Summary of notifiable noninfectious conditions and disease outbreaks -- United States
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  • English

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      With this 2016 Summary of Notifiable Noninfectious Conditions and Disease Outbreaks — United States, CDC is publishing official statistics for the occurrence of nationally notifiable noninfectious conditions and disease outbreaks for the second time in the same volume of MMWR as the annual Summary of Notifiable Infectious Diseases and Conditions (1). As was the case for the 2015 Summary of Notifiable Noninfectious Conditions and Disease Outbreaks (2), this joint publication is the result of a request by the Council of State and Territorial Epidemiologists (CSTE) to provide readers with information on all nationally notifiable conditions and disease outbreaks in a single publication.

      The 2016 Summary of Notifiable Noninfectious Conditions and Disease Outbreaks includes for the first time a chapter on acute pesticide-related illness and injury from nonoccupational pesticide exposure whereas the 2015 Summary of Notifiable Noninfectious Conditions and Disease Outbreaks included only acute pesticide- related illness and injury from occupational exposure (2). This summary includes seven chapters addressing the following subjects: acute pesticide-related illness and injury arising from occupational exposure (3), acute nonoccupational pesticide-related illness and injury (4), cancer (5), elevated blood lead levels among children (6), elevated blood lead levels among adults (7), silicosis (8), and foodborne and waterborne disease outbreaks (9).

      Information on elevated lead exposure is provided in two separate chapters (6,7) because the principal source of elevated blood lead levels in children (lead paint in homes) is different from the principal source in adults (lead exposure at work). Responsibilities for monitoring blood lead levels are assigned to different Centers at CDC. The National Center for Environmental Health (NCEH) has primary responsibility for preventing disease from environmental hazards (principally nonoccupational) and manages the Childhood Blood Lead Surveillance (CBLS) system (7). The National Institute for Occupational Safety and Health (NIOSH) is responsible for preventing disease from workplace hazards and manages the Adult Blood Lead Epidemiology and Surveillance (ABLES) system (6). Information on acute pesticide-related illness and injury also is provided in separate chapters for occupational and nonoccupational exposure (3,4). NIOSH led preparation of the chapter on acute occupational pesticide-related illness and injury (3), and NCEH led preparation of the chapter on acute nonoccupational pesticide-related illness and injury (4). NCEH obtained data on acute nonoccupational pesticide related illness from the NIOSH Sentinel Event Notification System for Occupational Risks (SENSOR)–Pesticides program, which collects data from some states on both occupational and nonoccupational cases.

      Each of the seven chapters in this summary presents the most recent statistics available to the applicable CDC program. Local, state, and territorial health departments and other agencies in their jurisdictions (e.g., departments of labor, environmental protection agencies, cancer registries, and their agents) submit data to the National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP), the National Center for Emerging and Zoonotic Infectious Diseases (NCEZID), NCEH, and NIOSH.

      CDC’s Center for Surveillance, Epidemiology, and Laboratory Services (CSELS) coordinated the development and publication of this annual summary. Comments and suggestions from readers on this new combined publication are encouraged, including ones about whether the information presented could be made more useful. Comments should be sent to the following e-mail account: NNDSSweb@cdc.gov, and display the term “Noninfectious Disease MMWR Report” in the subject line.

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