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<div class=Section1>
<p class=MsoNormal><font size=2 color=blue face=Verdana><span style='font-size:
10.0pt;font-family:Verdana;color:blue'>Hello CHAMPS Clinicians’ Listserv
Members,<o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 color=blue face=Verdana><span style='font-size:
10.0pt;font-family:Verdana;color:blue'><o:p> </o:p></span></font></p>
<p class=MsoNormal><font size=2 color=blue face=Verdana><span style='font-size:
10.0pt;font-family:Verdana;color:blue'>Below is an update from Clinician
Outreach and Communication Activity (COCA) that I thought you may be interested
in. You can also ask to be added to the COCA listserv if you would like
to receive ongoing updates from them.<o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 color=blue face=Verdana><span style='font-size:
10.0pt;font-family:Verdana;color:blue'><o:p> </o:p></span></font></p>
<p class=MsoNormal style='text-autospace:none'><font size=1 face=Verdana><span
style='font-size:9.0pt;font-family:Verdana'>Shannon Kolman, MBA</span></font><font
size=1 face=Arial><span style='font-size:9.0pt;font-family:Arial'><o:p></o:p></span></font></p>
<p class=MsoNormal style='text-autospace:none'><font size=1 face=Verdana><span
style='font-size:9.0pt;font-family:Verdana'>Clinical Programs Director</span></font><font
size=1 face=Arial><span style='font-size:9.0pt;font-family:Arial'><o:p></o:p></span></font></p>
<p class=MsoNormal style='text-autospace:none'><font size=1 face=Verdana><span
style='font-size:9.0pt;font-family:Verdana'>Community Health Association of
Mountain Plains States (CHAMPS) <a href="http://www.champsonline.org/">www.champsonline.org</a></span></font><font
size=1 face=Arial><span style='font-size:9.0pt;font-family:Arial'><o:p></o:p></span></font></p>
<p class=MsoNormal style='text-autospace:none'><font size=1 face=Verdana><span
style='font-size:9.0pt;font-family:Verdana'>Ph: 303-861-5165 ext. 236</span></font><font
size=1 face=Arial><span style='font-size:9.0pt;font-family:Arial'><o:p></o:p></span></font></p>
<p class=MsoNormal style='text-autospace:none'><font size=1 face=Arial><span
style='font-size:9.0pt;font-family:Arial'> <o:p></o:p></span></font></p>
<p class=MsoNormal style='text-autospace:none'><b><i><font size=1 face=Verdana><span
style='font-size:9.0pt;font-family:Verdana;font-weight:bold;font-style:italic'>2010
is CHAMPS' 25th Anniversary!<o:p></o:p></span></font></i></b></p>
<p class=MsoNormal style='text-autospace:none'><font size=1 face=Verdana><span
style='font-size:4.0pt;font-family:Verdana'><o:p> </o:p></span></font></p>
<p class=MsoNormal style='text-autospace:none'><b><font size=1 face=Verdana><span
style='font-size:9.0pt;font-family:Verdana;font-weight:bold'>C</span></font></b><font
size=1 face=Verdana><span style='font-size:9.0pt;font-family:Verdana'>elebrating
<b><i><span style='font-weight:bold;font-style:italic'>25 years</span></i></b>
of serving<o:p></o:p></span></font></p>
<p class=MsoNormal style='text-autospace:none'><b><font size=1 face=Verdana><span
style='font-size:9.0pt;font-family:Verdana;font-weight:bold'>H</span></font></b><font
size=1 face=Verdana><span style='font-size:9.0pt;font-family:Verdana'>ealth
centers in Region VIII,<o:p></o:p></span></font></p>
<p class=MsoNormal style='text-autospace:none'><b><font size=1 face=Verdana><span
style='font-size:9.0pt;font-family:Verdana;font-weight:bold'>A</span></font></b><font
size=1 face=Verdana><span style='font-size:9.0pt;font-family:Verdana'>dvancing
quality improvement,<o:p></o:p></span></font></p>
<p class=MsoNormal style='text-autospace:none'><b><font size=1 face=Verdana><span
style='font-size:9.0pt;font-family:Verdana;font-weight:bold'>M</span></font></b><font
size=1 face=Verdana><span style='font-size:9.0pt;font-family:Verdana'>eeting clinical
needs via MPCN,<o:p></o:p></span></font></p>
<p class=MsoNormal style='text-autospace:none'><b><font size=1 face=Verdana><span
style='font-size:9.0pt;font-family:Verdana;font-weight:bold'>P</span></font></b><font
size=1 face=Verdana><span style='font-size:9.0pt;font-family:Verdana'>roviding
workforce development activities, and<o:p></o:p></span></font></p>
<p class=MsoNormal style='text-autospace:none'><b><font size=1 face=Verdana><span
style='font-size:9.0pt;font-family:Verdana;font-weight:bold'>S</span></font></b><font
size=1 face=Verdana><span style='font-size:9.0pt;font-family:Verdana'>erving
educational and networking needs.<o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 color=blue face=Verdana><span style='font-size:
10.0pt;font-family:Verdana;color:blue'><o:p> </o:p></span></font></p>
<div>
<div class=MsoNormal align=center style='text-align:center'><font size=3
face="Times New Roman"><span style='font-size:12.0pt'>
<hr size=2 width="100%" align=center tabindex=-1>
</span></font></div>
</div>
<div>
<div>
<div style='border:none;border-top:solid #B5C4DF 1.0pt;padding:3.0pt 0in 0in 0in'>
<p class=MsoNormal><b><font size=2 face=Tahoma><span style='font-size:10.0pt;
font-family:Tahoma;font-weight:bold'>From:</span></font></b><font size=2
face=Tahoma><span style='font-size:10.0pt;font-family:Tahoma'> Clinician
