Synopsis for May 9, 2003

The MMWR is embargoed until NOON ET, Thursdays.

1. Severe Acute Respiratory Syndrome -- Singapore, 2003
2. Update: Severe Acute Respiratory Syndrome -- United States, 2003
3. Nicotine Poisoning After Ingestion of Contaminated Ground Beef -- Michigan, 2003
4. Adults with Chronic Joint Symptoms Who Have Never Seen a Health-Care Provider for These Symptoms -- United States, 2001
5. Update: Adverse Events Following Civilian Smallpox Vaccination -- United States, 2003

Synopsis for May 9, 2003

Severe Acute Respiratory Syndrome -- Singapore, 2000

No summary available.

Update: Severe Acute Respiratory Syndrome -- United States, 2003

No summary available.

Nicotine Poisoning After Ingestion of Contaminated Ground Beef -- Michigan, 2003

Investigating chemical contamination of a food product that results in human illness requires prompt laboratory identification and careful multi-agency coordination.

An investigation of human illness following consumption of beef from a Michigan supermarket chain was conducted by multiple local, state, and federal agencies. Reported symptoms included burning of mouth, nausea, vomiting, and dizziness. Subsequent laboratory analysis identified high levels of nicotine in the beef product. Following product recall, the local health department conducted an epidemiologic investigation which identified 92 persons with symptoms consistent with the case definition. Of the 92 cases, four sought medical treatment. An employee of the supermarket chain has been arrested. The alleged substance used in the contamination was a nicotine-containing pesticide called "Black Leaf 40".

Adults with Chronic Joint Symptoms Who Have Never Seen a Health-Care Provider for These Symptoms -- United States, 2001

Many adults with chronic joint symptoms may be missing opportunities to limit joint damage and disability and to improve health and function.

One-fifth (10.3 million) of adults with chronic joint symptoms have not seen a health professional for these symptoms, including 2 million who say their joint symptoms limit their activities. Most of these people have health insurance and a personal doctor. By not seeing a health professional, those with inflammatory arthritis are missing opportunities to get an early diagnosis and limit joint damage and disability. Others are missing opportunities to obtain appropriate management, such as physical therapy, medication, weight reduction, and physical activity.

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

No summary available.

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