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links to national publications highlighting health-care needs of cancer survivors is available at http://www.cdc.gov/ features/cancersurvivors.

References

1. CDC. Cancer survivorship—United States, 1971–2001. MMWR 2004;53:526-9.

2. Ries LAG, Melbert D, Krapcho M, et al., eds. SEER cancer statistics review, 1975-2004. Bethesda, MD: National Cancer Institute; 2007. Available at http://seer.cancer.gov/csr/1975_2004.

3. Schwartz KL, Crossley-May H, Vigneau FD, Brown K, Banerjee M. Race, socioeconomic status and stage at diagnosis for five common malignancies. Cancer Causes Control 2003;14:761–6.

4. CDC, Lance Armstrong Foundation. A national action plan for cancer survivorship: advancing public health strategies. Atlanta, GA: US Department of Health and Human Services, CDC; 2004.

Notice to Readers

Assessment Tool for Evaluating Emergency and Disaster Shelters Shelters provide refuge for communities and at-risk pop lations during and after emergencies and disasters. Effe. tive emergency response requires that environmental heat practitioners rapidly assess the health and safety of the shelte environment for these populations.

To help meet this challenge, CDC and partners have developed an environmental health shelter assessment for (available in English and Spanish) that covers general arca of environmental health, such as food safety, sanitation and service and companion animal care. It also provide space for listing immediate needs. The form provides gud ance and information that environmental health practiteners and shelter managers can use with existing plans, procedures, resources, and management systems.

The environmental health shelter assessment tool, indu ing the assessment form, instructions for its use, and traning materials, is available at http://www.emergency.cdc.gov shelterassessment.

QuickStats

FROM THE NATIONAL CENTER FOR HEALTH STATISTICS

Percentage of Adults Aged >25 Years with Limitation of Activity Caused by One or More Chronic Conditions,* by Education Level and Sex National Health Interview Survey, United States, 2006+

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* Limitation in usual activity is determined from responses to a series of questions
about limitations in a person's ability to engage in work, school, play, or other
activities for health reasons; the specific conditions causing the limitations;
and the duration of these conditions. Conditions lasting >3 months are classified
as chronic; selected conditions (e.g., arthritis, diabetes, cancer, and heart
conditions) are considered chronic regardless of duration.

* Estimates are age adjusted using the projected 2000 U.S. population as the
standard population and using four age groups: 25-44 years, 45-64 years,
65-74 years, and ≥75 years. Estimates are based on household interviews of
a sample of the civilian, noninstitutionalized U.S. population. Persons who did
not know whether they had a limitation and those with a limitation who did not
know whether the condition causing the limitation was chronic were excluded
from the denominators.

§ General Educational Development.

In 2006, persons who had less than a high school diploma were more than twice as likely as persons who had a bachelor's degree or higher to be limited in their usual activities because of one or more chronic conditions. At lower education levels (less than a high school diploma or a high school or GED diploma), women were more likely than men to be limited in usual activities. At higher education levels, no significant difference in limitation was observed between men and women.

SOURCES: 2006 National Health Interview Survey. Available at http://www.cdc.gov/nchs/nhis.htm.

Adams PF, Lucas JW, Barnes PM. Summary health statistics for the U.S. population: National Health Interview Survey, 2006. Vital Health Stat 2008;10(236). Available at http://www.cdc.gov/nchs/data/series/sr_10/ sr10_236.pdf.

TABLE I. Provisional cases of infrequently reported notifiable diseases (<1,000 cases reported during the preceding year) — United State: week ending May 31, 2008 (22nd Week)*

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* Incidence data for reporting years 2007 and 2008 are provisional, whereas data for 2003, 2004, 2005, and 2006 are finalized. † Calculated by summing the incidence counts for the current week, the 2 weeks preceding the current week, and the 2 weeks following the current week, for a tota preceding years. Additional information is available at http://www.cdc.gov/epo/dphs/phs/files/5yearweeklyaverage.pdf.

