Issue
Number 551
September 12, 2005
CONTENTS OF THIS ISSUE
- All of us at IAC extend our condolences to those
affected by Hurricane Katrina
- CDC's Hurricane Katrina Health & Safety web page offers
continually updated immunization information
- CDC has information on Hurricane Katrina for health
professionals, relief workers, and shelter operators
- DHHS sets up a toll-free crisis hotline for persons
emotionally distressed by Hurricane Katrina
- Influenza Vaccine Bulletin #2 available for the 2005-06
influenza season
- Mark your calendar: The next Current Issues in
Immunization netconference is scheduled for October 13
- New: CDC's Flu Gallery offers professional- and
patient-education materials for the 2005-06 influenza season
- Coming up: National Adult Immunization Awareness Week is
scheduled for September 25-October 1
- Free: Bulk copies of the May 2005 issue of Vaccinate
Adults are available for the asking
- Updated: IAC's Summary of Recommendations for Childhood
and Adolescent Immunization has been substantially revised
- New: Professional-education piece on Healthcare Worker
Vaccination Recommendations available on IAC's website
- September 9 issue of IAC's HEP Express electronic
newsletter now available online
- Help out: NIP continues to need volunteers to pilot
test its immunization training courses
- Polio update: Immunization campaigns reduce polio
incidence in Nigeria; WHO reports two new cases in Ethiopia
- Corrections: CDC revises pneumonia and influenza
mortality stats reported in MMWR on August 19 and August 26
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ABBREVIATIONS: AAFP, American Academy of Family Physicians; AAP, American
Academy of Pediatrics; ACIP, Advisory Committee on Immunization Practices;
CDC, Centers for Disease Control and Prevention; FDA, Food and Drug
Administration; IAC, Immunization Action Coalition; MMWR, Morbidity and
Mortality Weekly Report; NIP, National Immunization Program; VIS, Vaccine
Information Statement; VPD, vaccine-preventable disease; WHO, World Health
Organization.
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September 12, 2005
ALL OF US AT IAC EXTEND OUR CONDOLENCES TO THOSE AFFECTED BY HURRICANE
KATRINA
The staff of IAC extend condolences to readers whose family or friends were
injured or lost during Hurricane Katrina and its aftermath. Please know that
we share your loss and grief.
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September 12, 2005
CDC'S HURRICANE KATRINA HEALTH & SAFETY WEB PAGE OFFERS CONTINUALLY UPDATED
IMMUNIZATION INFORMATION
CDC has posted a Health & Safety web page for Hurricane Katrina as part of
its Emergency Preparedness & Response web section. Users will find
information on immunizations under the subhead Prevent Illness. Like other
topics featured on the Health & Safety web page, the material on
immunizations is continually updated. Check back daily for the latest
information.
To access the Health & Safety web page, go to:
http://www.bt.cdc.gov/disasters/hurricanes
To access information on immunizations, go to:
http://www.bt.cdc.gov/disasters/hurricanes/immunizations.asp
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September 12, 2005
CDC HAS INFORMATION ON HURRICANE KATRINA FOR HEALTH PROFESSIONALS, RELIEF
WORKERS, AND SHELTER OPERATORS
CDC published "Hurricane Katrina Response and Guidance for Healthcare
Providers, Relief Workers, and Shelter Operators" in the September 9 issue
of MMWR. The article is reprinted below in its entirety.
***********************
Hurricane Katrina struck the coastal areas of Alabama, Florida, Louisiana,
and Mississippi on August 29, 2005, causing substantial numbers of deaths
among both humans and animals, infrastructure damage, and flooding. Affected
areas continue to experience shortages of essential services, including
electricity, potable water, food, and fuel; damage to healthcare and public
health systems; and disrupted communications. CDC/ATSDR [Agency for Toxic
Substances Disease Registry], local and state health departments, other
federal agencies, and other partners are supporting public health and
medical-care functions for persons in affected areas and those displaced as
a result of the hurricane.
