Tuesday, June 19, 2018


"The FastStats site provides quick access to statistics on topics of public health importance and is organized alphabetically. Links are provided to publications that include the statistics presented, to sources of more data, and to related web pages..."
health statistics

State Health Statistic

"National Notifiable Diseases Surveillance System (NNDSS) Data
Background information and guidance to users about NNDSS data is available at the NNDSS Data and Statistics web page at https://wwwn.cdc.gov/nndss/data-and-statistics.html.
NNDSS data are available in the following ways:
Weekly and Quarterly Data: Beginning in January 2018, links to weekly data for most infectious diseases and quarterly data for tuberculosis are available on the NNDSS Data and Statistics web page at https://wwwn.cdc.gov/nndss/data-and-statistics.html. The web page also has links to historical data from the MMWR weekly report in the section titled “Notifiable Diseases and Mortality Tables” and links to these weekly and quarterly data in a machine-readable format.
Annual Infectious Disease Data: Beginning with data year 2016, links to annual data for infectious diseases and conditions are available on the NNDSS Data and Statistics web page at https://wwwn.cdc.gov/nndss/data-and-statistics.html. The web page also has links to historical data for data years 1993 through 2015 in MMWR and to historical reports in CDC Stacks.
Annual Noninfectious Disease Data: Beginning in November 2017, links to surveillance reports published by CDC programs about NNDSS noninfectious conditions and disease outbreaks are available on the NNDSS Data and Statistics web page at https://wwwn.cdc.gov/nndss/data-and-statistics.html. The web page also has links to limited historical data in MMWR...".

State health data

Explore Travel Health with the CDC Yellow Book

"CDC Health Information for International Travel (commonly called the Yellow Book) is published every two years as a reference for health professionals providing care to international travelers and is a useful resource for anyone interested in staying healthy abroad. The fully revised and updated CDC Yellow Book 2018 codifies the U.S. government's most current travel health guidelines, including pretravel vaccine recommendations, destination-specific health advice, and easy-to-reference maps, tables, and charts.
The 2018 Yellow Book includes important travel medicine updates:
  • The latest information about emerging infectious disease threats such as Zika, Ebola, and MERS
  • New cholera vaccine recommendations
  • Updated guidance on the use of antibiotics in the treatment of travelers' diarrhea
  • Special considerations for unique types of travel, such as wilderness expeditions, work-related travel, and study abroad
  • Destination-specific recommendations for popular itineraries, including new sections for travelers to Cuba and Burma..."
    Yellow Book

ICD-11: International Classification of Diseases

[via: World Health Organization ]
"ICD is the foundation for the identification of health trends and statistics globally, and the international standard for reporting diseases and health conditions. It is the diagnostic classification standard for all clinical and research purposes. ICD defines the universe of diseases, disorders, injuries and other related health conditions, listed in a comprehensive, hierarchical fashion that allows for:
  • easy storage, retrieval and analysis of health information for evidenced-based decision-making;
  • sharing and comparing health information between hospitals, regions, settings and countries; and
  • data comparisons in the same location across different time periods.
Uses include monitoring of the incidence and prevalence of diseases, observing reimbursements and resource allocation trends, and keeping track of safety and quality guidelines. They also include the counting of deaths as well as diseases, injuries, symptoms, reasons for encounter, factors that influence health status, and external causes of disease..".
International classification Diseases

Oysters and Vibriosis

"Raw oysters can ruin your summer. That’s because you can get very sick from eating raw oysters. Learn about vibriosis, a disease linked to raw oysters – and how to protect your health when it comes to oysters and certain other shellfish.
Most illnesses from raw oysters occur in summer. Whenever and wherever you like to enjoy oysters, eating raw oysters and certain other undercooked shellfish, such as clams and mussels, can put you at risk for infections.
Oysters eat by constantly drawing in water and materials in the water, including harmful bacteria and viruses. These bacteria and viruses can become concentrated in an oyster’s body and infect people who eat the oysters raw or undercooked. One of the infections people get from eating raw oysters is caused by some types of Vibrio, bacteria that occur naturally in coastal waters where oysters grow. This infection is called vibrioisis. People also can get vibriosis after exposing a wound to brackish or salt water containing the bacteria. Brackish water is a mixture of fresh and sea water.
About 80,000 people get vibriosis – and 100 people die from it – in the United States every year. Most of these illnesses happen from May through October when water temperatures are warmer. However, you can get sick from eating raw or undercooked oysters during any month of the year, and raw oysters from typically colder waters also can cause vibriosis.
An oyster that contains harmful bacteria doesn’t look, smell, or even taste different from any other oyster. The only way to kill harmful bacteria in oysters is to cook them properly..."
Oysters and Vibriosis

