MMWR. Morbidity and mortality weekly report最新文献

{"title":"Firearm Storage Behaviors - Behavioral Risk Factor Surveillance System, Eight States, 2021-2022.","authors":"Norah W Friar, Molly Merrill-Francis, Elizabeth M Parker, Carlos Siordia, Thomas R Simon","doi":"10.15585/mmwr.mm7323a1","DOIUrl":"10.15585/mmwr.mm7323a1","url":null,"abstract":"<p><p>Secure firearm storage might help reduce access by children and other unauthorized users and the related risk for injury or death. Information about state-specific prevalence of firearm storage practices can be used to develop secure storage messages and programs; however, such information is often unavailable. Data from the Behavioral Risk Factor Surveillance System, by respondent characteristics, were used to estimate prevalence of keeping firearms in or around the home and related storage practices for eight states that administered the firearm safety module in 2021 or 2022. Overall, 18.4% (California) to 50.6% (Alaska) of respondents reported that a firearm was kept in or around their home. Among those with a firearm in or around the home, 19.5% (Minnesota) to 43.8% (North Carolina) reported that a firearm was stored loaded. Across all eight states, approximately one half of those with a loaded firearm stored at least one loaded firearm unlocked. Among respondents with a child and a loaded firearm in the home, 25.2% (Ohio) to 41.4% (Alaska) reported that a loaded firearm was stored unlocked. Variability in firearm storage practices highlights the importance of local data and suggests opportunities to tailor prevention efforts to specific population groups to reduce risk for firearm handling by children without adult supervision, and other unauthorized persons.</p>","PeriodicalId":18637,"journal":{"name":"MMWR. Morbidity and mortality weekly report","volume":"73 23","pages":"523-528"},"PeriodicalIF":25.4,"publicationDate":"2024-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11199013/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141317691","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: Rapid Linkage of a Salmonella Livingstone Outbreak to a Restaurant, Using Open-Ended Interviews and Patient Purchase Histories - Utah, 2023-2024.","authors":"Clarissa Keisling, Jennifer Hatfield, Delaney Moore, Savannah Graves, Brooke Smith, Jenni Wagner, Ravyn Casey, Erin L Young, Kelly Oakeson, Willy Lanier","doi":"10.15585/mmwr.mm7323a4","DOIUrl":"10.15585/mmwr.mm7323a4","url":null,"abstract":"","PeriodicalId":18637,"journal":{"name":"MMWR. Morbidity and mortality weekly report","volume":"73 23","pages":"536-537"},"PeriodicalIF":25.4,"publicationDate":"2024-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11199015/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141317693","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":"Migration from Epi Info to District Health Information Software 2 for Vaccine-Preventable Disease Surveillance - World Health Organization African Region, 2019-2023.","authors":"Oluwasegun Joel Adegoke, Audrey Rachlin, Angela Montesanti Porter, Reggis Katsande, Steve Kubenga, Rebecca Potter, Ola Hodne Titlestad, Lucie Noubi Tchoupopnou Royd, Louie Rosencrans, Carl Kinkade, Vittoria Crispino, Talya Shragai, Edem Kossi, Hong Anh Chu, Christopher S Murrill, Eugene Lam, Charles S Wiysonge, Lawrence Kazembe, Lorenzo Pezzoli, Victor Alegana, Impouma Benido","doi":"10.15585/mmwr.mm7323a2","DOIUrl":"10.15585/mmwr.mm7323a2","url":null,"abstract":"<p><p>High-quality vaccine-preventable disease (VPD) surveillance data are critical for timely outbreak detection and response. In 2019, the World Health Organization (WHO) African Regional Office (AFRO) began transitioning from Epi Info, a free, CDC-developed statistical software package with limited capability to integrate with other information systems, affecting reporting timeliness and data use, to District Health Information Software 2 (DHIS2). DHIS2 is a free and open-source software platform for electronic aggregate Integrated Disease Surveillance and Response (IDSR) and case-based surveillance reporting. A national-level reporting system, which provided countries with the option to adopt this new system, was introduced. Regionally, the Epi Info database will be replaced with a DHIS2 regional data platform. This report describes the phased implementation from 2019 to the present. Phase one (2019-2021) involved developing IDSR aggregate and case-based surveillance packages, including pilots in the countries of Mali, Rwanda, and Togo. Phase two (2022) expanded