MMWR Weekly Briefing is on hiatus until August 2024. This weekly podcast series summarizes the latest scientific information published in Morbidity and Mortality Weekly Report (MMWR).
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Critical Care Practitioner
Jonathan Downham: Advanced Critical Care Practitioner, Teaching, Sharing and Interviewing.
As I Learn, You Learn Too
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This is a conversation I had with professor Tim Buchman who is Professor of Surgery and founding director at the Emory Centre for Critical Care in the US. We discuss the advent of Advanced Practice in the US and how it will inform the same developments in the UK The post Are ACCPs here to stay? appeared first on Critical Care Practitioner.…
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This episode discusses four MMWR reports. First, no new safety concerns have been identified a year after the RSV vaccine was recommended for older adults. Second, in response to New York City's chickenpox outbreak, about 27,000 vaccine doses have been administered to prevent new infections. Third, despite a decrease in reported cases, mosquitoes a…
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This episode discusses four MMWR reports. First, family members in three states got sick with a parasitic illness after eating previously frozen, undercooked bear meat. Second, the proportion of U.S. adults younger than 65 reporting that they had a stroke increased by 15%. Third, most new cases of mpox in the U.S. occur in people who are unvaccinat…
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This episode discusses four MMWR reports. First, a rapid public health response successfully reduced the severity of a measles outbreak in Chicago. Next, the Democratic Republic of the Congo reports the largest number of mpox cases ever. Last, polio cases were down globally in 2023, but 32 countries reported active outbreaks.…
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This episode discusses three MMWR reports. First, seven children in Utah were hospitalized with E. coli after drinking and playing in untreated water used for watering yards. Second, traveling in malaria-endemic countries can increase travel-associated malaria in the U.S. Prompt identification, diagnosis, and treatment are essential to prevent seve…
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This episode discusses four MMWR reports. First, emergency department visits for traffic-related pedestrian injuries are more common among racial and ethnic minority groups. Second, opportunities for clinicians to help pregnant and postpartum patients quit smoking. Third, a cluster of HIV cases associated with cosmetic injections emphasizes the imp…
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AI is here! How will it effect us and how can we use it to make learning fun with AI, or not use it to help with our work? Aarti gives some easy to understand explanations of the key concepts. The post CCP Podcast: AI with Aarti Sarwal appeared first on Critical Care Practitioner.By Jonathan Downham: Advanced Critical Care Practitioner, Teaching, Sharing and Interviewing.
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This episode discusses four MMWR reports. First, extreme heat caused more emergency department visits in several U.S. regions in 2023 than in previous years. Second, health-related social needs, such as social isolation, dissatisfaction with life, and barriers to health care access, were associated with decreased mammogram use. Third, nursing home …
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This episode discusses four MMWR reports. First, there was a rapid increase in the number of reported measles cases during the first quarter of 2024. Almost all cases occurred in people who were unvaccinated or with unknown vaccination status. Second, backyard poultry might increase the risk of Salmonella in infants and newborns, even in the absenc…
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This episode discusses four MMWR reports. First, most newborns with sickle cell disease are born to mothers living in socially vulnerable counties. Second, CDC encourages providers to "Think. Test. Treat TB" as U.S. tuberculosis cases increase. Third, updated 2023-24 COVID-19 vaccines reduce the risk of hospitalization by about one-third among adul…
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This episode discusses three MMWR reports. First, diagnosing chickenpox can be challenging; a lab test can help. Next, more than 13 million people with HIV were given lifesaving tuberculosis preventive treatment through PEPFAR-supported programs. Finally, prompt diagnosis and treatment of fungal diseases is needed.…
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This episode discusses four MMWR reports. Measles is a highly contagious vaccine-preventable disease. It can cause serious complications, particularly in young children. About 1 of every 5 people with measles have to be hospitalized. Thanks to a strong childhood vaccination program, measles stopped being constantly present in the U.S. in 2000. As t…
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This episode discusses four MMWR reports. First, a new CDC study shows that nirsevimab, an antibody, protects babies against RSV hospitalization. Second, unsupervised melatonin ingestion by young children resulted in nearly 11,000 emergency department visits in the U.S. during 2019-2022. Third, a new study finds an increase in the use of blood pres…
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This episode discusses six MMWR reports. First, deaths from excessive alcohol use are on the rise in the U.S. Next, this season's flu vaccines are effective at reducing flu-related medical visits and hospitalizations. Finally, CDC releases updated guidance for investigating and responding to suicide clusters.…
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This episode discusses three MMWR reports. First, Mycoplasma pneumoniae infections in children have recently increased but remain below pre-pandemic levels. Next, a quick response by CDC's quarantine program for imported nonhuman primates prevented potential tuberculosis exposures. Finally, measles cases in the World Health Organization's Eastern M…
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This episode discusses four MMWR reports. First, improved reporting for Lyme disease helps track and monitor cases. Second, smoking overtakes injection as the primary route of drug use in U.S. overdose deaths. Third, a hepatitis A vaccination campaign helps prevent an outbreak at the Los Angeles County jail. Finally, in 2022 the percentage of U.S. …
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This episode discusses four MMWR reports. First, teens report that seeking relief from stress, anxiety, and depression are top reasons for substance use. Second, antimicrobial resistance prompts CDC to update guidance on antibiotic selection to prevent meningococcal disease. Third, among workers in the oil and gas extraction industry, well-servicin…
