Here are what the editors at HealthDay consider to be the most important developments in Infectious Disease for September 2019. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.

CDC Says People Can Contract Tuberculosis From Deer

MONDAY, Sept. 30, 2019 (HealthDay News) — According to the U.S. Centers for Disease Control and Prevention, humans can contract a rare type of tuberculosis, called bovine tuberculosis, from deer.

CNN Article
More Information: CDC

Crude Incidence of Candidemia 8.7 Per 100,000 in 2012 to 2016

MONDAY, Sept. 30, 2019 (HealthDay News) — The crude incidence of candidemia was 8.7 per 100,000 population across four states in 2012 to 2016, according to a surveillance summary published in the Sept. 27 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Cases of Legionnaires’ Disease Tied to NC State Fair Rise to 25

FRIDAY, Sept. 27, 2019 (HealthDay News) — The number of cases of Legionnaires’ disease tied to the North Carolina Mountain State fair has risen to 25, with one death, according to the state division of public health.

CNN Article
More Information: CDC

Infectious Disease Consultation May Lower Candida Mortality

FRIDAY, Sept. 27, 2019 (HealthDay News) — Mortality is lower for patients with candida bloodstream infection receiving an infectious disease consultation, according to a study published online Sept. 24 in The Lancet Infectious Diseases.

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Average Annual Premium for Workers Increased in 2019

THURSDAY, Sept. 26, 2019 (HealthDay News) — In 2019, the average annual health insurance premium for workers increased slightly for single coverage and family coverage, according to a report published online Sept. 25 in Health Affairs.

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Racial/Ethnic Disparities in Mortality Persist in the U.S.

WEDNESDAY, Sept. 25, 2019 (HealthDay News) — There are still racial and ethnic disparities in mortality, and these disparities are widening for some age groups, according to a study published online Sept. 24 in the American Journal of Preventive Medicine.

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Percentage of Women in Internal Med Residencies Increasing

TUESDAY, Sept. 24, 2019 (HealthDay News) — From 1999 to 2016, the percentage of women in internal medicine residencies increased, but the percentage in subspecialty fellowships decreased, according to a research letter published online Sept. 23 in JAMA Internal Medicine.

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Connecticut Sees First Death This Year From Mosquito-Borne EEE

MONDAY, Sept. 23, 2019 (HealthDay News) — A Connecticut resident has died from eastern equine encephalitis (EEE), the first such death in the state since 2013, health officials report. In addition, another person in the state has contracted the infection, as an outbreak grows.

CNN Article
More Information: CDC

Guideline Updated for Prevention, Management of Hep C in CKD

MONDAY, Sept. 23, 2019 (HealthDay News) — In a synopsis of the 2018 Kidney Disease: Improving Global Outcomes (KDIGO) clinical practice guideline, published online Sept. 24 in the Annals of Internal Medicine, updated recommendations are presented for the prevention, diagnosis, treatment, and management of hepatitis C virus (HCV) infection in adults with chronic kidney disease (CKD).

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Protected Health Info Breaches Compromise Sensitive Data

MONDAY, Sept. 23, 2019 (HealthDay News) — Most protected health information (PHI) breaches compromise sensitive demographic and/or financial information, according to a research letter published online Sept. 23 in the Annals of Internal Medicine.

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Emergency Departments Need to Up HIV Testing, Linkage to Care

MONDAY, Sept. 23, 2019 (HealthDay News) — HIV testing in South African emergency departments shows a high prevalence and incidence of HIV, as well as significant attrition along the HIV care cascade for HIV-positive individuals, according to a study published online Aug. 18 in EClinicalMedicine.

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Racial/Ethnic Disparities Seen in PrEP Awareness, Discussions

FRIDAY, Sept. 20, 2019 (HealthDay News) — Considerable racial/ethnic disparities exist in HIV preexposure prophylaxis (PrEP) awareness, discussion, and use among men who have sex with men (MSM), according to research published in the Sept. 20 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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CDC: Valley Fever Cases Increased From 2014 to 2017

THURSDAY, Sept. 19, 2019 (HealthDay News) — Coccidioidomycosis is still a national public health problem, and the number of cases has increased in recent years, according to research published in the Sept. 20 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Medical Students Not Ready to Provide Nutritional Care

THURSDAY, Sept. 19, 2019 (HealthDay News) — Medical education does not equip students to provide high-quality, effective nutrition care, according to a review published in the September issue of The Lancet Planetary Health.

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Increasing DTP3 Coverage Tied to Drop in Diphtheria Cases in Under 15s

THURSDAY, Sept. 19, 2019 (HealthDay News) — The proportion of diphtheria case-patients younger than 15 years of age decreased as diphtheria-tetanus-pertussis (DTP) 3 coverage increased, according to a study published in the October issue of Emerging Infectious Diseases, a publication of the U.S. Centers for Disease Control and Prevention.

