Workers' Compensation: CDC

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Tuesday, April 21, 2015

CDC Alert to U.S. Hospitals and Long-Term Care Facilities: Patients at Risk of Listeriosis from Certain Blue Bell Brand Ice Cream Products

Blue Bell Creameries has expanded its recall to now include all of its products currently on the market made at any of its facilities. CDC recommends that hospitals and long-term care facilities not serve or sell any Blue Bell brand products. Please check your freezer and inventory for these products. Visit CDC’s Advice to Consumers, Institutions, and Retailers to learn more.

Certain Blue Bell brand ice cream products may be contaminated with Listeria and can cause illness. Some of these products were distributed to institutions.

State and local health officials, CDC, and FDA are collaborating to investigate an outbreak of Listeria monocytogenesinfections (listeriosis) linked to Blue Bell Creameries ice cream products. Information available to date suggests that ill people likely acquired L. monocytogenes infections from ice cream products they consumed while hospitalized for unrelated causes.

As of April 20, 2015, a total of ten patients infected with several strains of Listeria monocytogenes were reported from four states: Arizona (1), Kansas (5), Oklahoma (1), and Texas (3). Illness onset dates ranged from January 2010 through January 2015. The patients with illness onsets ranging from 2010-2014 were identified through a retrospective review of the PulseNet database for DNA fingerprints matching isolates collected from Blue Bell ice cream samples. Since the last update on April 8, 2015, two additional patients, one each from Arizona and Oklahoma, were confirmed to be a part of the outbreak by whole genome sequencing. All ten (100%) patients were hospitalized. Three deaths were reported from Kansas.

One additional isolate from a patient with listeriosis is undergoing further molecular laboratory testing to determine whether this illness may be related to this outbreak. Results of this testing will be reported once they are available. CDC and state and local public health partners are continuing laboratory surveillance through PulseNet to identify any other ill persons that may be part of this outbreak.

People at higher risk for listeriosis include pregnant women, adults 65 and older, and people with weakened immune systems. Hospitalized patients are at higher risk of listeriosis than the general population because many are immunocompromised and of older age (1).

A recent review article indicates that hospital-acquired listeriosis represents a substantial proportion of overall listeriosis cases that are not associated with pregnancy.

For updates, please visit CDC’s outbreak website.
Silk BJ, McCoy MH, Iwamoto M, Griffin PM. Foodborne listeriosis acquired in hospitals. Clinical Infectious Diseases. 2014 May 20, 2014. doi:10.1093/cid/ciu365.

CDC: Blue Bell Listeria Outbreak Started In 2010

Tuesday, July 8, 2014

New CDC Report on Opiods

Today's guest post is by The Hon. David Langham who is the Deputy Chief Judge of Compensation Claims for the Florida Office of Judges of Compensation Claims and Division of Administrative Hearings flojcc.blogspot.com

The Centers for Disease Control (CDC) recently issued a report on opiod painkillers. It concludes that prescriptions for opiods remain more common in the United States than anywhere else in the world. In 2012 there were 259 million prescriptions written for painkillers in this country. The report concludes this is "enough for every American adult to have a bottle of pills." (In the interest of full disclosure, I did not get mine, so someone must have gotten my share).

Drug overdose and interaction remains a problem in this country. According to the CDC "deaths from drug overdose have been rising steadily over the past two decades." Each day, "113 people die as a result of drug overdose and another 6,748 are treated in emergency departments for the misuse or abuse of drugs." The CDC says that 9 of 10 "poisoning deaths are caused by drugs."

The report quantifies the number of prescriptions per 100 people in each state (in parenthesis that follow). The five states with the most opiod prescriptions were Alabama (143), Kentucky (128), Oklahoma (128), Tennessee (143), and West Virginia (138). These are labelled as the "highest" states in the study. The five states labelled the "lowest" volume were California (57), Hawaii (52), Minnesota (62), New Jersey (63) and New York (60).

Florida is in the large group of 21 states categorized as "below average" in the study, with 73 prescriptions per 100...

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Sunday, December 29, 2013

US flu activity keeps climbing

Today's post was shared by CIDRAP and comes from www.cidrap.umn.edu

Highly magnified, digitally colorized
electromicrograph of 2009 H1N1 influenza virus,
the predominant strain this season.

