Forced Sexual Initiation and Early Sexual Debut and Associated Risk Factors and Health Problems Among Adolescent Girls and Young Women - Violence Against Children and Youth Surveys, Nine PEPFAR Countries, 2007-2018
MMWR Morb Mortal Wkly Rep. 2021 Nov 26;70(47):1629-1634. doi: 10.15585/mmwr.mm7047a2.ABSTRACTAdolescent girls and young women aged 13-24 years are disproportionately affected by HIV in sub-Saharan Africa (1), resulting from biologic, behavioral, and structural* factors, including violence. Girls in sub-Saharan Africa also experience sexual violence at higher rates than do boys (2), and women who experience intimate partner violence have 1.3-2.0 times the odds of acquiring HIV infection, compared with those who do not (3). Violence Against Children and Youth Survey (VACS) data during 2007-2018 from nine countries funded by ...
Source: MMWR Morb Mortal Wkl... - November 24, 2021 Category: Epidemiology Authors: Ashleigh L Howard Sherri Pals Brianna Walker Regina Benevides Greta M Massetti Rose Patricia Oluoch Obinna Ogbanufe Louis Herns Marcelin Toni Cela Chabila C Mapoma Elizabeth Gonese Wezi Msungama Daniel Magesa Alick Kayange Katelyn Galloway Rose Apondi Lyd Source Type: research

QuickStats: Percentage of Births to Mothers Who Reported Smoking Cigarettes at Any Time During Pregnancy, by Urbanization Level* of County of Residence - United States, 2020
MMWR Morb Mortal Wkly Rep. 2021 Nov 26;70(47):1652. doi: 10.15585/mmwr.mm7047a5.NO ABSTRACTPMID:34818315 | DOI:10.15585/mmwr.mm7047a5 (Source: MMWR Morb Mortal Wkl...)
Source: MMWR Morb Mortal Wkl... - November 24, 2021 Category: Epidemiology Source Type: research

Notes from the Field: Testing for Nonprescribed Fentanyl and Percentage of Positive Test Results Among Patients with Opioid Use Disorder - United States, 2019-2020
MMWR Morb Mortal Wkly Rep. 2021 Nov 26;70(47):1649-1651. doi: 10.15585/mmwr.mm7047a4.NO ABSTRACTPMID:34818316 | DOI:10.15585/mmwr.mm7047a4 (Source: MMWR Morb Mortal Wkl...)
Source: MMWR Morb Mortal Wkl... - November 24, 2021 Category: Epidemiology Authors: Justin K Niles Jeffrey Gudin Alana M Vivolo-Kantor R Matthew Gladden Desiree Mustaquim Puja Seth Harvey W Kaufman Source Type: research

Racial, Ethnic, and Gender Disparities in Awareness of Preexposure Prophylaxis Among HIV-Negative Heterosexually Active Adults at Increased Risk for HIV Infection - 23 Urban Areas, United States, 2019
MMWR Morb Mortal Wkly Rep. 2021 Nov 26;70(47):1635-1639. doi: 10.15585/mmwr.mm7047a3.ABSTRACTIn 2019, heterosexual sex accounted for 23% of new HIV diagnoses in the United States and six dependent areas (1). Although preexposure prophylaxis (PrEP) can safely reduce the risk for HIV infection among heterosexual persons, this group is underrepresented in PrEP research (2). CDC analyzed National HIV Behavioral Surveillance (NHBS) data to describe PrEP awareness among heterosexually active adults in cities with high HIV prevalence. Overall, although 32.3% of heterosexually active adults who were eligible were aware of PrEP,
Source: MMWR Morb Mortal Wkl... - November 24, 2021 Category: Epidemiology Authors: Amy R Baugher Lindsay Trujillo Dafna Kanny Jincong Q Freeman Terence Hickey Catlainn Sionean Ebony Respress Johanna Chapin Bardales Ruthanne Marcus Teresa Finlayson Cyprian Wejnert National HIV Behavioral Surveillance Study Group Source Type: research

Risk for Stillbirth Among Women With and Without COVID-19 at Delivery Hospitalization - United States, March 2020-September 2021
MMWR Morb Mortal Wkly Rep. 2021 Nov 26;70(47):1640-1645. doi: 10.15585/mmwr.mm7047e1.ABSTRACTPregnant women are at increased risk for severe COVID-19-related illness, and COVID-19 is associated with an increased risk for adverse pregnancy outcomes and maternal and neonatal complications (1-3). To date, studies assessing whether COVID-19 during pregnancy is associated with increased risk for stillbirth have yielded mixed results (2-4). Since the B.1.617.2 (Delta) variant of SARS-CoV-2 (the virus that causes COVID-19) became the predominant circulating variant,* there have been anecdotal reports of increasing rates of stillb...
Source: MMWR Morb Mortal Wkl... - November 24, 2021 Category: Epidemiology Authors: Carla L DeSisto Bailey Wallace Regina M Simeone Kara Polen Jean Y Ko Dana Meaney-Delman Sascha R Ellington Source Type: research

COVID-19-Associated Deaths After SARS-CoV-2 Infection During Pregnancy - Mississippi, March 1, 2020-October 6, 2021
This report describes 15 COVID-19-associated deaths after infection with SARS-CoV-2 (the virus that causes COVID-19) during pregnancy in Mississippi during March 1, 2020-October 6, 2021.PMID:34818319 | DOI:10.15585/mmwr.mm7047e2 (Source: MMWR Morb Mortal Wkl...)
Source: MMWR Morb Mortal Wkl... - November 24, 2021 Category: Epidemiology Authors: Laurin Kasehagen Paul Byers Kathryn Taylor Theresa Kittle Christine Roberts Charlene Collier Britney Rust Jessica N Ricaldi Jamilla Green Lauren B Zapata Jennifer Beauregard Thomas Dobbs Source Type: research

