Feed morbidity-and-mortality-weekly-report-mmwr Morbidity and Mortality Weekly Report (MMWR)

Morbidity and Mortality Weekly Report (MMWR)

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Updated 2018-11-13 22:21
Great American Smokeout --- November 15, 2018
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.
Erratum: Vol. 67, No. 42
In the report "Translocation of a Stray Cat Infected withRabies from North Carolina to a Terrestrial Rabies-Free Countyin Ohio, 2017,"
Progress Toward Poliomyelitis Eradication --- Pakistan, January 2017-September 2018
Pakistan remains one of only three countries worldwide that has never had interrupted wild poliovirus serotype 1 transmission.
Firearm Homicides and Suicides in Major Metropolitan Areas --- United States, 2012--2013 and 2015--2016
Firearm homicide rates in large metro areas and the nation have risen back to rates similar to those seen during 2006-2007. Firearm suicide rates continued to increase, both nationally and in large metro areas overall. Firearm homicides and suicides pose a continuing public health concern in the United States.
Notes from the Field: Cronobacter sakazakii Meningitis in a Full-Term Neonate Fed Exclusively with Breast Milk --- Indiana, 2018
In January 2018, the Indiana State Department of Health was notified of a case of Cronobacter sakazakii meningitis in an infant who had been fed exclusively maternal milk.
QuickStats: Percentage of Children Having a Problem for Which Prescription Medication Has Been Taken Regularly for ≥3 Months, by Age Group and Sex - National Health Interview Survey, United States,
In 2017, the percentage of children who had a problem for which prescription medication has been taken regularly for ≥3 months increased with increasing age.
Notes from the Field: Increase in Coccidioidomycosis --- Arizona, October 2017--March 2018
Beginning in October 2017, the Arizona Department of Health Services noted an increase in the number of reported cases of coccidioidomycosis.
Prevalence of Arthritis Among Adults with Prediabetes and Arthritis-Specific Barriers to Important Interventions for Prediabetes --- United States, 2009--2016
The unadjusted prevalence of arthritis among adults with prediabetes was 32.0%. The unadjusted prevalence of physical inactivity and obesity among adults with these conditions were 56.5% and 50.1%, respectively.
Prevalence and Changes in Preexisting Diabetes and Gestational Diabetes Among Women Who Had a Live Birth --- United States, 2012--2016
In 2016, the national prevalences of preexisting and gestational diabetes were 0.86% and 5.96%, respectively. Among 40 jurisdictions, the prevalence of age- and race/ethnicity-standardized preexisting diabetes was stable at 0.8% and increased slightly from 5.2% to 5.6% for gestational diabetes.
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
Postexposure prophylaxis with hepatitis A vaccine or immune globulin effectively prevents infection with hepatitis A virus when administered within 2 weeks of exposure.
Violence Victimization, Substance Use, and Suicide Risk Among Sexual Minority High School Students --- United States, 2015--2017
Youths identifying as lesbian, gay, bisexual, or another nonheterosexual identity report more violence victimization, substance use, and suicide risk than do heterosexual youths.
Notes from the Field: Intestinal Colonization and Possible Iatrogenic Botulism in Mouse Bioassay-Negative Serum Specimens --- Los Angeles County, California, November 2017
Mouse bioassay is the standard test for botulinum neurotoxin detection. However, matrix-assisted laser desorption/ionization time-of-flight mass spectrometry testing can be 10-100 times more sensitive than MBA but is not yet widely available.
Hepatitis A Virus Outbreaks Associated with Drug Use and Homelessness --- California, Kentucky, Michigan, and Utah, 2017
The 2017 hepatitis A outbreaks among persons reporting drug use or experiencing homelessness reinforce the need to vaccinate people at risk for hepatitis A.
National Diabetes Month --- November 2018
November is National Diabetes Month. In the United States, approximately 30 million persons are living with diabetes and 84 million with prediabetes.
