Cancer and Heart Disease Death Rates,*, † Among Men and Women Aged 45-64 Years - United States, 1999-2018.
Cancer and Heart Disease Death Rates,*,† Among Men and Women Aged 45-64 Years - United States, 1999-2018. MMWR Morb Mortal Wkly Rep. 2020 May 29;69(21):658 Authors: PMID: 32463806 [PubMed - as supplied by publisher] (Source: MMWR Morb Mortal Wkl...)
Source: MMWR Morb Mortal Wkl... - May 29, 2020 Category: Epidemiology Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Prevalence of and Changes in Tooth Loss Among Adults Aged ≥50 Years with Selected Chronic Conditions - United States, 1999-2004 and 2011-2016.
Prevalence of and Changes in Tooth Loss Among Adults Aged ≥50 Years with Selected Chronic Conditions - United States, 1999-2004 and 2011-2016. MMWR Morb Mortal Wkly Rep. 2020 May 29;69(21):641-646 Authors: Parker ML, Thornton-Evans G, Wei L, Griffin SO Abstract Extensive tooth loss can lead to poor diet resulting in weight loss or obesity (1). It can also detract from physical appearance and impede speech, factors that can restrict social contact, inhibit intimacy, and lower self-esteem (1). Chronic medical conditions and oral conditions share common risk factors (2). Persons with chronic condition...
Source: MMWR Morb Mortal Wkl... - May 29, 2020 Category: Epidemiology Authors: Parker ML, Thornton-Evans G, Wei L, Griffin SO Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Notes from the Field: Impact of a Mass Drug Administration Campaign Using a Novel Three-Drug Regimen on Lymphatic Filariasis Antigenemia - American Samoa, 2019.
PMID: 32463808 [PubMed - as supplied by publisher] (Source: MMWR Morb Mortal Wkl...)
Source: MMWR Morb Mortal Wkl... - May 29, 2020 Category: Epidemiology Authors: Hast MA, Tufa A, Brant TA, Suiaunoa-Scanlan L, Camacho J, Vaifanua-Leo J, Robinson K, Dodd E, Sili B, Lees LS, Won KY, Utu F Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Universal and Serial Laboratory Testing for SARS-CoV-2 at a Long-Term Care Skilled Nursing Facility for Veterans - Los Angeles, California, 2020.
This report describes an outbreak of COVID-19 in an SNF, with case identification accomplished by implementing several rounds of RT-PCR testing, permitting rapid isolation of both symptomatic and asymptomatic residents with COVID-19. The outbreak was successfully contained following implementation of this strategy. PMID: 32463809 [PubMed - as supplied by publisher] (Source: MMWR Morb Mortal Wkl...)
Source: MMWR Morb Mortal Wkl... - May 29, 2020 Category: Epidemiology Authors: Dora AV, Winnett A, Jatt LP, Davar K, Watanabe M, Sohn L, Kern HS, Graber CJ, Goetz MB Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Evaluation of a Program to Improve Linkage to and Retention in Care Among Refugees with Hepatitis B Virus Infection - Three U.S. Cities, 2006-2018.
Abstract An estimated 257 million persons worldwide have chronic hepatitis B virus (HBV) infection (1). CDC recommends HBV testing for persons from countries with intermediate to high HBV prevalence (≥2%), including newly arriving refugees (2). Complications of chronic HBV infection include liver cirrhosis and hepatocellular carcinoma, which develop in 15%-25% of untreated adults infected in infancy or childhood (3). HBV-infected patients require regular monitoring for both infection and sequelae. Several studies have evaluated initial linkage to HBV care for both refugee and nonrefugee immigrant populations (4...
Source: MMWR Morb Mortal Wkl... - May 29, 2020 Category: Epidemiology Authors: Young J, Payton C, Walker P, White D, Brandeland M, Kumar GS, Jentes ES, Settgast A, DeSilva M Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Outbreak of Norovirus Illness Among Wildfire Evacuation Shelter Populations - Butte and Glenn Counties, California, November 2018.
a D, Lewis L Abstract The Camp Fire, California's deadliest wildfire, began November 8, 2018, and was extinguished November 25 (1). Approximately 1,100 evacuees from the fire sought emergency shelter. On November 10, acute gastroenteritis (AGE) was reported in two evacuation shelters; norovirus illness was suspected, because it is commonly detected in shelter-associated AGE outbreaks. Norovirus is highly contagious and resistant to several disinfectants. Butte County Public Health Department (BCPHD), assisted by the California Department of Public Health (CDPH), initiated active surveillance to identify cases, con...
Source: MMWR Morb Mortal Wkl... - May 22, 2020 Category: Epidemiology Authors: Karmarkar E, Jain S, Higa J, Fontenot J, Bertolucci R, Huynh T, Hammer G, Brodkin A, Thao M, Brousseau B, Hopkins D, Kelly E, Sheffield M, Henley S, Whittaker H, Herrick RL, Pan CY, Chen A, Kim J, Schaumleffel L, Khwaja Z, Epson E, Chai SJ, Wadford D, Vug Tags: MMWR Morb Mortal Wkly Rep Source Type: research

High COVID-19 Attack Rate Among Attendees at Events at a Church - Arkansas, March 2020.
Abstract On March 16, 2020, the day that national social distancing guidelines were released (1), the Arkansas Department of Health (ADH) was notified of two cases of coronavirus disease 2019 (COVID-19) from a rural county of approximately 25,000 persons; these cases were the first identified in this county. The two cases occurred in a husband and wife; the husband is the pastor at a local church (church A). The couple (the index cases) attended church-related events during March 6-8, and developed nonspecific respiratory symptoms and fever on March 10 (wife) and 11 (husband). Before his symptoms had developed, th...