Enterovirus D68-Associated Acute Respiratory Illness ─ New Vaccine Surveillance Network, United States, July-November 2018-2020
MMWR Morb Mortal Wkly Rep. 2021 Nov 26;70(47):1623-1628. doi: 10.15585/mmwr.mm7047a1.ABSTRACTEnterovirus D68 (EV-D68) is associated with a broad spectrum of illnesses, including mild to severe acute respiratory illness (ARI) and acute flaccid myelitis (AFM). Enteroviruses, including EV-D68, are typically detected in the United States during late summer through fall, with year-to-year fluctuations. Before 2014, EV-D68 was infrequently reported to CDC (1). However, numbers of EV-D68 detection have increased in recent years, with a biennial pattern observed during 2014-2018 in the United States, after the expansion of surveil...
Source: MMWR Morb Mortal Wkl... - November 24, 2021 Category: Epidemiology Authors: Melisa M Shah Ariana Perez Joana Y Lively Vasanthi Avadhanula Julie A Boom James Chappell Janet A Englund Wende Fregoe Natasha B Halasa Christopher J Harrison Robert W Hickey Eileen J Klein Monica M McNeal Marian G Michaels Mary E Moffatt Catherine Otten Source Type: research

Forced Sexual Initiation and Early Sexual Debut and Associated Risk Factors and Health Problems Among Adolescent Girls and Young Women - Violence Against Children and Youth Surveys, Nine PEPFAR Countries, 2007-2018
MMWR Morb Mortal Wkly Rep. 2021 Nov 26;70(47):1629-1634. doi: 10.15585/mmwr.mm7047a2.ABSTRACTAdolescent girls and young women aged 13-24 years are disproportionately affected by HIV in sub-Saharan Africa (1), resulting from biologic, behavioral, and structural* factors, including violence. Girls in sub-Saharan Africa also experience sexual violence at higher rates than do boys (2), and women who experience intimate partner violence have 1.3-2.0 times the odds of acquiring HIV infection, compared with those who do not (3). Violence Against Children and Youth Survey (VACS) data during 2007-2018 from nine countries funded by ...
Source: MMWR Morb Mortal Wkl... - November 24, 2021 Category: Epidemiology Authors: Ashleigh L Howard Sherri Pals Brianna Walker Regina Benevides Greta M Massetti Rose Patricia Oluoch Obinna Ogbanufe Louis Herns Marcelin Toni Cela Chabila C Mapoma Elizabeth Gonese Wezi Msungama Daniel Magesa Alick Kayange Katelyn Galloway Rose Apondi Lyd Source Type: research

QuickStats: Percentage of Births to Mothers Who Reported Smoking Cigarettes at Any Time During Pregnancy, by Urbanization Level* of County of Residence - United States, 2020
MMWR Morb Mortal Wkly Rep. 2021 Nov 26;70(47):1652. doi: 10.15585/mmwr.mm7047a5.NO ABSTRACTPMID:34818315 | DOI:10.15585/mmwr.mm7047a5 (Source: MMWR Morb Mortal Wkl...)
Source: MMWR Morb Mortal Wkl... - November 24, 2021 Category: Epidemiology Source Type: research

Notes from the Field: Testing for Nonprescribed Fentanyl and Percentage of Positive Test Results Among Patients with Opioid Use Disorder - United States, 2019-2020
MMWR Morb Mortal Wkly Rep. 2021 Nov 26;70(47):1649-1651. doi: 10.15585/mmwr.mm7047a4.NO ABSTRACTPMID:34818316 | DOI:10.15585/mmwr.mm7047a4 (Source: MMWR Morb Mortal Wkl...)
Source: MMWR Morb Mortal Wkl... - November 24, 2021 Category: Epidemiology Authors: Justin K Niles Jeffrey Gudin Alana M Vivolo-Kantor R Matthew Gladden Desiree Mustaquim Puja Seth Harvey W Kaufman Source Type: research

Racial, Ethnic, and Gender Disparities in Awareness of Preexposure Prophylaxis Among HIV-Negative Heterosexually Active Adults at Increased Risk for HIV Infection - 23 Urban Areas, United States, 2019
MMWR Morb Mortal Wkly Rep. 2021 Nov 26;70(47):1635-1639. doi: 10.15585/mmwr.mm7047a3.ABSTRACTIn 2019, heterosexual sex accounted for 23% of new HIV diagnoses in the United States and six dependent areas (1). Although preexposure prophylaxis (PrEP) can safely reduce the risk for HIV infection among heterosexual persons, this group is underrepresented in PrEP research (2). CDC analyzed National HIV Behavioral Surveillance (NHBS) data to describe PrEP awareness among heterosexually active adults in cities with high HIV prevalence. Overall, although 32.3% of heterosexually active adults who were eligible were aware of PrEP,
Source: MMWR Morb Mortal Wkl... - November 24, 2021 Category: Epidemiology Authors: Amy R Baugher Lindsay Trujillo Dafna Kanny Jincong Q Freeman Terence Hickey Catlainn Sionean Ebony Respress Johanna Chapin Bardales Ruthanne Marcus Teresa Finlayson Cyprian Wejnert National HIV Behavioral Surveillance Study Group Source Type: research

Risk for Stillbirth Among Women With and Without COVID-19 at Delivery Hospitalization - United States, March 2020-September 2021
MMWR Morb Mortal Wkly Rep. 2021 Nov 26;70(47):1640-1645. doi: 10.15585/mmwr.mm7047e1.ABSTRACTPregnant women are at increased risk for severe COVID-19-related illness, and COVID-19 is associated with an increased risk for adverse pregnancy outcomes and maternal and neonatal complications (1-3). To date, studies assessing whether COVID-19 during pregnancy is associated with increased risk for stillbirth have yielded mixed results (2-4). Since the B.1.617.2 (Delta) variant of SARS-CoV-2 (the virus that causes COVID-19) became the predominant circulating variant,* there have been anecdotal reports of increasing rates of stillb...
Source: MMWR Morb Mortal Wkl... - November 24, 2021 Category: Epidemiology Authors: Carla L DeSisto Bailey Wallace Regina M Simeone Kara Polen Jean Y Ko Dana Meaney-Delman Sascha R Ellington Source Type: research

