Haroula D Baliaka, Ryan X Ward, Roya Bahreini, Ann M Dillner, Armistead G Russell, John H Seinfeld, Richard C Flagan, Paul O Wennberg, Nga L Ng
{"title":"Notes from the Field: Elevated Atmospheric Lead Levels During the Los Angeles Urban Fires - California, January 2025.","authors":"Haroula D Baliaka, Ryan X Ward, Roya Bahreini, Ann M Dillner, Armistead G Russell, John H Seinfeld, Richard C Flagan, Paul O Wennberg, Nga L Ng","doi":"10.15585/mmwr.mm7405a4","DOIUrl":"https://doi.org/10.15585/mmwr.mm7405a4","url":null,"abstract":"","PeriodicalId":18637,"journal":{"name":"MMWR. Morbidity and mortality weekly report","volume":"74 5","pages":"69-71"},"PeriodicalIF":25.4,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143468376","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}
Vivian Levy, Anna Branzuela, Kristina Hsieh, Shiffen Getabecha, Ricardo Berumen, Kayla Saadeh, Robert E Snyder, Gillian Marek, Daniel Dodson, Alyssa Newman, Jill K Hacker, Chantha Kath, Faisal S Minhaj, Crystal M Gigante, Shannon Gearhart, Alexander Kallen, Christina L Hutson, Kathleen Jacobson
{"title":"First Clade Ib Monkeypox Virus Infection Reported in the Americas - California, November 2024.","authors":"Vivian Levy, Anna Branzuela, Kristina Hsieh, Shiffen Getabecha, Ricardo Berumen, Kayla Saadeh, Robert E Snyder, Gillian Marek, Daniel Dodson, Alyssa Newman, Jill K Hacker, Chantha Kath, Faisal S Minhaj, Crystal M Gigante, Shannon Gearhart, Alexander Kallen, Christina L Hutson, Kathleen Jacobson","doi":"10.15585/mmwr.mm7404a1","DOIUrl":"10.15585/mmwr.mm7404a1","url":null,"abstract":"<p><p>A clade I monkeypox virus (MPXV) outbreak is ongoing in the Democratic Republic of the Congo; travel-associated clade I MPXV infections have been reported in non-African countries. In November 2024, San Mateo County Health in California identified an electronic laboratory report of polymerase chain reaction results suggestive of clade I MPXV infection in a male traveler who had recently returned from East Africa. After conferring with the California Department of Public Health (CDPH), a county health department worker visited the patient that same day at his home and obtained skin pustule swab specimens for expedited clade I MPXV testing. Clade I MPXV was confirmed the following day by the CDPH Viral and Rickettsial Disease Laboratory. This was the first reported clade I MPXV infection in the Americas. Among 83 identified contacts, five received JYNNEOS vaccine as postexposure prophylaxis. All contacts were monitored for 21 days; no secondary cases were identified. Patients with mpox-compatible lesions or clinical features should receive MPXV testing, and health care providers should immediately notify public health authorities of suspected clade I MPXV infections (e.g., mpox manifestations and travel history to an area with ongoing clade I MPXV transmission) or upon receiving a nonvariola orthopoxvirus DNA detected, clade II MPXV DNA undetectable test result to trigger additional testing and facilitate the rapid implementation of transmission-based precautions and other preventive public health interventions.</p>","PeriodicalId":18637,"journal":{"name":"MMWR. Morbidity and mortality weekly report","volume":"74 4","pages":"44-49"},"PeriodicalIF":25.4,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11824946/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143414666","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}
Jerome Leonard, Elizabeth J Harker, Christine M Szablewski, Sara F Margrey, K Fred Gingrich, Keyana Crossley, Emily Fletcher, Claire J McCreavy, Sabrina Weis-Torres, Dennis Wang, Emma K Noble, Min Z Levine, H Pamela Pagano, Crystal Holiday, Feng Liu, Stacie Jefferson, Zhu-Nan Li, F Liaini Gross, Carrie Reed, Sascha Ellington, Alexandra M Mellis, Samantha M Olson
