almost 3 years.

Notes from the Field: Contact Investigation for an Infant with Congenital Tuberculosis Infection - North Carolina, 2016

Thu, 14 Jun 2018 13:33:00 EST

In November 2016, hospital A notified the North Carolina Division of Public Health (NCDPH) that annual tuberculosis screening of neonatal intensive care unit (NICU) staff members identified six health care staff members with newly positive tuberculin skin tests (TSTs). All six staff members had cared for an infant in whom a diagnosis of congenital tuberculosis was made after death. NCDPH worked with county health departments and hospital A to conduct a contact investigation.

Notes from the Field: Carbapenemase-Producing Carbapenem-Resistant Enterobacteriaceae from Less Common Enterobacteriaceae Genera - United States, 2014-2017

Thu, 14 Jun 2018 13:32:00 EST

Infections with carbapenemase-producing carbapenem-resistant Enterobacteriaceae (CP-CRE) are associated with high mortality rates (1). Carbapenemases encoded on plasmids can move between bacterial strains and have the potential to rapidly increase the proportion of Enterobacteriaceae resistant to carbapenems; as such, CP-CRE have been a particular focus of public health response.

Peer-Delivered Linkage Case Management and Same-Day ART Initiation for Men and Young Persons with HIV Infection - Eswatini, 2015-2017

Thu, 14 Jun 2018 13:31:00 EST

To achieve epidemic control of human immunodeficiency virus (HIV) infection, sub-Saharan African countries are striving to diagnose 90% of HIV infections, initiate and retain 90% of HIV-diagnosed persons on antiretroviral therapy (ART), and achieve viral load suppression* for 90% of ART recipients (90-90-90) (1). In Eswatini (formerly Swaziland), the country with the world's highest estimated HIV prevalence (27.2%), achieving 90-90-90 depends upon improving access to early ART for men and young adults with HIV infection, two groups with low ART coverage (1-3).

Outbreak of E. coli O157:H7 Infections Associated with Exposure to Animal Manure in a Rural Community - Arizona and Utah, June-July 2017

Thu, 14 Jun 2018 13:30:00 EST

On June 26, 2017, a hospital in southern Utah notified the Utah Department of Health of Shiga toxin-producing Escherichia coli (STEC) O157:H7 infections in two children from a small community on the Arizona-Utah border. Both children developed hemolytic uremic syndrome, characterized by hemolytic anemia, acute kidney failure, and thrombocytopenia and died within a few days of illness onset. Over the next few days, several more STEC-associated illnesses were reported in residents of the community.

Obesity Prevalence Among Adults Living in Metropolitan and Nonmetropolitan Counties - United States, 2016

Thu, 14 Jun 2018 13:29:00 EST

Approximately 46 million persons (14%) in the United States live in nonmetropolitan counties.* Compared with metropolitan residents, nonmetropolitan residents have a higher prevalence of obesity-associated chronic diseases such as diabetes (1), coronary heart disease (1), and arthritis (2). The 2005-2008 National Health and Nutrition Examination Survey (NHANES) found a significantly higher obesity prevalence among adults in nonmetropolitan (39.6%) than in metropolitan (33.4%) counties.

Notes from the Field: Crimean-Congo Hemorrhagic Fever Outbreak - Central Uganda, August-September 2017

Thu, 07 Jun 2018 13:13:00 EST

On August 20, 2017, physicians in two noncontiguous districts in central Uganda (Kyankwanzi and Nakaseke) reported two unrelated cases of Crimean-Congo hemorrhagic fever (CCHF). CCHF is the most widespread tickborne viral hemorrhagic fever in the world and represents a global health security threat (1-3); a single case of CCHF constitutes an outbreak. Humans are infected through tick bites or contact with the blood or body fluids of infected persons or animals.

Update: ACIP Recommendations for the Use of Quadrivalent Live Attenuated Influenza Vaccine (LAIV4) - United States, 2018-19 Influenza Season

Thu, 07 Jun 2018 13:12:00 EST

Intranasally administered live attenuated influenza vaccine (LAIV) was initially licensed in the United States in 2003 as a trivalent formulation (LAIV3) (FluMist, MedImmune, LLC). Quadrivalent live attenuated influenza vaccine (LAIV4) (FluMist Quadrivalent, MedImmune) has been licensed in the United States since 2012 and was first available during the 2013-14 influenza season, replacing LAIV3. During the 2016-17 and 2017-18 influenza seasons, the Advisory Committee on Immunization Practices (ACIP) recommended that LAIV4 not be used because of concerns about low effectiveness against influenza A(H1N1)pdm09-like viruses circulating in the United States during the 2013-14 and 2015-16 seasons.

Update: Influenza Activity in the United States During the 2017-18 Season and Composition of the 2018-19 Influenza Vaccine

Thu, 07 Jun 2018 13:11:00 EST

The United States 2017-18 influenza season (October 1, 2017-May 19, 2018) was a high severity season with high levels of outpatient clinic and emergency department visits for influenza-like illness (ILI), high influenza-related hospitalization rates, and elevated and geographically widespread influenza activity across the country for an extended period. Nationally, ILI activity began increasing in November, reaching an extended period of high activity during January-February, and remaining elevated through March. Influenza A(H3N2) viruses predominated through February and were predominant overall for the season.

Tobacco Product Use Among Middle and High School Students - United States, 2011-2017

Thu, 07 Jun 2018 13:10:00 EST

Tobacco use is the leading cause of preventable disease and death in the United States, and nearly all tobacco use begins during youth and young adulthood (1,2). CDC and the Food and Drug Administration (FDA) analyzed data from the 2011-2017 National Youth Tobacco Surveys (NYTS)* to determine patterns of current (past 30-day) use of seven tobacco product types among U.S. middle school (grades 6-8) and high school (grades 9-12) students and estimate use nationwide. Among high school students, current use of any tobacco product decreased from 24.2% (estimated 3.69 million users) in 2011 to 19.6% (2.95 million) in 2017.

Invasive Methicillin-Resistant Staphylococcus aureus Infections Among Persons Who Inject Drugs - Six Sites, 2005-2016

Thu, 07 Jun 2018 13:09:00 EST

In the United States, age-adjusted opioid overdose death rates increased by >200% during 1999-2015, and heroin overdose death rates increased nearly 300% during 2011-2015 (1). During 2011-2013, the rate of heroin use within the past year among U.S. residents aged ≥12 years increased 62.5% overall and 114.3% among non-Hispanic whites, compared with 2002-2004 (2). Increases in human immunodeficiency virus (HIV) and hepatitis C virus (HCV) infections related to increases in injection drug use have been recently highlighted (3,4); likewise, invasive bacterial infections, including endocarditis, osteomyelitis, and skin and soft tissue infections, have increased in areas where the opioid epidemic is expanding.

Vital Signs: Trends in State Suicide Rates - United States, 1999-2016 and Circumstances Contributing to Suicide - 27 States, 2015

Thu, 07 Jun 2018 13:08:00 EST

Suicide rates in the United States have risen nearly 30% since 1999, and mental health conditions are one of several factors contributing to suicide. Examining state-level trends in suicide and the multiple circumstances contributing to it can inform comprehensive state suicide prevention planning.

Notes from the Field: Verona Integron-Encoded Metallo-Beta-Lactamase-Producing Pseudomonas aeruginosa Outbreak in a Long-Term Acute Care Hospital - Orange County, Florida, 2017

Thu, 31 May 2018 13:19:00 EST

On July 5, 2017, one case of colonization with Verona integron-encoded metallo-beta-lactamase (VIM)-producing Pseudomonas aeruginosa was identified at a long-term acute care hospital (LTACH) in Orange County, Florida. VIM genes are capable of transferring among bacterial species (1); however, the mechanisms and frequency of resistance exchange is poorly understood.

Notes from the Field: Cyclosporiasis Cases Associated with Dining at a Mediterranean-Style Restaurant Chain - Texas, 2017

Thu, 31 May 2018 13:18:00 EST

During July 21-August 8, 2017, the Texas Department of State Health Services (DSHS) was notified of 20 cases of cyclosporiasis among persons who dined at a Mediterranean-style restaurant chain (chain A) in the Houston area. On August 10, 2017, DSHS requested assistance from CDC to support ongoing investigations by the City of Houston Health Department, Harris County Public Health, Fort Bend County Health and Human Services, and Brazoria County Health Department.

