Morbidity and Mortality Weekly Report (MMWR)

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.

West Nile virus is the leading cause of domestically acquired arboviral disease in the continental United States. Approximately 93% of arboviral disease cases occurred during April-September in 2018.

The number of naloxone prescriptions dispensed from retail pharmacies increased substantially from 2012 to 2018, including a 106% increase from 2017 to 2018 alone.

In 2017, age-adjusted death rates for dementia were higher among non-Hispanic white persons compared with non-Hispanic black and Hispanic persons (70.8 per 100,000 compared with 65.0 and 46.0, respectively).

During 2016, 6% of persons in the United States who received a diagnosis of human immunodeficiency virus (HIV) infection had their HIV infection attributed to injection drug use (1). Injection

Reducing HIV-related morbidity and mortality, and effectively eliminating HIV transmission risk, depends on use of antiretroviral therapy (ART) to achieve and maintain viral load suppression (VLS)* (1,2).

On December 31, 2018, Public Health --- Seattle & King County (PHSKC) was notified by the Antibiotic Resistance Laboratory Network regarding a carbapenem-resistant Klebsiella pneumoniae (CR-Kp) isolate cultured from the urinary tract in a man aged 65 years.

In the report "Notes from the Field: Live Poultry Shipment Box Sampling at Feed Stores as an Indicator for Human Salmonella Infections --- Michigan, 2016--2018," on page 407, the sentence "These findings corroborate previously published results that found a positive correlation between the Salmonella molecular strains found in shipment boxes and those serotypes associated with human illnesses (7)."

Candida auris is an emerging drug-resistant yeast that causes outbreaks in health care facilities; cases have been reported from approximately 30 countries.

World Hepatitis Day, observed each year on July 28, was established to raise awareness and promote understanding of viral hepatitis around the world.

In April 2015, the country of Georgia, with a high prevalence of hepatitis C virus (HCV) infection (5.4% of the adult population, approximately 150,000 persons), embarked on the world's first national elimination program.

In June 2017, local health departments asked the North Carolina Department of Health and Human Services (NCDHHS) to provide health information and guidance regarding 2,3,3,3,-tetrafluoro-2-(1,1,2,2,3,3,3-heptafluoropropoxy)-propanoate (GenX) and other per- and polyfluoroalkyl substances (PFAS) that had been detected in the Cape Fear River, an important drinking water source (1).

During 2000-2017, a total of 1,109 deaths from hornet, wasp, and bee stings occurred, for an annual average of 62 deaths.

The number of wild poliovirus (WPV) cases in Nigeria decreased from 1,122 in 2006 to six WPV type 1 (WPV1) in 2014 (1). During August 2014-July 2016, no WPV cases were detected; during August-September 2016, four cases were reported in Borno State.

Japanese encephalitis (JE) virus, a mosquitoborne flavivirus, is the most common vaccine-preventable cause of encephalitis in Asia.

From 1965 to 2017, the prevalence of cigarette smoking among U.S. adults aged ≥18 years decreased from 42.4% to 14.0%, in part because of increases in smoking cessation.

On September 14, 2018, Hurricane Florence made landfall near Wrightsville Beach, North Carolina, as a Category 1 hurricane.

During 2015--2017, there were 1,389 deaths involving injuries from recreational and nonrecreational use of watercraft (an average of 463 deaths per year).

In October 2017, the Nebraska Department of Health and Human Services (NDHHS) was notified by a local health department of a gastrointestinal illness outbreak among attendees of a wedding reception at facility A, an event center.

In February 2019, the U.S. Department of Health and Human Services proposed a strategic initiative to end the human immunodeficiency (HIV) epidemic in the United States by reducing new HIV infections by 90% during 2020--2030.

In 2017, the overall age-adjusted death rate for female breast cancer was 19.9 per 100,000 population.

Secondhand tobacco smoke (SHS) exposure contributes to ill health and disease, including heart disease, lung cancer, and stroke.