As of September 7, 2005, CDC/ATSDR had deployed 182 members of the U.S.
Public Health Service Commissioned Corps, CDC Epidemic Intelligence Service
officers, and federal civilian personnel to provide technical support and
additional personnel for critical public health functions (e.g., public
health needs assessment; disease surveillance; laboratory support;
prevention and control of infectious diseases, including foodborne,
waterborne, and vectorborne diseases; mental health services; sanitation and
water quality; chemical-exposure management; and injury prevention and
control).
To protect the public health and safety during recovery operations, CDC has
provided multiple sets of guidelines, available at
http://www.bt.cdc.gov/disasters/hurricanes/index.asp These include
guidelines of particular interest to healthcare providers, relief workers,
and shelter operators. Hurricane-Related Information for Healthcare
Professionals (http://www.bt.cdc.gov/disasters/hurricanes/hcp.asp)
includes guidelines for managing acute diarrhea and guidance related to
immunizations and vaccine storage. Worker Safety During Hurricane Cleanup (http://www.bt.cdc.gov/disasters/hurricanes/workers.asp)
includes health recommendations for relief workers and guidance on worker
safety during a power outage. Hurricane Katrina Information for Shelters (http://www.bt.cdc.gov/disasters/hurricanes/katrina/shelters.asp)
includes guidance on infection control for community shelters and key facts
regarding infectious diseases.
In addition, a new compilation, Natural Disasters, has been added to the M
Guide Online Knowledge Centers at the MMWR website (http://www.cdc.gov/mmwr).
The M Guide provides Internet links to previously published MMWR reports
regarding assessment of health needs and surveillance of morbidity and
mortality after hurricanes, floods, and the December 26, 2004 tsunami.
***********************
To access a web-text (HTML) version of the complete article, go to:
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5435a5.htm
To access a ready-to-print (PDF) version of this issue of MMWR, go to:
http://www.cdc.gov/mmwr/PDF/wk/mm5435.pdf
To receive a FREE electronic subscription to MMWR (which includes new ACIP
statements), go to:
http://www.cdc.gov/mmwr/mmwrsubscribe.html
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September 12, 2005
DHHS SETS UP A TOLL-FREE CRISIS HOTLINE FOR PERSONS EMOTIONALLY DISTRESSED
BY HURRICANE KATRINA
On September 7, the Department of Health and Human Services (DHHS) issued a
press release announcing that it has established a toll-free hotline for
people in crisis as a result of Hurricane Katrina. Portions of the release
are reprinted below.
***********************
For immediate release
September 7, 2005
CRISIS HOTLINE AVAILABLE FOR VICTIMS OF HURRICANE KATRINA
The Department of Health and Human Services today announced the availability
of a toll-free hotline for people in crisis in the aftermath of Hurricane
Katrina. By dialing (800) 273-TALK [(800) 273-8255], callers will be
connected to a network of local crisis centers across the country that are
committed to crisis counseling. Callers to the hotline will receive
counseling from trained staff at the closest certified crisis center in the
network. . . .
The network . . . involves more than 110 certified crisis centers. People
who are in emotional distress or suicidal can call at any time from anywhere
in the nation to talk to a trained worker who will listen to and assist
callers in getting the mental health help they need. People will be provided
with immediate access to local resources, referrals, and expertise.
***********************
To access the complete announcement, go to:
http://www.hhs.gov/news/press/2005pres/20050907.html
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September 12, 2005
INFLUENZA VACCINE BULLETIN #2 AVAILABLE FOR THE 2005-06 INFLUENZA SEASON
On September 8, NIP issued Influenza Vaccine Bulletin #2. It is reprinted
below in its entirety with the exception of a small section on upcoming
events.