US influenza activity kept climbing last week, as several states outside the South reported widespread cases, and the 2009 H1N1 virus continued to be the predominant strain, according to the US Centers for Disease Control and Prevention (CDC).
Ten states reported geographically widespread flu activity, up from just four southern states the week before. The ten are Alabama, Alaska, Kansas, Louisiana, Massachusetts, New York, Pennsylvania, Texas, Virginia, and Wyoming.
Also, six states reported high influenza-like illness (ILI) activity as measured by visits to sentinel clinics, up from four states the previous week, the CDC reported. Nationally, 3.0% of medical visits were due to ILI, compared with the national baseline of 2.0%.
States with high ILI activity were Alabama, Louisiana, Mississippi, Missouri, Oklahoma, and Texas. Another eight states cited moderate ILI activity, and the rest had low or minimal numbers.
The CDC also reported a big jump in the percentage of respiratory samples that tested positive for flu: 24.1% (of 6,813 specimens), versus 17.8% a week earlier.

An H1N1 season so far

Of the positive specimens, more than 98% were influenza A viruses, and 2009 H1N1—the former pandemic virus, now a seasonal strain—accounted for nearly all of those that were subtyped. Only 1.8% of the positive specimens were influenza B isolates.
Last week the...

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Sunday, December 15, 2013

Your Flu Shot is Waiting

Today's post was shared by RWJF PublicHealth and comes from www.rwjf.org

New reports from the U.S. Centers for Disease Control and Prevention (CDC) show that 39 percent of adults and 41 percent of children six months and older got their flu shots for the 2013-2014 season by early November—a rate similar to flu vaccination coverage last season at the same time.
Other flu shot statistics of note this year include:

Vaccination among pregnant women (41 percent) and health care providers (63 percent) is about the same as it was this time last year
High rates were seen again this year among health care providers including pharmacists (90 percent), physicians (84 percent) and nurses (79 percent), but the CDC reported much lower vaccination rates among assistants or aides (49 percent) and health care providers working in long-term care facilities (53 percent)

“We are happy that annual flu vaccination is becoming a habit for many people, but there is still much room for improvement,” says Anne Schuchat, MD, director of the National Center for Immunization and Respiratory Diseases at CDC. “The bottom line is that influenza can cause a tremendous amount of illness and can be severe. Even when our flu vaccines are not as effective as we want them to be, they can reduce flu illnesses, doctors' visits, and flu-related hospitalizations and deaths.”
Seasonal influenza activity is increasing in parts of the United States. Further increases in influenza activity across the country are expected in the coming weeks. “If you have not...

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Sunday, December 8, 2013

CDC's Camp Lejeune study links birth defects to marine base's drinking water

A company of Marines participate in
a 10 kilometer training march carrying
55 pound packs during Marine Combat
Training (MCT) on February 22, 2013
at Camp Lejeune, North Carolina.
Scott Olson, Getty Images

We reported about the contamination at Camp Lejune sometime back. A recent study confirms contamination. Today's post is shared fom cbsnews.com

A long-awaited study by the U.S. Centers for Disease Control and Prevention (CDC) shows a link between tainted tap water at a U.S. Marine Corps base in North Carolina and increased risk of serious birth defects and childhood cancers.

The study released late Thursday by the CDC's Agency for Toxic Substances & Disease Registry is based on a small sample size and cannot prove exposure to the chemicals caused individual illnesses. It surveyed the parents of 12,598 children born at Camp Lejeune between 1968 and 1985, the year most contaminated drinking water wells were closed.
The study looked back in time and was designed to see if there was a link between exposure to certain chemicals and certain health problems that developed later.

The study concludes that babies born to mothers who drank the tap water while pregnant were four times more likely than women in similar circumstances who did not consume the water to have such serious birth defects as spina bifida. Babies whose mothers were exposed also had a slightly elevated risk of such childhood cancers as leukemia, according to the results.
The CDC was able to confirm 15 cases of spina bifida and anencephaly, 24 oral clefts and 13 cancers.'

More than 100 cases of birth defects and...

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Wednesday, December 4, 2013

CDC releases new findings and prevention tools to improve food safety in restaurants

Increased awareness and implementation of proper food safety in restaurants and delis may help prevent many of the foodborne illness outbreaks reported each year in the United States, according to data from the Centers for Disease Control and Prevention. Researchers identified gaps in the education of restaurant workers as well as public health surveillance, two critical tools necessary in preventing a very common and costly public health problem.

