MDHSSMissouri Department of Health and Senior Services
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MDHSS found that leukemia rates were not significantly higher than expected in the region, and incidence of thyroid cancer was actually lower than expected.
MDHSS said its monitoring the incidence and mortality of cancers in the Coldwater Creek area extends back "at least 25 years.
Some of these risk factors may help explain those findings," MDHSS said.
Multiple factors account for this change, says MDHSS environmental specialist Jonathan Garoutte.
In December 2008, MDHSS notified the Colorado Department of Public Health and Environment (CDPHE) that the plasma was from a donor who subsequently tested positive for HIV, and CDPHE notified the recipient's transplant surgeon.
To define the epidemiologic and clinical features of tularemia in Missouri, MDHSS analyzed 190 tularemia case reports from the period 2000-2007 and conducted an independent review of 121 available clinical records (including clinician notes, laboratory results, and drug administration records) using an abstraction form modified from the CDC case report form.
During 2000-2007, a total of 190 cases of tularemia (87 confirmed and 103 probable) were reported to MDHSS, yielding a statewide average annual incidence of 0.
Other than the eight episodes reported by MDHSS, all cases have occurred among adults.