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Synopsis for September 29, 2000

MMWR articles are embargoed until 4 p.m. E.S.T. Thursdays.

  1. Cluster of HIV-Infected Adolescents and Young Adults — Mississippi, 1999
  2. Nutrition Assessment of Nepalese Adolescents Among Bhutanese Refugee Camps — Nepal, 1999
  3. Progress Toward Poliomyelitis Eradication — Ethiopia, 1997–August 2000
Notice to Readers

Changes in National Notifiable Diseases Data Presentation

This issue of the MMWR incorporates modifications to Tables I and II; specifically adding diseases designated nationally notifiable by the Council of State and Territorial Epidemiologists, in conjunction with CDC.

Contact: John Ward, M.D.
CDC, Epidemiology Program Office
(404) 639–3636


Synopsis for September 29, 2000

Cluster of HIV-Infected Adolescents and Young Adults — Mississippi, 1999

Seven young people diagnosed with HIV in small Mississippi town underscore need for HIV and STD screening, treatment and prevention in rural areas.

Office of Communications

CDC, National Center for HIV, STD and TB Prevention
(404) 639–8895

Working with the Mississippi State and District Health Department, CDC researchers recently investigated a cluster of HIV-infected individuals within a social network of 122 young men and women in rural Mississippi. Results from the investigation indicated that of 78 people tested for HIV, five young women (median age, 16 years) and two men (median age, 25 years) were infected, all of whom are believed to have acquired HIV through heterosexual sex. Interviews with the seven infected persons and 22 uninfected sexual partners reveal a network of young people at high risk for HIV. Over half (52%) had a history of STDs and almost all (97%) reported multiple sexual partners. The young people infected were more likely to have initiated sex at a younger age than their uninfected counterparts, and the young women infected reported having had sexual partners much older than themselves (at least 10 years).


Nutrition Assessment of Nepalese Adolescents Among Bhutanese Refugee Camps — Nepal, 1999

A high prevalence of low iron, low vitamin A , and signs of micronutrient deficiencies was found among adolescent Bhutanese refugees.

Heidi Blanck, M.S., Ph.D.

CDC, National Center for Chronic Disease Prevention & Health Promotion
(770) 488–6025

Between 1990 and 1993, about 83,000 ethnic Nepalese living in Bhutan left the country and relocated to refugee camps in southeastern Nepal. Although nutrition surveys of Bhutanese refugee children < 5 years of age have been conducted by international agencies, no health assessment of adolescents or adults has occurred since the refugee’s arrival. In October 1999, a team of CDC researchers assessed the nutritional status of adolescent Bhutanese refugees 10-19 years of age, 10 months after the withdrawal of a nutrient-rich cereal blend from the rations. A high prevalence of thinness, low iron status, and low vitamin A status, as well as other signs of nutritional deficiencies were found. These findings highlight the need for increased emphasis on nutrition in adolescent refugees who may be at risk for malnutrition because of their relatively high energy and nutrient requirements.


Progress Toward Poliomyelitis Eradication — Ethiopia, 1997–August 2000

Over the past 3 years, important progress has been made in implementation of polio eradication strategies in Ethiopia.

Victor Caceres, M.D., M.P.H.

CDC, National Immunization Program
(404) 639–8252

In 1988 the World Health Assembly of WHO resolved to eradicate poliomyelitis globally by 2000. Following the signing of the Yaounde Declaration on Polio Eradication in Africa in 1996, the Government of the Federal Democratic Republic of Ethiopia joined the global polio eradication effort, and over the past year has accelerated implementation of polio eradication strategies. Although routine coverage with oral polio vaccine remains low in many areas, supplemental immunization activities, including national immunization days (NIDs) and sub-national immunization days (SNIDs), using a door-to-door vaccination strategy, are reaching greater numbers of children. Improving surveillance has enabled the detection of two wild polioviruses type 1 in central Ethiopia over the past year. However, further improvements in AFP surveillance are vital to better assess the extent and magnitude of poliovirus circulation.



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