Transmission Dynamics by Age Group in COVID-19 Hotspot Counties - United States, April-September 2020.
Abstract CDC works with other federal agencies to identify counties with increasing coronavirus disease 2019 (COVID-19) incidence (hotspots) and offers support to state, tribal, local, and territorial health departments to limit the spread of SARS-CoV-2, the virus that causes COVID-19 (1). Understanding whether increasing incidence in hotspot counties is predominantly occurring in specific age groups is important for identifying opportunities to prevent or reduce transmission. The percentage of positive SARS-CoV-2 reverse transcription-polymerase chain reaction (RT-PCR) test results (percent positivity) is an impo...
Source: MMWR Morb Mortal Wkl... - October 16, 2020 Category: Epidemiology Authors: Oster AM, Caruso E, DeVies J, Hartnett KP, Boehmer TK Tags: MMWR Morb Mortal Wkly Rep Source Type: research

QuickStats: Rate* of Unintentional Traumatic Brain Injury (TBI)-Related Deaths † Among Persons Aged ≤24 Years, by Age Group - National Vital Statistics System, United States, 1999-2018.
QuickStats: Rate* of Unintentional Traumatic Brain Injury (TBI)-Related Deaths† Among Persons Aged ≤24 Years, by Age Group - National Vital Statistics System, United States, 1999-2018. MMWR Morb Mortal Wkly Rep. 2020 Oct 16;69(41):1503 Authors: PMID: 33056950 [PubMed - in process] (Source: MMWR Morb Mortal Wkl...)
Source: MMWR Morb Mortal Wkl... - October 16, 2020 Category: Epidemiology Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Demographic Characteristics, Experiences, and Beliefs Associated with Hand Hygiene Among Adults During the COVID-19 Pandemic - United States, June 24-30, 2020.
rd ME Abstract Frequent hand hygiene, including handwashing with soap and water or using a hand sanitizer containing ≥60% alcohol when soap and water are not readily available, is one of several critical prevention measures recommended to reduce the spread of SARS-CoV-2, the virus that causes coronavirus disease 2019 (COVID-19).* Previous studies identified demographic factors associated with handwashing among U.S. adults during the COVID-19 pandemic (1,2); however, demographic factors associated with hand sanitizing and experiences and beliefs associated with hand hygiene have not been well characterized. To e...
Source: MMWR Morb Mortal Wkl... - October 16, 2020 Category: Epidemiology Authors: Czeisler MÉ, Garcia-Williams AG, Molinari NA, Gharpure R, Li Y, Barrett CE, Robbins R, Facer-Childs ER, Barger LK, Czeisler CA, Rajaratnam SMW, Howard ME Tags: MMWR Morb Mortal Wkly Rep Source Type: research

An Outbreak of COVID-19 Associated with a Recreational Hockey Game - Florida, June 2020.
Abstract On June 16, 2020, a recreational ice hockey game was played at an ice rink in the Tampa Bay, Florida, metropolitan area. Teams A and B, each consisting of 11 players (typically six on the ice and five on the bench at any given time), included men aged 19-53 years. During the 5 days after the game, 15 persons (14 of the 22 players and a rink staff member) experienced signs and symptoms compatible with coronavirus disease 2019 (COVID-19)*; 13 of the 15 ill persons had positive laboratory test results indicating infection with SARS-CoV-2, the virus that causes COVID-19. Widespread transmission of SARS-CoV-2 ...
Source: MMWR Morb Mortal Wkl... - October 16, 2020 Category: Epidemiology Authors: Atrubin D, Wiese M, Bohinc B Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Factors Influencing Risk for COVID-19 Exposure Among Young Adults Aged 18-23 Years - Winnebago County, Wisconsin, March-July 2020.
Abstract On May 13, 2020, the Wisconsin Supreme Court declared the state's Safer at Home Emergency Order (https://evers.wi.gov/Documents/COVID19/EMO28-SaferAtHome.pdf) "unlawful, invalid, and unenforceable,"* thereby increasing opportunities for social and business interactions. By mid-June, Winnebago County,† Wisconsin experienced an increase in the number of infections with SARS-CoV-2, the virus that causes coronavirus disease 2019 (COVID-19), with the largest increase among persons aged 18-23 years (young adults) (1). This age group§ accounts for 12.5% of the population in the county. To i...
Source: MMWR Morb Mortal Wkl... - October 16, 2020 Category: Epidemiology Authors: Wilson RF, Sharma AJ, Schluechtermann S, Currie DW, Mangan J, Kaplan B, Goffard K, Salomon J, Casteel S, Mukasa A, Euhardy N, Ruiz A, Bautista G, Bailey E, Westergaard R, Gieryn D Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Breast Cancer Survival Among Males by Race, Ethnicity, Age, Geographic Region, and Stage - United States, 2007-2016.
Abstract Breast cancer among males in the United States is rare; approximately 2,300 new cases and 500 associated deaths were reported in 2017, accounting for approximately 1% of all breast cancers.* Risk for male breast cancer increases with increasing age (1), and compared with women, men receive diagnoses later in life and often at a later stage of disease (1). Gradual improvement in breast cancer survival from 1976-1985 to 1996-2005 has been more evident for women than for men (1). Studies examining survival differences among female breast cancer patients observed that non-Hispanic White (White) females had a ...
Source: MMWR Morb Mortal Wkl... - October 16, 2020 Category: Epidemiology Authors: Ellington TD, Henley SJ, Wilson RJ, Miller JW Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Prostate Cancer Incidence and Survival, by Stage and Race/Ethnicity - United States, 2001-2017.