national-level implementation to 27 countries and established the WHO AFRO DHIS2 regional data platform. Phase three (from 2023 to the present) activities have been building local capacity and support for country reporting to the regional platform. By February 2024, eight of 47 AFRO countries had adopted both the aggregate IDSR and case-based surveillance packages, and two had successfully transferred VPD surveillance data to the AFRO regional platform. Challenges included limited human and financial resources, the need to establish data-sharing and governance agreements, technical support for data transfer, and building local capacity to report to the regional platform. Despite these challenges, the transition to DHIS2 will support efficient data transmission to strengthen VPD detection, response, and public health emergencies through improved system integration and interoperability.</p>","PeriodicalId":18637,"journal":{"name":"MMWR. Morbidity and mortality weekly report","volume":"73 23","pages":"529-533"},"PeriodicalIF":25.4,"publicationDate":"2024-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11199014/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141317692","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: Toxigenic Corynebacterium ulcerans in Humans and Household Pets - Utah and Colorado, 2022-2023.","authors":"Amanda R Metz, Angie White, Jared Ripplinger, Emily Spence Davizon, Meghan Barnes, Matt Bauer, Lauren Butler, Natalie S Marzec, Shannon R Matzinger, Valerie Bampoe, Hong Ju, Ingrid C McCall, Marissa Fraire, Yanhui Peng, Willy Lanier","doi":"10.15585/mmwr.mm7323a3","DOIUrl":"10.15585/mmwr.mm7323a3","url":null,"abstract":"","PeriodicalId":18637,"journal":{"name":"MMWR. Morbidity and mortality weekly report","volume":"73 23","pages":"534-535"},"PeriodicalIF":25.4,"publicationDate":"2024-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11199016/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141317694","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: Anthrax on a Sheep Farm in Winter - Texas, December 2023-January 2024.","authors":"Julie M Thompson, Kelly Spencer, Melissa Maass, Susan Rollo, Cari A Beesley, Chung K Marston, Alex R Hoffmaster, William A Bower, Maribel Gallegos Candela, John R Barr, Anne E Boyer, Zachary P Weiner, María E Negrón, Erin Swaney, Briana O'Sullivan","doi":"10.15585/mmwr.mm7322a2","DOIUrl":"10.15585/mmwr.mm7322a2","url":null,"abstract":"","PeriodicalId":18637,"journal":{"name":"MMWR. Morbidity and mortality weekly report","volume":"73 22","pages":"517-520"},"PeriodicalIF":25.4,"publicationDate":"2024-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11166257/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141284235","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":"Cases of Meningococcal Disease Associated with Travel to Saudi Arabia for Umrah Pilgrimage - United States, United Kingdom, and France, 2024.","authors":"Madhura S Vachon, Anne-Sophie Barret, Jay Lucidarme, John Neatherlin, Amy B Rubis, Rebecca L Howie, Shalabh Sharma, Daya Marasini, Basanta Wagle, Page Keating, Mike Antwi, Judy Chen, Tingting Gu-Templin, Pamala Gahr, Jennifer Zipprich, Franny Dorr, Karen Kuguru, Sarah Lee, Umme-Aiman Halai, Brittany Martin, Jeremy Budd, Ziad Memish, Abdullah M Assiri, Noha H Farag, Muhamed-Kheir Taha, Ala-Eddine Deghmane, Laura Zanetti, Rémi Lefrançois, Stephen A Clark, Ray Borrow, Shamez N Ladhani, Helen Campbell, Mary Ramsay, LeAnne Fox, Lucy A McNamara","doi":"10.15585/mmwr.mm7322e1","DOIUrl":"10.15585/mmwr.mm7322e1","url":null,"abstract":"<p><p>Invasive meningococcal disease (IMD), caused by infection with the bacterium Neisseria meningitidis, usually manifests as meningitis or septicemia and can be severe and life-threatening (1). Six serogroups (A, B, C, W, X, and Y) account for most cases (2). N. meningitidis is transmitted person-to-person via respiratory droplets and oropharyngeal secretions. Asymptomatic persons can carry N. meningitidis and transmit the bacteria to others, potentially causing illness among susceptible persons. Outbreaks can occur in conjunction with large gatherings (3,4). Vaccines are available to prevent meningococcal disease. Antibiotic prophylaxis for close contacts of infected persons is critical to preventing secondary cases (2).