Notes from the Field: Outbreak of Severe Illness Linked to the Vitamin K Antagonist Brodifacoum and Use of Synthetic Cannabinoids - Illinois, March-April 2018

Thu, 31 May 2018 13:17:00 EST

Synthetic cannabinoids, also known as K2 and spice, are heterogeneous psychoactive compounds identified as substances of abuse (1,2). On March 22, 2018, the Illinois Department of Public Health was notified by the Illinois Poison Center of four patients seen in emergency departments (EDs) during the preceding 2 weeks with unexplained bleeding and high international normalized ratios (INRs; range from 5 to >20 [normal <1.1]), indicating a clotting disorder, and reported synthetic cannabinoid use during the previous 3 days. None reported taking prescription anticoagulants or exposure to anticoagulant rodenticides.

Progress Toward Rubella and Congenital Rubella Syndrome Control - South-East Asia Region, 2000-2016

Thu, 31 May 2018 13:16:00 EST

In 2013, the 66th session of the Regional Committee of the World Health Organization (WHO) South-East Asia Region (SEAR)* adopted the goal of elimination of measles and control† of rubella and congenital rubella syndrome (CRS) by 2020 (1). Rubella is the leading vaccine-preventable cause of birth defects. Although rubella typically causes a mild fever and rash in children and adults, rubella virus infection during pregnancy, especially during the first trimester, can result in miscarriage, fetal death, or a constellation of congenital malformations known as CRS, commonly including visual, auditory, and/or cardiac defects, and developmental delay.

Tobacco Product Use Among Youths With and Without Lifetime Asthma - Florida, 2016

Thu, 31 May 2018 13:16:00 EST

The increasing availability of diverse tobacco products has led to complex tobacco product use patterns among youths (1). Use by youths of products containing nicotine in any form is unsafe (2); among young persons with asthma, use of combustible tobacco products, particularly cigarettes, is associated with worsening symptoms, poor asthma control, and an increased need for medical management.

Health Insurance Coverage by Occupation Among Adults Aged 18-64 Years - 17 States, 2013-2014

Thu, 31 May 2018 13:15:00 EST

Lack of health insurance has been associated with poorer health status and with difficulties accessing preventive health services and obtaining medical care, especially for chronic diseases (1-3). Among workers, the prevalence of chronic conditions, risk behaviors, and having health insurance has been shown to vary by occupation.

Notes from the Field: Acute Poisonings from a Synthetic Cannabinoid Sold as Cannabidiol - Utah, 2017-2018

Thu, 24 May 2018 13:16:00 EST

On December 8, 2017, the Utah Poison Control Center (UPCC) notified the Utah Department of Health (UDOH) of reports of emergency department visits associated with reported exposure to products labeled as CBD (cannabidiol), a nonpsychoactive compound derived from Cannabis sativa, the marijuana plant.

Notes from the Field: Vaccine Administration Errors Involving Recombinant Zoster Vaccine - United States, 2017-2018

Thu, 24 May 2018 13:15:00 EST

Two vaccines for the prevention of herpes zoster (shingles) are licensed for use in the United States and recommended by the Advisory Committee on Immunization Practices (ACIP). Zoster vaccine live (ZVL; Zostavax, Merck), licensed in 2006,* is a live attenuated virus vaccine administered as a single subcutaneous (SQ) dose. Although the Food and Drug Administration (FDA) approved ZVL for adults aged ≥50 years, ACIP recommends ZVL for immunocompetent adults aged ≥60 years.

Vaccination Coverage Among Children Aged 2 Years - U.S. Affiliated Pacific Islands, April-October, 2016

Thu, 24 May 2018 13:14:00 EST

Vaccine-preventable diseases (VPDs) cause substantial morbidity and mortality in the United States Affiliated Pacific Islands (USAPI).* CDC collaborates with USAPI immunization programs to monitor vaccination coverage. In 2016, † USAPI immunization programs and CDC piloted a method for estimating up-to-date status among children aged 2 years using medical record abstraction to ascertain regional vaccination coverage.

Use of Outpatient Rehabilitation Among Adult Stroke Survivors - 20 States and the District of Columbia, 2013, and Four States, 2015

Thu, 24 May 2018 13:13:00 EST

Stroke is a leading cause of mortality and disability in the United States (1,2). Approximately 800,000 American adults experience a stroke each year (2,3). Currently, approximately 6 million stroke survivors live in the United States (2). Participation in stroke rehabilitation (rehab), which occurs in diverse settings (i.e., in-hospital, postacute care, and outpatient settings), has been determined to reduce stroke recurrence and improve functional outcomes and quality of life.

HIV Preexposure Prophylaxis in the U.S. Military Services - 2014-2016

Thu, 24 May 2018 13:12:00 EST

Human immunodeficiency virus (HIV) infection is a substantial health concern for the U.S. Department of Defense (DoD) and for service members stationed throughout the world. Each year, approximately 350 new HIV infections are diagnosed in members of the U.S. military services, with most infections acquired within the United States.

Cholera Epidemic - Lusaka, Zambia, October 2017-May 2018

Thu, 17 May 2018 13:18:00 EST

On October 6, 2017, an outbreak of cholera was declared in Zambia after laboratory confirmation of Vibrio cholerae O1, biotype El Tor, serotype Ogawa, from stool specimens from two patients with acute watery diarrhea. The two patients had gone to a clinic in Lusaka, the capital city, on October 4. Cholera cases increased rapidly, from several hundred cases in early December 2017 to approximately 2,000 by early January 2018.

Trends in Antiretroviral Therapy Eligibility and Coverage Among Children Aged 15 Years with HIV Infection - 20 PEPFAR-Supported Sub-Saharan African Countries, 2012-2016

Thu, 17 May 2018 13:15:00 EST

Rapid disease progression and associated opportunistic infections contribute to high mortality rates among children aged <15 years with human immunodeficiency virus (HIV) infection (1). Antiretroviral therapy (ART) has decreased childhood HIV-associated morbidity and mortality rates over the past decade. As accumulating evidence revealed lower HIV-associated mortality with early ART initiation, the World Health Organization (WHO) guidelines broadened ART eligibility for children with HIV infection.

Community-Based Services to Improve Testing and Linkage to Care Among Non-U.S.-Born Persons with Chronic Hepatitis B Virus Infection - Three U.S. Programs, October 2014-September 2017

Thu, 17 May 2018 13:13:00 EST

Among an estimated 850,000 to 2.2 million persons with chronic hepatitis B virus (HBV) infection in the United States, 70% are non-U.S.-born. All patients require linkage to care, and approximately 20%-40% require antiviral treatment.

Hepatitis Awareness Month and Testing Day, May 2018

Thu, 17 May 2018 13:11:00 EST

The United States commemorates National Hepatitis Awareness Month each May, and May 19 is designated as Hepatitis Testing Day. Viral hepatitis still persists as a major public health threat despite availability of preventive measures such as vaccines and therapies, including a curative treatment for hepatitis C virus (HCV) infection.

Access to Syringe Services Programs - Kentucky, North Carolina, and West Virginia, 2013-2017

Thu, 10 May 2018 13:20:00 EST

The Appalachian region of the United States is experiencing a large increase in hepatitis C virus (HCV) infections related to injection drug use (IDU). Syringe services programs (SSPs) providing sufficient access to safe injection equipment can reduce hepatitis C transmission by 56%; combined SSPs and medication-assisted treatment can reduce transmission by 74%.

Progress Toward Polio Eradication - Worldwide, January 2016-March 2018

Thu, 10 May 2018 13:19:00 EST

In 1988, when an estimated 350,000 cases of poliomyelitis occurred in 125 countries, the World Health Assembly resolved to eradicate polio globally. Transmission of wild poliovirus (WPV) continues uninterrupted in only three countries (Afghanistan, Nigeria, and Pakistan) (1), and among the three serotypes, WPV type 1 (WPV1) remains the only confirmed circulating type.

Tobacco Cessation Interventions and Smoke-Free Policies in Mental Health and Substance Abuse Treatment Facilities - United States, 2016

Thu, 10 May 2018 13:18:00 EST

Persons with mental or substance use disorders or both are more than twice as likely to smoke cigarettes as persons without such disorders and are more likely to die from smoking-related illness than from their behavioral health conditions. However, many persons with behavioral health conditions want to and are able to quit smoking, although they might require more intensive treatment.

Enterovirus and Parechovirus Surveillance - United States, 2014-2016

Thu, 10 May 2018 13:17:00 EST

Deaths from unintentional injuries are the seventh leading cause of death among older adults (1), and falls account for the largest percentage of those deaths. Approximately one in four U.S. residents aged =65 years (older adults) report falling each year (2), and fall-related emergency department visits are estimated at approximately 3 million per year.