The research identifies food preparation and handling practices, worker health policies, and hand-washing practices among the underlying environmental factors that often are not reported during foodborne outbreaks, even though more than half of all the foodborne outbreaks that are reported each year are associated with restaurants or delis. Forty-eight million people become ill and 3,000 die in the United States.

"Inspectors have not had a formal system to capture and report the underlying factors that likely contribute to foodborne outbreaks or a way to inform prevention strategies and implement routine corrective measures in restaurants, delis and schools to prevent future outbreaks," said Carol Selman, head of CDC's Environmental Health Specialists Network team at the National Center for Environmental Health.

Four articles published today in the Journal of Food Protection focus on actions steps to prevent foodborne illness outbreaks related to ground beef, chicken, and leafy vegetables like lettuce and spinach. The articles also focus on specific food safety practices, such as ill workers not working while they are sick, as a key prevention strategy.

Since 2000, CDC has worked with state and local health departments to develop new surveillance and training tools to advance the use of environmental health assessments as a part of foodborne outbreak investigations.
The National Voluntary Environmental Assessment Information System (NVEAIS) is a new surveillance system targeted to state, tribal and other localities that inspect and regulate restaurants and other food venues such as banquet facilities, schools, and other institutions. The system provides an avenue to capture underlying environmental assessment data that describes what happened and how events most likely lead to a foodborne outbreak. These data will help CDC and other public health professionals determine and understand more completely the primary and underlying causes of foodborne illness outbreaks.
A free interactive e-learning course has been developed to help state and local health departments investigate foodborne illness outbreaks in restaurants and other food service venues as a member of a larger outbreak response team, identify an outbreak's environmental causes, and recommend appropriate control measures. This e-learning course is also available to members of the food industry, academia and the public, anyone interested in understanding the causes of foodborne outbreaks.

"We are taking a key step forward in capturing critical data that will allow us to assemble a big picture view of the environmental causes of foodborne outbreaks," Selman said.

The data surveillance system and e-Learning course will debut in early 2014. With these tools, state, and local public health food safety programs will be able to report data from environmental assessments as a part of outbreak investigations and prevent future foodborne outbreaks in restaurants and other food service establishments.

CDC developed these products in collaboration with the U.S. Food and Drug Administration, U.S. Department of Agriculture, and state and local health departments.

For more information about the National Voluntary Environmental Assessment Information System: http://www.cdc.gov/nceh/ehs/EHSNet/resources/nveais.htm

For information about free e-Learning courses in Environmental Assessment of Foodborne Illness Outbreaks:http://www.cdc.gov/nceh/ehs/eLearn/EA_FIO/index.htm

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Jon L. Gelman of Wayne NJ is the author NJ Workers’ Compensation Law (West-Thompson) and co-author of the national treatise, Modern Workers’ Compensation Law (West-Thompson). For over 4 decades the Law Offices of Jon L Gelman 1.973.696.7900 jon@gelmans.com have been representing injured workers and their families who have suffered occupational accidents and illnesses.

December 3rd is International Day of Persons with Disabilities

Around the world, people with disabilities face physical, social, economic and attitudinal barriers that exclude them from participating fully and effectively as equal members of society. December 3rd is International Day of Persons with Disabilities. This year's theme is "break barriers, open doors: for an inclusive society for all." The commemoration of this year's International Day of Persons with Disabilities provides an opportunity to further raise awareness of disability and accessibility as a cross cutting development issue. It will also further the global efforts to promote accessibility, remove all types of barriers, and to realize the full and equal participation of people with disabilities in society and shape the future of development for all.1

A CDC Initiative: Including People with Disabilities

At CDC, we operate on the principle that people with disabilities are best served by Public Health when they are included in mainstream public health activities. To that end, inclusion might require appropriate accommodations to reduce or eliminate barriers that limit the participation of people with disabilities in health activities. When children and adults with disabilities receive needed programs, services and health care across their lifespan, they can reach their full potential, have an improved quality of life, and experience independence.

In 2010, CDC Director Dr. Thomas Frieden established an initiative to serve the health needs of people with a disability in the United States. CDC's Disability and Health Work Group was established in 2010 for centers and offices within the agency. The disability inclusion initiative has increased awareness and fostered activities focused on integrating disability into CDC's mainstream public health activities.