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12.6 Million in U.S. Could Benefit From Tx to Prevent Active TB

WEDNESDAY, Sept. 18, 2019 (HealthDay News) — An estimated 12.6 million persons in the United States could benefit from treatment to prevent active tuberculosis (TB), according to a report published in the October issue of Emerging Infectious Diseases, a publication of the U.S. Centers for Disease Control and Prevention.

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2002 to 2016 Saw Rise in Drug Abuse-Linked Infective Endocarditis

WEDNESDAY, Sept. 18, 2019 (HealthDay News) — The incidence of infective endocarditis (IE) associated with drug abuse (DA) increased from 2002 to 2016 in the United States, with increases seen in all regions, according to a study published online Sept. 18 in the Journal of the American Heart Association.

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Aortic, Mitral Regurgitation Risk Up With Fluoroquinolone Use

WEDNESDAY, Sept. 18, 2019 (HealthDay News) — The risk for aortic and mitral regurgitation is increased with current and recent fluoroquinolone (FQ) use, according to a study published in the Sept. 17 issue of the Journal of the American College of Cardiology.

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Initiating Empirical Tx for Sepsis Reduces Blood Culture Sensitivity

TUESDAY, Sept. 17, 2019 (HealthDay News) — When empirical antimicrobial therapy is initiated in patients with severe manifestations of sepsis, the sensitivity of blood cultures drawn shortly after treatment initiation is reduced, according to a study published online Sept. 17 in the Annals of Internal Medicine.

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High-Risk Antibiotic Use Linked to Hospital-Associated C. Difficile

TUESDAY, Sept. 17, 2019 (HealthDay News) — Hospital-level high-risk antibiotic use is associated with the risk for hospital-associated (HA) Clostridioides difficile infection (CDI), according to a study published online Sept. 16 in Infection Control & Hospital Epidemiology.

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Men Less Knowledgeable About HPV, HPV Vaccination

TUESDAY, Sept. 17, 2019 (HealthDay News) — Men are less knowledgeable than women about human papillomavirus (HPV), HPV vaccination, and the correlation between HPV and cancer, according to a research letter published online Sept. 16 in JAMA Pediatrics.

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No New U.S. Measles Cases Reported Last Week

MONDAY, Sept. 16, 2019 (HealthDay News) — The measles outbreak that has spread throughout the United States may be winding down as no new cases were reported last week, health officials said Monday.

AP News Article
More Information: CDC

Room for Improvement Found in HPV Vaccine Delivery Practices

MONDAY, Sept. 16, 2019 (HealthDay News) — There are areas for improvement for pediatricians and family physicians (FPs) in recommendation and delivery methods for the human papillomavirus (HPV) vaccine, according to a study published online Sept. 16 in Pediatrics.

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Hep C-Viremic Kidneys Increasingly Used for Transplant

THURSDAY, Sept. 12, 2019 (HealthDay News) — Hepatitis C virus (HCV)-viremic kidneys are increasingly being used for transplants and seem to have good one-year outcomes, according to a study published online Sept. 12 in the Journal of the American Society of Nephrology.

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H. Pylori Treatment May Reduce Gastric Cancer Incidence, Death

THURSDAY, Sept. 12, 2019 (HealthDay News) — Helicobacter pylori treatment, vitamin supplementation, and garlic supplementation are associated with a reduced risk for gastric cancer mortality, according to a study published online Sept. 11 in The BMJ.

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HIV Infection May Raise Risk for Atrial Fibrillation

THURSDAY, Sept. 12, 2019 (HealthDay News) — HIV infection is independently associated with an increased risk for atrial fibrillation (AF), according to a research letter published in the Sept. 17 issue of the Journal of the American College of Cardiology.

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EPA to Phase Out Chemical Testing on Mammals

WEDNESDAY, Sept. 11, 2019 (HealthDay News) — The eventual elimination of chemical testing on mammals was announced Tuesday by the U.S. Environmental Protection Agency.

The New York Times Article
More Information: EPA

New Strain of S. pyogenes Causing Scarlet Fever in U.K.

WEDNESDAY, Sept. 11, 2019 (HealthDay News) — A new strain of Streptococcus pyogenes is causing scarlet fever, according to a study published online Sept. 10 in The Lancet Infectious Diseases.

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Spending Up With Treatment in Hospital-Owned Practices

WEDNESDAY, Sept. 11, 2019 (HealthDay News) — Financial integration between physicians and hospitals raises patient spending but does not impact care quality, according to a study published online Sept. 3 in the Journal of General Internal Medicine.

