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Updated 2025-05-09 16:47
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.
QuickStats: Death Rates Attributed to Excessive Cold or Hypothermia Among Persons Aged ≥15 Years, by Urbanization Level and Age Group --- National Vital Statistics System, 2015--2017
During 2015-2017, death rates attributed to excessive cold or hypothermia increased steadily with age among those aged ≥15 years in both metropolitan and nonmetropolitan counties.
Interim Estimates of 2018-19 Seasonal Influenza Vaccine Effectiveness --- United States, February 2019
On the basis of data from the U.S. Influenza Vaccine Effectiveness Network on 3,254 children and adults with acute respiratory illness during November 23, 2018-February 2, 2019, the overall estimated effectiveness of seasonal influenza vaccine for preventing medically attended, laboratory-confirmed influenza virus infection was 47%.
Notes from the Field: Assessment of State-Level Influenza Season Severity --- Minnesota and Utah, 2017--18 Influenza Season
The U.S. 2017-18 influenza season was a high-severity season, with the highest number of outpatient visits for influenza-like illness since the 2009-10 pandemic and the highest rate of influenza-associated hospitalizations since the system expanded to include adult hospitalizations during the 2005-06 season.
Increased Methamphetamine, Injection Drug, and Heroin Use Among Women and Heterosexual Men with Primary and Secondary Syphilis --- United States, 2013--2017
During 2013-2017, reported methamphetamine, injection drug, and heroin use increased substantially among women and heterosexual men with primary and secondary syphilis.
Transmission Patterns in a Low HIV-Morbidity State --- Wisconsin, 2014--2017
Most human immunodeficiency virus (HIV) molecular linkages in Wisconsin were among persons within the same racial/ethnic, risk, and age groups. Among named partner linkages where both persons had an HIV virus sequence available, 33.8% also had a molecular linkage and were deemed plausible transmission partners.
Days' Supply of Initial Opioid Analgesic Prescriptions and Additional Fills for Acute Pain Conditions Treated in the Primary Care Setting --- United States, 2014
For 10 acute pain conditions commonly managed in primary care settings, the probability of obtaining a refill after an initial 7-day opioid analgesic prescription ranged from 11% (headache) to 41% (musculoskeletal injury), with refill probability
Recommendations of the Advisory Committee on Immunization Practices for Use of Hepatitis A Vaccine for Persons Experiencing Homelessness
All persons aged 1 year and older experiencing homelessness should be routinely immunized against hepatitis A virus infection. Vaccination of homeless persons facilitates integration of hepatitis A vaccine into routine preventive services.
Update: Influenza Activity --- United States, September 30, 2018--February 2, 2019
Influenza activity in the United States remained elevated through February 2, 2019, and is expected to continue for several more weeks. Compared with recent influenza seasons, as of February 2, 2019, severity this season has been low, with a lower percentage of outpatient visits for influenza-like illness, lower rates of hospitalization, and fewer deaths attributed to pneumonia and influenza.
Interim Estimates of 2018-19 Seasonal Influenza Vaccine Effectiveness --- United States, February 2019
On the basis of data from the U.S. Influenza Vaccine Effectiveness Network on 3,254 children and adults with acute respiratory illness during November 23, 2018-February 2, 2019, the overall estimated effectiveness of seasonal influenza vaccine for preventing medically attended, laboratory-confirmed influenza virus infection was 47%.
Increased Methamphetamine, Injection Drug, and Heroin Use Among Women and Heterosexual Men with Primary and Secondary Syphilis --- United States, 2013--2017
During 2013-2017, reported methamphetamine, injection drug, and heroin use increased substantially among women and heterosexual men with primary and secondary syphilis.
Recommendations of the Advisory Committee on Immunization Practices for Use of Hepatitis A Vaccine for Persons Experiencing Homelessness
All persons aged 1 year and older experiencing homelessness should be routinely immunized against hepatitis A virus infection. Vaccination of homeless persons facilitates integration of hepatitis A vaccine into routine preventive services.
Notes from the Field: Assessment of State-Level Influenza Season Severity --- Minnesota and Utah, 2017--18 Influenza Season
The U.S. 2017-18 influenza season was a high-severity season, with the highest number of outpatient visits for influenza-like illness since the 2009-10 pandemic and the highest rate of influenza-associated hospitalizations since the system expanded to include adult hospitalizations during the 2005-06 season.
Transmission Patterns in a Low HIV-Morbidity State --- Wisconsin, 2014--2017
Most human immunodeficiency virus (HIV) molecular linkages in Wisconsin were among persons within the same racial/ethnic, risk, and age groups. Among named partner linkages where both persons had an HIV virus sequence available, 33.8% also had a molecular linkage and were deemed plausible transmission partners.
