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Div. of Media Relations
1600 Clifton Road
MS D-14
Atlanta, GA 30333
(404) 639-3286
Fax (404) 639-7394


MMWR
Synopsis for November 22, 2002

The MMWR is embargoed until 12 Noon ET, Thursdays.

  1. Increases in Fluoroquinolone-Resistant Neisseria gonorrhoeae -- Hawaii and California, 2001
  2. Multistate Outbreaks of Salmonella Serotype Poona Infections Associated with Cantaloupe from Mexico -- United States and Canada, 2000-2002
  3. Enterovirus Surveillance -- United States, 2000-2001
  4. West Nile Virus Activity -- United States, November 14-20, 2002, and Missouri, January 1-November 9, 2002

MMWR Surveillance Summary
November 22, 2002/Vol. 51/SS-8

Surveillance for Waterborne-Disease Outbreaks United States, 1999–2000
The number of waterborne illness outbreaks reported in 1999-2000 has increased from the number reported in 1997-1998. The observed increase in drinking-water illness outbreaks reflects problems occurring in small, private wells that are independently owned and operated. Outbreaks in regulated drinking water systems have not increased, indicating that efforts by the drinking water industry, public health officials, and regulatory agencies have been successful in preventing illness.

Contact: Division of Media Relations
CDC, Office of Communication
(404) 639–3286


MMWR Reports and Recommendations
November 22, 2002/Vol. 51/RR-18

Public Health Service Task Force Recommendations for Use of Antiretroviral Drugs in Pregnant HIV-1-Infected Women for Maternal Health and Interventions to Reduce Perinatal HIV-1 Transmission in the United States.
These recommendations update the February 2002 guidelines for the use of zidovudine (ZDV) to reduce the risk for perinatal human immunodeficiency virus type 1 (HIV-1) transmission.

Contact: Office of Communication
CDC, National Center for HIV, STD, and TB Prevention
(404) 639-8895

Telebriefing for November 21, 2002
WHO: Michael Beach, PhD; Sherline Lee, MPH; and Deborah Levy, PhD, MPH, CDC waterborne-disease experts
WHAT: To discuss Surveillance for Waterborne-Disease Outbreaks – United States, 1999-2000. Dr. Beach, Dr. Levy, and Ms. Lee will discuss the data and describe measures people can take to prevent and protect themselves from waterborne illness.
WHEN: Thursday, November 21, 2002; 12:00 - 12:30 PM ET
Brief remarks followed by Q/A.
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 and this teleconference will also be audio webcast. Access both at http://www.cdc.gov/media/.

Synopsis for November 22, 2002

Increases in Fluoroquinolone-Resistant Neisseria gonorrhoeae -- Hawaii and California, 2001

Neisseria gonorrhoeae (QRNG) is an important cause of pelvic inflammatory disease, ectopic pregnancy, and infertility, and can facilitate HIV transmission.

PRESS CONTACT:
Office of Communications

CDC, National Center for HIV, STD, and TB Prevention
(404) 639–8895
 
Gonorrhea is the second most frequently reported communicable disease in the United States, with 361,705 reported cases in 2001. This report summarizes investigations of increases in QRNG in Hawaii and California in 2001, and provides data to support the recommendation that fluoroquinolones should no longer be used as first-line gonorrhea treatment for infections acquired in these two states. While only sporadic cases of QRNG have been reported in other states, researchers note that there is risk of QRNG spreading throughout the United States. The article reminds clinicians throughout the U.S. to obtain a travel history of all patients suspected to have gonorrhea and to use cephalosporins, not fluoroquinolones, as treatment for gonorrhea acquired in Asia, Hawaii, and California.

 

Multistate Outbreaks of Salmonella Serotype Poona Infections Associated with Cantaloupe from Mexico -- United States and Canada, 2000-2002

Salmonella infections have been linked to melons since 1990.

PRESS CONTACT:
Christopher Braden, MD

CDC, National Center for Infectious Diseases
(404) 639–2206
 
To reduce potential contamination of produce, farm and processor food-safety interventions are important. During spring in each of the last three years, Salmonellosis outbreaks occurred that were linked to the consumption of cantaloupes imported from Mexico. These outbreaks involved at least 155 people in 12 states in the United States and four provinces in Canada; 28 people were hospitalized and two people died from Salmonella infection. Investigations ultimately led to detaining all cantaloupes from Mexico on October 28, 2002. The Mexican government is developing a certification program based on sound agricultural and manufacturing practices that would allow FDA to identify farms that have adopted and implemented such a food-safety program.

 

Enterovirus Surveillance -- United States, 2000-2001

PRESS CONTACT:
Division of Media Relations

CDC, Office of Communication
(404) 639–3286
 
Summary Not Available.

 

 

 

 

West Nile Virus Activity -- United States, November 14-20, 2002, and Missouri, January 1-November 9, 2002

PRESS CONTACT:
Division of Media Relations

CDC, Office of Communication
(404) 639-3286
 
Summary Not Available.

 

 

 

 


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