MMWR. Morbidity and mortality weekly report最新文献

{"title":"Notes from the Field: Primary Amebic Meningoencephalitis Associated with Nasal Irrigation Using Water from a Recreational Vehicle - Texas, 2024.","authors":"Olivia A Smith, Whitney Tillman, Jantel B Lewis, Stephen White, Mia Mattioli, Julia Haston, Megan Dorris, Amy Kahler, Alexis Roundtree, Ibne Karim Ali, Shantanu Roy, Taylor Yakubik, Lauren Sisco, Jasen Kunz","doi":"10.15585/mmwr.mm7419a4","DOIUrl":"https://doi.org/10.15585/mmwr.mm7419a4","url":null,"abstract":"","PeriodicalId":18637,"journal":{"name":"MMWR. Morbidity and mortality weekly report","volume":"74 19","pages":"334-335"},"PeriodicalIF":25.4,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144181493","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Update on the Epidemiology of Middle East Respiratory Syndrome Coronavirus - Worldwide, 2017-2023.","authors":"Anastasia S Lambrou, Erin South, Claire M Midgley, Chelsea Harrington, Lijuan Wang, Caelin Cubeñas, David Lowe, Glen R Abedi, Cassandra Jones, Laura J Hughes, Amber Winn, Melanie Wilkinson, Volha Katebi, Beth Schweitzer, Maria Van Kerkhove, Sophie von Dobschuetz, Leslie Edwards, Aron J Hall, Cria O Gregory, Hannah L Kirking","doi":"10.15585/mmwr.mm7419a1","DOIUrl":"https://doi.org/10.15585/mmwr.mm7419a1","url":null,"abstract":"<p><p>Middle East respiratory syndrome coronavirus (MERS-CoV) is a zoonotic virus transmitted sporadically from camels to humans. Most reported human Middle East respiratory syndrome (MERS) cases have occurred in or near the Arabian Peninsula. Limited human-to-human transmission can occur after close contact and has resulted in health care-associated outbreaks. Global reported MERS cases, U.S. testing data, and data on incoming U.S. travelers originating in and near the Arabian Peninsula during 2017-2023 were analyzed to guide U.S. MERS preparedness. Global MERS cases reported to the World Health Organization declined during the COVID-19 pandemic and remain substantially lower than during years preceding the pandemic. U.S. MERS-CoV testing numbers also declined and remain low relative to the prepandemic period. Although the number of travelers coming to the United States from in or near the Arabian Peninsula declined during the pandemic, incoming traveler volume returned to prepandemic levels. Further investigations are needed to determine whether the decline in global MERS cases reflects a true decrease in the number of infections, underascertainment of cases, or a combination. U.S. MERS persons under investigation criteria, standard clinical and epidemiologic characteristics used to guide who in the U.S. is tested for MERS-CoV, were updated in 2024 and can be used to guide clinicians and jurisdictional public health partners when considering MERS-CoV testing. Continued and targeted MERS-CoV material surveillance is important to maintaining preparedness and promptly responding to potential MERS cases.</p>","PeriodicalId":18637,"journal":{"name":"MMWR. Morbidity and mortality weekly report","volume":"74 19","pages":"313-320"},"PeriodicalIF":25.4,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144181690","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nursing Pillows in the Sleep Environment and Sudden Unexpected Infant Deaths - Georgia, January 2013-December 2022.","authors":"Bridget K Hamilton, Terri Miller, Robin Dawson","doi":"10.15585/mmwr.mm7419a2","DOIUrl":"https://doi.org/10.15585/mmwr.mm7419a2","url":null,"abstract":"<p><p>A sudden unexpected infant death (SUID) is defined as the sudden and unexpected death of an infant (a child aged <1 year) whose cause of death was not obvious before investigation. Pillows used to support infants during feeding, often referred to as nursing pillows, have been identified as a potential hazard in sleep spaces for infants. Georgia county-level Child Death Review (CDR) data from the Pediatric National Fatality Review Case Reporting System were analyzed to ascertain whether nursing pillows were found in the sleep space of infants who died of SUID. Among 1,685 SUID cases in Georgia during 2013-2022, a nursing pillow was found in the sleep space of 84 (5%) infants. Among these, 86% of infants who died with a nursing pillow present were aged <4 months, 40% were aged <2 months, and 55% were Black or African American. A total of 56% of the deaths occurred in an adult bed, and all but one (99%) occurred in association with bed sharing. Among the 84 deaths, the nursing pillow was found under the infant in 58 (69.1%) cases, next to the infant in 14 (16.7%) cases, on top of the infant in two (2.4%) cases, and tangled around the infant in one (1.2%) case. This analysis indicates that nursing pillows are being used in ways other than their intended use as an aid in feeding. Since April 2025, newly manufactured nursing pillows must have labels indicating the potential risk associated with using them in infants' sleep spaces; however, many nursing pillows in use or still on the market lack such labeling. Warning consumers of risks associated with using nursing pillows in infant sleep environments, in addition to continued education and outreach about safe infant sleep, could help reduce SUIDs.