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The MMWR is embargoed until 12 Noon, ET, Thursdays.
Synopsis for April 19, 2002Neurologic Illness Associated with Eating Florida Pufferfish Florida, Virginia and New Jersey, 2002Neurological illnesses associated with eating pufferfish are rare in the United States.
People who eat fish should be aware that some pufferfish (also called sea squab, chicken of the sea or blowfish) from Florida may contain a powerful neurotoxin called saxitoxin. The toxin has no odor or taste. It cannot be destroyed by freezing or cooking the fish. The most common symptoms of exposure are tingling and burning of the mouth and tongue, numbness, drowsiness, and incoherent speech. These symptoms develop 30 minutes to 2 hours after ingestion of the fish, depending on the amount of toxin ingested. In severe cases, ataxia, muscle weakness, respiratory paralysis and death can occur. Only pufferfish from the Indian and Banana River areas near Titusville, FL have been associated with these illnesses. There are many benefits to including fish in one's diet, and these illnesses should not be cause for people to eliminate fish from their diets. Fatal Yellow Fever in a Traveler Returning from Amazonas, Brazil, 2002This case represents the third reported yellow fever (YF) death of a U.S. citizen following travel to the Amazon region since 1996.
This report describes a fatal case of yellow fever in an unvaccinated man who had just returned from a fishing trip in Amazonas, Brazil. Although there is an effective yellow fever vaccine recommended for travel to areas of known risk (including Amazonas), the patient had not been vaccinated. Although information from commercial outfitters and travel agents might minimize health risks, healthcare providers and travelers should review vaccination and other travelers health recommendations from public health agencies. The deceased traveler was one of 15 U.S. citizens who visited the Amazon on a fishing trip. Of these 15, only 8 of these travelers were appropriately vaccinated for YF. Preliminary FoodNet Data on the Incidence of Foodborne Illnesses Selected Sites, United States, 2001There has been a substantial decline in the incidence of infections caused by Yersinia, Listeria, Campylobacter, and Salmonella in the past 6 years.
An estimated 76 million persons contract foodborne illnesses each year in the United States. CDCs Emerging Infections Program Foodborne Diseases Active Surveillance Network (FoodNet) collects data about ten foodborne diseases in nine U.S. sites to quantify and monitor foodborne illnesses. This report describes preliminary surveillance data for 2001 and compares them with 19962000 data. The data show a decrease in the major bacterial foodborne illnesses, indicating progress toward meeting the Healthy People 2010 objectives of reducing the incidence of foodborne diseases by 2010. However, the data do not show a sustained decline in some infections, indicating that increased efforts are needed to further reduce the incidence of foodborne illnesses. Racial and Ethnic Disparities in Infant Mortality Rates 60 Largest U.S. Cities, 19951998In major U.S. cities, black infants are more likely to die in the first year of life than white or Hispanic infants.
Infant mortality is influenced by complex social, demographic, environmental, behavioral and biologic factors. Cities with the highest infant mortality have more infants who are very low birthweight at birth, more births to teenage mothers, fewer women who receive prenatal care, and more racial segregation. In addition, some of the racial disparity is due to higher rates of SIDS and other causes of infant mortality. When researchers compared the death rates of black, white and Hispanic infants separately across cities, they found substantial differences. To make a substantial improvement in urban infant mortality, efforts must continue to address the racial/ethnic differences in infant mortality in urban settings. The low infant mortality rates achieved by some cities suggests that there is a great potential to reduce death rates in cities that are currently experiencing unacceptably high death rates. |
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CDC Home | Search | Health Topics A-Z This page last reviewed April 19, 2002 Centers for Disease Control and Prevention |