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Articoli di riviste sul tema "National Center for Disease Control (Georgia)"

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Madzgarashvili, Lali, Jamine Weiss, Marina Baidauri, Marika Geleishvili, Meghan Lyman e Amy Kolwaite. "Development of National Infection Control and Prevention Guidelines in Georgia, 2017–2019". Infection Control & Hospital Epidemiology 41, S1 (ottobre 2020): s189. http://dx.doi.org/10.1017/ice.2020.729.

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Background: In 2015, the Ministry of Internally Displaced Persons from the Occupied Territories, Labor, Health and Social Affairs (MoLHSA) of Georgia identified infection prevention and control (IPC) as a top priority. Infection control legislation was adopted and compliance was made mandatory for licensure. Participation in the universal healthcare system requires facilities to have an IPC program and infrastructure. To support facilities to improve IPC, MoLHSA and the National Center for Disease Control and Public Health (NCDC) requested assistance from the US CDC to revise the 2009 National IPC guidelines, which were translated versions of international guidelines and not adapted to the Georgian context. Methods: An IPC guideline technical working group (TWG), comprising clinical epidemiologists, IPC nurses, head nurses, and infectious diseases doctors from the NCDC, academic and healthcare organizations and the CDC was formed to lead the development of the national IPC guidelines. Additionally, an IPC steering committee was established to review and verify the guidelines’ compliance with applicable decrees and regulations. The TWG began work in April 2017 and was divided into 4 subgroups, each responsible for developing specific guideline topics. A general IPC guideline template for low- and middle-income countries was used to develop 7 of the guidelines. Additional reference materials and international guidelines were used to develop all the guidelines. Drafts were shared with the subgroups and the steering committee during 2 workshops to discuss unresolved technical issues and to validate the guidelines. Results: The revised guidelines consist of 18 topics. In addition to standard precautions (eg, hand hygiene, personal protective equipment, injection safety, etc) and transmission-based precautions, the guideline topics include laundry, environmental cleaning and disinfection, decontamination and sterilization, occupational health and safety, biosafety in clinical laboratory, blood bank and transfusion services, intensive care unit, emergency room, and mortuary. They do not include healthcare-associated infection surveillance or organism-specific guidance. To supplement the guidelines, a separate implementation manual was developed. The guidelines were approved by MoLHSA in October 2019. The TWG continues to be engaged in IPC activities, assisting with guideline rollout, training, and monitoring, and drafting the National IPC strategy and action plans. Conclusions: The Georgian Ministry of Health developed national IPC guidelines using local experts. This model can be replicated in other low- and middle-income countries that lack country-specific IPC guidelines. It can also be adapted to develop facility-level guidelines and standard operating procedures.Funding: NoneDisclosures: None
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Tsinamdzgvrishvili, Bezhan, Amiran Gamkrelidze, Dali Trapaidze, Lela Sturua, Nino Grdzelidze, Tamar Abesadze, Nana Mebonia et al. "May Measurement Month 2019: blood pressure screening results in Georgia, Europe". European Heart Journal Supplements 23, Supplement_B (1 maggio 2021): B59—B61. http://dx.doi.org/10.1093/eurheartj/suab022.

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Abstract May Measurement Month is a global campaign aimed at raising public awareness of hypertension and to improve the management of hypertension—the main risk factor for cardiovascular diseases in the population. Screening was carried out at 400 sites on a national scale. More than 500 volunteers, including physicians (80%) and students of medical universities (20%) participated in the screening. To familiarize them with the research tools and standard blood pressure (BP) measurement method, they were trained by the members of the Georgian Society of Hypertension and the National Center for Disease Control and Public Health’s staff. Medical societies, health-care professionals, public health workers, social mass media, and other stakeholders were actively involved in the recruitment process. A total of 13 267 (38.5% males and 61.5% females) individuals were screened. The mean age of participants was 54.7 years (SD 15.9). All participants were Caucasian. After imputation of missing BP readings, 8510 (64.1%) were found to have hypertension, out of whom 7269 (85.4%) were aware of their condition, 7232 (85.0%) were on medication, and 1278 (15.0%) were not taking any medication. Of those taking antihypertensive medication, 34.8% had their BP controlled (<140/90 mmHg). May Measurement Month detected a high proportion of participants with hypertension, with results indicating low rates of control in Georgia.
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WALLACE, DAVID J., THOMAS VAN GILDER, SUE SHALLOW, TERRY FIORENTINO, SUZANNE D. SEGLER, KIRK E. SMITH, BELETSHACHEW SHIFERAW, RUTH ETZEL, WALLACE E. GARTHRIGHT e FREDERICK J. ANGULO. "Incidence of Foodborne Illnesses Reported by the Foodborne Diseases Active Surveillance Network (FoodNet)—1997". Journal of Food Protection 63, n. 6 (1 giugno 2000): 807–9. http://dx.doi.org/10.4315/0362-028x-63.6.807.

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In 1997, the Foodborne Diseases Active Surveillance Program (FoodNet) conducted active surveillance for culture-confirmed cases of Campylobacter, Escherichia coli O157, Listeria, Salmonella, Shigella, Vibrio, Yersinia, Cyclospora, and Cryptosporidium in five Emerging Infections Program sites. FoodNet is a collaborative effort of the Centers for Disease Control and Prevention's National Center for Infectious Diseases, the United States Department of Agriculture's Food Safety and Inspection Service, the Food and Drug Administration's Center for Food Safety and Applied Nutrition, and state health departments in California, Connecticut, Georgia, Minnesota, and Oregon. The population under active surveillance for food-borne infections was approximately 16.1 million persons or roughly 6% of the United States Population. Through weekly or monthly contact with all clinical laboratories in these sites, 8,576 total isolations were recorded: 2,205 cases of salmonellosis, 1,273 cases of shigellosis, 468 cases of cryptosporidiosis, 340 of E. coli O157:H7 infections, 139 of yersiniosis, 77 of listeriosis, 51 of Vibrio infections, and 49 of cyclosporiasis. Results from 1997 demonstrate that while there are regional and seasonal differences in reported incidence rates of certain bacterial and parasitic diseases, and that some pathogens showed a change in incidence from 1996, the overall incidence of illness caused by pathogens under surveillance was stable. More data over more years are needed to assess if observed variations in incidence reflect yearly fluctuations or true changes in the burden of foodborne illness.
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Paulukonis, Susan, Todd Griffin, Mei Zhou, James R. Eckman, Robert Hagar, Angela Bauer Snyder, Lisa Feuchtbaum, Althea M. Grant e Mary Hulihan. "Sickle Cell Disease Mortality in California and Georgia 2004-2008". Blood 124, n. 21 (6 dicembre 2014): 439. http://dx.doi.org/10.1182/blood.v124.21.439.439.