</p>","PeriodicalId":18637,"journal":{"name":"MMWR. Morbidity and mortality weekly report","volume":"74 19","pages":"321-325"},"PeriodicalIF":25.4,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144181130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Economic Hardship and Health Within Sociodemographic and Occupational Groups - Behavioral Risk Factor Surveillance System, United States, 2022-2023.","authors":"Sharon R Silver, Jia Li, Taylor M Shockey","doi":"10.15585/mmwr.mm7419a3","DOIUrl":"https://doi.org/10.15585/mmwr.mm7419a3","url":null,"abstract":"<p><p>Economic hardship can limit the ability of workers to prevent and address adverse health conditions. Using 2022 and 2023 Behavioral Risk Factor Surveillance System data, this exploratory analysis assessed economic hardship measures and self-rated health among currently employed and recently unemployed (<12 months) U.S. adults. Measures of economic hardship were 1) employment instability, 2) food insecurity, 3) housing insecurity, 4) utility insecurity, 5) lack of reliable transportation, 6) receipt of food stamps or Supplemental Nutrition Assistance Program benefits, 7) lack sof health insurance, and 8) cost as a barrier to needed medical care. Overall, 6.9% of currently or recently employed U.S. adults in 36 states and the U.S. Virgin Islands had high levels of economic hardship (reporting at least four of eight economic hardship indicators), and 12.5% reported having fair or poor health. High levels of economic hardship were more common among persons who were recently unemployed, were aged 18-49 years, were female, were Hispanic or Latino (Hispanic) or non-Hispanic Black or African American, had a high school education or less, or had a household income <$50,000 per year than among all workers combined. Fair or poor self-rated health was most common among workers who were Hispanic or were from lower educational attainment and income categories. By occupational group, the prevalence of high levels of economic hardship was highest in farming, fishing, and forestry (18.5%); building and grounds cleaning and maintenance (18.2%); and food preparation and serving (16.0%) and was lowest in the legal occupations (1.2%). Among occupational groups, the prevalence of fair or poor health generally increased with the prevalence of high economic hardship, and almost every occupational group with a high level of economic hardship had a statistically significantly elevated prevalence of fair or poor health compared with that among all workers combined. Given associations between unmet economic needs and health, these findings can be used by policymakers to identify groups of workers with disproportionate economic hardships and develop strategies to enhance economic security and health for all workers.</p>","PeriodicalId":18637,"journal":{"name":"MMWR. Morbidity and mortality weekly report","volume":"74 19","pages":"326-333"},"PeriodicalIF":25.4,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144180024","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Erratum: Vol. 74, No. 15.","authors":"","doi":"10.15585/mmwr.mm7417a3","DOIUrl":"https://doi.org/10.15585/mmwr.mm7417a3","url":null,"abstract":"","PeriodicalId":18637,"journal":{"name":"MMWR. Morbidity and mortality weekly report","volume":"74 17","pages":"296"},"PeriodicalIF":25.4,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12080729/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144078998","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Erratum: Vol. 74, No. 12.","authors":"","doi":"10.15585/mmwr.mm7414a5","DOIUrl":"https://doi.org/10.15585/mmwr.mm7414a5","url":null,"abstract":"","PeriodicalId":18637,"journal":{"name":"MMWR. Morbidity and mortality weekly report","volume":"74 14","pages":"256"},"PeriodicalIF":25.4,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12021072/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144002499","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Erratum: Vol. 74, No. 11.","authors":"","doi":"10.15585/mmwr.mm7413a4","DOIUrl":"https://doi.org/10.15585/mmwr.mm7413a4","url":null,"abstract":"","PeriodicalId":18637,"journal":{"name":"MMWR. Morbidity and mortality weekly report","volume":"74 13","pages":"230"},"PeriodicalIF":25.4,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12005481/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144028302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Epidemiology of Symptomatic Human Metapneumovirus Infection in the CASCADIA Community-Based Cohort - Oregon and Washington, 2022-2024.","authors":"Mila Shakya, Helen Y Chu, Janet A Englund, Melissa Briggs-Hagen, Marco Carone, Jennifer L Kuntz, Tina Lockwood, Claire M Midgley, Mark A Schmidt, Lea Starita, Ana A Weil, Ryan E Wiegand, Allison L Naleway, Ian D Plumb","doi":"10.15585/mmwr.mm7411a2","DOIUrl":"10.15585/mmwr.mm7411a2","url":null,"abstract":"<p><p>Human metapneumovirus (hMPV) is an important cause of respiratory illness. However, information about hMPV incidence, patient characteristics, and symptoms outside hospital settings is limited. During June 2022-March 2024, participants aged 6 months-49 years who were enrolled in the CASCADIA community-based cohort study submitted weekly illness surveys