</p>","PeriodicalId":18637,"journal":{"name":"MMWR. Morbidity and mortality weekly report","volume":"73 22","pages":"514-516"},"PeriodicalIF":33.9,"publicationDate":"2024-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11166255/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141284233","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":"Mpox Surveillance Based on Rash Characteristics - 13 Emergency Departments, United States, June-December 2023.","authors":"Carl T Berdahl, Anusha Krishnadasan, Kavitha Pathmarajah, Gregory J Moran, Jesus R Torres, Matthew Waxman, William Mower, Omai B Garner, Lorenzo P Duvergne, Anne W Rimoin, Pamina M Gorbach, David A Talan","doi":"10.15585/mmwr.mm7322a1","DOIUrl":"10.15585/mmwr.mm7322a1","url":null,"abstract":"<p><p>In 2022, a global mpox outbreak occurred, primarily affecting gay and bisexual men who have sex with men (GBMSM). To screen for mpox's reemergence and investigate potentially unsuspected cases among non-GBMSM, prospective surveillance of patients aged ≥3 months with an mpox-compatible rash (vesicular, pustular, ulcerated, or crusted) was conducted at 13 U.S. emergency departments (EDs) during June-December 2023. Demographic, historical, and illness characteristics were collected using questionnaires and electronic health records. Lesions were tested for monkeypox virus using polymerase chain reaction. Among 196 enrolled persons, the median age was 37.5 years (IQR = 21.0-53.5 years); 39 (19.9%) were aged <16 years, and 108 (55.1%) were male. Among all enrollees, 13 (6.6%) were GBMSM. Overall, approximately one half (46.4%) and one quarter (23.5%) of enrolled persons were non-Hispanic White and non-Hispanic Black or African American, respectively, and 38.8% reported Hispanic or Latino (Hispanic) ethnicity. Unstable housing was reported by 21 (10.7%) enrollees, and 24 (12.2%) lacked health insurance. The prevalence of mpox among ED patients evaluated for an mpox-compatible rash was 1.5% (95% CI = 0.3%-4.4%); all persons with a confirmed mpox diagnosis identified as GBMSM and reported being HIV-negative, not being vaccinated against mpox, and having engaged in sex with one or more partners met through smartphone dating applications. No cases were identified among women, children, or unhoused persons. Clinicians should remain vigilant for mpox and educate persons at risk for mpox about modifying behaviors that increase risk and the importance of receiving 2 appropriately spaced doses of JYNNEOS vaccine to prevent mpox.</p>","PeriodicalId":18637,"journal":{"name":"MMWR. Morbidity and mortality weekly report","volume":"73 22","pages":"507-513"},"PeriodicalIF":33.9,"publicationDate":"2024-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11166258/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141284234","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":"QuickStats: Percentage* of Adults Aged ≥25 Years^† Who Met the 2018 Federal Physical Activity Guidelines for Both Muscle-Strengthening and Aerobic Physical Activity,^§ by Educational Attainment - United States, 2022.","authors":"","doi":"10.15585/mmwr.mm7322a3","DOIUrl":"10.15585/mmwr.mm7322a3","url":null,"abstract":"","PeriodicalId":18637,"journal":{"name":"MMWR. Morbidity and mortality weekly report","volume":"73 22","pages":"521"},"PeriodicalIF":33.9,"publicationDate":"2024-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11166256/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141284236","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":"West Nile Virus and Other Nationally Notifiable Arboviral Diseases - United States, 2022.","authors":"Rebekah A Sutter, Shelby Lyons, Carolyn V Gould, J Erin Staples, Nicole P Lindsey","doi":"10.15585/mmwr.mm7321a2","DOIUrl":"10.15585/mmwr.mm7321a2","url":null,"abstract":"","PeriodicalId":18637,"journal":{"name":"MMWR. Morbidity and mortality weekly report","volume":"73 21","pages":"484-488"},"PeriodicalIF":33.9,"publicationDate":"2024-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11152368/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141180131","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":"State-Specific Hepatitis C Virus Clearance Cascades - United States, 2013-2022.","authors":"Clarisse A Tsang, Julius Tonzel, Hasan Symum, Harvey W Kaufman, William A Meyer, Ademola Osinubi, William W Thompson, Carolyn Wester","doi":"10.15585/mmwr.mm7321a4","DOIUrl":"10.15585/mmwr.mm7321a4","url":null,"abstract":"","PeriodicalId":18637,"journal":{"name":"MMWR. Morbidity and mortality weekly report","volume":"73 21","pages":"495-500"},"PeriodicalIF":33.9,"publicationDate":"2024-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11152369/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141180125","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}