Notes from the Field: Increase in Hepatitis A Virus Infections - Marshall Islands, 2016-2017

Thu, 03 May 2018 13:17:00 EST

In mid-September 2016, a case of hepatitis A virus (HAV) infection was reported to the Marshall Islands Ministry of Health and Human Services (MOHHS). On November 4, MOHHS received laboratory confirmation of four additional cases, prompting activation of an outbreak investigation by the MOHHS Exposure Prevention Information Network (EPINet) team and solicitation of technical assistance from the Pacific Island Health Officers' Association, the World Health Organization, and CDC. CDC began participating in the investigation by providing technical assistance remotely at that time.

Notes from the Field: Salmonella Oranienburg Infection Linked to Consumption of Rattlesnake Pills - Kansas and Texas, 2017

Thu, 03 May 2018 13:16:00 EST

In November 2017, as part of a salmonellosis illness investigation, the Texas Department of State Health Services collected a bottle of rattlesnake pills from a patient's home.

Progress Toward Measles Elimination - Western Pacific Region, 2013-2017

Thu, 03 May 2018 13:15:00 EST

In 2005, the Regional Committee for the World Health Organization (WHO) Western Pacific Region (WPR)* established a goal for measles elimination† by 2012.

Health Care Provider Counseling for Weight Loss Among Adults with Arthritis and Overweight or Obesity - United States, 2002-2014

Thu, 03 May 2018 13:14:00 EST

In the United States, 54.4 million adults report having doctor-diagnosed arthritis (1). Among adults with arthritis, 32.7% and 38.1% also have overweight and obesity, respectively (1), with obesity being more prevalent among persons with arthritis than among those who do not have arthritis.

National Arthritis Awareness Month - May 2018

Thu, 03 May 2018 13:12:00 EST

May is National Arthritis Awareness Month. In the United States, 54 million adults have some form of doctor-diagnosed arthritis (1), a number projected to increase to 78 million by 2040.

Vital Signs: Trends in Reported Vectorborne Disease Cases - United States and Territories, 2004-2016

Thu, 03 May 2018 09:54:00 EST

Vectorborne diseases are major causes of death and illness worldwide. In the United States, the most common vectorborne pathogens are transmitted by ticks or mosquitoes, including those causing Lyme disease; Rocky Mountain spotted fever; and West Nile, dengue, and Zika virus diseases.

Adherence to CDC Recommendations for the Treatment of Uncomplicated Gonorrhea - STD Surveillance Network, United States, 2016

Thu, 26 Apr 2018 13:23:00 EST

Gonorrhea, the sexually transmitted disease (STD) caused by Neisseria gonorrhoeae, is the second most common notifiable disease in the United States after chlamydia; 468,514 cases were reported to state and local health departments in 2016, an increase of 18.5% from 2015. N. gonorrhoeae has progressively developed resistance to most antimicrobials used to treat the infection

Three Rotavirus Outbreaks in the Postvaccine Era - California, 2017

Thu, 26 Apr 2018 13:21:00 EST

Before the introduction of rotavirus vaccine in 2006, rotavirus was the most common cause of severe diarrhea among U.S. children (1). Currently, two rotavirus vaccines are licensed for use in the United States, both of which have demonstrated good field effectiveness (78%-89%) against moderate to severe rotavirus illness (2), and the use of these vaccines has substantially reduced the prevalence of rotavirus in the United States.

Fatal Falls Overboard in Commercial Fishing - United States, 2000-2016

Thu, 26 Apr 2018 13:18:00 EST

Commercial fishing is one of the most dangerous jobs in the United States, with a 2016 work-related fatality rate (86.0 deaths per 100,000 full-time equivalent workers) 23 times higher than that for all U.S. workers. Sinking vessels cause the most fatalities in the industry; however, falling from a fishing vessel is a serious hazard responsible for the second highest number of commercial fishing-associated fatalities.

Suicidal Ideation and Attempts Among Students in Grades 8, 10, and 12 - Utah, 2015

Thu, 19 Apr 2018 14:29:00 EST

Suicidal thoughts and behaviors among youths are important public health concerns in Utah, where the suicide rate among youths consistently exceeds the national rate and has been increasing for nearly a decade (1). In March 2017, CDC was invited to assist the Utah Department of Health (UDOH) with an investigation to characterize the epidemiology of fatal and nonfatal suicidal behaviors and identify risk and protective factors associated with these behaviors, among youths aged 10-17 years.

Active Epilepsy and Seizure Control in Adults - United States, 2013 and 2015

Thu, 19 Apr 2018 14:14:00 EST

Approximately 3 million American adults reported active epilepsy* in 2015 (1). Active epilepsy, especially when seizures are uncontrolled, poses substantial burdens because of somatic, neurologic, and mental health comorbidity; cognitive and physical dysfunction; side effects of antiseizure medications; higher injury and mortality rates; poorer quality of life; and increased financial cost.

Recommendations of the Advisory Committee on Immunization Practices for Use of a Hepatitis B Vaccine with a Novel Adjuvant

Thu, 19 Apr 2018 14:05:00 EST

Hepatitis B (HepB) vaccination is the primary means of preventing infections and complications caused by hepatitis B virus (HBV). On February 21, 2018, the Advisory Committee on Immunization Practices (ACIP) recommended Heplisav-B (HepB-CpG), a yeast-derived vaccine prepared with a novel adjuvant, administered as a 2-dose series (0, 1 month) for use in persons aged ≥18 years. The ACIP Hepatitis Vaccines Work Group conducted a systematic review of the evidence, including data from four randomized controlled trials assessing prevention of HBV infection and six randomized controlled trials assessing adverse events in adults.

Protracted Outbreak of Salmonella Newport Infections Linked to Ground Beef: Possible Role of Dairy Cows - 21 States, 2016-2017

Thu, 19 Apr 2018 13:35:00 EST

In January 2017, CDC identified a cluster of Salmonella enterica serotype Newport infections with isolates sharing an indistinguishable pulsed-field gel electrophoresis (PFGE) pattern, JJPX01.0010 (pattern 10), through PulseNet, the national molecular subtyping network for foodborne disease surveillance.

Current Marijuana Use by Industry and Occupation - Colorado, 2014-2015

Thu, 12 Apr 2018 08:03:00 EST

The effects of marijuana use on workplace safety are of concern for public health and workplace safety professionals. Twenty-nine states and the District of Columbia have enacted laws legalizing marijuana at the state level for recreational and/or medical purposes. Employers and safety professionals in states where marijuana use is legal have expressed concerns about potential increases in occupational injuries, such as on-the-job motor vehicle crashes, related to employee impairment. Data published in 2017 by the Colorado Department of Public Health and Environment (CDPHE) showed that more than one in eight adult state residents aged =18 years currently used marijuana in 2014 (13.6%) and 2015 (13.4%) (1). To examine current marijuana use by working adults and the industries and occupations in which they are employed, CDPHE analyzed data from the state's Behavioral Risk Factor Surveillance System (BRFSS) regarding current marijuana use (at least 1 day during the preceding 30 days) among 10,169 persons who responded to the current marijuana use question. During 2014 and 2015, 14.6% of these 10,169 Colorado workers reported current marijuana use, with the highest reported prevalence among workers in the Accommodation and Food Services industry (30.1%) and Food Preparation and Serving (32.2%) occupations. Understanding the industries and occupations of adults with reported marijuana use can help direct and maximize impact of public health messaging and potential safety interventions for adults.

Acute Metam Sodium Poisoning Caused by Occupational Exposure at a Flower Farm - Uganda, October 2016

Thu, 12 Apr 2018 08:02:00 EST

On October 25, 2016, media reports alerted the Uganda Ministry of Health to an outbreak of >80 cases of vomiting, syncope, and acute diarrhea among workers at a flower farm in central Uganda; 27 workers were hospitalized. On November 1, an investigation was undertaken by the Uganda Public Health Fellowship Program.* A case-control study found that working inside greenhouse 7, which had been fumigated with the organosulfur compound metam sodium the night of October 13, was strongly associated with illness. Employees who worked in this greenhouse during October 14-21 reported a strong "suffocating" smell in the greenhouse. Investigation revealed that, in violation of safety protocols, workers did not properly cover the soil after fumigation, allowing vapors to become trapped inside the greenhouse. The farm management, unaware of the lapse, failed to inform workers to avoid the vicinity of the fumigation. Respiratory protective measures were not routinely available for workers, which likely contributed to the severity and extent of the outbreak. Although metam sodium is generally considered to be of low risk when used according to manufacturer's instructions (1), occupational exposure in the absence of recommended safety measures can have serious health consequences. The investigation highlighted the importance of identifying potential occupational hazards to workers, as well as establishing safety protocols in occupational settings, training workers at risk, such as pesticide sprayers and flower pickers,† and ensuring enforcement of safety protocols. After this outbreak, the farm management reviewed, revised, and trained the workers on safety protocols to prevent future outbreaks.

