Synopsis for May 16, 2003

The MMWR is embargoed until NOON ET, Thursdays.

1. Cluster of Severe Acute Respiratory Syndrome Among Protected Health-Care Workers, Toronto, Canada, April 2003
2. Update: Severe Acute Respiratory Syndrome -- United States, May 14, 2003
3. Post-Detention Completion of Tuberculosis Treatment for Persons Deported or Released from the Custody of the Immigration and Naturalization Service -- United States
4. Motivational Intervention to Reduce Alcohol-Exposed Pregnancies -- Florida, Texas, and Virginia, 1997-2001
5. Update: Adverse Events Following Civilian Smallpox Vaccination -- United States, 2003

Synopsis for May 16, 2003

Cluster of Severe Acute Respiratory Syndrome
Among Protected Health-Care Workers,
Toronto, Canada, April 2003

No summary available.

Update: Severe Acute Respiratory Syndrome -- United States, May 14, 2003

No summary available.

Post-Detention Completion of Tuberculosis Treatment for Persons Deported or Released from the Custody of the Immigration and Naturalization Service -- United States

Undocumented individuals with infectious tuberculosis (TB), who are being detained or deported, often do not complete the treatment necessary to protect their health and the health of others.

In 2000, the rate of active TB among detainees was 12 times the TB rate in the general United States population. Complete TB treatment, which requires at least six months, can prevent relapse and the emergence of drug resistance. Detainees, however, were treated for an average of only 22 days. With up to 25 percent of deported TB patients returning to the U.S., improving treatment of detainees is critical in fighting TB. Recommendations made to CDC by the Federal Advisory Council for the Elimination of Tuberculosis (ACET) call for increased coordination between Health and Human Services and the Justice Department. The agencies are encouraged to explore the feasibility of treating detainees until TB is cured and to expand the authority of immigration medical officers who can ensure that necessary treatment is completed.

Motivational Intervention to Reduce Alcohol-Exposed Pregnancies -- Florida, Texas, and Virginia, 1997-2001

Maternal prenatal alcohol use is one of the leading preventable causes of birth defects and developmental disabilities.

One of the most severe outcomes of prenatal alcohol use is Fetal Alcohol Syndrome (FAS), which includes abnormalities in three domains at the same time – disorders of the brain, growth retardation, and facial malformations. FAS and other alcohol-related conditions can be prevented by avoiding alcohol use during pregnancy. Preventing FAS requires intervening not only with pregnant women but also with women prior to conception to help reduce risk drinking and/or postpone pregnancy until risk drinking is resolved. Accordingly, decreasing alcohol consumption among pregnant women is an important objective of the U.S. Department of Health and Human Service’s Healthy People 2010 initiatives.

Update: Adverse Events Following Civilian Smallpox Vaccination -- United States, 2003

No summary available.

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