******************
INFLUENZA VACCINE SUPPLY AND PRODUCTION
Projection for the 2005-06 Influenza Vaccine Supply
Sanofi pasteur representatives have announced publicly that they plan to
produce between 50 and 60 million doses, and MedImmune representatives
indicate that about 3 million doses of their Live Attenuated Influenza
Vaccine (LAIV) will be available. Meanwhile, Chiron's Liverpool facility is
making changes in response to observations and inspections by both the
British regulatory authority (MHRA) and the U.S. Food and Drug
Administration (FDA). If Chiron is able to complete its remediation plan and
secure FDA approval, company officials indicate they plan to produce 18-26
million doses for use in the U.S. On August 31, 2005, FDA informed Chiron
that their "responses and proposed corrective actions" following the FDA
inspection in July were "generally acceptable." A company press release
notes that they must still obtain supplemental FDA approvals. In late May
2005, GlaxoSmithKline (GSK) submitted a Biologics License Application to the
FDA for its influenza vaccine, and the FDA licensed that vaccine on August
31. Company officials have indicated that they plan to sell about 8 million
doses in the U.S.
Influenza Vaccine Presentations
Available presentations for the upcoming season's influenza vaccine vary by
manufacturer. MedImmune's FluMist is available in a single-dose nasal
sprayer and contains no thimerosal. The package insert is available at
http://www.fda.gov/cber/label/inflmed080505LB.pdf
Sanofi pasteur offers four different options in its influenza vaccine,
Fluzone: three thimerosal-free single-dose presentations including a 0.25 mL
syringe for children 6-35 months of age, and either a 0.5 mL syringe or a
0.5 mL vial for persons ages 3 years and above; and a multi-dose vial with
thimerosal as a preservative, licensed for those ages 6 months and above.
Note that the package insert and packaging for Fluzone will continue to use
the company's former name, Aventis Pasteur. (http://www.fda.gov/cber/products/inflave071405.htm)
Meanwhile, pending FDA and MHRA approvals, Chiron has indicated that they
will distribute most of their U.S. product in multi-dose vials with
thimerosal as a preservative. They may also provide some 0.5 mL syringes
that have trace amounts of thimerosal. This vaccine is licensed for
individuals age 4 years and older.
Finally, GSK will distribute all its U.S. doses in 0.5 mL syringes
containing a trace amount of thimerosal remaining from the production
process. The GSK product is licensed for persons ages 18 years and above,
and the package insert for this product is available at
http://www.fda.gov/cber/products/inflgla083105.htm
INFLUENZA VACCINE DISTRIBUTION AND ADMINISTRATION
Ordering Influenza Vaccine
- MedImmune still has quantities of its live
attenuated vaccine (FluMist) available for pre-booking.
- Sanofi pasteur continues to pre-book
orders for its pediatric influenza vaccine in the pre-filled syringe
presentation.
- Distributors for the influenza vaccines
produced by Chiron and GlaxoSmithKline have been taking orders for those
products. Prospective customers should check with these distributors
regarding availability.
- Providers may need to explore several
potential sources to find influenza vaccine.
Cost for Influenza Vaccine
Prices for influenza vaccine this year have increased over last year.
Purchasers should check with their regular sources of vaccine to determine
exact cost.
Reports of Inflated Influenza Vaccine Prices or Quotes
The Centers for Disease Control and Prevention once again is encouraging all
healthcare providers and the general public to report incidents of inflated
influenza vaccine prices or quotes. More than 100 reports were received last
season, all of which were provided to the state attorneys general in both
the report and vendor states for investigation. Within two weeks of the
vaccine shortage announcement, CDC noted a substantial reduction in the
number of reports received. For the 2005-2006 influenza season, CDC will
initiate a more organized and streamlined protocol for reporting,
investigating, and documenting such occurrences. This protocol and a new
report form will soon be distributed widely to the healthcare community.
Healthcare Provider Vaccination
The Healthcare Infection Control Practices Advisory Committee (HICPAC) and
the Advisory Committee on Immunization Practices (ACIP) have agreed to
publish a joint statement strongly recommending influenza vaccination of
healthcare workers. These recommendations should be issued in the next few
months.