{"title":"Notes from the Field: Seroprevalence of Highly Pathogenic Avian Influenza A(H5) Virus Infections Among Bovine Veterinary Practitioners - United States, September 2024.","authors":"Jerome Leonard, Elizabeth J Harker, Christine M Szablewski, Sara F Margrey, K Fred Gingrich, Keyana Crossley, Emily Fletcher, Claire J McCreavy, Sabrina Weis-Torres, Dennis Wang, Emma K Noble, Min Z Levine, H Pamela Pagano, Crystal Holiday, Feng Liu, Stacie Jefferson, Zhu-Nan Li, F Liaini Gross, Carrie Reed, Sascha Ellington, Alexandra M Mellis, Samantha M Olson","doi":"10.15585/mmwr.mm7404a2","DOIUrl":"10.15585/mmwr.mm7404a2","url":null,"abstract":"","PeriodicalId":18637,"journal":{"name":"MMWR. Morbidity and mortality weekly report","volume":"74 4","pages":"50-52"},"PeriodicalIF":25.4,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11824947/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143414668","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}
Emily Kajita, Karen Chang, Vannalyn de Leon, Wesley Moss, Michael Lim, Sharon Balter, Annabelle de St Maurice
{"title":"Notes from the Field: Emergency Department Use During the Los Angeles County Wildfires, January 2025.","authors":"Emily Kajita, Karen Chang, Vannalyn de Leon, Wesley Moss, Michael Lim, Sharon Balter, Annabelle de St Maurice","doi":"10.15585/mmwr.mm7403a2","DOIUrl":"10.15585/mmwr.mm7403a2","url":null,"abstract":"","PeriodicalId":18637,"journal":{"name":"MMWR. Morbidity and mortality weekly report","volume":"74 3","pages":"40-42"},"PeriodicalIF":25.4,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11801522/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143365210","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}
Catherine C Beaucham, Rachel Zeiler, Kenneth Fent, Sophia K Chiu, Nicholas Somerville, Alexander Mayer, Jessica L Rinsky, Cheryl Estill
{"title":"Notes from the Field: Serum Concentrations of Perfluoroalkyl and Polyfluoroalkyl Substances Among First Responders to the Maui Wildfires - Hawaii, September 2023.","authors":"Catherine C Beaucham, Rachel Zeiler, Kenneth Fent, Sophia K Chiu, Nicholas Somerville, Alexander Mayer, Jessica L Rinsky, Cheryl Estill","doi":"10.15585/mmwr.mm7403a1","DOIUrl":"10.15585/mmwr.mm7403a1","url":null,"abstract":"","PeriodicalId":18637,"journal":{"name":"MMWR. Morbidity and mortality weekly report","volume":"74 3","pages":"35-39"},"PeriodicalIF":25.4,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11801521/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143365211","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}
A Patricia Wodi, Anindita N Issa, Charlotte A Moser, Sybil Cineas
{"title":"Advisory Committee on Immunization Practices Recommended Immunization Schedule for Adults Aged 19 Years or Older - United States, 2025.","authors":"A Patricia Wodi, Anindita N Issa, Charlotte A Moser, Sybil Cineas","doi":"10.15585/mmwr.mm7402a3","DOIUrl":"https://doi.org/10.15585/mmwr.mm7402a3","url":null,"abstract":"<p><p>At its October 2024 meeting, the Advisory Committee on Immunization Practices* (ACIP) approved the Recommended Immunization Schedule for Adults Ages 19 Years or Older, United States, 2025. The schedule supports health care providers, as well as public health and other professionals, by providing a consolidated summary of current ACIP recommendations for adult vaccination. The 2025 schedule includes several updates to the cover page, tables, notes, and appendix.<sup>†</sup> The addendum remains part of the schedule and will be used to summarize new or updated ACIP recommendations that occur before the next annual schedule update. Health care providers are strongly encouraged to use all parts of the schedule (the cover page, tables, notes, appendix, and addendum) together when making recommendations for individual patients. The 2025 adult immunization schedule can be found on the CDC website (https://www.cdc.gov/vaccines/hcp/imz-schedules/index.html).</p>","PeriodicalId":18637,"journal":{"name":"MMWR. Morbidity and mortality weekly report","volume":"74 2","pages":"30-33"},"PeriodicalIF":25.4,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11737654/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143008147","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}
