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Back Issues  —  2007

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AROUND THE WORLD
Chikungunya fever cases reported in Italy October 2007: The CDC issued a travel warning following the Chikungunya fever outbreak in the Italian region of Emilia-Romagna.
Health care workers should take note of pandemic influenza planning July 2007: Unanswered questions of transmission, personal protection and hospital policy abound in pandemic influenza predictions.
New combination could lead to malaria vaccine progress July 2007: Malaria immune responses substantially increased in rhesus macaque in prime–boost trial.
Paraguay declares state of emergency due to dengue fever April 2007: Thousands in Paraguay have been affected by an increase in dengue fever; other nations in Latin America and Asia have also seen increases.
China experiencing a dramatic reemergence of syphilis February 2007: Although China eradicated syphilis in the 1960s, a new national campaign may now be needed to combat the disease.
Gates Foundation gives $46.7 million to fight neglected tropical diseases February 2007: Five projects aim to demonstrate that an integrated approach can reduce the burden of neglected tropical diseases in Africa.

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BREAKING NEWS
Top 10 stories of 2007 December 2007
Most MRSA infections in the United States are health care-associated November 2007: Community-associated cases not the majority but are still responsible for invasive infections and, rarely, death.
Raltegravir recommended for approval October 2007: Once approved, raltegravir will be the first in new class of integrase inhibitors for patients with HIV.
FDA approves maraviroc for adults with HIV September 2007: Approval represents the first new drug class in 10 years and promising therapy for treatment-experienced patients.
New immunization schedules will be user-friendly September 2007: The 2008 immunization schedules will be published in January.
Libya frees health care workers accused of intentional HIV infection August 2007: Five nurses, one doctor freed in July after more than eight years in jail for allegedly intentionally infecting children with HIV.
New Bartonella species, B. rochalimae, recognized July 2007: Woman returns from Peru visit with previously unnamed Bartonella bacterium.
FDA approves H5N1 influenza vaccine for pandemic use May 2007: The vaccine will be purchased by the government for the national stockpile.
Fluoroquinolone-resistant gonorrhea increased significantly since 2001 May 2007: Gonorrhea is the second most common STD; the highest rates are reported among teens, young adults and blacks.
U.S. Department of Veterans Affairs launches new fight against MRSA May 2007: Pilot program in Pittsburgh demonstrated a reduction in MRSA incidences of nearly 40%.
Flu vaccination less common among elderly minorities April 2007: Concern of illness after vaccine was the most common reason among the elderly for refusing vaccination.
Death sentences for alleged intentional HIV transmission spark international outrage February 2007: Despite exonerating scientific evidence, Libyan court finds foreign health care workers guilty and sentences them to death.
Exposure from 2001 anthrax bioterrorism attacks was widespread February 2007: Due to the thorough response, 95% of people who were exposed took antibiotics and experienced no illness.
Twenty years in infectious diseases: A timeline (Adobe PDF) January 2007
New E. coli outbreaks traced to fast food restaurants January 2007: Officials believe shredded iceberg lettuce may be to blame for the outbreak.

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EISTORIES
Hantavirus pulmonary syndrome in the Four Corners December 2007: The 1993-1994 outbreak led to the development of a rapid test for hantavirus.
Cryptosporidium in Milwaukee’s water supply caused widespread illness September 2007: The 1993 Milwaukee cryptosporidiosis outbreak remains the largest epidemic of waterborne disease in U.S. history.
Diary of an investigation in the Gulf Coast April 2007: The Pascagoula hepatitis outbreak of 1961 forged a path for national epidemic investigation and biological warfare preparation.