Surveillance to Track Progress Toward Polio Eradication - Worldwide, 2016-2017

Thu, 12 Apr 2018 08:01:00 EST

Global efforts to eradicate polio began in 1988, and four of the six World Health Organization (WHO) regions currently have achieved poliofree certification. Within the remaining two regions with endemic poliomyelitis (African and Eastern Mediterranean), Afghanistan, Nigeria, and Pakistan have never interrupted transmission of wild poliovirus (WPV). The primary means of detecting poliovirus transmission is surveillance for acute flaccid paralysis (AFP) among children aged <15 years, combined with collection and testing of stool specimens for detection of WPV and vaccine-derived polioviruses (VDPVs)* in WHO-accredited laboratories within the Global Polio Laboratory Network (GPLN) (1,2). AFP surveillance is supplemented by environmental surveillance for polioviruses in sewage from selected locations. Genomic sequencing of isolated polioviruses enables the mapping of transmission by time and place, assessment of potential gaps in surveillance, and identification of the emergence of VDPVs (3). This report presents poliovirus surveillance data from 2016-2017, with particular focus on six countries in the Eastern Mediterranean Region (EMR) and 20 countries in the African Region (AFR) that reported WPV or circulating VDPVs (cVDPVs) during 2011-2017. Included in the 20 AFR countries are the three most affected by the 2014-2015 Ebola virus disease (Ebola) outbreak (Guinea, Liberia, and Sierra Leone), even though only one (Guinea) reported WPV or cVDPVs during the surveillance period. During 2017, a total of 14 (70%) of the 20 AFR countries and five (83%) of the six EMR countries met both surveillance quality indicators at the national level; however, provincial-level variation was seen. Surveillance strengthening activities are needed in specific countries of these regions to provide evidence supporting ultimate certification of the interruption of poliovirus circulation.

Updated CDC Recommendations for Using Artemether-Lumefantrine for the Treatment of Uncomplicated Malaria in Pregnant Women in the United States

Thu, 12 Apr 2018 08:00:00 EST

Malaria infection during pregnancy is associated with an increased risk for maternal and fetal complications. In the United States, treatment options for uncomplicated, chloroquine-resistant Plasmodium falciparum and P. vivax malaria in pregnant women are limited to mefloquine or quinine plus clindamycin (1). However, limited availability of quinine and increasing resistance to mefloquine restrict these options. Strong evidence now demonstrates that artemether-lumefantrine (AL) (Coartem) is effective and safe in the treatment of malaria in pregnancy. The World Health Organization (WHO) has endorsed artemisinin-based combination therapies (ACTs), such as AL, for treatment of uncomplicated malaria during the second and third trimesters of pregnancy and is currently considering whether to add ACTs, including AL, as an option for malaria treatment during the first trimester (2,3). This policy note reviews the evidence and updates CDC recommendations to include AL as a treatment option for uncomplicated malaria during the second and third trimesters of pregnancy and during the first trimester of pregnancy when other treatment options are unavailable. These updated recommendations reflect current evidence and are consistent with WHO treatment guidelines.

Prevalence of Asthma, Asthma Attacks, and Emergency Department Visits for Asthma Among Working Adults - National Health Interview Survey, 2011-2016

Thu, 05 Apr 2018 08:04:00 EST

In 2010, an estimated 8.2% of U.S. adults had current asthma, and among these persons, 49.1% had had an asthma attack during the past year (1). Workplace exposures can cause asthma in a previously healthy worker or can trigger asthma exacerbations in workers with current asthma* (2). To assess the industry- and occupation-specific prevalence of current asthma, asthma attacks, and asthma-related emergency department (ED) visits among working adults, CDC analyzed 2011-2016 National Health Interview Survey (NHIS) data for participants aged =18 years who, at the time of the survey, were employed at some time during the 12 months preceding the interview. During 2011-2016, 6.8% of adults (11 million) employed at any time in the past 12 months had current asthma; among those, 44.7% experienced an asthma attack, and 9.9% had an asthma-related ED visit in the previous year. Current asthma prevalence was highest among workers in the health care and social assistance industry (8.8%) and in health care support occupations (8.8%). The increased prevalence of current asthma, asthma attacks, and asthma-related ED visits in certain industries and occupations might indicate increased risks for these health outcomes associated with workplace exposures. These findings might assist health care and public health professionals in identifying workers in industries and occupations with a high prevalence of current asthma, asthma attacks, and asthma-related ED visits who should be evaluated for possible work-related asthma. Guidelines intended to promote effective management of work-related asthma are available (2,3).

Phosphine Exposure Among Emergency Responders - Amarillo, Texas, January 2017

Thu, 05 Apr 2018 08:03:00 EST

Phosphine is a highly toxic gas that forms when aluminum phosphide, a restricted-use pesticide* typically used in agricultural settings, reacts with water. Acute exposure can lead to a wide range of respiratory, cardiovascular, and gastrointestinal symptoms, and can be fatal (1). On January 2, 2017, the Texas Department of State Health Services (DSHS) was notified by the Texas Panhandle Poison Center of an acute phosphine exposure incident in Amarillo, Texas. DSHS investigated potential occupational phosphine exposures among the 51 on-scene emergency responders; 40 (78.4%) did not use respiratory protection during response operations. Fifteen (37.5%) of these 40 responders received medical care for symptoms or as a precaution after the incident, and seven (17.5%) reported new or worsening symptoms consistent with phosphine exposure within 24 hours of the incident. Emergency response organizations should ensure that appropriate personal protective equipment (PPE) is used during all incidents when an unknown hazardous substance is suspected. Additional evaluation is needed to identify targeted interventions that increase emergency responder PPE use during this type of incident.

State Medicaid Coverage for Tobacco Cessation Treatments and Barriers to Accessing Treatments - United States, 2015-2017

Thu, 05 Apr 2018 08:02:00 EST

Cigarette smoking prevalence among Medicaid enrollees (25.3%) is approximately twice that of privately insured Americans (11.8%), placing Medicaid enrollees at increased risk for smoking-related disease and death (1). Medicaid spends approximately $39 billion annually on treating smoking-related diseases (2). Individual, group, and telephone counseling and seven Food and Drug Administration (FDA)-approved medications* are effective in helping tobacco users quit (3). Although state Medicaid coverage of tobacco cessation treatments improved during 2014-2015, coverage was still limited in most states (4). To monitor recent changes in state Medicaid cessation coverage for traditional (i.e., nonexpansion) Medicaid enrollees, the American Lung Association collected data on coverage of a total of nine cessation treatments: individual counseling, group counseling, and seven FDA-approved cessation medications† in state Medicaid programs during July 1, 2015-June 30, 2017. The American Lung Association also collected data on seven barriers to accessing covered treatments, such as copayments and prior authorization. As of June 30, 2017, 10 states covered all nine of these treatments for all enrollees, up from nine states as of June 30, 2015; of these 10 states, Missouri was the only state to have removed all seven barriers to accessing these cessation treatments. State Medicaid programs that cover all evidence-based cessation treatments, remove barriers to accessing these treatments, and promote covered treatments to Medicaid enrollees and health care providers would be expected to reduce smoking, smoking-related disease, and smoking-attributable federal and state health care expenditures (5-7).

Vital Signs: Containment of Novel Multidrug-Resistant Organisms and Resistance Mechanisms - United States, 2006-2017

Thu, 05 Apr 2018 08:01:00 EST

Approaches to controlling emerging antibiotic resistance in health care settings have evolved over time. When resistance to broad-spectrum antimicrobials mediated by extended-spectrum ß-lactamases (ESBLs) arose in the 1980s, targeted interventions to slow spread were not widely promoted. However, when Enterobacteriaceae with carbapenemases that confer resistance to carbapenem antibiotics emerged, directed control efforts were recommended. These distinct approaches could have resulted in differences in spread of these two pathogens. CDC evaluated these possible changes along with initial findings of an enhanced antibiotic resistance detection and control strategy that builds on interventions developed to control carbapenem resistance.

