PubMed · 833839
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F T Stritter, J H Hain. 1977. A workshop in clinical teaching.. https://doi.org/10.1097/00001888-197702000-00015
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In Montgomery County (1990 population: 209,085), Alabama, an epidemic of early syphilis (ES) (i.e., primary, secondary, and early latent) involving 1010 cases occurred from August 1990 through November 1991 (Figure 1). From June 17 through November 7, 1991, the Alabama Department of Public Health (ADPH) and CDC initiated an intervention campaign to reduce the incidence of ES; the intervention increased case-finding primarily through partner notification (PN) and cluster investigations.* This report assesses the intervention campaign by describing 1) the results of PN/cluster investigation interviews during the intervention, 2) the relation between reported crack cocaine use and PN/cluster investigation results, 3) a comparison of interview results for the first 6 weeks of the campaign (i.e., early campaign period) with the 6-week period immediately before the campaign (i.e., precampaign period), and 4) the syphilis morbidity trends for 1990 and 1991.
In March 1991, the Alabama Department of Public Health lead surveillance program received a report from a participating laboratory of an elevated blood lead level (BLL) in an employee of a company engaged in a battery-breaking operation. The health department referred the case to the Occupational Safety and Health Administration (OSHA), which initiated an investigation of company medical-monitoring records and identified 13 workers with elevated BLLs. In May 1991, OSHA requested technical assistance from CDC's National Institute for Occupational Safety and Health (NIOSH) to evaluate the workers for lead intoxication. This report summarizes the findings of the investigation.
The problems encountered in acceptance testing of newly installed imaging equipment at two major medical institutions over a 10-year period are presented. Acceptance tests were conducted in 129 newly installed imaging systems with conventional acceptance testing methods. A total of 1,132 problems were documented. Problems were classified as major or minor; there were 772 major problems and 360 minor problems. An average of six major and three minor problems were documented in each new equipment installation tested. In some instances, final payment was withheld for several months or more to ensure correction of the problems identified. This experience confirms the need of thorough acceptance testing of new imaging equipment before final payment is made to the vendor.