• Any immunizations or vaccines recommended for public school students by TDSHS. (tsbvi.edu)
  • The Australian Immunisation Register (AIR) is an important record of vaccines given to all individuals in our community. (health.gov.au)
  • This report compiles and summarizes all published recommendations from CDC's Advisory Committee on Immunization Practices (ACIP) for use of pneumococcal vaccines in adults aged ≥19 years in the United States. (cdc.gov)
  • The public health nurses provide publicly funded vaccines, answer your questions and check vaccine records to see if you or your family members are up to date. (vch.ca)
  • Student Health Services offers some immunizations and travel vaccines to students. (udel.edu)
  • The Immunization section (variable name prefix IMQ) provides personal interview data on immunization with hepatitis A, hepatitis B. and pneumococcal vaccines. (cdc.gov)
  • Fully immunised' refers to vaccines on the National Immunisation Program Schedule, but excludes rotavirus, and is outlined in more detail below. (health.gov.au)
  • In August 2020, the Seventy-third World Health Assembly, through the written silence procedure, adopted decision WHA73(9), in which it endorsed the new global vision and overarching strategy for vaccines and immunization: Immunization Agenda 2030 (IA2030). (who.int)
  • Each year, top disease experts-including pediatricians-work together to decide which vaccines to include in the Recommended Child and Adolescent Immunization Schedule for ages 18 years or younger. (healthychildren.org)
  • The booklet Standing Orders for Immunizations 2023-2024 has been updated to add the latest standing orders for influenza (adult and pediatric) and pneumococcal (pediatric) vaccines. (health.mil)
  • They assist with the safe and effective implementation of DOD's immunization programs, coordinate redistribution of vaccines when needed, and engage during potential immunization storage or handling temperature excursions. (health.mil)
  • Although immunization health care specialists ensure the MTFs always follow the standard guidelines for all DOD immunization efforts, the COVID-19 vaccines presented unique challenges that required adapting standard protocols to properly handle, transport, and store the vaccines. (health.mil)
  • It provides instructions for rabies exposure treatment (local treatment, cell culture, and vaccination), and for intradermal immunization (choice of vaccines, when use immunization, techniques, and si. (bvsalud.org)
  • A descriptive cross-sectional design was used for this study with the Immunization) was an integral part of early control efforts aid of semi-structured interviewer-administered questionnaire to after which polio vaccines were used for routine assess the knowledge, attitude and perception of mothers of under- immunization programs. (who.int)
  • Local communities exhibited extraordinary cooperation with vaccination teams in providing them with vaccination stations and bringing their children to be vaccinated. (who.int)
  • Describe the current context of adult immunization including the CDC recommended schedule, vaccination rates, and burden of disease. (surveymonkey.com)
  • If your child starts kindergarten this fall, bring them to an immunization clinic to catch up on other shots that might have been missed as part of a child's infant vaccination series. (vch.ca)
  • Provide proof of vaccination per CDC and Washington State guideline for healthcare workers. (bellevuecollege.edu)
  • The Centers for Medicare & Medicaid Services (CMS) considers influenza immunization rates a measure of quality of care in various settings, and it has charged its quality improvement organization contractors with promoting vaccination. (annfammed.org)
  • The process, ongoing since December 2020, involves IHD's immunization health care specialists at four regional safety vaccine hubs across the United States assisting DOD MTFs around the world to ensure COVID-19 vaccination operations follow the eight standards for military immunization , a set of guidelines IHD developed from a combination of Centers for Disease Control and Prevention-issued recommendations and joint DOD-issued policy. (health.mil)
  • August is National Immunization Awareness Month , an observance to acknowledge the importance of routine vaccination for people of all ages. (cdc.gov)
  • Immunization (vaccination) helps the body defend itself against diseases caused by certain bacteria or viruses. (msdmanuals.com)
  • Immunity (the ability of the body to defend itself against diseases caused by certain bacteria or viruses) may occur naturally (when people are exposed to bacteria or viruses), or doctors may provide it through vaccination. (msdmanuals.com)
  • However, there is dearth of information on knowledge, attitude and perception of mothers of under-five towards vaccination during supplementary immunization activities. (who.int)
  • Immunization is one of the most effective public health vaccination coverage in Nigeria has shown an upward interventions available, which involves conferring shift over the past 10 years. (who.int)
