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Updated 2025-04-03 22:31
QuickStats: Percentage of Persons in Families Having Problems Paying Medical Bills in the Past 12 Months, by Age Group --- National Health Interview Survey, 2011--2017
From 2011 to 2017, the percentage of persons in families having problems paying medical bills decreased from 19.7% to 14.6%.
Notes from the Field: Hepatitis A Outbreak Associated with Drug Use and Homelessness --- West Virginia, 2018
As of August 28, 2018, 664 outbreak-associated hepatitis A cases were identified by the Kanawha-Charleston Health Department.
Extragenital Chlamydia and Gonorrhea Among Community Venue--Attending Men Who Have Sex with Men --- Five Cities, United States, 2017
In 2017, approximately one in eight men who have sex with men had an extragenital chlamydial or gonococcal infection.
Notes from the Field: Multistate Coccidioidomycosis Outbreak in U.S. Residents Returning from Community Service Trips to Baja California, Mexico --- July--August 2018
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
Among 249 confirmed cases of hepatitis A virus infection, 4% occurred among persons with human immunodeficiency virus infection.
Outbreak of Cyanide Poisoning Caused by Consumption of Cassava Flour - Kasese District, Uganda, September 2017
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.
Nonfatal Assaults and Homicides Among Adults Aged ≥60 Years - United States, 2002-2016
The estimated nonfatal assault rate among older U.S. adults increased 75.4% among men (2002-2016) and 35.4% among women (2007-2016).
QuickStats: Age-Adjusted Percentages of Adults Aged ≥18 Years Without a Usual Place of Health Care, by Region - National Health Interview Survey, 2017
Among adults aged ≥18 years, 13.9% were without a usual place of health care in 2017.
Surveillance to Track Progress Toward Polio Eradication - Worldwide, 2017-2018
Sensitive surveillance is the cornerstone of polio eradication programs.
Chronic Obstructive Pulmonary Disease Prevalence Among Adults Who Have Never Smoked, by Industry and Occupation - United States, 2013-2017
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 --- United States, July--October, 2017 and 2018
In the fall of 2014, an outbreak of enterovirus D68 (EV-D68)-associated acute respiratory illness (ARI) occurred in the United States; before 2014, EV-D68 was rarely reported to CDC.
QuickStats: Percentage of Adults Who Met Federal Guidelines for Aerobic Physical Activity Through Leisure-Time Activity, by Race/Ethnicity --- National Health Interview Survey, 2008--2017
During 2008-2017, the percentage of adults aged ≥18 years who met federal guidelines for aerobic physical activity through leisure-time activity increased from 43.5% in 2008 to 54.1% in 2017
Imported Toxin-Producing Cutaneous Diphtheria --- Minnesota, Washington, and New Mexico, 2015--2018
From September 2015 to March 2018, CDC confirmed four cases of cutaneous diphtheria caused by toxin-producing Corynebacterium diphtheriae in patients from Minnesota (two), Washington (one), and New Mexico (one).
Notes from the Field: Investigation of Colorado Tick Fever Virus Disease Cases --- Oregon, 2018
In early summer 2018, four cases of Colorado tick fever (CTF) were reported in residents of central Oregon; CTF virus infection was confirmed using CDC's reverse transcription-polymerase chain reaction (RT-PCR) assay
Erratum - Vol. 67, No. 30
In the report "Deaths Related to Hurricane Irma - Florida, Georgia, and North Carolina, September 4-October 10, 2017," on page 829, the sixth sentence of the fifth paragraph should have read
Candida Bloodstream Infections Among Persons with Injection Drug Use --- Denver Metropolitan Area, Colorado, 2017--2018
Candidemia, a bloodstream infection caused by Candida species, is typically considered a health care-associated infection, with known risk factors including the presence of a central venous catheter, receipt of total parenteral nutrition or broad-spectrum antibiotics, recent abdominal surgery, admission to an intensive care unit, and prolonged hospitalization.
Tuberculosis --- United States, 2018
In 2018, a total of 9,029 new tuberculosis (TB) cases were reported in the United States, representing a 0.7% decrease from 2017.
Global Epidemiology of Tuberculosis and Progress Toward Achieving Global Targets --- 2017
Worldwide, tuberculosis (TB) is the leading cause of death from a single infectious disease agent and the leading cause of death among persons living with human immunodeficiency virus (HIV) infection, accounting for approximately 40% of deaths in this population.
World TB Day --- March 24, 2019
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.
QuickStats: Age-Adjusted Percentage of Adults Aged ≥18 Years Who Reported That They Needed Dental Care During the Past 12 Months But Didn't Get It Because They Couldn't Afford It, by Sex, Race, and
In 2017, more women (12.7%) than men (8.8%) reported that at some time during the past 12 months they needed dental care but didn't get it because they couldn't afford it.
Vital Signs: HIV Transmission Along the Continuum of Care --- United States, 2015
Medical treatment has substantially improved the health, quality of life, and life expectancy of persons with HIV infection.
