TABLE II. (Continued) Provisional cases of selected notifiable diseases, United States, weeks ending April 26, 2008, and April 28, 2007 (17th Week)* West Nile virus disease Neuroinvasive Nonneuroinvasive Previous Previous Previous Cum Current 52 weeks Cum Reporting area week Med Max 2008 2007 week Med Max 2008 2007 week Med Max 2008 United States 453 619 1,417 10,590 16,491 1 141 4 2 299 New England 12 2 Connecticut 0 1 0 Massachusetts 0 2 New Hampshire 18 129 1 Vermont 21 0 Mid. Atlantic 61 3 New Jersey N 0 New York (Upstate) N 1 New York City N 3 1 1 E.N. Central 147 157 358 2,398 4,738 18 12 Illinois 13 8 4 2 Michigan 52 62 154 0 Ohio 82 4 3 Wisconsin 4 2 W.N. Central 69 41 117 lowa N 3 3 7 Minnesota 9 12 Missouri 21 261 407 9 3 Nebraska N 0 15 North Dakota 39 49 South Dakota 1 32 12 Delaware 1 1 District of Columbia 0 14 Florida 49 28 87 1 Georgia N 8 Maryland 0 N 2 North Carolina 0 1 South Carolina 4 2 1 Virginia 5 1 West Virginia 6 0 E.S. Central 15 11 Alabama 15 2 Kentucky 0 N 1 Mississippi 7 7 12 Tennesseet N 1 1 W.S. Central 133 172 842 3,606 4,764 34 18 Arkansas 11 2 Louisiana 1 3 Oklahoma N 7 18 10 Mountain 35 38 120 744 1,333 36 143 Arizona 0 8 10 Colorado 31 261 17 65 N 22 Montana 141 30 Nevada N 1 New Mexico 94 6 Utah 247 8 Wyoming" 9 33 Pacific 4 23 Alaska 4 20 California 17 21 3 2 136 Puerto Rico 11 269 U.S. Virgin Islands 0 0 04 | 0 000044 అN 80రీంరీం . సి .NORS 8 A00028 ండింగం: ఇది సిందు ఈ oooloooooooooooooooooooooooooooooooooooooooooooooooooooooooooooo oooooooooooooooooo-oooooooooooooooooooooooo000-0000000000000001000 م || C.N.M.I.: Commonwealth of Northern Mariana Islands. Incidence data for reporting years 2007 and 2008 are provisional. + Updated weekly from reports to the Division of Vector-Borne Infectious Diseases, National Center for Zoonotic, Vector-Borne, and Enteric Diseases (ArboNET Surveillancei for California serogroup, eastern equine, Powassan, St. Louis, and western equine diseases are available in Table I. Not notifiable in all states. Data from states where the condition is not notifiable are excluded from this table, except in 2007 for the domestic arboviral diseases and inves associated pediatric mortality, and in 2003 for SARS-COV. Reporting exceptions are available at http://www.cdc.gov/epo/dphsi/phssinfdis.htm. Contains data reported through the National Electronic Disease Surveillance System (NEDSS). y, NY en, NJ ng. PA 48 LE III. Deaths in 122 U.S. cities,* week ending April 26, 2008 (17th Week) All causes, by age (years) P&It All verting Area P&It Total England 496 359 87 24 13 44 1.245 793 282 88 En, MA 37 44 86 Atlanta, GA 10 2 13 4 1 eport, CT 27 16 1 1 200 110 62 19 2 7 22 ridge, MA 16 16 Charlotte, NC 106 6 5 2 6 iver, MA 28 26 Jacksonville, FL 10 2 8 rd, CT 51 35 3 9 4 13 I, MA 29 19 3 46 34 2 2 MA 8 1 1 2 Bedford, MA 22 17 1 71 51 11 8 laven, CT 26 16 5 2 64 48 11 2. 1 2 dence, RI 32 24 7 1 1 208 6 6 16 rville, MA 2 Washington, D.C. 7 4 3 yfield, MA 34 27 5 4 16 12 2 2 bury, CT 36 31 4 3 E.S. Central 1 882 590 204 47 18 23 77 Birmingham, AL 169 101 45 12 3 8 Atlantic 15 2,323 1,628 489 129 48 28 144 Chattanooga, TN 109 74 27 4 3 12 47 35 8 1 92 79 10 4 own, PA 33 27 5 1 3 1 10 : 0, NY 69 48 17 1 140 89 37 10 2 2. 