Source: MMWR Morb Mortal Wkl... - May 22, 2020 Category: Epidemiology Authors: James A, Eagle L, Phillips C, Hedges DS, Bodenhamer C, Brown R, Wheeler JG, Kirking H Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Notes from the Field: Assessing the Role of Food Handlers in Hepatitis A Virus Transmission - Multiple States, 2016-2019.
PMID: 32437339 [PubMed - in process] (Source: MMWR Morb Mortal Wkl...)
Source: MMWR Morb Mortal Wkl... - May 22, 2020 Category: Epidemiology Authors: Hofmeister MG, Foster MA, Montgomery MP, Gupta N Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Decline in Child Vaccination Coverage During the COVID-19 Pandemic - Michigan Care Improvement Registry, May 2016-May 2020.
Abstract On March 13, 2020, the United States declared a national state of emergency to control the pandemic spread of SARS-CoV-2, the virus that causes coronavirus disease 2019 (COVID-19) (1). Public health response measures to mitigate the pandemic have centered on social distancing and quarantine policies, including shelter-in-place and stay-at-home orders. Michigan implemented a stay-at-home order on March 23, 2020, to facilitate social distancing (2). Such strategies might result in decreased accessibility to routine immunization services, leaving children at risk for vaccine-preventable diseases and their co...
Source: MMWR Morb Mortal Wkl... - May 22, 2020 Category: Epidemiology Authors: Bramer CA, Kimmins LM, Swanson R, Kuo J, Vranesich P, Jacques-Carroll LA, Shen AK Tags: MMWR Morb Mortal Wkly Rep Source Type: research

QuickStats: Percentage* of Adults Aged ≥18 Years with Disability,† by Diagnosed Diabetes Status§ and Age Group - National Health Interview Survey,¶ United States, 2018.
QuickStats: Percentage* of Adults Aged ≥18 Years with Disability,† by Diagnosed Diabetes Status§ and Age Group - National Health Interview Survey,¶ United States, 2018. MMWR Morb Mortal Wkly Rep. 2020 May 22;69(20):638 Authors: PMID: 32437341 [PubMed - in process] (Source: MMWR Morb Mortal Wkl...)
Source: MMWR Morb Mortal Wkl... - May 22, 2020 Category: Epidemiology Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Surveillance to Track Progress Toward Polio Eradication - Worldwide, 2018-2019.
Abstract Since the Global Polio Eradication Initiative (GPEI) was launched in 1988, the number of polio cases worldwide has declined approximately 99.99%; only two countries (Afghanistan and Pakistan) have never interrupted wild poliovirus (WPV) transmission (1). The primary means of detecting poliovirus circulation is through surveillance for acute flaccid paralysis (AFP) among children aged
Source: MMWR Morb Mortal Wkl... - May 22, 2020 Category: Epidemiology Authors: Lickness JS, Gardner T, Diop OM, Chavan S, Jorba J, Ahmed J, Gumede N, Johnson T, Butt O, Asghar H, Saxentoff E, Grabovac V, Avagyan T, Joshi S, Rey-Benito G, Iber J, Henderson E, Wassilak SGF, Anand A Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Update on Extensively Drug-Resistant Salmonella Serotype Typhi Infections Among Travelers to or from Pakistan and Report of Ceftriaxone-Resistant Salmonella Serotype Typhi Infections Among Travelers to Iraq - United States, 2018-2019.
This report provides an update on U.S. cases of XDR typhoid fever linked to Pakistan and describes a new, unrelated cluster of ceftriaxone-resistant Typhi infections linked to Iraq. Travelers to areas with endemic Typhi should receive typhoid vaccination before traveling and adhere to safe food and water precautions (4). Treatment of patients with typhoid fever should be guided by antimicrobial susceptibility testing whenever possible (5), and clinicians should consider travel history when selecting empiric therapy. PMID: 32437343 [PubMed - indexed for MEDLINE] (Source: MMWR Morb Mortal Wkl...)
Source: MMWR Morb Mortal Wkl... - May 22, 2020 Category: Epidemiology Authors: François Watkins LK, Winstead A, Appiah GD, Friedman CR, Medalla F, Hughes MJ, Birhane MG, Schneider ZD, Marcenac P, Hanna SS, Godbole G, Walblay KA, Wiggington AE, Leeper M, Meservey EH, Tagg KA, Chen JC, Abubakar A, Lami F, Asaad AM, Sabaratnam V, Ikra Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Effects of the COVID-19 Pandemic on Routine Pediatric Vaccine Ordering and Administration - United States, 2020.
Abstract On March 13, 2020, the president of the United States declared a national emergency in response to the coronavirus disease 2019 (COVID-19) pandemic (1). With reports of laboratory-confirmed cases in all 50 states by that time (2), disruptions were anticipated in the U.S. health care system's ability to continue providing routine preventive and other nonemergency care. In addition, many states and localities issued shelter-in-place or stay-at-home orders to reduce the spread of COVID-19, limiting movement outside the home to essential activities (3). On March 24, CDC posted guidance emphasizing the importa...
Source: MMWR Morb Mortal Wkl... - May 15, 2020 Category: Epidemiology Authors: Santoli JM, Lindley MC, DeSilva MB, Kharbanda EO, Daley MF, Galloway L, Gee J, Glover M, Herring B, Kang Y, Lucas P, Noblit C, Tropper J, Vogt T, Weintraub E Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Identification and Monitoring of International Travelers During the Initial Phase of an Outbreak of COVID-19 - California, February 3-March 17, 2020.