Brain Injury Awareness Month --- March 2019
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.
Emergency Department Visits for Sports- and Recreation-Related Traumatic Brain Injuries Among Children --- United States, 2010--2016
Traumatic brain injuries (TBIs), including concussions, are at the forefront of public concern about athletic injuries sustained by children. Caused by an impact to the head or body, a TBI can lead to emotional, physiologic, and cognitive sequelae in children.
Notes from the Field: Botulism Outbreak Associated with Home-Canned Peas --- New York City, 2018
On June 6, 2018, at 1:30 p.m., the New York City Department of Health and Mental Hygiene was notified of three related women who had arrived at a hospital 4 hours earlier for evaluation for acute nausea, dizziness, blurred vision, slurred speech, ptosis, thick-feeling tongue, and shortness of breath.
Risk Factors for Congenital Syphilis Transmitted from Mother to Infant --- Suzhou, China, 2011--2014
Mother-to-child transmission of syphilis remains a major global public health issue, and elimination of congenital syphilis is one of the millennium development goals of the World Health Organization
Notes from the Field: HIV Diagnoses Among Persons Who Inject Drugs --- Northeastern Massachusetts, 2015--2018
From 2000 to 2014, the number of annual diagnoses of human immunodeficiency virus (HIV) infection in Massachusetts declined 47%.
Diagnostic Methods Used to Classify Confirmed and Probable Cases of Spotted Fever Rickettsioses --- United States, 2010--2015
Spotted fever rickettsioses (SFR), including Rocky Mountain spotted fever (RMSF), are nationally notifiable diseases in the United States caused by spotted fever group Rickettsia.
QuickStats: Age-Adjusted Death Rates, by State --- United States, 2017
In 2017, the overall U.S. death rate was 731.9 per 100,000 standard population; rates varied by state. The five states with the highest age-adjusted death rates were West Virginia (957.1 deaths per 100,000 standard population), Mississippi (951.3), Kentucky (929.9), Alabama (917.7), and Oklahoma (902.4).
QuickStats: Injury Death Rates for Persons Aged 15-19 Years, by Intent - United States, 1999-2017
The injury death rate for persons aged 15-19 years declined from 52.7 per 100,000 in 1999 to 32.8 in 2013 but then increased to 40.0 in 2017.
Vital Signs: Epidemiology and Recent Trends in Methicillin-Resistant and in Methicillin-Susceptible Staphylococcus aureus Bloodstream Infections --- United States
Staphylococcus aureus is a major cause of community- and health care-associated infections, ranging from superficial skin and soft tissue infections (SSTI) to invasive infections, sepsis, and death. Methicillin-resistant S. aureus (MRSA) has long been recognized as a pathogen associated with health care settings; however, in the 1990s, community-associated MRSA infections, causing mostly SSTI, emerged in the United States.
Vital Signs: Trends in Staphylococcus aureus Infections in Veterans Affairs Medical Centers - United States, 2005-2017
Staphylococcus aureus is among the most common causes of health care-associated infections and accounts for significant morbidity and mortality. Beginning in 2005, in response to high rates of methicillin-resistant S. aureus (MRSA) infections, the U.S. Department of Veterans Affairs (VA) piloted an MRSA prevention program in 18 VA medical centers (VAMCs).
Update on Vaccine-Derived Poliovirus Outbreaks - Democratic Republic of the Congo and Horn of Africa, 2017-2018
Widespread use of live attenuated (Sabin) oral poliovirus vaccine (OPV) has resulted in marked progress toward global poliomyelitis eradication.
Erratum: Vol. 67, No. 43
In the report "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," errors occurred in Table 1.
Associations Among School Absenteeism, Gastrointestinal and Respiratory Illness, and Income - United States, 2010-2016
Control of communicable diseases in children, including respiratory and diarrheal illnesses that affect U.S. school-aged children, might require public health preventive efforts both in the home and at school, a primary setting for transmission.
Notes from the Field: Tetanus in an Unvaccinated Child - Oregon, 2017
Tetanus is an acute neuromuscular disease caused by the bacterium Clostridium tetani. Bacterial spores found in soil can enter the body through skin disruption, with subsequent onset of clinical illness ranging from 3 to 21 days (usually within 8 days).
Vital Signs: Epidemiology and Recent Trends in Methicillin-Resistant and in Methicillin-Susceptible Staphylococcus aureus Bloodstream Infections --- United States
Staphylococcus aureus is a major cause of community- and health care-associated infections, ranging from superficial skin and soft tissue infections (SSTI) to invasive infections, sepsis, and death. Methicillin-resistant S. aureus (MRSA) has long been recognized as a pathogen associated with health care settings; however, in the 1990s, community-associated MRSA infections, causing mostly SSTI, emerged in the United States.
