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Front Lines of the Opioid Crisis: Perspectives from States, Communities, and Providers
U.S. Senate, Committee on Health, Education, Labor, and Pensions. 11/30/2017 This two-hour, 30-minute Congressional hearing discusses the current opioid crisis, with providers, public safety officials, and state health officials who are on the front lines fighting the epidemic, speak to what is happening on the ground, and what more Congress can do to help them address the crisis. Topics include Rhode Island's Strategic Plan to Address Opioid Addiction and Overdose, which recommended specific, evidence-based strategies in four areas: prevention, rescue, treatment, and recovery. (Video or Multimedia) (Source: Disaster Lit: ...
Source: Disaster Lit: Resource Guide for Disaster Medicine and Public Health - December 12, 2017 Category: International Medicine & Public Health Authors: The U.S. National Library of Medicine Source Type: news

Policy Approaches to the Opioid Crisis, Featuring Remarks from Sir Angus Deaton, Rep. Ann McLane Kuster, and Professor Bertha K. Madras
Brookings Institution. 11/03/2017 These presentations and panel discussion focus on how public policy can address the opioid epidemic. Speakers discuss the underlying issues that contributed to the opioid crisis, increased rates of alcoholism and suicide among certain segments of the American population, and the report of the President's Commission on Combatting Opioid Drug Addiction and the Opioid Crisis. (Video or Multimedia) (Source: Disaster Lit: Resource Guide for Disaster Medicine and Public Health)
Source: Disaster Lit: Resource Guide for Disaster Medicine and Public Health - December 12, 2017 Category: International Medicine & Public Health Authors: The U.S. National Library of Medicine Source Type: news

America's Workforce Is Paying A Huge Price For The Opioid Epidemic
America ’s opioid and heroin crisis was declared a national public health emergency last month. Read about its devastating impact on Americas workforce. (Source: Forbes.com Healthcare News)
Source: Forbes.com Healthcare News - December 12, 2017 Category: Pharmaceuticals Authors: Nicholas Wyman, Contributor Source Type: news

Prescribing Policies: States Confront Opioid Overdose Epidemic
National Conference of State Legislatures. 08/2017 This nine-page document provides an overview of state legislation setting guidelines for, or limits on, opioid prescriptions. It discusses how state lawmakers are crafting innovative policies-engaging health, criminal justice, human services, and other sectors-to address this public health crisis, while also ensuring appropriate access to pain management. (PDF) (Source: Disaster Lit: Resource Guide for Disaster Medicine and Public Health)
Source: Disaster Lit: Resource Guide for Disaster Medicine and Public Health - December 12, 2017 Category: International Medicine & Public Health Authors: The U.S. National Library of Medicine Source Type: news

Policy approaches to the opioid crisis
Panel discussion from November 2017 on how public policy can address the opioid epidemic. (Source: HSR Information Central)
Source: HSR Information Central - December 12, 2017 Category: International Medicine & Public Health Source Type: news

Quiz: Top Medical News from 2017 Quiz: Top Medical News from 2017
2017 has been a year of ups and downs for medicine, with new drug approvals and treatment guidelines, turmoil in Washington, and the continuing opioid epidemic. Test your knowledge about the most-read news stories of the year.Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - December 11, 2017 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news

Are You an Opioid Expert? Here's a Quiz to Challenge You
(MedPage Today) -- Whether you call it an opioid crisis or an opioid epidemic, this quiz tests your opioid IQ (Source: MedPage Today Psychiatry)
Source: MedPage Today Psychiatry - December 11, 2017 Category: Psychiatry Source Type: news

What Does an Anxiety Disorder Feel Like? Here Are 4 Signs You May Have a Problem
If 2.6 billion people were suffering from an illness, you’d think we’d all be more familiar with it. That figure represents 33.7% of the population of the world, after all. It also represents the share of that population that will at some point experience an anxiety disorder, according to the National Institutes of Health. For those billions, the experience of clinical anxiety can range from a persistent fretfulness, distractedness and a sort of whole-body clenching, to the paralytic crisis of a full-blown panic attack. All of it feels lousy; all of it is a state you race to escape — which typically only ...
Source: TIME.com: Top Science and Health Stories - December 11, 2017 Category: Consumer Health News Authors: Jeffrey Kluger Tags: Uncategorized anxiety disorder behavior health OCD psychology PTSD Source Type: news

