Vital Signs: Trends in Human Rabies Deaths and Exposures - United States, 1938-2018.
CONCLUSIONS AND COMMENTS: In the United States, wildlife rabies, especially in bats, continues to pose a risk to humans. Travelers also might be exposed to canine rabies in countries where the disease is still present; increased awareness of rabies while traveling abroad is needed. Vaccinating pets, avoiding contact with wildlife, and seeking medical care if one is bitten or scratched by an animal are the most effective ways to prevent rabies. Understanding the need for timely administration of PEP to prevent death is critical. PMID: 31194721 [PubMed - in process] (Source: MMWR Morb Mortal Wkl...)
Source: MMWR Morb Mortal Wkl... - June 14, 2019 Category: Epidemiology Authors: Pieracci EG, Pearson CM, Wallace RM, Blanton JD, Whitehouse ER, Ma X, Stauffer K, Chipman RB, Olson V Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Trends in Meeting Physical Activity Guidelines Among Urban and Rural Dwelling Adults - United States, 2008-2017.
Abstract Since the release of the 2008 Physical Activity Guidelines for Americans (https://health.gov/paguidelines/2008/pdf/paguide.pdf), the age-adjusted percentage of adults meeting the combined aerobic and muscle-strengthening guidelines increased from 18.2% to 24.3% in 2017 (1). Trends in urban and rural areas, across demographic subgroups, and among subgroups within urban and rural areas have not been reported. CDC analyzed 2008-2017 National Health Interview Survey (NHIS) data to examine trends in the age-standardized prevalence of meeting physical activity guidelines among adults aged ≥18 years living in...
Source: MMWR Morb Mortal Wkl... - June 14, 2019 Category: Epidemiology Authors: Whitfield GP, Carlson SA, Ussery EN, Fulton JE, Galuska DA, Petersen R Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Sepsis Attributed to Bacterial Contamination of Platelets Associated with a Potential Common Source - Multiple States, 2018.
mbiar A, Moayeri M, Kamm J, Moulton-Meissner H, Annambhotla P, Gable P, McAllister GA, Breaker E, Sula E, Halpin AL, Basavaraju SV Abstract During May-October 2018, four patients from three states experienced sepsis after transfusion of apheresis platelets contaminated with Acinetobacter calcoaceticus-baumannii complex (ACBC) and Staphylococcus saprophyticus; one patient died. ACBC isolates from patients' blood, transfused platelet residuals, and two environmental samples were closely related by whole genome sequencing. S. saprophyticus isolates from two patients' blood, three transfused platelet residuals, and on...
Source: MMWR Morb Mortal Wkl... - June 14, 2019 Category: Epidemiology Authors: Jones SA, Jones JM, Leung V, Nakashima AK, Oakeson KF, Smith AR, Hunter R, Kim JJ, Cumming M, McHale E, Young PP, Fridey JL, Kelley WE, Stramer SL, Wagner SJ, West FB, Herron R, Snyder E, Hendrickson JE, Peaper DR, Gundlapalli AV, Langelier C, Miller S, N Tags: MMWR Morb Mortal Wkly Rep Source Type: research

QuickStats: Age-Adjusted Death Rates* from Prostate Cancer, † by Race/ Ethnicity - National Vital Statistics System, United States, 1999-2017.
QuickStats: Age-Adjusted Death Rates* from Prostate Cancer,† by Race/ Ethnicity - National Vital Statistics System, United States, 1999-2017. MMWR Morb Mortal Wkly Rep. 2019 Jun 14;68(23):531 Authors: PMID: 31194724 [PubMed - in process] (Source: MMWR Morb Mortal Wkl...)
Source: MMWR Morb Mortal Wkl... - June 14, 2019 Category: Epidemiology Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Notes from the Field: Administration of Expired Injectable Influenza Vaccines Reported to the Vaccine Adverse Event Reporting System - United States, July 2018-March 2019.
PMID: 31194725 [PubMed - in process] (Source: MMWR Morb Mortal Wkl...)
Source: MMWR Morb Mortal Wkl... - June 14, 2019 Category: Epidemiology Authors: Hesse EM, Hibbs BF, Cano MV Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Receipt of Breast Milk by Gestational Age - United States, 2017.
Abstract Breast milk is the optimal source of infant nutrition. For the nearly one in 10 infants born prematurely in the United States annually (1), breast milk is especially beneficial, helping prevent sepsis and necrotizing enterocolitis and promoting neurologic development (2). National estimates of newborn feeding practices by gestational age have not been available previously. CDC analyzed 2017 birth certificate data from 48 states and the District of Columbia (3,194,873; 82.7% of all births) to describe receipt of breast milk among extremely preterm (20-27 weeks), early preterm (28-33 weeks), late preterm (3...
Source: MMWR Morb Mortal Wkl... - June 7, 2019 Category: Epidemiology Authors: Chiang KV, Sharma AJ, Nelson JM, Olson CK, Perrine CG Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Community Assessments for Mosquito Prevention and Control Experiences, Attitudes, and Practices - U.S. Virgin Islands, 2017 and 2018.
