Morbidity and Mortality Weekly Report (MMWR)

This report analyzes drinking water-associated hepatitis A outbreaks reported to the Waterborne Disease and Outbreak Surveillance System during 1971-2017.

From 1999 to 2017, age-adjusted death rates for Parkinson disease among adults aged ≥65 years increased from 41.7 to 65.3 per 100,000 population.

In 2018, the first reported case of apparent locally acquired hantavirus pulmonary syndrome was confirmed in Denver, Colorado.

Most pregnancy-related deaths can be prevented, and significant racial/ethnic disparities in pregnancy-related mortality need to be addressed.

August 31, 2019, is International Overdose Awareness Day.

The percentage of all currently employed workers with access to paid sick leave increased from 57.8% in 2009 to 62.4% in 2018.

From 2013 to 2017, the number of opioid-involved overdose deaths in the United States increased 90%.

On October 12, 2018, five confirmed cases of mumps among detained migrants in detention facilities were reported.

In August 2018, two Oregon patients with diagnosed Salmonella infection reported having eaten raw cake mix.

Black-white disparities in breastfeeding duration result, in part, from disparities in initiation.

This report summarizes an investigation of a multistate multidrug resistant Salmonella outbreak in Mexico and the United States.

This report presents vaccination coverage estimates for 18,700 adolescents in the United States aged 13-17 years.

This report describes polio eradication activities and progress in Afghanistan during January 2018-May 2019.

Rates of alcohol-induced deaths for persons aged 45-64 years increased from 17.3 per 100,000 population in 1999 to 26.0 in 2017.

Human papillomavirus vaccination is an important component of cancer prevention.

August 19-23, 2019, marks the sixth annual Contact Lens Health Week.

Lyme disease is a tickborne zoonosis for which serologic testing is the principal means of laboratory diagnosis.

On July 13, 2018, a child from Pedernales, Dominican Republic, died after developing clinical signs and symptoms consistent with rabies.

Most of the 45 million contact lens wearers in the United States practice at least some behaviors that put them at risk for serious eye infections.

Canine rabies is endemic in Haiti and the Dominican Republic.

In 2017, 9% of all deaths in the United States were due to external causes.

After reviewing new evidence, CDC updated new human papillomavirus vaccination recommendations for U.S. adults.

In 2017, in the United States, the average age at death among males was highest for non-Hispanic whites, followed by non-Hispanic Asians or Pacific Islanders, Hispanics, and non-Hispanic blacks.

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.