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    HIV mortality slide series through 2015

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    Title from document properties.Publication date from document properties.cdc-hiv-mortality.pdf201

    Six Guiding Principles To A Trauma-Informed Approach

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    The CDC\u2019s Office of Public Health Preparedness and Response (OPHPR), in collaboration with SAMHSA\u2019s National Center for Trauma-Informed Care (NCTIC), developed and led a new training for OPHPR employees about the role of trauma-informed care during public health emergencies. The training aimed to increase responder awareness of the impact that trauma can have in the communities where they work. Participants learned SAMHSA\u2019s six principles that guide a trauma-informed approach, including:1. Safety2. Trustworthiness & transparency3. Peer supportCollaboration & mutualityEmpowerment & choiceCultural, historical & gender issuesAdopting a trauma-informed approach is not accomplished through any single particular technique or checklist. It requires constant attention, caring awareness, sensitivity, and possibly a cultural change at an organizational level. On-going internal organizational assessment and quality improvement, as well as engagement with community stakeholders, will help to imbed this approach which can be augmented with organizational development and practice improvement. The training provided by OPHPR and NCTIC was the first step for CDC to view emergency preparedness and response through a trauma-informed lens.Publication date from document properties.TRAINING_EMERGENCY_RESPONDERS_FINAL.pdf201

    Idea exchange: Mouse inoculation test for rabies diagnosis

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    Emerg Infect Dis

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    From 2016 through the middle of 2017, the German Consiliary Laboratory on Diphtheria noted an increase in nontoxigenic Corynebacterium diphtheriae isolates submitted from cities in northern Germany. Many patients for whom epidemiologic data were available were homeless, alcohol or drug abusers, or both. After performing routine diagnostics and multilocus sequence typing (MLST), we analyzed isolates of sequence type (ST) 8 and previously submitted isolates by whole-genome sequencing. Results were analyzed for phylogenetic relationship by core genome MLST (cg-MLST) and whole-genome single-nucleotide polymorphism profiles. Next-generation sequencing-based cg-MLST revealed several outbreak clusters caused by ST8; the geographic focus was in the metropolitan areas of Hamburg and Berlin. To achieve enhanced analytical depth, we used additional cg-MLST target genes and genome-wide single-nucleotide polymorphisms. We identified patient characteristics and detected transmission events, providing evidence that nontoxigenic C. diphtheriae infection is a potential public health threat in industrialized countries

    Emerg Infect Dis

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    Influenza virologic surveillance is critical each season for tracking influenza circulation, following trends in antiviral drug resistance, detecting novel influenza infections in humans, and selecting viruses for use in annual seasonal vaccine production. We developed a framework and process map for characterizing the landscape of US influenza virologic surveillance into 5 tiers of influenza testing: outpatient settings (tier 1), inpatient settings and commercial laboratories (tier 2), state public health laboratories (tier 3), National Influenza Reference Center laboratories (tier 4), and Centers for Disease Control and Prevention laboratories (tier 5). During the 2015-16 season, the numbers of influenza tests directly contributing to virologic surveillance were 804,000 in tiers 1 and 2; 78,000 in tier 3; 2,800 in tier 4; and 3,400 in tier 5. With the release of the 2017 US Pandemic Influenza Plan, the proposed framework will support public health officials in modeling, surveillance, and pandemic planning and response

    Emerg Infect Dis

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    In 2017, highly pathogenic avian influenza A(H5N8) virus was detected in poultry in the Democratic Republic of the Congo. Whole-genome phylogeny showed the virus clustered with H5N8 clade 2.3.4.4B strains from birds in central and southern Asia. Emergence of this virus in central Africa represents a threat for animal health and food security

    NIOSH Center for Workers' Compensation Studies

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    "The National Institute for Occupational Safety and Health (NIOSH) Center for Workers\u2019 Compensation Studies works with partners in the insurance industry, health care providers, labor, employers, trade associations, professional organizations, and academia. The program focuses on these areas: 1. Expanding use of state-level workers\u2019 compensation claims data for research and prevention. 2. Identifying and communicating interventions most effective at preventing illness and injury. 3. Encouraging collaborations between the public health and workers\u2019 compensation communities." - NIOSHTIC-2NIOSHTIC no. 2005184

    Morbidity and Mortality Weekly Report (MMWR)

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    RotaVirus infection is the leading cause of severe gastroenteritis among infants and young children Worldwide. Before the introduction of rotaVirus vaccine in the United States in 2006, rotaVirus infection caused significant morbidity among U.S. children, with an estimated 55,000-70,000 hospitalizations and 410,000 clinic visits annually. The disease showed a characteristic winter-spring seasonality and geographic pattern, with annual seasonal activity beginning in the West during December-January, extending across the country, and ending in the Northeast during April-May. To characterize changes in rotaVirus disease Trends and seasonality following introduction of rotaVirus vaccines in the United States, CDC compared data from CDC's National Respiratory and Enteric Virus Surveillance System (NREVSS), a passive laboratory reporting system, for prevaccine (2000-2006) and postvaccine (2007-2014) years. National declines in rotaVirus detection were noted, ranging from 57.8%-89.9% in each of the 7 postvaccine years compared with all 7 prevaccine years combined. A biennial pattern of rotaVirus activity emerged in the postvaccine era, with years of low activity and highly erratic seasonality alternating with years of moderately increased activity and seasonality similar to that seen in the prevaccine era. These results demonstrate the substantial and sustained effect of rotaVirus vaccine in reducing the circulation and changing the Epidemiology of rotaVirus among U.S. children

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