COVID-19-Associated Deaths After SARS-CoV-2 Infection During Pregnancy - Mississippi, March 1, 2020-October 6, 2021
This report describes 15 COVID-19-associated deaths after infection with SARS-CoV-2 (the virus that causes COVID-19) during pregnancy in Mississippi during March 1, 2020-October 6, 2021.PMID:34818319 | DOI:10.15585/mmwr.mm7047e2 (Source: MMWR Morb Mortal Wkl...)
Source: MMWR Morb Mortal Wkl... - November 24, 2021 Category: Epidemiology Authors: Laurin Kasehagen Paul Byers Kathryn Taylor Theresa Kittle Christine Roberts Charlene Collier Britney Rust Jessica N Ricaldi Jamilla Green Lauren B Zapata Jennifer Beauregard Thomas Dobbs Source Type: research

Enterovirus D68-Associated Acute Respiratory Illness ─ New Vaccine Surveillance Network, United States, July-November 2018-2020
MMWR Morb Mortal Wkly Rep. 2021 Nov 26;70(47):1623-1628. doi: 10.15585/mmwr.mm7047a1.ABSTRACTEnterovirus D68 (EV-D68) is associated with a broad spectrum of illnesses, including mild to severe acute respiratory illness (ARI) and acute flaccid myelitis (AFM). Enteroviruses, including EV-D68, are typically detected in the United States during late summer through fall, with year-to-year fluctuations. Before 2014, EV-D68 was infrequently reported to CDC (1). However, numbers of EV-D68 detection have increased in recent years, with a biennial pattern observed during 2014-2018 in the United States, after the expansion of surveil...
Source: MMWR Morb Mortal Wkl... - November 24, 2021 Category: Epidemiology Authors: Melisa M Shah Ariana Perez Joana Y Lively Vasanthi Avadhanula Julie A Boom James Chappell Janet A Englund Wende Fregoe Natasha B Halasa Christopher J Harrison Robert W Hickey Eileen J Klein Monica M McNeal Marian G Michaels Mary E Moffatt Catherine Otten Source Type: research

Forced Sexual Initiation and Early Sexual Debut and Associated Risk Factors and Health Problems Among Adolescent Girls and Young Women - Violence Against Children and Youth Surveys, Nine PEPFAR Countries, 2007-2018
MMWR Morb Mortal Wkly Rep. 2021 Nov 26;70(47):1629-1634. doi: 10.15585/mmwr.mm7047a2.ABSTRACTAdolescent girls and young women aged 13-24 years are disproportionately affected by HIV in sub-Saharan Africa (1), resulting from biologic, behavioral, and structural* factors, including violence. Girls in sub-Saharan Africa also experience sexual violence at higher rates than do boys (2), and women who experience intimate partner violence have 1.3-2.0 times the odds of acquiring HIV infection, compared with those who do not (3). Violence Against Children and Youth Survey (VACS) data during 2007-2018 from nine countries funded by ...
Source: MMWR Morb Mortal Wkl... - November 24, 2021 Category: Epidemiology Authors: Ashleigh L Howard Sherri Pals Brianna Walker Regina Benevides Greta M Massetti Rose Patricia Oluoch Obinna Ogbanufe Louis Herns Marcelin Toni Cela Chabila C Mapoma Elizabeth Gonese Wezi Msungama Daniel Magesa Alick Kayange Katelyn Galloway Rose Apondi Lyd Source Type: research

QuickStats: Percentage of Births to Mothers Who Reported Smoking Cigarettes at Any Time During Pregnancy, by Urbanization Level* of County of Residence - United States, 2020
MMWR Morb Mortal Wkly Rep. 2021 Nov 26;70(47):1652. doi: 10.15585/mmwr.mm7047a5.NO ABSTRACTPMID:34818315 | DOI:10.15585/mmwr.mm7047a5 (Source: MMWR Morb Mortal Wkl...)
Source: MMWR Morb Mortal Wkl... - November 24, 2021 Category: Epidemiology Source Type: research

Notes from the Field: Testing for Nonprescribed Fentanyl and Percentage of Positive Test Results Among Patients with Opioid Use Disorder - United States, 2019-2020
MMWR Morb Mortal Wkly Rep. 2021 Nov 26;70(47):1649-1651. doi: 10.15585/mmwr.mm7047a4.NO ABSTRACTPMID:34818316 | DOI:10.15585/mmwr.mm7047a4 (Source: MMWR Morb Mortal Wkl...)
Source: MMWR Morb Mortal Wkl... - November 24, 2021 Category: Epidemiology Authors: Justin K Niles Jeffrey Gudin Alana M Vivolo-Kantor R Matthew Gladden Desiree Mustaquim Puja Seth Harvey W Kaufman Source Type: research

Racial, Ethnic, and Gender Disparities in Awareness of Preexposure Prophylaxis Among HIV-Negative Heterosexually Active Adults at Increased Risk for HIV Infection - 23 Urban Areas, United States, 2019
MMWR Morb Mortal Wkly Rep. 2021 Nov 26;70(47):1635-1639. doi: 10.15585/mmwr.mm7047a3.ABSTRACTIn 2019, heterosexual sex accounted for 23% of new HIV diagnoses in the United States and six dependent areas (1). Although preexposure prophylaxis (PrEP) can safely reduce the risk for HIV infection among heterosexual persons, this group is underrepresented in PrEP research (2). CDC analyzed National HIV Behavioral Surveillance (NHBS) data to describe PrEP awareness among heterosexually active adults in cities with high HIV prevalence. Overall, although 32.3% of heterosexually active adults who were eligible were aware of PrEP,
Source: MMWR Morb Mortal Wkl... - November 24, 2021 Category: Epidemiology Authors: Amy R Baugher Lindsay Trujillo Dafna Kanny Jincong Q Freeman Terence Hickey Catlainn Sionean Ebony Respress Johanna Chapin Bardales Ruthanne Marcus Teresa Finlayson Cyprian Wejnert National HIV Behavioral Surveillance Study Group Source Type: research

