Synopsis for July 11, 2003

The MMWR is embargoed until NOON ET, Thursdays.

1. Surveillance for Acute Insecticide-Related Illness Associated with Mosquito Control Efforts -- Nine States, 2002
2. HIV Diagnoses Among Injection Drug Users in States with HIV Surveillance -- 25 States, 1994-2000
3. Prevalence of Diabetes -- U.S. Virgin Islands, 1999-2001
4. Update: Cardiac and Other Adverse Events Following Civilian Smallpox Vaccination -- United States, 2003
5. Update: Multistate Outbreak of Monkeypox -- Illinois, Indiana, Kansas, Missouri, Ohio, and Wisconsin, 2003
6. West Nile Virus Activity -- United States, July 3-9, 2003

Synopsis for July 11, 2003

Surveillance for Acute Insecticide-Related Illness Associated with Mosquito Control Efforts -- Nine States, 2002

Insecticides, when used in mosquito control programs, pose a very low but preventable risk for producing acute, temporary health effects in some persons.

Measures can be taken to reduce potential health risk s from mosquito control programs – for example, by providing public notice of application times and locations, together with appropriate advice about preventing exposures. Public health authorities should take precautions to prevent workers and the public from being exposed to insecticides during applications to control mosquitoes, based on monitoring data that reported respiratory irritation and other health effects, mostly but not all at a low level of severity, among 133 people exposed during recent mosquito seasons in nine states.

HIV Diagnoses Among Injection Drug Users in States with HIV Surveillance -- 25 States, 1994-2000

A new CDC study has found that HIV diagnoses among injection drug users (IDUs) in 25 states stabilized in 2000 after a 5-year decline.

Diagnoses among IDUs fell by 42% from 1994-1999, with declines seen in male and female IDUs of all ages, racial and ethnic groups. New diagnoses increased by 5% from 1999-2000. African Americans accounted for 65% of all IDU HIV diagnoses from 1994-2000, and men accounted for 66% of diagnoses. Study authors note that injection drug use continues to be a major risk factor for HIV infection, with IDU and IDU-related diagnoses representing one third (32%) of HIV diagnoses from 1994-2000. Data reflect IDUs newly diagnosed with HIV, regardless of when they were infected, and are from the 25 states with longstanding HIV reporting. Several high-prevalence states (e.g., New York and California) are excluded. Findings underscore the importance of substance abuse treatment and HIV prevention programs for IDUs and their sex and needle-sharing partners.

Prevalence of Diabetes -- U.S. Virgin Islands, 1999-2001

Historically the prevalence of diabetes has been lower among Caribbean blacks than among their counterparts in the United States.

To prevent the burden of diabetes-related complications in U.S. Virgin Islands (USVI) residents and to improve the quality of life for persons with diabetes, initiatives targeting all people with diabetes are needed, especially for people who are elderly or have limited education. However, almost 8% USVI residents aged 18 or older now have diagnosed diabetes. Our estimate shows that the prevalence among USVI blacks and Hispanics is now comparable to that of continental U.S. blacks and Hispanics.

Update: Cardiac and Other Adverse Events Following Civilian Smallpox Vaccination -- United States, 2003

No summary available.

Update: Multistate Outbreak of Monkeypox -- Illinois, Indiana, Kansas, Missouri, Ohio, and Wisconsin, 2003

No summary available.

West Nile Virus Activity -- United States, July 3-9, 2003

No summary available.

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This page last reviewed July 11, 2003
URL: http://www.cdc.gov/media/mmwrnews/n030711.htm

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