Outreach and Communication Activity (CDC) [mailto:<st1:PersonName w:st="on">coca@cdc.gov</st1:PersonName>]
<br>
<b><span style='font-weight:bold'>Sent:</span></b> Monday, March 01, 2010 3:28
PM<br>
<b><span style='font-weight:bold'>To:</span></b> Clinician Outreach and
Communication Activity (CDC)<br>
<b><span style='font-weight:bold'>Subject:</span></b> COCA Weekly Update - CDC
Updates for Clinicians Feb 22 - Mar 01, 2010</span></font><o:p></o:p></p>
</div>
</div>
<p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'> <o:p></o:p></span></font></p>
<table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width=642
style='width:481.5pt'>
<tr>
<td width=642 colspan=2 style='width:481.5pt;padding:0in 0in 0in 0in'>
<p class=MsoNormal><b><font size=1 color=black face=Arial><span
style='font-size:9.0pt;font-family:Arial;color:black;font-weight:bold'><img
border=0 width=600 height=90 id="_x0000_i1031"
src="cid:image001.gif@01CABAC3.60B2CC80"></span></font></b><o:p></o:p></p>
</td>
</tr>
<tr>
<td width=42 valign=top style='width:31.5pt;padding:0in 0in 0in 0in'>
<p class=MsoNormal><b><font size=1 color=black face=Arial><span
style='font-size:9.0pt;font-family:Arial;color:black;font-weight:bold'><img
border=0 width=40 height=1660 id="_x0000_i1030"
src="cid:image002.jpg@01CABAC3.60B2CC80"></span></font></b><o:p></o:p></p>
</td>
<td width=600 valign=top style='width:6.25in;padding:0in 0in 0in 0in'>
<p align=right style='text-align:right'><font size=2 color=black face=Arial><span
style='font-size:10.0pt;font-family:Arial;color:black'>March 01, 2010</span></font><o:p></o:p></p>
<p><font size=2 color=black face=Arial><span style='font-size:10.0pt;
font-family:Arial;color:black'>The following updates were made to CDC
information and guidance from <strong><b><font face=Arial><span
style='font-family:Arial'>Feb 22 – Mar 01, 2010. </span></font></b></strong>If
you have any questions on these or other clinical issues, please write to us
at <a href="mailto:coca@cdc.gov">coca@cdc.gov</a>.</span></font><o:p></o:p></p>
<table class=MsoNormalTable border=0 cellspacing=3 cellpadding=0 width="100%"
style='width:100.0%'>
<tr>
<td width=293 style='width:219.75pt;padding:.75pt .75pt .75pt .75pt'>
<p class=onthispage><b><font size=2 color=black face=Arial><span
style='font-size:10.0pt;font-family:Arial;color:black'>Today's topics
Include:</span></font><o:p></o:p></b></p>
<p class=MsoNormal style='text-indent:-.25in;background:white'><font
size=2 color=black face=Symbol><span style='font-size:10.0pt;font-family:
Symbol;color:black'>·</span></font><font size=1 color=black><span
style='font-size:7.0pt;color:black'>
</span></font><font size=2 color=black face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:black'><a
href="1_text.htm#_Upcoming_COCA_Call">Upcoming COCA Call</a></span></font><o:p></o:p></p>
<p class=MsoNormal style='text-indent:-.25in;background:white'><font
size=2 color=black face=Symbol><span style='font-size:10.0pt;font-family:
Symbol;color:black'>·</span></font><font size=1 color=black><span
style='font-size:7.0pt;color:black'>
</span></font><font size=2 color=black face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:black'><a href="1_text.htm#_Haiti_Earthquake">Haiti
Earthquake </a></span></font><o:p></o:p></p>
<p class=MsoNormal style='text-indent:-.25in;background:white'><font
size=2 color=black face=Symbol><span style='font-size:10.0pt;font-family:
Symbol;color:black'>·</span></font><font size=1 color=black><span
style='font-size:7.0pt;color:black'>
</span></font><font size=2 color=black face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:black'><a
href="1_text.htm#_Influenza_Situation_Update">Influenza Situation Update</a></span></font><o:p></o:p></p>
<p class=MsoNormal style='text-indent:-.25in;background:white'><font
size=2 color=black face=Symbol><span style='font-size:10.0pt;font-family:
Symbol;color:black'>·</span></font><font size=1 color=black><span
style='font-size:7.0pt;color:black'>
</span></font><font size=2 color=black face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:black'><a href="1_text.htm#keypoints">2009
Influenza Key Points and Messages</a></span></font><a name="Topic_5"></a><a
name="Topic_3"></a><a name=EmergencyPreparedness></a><o:p></o:p></p>
<p class=MsoNormal style='text-indent:-.25in;background:white'><font
size=2 color=black face=Symbol><span style='font-size:10.0pt;font-family:
Symbol;color:black'>·</span></font><font size=1 color=black><span
style='font-size:7.0pt;color:black'>
</span></font><font size=2 color=black face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:black'><a href="1_text.htm#FluResources">2009
H1N1 Influenza Resources for Clinicians</a></span></font><a
name=H1N1InfluenzaResourcesforClinicians></a><o:p></o:p></p>
<p class=MsoNormal style='text-indent:-.25in;background:white'><font
size=2 color=black face=Symbol><span style='font-size:10.0pt;font-family:
Symbol;color:black'>·</span></font><font size=1 color=black><span
style='font-size:7.0pt;color:black'>
</span></font><font size=2 color=black face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:black'><a href="1_text.htm#EID">Emerging
