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CDC Grand Rounds: Chlamydia Prevention: Challenges and Strategies for Reducing Disease Burden and Sequelae

This report discusses the sexually transmitted disease (STD), chlamydia, which is common among sexually active adolescents and young adults. It explains that although chlamydia may be asymptomatic, it can have serious consequences in females, including infertility; hence, the importance of chlamydia prevention. Screening females aged <25 years is ranked by the National Commission on Prevention Priorities as one of the 10 most beneficial and cost-effective prevention services, but it also is one of the most underutilized.

MMWR: Hepatitis C Virus Infection Among Adolescents and Young Adults – Massachusetts, 2002-2009

This MMWR report describes results of the Massachusetts Department of Public Health surveillance initiative to collect detailed information on hepatitis C virus (HCV) cases reported during 2007-2009 among 15-24-year olds, and to examine the data for trends through 2009. The results reveal the continued increase in rates of newly reported HCV infection among this age group. Cases were reported from all areas of the state, occurred predominantly among non-Hispanic white persons, and were equally distributed among male and females.

MMWR: Potential Transmission of Viral Hepatitis Through Use of Stored Blood Vessels as Conduits in Organ Transplantation – Pennsylvania, 2009

This report summarizes results of an investigation in which HCV was transmitted when a transplant facility mistakenly used a blood vessel conduit from an HCV-seropositive donor in a seronegative recipient in May 2009. In November of 2009, a second transplant facility identified two cases of potential hepatitis transmission from vessel conduits.

MMWR: Deaths From Acute Hepatitis B Virus Infection Associated With Assisted Blood Glucose Monitoring in an Assisted-Living Facility – North Carolina, August-October 2010

This report discusses the investigation of a hepatitis B virus (HBV) outbreak in an assisted living facility. The outbreak occurred because of the staff’s use of unsafe practices, including sharing reusable fingerstick lancing devices approved for single patient use only, and shared use of blood glucose meters without cleaning and disinfection between patients.

Sexual Transmission of Hepatitis C Virus Among HIV-Infected Men Who Have Sex With Men – New York City, 2005-2010

This article reports on a matched case-control study and viral analysis that examined the role of sexual transmission of Hepatics C virus (HCV) among HIV-infected men who have sex with men. In all, 22 case-patients and 53 control subjects were enrolled in the study. Participants completed self-administered questionnaires regarding sexual practices and drug-use behaviors during the 12 months preceding diagnosis or preceding the questionnaire.

Evaluation of Large Jail STD Screening Programs, 2008-2009

This report examines existing sexually transmitted disease (STD) screening programs in large jails to learn lessons that can benefit other health departments that want to establish or expand chlamydia (CT) and gonorrhea (GC) screening programs in their local jails. It provides key findings and recommendations for implementing and/or expanding jail STD screening programs. The appendices give summaries of each jail vist and contact information is also provided from each jail visit.

MMWR: HIV Infection — United States, 2005 and 2008

This report presents estimated numbers of HIV and AIDS diagnoses from the 42 areas (37 states and five US dependent areas) with confidential name-based HIV infection reporting since at least 2005. It also includes the statistics reported to CDC through 2008. The data presented in this report are subject to at least four limitations. First, HIV infection diagnoses might reflect both HIV incidence and testing patterns. Second, data were unavailable from certain states.

MMWR: HIV Testing Among Men Who Have Sex With Men - 21 Cities, United States, 2008

This report describes the results of CDC’s analysis of HIV testing conducted in 21 cities as part of the National HIV Behavioral Surveillance System (NHBS) to assess whether MSM were tested as recommended (at least annually) and whether more frequent testing was indicated. Results indicated that of 7,271 MSM interviewed and tested, who had not reported a previous positive HIV test, 61 percent had been tested during the past 12 months. Of these, seven percent had a new, positive HIV test result when tested as part of NHBS.

MMWR: Clinical and Behavioral Characteristics of Adults Receiving Medical Care for HIV Infection–Medical Monitoring Project, United States, 2007

This serial reports on the Medical Monitoring Project (MMP). The MMP was designed to be a nationally representative, population-based surveillance system to assess clinical outcomes and behavioral outcomes among persons with HIV infection who are receiving medical care in the United States. This report covers data collected during June 2007 to September 2008 for patients who received medical care in 2007. Findings indicate that in 2007, most persons with HIV infection who were receiving medical care were taking antiretroviral therapy (ART), and had some form of health insurance or coverage.

HCV Coinfection: Expanding Access Through the RWCA

This slide set discusses use of the Ryan White Care Act (RWCA) to provide treatment of hepatitis C coinfection in persons living with HIV. It presents an overview of viral hepatitis, the basics of hepatitis C compared with hepatitis A and B, acute and chronic infection, prevention, HCV treatment and side effects of treatment, treatment decisions,, barriers to treatment, and increasing access to treatment through the RWCA.