Objectives

People with disabilities need public health programs and healthcare services for the same reasons anyone does—to be well, active, and a part of the community. CDC works to include people with disabilities by

improving health monitoring of people of all ages with disabilities to identify disparities in health between people with and without disabilities;
including disability status indicators in key CDC monitoring programs;
conducting public health research to understand the health risks experienced by people with disabilities;
encouraging participation of people with disabilities in program activities conducted or supported by CDC;
developing and disseminating accessible health communications and messages to people with sensory (e.g., blindness, deafness) or cognitive (e.g., intellectual disability) limitations.

Disability Resources at CDC

Being healthy means the same thing for all of us—staying well so we can lead full, active lives. Having the tools and information to make healthy choices and knowing how to prevent illness is key to being well, with or without a disability.

Visit these resources to learn more:

As we commemorate International Day of Persons with Disabilities, we ask you to join us in being a part of the global disability movement to change attitudes and approaches to disability to promote the equity and full inclusion of people with disabilities in society and across public health activities.

Resources

References

International Day of Persons with Disabilities, 3 December 2013. United Nations Enable. Available at http://www.un.org/disabilities/default.asp?id=1607 . Accessed October 21 2013

Thursday, November 28, 2013

Very High Blood Lead Levels Among Adults — United States, 2002–2011

Over the past several decades there has been a remarkable reduction in environmental sources of lead, improved protection from occupational lead exposure, and an overall decreasing trend in the prevalence of elevated blood lead levels (BLLs) in U.S. adults. As a result, the U.S. national BLL geometric mean among adults was 1.2 µg/dL during 2009–2010 (1).

Nonetheless, lead exposures continue to occur at unacceptable levels (2). Current research continues to find that BLLs previously considered harmless can have harmful effects in adults, such as decreased renal function and increased risk for hypertension and essential tremor at BLLs µg/dL (3–5). CDC has designated 10 µg/dL as the reference BLL for adults; levels ≥10 µg/dL are considered elevated (2).

CDC's Adult Blood Lead Epidemiology and Surveillance (ABLES) program tracks elevated BLLs among adults in the United States (2).

In contrast to the CDC reference level, prevailing Occupational Safety and Health Administration (OSHA) lead standards allow workers removed from lead exposure to return to lead work when their BLL falls below 40 µg/dL (6). During 2002–2011, ABLES identified 11,536 adults with very high BLLs (≥40 µg/dL).

Persistent very high BLLs (≥40 µg/dL in ≥2 years) were found among 2,210 (19%) of these adults. Occupational exposures accounted for 7,076 adults with very high BLLs (91% of adults with known exposure source) and 1,496...

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Thursday, November 21, 2013

Draft Current Intelligence Bulletin “Update of NIOSH Carcinogen Classification and Target Risk Level Policy for Chemical Hazards in the Workplace”

Today's post was shared by Safe Healthy Workers and comes from www.federalregister.gov

The National Institute for Occupational Safety and Health (NIOSH) of the Centers for Disease Control and Prevention (CDC) announces the availability of the following draft document for public comment entitled “Current Intelligence Bulletin: Update of NIOSH Carcinogen Classification and Target Risk Level Policy for Chemical Hazards in the Workplace.” To view the notice, document and related materials, visit http://www.regulations.gov and enter CDC-2013-0023 in the search field and click “Search.” Additional information is also located at the following Web site: http://www.cdc.gov/niosh/topics/cancer/policy.html. Comments may be provided to the NIOSH docket, as well as given orally at the following meeting.

Public Comment Period: Comments must be received by February 13, 2014.

Public Meeting Time and Date: December 16, 2013, 9 a.m.-4 p.m., Eastern Time. Please note that public comments may end before the time indicated, following the last call for comments. Members of the public who wish to provide public comments should plan to attend the meeting at the start time listed.

Place: Surface Transportation Board Hearing Room, Patriots Plaza One, 395 E Street SW., 1st Floor, Room 120, Washington, DC 20201.

Status: The meeting is open to the public, limited only by the space available. The meeting space accommodates approximately 150 people. In addition, there will be an audio conference for those who cannot attend in person. There is no registration fee to...

