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CDC surveillance outbreak

Jessica M Healy, M Catherine Burgess, Tai-Ho Chen, W Thane Hancock, Karrie-Ann E Toews, Magele Scott Anesi, Ray T Tulafono, Mary Aseta Mataia, Benjamin Sili, Jacqueline Solaita, A Christian Whelen, Rebecca Sciulli, Remedios B Gose, Vasiti Uluiviti, Morgan Hennessey, Fara Utu, Motusa Tuileama Nua, Marc Fischer
During December 2015-January 2016, the American Samoa Department of Health (ASDoH) detected through surveillance an increase in the number of cases of acute febrile rash illness. Concurrently, a case of laboratory-confirmed Zika virus infection, a mosquito-borne flavivirus infection documented to cause microcephaly and other severe brain defects in some infants born to women infected during pregnancy (1,2) was reported in a traveler returning to New Zealand from American Samoa. In the absence of local laboratory capacity to test for Zika virus, ASDoH initiated arboviral disease control measures, including public education and vector source reduction campaigns...
October 21, 2016: MMWR. Morbidity and Mortality Weekly Report
Patricia L Schleiff, Jacek M Mazurek, Mary Jo Reilly, Kenneth D Rosenman, Martha B Yoder, Margaret E Lumia, Karen Worthington
CDC's National Institute for Occupational Safety and Health (NIOSH), state health departments, and other state entities maintain a state-based surveillance program of confirmed silicosis cases. Data on confirmed cases are collected and compiled by state entities and submitted to CDC. This report summarizes information for cases of silicosis that were reported to CDC for 2003-2011 by Michigan and New Jersey, the only states that continue to provide data voluntarily to NIOSH. The data for this report were final as of January 8, 2015...
October 14, 2016: MMWR. Morbidity and Mortality Weekly Report
Jaime Raymond, Mary Jean Brown
This report provides data concerning childhood blood lead levels (BLLs) in the United States during 2007-2013. These data were collected and compiled from raw data extracts sent by state and local health departments to CDC's Childhood Blood Lead Surveillance (CBLS) system. These raw data extracts have been de-identified and coded into a format specifically for childhood lead reporting. The numbers of children aged <5 years reported to CDC for 2013 with newly confirmed BLLs ≥10 µg/dL are provided in tabular form by month (Table 1) and geographic location (Table 2)...
October 14, 2016: MMWR. Morbidity and Mortality Weekly Report
Daniel Dewey-Mattia, Virginia A Roberts, Antonio Vieira, Kathleen E Fullerton
CDC collects data on foodborne and waterborne disease outbreaks reported by all U.S. states and territories through the Foodborne Disease Outbreak Surveillance System (FDOSS) ( and the Waterborne Disease and Outbreak Surveillance System (WBDOSS), respectively. These two systems are the primary source of national data describing the number of reported outbreaks; outbreak-associated illnesses, hospitalizations, and deaths; etiologic agents; water source or implicated foods; settings of exposure; and other factors associated with recognized foodborne and waterborne disease outbreaks in the United States...
October 14, 2016: MMWR. Morbidity and Mortality Weekly Report
Walter A Alarcon
CDC's National Institute for Occupational Safety and Health (NIOSH) and state health departments collect data on laboratory-reported adult blood lead levels (BLLs). This report presents data on elevated BLLs among employed adults (defined as persons aged ≥16 years) in the United States for 1994-2013. This report is a part of the Summary of Notifiable Noninfectious Conditions and Disease Outbreaks - United States, which encompasses various surveillance years but is being published in 2016 (1). The Summary of Notifiable Noninfectious Conditions and Disease Outbreaks appears in the same volume of the Morbidity Mortality Weekly Report (MMWR) as the annual Summary of Notifiable Infectious Diseases (2)...
