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
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.
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.
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%.
During 2013-2017, reported methamphetamine, injection drug, and heroin use increased substantially among women and heterosexual men with primary and secondary syphilis.
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.
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.
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.
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
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.
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.
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.
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.
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.
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.
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 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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
On December 1, 2017, PulseNet, CDC's molecular subtyping network for foodborne disease surveillance, identified a cluster of three Listeria monocytogenes clinical isolates.
During 2015-2017, 5.3% of U.S. women aged 50-74 years had ever been told they had breast cancer. Non-Hispanic white women were more likely to have ever been told they had breast cancer (6.1%) compared with Hispanic women (3.2%) and non-Hispanic black women (3.6%).
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.
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.
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.
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.
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.
{"issue-date":"2019-01-18","issue-vol":"68","issue-no":"2","title":"Opioid Prescribing Rates in Nonmetropolitan and Metropolitan Counties Among Primary Care Providers Using an Electronic Health Record System - United States, 2014-2017 | MMWR","already_known":"Opioid prescribing rates vary by county urbanization level and are declining overall.","added_by_report":"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.","implications":"As less densely populated areas indicate both progress in decreasing opioid prescribing and need for ongoing reduction, tailoring community health care practices and intervention programs to community characteristics will remain important.","tags":[{"tag":"Opioid Prescribing Rates"},{"tag":" Opioid Prescriptions And Electronic Health Record System"},{"tag":" Opioid And Urbanization"},{"tag":" Opioid Prescription By County"}],"url":"https://www.cdc.gov/mmwr/volumes/68/wr/mm6802a1.htm?s_cid=mm6802a1_w","content-ver":"1","schema-ver":"1","command":"add"}
{"issue-date":"2019-01-18","issue-vol":"68","issue-no":"2","title":"Opioid Prescribing Rates in Nonmetropolitan and Metropolitan Counties Among Primary Care Providers Using an Electronic Health Record System - United States, 2014-2017 | MMWR","already_known":"Opioid prescribing rates vary by county urbanization level and are declining overall.","added_by_report":"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.","implications":"As less densely populated areas indicate both progress in decreasing opioid prescribing and need for ongoing reduction, tailoring community health care practices and intervention programs to community characteristics will remain important.","tags":[{"tag":"Opioid Prescribing Rates"},{"tag":" Opioid Prescriptions And Electronic Health Record System"},{"tag":" Opioid And Urbanization"},{"tag":" Opioid Prescription By County"}],"url":"https://www.cdc.gov/mmwr/volumes/68/wr/mm6802a1.htm?s_cid=mm6802a1_w","content-ver":"1","schema-ver":"1","command":"add"}
{"issue-date":"2019-01-18","issue-vol":"68","issue-no":"2","title":"QuickStats: Percentage of Adults Aged 18-64 Years Who Had an Influenza Vaccination in the Past 12 Months, by Sex and Current Asthma Status - National Health Interview Survey, 2017 | MMWR","already_known":"Summary not available.\nView Full Article for more information.","added_by_report":"Summary not available.\nView Full Article for more information.","implications":"Summary not available.\nView Full Article for more information.","tags":[{"tag":"Influenza Vaccination"},{"tag":" Influenza Vaccination By Sex"},{"tag":" Influenza Vaccination By Asthma Status"},{"tag":" Influenza Vaccination And Adults"}],"url":"https://www.cdc.gov/mmwr/volumes/68/wr/mm6802a7.htm?s_cid=mm6802a7_w","content-ver":"1","schema-ver":"1","command":"add"}
{"issue-date":"2019-01-18","issue-vol":"68","issue-no":"2","title":"Notes from the Field: Tuberculosis Control in the Aftermath of Hurricane Maria - Puerto Rico, 2017 | MMWR","already_known":"Summary not available.\nView Full Article for more information.","added_by_report":"Summary not available.\nView Full Article for more information.","implications":"Summary not available.\nView Full Article for more information.","tags":[{"tag":"Hurricane Maria And Puerto Rico"},{"tag":" Puerto Rico And Tuberculosis Control"},{"tag":" Hurricane Maria And Tuberculosis"}],"url":"https://www.cdc.gov/mmwr/volumes/68/wr/mm6802a6.htm?s_cid=mm6802a6_w ","content-ver":"1","schema-ver":"1","command":"add"}