  • The resolution in 1988 to five towards the vaccination during supplementary immunization eradicate polio globally led to the development of campaign between 2019 and 2021. (who.int)
  • Acquire an official copy of your immunization record from your healthcare provider, school or public health department OR have your healthcare provider complete and sign UD's 2023-2024 immunization form . (udel.edu)
  • Due to the high volume of requests, if you need a copy of your immunization record within the next 5 business days, please contact your health care provider. (maine.gov)
  • If you lost your COVID-19 vaccine card, you can request a copy of your immunization record, which includes the same information as the vaccine card, by completing the request form below. (maine.gov)
  • and representatives of national immunization technical advisory groups, academia, non-health sectors, non-State actors and development partners from low-, middle- and high-income countries. (who.int)
  • 6. The Regional Committee is invited to review the proposed Regional Strategic Plan for the Expanded Programme on Immunization, 2006-2009 and adopt it and the attached resolution for use to support the strengthening of national immunization programmes in the African Region. (who.int)
  • From 1 July 2023, changes to the National Immunisation Program are coming into effect. (health.gov.au)
  • From 15 April 2023, you can use the new COVID-19 and Influenza Immunisation History Statement from the Australian Immunisation Register. (health.gov.au)
  • We are seeking expressions of interest to fill 7 vacancies on the Australian Technical Advisory Group on Immunisation (ATAGI), commencing 1 July 2023. (health.gov.au)
  • Students may submit UD's 2023-2024 immunization form or an official copy of their immunization records from their healthcare provider. (udel.edu)
  • It is also possible that depending on the influx of COVID-19 cases in a local community, some health care providers may not schedule in-person wellness visits, but will continue to offer immunizations, noted Air Force preventive medicine physician Lt. Col. (Dr.) Ruth Brenner, deputy chief of the Immunization Healthcare Division. (health.mil)
  • The Defense Health Agency Immunization Healthcare Division supports DOD immunization programs and provides clinical consultative services, educational support, and training resources for the entire DOD family. (health.mil)
  • The Defense Health Agency's Immunization Healthcare Division has been instrumental in ensuring that all the Department of Defense's military medical treatment facilities guarantee safety protocols during the complex process of receiving, distributing, storing, and administering COVID-19 vaccinations. (health.mil)
  • This fact sheet provides information about reporting vaccinations to the Australian Immunisation Register. (health.gov.au)
  • The Immunization Lifelong Learners Course is a two-day face-to-face course designed to ensure health care personnel are trained in vaccine policy, vaccine safety, and effectiveness based on the Joint Regulation on Immunizations and Chemoprophylaxis for the Prevention of Infectious Diseases, Advisory Committee on Immunization Practices guidelines, and Centers for Disease Control and Prevention recommendations for immunization practice. (health.mil)
  • For more information on altered immunocompetence and vaccine administration, see the Advisory Committee on Immunization Practices (ACIP) General Best Guidelines for Immunization: Altered Immunocompetence . (cdc.gov)
  • The vaccine requirements for the foster child and household children are based on Advisory Committee on Immunization Practices (ACIP) recommendations, not what the Colorado Dept. of Health requires for school. (westonaprice.org)
  • The AdventHealth Immunization Clinic will offer immunizations needed before the start of the school year. (kxxv.com)
  • Due to the pandemic, there is a strain on medical resources, so some clinics may not be able to support a full complement of immunization services or at the same location where immunizations may normally be received. (health.mil)
  • Immunization clinics provide seasonal and routine vaccinations, protecting us from the effects of a number of serious and potentially fatal infections and diseases like polio, diphtheria, measles and rubella. (vch.ca)
  • You can get routine immunizations for all ages at the Vancouver Coastal Health clinics and community health centres. (vch.ca)
  • Public Health will be holding measles immunization clinics for children. (fraserhealth.ca)
  • These clinics will only provide measles immunizations. (fraserhealth.ca)
  • Public Health Nurses provide a variety of low- or no-cost services in our health centers, mobile clinics and at public schools. (cchealth.org)
  • Contra Costa Public Health Immunization Clinics provide immunizations to children and adults. (cchealth.org)
  • Health Care for the Homeless also provides care in our Ambulatory Clinics as well as our Medical Respite Center . (cchealth.org)