QuickStats: Percentage of Residential Care Communities, by U.S. Census Region --- National Study of Long-Term Care Providers, 2012--2016
During 2012-2016, the percentage of residential care communities located in the West increased from 36.4% to 40.8%.
SURVEILLANCE SUMMARIES: Surveillance for Cancers Associated with Tobacco Use --- United States, 2010--2014
Tobacco use is the leading preventable cause of cancer and resulted in 3.3 million new cases during 2010-2014.
QuickStats: Prevalence of Anemia Among Adults Aged ≥65 Years, by Sex and Age Group --- National Health and Nutrition Examination Survey, 2013--2016
During 2013-2016, the prevalence of anemia among persons aged ≥65 years increased with increasing age for both men and women.
Influenza A(H3N2) Variant Virus Outbreak at Three Fairs --- Maryland, 2017
On September 17, 2017, the Maryland Department of Agriculture was notified by fair and 4-H officials of ill swine at an agricultural fair held September 14-17.
Update: Influenza Activity --- United States and Worldwide, May 20--October 13, 2018
From late May to mid-October 2018, influenza activity in the United States was low; circulating viruses were antigenically similar to cell-propagated reference viruses representing the Northern Hemisphere 2018-19 influenza vaccine composition.
Notes from the Field: Recurrence of a Multistate Outbreak of Salmonella Enteritidis Infections Linked to Contact with Guinea Pigs --- Eight States, 2015--2017
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.
Update on Vaccine-Derived Polioviruses --- Worldwide, January 2017--June 2018
After the 2016 synchronized switch from trivalent oral poliovirus vaccine (OPV) (types 1, 2, and 3) to bivalent OPV (types 1 and 3), transmission of type 2 circulating vaccine-derived polioviruses was detected in countries with subpopulations of children who missed immunization to type 2 poliovirus before the switch.
Erratum: Vol. 67, No. 40
In the report "Notes from the Field: Exported Case of Sin Nombre Hantavirus Pulmonary Syndrome - Israel, 2017," on page 1129, Maria Morales-Betoulle, PhD; Sara E. Zufan, MPH; and Shannon L.M. Whitmer, PhD, all affiliated with the Division of High-Consequence Pathogens and Pathology, National Center for Emerging and Zoonotic Infectious Diseases, CDC, should have been included in the author list, and the affiliation for Heather Venkat, DVM, MPH should have been the Arizona Department of Health Services.
Measles Outbreak in a Highly Vaccinated Population --- Israel, July--August 2017
During July and August 2017, nine measles cases occurred among vaccinated Israeli soldiers. The primary patient had recently traveled to three countries in Europe with ongoing measles outbreaks. All other cases occurred in his direct contacts. All patients had mild illness; no tertiary cases occurred.
Translocation of a Stray Cat Infected with Rabies from North Carolina to a Terrestrial Rabies-Free County in Ohio, 2017
On July 24, 2017, the Ohio Department of Health was notified of a positive rabies test result from a domestic cat in Summit County, a county considered free from terrestrial rabies.
HIV Preexposure Prophylaxis, by Race and Ethnicity --- United States, 2014--2016
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.
Erratum: Vol. 67, No. 33
In the report "National, Regional, State, and Selected Local Area Vaccination Coverage Among AdolescentsAged 13-17 Years - United States, 2017," on page 914, in Table 2, the entry for the column "Difference" and row "≥3 Hepatitis B doses" should have read -2.6 (-4.8 to -0.3).
CDC Grand Rounds: New Frontiers in Workplace Health
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.
Erratum: Vol. 67, No. 40
In the report "Vaccination Coverage for Selected Vaccines and Exemption Rates Among Children in Kindergarten --- United States, 2017-18 School Year," on page 1121, an incorrect figure was published.
Notes from the Field: Reference Laboratory Investigation of Patients With Clinically Diagnosed Lyme Disease and Babesiosis --- Indiana, 2016
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
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.
Mumps Outbreak in a Marshallese Community --- Denver Metropolitan Area, Colorado, 2016--2017
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
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.