Abstract Among U.S. men, prostate cancer is the second leading cause of cancer-related death (1). Past studies documented decreasing incidence of prostate cancer overall since 2000 but increasing incidence of distant stage prostate cancer (i.e., signifying spread to parts of the body remote from the primary tumor) starting in 2010 (2,3). Past studies described disparities in prostate cancer survival by stage, age, and race/ethnicity using data covering ≤80% of the U.S. population (4,5). To provide recent data on incidence and survival of prostate cancer in the United States, CDC analyzed data from population-ba...
Source: MMWR Morb Mortal Wkl... - October 16, 2020 Category: Epidemiology Authors: Siegel DA, O'Neil ME, Richards TB, Dowling NF, Weir HK Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Progress Toward Poliomyelitis Eradication - Afghanistan, January 2019-July 2020.
This report describes polio eradication activities and progress toward polio eradication in Afghanistan during January 2019-July 2020 and updates previous reports (2,3). Since April 2018, insurgent groups have imposed bans on house-to-house vaccination. In September 2019, vaccination campaigns in areas under insurgency control were restarted only at health facilities. In addition, during March-June 2020, all campaigns were paused because of the coronavirus disease 2019 (COVID-19) pandemic. The number of WPV1 cases reported in Afghanistan increased from 21 in 2018 to 29 in 2019. During January-July 2020, 41 WPV1 cases were ...
Source: MMWR Morb Mortal Wkl... - October 9, 2020 Category: Epidemiology Authors: Martinez M, Akbar IE, Wadood MZ, Shukla H, Jorba J, Ehrhardt D Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Case Series of Multisystem Inflammatory Syndrome in Adults Associated with SARS-CoV-2 Infection - United Kingdom and United States, March-August 2020.
Bryant B, Ende Z, Datta D, Belay E, Godfred-Cato S Abstract During the course of the coronavirus disease 2019 (COVID-19) pandemic, reports of a new multisystem inflammatory syndrome in children (MIS-C) have been increasing in Europe and the United States (1-3). Clinical features in children have varied but predominantly include shock, cardiac dysfunction, abdominal pain, and elevated inflammatory markers, including C-reactive protein (CRP), ferritin, D-dimer, and interleukin-6 (1). Since June 2020, several case reports have described a similar syndrome in adults; this review describes in detail nine patients repo...
Source: MMWR Morb Mortal Wkl... - October 9, 2020 Category: Epidemiology Authors: Morris SB, Schwartz NG, Patel P, Abbo L, Beauchamps L, Balan S, Lee EH, Paneth-Pollak R, Geevarughese A, Lash MK, Dorsinville MS, Ballen V, Eiras DP, Newton-Cheh C, Smith E, Robinson S, Stogsdill P, Lim S, Fox SE, Richardson G, Hand J, Oliver NT, Kofman A Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Barriers to Antiretroviral Therapy Adherence Among HIV-Positive Hispanic and Latino Men Who Have Sex with Men -United States, 2015-2019.
Abstract During 2018, estimated incidence of human immunodeficiency virus (HIV) infection among Hispanic and Latino (Hispanic/Latino) persons in the United States was four times that of non-Hispanic White persons (1). Hispanic/Latino men who have sex with men (MSM) accounted for 24% (138,023) of U.S. MSM living with diagnosed HIV infection at the end of 2018 (1). Antiretroviral therapy (ART) adherence is crucial for viral suppression, which improves health outcomes and prevents HIV transmission (2). Barriers to ART adherence among Hispanic/Latino MSM have been explored in limited contexts (3); however, nationally ...
Source: MMWR Morb Mortal Wkl... - October 9, 2020 Category: Epidemiology Authors: Crim SM, Tie Y, Beer L, Weiser J, Dasgupta S Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Characteristics Associated with Adults Remembering to Wash Hands in Multiple Situations Before and During the COVID-19 Pandemic - United States, October 2019 and June 2020.
ms AG Abstract Washing hands often, especially during times when one is likely to acquire and spread pathogens,* is one important measure to help prevent the spread of SARS-CoV-2, the virus that causes coronavirus disease 2019 (COVID-19), as well as other pathogens spread by respiratory or fecal-oral transmission (1,2). Studies have reported moderate to high levels of self-reported handwashing among adults worldwide during the COVID-19 pandemic (3-5)†; however, little is known about how handwashing behavior among U.S. adults has changed since the start of the pandemic. For this study, survey data from Octob...
Source: MMWR Morb Mortal Wkl... - October 9, 2020 Category: Epidemiology Authors: Haston JC, Miller GF, Berendes D, Andújar A, Marshall B, Cope J, Hunter CM, Robinson BM, Hill VR, Garcia-Williams AG Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Adolescent with COVID-19 as the Source of an Outbreak at a 3-Week Family Gathering - Four States, June-July 2020.
Abstract There is increasing evidence that children and adolescents can efficiently transmit SARS-CoV-2, the virus that causes coronavirus disease 2019 (COVID-19) (1-3). During July-August 2020, four state health departments and CDC investigated a COVID-19 outbreak that occurred during a 3-week family gathering of five households in which an adolescent aged 13 years was the index and suspected primary patient; 11 subsequent cases occurred. PMID: 33031365 [PubMed - indexed for MEDLINE] (Source: MMWR Morb Mortal Wkl...)
Source: MMWR Morb Mortal Wkl... - October 9, 2020 Category: Epidemiology Authors: Schwartz NG, Moorman AC, Makaretz A, Chang KT, Chu VT, Szablewski CM, Yousaf AR, Brown MM, Clyne A, DellaGrotta A, Drobeniuc J, Korpics J, Muir A, Drenzek C, Bandy U, Kirking HL, Tate JE, Hall AJ, Lanzieri TM, Stewart RJ Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Trends in COVID-19 Incidence After Implementation of Mitigation Measures - Arizona, January 22-August 7, 2020.
