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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.

Cases of HIV Infection and AIDS in tihe United States and Dependent Areas, by Race/Ethnicity, 2003-2007

This report summarizes the diagnoses and prevalence of HIV/AIDS by race/ethnicity using data for cases of HIV infection and AIDS reported to CDC through June 2008. Estimated numbers of cases of HIV infection are presented, including cases of HIV infection that progressed to AIDS. Data are stratified by the following races and ethnic groups: American Indian or Alaska Native, Asian, black or African American, Hispanic or Latino, Native Hawaiian or other Pacific Islander, and white.

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).

Report of Expert Consultations on Rapid Molecular Testing to Detect Drug-Resistant Tuberculosis in the United States

This report presents results from an expert panel convened by CDC to examine the current status of rapid drug-resistance (DR) testing in the United States; to research published evidence and current guidelines; and to provide guidance and make recommendations to CDC for developing a system to provide access to rapid drug-susceptibility testing to all TB control programs in the United States. The panel recommended that CDC establish regional laboratories to provide molecular drug-resistance testing services to state and local TB programs.

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