Abstract Aedes aegypti, the mosquito that carries dengue, chikungunya, and Zika viruses, is present throughout the U.S. Virgin Islands (USVI). To reduce mosquitoborne disease transmission, the USVI Department of Health (VIDOH) is responsible for integrated mosquito management. During January 2016-January 2018, USVI experienced its first Zika outbreak, with most cases reported during January-December 2016, as well as two Category 5 hurricanes (Irma on St. Thomas/St. John on September 6, 2017, and Maria on St. Croix on September 19, 2017). The hurricanes severely damaged mosquito protection-related building structur...
Source: MMWR Morb Mortal Wkl... - June 7, 2019 Category: Epidemiology Authors: Seger KR, Roth J, Schnall AH, Ellis BR, Ellis EM Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Progress Toward Measles Elimination - Pakistan, 2000-2018.
This report describes progress and challenges toward measles elimination in Pakistan during 2000-2018. During the study period, estimated coverage with the first MCV dose (MCV1) increased from 57% in 2000 to 76% in 2017. The second MCV dose (MCV2) was introduced nationwide in 2009, and MCV2 coverage increased from 30% in 2009 to 45% in 2017. During 2000-2018, approximately 232.5 million children received doses of MCV during SIAs. Reported confirmed measles incidence increased from an average of 24.6 per 1 million persons during 2000-2009 to an average of 80.4 during 2010-2018, with peaks in 2013 (230.3) and 2018 (153.6). I...
Source: MMWR Morb Mortal Wkl... - June 7, 2019 Category: Epidemiology Authors: Mere MO, Goodson JL, Chandio AK, Rana MS, Hasan Q, Teleb N, Alexander JP Tags: MMWR Morb Mortal Wkly Rep Source Type: research

QuickStats: Percentage* of Adults Aged ≥18 Years Who Have Lost All of Their Natural Teeth,† by Age Group - National Health Interview Survey,§ 2000 and 2017.
QuickStats: Percentage* of Adults Aged ≥18 Years Who Have Lost All of Their Natural Teeth,† by Age Group - National Health Interview Survey,§ 2000 and 2017. MMWR Morb Mortal Wkly Rep. 2019 Jun 07;68(22):511 Authors: PMID: 31170126 [PubMed - in process] (Source: MMWR Morb Mortal Wkl...)
Source: MMWR Morb Mortal Wkl... - June 7, 2019 Category: Epidemiology Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Annual Out-of-Pocket Expenditures and Financial Hardship Among Cancer Survivors Aged 18-64 Years - United States, 2011-2016.
Abstract In the United States in 2019, an estimated 16.9 million persons are living after receiving a cancer diagnosis (1). These cancer survivors face many challenges, including functional limitations, serious psychological distress (2), and other lasting and late effects of cancer treatments. Because of the high cost of cancer therapy, many cancer survivors are more likely to face substantial out-of-pocket health care expenditures and financial hardship, compared with persons without a history of cancer (3,4). Out-of-pocket expenditures and financial hardship associated with cancer have been higher among survivo...
Source: MMWR Morb Mortal Wkl... - June 7, 2019 Category: Epidemiology Authors: Ekwueme DU, Zhao J, Rim SH, de Moor JS, Zheng Z, Khushalani JS, Han X, Kent EE, Yabroff KR Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Hurricane-Associated Mold Exposures Among Patients at Risk for Invasive Mold Infections After Hurricane Harvey - Houston, Texas, 2017.
Jackson BR, Chew GL, Beer KD Abstract In August 2017, Hurricane Harvey caused unprecedented flooding and devastation to the Houston metropolitan area (1). Mold exposure was a serious concern because investigations after Hurricanes Katrina and Rita (2005) had documented extensive mold growth in flood-damaged homes (2,3). Because mold exposure can cause serious illnesses known as invasive mold infections (4,5), and immunosuppressed persons are at high risk for these infections (6,7), several federal agencies recommend that immunosuppressed persons avoid mold-contaminated sites (8,9). To assess the extent of exposure...
Source: MMWR Morb Mortal Wkl... - May 31, 2019 Category: Epidemiology Authors: Chow NA, Toda M, Pennington AF, Anassi E, Atmar RL, Cox-Ganser JM, Da Silva J, Garcia B, Kontoyiannis DP, Ostrosky-Zeichner L, Leining LM, McCarty J, Al Mohajer M, Murthy BP, Park JH, Schulte J, Shuford JA, Skrobarcek KA, Solomon S, Strysko J, Chiller TM, Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Scaling Up Testing for Human Immunodeficiency Virus Infection Among Contacts of Index Patients - 20 Countries, 2016-2018.
