锘?html> CDC Media Relations: MMWR News Synopsis for June 4, 1999
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          Press Summaries

        MMWR
        June 4, 1999

        MMWR articles are embargoed until 4 p.m. Eastern time on Thursday.


        MMWR Synopsis
        1. Foodborne Botulism from Home-Canned Bamboo Shoots 鈥?Thailand, 1998
        2. Trends in HIV-Related Risk Behaviors Among High School Students 鈥? Selected U.S. Cities, 1991-1997
        3. Illnesses Associated with Occupational Use of Flea-Control Products 鈥? California, Texas, and Washington, 1989-1997
        Notices to Readers:

          Click here for MMWR home page.
        MMWR

        Synopsis June 4, 1999

        Foodborne Botulism from Home-Canned Bamboo Shoots 鈥?Thailand, 1998
        Home-canned foods need to be properly prepared to prevent botulism.

        PRESS CONTACT:
        David Swerdlow, M.D.
        CDC, National Center for Infectious Diseases
        (404) 639-2206
        In April 1998, the Thailand Ministry of Public Health identified an outbreak of botulism caused by consumption of contaminated home-canned bamboo shoots. Botulism is a rare, but serious, paralytic illness caused by a nerve toxin. Bacterial spores that survive an inadequate cooking and canning process grow and produce toxin in the low oxygen environment of the canned food. Although botulism has long been recognized and confirmed in the United States and other developed countries, this is the first confirmed outbreak of botulism in Thailand. Thailand's Field Epidemiology Training Program served a critical role in the investigation, confirmation, and control of this outbreak which was limited to 13 cases and two deaths. For further information about botulism, visit this CDC website

          Trends in HIV-Related Risk Behaviors Among High School Students 鈥?Selected U.S. Cities 1991-1997
        Sexual activity is down and condom use is up for teens in eight U.S. cities.
        PRESS CONTACT:
        Laura Kann, Ph.D.
        CDC, National Center for Chronic Disease Prevention & Health Promotion
        (770) 488-3202
        From 1991 to 1997, HIV-related risk behaviors have decreased among high school students nationwide. To determine whether HIV-related risk behaviors among high school students were also declining in urban areas, CDC examined data from eight cities that conducted the Youth Risk Behavior Survey between 1991 and 1997. Those cities were Boston, Chicago, Dallas, Fort Lauderdale, Jersey City, Miami, Philadelphia, and San Diego. The study found that in most of the eight cities, the proportions of high school students who ever had sex, who had sex with multiple partners, and who had sex during the past 3 months decreased significantly. Many factors contributed to the reduction of sexual activity and the increase in condom use by teens, including HIV prevention efforts and parental involvement in the community.

          Illnesses Associated with Occupational Use of Flea-Control Products 鈥?California, Texas, and Washington, 1989-1997
        Pesticide poisoning continues to occur among workers using flea-control products.
        PRESS CONTACT:
        Geoffrey Calvert, M.D., M.P.H.
        CDC, National Institute for Occupational Safety & Health
        (513) 841-4448
        Between 1989 and 1997, 42 cases of pesticide-related illnesses attributed to the occupational use of flea-control products were reported. Sixteen cases were reported by state-based surveillance systems. Eight of these resulted in systemic illnesses, and eight involved chemical conjunctivitis resulting from splashing of flea-control products into workers' eyes. Between 1993 and 1996, an additional 26 occupational poisoning (reported by the Environmental Protection Agency) involved pet-dip products. Most of the products associated with illness contained either phosmet, an organophosphate insecticide, or pyrethrin. Although not currently required, the findings from this report suggest that personal protective equipment may be needed when using these products; workers need to be trained in the safe handling of flea-control products; and safer, less toxic pesticides should be substituted when feasible.

          Notices to Readers:
        Contact: Carol Knowles
        CDC, Epidemiology Program Office
        (404) 639-3673

        Changes in National Notifiable Diseases Tables

        CDC's Notifiable Infectious Diseases List has been modified. A notifiable disease is one for which regular, frequent, and timely information regarding individual cases is considered necessary for the prevention and control of the disease. Reporting of notifiable diseases is mandated only at the state and local levels. Thus, the list of diseases considered notifiable varies slightly by state. The 56 notifiable diseases are):

        1. Acquired immunodeficiency syndrome (AIDS)
        2. Anthrax
        3. Botulism
        4. Brucellosis
        5. Chancroid
        6. Chlamydia trachomatis, genital infections
        7. Cholera
        8. Coccidioidomycosis (regional)
        9. Cryptosporidiosis
        10. Cyclosporiasis
        11. Diphtheria
        12. Ehrlichiosis, human granulocytic
        13. Ehrlichiosis, human monocytic
        14. Encephalitis, California serogroup
        15. Encephalitis, eastern equine
        16. Encephalitis, St. Louis
        17. Encephalitis, western equine
        18. Escherichia coli O157:H7
        19. Gonorrhea
        20. Haemophilus influenzae, invasive disease
        21. Hansen disease (leprosy)
        22. Hantavirus pulmonary syndrome
        23. Hemolytic uremic syndrome, post-diarrheal
        24. Hepatitis A
        25. Hepatitis B
        26. Hepatitis C/non A, non B
        27. HIV infection, pediatric
        28. Legionellosis
        29. Lyme disease
        1. Malaria
        2. Measles
        3. Meningococcal disease
        4. Mumps
        5. Pertussis
        6. Plague
        7. Poliomyelitis, paralytic
        8. Psittacosis
        9. Rabies, animal
        10. Rabies, human
        11. Rocky Mountain Spotted Fever
        12. Rubella
        13. Rubella, congenital syndrome
        14. Salmonellosis
        15. Shigellosis
        16. Streptococcal disease, invasive, group A
        17. Streptococcus pneumonia, drug resistant invasive disease
        18. Streptococcal toxic-shock syndrome
        19. Syphilis
        20. Syphilis, congenital
        21. Tetanus
        22. Toxic-shock syndrome
        23. Trichinosis
        24. Tuberculosis
        25. Typhoid Fever
        26. Varicella (chickenpox) deaths
        27. Yellow Fever

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