Infectious Disease (EID) Journal</a><br>
<a name="Topic_7"></a><a href="1_text.htm#epr">Emergency Preparedness &
Response</a></span></font><o:p></o:p></p>
<p class=MsoNormal style='text-indent:-.25in;background:white'><font
size=2 color=black face=Symbol><span style='font-size:10.0pt;font-family:
Symbol;color:black'>·</span></font><font size=1 color=black><span
style='font-size:7.0pt;color:black'>
</span></font><font size=2 color=black face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:black'><a href="1_text.htm#_Food_and_Drug_1">Food
and Drug Safety</a></span></font><o:p></o:p></p>
</td>
<td valign=top style='padding:.75pt .75pt .75pt .75pt'>
<p><font size=3 face="Times New Roman"><span style='font-size:12.0pt'> <o:p></o:p></span></font></p>
<p style='margin-left:.5in;text-indent:-.25in'><font size=2 color=black
face=Symbol><span style='font-size:10.0pt;font-family:Symbol;color:black'>·</span></font><font
size=1 color=black><span style='font-size:7.0pt;color:black'>
</span></font><font size=2 color=black face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:black'><a
href="http://emergency.cdc.gov/rss/">Subscribe to RSS</a></span></font><o:p></o:p></p>
<p style='margin-left:.5in;text-indent:-.25in'><font size=2 color=black
face=Symbol><span style='font-size:10.0pt;font-family:Symbol;color:black'>·</span></font><font
size=1 color=black><span style='font-size:7.0pt;color:black'>
</span></font><font size=2 color=black face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:black'><a
href="http://twitter.com/cdcemergency">CDC Emergency on Twitter</a></span></font><o:p></o:p></p>
</td>
</tr>
</table>
<h1><a name=UpcomingCOCACall></a><a name="_Upcoming_COCA_Call"></a><a
name="Topic_1"></a><b><font size=5 color="#0070c0" face=Arial><span
style='font-size:16.0pt'>Upcoming CO<a name="_Food_and_Drug"></a>CA Call <o:p></o:p></span></font></b></h1>
<p class=MsoNormal style='margin-bottom:6.0pt'><b><font size=2 face=Arial><span
style='font-size:10.0pt;font-family:Arial;font-weight:bold'><br>
Physical and Psychological Impact of Limb Loss Among <st1:country-region
w:st="on"><st1:place w:st="on">Haiti</st1:place></st1:country-region>
Earthquake Survivors</span></font></b><o:p></o:p></p>
<p class=MsoNormal style='margin-bottom:12.0pt'><font size=2 face=Arial><span
style='font-size:10.0pt;font-family:Arial'>This call will address the
physical and mental health implications of amputation. Speakers will review
epidemiology, physiology and classifications of limb loss; compare and
contrast the incidence and management of limb loss in the <st1:country-region
w:st="on"><st1:place w:st="on">United States</st1:place></st1:country-region>
with the Haiti Earthquake; review amputee pre-operative predictors of outcome
for rehabilitation and lifelong follow through; and discuss essential
information for the management of psychosocial issues following limb loss.</span></font><o:p></o:p></p>
<p class=MsoNormal style='margin-bottom:6.0pt'><b><font size=2 face=Arial><span
style='font-size:10.0pt;font-family:Arial;font-weight:bold'>Date: </span></font></b><font
size=2 face=Arial><span style='font-size:10.0pt;font-family:Arial'>March 3,
2010 (Wednesday)</span></font><o:p></o:p></p>
<p class=MsoNormal style='margin-bottom:6.0pt'><b><font size=2 face=Arial><span
style='font-size:10.0pt;font-family:Arial;font-weight:bold'>Time: </span></font></b><font
size=2 face=Arial><span style='font-size:10.0pt;font-family:Arial'>4:00 pm -
5:00pm (EST)<br>
<br>
<b><span style='font-weight:bold'>Speakers: </span></b>Terrance P.
Sheehan, MD and Stephen T. Wegener, MD</span></font><o:p></o:p></p>
<p class=MsoNormal style='margin-bottom:6.0pt'><b><font size=2 face=Arial><span
style='font-size:10.0pt;font-family:Arial;font-weight:bold'>Call- In #:</span></font></b><font
size=2 face=Arial><span style='font-size:10.0pt;font-family:Arial'>
888-566-6585<br>
<br>
<b><span style='font-weight:bold'>Passcode:</span></b> 9411583<b><span
style='font-weight:bold'><br>
<br>
<br>
Influenza Vaccine Update</span></b></span></font><o:p></o:p></p>
<p class=MsoNormal style='margin-bottom:12.0pt'><font size=2 face=Arial><span
style='font-size:10.0pt;font-family:Arial'>CDC experts will provide an update
on influenza vaccine and Vaccine Adverse Event Report System (VAERS). This
call will cover Advisory Committee on Immunization Practices (ACIP)
recommendations for use of influenza vaccines; recent epidemiologic findings
and vaccine coverage for groups at higher risk for influenza-related
complications; U.S. safety monitoring in place for 2009 Influenza A (H1N1)
monovalent vaccines; and preliminary findings from the U.S. Vaccine Adverse
Event Reporting System.</span></font><o:p></o:p></p>
<p class=MsoNormal style='margin-bottom:6.0pt'><b><font size=2 face=Arial><span
style='font-size:10.0pt;font-family:Arial;font-weight:bold'>Date: </span></font></b><font
size=2 face=Arial><span style='font-size:10.0pt;font-family:Arial'>March 23,
2010 (Tuesday)</span></font><o:p></o:p></p>
<p class=MsoNormal style='margin-bottom:6.0pt'><b><font size=2 face=Arial><span
style='font-size:10.0pt;font-family:Arial;font-weight:bold'>Time: </span></font></b><font
