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Notice to Readers MMWR Subscriptions

In the July 23, 1982, MMWR, it was announced that CDC will no longer provide unrestricted free distribution of the MMWR after October 1, 1982. Free distribution will be provided to specific groups including, among others, state health officials, deans of schools of public health, and disseminators of public health information. Other individuals and organizations now receiving the publication free of charge will be able to purchase it through the National Technical Information Service (NTIS).

This decision was reached after careful evaluation of the costs of the MMWR. Despite an annual renewal requirement, the number of recipients has more than doubled during the past five years. Currently, the cost of printing and postage exceeds $1 million a year.

After determining who should receive the MMWR free of charge, CDC began discussions with NTIS to arrange for the development of a paid subscription list. NTIS was created as an agency of the U. S. Department of Commerce as a central source for the public sale of scientific and technical information. The law that established NTIS directs it to be self-sustaining and to recover all costs from the sale of products and services. NTIS made the decision on the cost of the MMWR and ancillary publications, and the revenue generated will be used by NTIS to cover its costs. CDC will not pay NTIS for the subscription service, and NTIS will not return any of the revenue to CDC.

The decision to restrict free distribution has been a painful departure from our tradition. It was our judgment that alternatives would have been more damaging to public health. William H. Foege, M.D. Director Centers for Disease Control

Use of trade names and commercial sources is for identification only and does not imply endorsement by the U.S. Department of Health and Human Services.

References to non-CDC sites on the Internet are provided as a service to MMWR readers and do not constitute or imply endorsement of these organizations or their programs by CDC or the U.S. Department of Health and Human Services. CDC is not responsible for the content of pages found at these sites. URL addresses listed in MMWR were current as of the date of publication.

All MMWR HTML versions of articles are electronic conversions from typeset documents. This conversion might result in character translation or format errors in the HTML version. Users are referred to the electronic PDF version ( and/or the original MMWR paper copy for printable versions of official text, figures, and tables. An original paper copy of this issue can be obtained from the Superintendent of Documents, U.S. Government Printing Office (GPO), Washington, DC 20402-9371; telephone: (202) 512-1800. Contact GPO for current prices.

**Questions or messages regarding errors in formatting should be addressed to The U.S. Government's Official Web PortalDepartment of Health and Human Services
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