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EMERGING DISEASES
Diagnoses and treatment not keeping up with HIV/TB co-epidemic December 2007: Half of newly-diagnosed patients with TB in sub-Saharan Africa are co-infected with HIV.
Zika virus outbreak affects 43 people on Yap Island in Micronesia December 2007: The recent outbreak is the largest on record for Zika virus infection in humans.
Drug-resistant BlaKPC may be spreading November 2007: Typically found in bacteria in the East Coast, the gene was recently detected in St. Louis.
Genetics play major role in infectious disease susceptibility November 2007: Experts give insight into genetic connections and pathways of major infectious diseases, including tuberculosis and malaria.
HIV resistance testing may be expensive, but is cost effective in the long run November 2007: Testing for both genotype and phenotype useful for highly treatment-experienced patients.
Human-to-human transmission of avian influenza detected October 2007: Two clusters studied for avian influenza illness; association made for cases in Indonesia but not in Turkey.
REP3123 may be efficacious against C. difficile October 2007: Novel antibacterial agent inhibited C. difficile toxin production and spore formation, suggesting a future treatment option.
WHO outlines need to control emerging diseases October 2007: Global health experts laud urgency and importance of latest WHO report.
Experts monitor H5N1 spread and overlap in wild bird flyways September 2007: Preparedness efforts may fall short if H5N1 makes crossover.
Preparing for a disaster takes a team approach September 2007: The two groups that may be most affected by a disaster are children and people with special needs.
Population growth drives infectious disease rate upward August 2007: Demand-driven agriculture and livestock production predicted to increase spread and dangers of zoonotic diseases.
Health officials should be watchful of zoonotic diseases July 2007: Experts advise proactive public health monitoring for zoonotic diseases.
West Nile virus infection can have serious, long-term effects July 2007: Neuroinvasive disease can cause poliomyelitis, cognitive disorders and lingering clinical syndromes.
XDR–TB, MDR–TB emerge as global threats July 2007: Clinicians, researchers, health organizations and industry tout urgent need for infection control, awareness and laboratory growth.
Emerging diseases remain a global concern May 2007: Infectious diseases are responsible for 26% of mortality worldwide.
Influenza B partially resistant to neuraminidase inhibitors May 2007: Widespread use of neuraminidase inhibitors may have led to the reduced sensitivity of oseltamivir.
Avian influenza outbreaks reported in Asia and Europe March 2007: Poultry killed in Russia and England amid H5N1 threat, while newest human case in Egypt stable.
Cases of heterosexual transmission of CA-MRSA recently reported March 2007: Clinicians should consider the diagnosis of MRSA when a patient presents with a vaginal, groin or pubic abscess.
CDC releases pandemic flu preparedness plans March 2007: Worse-case scenarios for virus spread were analyzed; plans drawn from historic outbreaks in the United States.
New guidelines for treating community-acquired pneumonia in adults released March 2007: The new consensus guidelines from the IDSA and the American Thoracic Society are designed to lower mortality rates.
IDSA releases new travel medicine guidelines January 2007: Guidelines will be beneficial to infectious disease specialists who treat travel-related illnesses.
Results promising when zinc used as supplement for diarrhea, pneumonia January 2007: Children who received zinc in India had a 16% reduction in the duration of diarrheal illness.

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HEALTH POLICY, PATIENT AND PRACTICE ISSUES
Urban hospitals may have better emergency response planning than rural October 2007: Hospitals in urban areas provided for 10 specific response plan components more frequently than those in rural areas.
Communication with the public key to scientific advancement June 2007: Only one-third of the United States public knows that the NIH plays a role in research.

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HIV/AIDS & STDS
Adolescents with perinatally-acquired HIV need transitional care December 2007: Poor virologic profiles, lack of adherence, drug resistance, high risk behavior common in this patient population.
HIV subtype B may have come to the United States from Haiti in a single migration December 2007: Studying this pivotal time in HIV/AIDS history could lead to further insight into vaccine design and development.
STD rates increasing in the United States December 2007: The CDC estimates about 19 million STDs occur each year; half of these occur in people aged 15 to 24.
HIV linked to increased risk for ESRD in black patients November 2007
Overweight, obesity rates for patients with HIV similar to U.S. population November 2007: Wasting no longer a hallmark of HIV; researchers recommend obesity prevention measures for patients.
HIV vaccine candidate discontinued October 2007: Monitoring board said HIV vaccine V520 would not meet primary endpoints.
Pillbox use may improve medication adherence in patients with HIV October 2007: Pillboxes represent an inexpensive strategy to help improve patients’ health.
Public health departments use Internet as a new venue to fight STDs, HIV/AIDS October 2007: InSPOT.org allows anonymous partner notification of STD exposure.
Exercise may improve overall quality of life in people with HIV September 2007: Medication adherence and cardiovascular health may also improve with exercise.
Novel NNRTI reduced viral loads in ART-naive men with HIV September 2007: UK-453,061 was well-tolerated and was associated with decreased viral loads at all dosing levels.
PRO 140 associated with potent antiviral activity in patients with HIV September 2007: The CCR5 monoclonal antibody could be the first self-administered antiviral.
AIDS experts call for global increase of HIV prevention efforts August 2007: If prevention efforts remain stagnant, experts estimate there may be 60 million new HIV infections worldwide by 2015.
HIV, TB coinfection often increased in low-income countries August 2007: Epidemic overview provides alarming morbidity and mortality, impact on resource-limited countries with high HIV burdens.
Improvement needed in early HIV diagnosis and linkage to care August 2007: New data show improved diagnostic rates in areas that have focused on increasing testing.
Late HIV diagnoses a problem across the health care system July 2007: Better testing practices could increase awareness and reduce the risk for transmission.
Continued physician care correlates with survival in patients with HIV June 2007: Despite adequate access to care, retention remains a major concern for patients with HIV.
Cotrimoxazole may improve outcomes for children with HIV June 2007: Cotrimoxazole is now recommended by WHO as standard for pediatric patients with HIV.
Girls with HIV at higher risk for cervical abnormalities June 2007: Reproductive health services and surveillance are needed for sexually active girls born with HIV.
Many HPV infections may clear quickly without treatment June 2007: Physicians need to counsel patients about how common HPV actually is.
CDC report: Racial disparity in HIV/AIDS diagnoses remains high May 2007: In the United States, blacks are at greater risk of contracting HIV than other racial or ethnic groups.
Endocrine abnormalities and resistance noted in children with HIV May 2007
Breast-feeding guidelines for HIV-positive mothers evaluated April 2007: Experts, data and WHO differ on when to wean for infant survival regardless of serostatus.
Circumcision-for-HIV prevention trial stopped early due to clear efficacy April 2007: Study results led to widespread recommendations for male circumcision to reduce HIV transmission.
Early treatment of primary HIV infections may lower viral load set point April 2007: Another study found that viral load set point was not affected by early treatment.
Testosterone plus megestrol acetate did not increase lean body mass in people with HIV April 2007: In HIV patients receiving megestrol acetate treatment, testosterone preserved or improved sexual function.
Know the regional epidemiology of STDs when treating adolescent patients March 2007: About 50% of all STD diagnoses occur among people aged 15 to 24, although they represent only 25% of the sexually active population.
Medication adherence often low in children with HIV March 2007: Caregivers should not allow children to prematurely assume responsibility for their medication regimen.
Two phase-3 microbicide studies stopped early due to safety concerns March 2007: New results could be a setback for the development of a viable microbicide.
Episodic ART increases patient’s risk of death, AIDS and other diseases February 2007: The international SMART trial shows that interrupting ART more than doubles the risk of death and does not limit adverse events.
HIV screening cost effective regardless of prevalence February 2007: Traditional risk factors should no longer be used to determine which patients should be tested.
Patients aged 50 and older should be tested for HIV February 2007: The risk of contracting HIV is often underestimated in this patient population.
Previous gonorrhea infection increased risk of bladder cancer in men February 2007: The association was especially strong for invasive and advanced bladder cancer.
Rural patients living with HIV fare better with expert caree February 2007: Experienced HIV providers are needed to deliver quality care in rural settings.
AIDS epidemic continues to grow globally January 2007: Prevention programs need to be adapted to the regional changing epidemics.
Circumcision reduces HIV transmission in men in Africa January 2007: Clinical study in Kenya demonstrated a 53% reduction in HIV in circumcised men.
Clinton Foundation announces breakthroughs in pediatric HIV/AIDS treatment January 2007: New agreements lower the price of 19 pediatric antiretroviral formulations by 45% for 62 countries.
More than 70 HIV/AIDS medicines in the pipeline January 2007: Hope for the future — 19 vaccines, 35 ARVs and many other medications are in development.