size=2 face=Arial><span style='font-size:10.0pt;font-family:Arial'>2:00 pm
– 3:00 pm (EST)</span></font><o:p></o:p></p>
<p class=MsoNormal style='margin-bottom:6.0pt'><b><font size=2 face=Arial><span
style='font-size:10.0pt;font-family:Arial;font-weight:bold'>Call-In: </span></font></b><font
size=2 face=Arial><span style='font-size:10.0pt;font-family:Arial'>888-566-6585</span></font><o:p></o:p></p>
<p class=MsoNormal style='margin-bottom:6.0pt'><b><font size=2 face=Arial><span
style='font-size:10.0pt;font-family:Arial;font-weight:bold'>Passcode</span></font></b><font
size=2 face=Arial><span style='font-size:10.0pt;font-family:Arial'>: 9411583</span></font><o:p></o:p></p>
<h1><a name=HaitiEQ></a><a name="_Haiti_Earthquake"></a><st1:country-region
w:st="on"><st1:place w:st="on"><b><font size=5 color="#0070c0" face=Arial><span
style='font-size:16.0pt'>Haiti</span></font></b></st1:place></st1:country-region>
Earthquake <o:p></o:p></h1>
<p class=MsoNormal style='margin-bottom:6.0pt'><st1:country-region w:st="on"><st1:place
w:st="on"><b><font size=2 face=Arial><span style='font-size:10.0pt;
font-family:Arial;font-weight:bold'>Haiti</span></font></b></st1:place></st1:country-region><b><font
size=2 face=Arial><span style='font-size:10.0pt;font-family:Arial;font-weight:
bold'> Pre-decision Briefs for Public Health Action <font color=gray><span
style='color:gray'>- CDC – Feb 25</span></font><br>
</span></font></b><font size=2 face=Arial><span style='font-size:10.0pt;
font-family:Arial'>In order to prepare for potential outbreaks or epidemics
of infectious disease as a result of the earthquake in <st1:country-region
w:st="on"><st1:place w:st="on">Haiti</st1:place></st1:country-region>, CDC
subject matter experts (SME) have prepared a series of short pre-decisional
briefs for public health action on specific high-priority threats. These
briefs have been designed to provide key recommendations with relevant
background information for decision makers in the Haiti Ministry of Health,
the U.S. Government, non-governmental organizations, and elsewhere. These
documents can be found at: <a
href="http://emergency.cdc.gov/disasters/earthquakes/haiti/pre-decision_briefs.asp?s_cid=ccu020110_001">http://emergency.cdc.gov/disasters/earthquakes/haiti/pre-decision_briefs.asp</a></span></font><o:p></o:p></p>
<p class=MsoNormal style='margin-left:.25in'><font size=3
face="Times New Roman"><span style='font-size:12.0pt'> <o:p></o:p></span></font></p>
<p class=MsoNormal style='margin-bottom:12.0pt;line-height:12.0pt;background:
white'><font size=2 color=red face=Arial><span style='font-size:10.0pt;
font-family:Arial;color:red'>Updated:</span></font><font size=2 color=black
face=Arial><span style='font-size:10.0pt;font-family:Arial;color:black'> <b><span
style='font-weight:bold'>Guidance for Healthcare Providers Assisting
Travelers Preparing for <st1:country-region w:st="on"><st1:place w:st="on">Haiti</st1:place></st1:country-region>
Earthquake Response </span></b></span></font><b><font size=2 color=gray
face=Arial><span style='font-size:10.0pt;font-family:Arial;color:gray;
font-weight:bold'>- CDC – Feb 24</span></font></b><b><font size=2
color=black face=Arial><span style='font-size:10.0pt;font-family:Arial;
color:black;font-weight:bold'><br>
</span></font></b><font size=2 color=black face=Arial><span lang=EN
style='font-size:10.0pt;font-family:Arial;color:black'>The vaccine
recommendations on this page are based on diseases previously observed in <st1:country-region
w:st="on"><st1:place w:st="on">Haiti</st1:place></st1:country-region> and the
possibility for outbreaks in the aftermath of the earthquake. At this time,
vaccines for diseases such as polio, cholera, and meningitis are <strong><b><font
face=Arial><span style='font-family:Arial;font-weight:normal'>not</span></font></b></strong><b><span
style='font-weight:bold'> </span></b>recommended</span></font><font size=2
color=black face=Arial><span style='font-size:10.0pt;font-family:Arial;
color:black'>.<br>
<a href="http://wwwnc.cdc.gov/travel/content/id/2450.aspx">http://wwwnc.cdc.gov/travel/content/id/2450.aspx</a></span></font><font
size=2 face=Arial><span style='font-size:10.0pt;font-family:Arial'><br>
</span></font><b><font size=2 face=Arial><span lang=PT-BR style='font-size:
10.0pt;font-family:Arial;font-weight:bold'><br>
Earthquake Information for Clinicians</span></font></b><font size=2
face=Arial><span lang=PT-BR style='font-size:10.0pt;font-family:Arial'> </span></font><font
size=2 face=Arial><span style='font-size:10.0pt;font-family:Arial'><br>
<a
href="http://emergency.cdc.gov/disasters/earthquakes/clinicians.asp?s_cid=ccu030110_003">http://emergency.cdc.gov/disasters/earthquakes/clinicians.asp</a><br>
</span></font><font size=2 face=Arial><span lang=PT-BR style='font-size:10.0pt;
font-family:Arial'><br>
<b><span style='font-weight:bold'>CDC Travelers’ Health: Haiti
Earthquake and Travel<br>
</span></b><a
href="http://wwwnc.cdc.gov/travel/content/haiti-earthquake-travel.aspx">http://wwwnc.cdc.gov/travel/content/haiti-earthquake-travel.aspx</a><br>
<b><span style='font-weight:bold'><br>
CDC Emergency Preparedness and Response Earthquake Information</span></b> </span></font><font