Abstract Mitigating the spread of SARS-CoV-2, the virus that causes coronavirus disease 2019 (COVID-19), requires individual, community, and state public health actions to prevent person-to-person transmission. Community mitigation measures can help slow the spread of COVID-19; these measures include wearing masks, social distancing, reducing the number and size of large gatherings, pausing operation of businesses where maintaining social distancing is challenging, working from or staying at home, and implementing certain workplace and educational institution controls (1-4). The Arizona Department of Health Servic...
Source: MMWR Morb Mortal Wkl... - October 9, 2020 Category: Epidemiology Authors: Gallaway MS, Rigler J, Robinson S, Herrick K, Livar E, Komatsu KK, Brady S, Cunico J, Christ CM Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Recent Increase in COVID-19 Cases Reported Among Adults Aged 18-22 Years - United States, May 31-September 5, 2020.
Abstract Although children and young adults are reportedly at lower risk for severe disease and death from infection with SARS-CoV-2, the virus that causes coronavirus disease 2019 (COVID-19), than are persons in other age groups (1), younger persons can experience infection and subsequently transmit infection to those at higher risk for severe illness (2-4). Although at lower risk for severe disease, some young adults experience serious illness, and asymptomatic or mild cases can result in sequelae such as myocardial inflammation (5). In the United States, approximately 45% of persons aged 18-22 years were enroll...
Source: MMWR Morb Mortal Wkl... - October 1, 2020 Category: Epidemiology Authors: Salvatore PP, Sula E, Coyle JP, Caruso E, Smith AR, Levine RS, Baack BN, Mir R, Lockhart ER, Tiwari TSP, Dee DL, Boehmer TK, Jackson BR, Bhattarai A Tags: MMWR Morb Mortal Wkly Rep Source Type: research

COVID-19 Trends Among School-Aged Children - United States, March 1-September 19, 2020.
Abstract Approximately 56 million school-aged children (aged 5-17 years) resumed education in the United States in fall 2020.* Analysis of demographic characteristics, underlying conditions, clinical outcomes, and trends in weekly coronavirus disease 2019 (COVID-19) incidence during March 1-September 19, 2020 among 277,285 laboratory-confirmed cases in school-aged children in the United States might inform decisions about in-person learning and the timing and scaling of community mitigation measures. During May-September 2020, average weekly incidence (cases per 100,000 children) among adolescents aged 12-17 years...
Source: MMWR Morb Mortal Wkl... - October 1, 2020 Category: Epidemiology Authors: Leeb RT, Price S, Sliwa S, Kimball A, Szucs L, Caruso E, Godfred-Cato S, Lozier M Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Notes from the Field: Botulism Type B After Intravenous Methamphetamine Use - New Jersey, 2020.
PMID: 33001870 [PubMed - in process] (Source: MMWR Morb Mortal Wkl...)
Source: MMWR Morb Mortal Wkl... - October 1, 2020 Category: Epidemiology Authors: Waltenburg MA, Larson VA, Naor EH, Webster TG, Dykes J, Foltz V, Edmunds S, Thomas D, Kim J, Edwards L Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Multiple COVID-19 Clusters on a University Campus - North Carolina, August 2020.
ore Z Abstract Preventing transmission of SARS-CoV-2, the virus that causes coronavirus disease 2019 (COVID-19), in institutes of higher education presents a unique set of challenges because of the presence of congregate living settings and difficulty limiting socialization and group gatherings. Before August 2020, minimal data were available regarding COVID-19 outbreaks in these settings. On August 3, 2020, university A in North Carolina broadly opened campus for the first time since transitioning to primarily remote learning in March. Consistent with CDC guidance at that time (1,2), steps were taken to prevent t...
Source: MMWR Morb Mortal Wkl... - October 1, 2020 Category: Epidemiology Authors: Wilson E, Donovan CV, Campbell M, Chai T, Pittman K, Seña AC, Pettifor A, Weber DJ, Mallick A, Cope A, Porterfield DS, Pettigrew E, Moore Z Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Changing Age Distribution of the COVID-19 Pandemic - United States, May-August 2020.
Abstract As of September 21, 2020, the coronavirus disease 2019 (COVID-19) pandemic had resulted in more than 6,800,000 reported U.S. cases and more than 199,000 associated deaths.* Early in the pandemic, COVID-19 incidence was highest among older adults (1). CDC examined the changing age distribution of the COVID-19 pandemic in the United States during May-August by assessing three indicators: COVID-19-like illness-related emergency department (ED) visits, positive reverse transcription-polymerase chain reaction (RT-PCR) test results for SARS-CoV-2, the virus that causes COVID-19, and confirmed COVID-19 cases. Na...
Source: MMWR Morb Mortal Wkl... - October 1, 2020 Category: Epidemiology Authors: Boehmer TK, DeVies J, Caruso E, van Santen KL, Tang S, Black CL, Hartnett KP, Kite-Powell A, Dietz S, Lozier M, Gundlapalli AV Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Influenza and Tdap Vaccination Coverage Among Pregnant Women - United States, April 2020.
Abstract Vaccination of pregnant women with influenza vaccine and tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis vaccine (Tdap) can decrease the risk for influenza and pertussis among pregnant women and their infants. The Advisory Committee on Immunization Practices (ACIP) recommends that all women who are or might be pregnant during the influenza season receive influenza vaccine, which can be administered at any time during pregnancy (1). ACIP also recommends that women receive Tdap during each pregnancy, preferably during the early part of gestational weeks 27-36 (2,3). Despite these recommen...
