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Back Issues  —  2005

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AROUND THE WORLD
CDC changing rules affecting travelers to help contain infectious diseases December 2005: Making airlines and ship operators maintain manifests for 60 days and report ill passengers upon arrival are among new rules.
Cholera outbreak in Africa might be due to pilgrimage May 2005: Thousands of cases have been reported in Diourbel region so far this year.
Global childhood mortality attributed to six causes May 2005: More than 10 million children die each year, and many of these deaths are preventable.
Spotted fever reported on Australia’s mainland July 2005: Since 2001, four cases have been confirmed.
Timing, adverse effects are factors in choosing malaria prophylaxis January 2005: Personal protection and compliance with prophylaxis on the part of the traveler are also important.

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BREAKING NEWS & COMMENTARY
About 1 million Americans living with HIV July 2005: Between 24% and 27% of people with HIV do not know that they are infected.
Avian influenza update: more deaths reported November 2005: The CDC declares the 1918 strain a bioweapon.
Clinical guides for HIV testing updated August 2005: Task force suggests HIV screening for all pregnant women, not just those at risk.
CMS lifting prohibition on hand sanitizers in hospital corridors January 2005: The regulation change will be effective Feb. 23.
Coronavirus linked to respiratory illnesses and Kawasaki disease February 2005: More research needed into why all children that contract the respiratory illness do not go on to develop Kawasaki disease.
FDA approves new influenza vaccine for this season September 2005: In addition, the FDA inspects the Chiron plant in UK, says improvements have been made.
Guillain-Barré syndrome reported in five people after MCV4 administration October 2005: However, the FDA has not changed its vaccine recommendations. Physicians should continue to offer the vaccine, but also provide this new information about GBS to patients.
Hemoglobin C properties better able to fend off malaria than other types August 2005: Malaria proteins did not stick to the surface of hemoglobin type C cells.
H5N1 influenza strain raises concern about a pandemic September 2005: If the virus mutates and can efficiently transmit from person to person, it could cause a deadly pandemic.
HICPAC gives guidance on reporting nosocomial infections April 2005: There is a growing interest nationwide in developing mandatory reporting systems for health care-associated infections.
ICAAC postponed and relocated to D.C. following Hurricane Katrina September 2005: Meanwhile, residents of New Orleans face infectious disease threats from flood waters.
IDSA committee proposes guidelines for managing encephalitis December 2005: The committee stressed the importance of recognizing epidemiologic and clinical clues that suggest a specific etiology of encephalitis.
The IDSA drafts guidelines for antimicrobial stewardship December 2005: Researchers say these guidelines are needed because of inappropriate antimicrobial use and increasing resistance rates.
Investigational HIV PI recommended for accelerated approval June 2005: An FDA advisory committee voted yes with reservations for accelerated approval of tipranavir after evaluating safety and efficacy data.
Largest Marburg outbreak may have peaked, WHO officials say May 2005: Cases have decreased from 35 new cases a week to 15.
Minnesota infant has oral polio vaccine virus October 2005: The infant shows no signs of paralytic illness. There is no immediate health threat to the general public.
Most labs have destroyed the H2N2 influenza that was shipped worldwide May 2005: The CDC and NIH upgraded the biosafety level of the strain to Biosafety Level 3.
Necrotizing fasciitis infections caused by CA-MRSA noted in L.A. August 2005: Treatment for MRSA cases occurring in L.A. should include antibiotics that are predictably active against this pathogen.
New epidemic strain of Clostridium difficile has emerged February 2005: Early diagnosis and treatment are important for avoiding severe outcomes.
New facts to consider when giving NNRTIs May 2005: DHHS panel revises guidelines to give health care providers the most up-to-date information for treating adults and adolescents living with HIV.
New guidelines for managing hospital-acquired pneumonia January 2005: Guidelines will stress importance of shortening antibiotic therapy and choosing antibiotics appropriate for your hospital’s microbiology.
New look, same mission at Infectious Disease News March 2005: Our mission is to help you stay abreast of the latest information in infectious diseases.
New syndrome not previously seen in S. aureus infections detected May 2005: Researchers recommend treating patients with antibiotics for Neisseria meningitidis, streptococci and also MRSA when seen with purpura fulminans.
Non-B HIV subtypes identified in Minnesota July 2005: Better surveillance of HIV genetic diversity is needed to determine national HIV prevalence.
Recap of 2005: new threats, old enemies and more ways to fight the good fight against diseases December 2005
Researchers note high efficacy of trial vaccine against HPV January 2005: The vaccine would immunize women against the two types of HPV that cause nearly 70% of cervical cancer cases.
TB at an all-time low in United States April 2005: However, declining trend is slowing and some states are seeing increases in TB case rates.
Tigecycline approved July 2005
Tipranavir approved for use in combination HIV therapy July 2005: Tipranavir is now the second non-peptidic protease inhibitor on the market.
U.S. budget proposal cuts health programs April 2005: Congress urged to reject 2006 budget proposal. Groups call for increased funding for federal infectious disease programs.
U.S. soldiers returning with resistant Acinetobacter baumannii infections November 2005: Walter Reed officials have instituted isolation policies and universal precautions, such as wearing gowns, gloves and masks around positive patients.
Waves of infection expected in wake of tsunamis January 2005: World health agencies and experts are hoping to prevent food- and waterborne illnesses and other infectious disease threats.