Abstract The threat of introduction of coronavirus disease 2019 (COVID-19) into the United States with the potential for community transmission prompted U.S. federal officials in February 2020 to screen travelers from China, and later Iran, and collect and transmit their demographic and contact information to states for follow-up. During February 5-March 17, 2020, the California Department of Public Health (CDPH) received and transmitted contact information for 11,574 international travelers to 51 of 61 local health jurisdictions at a cost of 1,694 hours of CDPH personnel time. If resources permitted, local health...
Source: MMWR Morb Mortal Wkl... - May 15, 2020 Category: Epidemiology Authors: Myers JF, Snyder RE, Porse CC, Tecle S, Lowenthal P, Danforth ME, Powers E, Kamali A, Jain S, Fritz CL, Chai SJ, Traveler Monitoring Team Tags: MMWR Morb Mortal Wkly Rep Source Type: research

COVID-19 in Correctional and Detention Facilities - United States, February-April 2020.
onahue M, Hesham S, Shelley E, Philips G, Selvage D, Staley EM, Lee A, Mannell M, McCotter O, Villalobos R, Bell L, Diedhiou A, Ortbahn D, Clayton JL, Sanders K, Cranford H, Barbeau B, McCombs KG, Holsinger C, Kwit NA, Pringle JC, Kariko S, Strick L, Allord M, Tillman C, Morrison A, Rowe D, Marlow M Abstract An estimated 2.1 million U.S. adults are housed within approximately 5,000 correctional and detention facilities† on any given day (1). Many facilities face significant challenges in controlling the spread of highly infectious pathogens such as SARS-CoV-2, the virus that causes coronavirus disease 2019 ...
Source: MMWR Morb Mortal Wkl... - May 15, 2020 Category: Epidemiology Authors: Wallace M, Hagan L, Curran KG, Williams SP, Handanagic S, Bjork A, Davidson SL, Lawrence RT, McLaughlin J, Butterfield M, James AE, Patil N, Lucas K, Hutchinson J, Sosa L, Jara A, Griffin P, Simonson S, Brown CM, Smoyer S, Weinberg M, Pattee B, Howell M, Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Public Health Response to COVID-19 Cases in Correctional and Detention Facilities - Louisiana, March-April 2020.
This report describes COVID-19 prevalence in correctional and detention facilities detected through surveillance and findings of the CMAR assessment. During March 25-April 22, 489 laboratory-confirmed COVID-19 cases, including 37 (7.6%) hospitalizations and 10 (2.0%) deaths among incarcerated or detained persons, and 253 cases, including 19 (7.5%) hospitalizations and four (1.6%) deaths among staff members were reported. During April 8-22, CMAR telephone-based assessments were conducted with 13 of 31 (42%) facilities with laboratory-confirmed cases and 11 of 113 (10%) facilities without known cases. Administrators had awar...
Source: MMWR Morb Mortal Wkl... - May 15, 2020 Category: Epidemiology Authors: Wallace M, Marlow M, Simonson S, Walker M, Christophe N, Dominguez O, Kleamenakis L, Orellana A, Pagan-Pena D, Singh C, Pogue M, Saucier L, Lo T, Benson K, Sokol T Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Vital Signs: Postpartum Depressive Symptoms and Provider Discussions About Perinatal Depression - United States, 2018.
CONCLUSIONS AND IMPLICATIONS FOR PUBLIC HEALTH PRACTICE: The prevalence of self-reported PDS varied by site and maternal and infant characteristics. Whether providers asked women about perinatal depression was not consistent across sites. Provision of recommended screenings and appropriate referrals for diagnosis, treatment, and follow-up care can ensure early and effective management of depression to reduce adverse maternal and infant outcomes. PMID: 32407302 [PubMed - indexed for MEDLINE] (Source: MMWR Morb Mortal Wkl...)
Source: MMWR Morb Mortal Wkl... - May 15, 2020 Category: Epidemiology Authors: Bauman BL, Ko JY, Cox S, D'Angelo Mph DV, Warner L, Folger S, Tevendale HD, Coy KC, Harrison L, Barfield WD Tags: MMWR Morb Mortal Wkly Rep Source Type: research

High SARS-CoV-2 Attack Rate Following Exposure at a Choir Practice - Skagit County, Washington, March 2020.
Abstract On March 17, 2020, a member of a Skagit County, Washington, choir informed Skagit County Public Health (SCPH) that several members of the 122-member choir had become ill. Three persons, two from Skagit County and one from another area, had test results positive for SARS-CoV-2, the virus that causes coronavirus disease 2019 (COVID-19). Another 25 persons had compatible symptoms. SCPH obtained the choir's member list and began an investigation on March 18. Among 61 persons who attended a March 10 choir practice at which one person was known to be symptomatic, 53 cases were identified, including 33 confirmed...
Source: MMWR Morb Mortal Wkl... - May 15, 2020 Category: Epidemiology Authors: Hamner L, Dubbel P, Capron I, Ross A, Jordan A, Lee J, Lynn J, Ball A, Narwal S, Russell S, Patrick D, Leibrand H Tags: MMWR Morb Mortal Wkly Rep Source Type: research

QuickStats: Percentage of Deaths,* by Place of Death † - National Vital Statistics System, United States, 2000-2018.
QuickStats: Percentage of Deaths,* by Place of Death† - National Vital Statistics System, United States, 2000-2018. MMWR Morb Mortal Wkly Rep. 2020 May 15;69(19):611 Authors: PMID: 32407304 [PubMed - in process] (Source: MMWR Morb Mortal Wkl...)