Source: MMWR Morb Mortal Wkl... - October 1, 2020 Category: Epidemiology Authors: Razzaghi H, Kahn KE, Black CL, Lindley MC, Jatlaoui TC, Fiebelkorn AP, Havers FP, D'Angelo DV, Cheung A, Ruther NA, Williams WW Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Deaths and Years of Potential Life Lost From Excessive Alcohol Use - United States, 2011-2015.
This study found an average of 95,158 alcohol-attributable deaths (261 deaths per day) and 2.8 million YPLL (29 years of life lost per death, on average) in the United States each year. Of all alcohol-attributable deaths, 51,078 (53.7%) were caused by chronic conditions, and 52,921 (55.6%) involved adults aged 35-64 years. Age-adjusted alcohol-attributable deaths per 100,000 population ranged from 20.8 in New York to 53.1 in New Mexico. YPLL per 100,000 population ranged from 631.9 in New York to 1,683.5 in New Mexico. Implementation of effective strategies for preventing excessive drinking, including those recommended by ...
Source: MMWR Morb Mortal Wkl... - October 1, 2020 Category: Epidemiology Authors: Esser MB, Sherk A, Liu Y, Naimi TS, Stockwell T, Stahre M, Kanny D, Landen M, Saitz R, Brewer RD Tags: MMWR Morb Mortal Wkly Rep Source Type: research

QuickStats: Age-Adjusted Pedestrian* Death Rates, † by Race/Ethnicity - National Vital Statistics System, United States, 2009 and 2018.
QuickStats: Age-Adjusted Pedestrian* Death Rates,† by Race/Ethnicity - National Vital Statistics System, United States, 2009 and 2018. MMWR Morb Mortal Wkly Rep. 2020 Oct 02;69(39):1434 Authors: PMID: 33001875 [PubMed - in process] (Source: MMWR Morb Mortal Wkl...)
Source: MMWR Morb Mortal Wkl... - October 1, 2020 Category: Epidemiology Tags: MMWR Morb Mortal Wkly Rep Source Type: research

CDC Deployments to State, Tribal, Local, and Territorial Health Departments for COVID-19 Emergency Public Health Response - United States, January 21-July 25, 2020.
Williams T, O'Connor A, Nett RJ, Villanueva J, Oussayef NL, Walke HT, Shugart JM, Honein MA, Rose DA, CDC COVID-19 State, Tribal, Local, and Territorial Response Team Abstract Coronavirus disease 2019 (COVID-19) is a viral respiratory illness caused by SARS-CoV-2. During January 21-July 25, 2020, in response to official requests for assistance with COVID-19 emergency public health response activities, CDC deployed 208 teams to assist 55 state, tribal, local, and territorial health departments. CDC deployment data were analyzed to summarize activities by deployed CDC teams in assisting state, tribal, local, and ter...
Source: MMWR Morb Mortal Wkl... - October 1, 2020 Category: Epidemiology Authors: Dirlikov E, Fechter-Leggett E, Thorne SL, Worrell CM, Smith-Grant JC, Chang J, Oster AM, Bjork A, Young S, Perez AU, Aden T, Anderson M, Farrall S, Jones-Wormley J, Walters KH, LeBlanc TT, Kone RG, Hunter D, Cooley LA, Krishnasamy V, Fuld J, Luna-Pinto C, Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Infant Homicides Within the Context of Safe Haven Laws - United States, 2008-2017.
Abstract Homicide is the 13th leading cause of death among infants (i.e., children aged
Source: MMWR Morb Mortal Wkl... - October 1, 2020 Category: Epidemiology Authors: Wilson RF, Klevens J, Williams D, Xu L Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Correction and Republication: Deaths and Years of Potential Life Lost From Excessive Alcohol Use - United States, 2011-2015.
Authors: PMID: 33001878 [PubMed - in process] (Source: MMWR Morb Mortal Wkl...)
Source: MMWR Morb Mortal Wkl... - October 1, 2020 Category: Epidemiology Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Trends in Diagnosis of HIV Infection, Linkage to Medical Care, and Viral Suppression Among Men Who Have Sex with Men, by Race/Ethnicity and Age - 33 Jurisdictions, United States, 2014-2018.
Abstract During 2018, gay, bisexual, and other men who have sex with men (MSM) accounted for 69.4% of all diagnoses of human immunodeficiency virus (HIV) infection in the United States (1). Moreover, in all 42 jurisdictions with complete laboratory reporting of CD4 and viral load results,* percentages of MSM linked to care within 1 month (80.8%) and virally suppressed (viral load
Source: MMWR Morb Mortal Wkl... - September 24, 2020 Category: Epidemiology Authors: Jeffries WL, Dailey AF, Jin C, Carter JW, Scales L Tags: MMWR Morb Mortal Wkly Rep Source Type: research

COVID-19 Contact Tracing in Two Counties - North Carolina, June-July 2020.
Abstract Contact tracing is a strategy implemented to minimize the spread of communicable diseases (1,2). Prompt contact tracing, testing, and self-quarantine can reduce the transmission of SARS-CoV-2, the virus that causes coronavirus disease 2019 (COVID-19) (3,4). Community engagement is important to encourage participation in and cooperation with SARS-CoV-2 contact tracing (5). Substantial investments have been made to scale up contact tracing for COVID-19 in the United States. During June 1-July 12, 2020, the incidence of COVID-19 cases in North Carolina increased 183%, from seven to 19 per 100,000 persons per...