Uganda:MSF Ends Its Intervention in Response to the Marburg Fever Outbreak
[MSF] Ugandan authorities have declared the end of the Marburg fever outbreak that has affected the eastern part of the country since October. MSF provided support to local authorities, in particular in case management capacity and epidemic surveillance. MSF, the Ugandan Ministry of Health and their partners have also introduced new tools which will improve case management in future haemorrhagic fever outbreaks. (Source: AllAfrica News: Health and Medicine)
Source: AllAfrica News: Health and Medicine - December 11, 2017 Category: African Health Source Type: news

Africa:African Union and Partners Call for Continued Shared Responsibility and Global Solidarity to End Aids As a Public Health Threat By 2030
[African Union] The African Union and the Global Fund to Fight AIDS, TB and Malaria on Wednesday jointly organised a satellite symposium on domestic health financing. Despite significant progress in responding to the AIDS epidemic Africa confronts the world's most acute public health threats that remain largely underfunded. After decades of underinvestment the continent need sustained investments in health in a context where international support has levelled due to many competing global priorities. (Source: AllAfrica News: HIV-Aids and STDs)
Source: AllAfrica News: HIV-Aids and STDs - December 11, 2017 Category: Infectious Diseases Source Type: news

Prescribing Policies: State Confront Opioid Overdose Epidemic
Report provides an overview of state legislation setting guidelines for, or limits on, opioid prescriptions. (Source: HSR Information Central)
Source: HSR Information Central - December 11, 2017 Category: International Medicine & Public Health Source Type: news

Single-dose vaccine could provide faster protection in cholera epidemics
(University of Maryland School of Medicine) Each year there are more than three million cases of cholera worldwide. Research at the University of Maryland School of Medicine now shows that giving a stronger single-dose of a live oral vaccine could be an effective tool in controlling outbreaks more quickly. (Source: EurekAlert! - Infectious and Emerging Diseases)
Source: EurekAlert! - Infectious and Emerging Diseases - December 11, 2017 Category: Infectious Diseases Source Type: news

Autism, mercury, aluminum and vaccine-induced encephalopathy
(Natural News) The epidemic of chronic disorders among US children, now reported to represent well over 1/3 of fully-vaccinated children in America is likely iatrogenic (ie, physician-caused, prescription drug-induced, vaccine-induced, medical/surgical treatment-caused). (Article by Dr. Gary G. Kohls and Kenneth P. Stoller republished from GlobalResearch.ca) But the corporate medical and pharmaceutical industries both go through... (Source: NaturalNews.com)
Source: NaturalNews.com - December 9, 2017 Category: Consumer Health News Source Type: news

Supplements Claiming to Ease Opioid Addiction Come Under Scrutiny
Advocacy groups and the F.D.A. have warned that companies are capitalizing on the epidemic by offering unproven remedies. (Source: NYT Health)
Source: NYT Health - December 8, 2017 Category: Consumer Health News Authors: SHEILA KAPLAN Tags: Pain-Relieving Drugs Addiction (Psychology) Dietary Supplements and Herbal Remedies Advertising and Marketing Center for Science in the Public Interest Food and Drug Administration opioids Source Type: news

Short-term Government Funding Keeps CHIP Afloat, Barely Short-term Government Funding Keeps CHIP Afloat, Barely
The bill does not fund ACA cost-sharing payments and does not include new funds to combat the opioid epidemic.Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - December 8, 2017 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news

Global Health: The Next Flu Pandemic Will Appear When You Least Expect It
An examination of the great flu epidemics in recent history concludes that next one is likely to arrive in late spring or early summer — not during flu season. (Source: NYT Health)
Source: NYT Health - December 8, 2017 Category: Consumer Health News Authors: DONALD G. McNEIL Jr. Tags: Influenza Epidemics PLOS Computational Biology (Journal) Proceedings of the National Academy of Sciences University of Texas at Austin Source Type: news