§ Not notifiable in all states. Data from states where the condition is not notifiable are excluded from this table, except in 2007 and 2008 for the domestic arboviral diseases and influenza-associated pediatric mortality, and in 2003 for SARS-CoV. Reporting exceptions are available at http://www.cdc.gov/epo/dphs/phs/infdis.htm.

¶ Includes both neuroinvasive and nonneuroinvasive. Updated weekly from reports to the Division of Vector-Borne Infectious Diseases, National Center for Zoonotic, Vectr Borne, and Enteric Diseases (ArboNET Surveillance). Data for West Nile virus are available in Table II.

The names of the reporting categories changed in 2008 as a result of revisions to the case definitions. Cases reported prior to 2008 were reported in the categones Ehrlichiosis, human monocytic (analogous to E. chaffeensis); Ehrlichiosis, human granulocytic (analogous to Anaplasma phagocytophilum), and Ehrlichiosis, unspecified a other agent (which included cases unable to be clearly placed in other categories, as well as possible cases of E. ewingii).

* Data for H. influenzae (all ages, all serotypes) are available in Table II.

$$ Updated monthly from reports to the Division of HIV/AIDS Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention. Implementation of HIV reporting influences the number of cases reported. Updates of pediatric HIV data have been temporarily suspended until upgrading of the national HIV/AIDS surveillance catal management system is completed. Data for HIV/AIDS, when available, are displayed in Table IV, which appears quarterly.

11 Updated weekly from reports to the Influenza Division, National Center for Immunization and Respiratory Diseases. Seventy-nine cases occurring during the 2007-08 influen season have been reported.

The one measles case reported for the current week was indigenous

Data for meningococcal disease (all serogroups) are available in Table II.

$$$ In 2008, Q fever acute and chronic reporting categories were recognized as a result of revisions to the Q fever case definition. Prior to that time, case counts were n differentiated with respect to acute and chronic Q fever cases.

111 No rubella cases were reported for the current week.

**** Updated weekly from reports to the Division of Viral and Rickettsial Diseases, National Center for Zoonotic, Vector-Borne, and Enteric Diseases.

ABLE I. (Continued) Provisional cases of infrequently reported notifiable diseases (<1,000 cases reported during the preceding year) nited States, week ending May 31, 2008 (22nd Week)*

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No reported cases. N: Not notifiable. Cum: Cumulative year-to-date counts.

* Incidence data for reporting years 2007 and 2008 are provisional, whereas data for 2003, 2004, 2005, and 2006 are finalized.

† Calculated by summing the incidence counts for the current week, the 2 weeks preceding the current week, and the 2 weeks following the current week, for a total of 5 preceding years. Additional information is available at http://www.cdc.gov/epo/dphsi/phs/files/5yearweeklyaverage.pdf.

§ Not notifiable in all states. Data from states where the condition is not notifiable are excluded from this table, except in 2007 and 2008 for the domestic arboviral diseases and influenza-associated pediatric mortality, and in 2003 for SARS-CoV. Reporting exceptions are available at http://www.cdc.gov/epo/dphs/phs/infdis.htm.

FIGURE I. Selected notifiable disease reports, United States, comparison of provisional
4-week totals May 31, 2008, with historical data

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Ratio of current 4-week total to mean of 15 4-week totals (from previous, comparable, and subsequent 4-week periods
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TABLE II. Provisional cases of selected notifiable diseases, United States, weeks ending May 31, 2008, and June 2, 2007 (22nd Week)*

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C.N.M.I.: Commonwealth of Northern Mariana Islands.

U: Unavailable. - No reported cases. N: Not notifiable. Cum: Cumulative year-to-date

counts.

Med: Median.

Max: Maximum.

Incidence data for reporting years 2007 and 2008 are provisional. Data for HIV/AIDS, AIDS, and TB, when available, are displayed in Table IV, which appears quarterly. Chlamydia refers to genital infections caused by Chlamydia trachomatis.

Contains data reported through the National Electronic Disease Surveillance System (NEDSS).

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