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Herd Protection Against Oral HPV Infections Seen Among Men

TUESDAY, Sept. 10, 2019 (HealthDay News) — In unvaccinated men aged 18 to 59 years, the prevalence of vaccine-type oral human papillomavirus (HPV) decreased between 2009 to 2010 and 2015 to 2016, according to a research letter published in the Sept. 10 issue of the Journal of the American Medical Association.

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Poverty Rate Drops, but Fewer Americans Have Health Insurance

TUESDAY, Sept. 10, 2019 (HealthDay News) — The percentage of Americans living in poverty declined in 2018, but the rate of those without health insurance increased, according to a U.S. Census Bureau report.

The New York Times Article
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California Passes Laws to Reduce Fake Medical Exemptions for Vaccines

TUESDAY, Sept. 10, 2019 (HealthDay News) — Bills to reduce fake medical exemptions for school children’s vaccinations were signed into law Monday by California Governor Gavin Newsom.

AP News Article

Two More Cases of EEE Virus Confirmed in Massachusetts

MONDAY, Sept. 9, 2019 (HealthDay News) — Two new human cases of mosquito-borne Eastern equine encephalitis were confirmed on Friday by the Massachusetts Department of Public Health.

CNN Article
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Model Estimates Effect of Probiotics on Costs for Flu-Like Illnesses

MONDAY, Sept. 9, 2019 (HealthDay News) — Probiotics could reduce the health care and economic burden of flu-like respiratory tract infections (RTIs), according to a study published online Aug. 28 in Frontiers in Pharmacology.

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Racial, Ethnic Underrepresentation Found in Med School Matriculants

FRIDAY, Sept. 6, 2019 (HealthDay News) — Among medical school matriculants, black, Hispanic, and American Indian or Alaska Native (AIAN) students are underrepresented, according to a study published online Sept. 4 in JAMA Network Open.

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ATS Guideline Outlines Lab Tests for Diagnosis of Fungal Infections

FRIDAY, Sept. 6, 2019 (HealthDay News) — Rapid and accurate diagnosis of fungal infections relies on appropriate use of diagnostic testing, according to the official American Thoracic Society clinical practice guideline published in the Sept. 1 issue of the American Journal of Respiratory and Critical Care Medicine.

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1971 to 2017 Saw 32 Drinking Water Hepatitis A Outbreaks

FRIDAY, Sept. 6, 2019 (HealthDay News) — Thirty-two outbreaks of hepatitis A associated with drinking water were identified during 1971 to 2017, and all occurred before 2010, according to research published in the Sept. 6 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Majority of U.S. Doctors Believe ACA Has Improved Access to Care

THURSDAY, Sept. 5, 2019 (HealthDay News) — Sixty percent of U.S. physicians believe that the Affordable Care Act (ACA) has improved access to care and insurance after five years of implementation, according to a report published in the September issue of Health Affairs.

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New Facebook, Instagram Pop-Ups Counter Vaccine Misinformation

THURSDAY, Sept. 5, 2019 (HealthDay News) — Educational pop-up windows will now appear on Facebook and Instagram when people search for vaccine-related content.

CNN Article

California Bill Targets Doctors Who Sell Fake Vaccine Medical Exemptions

WEDNESDAY, Sept. 4, 2019 (HealthDay News) — A bill that targets doctors who sell fraudulent medical exemptions for vaccinations was passed Tuesday by California’s state Assembly.

AP News Article

Decreased Humoral Immunity to Mumps Seen in Young Adults

WEDNESDAY, Sept. 4, 2019 (HealthDay News) — The frequency of circulating memory B cells (MBCs) specific for mumps is much lower than that of those specific for measles and rubella among healthy college-aged students who were vaccinated in childhood, according to a study published online Sept. 2 in the Proceedings of the National Academy of Sciences.

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Proximity to Outbreak May Affect Attitudes in Vaccine Doubters

WEDNESDAY, Sept. 4, 2019 (HealthDay News) — Individuals with low trust in government health institutions who live close to recent measles outbreaks are likely to have more positive attitudes toward vaccination than those living farther away, according to a study published online Aug. 28 in PLOS ONE.

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Officials Say New York City Measles Outbreak Over

TUESDAY, Sept. 3, 2019 (HealthDay News) — The New York City measles outbreak is over and the public health emergency that was declared on April 9 for parts of Brooklyn has ended, New York Mayor Bill de Blasio said Tuesday.

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Pediatric Flu Vaccine Guidelines Updated for 2019-20 Season

TUESDAY, Sept. 3, 2019 (HealthDay News) — In a policy statement published online Sept. 2 in Pediatrics, updated recommendations are presented regarding influenza vaccines for children, with no preference for any one product or formulation over another.

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