This report summarizes data from HIV tests using index testing in 20 countries supported by CDC through the U.S. President's Emergency Plan for AIDS Relief (PEPFAR) during October 1, 2016-March 31, 2018. During this 18-month period, 1,700,998 HIV tests with 99,201 (5.8%) positive results were reported using index testing. The positivity rate for index testing was 9.8% among persons aged ≥15 years and 1.5% among persons aged
Source: MMWR Morb Mortal Wkl... - May 31, 2019 Category: Epidemiology Authors: Lasry A, Medley A, Behel S, Mujawar MI, Cain M, Diekman ST, Rurangirwa J, Valverde E, Nelson R, Agolory S, Alebachew A, Auld AF, Balachandra S, Bunga S, Chidarikire T, Dao VQ, Dee J, Doumatey LEN, Dzinotyiweyi E, Dziuban EJ, Ekra KA, Fuller WB, Herman-Rol Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Notes from the Field: Acute Intoxications from Consumption of Amanita muscaria Mushrooms - Minnesota, 2018.
PMID: 31145720 [PubMed - in process] (Source: MMWR Morb Mortal Wkl...)
Source: MMWR Morb Mortal Wkl... - May 31, 2019 Category: Epidemiology Authors: Taylor J, Holzbauer S, Wanduragala D, Ivaskovic A, Spinosa R, Smith K, Corcoran J, Jensen A Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Using Social Media To Increase HIV Testing Among Men Who Have Sex with Men - Beijing, China, 2013-2017.
Abstract The prevalence of human immunodeficiency virus (HIV) infection in China is low overall (0.06%) (1); however, it is substantially higher (8.0%) among men who have sex with men (MSM) (2), and the stigmatization of same-sex behaviors in China presents challenges for HIV prevention and treatment efforts. In 2015, Blued, a Beijing-based media company that operates an online dating application popular among Chinese MSM, launched an ongoing HIV testing campaign that combined its push-notification† platform and geolocation capabilities to encourage HIV testing among MSM in Beijing. To assess trends in use ...
Source: MMWR Morb Mortal Wkl... - May 31, 2019 Category: Epidemiology Authors: Wang L, Podson D, Chen Z, Lu H, Wang V, Shepard C, Williams JK, Mi G Tags: MMWR Morb Mortal Wkly Rep Source Type: research

QuickStats: Age-Adjusted Percentage* of Adults Aged ≥18 Years Reporting Diabetic Retinopathy† Among Those with Prediabetes or Diagnosed Diabetes,§ by Age Group - National Health Interview Survey,¶ 2016-2017.
QuickStats: Age-Adjusted Percentage* of Adults Aged ≥18 Years Reporting Diabetic Retinopathy† Among Those with Prediabetes or Diagnosed Diabetes,§ by Age Group - National Health Interview Survey,¶ 2016-2017. MMWR Morb Mortal Wkly Rep. 2019 May 31;68(21):485 Authors: PMID: 31145722 [PubMed - in process] (Source: MMWR Morb Mortal Wkl...)
Source: MMWR Morb Mortal Wkl... - May 31, 2019 Category: Epidemiology Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Erratum: Vol. 68, No. 16.
Authors: PMID: 31120865 [PubMed - in process] (Source: MMWR Morb Mortal Wkl...)
Source: MMWR Morb Mortal Wkl... - May 24, 2019 Category: Epidemiology Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Vision Impairment and Subjective Cognitive Decline-Related Functional Limitations - United States, 2015-2017.
This report describes the association of vision impairment and SCD-related functional limitations using Behavioral Risk Factor Surveillance System (BRFSS) surveys for the years 2015-2017. Adjusting for age group, sex, race/ethnicity, education level, health insurance, and smoking status, 18% of adults aged ≥45 years who reported vision impairment also reported SCD-related functional limitations, compared with only 4% of those without vision impairment. Preventing, reducing, and correcting vision impairments might lead to a decrease in SCD-related functional limitations among adults in the United States. PMID: 31120...
Source: MMWR Morb Mortal Wkl... - May 24, 2019 Category: Epidemiology Authors: Saydah S, Gerzoff RB, Taylor CA, Ehrlich JR, Saaddine J Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Notes from the Field: Verona Integron-Encoded Metallo- β-Lactamase-Producing Carbapenem-Resistant Pseudomonas aeruginosa Infections in U.S. Residents Associated with Invasive Medical Procedures in Mexico, 2015-2018.
Notes from the Field: Verona Integron-Encoded Metallo-β-Lactamase-Producing Carbapenem-Resistant Pseudomonas aeruginosa Infections in U.S. Residents Associated with Invasive Medical Procedures in Mexico, 2015-2018. MMWR Morb Mortal Wkly Rep. 2019 May 24;68(20):463-464 Authors: Kracalik I, Ham C, Smith AR, Vowles M, Kauber K, Zambrano M, Rodriguez G, Garner K, Chorbi K, Cassidy PM, McBee S, Stoney R, Brown AC, Moser K, Villarino ME, Walters MS PMID: 31120867 [PubMed - in process] (Source: MMWR Morb Mortal Wkl...)
Source: MMWR Morb Mortal Wkl... - May 24, 2019 Category: Epidemiology Authors: Kracalik I, Ham C, Smith AR, Vowles M, Kauber K, Zambrano M, Rodriguez G, Garner K, Chorbi K, Cassidy PM, McBee S, Stoney R, Brown AC, Moser K, Villarino ME, Walters MS Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Progress Toward Polio Eradication - Worldwide, January 2017-March 2019.