{"issue-date":"2019-01-18","issue-vol":"68","issue-no":"2","title":"Notes from the Field: Typhoid Fever Outbreak - Harare, Zimbabwe, October 2017-February 2018 | MMWR","already_known":"Summary not available.\nView Full Article for more information.","added_by_report":"Summary not available.\nView Full Article for more information.","implications":"Summary not available.\nView Full Article for more information.","tags":[{"tag":"Typhoid Fever Outbreak"},{"tag":" Typhoid And Zimbabwe"},{"tag":" Harare Typhoid Fever Outbreak"},{"tag":" Typhoid In Mbare"}],"url":"https://www.cdc.gov/mmwr/volumes/68/wr/mm6802a5.htm?s_cid=mm6802a5_w ","content-ver":"1","schema-ver":"1","command":"add"}
{"issue-date":"2019-01-18","issue-vol":"68","issue-no":"2","title":"Notes from the Field: Typhoid Fever Outbreak - Harare, Zimbabwe, October 2017-February 2018 | MMWR","already_known":"Summary not available.\nView Full Article for more information.","added_by_report":"Summary not available.\nView Full Article for more information.","implications":"Summary not available.\nView Full Article for more information.","tags":[{"tag":"Typhoid Fever Outbreak"},{"tag":" Typhoid And Zimbabwe"},{"tag":" Harare Typhoid Fever Outbreak"},{"tag":" Typhoid In Mbare"}],"url":"https://www.cdc.gov/mmwr/volumes/68/wr/mm6802a5.htm?s_cid=mm6802a5_w ","content-ver":"1","schema-ver":"1","command":"add"}
{"issue-date":"2019-01-18","issue-vol":"68","issue-no":"2","title":"Notes from the Field: Fentanyl Drug Submissions - United States, 2010-2017 | MMWR","already_known":"Summary not available.\nView Full Article for more information.","added_by_report":"Summary not available.\nView Full Article for more information.","implications":"Summary not available.\nView Full Article for more information.","tags":[{"tag":"Fentanyl Drug Submissions"},{"tag":" Illicitly Manufactured Fentanyl"},{"tag":" Fentanyl Overdose Deaths"}],"url":"https://www.cdc.gov/mmwr/volumes/68/wr/mm6802a4.htm?s_cid=mm6802a4_w ","content-ver":"1","schema-ver":"1","command":"add"}
{"issue-date":"2019-01-18","issue-vol":"68","issue-no":"2","title":"Notes from the Field: Fentanyl Drug Submissions - United States, 2010-2017 | MMWR","already_known":"Summary not available.\nView Full Article for more information.","added_by_report":"Summary not available.\nView Full Article for more information.","implications":"Summary not available.\nView Full Article for more information.","tags":[{"tag":"Fentanyl Drug Submissions"},{"tag":" Illicitly Manufactured Fentanyl"},{"tag":" Fentanyl Overdose Deaths"}],"url":"https://www.cdc.gov/mmwr/volumes/68/wr/mm6802a4.htm?s_cid=mm6802a4_w ","content-ver":"1","schema-ver":"1","command":"add"}
{"issue-date":"2019-01-18","issue-vol":"68","issue-no":"2","title":"Overdose Deaths Involving Fentanyl and Fentanyl Analogs - New York City, 2000-2017 | MMWR","already_known":"During 1999-2017, the rate of drug overdose deaths nationally approximately tripled; approximately 70,000 overdose deaths occurred nationally in 2017, with nearly 68% involving an opioid.","added_by_report":"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.","implications":"Universal fentanyl testing by local medical examiners and inclusion of drug-specific language on death certificates can aid surveillance and address the role of fentanyl in drug overdoses. Community-level educational outreach is indicated when an increase in fentanyl involvement is detected.","tags":[{"tag":"Overdose Deaths And Fentanyl"},{"tag":" Fentanyl Analogs And Overdose Deaths"},{"tag":" Fentanyl Deaths And New Year City"},{"tag":" Overdose Deaths In New York City"}],"url":"https://www.cdc.gov/mmwr/volumes/68/wr/mm6802a3.htm?s_cid=mm6802a3_w","content-ver":"1","schema-ver":"1","command":"add"}
{"issue-date":"2019-01-18","issue-vol":"68","issue-no":"2","title":"Overdose Deaths Involving Fentanyl and Fentanyl Analogs - New York City, 2000-2017 | MMWR","already_known":"During 1999-2017, the rate of drug overdose deaths nationally approximately tripled; approximately 70,000 overdose deaths occurred nationally in 2017, with nearly 68% involving an opioid.","added_by_report":"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.","implications":"Universal fentanyl testing by local medical examiners and inclusion of drug-specific language on death certificates can aid surveillance and address the role of fentanyl in drug overdoses. Community-level educational outreach is indicated when an increase in fentanyl involvement is detected.","tags":[{"tag":"Overdose Deaths And Fentanyl"},{"tag":" Fentanyl Analogs And Overdose Deaths"},{"tag":" Fentanyl Deaths And New Year City"},{"tag":" Overdose Deaths In New York City"}],"url":"https://www.cdc.gov/mmwr/volumes/68/wr/mm6802a3.htm?s_cid=mm6802a3_w","content-ver":"1","schema-ver":"1","command":"add"}
{"issue-date":"2019-01-18","issue-vol":"68","issue-no":"2","title":"Gastroschisis Trends and Ecologic Link to Opioid Prescription Rates - United States, 2006-2015 | MMWR","already_known":"Gastroschisis prevalence has increased worldwide. A previous U.S. report found that gastroschisis increased during 1995-2012, with the greatest increase among mothers aged
{"issue-date":"2019-01-18","issue-vol":"68","issue-no":"2","title":"Gastroschisis Trends and Ecologic Link to Opioid Prescription Rates - United States, 2006-2015 | MMWR","already_known":"Gastroschisis prevalence has increased worldwide. A previous U.S. report found that gastroschisis increased during 1995-2012, with the greatest increase among mothers aged
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.
In 2017, adults aged 18-64 years with current asthma were more likely to have had an influenza vaccination in the past 12 months (47.9%) than those without asthma (36.4%).
Morbidity and Mortality Weekly Report (MMWR)