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PubMedDate not supplied

Clinical findings of West Nile virus infection in hospitalized patients, New York and New Jersey, 2000.

Outbreaks of West Nile (WN) virus occurred in the New York metropolitan area in 1999 and 2000. Nineteen patients diagnosed with WN infection were hospitalized in New York and New Jersey in 2000 and were included in this review. Eleven patients had encephalitis or meningoencephalitis, and eight had meningitis alone. Ages of patients ranged from 36 to 87 years (median 63 years). Fever and neurologic and gastrointestinal symptoms predominated. Severe muscle weakness on neurologic examination was found in three patients. Age was associated with disease severity. Hospitalized cases and deaths were lower in 2000 than in 1999, although the case-fatality rate was unchanged. Clinicians in the Northeast should maintain a high level of suspicion during the summer when evaluating older patients with febrile illnesses and neurologic symptoms, especially if associated with gastrointestinal complaints or muscle weakness.

Adult↗
PubMed2001

Dynamic air-water exchange of polychlorinated biphenyls in the New York-New Jersey Harbor Estuary.

Simultaneous measurements of polychlorinated biphenyls (PCBs) in the air and water over Raritan Bay and New York Harbor were taken in July 1998, allowing the first determinations of air-water exchange fluxes for this heavily impacted system. Average gas-phase concentrations of sigmaPCBs were 1.0 ng m(-3) above Raritan Bay and 3.1 ng m(-3) above New York Harbor. A similar gradient was observed for dissolved water concentrations (1.6 and 3.8 ng L(-1), respectively). Shallow slopes of log K(oc) vs log K(ow) plots indicated a colloidal contribution to the dissolved concentrations, and a three-phase partitioning model was therefore applied. PCBs associated with colloids ranged from 6% to 93% for trichloro- to nonachlorobiphenyls, respectively. Air-water gas exchange fluxes of sigmaPCBs exhibited net volatilization for both Raritan Bay at +400 ng m(-2) day(-1) and New York Harbor at +2100 ng m(-2) day(-1). The correction for the colloidal interactions decreased the volatilization flux of sigmaPCBs by about 15%. Net air-water exchange fluxes of PCBs are expected to remain positive throughout the year due to the large water-air fugacity gradient and relatively constant seasonal water concentrations. The volatilization fluxes are approximately 40 times greater than atmospheric deposition of PCBs via both wet and dry particle deposition, suggesting that the estuary acts as a net source of PCBs to the atmosphere year-round.

Air Pollutants↗
PubMed2005

Optimal fleetwide emissions reductions for passenger ferries: an application of a mixed-integer nonlinear programming model for the New York-New Jersey Harbor.

Emissions from passenger ferries operating in urban harbors may contribute significantly to emissions inventories and commuter exposure to air pollution. In particular, ferries are problematic because of high emissions of oxides of nitrogen (NOx) and particulate matter (PM) from primarily unregulated diesel engines. This paper explores technical solutions to reduce pollution from passenger ferries operating in the New York-New Jersey Harbor. The paper discusses and demonstrates a mixed-integer, non-linear programming model used to identify optimal control strategies for meeting NOx and PM reduction targets for 45 privately owned commuter ferries in the harbor. Results from the model can be used by policy-makers to craft programs aimed at achieving least-cost reduction targets.

Air Pollutants↗
PubMed2005

Seasonality and children's blood lead levels: developing a predictive model using climatic variables and blood lead data from Indianapolis, Indiana, Syracuse, New York, and New Orleans, Louisiana (USA).

On a community basis, urban soil contains a potentially large reservoir of accumulated lead. This study was undertaken to explore the temporal relationship between pediatric blood lead (BPb), weather, soil moisture, and dust in Indianapolis, Indiana; Syracuse, New York; and New Orleans, Louisiana. The Indianapolis, Syracuse, and New Orleans pediatric BPb data were obtained from databases of 15,969, 14,467, and 2,295 screenings, respectively, collected between December 1999 and November 2002, January 1994 and March 1998, and January 1998 and May 2003, respectively. These average monthly child BPb levels were regressed against several independent variables: average monthly soil moisture, particulate matter < 10 microm in diameter (PM10), wind speed, and temperature. Of temporal variation in urban children's BPb, 87% in Indianapolis (R2 = 0.87, p = 0.0004), 61% in Syracuse (R2 = 0.61, p = 0.0012), and 59% in New Orleans (R2 = 0.59, p = 0.0000078) are explained by these variables. A conceptual model of urban Pb poisoning is suggested: When temperature is high and evapotranspiration maximized, soil moisture decreases and soil dust is deposited. Under these combined weather conditions, Pb-enriched PM10 dust disperses in the urban environment and causes elevated Pb dust loading. Thus, seasonal variation of children's Pb exposure is probably caused by inhalation and ingestion of Pb brought about by the effect of weather on soils and the resulting fluctuation in Pb loading.