Source: MMWR Morb Mortal Wkl... - September 24, 2020 Category: Epidemiology Authors: Lash RR, Donovan CV, Fleischauer AT, Moore ZS, Harris G, Hayes S, Sullivan M, Wilburn A, Ong J, Wright D, Washington R, Pulliam A, Byers B, McLaughlin HP, Dirlikov E, Rose DA, Walke HT, Honein MA, Contact Tracing Assessment Team, Moonan PK, Oeltmann JE Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Characteristics and Maternal and Birth Outcomes of Hospitalized Pregnant Women with Laboratory-Confirmed COVID-19 - COVID-NET, 13 States, March 1-August 22, 2020.
Shiltz J, Sutton M, West N, Schaffner W, Talbot HK, George A, Spencer M, Ellington S, Galang RR, Gilboa SM, Tong VT, Piasecki A, Brammer L, Fry AM, Hall AJ, Wortham JM, Kim L, Garg S, COVID-NET Surveillance Team Abstract Pregnant women might be at increased risk for severe coronavirus disease 2019 (COVID-19) (1,2). The COVID-19-Associated Hospitalization Surveillance Network (COVID-NET) (3) collects data on hospitalized pregnant women with laboratory-confirmed SARS-CoV-2, the virus that causes COVID-19; to date, such data have been limited. During March 1-August 22, 2020, approximately one in four hospitalized wo...
Source: MMWR Morb Mortal Wkl... - September 24, 2020 Category: Epidemiology Authors: Delahoy MJ, Whitaker M, O'Halloran A, Chai SJ, Kirley PD, Alden N, Kawasaki B, Meek J, Yousey-Hindes K, Anderson EJ, Openo KP, Monroe ML, Ryan PA, Fox K, Kim S, Lynfield R, Siebman S, Davis SS, Sosin DM, Barney G, Muse A, Bennett NM, Felsen CB, Billing LM Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Disparities in COVID-19 Incidence, Hospitalizations, and Testing, by Area-Level Deprivation - Utah, March 3-July 9, 2020.
Abstract Coronavirus disease 2019 (COVID-19) has had a substantial impact on racial and ethnic minority populations and essential workers in the United States, but the role of geographic social and economic inequities (i.e., deprivation) in these disparities has not been examined (1,2). As of July 9, 2020, Utah had reported 27,356 confirmed COVID-19 cases. To better understand how area-level deprivation might reinforce ethnic, racial, and workplace-based COVID-19 inequities (3), the Utah Department of Health (UDOH) analyzed confirmed cases of infection with SARS-CoV-2 (the virus that causes COVID-19), COVID-19 hos...
Source: MMWR Morb Mortal Wkl... - September 24, 2020 Category: Epidemiology Authors: Lewis NM, Friedrichs M, Wagstaff S, Sage K, LaCross N, Bui D, McCaffrey K, Barbeau B, George A, Rose C, Willardson S, Carter A, Smoot C, Nakashima A, Dunn A Tags: MMWR Morb Mortal Wkly Rep Source Type: research

QuickStats: Management of Patient Health Information Functions* Among Office-Based Physicians With and Without a Certified Electronic Health Record (EHR) System † - National Electronic Health Records Survey, United States, 2018.
QuickStats: Management of Patient Health Information Functions* Among Office-Based Physicians With and Without a Certified Electronic Health Record (EHR) System† - National Electronic Health Records Survey, United States, 2018. MMWR Morb Mortal Wkly Rep. 2020 Sep 25;69(38):1381 Authors: PMID: 32970657 [PubMed - in process] (Source: MMWR Morb Mortal Wkl...)
Source: MMWR Morb Mortal Wkl... - September 24, 2020 Category: Epidemiology Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Public Awareness of Invasive Fungal Diseases - United States, 2019.
Abstract Fungal diseases range from minor skin and mucous membrane infections to life-threatening disseminated disease. The estimated yearly direct health care costs of fungal diseases exceed $7.2 billion (1). These diseases are likely widely underdiagnosed (1,2), and improved recognition among health care providers and members of the public is essential to reduce delays in diagnoses and treatment. However, information about public awareness of fungal diseases is limited. To guide public health educational efforts, a nationally representative online survey was conducted to assess whether participants had ever hear...
Source: MMWR Morb Mortal Wkl... - September 24, 2020 Category: Epidemiology Authors: Benedict K, Molinari NAM, Jackson BR Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Rabies in a Dog Imported from Egypt - Kansas, 2019.
Abstract Although canine rabies virus variant (CRVV) was successfully eliminated from the United States after approximately 6 decades of vaccination campaigns, licensing requirements, and stray animal control, dogs remain the principal source of human rabies infections worldwide. A rabies vaccination certificate is required for dogs entering the United States from approximately 100 countries with endemic CRVV, including Egypt (1). On February 25, 2019, rabies was diagnosed in a dog imported from Egypt, representing the third canine rabies case imported from Egypt in 4 years (2,3). This dog and 25 others were impor...
Source: MMWR Morb Mortal Wkl... - September 24, 2020 Category: Epidemiology Authors: Raybern C, Zaldivar A, Tubach S, Ahmed FS, Moore S, Kintner C, Wallace RM, Mandra AM, Stauffer K, Condori RE, Garrison I Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Update: Characteristics of Health Care Personnel with COVID-19 - United States, February 12-July 16, 2020.
