In 1986, the Centers for Disease Control (CDC) implemented the Model Performance Evaluation Program (MPEP) to evaluate the performance of laboratories that test for antibody directed against human immunodeficiency virus type 1 (HIV-1). The impetus for developing this program came from the recognition of a need to assess the quality of existing and changing laboratory technology and to ensure that the quality of testing was sufficient to meet medical and public health needs. To develop the program, CDC chose HIV-1 antibody testing as the first specific application for assessing the quality of laboratory performance because (a) of the importance of accurate and reproducible test results for acquired immunodeficiency syndrome (AIDS) surveillance, prevention, and treatment programs; (b) HIV-1 testing technology is new to many laboratories; and (c) HIV-1 testing practices and applications continue to evolve. Unlike proficiency testing programs, the MPEP is not limited to assessing quality in the analytical step, alone. It will also assess quality in the preanalytical and postanalytical steps of the testing process, that is, from the time a test is requested until the clinician who ordered the test takes an action based on the test result. The participating laboratories furnish the information needed for the performance evaluation program by (a) completing questionnaires designed to describe HIV-1 testing laboratories and their testing practices, (b) analyzing specially prepared sample panels for HIV-1 antibody reactivity, and (c) reporting results to CDC.
An objective of the Centers for Disease Control (CDC) family of HIV seroprevalence surveys, conducted by State and local health departments, is the collection of seroprevalence data that may be useful in managing public health programs. In prevention...
Sallis, J F; Hovell, M F; Hofstetter, C R; Elder, J P; Hackley, M; Caspersen, C J; Powell, K E;
Published Date:
1990 Mar-Apr
Source:
Public Health Rep. 105(2):179-185
Description:
Although personal determinants of exercise behavior have been studied extensively, few investigators have examined the influence of the physical environment on exercise habits. A random sample of 2,053 residents of San Diego, CA, were surveyed regard...
Post-traumatic stress disorder (PTSD) can be a serious aftermath of catastrophic events such as war. The incidence of PTSD appears to be high among Vietnam veterans. PTSD can be extremely disruptive to a person's physical and mental well-being, famil...
Blood donors make up the largest group in the United States that is tested for human immunodeficiency virus, type 1 (HIV) antibody. The blood donor population is ideal for detecting and quantifying uncommon or unrecognized modes of HIV transmission i...
Roffman, R A; Gillmore, M R; Gilchrist, L D; Mathias, S A; Krueger, L;
Published Date:
1990 Mar-Apr
Source:
Public Health Rep. 105(2):202-208
Description:
To assess the need for acquired immunodeficiency syndrome (AIDS) prevention counseling for gay and bisexual men who were continuing to engage in unsafe sex, a nonprobability telephone survey--the data may not be generalizable to the population--was c...
Petersen, L R; Calonge, N B; Chamberland, M E; Engel, R H; Herring, N C;
Published Date:
1990 Mar-Apr
Source:
Public Health Rep. 105(2):158-162
Description:
Primary care outpatients provide a good sentinel population for monitoring levels and trends of HIV infection in the United States. Because a broad cross section of the population seeks primary medical care, excess blood from specimens routinely coll...
Pappaioanou, Marguerite; George, J. Richard; Hannon, W. Harry; Gwinn, Marta; Dondero, Timothy J.; Grady, George F.; Hoff, Rodney; Willoughby, Anne D.; Wright, Audrey; Novello, Antonia C.; Curran, James W.;
Published Date:
1990 Mar-Apr
Source:
Public Health Rep. 105(2):147-152
Description:
A seroprevalence survey of human immunodeficiency virus (HIV) among childbearing women is being conducted in 43 States and Territories as one of the family of HIV seroprevalence surveys. This blinded survey, in which serologic test results are not li...
Onorato, I M; McCray, E; Pappaioanou, M; Johnson, R; Aral, S; Hardy, A M; Dondero, T J;
Published Date:
1990 Mar-Apr
Source:
Public Health Rep. 105(2):119-124
Description:
The Centers for Disease Control, in cooperation with State and local health departments, is conducting human immunodeficiency virus, type 1 (HIV), seroprevalence surveys, using standard protocols, in sexually transmitted disease (STD) clinics in sele...