Weekly Postings
See something of interest? Please share our postings with colleagues in your institutions! Spotlight The National Network of Libraries of Medicine (NNLM) is pleased to announce a partnership with the NIH All of Us Research Program (All of Us), part of the Precision Medicine Initiative. Through this collaboration, NNLM’s Regional Medical Libraries and National Offices will focus on improving consumer access to high quality health information in communities throughout the U.S., specifically, by working with public libraries. Check out the Fall 2017 issue of the MAReport! This quarter, Lydia Collins discusses “Rai...
Source: NN/LM Middle Atlantic Region Blog - December 8, 2017 Category: Databases & Libraries Authors: Hannah Sinemus Tags: Weekly Postings Source Type: news

Obesity Is a Crisis, Yet New Weight Loss Drugs Are Underused Obesity Is a Crisis, Yet New Weight Loss Drugs Are Underused
There's no shortage of options, and patients are asking for help. So why are we still not using the new weight loss drugs to manage the obesity epidemic?Medscape Internal Medicine (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - December 8, 2017 Category: Consumer Health News Tags: Internal Medicine Commentary Source Type: news

Screening in Trauma for Opioid Misuse Prevention (STOMP): study protocol for the development of an opioid risk screening tool for victims of injury - Brown R, Deyo B, Riley C, Quanbeck A, Glass JE, Turpin R, Hetzel S, Nicholas C, Cruz M, Agarwal S.
BACKGROUND: Opioid addiction and overdose are epidemic in the U.S. Victims of traumatic injury are at greater than average risk for opioid misuse and related complications. Potential risk screens and preventive interventions in this clinical population rem... (Source: SafetyLit)
Source: SafetyLit - December 8, 2017 Category: International Medicine & Public Health Tags: Alcohol and Other Drugs Source Type: news

Marissa King on how the opioid epidemic spreads: SOM Insights
The School of Management professor discusses how opioid abuse spreads, how to talk about it, and what to do about it. (Source: Yale Science and Health News)
Source: Yale Science and Health News - December 7, 2017 Category: Universities & Medical Training Source Type: news

Gas station installs blue lights to combat drug use
An unlikely front line has emerged in America's opioid epidemic: public restrooms. (Source: CNN.com - Health)
Source: CNN.com - Health - December 7, 2017 Category: Consumer Health News Source Type: news

Viewpoint: Treat opioid epidemic like a crisis
We cannot afford to waste our time and money on small-scale efforts or other programs that are not evidence-based, not when we ’ve seen 300,000 Americans die from an opioid overdose since 2000. (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - December 7, 2017 Category: Biotechnology Authors: David Offensend Source Type: news

Tackling the Opioid Epidemic in the Chickasaw Nation
January 25, 2018 3:00-4:00pm ET. (Source: PHPartners.org)
Source: PHPartners.org - December 7, 2017 Category: International Medicine & Public Health Source Type: news

San Diego Contends with Homelessness, Hepatitis Outbreak
SAN DIEGO (AP) — For Christine Wade, the tent she shared with six children, pitched in an asphalt parking lot, was far better than their previous home — a shelter where rats ate through the family's bags of clothes. "It's peaceful here," Wade, 31 and eight months pregnant, said in an October interview at the campground. A tent, of course, is not a home. But for these San Diegans, it is a blessing. Like other major cities all along the West Coast, San Diego is struggling with a homeless crisis. In a place that bills itself as "America's Finest City," spiraling real estate values have contribu...
Source: JEMS Administration and Leadership - December 7, 2017 Category: Emergency Medicine Authors: Julie Watson, Associated Press Tags: News Administration and Leadership Source Type: news

San Diego Contends with Homelessness, Hepatitis Outbreak
SAN DIEGO (AP) — For Christine Wade, the tent she shared with six children, pitched in an asphalt parking lot, was far better than their previous home — a shelter where rats ate through the family's bags of clothes. "It's peaceful here," Wade, 31 and eight months pregnant, said in an October interview at the campground. A tent, of course, is not a home. But for these San Diegans, it is a blessing. Like other major cities all along the West Coast, San Diego is struggling with a homeless crisis. In a place that bills itself as "America's Finest City," spiraling real estate values have contribu...
Source: JEMS: Journal of Emergency Medical Services News - December 7, 2017 Category: Emergency Medicine Authors: Julie Watson, Associated Press Tags: News Administration and Leadership Source Type: news