J Abstract As of September 21, 2020, the coronavirus disease 2019 (COVID-19) pandemic had resulted in 6,786,352 cases and 199,024 deaths in the United States.* Health care personnel (HCP) are essential workers at risk for exposure to patients or infectious materials (1). The impact of COVID-19 on U.S. HCP was first described using national case surveillance data in April 2020 (2). Since then, the number of reported HCP with COVID-19 has increased tenfold. This update describes demographic characteristics, underlying medical conditions, hospitalizations, and intensive care unit (ICU) admissions, stratified by vital...
Source: MMWR Morb Mortal Wkl... - September 24, 2020 Category: Epidemiology Authors: Hughes MM, Groenewold MR, Lessem SE, Xu K, Ussery EN, Wiegand RE, Qin X, Do T, Thomas D, Tsai S, Davidson A, Latash J, Eckel S, Collins J, Ojo M, McHugh L, Li W, Chen J, Chan J, Wortham JM, Reagan-Steiner S, Lee JT, Reddy SC, Kuhar DT, Burrer SL, Stuckey Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Notes from the Field: Travel-Associated Measles in a Person Born Before 1957 - Pinellas County, Florida, 2019.
PMID: 32970662 [PubMed - in process] (Source: MMWR Morb Mortal Wkl...)
Source: MMWR Morb Mortal Wkl... - September 24, 2020 Category: Epidemiology Authors: Baker KM, Laureano-Rosario AE, Edwards S Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Erratum: Vol. 69, No. 36.
Authors: PMID: 32970663 [PubMed - in process] (Source: MMWR Morb Mortal Wkl...)
Source: MMWR Morb Mortal Wkl... - September 24, 2020 Category: Epidemiology Tags: MMWR Morb Mortal Wkly Rep Source Type: research

SARS-CoV-2 Infection Among Hospitalized Pregnant Women: Reasons for Admission and Pregnancy Characteristics - Eight U.S. Health Care Centers, March 1-May 30, 2020.
Abstract Pregnant women might be at increased risk for severe coronavirus disease 2019 (COVID-19), possibly related to changes in their immune system and respiratory physiology* (1). Further, adverse birth outcomes, such as preterm delivery and stillbirth, might be more common among pregnant women infected with SARS-CoV-2, the virus that causes COVID-19 (2,3). Information about SARS-CoV-2 infection during pregnancy is rapidly growing; however, data on reasons for hospital admission, pregnancy-specific characteristics, and birth outcomes among pregnant women hospitalized with SARS-CoV-2 infections are limited. Duri...
Source: MMWR Morb Mortal Wkl... - September 22, 2020 Category: Epidemiology Authors: Panagiotakopoulos L, Myers TR, Gee J, Lipkind HS, Kharbanda EO, Ryan DS, Williams JTB, Naleway AL, Klein NP, Hambidge SJ, Jacobsen SJ, Glanz JM, Jackson LA, Shimabukuro TT, Weintraub ES Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Serial Testing for SARS-CoV-2 and Virus Whole Genome Sequencing Inform Infection Risk at Two Skilled Nursing Facilities with COVID-19 Outbreaks - Minnesota, April-June 2020.
SC, Jernigan JA, Lynfield R, Minnesota Long-Term Care COVID-19 Response Group Abstract SARS-CoV-2, the virus that causes coronavirus disease 2019 (COVID-19), can spread rapidly in high-risk congregate settings such as skilled nursing facilities (SNFs) (1). In Minnesota, SNF-associated cases accounted for 3,950 (8%) of 48,711 COVID-19 cases reported through July 21, 2020; 35% of SNF-associated cases involved health care personnel (HCP*), including six deaths. Facility-wide, serial testing in SNFs has been used to identify residents with asymptomatic and presymptomatic SARS-CoV-2 infection to inform mitigation effor...
Source: MMWR Morb Mortal Wkl... - September 17, 2020 Category: Epidemiology Authors: Taylor J, Carter RJ, Lehnertz N, Kazazian L, Sullivan M, Wang X, Garfin J, Diekman S, Plumb M, Bennet ME, Hale T, Vallabhaneni S, Namugenyi S, Carpenter D, Turner-Harper D, Booth M, Coursey EJ, Martin K, McMahon M, Beaudoin A, Lifson A, Holzbauer S, Reddy Tags: MMWR Morb Mortal Wkly Rep Source Type: research

E-cigarette Use Among Middle and High School Students - United States, 2020.
Abstract The use of any tobacco product by youths is unsafe, including electronic cigarettes (e-cigarettes) (1). Most e-cigarettes contain nicotine, which is highly addictive, can harm the developing adolescent brain, and can increase risk for future addiction to other drugs (1). E-cigarette use has increased considerably among U.S. youths since 2011 (1,2). Multiple factors have contributed to this increase, including youth-appealing flavors and product innovations (1-3). Amid the widespread use of e-cigarettes and popularity of certain products among youths, on February 6, 2020, the Food and Drug Administration (...
Source: MMWR Morb Mortal Wkl... - September 17, 2020 Category: Epidemiology Authors: Wang TW, Neff LJ, Park-Lee E, Ren C, Cullen KA, King BA Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Association Between CMS Quality Ratings and COVID-19 Outbreaks in Nursing Homes - West Virginia, March 17-June 11, 2020.
Abstract Nursing homes are high-risk settings for outbreaks of SARS-CoV-2, the virus that causes coronavirus disease 2019 (COVID-19) (1,2). During the COVID-19 pandemic, U.S. health departments worked to improve infection prevention and control (IPC) practices in nursing homes to prevent outbreaks and limit the spread of COVID-19 in affected facilities; however, limited resources have hampered health departments' ability to rapidly provide IPC support to all nursing homes within their jurisdictions. Since 2008, the Centers for Medicare & Medicaid Services (CMS) has published health inspection results and quali...
