80_FR_58445 80 FR 58258 - Emergency Funding for New York City Legionella Outbreak

80 FR 58258 - Emergency Funding for New York City Legionella Outbreak

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention (CDC)

Federal Register Volume 80, Issue 187 (September 28, 2015)

Page Range58258-58258
FR Document2015-24564

The U.S. Centers for Disease Control and Prevention (CDC) is providing $1,300,000 in urgent funding through the Epidemiology and Laboratory Capacity for Infectious Diseases (ELC) Cooperative Agreement to the New York City Department of Health (NYC HD)to combat an outbreak of Legionella. As of August 18, 2015 NYC HD has identified 127 cases and 12 deaths associated with this public health emergency. These funds will be used by NYC HD to (1) create sustainable environmental and laboratory capacity at NYC HD to respond to Legionella outbreak, (2) enhance laboratory capacity of detection, isolation, and molecular characterization of clinical and environmental strains at the New York City public health laboratory, (3) include sequence-based typing and eventually whole genome sequencing, and (4) allow NYC HD to characterize the geographic distribution of Legionella strains throughout New York City, support the new public health engineering program to monitor the compliance of building owners with the new cooling tower regulations, and work with CDC to evaluate the impact of these regulations.

Federal Register, Volume 80 Issue 187 (Monday, September 28, 2015)
[Federal Register Volume 80, Number 187 (Monday, September 28, 2015)]
[Notices]
[Page 58258]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2015-24564]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention (CDC)


Emergency Funding for New York City Legionella Outbreak

AGENCY: Centers for Disease Control and Prevention (CDC), Department of 
Health and Human Services (DHHS).

ACTION: Notice.

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SUMMARY: The U.S. Centers for Disease Control and Prevention (CDC) is 
providing $1,300,000 in urgent funding through the Epidemiology and 
Laboratory Capacity for Infectious Diseases (ELC) Cooperative Agreement 
to the New York City Department of Health (NYC HD)to combat an outbreak 
of Legionella. As of August 18, 2015 NYC HD has identified 127 cases 
and 12 deaths associated with this public health emergency. These funds 
will be used by NYC HD to (1) create sustainable environmental and 
laboratory capacity at NYC HD to respond to Legionella outbreak, (2) 
enhance laboratory capacity of detection, isolation, and molecular 
characterization of clinical and environmental strains at the New York 
City public health laboratory, (3) include sequence-based typing and 
eventually whole genome sequencing, and (4) allow NYC HD to 
characterize the geographic distribution of Legionella strains 
throughout New York City, support the new public health engineering 
program to monitor the compliance of building owners with the new 
cooling tower regulations, and work with CDC to evaluate the impact of 
these regulations.

DATES: Effective date is date of publication in the Federal Register.

ADDRESSES: Alvin Shultz, MSPH, Division of Preparedness and Emerging 
Infectious, National Center for Emerging and Zoonotic Infectious 
Diseases, Centers for Disease Control and Prevention, 1600 Clifton Road 
NE., Atlanta, GA 30333, Phone: 404-639-7028, E-Mail: [email protected].

FOR FURTHER INFORMATION CONTACT: Alvin Shultz, MSPH, Division of 
Preparedness and Emerging Infectious, National Center for Emerging and 
Zoonotic Infectious, Diseases Centers for Disease Control and 
Prevention, 3311 Toledo Road, Room 4204, Hyattsville, MD 20782 Phone: 
301-458-4371, FAX: 301-458-4028, E-Mail: [email protected].

    Dated: September 23, 2015.
Terrance Perry,
Director, Office of Grants Services, Centers for Disease Control and 
Prevention.
[FR Doc. 2015-24564 Filed 9-25-15; 8:45 am]
BILLING CODE 4163-18-P