A Comeback for the Gateway Drug Theory?
As marijuana legalization and the opioid epidemic sweep across the country, new research is breathing fresh life into the perennial debate. (Source: NYT Health)
Source: NYT Health - December 7, 2017 Category: Consumer Health News Authors: DOUGLAS QUENQUA Tags: Drug Abuse and Traffic Addiction (Psychology) Marijuana Cocaine and Crack Cocaine Heroin Drugs (Pharmaceuticals) Source Type: news

Tanzania:Govt Loses U.S.$151 Billion in Fighting Epidemics
[Citizen] 2017dodoma -The government is annually losing at least Sh340 billion in treating diarrhoea, cholera and typhoid as a result of poor sanitation throughout the country. (Source: AllAfrica News: Health and Medicine)
Source: AllAfrica News: Health and Medicine - December 7, 2017 Category: African Health Source Type: news

Rigaku Analytical Devices Announces Fentanyl Library Additions to...
Law enforcement and first responders to benefit from library update for use in battle against opioid epidemic(PRWeb December 07, 2017)Read the full story at http://www.prweb.com/releases/2017/12/prweb14989616.htm (Source: PRWeb: Medical Pharmaceuticals)
Source: PRWeb: Medical Pharmaceuticals - December 7, 2017 Category: Pharmaceuticals Source Type: news

Medical images reveal toll of opioid epidemic
The epidemic of opioid abuse is taking a heavy toll across the U.S., one that's...Read more on AuntMinnie.com (Source: AuntMinnie.com Headlines)
Source: AuntMinnie.com Headlines - December 6, 2017 Category: Radiology Source Type: news

The Opioid Epidemic and Libraries-Challenges, Resources, and More
December 11, 2017 1:00-2:00pm ET.(American Library Association) (Source: HSR Information Central)
Source: HSR Information Central - December 6, 2017 Category: International Medicine & Public Health Source Type: news

Hearing titled " Addressing the Opioid Crisis in America: Prevention, Treatment & Recovery "
Subcommittee on Labor, Health and Human Services, Education, and Related Agencies Hearing on the opioid epidemic from December 2017. Speakers include Patrick Kennedy of the President's Commission on Combatting Drug Addiction and the Opioid Crisis, Dr. Francis Collins of the NIH, and Dr. Elinore McCance-Katz of SAMHSA. (Source: PHPartners.org)
Source: PHPartners.org - December 6, 2017 Category: International Medicine & Public Health Source Type: news

US and Norwegian trials compare treatment options for opioid dependence
(American College of Neuropsychopharmacology) The current opioid epidemic is destroying lives, families, and communities. Medication is widely considered to be the most effective treatment, but far too few people who could benefit are actually treated. (Source: EurekAlert! - Social and Behavioral Science)
Source: EurekAlert! - Social and Behavioral Science - December 6, 2017 Category: International Medicine & Public Health Source Type: news

Research finds new ways to fight the opioid crisis
(American College of Neuropsychopharmacology) In the US alone, more than 2 million people struggle with opioid use disorders. Opioids, often prescribed as pain medications, have now become the country's leading cause of drug overdose. But scientists are identifying ways to help combat the epidemic, which include getting people treatment faster, developing safer opioids, and helping patients choose appropriate treatment. A number of recent breakthroughs are being presented at the upcoming conference of the American College of Neuropsychopharmacology. (Source: EurekAlert! - Social and Behavioral Science)
Source: EurekAlert! - Social and Behavioral Science - December 6, 2017 Category: International Medicine & Public Health Source Type: news

Radical diet can reverse type 2 diabetes, new study shows
Low-calorie diet caused remission in 90% of trial patients who lost 15kg or more, even those who had been diabetic for six years, say researchersA radical low-calorie diet can reverse type 2 diabetes, even six years into the disease, a new study has found.The number of cases of type 2 diabetes is soaring, related to the obesity epidemic. Fat accumulated in the abdomen prevents the proper function of the pancreas. It can lead to serious andlife-threatening complications, including blindness andfoot amputations, heart and kidney disease.Continue reading... (Source: Guardian Unlimited Science)
Source: Guardian Unlimited Science - December 5, 2017 Category: Science Authors: Sarah Boseley Health editor Tags: Diabetes Health Society Medical research Science Source Type: news