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Abstract On-going public health surveillance efforts in sickle cell disease (SCD) are critical for understanding the course and outcomes of this disease over time. Once nearly universally fatal by adolescence, many patients are living well into adulthood and sometimes into retirement years. Previous SCD mortality estimates have relied on data from death certificates alone or from deaths of patients receiving care in high volume hematology clinics, resulting in gaps in reporting and potentially biased conclusions. The Registry and Surveillance System for Hemoglobinopathies (RuSH) project collected and linked population-based surveillance data on SCD in California and Georgia from a variety of sources for years 2004-2008. These data sources included administrative records, newborn screening reports and health insurance claims as well as case reports of adult and pediatric patients receiving care in the following large specialty treatment centers: Georgia Comprehensive Sickle Cell Center, Georgia Regents University, Georgia Comprehensive Sickle Cell Center at Grady Health Systems and Children's Healthcare of Atlanta in Georgia, and Children's Hospital Los Angeles and UCSF Benioff Children's Hospital Oakland in California. Cases identified from these combined data sources were linked to death certificates in CA and GA for the same years. Among 12,143 identified SCD cases, 640 were linked to death certificates. Combined SCD mortality rates by age group at time of death are compared to combined mortality rates for all African Americans living in CA and GA. (Figure 1). SCD death rates among children up to age 14 and among adults 65 and older were very similar to those of the overall African American population. In contrast, death rates from young adulthood to midlife were substantially higher in the SCD population. Overall, only 55% of death certificates linked to the SCD cases had SCD listed in any of the cause of death fields. Thirty-four percent (CA) and 37% (GA) had SCD as the underlying cause of death. An additional 22% and 20% (CA and GA, respectively) had underlying causes of death that were not unexpected for SCD patients, including related infections such as septicemia, pulmonary/cardiac causes of death, renal failure and stroke. The remaining 44% (CA) and 43% (GA) had underlying causes of death that were either not related to SCD (e.g., malignancies, trauma) or too vague to be associated with SCD (e.g., generalized pulmonary or cardiac causes of death. Figure 2 shows the number of deaths by state, age group at death and whether the underlying cause of death was SCD specific, potentially related to SCD or not clearly related to SCD. While the number of deaths was too small to use for life expectancy calculations, there were more deaths over age 40 than under age 40 during this five year period. This effort represents a novel, population-based approach to examine mortality in SCD patients. These data suggest that the use of death certificates alone to identify deceased cases may not capture all-cause mortality among all SCD patients. Additional years of surveillance are needed to provide better estimates of current life expectancy and the ability to track and monitor changes in mortality over time. On-going surveillance of the SCD population is required to monitor changes in mortality and other outcomes in response to changes in treatments, standards of care and healthcare policy and inform advocacy efforts. This work was supported by the US Centers for Disease Control and Prevention and the National Heart, Lung and Blood Institute, cooperative agreement numbers U50DD000568 and U50DD001008. Figure 1: SCD-Specific & Overall African American Mortality Rates in CA and GA, 2004 – 2008. Figure 1:. SCD-Specific & Overall African American Mortality Rates in CA and GA, 2004 – 2008. Figure 2: Deaths (Count) Among Individuals with SCD in CA and GA, by Age Group and Underlying Cause of Death, 2004-2008 (N=615) Figure 2:. Deaths (Count) Among Individuals with SCD in CA and GA, by Age Group and Underlying Cause of Death, 2004-2008 (N=615) Disclosures No relevant conflicts of interest to declare.
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Tsertsvadze, Tengiz, Amiran Gamkrelidze, Nikoloz Chkhartishvili, Akaki Abutidze, Lali Sharvadze, Vakhtang Kerashvili, Maia Butsashvili et al. "Three Years of Progress Toward Achieving Hepatitis C Elimination in the Country of Georgia, April 2015–March 2018". Clinical Infectious Diseases 71, n. 5 (29 settembre 2019): 1263–68. http://dx.doi.org/10.1093/cid/ciz956.

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Abstract Background In April 2015, in collaboration with the US Centers for Disease Control and Prevention and Gilead Sciences, the country of Georgia embarked on the world’s first hepatitis C elimination program. We aimed to assess progress toward elimination targets 3 years after the start of the elimination program. Methods We constructed a hepatitis C virus (HCV) care cascade for adults in Georgia, based on the estimated 150 000 persons aged ≥18 years with active HCV infection. All patients who were screened or entered the treatment program during April 2015–March 2018 were included in the analysis. Data on the number of persons screened for HCV were extracted from the national HCV screening database. For the treatment component, we utilized data from the Georgia National HCV treatment program database. Available treatment options included sofosbuvir and ledipasvir/sofosbuvir–based regimens. Results Since April 2015, a cumulative 974 817 adults were screened for HCV antibodies; 86 624 persons tested positive, of whom 61 925 underwent HCV confirmatory testing. Among the estimated 150 000 adults living with chronic hepatitis C in Georgia, 52 856 (35.1%) were diagnosed, 45 334 (30.2%) initiated treatment with direct-acting antivirals, and 29 090 (19.4%) achieved a sustained virologic response (SVR). Overall, 37 256 persons were eligible for SVR assessment; of these, only 29 620 (79.5%) returned for evaluation. The SVR rate was 98.2% (29 090/29 620) in the per-protocol analysis and 78.1% (29 090/37 256) in the intent-to-treat analysis. Conclusions Georgia has made substantial progress in the path toward eliminating hepatitis C. Scaling up of testing and diagnosis, along with effective linkage to treatment services, is needed to achieve the goal of elimination.
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Stone, Rebecca, Yunmi Chung e Benjamin Ansa. "Syphilis Trends in the Central Savannah River Area (CSRA) of Georgia and South Carolina, USA". Journal of Clinical Medicine 7, n. 8 (31 luglio 2018): 190. http://dx.doi.org/10.3390/jcm7080190.

