MMWR. Morbidity and mortality weekly report
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MMWR Morb. Mortal. Wkly. Rep. · Jan 2011
Self-reported influenza-like illness during the 2009 H1N1 influenza pandemic--United States, September 2009 - March 2010.
CDC identified the first case of 2009 H1N1 pandemic influenza on April 15, 2009. During the first 3 months of the outbreak, approximately 43,000 cases were reported to CDC. In June 2009, the World Health Organization declared the outbreak an influenza pandemic. ⋯ Among 216,431 adults and 43,511 children (aged <18 years), the average monthly percentage of respondents reporting ILI in the 30 days preceding the interview was 8.1% among adults (range: 5.5% for September interviews to 9.5% for November) and 28.4% among children (range: 20.4% for September interviews to 35.9% for November). Health care was sought by 40% of adults and 56% of children with self-reported ILI. The results indicate that reported symptoms of ILI were widespread during the 2009--10 influenza season, with a substantial percentage of those reporting ILI seeking health care.
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MMWR Morb. Mortal. Wkly. Rep. · Jan 2011
Practice GuidelineUpdated recommendations for use of tetanus toxoid, reduced diphtheria toxoid and acellular pertussis (Tdap) vaccine from the Advisory Committee on Immunization Practices, 2010.
Despite sustained high coverage for childhood pertussis vaccination, pertussis remains poorly controlled in the United States. A total of 16,858 pertussis cases and 12 infant deaths were reported in 2009. ⋯ In October 2010, ACIP recommended expanded use of Tdap. This report provides the updated recommendations, summarizes the safety and effectiveness data considered by ACIP, and provides guidance for implementing the recommendations.
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MMWR Morb. Mortal. Wkly. Rep. · Jan 2011
Vital signs: nonfatal, motor vehicle--occupant injuries (2009) and seat belt use (2008) among adults --- United States.
Motor vehicle crashes are the leading cause of death in the United States among persons aged 5-34 years. Seat belts have been shown to be the most effective method for reducing injuries among adults in the event of a crash. ⋯ Seat belt use is a proven method to reduce motor vehicle--occupant injuries, and the results of this analysis demonstrate that states with primary enforcement laws have higher prevalence of self-reported seat belt use. To help reduce the number of motor vehicle--occupant injuries, 19 states without primary enforcement laws should consider enacting them.
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MMWR Morb. Mortal. Wkly. Rep. · Jan 2011
Post-earthquake injuries treated at a field hospital --- Haiti, 2010.
On January 12, 2010, a 7.0-magnitude earthquake struck Haiti, resulting in an estimated 222,570 deaths and 300,000 persons with injuries. The University of Miami Global Institute/Project Medishare (UMGI/PM) established the first field hospital in Port-au-Prince, Haiti, after the earthquake. To characterize injuries and surgical procedures performed by UMGI/PM and assess specialized medical, surgical, and rehabilitation needs, UMGI/PM and CDC conducted a retrospective medical record review of all available inpatient records for the period January 13-May 28, 2010. ⋯ The most common injury-related surgical procedures were wound debridement/skin grafting, treatment for orthopedic trauma, and surgical amputation. Among patient records with documented injury-related mechanisms, 162 (28%) indicated earthquake-related injuries. Earthquake preparedness planning for densely populated areas in resource-limited settings such as Haiti should account for injury-related medical, surgical, and rehabilitation needs that must be met immediately after the event and during the recovery phase, when altered physical and social environments can contribute to a continued elevated need for inpatient management of injuries.