Source: MMWR Morb Mortal Wkl... - May 15, 2020 Category: Epidemiology Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Survival and HIV-Free Survival Among Children Aged ≤3 Years - Eight Sub-Saharan African Countries, 2015-2017.
Survival and HIV-Free Survival Among Children Aged ≤3 Years - Eight Sub-Saharan African Countries, 2015-2017. MMWR Morb Mortal Wkly Rep. 2020 May 15;69(19):582-586 Authors: Jonnalagadda S, Yuengling K, Abrams E, Stupp P, Voetsch A, Patel M, Minisi Z, Eliya M, Hamunime N, Rwebembera A, Kirungi W, Mulenga L, Mushavi A, Ryan C, Ts'oeu M, Kim E, Dziuban EJ, Hageman K, Galbraith J, Mweebo K, Mwila A, Gonese E, Patel H, Modi S, Saito S Abstract Although mother-to-child transmission (MTCT) of human immunodeficiency virus (HIV) is preventable through antiretroviral treatment (ART) during pregnancy and post...
Source: MMWR Morb Mortal Wkl... - May 15, 2020 Category: Epidemiology Authors: Jonnalagadda S, Yuengling K, Abrams E, Stupp P, Voetsch A, Patel M, Minisi Z, Eliya M, Hamunime N, Rwebembera A, Kirungi W, Mulenga L, Mushavi A, Ryan C, Ts'oeu M, Kim E, Dziuban EJ, Hageman K, Galbraith J, Mweebo K, Mwila A, Gonese E, Patel H, Modi S, Sa Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Preliminary Estimate of Excess Mortality During the COVID-19 Outbreak - New York City, March 11-May 2, 2020.
The objective of this report is to provide an estimate of all-cause excess deaths that have occurred in NYC in the setting of widespread community transmission of SARS-CoV-2. Excess deaths refer to the number of deaths above expected seasonal baseline levels, regardless of the reported cause of death. Estimation of all-cause excess deaths is used as a nonspecific measure of the severity or impact of pandemics (4) and public health emergencies (5). Reporting of excess deaths might provide a more accurate measure of the impact of the pandemic. PMID: 32407306 [PubMed - indexed for MEDLINE] (Source: MMWR Morb Mortal Wkl...)
Source: MMWR Morb Mortal Wkl... - May 15, 2020 Category: Epidemiology Authors: New York City Department of Health and Mental Hygiene (DOHMH) COVID-19 Response Team Tags: MMWR Morb Mortal Wkly Rep Source Type: research

High Prevalence of Hepatitis C Infection Among Adult Patients at Four Urban Emergency Departments - Birmingham, Oakland, Baltimore, and Boston, 2015-2017.
Abstract Identifying persons with hepatitis C virus (HCV) infection has become an urgent public health challenge because of increasing HCV-related morbidity and mortality, low rates of awareness among infected persons, and the advent of curative therapies (1). Since 2012, CDC has recommended testing of all persons born during 1945-1965 (baby boomers) for identification of chronic HCV infection (1); urban emergency departments (EDs) are well positioned venues for detecting HCV infection among these persons. The United States has witnessed an unprecedented opioid overdose epidemic since 2013 that derives primarily f...
Source: MMWR Morb Mortal Wkl... - May 15, 2020 Category: Epidemiology Authors: Galbraith JW, Anderson ES, Hsieh YH, Franco RA, Donnelly JP, Rodgers JB, Schechter-Perkins EM, Thompson WW, Nelson NP, Rothman RE, White DAE Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Improving Detection and Response to Respiratory Events - Kenya, April 2016-April 2020.
Abstract Respiratory pathogens, such as novel influenza A viruses, Middle East respiratory syndrome coronavirus (MERS-CoV), and now, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), are of particular concern because of their high transmissibility and history of global spread (1). Clusters of severe respiratory disease are challenging to investigate, especially in resource-limited settings, and disease etiology often is not well understood. In 2014, endorsed by the Group of Seven (G7),* the Global Health Security Agenda (GHSA) was established to help build country capacity to prevent, detect, and respo...
Source: MMWR Morb Mortal Wkl... - May 8, 2020 Category: Epidemiology Authors: Idubor OI, Kobayashi M, Ndegwa L, Okeyo M, Galgalo T, Kalani R, Githii S, Hunsperger E, Balajee A, Verani JR, da Gloria Carvalho M, Winchell J, Van Beneden CA, Widdowson MA, Makayotto L, Chaves SS Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Prevalence of Self-Reported Hypertension and Antihypertensive Medication Use by County and Rural-Urban Classification - United States, 2017.
Abstract In 2017, approximately one in three U.S. adults reported having been told by a health care professional that they had high blood pressure (hypertension) (1). Although hypertension prevalence is well documented at national and state levels, less is known about rural-urban variation and county-level prevalence. To examine prevalence of self-reported hypertension and antihypertensive medication use by rural-urban classification and county, CDC analyzed data reported by 442,641 adults aged ≥18 years who participated in the 2017 Behavioral Risk Factor Surveillance System (BRFSS). In rural (noncore) areas, 4...
Source: MMWR Morb Mortal Wkl... - May 8, 2020 Category: Epidemiology Authors: Samanic CM, Barbour KE, Liu Y, Wang Y, Fang J, Lu H, Schieb L, Greenlund KJ Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Characteristics and Clinical Outcomes of Adult Patients Hospitalized with COVID-19 - Georgia, March 2020.