Days' Supply of Initial Opioid Analgesic Prescriptions and Additional Fills for Acute Pain Conditions Treated in the Primary Care Setting --- United States, 2014
For 10 acute pain conditions commonly managed in primary care settings, the probability of obtaining a refill after an initial 7-day opioid analgesic prescription ranged from 11% (headache) to 41% (musculoskeletal injury), with refill probability
Vital Signs: Tobacco Product Use Among Middle and High School Students --- United States, 2011--2018
In 2018, 4.04 million high school students and 840,000 middle school students currently used any tobacco product; e-cigarettes were the most commonly used product. Driven by an increase in e-cigarette use, during 2017-2018, current tobacco product use significantly increased among high school and middle school students, erasing the decline in tobacco product use among youths that occurred in previous years.
American Heart Month --- February 2019
February is American Heart Month, an ideal time to remind all adults to focus on their hearts and encourage them, their families, friends, and communities to learn the important signs and symptoms of heart attack and how to respond.
QuickStats: Percentage of Persons of All Ages Who Had a Medically Attended Injury During the Past 3 Months, by Age Group --- National Health Interview Survey, 2015--2017
During 2015-2017, 2.8% of persons of all ages had a medically attended injury in the past 3 months, and this varied by age.
Awareness of Heart Attack Symptoms and Response Among Adults --- United States, 2008, 2014, and 2017
Analysis of National Health Interview Survey data for 2008, 2014, and 2017 found that knowledge of the five common symptoms of a heart attack and the appropriate emergency response increased significantly (from 40% to 50% and from 92% to 95%, respectively); however, sociodemographic disparities in knowledge persist.
Advisory Committee on Immunization Practices Recommended Immunization Schedule for Children and Adolescents Aged 18 Years or Younger --- United States, 2019
At the October 2018 meeting, the Advisory Committee on Immunization Practices voted to recommend approval of the Recommended Immunization Schedule for Children and Adolescents Aged 18 Years or Younger in the United States for 2019.
Notes from the Field: Circulating Vaccine-Derived Poliovirus Type 1 and Outbreak Response --- Papua New Guinea, 2018
On June 22, 2018, the Papua New Guinea National Department of Health confirmed an outbreak of poliomyelitis caused by circulating vaccine-derived poliovirus type 1 following isolation of genetically linked virus from a patient with paralysis and nonhousehold community contacts.
Actions in Support of Newborn Screening for Critical Congenital Heart Disease --- United States, 2011--2018
Critical congenital heart disease occurs in two of every 1,000 births and might be undetected at birth. Affected infants are at risk for substantial morbidity and death early in life. In 2011, the U.S. Department of Health and Human Services Secretary endorsed the Advisory Committee on Heritable Disorders in Newborns and Children's recommendation to add critical congenital heart disease to the recommended universal newborn screening panel.
Advisory Committee on Immunization Practices Recommended Immunization Schedule for Adults Aged 19 Years or Older --- United States, 2019
In October 2018, the Advisory Committee on Immunization Practices voted to recommend approval of the Recommended Adult Immunization Schedule for Adults Aged 19 years or Older, United States, 2019.
National Black HIV/AIDS Awareness Day - February 7, 2019
National Black HIV/AIDS Awareness Day is observed each year on February 7 to highlight the continuing disproportionate impact of human immunodeficiency virus (HIV) infection and acquired immunodeficiency syndrome (AIDS) on the U.S. black/African American population.
HIV Partner Service Delivery among Blacks or African Americans - United States, 2016
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.
Postlicensure Safety Surveillance of Recombinant Zoster Vaccine (Shingrix) - United States, October 2017-June 2018
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.
QuickStats: Percentage of Adults Aged ≥18 Years Who Were Prescribed Medication in the Past 12 Months, by Sex and Age Group - National Health Interview Survey, 2017
In 2017, 57.9% of adults aged 18-64 years and 86.1% of adults aged ≥65 years were prescribed medication in the past 12 months. Overall and for both men and women separately, receipt of a prescription increased with age.
Notes From The Field: Mumps Outbreak in a Recently Vaccinated Population - Kosrae, Federated States of Micronesia, August-December, 2017
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.
Use of Toothpaste and Toothbrushing Patterns Among Children and Adolescents - United States, 2013-2016
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.
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
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.
Characteristics of Deceased Solid Organ Donors and Screening Results for Hepatitis B, C, and Human Immunodeficiency Viruses - United States, 2010-2017
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.
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