Vital Signs: Trends in Staphylococcus aureus Infections in Veterans Affairs Medical Centers - United States, 2005-2017
Staphylococcus aureus is among the most common causes of health care-associated infections and accounts for significant morbidity and mortality. Beginning in 2005, in response to high rates of methicillin-resistant S. aureus (MRSA) infections, the U.S. Department of Veterans Affairs (VA) piloted an MRSA prevention program in 18 VA medical centers (VAMCs).
QuickStats: Percentage of Adults Aged ≥18 Years Who Had Visited an Emergency Department at Least Once in the Past 12 Months, by Age Group and Inflammatory Bowel Disease (IBD) Status --- National He
In 2015 and 2016, adults with IBD were more likely to have visited an emergency department at least once in the past 12 months than were those without IBD (33.0% versus 18.9%); this pattern was observed for all age groups. Among adults aged 18-34, 35-64, and ≥65 years, those with IBD were more likely to have visited an emergency department at least once in the past 12 months (35.6%, 34.0%, and 28.9%, respectively), compared with adults without IBD (19.6%, 17.2%, and 22.4%, respectively).
Use of Electronic Vapor Products Before, During, and After Pregnancy Among Women with a Recent Live Birth --- Oklahoma and Texas, 2015
In 2015, 7.0% of women with a recent live birth in Oklahoma and Texas reported using electronic vapor products (EVPs) shortly before, during, or after pregnancy, with 1.4% reporting use during pregnancy. Among prenatal EVP users, 38.4% reported using EVPs containing nicotine.
Notes from the Field: Measles Outbreak in an Era of Stricter Immunization Requirements --- California, March 2018
On March 4, 2018, an unvaccinated adolescent boy, 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. Measles virus nucleic acid was detected in an oropharyngeal swab and in urine tested at the Santa Clara County (California) Public Health Department.
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
In the spring of 2018, the New Mexico Department of Health contacted CDC about an increase in the number and prevalence of invasive group A Streptococcus infections reported through New Mexico's Active Bacterial Core surveillance system.
Progress Toward Hepatitis B Control and Elimination of Mother-to-Child Transmission of Hepatitis B Virus --- Western Pacific Region, 2005--2017
During 2005-2017, regional hepatitis B vaccine birth dose (HepB-BD) and third dose (HepB3) coverage increased from 63% to 85% and from 76% to 93%, respectively. In 2017, 15 (42%) and 18 (50%) of 36 Western Pacific Region countries/areas achieved ≥95% HepB-BD and HepB3 coverage, respectively. Chronic hepatitis infection in children declined to
Notes from the Field: Age Distribution of Patients with Laboratory-Detected Respiratory Syncytial Virus --- Arizona, 2013--2017
Respiratory syncytial virus-positive laboratory detections have been reportable in Arizona since 2004 as part of the state's passive infectious disease surveillance.
Campylobacteriosis Outbreak Associated with Contaminated Municipal Water Supply --- Nebraska, 2017
A center pivot irrigation system intended to pump livestock wastewater onto adjacent farmland in Nebraska malfunctioned and allowed excessive runoff to collect in a road ditch near two wells that fed a municipal water supply, sickening 39 persons who consumed untreated city water. The use of culture-independent diagnostic tests facilitated case identification, allowing for rapid public health response.
Leveraging Existing Birth Defects Surveillance Infrastructure to Build Neonatal Abstinence Syndrome Surveillance Systems --- Illinois, New Mexico, and Vermont, 2015--2016
Estimates of neonatal abstinence syndrome (NAS) incidence during 2105 were 3.0 per 1,000 births for Illinois, 7.5 for New Mexico, and 30.8 for Vermont. Of the four diagnosis codes for NAS evaluated, those for infant drug withdrawal had the highest positive predictive values for identifying confirmed NAS cases.
Notes from the Field: Human Brucella abortus RB51 Infections Caused by Consumption of Unpasteurized Domestic Dairy Products --- United States, 2017--2019
Since August 2017, CDC has confirmed three cases of brucellosis attributed to Brucella abortus cattle vaccine strain RB51. Each case was associated with consumption of domestically acquired unpasteurized (raw) milk products.
Notes from the Field: Enteroinvasive Escherichia coli Outbreak Associated with a Potluck Party --- North Carolina, June--July 2018
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.
Erratum: Vol. 67, No. 45
In Table 2 of the report "Suicide Rates by Major Occupational Group - 17 States, 2012 and 2015," on page 1255, some percentages were calculated using records with Standard Occupational Classification (SOC) codes as the denominator rather than all suicide decedents aged 16-64 years.
Notes from the Field: Lead and Cadmium Exposure in Electronic Recyclers --- Two States, 2015 and 2017
In 2012, the 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.
Public Health Emergency Risk Communication and Social Media Reactions to an Errant Warning of a Ballistic Missile Threat --- Hawaii, January 2018
After an errant ballistic missile alert in Hawaii on January 13, 2018, social media reactions revealed how the public interprets, shares, and responds to an evolving threat. The lack of clear direction after this errant alert highlighted gaps in messaging that resulted in confusion, anxiety, and panic.
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