J, Blum JM, Jansen R, Wright DW, Sewell WM, Owens JD, Lefkove B, Brown FW, Burton DC, Uyeki TM, Bialek SR, Jackson BR Abstract SARS-CoV-2, the novel coronavirus that causes coronavirus disease 2019 (COVID-19), was first detected in the United States during January 2020 (1). Since then,>980,000 cases have been reported in the United States, including>55,000 associated deaths as of April 28, 2020 (2). Detailed data on demographic characteristics, underlying medical conditions, and clinical outcomes for persons hospitalized with COVID-19 are needed to inform prevention strategies and community-specific interven...
Source: MMWR Morb Mortal Wkl... - May 8, 2020 Category: Epidemiology Authors: Gold JAW, Wong KK, Szablewski CM, Patel PR, Rossow J, da Silva J, Natarajan P, Morris SB, Fanfair RN, Rogers-Brown J, Bruce BB, Browning SD, Hernandez-Romieu AC, Furukawa NW, Kang M, Evans ME, Oosmanally N, Tobin-D'Angelo M, Drenzek C, Murphy DJ, Hollberg Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Notes from the Field: Large Measles Outbreak in Orthodox Jewish Communities - Jerusalem District, Israel, 2018-2019.
PMID: 32379730 [PubMed - in process] (Source: MMWR Morb Mortal Wkl...)
Source: MMWR Morb Mortal Wkl... - May 8, 2020 Category: Epidemiology Authors: Stein-Zamir C, Abramson N, Shoob H Tags: MMWR Morb Mortal Wkly Rep Source Type: research

COVID-19 Among Workers in Meat and Poultry Processing Facilities - 19 States, April 2020.
RK, House J, Jervis R, Clayton JL, Ortbahn D, Austin C, Berl E, Moore Z, Buss BF, Stover D, Westergaard R, Pray I, DeBolt M, Person A, Gabel J, Kittle TS, Hendren P, Rhea C, Holsinger C, Dunn J, Turabelidze G, Ahmed FS, deFijter S, Pedati CS, Rattay K, Smith EE, Luna-Pinto C, Cooley LA, Saydah S, Preacely ND, Maddox RA, Lundeen E, Goodwin B, Karpathy SE, Griffing S, Jenkins MM, Lowry G, Schwarz RD, Yoder J, Peacock G, Walke HT, Rose DA, Honein MA Abstract Congregate work and residential locations are at increased risk for infectious disease transmission including respiratory illness outbreaks. SARS-CoV-2, the viru...
Source: MMWR Morb Mortal Wkl... - May 8, 2020 Category: Epidemiology Authors: Dyal JW, Grant MP, Broadwater K, Bjork A, Waltenburg MA, Gibbins JD, Hale C, Silver M, Fischer M, Steinberg J, Basler CA, Jacobs JR, Kennedy ED, Tomasi S, Trout D, Hornsby-Myers J, Oussayef NL, Delaney LJ, Patel K, Shetty V, Kline KE, Schroeder B, Herlihy Tags: MMWR Morb Mortal Wkly Rep Source Type: research

QuickStats: Age-Adjusted Percentage* of Adults Aged ≥18 Years Who Have Difficulty Seeing Even When Wearing Glasses,† by Poverty Status§ - National Health Interview Survey, United States, 2018¶.
QuickStats: Age-Adjusted Percentage* of Adults Aged ≥18 Years Who Have Difficulty Seeing Even When Wearing Glasses,† by Poverty Status§ - National Health Interview Survey, United States, 2018¶. MMWR Morb Mortal Wkly Rep. 2020 May 08;69(18):564 Authors: PMID: 32379732 [PubMed - in process] (Source: MMWR Morb Mortal Wkl...)
Source: MMWR Morb Mortal Wkl... - May 8, 2020 Category: Epidemiology Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Public Health Response to the Initiation and Spread of Pandemic COVID-19 in the United States, February 24-April 21, 2020.
Abstract From January 21 through February 23, 2020, a total of 14 cases of coronavirus disease 2019 (COVID-19) were diagnosed in six U.S. states, including 12 cases in travelers arriving from China and two in household contacts of persons with confirmed infections. An additional 39 cases were identified in persons repatriated from affected areas outside the United States (1). Starting in late February, reports of cases with no recent travel to affected areas or links to known cases signaled the initiation of pandemic spread in the United States (2). By mid-March, transmission of SARS-CoV-2, the virus that causes C...
Source: MMWR Morb Mortal Wkl... - May 8, 2020 Category: Epidemiology Authors: Schuchat A, CDC COVID-19 Response Team Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Notes from the Field: Cholera Outbreak - Zimbabwe, September 2018-March 2019.
PMID: 32352952 [PubMed] (Source: MMWR Morb Mortal Wkl...)
Source: MMWR Morb Mortal Wkl... - May 1, 2020 Category: Epidemiology Authors: Winstead A, Strysko J, Relan P, Conners EE, Martinsen AL, Lopez V, Arons M, Masunda KPE, Mukeredzi I, Manyara J, Duri C, Mashe T, Phiri I, Poncin M, Sreenivasan N, Aubert RD, Fuller L, Balachandra S, Mintz E, Manangazira P Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Progress Toward Maternal and Neonatal Tetanus Elimination - Worldwide, 2000-2018.
This report summarizes progress toward achieving MNT elimination during 2000-2018. Coverage with ≥2 doses of TTCV (2 doses of tetanus toxoid [TT2+] or 2 doses of tetanus-diphtheria toxoid [Td2+]) among women of reproductive age increased by 16%, from 62% in 2000 to 72% in 2018. By December 2018, 52 (88%) of 59 priority countries had conducted TTCV SIAs, vaccinating 154 million (77%) of 201 million targeted women of reproductive age with TT2+/Td2+. Globally, the percentage of deliveries assisted by SBAs increased from 62% during 2000-2005 to 81% during 2013-2018, and estimated neonatal tetanus deaths decreased by 85%, fr...