size=2 face=Arial><span style='font-size:10.0pt;font-family:Arial'><a
href="http://emergency.cdc.gov/disasters/earthquakes/?s_cid=ccu030110_005"><span
lang=PT-BR>http://emergency.cdc.gov/disasters/earthquakes/</span></a></span></font><o:p></o:p></p>
<h1><a name="_Influenza_Situation_Update"></a><a name="Topic_2"></a><b><font
size=5 color="#0070c0" face=Arial><span style='font-size:16.0pt'>Influenza
Situation Update<o:p></o:p></span></font></b></h1>
<p class=MsoNormal style='margin-bottom:12.0pt'><b><font size=2 face=Arial><span
style='font-size:10.0pt;font-family:Arial;font-weight:bold'>Weekly FluView
Map and Surveillance Report<font color=gray><span style='color:gray'> - CDC
– Feb 26</span></font></span></font></b><font size=2 face=Arial><span
style='font-size:10.0pt;font-family:Arial'><br>
</span></font><font size=2 face=Arial><span lang=EN style='font-size:10.0pt;
font-family:Arial'>During week 7 (February 14-20, 2010), influenza activity
remained at approximately the same levels as last week in the <st1:country-region
w:st="on"><st1:place w:st="on">U.S.</st1:place></st1:country-region>
One hundred and eighty five (4.4%) specimens tested by U.S. World Health Organization
(WHO) and National Respiratory and Enteric Virus Surveillance System (NREVSS)
collaborating laboratories and reported to CDC/Influenza Division were
positive for influenza.<br>
<a href="http://www.cdc.gov/flu/weekly/?s_cid=ccu030110_006">http://www.cdc.gov/flu/weekly/</a></span></font><o:p></o:p></p>
<p class=MsoNormal style='margin-bottom:16.0pt'><b><font size=2 face=Arial><span
style='font-size:10.0pt;font-family:Arial;font-weight:bold'>Influenza and
Pneumonia-Associated Hospitalizations and Deaths from August 30 to February
20, 2010<font color=gray><span style='color:gray'> - CDC – Feb 26<br>
</span></font></span></font></b><font size=2 face=Arial><span
style='font-size:10.0pt;font-family:Arial'>FluView reports that for the week
of February 14 - 20, 2010, flu activity in the <st1:country-region w:st="on"><st1:place
w:st="on">United States</st1:place></st1:country-region> remained about the
same level as the previous week. </span></font><font size=2 face=Arial><span
lang=EN style='font-size:10.0pt;font-family:Arial'>All subtyped influenza A
viruses reported to CDC were 2009 influenza A (H1N1) viruses. </span></font><font
size=2 face=Arial><span style='font-size:10.0pt;font-family:Arial'><br>
<a
href="http://www.cdc.gov/h1n1flu/updates/us/#totalcases?s_cid=ccu030110_007">http://www.cdc.gov/h1n1flu/updates/us/#totalcases</a><br>
<br>
<b><span style='font-weight:bold'>WHO Updates International H1N1 Situation</span></b>
<b><font color=gray><span style='color:gray;font-weight:bold'> - WHO
– Feb 26</span></font></b><br>
As of 21 February 2010, worldwide more than 213 countries and overseas territories
or communities have reported laboratory confirmed cases of pandemic influenza
H1N1 2009, including at least 16,226 deaths. <br>
<a href="http://www.who.int/csr/don/2010_02_26/en/index.html">http://www.who.int/csr/don/2010_02_26/en/index.html</a><br>
<b><font color=blue><span style='color:blue;font-weight:bold'><br>
</span></font></b></span></font><a name=keypoints><span class=heading1char><b><font
size=5 color="#0070c0" face=Arial><span style='font-size:16.0pt'>2009 Influenza
Key Points and Messages</span></font></b></span></a><o:p></o:p></p>
<ul style='margin-top:0in' type=disc>
<li class=MsoNormal style='mso-list:l0 level1 lfo1'><font size=2 face=Arial><span
style='font-size:10.0pt;font-family:Arial'>Asthma is the most common
underlying health condition reported among adult 2009 H1N1
hospitalizations and was reported in 30% of adults hospitalized with
2009 H1N1 flu, according to EIP data.<font color=black><span
style='color:black'> </span></font></span></font><o:p></o:p></li>
<li class=MsoNormal style='mso-list:l0 level1 lfo1'><font size=2
color=black face=Arial><span style='font-size:10.0pt;font-family:Arial;
color:black'>Diabetes is the second most common underlying condition
associated with 2009 H1N1 hospitalization, accounting for 23% of those
hospitalizations in adults. </span></font><o:p></o:p></li>
<li class=MsoNormal style='mso-list:l0 level1 lfo1'><font size=2 face=Arial><span
style='font-size:10.0pt;font-family:Arial'>Minority groups have
consistently had higher rates of serious 2009 H1N1 disease, including
hospitalizations, than non-minority groups, when comparing
hospitalization rates across racial/ethnic groups during the
spring-summer versus the fall-winter. </span></font><o:p></o:p></li>
<li class=MsoNormal style='mso-list:l0 level1 lfo1'><font size=2
color=black face=Arial><span style='font-size:10.0pt;font-family:Arial;
color:black'>On February 24, 2010 the </span></font><font size=2
face=Arial><span style='font-size:10.0pt;font-family:Arial'><a
href="http://www.cdc.gov/vaccines/recs/acip/"><font color=black><span
style='color:black;text-decoration:none'>Advisory Committee on
Immunization Practices (ACIP)</span></font></a><font color=black><span
style='color:black'> voted to expand the recommendation for annual
influenza vaccination to include all people aged 6 months and older.</span></font></span></font>