This report describes global progress toward poliomyelitis eradication during January 1, 2017-March 31, 2019, and updates previous reports (1,2). Afghanistan and Pakistan reported their lowest annual number of WPV cases (22) in 2017; however, 33 WPV1 cases were reported in 2018. During January-March 2019 (as of May 3), 12 WPV1 cases had been reported worldwide, four more than the eight reported during the corresponding period in 2018. The occurrence of polio cases caused by circulating vaccine-derived poliovirus (cVDPV) is rare and occurs where oral poliovirus vaccine (OPV) coverage has been low and vaccine virus reverts t...
Source: MMWR Morb Mortal Wkl... - May 24, 2019 Category: Epidemiology Authors: Greene SA, Ahmed J, Datta SD, Burns CC, Quddus A, Vertefeuille JF, Wassilak SGF Tags: MMWR Morb Mortal Wkly Rep Source Type: research

QuickStats: Rates* of Injury † from Sports, Recreation, and Leisure Activities§ Among Children and Adolescents Aged 1-17 Years, by Age Group - National Health Interview Survey,¶ United States, 2015-2017.
QuickStats: Rates* of Injury† from Sports, Recreation, and Leisure Activities§ Among Children and Adolescents Aged 1-17 Years, by Age Group - National Health Interview Survey,¶ United States, 2015-2017. MMWR Morb Mortal Wkly Rep. 2019 May 24;68(20):466 Authors: PMID: 31120869 [PubMed - in process] (Source: MMWR Morb Mortal Wkl...)
Source: MMWR Morb Mortal Wkl... - May 24, 2019 Category: Epidemiology Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Tuberculosis Screening, Testing, and Treatment of U.S. Health Care Personnel: Recommendations from the National Tuberculosis Controllers Association and CDC, 2019.
Abstract The 2005 CDC guidelines for preventing Mycobacterium tuberculosis transmission in health care settings include recommendations for baseline tuberculosis (TB) screening of all U.S. health care personnel and annual testing for health care personnel working in medium-risk settings or settings with potential for ongoing transmission (1). Using evidence from a systematic review conducted by a National Tuberculosis Controllers Association (NTCA)-CDC work group, and following methods adapted from the Guide to Community Preventive Services (2,3), the 2005 CDC recommendations for testing U.S. health care personnel...
Source: MMWR Morb Mortal Wkl... - May 17, 2019 Category: Epidemiology Authors: Sosa LE, Njie GJ, Lobato MN, Bamrah Morris S, Buchta W, Casey ML, Goswami ND, Gruden M, Hurst BJ, Khan AR, Kuhar DT, Lewinsohn DM, Mathew TA, Mazurek GH, Reves R, Paulos L, Thanassi W, Will L, Belknap R Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Notes from the Field: Measles Outbreaks from Imported Cases in Orthodox Jewish Communities - New York and New Jersey, 2018-2019.
C, Rausch-Phung E, Gelman I, Montana B, Blog D, Hutton BJ, Zucker HA PMID: 31095533 [PubMed - in process] (Source: MMWR Morb Mortal Wkl...)
Source: MMWR Morb Mortal Wkl... - May 17, 2019 Category: Epidemiology Authors: McDonald R, Ruppert PS, Souto M, Johns DE, McKay K, Bessette N, McNulty LX, Crawford JE, Bryant P, Mosquera MC, Frontin S, Deluna-Evans T, Regenye DE, Zaremski EF, Landis VJ, Sullivan B, Rumpf BE, Doherty J, Sen K, Adler E, DiFedele L, Ostrowski S, Compto Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Notes from the Field: Community Outbreak of Measles - Clark County, Washington, 2018-2019.
ick A PMID: 31095534 [PubMed - in process] (Source: MMWR Morb Mortal Wkl...)
Source: MMWR Morb Mortal Wkl... - May 17, 2019 Category: Epidemiology Authors: Carlson A, Riethman M, Gastañaduy P, Lee A, Leung J, Holshue M, DeBolt C, Melnick A Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Notes from the Field: Acanthamoeba Keratitis Cases - Iowa, 2002-2017.
PMID: 31095535 [PubMed - in process] (Source: MMWR Morb Mortal Wkl...)
Source: MMWR Morb Mortal Wkl... - May 17, 2019 Category: Epidemiology Authors: Scruggs BA, Quist TS, Salinas JL, Greiner MA Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Pool Chemical Injuries in Public and Residential Settings - United States, 2008-2017, and New York, 2018.
Abstract Pool chemicals are added to water in treated recreational water venues (e.g., pools, hot tubs/spas, and water playgrounds) primarily to protect public health. Pool chemicals inactivate pathogens (e.g., chlorine or bromine), optimize pH (e.g., muriatic acid), and increase water clarity, which helps prevent drowning by enabling detection of distressed swimmers underwater. However, pool chemicals can cause injuries if mishandled. To estimate the annual number of U.S. emergency department (ED) visits for pool chemical injuries, CDC analyzed 2008-2017 data from the National Electronic Injury Surveillance Syste...