Nigeria:UNAIDS - Nigeria Has Second Largest HIV Epidemic Worldwide
[This Day] The Joint United Nations Programme on HIV/AIDS (UNAIDS) has reported that Nigeria purportedly has the second largest HIV epidemic in the world and has one of the highest new infection rates in sub-Saharan Africa. (Source: AllAfrica News: HIV-Aids and STDs)
Source: AllAfrica News: HIV-Aids and STDs - December 5, 2017 Category: Infectious Diseases Source Type: news

Montana sues OxyContin maker Purdue over opioid epidemic
(Reuters) - Montana has sued OxyContin maker Purdue Pharma LP, withdrawing from a multistate investigation by attorneys general into opioid manufacturers' marketing practices and joining a growing list of states that have broken off to pursue individual lawsuits. (Source: Reuters: Health)
Source: Reuters: Health - December 4, 2017 Category: Consumer Health News Tags: healthNews Source Type: news

New report recommends Georgia develop statewide plan for opioid epidemic
Nearly 1,000 Georgians died from opioid-related overdoses in 2016, an increase of 55 percent from 633 in 2012. (Source: bizjournals.com Health Care:Pharmaceuticals headlines)
Source: bizjournals.com Health Care:Pharmaceuticals headlines - December 4, 2017 Category: Pharmaceuticals Authors: David Allison Source Type: news

Global Health: ‘ Opiophobia ’ Has Left Africa in Agony
Uganda has a strategy for giving scarce morphine to patients in pain. But many poor nations won ’ t emulate its effort because officials fear an opioid epidemic. (Source: NYT Health)
Source: NYT Health - December 4, 2017 Category: Consumer Health News Authors: DONALD G. McNEIL Jr. Tags: Pain-Relieving Drugs Hospice Care Morphine Acquired Immune Deficiency Syndrome Cancer Uganda Source Type: news

State injury programs' response to the opioid epidemic: the role of CDC's Core Violence and Injury Prevention Program - Deokar AJ, Dellapenna A, DeFiore-Hyrmer J, Laidler M, Millet L, Morman S, Myers L.
The Centers for Disease Control and Prevention's (CDC's) Core Violence and Injury Prevention Program (Core) supports capacity of state violence and injury prevention programs to implement evidence-based interventions. Several Core-funded states prioritized... (Source: SafetyLit)
Source: SafetyLit - December 4, 2017 Category: International Medicine & Public Health Tags: Alcohol and Other Drugs Source Type: news

Ghana:UNAIDS Official Calls for Innovative Ways to Tackle HIV in Ghana
[Focac] Accra -Ghana recorded an 18 percent rise in new HIV infections in 2016, despite making significant progress in eliminating the AIDS epidemic, a senior UNAIDS official said on Friday, as Ghana observed the 2017 World AIDS Day. (Source: AllAfrica News: Health and Medicine)
Source: AllAfrica News: Health and Medicine - December 4, 2017 Category: African Health Source Type: news

Premature Death and the Epidemic of Despair Among Whites Premature Death and the Epidemic of Despair Among Whites
How can we explain recent upward trends in premature death among rural, non-Hispanic Whites? The answer may lie in self-destructive behaviors stemming from underlying social and economic factors.American Journal of Public Health (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - December 4, 2017 Category: Consumer Health News Tags: None Journal Article Source Type: news

Virginia Tech Carilion Research Institute gets 'Catalyst' grant to curtail opioid epidemic
(Virginia Tech) A dual university project including the Virginia Tech Carilion Research Institute will focus on the opioid epidemic and receive $1 million in combined grant funding, according to an announcement by the Virginia Biosciences Health Research Corp., also known as Virginia Catalyst. (Source: EurekAlert! - Social and Behavioral Science)
Source: EurekAlert! - Social and Behavioral Science - December 4, 2017 Category: International Medicine & Public Health Source Type: news