Child, Preschool↗
PubMed2003

Descriptive and surveillance studies of suppliers to New York and New Jersey retail live-bird markets.

Low pathogenicity avian influenza virus (AIV) H7N2 has been isolated since 1994 from retail live-bird markets (LBMs) in the northeastern United States. This study examines the suppliers to the LBMs in New York and New Jersey. In 2001, 185 supplier premises in nine states were surveyed for the presence of AIV by virus isolation (VI) in embryonating chicken eggs. No H7 or H5 virus was isolated. In addition, 104 producer premises in two states were serologically negative for H7 and H5 AIV. Information on management practices was obtained via questionnaire for 191 premises in 12 states. The survey results suggest that current biosecurity practices at supplier premises could be improved, especially regarding movement of birds. The study supports the hypothesis that H7N2 AIV is primarily maintained within the LBMs and, if reintroduction from suppliers is occurring, it is likely reintroduced at a very low level or from suppliers not included in this study.

Animals↗
PubMed2003

Epidemiologic and surveillance studies on avian influenza in live-bird markets in New York and New Jersey, 2001.

In 2001, all 109 retail live-bird markets (LBMs) in New York and New Jersey were surveyed for the presence of avian influenza virus (AIV) by a real time reverse transcriptase/polymer chain reaction assay (RRT/PCR) and results compared to virus isolation (VI) in embryonating chicken eggs. The RRT/PCR had a 91.9% sensitivity and 97.9% specificity in detecting presence of AIV at the market level. However, the sensitivity at the sample level is 65.87%. The RRT/PCR is a reliable method to identify AIV at the market level. In addition, a cross-sectional epidemiologic study of the LBMs showed that, during the past 12 months, markets that were open 7 days per week and those that also sold rabbits had the highest risk for being positive for AIV. Markets that were closed one or more days per week and those that performed daily cleaning and disinfecting had the lowest risk for being AIV positive.

Animals↗
PubMed2004

Enzymatic and estrogenic responses in fish exposed to organic pollutants in the New York-New Jersey (USA) Harbor Complex.

This study examines biochemical and hormonal responses in resident and migratory fish from the New York-New Jersey (USA) Harbor Complex (NY-NJHC) and those treated with sediment-associated organic contaminants. Following laboratory exposures to organic extracts of NY-NJHC sediments (injection), livers from adult male mummichogs, Fundulus heteroclitus, were analyzed for vitellogenin (VTG), cytochrome P4501A (CYPIA), CYP3A, and estradiol 2-hydroxylase (E2OHase) and ethoxyresorufin-O-deethylase (EROD) activities. Levels of CYP1A (311-391% of control) and EROD (267-361% of control) were elevated in mummichogs exposed to high doses of sediment extracts, while VTG, CYP3A, and E2OHase were unaffected. In field studies, reproductively mature male mummichogs collected from a highly contaminated area, Newark Bay (NJ, USA), did not have detectable levels of VTG but did exhibit elevated levels of CYP1A and EROD. Vitellogenin was also not detected in juvenile striped bass (Morone saxatilis) collected from the main stem of the lower Hudson River (NY, USA). Similar to results in the sediment extract-treated fish. CYP3A and E2OHase were unaltered in Newark Bay F. heteroclitus. The lack of response of CYP3A and E2OHase activities to contaminant mixtures, either environment or sediment derived, suggests that compounds in these mixtures either do not alter these enzymes, produce antagonistic effects in mixtures, are present at ineffective concentrations, or are regulated in a species-specific manner.

Animals↗
PubMed2000

West Nile virus activity--New York and New Jersey, 2000.