Risk for Stillbirth Among Women With and Without COVID-19 at Delivery Hospitalization - United States, March 2020-September 2021
MMWR Morb Mortal Wkly Rep. 2021 Nov 26;70(47):1640-1645. doi: 10.15585/mmwr.mm7047e1.ABSTRACTPregnant women are at increased risk for severe COVID-19-related illness, and COVID-19 is associated with an increased risk for adverse pregnancy outcomes and maternal and neonatal complications (1-3). To date, studies assessing whether COVID-19 during pregnancy is associated with increased risk for stillbirth have yielded mixed results (2-4). Since the B.1.617.2 (Delta) variant of SARS-CoV-2 (the virus that causes COVID-19) became the predominant circulating variant,* there have been anecdotal reports of increasing rates of stillb...
Source: MMWR Morb Mortal Wkl... - November 24, 2021 Category: Epidemiology Authors: Carla L DeSisto Bailey Wallace Regina M Simeone Kara Polen Jean Y Ko Dana Meaney-Delman Sascha R Ellington Source Type: research

COVID-19-Associated Deaths After SARS-CoV-2 Infection During Pregnancy - Mississippi, March 1, 2020-October 6, 2021
This report describes 15 COVID-19-associated deaths after infection with SARS-CoV-2 (the virus that causes COVID-19) during pregnancy in Mississippi during March 1, 2020-October 6, 2021.PMID:34818319 | DOI:10.15585/mmwr.mm7047e2 (Source: MMWR Morb Mortal Wkl...)
Source: MMWR Morb Mortal Wkl... - November 24, 2021 Category: Epidemiology Authors: Laurin Kasehagen Paul Byers Kathryn Taylor Theresa Kittle Christine Roberts Charlene Collier Britney Rust Jessica N Ricaldi Jamilla Green Lauren B Zapata Jennifer Beauregard Thomas Dobbs Source Type: research

Enterovirus D68-Associated Acute Respiratory Illness ─ New Vaccine Surveillance Network, United States, July-November 2018-2020
MMWR Morb Mortal Wkly Rep. 2021 Nov 26;70(47):1623-1628. doi: 10.15585/mmwr.mm7047a1.ABSTRACTEnterovirus D68 (EV-D68) is associated with a broad spectrum of illnesses, including mild to severe acute respiratory illness (ARI) and acute flaccid myelitis (AFM). Enteroviruses, including EV-D68, are typically detected in the United States during late summer through fall, with year-to-year fluctuations. Before 2014, EV-D68 was infrequently reported to CDC (1). However, numbers of EV-D68 detection have increased in recent years, with a biennial pattern observed during 2014-2018 in the United States, after the expansion of surveil...
Source: MMWR Morb Mortal Wkl... - November 24, 2021 Category: Epidemiology Authors: Melisa M Shah Ariana Perez Joana Y Lively Vasanthi Avadhanula Julie A Boom James Chappell Janet A Englund Wende Fregoe Natasha B Halasa Christopher J Harrison Robert W Hickey Eileen J Klein Monica M McNeal Marian G Michaels Mary E Moffatt Catherine Otten Source Type: research

Notes from the Field: Acute Nonviral Hepatitis Linked to a Brand of Alkaline Bottled Water - Clark County, Nevada and California, 2020
MMWR Morb Mortal Wkly Rep. 2021 Nov 19;70(46):1617-1619. doi: 10.15585/mmwr.mm7046a6.NO ABSTRACTPMID:34793413 | DOI:10.15585/mmwr.mm7046a6 (Source: MMWR Morb Mortal Wkl...)
Source: MMWR Morb Mortal Wkl... - November 18, 2021 Category: Epidemiology Authors: Jeanne C Ruff Ying Zhang David P Bui Colin Therriault Daniel Nogee Stephen L Guthery Johnni Daniel Source Type: research

Impact of Hospital Strain on Excess Deaths During the COVID-19 Pandemic - United States, July 2020-July 2021
MMWR Morb Mortal Wkly Rep. 2021 Nov 19;70(46):1613-1616. doi: 10.15585/mmwr.mm7046a5.ABSTRACTSurges in COVID-19 cases have stressed hospital systems, negatively affected health care and public health infrastructures, and degraded national critical functions (1,2). Resource limitations, such as available hospital space, staffing, and supplies led some facilities to adopt crisis standards of care, the most extreme operating condition for hospitals, in which the focus of medical decision-making shifted from achieving the best outcomes for individual patients to addressing the immediate care needs of larger groups of patients ...
Source: MMWR Morb Mortal Wkl... - November 18, 2021 Category: Epidemiology Authors: Geoffrey French Mary Hulse Debbie Nguyen Katharine Sobotka Kaitlyn Webster Josh Corman Brago Aboagye-Nyame Marc Dion Moira Johnson Benjamin Zalinger Maria Ewing Source Type: research

Health Care Access and Use Among Adults with Diabetes During the COVID-19 Pandemic - United States, February-March 2021
MMWR Morb Mortal Wkly Rep. 2021 Nov 19;70(46):1597-1602. doi: 10.15585/mmwr.mm7046a2.ABSTRACTDiabetes affects approximately one in 10 persons in the United States† and is a risk factor for severe COVID-19 (1), especially when a patient's diabetes is not well managed (2). The extent to which the COVID-19 pandemic has affected diabetes care and management, and whether this varies across age groups, is currently unknown. To evaluate access to and use of health care, as well as experiences, attitudes, and behaviors about COVID-19 prevention and vaccination, a nonprobability, Internet-based survey was administered to 5,2...
Source: MMWR Morb Mortal Wkl... - November 18, 2021 Category: Epidemiology Authors: Mark É Czeisler Catherine E Barrett Karen R Siegel Matthew D Weaver Charles A Czeisler Shantha M W Rajaratnam Mark E Howard Kai McKeever Bullard Source Type: research