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Wednesday, November 20, 2013

Public Health Campaign of the Month: ‘Don’t Mess With Mercury’ Campaign

Mercury is a very toxic chemical in the occupational exposure to mercury produces serious disability.Today's post was shared by RWJF PublicHealth and comes from www.rwjf.org

Glass thermometers. Compact fluorescent light (CFL) bulbs. Medical equipment. Gauges and other science equipment. Thermostats, switches and other electrical devices.
Mercury lives in all of these devices—and all can be found in schools. While it may be common, mercury is also incredibly dangerous. Mercury poisoning can negatively impact the nervous system, lungs and kidneys. It can even lead to brain damage or death.
Often mercury poisoning is the result of a kid thinking it’s “cool”— taking it, playing with, passing it around to friends. Metallic mercury easily vaporizes into a colorless, odorless, hazardous gas.
The Agency for Toxic Substances and Disease Registry (ATSDR), part of the U.S. Centers for Disease Control and Prevention (CDC), has released a new website that brings together a suite of tools to educate kids, teachers, school administrators and parents about the dangers of mercury poisoning. They include an interactive human body illustration and facts sheets, as well as a 30-second “Don’t Mess With Mercury” animated video to raise awareness about the dangers of mercury.

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Sunday, October 20, 2013

Work resumes at federal public health agencies

Today's post was shared by CIDRAP and comes from www.cidrap.umn.edu

Congressional agreement on a funding bill that reopened government yesterday got the gears turning again with several key public health tasks, such as flu surveillance, science communication, and lab testing.
Within hours of President Obama's signing of the legislation, some of the US Centers for Disease Control and Prevention's Twitter accounts crackled to life again, including one used by its director, Tom Frieden, MD, MPH, who wrote, "So relieved to have the best and brightest back to work protecting and promoting health. Hope for no relapse…"
Government employees who had been furloughed were asked to return yesterday. At the CDC all but 4,000 of about 13,000 employees were furloughed. A few were called back to manage a Salmonella Heidelberg outbreak linked to three Foster Farms processing facilities in California.
Barbara Reynolds, PhD, who directs the CDC's division of public affairs, was the point person who fielded media queries while many of her colleagues were furloughed. She told CIDRAP News yesterday that the CDC is operating as it did before the shutdown, and that its scientists and health officials can resume needed travel and attend meetings.
Throughout the day yesterday, the CDC posted several notices on its Web site signaling that its activities were returning to normal. It posted a notice that its weekly FluView surveillance reports would return today, but in an abbreviated form, after a 2-week absence.
The lack of reports created an...

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Saturday, October 5, 2013

US data show higher flu vaccine uptake in health workers

The US Centers for Disease Control and Prevention's (CDC's) final flu vaccine coverage estimates for the 2012-13 season, released today, showed a healthy bump in children and a small gain in adults.
The CDC also found improved flu vaccine coverage in healthcare workers, one of the groups the agency has targeted with more intensive efforts to raise immunization levels.

Federal officials unveiled the findings today at a press conference sponsored by the National Foundation for Infectious Diseases (NFID) at the National Press Club in Washington, DC. The event was part of a broader effort to rally health groups and the public behind this season's flu vaccination efforts.

Vaccine makers expect to produce about 135 million doses for the US market, and so far 73 million doses have been distributed, according to the latest estimate from the CDC. Two new types of vaccine will debut this flu season, a quadrivalent (four-strain) version containing two influenza B strains offered by three different companies and a cell-based version, made by two companies, including Protein Sciences' FluBlok, which has been recommended for adults up to age 49 who have egg allergies.

Health officials said today that limited quantities of quadrivalent flu vaccine will be available in its first season, and that some people may not be able to find it in their area. According to an earlier report, roughly 25 million doses of the 135 million to 139 million doses manufacturers expect to produce will be the...

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Thursday, September 19, 2013

CDC: Antibiotic-resistant bugs sicken 2 million a year

Concern for the spread of infections has lead to a heightened sense of concern in the workplace. New electronic hand washing faucets, and the sprouting up of hand cleansing stations. Workers compensation continue to pay the price for the spread of infections. Today's post was shared by CIDRAP and comes from www.cidrap.umn.edu

The US Centers for Disease Control and Prevention (CDC) said today that antibiotic-resistant pathogens sicken 2 million Americans a year and listed the three most urgent threats as Clostridium difficile, carbapenem-resistant Enterobacteriaceae (CRE), and Neisseria gonorrhoeae.