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There has been an alarming resurgence of early syphilis since 2000, especially in the southeast region, which has one of the highest rates of primary and secondary syphilis in the United States of America (USA). Although the Central Savannah River Area (CSRA) is the second most populous area in Georgia with a large presence of health care facilities, its counties have one of the lowest overall rankings in health outcomes. This study examined the syphilis rates and trends in the CSRA. Data from the Centers for Disease Control and Prevention (CDC) National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention’s AtlasPlus was used. Cases of primary and secondary syphilis diagnosed during 2010–2015 were analyzed to describe reported syphilis among CSRA residents. In the CSRA, between 2010 and 2015, the incidence rate of primary and secondary syphilis increased from 5.9 to 9.4 cases per 100,000 population. The lowest rate of syphilis was observed in 2011 (2.7 cases per 100,000) and the highest rate in 2015. In 2015, the highest syphilis rates were observed among males (15.9 per 100,000), non-Hispanic blacks (16.9 per 100,000), and persons between the ages 20–24 years (34.5 per 100,000). The relevance of preventive measures has been widely communicated, yet it is clear that risk-taking sexual behavior is on the rise. Greater effort is warranted to reduce risky behaviors that promote the transmission of syphilis, including areas outside of major metropolitan areas.
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Rascoe, Lisa N., Cynthia Santamaria, Sukwan Handali, Sriveny Dangoudoubiyam, Kevin R. Kazacos, Patricia P. Wilkins e Momar Ndao. "Interlaboratory Optimization and Evaluation of a Serological Assay for Diagnosis of Human Baylisascariasis". Clinical and Vaccine Immunology 20, n. 11 (18 settembre 2013): 1758–63. http://dx.doi.org/10.1128/cvi.00387-13.

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ABSTRACTA Western blot assay using a recombinant protein, recombinantBaylisascaris procyonisRAG1 protein (rBpRAG1), was developed for the diagnosis of human baylisascariasis concurrently by the Centers for Disease Control and Prevention (CDC) in Atlanta, Georgia, and the National Reference Centre for Parasitology (NRCP) in Montreal, Canada. Assay performance was assessed by testing 275 specimens at the CDC and 405 specimens at the NRCP. Twenty specimens from 16 cases of baylisascariasis were evaluated. Eighteen were positive, with the assay correctly identifying 14 of 16 patients. The rBpRAG1 Western blot assay showed no cross-reactivity withToxocara-positive serum and had an overall sensitivity of 88% and a specificity of 98%.
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Knudsen, Richard C. "Risk Assessment for Biological Agents in the Laboratory". Journal of the American Biological Safety Association 3, n. 3 (settembre 1998): 99–104. http://dx.doi.org/10.1177/109135059800300305.

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Risk assessments for using biological agents in the laboratory are qualitative rather than quantitative. A number of risk factors for performing the assessment are identified and discussed in terms of information needed and assessment. A process for performing a qualitative risk assessment for biological agents in the laboratory is presented with an example. This article was presented at the 5th National Symposium on Biosafety held in Atlanta, Georgia on January 17–20, 1998. The Symposium was sponsored by the Centers for Disease Control and Prevention (CDC) and the American Biological Safety Association (ABSA). Reprinted from Rational Basis for Biocontainment Proceedings, ABSA, pp. 56–65.
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Graffunder, Corinne M., Stephen W. Wyatt, Barbara Bewerse, Irene Hall, Barbara Reilley e Rebeca Lee-Pethel. "Skin Cancer Prevention: The Problem, Responses, and Lessons Learned". Health Education & Behavior 26, n. 3 (giugno 1999): 308–16. http://dx.doi.org/10.1177/109019819902600303.

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Skin cancer is one of the most common forms of cancer and has rapidly increased during the past three decades in the United States. More than 1 million new cases of skin cancer are estimated to be diagnosed in the United States each year. The National Skin Cancer Prevention Education Program (NSCPEP) was launched by the Centers for Disease Control and Prevention (CDC) in 1994 as a national effort to address the Healthy People 2000 objectives for skin cancer prevention. The NSCPEP is a comprehensive, multidimensional public health approach that includes (1) primary prevention interventions; (2) coalition and partnership development; (3) health communications and education; and (4) surveillance, research, and evaluation. In 1994, through support from the CDC, state health departments in Arizona, California, Georgia, Hawaii, and Massachusetts initiated primary prevention intervention projects to conduct and evaluate skin cancer prevention education. This article discusses the comprehensive, multidimensional public health approach highlighting examples from the state demonstration projects.
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Jiles, Ruth B., Danni Daniels, Hussain R. Yusuf, Mary M. McCauley e Susan Y. Chu. "Undervaccination with hepatitis B vaccine22Address reprint requests to: Centers for Disease Control and Prevention, National Immunization Program Resource Center, 1600 Clifton Road NE, Mailstop E-34, Atlanta, Georgia 30333. Fax: (404) 639-8828." American Journal of Preventive Medicine 20, n. 4 (maggio 2001): 75–83. http://dx.doi.org/10.1016/s0749-3797(01)00276-8.