  • Pediatric services are provided at most CCHS health centers including specialized pediatric clinics in Antioch, Brentwood, Concord, Pittsburg and North Richmond. (cchealth.org)
  • and supporting MTFs with mass immunization events, explained Brian Canterbury, one of the IHD's immunization health care specialists assigned to the South Atlantic Regional Vaccine Safety Hub (SARVSH), which covers 12 states, 334 clinics, U.S. Central Command, U.S. Southern Command, and U.S. Special Operations Command. (health.mil)
  • Public health is holding a measles immunization clinic in Mission on May 21, 2019. (fraserhealth.ca)
  • Since 2001, 19 countries have used measles immunization campaigns as a platform to integrate other child survival interventions, such as the distribution of vitamin A, insecticide-treated bednets, deworming medicine, and are exploring ways of integrating interventions in routine immunization services. (who.int)
  • Learn more about childhood immunisation and how to protect your kids with free routine immunisations. (health.gov.au)
  • Tables 1, 2 and 3 provide the latest quarterly report on childhood immunisation coverage from the Australian Childhood Immunisation Register (ACIR) for all children. (health.gov.au)
  • In those cases, the certifying agency must develop a written policy that includes (1) notifying the county agency when immunizations are not up-to-date, (2) prohibiting the placement if the legal parent or custodian does not approve the placement because the family is not up to date, and (3) assuring that the child's immunizations are up-to-date. (westonaprice.org)
  • The ITK is a comprehensive resource booklet based on military immunization policy, national recommendations, evidenced-based, peer-reviewed published medical literature, and clinical practice guidelines. (health.mil)
  • The Centers for Disease Control and Prevention continues to encourage childhood immunizations during the COVID-19 crisis, but recently updated its recommendations for health care providers to manage patient visits. (health.mil)
  • Many child care centers are allowing a grace period for childhood immunizations at this time, she noted. (health.mil)
  • We currently provide school-based health services to children and school aged students up to 19-21 years of age with mobile clinic health vans and through satellite health centers, located more than 40 campuses in Contra Costa County. (cchealth.org)
  • This 2-hour CE discusses vaccine recommendations, as outlined in the Centers for Disease Control and Prevention's Immunization Schedule. (cmelist.com)
  • In support of improving patient care, The Centers for Disease Control and Prevention is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. (cdc.gov)
  • The Texas Department of State Health Services (TDSHS) may modify or delete any of these immunizations or may require immunizations against additional diseases as a requirement for admission to any elementary or secondary school. (tsbvi.edu)
  • Immunizations also protect public health through herd immunity by preventing a widespread outbreak of highly infectious diseases, like measles or whooping cough. (health.mil)
  • European Immunization Week (EIW) is an annual regional initiative, coordinated by the World Health Organization Regional Office for Europe (WHO/Europe), to promote immunization against vaccine-preventable diseases since its launch in 2008. (wikipedia.org)
  • The initiative promotes the message that immunization of every child is vital in order to prevent diseases and protect life. (wikipedia.org)
  • EIW started out of a concern that immunization is becoming less valued because of the decline in the incidence of, and reduced fear of infectious diseases. (wikipedia.org)
  • The National Centre for Immunisation Research and Surveillance of Vaccine Preventable Diseases (NCIRS) provides commentary on the trends in the Australian Childhood Immunistaion Register data for children vaccinated at 12, 24 and 60 months of age. (health.gov.au)
  • The National Centre for Immunisation Research and Surveillance of Vaccine Preventable Diseases (NCIRS) provides commentary on the trends in ACIR data. (health.gov.au)
  • But we do know that any length of time without immunizations is a time without protection against vaccine preventable diseases. (healthychildren.org)
  • 3. The goal of this strategic plan is to support Member States to provide high quality immunization services that will prevent mortality, morbidity and disability due to vaccine- preventable diseases and contribute to the strengthening of national health systems and the attainment of health Millennium Development Goals. (who.int)
  • Participants should have a basic educational background in science including general knowledge in the subject areas of biology, immunization and vaccine-preventable diseases. (cdc.gov)
  • Childhood treating diseases, thus providing a healthy childhood and immunization is an act of actuating invulnerability to a reducing poverty and suffering (Siddiqi et al. (who.int)