On December 12, 2018, an immunocompromised man with non-Hodgkin's lymphoma, aged 73 years, was evaluated by an ophthalmologist for left eyelid redness, swelling, and eye discharge and received a diagnosis of ligneous (pseudomembranous) conjunctivitis.

Acute flaccid myelitis (AFM) was initially defined as a distinct entity in 2014 following reports of the occurrence of acute limb weakness in previously healthy children across the United States during an outbreak of severe respiratory disease caused by enterovirus D-68 (EV-D68).

In 2017, an average of 7,708 deaths occurred each day. January, February, and December were the months with the highest average daily number of deaths (8,478, 8,351, and 8,344, respectively).

During an influenza pandemic and during seasonal epidemics, more persons have symptomatic illness without seeking medical care than seek treatment at doctor's offices, clinics, and hospitals.

During 2014--2017, CDC Emerging Infections Program surveillance data reported that the occurrence of invasive methicillin-resistant Staphylococcus aureus (MRSA) infections associated with injection drug use doubled among persons aged 18--49 years residing in Monroe County in western New York.

In the report "Community Assessments for Mosquito Prevention and Control Experiences, Attitudes, and Practices --- U.S. Virgin Islands, 2017 and 2018," on page 500, the author order should have been...

All six World Health Organization (WHO) regions have established measles elimination goals, and three regions have a rubella elimination goal.

In 2017, the age-adjusted rate of motor vehicle traffic deaths was higher for residents of rural areas than urban areas.

National HIV Testing Day highlights the importance of testing in detecting, treating, and preventing human immunodeficiency virus infection.

During 2009-2017, 444 cryptosporidiosis outbreaks, resulting in 7,465 cases were reported from 40 states and Puerto Rico.

An analysis of national survey data found that

During 2000-2018, implementation of the U.S. rotavirus vaccination program reduced the annual proportion of positive rotavirus tests.

During 2004-2017, the death rate from diabetes mellitus as underlying or contributing cause among adults aged ≥65 years decreased in the United States.

CDC recommends general approaches to prevent a reduction in tuberculin skin testing capability resulting from the expected shortage of Aplisol.

In 2017, geographic and sociodemographic patterns of chronic obstructive pulmonary disease prevalence were similar among United States current smokers, former smokers, and adults who had never smoked.

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.

The 2018-19 influenza season was a moderate severity season with two waves of influenza A activity in the United States.

Each year, rabies causes approximately 59,000 deaths worldwide, including approximately two deaths in the United States.

Whole genome sequencing indicated a potential common source of bacterial contamination among four cases of septic transfusion reactions occurring in three states.

In 2017, the age-adjusted prostate cancer death rate among all males was 18.7 per 100,000, down from 31.3 in 1999.

During July 11, 2018-March 29, 2019, in the United States, the Vaccine Adverse Event Reporting System received 125 reports of 192 patients receiving expired inactivated influenza vaccine during the 2018-19 influenza season.

Since 2008, the prevalence of meeting physical activity guidelines increased from 19.4% to 25.3% among urban residents and from 13.3% to 19.6% among rural residents.

The percentage of adults aged ≥18 years who had lost all of their upper and lower natural teeth decreased from 9.3% in 2000 to 7.0% in 2017, and this pattern was consistent in each age group surveyed.

Rates of receipt of breast milk among extremely preterm, early preterm, late preterm, and term infants were 71.3%, 76.0%, 77.3%, and 84.6%, respectively, among infants delivered to residents of 48 states and the District of Columbia in 2017.

Mosquito prevention and control community assessment questions can provide rapid, actionable information to advise both community education and mosquito control in emergency response and recovery efforts.

Estimated first-dose measles-containing vaccine (MCV) coverage increased from 57% to 76% during 2000-2017, and second-dose MCV coverage increased from 30% to 45% during 2009-2017.

Cancer survivors incurred higher annual out-of-pocket medical expenditures than did persons without a cancer history, representing a greater burden relative to family income.

CDC summarizes babesiosis surveillance in the United States for 2011-2015.