<o:p></o:p></li>
</ul>
<h1><a name=FluResources></a><a name="_2009_H1N1_Influenza"></a><b><font
size=5 color="#0070c0" face=Arial><span style='font-size:16.0pt'>2009 H1N1
Influenza Resources for Clinicians<o:p></o:p></span></font></b></h1>
<p class=MsoNormal style='margin-bottom:12.0pt'><font size=3 face=Arial><span
style='font-size:12.0pt;font-family:Arial'><br>
</span></font><b><font size=2 face=Arial><span lang=EN style='font-size:10.0pt;
font-family:Arial;font-weight:bold'>CDC’s Advisory Committee on
Immunization Practices (ACIP) Recommends Universal Annual Influenza
Vaccination </span></font></b><b><font size=2 color=gray face=Arial><span
style='font-size:10.0pt;font-family:Arial;color:gray;font-weight:bold'>- CDC
– Feb 24<br>
</span></font></b><font size=2 face=Arial><span lang=EN style='font-size:
10.0pt;font-family:Arial'>A panel of immunization experts voted on February
24, 2010 to expand the recommendation for annual influenza vaccination to
include all people aged 6 months and older.<br>
</span></font><font size=2 face=Arial><span style='font-size:10.0pt;
font-family:Arial'><a
href="http://www.cdc.gov/media/pressrel/2010/r100224.htm?s_cid=ccu030110_008">http://www.cdc.gov/media/pressrel/2010/r100224.htm</a><b><span
style='font-weight:bold'><br>
<br>
</span></b><font color=red><span style='color:red'>New:</span></font> <b><span
style='font-weight:bold'>Questions and Answers: Underlying Health Conditions
Among Adults and Children Hospitalized with 2009 H1N1 <font color=gray><span
style='color:gray'>– CDC – Feb 24</span></font></span></b><br>
</span></font><font size=2 face=Arial><span lang=EN style='font-size:10.0pt;
font-family:Arial'>This Q&A provides updated information about underlying
health conditions among hospitalized 2009 H1N1 patients in the <st1:country-region
w:st="on"><st1:place w:st="on">United States</st1:place></st1:country-region>
as reported to CDC from April 15, 2009 – February 16, 2010. CDC first
reported information about underlying health conditions related to 2009 H1N1.</span></font><font
size=2 face=Arial><span style='font-size:10.0pt;font-family:Arial'><br>
<a
href="http://www.cdc.gov/H1N1flu/eip_underlying_conditions.htm?s_cid=ccu030110_009">http://www.cdc.gov/H1N1flu/eip_underlying_conditions.htm</a></span></font><o:p></o:p></p>
<p class=MsoNormal><b><font size=2 face=Arial><span lang=EN style='font-size:
10.0pt;font-family:Arial;font-weight:bold'>Questions and Answers: Behavioral
Risk Factor Surveillance System (BRFSS) 2009 H1N1 Flu Modules for
Influenza-like Illness (<st1:place w:st="on">ILI</st1:place>) and Vaccination
</span></font></b><b><font size=2 color=gray face=Arial><span
style='font-size:10.0pt;font-family:Arial;color:gray;font-weight:bold'>–
CDC – Feb 24</span></font></b><font size=2 face=Arial><span
style='font-size:10.0pt;font-family:Arial'><br>
The Behavioral Risk Factor Surveillance System (BRFSS) is a state-based
system of health surveys that collects information on health risk behaviors,
preventive health practices, and health care access primarily related to
chronic disease and injury. <br>
<a
href="http://www.cdc.gov/h1n1flu/behavior_risk_factors_surv_sys.htm?s_cid=ccu030110_010">http://www.cdc.gov/h1n1flu/behavior_risk_factors_surv_sys.htm</a><br>
<br>
</span></font><b><font size=2 face=Arial><span lang=EN style='font-size:10.0pt;
font-family:Arial;font-weight:bold'>Questions and Answers: Information on
2009 H1N1 impact by Race and Ethnicity </span></font></b><b><font size=2
color=gray face=Arial><span style='font-size:10.0pt;font-family:Arial;
color:gray;font-weight:bold'>– CDC – Feb 24</span></font></b><font
size=2 face=Arial><span style='font-size:10.0pt;font-family:Arial'><br>
</span></font><font size=2 face=Arial><span lang=EN style='font-size:10.0pt;
font-family:Arial'>This page provides summary information about the impact of
2009 H1N1 across racial and ethnic groups in the <st1:country-region w:st="on"><st1:place
w:st="on">United States</st1:place></st1:country-region>. This information
was reported to CDC through the Emerging Infections Program from April 15,
2009 through January 26, 2010, and through the Behavioral Risk Factor
Surveillance System (BRFSS) 2009 H1N1 Flu Modules for Influenza-like Illness
(ILI) from September 1 to December 31, 2009.<br>
</span></font><font size=2 face=Arial><span style='font-size:10.0pt;
font-family:Arial'><a href="http://www.cdc.gov/h1n1flu/race_ethnicity_qa.htm">http://www.cdc.gov/h1n1flu/race_ethnicity_qa.htm</a><b><span
style='font-weight:bold'><br>
<br>
Protection Against 2009 H1N1 To Be Included in 2010-2011 Seasonal Flu Vaccine
<font color=gray><span style='color:gray'>– CDC – Feb 22<br>
</span></font></span></b>Key FDA Advisory Committee Recommends Inclusion of
2009 H1N1 Strain in the 2010-2011 Seasonal Influenza Vaccine. <br>
<a href="http://www.flu.gov/news/blogs/blog20100222.html">http://www.flu.gov/news/blogs/blog20100222.html</a><br>
<br>
</span></font><b><font size=2 face=Arial><span lang=EN style='font-size:10.0pt;
font-family:Arial;font-weight:bold'>Reduction of Inventory and Allocations at