The agency's first all-encompassing report on antibiotic disease threats spans 114 pages and ranks the pathogens in part to spur a multipronged effort to prioritize and battle the problems. Antibiotic-resistant microorganisms play a role in 23,000 deaths each year, the CDC said.
At a media briefing today, CDC Director Tom Frieden, MD, MPH, said the landmark report provides a snapshot of the antibiotic-resistant organisms that have the biggest impact on human health. He said the numbers are very conservative estimates that don't take into account infections that occur outside hospitals, such as nursing homes and dialysis centers.

The numbers are worrisome, because so few antibiotics to battle the new pathogens are in the development pipeline, he said. "If we don't take action early, the medicine cabinet will be empty for patients with life-threatening infections."

The CDC ranked the antibiotic-resistant organisms based on seven criteria: health impact, economic impact, how common the infection is, 10-year projection of how common it will become, ease of spread, antibiotic availability, and prevention barriers. It also grouped the organisms into three groups, based on threat level.

Topping the list is C...

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CDC estimates Lyme disease hits 300,000 each year (workers-compensation.blogspot.com)
Study: Healthcare-linked infections cost US $10 billion a year (workers-compensation.blogspot.com)
Cyclospora: It Is Not Over Yet - US Count at 548 Cases (workers-compensation.blogspot.com)
More states report Cyclospora cases; total reaches 373 (workers-compensation.blogspot.com)
Needlestick Injuries Are a Costly Problem for the Health Care Industry (workers-compensation.blogspot.com)
Work Schedules: Shift Work and Long Work Hours (workers-compensation.blogspot.com)
Drivers Over Age 55 Far More Likely to Die in Job Accidents Than Younger (workers-compensation.blogspot.com)

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Saturday, August 24, 2013

Drivers Over Age 55 Far More Likely to Die in Job Accidents Than Younger Workers

Age matters for safety. Today's post was shared by votersinjuredatwork and comes from www.insurancejournal.com

Employees age 55 or older who drive as part of their jobs are more likely to be killed in accidents than younger colleagues because of declining cognition and greater susceptibility to injury, according to a U.S. report.

Employees who drive for work aged 55 to 64 were about 50 percent more likely to die in an accident, and those 65 and older were three times as likely to die, the U.S. Centers for Disease Control and Prevention said in a study today. Highway accidents are the leading cause of workplace deaths in the U.S.

The problem is likely to worsen as more Americans work deeper into their twilight years. People 55 years or older are projected to comprise 25 percent of the U.S. workforce in 2020, more than double the 12 percent share in 1990. The CDC said transportation companies can adapt by considering less nighttime driving, better-planned routes and refresher driver training.

Three more states report Cyclospora cases; total rises to 283

Today's post was shared by CIDRAP and comes from www.cidrap.umn.edu

Three more states are reporting Cyclospora infections, pushing the national total to 283, but it's not clear which of the newly reported cases are part of the national outbreak, the US Centers for Disease Control and Prevention (CDC) and individual states reported today.
In its update today, the CDC added Georgia, Connecticut, and New Jersey to its map of cyclosporiasis cases, which means nine states are now reporting cases. Georgia has two cases, and Connecticut and New Jersey each have one.

About half of the total cases are from Iowa, which reported its first cases in early July. In an update today the Iowa Department of Public Health (IDPH) said 134 cases have been reported in the state so far, which is seven more than reflected in the CDC total.

The Nebraska Department of Health and Human Services (NDHHS) also updated its case count today, adding one more case that isn't reflected in the CDC's total to bring its total to 69. The combined new cases in Iowa and Nebraska raise the total number of US cases to 283.

Texas is third in case numbers, with 65.

The CDC said totals in those three states may include some travel-associated cases and that interviews are pending. It also noted that the single cases reported from Illinois and Kansas probably involved infections acquired in neighboring outbreak states.
Wisconsin has confirmed four Cyclospora cases.

William Gerrish, director of communications for the Connecticut Department of Public Health, said both of the state's patients are...

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Tuesday, April 21, 2015

CDC Alert to U.S. Hospitals and Long-Term Care Facilities: Patients at Risk of Listeriosis from Certain Blue Bell Brand Ice Cream Products

Tuesday, July 8, 2014

New CDC Report on Opiods

Sunday, December 29, 2013