13 2 119 64 29 11 9 6 5 eth, NJ 18 12 5 Montgomery, AL 34 23 9 1 PA 5 61 50 9 2 3 4 2 2 13 ✓ City, NJ 20 9 5 3 · Fork City, NY 1,054 725 238 64 W.S. Central 1,517 77 K, NJ 64 28 22 Austin, TX 9 3 97 63 3 23 6 5 son, NJ 26 13 9 Baton Rouge, LA 48 25 4 8 15 lelphia, PA 429 Corpus Christi, TX 55 32 19 urgh, PAS 32 20 Dallas, TX 194 118 44 16 8 11 El Paso, TX 131 93 26 4 3 ester, NY 133 110 19 Fort Worth, TX 130 79 35 10 3 3 7 jectady, NY 24 19 4 Houston, TX 382 109 38 3 14 21 ton, PA 25 18 5 Little Rock, AR 86 30 1 1 151 115 21 New Orleans, LA1 U 14 U U San Antonio, TX 7 6 NY 15 13 Shreveport, LA 3 2 10 rs, NY 27 22 Tulsa, OK 141 90 35 10 3 3 5 entral 2,147 1,459 471 134 50 33 Mountain 171 1,128 728 257 92 30 20 89 47 29 13 1 Albuquerque, NM 7 n, OH 43 30 13 Boise, ID 31 21 7 2. Colorado Springs, CO 61 2 nati, OH 110 72 24 Denver, CO 121 75 29 8 5 11 and, OH 238 Las Vegas, NV 305 196 84 21 1 29 ibus, OH 236 173 44 12 5 Ogden, UT 24 26 15 7 1 135 97 24 12 2 Phoenix, AZ 14 165 100 36 14 8 6 11 t, MI 147 Pueblo, co 30 10 1 1 ville, IN 58 42 13 1 Salt Lake City, UT 121 78 23 11 5 4 11 layne, IN 82 53 13 12 3 Tucson, AZ 1 158 120 2 21 11 4 2 16 IN 17 Pacific 1,746 1,183 375 104 47 37 145 Rapids, MI 47 32 6 17 13 2 1 1 apolis, IN 204 44 14 4 19 108 22 9 2. 4 11 ng, MI 40 34 4 4 20 17 1 4 ukee, WI 107 61 34 4 11 5 1 1 10 Long Beach, CA 7 2 1 ord, IL 51 40 6 2 3 244 173 45 10 11 5 38 Bend, IN 41 32 7 1 23 16 4 2 ), OH 109 79 23 5 2 6 7 2 4 14 istown, OH 64 50 12 1 223 156 48 13 5 1 11 Central 650 434 145 26 28 17 59 San Diego, CA 163 96 46 10 3 8 10 loines, IA 45 33 12 San Francisco, CA 111 7 2. 2 8 San Jose, CA 2 4 201 145 41 9 3 8 s City, KS 15 Santa Cruz, CA 33 1 16 12 4 1 s City, MO 123 Seattle, WA 134 87 18 30 10 5 2 7. NE 49 36 7 Spokane, WA 72 1 57 9 3 2 2. 2 9 apolis, MN 71 42 15 3 6 Tacoma, WA 5 118 4 69 33 8 7 1 7 a, NE 82 57 14 5 3 3 7 Total 12,134** 8,120 2,690 761 308 245 892 Jis, MO 81 42 31 2 5 1 5 Jl. MN 68 5 a, KS 88 61 18 4 4 1 6 available. -No reported cases. tality data in this table are voluntarily reported from 122 cities in the United States, most of which have populations of >100,000. A death is reported by the place of its urrence and by the week that the death certificate was filed. Fetal deaths are not included. umonia and influenza. ause of changes in reporting methods in this Pennsylvania city, these numbers are partial counts for the current week. Complete counts will be available in 4 to 6 weeks. ause of Hurricane Katrina, weekly reporting of deaths has been temporarily disrupted. - includes unknown ages. use, NY , OH 40 go, IL n, OH 42 136 71 I, IL 11 28 1, MN 47 National Stroke Awareness Month – May 2008 May is National Stroke Awareness Month. In 2008, i estimated 780,000 persons in the United States will five a stroke; of these, 150,000 will die from stroke, id 15%-30% of stroke survivors will be permanently sabled (1). Stroke ranks third among all causes of ath, behind heart disease and cancer. In 2008, the rect and indirect cost of stroke in the United States is pected to amount to approximately $65.5 billion (1). Preventing and controlling stroke risk factors (e.g., gh blood pressure, heart disease, atrial fibrillation, gh blood cholesterol levels, diabetes, tobacco use, cohol use, physical inactivity, and obesity) are the ost important measures in reducing the incidence of roke (2). Recognizing stroke warning symptoms and imediately telephoning for emergency medical care e critical to preventing death and disability. CDC supports six state-based registries in the Paul overdell National Acute Stroke Registry, which has a ng-term goal of ensuring that all persons in the United ates receive the highest quality acute stroke care to duce deaths, prevent disability, and avoid recurrent rokes. Additional information about stroke programs, arning symptoms, prevention, and care is available at tp://www.cdc.gov/stroke, http://www.strokeassociation.org, tp://www.stroke.org, and http://www.ninds.nih.gov. eferences American Heart Association. Heart disease and stroke statistics: 2008 update. Dallas, TX: American Heart Association; 2008. Available at http://www.americanheart.org/downloadable/heart/ 1200078608862HS_Stats%202008.final.pdf. Goldstein