Source: MMWR Morb Mortal Wkl... - September 17, 2020 Category: Epidemiology Authors: Bui DP, See I, Hesse EM, Varela K, Harvey RR, August EM, Winquist A, Mullins S, McBee S, Thomasson E, Atkins A Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Racial and Ethnic Disparities in Fetal Deaths - United States, 2015-2017.
Abstract The spontaneous death or loss of a fetus during pregnancy is termed a fetal death. In the United States, national data on fetal deaths are available for losses at ≥20 weeks' gestation.* Deaths occurring during this period of pregnancy are commonly known as stillbirths. In 2017, approximately 23,000 fetal deaths were reported in the United States (1). Racial/ethnic disparities exist in the fetal mortality rate; however, much of the known disparity in fetal deaths is unexplained (2). CDC analyzed 2015-2017 U.S. fetal death report data and found that non-Hispanic Black (Black) women had more than twice th...
Source: MMWR Morb Mortal Wkl... - September 17, 2020 Category: Epidemiology Authors: Pruitt SM, Hoyert DL, Anderson KN, Martin J, Waddell L, Duke C, Honein MA, Reefhuis J Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Progress Toward Poliovirus Containment Implementation - Worldwide, 2019-2020.
Abstract Since 1988, when World Health Organization (WHO) Member States and partners launched the Global Polio Eradication Initiative, the number of wild poliovirus (WPV) cases has declined from 350,000 in 125 countries to 176 in only two countries in 2019 (1). The Global Commission for the Certification of Poliomyelitis Eradication (GCC) declared two of the three WPV types, type 2 (WPV2) and type 3 (WPV3), eradicated globally in 2015 and 2019, respectively (1). Wild poliovirus type 1 (WPV1) remains endemic in Afghanistan and Pakistan (1). Containment under strict biorisk management measures is vital to prevent re...
Source: MMWR Morb Mortal Wkl... - September 17, 2020 Category: Epidemiology Authors: Moffett DB, Llewellyn A, Singh H, Saxentoff E, Partridge J, Boualam L, Pallansch M, Wassilak S, Asghar H, Roesel S, Grabovac V, Rey-Benito G, Barnor J, Theo A, Swan J, Iakovenko M, Baig N, Gurung S, Pandel E, Zaffran M Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Cancers Associated with Human Papillomavirus in American Indian and Alaska Native Populations - United States, 2013-2017.
Abstract Human papillomavirus (HPV) causes most cervical cancers and some cancers of the penis, vulva, vagina, oropharynx, and anus. Cervical precancers can be detected through screening. HPV vaccination with the 9-valent HPV vaccine (9vHPV) can prevent approximately 92% of HPV-attributable cancers (1).* Previous studies have shown lower incidence of HPV-associated cancers in non-Hispanic American Indian and Alaska Native (AI/AN) populations compared with other racial subgroups (2); however, these rates might have been underestimated as a result of racial misclassification. Previous studies have shown that cancer ...
Source: MMWR Morb Mortal Wkl... - September 17, 2020 Category: Epidemiology Authors: Melkonian SC, Henley SJ, Senkomago V, Thomas CC, Jim MA, Apostolou A, Saraiya M Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Preventing COVID-19 Outbreaks in Long-Term Care Facilities Through Preemptive Testing of Residents and Staff Members - Fulton County, Georgia, March-May 2020.
Abstract Long-term care facility (LTCF) residents are at particularly high risk for morbidity and mortality associated with infection with SARS-CoV-2, the virus that causes coronavirus disease 2019 (COVID-19), given their age and high prevalence of chronic medical conditions, combined with functional impairment that often requires frequent, close contact with health care providers, who might inadvertently spread the virus to residents (1,2). During March-May 2020 in Fulton County, Georgia,>50% of COVID-19-associated deaths occurred among LTCF residents, although these persons represented
Source: MMWR Morb Mortal Wkl... - September 17, 2020 Category: Epidemiology Authors: Telford CT, Onwubiko U, Holland DP, Turner K, Prieto J, Smith S, Yoon J, Brown W, Chamberlain A, Gandhi N, Williams S, Khan F, Shah S Tags: MMWR Morb Mortal Wkly Rep Source Type: research

QuickStats: Prevalence of Complete Tooth Loss* Among Adults Aged ≥65 Years,† by Federal Poverty Level§ - National Health and Nutrition Examination Survey, United States, 1999-2018.
QuickStats: Prevalence of Complete Tooth Loss* Among Adults Aged ≥65 Years,† by Federal Poverty Level§ - National Health and Nutrition Examination Survey, United States, 1999-2018. MMWR Morb Mortal Wkly Rep. 2020 Sep 18;69(37):1334 Authors: PMID: 32941414 [PubMed - as supplied by publisher] (Source: MMWR Morb Mortal Wkl...)
Source: MMWR Morb Mortal Wkl... - September 17, 2020 Category: Epidemiology Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Decreased Influenza Activity During the COVID-19 Pandemic - United States, Australia, Chile, and South Africa, 2020.
Abstract After recognition of widespread community transmission of SARS-CoV-2, the virus that causes coronavirus disease 2019 (COVID-19), by mid- to late February 2020, indicators of influenza activity began to decline in the Northern Hemisphere. These changes were attributed to both artifactual changes related to declines in routine health seeking for respiratory illness as well as real changes in influenza virus circulation because of widespread implementation of measures to mitigate transmission of SARS-CoV-2. Data from clinical laboratories in the United States indicated a 61% decrease in the number of specime...