ACIP Recommendations for Preventing Influenza, 2005-06
The ACIP's 2005-06 recommendations for preventing influenza were published
in the Morbidity and Mortality Weekly Report (MMWR) on July 29, 2005. The
entire document can be seen by clicking on the following link:
http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5408a1.htm
A statement titled "Tiered Use of Inactivated Influenza Vaccine in the Event
of a Vaccine Shortage" was published in the MMWR on August 5, 2005. The
article was intended to encourage contingency planning in the event a tiered
approach to influenza vaccination would be necessary during the upcoming
influenza vaccination season. To view it, click on
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5430a4.htm
Since publication of the August 5 MMWR article, CDC has determined that
uncertainties remain about the quantity and timing of this year's influenza
vaccine supply. Thus, prudence dictates that a tiered approach to influenza
vaccination as described in the August 5 article be implemented through
Sunday, October 23, 2005. Specifics are described in an MMWR article
published September 2, 2005 and available at:
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5434a4.htm
A patient self-screening form for use though October 23 will soon be
available on the CDC influenza web site at
http://www.cdc.gov/flu
FDA Allows Influenza Vaccine Redistribution During the 2005-06 Season
Again this year, the FDA has agreed to allow providers to redistribute
influenza vaccine between/among themselves to remedy any maldistribution
that may occur as a result of delays in vaccine distribution or shortages.
The FDA statement can be found at:
http://www.cdc.gov/flu/professionals/vaccination/reallocation0506season.htm
INFLUENZA VACCINE COMMUNICATIONS & RESOURCES
CDC Influenza Vaccine Communications Update
For the 2005-06 influenza season, CDC will have information and updates for
the public, providers, and the press available on its website (http://www.cdc.gov/flu)
, as well as its annual educational print materials for the public and
providers. Electronic files of campaign materials are now available for
download from the CDC Flu Gallery website (http://www.cdc.gov/flu/gallery).
CDC will continue to make appropriate materials available over time.
Resource Materials
Medicare Information
For a variety of helpful information about Medicare topics such as billing,
roster billing, and payment rates, check the following links:
(1)
http://www.cms.hhs.gov/preventiveservices/2.asp
(2)
http://www.cms.hhs.gov/medlearn/refimmu.asp#edu
(3)
http://w.cms.hhs.gov/preventiveservices/2.asp
Morbidity and Mortality Weekly Reports
Review other recently published MMWR articles related to influenza and
influenza vaccine by clicking on
http://www.cdc.gov/flu (under News & Highlights) or by selecting one of
the following links.
Influenza Vaccine Bulletins
Refer to previous bulletins at
http://www.cdc.gov/flu/professionals/flubulletin.htm Individual requests
for subscriptions to the bulletin should be emailed to
listserv@listserv.cdc.gov
Type "subscribe flu-serve" in the body of the email.
******************
To access a ready-to-print (PDF) version of Influenza Vaccine Bulletin #2,
go to:
http://www.cdc.gov/flu/professionals/bulletin/pdf/2005-06/bulletin2_090805.pdf
To access a web-text (HTML) version, go to:
http://www.cdc.gov/flu/professionals/bulletin/2005-06/bulletin2_090805.htm
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September 12, 2005
MARK YOUR CALENDAR: THE NEXT CURRENT ISSUES IN IMMUNIZATION
NETCONFERENCE IS SCHEDULED FOR OCTOBER 13
Scheduled for October 13, from noon to 1PM ET, the netconference Current
Issues in Immunization is designed to provide clinicians with up-to-date
information on immunization. The October program will focus on the
2005-06 influenza recommendations.
The netconference requires pre-registration, as space is limited. To
register for the conference, go to:
http://www2.cdc.gov/nip/isd/ciinc
This program will combine a telephone audio conference with simultaneous
online visual content. It will feature a Q&A both by telephone and the
Internet. Internet access and a separate phone line are needed to
participate. Graphics will be available to download as a PowerPoint file
after the presentations.