Notes from the Field: Pharmacy Needs After a Natural Disaster - Puerto Rico, September-October 2017

Thu, 05 Apr 2018 08:00:00 EST

After disasters such as hurricanes, access to prescription drugs might be limited or inaccessible. For example, after Hurricane Ivan made landfall near Mobile, Alabama, in 2004, an assessment of its impact on pharmacies in the affected areas found that 53% had depleted supplies and at least 26% had to prioritize distribution to patients because of limited supplies (1). A 2005 study of Hurricane Katrina evacuees in San Antonio, Texas, found that disaster medical assistance teams were more prepared to provide for acute than chronic illnesses although more than two thirds (68%) of patients requested drugs to treat chronic conditions (2). Understanding the prescribing practices of a region can inform post-disaster medication needs and planning for future emergencies.

Overdose Deaths Involving Opioids, Cocaine, and Psychostimulants - United States, 2015-2016

Thu, 29 Mar 2018 08:05:00 EST

During 1999?2015, 568,699 persons died from drug overdoses in the United States.* Drug overdose deaths in the United States increased 11.4% from 2014 to 2015 resulting in 52,404 deaths in 2015, including 33,091 (63.1%) that involved an opioid. The largest rate increases from 2014 to 2015 occurred among deaths involving synthetic opioids other than methadone (synthetic opioids) (72.2%) (1). Because of demographic and geographic variations in overdose deaths involving different drugs (2,3),† CDC examined age-adjusted death rates for overdoses involving all opioids, opioid subcategories (i.e., prescription opioids, heroin, and synthetic opioids),§ cocaine, and psychostimulants with abuse potential (psychostimulants) by demographics, urbanization levels, and in 31 states and the District of Columbia (DC). There were 63,632 drug overdose deaths in 2016; 42,249 (66.4%) involved an opioid.¶ From 2015 to 2016, deaths increased across all drug categories examined. The largest overall rate increases occurred among deaths involving cocaine (52.4%) and synthetic opioids (100%), likely driven by illicitly manufactured fentanyl (IMF) (2,3). Increases were observed across demographics, urbanization levels, and states and DC. The opioid overdose epidemic in the United States continues to worsen. A multifaceted approach, with faster and more comprehensive surveillance, is needed to track emerging threats to prevent and respond to the overdose epidemic through naloxone availability, safe prescribing practices, harm-reduction services, linkage into treatment, and more collaboration between public health and public safety agencies.

Prevalence of Diagnosed Diabetes in Adults by Diabetes Type - United States, 2016

Thu, 29 Mar 2018 08:04:00 EST

Currently 23 million U.S. adults have been diagnosed with diabetes (1). The two most common forms of diabetes are type 1 and type 2. Type 1 diabetes results from the autoimmune destruction of the pancreas's beta cells, which produce insulin. Persons with type 1 diabetes require insulin for survival; insulin may be given as a daily shot or continuously with an insulin pump (2). Type 2 diabetes is mainly caused by a combination of insulin resistance and relative insulin deficiency (3). A small proportion of diabetes cases might be types other than type 1 or type 2, such as maturity-onset diabetes of the young or latent autoimmune diabetes in adults (3). Although the majority of prevalent cases of type 1 and type 2 diabetes are in adults, national data on the prevalence of type 1 and type 2 in the U.S. adult population are sparse, in part because of the previous difficulty in classifying diabetes by type in surveys (2,4,5). In 2016, supplemental questions to help distinguish diabetes type were added to the National Health Interview Survey (NHIS) (6). This study used NHIS data from 2016 to estimate the prevalence of diagnosed diabetes among adults by primary type. Overall, based on self-reported type and current insulin use, 0.55% of U.S. adults had diagnosed type 1 diabetes, representing 1.3 million adults; 8.6% had diagnosed type 2 diabetes, representing 21.0 million adults. Of all diagnosed cases, 5.8% were type 1 diabetes, and 90.9% were type 2 diabetes; the remaining 3.3% of cases were other types of diabetes. Understanding the prevalence of diagnosed diabetes by type is important for monitoring trends, planning public health responses, assessing the burden of disease for education and management programs, and prioritizing national plans for future type-specific health services.

Trends in Diabetic Ketoacidosis Hospitalizations and In-Hospital Mortality - United States, 2000-2014

Thu, 29 Mar 2018 08:03:00 EST

Diabetes is a common chronic condition and as of 2015, approximately 30 million persons in the United States had diabetes (23 million with diagnosed and 7 million with undiagnosed) (1). Diabetic ketoacidosis (DKA) is a life-threatening but preventable complication of diabetes characterized by uncontrolled hyperglycemia (>250 mg/dL), metabolic acidosis, and increased ketone concentration that occurs most frequently in persons with type 1 diabetes (2). CDC's United States Diabetes Surveillance System* (USDSS) indicated an increase in hospitalization rates for DKA during 2009-2014, most notably in persons aged <45 years. To explore this finding, 2000-2014 data from the Agency for Healthcare Research and Quality's National Inpatient Sample (NIS)† were assembled to calculate trends in DKA hospitalization rates and in-hospital case-fatality rates. Overall, age-adjusted DKA hospitalization rates decreased slightly from 2000 to 2009, then reversed direction, steadily increasing from 2009 to 2014 at an average annual rate of 6.3%. In-hospital case-fatality rates declined consistently during the study period from 1.1% to 0.4%. Better understanding the causes of this increasing trend in DKA hospitalizations and decreasing trend in in-hospital case-fatality through further exploration using multiple data sources will facilitate the targeting of prevention efforts.

Two Cases of Meningococcal Disease in One Family Separated by an Extended Period - Colorado, 2015-2016

Thu, 29 Mar 2018 08:02:00 EST

On April 26, 2015, a case of meningococcal disease in a woman aged 75 years was reported to the Colorado Department of Public Health and Environment (CDPHE). As part of routine public health investigation and control activities, all seven family contacts of the patient were advised to receive appropriate postexposure prophylaxis (PEP) to eradicate nasopharyngeal carriage of meningococci and prevent secondary disease (1), although it is not known whether the family contacts complied with PEP recommendations. Fifteen months later, on June 6, 2016, CDPHE was notified that the grandchild of the first patient, a male infant aged 3 months who lived with the first patient, also had meningococcal disease. The infant's immediate family members (parents and one sibling) were among family contacts for whom PEP was recommended in 2015. Neisseria meningitidis isolates from both patients were found to be serogroup C at the CDPHE laboratory. Whole genome sequence (WGS) analysis at CDC found that both isolates had the same sequence type, indicating close genetic relatedness. These cases represent a possible instance of meningococcal disease transmission within a family, despite appropriate PEP recommendations and with a long interval between cases.

Notes from the Field: Nontuberculous Mycobacteria Infections in U.S. Medical Tourists Associated with Plastic Surgery - Dominican Republic, 2017

Thu, 29 Mar 2018 08:01:00 EST

Since 2013, CDC has received reports and investigated serious complications among medical tourists (i.e., persons whose primary purpose for international travel is medical care) upon their return to the United States (1). On May 1, 2017, the New York City Department of Health and Mental Hygiene informed CDC of three patients with nontuberculous mycobacteria (NTM) surgical site infections (SSI), all of whom had undergone cosmetic surgical procedures by a single surgeon at Centro Internacional de Cirugía Plástica Avanzada (CIPLA) in the Dominican Republic (2).

Notes from the Field: Fatalities Associated with Human Adenovirus Type 7 at a Substance Abuse Rehabilitation Facility - New Jersey, 2017

Thu, 29 Mar 2018 08:00:00 EST

On February 3, 2017, a local health department notified the New Jersey Department of Health (NJDOH) of a severe respiratory illness outbreak, including two hospitalizations and one death, at a substance abuse treatment facility. During December 2016-January 2017, NJDOH surveillance for noninfluenza respiratory viruses identified multiple human adenovirus (HAdV) cases in the surrounding community. HAdVs can cause severe respiratory illness, and outbreaks of HAdV type 4 (HAdV-4) and HAdV type 7 (HAdV-7) have been associated with communal living facilities, including military barracks (1). A combined HAdV-4 and HadV-7 live oral vaccine is available but is currently limited to military use (2). NJDOH and the local health department investigated the outbreak in consultation with CDC to describe outbreak scope and provide infection control recommendations in this communal facility.