Source: MMWR Morb Mortal Wkl... - May 17, 2019 Category: Epidemiology Authors: Vanden Esschert KL, Haileyesus T, Tarrier AL, Donovan MA, Garofalo GT, Laco JP, Hill VR, Hlavsa MC Tags: MMWR Morb Mortal Wkly Rep Source Type: research

QuickStats: Age-Adjusted Percentage* of Adults Aged ≥18 Years Reporting a Lot of Pain,† Among Those Who Report Pain on at Least Some Days in the Past 3 Months,§ by Poverty Status¶ and Frequency of Pain - National Health Interview Survey, 2016-2017*.
QuickStats: Age-Adjusted Percentage* of Adults Aged ≥18 Years Reporting a Lot of Pain,† Among Those Who Report Pain on at Least Some Days in the Past 3 Months,§ by Poverty Status¶ and Frequency of Pain - National Health Interview Survey, 2016-2017*. MMWR Morb Mortal Wkly Rep. 2019 May 17;68(19):450 Authors: PMID: 31095537 [PubMed - in process] (Source: MMWR Morb Mortal Wkl...)
Source: MMWR Morb Mortal Wkl... - May 17, 2019 Category: Epidemiology Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Disparities in Incidence of Human Immunodeficiency Virus Infection Among Black and White Women - United States, 2010-2016.
Abstract Incident human immunodeficiency virus (HIV) infections among adolescent females and women declined during 2010-2016, with the largest decrease (21%) occurring among black women (1). However, in 2016, although black women accounted for 13% of the U.S. female population, 60% of new HIV infections among women were in black women, indicating persisting disparities (1). CDC used the population attributable proportion (PAP) disparity measure to describe the proportional decrease in HIV infection among black and white women combined that would be realized if the group with the higher rate (blacks) had the same r...
Source: MMWR Morb Mortal Wkl... - May 10, 2019 Category: Epidemiology Authors: Bradley ELP, Williams AM, Green S, Lima AC, Geter A, Chesson HW, McCree DH Tags: MMWR Morb Mortal Wkly Rep Source Type: research

QuickStats: Age-Adjusted Percentages* of Persons of All Ages Who Delayed Seeking Medical Care in the Past 12 Months Because of Worry About Cost, † by U.S. Census Region§ of Residence - National Health Interview Survey,¶ 2012 and 2017.
QuickStats: Age-Adjusted Percentages* of Persons of All Ages Who Delayed Seeking Medical Care in the Past 12 Months Because of Worry About Cost,† by U.S. Census Region§ of Residence - National Health Interview Survey,¶ 2012 and 2017. MMWR Morb Mortal Wkly Rep. 2019 May 10;68(18):430 Authors: PMID: 31071071 [PubMed - in process] (Source: MMWR Morb Mortal Wkl...)
Source: MMWR Morb Mortal Wkl... - May 10, 2019 Category: Epidemiology Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Increase in Hepatitis A Virus Infections - United States, 2013-2018.
Abstract Hepatitis A virus (HAV) is primarily transmitted fecal-orally after close contact with an infected person (1); it is the most common cause of viral hepatitis worldwide, typically causing acute and self-limited symptoms, although rarely liver failure and death can occur (1). Rates of hepatitis A had declined by approximately 95% during 1996-2011; however, during 2016-2018, CDC received approximately 15,000 reports of HAV infections from U.S. states and territories, indicating a recent increase in transmission (2,3). Since 2017, the vast majority of these reports were related to multiple outbreaks of infect...
Source: MMWR Morb Mortal Wkl... - May 10, 2019 Category: Epidemiology Authors: Foster MA, Hofmeister MG, Kupronis BA, Lin Y, Xia GL, Yin S, Teshale E Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Racial Disparities in Mortality Associated with Systemic Lupus Erythematosus - Fulton and DeKalb Counties, Georgia, 2002-2016.
Abstract Systemic lupus erythematosus (SLE) is a chronic, systemic autoimmune disease with often nonspecific symptoms that can lead to a delay in diagnosis. The disease disproportionately affects women and minorities. Blacks with SLE also have more severe disease and develop it at an earlier age (1). Despite an increase in the 5-year survival rate from 50% in 1955 to approximately 90% in the 2000s, attributed largely to advances in management of SLE (2), premature mortality among SLE patients persists, often as a result of disease severity, infections, and cardiovascular disease. Because existing SLE mortality est...
Source: MMWR Morb Mortal Wkl... - May 10, 2019 Category: Epidemiology Authors: Lim SS, Helmick CG, Bao G, Hootman J, Bayakly R, Gordon C, Drenkard C Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Vital Signs: Pregnancy-Related Deaths, United States, 2011-2015, and Strategies for Prevention, 13 States, 2013-2017.
CONCLUSIONS: Pregnancy-related deaths occurred during pregnancy, around the time of delivery, and up to 1 year postpartum; leading causes varied by timing of death. Approximately three in five pregnancy-related deaths were preventable. IMPLICATIONS FOR PUBLIC HEALTH PRACTICE: Strategies to address contributing factors to pregnancy-related deaths can be enacted at the community, health facility, patient, provider, and system levels. PMID: 31071074 [PubMed - indexed for MEDLINE] (Source: MMWR Morb Mortal Wkl...)
