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Centers for Disease Control and Prevention,National Center for Health Statistics,Office of the Morbidity and Mortality Weekly Report Series

Workplace-Based Investigation of Contacts of a Patient With Highly Infectious Tuberculosis – Maryland, District of Columbia, and Virginia, 2006

This report describes an investigation to determine the extent of TB transmission, including identifying and screening exposed contacts of a 46 year-old patient diagnosed with TB, and providing treatment. The report describes the multijurisdictional contact investigation, since the patient traveled to three jurisdictions in the course of his work, and summarizes the results.

Electronic Record Linkage to Identify Deaths Among Persons With AIDS – District of Columbia, 2000-2005

This report discusses the use of electronic record linkage to identify deaths that occurred during 2000-2005 among persons with AIDS who resided or were diagnosed in the District of Columbia (DC). This electronic record linkage was used to ascertain deaths annually as part of routine HIV/AIDS surveillance. Record linkage was achieved using Link Plus, a free program developed by CDC.

Guidelines for the Prevention and Treatment of Opportunistic Infections among HIV-Exposed and HIV-Infected Children: Recommendations from CDC, the National Institutes of Health, the HIV Medicine Association of the Infectious Diseases Society of Amer

This report updates and combines earlier versions of guidelines for preventing and treating opportunistic infections (OIs) among HIV-exposed and infected children. The guidelines discuss opportunistic pathogens that occur in the United States, including one that might be acquired during international travel.

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.

Clinic-Based Testing for Rectal and Pharyngeal Neisseria gonorrhoeae and Chlamydia trachomatis Infections by Community-Based Organizations - Five Cities, United States, 2007

This report summarizes results of a study by the Centers for Disease Control and Prevention and the San Francisco Department of Public Health to gather data on rectal and pharyngeal gonorrhea and chlamydia testing at screening sites managed by six gay-focused community-based organizations (CBOs) in five US cities during 2007. The purpose of the study was to determine sexually transmitted disease testing practices among CBOs serving men who have sex with men (MSM). Findings indicate that three organizations collected samples for nucleic acid amplification (NAA) testing and three for culture.

HIV Infection - Guangdong Province, China, 1997-2007

This report presents data on persons infected with HIV in Guangdong Province in Southeastern China. A case-based surveillance system (CBSS) was used to collect data on persons infected with HIV, including demographic characteristics and transmission categories. With assistance from the Centers for Disease Control and Prevention (CDC), the Guangdong Center for Disease Control analyzed the CBSS data for the period 1997-2007. Results indicate that the number of HIV cases increased from 102 in 1997 to 4,593 in 2007.