Incidence of SARS-CoV-2 Infection, Emergency Department Visits, and Hospitalizations Because of COVID-19 Among Persons Aged ≥12 Years, by COVID-19 Vaccination Status - Oregon and Washington, July 4-September 25, 2021
MMWR Morb Mortal Wkly Rep. 2021 Nov 19;70(46):1608-1612. doi: 10.15585/mmwr.mm7046a4.ABSTRACTPopulation-based rates of infection with SARS-CoV-2 (the virus that causes COVID-19) and related health care utilization help determine estimates of COVID-19 vaccine effectiveness and averted illnesses, especially since the SARS-CoV-2 B.1.617.2 (Delta) variant began circulating in June 2021. Among members aged ≥12 years of a large integrated health care delivery system in Oregon and Washington, incidence of laboratory-confirmed SARS-CoV-2 infection, emergency department (ED) visits, and hospitalizations were calculated by COVID-...
Source: MMWR Morb Mortal Wkl... - November 18, 2021 Category: Epidemiology Authors: Allison L Naleway Holly C Groom Phil M Crawford S Bianca Salas Michelle L Henninger Judy L Donald Ning Smith Mark G Thompson Lenee H Blanton Catherine H Bozio Eduardo Azziz-Baumgartner Source Type: research

Prevalence and Characteristics of Subjective Cognitive Decline Among Unpaid Caregivers Aged ≥45 Years - 22 States, 2015-2019
MMWR Morb Mortal Wkly Rep. 2021 Nov 19;70(46):1591-1596. doi: 10.15585/mmwr.mm7046a1.ABSTRACTApproximately 20% of U.S. adults are unpaid caregivers (caregivers) (1) who provide support to a family member or friend with a health condition or disability. Although there are benefits to caregiving, it can negatively affect caregivers' physical and mental health (2-4). Much of the assistance caregivers provide, such as administering medications or financial management, relies on cognitive ability, but little is known about caregivers' cognitive functioning. Subjective cognitive decline (SCD), the self-reported experience of wor...
Source: MMWR Morb Mortal Wkl... - November 18, 2021 Category: Epidemiology Authors: Eva M Jeffers Erin D Bouldin Lisa C McGuire Kenneth A Knapp Roshni Patel Dana Guglielmo Christopher A Taylor Janet B Croft Source Type: research

Erratum: Vol. 70, No. 43
MMWR Morb Mortal Wkly Rep. 2021 Nov 19;70(46):1620. doi: 10.15585/mmwr.mm7046a7.NO ABSTRACTPMID:34793419 | DOI:10.15585/mmwr.mm7046a7 (Source: MMWR Morb Mortal Wkl...)
Source: MMWR Morb Mortal Wkl... - November 18, 2021 Category: Epidemiology Source Type: research

QuickStats: Age-Adjusted Death Rates* from Heart Disease < sup > † < /sup > Among Adults Aged 45-64 Years, by Urbanization Level < sup > § < /sup > and Sex - National Vital Statistics System, United States, 2019
MMWR Morb Mortal Wkly Rep. 2021 Nov 19;70(46):1621. doi: 10.15585/mmwr.mm7046a8.NO ABSTRACTPMID:34793420 | DOI:10.15585/mmwr.mm7046a8 (Source: MMWR Morb Mortal Wkl...)
Source: MMWR Morb Mortal Wkl... - November 18, 2021 Category: Epidemiology Source Type: research

Automated Digital Notification of COVID-19 Diagnoses Through Text and Email Messaging - North Carolina, December 2020-January 2021
MMWR Morb Mortal Wkly Rep. 2021 Nov 19;70(46):1603-1607. doi: 10.15585/mmwr.mm7046a3.ABSTRACTDuring October 3, 2020-January 9, 2021, North Carolina experienced a 400% increase in daily reported COVID-19 cases (1). To handle the increased number of cases and rapidly notify persons receiving a positive SARS-CoV-2 test result (patients), North Carolina state and local health departments moved from telephone call notification only to telephone call plus automated text and email notification (digital notification) beginning on December 24, 2020. Overall, among 200,258 patients, 142,975 (71%) were notified by telephone call or d...
Source: MMWR Morb Mortal Wkl... - November 18, 2021 Category: Epidemiology Authors: Laura Farrell Crystal R Almond Deborah S Porterfield Victoria Mobley Sydney A Jones Marina Smelyanskaya Erika Samoff Source Type: research

Notes from the Field: Acute Nonviral Hepatitis Linked to a Brand of Alkaline Bottled Water - Clark County, Nevada and California, 2020
MMWR Morb Mortal Wkly Rep. 2021 Nov 19;70(46):1617-1619. doi: 10.15585/mmwr.mm7046a6.NO ABSTRACTPMID:34793413 | DOI:10.15585/mmwr.mm7046a6 (Source: MMWR Morb Mortal Wkl...)
Source: MMWR Morb Mortal Wkl... - November 18, 2021 Category: Epidemiology Authors: Jeanne C Ruff Ying Zhang David P Bui Colin Therriault Daniel Nogee Stephen L Guthery Johnni Daniel Source Type: research

Impact of Hospital Strain on Excess Deaths During the COVID-19 Pandemic - United States, July 2020-July 2021
MMWR Morb Mortal Wkly Rep. 2021 Nov 19;70(46):1613-1616. doi: 10.15585/mmwr.mm7046a5.ABSTRACTSurges in COVID-19 cases have stressed hospital systems, negatively affected health care and public health infrastructures, and degraded national critical functions (1,2). Resource limitations, such as available hospital space, staffing, and supplies led some facilities to adopt crisis standards of care, the most extreme operating condition for hospitals, in which the focus of medical decision-making shifted from achieving the best outcomes for individual patients to addressing the immediate care needs of larger groups of patients ...
Source: MMWR Morb Mortal Wkl... - November 18, 2021 Category: Epidemiology Authors: Geoffrey French Mary Hulse Debbie Nguyen Katharine Sobotka Kaitlyn Webster Josh Corman Brago Aboagye-Nyame Marc Dion Moira Johnson Benjamin Zalinger Maria Ewing Source Type: research