Anindita N Issa, A Patricia Wodi, Charlotte A Moser, Sybil Cineas
{"title":"Advisory Committee on Immunization Practices Recommended Immunization Schedule for Children and Adolescents Aged 18 Years or Younger - United States, 2025.","authors":"Anindita N Issa, A Patricia Wodi, Charlotte A Moser, Sybil Cineas","doi":"10.15585/mmwr.mm7402a2","DOIUrl":"https://doi.org/10.15585/mmwr.mm7402a2","url":null,"abstract":"<p><p>At its October 2024 meeting, the Advisory Committee on Immunization Practices* (ACIP) approved the Recommended Immunization Schedule for Child and Adolescent Ages 18 Years or Younger, United States, 2025. The schedule supports health care providers, as well as public health and other professionals, by providing a consolidated summary of current ACIP recommendations for vaccinating children and adolescents. The 2025 schedule includes several updates to the cover page, tables, notes, and appendix.<sup>†</sup> The addendum remains part of the schedule and will be used to summarize new or updated ACIP recommendations that occur before the next annual schedule update. Health care providers are strongly encouraged to use all parts of the schedule (the cover page, tables, notes, appendix, and addendum) together when making recommendations for individual patients. The 2025 child and adolescent immunization schedule can be found on the CDC website (https://www.cdc.gov/vaccines/hcp/imz-schedules/index.html).</p>","PeriodicalId":18637,"journal":{"name":"MMWR. Morbidity and mortality weekly report","volume":"74 2","pages":"26-29"},"PeriodicalIF":25.4,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11737652/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143008309","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}
Heather L Walker, Maureen Roland, Steven Dudley, Kenneth Komatsu, Joli Weiss, Jamaica Dillard, Hsin-I Lin, Laura Rust, Traci Plummer, Rachel Berg, Stephen Everett, Arthur Chang, Michael Yeh, Johnni Daniel, Shane Brady
{"title":"Notes from the Field: Severe Health Outcomes Linked to Consumption of Mushroom-Based Psychoactive Microdosing Products - Arizona, June-October 2024.","authors":"Heather L Walker, Maureen Roland, Steven Dudley, Kenneth Komatsu, Joli Weiss, Jamaica Dillard, Hsin-I Lin, Laura Rust, Traci Plummer, Rachel Berg, Stephen Everett, Arthur Chang, Michael Yeh, Johnni Daniel, Shane Brady","doi":"10.15585/mmwr.mm7401a3","DOIUrl":"https://doi.org/10.15585/mmwr.mm7401a3","url":null,"abstract":"","PeriodicalId":18637,"journal":{"name":"MMWR. Morbidity and mortality weekly report","volume":"74 1","pages":"14-16"},"PeriodicalIF":25.4,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11709130/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142951503","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}
Miwako Kobayashi, Andrew J Leidner, Ryan Gierke, Wei Xing, Emma Accorsi, Pedro Moro, Mini Kamboj, George A Kuchel, Robert Schechter, Jamie Loehr, Adam L Cohen
{"title":"Expanded Recommendations for Use of Pneumococcal Conjugate Vaccines Among Adults Aged ≥50 Years: Recommendations of the Advisory Committee on Immunization Practices - United States, 2024.","authors":"Miwako Kobayashi, Andrew J Leidner, Ryan Gierke, Wei Xing, Emma Accorsi, Pedro Moro, Mini Kamboj, George A Kuchel, Robert Schechter, Jamie Loehr, Adam L Cohen","doi":"10.15585/mmwr.mm7401a1","DOIUrl":"10.15585/mmwr.mm7401a1","url":null,"abstract":"<p><p>Before October 2024, the Advisory Committee on Immunization Practices (ACIP) recommended use of a pneumococcal conjugate vaccine (PCV) for all adults aged ≥65 years, as well as for those