the McKesson 2009 H1N1 Vaccine/ Ancillary Supply Distribution Depots </span></font></b><b><font
size=2 color=gray face=Arial><span style='font-size:10.0pt;font-family:Arial;
color:gray;font-weight:bold'>– CDC – Feb 22</span></font></b><font
size=2 face=Arial><span style='font-size:10.0pt;font-family:Arial'><br>
This document is intended to provide PHER-funded awardees with information
regarding the reduction of vaccine inventory and allocation at the McKesson
2009 H1N1 vaccine/ancillary supply distribution depots.<br>
<a
href="http://www.cdc.gov/h1n1flu/vaccination/reduction_of_inventory_and_allocations.htm?s_cid=ccu030110_011">http://www.cdc.gov/h1n1flu/vaccination/reduction_of_inventory_and_allocations.htm</a></span></font><o:p></o:p></p>
<p class=blurb><font size=2 color=black face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:black'>Locate all H1N1 Flu guidance documents<br>
<a href="http://www.cdc.gov/h1n1flu/guidance/?s_cid=ccu030110_012">http://www.cdc.gov/h1n1flu/guidance/</a><br>
<br>
2009 H1N1 Influenza: Resources for Clinicians<br>
<a href="http://www.cdc.gov/h1n1flu/clinicians/?s_cid=ccu030110_013">http://www.cdc.gov/h1n1flu/clinicians/</a><br>
<br>
<br>
</span></font><a name=EID><span class=heading1char><b><font size=5
color="#0070c0" face=Arial><span style='font-size:16.0pt'>Emerging Infectious
Disease (EID) Journal</span></font></b></span></a><font size=4 color=blue
face=Arial><span style='font-size:14.0pt;font-family:Arial;color:blue'> <br>
</span></font><font size=2 color=black face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:black'><br>
</span></font><font size=2 face=Arial><span style='font-size:10.0pt;
font-family:Arial'>The Emerging Infectious Diseases (EID) journal provides
recognition of new and re-emerging infections and understanding of factors
involved in disease emergence, prevention, and elimination. It also
represents the scientific communications component of CDC's efforts against the
threat of emerging infections. See the March 2010 issue of the EID journal at
the following link:<br>
<a href="http://www.cdc.gov/ncidod/EID/index.htm?s_cid=ccu030110_014">http://www.cdc.gov/ncidod/EID/index.htm</a></span></font><o:p></o:p></p>
<p class=blurb style='margin-bottom:12.0pt'><b><font size=2 color=black
face=Arial><span style='font-size:10.0pt;font-family:Arial;color:black;
font-weight:bold'><br>
</span></font></b><a name=epr></a><a name="_Health_Promotion_&"></a><a
name="_Travel"></a><a name="Topic_10"></a><span class=heading1char><b><font
size=5 color="#0070c0" face=Arial><span style='font-size:16.0pt'>Emergency
Preparedness & Response</span></font></b></span><font size=4 color=blue
face=Arial><span style='font-size:14.0pt;font-family:Arial;color:blue'><br>
</span></font><font size=2 face=Arial><span style='font-size:10.0pt;
font-family:Arial'><br>
<b><span style='font-weight:bold'>Remarks by the President on the Earthquake
in <st1:country-region w:st="on"><st1:place w:st="on">Chile</st1:place></st1:country-region></span></b>
<b><font color=gray><span style='color:gray;font-weight:bold'>– The
White House Blog – Feb 27<br>
</span></font></b>The President made a statement on the earthquake in <st1:country-region
w:st="on"><st1:place w:st="on">Chile</st1:place></st1:country-region> and
preparations for a possible tsunami that could reach American shores. <br>
<a
href="http://www.whitehouse.gov/blog/2010/02/27/information-chilean-earthquake-and-tsunami-warnings">http://www.whitehouse.gov/blog/2010/02/27/information-chilean-earthquake-and-tsunami-warnings</a></span></font><o:p></o:p></p>
<h1><a name="_Food_and_Drug_1"></a><b><font size=5 color="#0070c0"
face=Arial><span style='font-size:16.0pt'>Food and Drug Safety<o:p></o:p></span></font></b></h1>
<p class=MsoNormal><b><font size=2 face=Arial><span style='font-size:10.0pt;
font-family:Arial;font-weight:bold'>Recalls, Market Withdrawals, & Safety
Alerts <font color=gray><span style='color:gray'>– FDA – Feb 26<br>
</span></font></span></font></b><font size=2 face=Arial><span
style='font-size:10.0pt;font-family:Arial'>For additional information on
recent FDA recalls, market recalls & safety alerts please click on the
following link:<b><span style='font-weight:bold'> </span></b><a
href="http://www.fda.gov/Safety/Recalls/default.htm">http://www.fda.gov/Safety/Recalls/default.htm</a><b><span
style='font-weight:bold'><br>
<br>
FDA Update on the Investigation into the <em><i><font face=Arial><span
style='font-family:Arial'>Salmonella</span></font></i></em> <st1:City w:st="on"><st1:place
w:st="on">Montevideo</st1:place></st1:City> Outbreak <font color=gray><span
style='color:gray'>– FDA – Feb 25</span></font></span></b><br>
The Food and Drug Administration, along with the Centers for Disease Control
and Prevention and the U.S. Department of Agriculture’s Food Safety and
Inspection Service, continues to work closely with the Rhode Island
Department of Health and other states in the investigation of an outbreak of <em><i><font
face=Arial><span style='font-family:Arial'>Salmonella</span></font></i></em> <st1:City
w:st="on"><st1:place w:st="on">Montevideo</st1:place></st1:City> infections
associated with certain Italian-style sausage products including