Source: MMWR Morb Mortal Wkl... - May 1, 2020 Category: Epidemiology Authors: Njuguna HN, Yusuf N, Raza AA, Ahmed B, Tohme RA Tags: MMWR Morb Mortal Wkly Rep Source Type: research

COVID-19 Outbreak Among Three Affiliated Homeless Service Sites - King County, Washington, 2020.
Abstract On March 30, 2020, Public Health - Seattle and King County (PHSKC) was notified of a confirmed case of coronavirus disease 2019 (COVID-19) in a resident of a homeless shelter and day center (shelter A). Residents from two other homeless shelters (B and C) used shelter A's day center services. Testing for SARS-CoV-2, the virus that causes COVID-19, was offered to available residents and staff members at the three shelters during March 30-April 1, 2020. Among the 181 persons tested, 19 (10.5%) had positive test results (15 residents and four staff members). On April 1, PHSKC and CDC collaborated to conduct ...
Source: MMWR Morb Mortal Wkl... - May 1, 2020 Category: Epidemiology Authors: Tobolowsky FA, Gonzales E, Self JL, Rao CY, Keating R, Marx GE, McMichael TM, Lukoff MD, Duchin JS, Huster K, Rauch J, McLendon H, Hanson M, Nichols D, Pogosjans S, Fagalde M, Lenahan J, Maier E, Whitney H, Sugg N, Chu H, Rogers J, Mosites E, Kay M 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, 2016-2019.
This report summarizes preliminary 2019 data and describes changes in incidence compared with that during 2016-2018. The incidence of enteric infections caused by these eight pathogens reported by FoodNet sites in 2019 continued to increase or remained unchanged, indicating progress in controlling major foodborne pathogens in the United States has stalled. Campylobacter and Salmonella caused the largest proportion of illnesses; trends in incidence varied by Salmonella serotype. Widespread adoption of whole genome sequencing (WGS) of bacteria has improved the ability to identify outbreaks, emerging strains, and sources of p...
Source: MMWR Morb Mortal Wkl... - May 1, 2020 Category: Epidemiology Authors: Tack DM, Ray L, Griffin PM, Cieslak PR, Dunn J, Rissman T, Jervis R, Lathrop S, Muse A, Duwell M, Smith K, Tobin-D'Angelo M, Vugia DJ, Zablotsky Kufel J, Wolpert BJ, Tauxe R, Payne DC Tags: MMWR Morb Mortal Wkly Rep Source Type: research

QuickStats: Age-Adjusted Suicide Rates,*, † by State - National Vital Statistics System, United States, 2018.
QuickStats: Age-Adjusted Suicide Rates,*,† by State - National Vital Statistics System, United States, 2018. MMWR Morb Mortal Wkly Rep. 2020 May 01;69(17):529 Authors: PMID: 32352956 [PubMed - in process] (Source: MMWR Morb Mortal Wkl...)
Source: MMWR Morb Mortal Wkl... - May 1, 2020 Category: Epidemiology Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Assessment of SARS-CoV-2 Infection Prevalence in Homeless Shelters - Four U.S. Cities, March 27-April 15, 2020.
m Abstract In the United States, approximately 1.4 million persons access emergency shelter or transitional housing each year (1). These settings can pose risks for communicable disease spread. In late March and early April 2020, public health teams responded to clusters (two or more cases in the preceding 2 weeks) of coronavirus disease 2019 (COVID-19) in residents and staff members from five homeless shelters in Boston, Massachusetts (one shelter); San Francisco, California (one); and Seattle, Washington (three). The investigations were performed in coordination with academic partners, health care providers, and...
Source: MMWR Morb Mortal Wkl... - May 1, 2020 Category: Epidemiology Authors: Mosites E, Parker EM, Clarke KEN, Gaeta JM, Baggett TP, Imbert E, Sankaran M, Scarborough A, Huster K, Hanson M, Gonzales E, Rauch J, Page L, McMichael TM, Keating R, Marx GE, Andrews T, Schmit K, Morris SB, Dowling NF, Peacock G, COVID-19 Homelessness Te Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Update on Vaccine-Derived Poliovirus Outbreaks - Worldwide, July 2019-February 2020.
This report updates the January 2018-June 2019 report with information on global cVDPV outbreaks during July 2019-February 2020 (as of March 25, 2020)† (2). Among 33 cVDPV outbreaks reported during July 2019-February 2020, 31 (94%) were cVDPV2; 18 (58%) of these followed new emergences. In mid-2020, the Global Polio Eradication Initiative (GPEI) plans to introduce a genetically stabilized, novel OPV type 2 (nOPV2) that has a lower risk for generating VDPV2 than does Sabin mOPV2; if nOPV2 is successful in limiting new VDPV2 emergences, GPEI foresees the replacement of Sabin mOPV2 with nOPV2 for cVDPV2 outbreak respon...
Source: MMWR Morb Mortal Wkl... - April 24, 2020 Category: Epidemiology Authors: Alleman MM, Jorba J, Greene SA, Diop OM, Iber J, Tallis G, Goel A, Wiesen E, Wassilak SGF, Burns CC Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Cleaning and Disinfectant Chemical Exposures and Temporal Associations with COVID-19 - National Poison Data System, United States, January 1, 2020-March 31, 2020.