Monday, June 18, 2018

The June 12 Trump-Kim Jong-un Summit

"On June 12, 2018, President Donald Trump and North Korean leader Kim Jong-un met in Singapore to discuss North Korea’s nuclear program, building a peace regime on the Korean Peninsula, and the future of U.S. relations with North Korea (known officially as the Democratic People’s Republic of Korea, or DPRK). During their summit, the first-ever meeting between leaders of the two countries, Trump and Kim issued a brief joint statement in which Trump “committed to provide security guarantees to the DPRK,” and Kim “reaffirmed his firm and unwavering commitment to complete denuclearization of the Korean Peninsula.” The Singapore document is shorter on details than previous nuclear agreements with North Korea and acts as a statement of principles in four areas:

 Normalization: The two sides “commit to establish” new bilateral relations.
 Peace: The U.S. and DPRK agree to work to build “a lasting and stable peace regime.”
 Denuclearization: North Korea “commits to work toward complete denuclearization of the Korean Peninsula,” as was also promised in an April 2018 summit between Kim and South Korean leader Moon Jae-in.
 POW/MIA remains: The two sides will work to recover the remains of thousands of U.S. troops unaccounted for during the Korean War,,:
Trump-Kim Jong-un Summit

Frequently Asked Questions: Zero Tolerance Immigration Prosecutions

"The Attorney General directed United States Attorneys on the Southwest Border to prosecute all amenable adults who illegally enter the country, including those accompanied by their children, for 8 U.S.C. § 1325(a), illegal entry. Children whose parents are referred for prosecution will be placed with the Department of Health and Human Services (HHS), Office of Refugee Resettlement (ORR). The following are Frequently Asked Questions regarding Zero Tolerance Immigration Prosecutions.

Why Are Parents Being Separated From Their Children?

The Department of Homeland Security (DHS) may separate a parent or legal guardian from his or her child for several reasons, including situations where DHS cannot ascertain the parental relationship, when DHS determines that a child may be at risk with the presumed parent or legal guardian, or if a parent or legal guardian is referred for criminal prosecution, including for illegal entry.

Where Are Children Going?

Alien children who are separated from their parents or legal guardians will be transferred to the Department of Health and Human Services, Office of Refugee Resettlement (HHS ORR).

What Happens to Children in HHS Custody?

HHS ORR provides care for all alien children in its custody, to include medical care, mental health care, educational services, and other services.  HHS also works to locate a sponsor (parent, guardian, other adult relative, or foster care provider) for the children in its custody, for purposes of releasing the child from government custody.

What Happens After Criminal Prosecution?

Parents or legal guardians who are charged with illegal entry will be transferred from DHS to the Department of Justice, where they will be presented to a judge for a hearing on their criminal case.  After completion of criminal proceedings, they will be transferred to U.S. Immigration and Customs Enforcement (ICE) for immigration proceedings.
Any individual who is subject to removal may, in the course of immigration proceedings, seek asylum or other relief or protection from removal.  The fact that an individual was prosecuted for illegal entry does not affect this right.
HHS and ICE can take steps to facilitate family reunification, for purposes of removal, if the potential sponsor is capable of providing for the physical and mental well-being of the child..and comports with the wishes of the parent or legal guardian. 
Children may also present an individual claim for asylum or other relief or protection from removal, and depending on the circumstances, may undergo separate immigration proceedings.

How Can I Communicate With My Child?

