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Div. of Media Relations
1600 Clifton Road
MS D-14
Atlanta, GA 30333
(404) 639-3286
Fax (404) 639-7394 |
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Synopsis for November 29, 2002
The MMWR is embargoed until 12 Noon ET,
Wednesday, 11/27/02.
- Hepatic Toxicity Possibly Associated with
Kava-Containing Products — United States, Germany, and Switzerland,
1999–2002
- Invasive Cervical Cancer Among Hispanic and
Non-Hispanic Women — United States, 1992–1999
- Progress Toward Poliomyelitis Eradication —
Ethiopia, Somalia, Sudan, January 2001–October 2002
- West Nile Virus Activity -- United States, November
21-26, 2002
MMWR Surveillance Summary
November 29, 2002/Vol. 51/SS-9
Abortion Surveillance — United States, 1999
CDC began abortion surveillance in 1969 to document the number and
characteristics of women obtaining legal induced abortions and to monitor
unintended pregnancy. This report summarizes and describes data reported
to CDC regarding legal induced abortions obtained in the United States in
1999.
Contact: Division of Media Relations
CDC, Office of Communication
(404) 639–4386
Synopsis for November 29, 2002
Hepatic Toxicity Possibly
Associated with Kava-Containing Products — United States, Germany, and
Switzerland, 1999–2002
Dietary supplements containing kava have been
associated with reports of liver damage leading to organ transplantation.
PRESS CONTACT:
Press Office
Food and Drug Administration
(301) 436–2235
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Consumers and health care providers should be aware
of the potential risk for hepatic toxicity associated with the use of kava
containing products, particularly those persons who have pre-existing
liver disease or are at risk for liver disease. Healthcare professionals
in Germany, Switzerland and the United States have reported the occurrence
of severe liver toxicity and subsequent organ transplantation possibly
associated with the consumption of products containing the dietary
supplement kava. Two cases have been reported in the United States.
Invasive Cervical Cancer Among Hispanic and
Non-Hispanic Women — United States, 1992–1999
Hispanic women and women 50 years of age or
older are disproportionately affected by invasive cervical cancer.
PRESS CONTACT:
Sidibe Kassim, MD, MPH
CDC, National Center for Chronic Disease Prevention & Health
Promotion
(770) 488–3254
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The CDC analyzed data on new cases of cervical
cancer among Hispanic and non-Hispanic women diagnosed during 1992-1999 in
11 geographic areas covered by the National Cancer Institute’s
Surveillance, Epidemiology, and End Results (SEER) Program. Analyses
indicate that despite an overall decrease in the rate of new cases of
invasive cervical cancer, rates for Hispanic women are about twice as high
as those for non-Hispanic women. Study results also indicate that women 50
years of age or older are more likely to be diagnosed with an advanced
stage of disease, whether or not of Hispanic origin. Hispanic women in the
United States may under-utilize screening services for cervical cancer.
Progress Toward Poliomyelitis Eradication — Ethiopia,
Somalia, Sudan, January 2001–October 2002
Since the World Health Assembly resolved in May 1988
to eradicate poliomyelitis, the estimated number of polio cases globally
has declined >99%.
PRESS CONTACT:
Victor Caceres, MD
CDC, National Immunization Program
(404) 639–1867 |
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The number of countries in which polio was
estimated to be endemic decreased from 125 in 1988 to 10 in 2001, and
three World Health Organization (WHO) regions (American, European, and
Western Pacific) comprising approximately 55% of the world’s population
have been certified polio-free. Ethiopia, Somalia, and Sudan have achieved
their lowest levels of poliovirus circulation since the initiative to
eradicate polio began and are approaching interruption of transmission.
The last reported wild poliovirus positive cases in Ethiopia and Sudan
occurred during January and April 2001, respectively. During 2002, three
cases of type 3 wild poliovirus have been identified in Somalia (most
recently in October), all of these cases in the Mogadishu area. This
report describes intensified polio eradication activities in these
countries during January 2001-October 2002, and summarizes progress made
thus far.
West Nile Virus Activity -- United States, November
21-26, 2002
PRESS CONTACT:
Division of Media Relations
CDC, Office of Communication
(404) 639-3286 |
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Summary Not Available.
Fact Sheet
Abortion Surveillance, 1999
- In 1999, 861,789 legal induced abortions were reported to CDC by 48
reporting areas. This total represents a 2.5 percent decrease from the
884,273 legal induced abortions reported by these same reporting areas
for 1998.
- The abortion ratio for 1999 is the lowest reported since 1975. The
ratio was 256 legal induced abortions per 1,000 live births, compared
to 264 in 1998.
- For 1997 through 1999, the abortion rate was 17 per 1,000 women aged
15-44 years.
- Most abortions were obtained by white women, unmarried women, and
women under 25 years of age. As in previous years, about one-fifth of
women who had abortions were 19 years old or younger. Of the women who
had an abortion, 41 percent were known to have had no previous live
births.
- For 1999, 25 areas reported a total of 6,278 medical (nonsurgical)
procedures. This figure reflects an increase of 28% from the 4,899
medical abortions reported by 22 reporting areas for 1998. It is not
known whether the number of medical abortions reported to CDC for 1999
is representative of all reporting areas.
- As in previous years, more than half (58 percent) of reported legal
induced abortions were performed during the first 8 weeks of
pregnancy; 88 percent were performed during the first 12 weeks of
pregnancy.
- For 1998 (the most recent data available on maternal deaths), nine
maternal deaths related to legal induced abortion were reported.
Overall, the number of such deaths was highest before the 1980s.
- In September 2000, the U.S. Food and Drug Administration approved
mifepristone (RU-486) for medical (nonsurgical) abortions. The
abortion surveillance report for 1999 does not identify abortions
performed by this method.
- Since 1969, CDC has documented the number and characteristics of
women obtaining abortions in order to monitor unintended pregnancies
and to help identify preventable causes of death associated with
abortions.
- CDC compiled data for 1999 regarding legal abortions for 48
reporting areas: 46 states, New York City, and the District of
Columbia. The data are submitted voluntarily by health departments in
the reporting areas. Data were not provided by Alaska, California, New
Hampshire, and Oklahoma for 1998 or 1999.
- The report includes numbers, rates and ratios of reported abortions
by state of women’s residence as well as by the state in which the
abortions were performed. Florida and Louisiana could not provide
residence data, and Iowa provided data only on in-state residents.
Arizona and Massachusetts provided data only on total number of
abortions to out-of-state residents.
The full report is available online at http://www.cdc.gov/mmwr.
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