For instructions and system requirements, go to:
http://www.cdc.gov/nip/ed/ciinc/instructions.htm
For additional information, go to:
http://www.cdc.gov/nip/ed/ciinc
For questions, email NIP-Info at
nipinfo@cdc.gov
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September 12, 2005
NEW: CDC'S FLU GALLERY OFFERS PROFESSIONAL- AND PATIENT-EDUCATION
MATERIALS FOR THE 2005-06 INFLUENZA SEASON
On September 7, NIP announced the opening of its Flu Gallery for the
2005-06 influenza season. The announcement is reprinted below in its
entirety.
******************
CDC ANNOUNCES THE OPENING OF THE 2005-06 FLU GALLERY
Are you looking for educational materials about influenza and the flu
vaccine? CDC's Flu Gallery contains educational materials for use during
the upcoming influenza immunization season. These materials reflect
CDC's vaccination recommendations and highlight the benefits of
influenza vaccination. The gallery contains print materials such as
flyers, posters, and brochures, in color and black and white, English
and Spanish. Many of the materials can be reproduced on an office
printer. You can also have the materials printed by a professional
(offset) printer.
We encourage you to visit the online gallery often because, as vaccine
supply information changes, we will upload new materials that address
expanded audiences, or new recommendations about which groups vaccine
should be directed toward. Additionally, if vaccine supply is still
strong toward the end of November, we will post "late season" promotion
materials to the gallery, which will remind people that it is not too
late to get vaccinated against influenza in December and beyond.
The Flu Gallery can be found at
http://www.cdc.gov/flu/gallery
******************
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September 12, 2005
COMING UP: NATIONAL ADULT IMMUNIZATION AWARENESS WEEK IS SCHEDULED FOR
SEPTEMBER 25-OCTOBER 1
The NIP website recently posted the following article announcing that
the next National Adult Immunization Awareness Week (NAIAW) is scheduled
for September 25 through October 1:
The National Foundation for Infectious Diseases (NFID), National
Coalition for Adult Immunization (NCAI) heads this annual observance to
coordinate awareness-raising activities that focus on adult and
adolescent immunization. This year marks the 18th consecutive observance
of NAIAW and is a great opportunity for individuals and organizations to
promote the importance of adult and adolescent immunization.
To access the 2005 NAIAW campaign kit from the NFID website, go to:
http://www.nfid.org/publications/naiaw05.pdf This is a very large
file at 4.11 megabytes. For help on downloading and printing large PDF
files, go to:
http://www.immunize.org/nslt.d/tips.htm
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September 12, 2005
FREE: BULK COPIES OF THE MAY 2005 ISSUE OF VACCINATE ADULTS ARE
AVAILABLE FOR THE ASKING
The Immunization Action Coalition (IAC) is giving away bulk copies (up
to 50 per request) of the May 2005 issue of Vaccinate Adults.
If you have an immunization conference or an educational program coming
up for adult medical specialists, this 12-page publication is an
excellent item to distribute. Vaccinate Adults is written for health
professionals. It is NOT for distribution to the public.
The May 2005 issue includes a compelling article illustrating how
important it is for health professionals to follow proper diabetes-care
procedures and techniques; failure to do so can result in hepatitis B
virus transmission among diabetic patients. The issue also offers health
professionals a one-page fact sheet of the most recent CDC information
on pneumococcal polysaccharide vaccine (PPV23) and four resource pieces
on vaccine storage and handling.
Because supplies are limited, it's best to make your request right away.
The free copies go quickly. Sorry, we can mail orders only to addresses
within the United States.
To request copies, fill out the online form on IAC's website:
http://www.immunize.org/freeoffer
You will be asked to supply the following information:
- The number of copies you want (maximum
50)
- A description of how you plan to use
the copies
- Your name and complete contact
information, including mailing address, telephone number, and email
address
For further information, please email
admin@immunize.org
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September 12, 2005
UPDATED: IAC'S SUMMARY OF RECOMMENDATIONS FOR CHILDHOOD AND ADOLESCENT
IMMUNIZATION HAS BEEN SUBSTANTIALLY REVISED
If you see children and adolescents in your practice or another
immunization setting, it's imperative that you download and print
IAC's newly revised "Summary of Childhood and Adolescent Immunization
Recommendations." The summary distills hundreds of pages of ACIP
recommendations for childhood and adolescent immunization into a handy
document that can be printed on card stock and placed in every exam
room for easy reference.