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Libri sul tema "National Center for Disease Control (Georgia)"

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National Center for Disease Control (Georgia). Daavadebatʻa kontrolisa da sazogadoebrivi janmrtʻelobis erovnuli cʻentri : 25 = National Center for Disease Control and Public Health: 25. Tʻbilisi: Daavadebatʻa kontrolisa da sazogadoebrivi janmrtʻelobis erovnuli cʻentri, 2021.

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Sorenson, Bill. Centers for Disease Control and Prevention, National Center for Environmental Health. [Atlanta, Ga.?]: U.S. Dept. of Health and Human Services, Public Health Service, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health, 1995.

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Patrick, Hintz, e National Institute for Occupational Safety and Health, a cura di. Centers for Disease Control and Prevention, National Center for Environmental Health. Atlanta, Ga.?]: U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health, 1995.

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Hovey, Smith William, Centers for Disease Control (U.S.) e International Conference on AIDS (1st : 1985 : Atlanta, Ga.), a cura di. Plain words about AIDS: Based on presentments of the 1985 International Conference on AIDS, April 14-17, Atlanta, Georgia, releases from the Centers for Disease Control, June 5, 1981--September 13, 1985, articles from the national wire services through October 10, 1985. Sandersville, Ga: Whitehall Press-Budget Publications, 1985.

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National Center for Health Statistics (U.S.), a cura di. National Home and Hospice Care Survey: National Health Care Survey from the Centers for Disease Control and Prevention, National Center for Health Statistics. [Hyattsville, Md.] (6525 Belcrest Rd., Hyattsville 20782): U.S. Dept. of Health and Human Services, Public Health Service, Centers for Disease Control and Prevention, National Center for Health Statistics, 1994.

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National Center for Chronic Disease Prevention and Health Promotion (U.S.). Office on Smoking and Health. Best practices for comprehensive tobacco control programs, August 1999. [Atlanta, Ga.]: U.S. Dept. of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 1999.

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National Center for Health Statistics (U.S.), a cura di. Highlights from health data on older Americans: United States, 1992 : from the Centers for Disease Control/National Center for Health Statistics. [Washington, D.C.?]: U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control, National Center for Health Statistics, 1992.

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National Center for Health Statistics (U.S.), a cura di. Health interview statistics: National Health Interview Survey multiple cause-of-death public use data files : from the Centers for Disease Control and Prevention, National Center for Health Statistics. [Hyattsville, Md.] (6525 Belcrest Rd., Hyattsville 20782): U.S. Dept. of Health and Human Services, Public Health Service, Centers for Disease Control and Prevention, National Center for Health Statistics, 1994.

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Health), National Institutes of Health Consensus Development Conference on Interventions to Prevent HIV Risk Behaviors (1997 :. February 11-13 National Institutes of. NIH Consensus Development Conference on Interventions to Prevent HIV Risk Behaviors: [program and abstracts], February 11-13, 1997, Natcher Conference Center, National Institutes of Health. Bethesda, Md: National Institutes of Health, Continuing Medical Education, 1997.

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National Center for Health Statistics (U.S.), a cura di. Excess deaths and other mortality measures for the black population, 1979-81 and 1991, from the Centers for Disease Control and Prevention, National Center for Health Statistics. [Hyattsville, MD]: The Center, 1994.

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Capitoli di libri sul tema "National Center for Disease Control (Georgia)"

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Burns, Trudy L., Patricia A. Peyser, e Patricia A. Donohoue. "The Epidemiology of Childhood Overweight and Obesity". In Pediatric Prevention of Atherosclerotic Cardiovascular Disease, 233–53. Oxford University PressNew York, NY, 2006. http://dx.doi.org/10.1093/oso/9780195150650.003.0012.

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Abstract Overweight refers to an excess of body weight and obesity refers to an excess of body fat. Although not infectious diseases, these conditions have reached epi demic proportions in the United States. In 1999 to 2000 (Ogden et al., 2002) an estimated 10.4% of children ages 2 to 5, 15.3% of children ages 6 to 11, and 15.5% of adolescents ages 12 to 19 years were overweight (body mass index [BMI] being at or above the age- and sex-specific 95th percentile defined by the Centers for Disease Control and Prevention [CDC] on the basis of nationally representative data obtained between 1971 and 1994). There were more than twice as many overweight children and more than three times as many overweight adolescents as there were in 1976 to 1980 (Fig. 12.1). The National Center for Health Statistics (NCHS) of the CDC has discouraged use of the term obesity when classifying children and adolescents; however, the two terms are used interchange ably in the chapters of this book.
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Huynh, Peter, e Alaa Abd-Elsayed. "Prescription Medication Overdose". In Advanced Anesthesia Review, a cura di Alaa Abd-Elsayed, 880—C352.S9. Oxford University PressNew York, 2023. http://dx.doi.org/10.1093/med/9780197584521.003.0351.

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Abstract Data collected by the National Center for Health Statistics and Centers for Disease Control and Prevention have illustrated the ongoing trend of prescription medication overdose. It is very common to encounter patients in the perioperative period who use prescription medications to manage their comorbidities. Despite the best efforts at prescribing drugs, physicians often encounter patients who do not understand the frequency, dose, or name of their medications. Therefore, it is important for anesthesiologists to understand the signs, symptoms, and treatment options for prescription medication overdose. This chapter discusses some common classes involved in medication overdose: opioids, benzodiazepines, and cardiac medications, such as β-blockers.
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Çapa, Mesut. "Millî Mücadele Döneminde Artvin". In Millî Mücadelenin Yerel Tarihi 1918-1923 (Cilt 6): Artvin, Rize, Trabzon, Gümüşhane, Giresun, Ordu, Samsun, 1–24. Türkiye Bilimler Akademisi, 2023. http://dx.doi.org/10.53478/tuba.978-625-8352-68-9.ch01.