Abstract On January 19, 2020, the state of Washington reported the first U.S. laboratory-confirmed case of coronavirus disease 2019 (COVID-19) caused by infection with SARS-CoV-2 (1). As of April 19, a total of 720,630 COVID-19 cases and 37,202 associated deaths* had been reported to CDC from all 50 states, the District of Columbia, and four U.S. territories (2). CDC recommends, with precautions, the proper cleaning and disinfection of high-touch surfaces to help mitigate the transmission of SARS-CoV-2 (3). To assess whether there might be a possible association between COVID-19 cleaning recommendations from publi...
Source: MMWR Morb Mortal Wkl... - April 24, 2020 Category: Epidemiology Authors: Chang A, Schnall AH, Law R, Bronstein AC, Marraffa JM, Spiller HA, Hays HL, Funk AR, Mercurio-Zappala M, Calello DP, Aleguas A, Borys DJ, Boehmer T, Svendsen E Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Erratum: Vol. 69, No. SS-4.
Authors: PMID: 32324721 [PubMed - in process] (Source: MMWR Morb Mortal Wkl...)
Source: MMWR Morb Mortal Wkl... - April 24, 2020 Category: Epidemiology Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Notes from the Field: Multiple Cruise Ship Outbreaks of Norovirus Associated with Frozen Fruits and Berries - United States, 2019.
ton K PMID: 32324722 [PubMed - in process] (Source: MMWR Morb Mortal Wkl...)
Source: MMWR Morb Mortal Wkl... - April 24, 2020 Category: Epidemiology Authors: Rispens JR, Freeland A, Wittry B, Kramer A, Barclay L, Vinjé J, Treffiletti A, Houston K Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Notes from the Field: Outbreak of Human Immunodeficiency Virus Infection Among Persons Who Inject Drugs - Cabell County, West Virginia, 2018-2019.
Cohn C, Sami S, Eubank S, Furukawa NW, Rose B, Thompson A, Spadafora L, Wright C, Balleydier S, Broussard D, Reynolds P, Carnes N, Haynes N, Sapiano T, McBee S, Campbell E, Batdorf S, Scott M, Boltz M, Wills D, Oster AM PMID: 32324723 [PubMed - in process] (Source: MMWR Morb Mortal Wkl...)
Source: MMWR Morb Mortal Wkl... - April 24, 2020 Category: Epidemiology Authors: Atkins A, McClung RP, Kilkenny M, Bernstein K, Willenburg K, Edwards A, Lyss S, Thomasson E, Panneer N, Kirk N, Watson M, Adkins E, DiNenno E, Hogan V, Neblett Fanfair R, Napier K, Ridpath AD, Perdue M, Chen M, Surtees T, Handanagic S, Wood H, Kennebrew D Tags: MMWR Morb Mortal Wkly Rep Source Type: research

QuickStats: Percentage* of Currently Employed Adults Aged ≥18 Years Who Reported an Average of ≤6 Hours of Sleep† per 24-Hour Period, by Employment Category§ - National Health Interview Survey, United States, 2008-2009 and 2017-2018¶.
QuickStats: Percentage* of Currently Employed Adults Aged ≥18 Years Who Reported an Average of ≤6 Hours of Sleep† per 24-Hour Period, by Employment Category§ - National Health Interview Survey, United States, 2008-2009 and 2017-2018¶. MMWR Morb Mortal Wkly Rep. 2020 Apr 24;69(16):504 Authors: PMID: 32324725 [PubMed - in process] (Source: MMWR Morb Mortal Wkl...)
Source: MMWR Morb Mortal Wkl... - April 24, 2020 Category: Epidemiology Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Trends in Incidence of Cancers of the Oral Cavity and Pharynx - United States 2007-2016.
Abstract Cancers of the oral cavity and pharynx account for 3% of cancers diagnosed in the United States* each year. Cancers at these sites can differ anatomically and histologically and might have different causal factors, such as tobacco use, alcohol use, and infection with human papillomavirus (HPV) (1). Incidence of combined oral cavity and pharyngeal cancers declined during the 1980s but began to increase around 1999 (2,3). Because tobacco use has declined in the United States, accompanied by a decrease in incidence of many tobacco-related cancers, researchers have suggested that the increase in oral cavity a...
Source: MMWR Morb Mortal Wkl... - April 17, 2020 Category: Epidemiology Authors: Ellington TD, Henley SJ, Senkomago V, O'Neil ME, Wilson RJ, Singh S, Thomas CC, Wu M, Richardson LC Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Timing of Community Mitigation and Changes in Reported COVID-19 and Community Mobility - Four U.S. Metropolitan Areas, February 26-April 1, 2020.
This report presents initial data from the metropolitan areas of San Francisco, California; Seattle, Washington; New Orleans, Louisiana; and New York City, New York* to describe the relationship between timing of public policy measures, community mobility (a proxy measure for social distancing), and temporal trends in reported coronavirus disease 2019 (COVID-19) cases. Community mobility in all four locations declined from February 26, 2020 to April 1, 2020, decreasing with each policy issued and as case counts increased. This report suggests that public policy measures are an important tool to support social distancing an...
Source: MMWR Morb Mortal Wkl... - April 17, 2020 Category: Epidemiology Authors: Lasry A, Kidder D, Hast M, Poovey J, Sunshine G, Winglee K, Zviedrite N, Ahmed F, Ethier KA, CDC Public Health Law Program, New York City Department of Health and Mental Hygiene, Louisiana Department of Health, Public Health – Seattle & King County, Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Community Transmission of SARS-CoV-2 at Two Family Gatherings - Chicago, Illinois, February-March 2020.
This report describes the cluster of 16 cases of confirmed or probable COVID-19, including three deaths, likely resulting from transmission of SARS-CoV-2 at two family gatherings (a funeral and a birthday party). These data support current CDC social distancing recommendations intended to reduce SARS-CoV-2 transmission. U.S residents should follow stay-at-home orders when required by state or local authorities. PMID: 32298246 [PubMed - as supplied by publisher] (Source: MMWR Morb Mortal Wkl...)
