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MMWR
Synopsis for February 8, 2002

The MMWR is embargoed until NOON, ET.

  1. Progress Toward Elimination of Perinatal HIV Infection — Michigan, 1993–2000
  2. Use of Assisted Reproductive Technology — United States, 1996 and 1998
  3. Tuberculosis Morbidity Among U.S.-Born and Foreign-Born Populations —United States, 2000

Notice to Readers
Child Passenger Safety Week, February 10-16, 2002


MMWR: Reports and Recommendations, February 8, 2002/Vol.51/No. RR-2
General Recommendations on Immunization: Recommendations of the Advisory Committee on Immunization Practices (ACIP) and the American Academy of Family Physicians (AAFP).

Contact: William L. Atkinson, M.D.
CDC, National Immunization Program
(404) 639–8798

Telebriefing, February 7, 2002
WHO: Dr. Ken Castro, CDC tuberculosis expert
WHAT: Dr. Castro will discuss TB cases in the United States. Brief remarks followed by Q/A.
WHEN: Thursday, February 7, 2002; 12 Noon – 12:30 PM ET
WHERE: At your desk, by toll-free conference line: Dial 866-254-5942
Teleconference name: CDC
WHY: Get the most recent information about TB cases in the United States for the year 2000.

A full transcript of this teleconference will be available today following the teleconference on the CDC website at www.cdc.gov/media.

This teleconference will also be audio webcast. Listen LIVE online at www.cdc.gov/media.

Synopsis for February 8, 2002

Progress Toward Elimination of Perinatal HIV Infection — Michigan, 1993–2000

Efforts to prevent perinatal HIV transmission in Michigan have been highly successful.

PRESS CONTACT:
Michigan State Health Department

Office of Communications
(517) 241–2112

 
Efforts to prevent perinatal HIV transmission in Michigan have been highly successful, with the percentage of children perinatally infected with HIV decreasing significantly from 19% (15) of children born to infected mothers in 1993 to 3% (2) in 2000. This reduction is attributed to increases in efforts to offer voluntary HIV counseling and testing to all pregnant women and the use of Zidovudine prophylaxis during pregnancy for HIV-infected women. To identify opportunities to further reduce perinatal HIV transmission, researchers examined available information on prenatal care and HIV testing. Of 431 HIV-positive mothers with documented prenatal care information, 10% (45) received no prenatal care (compared with 1% of pregnant women overall).

 

Use of Assisted Reproductive Technology — United States, 1996 and 1998

Assisted Reproductive Technology (ART) use is increasing and is associated with a significant increased risk for multiple births in all states where it is performed.

PRESS CONTACT:
Katie Baer

CDC, National Center for Chronic Disease
& Health Promotion
(770) 488–6417
 
This study is CDC's first report of state-specific data on ART (procedures such as in vitro fertilization in which eggs and sperm are handled in the laboratory) and the infants conceived through ART. Such data is increasingly important to state public health officials seeking to monitor the impact of ART on maternal and child health outcomes in their states, because ART pregnancies are more likely to be higher risk. The number of clinics performing ART and the number of ART procedures performed annually is increasing in most states. Nationally, over 81,000 ART procedures were performed in 1998, an increase of 27% from 1996. These procedures resulted in the birth of 28,873 infants, over half of whom were multiple-birth infants (e.g. twins, triplets, etc.).

 

Tuberculosis Morbidity Among U.S.-Born and Foreign-Born Populations —United States, 2000

In June 2001, CDC reported a 7% decline in the number of new TB cases reported from 1999 to 2000, indicating continued progress in reducing TB in the United States.

PRESS CONTACT:
Office of Communications

CDC, National Center for HIV, STD
and TB Prevention
(404) 639–8895
 
This article presents the 2000 reported TB data and explores critical underlying trends, including continued high levels of TB among foreign-born individuals living in the United States. While the number of reported TB cases has declined substantially among U.S.-born individuals, from 19,225 cases in 1992 to 8,714 cases in 2000, the number of cases in the foreign-born U.S. population increased from 7,270 cases in 1992 to 7,554 cases in 2000. The 2000 TB case rate was 7 times greater in the foreign-born compared with the U.S.-born. The number of states with at least 50% of their annual total of TB cases among the foreign-born increased from 4 in 1992 to 21 in 2000. Data also indicate that while cases of multi-drug resistant (MDR) TB have been significantly reduced, remaining cases are increasingly concentrated among the foreign-born population.

 


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