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Report

Incidence and Diagnoses of HIV Infection -- Puerto Rico, 2006

This report describes the HIV epidemic in Puerto Rico in 2006. The Puerto Rico Department of Health and Centers for Disease Control and Prevention (CDC) analyzed data on diagnoses of HIV infection, including infections that occurred in 2006 and in previous years, and used a stratified extrapolation approach developed by CDC to generate HIV incidence estimates. Results indicate that in 2006, an estimated 1,440 individuals aged 13 years or older were newly infected with HIV.

Two Simultaneous Outbreaks of Multidrug-Resistant Tuberculosis -- Federated States of Micronesia, 2007--2009

This report describes the investigation by the World Health Organization (WHO) and the Centers for Disease Control and Prevention (CDC), which initially identified five confirmed cases of multidrug-resistant tuberculosis (MDR TB) in two distinct clusters, characterized by two distinct geographic locations, genotypes, and drug-susceptibility patterns in the Federated States of Micronesia. Extensive transmission had occurred among household contacts; 16 (8%) of the 205 contacts identified had confirmed or suspected MDR TB disease, and 124 (60%) had latent TB infection.

Investigation of a Genotype Cluster of Tubercuosis Cases --- Detroit, Michigan, 2004--2007

This report describes the investigation of a genotype cluster of eight tuberculosis cases in US born patients in the Detroit metropolitan area. The investigation was done by the Detroit Department of Health and Wellness Promotion, the Michigan Department of Community Health, and the Centers for Disease Control and Prevention. The first case was reported in a patient with drug-susceptible TB, who subsequently developed multidrug-resistant TB (MDR TB). Seven additional cases were reported in patients with TB genotypes matching that of the index patient.

Chlamydia Screening Among Sexually Active Young Female Enrollees of Health Plans --- United States, 2000--2007

This report presents statistics on screening for chlamydia, a bacterial sexually transmitted disease (STD) among young females who were participants in health plans in the United States from 2000-2007. To evaluate the rates of chlamydia screening of sexually active young women, the Centers for Disease Control and Prevention (CDC) analyzed data reported by commercial and Medicaid health plans to the Healthcare Effectiveness Data and Information Set (HEDIS) during 2000-2007.

Sexual and Reproductive Health of Persons Aged 10-24 Years - United States, 2002-2007

This report presents data for 2002-2007 on sexual and reproductive health of persons aged 10-24 years in the United States. Data were compiled from the National Vital Statistics System and multiple surveys and surveillance systems that monitor sexual and reproductive health outcomes. The report addresses three primary topics: (1) current levels of risk behavior and health outcomes; (2) disparities by sex, age, race/ethnicity, and geographic residence; and (3) trends over time.

Updated Guidelines for the Use of Nucleic Acid Amplification Tests in the Diagnosis of Tuberculosis

This report presents the Centers for Disease Control and Prevention's (CDC) updated recommendations on the use of nucleic acid amplification tests (NAA) for TB diagnosis. These revised guidelines were developed on the basis of a report by a panel of clinicians, laboratorians, and TB control officials. The panel was convened by CDC and the Association of Public Health Laboratories (APHL) and in consultation with the Advisory Council for the Elimination of TB (ACET).