salami/salame<b><span style='font-weight:bold'>.<br>
</span></b><a
href="http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm202128.htm">http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm202128.htm</a></span></font><o:p></o:p></p>
<p style='margin-bottom:12.0pt'><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'> <o:p></o:p></span></font></p>
<div>
<div>
<div class=MsoNormal><font size=1 color=black face=Arial><span
style='font-size:9.0pt;font-family:Arial;color:black'>
<hr size=2 width="100%" align=left>
</span></font></div>
</div>
</div>
<p><i><font size=1 color=black face=Arial><span style='font-size:9.0pt;
font-family:Arial;color:black;font-style:italic'>The CDC and HHS logos are
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not be used for any purpose without prior express written permission. Use of
trade names and commercial sources is for identification only and does not
imply endorsement by the <st1:country-region w:st="on"><st1:place w:st="on">U.S.</st1:place></st1:country-region>
Department of Health and Human Services. </span></font></i><o:p></o:p></p>
<p><i><font size=1 color=black face=Arial><span style='font-size:9.0pt;
font-family:Arial;color:black;font-style:italic'>Links to non-Federal
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font-family:Arial;color:black;font-weight:bold;font-style:italic'>Please send
us your feedback or comments: <a
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<p style='margin-bottom:12.0pt'><em><i><font size=1 color=black face=Arial><span
style='font-size:9.0pt;font-family:Arial;color:black'>Our Clinician
Communication Team is committed to excellence in reporting our weekly updates.
Please e-mail </span></font></i></em><font size=1 color=black face=Arial><span
style='font-size:9.0pt;font-family:Arial;color:black'><a
href="mailto:coca@cdc.gov"><em><i><font face=Arial><span style='font-family:
Arial'>coca@cdc.gov</span></font></i></em></a><em><i><font face=Arial><span
style='font-family:Arial'> should you note any written errors or
discrepancies.</span></font></i></em><i><span style='font-style:italic'><br>
<br>
<em><i><font face=Arial><span style='font-family:Arial'>If you need to
unsubscribe or update your information, please email </span></font></i></em></span></i><em><i><font
face=Arial><span style='font-family:Arial;font-style:normal'><a
href="mailto:coca@cdc.gov"><i><font face="Times New Roman"><span
style='font-family:"Times New Roman";font-style:italic'>coca@cdc.gov</span></font></i></a>
</span></font></i></em><a href="http://www.bt.cdc.gov/clinregistry/"><i><span
style='font-style:italic'><br>
</span></i></a><br>
<em><i><font face=Arial><span style='font-family:Arial'>If you need further
information or technical help, please send an e-mail message to: </span></font></i></em><a
href="mailto:coca@cdc.gov"><em><i><font face=Arial><span style='font-family:
Arial'>coca@cdc.gov</span></font></i></em></a></span></font><o:p></o:p></p>
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<p><font size=3 face="Times New Roman"><span style='font-size:12.0pt'><a
href="http://emergency.cdc.gov/coca/pdf/communicating_with_clinicians.pdf"></a></span></font><!--[if gte vml 1]><v:shapetype
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href="http://emergency.cdc.gov/coca/pdf/communicating_with_clinicians.pdf"><img
border=0 width=70 height=88 src="cid:image003.jpg@01CABAC3.60B2CC80"
align=left hspace=5 alt="http://www.cdc.gov/flu/coca/images/CCTflyer.jpg"
v:shapes="_x0000_s1026"></a><![endif]><a
href="http://emergency.cdc.gov/coca/pdf/communicating_with_clinicians.pdf"></a><font
size=1 color=black face=Arial><span style='font-size:9.0pt;font-family:
Arial;color:black'><br>
</span></font><strong><b><font size=1 color=black face=Arial><span
style='font-size:7.5pt;font-family:Arial;color:black'>Communicating With
Clinicians</span></font></b></strong><font size=1 color=black face=Arial><span
style='font-size:7.5pt;font-family:Arial;color:black'><br>
CDC currently employs several mechanisms to communicate with clinicians on
topics of urgent concern and interest.<br>
<u><a
href="http://emergency.cdc.gov/coca/pdf/communicating_with_clinicians.pdf"><font
face="Times New Roman"><span style='font-family:"Times New Roman"'>Download
this flyer to find out more</span></font></a></u></span></font><o:p></o:p></p>
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style='font-size:12.0pt'><a href="http://www.hhs.gov/"><b><font size=1
face=Arial><span style='font-size:9.0pt;font-family:Arial;font-weight:
bold;text-decoration:none'><img border=0 width=80 height=81
id="_x0000_i1029" src="cid:image004.gif@01CABAC3.60B2CC80"></span></font></b></a><o:p></o:p></span></font></p>
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style='font-size:12.0pt'><a href="http://www.cdc.gov/"><b><font size=1
face=Arial><span style='font-size:9.0pt;font-family:Arial;font-weight:
bold;text-decoration:none'><img border=0 width=89 height=65
id="_x0000_i1027" src="cid:image006.gif@01CABAC3.60B2CC80"></span></font></b></a><o:p></o:p></span></font></p>
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