Health Care Access and Use Among Adults with Diabetes During the COVID-19 Pandemic - United States, February-March 2021
MMWR Morb Mortal Wkly Rep. 2021 Nov 19;70(46):1597-1602. doi: 10.15585/mmwr.mm7046a2.ABSTRACTDiabetes affects approximately one in 10 persons in the United States† and is a risk factor for severe COVID-19 (1), especially when a patient's diabetes is not well managed (2). The extent to which the COVID-19 pandemic has affected diabetes care and management, and whether this varies across age groups, is currently unknown. To evaluate access to and use of health care, as well as experiences, attitudes, and behaviors about COVID-19 prevention and vaccination, a nonprobability, Internet-based survey was administered to 5,2...
Source: MMWR Morb Mortal Wkl... - November 18, 2021 Category: Epidemiology Authors: Mark É Czeisler Catherine E Barrett Karen R Siegel Matthew D Weaver Charles A Czeisler Shantha M W Rajaratnam Mark E Howard Kai McKeever Bullard Source Type: research

Incidence of SARS-CoV-2 Infection, Emergency Department Visits, and Hospitalizations Because of COVID-19 Among Persons Aged ≥12 Years, by COVID-19 Vaccination Status - Oregon and Washington, July 4-September 25, 2021
MMWR Morb Mortal Wkly Rep. 2021 Nov 19;70(46):1608-1612. doi: 10.15585/mmwr.mm7046a4.ABSTRACTPopulation-based rates of infection with SARS-CoV-2 (the virus that causes COVID-19) and related health care utilization help determine estimates of COVID-19 vaccine effectiveness and averted illnesses, especially since the SARS-CoV-2 B.1.617.2 (Delta) variant began circulating in June 2021. Among members aged ≥12 years of a large integrated health care delivery system in Oregon and Washington, incidence of laboratory-confirmed SARS-CoV-2 infection, emergency department (ED) visits, and hospitalizations were calculated by COVID-...
Source: MMWR Morb Mortal Wkl... - November 18, 2021 Category: Epidemiology Authors: Allison L Naleway Holly C Groom Phil M Crawford S Bianca Salas Michelle L Henninger Judy L Donald Ning Smith Mark G Thompson Lenee H Blanton Catherine H Bozio Eduardo Azziz-Baumgartner Source Type: research

Prevalence and Characteristics of Subjective Cognitive Decline Among Unpaid Caregivers Aged ≥45 Years - 22 States, 2015-2019
MMWR Morb Mortal Wkly Rep. 2021 Nov 19;70(46):1591-1596. doi: 10.15585/mmwr.mm7046a1.ABSTRACTApproximately 20% of U.S. adults are unpaid caregivers (caregivers) (1) who provide support to a family member or friend with a health condition or disability. Although there are benefits to caregiving, it can negatively affect caregivers' physical and mental health (2-4). Much of the assistance caregivers provide, such as administering medications or financial management, relies on cognitive ability, but little is known about caregivers' cognitive functioning. Subjective cognitive decline (SCD), the self-reported experience of wor...
Source: MMWR Morb Mortal Wkl... - November 18, 2021 Category: Epidemiology Authors: Eva M Jeffers Erin D Bouldin Lisa C McGuire Kenneth A Knapp Roshni Patel Dana Guglielmo Christopher A Taylor Janet B Croft Source Type: research

Erratum: Vol. 70, No. 43
MMWR Morb Mortal Wkly Rep. 2021 Nov 19;70(46):1620. doi: 10.15585/mmwr.mm7046a7.NO ABSTRACTPMID:34793419 | DOI:10.15585/mmwr.mm7046a7 (Source: MMWR Morb Mortal Wkl...)
Source: MMWR Morb Mortal Wkl... - November 18, 2021 Category: Epidemiology Source Type: research

QuickStats: Age-Adjusted Death Rates* from Heart Disease < sup > † < /sup > Among Adults Aged 45-64 Years, by Urbanization Level < sup > § < /sup > and Sex - National Vital Statistics System, United States, 2019
MMWR Morb Mortal Wkly Rep. 2021 Nov 19;70(46):1621. doi: 10.15585/mmwr.mm7046a8.NO ABSTRACTPMID:34793420 | DOI:10.15585/mmwr.mm7046a8 (Source: MMWR Morb Mortal Wkl...)
Source: MMWR Morb Mortal Wkl... - November 18, 2021 Category: Epidemiology Source Type: research

Automated Digital Notification of COVID-19 Diagnoses Through Text and Email Messaging - North Carolina, December 2020-January 2021
MMWR Morb Mortal Wkly Rep. 2021 Nov 19;70(46):1603-1607. doi: 10.15585/mmwr.mm7046a3.ABSTRACTDuring October 3, 2020-January 9, 2021, North Carolina experienced a 400% increase in daily reported COVID-19 cases (1). To handle the increased number of cases and rapidly notify persons receiving a positive SARS-CoV-2 test result (patients), North Carolina state and local health departments moved from telephone call notification only to telephone call plus automated text and email notification (digital notification) beginning on December 24, 2020. Overall, among 200,258 patients, 142,975 (71%) were notified by telephone call or d...
Source: MMWR Morb Mortal Wkl... - November 18, 2021 Category: Epidemiology Authors: Laura Farrell Crystal R Almond Deborah S Porterfield Victoria Mobley Sydney A Jones Marina Smelyanskaya Erika Samoff Source Type: research