Source: MMWR Morb Mortal Wkl... - May 10, 2019 Category: Epidemiology Authors: Petersen EE, Davis NL, Goodman D, Cox S, Mayes N, Johnston E, Syverson C, Seed K, Shapiro-Mendoza CK, Callaghan WM, Barfield W Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Increase in Measles Cases - United States, January 1-April 26, 2019.
uy PA Abstract As of April 26, 2019, CDC had reported 704 cases of measles in the United States since the beginning of 2019, representing the largest number of cases reported in the country in a single year since 1994, when 963 cases occurred, and since measles was declared eliminated* in 2000 (1,2). Measles is a highly contagious, acute viral illness characterized by fever and a maculopapular rash; complications include pneumonia, encephalitis, and death. Among the 704 cases, 503 (71%) were in unvaccinated persons and 689 (98%) occurred in U.S. residents. Overall, 66 (9%) patients were hospitalized. Thirteen outb...
Source: MMWR Morb Mortal Wkl... - May 3, 2019 Category: Epidemiology Authors: Patel M, Lee AD, Redd SB, Clemmons NS, McNall RJ, Cohn AC, Gastañaduy PA Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Notes from the Field: Outbreak of Multidrug-Resistant Shigella sonnei Infections in a Retirement Community - Vermont, October-November 2018.
PMID: 31048673 [PubMed - in process] (Source: MMWR Morb Mortal Wkl...)
Source: MMWR Morb Mortal Wkl... - May 3, 2019 Category: Epidemiology Authors: Strysko J, Fialkowski V, Marsh Z, Wadhwa A, Collins J, Gharpure R, Kelso P, Friedman CR, Fullerton KE Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Notes from the Field: Live Poultry Shipment Box Sampling at Feed Stores as an Indicator for Human Salmonella Infections - Michigan, 2016-2018.
PMID: 31048674 [PubMed - in process] (Source: MMWR Morb Mortal Wkl...)
Source: MMWR Morb Mortal Wkl... - May 3, 2019 Category: Epidemiology Authors: Sidge JL, Signs K, Bidol S, Jones K, Robeson S, Soehnlen M, Stobierski MG Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Progress Toward Measles Elimination - European Region, 2009-2018.
This report updates a previous report (4) and describes progress toward measles elimination in EUR during 2009-2018. During 2009-2017, estimated regional coverage with the first MCV dose (MCV1) was 93%-95%, and coverage with the second dose (MCV2) increased from 73% to 90%. In 2017, 30 (57%) countries achieved ≥95% MCV1 coverage, and 15 (28%) achieved ≥95% coverage with both doses. During 2009-2018,>16 million persons were vaccinated during SIAs in 13 (24%) countries. Measles incidence declined to 5.8 per 1 million population in 2016, but increased to 89.5 in 2018, because of large outbreaks in several EUR countri...
Source: MMWR Morb Mortal Wkl... - May 3, 2019 Category: Epidemiology Authors: Zimmerman LA, Muscat M, Singh S, Ben Mamou M, Jankovic D, Datta S, Alexander JP, Goodson JL, O'Connor P Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Drug Overdose Deaths Involving Cocaine and Psychostimulants with Abuse Potential - United States, 2003-2017.
Abstract In 2016, a total of 63,632 persons died from drug overdoses in the United States (1). Drug overdose deaths involving cocaine, psychostimulants with abuse potential (psychostimulants), or both substances combined increased 42.4% from 12,122 in 2015 to 17,258 in 2016.* Psychostimulants with abuse potential include drugs such as methamphetamine, 3,4-methylenedioxy-methamphetamine (MDMA), dextroamphetamine, levoamphetamine, methylphenidate (Ritalin), and caffeine. From 2015 to 2016, cocaine-involved and psychostimulant-involved death rates increased 52.4% and 33.3%, respectively (1). A total of 70,237 persons...
Source: MMWR Morb Mortal Wkl... - May 3, 2019 Category: Epidemiology Authors: Kariisa M, Scholl L, Wilson N, Seth P, Hoots B Tags: MMWR Morb Mortal Wkly Rep Source Type: research

QuickStats: Percentage* of Employed Adults Aged ≥18 Years with Any Work-Loss Days Because of Illness or Injury in the Past 12 Months,† by Sex and Age Group - National Health Interview Survey,§ 2017.
QuickStats: Percentage* of Employed Adults Aged ≥18 Years with Any Work-Loss Days Because of Illness or Injury in the Past 12 Months,† by Sex and Age Group - National Health Interview Survey,§ 2017. MMWR Morb Mortal Wkly Rep. 2019 May 03;68(17):409 Authors: PMID: 31048677 [PubMed - in process] (Source: MMWR Morb Mortal Wkl...)
Source: MMWR Morb Mortal Wkl... - May 3, 2019 Category: Epidemiology Tags: MMWR Morb Mortal Wkly Rep Source Type: research

State-Specific Severe Joint Pain and Physical Inactivity Among Adults with Arthritis - United States, 2017.