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Artvin, which came under the control of the British after the Armistice of Mudros, remained under the rule of Georgians between 20 April 1920 and 23 February 1921. As a result of the diplomatic relations that started between the GNAT Government and Georgia, with the Turkish troops reaching Artvin on February 26, 1921, it came under Turkish rule. Artvin, which was attached to the Ardahan Sanjak after its liberation, was reorganized by turning it into a liva (sanjak) with the law dated 7 July 1921. Accordingly, Artvin Sanjak consisted of Artvin Merkez district, Borcka and Şavşat districts and 11 sub-districts connected to these districts. During the National Struggle period, Ali Rıza, Rahmi and Talat Beys served as governors in Artvin Sanjak. In Artvin, which has participated in the activities of the National Struggle since the first days, the Defense of the Law Society was established in April 1921, and rallies were held in favor of the National Struggle in 1922. In Artvin Sanjak, many schools were opened in villages and towns by giving great importance to education. A magazine called Yeşil Yuva started to be published in Artvin in 1922. The members of the Adjara Islamic Society, who were oppressed by the Georgians, had to migrate to Artvin. Adjara immigrants had direct correspondence with the authorities in Ankara regarding their subsistence and resettlement. There were Kuvarshan, Murgul and Hod copper mines that had been operating for a long time in and around Artvin. At the beginning of 1922, the GNAT government appointed Ardahan deputy Server Bey to examine the mines in the Çoruh basin.Artvin Sanjak during the National Struggle was transformed into Artvin Province after the proclamation of the Republic. As a result of the change made in the administrative organization of Turkey in 1924, the city of Artvin became the center of the newly established province with the same name.
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Conrado, Daniel B. F., Vitor Ribeiro Dos Santos, Alessandra C. Faria-Campos, José Carlos Serufo e Sérgio V. A. Campos. "A System for Structuring, Storage and Georeferenciation of Dengue Vector Surveillance Data". In MEDINFO 2021: One World, One Health – Global Partnership for Digital Innovation. IOS Press, 2022. http://dx.doi.org/10.3233/shti220064.

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Dengue is a main public health issue around the world and is an epidemic in Brazil. As part of the Brazilian national program to fight the disease, every municipality has a Zoonosis Control Center responsible for health and case surveillance, among other actions. The fieldwork includes routine visiting of houses and strategic sites (e.g. industries and vacant lands), water sampling, container elimination, and larvicide administration. However, the field data are gathered and summarized by hand. In this work, our goal is to ease the collection and visualization of field data to support decision-making. We have developed a mobile system to collect and georeference field data which could then be used to build geospatial and geo-temporal visualizations of indices such as House, Container, and Breteau1 indices. This solution could enhance entomological surveillance and leverage action planning and evaluation.
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Barrachina, Mercedes, e Laura Valenzuela López. "Machine Learning Techniques to Identify and Characterize Sleep Disorders Using Biosignals". In Advances in Medical Technologies and Clinical Practice, 136–60. IGI Global, 2021. http://dx.doi.org/10.4018/978-1-7998-8018-9.ch008.

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Sleep disorders are related to many different diseases, and they could have a significant impact in patients' health, causing an economic impact to the society and to the national health systems. In the United States, according to information from the Center for Disease Control and Prevention, those disorders are affecting 50-70 million in the adult population. Sleep disorders are causing annually around 40,000 deaths due to cardiovascular problems, and they cost the health system more than 16 billion. In other countries, such as in Spain, those disorders affect up to 48% of the adult population. The main objective of this chapter is to review and evaluate the different machine learning techniques utilized by researchers and medical professionals to identify, assess, and characterize sleep disorders. Moreover, some future research directions are proposed considering the evaluated area.
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Lewis, Cara C., Kayne Mettert, Enola K. Proctor e Ross C. Brownson. "Measurement Issues in Dissemination and Implementation Research". In Dissemination and Implementation Research in Health, 327–44. 3a ed. Oxford University PressNew York, 2023. http://dx.doi.org/10.1093/oso/9780197660690.003.0015.

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Abstract The National Institutes of Health, the Agency for Healthcare Research and Quality, the Centers for Disease Control and Prevention, and a number of private foundations have expressed the need for advancing the science of dissemination and implementation (D&I). Interest in D&I research is present in many countries, including the United Kingdom (UK Center for Reviews and Dissemination, the UK Medical Research Council) and Canada (Canadian Institutes of Health Research). Improving healthcare requires not only effective programs and interventions but also effective strategies to move them into community-based settings of care. But before discrete strategies can be tested for effectiveness, comparative effectiveness, or cost-effectiveness, context, and outcome constructs must be identified and defined in such a way that enables their manipulation and measurement. Measurement is underdeveloped with few psychometrically strong measures and very little attention paid to their pragmatic nature. A variety of tools is needed to capture healthcare access and quality, and no measurement issues are more pressing than those for D&I science.
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Carney, Timothy Jay, Michael Weaver, Anna M. McDaniel, Josette Jones e David A. Haggstrom. "Organizational Factors Influencing the Use of Clinical Decision Support for Improving Cancer Screening Within Community Health Centers". In E-Health and Telemedicine, 118–48. IGI Global, 2016. http://dx.doi.org/10.4018/978-1-4666-8756-1.ch007.