October 14, 2016: MMWR. Morbidity and Mortality Weekly Report
Simple D Singh, S Jane Henley, A Blythe Ryerson
This report provides, in tabular and graphic form, official federal statistics on the occurrence of cancer for 2012 and trends for 1999-2012 as reported by CDC and the National Cancer Institute (NCI) (1). Cancer incidence data are from population-based cancer registries that participate in CDC's National Program of Cancer Registries (NPCR) and NCI's Surveillance, Epidemiology, and End Results (SEER) program reported as of November 2014. Cancer mortality data are from death certificate information reported to state vital statistics offices through 2012 and compiled into a national file for the entire United States by CDC's National Center for Health Statistics' (NCHS) National Vital Statistics System (NVSS)...
October 14, 2016: MMWR. Morbidity and Mortality Weekly Report
Gonza Namulanda, Michele M Monti, Prakash Mulay, Sheila Higgins, Michelle Lackovic, Abby Schwartz, Joanne Bonnar Prado, Justin Waltz, Yvette Mitchell, Geoffrey M Calvert
CDC's National Institute for Occupational Safety and Health (NIOSH) collects data on acute pesticide-related illness and injury reported by 12 states (California, Florida, Iowa, Louisiana, Michigan, North Carolina, Nebraska, New Mexico, New York, Oregon, Texas, and Washington). This report summarizes the data on illnesses and injuries arising from nonoccupational exposure to conventional pesticides that were reported during 2007-2011. Conventional pesticides include insecticides, herbicides, fungicides, and fumigants...
October 14, 2016: MMWR. Morbidity and Mortality Weekly Report
Geoffrey M Calvert, John Beckman, Joanne Bonnar Prado, Heidi Bojes, Abby Schwartz, Prakash Mulay, Kathy Leinenkugel, Sheila Higgins, Michelle Lackovic, Justin Waltz, Derry Stover, Stephanie Moraga-McHaley
CDC's National Institute for Occupational Safety and Health (NIOSH) collects data on acute pesticide-related illness and injury reported by 12 states (California, Florida, Iowa, Louisiana, Michigan, Nebraska, North Carolina, New Mexico, New York, Oregon, Texas, and Washington). This report summarizes the data on illnesses and injuries arising from occupational exposure to conventional pesticides from 2007 through 2011. This report is a part of the Summary of Notifiable Noninfectious Conditions and Disease Outbreaks - United States, which encompasses various surveillance years but is being published in 2016 (1)...
October 14, 2016: MMWR. Morbidity and Mortality Weekly Report
Guofa Zhou, Eugenia Lo, Daibin Zhong, Xiaoming Wang, Ying Wang, Sameer Malla, Ming-Chieh Lee, Zhaoqing Yang, Liwang Cui, Guiyun Yan
BACKGROUND: Internally displaced persons (IDP) represent vulnerable populations whose public health conditions merit special attention. In the China-Myanmar border area, human movement and resettlements of IDP can influence malaria transmission. Comparison of disease incidence and vector densities between IDP camps and surrounding local villages allows for better understanding of current epidemiology and to evaluate the effectiveness of interventions in the region. METHODS: Malaria and vector surveillance was conducted in three IDP camps and three local villages neighbouring the camps along the China-Myanmar border in Myanmar...
2016: Malaria Journal
Christina Chung, Leah S Fischer, Angelica OʼConnor, Alvin Shultz
CONTEXT: CDC's Epidemiology and Laboratory Capacity for Infectious Diseases (ELC) Cooperative Agreement aims to help health departments strengthen core epidemiology capacity needed to respond to a variety of emerging infectious diseases. In fiscal year 2014, $6 million was awarded to 41 health departments for flexible epidemiologists (FEs). FEs were intended to help meet health departments' unique needs and support unanticipated events that could require the diversion of resources to specific emerging or reemerging diseases...
September 2, 2016: Journal of Public Health Management and Practice: JPHMP
Adriana S Lopez, John Zhang, Mona Marin
Before availability of varicella vaccine in the United States, an estimated 4 million varicella cases, 11,000-13,500 varicella-related hospitalizations, and 100-150 varicella-related deaths occurred annually. The varicella vaccination program was implemented in the United States in 1996 as a 1-dose routine childhood program. Based on data from two varicella active surveillance sites, the varicella vaccination program led to 90% decline in incidence over the next decade (1). However, because of continued varicella outbreaks, a routine 2-dose schedule (at ages 12-15 months and 4-6 years) was recommended and has been in place since 2006 (2)...