World TB Day - March 24, 2018

Thu, 22 Mar 2018 08:07:00 EST

World TB Day is recognized each year on March 24, commemorating the date in 1882 when Dr. Robert Koch announced his discovery of Mycobacterium tuberculosis, the bacillus that causes tuberculosis (TB). World TB Day is an opportunity to raise awareness about TB and the measures needed to tackle this devastating disease. The U.S. theme for World TB Day 2018, "Wanted: leaders for a TB-free United States. We can make history. End TB" highlights the importance of engaging and empowering public health partners, clinicians, and communities in efforts to eliminate TB.

Tuberculosis - United States, 2017

Thu, 22 Mar 2018 08:06:00 EST

In 2017, a total of 9,093 new cases of tuberculosis (TB) were provisionally* reported in the United States, representing an incidence rate of 2.8 cases per 100,000 population. The case count decreased by 1.8% from 2016 to 2017, and the rate declined by 2.5% over the same period. These decreases are consistent with the slight decline in TB seen over the past several years (1). This report summarizes provisional TB surveillance data reported to CDC's National Tuberculosis Surveillance System for 2017 and in the last decade. The rate of TB among non-U.S.-born persons in 2017 was 15 times the rate among U.S.-born persons. Among non-U.S.-born persons, the highest TB rate among all racial/ethnic groups was among Asians (27.0 per 100,000 persons), followed by non-Hispanic blacks (blacks; 22.0). Among U.S.-born persons, most TB cases were reported among blacks (37.1%), followed by non-Hispanic whites (whites; 29.5%). Previous studies have shown that the majority of TB cases in the United States are attributed to reactivation of latent TB infection (LTBI) (2). Ongoing efforts to prevent TB transmission and disease in the United States remain important to continued progress toward TB elimination. Testing and treatment of populations most at risk for TB disease and LTBI, including persons born in countries with high TB prevalence and persons in high-risk congregate settings (3), are major components of this effort.

Preliminary Incidence and Trends of Infections with Pathogens Transmitted Commonly Through Food - Foodborne Diseases Active Surveillance Network, 10 U.S. Sites, 2006-2017

Thu, 22 Mar 2018 08:05:00 EST

Despite ongoing food safety measures in the United States, foodborne illness continues to be a substantial health burden. The 10 U.S. sites of the Foodborne Diseases Active Surveillance Network (FoodNet)* monitor cases of laboratory-diagnosed infections caused by nine pathogens transmitted commonly through food. This report summarizes preliminary 2017 data and describes changes in incidence since 2006. In 2017, FoodNet reported 24,484 infections, 5,677 hospitalizations, and 122 deaths. Compared with 2014-2016, the 2017 incidence of infections with Campylobacter, Listeria, non-O157 Shiga toxin-producing Escherichia coli (STEC), Yersinia, Vibrio, and Cyclospora increased. The increased incidences of pathogens for which testing was previously limited might have resulted from the increased use and sensitivity of culture-independent diagnostic tests (CIDTs), which can improve incidence estimates (1). Compared with 2006-2008, the 2017 incidence of infections with Salmonella serotypes Typhimurium and Heidelberg decreased, and the incidence of serotypes Javiana, Infantis, and Thompson increased. New regulatory requirements that include enhanced testing of poultry products for Salmonella† might have contributed to the decreases. The incidence of STEC O157 infections during 2017 also decreased compared with 2006-2008, which parallels reductions in isolations from ground beef.§ The declines in two Salmonella serotypes and STEC O157 infections provide supportive evidence that targeted control measures are effective. The marked increases in infections caused by some Salmonella serotypes provide an opportunity to investigate food and nonfood sources of infection and to design specific interventions.

Characteristics of and Precipitating Circumstances Surrounding Suicide Among Persons Aged 10-17 Years - Utah, 2011-2015

Thu, 22 Mar 2018 08:04:00 EST

In 2015, suicide was the third leading cause of death among persons aged 10-17 years (1), and in Utah, the age-adjusted suicide rate was consistently higher than the national rate during the past decade (2). In January 2017, the Utah Department of Health (UDOH) invited CDC to assist with an epidemiologic investigation of suicides among youths aged 10-17 years during 2011-2015 to identify precipitating factors. CDC analyzed data from the Utah Violent Death Reporting System (UTVDRS), National Vital Statistics System, and additional information collected in the field. During 2011-2015 in Utah, 150 youths died by suicide. Approximately three fourths of decedents were male (77.4%) and aged 15-17 years (75.4%). During this period, the unadjusted suicide rate per 100,000 youths in Utah increased 136.2%, from 4.7 per 100,000 population (2011) to 11.1 (2015), whereas among youths nationwide, the rate increased 23.5%, from 3.4 to 4.1. Among suicide decedents with circumstances data available, more than two thirds (68.3%) had multiple precipitating circumstances, including mental health diagnosis (35.2%), depressed mood (31.0%), recent crisis (55.3%), and history of suicidal ideation or attempt (29.6%). CDC's technical package of policies, programs, and practices to prevent suicide supported by the best available evidence can be used as a suicide prevention resource (3).

Initial Public Health Laboratory Response After Hurricane Maria - Puerto Rico, 2017

Thu, 22 Mar 2018 08:03:00 EST

Hurricane Maria made landfall in Puerto Rico on September 20, 2017, causing major damage to infrastructure and severely limiting access to potable water, electric power, transportation, and communications. Public services that were affected included operations of the Puerto Rico Department of Health (PRDOH), which provides critical laboratory testing and surveillance for diseases and other health hazards. PRDOH requested assistance from CDC for the restoration of laboratory infrastructure, surveillance capacity, and diagnostic testing for selected priority diseases, including influenza, rabies, leptospirosis, salmonellosis, and tuberculosis. PRDOH, CDC, and the Association of Public Health Laboratories (APHL) collaborated to conduct rapid needs assessments and, with assistance from the CDC Foundation, implement a temporary transport system for shipping samples from Puerto Rico to the continental United States for surveillance and diagnostic and confirmatory testing. This report describes the initial laboratory emergency response and engagement efforts among federal, state, and nongovernmental partners to reestablish public health laboratory services severely affected by Hurricane Maria. The implementation of a sample transport system allowed Puerto Rico to reinitiate priority infectious disease surveillance and laboratory testing for patient and public health interventions, while awaiting the rebuilding and reinstatement of PRDOH laboratory services.

Bleeding and Blood Disorders in Clients of Voluntary Medical Male Circumcision for HIV Prevention - Eastern and Southern Africa, 2015-2016

Thu, 22 Mar 2018 08:02:00 EST

Male circumcision reduces the risk for female-to-male human immunodeficiency virus (HIV) transmission by approximately 60% (1) and has become a key component of global HIV prevention programs in countries in Eastern and Southern Africa where HIV prevalence is high and circumcision coverage is low. Through September 2017, the President's Emergency Plan for AIDS Relief (PEPFAR) had supported 15.2 million voluntary medical male circumcisions (VMMCs) in 14 priority countries in Eastern and Southern Africa (2). Like any surgical intervention, VMMC carries a risk for complications or adverse events. Adverse events during circumcision of males aged =10 years occur in 0.5% to 8% of procedures, though the majority of adverse events are mild (3,4). To monitor safety and service quality, PEPFAR tracks and reports qualifying notifiable adverse events. Data reported from eight country VMMC programs during 2015-2016 revealed that bleeding resulting in hospitalization for =3 days was the most commonly reported qualifying adverse event. In several cases, the bleeding adverse event revealed a previously undiagnosed or undisclosed bleeding disorder. Bleeding adverse events in men with potential bleeding disorders are serious and can be fatal. Strategies to improve precircumcision screening and performance of circumcisions on clients at risk in settings where blood products are available are recommended to reduce the occurrence of these adverse events or mitigate their effects (5).

Fatal Yellow Fever in Travelers to Brazil, 2018

Thu, 22 Mar 2018 08:01:00 EST

Yellow fever virus is a mosquito-borne flavivirus that causes yellow fever, an acute infectious disease that occurs in South America and sub-Saharan Africa. Most patients with yellow fever are asymptomatic, but among the 15% who develop severe illness, the case fatality rate is 20%-60%. Effective live-attenuated virus vaccines are available that protect against yellow fever (1). An outbreak of yellow fever began in Brazil in December 2016; since July 2017, cases in both humans and nonhuman primates have been reported from the states of São Paulo, Minas Gerais, and Rio de Janeiro, including cases occurring near large urban centers in these states (2). On January 16, 2018, the World Health Organization updated yellow fever vaccination recommendations for Brazil to include all persons traveling to or living in Espírito Santo, São Paulo, and Rio de Janeiro states, and certain cities in Bahia state, in addition to areas where vaccination had been recommended before the recent outbreak (3). Since January 2018, 10 travel-related cases of yellow fever, including four deaths, have been reported in international travelers returning from Brazil. None of the 10 travelers had received yellow fever vaccination.