Pappaioanou, Marguerite; Dondero, Timothy J.; Petersen, Lyle R.; Onorato, Ida M.; Sanchez, Carolyn D.; Curran, James W.;
Published Date:
1990 Mar-Apr
Source:
Public Health Rep. 105(2):113-119
Description:
During 1987-89, the Centers for Disease Control (CDC), in collaboration with State and local health departments, other Federal agencies, blood collection agencies, and medical research institutions, implemented a national sentinel surveillance system...
While the hazards of chronic environmental pollution remain unclear, people are making decisions about their exposure to pollution and its possible effects on their health. To compare people's concerns about environmental problems, a systematic, stra...
St Louis, M E; Olivo, N; Critchley, S; Rauch, K J; White, C R; Munn, V P; Dondero, T J;
Published Date:
1990 Mar-Apr
Source:
Public Health Rep. 105(2):140-146
Description:
The U.S. sentinel hospital surveillance system for human immunodeficiency virus (HIV) infection includes approximately 40 short-stay hospitals located in 31 metropolitan areas in the United States and Puerto Rico. Several hospitals began testing in l...
Jones, T S; Allen, D M; Onorato, I M; Petersen, L R; Dondero, T J; Pappaioanou, M;
Published Date:
1990 Mar-Apr
Source:
Public Health Rep. 105(2):125-130
Description:
Sharing of equipment used to inject illicit drugs intravenously is a risk factor for human immunodeficiency virus (HIV) infection and acquired immunodeficiency syndrome (AIDS). Systematic surveillance of HIV infection among intravenous drug users (IV...
Seven published and two unpublished surveys of Native American school children's use of smokeless tobacco (ST) are reviewed. The surveys represent school children in the States of South Dakota, Montana, Nebraska, Washington, Arizona, New Mexico, and ...
McCray, Eugene; Onorato, Ida M.; Miller, Bess I.; Dondero, Timothy J.; Bloch, Aalan B.;
Published Date:
1990 Mar-Apr
Source:
Public Health Rep. 105(2):135-140
Description:
Symptomatic tuberculosis (TB) can occur as an opportunistic disease in immunosuppressed persons who are infected with human immunodeficiency virus (HIV) and who have been previously infected with Mycobacterium tuberculosis. Increases in TB cases have...
Allen, D M; Lee, N C; Schulz, S L; Pappaioanou, M; Dondero, T J; Onorato, I M;
Published Date:
1990 Mar-Apr
Source:
Public Health Rep. 105(2):130-134
Description:
Human immunodeficiency virus, type 1 (HIV), seroprevalence studies are needed to determine the level and trends of HIV infection among women attending family planning, abortion, and prenatal care clinics in the United States. A review of published an...
Collins, Carlyn L.; Mullan, Robert J.; Moseley, Robin R.;
Published Date:
1991 Nov-Dec
Source:
Public Health Rep. 106(6):727-732
Description:
At the Centers for Disease Control (CDC), educational activities concerning acquired immunodeficiency syndrome (AIDS) are directed to many target audiences; important among these are health care and public safety workers. Several CDC programs are des...
Onorato, I M; McCray, E; Pappaioanou, M; Johnson, R; Aral, S; Hardy, A M; Dondero, T J;
Published Date:
1990 Mar-Apr
Source:
Public Health Rep. 105(2):119-124
Description:
The Centers for Disease Control, in cooperation with State and local health departments, is conducting human immunodeficiency virus, type 1 (HIV), seroprevalence surveys, using standard protocols, in sexually transmitted disease (STD) clinics in sele...
Since acquired immunodeficiency virus (AIDS) was first identified in 1981, it has become one of the leading causes of death in men and women 25-44 years of age in the United States. The urgent public health response to the human immunodeficiency viru...