8,079 results match your criteria Morbidity and Mortality Weekly Report MMWR[Journal]


Vital Signs: Tobacco Product Use Among Middle and High School Students - United States, 2011-2018.

MMWR Morb Mortal Wkly Rep 2019 Feb 15;68(6):157-164. Epub 2019 Feb 15.

Introduction: Tobacco use is the leading cause of preventable disease and death in the United States; nearly all tobacco product use begins during youth and young adulthood.

Methods: CDC, the Food and Drug Administration, and the National Cancer Institute analyzed data from the 2011-2018 National Youth Tobacco Surveys to estimate tobacco product use among U.S. Read More

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http://dx.doi.org/10.15585/mmwr.mm6806e1DOI Listing
February 2019

Days' Supply of Initial Opioid Analgesic Prescriptions and Additional Fills for Acute Pain Conditions Treated in the Primary Care Setting - United States, 2014.

MMWR Morb Mortal Wkly Rep 2019 Feb 15;68(6):140-143. Epub 2019 Feb 15.

During 2017, opioids were associated with 47,600 deaths in the United States, approximately one third of which involved a prescription opioid (1). Amid concerns that overprescribing to patients with acute pain remains an essential factor underlying misuse, abuse, diversion, and unintentional overdose, several states have restricted opioid analgesic prescribing (2,3). To characterize patterns of opioid analgesic use for acute pain in primary care settings before the widespread implementation of limits on opioid prescribing (2,3), patients filling an opioid analgesic prescription for acute pain were identified from a 2014 database of commercial claims. Read More

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http://dx.doi.org/10.15585/mmwr.mm6806a3DOI Listing
February 2019
1 Read

Transmission Patterns in a Low HIV-Morbidity State - Wisconsin, 2014-2017.

MMWR Morb Mortal Wkly Rep 2019 Feb 15;68(6):149-152. Epub 2019 Feb 15.

Public health interviews (i.e., partner services), during which persons with diagnosed human immunodeficiency virus (HIV) infection name their sexual or needle-sharing partners (named partners), are used to identify HIV transmission networks to guide and prioritize HIV prevention activities. Read More

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http://www.cdc.gov/mmwr/volumes/68/wr/mm6806a5.htm?s_cid=mm6
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http://dx.doi.org/10.15585/mmwr.mm6806a5DOI Listing
February 2019
1 Read

Update: Influenza Activity - United States, September 30, 2018-February 2, 2019.

MMWR Morb Mortal Wkly Rep 2019 Feb 15;68(6):125-134. Epub 2019 Feb 15.

Influenza Division, National Center for Immunization and Respiratory Diseases, CDC.

CDC collects, compiles, and analyzes data on influenza activity and viruses in the United States. During September 30, 2018-February 2, 2019,* influenza activity in the United States was low during October and November, increased in late December, and remained elevated through early February. As of February 2, 2019, this has been a low-severity influenza season (1), with a lower percentage of outpatient visits for influenza-like illness (ILI), lower rates of hospitalization, and fewer deaths attributed to pneumonia and influenza, compared with recent seasons. Read More

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http://www.cdc.gov/mmwr/volumes/68/wr/mm6806a1.htm?s_cid=mm6
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http://dx.doi.org/10.15585/mmwr.mm6806a1DOI Listing
February 2019
1 Read

Recommendations of the Advisory Committee on Immunization Practices for Use of Hepatitis A Vaccine for Persons Experiencing Homelessness.

MMWR Morb Mortal Wkly Rep 2019 Feb 15;68(6):153-156. Epub 2019 Feb 15.

Hepatitis A (HepA) vaccination is recommended routinely for children at age 12-23 months, for persons who are at increased risk for hepatitis A virus (HAV) infection, and for any person wishing to obtain immunity. Persons at increased risk for HAV infection include international travelers to areas with high or intermediate hepatitis A endemicity, men who have sex with men, users of injection and noninjection drugs, persons with chronic liver disease, person with clotting factor disorders, persons who work with HAV-infected primates or with HAV in a research laboratory setting, and persons who anticipate close contact with an international adoptee from a country of high or interme-diate endemicity (1-3). Persons experiencing homelessness are also at higher risk for HAV infection and severe infection-associated outcomes. Read More

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http://www.cdc.gov/mmwr/volumes/68/wr/mm6806a6.htm?s_cid=mm6
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http://dx.doi.org/10.15585/mmwr.mm6806a6DOI Listing
February 2019
1 Read

Increased Methamphetamine, Injection Drug, and Heroin Use Among Women and Heterosexual Men with Primary and Secondary Syphilis - United States, 2013-2017.