  • Whilst further studies are required before these concepts can be applied to human beings, the findings provide exciting strategies for the prevention of disease in target communities and treatment of at-risk individuals. (news-medical.net)
  • Depending on the destination, prevention measures might include immunizations or medications for malaria chemoprophylaxis and/or self-treatment for travelers' diarrhea. (cdc.gov)
  • Implement disease detection and prevention health care services (e.g., smoking cessation, weight reduction, diabetes screening, blood pressure screening, immunization services) to prevent health problems and maintain health. (cdc.gov)
  • U.S. Air Force Senior Airman Tamika Bradley, 20th Medical Operations Squadron allergy and immunizations technician, prepares to administer a vaccine to a child at Shaw Air Force Base, S.C. National Infant Immunization Week is April 25 - May 2, 2020. (health.mil)
  • States and WHO regions worked in collaboration with the core partners and presented draft models to the Strategic Advisory Group of Experts on Immunization (SAGE) at its meeting held in October 2020. (who.int)
  • Between November 10th and November 23, 2020, the Colorado Office of Children, Youth & Families is hosting six virtual forums to get public input on draft rules regarding immunizations for foster parents and household members in a foster care home. (westonaprice.org)
  • The affidavit or certificate must state that, in the physician's opinion, the immunization required is medically contraindicated or poses a significant risk to the health and well-being of the student or any member of the student's household. (tsbvi.edu)
  • or, 2) a licensed physician's statement indicating a specific medical diagnosis that precludes immunization with some or all vaccine antigens. (oregon.gov)
  • CONCLUSIONS The 2004 vaccine shortage had a severe impact on influenza immunization rates in private physician's offices, disrupting continuity of care. (annfammed.org)
  • For parents who choose not to immunize their children during the pandemic, there are "catch up" schedules provided by the CDC so that children don't need to start over or repeat doses already received, explained Brenner. (health.mil)
  • Recommendations from the Australian Technical Advisory Group on Immunisation (ATAGI) on the use of the Moderna bivalent (Original/Omicron BA.4/5) COVID-19 vaccine. (health.gov.au)
  • Recommendations from the Australian Technical Advisory Group on Immunisation (ATAGI) on the use of the Pfizer bivalent (Original/Omicron BA.4/5) COVID-19 vaccine. (health.gov.au)
  • In accordance with Public Act 11-44, 163, we hereby submit to the Appropriations, Human Services, Insurance and Real Estate, and Public Health Committees the report and recommendations of the Childhood Immunization Task Force. (ct.gov)
  • WHO recommendations on rabies post-exposure treatment and the correct technique of intradermal immunization against rabies. (bvsalud.org)
  • Immunizations remain a vital component of pediatric health care, even during the COVID19 pandemic. (health.mil)
  • As a mother of young children, Brenner has had to navigate the medical system for important immunizations during the COVID-19 pandemic with the help of the Pediatric Clinic at her military treatment facility. (health.mil)
  • Amid the COVID-19 pandemic, the strain on health care systems is obvious, said Brenner, adding, "Pediatric immunizations remain an important aspect of the health of our children and our communities. (health.mil)
  • CMS stated in the Stage 2 Final Rule, that "Stage 3 is likely to enhance [immunization] functionality to permit clinicians to view the entire immunization registry/immunization information system record and support bi-directional information exchange. (cdc.gov)
  • We examined vaccine claim trends by clinician and surveys of self-reported immunization to determine whether patients received vaccine from nonphysician clinicians or went without immunization each year. (annfammed.org)
  • A student who has not received the required immunizations for reasons of conscience may be excluded from school in times of emergency or epidemic declared by the commissioner of state health services. (tsbvi.edu)
  • Video Relay Services (VRS) provides sign language interpretation free for registered deaf, hard of hearing or speech-impaired people. (gov.bc.ca)
  • Services in the Immunization Department may be subject to additional fees. (udel.edu)
  • I hope that the countries within the region will act quickly and effectively to ensure that children and adults, especially those in vulnerable and hard-to-reach groups, have access to immunization and basic health services. (wikipedia.org)
  • Some information, such as information about reactions to the vaccine, will be shared with other organisations who provide health services. (tewhatuora.govt.nz)
  • We provide reproductive health services which includes birth control, information and counseling to help you plan and time pregnancies, health exams and needed lab tests. (scdhec.gov)