HIV prevention drug called a "game changer"
On World AIDS Day, the focus in the U.S. is on educating people at risk for HIV about prevention. CBS News' Kenneth Craig has more on how a life-saving drug could turn the epidemic around. (Source: Health News: CBSNews.com)
Source: Health News: CBSNews.com - December 2, 2017 Category: Consumer Health News Source Type: news

Radiologists See Evidence, Impact of Opioid Epidemic
(MedPage Today) -- Emboli and infections from unsafe injection practices turn up on imaging (Source: MedPage Today Radiology)
Source: MedPage Today Radiology - December 1, 2017 Category: Radiology Source Type: news

Taki Onqoy: mercury poisoning epidemic in 16TH century Huamanga - Mar ía LAS.
Taki Onqoy is a syndrome that corresponds to the poisoning from exposure to mercury. It appeared as a result of the exploitation of the mercury mines of Paras and Huancavelica in Peru during the 16th century. The Cachexia mercurial, the last stage of the d... (Source: SafetyLit)
Source: SafetyLit - December 1, 2017 Category: International Medicine & Public Health Tags: Commentary Source Type: news

Scale-Up of Voluntary Medical Male Circumcision Services for HIV Prevention — 12 Countries in Southern and Eastern Africa, 2013–2016
Voluntary medical male circumcision (VMMC) has been recognized by the World Health Organization and Joint United Nations Programme on HIV/AIDS as an effective human immunodeficiency virus (HIV) infection prevention intervention in settings with a generalized HIV epidemic and low male circumcision prevalence. During 2010 –2012, CDC (through the U.S. President's Emergency Plan for AIDS Relief) supported 1,020,424 VMMCs in nine countries in Southern and Eastern Africa. (Source: CDC HIV/AIDS Prevention)
Source: CDC HIV/AIDS Prevention - December 1, 2017 Category: Infectious Diseases Source Type: news

FDA Approves Monthly Injection for Opioid Addiction Treatment
WASHINGTON (AP) — U.S. health officials on Thursday approved the first injectable form of the leading medication to treat patients recovering from addiction to heroin, prescription painkillers and other opioids. The Food and Drug Administration approved once-a-month Sublocade for adults with opioid use disorder who are already stabilized on addiction medication. The monthly injection has the potential to reduce dangerous relapses that occur when patients stop taking the currently available daily medication. But that benefit has not yet been shown in studies and the new drug comes with a hefty price: $1,580 per monthl...
Source: JEMS Patient Care - December 1, 2017 Category: Emergency Medicine Authors: Matthew Perrone, Associated Press Tags: Patient Care News Source Type: news

FDA Approves Monthly Injection for Opioid Addiction Treatment
WASHINGTON (AP) — U.S. health officials on Thursday approved the first injectable form of the leading medication to treat patients recovering from addiction to heroin, prescription painkillers and other opioids. The Food and Drug Administration approved once-a-month Sublocade for adults with opioid use disorder who are already stabilized on addiction medication. The monthly injection has the potential to reduce dangerous relapses that occur when patients stop taking the currently available daily medication. But that benefit has not yet been shown in studies and the new drug comes with a hefty price: $1,580 per monthl...
Source: JEMS: Journal of Emergency Medical Services News - December 1, 2017 Category: Emergency Medicine Authors: Matthew Perrone, Associated Press Tags: Patient Care News Source Type: news

Africa:Among Children, Aids Epidemic Is Far From Over, Unicef Finds
[Thomson Reuters Foundation] New York -Eighteen children every hour were infected with HIV last year, a sign of scant progress in protecting the world's young from the deadly AIDS-causing virus, the United Nations' children's agency said on Friday. (Source: AllAfrica News: Health and Medicine)
Source: AllAfrica News: Health and Medicine - December 1, 2017 Category: African Health Source Type: news

Africa:If Everyone, Everywhere Realizes Right to Health, Epidemic Can Be Defeated, Says UN
[UN News] The world will not achieve the Sustainable Development Goals (SDGs) - which include the target of ending AIDS by 2030 - without people attaining their right to health, the United Nations said Friday, marking World AIDS Day with a strong appeal for the full realization of this fundamental right by everyone, everywhere. (Source: AllAfrica News: HIV-Aids and STDs)
Source: AllAfrica News: HIV-Aids and STDs - December 1, 2017 Category: Infectious Diseases Source Type: news