MMWR Morb Mortal Wkly Rep 2019 Feb 15;68(6):144-148. Epub 2019 Feb 15.

Division of STD Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, CDC.

During 2013-2017, the national annual rate of reported primary and secondary (P&S) syphilis cases in the United States increased 72.7%, from 5.5 to 9. Read More

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http://dx.doi.org/10.15585/mmwr.mm6806a4DOI Listing
February 2019

Actions in Support of Newborn Screening for Critical Congenital Heart Disease - United States, 2011-2018.

MMWR Morb Mortal Wkly Rep 2019 Feb 8;68(5):107-111. Epub 2019 Feb 8.

In 2011, the U.S. Department of Health and Human Services added critical congenital heart disease (CCHD), which occurs in two of every 1,000 births, to the list of conditions recommended to states for universal newborn screening (1). Read More

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http://dx.doi.org/10.15585/mmwr.mm6805a3DOI Listing
February 2019
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Advisory Committee on Immunization Practices Recommended Immunization Schedule for Children and Adolescents Aged 18 Years or Younger - United States, 2019.

MMWR Morb Mortal Wkly Rep 2019 Feb 8;68(5):112-114. Epub 2019 Feb 8.

At its October 2018 meeting, the Advisory Committee on Immunization Practices (ACIP)* voted to recommend approval of the Recommended Immunization Schedule for Children and Adolescents Aged 18 Years or Younger, United States, 2019. The 2019 child and adolescent immunization schedule summarizes ACIP recommendations, including several changes from the 2018 immunization schedule, on the cover page, three tables, and notes found on the CDC immunization schedule website (https://www.cdc. Read More

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February 2019

American Heart Month - February 2019.

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MMWR Morb Mortal Wkly Rep 2019 Feb 8;68(5):101. Epub 2019 Feb 8.

Heart disease is the leading cause of death for men and women in the United States, and heart attacks are a major category of heart disease; someone in the United States has a heart attack every 40 seconds (1). February is American Heart Month, an ideal time to remind all adults to focus on their hearts and encourage them, their families, friends, and communities to learn the important signs and symptoms of heart attack and how to respond. Recognizing that someone might be having a heart attack and calling emergency services (9-1-1) are crucial for optimizing access to lifesaving emergency cardiac care and receipt of advanced treatments and improving survival. Read More

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February 2019

Advisory Committee on Immunization Practices Recommended Immunization Schedule for Adults Aged 19 Years or Older - United States, 2019.

MMWR Morb Mortal Wkly Rep 2019 Feb 8;68(5):115-118. Epub 2019 Feb 8.

In October 2018, the Advisory Committee on Immunization Practices (ACIP)* voted to recommend approval of the Recommended Immunization Schedule for Adults, Aged 19 Years or Older, United States, 2019. The 2019 adult immunization schedule, available at https://www.cdc. Read More

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http://www.cdc.gov/mmwr/volumes/68/wr/mm6805a5.htm?s_cid=mm6
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http://dx.doi.org/10.15585/mmwr.mm6805a5DOI Listing
February 2019
5 Reads

HIV Partner Service Delivery Among Blacks or African Americans - United States, 2016.

MMWR Morb Mortal Wkly Rep 2019 Feb 1;68(4):81-86. Epub 2019 Feb 1.

Identifying persons with human immunodeficiency virus (HIV) infection who are unaware of their infection status, linking them to HIV care, and reducing racial/ethnic disparities are important national HIV prevention goals (1). Blacks/African Americans (blacks)* are disproportionately affected by HIV infection in the United States. Although blacks represent 13% of the U. Read More

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http://www.cdc.gov/mmwr/volumes/68/wr/mm6804a2.htm?s_cid=mm6
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http://dx.doi.org/10.15585/mmwr.mm6804a2DOI Listing
February 2019
3 Reads

Postlicensure Safety Surveillance of Recombinant Zoster Vaccine (Shingrix) - United States, October 2017-June 2018.

MMWR Morb Mortal Wkly Rep 2019 Feb 1;68(4):91-94. Epub 2019 Feb 1.

Recombinant zoster vaccine (RZV; Shingrix), an adjuvanted glycoprotein vaccine, was licensed by the Food and Drug Administration (FDA) and recommended by the Advisory Committee on Immunization Practices for adults aged ≥50 years in October 2017 (1). The previously licensed live-attenuated zoster vaccine (ZVL; Zostavax) is recommended for adults aged ≥60 years. RZV is administered intramuscularly as a 2-dose series, with an interval of 2-6 months between doses. Read More

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February 2019
7 Reads

Use of Toothpaste and Toothbrushing Patterns Among Children and Adolescents - United States, 2013-2016.