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This episode discusses five MMWR reports. First, a new CDC study shows that updated COVID-19 vaccines protect against symptomatic illness, including infections caused by the JN.1 variant. Second, Neptune's Fix, a flavored tianeptine elixir sold in gas stations, convenience stores, and online, is associated with serious clinical outcomes in 17 patie…
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This episode discusses four MMWR reports. First, when trying to understand who gets diabetes and heart disease, looking at traditional categories of race and ethnicity doesn't tell the whole story. Second, antivirals, which are known to reduce the risk of severe COVID-19, are underused. Third, deaths among U.S. citizens who had cosmetic surgery in …
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This episode discusses four MMWR reports. First, cannabis use dropped among students, particularly male students, in King County, Washington. Second, inadequate chlorine levels in a hotel pool likely led to a water-associated Pseudomonas outbreak in Maine. Third, wastewater monitoring detects even low levels of mpox in communities. Finally, mpox tr…
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This episode discusses four MMWR reports. First, CDC encourages clinicians to confirm fungal diagnoses before prescribing topical antifungals. Next, CDC releases the 2024 immunization schedules for children and adolescents, as well as adults. Finally, staying up to date with COVID-19 vaccines helps prevent COVID-19-related strokes, blood clots, and…
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This episode discusses four MMWR reports. First, an outbreak of tuberculosis caused by contaminated bone product shows that additional interventions are needed to address gaps in transplant tissue safety in the U.S. Next, drug shortages create additional challenges for tuberculosis patients and programs in California. Finally, young adults in Chica…
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This episode discusses four MMWR reports. First, researchers found no increased risk of hospitalizations or deaths due to COVID-19 rebound. Viral rebound rates were similar between COVID-19 patients who had or had not received antiviral treatment. Next, most nursing home residents have not received an updated COVID-19 vaccine or the RSV vaccine. Fi…
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This week, MMWR published reports on unintentional firearm injury deaths among children and teens, suicide rates by industry, occupation, and sex, and more.By CENTERS FOR DISEASE CONTROL AND PREVENTION
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This episode discusses four MMWR reports. First, lack of timely testing and inadequate treatment contributed to almost 90% of congenital syphilis cases in the U.S. in 2022. Second, chronic obstructive pulmonary disease trends are stable, but disparities persist by age, sex, education, and rural residence. Third, the first occupational asthma death …
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This episode discusses four MMWR reports. First, prenatal care clinicians and fertility specialists should consider tuberculosis evaluations if their patients are from a country where tuberculosis is common. Second, CDC published updated recommendations for the use of inactivated polio vaccine for adults who are known to be unvaccinated or incomple…
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This episode discusses four MMWR reports. First, a new study finds at least 2 doses of COVID-19 vaccine are effective at reducing emergency department visits and hospitalizations in young children. Second, wastewater monitoring helps experts better prepare for and respond to respiratory virus seasons. Third, the 2022 U.S. firearm suicide rate reach…
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This episode discusses four MMWR reports. First, vaccination rates among kindergartners are still lower than before the COVID-19 pandemic. Second, 1 in 3 U.S. veterans has arthritis. Diagnosed arthritis is much more common among the youngest veterans compared with people of the same age. Finally, health care personnel were less likely to get a flu …
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This episode discusses four MMWR reports. First, vaccination coverage among children remains high. However, disparities persist and are widening for some groups of children. Second, CDC issues new recommendations for testing infants and children born to pregnant people with hepatitis C. Third, e-cigarette use among high school students declined in …
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This episode discusses four MMWR reports. First, routine vaccination coverage increased globally in 2022 but has yet to return to 2019 pre-pandemic levels. Second, CDC used early-warning surveillance systems to track the emergence of COVID-19 variant BA.2.86. Third, CDC's Traveler-Based Genomic Surveillance program identified the BA.2.86 variant in…
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This episode discusses four MMWR reports. First, hepatitis A vaccines prevent deaths, but they are still not reaching adults at highest risk. Second, the U.S. firearm homicide rate decreased in 2022, but remained higher than before the COVID-19 pandemic. Third, a Mycobacterium abscessus outbreak is linked to contaminated water and improper infectio…
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This episode discusses four MMWR reports. First, the flu hit children and teens hard last season. Second, CDC recommends the RSV vaccine during weeks 32 through 36 of pregnancy to protect young infants. Third, CDC recommends everyone aged 6 months and older get an updated COVID-19 vaccine this fall. Finally, 1 in 5 U.S. adults have arthritis.…
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First, two CDC studies confirm RSV causes serious illness in older adults and highlight the potential benefit of RSV vaccines in preventing severe illness in this population. Next, adults 65 years and older accounted for 63% of all COVID-19-associated hospitalizations in the first half of 2023, yet more than 75% of those hospitalized had not receiv…
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This week, MMWR published four reports that add to evidence that COVID-19 vaccinations during pregnancy help protect patients and newborns from serious illness and hospitalization. However, pregnancy vaccination coverage has been low and has varied by vaccine type and patients' race and ethnicity.By CENTERS FOR DISEASE CONTROL AND PREVENTION
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This is a chat with Rowan Grieves, who works in Belfast, about her journey to become an ACCP and the hurdles she had to overcome when starting this new role. The post CCP Podcast: So you want to be an ACCP? appeared first on Critical Care Practitioner.By Jonathan Downham: Advanced Critical Care Practitioner, Teaching, Sharing and Interviewing.