2016: MMWR. Morbidity and Mortality Weekly Report
Lara E Harrup, Swathi Laban, Bethan V Purse, Yarabolu Krishnamohan Reddy, Yella Narasimha Reddy, Sonnahallipura Munivenkatappa Byregowda, Naveen Kumar, Kondappa Muniramaiah Purushotham, Shrikant Kowalli, Minakshi Prasad, Gaya Prasad, Alison A Bettis, Rien De Keyser, James Logan, Claire Garros, David Gopurenko, Glenn Bellis, Karien Labuschagne, Bruno Mathieu, Simon Carpenter
BACKGROUND: Culicoides spp. biting midges transmit bluetongue virus (BTV), the aetiological agent of bluetongue (BT), an economically important disease of ruminants. In southern India, hyperendemic outbreaks of BT exert high cost to subsistence farmers in the region, impacting on sheep production. Effective Culicoides spp. monitoring methods coupled with accurate species identification can accelerate responses for minimising BT outbreaks. Here, we assessed the utility of sampling methods and DNA barcoding for detection and identification of Culicoides spp...
2016: Parasites & Vectors
Kui Liu, Li Li, Tao Jiang, Bin Chen, Zhenggang Jiang, Zhengting Wang, Yongdi Chen, Jianmin Jiang, Hua Gu
OBJECTIVE: The outbreak of the Ebola epidemic in West Africa in 2014 exerted enormous global public reaction via the Internet and social media. This study aimed to investigate and evaluate the public reaction to Ebola in China and identify the primitive correlation between possible influence factors caused by the outbreak of Ebola in West Africa and Chinese public attention via Internet surveillance. METHODS: Baidu Index (BDI) and Sina Micro Index (SMI) were collected from their official websites, and the disease-related data were recorded from the websites of the World Health Organization (WHO), U...
2016: International Journal of Environmental Research and Public Health
Nicole J Cohen, Clive M Brown, Francisco Alvarado-Ramy, Heather Bair-Brake, Gabrielle A Benenson, Tai-Ho Chen, Andrew J Demma, N Kelly Holton, Katrin S Kohl, Amanda W Lee, David McAdam, Nicki Pesik, Shahrokh Roohi, C Lee Smith, Stephen H Waterman, Martin S Cetron
During the 2014-2016 Ebola virus disease (Ebola) epidemic in West Africa, CDC implemented travel and border health measures to prevent international spread of the disease, educate and protect travelers and communities, and minimize disruption of international travel and trade. CDC staff provided in-country technical assistance for exit screening in countries in West Africa with Ebola outbreaks, implemented an enhanced entry risk assessment and management program for travelers at U.S. ports of entry, and disseminated information and guidance for specific groups of travelers and relevant organizations...
2016: MMWR Supplements
Lucy A McNamara, Ilana J Schafer, Leisha D Nolen, Yelena Gorina, John T Redd, Terrence Lo, Elizabeth Ervin, Olga Henao, Benjamin A Dahl, Oliver Morgan, Sara Hersey, Barbara Knust
Developing a surveillance system during a public health emergency is always challenging but is especially so in countries with limited public health infrastructure. Surveillance for Ebola virus disease (Ebola) in the West African countries heavily affected by Ebola (Guinea, Liberia, and Sierra Leone) faced numerous impediments, including insufficient numbers of trained staff, community reticence to report cases and contacts, limited information technology resources, limited telephone and Internet service, and overwhelming numbers of infected persons...
2016: MMWR Supplements
Lucy Breakwell, A Russell Gerber, Ashley L Greiner, Deborah L Hastings, Kelsey Mirkovic, Magdalena M Paczkowski, Sekou Sidibe, James Banaski, Chastity L Walker, Jennifer C Brooks, Victor M Caceres, Ray R Arthur, Frederick J Angulo
In the late summer of 2014, it became apparent that improved preparedness was needed for Ebola virus disease (Ebola) in at-risk countries surrounding the three highly affected West African countries (Guinea, Sierra Leone, and Liberia). The World Health Organization (WHO) identified 14 nearby African countries as high priority to receive technical assistance for Ebola preparedness; two additional African countries were identified at high risk for Ebola introduction because of travel and trade connections. To enhance the capacity of these countries to rapidly detect and contain Ebola, CDC established the High-Risk Countries Team (HRCT) to work with ministries of health, CDC country offices, WHO, and other international organizations...