  • Each year, Alberta Health Services, Public Health reviews immunization records for students in grades 1, 6, and 9 to see what immunizations each student needs. (albertahealthservices.ca)
  • They are usually only set in response to actions made by you which amount to a request for services, such as setting your privacy preferences, logging in or filling in forms or where they're essential to provide you with a service you have requested. (texmed.org)
  • 2. Several challenges that limit access to and quality of immunization services in many countries include ensuring sustainable funding for immunization, continuous vaccine supply, immunization safety. (who.int)
  • A hospital was defined as an institution whose primary function is to provide inpatient services, diagnostic and therapeutic, for a variety of medical conditions, both surgical and non-surgical, on a 24 hour a day basis. (cdc.gov)
  • An ambulatory care facility was defined as a freestanding medical clinic or medical care facility that provides a variety of healthcare services in a centralized facility. (cdc.gov)
  • These services may include preventative care, acute care, specialized services, laboratory services, surgery, outpatient care, etc., and are provided to persons who come to the facility to receive services and depart from the facility on the same day. (cdc.gov)
  • Each module provides learning opportunities, self-test practice questions, reference and resource materials, and an extensive glossary. (cdc.gov)
  • Catch-up under the National Immunisation Program (NIP) will also be extended to all Australians 25 years and under. (health.gov.au)
  • The Maine Immunization Program cannot provide a replacement CDC COVID-19 vaccine card. (maine.gov)
  • Upon acceptance into the program students will be required to submit copies of their immunization records. (bellevuecollege.edu)
  • This is likely due to the introduction of the MMRV vaccine onto the National Immunisation Program Schedule in July 2013. (health.gov.au)
  • s childhood immunization program. (ct.gov)
  • The Immunization Program in the Context of the COVID-19 Pandemic. (paho.org)
  • Locate current immunization resources to increase knowledge of team's role in program implementation for improved team performance. (cdc.gov)
  • misconception or willingness to vaccinate their children, WHO initiated the Expanded Program on Immunization which will affect their immunization status. (who.int)
  • A link to the TDSHS Internet website where a person may obtain information relating to the procedures for claiming an exemption from the immunization requirements. (tsbvi.edu)
  • In the past these have included: disseminating informational materials about immunization, organizing immunization campaigns, organizing training sessions for health care workers, arranging workshops or conferences with political decision makers to discuss immunization, and holding press conferences about immunization-related issues. (wikipedia.org)
  • Supplementary immunization activities campaigns provide children with an additional dose of vaccine and deliver other interventions. (who.int)
  • This reduction in coverage rates have been influenced by media scares and groups/individuals opposed to immunization. (wikipedia.org)
  • The CIR is used to help control COVID-19 by providing information about immunisation coverage across the population, and to keep a record of the immunisations you have received or choose not to receive. (tewhatuora.govt.nz)
  • The IA2030 provides the strategic framework to tackle key issues related to immunization within primary health care and universal health coverage during 2021-2030. (who.int)
  • Regional diphtheria-pertussis-tetanus (DPT3) coverage, which has been adopted as a performance indicator for immunization programmes, increased from 54% in 1995 to 69% in 2005. (who.int)
  • Immunizations are given at Sindecuse Health Center by appointment during regular health center hours . (wmich.edu)
  • The Immunization Clinic is open by appointment only for adults and for childhood immunizations for Arlington County school entry requirements. (arlingtonva.us)
  • The updates clarify that eligible employers can claim the credits for providing leave to employees to accompany a family or household member or certain other individuals to obtain immunization relating to COVID-19 or to care for a family or household member or certain other individuals recovering from the immunization. (irs.gov)
  • The paid sick and family leave credits reimburse eligible employers for the cost of providing paid sick and family leave for reasons related to COVID-19. (irs.gov)
  • The revised FAQs make clear this includes leave taken by employees to care for certain individuals to obtain immunization relating to COVID-19 or to recover from immunization relating to COVID-19. (irs.gov)
  • Immunization is one of the most effective ways to protect yourself against severe illness from COVID-19. (gov.bc.ca)
  • You can book COVID-19 and flu immunizations through the Get Vaccinated system at this time. (gov.bc.ca)