Notes from the Field: Acute Nonviral Hepatitis Linked to a Brand of Alkaline Bottled Water - Clark County, Nevada and California, 2020
MMWR Morb Mortal Wkly Rep. 2021 Nov 19;70(46):1617-1619. doi: 10.15585/mmwr.mm7046a6.NO ABSTRACTPMID:34793413 | DOI:10.15585/mmwr.mm7046a6 (Source: MMWR Morb Mortal Wkl...)
Source: MMWR Morb Mortal Wkl... - November 18, 2021 Category: Epidemiology Authors: Jeanne C Ruff Ying Zhang David P Bui Colin Therriault Daniel Nogee Stephen L Guthery Johnni Daniel Source Type: research

Impact of Hospital Strain on Excess Deaths During the COVID-19 Pandemic - United States, July 2020-July 2021
MMWR Morb Mortal Wkly Rep. 2021 Nov 19;70(46):1613-1616. doi: 10.15585/mmwr.mm7046a5.ABSTRACTSurges in COVID-19 cases have stressed hospital systems, negatively affected health care and public health infrastructures, and degraded national critical functions (1,2). Resource limitations, such as available hospital space, staffing, and supplies led some facilities to adopt crisis standards of care, the most extreme operating condition for hospitals, in which the focus of medical decision-making shifted from achieving the best outcomes for individual patients to addressing the immediate care needs of larger groups of patients ...
Source: MMWR Morb Mortal Wkl... - November 18, 2021 Category: Epidemiology Authors: Geoffrey French Mary Hulse Debbie Nguyen Katharine Sobotka Kaitlyn Webster Josh Corman Brago Aboagye-Nyame Marc Dion Moira Johnson Benjamin Zalinger Maria Ewing Source Type: research

Health Care Access and Use Among Adults with Diabetes During the COVID-19 Pandemic - United States, February-March 2021
MMWR Morb Mortal Wkly Rep. 2021 Nov 19;70(46):1597-1602. doi: 10.15585/mmwr.mm7046a2.ABSTRACTDiabetes affects approximately one in 10 persons in the United States† and is a risk factor for severe COVID-19 (1), especially when a patient's diabetes is not well managed (2). The extent to which the COVID-19 pandemic has affected diabetes care and management, and whether this varies across age groups, is currently unknown. To evaluate access to and use of health care, as well as experiences, attitudes, and behaviors about COVID-19 prevention and vaccination, a nonprobability, Internet-based survey was administered to 5,2...
Source: MMWR Morb Mortal Wkl... - November 18, 2021 Category: Epidemiology Authors: Mark É Czeisler Catherine E Barrett Karen R Siegel Matthew D Weaver Charles A Czeisler Shantha M W Rajaratnam Mark E Howard Kai McKeever Bullard Source Type: research

Incidence of SARS-CoV-2 Infection, Emergency Department Visits, and Hospitalizations Because of COVID-19 Among Persons Aged ≥12 Years, by COVID-19 Vaccination Status - Oregon and Washington, July 4-September 25, 2021
MMWR Morb Mortal Wkly Rep. 2021 Nov 19;70(46):1608-1612. doi: 10.15585/mmwr.mm7046a4.ABSTRACTPopulation-based rates of infection with SARS-CoV-2 (the virus that causes COVID-19) and related health care utilization help determine estimates of COVID-19 vaccine effectiveness and averted illnesses, especially since the SARS-CoV-2 B.1.617.2 (Delta) variant began circulating in June 2021. Among members aged ≥12 years of a large integrated health care delivery system in Oregon and Washington, incidence of laboratory-confirmed SARS-CoV-2 infection, emergency department (ED) visits, and hospitalizations were calculated by COVID-...
Source: MMWR Morb Mortal Wkl... - November 18, 2021 Category: Epidemiology Authors: Allison L Naleway Holly C Groom Phil M Crawford S Bianca Salas Michelle L Henninger Judy L Donald Ning Smith Mark G Thompson Lenee H Blanton Catherine H Bozio Eduardo Azziz-Baumgartner Source Type: research

Prevalence and Characteristics of Subjective Cognitive Decline Among Unpaid Caregivers Aged ≥45 Years - 22 States, 2015-2019
MMWR Morb Mortal Wkly Rep. 2021 Nov 19;70(46):1591-1596. doi: 10.15585/mmwr.mm7046a1.ABSTRACTApproximately 20% of U.S. adults are unpaid caregivers (caregivers) (1) who provide support to a family member or friend with a health condition or disability. Although there are benefits to caregiving, it can negatively affect caregivers' physical and mental health (2-4). Much of the assistance caregivers provide, such as administering medications or financial management, relies on cognitive ability, but little is known about caregivers' cognitive functioning. Subjective cognitive decline (SCD), the self-reported experience of wor...
Source: MMWR Morb Mortal Wkl... - November 18, 2021 Category: Epidemiology Authors: Eva M Jeffers Erin D Bouldin Lisa C McGuire Kenneth A Knapp Roshni Patel Dana Guglielmo Christopher A Taylor Janet B Croft Source Type: research

Erratum: Vol. 70, No. 43
MMWR Morb Mortal Wkly Rep. 2021 Nov 19;70(46):1620. doi: 10.15585/mmwr.mm7046a7.NO ABSTRACTPMID:34793419 | DOI:10.15585/mmwr.mm7046a7 (Source: MMWR Morb Mortal Wkl...)
Source: MMWR Morb Mortal Wkl... - November 18, 2021 Category: Epidemiology Source Type: research

QuickStats: Age-Adjusted Death Rates* from Heart Disease < sup > † < /sup > Among Adults Aged 45-64 Years, by Urbanization Level < sup > § < /sup > and Sex - National Vital Statistics System, United States, 2019
MMWR Morb Mortal Wkly Rep. 2021 Nov 19;70(46):1621. doi: 10.15585/mmwr.mm7046a8.NO ABSTRACTPMID:34793420 | DOI:10.15585/mmwr.mm7046a8 (Source: MMWR Morb Mortal Wkl...)
Source: MMWR Morb Mortal Wkl... - November 18, 2021 Category: Epidemiology Source Type: research