In late August 1999, an outbreak of encephalitis caused by West Nile virus (WNV) was detected in New York City and subsequently identified in neighboring counties (1). In response, an extensive mosquito-control and risk-reduction campaign was initiated, including aerial and ground applications of mosquito adulticides throughout the affected areas. No human WNV infections were found in New York City with an onset date after the campaign was completed. Cases continued to occur among humans in surrounding counties that did not undertake mosquito-control efforts until later, suggesting that the campaign may have reduced human risk. In May 2000, CDC issued guidelines to direct national surveillance, prevention, and control efforts (2) and provided funds to support these efforts in 19 state and local health departments where WNV transmission had occurred or where transmission would probably occur based on known bird migration patterns. This report presents the findings of surveillance activities.

Animals↗
PubMed2006

Detection of Contarinia nasturtii (Diptera: Cecidomyiidae) in New York, a new pest of cruciferous plants in the United States.

The midge Contarinia nasturtii Kieffer (Diptera: Cecidomyiidae) was first confirmed in North America in Ontario, Canada, in 2000. The insect is now distributed throughout many counties in the provinces of Ontario and Québec. Nearly 1,200 farms in the northeastern United States that grow cruciferous vegetables are at risk for C. nasturtii infestation if this insect were to spread to that region. Over a period of 3 yr (2002-2004), approximately 3,000 ha of crops on 94 farms in western New York State was scouted for C. nasturtii, but none were found. In 2004, 42 experimental pheromone traps were placed in fields of cruciferous vegetables in eight counties. C. nasturtii males were captured at low levels (1-50 per trap / 8 wk) on four farms in Niagara County, but not at any other site. C. nasturtii larvae were found in plant tissue at one of the four farms. Insect specimens were identified by morphological methods, molecular methods, or both. This is the first confirmation of C. nasturtii in the United States, which we believe was made possible by the combined use of pheromone traps, morphological characters of trapped adults, and molecular methods. The early detection in New York presents an opportunity to implement measures to limit the spread and establishment of C. nasturtii across the state and into other regions of the United States.

Animals↗
PubMed2000

Tuberculosis in human immunodeficiency virus-infected and human immunodeficiency virus-exposed children in New York City. The New York City Pediatric Spectrum of HIV Disease Consortium.

BACKGROUND: Tuberculosis disease incidence increased sharply in New York City (NYC) in the late 1980s in children and adults. The relationship of tuberculosis disease in adults with the coincident epidemic of immunosuppression caused by HIV disease has been well-documented. This paper examines the relationship of tuberculosis and HIV in children in NYC. METHODS: Information on tuberculosis was collected by retrospective chart abstraction in a cohort of HIV-exposed and infected children enrolled in a longitudinal study of HIV. Tuberculosis cases were ascertained by chart review or by matching HIV-infected and -exposed children to NYC Tuberculosis Registry cases. NYC Tuberculosis Registry data on children reported from 1989 to 1995, and not reported as HIV-infected, were used for comparison. RESULTS: Tuberculosis disease was found in 45 (3%) of 1426 HIV-infected children (0.61 per 100 child years of observation) and in 5 (0.5%) of 1085 HIV-exposed uninfected children (0.2 per 100 child years). 30% of children were evaluated for HIV only after presenting with tuberculosis. Children with tuberculosis and HIV were more likely than other age-matched HIV-infected children to have decreased CD4+ T lymphocyte counts (66% vs. 37%, P = 0.02) and more likely than other NYC children with tuberculosis to have culture-confirmed and extrapulmonary tuberculosis. In this series 8 of 21 deaths in HIV-infected children with tuberculosis appeared to be related to tuberculosis. CONCLUSIONS: During a period of high tuberculosis incidence in NYC, 3% of HIV-infected children in our cohort had tuberculosis, higher than the rate in uninfected children born to HIV-positive mothers in the same cohort. Because of this association, HIV-infected children with pulmonary illness should be tested for tuberculosis; and all children with tuberculosis should be tested for HIV.

AIDS-Related Opportunistic Infections↗
PubMed1996

Prospective study of human immunodeficiency virus 1-related disease among 512 infants born to infected women in New York City. The New York City Perinatal HIV Transmission Collaborative Study Group.

