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BACKGROUND Despite preventive efforts, influenza epidemics are responsible for substantial morbidity and mortality every year in the United States (US). Vaccination strategies to reduce disease burden have been implemented. However, no previous studies have systematically estimated the annual economic burden of influenza epidemics, an estimate necessary to(More)
School closures are used to reduce seasonal and pandemic influenza transmission, yet evidence of their effectiveness is sparse. In Argentina, annual winter school breaks occur during the influenza season, providing an opportunity to study this intervention. We used 2005-2008 national weekly surveillance data of visits to a health care provider for(More)
BACKGROUND Measles was declared eliminated from the United States in 2000 but remains endemic worldwide. In 2005, a 17-year-old unvaccinated girl who was incubating measles returned from Romania, creating the largest documented outbreak of measles in the United States since 1996. METHODS We conducted a case-series investigation, molecular typing of viral(More)
BACKGROUND One of the United States' national health objectives for 2010 is that 95% of children aged <6 years participate in fully operational population-based immunization information systems (IIS). Despite important progress, child participation in most IIS has increased slowly, in part due to limited economic knowledge about IIS operations. Should IIS(More)
BACKGROUND Economic assessments that guide policy making on immunizations are becoming increasingly important in light of new and anticipated vaccines for adolescents. However, important considerations that limit the utility of these assessments, such as the diversity of approaches used, are often overlooked and should be better understood. OBJECTIVE Our(More)
The Rural Policy Research Institute provides objective analyses and facilitates dialogue concerning public policy impacts on rural people and places. President Clinton signed into law The Personal Responsibility and Work Opportunity Reconciliation Act. Title I of this new law (PL104-193) radically altered the nation's welfare system, through a comprehensive(More)
Sanitation workers (SW) are exposed to a wide range of biological, chemical, and physical hazards. Needlestick injuries constitute a recognized physical hazard, but few studies have been conducted to document the magnitude of the problem among SW. Contaminated sharp objects can transmit bloodborne pathogens, such as human immunodeficiency (HIV), hepatitis B(More)
  • Jessica Leung, Alison Rue, +4 authors Jane F Seward
  • 2008
Two national surveys were conducted to evaluate the status of varicella case-based surveillance and outbreak response. Although progress toward national surveillance has been significant, a large number of jurisdictions are still without case-based surveillance. For jurisdictions beginning case-based surveillance with limited resources, a staged approach is(More)
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