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MMWR
Synopsis for August 2, 2002

The MMWR is embargoed until 12 Noon, ET, Thursdays.

  1. Norwalk-Like Virus-Associated Gastroenteritis in a Large High-Density Encampment ― Virginia, July 2001
  2. National, State, and Urban Area Vaccination Coverage Levels Among Children Aged 1935 Months ― United States, 2001
  3. Impact of Vaccine Shortage on Diphtheria and Tetanus Toxoids and Acellular Pertussis Vaccine Coverage Rates Among Children Aged 24 Months ― Puerto Rico, 2002
  4. Weekly Update: West Nile Virus Activity ― United States, July 2430, 2002

MMWR Surveillance Summaries
Vol. 51(No. SS-6); August 2, 2002

Chronic Obstructive Pulmonary Disease Surveillance―United States, 19712000
During 2000, an estimated 10 million U.S. adults reported physician- diagnosed COPD. However, data from NHANES III estimate that approximately 24 million U.S. adults have evidence of impaired lung function, indicating that COPD is underdiagnosed. During 2000, COPD was responsible for 8 million physician office and hospital outpatient visits, 1.5 million emergency department visits, 726,000 hospitalizations, and 119,000 deaths.

Contact: David Mannino, M.D.
CDC, National Center for Environmental Health
(404) 4981014

Telebriefing, August 1, 2002
WHO: Dr. David Mannino, CDC pulmonary disease expert and
Dr. Anthony Marfin, CDC West Nile virus expert
WHAT: To discuss the MMWR articles on chronic obstructive pulmonary disease and West Nile Virus cases in the United States, respectively. Brief remarks followed by Q/A.
WHEN: Thursday, August 1, 2002; NOON ET
WHERE: At your desk, by toll-free conference line: Dial 866-254-5942
Teleconference name: CDC
A full transcript will be available today following the teleconference at http://www.cdc.gov/media/.

This teleconference will also be audio webcast. Listen LIVE online at http://www.cdc.gov/media/.

Synopsis for August 2, 2002

Norwalk-Like Virus-Associated Gastroenteritis in a Large High-Density Encampment ― Virginia, July 2001

This report describes an outbreak of Norwalk-like virus (NLV)-associated gastroenteritis at a large youth encampment in rural Virginia.

 
PRESS CONTACT:
Richard Leman, MD

CDC, National Center for Infectious Diseases
(503) 2881510 (Portland, Oregon)
 

NLVs are a major cause of gastroenteritis in the United States; with an estimated 23 million cases occurring each year. In July 2001, approximately 40,000 campers arrived at the encampment from locations throughout the U.S. and several other countries. On arrival, each group of campers received a health-screening examination before proceeding to the campsite. On initial screening, two groups of campers had multiple members with vomiting and diarrhea. The initiation of rapid, effective use control measures help to limit the spread of illness to other campers.

 

National, State, and Urban Area Vaccination Coverage Levels Among Children Aged 1935 Months ― United States, 2001

Immunization coverage, on a national level, remains high.

 
PRESS CONTACT:
Division of Media Relations

CDC, Office of Communications
(404) 6393286 Note: This article is NOT embargoed
 

Despite high immunization coverage rates, pockets of low coverage continue to exist. Therefore, new or more intensive interventions might be needed to address these areas. National level immunization coverage among children 19-35 months old in the United States remained high for all Advisory Committee on Immunization Practices-recommended vaccines during 2001. However, coverage varied widely. There still are areas in the Unites States in which vaccination coverage needs improvement and more targeted efforts. Note: This article is NOT embargoed.

 

Impact of Vaccine Shortage on Diphtheria and Tetanus Toxoids and Acellular Pertussis Vaccine Coverage Rates Among Children Aged 24 Months ― Puerto Rico, 2002

DTaP supplies have returned to normal and CDC recommends providers resume the routine schedule for DTaP.

 
PRESS CONTACT:
Francisco Alvarado-Ramy, MD

Puerto Rico Department of Health
(787) 27455276
 

Because of a temporary shortage of diphtheria and tetanus toxoids and acellular pertussis (DTaP) vaccine, in March 2001, CDC recommended that providers whose supply of DTaP was inadequate should defer administration of the fourth dose of the vaccine (DTaP4). The Puerto Rico Immunization Survey found that the DTaP4 coverage level was substantially lower in 2002 than it was in 2001 (32 percent vs. 96 percent), while coverage levels for the first three doses of DTaP and for other vaccines stayed above 90 percent. The decrease in DTaP4 coverage among children in Puerto Rico may herald similar findings for other parts of the United States. Now that DTaP supplies have returned to normal, return to the routine schedule for DTaP is recommended. CDC will monitor post-shortage vaccination levels.

 

Weekly Update: West Nile Virus Activity ― United States, July 2430, 2002

 
PRESS CONTACT:
Division of Media Relations

CDC, Office of Communication
(404) 6393286
 

No summary available.

 

 




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