Synopsis for September 5, 2003

The MMWR is embargoed until NOON ET, Thursdays.

1. Prevalence of Diabetes and Impaired Fasting Glucose in Adults — United States, 1999–2000
2. Severe Morbidity and Mortality Associated with Influenza in Children and Young Adults — Michigan, 2003
3. Self-Reported Concern About Food Security Associated with Obesity — Washington, 1995–1999
4. Cigarette Smoking-Attributable Morbidity—United States, 2000
5. Multistate Outbreak of Hepatitis A Among Young Adult Concert Attendees—United States, 2003
6. West Nile Virus Activity — United States, August 28–September 3, 2003

Synopsis for September 5, 2003

Prevalence of Diabetes and Impaired Fasting Glucose in Adults — United States, 1999–2000

Diabetes and its complications are major causes of morbidity and mortality in the United States and contribute substantially to health-care costs.

Diagnosed diabetes has been shown to increase over time but recent data on undiagnosed diabetes have been unavailable. Data are now available during 1999-2000 from the National Health and Nutrition Examination survey which documents both diagnosed and undiagnosed diabetes, and impaired fasting glucose, a condition which can predispose to diabetes. Diabetes and impaired fasting glucose continue to affect a major proportion of the U.S. population. An estimated 29 million persons (14.4% of the U.S. population) aged >20 years had either diagnosed diabetes, undiagnosed diabetes, or impaired fasting glucose; 29% of diabetes was undiagnosed. Persons can reduce their risk for diabetes through weight management and physical activity.

Severe Morbidity and Mortality Associated with Influenza in Children and Young Adults — Michigan, 2003

Summary not available.

Self-Reported Concern About Food Security Associated with Obesity — Washington, 1995–1999

Washington adults who are concerned about food security are more likely to be obese compared to those whose aren’t concerned about food security.

Food security is defined as having access at all times to enough food for an active, healthy lifestyle. The analysis was performed using data from the Washington Behavioral Risk Factor Surveillance System from 1995-1999. The relationship between food insecurity and obesity persisted even after adjusting for other important factors such as income, education, and physical activity.

Cigarette Smoking-Attributable Morbidity—United States, 2000

This report indicates that at least 8.6 million persons in the United States are living with at least one serious smoking-attributed illness.

Chronic bronchitis and emphysema account for 59% of all smoking-attributable diseases. Furthermore, cost associated with smoking-attributed illness is a major contributor to the $75 billion per year in direct medical costs from smoking. Each year in the United States, approximately 440,000 persons die of a smoking-attributable illness, resulting in 5.6 million years of potential life lost and $82 billion in lost productivity. To document smoking-attributable morbidity, we analyzed data from three data sources: Behavioral Risk Factor Surveillance System (BRFSS), National Health and Nutrition Examination Survey III (NHANES), and the U.S. Census. These findings underscore the need to expand surveillance of the disease burden caused by smoking and to establish comprehensive tobacco-use prevention and cessation efforts in order to reduce this disease burden.

Multistate Outbreak of Hepatitis A Among Young Adult Concert Attendees—United States, 2003

Healthcare providers and state and local health departments should ask persons newly diagnosed with hepatitis A about concert attendance and report cases to CDC.

In July 2003, CDC learned of hepatitis A cases among young adults traveling the country with several popular “jam bands”. To date, a total of 25 cases from nine states have been identified. Most have attended numerous outdoor concerts or music festivals this summer. Person-to-person transmission and poor sanitation may have contributed to the spread of the disease at these gatherings. In response, CDC, together with state and local health departments in California and Oregon, educated concert-goers and vaccinated more than 300 concert attendees this summer. While the summer concert season has ended, fall tours are scheduled to begin this month and there is concern that person-to-person spread may continue.

West Nile Virus Activity — United States, August 28–September 3, 2003

No summary available.

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