Notes from the Field: Typhoid Fever Outbreak - Harare, Zimbabwe, October 2016-March 2017

Thu, 22 Mar 2018 08:00:00 EST

In October 2016, the Harare City Health Department (HCHD) surveillance system recorded the beginning of an upward trend in typhoid cases. On December 27, 2016, after the typhoid fever-associated death of a student, the Ministry of Health and Child Care (MOHCC) in Zimbabwe declared an outbreak of typhoid fever. HCHD defined a suspected case in a resident of Harare City as an illness that began on or after October 6, 2016, with fever =100.4°F (38°C), body pains, headache, and abdominal pain. Patients with confirmed cases had blood or stool specimens positive for Salmonella Typhi.

National Kidney Month - March 2018

Thu, 15 Mar 2018 08:06:00 EST

Each year, March is designated National Kidney Month to raise awareness about the prevention and early detection of kidney disease. In the United States, kidney diseases are the ninth leading cause of death (1). Among U.S. adults aged =20 years, 15% (30 million persons) are estimated to have chronic kidney disease. Chronic kidney disease is defined as damaged kidneys or a glomerular filtration rate (i.e., a measure of kidney function) <60 mL/min/1.73 m2 for more than 3 months (2,3). Chronic kidney disease is also estimated to be more common in women than in men (2,3). However, among persons with moderate to severe chronic kidney disease, awareness of having the disease was lower in women than in men (3). Risk factors for chronic kidney disease include diabetes, high blood pressure, cardiovascular disease, and obesity (2); controlling diabetes and high blood pressure can delay or prevent chronic kidney disease and improve health outcomes (2). CDC supports the Chronic Kidney Disease Surveillance System (https://www.cdc.gov/ckd/surveillance) to document and monitor kidney disease and its risk factors in the U.S. population and to track progress in kidney disease prevention, detection, and management. This week's MMWR issue includes a report on acute kidney injury, a risk factor for developing or worsening chronic kidney disease. Information is available about kidney disease prevention and control at https://www.nkdep.nih.gov/ and about diabetes prevention and control at https://www.cdc.gov/diabetes.

Trends in Hospitalizations for Acute Kidney Injury - United States, 2000-2014

Thu, 15 Mar 2018 08:05:00 EST

Acute kidney injury is a sudden decrease in kidney function with or without kidney damage, occurring over a few hours or days. Diabetes, hypertension, and advanced age are primary risk factors for acute kidney injury. It is increasingly recognized as an in-hospital complication of sepsis, heart conditions, and surgery (1,2). Its most severe stage requires treatment with dialysis. Acute kidney injury is also associated with higher likelihood of long-term care, incidence of chronic kidney disease and hospital mortality, and health care costs (1,2). Although a number of U.S. studies have indicated an increasing incidence of dialysis-treated acute kidney injury since the late 1990s (3), no data are available on national trends in diabetes-related acute kidney injury. To estimate diabetes- and nondiabetes-related acute kidney injury trends, CDC analyzed 2000-2014 data from the National Inpatient Sample (NIS) (4) and the National Health Interview Survey (NHIS) (5). Age-standardized rates of acute kidney injury hospitalizations increased by 139% (from 23.1 to 55.3 per 1,000 persons) among adults with diagnosed diabetes, and by 230% (from 3.5 to 11.7 per 1,000 persons) among those without diabetes. Improving both patient and provider awareness that diabetes, hypertension, and advancing age are frequently associated with acute kidney injury might reduce its occurrence and improve management of the underlying diseases in an aging population.

Exposure to Electronic Cigarette Advertising Among Middle and High School Students - United States, 2014-2016

Thu, 15 Mar 2018 08:04:00 EST

Electronic cigarettes (e-cigarettes) are the most commonly used tobacco product among U.S. middle and high school students (1). Exposure to e-cigarette advertisements is associated with higher odds of current e-cigarette use among middle and high school students (2-4). To assess patterns of self-reported exposure to four e-cigarette advertising sources (retail stores, the Internet, television, and newspapers and magazines), CDC analyzed data from the 2014, 2015, and 2016 National Youth Tobacco Surveys (NYTSs). Overall, exposure to e-cigarette advertising from at least one source increased each year during 2014-2016 (2014: 68.9%, 18.3 million; 2015: 73.0%, 19.2 million; 2016: 78.2%, 20.5 million). In 2016, exposure was highest for retail stores (68.0%), followed by the Internet (40.6%), television (37.7%), and newspapers and magazines (23.9%). During 2014-2016, youth exposure to e-cigarette advertising increased for retail stores (54.8% to 68.0%), decreased for newspapers and magazines (30.4% to 23.9%), and did not significantly change for the Internet or television. A comprehensive strategy to prevent and reduce youth use of e-cigarettes and other tobacco products includes efforts to reduce youth exposure to e-cigarette advertising from a range of sources, including retail stores, television, the Internet, and print media such as newspapers and magazines (5).

Vaccine-Derived Polioviruses - Three Provinces, Democratic Republic of the Congo, 2017

Thu, 15 Mar 2018 08:03:00 EST

The last confirmed wild poliovirus (WPV) case in Democratic Republic of the Congo (DRC) had paralysis onset in December 2011 (1). DRC has had cases of vaccine-derived polioviruses (VDPVs) documented since 2004 (Table 1) (1-6). After an outbreak of 30 circulating VDPV type 2 (cVDPV2) cases during 2011-2012, only five VDPV2 cases were reported during 2013-2016 (Table 1) (1-6). VDPVs can emerge from oral poliovirus vaccine (OPV types 1, 2, or 3; Sabin) polioviruses that have genetically mutated resulting in reversion to neurovirulence. This process occurs during extensive person-to-person transmission in populations with low immunity or after extended replication in the intestines of immune-deficient persons following vaccination (1-6). During 2017 (as of March 8, 2018), 25 VDPV cases were reported in three provinces in DRC: in Tanganyika province, an emergence with one VDPV2 case (pending final classification) in Kabalo health zone and an emergence with one ambiguous VDPV type 1 (aVDPV1) case in Ankoro health zone; in Maniema province, an emergence with two cVDPV2 cases; and in Haut Lomami province, an emergence with 20 cVDPV2 cases that originated in Haut Lomami province and later spread to Tanganyika province (hereafter referred to as the Haut Lomami outbreak area) and an emergence with one aVDPV type 2 (aVDPV2) case in Lwamba health zone (Table 1) (Figure) (6). Outbreak response supplementary immunization activities (SIAs) were conducted during June-December 2017 (Table 2) (6). Because of limitations in surveillance and suboptimal SIA quality and geographic scope, cVDPV2 circulation is likely continuing in 2018, requiring additional SIAs. DRC health officials and Global Polio Eradication Initiative (GPEI) partners are increasing human and financial resources to improve all aspects of outbreak response.

Emergence of Monkeypox - West and Central Africa, 1970-2017

Thu, 15 Mar 2018 08:02:00 EST

The recent apparent increase in human monkeypox cases across a wide geographic area, the potential for further spread, and the lack of reliable surveillance have raised the level of concern for this emerging zoonosis. In November 2017, the World Health Organization (WHO), in collaboration with CDC, hosted an informal consultation on monkeypox with researchers, global health partners, ministries of health, and orthopoxvirus experts to review and discuss human monkeypox in African countries where cases have been recently detected and also identify components of surveillance and response that need improvement. Endemic human monkeypox has been reported from more countries in the past decade than during the previous 40 years. Since 2016, confirmed cases of monkeypox have occurred in Central African Republic, Democratic Republic of the Congo, Liberia, Nigeria, Republic of the Congo, and Sierra Leone and in captive chimpanzees in Cameroon. Many countries with endemic monkeypox lack recent experience and specific knowledge about the disease to detect cases, treat patients, and prevent further spread of the virus. Specific improvements in surveillance capacity, laboratory diagnostics, and infection control measures are needed to launch an efficient response. Further, gaps in knowledge about the epidemiology and ecology of the virus need to be addressed to design, recommend, and implement needed prevention and control measures.