Automated Digital Notification of COVID-19 Diagnoses Through Text and Email Messaging - North Carolina, December 2020-January 2021
MMWR Morb Mortal Wkly Rep. 2021 Nov 19;70(46):1603-1607. doi: 10.15585/mmwr.mm7046a3.ABSTRACTDuring October 3, 2020-January 9, 2021, North Carolina experienced a 400% increase in daily reported COVID-19 cases (1). To handle the increased number of cases and rapidly notify persons receiving a positive SARS-CoV-2 test result (patients), North Carolina state and local health departments moved from telephone call notification only to telephone call plus automated text and email notification (digital notification) beginning on December 24, 2020. Overall, among 200,258 patients, 142,975 (71%) were notified by telephone call or d...
Source: MMWR Morb Mortal Wkl... - November 18, 2021 Category: Epidemiology Authors: Laura Farrell Crystal R Almond Deborah S Porterfield Victoria Mobley Sydney A Jones Marina Smelyanskaya Erika Samoff Source Type: research

Notes from the Field: Acute Nonviral Hepatitis Linked to a Brand of Alkaline Bottled Water - Clark County, Nevada and California, 2020
MMWR Morb Mortal Wkly Rep. 2021 Nov 19;70(46):1617-1619. doi: 10.15585/mmwr.mm7046a6.NO ABSTRACTPMID:34793413 | DOI:10.15585/mmwr.mm7046a6 (Source: MMWR Morb Mortal Wkl...)
Source: MMWR Morb Mortal Wkl... - November 18, 2021 Category: Epidemiology Authors: Jeanne C Ruff Ying Zhang David P Bui Colin Therriault Daniel Nogee Stephen L Guthery Johnni Daniel Source Type: research

Impact of Hospital Strain on Excess Deaths During the COVID-19 Pandemic - United States, July 2020-July 2021
MMWR Morb Mortal Wkly Rep. 2021 Nov 19;70(46):1613-1616. doi: 10.15585/mmwr.mm7046a5.ABSTRACTSurges in COVID-19 cases have stressed hospital systems, negatively affected health care and public health infrastructures, and degraded national critical functions (1,2). Resource limitations, such as available hospital space, staffing, and supplies led some facilities to adopt crisis standards of care, the most extreme operating condition for hospitals, in which the focus of medical decision-making shifted from achieving the best outcomes for individual patients to addressing the immediate care needs of larger groups of patients ...
Source: MMWR Morb Mortal Wkl... - November 18, 2021 Category: Epidemiology Authors: Geoffrey French Mary Hulse Debbie Nguyen Katharine Sobotka Kaitlyn Webster Josh Corman Brago Aboagye-Nyame Marc Dion Moira Johnson Benjamin Zalinger Maria Ewing Source Type: research

Health Care Access and Use Among Adults with Diabetes During the COVID-19 Pandemic - United States, February-March 2021
MMWR Morb Mortal Wkly Rep. 2021 Nov 19;70(46):1597-1602. doi: 10.15585/mmwr.mm7046a2.ABSTRACTDiabetes affects approximately one in 10 persons in the United States† and is a risk factor for severe COVID-19 (1), especially when a patient's diabetes is not well managed (2). The extent to which the COVID-19 pandemic has affected diabetes care and management, and whether this varies across age groups, is currently unknown. To evaluate access to and use of health care, as well as experiences, attitudes, and behaviors about COVID-19 prevention and vaccination, a nonprobability, Internet-based survey was administered to 5,2...
Source: MMWR Morb Mortal Wkl... - November 18, 2021 Category: Epidemiology Authors: Mark É Czeisler Catherine E Barrett Karen R Siegel Matthew D Weaver Charles A Czeisler Shantha M W Rajaratnam Mark E Howard Kai McKeever Bullard Source Type: research

Incidence of SARS-CoV-2 Infection, Emergency Department Visits, and Hospitalizations Because of COVID-19 Among Persons Aged ≥12 Years, by COVID-19 Vaccination Status - Oregon and Washington, July 4-September 25, 2021
MMWR Morb Mortal Wkly Rep. 2021 Nov 19;70(46):1608-1612. doi: 10.15585/mmwr.mm7046a4.ABSTRACTPopulation-based rates of infection with SARS-CoV-2 (the virus that causes COVID-19) and related health care utilization help determine estimates of COVID-19 vaccine effectiveness and averted illnesses, especially since the SARS-CoV-2 B.1.617.2 (Delta) variant began circulating in June 2021. Among members aged ≥12 years of a large integrated health care delivery system in Oregon and Washington, incidence of laboratory-confirmed SARS-CoV-2 infection, emergency department (ED) visits, and hospitalizations were calculated by COVID-...
Source: MMWR Morb Mortal Wkl... - November 18, 2021 Category: Epidemiology Authors: Allison L Naleway Holly C Groom Phil M Crawford S Bianca Salas Michelle L Henninger Judy L Donald Ning Smith Mark G Thompson Lenee H Blanton Catherine H Bozio Eduardo Azziz-Baumgartner Source Type: research

Prevalence and Characteristics of Subjective Cognitive Decline Among Unpaid Caregivers Aged ≥45 Years - 22 States, 2015-2019
MMWR Morb Mortal Wkly Rep. 2021 Nov 19;70(46):1591-1596. doi: 10.15585/mmwr.mm7046a1.ABSTRACTApproximately 20% of U.S. adults are unpaid caregivers (caregivers) (1) who provide support to a family member or friend with a health condition or disability. Although there are benefits to caregiving, it can negatively affect caregivers' physical and mental health (2-4). Much of the assistance caregivers provide, such as administering medications or financial management, relies on cognitive ability, but little is known about caregivers' cognitive functioning. Subjective cognitive decline (SCD), the self-reported experience of wor...
Source: MMWR Morb Mortal Wkl... - November 18, 2021 Category: Epidemiology Authors: Eva M Jeffers Erin D Bouldin Lisa C McGuire Kenneth A Knapp Roshni Patel Dana Guglielmo Christopher A Taylor Janet B Croft Source Type: research