OBJECTIVE: To determine the incidence of HIV-1-related clinical findings, mortality and predictors of death in a cohort of HIV-exposed infants followed from birth. METHODS: Data were collected approximately bimonthly during the first and second year of life and used in Kaplan-Meier and Cox proportional hazards survival analyses to predict time to the development of symptoms and death. RESULTS: One hundred sixteen infected and 396 uninfected infants were followed for a median of 26 months at 7 New York City hospitals from 1986 to 1995. Two or more nonspecific HIV-related symptoms, AIDS or death occurred in 83% of infected children by the first year. Fifty infected infants (43%) developed AIDS and 19 (38%) of these had Pneumocystis carinii pneumonia. Estimated median age at AIDS/death was 30 months and 64% of infected children remained alive and AIDS-free at 1 year. Estimated infant mortality among infected children was 160/1000 live births, and median survival after AIDS was 21 months; 55% of infected children survived > 12 months after diagnosis of AIDS. P. carinii pneumonia was the most common cause of death. Although birth CD4 values did not predict AIDS or death, CD4 counts as early as 6 months of age were highly correlated with both. Thirteen (68%) of 19 infants who remained AIDS-free up to 3 to 6 months of age with CD4 count < or = 1500 cells/microliters subsequently developed AIDS vs. 18 (30%) of 61 with CD4 count > 1500 (P = 0.0001). CONCLUSIONS: Most HIV-1-infected infants develop disease in the first year of life. AIDS or death can be predicted by a threshold CD4 count of 1500 cells/microliters at 3 to 6 months of age.

CD4 Lymphocyte Count↗
PubMed1986

The AIDS epidemic in New York City, 1981-1984. New York City Department of Health AIDS Surveillance.

Since the epidemic of the acquired immunodeficiency syndrome (AIDS) was first recognized in 1981, New York City has had more cases and a higher incidence than any other city in the world. As of July 31, 1985, 4,133 cases had been reported to the New York City Department of Health, a cumulative incidence of 59 cases per 100,000. The incidence of disease continues to increase with each year of the epidemic, with 28% more cases diagnosed and reported in the first six months of 1985 (874 cases) than in a similar period of 1984 (680 cases). The authors examined surveillance data of the New York City Department of Health for 3,145 AIDS cases for the period 1981-1984 and for which reporting has been completed. As in the rest of the United States, the groups most affected include homosexual or bisexual men who do not use intravenous drugs (1,761 cases (56%)) and male and female intravenous drug users (1,029 cases (33%)). The percentage of cases represented by intravenous drug users in New York City is higher than in the United States as a whole, and 79% of all intravenous users with AIDS have had residence in New York City. Major changes observed over the period 1981-1984 include a decrease in the proportion of homosexual and bisexual men (63% to 56%); an increase in the proportion of intravenous drug users (13% to 29%); and the appearance of cases in three new groups at risk: children of parents in risk groups, transfusion recipients, and female sexual contacts of men in risk groups. The epidemic trends for the latter three groups appear to be similar to, but two years later than those seen for the epidemic in homosexual and bisexual men and intravenous drug users in New York City.

Acquired Immunodeficiency Syndrome↗
PubMed1999

Preliminary survey for entomopathogenic fungi associated with Ixodes scapularis (Acari: Ixodidae) in southern New York and New England, USA.

Free-living larval, nymphal, and adult Ixodes scapularis Say were collected from scattered locales in southern New England and New York to determine infection rates with entomopathogenic fungi. Infection rates of larvae, nymphs, males, and females were 0% (571), 0% (272), 0% (57), and 4.3% (47), respectively. Two entomopathogenic fungi were isolated from field-collected I. scapularis females from Fire Island, NY. Isolates were identified as Verticillium lecanii (Zimmermann) Viegas and Verticillium sp. (a member of the Verticillium lecanii species complex).

Animals↗
PubMed1996

Hispanic intermarriage in New York City: new evidence from 1991.

"This study [uses] 1991 marriage records from New York City [to examine] trends in marital assimilation among Puerto Ricans and the non-Puerto Rican Hispanic population. The prevalence of intermarriage varies among the six Hispanic national-origin groups. Changes in intermarriage patterns since 1975 are documented. Results show very high rates of intermarriage with non-Hispanics among Cubans, Mexicans, Central Americans, and South Americans. Considerable intermarriage among Hispanics of different national origins is characteristic of all Hispanics. Finally, Puerto Ricans and Dominicans have distinct patterns of intermarriage...."

Americas↗