Source: MMWR Morb Mortal Wkl... - April 17, 2020 Category: Epidemiology Authors: Ghinai I, Woods S, Ritger KA, McPherson TD, Black SR, Sparrow L, Fricchione MJ, Kerins JL, Pacilli M, Ruestow PS, Arwady MA, Beavers SF, Payne DC, Kirking HL, Layden JE Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Characteristics of Health Care Personnel with COVID-19 - United States, February 12-April 9, 2020.
Abstract As of April 9, 2020, the coronavirus disease 2019 (COVID-19) pandemic had resulted in 1,521,252 cases and 92,798 deaths worldwide, including 459,165 cases and 16,570 deaths in the United States (1,2). Health care personnel (HCP) are essential workers defined as paid and unpaid persons serving in health care settings who have the potential for direct or indirect exposure to patients or infectious materials (3). During February 12-April 9, among 315,531 COVID-19 cases reported to CDC using a standardized form, 49,370 (16%) included data on whether the patient was a health care worker in the United States; i...
Source: MMWR Morb Mortal Wkl... - April 17, 2020 Category: Epidemiology Authors: CDC COVID-19 Response Team Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Notes from the Field: Brucella abortus RB51 Infections Associated with Consumption of Raw Milk from Pennsylvania - 2017 and 2018.
PMID: 32298248 [PubMed - as supplied by publisher] (Source: MMWR Morb Mortal Wkl...)
Source: MMWR Morb Mortal Wkl... - April 17, 2020 Category: Epidemiology Authors: Gruber JF, Newman A, Egan C, Campbell C, Garafalo K, Wolfgang DR, Weltman A, Kline KE, Watkins SM, Robbe-Austerman S, Quance C, Thacker T, Kharod G, Negron ME, Schroeder B Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Transmission of COVID-19 to Health Care Personnel During Exposures to a Hospitalized Patient - Solano County, California, February 2020.
Abstract On February 26, 2020, the first U.S. case of community-acquired coronavirus disease 2019 (COVID-19) was confirmed in a patient hospitalized in Solano County, California (1). The patient was initially evaluated at hospital A on February 15; at that time, COVID-19 was not suspected, as the patient denied travel or contact with symptomatic persons. During a 4-day hospitalization, the patient was managed with standard precautions and underwent multiple aerosol-generating procedures (AGPs), including nebulizer treatments, bilevel positive airway pressure (BiPAP) ventilation, endotracheal intubation, and bronch...
Source: MMWR Morb Mortal Wkl... - April 17, 2020 Category: Epidemiology Authors: Heinzerling A, Stuckey MJ, Scheuer T, Xu K, Perkins KM, Resseger H, Magill S, Verani JR, Jain S, Acosta M, Epson E Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Geographic Differences in COVID-19 Cases, Deaths, and Incidence - United States, February 12-April 7, 2020.
This report describes the geographic distribution of laboratory-confirmed COVID-19 cases and related deaths reported by each U.S. state, each territory and freely associated state,* DC, and NYC during February 12-April 7, 2020, and estimates cumulative incidence for each jurisdiction. In addition, it projects the jurisdiction-level trajectory of this pandemic by estimating case doubling times on April 7 and changes in cumulative incidence during the most recent 7-day period (March 31-April 7). As of April 7, 2020, a total of 395,926 cases of COVID-19, including 12,757 related deaths, were reported in the United States. Cum...
Source: MMWR Morb Mortal Wkl... - April 17, 2020 Category: Epidemiology Authors: CDC COVID-19 Response Team Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Hospitalization Rates and Characteristics of Patients Hospitalized with Laboratory-Confirmed Coronavirus Disease 2019 - COVID-NET, 14 States, March 1-30, 2020.
This report presents age-stratified COVID-19-associated hospitalization rates for patients admitted during March 1-28, 2020, and clinical data on patients admitted during March 1-30, 2020, the first month of U.S. surveillance. Among 1,482 patients hospitalized with COVID-19, 74.5% were aged ≥50 years, and 54.4% were male. The hospitalization rate among patients identified through COVID-NET during this 4-week period was 4.6 per 100,000 population. Rates were highest (13.8) among adults aged ≥65 years. Among 178 (12%) adult patients with data on underlying conditions as of March 30, 2020, 89.3% had one or more underlyi...
Source: MMWR Morb Mortal Wkl... - April 17, 2020 Category: Epidemiology Authors: Garg S, Kim L, Whitaker M, O'Halloran A, Cummings C, Holstein R, Prill M, Chai SJ, Kirley PD, Alden NB, Kawasaki B, Yousey-Hindes K, Niccolai L, Anderson EJ, Openo KP, Weigel A, Monroe ML, Ryan P, Henderson J, Kim S, Como-Sabetti K, Lynfield R, Sosin D, T Tags: MMWR Morb Mortal Wkly Rep Source Type: research

QuickStats: Age-Adjusted Drug Overdose Death* Rates, † by State - United States, 2018§.
QuickStats: Age-Adjusted Drug Overdose Death* Rates,† by State - United States, 2018§. MMWR Morb Mortal Wkly Rep. 2020 Apr 17;69(15):484 Authors: PMID: 32298252 [PubMed - as supplied by publisher] (Source: MMWR Morb Mortal Wkl...)
Source: MMWR Morb Mortal Wkl... - April 17, 2020 Category: Epidemiology Tags: MMWR Morb Mortal Wkly Rep Source Type: research