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Adoption of clinical decision support (CDS) systems leads to improved clinical performance through improved clinician decision making, adherence to evidence-based guidelines, medical error reduction, and more efficient information transfer and to reduction in health care disparities in under-resourced settings. However, little information on CDS use in the community health care (CHC) setting exists. This study examines if organizational, provider, or patient level factors can successfully predict the level of CDS use in the CHC setting with regard to breast, cervical, and colorectal cancer screening. This study relied upon 37 summary measures obtained from the 2005 Cancer Health Disparities Collaborative (HDCC) national survey of 44 randomly selected community health centers. A multi-level framework was designed that employed an all-subsets linear regression to discover relationships between organizational/practice setting, provider, and patient characteristics and the outcome variable, a composite measure of community health center CDS intensity-of-use. Several organizational and provider level factors from our conceptual model were identified to be positively associated with CDS level of use in community health centers. The level of CDS use (e.g., computerized reminders, provider prompts at point-of-care) in support of breast, cervical, and colorectal cancer screening rate improvement in vulnerable populations is determined by both organizational/practice setting and provider factors. Such insights can better facilitate the increased uptake of CDS in CHCs that allows for improved patient tracking, disease management, and early detection in cancer prevention and control within vulnerable populations.
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Atti di convegni sul tema "National Center for Disease Control (Georgia)"

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Kokhreidze, Eka, Zaza Avaliani, Nino Gabashvili e Maia Zamutashvili. "Observation on Tuberculosis Preventive Treatment in Georgia". In Socratic Lectures 8. University of Lubljana Press, 2023. http://dx.doi.org/10.55295/psl.2023.ii25.

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The uptake of latent tuberculosis infection treatment (LTBI) is an important measure to prevent active tuberculosis (TB), but has not been well studied in low and middle-income countries (LMICs). The lifetime risk of developing active TB for people with LTBI is 10-15%. Within the national guidelines of National Tuberculosis control Program (NTP) 2020 in Georgia, 6 months isoniazid preventive treatment (IPT) was replaced with 3 months rifapentine treatment. Here we present the results of the care cascade of LTBI treatment of subjects to whom the Tuberculosis Preventive Treatment (TPT) in Georgia was recommended. We performed a cohort-study during 2020-2021 in which we applied a mixed method recommended for TPT. We assessed active pulmonary TB cases to whom IPT was recommended and in cases not completing a tuberculosis preventive treatment, the respective reasons. Among 678-contactedsubjects, 54% were female and 46% were male. There was no age limit. Overall 164 participants initiated TPT, among them 107 completed the treatment. 72% from all participants were in close contact with TB-patients/ index cases and were living in the same household. 49% of index cases were positive to culture test (culture test involves studying bacteria by growing the bacteria on different substances) and 45% were Drug Sensitive Tuberculosis (DST) positive. 23 cases of index cases were MultiDrug-Resitant (MDR) TB patients. 95 (14%) participants were treated at the National Center for Tuberculosis and Lung Diseases, other participants were treated at other regions of Georgia (Kakheti, Kutaisi, Rustavi, Gori). From 22 chil-dren under 5 years of age who were recommended for the Tuberculosis Skin Test (TST), 2 were positive. Our findings highlight very low rates of LTBI treatment recommendation, initiation and completion in Georgia and hence the need for improved monitoring and treatment programs. Keywords: Communicable disease, Infectious disease, Tuberculosis, Latent tuberculosis, Prevention, Epidemiology.
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Kashanskiy, S. V., E. K. Kovalevskiy e N. O. Milovankina. "CHRYSOTILE-RELATED ASBESTOSIS IN THE POST-EXPOSURE PERIOD. STUDY DESIGN AND PRELIMINARY RESULTS". In The 16th «OCCUPATION and HEALTH» Russian National Congress with International Participation (OHRNC-2021). FSBSI “IRIOH”, 2021. http://dx.doi.org/10.31089/978-5-6042929-2-1-2021-1-246-249.

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Abstract: Abstract. A retrospective case-control study among former workers of PJSC Uralasbest has been launched to establish the main clinical features of the disease as well as causes and structure of mortality in patients with chrysotile-related asbestosis in the post-exposure period taking into cumulative dust exposure. First, we collected information about 850 asbestosis cases diagnosed in the Yekaterinburg Medical Research Center for Prophylaxis and Health Protection in Industrial Workers in 1946-2000. Control group of workers without asbestosis, matched by sex, duration of work, working conditions, cumulative dust exposure, social and living conditions, was set up as a control group. All primary information was entered in a specially developed database. Second, we established the vital status of the cases and the controls as of January 1, 2020. A considerable improvement of working conditions for the main jobs at PJSC Uralasbest in the second half of the 20th century leading to a statistically significant decrease in the cumulative exposure both by total dust and respirable chrysotile asbestos fibers. Improved working conditions have influenced increasing the duration of work until the development of the disease as shown by the rise in the proportion of workers with diagnosed asbestosis, mainly stage I, workers with 20 or more years after the first exposure.
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Sijamhodžič, Aida, e Alenka Žvikart. "EPIDEMIOLOGICAL SURVEILLANCE OF SURGICAL WOUND INFECTIONS AS A LEADING INDICATOR OF THE QUALITY OF POST-SURGICAL CARE FOR CHILDREN". In 14. kongres zdravstvene in babiške nege Slovenije,11. in 12. maj 2023, Kongresni center Brdo, Brdo pri Kranju. Zbornica zdravstvene in babiške nege Slovenije - Zveza strokovnih društev medicinskih sester, babic in zdravstvenih tehnikov Slovenije, 2023. http://dx.doi.org/10.14528/asae9754.18.

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Introduction: The European Centre for Disease Prevention and Control (ECDC) ranks surgical wound infection among the most common hospital infections, which, as a result, can prolong the hospitalization time, requires additional surgical interventions, treatments and intensive therapy, or even increases mortality. Implementation of epidemiological monitoring reduces the incidence rate of surgical wound infections, and monitoring the incidence rate enables assessment of the quality of medical care. After increasing importance of verification levels of quality of medical care, the University Clinical Centre Department of Paediatric Surgery decided for the project of systematic prospective monitoring of surgical wound infections in children. Methods: A quantitative research method was used with a prospective and retrospective data analysis for certain interventions. The research project was divided into several phases. The research sample included children at the Department of Paediatric Surgery for planned and emergency surgical interventions. The children were monitored for 30 days after the intervention (in the case of an implant for 90 days). The goal of the research was to establish clinical practice of monitoring surgical wound infections in children, and the introduction of appropriate preventive measures for reducing the incidence of surgical wound infections. Results: In two months, 74 surgical interventions were analysed. Analyse showed a 4.05 % incidence of surgical wound infection. In all cases it was superficial incisional surgical wound infection. Discussion: Prevention of surgical wound infections is becoming an important part of the national health strategies in many developed countries. Expert knowledge teaches us, that a significant part of healthcare-related infections can be prevented, often by following simple rules. With the project of prospective monitoring of surgical wound infection, we first of all want to define the incidence of surgical wound infection after various surgical interventions in children, to recognize risk factors for the occurrence of surgical wound infection and introduce appropriate preventive measures to reduce the incidence of surgical wound infection.
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Waszkowski, Robert, Tadeusz Nowicki e Agata Chodowska Wasilewska. "Designing and Implementing Simulation Exercises for State Sanitary and Epidemiological Service". In 13th International Conference on Applied Human Factors and Ergonomics (AHFE 2022). AHFE International, 2022. http://dx.doi.org/10.54941/ahfe1001632.