QuickStats: Percentage of Youths Aged 2-19 Years Consuming Any Fast Food on a Given Day, by Race and Hispanic Origin --- National Health and Nutrition Examination Survey, 2013--2016
During 2013-2016, 36.0% of youths aged 2-19 years consumed fast food on a given day.
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
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.
Notes from the Field: Exported Case of Sin Nombre Hantavirus Pulmonary Syndrome --- Israel, 2017
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: Rubella Infection in an Unvaccinated Pregnant Woman --- Johnson County, Kansas, December 2017
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 Among Children Aged 19-35 Months --- United States, 2017
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
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.
National Latinx AIDS Awareness Day --- October 15, 2018
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.
Vaccination Coverage for Selected Vaccines and Exemption Rates Among Children in Kindergarten --- United States, 2017--18 School Year
Vaccination coverage rates among children in kindergarten remains high.
World Arthritis Day 2018 and National Mental Illness Awareness Week
World Arthritis Day, October 12, 2018, encourages organizations and persons to work toward increasing awareness about arthritis and other conditions. National Mental Illness Awareness Week is October 7-13, 2018, and seeks to educate the public, combat stigma, and provide support to those affected by mental illness.
Factors Contributing to Congenital Syphilis Cases --- New York City, 2010--2016
There were 68 congenital syphilis cases in New York City during 2010-2016, that might have been prevented by prenatal syphilis screening and prompt treatment early during pregnancy.
Notes from the Field: Multiple Cyclosporiasis Outbreaks --- United States, 2018
The 2018 outbreak season is noteworthy for multiple outbreaks of cyclosporiasis associated with different fresh produce items and the large number of reported cases. In 2018, two multistate outbreaks resulted in 761 laboratory-confirmed cases.
Outbreak of Salmonella Chailey Infections Linked To Precut Coconut Pieces --- United States and Canada, 2017
A 2017 outbreak investigation of Salmonella Chailey infections found frozen, precut coconut to be the source of the outbreak.
Rates of Carpal Tunnel Syndrome in a State Workers' Compensation Information System, by Industry and Occupation --- California, 2007--2014
Occupational risk factors for carpal tunnel syndrome were assessed in various industries in California to determine where the highest need for mitigation lies.
Notes from the Field: Spatially Associated Coincident and Noncoincident Cases of La Crosse Encephalitis --- North Carolina, 2002--2017
In August 2017, the North Carolina Department of Public Health (NCDPH) was notified of a suspected La Crosse virus (LACV) encephalitis case in a boy aged 2 years from western North Carolina. The following day, NCDPH was notified that the patient's brother, aged 11 years, was also ill with symptoms consistent with viral meningoencephalitis. Laboratory testing confirmed that both siblings had evidence of recent LACV infection.
Symptoms of Anxiety and Depression Among Adults with Arthritis --- United States, 2015--2017
Approximately 10 million adults with arthritis have symptoms of either anxiety or depression, with approximately one in five experiencing symptoms of anxiety and approximately one in 10 experiencing symptoms of depression.
Notes from the Field: Lead Exposures Among Employees at a Bullet Manufacturing Company --- Missouri, 2017
In October 2017, at the request of a Missouri bullet manufacturing, CDC's National Institute for Occupational Safety and Health conducted a health hazard evaluation to determine routes and extent of lead exposure. Their findings indicated elevated blood lead levels among almost all employees and air lead conentrations below federal guidelines and recommended a workplace lead control program be used.
Influenza Vaccination Coverage Among Health Care Personnel - United States, 2017-18 Influenza Season
Although three out of four health care workers are getting their annual flu vaccination, there are still health care workers who are vulnerable to flu and its potentially serious complications.
Influenza and Tdap Vaccination Coverage Among Pregnant Women - United States, April 2018
Many pregnant women are unvaccinated, and they and their babies continue to be vulnerable to influenza and pertussis infection and potentially serious complications, including hospitalization and death.