Source: MMWR Morb Mortal Wkl... - September 17, 2020 Category: Epidemiology Authors: Olsen SJ, Azziz-Baumgartner E, Budd AP, Brammer L, Sullivan S, Pineda RF, Cohen C, Fry AM Tags: MMWR Morb Mortal Wkly Rep Source Type: research

E-cigarette Unit Sales, by Product and Flavor Type - United States, 2014-2020.
Abstract Since electronic cigarettes (e-cigarettes) entered the U.S. marketplace in 2007, the landscape has evolved to include different product types (e.g., prefilled cartridge-based and disposable products) and flavored e-liquids (e.g., fruit, candy, mint, menthol, and tobacco flavors), which have contributed to increases in youth use (1,2). E-cigarettes have been the most commonly used tobacco product among U.S. youths since 2014; in 2019, 27.5% of high school students reported current e-cigarette use (3). To assess trends in unit sales of e-cigarettes in the United States by product and flavor type, CDC, CDC F...
Source: MMWR Morb Mortal Wkl... - September 17, 2020 Category: Epidemiology Authors: Ali FRM, Diaz MC, Vallone D, Tynan MA, Cordova J, Seaman EL, Trivers KF, Schillo BA, Talley B, King BA Tags: MMWR Morb Mortal Wkly Rep Source Type: research

SARS-CoV-2-Associated Deaths Among Persons Aged < 21 Years - United States, February 12-July 31, 2020.
SARS-CoV-2-Associated Deaths Among Persons Aged
Source: MMWR Morb Mortal Wkl... - September 17, 2020 Category: Epidemiology Authors: Bixler D, Miller AD, Mattison CP, Taylor B, Komatsu K, Peterson Pompa X, Moon S, Karmarkar E, Liu CY, Openshaw JJ, Plotzker RE, Rosen HE, Alden N, Kawasaki B, Siniscalchi A, Leapley A, Drenzek C, Tobin-D'Angelo M, Kauerauf J, Reid H, Hawkins E, White K, A Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Transmission Dynamics of COVID-19 Outbreaks Associated with Child Care Facilities - Salt Lake City, Utah, April-July 2020.
Abstract Reports suggest that children aged ≥10 years can efficiently transmit SARS-CoV-2, the virus that causes coronavirus disease 2019 (COVID-19) (1,2). However, limited data are available on SARS-CoV-2 transmission from young children, particularly in child care settings (3). To better understand transmission from young children, contact tracing data collected from three COVID-19 outbreaks in child care facilities in Salt Lake County, Utah, during April 1-July 10, 2020, were retrospectively reviewed to explore attack rates and transmission patterns. A total of 184 persons, including 110 (60%) children had a...
Source: MMWR Morb Mortal Wkl... - September 17, 2020 Category: Epidemiology Authors: Lopez AS, Hill M, Antezano J, Vilven D, Rutner T, Bogdanow L, Claflin C, Kracalik IT, Fields VL, Dunn A, Tate JE, Kirking HL, Kiphibane T, Risk I, Tran CH Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Hurricane Evacuation Laws in Eight Southern U.S. Coastal States - December 2018.
Abstract National Preparedness month is observed every September as a public service reminder of the importance of personal and community preparedness for all events; it coincides with the peak of the hurricane season in the United States. Severe storms and hurricanes can have long-lasting effects at all community levels. Persons who are prepared and well-informed are often better able to protect themselves and others (1). Major hurricanes can devastate low-lying coastal areas and cause injury and loss of life from storm surge, flooding, and high winds (2). State and local government entities play a significant ro...
Source: MMWR Morb Mortal Wkl... - September 10, 2020 Category: Epidemiology Authors: Kruger J, Smith MJ, Chen B, Paetznick B, Bradley BM, Abraha R, Logan M, Chang ER, Sunshine G, Romero-Steiner S Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Prevalence of Underlying Medical Conditions Among Selected Essential Critical Infrastructure Workers - Behavioral Risk Factor Surveillance System, 31 States, 2017-2018.
This report presents unadjusted prevalences and adjusted prevalence ratios (aPRs) for selected underlying conditions. Among workers in the home health aide occupation and the nursing home/rehabilitation industry, aPRs were significantly elevated for the largest number of conditions. Extra efforts to minimize exposure risk and prevent and treat underlying conditions are warranted to protect workers whose jobs increase their risk for exposure to SARS-CoV-2. PMID: 32914769 [PubMed - in process] (Source: MMWR Morb Mortal Wkl...)
Source: MMWR Morb Mortal Wkl... - September 10, 2020 Category: Epidemiology Authors: Silver SR, Li J, Boal WL, Shockey TL, Groenewold MR Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Frequent Mental Distress Among Adults, by Disability Status, Disability Type, and Selected Characteristics - United States, 2018.
Abstract Frequent mental distress, defined as 14 or more self-reported mentally unhealthy days in the past 30 days,* is associated with adverse health behaviors, increased use of health services, mental disorders (e.g., diagnosis of major depressive disorder), chronic diseases, and functional limitations (1). Adults with disabilities more often report depression and anxiety (2), reduced health care access (3), and health-related risk behaviors (4) than do adults without disabilities. CDC analyzed 2018 Behavioral Risk Factor Surveillance System (BRFSS) data to compare the prevalence of frequent mental distress amon...
Source: MMWR Morb Mortal Wkl... - September 10, 2020 Category: Epidemiology Authors: Cree RA, Okoro CA, Zack MM, Carbone E Tags: MMWR Morb Mortal Wkly Rep Source Type: research