MMWR Morb Mortal Wkly Rep 2019 Feb 1;68(4):87-90. Epub 2019 Feb 1.

Fluoride use is one of the main factors responsible for the decline in prevalence and severity of dental caries and cavities (tooth decay) in the United States (1). Brushing children's teeth is recommended when the first tooth erupts, as early as 6 months, and the first dental visit should occur no later than age 1 year (2-4). However, ingestion of too much fluoride while teeth are developing can result in visibly detectable changes in enamel structure such as discoloration and pitting (dental fluorosis) (1). Read More

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http://dx.doi.org/10.15585/mmwr.mm6804a3DOI Listing
February 2019
1 Read

Scurvy Outbreak Among South Sudanese Adolescents and Young Men - Kakuma Refugee Camp, Kenya, 2017-2018.

MMWR Morb Mortal Wkly Rep 2019 Jan 25;68(3):72-75. Epub 2019 Jan 25.

Scurvy is a relatively rare micronutrient deficiency disease that can occur among refugees dependent on food aid (1). Inadequate access to fresh fruits and vegetables in refugee camps can result in scurvy (2,3). Kakuma Refugee Camp in Kenya's Turkana District is home to 148,000 refugees, mostly from Somalia and South Sudan, who receive food assistance. Read More

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http://dx.doi.org/10.15585/mmwr.mm6803a4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6348760PMC
January 2019
12 Reads

Characteristics of Deceased Solid Organ Donors and Screening Results for Hepatitis B, C, and Human Immunodeficiency Viruses - United States, 2010-2017.

MMWR Morb Mortal Wkly Rep 2019 Jan 25;68(3):61-66. Epub 2019 Jan 25.

The ongoing U.S. opioid crisis has resulted in an increase in drug overdose deaths and acute hepatitis C virus (HCV) infections, with young persons (who might be eligible organ donors) most affected. Read More

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http://dx.doi.org/10.15585/mmwr.mm6803a2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6348762PMC
January 2019
6 Reads

Notes from the Field: Fentanyl Drug Submissions - United States, 2010-2017.

MMWR Morb Mortal Wkly Rep 2019 01 18;68(2):41-43. Epub 2019 Jan 18.

Division of Unintentional Injury Prevention, National Center for Injury Prevention and Control, CDC.

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http://dx.doi.org/10.15585/mmwr.mm6802a4DOI Listing
January 2019
1 Read

Gastroschisis Trends and Ecologic Link to Opioid Prescription Rates - United States, 2006-2015.

MMWR Morb Mortal Wkly Rep 2019 Jan 18;68(2):31-36. Epub 2019 Jan 18.

Prevalence of gastroschisis, a serious birth defect of the abdominal wall resulting in some of the abdominal contents extending outside the body at birth, has been increasing worldwide (1,2). Gastroschisis requires surgical repair after birth and is associated with digestive and feeding complications during infancy, which can affect development. Recent data from 14 U. Read More

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http://www.cdc.gov/mmwr/volumes/68/wr/mm6802a2.htm?s_cid=mm6
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http://dx.doi.org/10.15585/mmwr.mm6802a2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6336188PMC
January 2019
7 Reads

Opioid Prescribing Rates in Nonmetropolitan and Metropolitan Counties Among Primary Care Providers Using an Electronic Health Record System - United States, 2014-2017.

MMWR Morb Mortal Wkly Rep 2019 Jan 18;68(2):25-30. Epub 2019 Jan 18.

Drug overdose is the leading cause of unintentional injury-associated death in the United States. Among 70,237 fatal drug overdoses in 2017, prescription opioids were involved in 17,029 (24.2%) (1). Read More

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http://dx.doi.org/10.15585/mmwr.mm6802a1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6336190PMC
January 2019
3 Reads

Overdose Deaths Involving Fentanyl and Fentanyl Analogs - New York City, 2000-2017.

MMWR Morb Mortal Wkly Rep 2019 Jan 18;68(2):37-40. Epub 2019 Jan 18.

Bureau of Alcohol and Drug Use Prevention, Care, and Treatment, New York City Department of Health and Mental Hygiene, New York City, New York.