2016: MMWR Supplements
Kevin Chatham-Stephens, Ethel Taylor, Art Chang, Amy Peterson, Johnni Daniel, Colleen Martin, Patricia Deuster, Rebecca Noe, Stephanie Kieszak, Josh Schier, Karl Klontz, Lauren Lewis
In September 2013, the Hawaii Department of Health (HDOH) was notified of seven adults who developed acute hepatitis after taking OxyELITE Pro™, a weight loss and sports dietary supplement. CDC assisted HDOH with their investigation, then conducted case-finding outside of Hawaii with FDA and the Department of Defense (DoD). We defined cases as acute hepatitis of unknown etiology that occurred from April 1, 2013, through December 5, 2013, following exposure to a weight loss or muscle-building dietary supplement, such as OxyELITE Pro™...
July 1, 2016: Drug Testing and Analysis
Kelly Gambino-Shirley, Lauren Stevenson, Katherine Wargo, Laura Burnworth, Jonathan Roberts, Nancy Garrett, Susan Van Duyne, Gillian McAllister, Megin Nichols
In August 2015, the Food and Drug Administration (FDA) notified CDC of a consumer complaint involving Salmonella Sandiego infection in a child (the index patient), who had acquired a small turtle (shell length <4 inches [<10 cm]) at an Alabama flea market. The subsequent investigation, which included examining data from PulseNet, the national molecular subtyping network for foodborne disease surveillance, identified four multistate Salmonella outbreaks: two involving Salmonella Sandiego and two involving Salmonella Poona...
2016: MMWR. Morbidity and Mortality Weekly Report
James J Sejvar, Adriana S Lopez, Margaret M Cortese, Eyal Leshem, Daniel M Pastula, Lisa Miller, Carol Glaser, Anita Kambhampati, Kayoko Shioda, Negar Aliabadi, Marc Fischer, Nicole Gregoricus, Robert Lanciotti, W Allan Nix, Senthilkumar K Sakthivel, D Scott Schmid, Jane F Seward, Suxiang Tong, M Steven Oberste, Mark Pallansch, Daniel Feikin
BACKGROUND: During late summer/fall 2014, pediatric cases of acute flaccid myelitis (AFM) occurred in the United States, coincident with a national outbreak of enterovirus D68 (EV-D68)-associated severe respiratory illness. METHODS: Clinicians and health departments reported standardized clinical, epidemiologic, and radiologic information on AFM cases to the Centers for Disease Control and Prevention (CDC), and submitted biological samples for testing. Cases were ≤21 years old, with acute onset of limb weakness 1 August-31 December 2014 and spinal magnetic resonance imaging (MRI) showing lesions predominantly restricted to gray matter...
September 15, 2016: Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America
Michele C Hlavsa, Taryn R Gerth, Sarah A Collier, Elizabeth L Dunbar, Gouthami Rao, Gregory Epperson, Becky Bramlett, David F Ludwig, Diana Gomez, Monty M Stansbury, Freeman Miller, Jeffrey Warren, Jim Nichol, Harry Bowman, Bao-An Huynh, Kara M Loewe, Bob Vincent, Amanda L Tarrier, Timothy Shay, Robert Wright, Allison C Brown, Jasen M Kunz, Kathleen E Fullerton, James R Cope, Michael J Beach
PROBLEM/CONDITION: Aquatic facility-associated illness and injury in the United States include disease outbreaks of infectious or chemical etiology, drowning, and pool chemical-associated health events (e.g., respiratory distress or burns). These conditions affect persons of all ages, particularly young children, and can lead to disability or even death. A total of 650 aquatic facility-associated outbreaks have been reported to CDC for 1978-2012. During 1999-2010, drownings resulted in approximately 4,000 deaths each year in the United States...
2016: MMWR. Surveillance Summaries: Morbidity and Mortality Weekly Report. Surveillance Summaries
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