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The paper presents business processes related to the work of sanitary services in cases of an epidemic of foodborne diseases. On their basis, simulation exercises according to given scenarios were developed. The work is related to the implementation of a project financed by the National Center for Research and Development. The activities of the staff of the county-level State Sanitary Inspectorate were analyzed in terms of actions taken in crisis situations related to the emergence of a large food poisoning outbreak or an epidemic of food-borne infectious disease. The same analysis was carried out in the scope of actions performed by individual teams participating in the simulation exercises. The result of the analysis was presented in the form of business process diagrams made in BPMN notation. The architecture of the simulation exercise support system assumes the use of a number of components responsible for the preparation of data and exercise scenarios, the implementation of exercises in training teams, supervision by exercise management, monitoring of the current course of the exercise, and review after activities.Business processes perfectly illustrate what activities are performed by individual groups of people during exercises and allow for monitoring and measuring indicators of the team’s work effectiveness. Business processes have been divided into two groups of processes. The first group of processes concerns activities performed only by persons exercising. These are processes that describe the activities performed during an epidemiological inquiry. In this case, describing the activities in the form of a process allows the practitioners to increase the speed of reaction in making decisions that directly affect the course of the investigation because they have at their disposal the entire range of data processed by the process along with the full picture of the situation.The second group of business processes describes the activities of the teams for preparing exercises, play-offs, and evaluating the results in the form of a simulation exercise scenario. The activities listed in this group of processes allow the participants of the above-mentioned teams for the efficient management of the tasks of the training team, for monitoring their activities, and for full control of the simulation. The training preparation team receives tasks related to the preparation of the environment and data for a given exercise scenario and the commissioning of individual system components at the start of the simulation exercises. The play-off team receives tasks related to the preparation of answers to the questions of the practitioners, reactions to decisions made by the practitioner team, and the control of the simulation time. The results analysis team receives tasks related to the analysis of the history of processes, the analysis of decisions and actions, the assessment of the course of exercises, and the skills of the training team. Each team receives a full range of data processed by individual processes in this group.The processes of both groups are interconnected. Activities undertaken by the training team within the processes of the first group directly affect the appearance of activities in the processes of the second group. Mutual communication within the performed tasks allows for simulation exercises in accordance with the modeled exercise scenario. The simulation exercise support system records each action and decision of the participants in the history of the processes along with the exact timestamp and a record of who performed the action. The concept of the AAR subsystem (after action review) is based on historical data of tasks performed within the framework of the processes, enabling the reconstruction of the course of the exercise with the possibility of starting the exercise from a selected moment. The paper will also present the methodology of designing interfaces for a system of computer-aided simulation exercises.
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Rapporti di organizzazioni sul tema "National Center for Disease Control (Georgia)"

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Foster, Stephanie, Amy M. Lavery, Suzanne K. Condon, Alisha Etheredge, Kennedy Brian, Svendsen Erik e Breysse Patrick. Guidelines for examining unusual patterns of cancer and environmental concerns. National Center for Environmental Health (U.S.), dicembre 2022. http://dx.doi.org/10.15620/cdc:122695.

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The Centers for Disease Control and Prevention (CDC) National Center for Environmental Health (NCEH) and the Agency for Toxic Substances and Disease Registry (ATSDR) provide scientific guidance to state, tribal, local, and territorial (STLT) health departments related to environmental health concerns. The guidelines presented here update the 2013 publication, “Investigating Suspected Cancer Clusters and Responding to Community Concerns: Guidelines from the CDC and the Council of State and Territorial Epidemiologists (CSTE)”.1 In general, STLT health departments play the primary role in examining unusual patterns of cancer in communities, including those associated with local environmental concerns. These guidelines expand the approach for these investigations. Occupation-related clusters are not included in these guidelines. Publication date from document properties. CS336302-A Guidelines-for-Examining-Unusual-Patterns-of-Cancer-and-Environmental-Concerns-h.pdf
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Gindi, Renee. Health, United States, 2019. Centers for Disease Control and Prevention (U.S.), 2021. http://dx.doi.org/10.15620/cdc:100685.