Unintentional drug overdose deaths have climbed to record high levels, claiming approximately 70,000 lives in the United States in 2017 alone (1). The emergence of illicitly manufactured fentanyl* (a synthetic, short-acting opioid with 50-100 times the potency of morphine) mixed into heroin, cocaine, and counterfeit pills, with or without the users' knowledge, has increased the risk for fatal overdose (2,3). The New York City (NYC) Department of Health and Mental Hygiene (DOHMH) conducts routine overdose mortality surveillance by linking death certificates with toxicology findings from the NYC Office of the Chief Medical Examiner (OCME). Read More

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http://dx.doi.org/10.15585/mmwr.mm6802a3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6336189PMC
January 2019
3 Reads

Notice to Readers: Change in Continuing Education Activities for the MMWR Series.

Authors:

MMWR Morb Mortal Wkly Rep 2019 01 11;68(1):22. Epub 2019 Jan 11.

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http://dx.doi.org/10.15585/mmwr.mm6801a6DOI Listing
January 2019
1 Read

Drug Overdose Deaths Among Women Aged 30-64 Years - United States, 1999-2017.

MMWR Morb Mortal Wkly Rep 2019 Jan 11;68(1):1-5. Epub 2019 Jan 11.

The drug epidemic in the United States continues to evolve. The drug overdose death rate has rapidly increased among women (1,2), although within this demographic group, the increase in overdose death risk is not uniform. From 1999 to 2010, the largest percentage changes in the rates of overall drug overdose deaths were among women in the age groups 45-54 years and 55-64 years (1); however, this finding does not take into account trends in specific drugs or consider changes in age group distributions in drug-specific overdose death rates. Read More

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http://dx.doi.org/10.15585/mmwr.mm6801a1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6342548PMC
January 2019
2 Reads

Emergence of Extensively Drug-Resistant Salmonella Typhi Infections Among Travelers to or from Pakistan - United States, 2016-2018.

MMWR Morb Mortal Wkly Rep 2019 Jan 11;68(1):11-13. Epub 2019 Jan 11.

In February 2018, a typhoid fever outbreak caused by Salmonella enterica serotype Typhi (Typhi), resistant to chloramphenicol, ampicillin, trimethoprim-sulfamethoxazole, fluoroquinolones, and third-generation cephalosporins, was reported in Pakistan. During November 2016-September 2017, 339 cases of this extensively drug-resistant (XDR) Typhi strain were reported in Pakistan, mostly in Karachi and Hyderabad; one travel-associated case was also reported from the United Kingdom (1). More cases have been detected in Karachi and Hyderabad as surveillance efforts have been strengthened, with recent reports increasing the number of cases to 5,372 (2). Read More

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http://www.cdc.gov/mmwr/volumes/68/wr/mm6801a3.htm?s_cid=mm6
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http://dx.doi.org/10.15585/mmwr.mm6801a3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6342547PMC
January 2019
8 Reads

Establishing Baseline Cervical Cancer Screening Coverage - India, 2015-2016.

MMWR Morb Mortal Wkly Rep 2019 Jan 11;68(1):14-19. Epub 2019 Jan 11.

Cervical cancer is the second leading cause of new cancer cases and cancer-related deaths among women in India, with an estimated 96,922 new cases and 60,078 deaths each year.* Despite the availability of effective low-cost screening options in India, limited access to screening and treatment services, diagnosis at a later stage, and low investment in health care infrastructure all contribute to the high number of deaths (1). In 2016 the Ministry of Health and Family Welfare of India recommended cervical cancer screening using visual inspection with acetic acid every 5 years for women aged 30-65 years (per World Health Organization [WHO] guidelines) (2,3). Read More

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http://www.cdc.gov/mmwr/volumes/68/wr/mm6801a4.htm?s_cid=mm6
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http://dx.doi.org/10.15585/mmwr.mm6801a4DOI Listing
January 2019
8 Reads

Drug and Opioid-Involved Overdose Deaths - United States, 2013-2017.

MMWR Morb Mortal Wkly Rep 2018 Jan 4;67(5152):1419-1427. Epub 2018 Jan 4.

Division of Unintentional Injury Prevention, National Center for Injury Prevention and Control, CDC.

The 63,632 drug overdose deaths in the United States in 2016 represented a 21.4% increase from 2015; two thirds of these deaths involved an opioid (1). From 2015 to 2016, drug overdose deaths increased in all drug categories examined; the largest increase occurred among deaths involving synthetic opioids other than methadone (synthetic opioids), which includes illicitly manufactured fentanyl (IMF) (1). Read More

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http://www.cdc.gov/mmwr/volumes/67/wr/mm675152e1.htm?s_cid=m
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http://dx.doi.org/10.15585/mmwr.mm675152e1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6334822PMC
January 2018
9 Reads

Wound Botulism Outbreak Among Persons Who Use Black Tar Heroin - San Diego County, California, 2017-2018.