  • This page is about the COVID Immunisation Register (CIR). (tewhatuora.govt.nz)
  • Information about your COVID-19 immunisation/s will be recorded in our COVID Immunisation Register (CIR). (tewhatuora.govt.nz)
  • Healthcare providers should administer influenza, COVID-19, and RSV immunizations now to patients, if recommended. (cdc.gov)
  • Objective: Provide guidance regarding the operation of immunization programs in the context of the COVID-19 pandemic. (paho.org)
  • Getting a COVID-19 vaccine after you recover from COVID-19 infection provides added protection against COVID-19. (cdc.gov)
  • Parents must bring their child's immunization record if available. (kxxv.com)
  • What if I can't provide an immunization record for religious or medical reasons? (ccri.edu)
  • If you need a record for child care or school attendance, the staff may be able to print a Certificate of Immunization Status form from the state immunization information system that will meet the requirement for an immunization record. (oregon.gov)
  • If these options don't provide the information you need, parents or guardians may request a copy of their child's record from the state immunization information system (ALERT IIS). (oregon.gov)
  • To have the vaccine, we need to collect your information and record it on the CIR, as it is the clinical record of your immunisation treatment. (tewhatuora.govt.nz)
  • Complete the following form to request your or your child's ImmPact immunization record. (maine.gov)
  • By checking this box and by entering your full name below, that you certify under penalty of perjury that you are the Patient or Parent/Guardian of the minor patient and are therefore authorized to access the patients ImmPact immunization record. (maine.gov)
  • Parents and/or guardians, please accompany your child to the clinic and bring the letter/immunization record you received from Fraser Health Public Health. (fraserhealth.ca)
  • By clicking "Allow All" you agree to the storing of cookies on your device to enhance site navigation, analyse site usage and support us in providing free open access scientific content. (news-medical.net)
  • 7 Zimmerman and colleagues 8 observed no reduction in self-reported influenza immunization rates in an inner-city population with good access to vaccine in 2000 , but respondents' attitudes about influenza vaccine changed for the worse. (annfammed.org)
  • The purpose of this database is to provide researchers, policymakers, and state and local public health practitioners with descriptive information concerning immunization-related state laws. (cdc.gov)
  • RIDSTATR provides the MEC examination status of a sample person. (cdc.gov)
  • We strongly encourage verification of immunization status for all students entering WMU. (wmich.edu)
  • The prequalified status of an immunization device product may be affected by re-evaluation and/or reports of performance issues or failures. (who.int)
  • Are you a current foster care parent, considering becoming a foster care parent, or a person who has been denied the ability to be a foster care parent because of your family's immunization status? (westonaprice.org)
  • Good foster parents should be allowed to foster children based on their parenting abilities, not based on immunization beliefs or status. (westonaprice.org)
  • The number of countries that incorporated yellow fever vaccine in their routine immunization programmes increased from nine in 2000 to 23 in 2005. (who.int)
  • Public Health's sole role is maintaining the IIS and providing the Local Implementation Guide to delineate data exchange standards. (cdc.gov)
  • Public Health Nurses provide immunizations, check growth and development, and provide health information for children up to age five at these locations. (vch.ca)
  • and to provide a framework for mobilizing public and political support for immunization efforts. (wikipedia.org)
  • Whether it's preparing for and responding to the latest infectious disease outbreak, promoting healthy lifestyles, or lobbying for strong immunization practices, TMA's public health activities are unsurpassed. (texmed.org)
  • Public Health Nurses (PHNs) provide home visits to low-income high risk clients. (cchealth.org)
  • Public Act 11-44 required the task force to consider whether the state should continue universal childhood immunizations. (ct.gov)
  • determine how best to cover the cost of immunizations for children in the state. (ct.gov)
  • All household members of a foster care home providing care for children with special needs must have an up-to-date flu vaccine. (westonaprice.org)
  • provide corrective and preventive action plans. (who.int)
  • Preventive care includes blood pressure screening, colorectal cancer screening, immunizations, and other types of preventive care. (medlineplus.gov)
  • Among the significant provisions in this new rule are the endorsement of a single standard, HL7 2.5.1, for all immunization messages submitted from EHR systems to IIS, and the requirement for "ongoing submission" of production immunization data (as opposed to test data) to an IIS. (cdc.gov)