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DARWIN CHRONICLES
Darwin Chronicles December 2005
Darwin Chronicles November 2005
Darwin Chronicles October 2005
Darwin Chronicles August 2005
Darwin Chronicles July 2005
Darwin Chronicles June 2005
Red tide in Florida causing more problems April 2005

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EMERGING DISEASES
CA-MRSA becoming fact of life for some athletes involved in contact sports November 2005: Sharing towels, bars of soap and other personal items, as well as equipment, appears to be a factor in transmission.
CA-MRSA strains found to be increasingly deceptive October 2005: Researchers identified genes whose role in helping spread infection is unknown. Research begins to determine whether the genes promote disease.
Factors involved in spread of CA-MRSA discussed February 2005: When treating community-acquired MRSA, physicians now tend to distinguish mild forms from the moderate and severe.
Increased nasal colonization of MRSA in children noted October 2005: Nasal carriage of S. aureus is a significant factor in developing infection; more than 80% of isolates that cause infection originate in the nose.
Investigators on track to produce SARS vaccine March 2005: Two SARS vaccines are now in clinical trials: one in China and one in the United States.
Report reveals urgency in fight against resistance February 2005: Impending loss of front-line antimicrobials is a major public health threat. Urgent action is needed to curb growing antimicrobial resistance.
Researchers characterize new canine influenza virus first seen in horses October 2005: The virus, first reported in racing dogs, appears to be widespread in family pets, but does not cause quite as severe disease as originally thought.

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GASTROINTESTINAL INFECTIONS
Antibiotic offers long-term benefit for irritable bowel syndrome December 2005: Researchers reported global improvement, in an intention-to-treat analysis, in 37.7% of the rifaximin group and 23.4% in the placebo group (P<.05).
CDC suggests limiting use of IgM anti-HAV testing to curb false positive results June 2005: Physicians should only use IgM anti-HAV testing for people who meet the clinical criteria for hepatitis A infection.
C. difficile disease rates increasing with new strain November 2005: A previously uncommon strain with potentially increased virulence has become more common following its acquisition of increased fluoroquinolone use.
Cryptosporidium parvum treatment approved July 2005: The FDA expands indications for nitazoxanide to adults and teenagers.
Entecavir approved for first-line hepatitis B treatment April 2005: FDA approved the investigational oral antiviral based on histologic, virologic, biochemical and serologic responses.
Enteric bacteria may be leading a secret life in plants November 2005: Some tend to think of these bacteria as meat associated, but only a small part of humans’ diet comes from meat-eating animals.

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HIV/AIDS & STDS
AIDS cocktails may increase risk of CVD April 2005: Lipid responses to combination ART provide partial information as to whether CVD risk is tied to ART.
Alternatives to improve enfuvirtide administration October 2005: Data presented at IAS show new possibilities for HIV patients’ self-injections of the fusion inhibitor enfuvirtide.
ART patients are living longer but developing different health problems May 2005: Physicians are seeing more cardiovascular problems than pulmonary problems among patients with HIV.
Association of HHV-8 with pulmonary hypertension questioned by Tokyo study March 2005: Kaposi’s sarcoma virus not found in lungs of Japanese patients with lung disease, but was reported by U.S. scientists.
Combination microbicides provide protection against HIV in monkeys December 2005: Merck and BMS license an agreement with International Partnership for Microbicides for development of an effective new entry inhibitor.
Declining HIV rates in Ugandan district attributed to condom use, increasing deaths March 2005: Mortality rates, epidemiology and potential future effects of ART are other contributors that need to be factored into the equation.
Drug-resistant HIV with rapid AIDS progression reported in New York March 2005: Rare multidrug-resistant and rapid-onset AIDS case in New York City man prompts call to step up prevention and education efforts.
Genetics may hold answers to HIV/AIDS progression and treatment November 2005: Genetic testing may help researchers predict patients’ risk of developing resistance, toxicity and long-term efficacy of therapy.
HAART not affected by hormonal contraceptives June 2005: No association found between hormonal birth control use and CD4+ cell count or viral load suppression after HAART initiation.
HIV transmission highest in early stages of infection August 2005: Measures such as partner notification, counseling services and novel biologicals should be developed specifically for people with early HIV infection.
HPV progression in people with HIV may be linked to faltering immune system March 2005: People who have HIV are much more likely to develop serious disease, including cervical cancer, as a result of HPV infection.
HPV vaccine could soon be a reality March 2005: Candidate vaccines are providing good results in clinical trials.
HPV vaccine shows good prevention against cervical pre-cancers November 2005: Merck officials hope to put Gardasil on the market by the end of the year.
Microbicide pipeline may offer hope for reducing HIV, STD prevalence July 2005: There is hope that an effective microbicide will be available within five to 10 years.
Non-occupational postexposure prophylaxis guidelines issued February 2005: Federal treatment guidelines on use of non-occupational postexposure prophylaxis for those exposed to HIV are a first.
Number of pills affect HIV patient’s drug adherence December 2005: Patients taking combination antiretrovirals are three times more likely to refill their prescriptions on time.
Patients, physicians creating barriers to therapy for HIV/HCV coinfection January 2005: HCV treatment “bypassed” by some HIV doctors.
Public misinformed about HIV vaccine research October 2005: HIV Communication Campaign must target barriers, such as misinformation and distrust, to increase public support and participation in HIV vaccine research.
Public-private collaboration created to develop a prophylactic AIDS vaccine July 2005: Product development collaboration established between GlaxoSmithKline Biologicals and the International AIDS Vaccine Initiative.
Rapid HIV tests hit the mass market May 2005: It has been 20 years since the first diagnostic test for HIV was approved, and technology has improved greatly since that time.
Rates of U.S. HIV/AIDS diagnoses holding steady January 2005: Testing rates are higher among CDC-recommended groups than among the general population.
Researchers concerned about risks associated with ‘POZ parties’ December 2005: Sex parties may decrease HIV transmission, but increase spread of STDs and HIV superinfection.
Resurgence of STDs among MSM prompts call for screening in HIV patients September 2005: Test and treat patients for these infections and teach them about safer sexual behaviors.
Screen HIV patients for kidney disease June 2005
Sex-attributed health burden in U.S. highest among developed countries March 2005: Study found that more than 2 million life years have been lost due to sexual behavior.
WHO reinstates several generic ARVs, adds a few others October 2005: Seven Ranbaxy ARVs relisted; three Aurobindo ARVs added.