MMWR Morb Mortal Wkly Rep 2019 Jan 4;67(5152):1415-1418. Epub 2019 Jan 4.

During September 29-October 6, 2017, the County of San Diego Public Health Services (COSD) was notified of two patients with suspected wound botulism and a history of using black tar heroin. On October 9, COSD, which had reported an average of one wound botulism case per year during 2001-2016, sent a health alert through the California Health Alert Network, notifying Southern California providers of these two patients, including their signs and symptoms and black tar heroin exposure. In collaboration with the California Department of Public Health, COSD conducted an investigation to identify additional cases, determine risk factors for illness, estimate cost of medical care, and develop recommendations to prevent further illness. Read More

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http://dx.doi.org/10.15585/mmwr.mm675152a3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6334826PMC
January 2019
11 Reads

Human Rabies - Virginia, 2017.

MMWR Morb Mortal Wkly Rep 2019 Jan 4;67(5152):1410-1414. Epub 2019 Jan 4.

On May 9, 2017, the Virginia Department of Health was notified regarding a patient with suspected rabies. The patient had sustained a dog bite 6 weeks before symptom onset while traveling in India. On May 11, CDC confirmed that the patient was infected with a rabies virus that circulates in dogs in India. Read More

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http://dx.doi.org/10.15585/mmwr.mm675152a2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6334827PMC
January 2019
3 Reads

Behavioral and Clinical Characteristics of American Indian/Alaska Native Adults in HIV Care - Medical Monitoring Project, United States, 2011-2015.

MMWR Morb Mortal Wkly Rep 2019 Jan 4;67(5152):1405-1409. Epub 2019 Jan 4.

The rate of diagnosis of human immunodeficiency virus (HIV) infection among American Indians and Alaska Natives (AI/ANs) in 2016 (10.2 per 100,000 population) was the fourth highest among seven racial/ethnic groups in the United States (1); the number of diagnoses of HIV infection among AI/AN persons increased by 70%, from 143 in 2011 to 243 in 2016 (1). However, little has been published about the sociodemographic, behavioral, and clinical characteristics of AI/AN patients with HIV infection in care because small sample sizes have led to infrequent analysis of AI/AN-specific estimates (2) and because of underestimation of AI/AN race/ethnicity in surveillance and other data sources (3). Read More

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http://dx.doi.org/10.15585/mmwr.mm675152a1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6334823PMC
January 2019
2 Reads

Trends and Gaps in National Blood Transfusion Services - 14 Sub-Saharan African Countries, 2014-2016.

MMWR Morb Mortal Wkly Rep 2018 Dec 21;67(50):1392-1396. Epub 2018 Dec 21.

Ensuring availability of safe blood products through recruitment of voluntary, nonremunerated, blood donors (VNRDs) and prevention of transfusion-transmissible infections (TTIs), including human immunodeficiency virus (HIV), hepatitis B virus (HBV), hepatitis C virus (HCV), and syphilis, is important for public health (1,2). During 2004-2016, the U.S. Read More

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http://www.cdc.gov/mmwr/volumes/67/wr/mm6750a4.htm?s_cid=mm6
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http://dx.doi.org/10.15585/mmwr.mm6750a4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6342551PMC
December 2018
6 Reads

Drug, Opioid-Involved, and Heroin-Involved Overdose Deaths Among American Indians and Alaska Natives - Washington, 1999-2015.

MMWR Morb Mortal Wkly Rep 2018 Dec 21;67(50):1384-1387. Epub 2018 Dec 21.

The opioid epidemic has resulted in a threefold increase in drug overdose deaths in the United States during 1999-2015 (1). Whereas American Indians/Alaska Natives (AI/AN) have experienced larger increases in drug overdose mortality than have other racial/ethnic groups in the United States (2), little is known about the regional impact of opioids in tribal and urban AI/AN communities. To address this data gap, death records from the Washington State Center for Health Statistics, corrected for misclassification of AI/AN race, were examined to identify trends and disparities in drug, opioid-involved, and heroin-involved overdose mortality rates for AI/AN and non-Hispanic whites (whites) in Washington. Read More

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http://dx.doi.org/10.15585/mmwr.mm6750a2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6342552PMC
December 2018
1 Read