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This episode discusses four MMWR reports. First, despite very low risk of getting malaria in the U.S., locally acquired malaria cases reported in Florida and Texas highlight importance of quick diagnosis, treatment, and malaria prevention methods. Second, more than 33 million children in Africa are missing a measles vaccine, highlighting the urgent…
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This episode discusses four MMWR reports. The most recent data from 2020 and 2021 were examined to determine the percentage of older adults who reported falling during the previous year and unintentional fall-related death rates. In 2020, approximately 14 million older adults reported falling during the past year. In 2021, nearly 39,000 older adult…
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This episode discusses four MMWR reports. First, West Nile virus continues to be the most common mosquito-borne disease in the U.S., with almost 3,000 cases reported in 2021. Second, CDC releases its first-ever 'Sepsis Core Elements' to help hospitals strengthen their sepsis programs. Third, CDC publishes its 2023-24 influenza vaccination recommend…
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This episode discusses four MMWR reports. First, a norovirus outbreak with more than 300 cases in Illinois is linked to an ill worker who continued working while sick. Second, COVID-19 vaccines protect young children against COVID-19-associated emergency department and urgent care visits. Third, adults older than 50 who received the JYNNEOS vaccine…
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This episode discusses four MMWR reports. First, the percentage of adults reporting long COVID has decreased. However, 1 in 4 with long COVID reported significant impact to daily activities. Next, patients on dialysis had higher rates of SARS-CoV-2 infection and associated death compared to the general U.S. population during the Delta and early Omi…
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This episode discusses four MMWR reports. First, a tick bite-associated allergy known as alpha-gal syndrome has become an emerging clinical and public health concern; however, many clinicians are unaware of the condition, how to diagnose it, and how to manage it. Next, travel-associated dengue cases continue to be reported in U.S. states. Mosquito …
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First, cannabis-involved emergency department visits among children, teens, and young adults increased during the COVID-19 pandemic. Second, ongoing testing at a large school district in Missouri found respiratory viruses common among students and staff. Third, a new report describes recommendations for respiratory syncytial virus vaccination in ad…
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This episode discusses four MMWR reports. First, the cost of birth defect-associated hospitalizations among patients younger than 65 totaled $22 billion in 2019. Second, increased international effort is urgently needed to accelerate the use of new and underused lifesaving vaccines worldwide. Third, an increase in gastrointestinal illnesses in Flor…
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This episode discusses four MMWR reports. First, breakthrough cures for hepatitis C still fail to reach most Americans who need them. A transformative national response is needed. Second, xylazine mixed with fentanyl emerges as a public health threat, increasingly detected in overdose deaths. Third, targeted vaccination in LA County had a greater i…
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This episode discusses four MMWR reports. First, e-cigarette sales in the United States climbed during 2020-2022, with increases in the number of brands and sales of disposable devices and flavors popular among youth. Second, new data show thousands of e-cigarette-associated cases were reported to U.S. poison centers in the past year, most involvin…
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This episode discusses four MMWR reports. First, estimates of adults ever diagnosed with depression highlight key geographic disparities. Second, people with HIV experienced an increase in rare, deadly meningococcal infections in 2022. Third, Omicron lineages emerged and expanded across the U.S. in 2022 and early 2023. Finally, the updated COVID-19…
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This episode discusses four MMWR reports. First, data show a third dose of an mRNA COVID-19 vaccine is safe for young children. Second, a new study finds continued disparities in mpox vaccination, especially among Black people and American Indian and Alaska Native people. Third, early diagnosis of caregivers and household contacts will help reduce …
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American Indian and Alaska Native people from hepatitis C. Second, an analysis of U.S. water systems during 2016-2021 shows most provided optimal fluoride levels to improve oral health in their communities Third, most U.S. adults have some form of immunity against COVID-19. Finally, data from select restaurant-related foodborne outbreaks during 201…
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This episode discusses four MMWR reports. First, simulation models show that increasing mpox vaccination coverage among men who have sex with men can help reduce the risk for and size of future mpox outbreaks. Second, mpox prevention efforts should use equity-based strategies to reach gay, bisexual, and other men who have sex with men in urban area…
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This episode discusses four MMWR reports. First, although the number of mpox cases has decreased since the peak of the U.S. outbreak in August 2022, the risk for future outbreaks remains. Clinicians need to be alert for new cases and people at risk should continue to take prevention measures. Second, a new report looking at data from 12 U.S. jurisd…
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