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MMWR
Synopsis for June 9, 2000

MMWR articles are embargoed until 4 PM EST.

  1. Use of Medical Care, Police Assistance, and Restraining Orders by Women Reporting Intimate Partner Violence — Massachusetts, 1996–1997
  2. Unexplained Illness and Death Among Injecting-Drug Users — Glasgow, Scotland, and Dublin, Ireland, April–May 2000
  3. Illnesses Associated With the Use of Automatic Insecticide Dispenser Units — California, 1995; Florida, 1999; and United States, 1986–1999
  4. Probable Locally Acquired Mosquito-Transmitted Plasmodium vivax Infection — Suffolk County, New York, 1999
 

MMWR
Synopsis for June 9, 2000

 Use of Medical Care, Police Assistance, and Restraining Orders by Women Reporting Intimate Partner Violence — Massachusetts, 1996–1997 

Approximately 1.5 Million U.S. women are physically or sexually assaulted by an intimate partner each year.

PRESS CONTACT: 
Sujata Desai, Ph.D. 

CDC, National Center for Injury Control and Prevention
(770) 488–1388
 
CDC and the Massachusetts Department of Public Health recently analyzed data from the 1996 and 1997 Massachusetts Behavioral Risk Factor Surveillance System to examine the use of medical care, police assistance, and restraining orders by women 18-59 years old who reported experiencing intimate partner violence during the preceding 5 years. During this time period, 39% of these women had received police assistance due to the violence, 34% had obtained a restraining order against an intimate partner, and 29% had sought medical care as a result of the violence. Seventy percent of the women who received police assistance had also received a restraining order against an intimate partner. Approximately one in four women experiencing intimate partner violence during the preceding 5 years had not received any of the three services.

 

Unexplained Illness and Death Among Injecting-Drug Users — Glasgow, Scotland, and Dublin, Ireland, April–May 2000

Since April 2000, approximately 45 injecting-drug users (IDUs) in Glasgow, Scotland, and Dublin, Ireland, have died or were hospitalized with an unexplained, severe illness.

PRESS CONTACT:
Marc Fischer, M.D.

CDC, National Center for Infectious Diseases
(404) 639–3158
 
In Glasgow, Scotland, 30 IDUs have died or were hospitalized with an illness characterized by extensive local inflammation at the injection site, followed by hypotension and circulatory collapse. In Dublin, Ireland, 15 IDUs were identified with a similar illness. Blood cultures and local infection sites have yielded multiple organisms from several patients. However, variable results and potential contamination (postmortem) have complicated interpretation of the findings and failed to reveal a definitive cause for these illnesses. The emergence of a new syndrome among IDUs would not be surprising, especially among those who "skin-pop". Unusual infections previously linked to skin-popping include tetanus and wound botulism. Contamination can occur at one of many steps from production, cutting, and through contaminated paraphernalia or skin at the time of injection. The investigation is on-going.

 

 

Illnesses Associated With the Use of Automatic Insecticide Dispenser Units — California, 1995; Florida, 1999; and United States, 1986–1999

The improper use and maintenance of automatic insecticide aerosol dispenser units in restaurants and other business establishments can cause illness.

PRESS CONTACT:
Helga Daftarian, D.O., M.P.H.

CDC, National Institute for Occupational Safety and Health
(513) 841–4526
 
Restaurants and other businesses (including schools, hospitals, day care centers and nursing homes) commonly employ automatic insecticide aerosol dispenser units for the indoor control of flying insects. Surveillance data from 1986-1999 identified a total of 97 pesticide-related illnesses associated with use of these dispensers. Fifty-five (57%) of these cases were work-related; 94 (97%) of the cases involved exposure to pyrethrin/piperonyl butoxide, and 3 cases involved exposure to resmethrin, a pyrethroid insecticide. Signs and symptoms involved the eye, nose/throat, respiratory, gastrointestinal, neurological and/or dermatological systems. Control of flying insects can be achieved using non-chemical pest control measures. If automatic dispensers are used, installation and maintenance practices should conform to manufacturer labeling instructions.

Probable Locally Acquired Mosquito-Transmitted Plasmodium vivax Infection — Suffolk County, New York, 1999

This report summarizes local transmission of two cases of malaria in New York State during the summer of 1999.

PRESS CONTACT:
David Graham, M.D., M.P.H.
Suffolk County Department of Health
(631) 853–3055
or
Timothy Holtz, M.D., M.P.H.
CDC, National Center for Infectious Diseases
(770) 488–7782
 
Local transmission of malaria in the United States remains a distinct possibility due to the presence of persons from malaria endemic areas who may carry malaria parasites, the presence of Anopheles mosquitoes, and the correct environmental conditions for transmission. During 1985-1999 there were 95 cases of probable locally-transmitted malaria reported to CDC; compared to 9 cases in the preceding 15 years. Prompt recognition and adequate treatment of malaria including 1) improved access to diagnosis and treatment for migrant populations, 2) rapid reporting of malaria cases to public health authorities, and 3) implementation of appropriate control measures were important for the recognition and management of these cases. All three of these components are critical to the U.S. system for controlling malaria.

 

 


 

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