Abstract An estimated 54.4 million (approximately one in four) U.S. adults have doctor-diagnosed arthritis (arthritis) (1). Severe joint pain and physical inactivity are common among adults with arthritis and are linked to adverse mental and physical health effects and limitations (2,3). CDC analyzed 2017 Behavioral Risk Factor Surveillance System (BRFSS) data to estimate current state-specific prevalence of arthritis and, among adults with arthritis, the prevalences of severe joint pain and physical inactivity. In 2017, the median age-standardized state prevalence of arthritis among adults aged ≥18 years was 2...
Source: MMWR Morb Mortal Wkl... - May 3, 2019 Category: Epidemiology Authors: Guglielmo D, Murphy LB, Boring MA, Theis KA, Helmick CG, Hootman JM, Odom EL, Carlson SA, Liu Y, Lu H, Croft JB Tags: MMWR Morb Mortal Wkly Rep Source Type: research

QuickStats: Percentage* of Adults Aged ≥18 Years Who Felt Worried, Nervous, or Anxious Daily or Weekly,† by Age Group and Employment Status§ - National Health Interview Survey,¶ United States, 2017.
QuickStats: Percentage* of Adults Aged ≥18 Years Who Felt Worried, Nervous, or Anxious Daily or Weekly,† by Age Group and Employment Status§ - National Health Interview Survey,¶ United States, 2017. MMWR Morb Mortal Wkly Rep. 2019 Apr 26;68(16):378 Authors: PMID: 31022161 [PubMed - in process] (Source: MMWR Morb Mortal Wkl...)
Source: MMWR Morb Mortal Wkl... - April 26, 2019 Category: Epidemiology Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Hepatitis C Virus Potentially Transmitted by Opioid Drug Diversion from a Nurse - Washington, August 2017-March 2018.
Abstract During January 22-March 23, 2018, a local health department in Washington was notified of two patients who received a diagnosis of acute hepatitis C virus (HCV) infection. Neither patient had behavioral risk factors associated with HCV acquisition; however, both had received injectable narcotic (opioid) drugs from the same nurse during separate visits to an emergency department (ED) at a local hospital on December 6 and December 16, 2017. Investigation revealed that the nurse had accessed the automated drug dispensing system at a higher frequency than had other staff members, admitted diverting* patients'...
Source: MMWR Morb Mortal Wkl... - April 26, 2019 Category: Epidemiology Authors: Njuguna HN, Stinson D, Montgomery P, Turner N, D'Angeli M, Carr J, Podczervinski S, Wasserman C, Ramachandran S, Lucas T, Bixler D, Perkins K, Benowitz I, Moorman A Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Erratum: Vol. 67, No. 33.
Authors: PMID: 31022163 [PubMed - in process] (Source: MMWR Morb Mortal Wkl...)
Source: MMWR Morb Mortal Wkl... - April 26, 2019 Category: Epidemiology Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Consumption of Alcohol Beverages and Binge Drinking Among Pregnant Women Aged 18-44 Years - United States, 2015-2017.
Abstract Drinking alcohol during pregnancy can cause fetal alcohol spectrum disorders (FASDs), including birth defects that involve central nervous system impairment, behavioral disorders, and impaired intellectual development, which can lead to difficulties with school and employment. A recent study in four U.S. communities found a 1.1%-5.0% prevalence of FASDs among first-grade students (1). Drinking during pregnancy might also be a risk factor for other adverse pregnancy and birth outcomes, including miscarriage and stillbirth (2). CDC estimated the prevalence of self-reported current drinking (at least one alc...
Source: MMWR Morb Mortal Wkl... - April 26, 2019 Category: Epidemiology Authors: Denny CH, Acero CS, Naimi TS, Kim SY Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Preliminary Incidence and Trends of Infections with Pathogens Transmitted Commonly Through Food - Foodborne Diseases Active Surveillance Network, 10 U.S. Sites, 2015-2018.
This report summarizes preliminary 2018 data and changes since 2015. During 2018, FoodNet identified 25,606 infections, 5,893 hospitalizations, and 120 deaths. The incidence of most infections is increasing, including those caused by Campylobacter and Salmonella, which might be partially attributable to the increased use of culture-independent diagnostic tests (CIDTs). The incidence of Cyclospora infections increased markedly compared with 2015-2017, in part related to large outbreaks associated with produce (1). More targeted prevention measures are needed on produce farms, food animal farms, and in meat and poultry proce...
Source: MMWR Morb Mortal Wkl... - April 26, 2019 Category: Epidemiology Authors: Tack DM, Marder EP, Griffin PM, Cieslak PR, Dunn J, Hurd S, Scallan E, Lathrop S, Muse A, Ryan P, Smith K, Tobin-D'Angelo M, Vugia DJ, Holt KG, Wolpert BJ, Tauxe R, Geissler AL Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Prevalence of Violence Victimization and Perpetration Among Persons Aged 13-24 Years - Four Sub-Saharan African Countries, 2013-2015.