For parents or legal guardians detained in ICE custody, ICE and HHS will work to schedule regular communication with their children in HHS custody, through telephone and/or video conferencing.
Additionally, individuals may locate and communicate with their children through the following methods:
  • HHS Parent Hotline (24 hours a day, 7 days a week, in both English and Spanish):
    • If calling from outside an ICE detention facility, call 1-800-203-7001.
    • If calling from an ICE detention facility, dial 699# on the free call platform.
    • Please note that you will need to provide the child’s full name, date of birth, and country of origin.  It is also helpful to provide the child’s alien registration number, if you know it.
  • Email ORR at information@ORRNCC.com.."
    Immigration prosecution

Fact Sheet: Zero Tolerance Immigration Prosecutions - Families

"The risks of crossing the Rio Grande and desert terrain, or hiding in stash houses or tractor trailers, are high for adults and even more deeply concerning for children.  Individuals who seek to enter the United States should do so at ports of entry.
The Attorney General directed United States Attorneys on the Southwest Border to prosecute all amenable adults who illegally enter the country, including those accompanied by their children, for 8 U.S.C. § 1325(a), illegal entry. 
Children whose parents are referred for prosecution will be placed with the Department of Health and Human Services (HHS), Office of Refugee Resettlement (ORR).
The information below provides information about:
  • Care for children
  • Family communication processes
  • The removal process

Additional Information

When Thunder Roars, Go Indoors!

"Learn how to protect you and your loved ones during a thunderstorm. Being outside when lightning is present is not something to take lightly—ever.
The weather forecast calls for a slight chance of thunderstorms, but you can only see a few fluffy white clouds overhead. So you and your tennis partner grab your racquets and balls and head for the tennis court. You spend a few minutes warming up and then—wait! Is that thunder you hear? Was that a lightning flash?
What do you do? Keep playing until the thunder and lightning get closer? Go sit on the metal bench under the trees to see what happens? Or get in your car and drive home?
Correct answer: If no substantial, non-concrete shelter is nearby, get in your car and wait out the storm.
Why? Because being outside when lightning is present is not something to take lightly—ever..."

Stay Healthy at Animal Exhibits

"Interacting with animals at fairs, zoos, and aquariums can be educational and fun, but it’s important to remember that animals sometimes carry harmful germs that can make us sick. Learn how to stay healthy when visiting animal exhibits.
There are many ways to explore the animal world, and many people choose to visit animal exhibits to learn about and interact with animals. Animal exhibits like zoos, petting zoos, aquariums, fairs, and farms are popular places for children to experience and learn from animals they may not see in their daily lives. Although animal exhibits can be educational and fun, it’s important to know that even animals at these exhibits can sometimes carry germs that can make people sick, even when the animal appears healthy.
Every year, many people get sick after visiting an animal exhibit. From 2010-2015, about 100 outbreaks of illness in people linked to animals in public settings like zoos, fairs, and educational farms were reported to public health officials. Some of the most common harmful germs people get from animals at exhibits are E. coli O157:H7, Cryptosporodium, and Salmonellainfections, but there are also many other types of germs that can spread between animals and people. If you forget to wash your hands after petting an animal, or bring food or drinks into an area with animals, you increase your chance of getting sick. Even animals that look clean and healthy can carry harmful germs, and areas where animals live or roam can be contaminated – you don’t have to touch an animal to get sick. Adults over 65 years of age, children 5 years of age and younger, and people with weakened immune systems are more likely to get sick from the germs animals can carry, and should take extra precautions at animal exhibits..."
Animal exhibits

Sickle Cell: Taking Charge of Your Health and Health Care

"This World Sickle Cell Day (observed every year on June 19), the Centers for Disease Control and Prevention (CDC) is raising awareness around sickle cell disease and ‘transition.’
Transition is the process of young people with sickle cell disease (SCD), a genetic blood disorder, learning to become more responsible for their health and transferring their health care to an adult healthcare provider. Learn about transitioning care with SCD, read tips to prepare for it, and find more resources to help manage transition.

For teens with sickle cell disease, transition is part of maturing into an adult.