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IMMUNOCOMPROMISED CONDITIONS
ICU patients face significant risk for adverse events and serious errors September 2005: Researchers hope study results will stimulate the adoption of known interventions.
Study shows increased risk of common infections in diabetic patients September 2005: Researchers explore links between respiratory, urinary tract and skin infections and diabetes.

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NEWS NOTES
Cause of hemorrhagic fever in Angola identified as Marburg virus April 2005

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NOSOCOMIAL INFECTIONS
CA-MRSA infections are increasing throughout the country September 2005: Community-associated methicillin-resistant Staphylococcus aureus cases doubled between 2001 and 2004, according to a three-year study.
Nosocomial pathogens: growing problem requires prudent use of antibiotics August 2005: Number of FDA-approved antibiotics is decreasing each year. Infection control efforts and optimizing antibiotic use are the only tools available.
Wound care equipment linked to Acinetobacter outbreak February 2005: Pulsatile lavage equipment culprit behind several hospital infections; importance of strict infection control procedures reinforced.

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TRAVEL MEDICINE
Tips for the health-seeking traveler planned in new Yellow Book January 2005: Travel information also has a larger presence on the CDC Web site now.

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VACCINE-PREVENTABLE DISEASES
Action, not talk, needed to strengthen U.S. vaccine supply March 2005: Only “modest steps” taken on the issues identified three years ago that could help strengthen the vaccine supply.

CDC officials warn to stay alert for pertussis in the hospital

February 2005: Many nosocomial outbreaks might be prevented by observing droplet precautions.
FDA approves first pertussis booster June 2005: GlaxoSmithKline’s Boostrix will be used in children and adolescents between the ages 10 and 18.
Flu season starts out mild; high-risk groups not all covered January 2005: The ACIP also broadened recommendations for vaccination to ensure vaccine supply is not wasted.
Jump in mumps cases reported in the UK June 2005: More than 8,000 confirmed cases were reported in 2004, highlighting the need for both doses of MMR.
Maurice R. Hilleman remembered May 2005: Hilleman was a pioneer of more than 40 vaccines.
National adult immunization is a largely ignored public health challenge September 2005: Influenza, pneumonia and hepatitis impose a huge toll on U.S. adults.
Optimism remains in the face of setbacks to polio and measles elimination August 2005: Samuel L. Katz, MD, says the diseases will be eliminated. Preventing donor and volunteer fatigue, however, will be key to success.
Preschoolers likely drive influenza epidemics November 2005: Data suggest immunizing children who spread the disease, not only those at risk for catching it.
Rubella eliminated from the United States, CDC says April 2005: Worldwide elimination of the disease is a priority for many countries, experts say.
Second disease may be stopped this year: polio heads for the history books February 2005: Even after cases rose last year in West Africa, officials are optimistic that through immunization campaigns, they can eradicate polio by the end of 2005.
Two Tdap vaccines get nod from FDA advisory committee April 2005: Sanofi Pasteur and GlaxoSmithKline’s vaccines would provide pertussis boosters for adolescents and adults.
Zoster vaccine reduces neuralgia by 66.5% June 2005: Study showed the investigational live-attenuated VZV vaccine reduced incidence, severity and duration of herpes zoster pain.

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VECTOR-BORNE DISEASES
CDC confirms cases of Rocky Mountain spotted fever in Arizona September 2005: Experts warn of the potential spread of this tick-borne infection.

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