and nasal swabs, and completed follow-up illness surveys. Swabs collected 0-3 days before reporting new or worsening symptoms were tested for hMPV and other respiratory viruses by multiplex polymerase chain reaction. Incidence was analyzed using an exponential survival model. Among 3,549 participants, 306 had symptomatic hMPV infection, representing an average of 7.5 cases per 100 persons per year (95% CI = 6.7-8.4). Incidence was highest during January-March (adjusted hazard ratio [aHR] = 4.3; 95% CI = 3.0-6.0) compared with October-December, and among those aged 2-4 years (aHR = 5.8; 95% CI = 3.8-9.0) compared with those aged ≥40 years. The most frequently reported symptoms were cough (80.4%) and nasal congestion (71.9%). Among 252 (82.4%) participants who completed a post-illness follow-up survey, 68 (27.0%) missed work, school, or child care facility attendance. Together, these findings indicate that hMPV is a common cause of respiratory illness during late winter to spring, particularly among young children, and frequently disrupts daily activities. Understanding hMPV epidemiology can guide surveillance definitions, clinical testing, and prioritization of prevention strategies.</p>","PeriodicalId":18637,"journal":{"name":"MMWR. Morbidity and mortality weekly report","volume":"74 11","pages":"188-193"},"PeriodicalIF":25.4,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11970721/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143780532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Human Metapneumovirus Seasonality and Co-Circulation with Respiratory Syncytial Virus - United States, 2014-2024.","authors":"Ndey Bassin Jobe, Erica Rose, Amber K Winn, Leah Goldstein, Zachary D Schneider, Benjamin J Silk","doi":"10.15585/mmwr.mm7411a1","DOIUrl":"10.15585/mmwr.mm7411a1","url":null,"abstract":"<p><p>Human metapneumovirus (hMPV) infections cause acute respiratory illness and lower respiratory tract disease. Respiratory syncytial virus (RSV) is a closely related virus within the Pneumoviridae family, and hMPV and RSV infections are associated with similar clinical manifestations. Although no specific antiviral therapies or vaccines exist for hMPV, vaccines and monoclonal antibody products are available to protect against severe RSV disease. This report summarizes hMPV circulation relative to the timing of RSV epidemics before, during, and after the COVID-19 pandemic. Polymerase chain reaction testing results reported to the National Respiratory and Enteric Virus Surveillance System during July 2014-June 2024, were analyzed. Before the COVID-19 pandemic, the median hMPV season onset, peak, and offset occurred in early January, late March, and early June, respectively (median duration = 21 weeks). The 2021-22 season was atypically long (35 weeks); seasonality reverted to more typical patterns during the 2022-23 and 2023-24 seasons. In the two COVID-19 pandemic seasons (2021-22 and 2022-23) and one postpandemic season (2023-24), RSV offsets occurred earlier in January (2021-22 and 2022-23) or March (2023-24) than before the pandemic, when the median offsets occurred in April. The annual interval from peak RSV to peak hMPV circulation increased from a prepandemic median of 11.5 weeks (range = 2-17 weeks) to 19 weeks (range = 19-20 weeks) during and after the pandemic. Fewer than 5 weeks of cocirculation of RSV and hMPV occurred in most regions during the 2022-23 and 2023-24 seasons. Real-time surveillance of RSV and hMPV co-circulation patterns can help guide clinician-directed testing and supportive care, optimize the use of prevention products, prompt detection of and response to outbreaks, and help ensure health care system preparedness for seasonal increases in illnesses.</p>","PeriodicalId":18637,"journal":{"name":"MMWR. Morbidity and mortality weekly report","volume":"74 11","pages":"182-187"},"PeriodicalIF":25.4,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11970723/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143780534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Notes from the Field: Response to a Case of Travel-Associated Lassa Fever - Iowa, October-November 2024.","authors":"Diana L Von Stein, Alexandra Barger, Andrew Hennenfent, Robert Ramaekers, Amanda Mandi, Kenzie Teno, Karen Brust, Jonathan Simmons, Nicholas Mohr, Lisa Veach, Sudhir Kumar, Aneesa Afroze, Emily McCutchen, Amanda Bartling, Michael Pentella, Megan Nelson, Jennifer Craft, Rikki Hetzler, Amy Thoreson, Alicia Coppedge, Sam Jarvis, Jennifer Miller, Alison M Todres, Jessica L Wickline, Sheena Tarrant, Leanna Sayyad, Inna Krapiunaya, Amy Schuh, Amy Whitesell, Gerard C Kuotu, Kiara McNamara, Nancy Cornish, Shelly Schwedhelm, Angela Vasa, Angela Hewlett, Shantyl Galloway, Aaron D Kofman, Katrin S Sadigh, Robert Kruse, Barbara Knust, Matthew Donahue","doi":"10.15585/mmwr.mm7411a3","DOIUrl":"10.15585/mmwr.mm7411a3","url":null,"abstract":"","PeriodicalId":18637,"journal":{"name":"MMWR. Morbidity and mortality weekly report","volume":"74 11","pages":"194-196"},"PeriodicalIF":25.4,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11970722/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143780536","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}