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NOSOCOMIAL INFECTIONS
Maintaining normothermia may reduce risk of post-surgery infections September 2007
Colonization pressure may affect nosocomial MRSA transmission August 2007: Monitoring colonization pressure can decrease MRSA transmission by emphasizing infection control measures.
Fewer than half of health care workers effectively wash hands June 2007: Hand hygiene measures improved after intervention but fell back to less than 40% compliance in Canadian study.
MRSA linked to higher mortality rates in U.S. hospitals June 2007: Comorbid conditions are common among patients with MRSA and can further increase the risk for mortality.
More than half of athletic trainers report treating MRSA May 2007
Human metapneumovirus causes outbreak of acute RTIs January 2007: The most affected ward in a long-term care facility experienced a 72% attack rate.

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SPECIAL REPORT
Infection control poses challenges for Iraqi hospitals August 2007: Volunteering in Iraq gave James H. Brien, DO, a new perspective on Iraqi hospitals and a glimpse into practicing medicine under severe funding limits.
Climate changes could increase the risk of infectious diseases July 2007: Disease models examined; experts urge continued surveillance.
Proper disposal of sharps urgent to reduce the spread of infectious diseases June 2007: As rates of certain diseases continue to grow, safe disposal methods are becoming paramount.
Troops returning from war at risk for infectious diseases May 2007: Physicians should be prepared for parasitic, nosocomial and other infections in troops returning from Iraq and Afghanistan.

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VACCINE-PREVENTABLE DISEASES
HPV 16/18 vaccine ineffective against preexisting infection November 2007: To cure an established infection, researchers would need to generate a different kind of immune response.
ACIP expands recommendations for meningococcal vaccine August 2007: Vaccination is the best widespread protection for adolescents aged 11 to 18 years.
First autism-vaccine test case goes to court under Vaccine Injury Compensation Program August 2007: The first test case theorizes that a combination of the measles-mumps-rubella vaccine and thimerosal lead to autism.
Acute hepatitis disease rates reach lowest point in U.S. July 2007: Children are experiencing a great reduction in the rate of acute hepatitis A and B.
WHO, UNICEF urge use of vaccine vial monitors June 2007: During the past 10 years, vaccine vial monitors have saved thousands of vaccines from being wasted.
Adult immunization rates still lagging April 2007: Systems-based approaches and nontraditional immunization settings can help increase adult vaccination rates.
Worldwide polio eradication moving closer to reality April 2007: Experts predict polio will disappear within the next few years.
Adult immigrants at risk for measles, mumps, rubella March 2007: Foreign-born women may be at greater risk for contracting measles and rubella than men.
Deaths decreasing worldwide from measles March 2007: Measles-related mortality rates declined by more than half within six years.

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