Proposed definitions for epidemiologic and clinical studies of Mycobacterium avium complex pulmonary disease.

Background: Epidemiologic and clinical studies of Mycobacterium avium complex (MAC) pulmonary disease typically use strict ATS/IDSA definitions designed for decisions about treatment. Studies based on these criteria may exclude a substantial number of patients with true disease. We reviewed patients treated for MAC pulmonary disease at an academic medical center to propose revised definitions encompass the full spectrum of MAC pulmonary disease.

Risk factors for elevated blood lead levels among African refugee children in New Hampshire, 2004.

Objectives: Surveillance blood lead screening of refugee children resettled in Manchester, NH, in 2004 revealed that 39 (42%) of 92 children had elevated levels (>or=10 microg/dL) after resettlement. Furthermore, 27/92 children (29%) had nonelevated screening blood lead levels on arrival (BLL1) but had elevated follow-up blood lead levels 3-6 months after settlement (BLL2). The main objective was to identify risk factors for increasing lead levels among refugee children after resettlement in Manchester in 2004.

Epidemic preparedness in New Hampshire: assessment of increased airborne infection isolation capacity 1 year after distribution of portable isolation units.

We surveyed hospital personnel regarding their preparedness to use and their actual use of portable isolation units that were distributed to increase facilities' capacity to place patients under airborne infection isolation precautions. Although personnel reported feeling prepared to use portable isolation units, the effectiveness of the unit deployment program would be enhanced by retrofitted rooms and an improved ability to monitor negative air pressure.

Congenital rubella syndrome in a child born to Liberian refugees: clinical and public health perspectives.

We describe a case of congenital rubella syndrome with typical stigmata in an infant born in New Hampshire to Liberian refugees. The infant's clinical specimens were tested for rubella. Rubella immunity status was sought for contacts.

Cuterebra cutaneous myiasis, New Hampshire, 2004.

We describe a cluster of patients in New Hampshire with Cuterebra cutaneous myiasis.