Synopsis for October 21, 2005

The MMWR is embargoed until Thursday, 12 PM EDT.

1. Intimate Partner Violence Injuries – Oklahoma, 2002
2. Influenza Vaccination Levels Among Persons Ages Greater Than 65 Years and Among Persons Aged 18 – 64 Years with High Risk Conditions – United States, 2003
3. Influenza Vaccination in Pregnancy: Practices Among Obstetrician–Gynecologist – United States, 2003 – 04 Influenza Season
4. Ralstonia Associated with Vapotherm Oxygen Delivery Device – United States, 2005
5. Poliovirus Infections in Four Unvaccinated Children – Minnesota, August – October 2005
6. Update: West Nile Virus Activity – United States, 2005

Intimate Partner Violence Injuries – Oklahoma, 2002

The rate of emergency department treatment for IPV injury in Oklahoma was 10 times higher among women compared with men. Medical recognition and documentation of IPV are important practices for preventing this serious public health problem.

Oklahoma emergency departments (ED) treated more than 2,400 cases of intimate partner violence (IPV) injuries among persons 15 years of age and older during 2002, representing an estimated 15 percent of all assault-related ED visits in the state, according to results released today by the Oklahoma State Department of Health (OSDH). These results, which are being released during Domestic Violence Awareness Month, show that IPV accounted for 35 percent of all ED treated assaults among females and 3 percent of all ED treated assaults among males in Oklahoma. The most common injuries reported were to the head, neck, face, and extremities. Additional survey data indicates that treatment in emergency departments for IPV injuries represented only 10% of women injured by a partner each year.

Influenza Vaccination Levels Among Persons Ages Greater Than 65 Years and Among Persons Aged 18 – 64 Years with High Risk Conditions – United States, 2003

Wider implementation of proven interventions are needed among each of the main racial/ethnic groups to increase coverage since influenza vaccination coverage levels among persons greater than 65 years of age and persons aged 18-64 years with one or more high-risk conditions remain low.

The coverage in 2003 for non-Hispanic blacks, and Hispanics ranged 68.7 percent to 45.4 percent among persons aged greater than 65 years and 35.8 percent to 27.0 percent among persons aged 18-64 years with one or more high-risk conditions, which remained substantially lower than target levels. Combinations of evidence-based effective interventions such as standing orders, provider and patient reminders, and techniques to increase community demand and enhance access to vaccination services, including stabilizing the influenza vaccine supply, should be more widely implemented.

Influenza Vaccination in Pregnancy: Practices Among Obstetrician–Gynecologist – United States, 2003 – 04 Influenza Season

Influenza vaccination is recommended for pregnant women and better access to influenza vaccination in obstetrician-gynecologists’ offices is needed.

Influenza vaccination is recommended for pregnant women because women infected with the influenza virus during pregnancy are at an increased risk for serious complications and hospitalization. Despite this recommendation, a recent study showed that only about 13 percent of pregnant women received the influenza vaccine. In the present survey, obstetrician-gynecologist were asked about practices related to immunization of women during pregnancy and breastfeeding. Although most obstetrician-gynecologists recommended influenza vaccination to their pregnant and breastfeeding patients, only about one-third of these physicians offered the vaccine in their practice. Better access to influenza vaccination at obstetrician-gynecologist’s offices and increased awareness on the importance of influenza vaccination among pregnant women is needed to protect them against the serious health risks from the flu.

Ralstonia Associated with Vapotherm Oxygen Delivery Device – United States, 2005

No summary available.

Poliovirus Infections in Four Unvaccinated Children – Minnesota, August – October 2005

No summary available.

Update: West Nile Virus Activity – United States, 2005

No summary available.

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