Notes from the Field: False Negative Hepatitis B Surface Antigen Test Result in a Hemodialysis Patient - Nebraska, 2017

Thu, 15 Mar 2018 08:01:00 EST

In March 2017, the Nebraska Department of Health and Human Services (NDHHS) was contacted by a hemodialysis clinic regarding a patient who had tested negative for hepatitis B virus (HBV) surface antigen (HBsAg) after vaccination in 2010 and who later tested positive for HBsAg. A public health investigation subsequently determined that the false-negative results were caused by a surface antigen mutation. Notably, several commercial HBsAg testing kits cannot detect this mutant virus, making it a challenging pathogen for public health surveillance and intervention efforts (1).

Notes from the Field: Assessing Rabies Risk After a Mass Bat Exposure at a Research Facility in a National Park - Wyoming, 2017

Thu, 15 Mar 2018 08:00:00 EST

On August 2, 2017, the Wyoming Department of Health (WDH) was notified by local public health nursing of a group of 20 persons who had slept in a national park research facility and reported contact with bats and bat excrement. Four of the 20 persons had already received rabies postexposure prophylaxis (PEP)* when WDH notified the National Park Service (NPS) and requested assistance from CDC for a mass bat exposure investigation of the remaining 16 persons. Rabies is a fatal, viral zoonotic disease causing an estimated 59,000 human deaths annually worldwide. Transmission from animals to humans mainly occurs through bites; however, scratches or mucous membrane contact with saliva also present transmission risks (1-3). Although human rabies in the United States is rare, most human cases result from bat exposures; 75% of infected patients become ill within 3 months of exposure (3). Bat infestation of human habitations increases the risk for bat contact. Infestations can expose numerous persons to rabies and are referred to as mass bat exposures.

Update: Noncongenital Zika Virus Disease Cases - 50 States and the District of Columbia, 2016

Thu, 08 Mar 2018 08:04:00 EDT

Zika virus is a flavivirus primarily transmitted to humans by Aedes aegypti mosquitoes (1). Zika virus infections also have been documented through intrauterine transmission resulting in congenital infection; intrapartum transmission from a viremic mother to her newborn; sexual transmission; blood transfusion; and laboratory exposure (1-3). Most Zika virus infections are asymptomatic or result in mild clinical illness, characterized by acute onset of fever, maculopapular rash, arthralgia, or nonpurulent conjunctivitis; Guillain-Barré syndrome, meningoencephalitis, and severe thrombocytopenia rarely have been associated with Zika virus infection (1). However, congenital Zika virus infection can result in fetal loss, microcephaly, and other birth defects (1,2). In 2016, a total of 5,168 noncongenital Zika virus disease cases were reported from U.S. states and the District of Columbia. Most cases (4,897, 95%) were in travelers returning from Zika virus-affected areas. A total of 224 (4%) cases were acquired through presumed local mosquitoborne transmission, and 47 (1%) were acquired by other routes. It is important that providers in the United States continue to test symptomatic patients who live in or recently traveled to areas with ongoing Zika virus transmission or had unprotected sex with someone who lives in or traveled to those areas. All pregnant women and their partners should take measures to prevent Zika virus infection during pregnancy. A list of affected areas and specific recommendations on how to prevent Zika virus infection during pregnancy are available at https://www.cdc.gov/pregnancy/zika/protect-yourself.html.

Dental Personnel Treated for Idiopathic Pulmonary Fibrosis at a Tertiary Care Center - Virginia, 2000-2015

Thu, 08 Mar 2018 08:03:00 EDT

In April 2016, a Virginia dentist who had recently received a diagnosis of idiopathic pulmonary fibrosis (IPF) and was undergoing treatment at a specialty clinic at a Virginia tertiary care center contacted CDC to report concerns that IPF had been diagnosed in multiple Virginia dentists who had sought treatment at the same specialty clinic. IPF is a chronic, progressive lung disease of unknown cause and associated with a poor prognosis (1). Although IPF has been associated with certain occupations (2), no published data exist regarding IPF in dentists. The medical records for all 894 patients treated for IPF at the Virginia tertiary care center during September 1996-June 2017 were reviewed for evidence that the patient had worked as a dentist, dental hygienist, or dental technician; among these patients, eight (0.9%) were identified as dentists and one (0.1%) as a dental technician, and each had sought treatment during 2000-2015. Seven of these nine patients had died. A questionnaire was administered to one of the living patients, who reported polishing dental appliances and preparing amalgams and impressions without respiratory protection. Substances used during these tasks contained silica, polyvinyl siloxane, alginate, and other compounds with known or potential respiratory toxicity. Although no clear etiologies for this cluster exist, occupational exposures possibly contributed. This cluster of IPF cases reinforces the need to understand further the unique occupational exposures of dental personnel and the association between these exposures and the risk for developing IPF so that appropriate strategies can be developed for the prevention of potentially harmful exposures.

Update: Dura Mater Graft-Associated Creutzfeldt-Jakob Disease - Japan, 1975-2017

Thu, 08 Mar 2018 08:02:00 EDT

Creutzfeldt-Jakob disease (CJD) is a fatal neurodegenerative disorder that, according to the most well accepted hypothesis (1), is caused by replicating, transmissible, abnormal forms of a host-encoded prion protein (prions). Most CJD cases occur spontaneously (sporadic CJD) or are inherited (genetic CJD). Iatrogenic CJD can occur after exposure to prion-contaminated instruments or products in medical/surgical settings. Cadaveric dura mater graft-associated CJD (dCJD) accounts for a common form of iatrogenic CJD. This report summarizes the epidemiologic features of 154 cases of dCJD identified in Japan during 1975-2017; these cases account for >60% of dCJD cases reported worldwide (1,2). The unusually high prevalence of dCJD in Japan was first reported in 1997 (3). In 2008, a single brand of graft (Lyodura [B. Braun Melsungen AG, Melsungen, Germany]), frequently used as a patch in neurosurgical procedures, was identified as the probable vehicle of transmission (4). No international recall of the implicated Lyodura occurred, the product had a relatively long shelf life, and the grafts were used frequently in Japanese patients with non-life-threatening conditions (4,5). Since 2008, additional cases have been ascertained, reflecting the identification of previously missed cases and the occurrence of new cases with longer latency periods (interval from exposure to symptom onset) for dCJD (up to 30 years), underscoring the importance of maintaining surveillance for dCJD.

Vital Signs: Trends in Emergency Department Visits for Suspected Opioid Overdoses - United States, July 2016-September 2017

Thu, 08 Mar 2018 08:01:00 EDT

From 2015 to 2016, opioid overdose deaths increased 27.7%, indicating a worsening of the opioid overdose epidemic and highlighting the importance of rapid data collection, analysis, and dissemination.

Notes from the Field: Brucella abortus Vaccine Strain RB51 Exposures Associated with Raw Milk Consumption - Wise County, Texas, 2017

Thu, 08 Mar 2018 08:00:00 EDT

In July 2017, the Texas Department of State Health Services (DSHS) Region 2/3 office reported a human case of brucellosis associated with the consumption of raw (unpasteurized) cow's milk purchased from a dairy in Paradise, Texas. CDC's Bacterial Special Pathogens Branch (BSPB) confirmed the isolate as Brucella abortus vaccine strain RB51 (RB51).

Suicides Among American Indian/Alaska Natives - National Violent Death Reporting System, 18 states, 2003-2014

Thu, 01 Mar 2018 08:06:00 EDT

Suicide disproportionately affects American Indians/Alaska Natives (AI/AN). The suicide rate among AI/AN has been increasing since 2003 (1), and in 2015, AI/AN suicide rates in the 18 states participating in the National Violent Death Reporting System (NVDRS) were 21.5 per 100,000, more than 3.5 times higher than those among racial/ethnic groups with the lowest rates.* To study completed suicides across all ages of AI/AN, NVDRS data collected from 2003 to 2014 were analyzed by comparing differences in suicide characteristics and circumstances between AI/AN and white decedents. Group differences were assessed using chi-squared tests and logistic regression. Across multiple demographics, incident characteristics, and circumstances, AI/AN decedents were significantly different from white decedents. More than one third (35.7%) of AI/AN decedents were aged 10-24 years (versus 11.1% of whites). Compared with whites, AI/AN decedents had 6.6 times the odds of living in a nonmetropolitan area, 2.1 times the odds of a positive alcohol toxicology result, and 2.4 times the odds of a suicide of a friend or family member affecting their death. Suicide prevention efforts should incorporate evidence-based, culturally relevant strategies at individual, interpersonal, and community levels (2) and need to account for the heterogeneity among AI/AN communities (3,4).