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Health, United States, 2019 is the 43rd report on the health status of the nation and is submitted by the Secretary of the Department of Health and Human Services to the President and the Congress of the United States in compliance with Section 308 of the Public Health Service Act. This report was compiled by the National Center for Health Statistics (NCHS) of the Centers for Disease Control and Prevention (CDC). The Health, United States series presents an annual overview of national trends in key health indicators. The 2019 report presents trends and current information on selected measures of morbidity, mortality, health care utilization and access, health risk factors, prevention, health insurance, and personal health care expenditures in a 20-figure chartbook. The Health, United States, 2019 Chartbook is supplemented by several other products including Trend Tables, an At-a-Glance table, and Appendixes available for download on the Health, United States website at: https://www.cdc.gov/nchs/hus/ index.htm. The Health, United States, 2019 Chartbook contains 20 figures and 20 tables on health and health care in the United States. Examining trends in health informs the development, implementation, and evaluation of health policies and programs. The first section (Figures 1–13) focuses on health status and determinants: life expectancy, infant mortality, selected causes of death, overdose deaths, suicide, maternal mortality, teen births, preterm births, use of tobacco products, asthma, hypertension, heart disease and cancer, and functional limitations. The second section (Figures 14–15) presents trends in health care utilization: use of mammography and colorectal tests and unmet medical needs. The third section (Figures 16–17) focuses on health care resources: availability of physicians and dentists. The fourth section (Figures 18–20) describes trends in personal health care expenditures, health insurance coverage, and supplemental insurance coverage among Medicare beneficiaries. The Highlights section summarizes major findings from the Chartbook. Suggested citation: National Center for Health Statistics. Health, United States, 2019. Hyattsville, MD. 2021.
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Health hazard evaluation report: HETA-95-0160-2571, Centers for Disease Control and Prevention, National Center for Environmental Health. U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health, aprile 1996. http://dx.doi.org/10.26616/nioshheta9501602571.

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Fourth national report on human exposure to environmental chemicals. National Center for Environmental Health, marzo 2021. http://dx.doi.org/10.15620/cdc:105345.

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"The Updated Tables, March 2021) presents nationally representative, cumulative biomonitoring data gathered from 1999–2000 through 2015–2016. It includes all the data from each of the previous National Reports on Human Exposure to Environmental Chemicals and each of the previous Updated Tables (collectively, the Report and Updated Tables). In each survey period, the reported chemicals or their metabolites were measured in blood, serum, and urine samples from random subsamples of the National Health and Nutrition Examination Survey (NHANES). These subsamples typically consisted of about 2,500 participants – exact numbers are included in the tables. Survey data and samples are collected by the Centers for Disease Control and Prevention (CDC) National Center for Health Statistics. CDC’s Environmental Health Laboratory (Division of Laboratory Sciences (DLS), National Center for Environmental Health) used mass spectrometry methods to obtain the blood, serum, and urine exposure measurements presented in the Report and Updated Tables. Volume One (1999-2010) and Volume Two (2011-2016) contain data tables for chemicals measured in the general U.S. population Volume Two: NHANES 2011-2016 provides data on the general U.S. population from NHANES 2011-2012, 2013–2014, and 2015-2016. CS272983-A FourthReport_UpdatedTables_Volume2_Mar2021-508.pdf"
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Fourth national report on human exposure to environmental chemicals. Updated tables, March 2021 : volume two: NHANES 2011-2016. National Center for Environmental Health (U.S.), marzo 2021. http://dx.doi.org/10.15620/105345.

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Abstract (sommario):
"The Fourth National Report on Human Exposure to Environmental Chemicals: Updated Tables, March 2021 (the Updated Tables, March 2021) presents nationally representative, cumulative biomonitoring data gathered from 1999–2000 through 2015–2016. It includes all the data from each of the previous National Reports on Human Exposure to Environmental Chemicals and each of the previous Updated Tables (collectively, the Report and Updated Tables). In each survey period, the reported chemicals or their metabolites were measured in blood, serum, and urine samples from random subsamples of the National Health and Nutrition Examination Survey (NHANES). These subsamples typically consisted of about 2,500 participants – exact numbers are included in the tables. Survey data and samples are collected by the Centers for Disease Control and Prevention (CDC) National Center for Health Statistics. CDC’s Environmental Health Laboratory (Division of Laboratory Sciences (DLS), National Center for Environmental Health) used mass spectrometry methods to obtain the blood, serum, and urine exposure measurements presented in the Report and Updated Tables. Volume One (1999-2010) and Volume Two (2011-2016) contain data tables for chemicals measured in the general U.S. population Volume Two: NHANES 2011-2016 provides data on the general U.S. population from NHANES 2011-2012, 2013–2014, and 2015-2016. CS272983-A FourthReport_UpdatedTables_Volume2_Mar2021-508.pdf"
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COVID-19: U.S. Impact on Antimicrobial Resistance, Special Report 2022. National Center for Emerging and Zoonotic Infectious Diseases, giugno 2022. http://dx.doi.org/10.15620/cdc:117915.

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Abstract (sommario):
CDC’s COVID-19: U.S. Impact on Antimicrobial Resistance, Special Report 2022, provides a snapshot of how the COVID-19 pandemic impacted antimicrobial resistance in the United States. Data have shown national progress in slowing the spread of antimicrobial resistance and preventing these infections is possible. However, the pandemic has undone much of the nation’s progress on antimicrobial resistance, especially in hospitals. CDC’s Special Report highlights the impact of COVID-19 on five core to combat antimicrobial resistance and on 18 pathogens, identified by CDC as urgent, serious, and concerning threats. The United States must continue to invest in the prevention-focused public health actions to combat antimicrobial resistance. CDC’s Antimicrobial Resistance Solutions Initiative has invested in domestic and global capacity to detect, respond, contain, and prevent the spread of resistance across health care, food, environment, and communities. These investments are working, but more work is needed. This was emphasized by the COVID-19 pandemic. CDC is exploring investments needed moving forward in the U.S. and global public health infrastructure to ensure a simultaneous response to the challenges of antimicrobial resistance and other emerging threats. The United States must continue to invest in preparing public health systems to address threats from multiple angles, simultaneously, and across One Health. If properly resourced, the United States can continue to build resilient domestic and global public health systems to keep our nation safe against the threats of antimicrobial-resistant pathogens. COVID-19: U.S. Impact on Antimicrobial Resistance, Special Report 2022, is a publication of the Antimicrobial Resistance Coordination and Strategy Unit within the Division of Healthcare Quality Promotion, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention. Suggested citation: CDC. COVID-19: U.S. Impact on Antimicrobial Resistance, Special Report 2022. Atlanta, GA: U.S. Department of Health and Human Services, CDC; 2022. https://www.cdc.gov/drugresistance/covid19.html
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