The summary was updated in August 2005 to reflect new ACIP
recommendations on many vaccines. To accommodate the new information,
and to make this resource easier to read, the document has been
expanded to three pages. Immunization and hepatitis experts at CDC
have reviewed the information in the document for technical accuracy.
To obtain the summary in ready-to-print (PDF) format, go to:
http://www.immunize.org/catg.d/rules1.pdf
To obtain it in web-text (HTML) format, go to:
http://www.immunize.org/nslt.d/n17/rules1.htm
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September 12, 2005
NEW: PROFESSIONAL-EDUCATION PIECE ON HEALTHCARE WORKER VACCINATION
RECOMMENDATIONS AVAILABLE ON IAC'S WEBSITE
IAC recently adapted a professional-education piece, Healthcare Worker
Vaccination Recommendations, and posted it on the IAC website. We are
grateful to the Michigan Department of Community Health, which
originated the piece, for giving us permission to adapt and publish
it.
As adapted, the one-page piece condenses numerous ACIP recommendations
on vaccinating healthcare workers with the following vaccines:
hepatitis B, influenza, MMR, varicella, tetanus/diphtheria, and
meningococcal. Immunization and viral hepatitis experts at CDC
reviewed the piece for technical accuracy.
To access it in ready-to-print (PDF) format, go to:
http://www.immunize.org/catg.d/p2017.pdf
To access it in web-text (HTML) format, go to:
http://www.immunize.org/catg.d/p2017.htm
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September 12, 2005
SEPTEMBER 9 ISSUE OF IAC'S HEP EXPRESS ELECTRONIC NEWSLETTER NOW
AVAILABLE ONLINE
The September 9 issue of Hep Express, an electronic newsletter
published by IAC, is now available online. It is intended for health
and social service professionals involved in the prevention and
treatment of viral hepatitis.
IAC Express has already covered some of the information presented in
the September 9 Hep Express; titles of articles we have not yet
covered follow.
- Article about integrating hepatitis
B prevention into STD services available on CDC's website
- Fall 2005 Liver Update meeting to be
held in San Diego on September 29
- Hepatitis C Update meeting scheduled
for September 29 in Charlottesville, VA
- Targeting Hepatitis C conference to
be held November 1 in Buffalo, NY, and November 15 in New York City
- Office of Minority Health hosting
summit in January; abstracts due October 3
- Reminder: HFI's Fourth Annual
National Viral Hepatitis Summit will take place September 22-23
To access the September 9 issue, go to:
http://www.hepprograms.org/hepexpress/issue34.asp
To sign up for a free subscription to Hep Express, go to:
http://www.hepprograms.org/hepexpress/signup.asp
To access previous issues of Hep Express, go to:
http://www.hepprograms.org/hepexpress
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September 12, 2005
HELP OUT: NIP CONTINUES TO NEED VOLUNTEERS TO PILOT TEST ITS
IMMUNIZATION TRAINING COURSES
On September 6, NIP announced that it continually needs pilot
testing volunteers. Right now, the need is greatest for health
educators, pharmacists, and physicians to pilot test an internet
course on polio. If you can spare a couple of hours, please
volunteer (see the email address below). The text of the NIP
announcement follows.
*******************
NIP CONTINUES TO NEED PILOT TESTING VOLUNTEERS
CDC's National Immunization Program (NIP) has an ongoing need for
volunteers who are willing to pilot test immunization training
courses. NIP is seeking healthcare professionals in the following
occupations: health educators, medical assistants, nurses,
pharmacists, and physicians.