Sickle cell disease (SCD) is a genetic blood disorder affecting red blood cells. People with SCD have abnormally shaped red blood cells that block oxygen from reaching the body’s tissues and organs. SCD is present at birth, and mild to severe health problems, such as pain crises, infection, and stroke can affect people with SCD throughout their lifetime.
When a child with SCD is young, parents or other adult caregivers are responsible for managing the child’s health and healthcare needs. Parents or other adult caregivers will schedule doctor’s appointments, manage treatment schedules, and make sure the child is both eating healthy and sleeping well to reduce the severity and occurrence of pain crises and other SCD-related health problems.."
Sickle cell and transition

Protect Your Children: Store & Use Medicines Safely

"Each year, thousands of children are treated in emergency departments after finding and ingesting medicine, or after accidentally being given the wrong amount.  Learn how to keep children safe by practicing safe dosing and storage.
June is National Safety Month and a perfect opportunity for parents and caregivers of young children to remember the importance of safe medication use and storage.

Safe Medicine Use

“Dosing errors (when a parent or other caregiver gives too much or too little medicine) are the type of medication error that most often brings children into the Emergency Department.” says Dr. Shonna Yin, an Associate Professor of Pediatrics and Population Health at the NYU School of Medicine.
When giving children liquid medicine, confusion about units of measurement can lead to large dosing errors.  For example, giving a child 5 teaspoons (tsp) instead of his/her prescribed dose of 5 milliliters (mL) would result in giving five times more than the prescribed dose!
To prevent dosing errors, medical professional organizations recommend using milliliters (mL) when prescribing oral liquid medicines and that mL units be the only units appearing on dosing instructions, labels, and dosing devices (such as oral syringes and dosing cups).."
Medicine storage

Friday, June 15, 2018

Helping Children with Congenital CMV

"Most people have been infected with cytomegalovirus (CMV), but do not have symptoms. If a pregnant woman is infected with CMV, she can pass it to her developing baby. This is called congenital CMV, and it can cause birth defects and other health problems. Learn more about congenital CMV.

For Pregnant Women

You can pass CMV to your baby.
If you are pregnant and have CMV, the virus in your blood can cross through your placenta and infect your developing baby. This is more likely to happen if you have a first-time CMV infection while pregnant but can also happen if you have a subsequent infection during pregnancy.
You are not likely to be tested for CMV.
It is not recommended that doctors routinely test pregnant women for CMV infection. This is because laboratory tests cannot predict which developing babies will become infected with CMV or have long-term health problems.

You may be able to reduce your risk.
You may be able to lessen your risk of getting CMV by reducing contact with saliva and urine from babies and young children. Some ways do this are:
  • kissing children on the head rather than the lips, and not sharing food or utensils with them
  • washing your hands after changing diapers
These cannot eliminate your risk of getting CMV, but may lessen your chances of getting it.,,"
Congenital CMV

Resources for Key Economic Indicators

"An understanding of economic indicators and their significance is seen as essential to the formulation of economic policies. These indicators, or statistics, provide snapshots of an economy’s health as well as starting points for economic analysis. This report contains a list of selected authoritative U.S. government sources of economic indicators, such as gross domestic product (GDP), income, inflation, and labor force (including employment and unemployment) statistics..."
Key Economic Indicators

FBI Director Nominations, 1973-2017

"The Director of the Federal Bureau of Investigation (FBI) is appointed by the President by and with the advice and consent of the Senate. The statutory basis for the present nomination and confirmation process was developed in 1968 and 1976, and has been used since the death of J. Edgar Hoover in 1972. From 1973 through 2017, eight nominations for FBI Director were confirmed, and two other nominations were withdrawn by the President before confirmation. The position of FBI Director has a fixed 10-year term, and the officeholder cannot be reappointed, unless Congress acts to allow a second appointment of the incumbent.

There are no statutory conditions on the President’s authority to remove the FBI Director. From 1973 through 2017, two Directors were removed by the President. President William J. Clinton removed William S. Sessions from office on July 19, 1993, and President Donald J. Trump removed James B. Comey from office on May 9, 2017..."
FBI Directors