LB, Adams R, Alberts MJ, et al. Primary prevention of ischemic stroke: a guideline from the American Heart Association/ American Stroke Association Stroke Council. Stroke 2006;37: 1583-633. The MMWR series of publications is published by the Coordinating Director Chief Science Officer Steven L. Solomon, MD Jay M. Bernhardt, PhD, MPH Katherine L. Daniel, PhD Frederic E. Shaw, MD, JD Teresa F Rutledge Douglas W. Weatherwax Jude C. Rutledge Writers-Editors Peter M. Jenkins Lynda G. Cupell Malbea A. LaPete Erica R. Shaver phone 9-1-1 was low; the percentage who met all the measures was 16.4%. In addition, disparities were obic by racelethnicity, sex, and education level. Public hea. agencies, clinicians, and educators should continue to the importance of learning to recognize stroke symptoms and the need to telephone 9-1-1 when someone appears : be having a stroke. BRFSS is a state-based, random-digit-dialed telephuc survey of the U.S. civilian, noninstitutionalized popu. tion aged >18 years and is conducted in all 50 states, a Guam, Puerto Rico, and the U.S. Virgin Islands. Howeit in 2005, the optional heart attack and stroke module -included in the BRFSS surveys of 13 states* and DC. total of 71,994 respondents answered questions regards symptoms of stroke. An incorrect symptom was inclucas in another question (“Do you think sudden chest paio discomfort is a symptom of stroke?") to assess the posi. ity that respondents might answer “yes” to all of the quations in the series without actually considering the Respondents also were asked to select the one action in would do first, from the following list of actions, if th:thought that someone was having a heart attack or stroa take the person to the hospital, advise the person to cal: doctor, call 9-1-1, call a spouse or family member, or i: something else. Median response rate for the 13 states 12" DC, based on Council of American Survey and Rescara Organizations (CASRO) guidelines, was 54.5% (rang 45.1%–61.3%). Data were weighted to 2005 state popes lation estimates. Age-adjusted prevalence estimates 23 95% confidence intervals (CIS) were calculated; statis cally significant differences between characteristics we? determined by nonoverlapping Cis. Respondent awareness of stroke warning symptoms 92.6% for sudden numbness or weakness of the face, a or leg, especially on one side; 86.5% for sudden confus... or trouble speaking; 83.4% for sudden trouble walking dizziness, or loss of balance; 68.8% for sudden trouble se ing in one or both eyes; and 60.4% for a severe headacto with no known cause. In addition, 85.9% of responders said they would call 9-1-1 if they thought someone wa having a heart attack or stroke. However, 39.5% of respot Editorial Board William L. Roper, MD, MPH, Chapel Hill, NC, Chairman Virginia A. Caine, MD, Indianapolis, IN David W. Fleming, MD, Seattle, WA John K. Iglehart, Bethesda, MD Stanley A. Plotkin, MD, Doylestown, PA Barbara K. Rimer, DrPH, Chapel Hill, NC Anne Schuchat, MD, Atlanta, GA John W. Ward, MD, Atlanta, GA * Alabama, Florida, Iowa, Louisiana, Maine, Minnesota, Mississippi , Maxis Montana, Oklahoma, Tennessee, Virginia, and West Virginia. + “Do you think sudden confusion or trouble speaking are symptoms of some “Do you think sudden numbness or weakness of face, arm, or leg, espeia one side, are symptoms of stroke?” “Do you think sudden trouble sering ? or both eyes is a symptom of stroke?” “Do you think sudden trouble was dizziness, or loss of balance are symptoms of stroke?” “Do you think a step headache with no known cause is a symptom of stroke?” |
0 Reviews Reviews aren't verified, but Google checks for and removes fake content when it's identified Write review |