During the next two weeks, NIP will specifically need health
educators, pharmacists, and physicians to volunteer to pilot test an
internet-based course on polio.
To learn more about becoming a pilot testing volunteer, send an
email to nippilot@cdc.gov
*******************
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September 12, 2005
POLIO UPDATE: IMMUNIZATION CAMPAIGNS REDUCE POLIO INCIDENCE IN
NIGERIA; WHO REPORTS TWO NEW CASES IN ETHIOPIA
CDC published "Progress Toward Poliomyelitis Eradication--Nigeria,
January 2004-July 2005" in the September 9 issue of MMWR. On
September 6, WHO issued a Disease Outbreak News update,
"Poliomyelitis in Ethiopia." A press summary of the MMWR article is
reprinted below, as is the WHO update.
***********************
NIGERIA: MMWR PRESS SUMMARY
Nigerian authorities and partners have taken appropriate steps to
reverse the resurgence of polio of 2003-2004 and focus resources on
the highest risk states so that poliovirus circulation will be
interrupted in 2006.
A dramatic increase in poliovirus transmission occurred in Nigeria
in 2003-2004 when some northern states suspended mass vaccination
campaigns, citing unfounded safety concerns. This led to the
transmission of wild poliovirus into 18 nations where polio had not
been reported for at least one year (including three outside
Africa). With multiple supplementary immunization campaigns now
targeting children in every state since that time, the current
situation shows the roll-back from 30 infected states in 2004 to 19
to date in 2005, and with 377 cases confirmed this year compared
[with] 574 at this same time in 2004. Most of the transmission in
2005 has occurred in just four states. Campaigns are now being
carefully monitored and supervised in the high-risk areas of the 13
endemic states (i.e., those that have continually had poliovirus
transmission). Additionally, special teams are providing outreach
immunization to nomadic and hard-to-reach communities missed in
earlier campaigns.
To access a web-text (HTML) version of the complete article, go to:
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5435a4.htm
To access a ready-to-print (PDF) version of this issue of MMWR, go
to:
http://www.cdc.gov/mmwr/PDF/wk/mm5435.pdf
***************************
ETHIOPIA: WHO UPDATE
As of 31 August, two new polio cases were reported in Ethiopia,
bringing the total number of cases associated with this outbreak to
15 in 2005. One of the two new cases occurred in Oromia Province, in
the center of the country, near the border with Somalia and had
onset of paralysis on 1 July 2005. The second case, in Amhara
region, the northwestern part of Ethiopia, had onset of paralysis on
16 July. Both cases occurred after the National Immunization Days (NIDs)
held on 23 May.
Discussions are ongoing to advance the next NIDs to early October.
Ethiopia had been polio-free since January 2001, before a poliovirus
was imported into the country from neighboring Sudan in December
2004.
***********************
To access a web-text (HTML) version of the update, go to:
http://www.who.int/csr/don/2005_09_06/en/index.html
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September 12, 2005
CORRECTIONS: CDC REVISES PNEUMONIA AND INFLUENZA MORTALITY STATS
REPORTED IN MMWR ON AUGUST 19 AND AUGUST 26
CDC published "Errata: Vol. 54, Nos. 32-33" in the September 9 issue
of MMWR. The article, which corrects mortality statistics published
in the August 19 and August 26 MMWR issues, is reprinted below,
excluding three tables.
***********************
In Table III, "Deaths in 122 U.S. cities," for week 32 (ending
August 13, 2005) through week 33 (ending August 20, 2005), the total
mortality from all causes and mortality caused by pneumonia and
influenza for Sacramento, California, were incorrectly reported. The
correct mortality data are as follows:[IAC Express editor's note: To
access the correct data, which are presented in tabular format,
click on either link below.]
***********************
To access a web-text (HTML) version of the complete article
(including the corrected tables), go to:
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5435a9.htm
To access a ready-to-print (PDF) version of this issue of MMWR, go
to:
http://www.cdc.gov/mmwr/PDF/wk/mm5435.pdf |