Abstract Violence is a major public health and human rights concern, claiming over 1.3 million lives globally each year (1). Despite the scope of this problem, population-based data on physical and sexual violence perpetration are scarce, particularly in low-income and middle-income countries (2,3). To better understand factors driving both children becoming victims of physical or sexual violence and subsequently (as adults) becoming perpetrators, CDC collaborated with four countries in sub-Saharan Africa (Malawi, Nigeria, Uganda, and Zambia) to conduct national household surveys of persons aged 13-24 years to mea...
Source: MMWR Morb Mortal Wkl... - April 19, 2019 Category: Epidemiology Authors: Swedo EA, Sumner SA, Hillis SD, Aluzimbi G, Apondi R, Atuchukwu VO, Auld AF, Chipimo PJ, Conkling M, Egbe OE, Kalanda MSH, Mapoma CC, Phiri E, Wasula LN, Massetti GM Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Erratum: Vol. 68, No. 12.
Authors: PMID: 30998667 [PubMed - in process] (Source: MMWR Morb Mortal Wkl...)
Source: MMWR Morb Mortal Wkl... - April 19, 2019 Category: Epidemiology Tags: MMWR Morb Mortal Wkly Rep Source Type: research

QuickStats: Age-Adjusted Percentages* of Adults Aged ≥18 Years Who Were Told in the Past 12 Months by a Doctor or Health Professional That They Had Sinusitis,† by Sex, Race, and Hispanic Origin§ - National Health Interview Survey, 2017¶.
QuickStats: Age-Adjusted Percentages* of Adults Aged ≥18 Years Who Were Told in the Past 12 Months by a Doctor or Health Professional That They Had Sinusitis,† by Sex, Race, and Hispanic Origin§ - National Health Interview Survey, 2017¶. MMWR Morb Mortal Wkly Rep. 2019 Apr 19;68(15):361 Authors: PMID: 30998668 [PubMed - in process] (Source: MMWR Morb Mortal Wkl...)
Source: MMWR Morb Mortal Wkl... - April 19, 2019 Category: Epidemiology Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Notes from the Field: Six Cases of Acute Flaccid Myelitis in Children - Minnesota, 2018.
PMID: 30998669 [PubMed - in process] (Source: MMWR Morb Mortal Wkl...)
Source: MMWR Morb Mortal Wkl... - April 19, 2019 Category: Epidemiology Authors: Moline H, Kalaskar A, Pomputius WF, Lopez A, Routh J, Kenyon C, Griffith J Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Notes from the Field: Identification of a Triatoma sanguisuga "Kissing Bug" - Delaware, 2018.
Notes from the Field: Identification of a Triatoma sanguisuga "Kissing Bug" - Delaware, 2018. MMWR Morb Mortal Wkly Rep. 2019 Apr 19;68(15):359 Authors: Eggers P, Offutt-Powell TN, Lopez K, Montgomery SP, Lawrence GG PMID: 30998670 [PubMed - in process] (Source: MMWR Morb Mortal Wkl...)
Source: MMWR Morb Mortal Wkl... - April 19, 2019 Category: Epidemiology Authors: Eggers P, Offutt-Powell TN, Lopez K, Montgomery SP, Lawrence GG Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Outbreak of Human Immunodeficiency Virus Infection Among Heterosexual Persons Who Are Living Homeless and Inject Drugs - Seattle, Washington, 2018.
Abstract Although diagnoses of human immunodeficiency virus (HIV) infection among persons who inject drugs in the United States are declining, an HIV outbreak among such persons in rural Indiana demonstrated that population's vulnerability to HIV infection (1). In August 2018, Public Health-Seattle and King County (PHSKC) identified a cluster of cases of HIV infection among persons living homeless, most of whom injected drugs. Investigation identified 14 related cases diagnosed from February to mid-November 2018 among women who inject drugs and men who have sex with women (MSW) who inject drugs and their sex partn...
Source: MMWR Morb Mortal Wkl... - April 19, 2019 Category: Epidemiology Authors: Golden MR, Lechtenberg R, Glick SN, Dombrowski J, Duchin J, Reuer JR, Dhanireddy S, Neme S, Buskin SE Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Estimated Number of Cases of High-Grade Cervical Lesions Diagnosed Among Women - United States, 2008 and 2016.
Abstract Human papillomavirus (HPV) causes approximately 30,000 cancers in the United States annually (1). HPV vaccination was introduced in 2006 to prevent HPV-associated cancers and diseases (1). Cervical cancer is the most common HPV-associated cancer in women (1). Whereas HPV-associated cancers typically take decades to develop, screen-detected high-grade cervical lesions (cervical intraepithelial neoplasia grades 2 [CIN2], 3 [CIN3], and adenocarcinoma in situ, collectively CIN2+) develop within a few years after infection and have been used to monitor HPV vaccine impact (1-3). CDC analyzed data from the Human...
Source: MMWR Morb Mortal Wkl... - April 19, 2019 Category: Epidemiology Authors: McClung NM, Gargano JW, Park IU, Whitney E, Abdullah N, Ehlers S, Bennett NM, Scahill M, Niccolai LM, Brackney M, Griffin MR, Pemmaraju M, Querec TD, Cleveland AA, Unger ER, Markowitz LE, HPV-IMPACT Working Group Tags: MMWR Morb Mortal Wkly Rep Source Type: research