aged 19-64 years with risk conditions for pneumococcal disease who have not received a PCV or whose vaccination history is unknown. Options included either 20-valent PCV (PCV20; Prevnar20; Wyeth Pharmaceuticals) or 21-valent PCV (PCV21; CAPVAXIVE; Merck Sharp & Dohme) alone or 15-valent PCV (PCV15; VAXNEUVANCE; Merck Sharp & Dohme) in series with 23-valent pneumococcal polysaccharide vaccine (PPSV23; Pneumovax23; Merck Sharp & Dohme). There are additional recommendations for use of PCV20 or PCV21 for adults who started their pneumococcal vaccination series with 13-valent PCV (PCV13; Prevnar13; Wyeth Pharmaceuticals). The ACIP Pneumococcal Vaccines Work Group employed the Evidence to Recommendations framework to guide its deliberations on expanding the age-based PCV recommendation to include adults aged 50-64 years. On October 23, 2024, ACIP recommended a single dose of PCV for all PCV-naïve adults aged ≥50 years. Recommendations for PCVs among adults aged 19-49 years with risk conditions and PCV13-vaccinated adults have not changed from previous recommendations. This report summarizes evidence considered for these recommendations and provides updated clinical guidance for use of PCV.</p>","PeriodicalId":18637,"journal":{"name":"MMWR. Morbidity and mortality weekly report","volume":"74 1","pages":"1-8"},"PeriodicalIF":25.4,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11709131/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142951502","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}
Dallas S Shi, Melissa Charles, Catherine Beaucham, Sheldon Walker, Walter Alarcon, Scott E Brueck, Sophia K Chiu, Nicholas Somerville
{"title":"Occupational Exposure to Mercury at an Electronics Waste and Lamp Recycling Facility - Ohio, 2023.","authors":"Dallas S Shi, Melissa Charles, Catherine Beaucham, Sheldon Walker, Walter Alarcon, Scott E Brueck, Sophia K Chiu, Nicholas Somerville","doi":"10.15585/mmwr.mm7401a2","DOIUrl":"https://doi.org/10.15585/mmwr.mm7401a2","url":null,"abstract":"<p><p>Workers in electronics waste and lamp recycling facilities are at risk of exposure to elemental mercury through inhalation of mercury vapor and mercury-containing dust. Employers at an electronics waste and lamp recycling facility in Ohio that crushes mercury-containing lamps expressed concerns about mercury exposure from work processes and requested a health hazard evaluation by CDC's National Institute for Occupational Safety and Health (NIOSH). In April 2023, NIOSH conducted a multidisciplinary investigation to assess elemental and inorganic mercury exposures, including epidemiologic, environmental, and ventilation assessments. Results indicated that mercury vapor was detected throughout the facility, with six of 14 workers having elevated urine mercury levels. These workers had a median job tenure of 8 months; four did not speak English, and five reported symptoms consistent with mercury toxicity, such as metallic or bitter taste, difficulty thinking, and changes in personality. Recommendations included improving the ventilation system, changing work practices to reduce mercury exposure, and providing training and communication tailored to the worker. As the electronic waste recycling industry continues to grow, it is important for employers to evaluate mercury exposure and safeguard employees using a hierarchy of controls. Health departments should consider monitoring occupational mercury exposure in recycling facilities, and clinicians should be aware of the potential for mercury toxicity among workers in these settings.</p>","PeriodicalId":18637,"journal":{"name":"MMWR. Morbidity and mortality weekly report","volume":"74 1","pages":"9-13"},"PeriodicalIF":25.4,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11709132/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142951504","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}