                                              58258                     Federal Register / Vol. 80, No. 187 / Monday, September 28, 2015 / Notices

                                              the General Services Administration,                    Prevention, 1600 Clifton Road NE.,                    to treat moderate to severe symptoms of
                                              Regulatory Secretariat Division (MVCB),                 Atlanta, GA 30333, Phone: 404–639–                    VVA due to menopause.
                                              1800 F Street NW., Washington, DC                       7028, E-Mail: Ashultz@cdc.gov.                        DATES: The public meeting will be held
                                              20405, telephone 202501–4755. Please                    FOR FURTHER INFORMATION CONTACT:                      on November 10, 2015, from 8:30 a.m.
                                              cite OMB Control No. 9000–0080,                         Alvin Shultz, MSPH, Division of                       to 5 p.m. Registration to attend the
                                              Integrity of Unit Prices.                               Preparedness and Emerging Infectious,                 meeting must be received by October 16,
                                              Edward Loeb,                                            National Center for Emerging and                      2015, with onsite registration available
                                                                                                      Zoonotic Infectious, Diseases Centers for             between 7 a.m. and 8 a.m. the day of the
                                              Acting Director, Federal Acquisition Policy
                                              Division, Office of Governmentwide                      Disease Control and Prevention, 3311                  meeting. See the SUPPLEMENTARY
                                              Acquisition Policy, Office of Acquisition               Toledo Road, Room 4204, Hyattsville,                  INFORMATION section for information on
                                              Policy, Office of Governmentwide Policy.                MD 20782 Phone: 301–458–4371, FAX:                    how to register for this meeting. Submit
                                              [FR Doc. 2015–24559 Filed 9–25–15; 8:45 am]             301–458–4028, E-Mail:                                 either electronic or written comments
                                                                                                      NHANESgenetics@cdc.gov.                               by October 16, 2015.
                                              BILLING CODE 6820–EP–P
                                                                                                                                                            ADDRESSES: The meeting will be held at
                                                                                                        Dated: September 23, 2015.
                                                                                                                                                            the FDA White Oak Campus, 10903
                                                                                                      Terrance Perry,
                                                                                                                                                            New Hampshire Ave., Bldg. 31
                                              DEPARTMENT OF HEALTH AND                                Director, Office of Grants Services, Centers          Conference Center, Section A of the
                                              HUMAN SERVICES                                          for Disease Control and Prevention.
                                                                                                                                                            Great Room (Rm. 1503), Silver Spring,
                                                                                                      [FR Doc. 2015–24564 Filed 9–25–15; 8:45 am]
                                              Centers for Disease Control and                                                                               MD 20993. Entrance for the public
                                                                                                      BILLING CODE 4163–18–P                                meeting participants (non-FDA
                                              Prevention (CDC)
                                                                                                                                                            employees) is through Building 1, where
                                              Emergency Funding for New York City                                                                           routine security check procedures will
                                                                                                      DEPARTMENT OF HEALTH AND                              be performed. For more information on
                                              Legionella Outbreak                                     HUMAN SERVICES                                        parking and security procedures, please
                                              AGENCY: Centers for Disease Control and                                                                       refer to http://www.fda.gov/AboutFDA/
                                              Prevention (CDC), Department of Health                  Food and Drug Administration
                                                                                                                                                            WorkingatFDA/BuildingsandFacilities/
                                              and Human Services (DHHS).                                                                                    WhiteOakCampusInformation/
                                              ACTION: Notice.                                         [Docket No. FDA–2015–N–3275]                          ucm241740.htm.
                                                                                                                                                               Submit electronic comments to
                                              SUMMARY:   The U.S. Centers for Disease                 Labeling Lower-Dose Estrogen-Alone
                                                                                                                                                            www.regulations.gov. Submit written
                                              Control and Prevention (CDC) is                         Products for Symptoms of Vulvar and
                                                                                                                                                            comments to the Division of Dockets
                                              providing $1,300,000 in urgent funding                  Vaginal Atrophy
                                                                                                                                                            Management (HFA–305), Food and Drug
                                              through the Epidemiology and                            AGENCY:    Food and Drug Administration,              Administration, 5630 Fishers Lane, Rm.
                                              Laboratory Capacity for Infectious                      HHS.                                                  1061, Rockville, MD 20852. All
                                              Diseases (ELC) Cooperative Agreement                                                                          comments should be identified with the
                                              to the New York City Department of                      ACTION: Notice of public meeting;
                                                                                                      request for comments.                                 docket number found in brackets in the
                                              Health (NYC HD)to combat an outbreak                                                                          heading of this document.
                                              of Legionella. As of August 18, 2015                    SUMMARY:    The Food and Drug                            FDA will post the agenda
                                              NYC HD has identified 127 cases and 12                  Administration (FDA) is announcing a                  approximately 5 days before the meeting
                                              deaths associated with this public                      public meeting and an opportunity for                 at http://www.fda.gov/Drugs/
                                              health emergency. These funds will be                   public comment on the topic of the                    NewsEvents/ucm459690.htm.
                                              used by NYC HD to (1) create                            labeling for lower-dose estrogen                      FOR FURTHER INFORMATION CONTACT:
                                              sustainable environmental and                           products delivered vaginally, intended                Kimberly Shiley, Center for Drug
                                              laboratory capacity at NYC HD to                        to treat moderate to severe symptoms of               Evaluation and Research, Food and
                                              respond to Legionella outbreak, (2)                     vulvar and vaginal atrophy (VVA) due                  Drug Administration, 10903 New
                                              enhance laboratory capacity of                          to menopause. Lower-dose estrogen                     Hampshire Ave. Bldg. 22, Rm. 5377,
                                              detection, isolation, and molecular                     products means products that contain                  Silver Spring, MD 20993, 301–796–
                                              characterization of clinical and                        less than the 0.625 milligrams (mg) of                2117, email:
                                              environmental strains at the New York                   conjugated estrogens used in the                      Kimberly.Shiley@fda.hhs.gov.
                                              City public health laboratory, (3)                      Women’s Health Initiative Study, and                  SUPPLEMENTARY INFORMATION:
                                              include sequence-based typing and                       estradiol products containing 0.0375 mg
                                              eventually whole genome sequencing,                     and below. Lower-dose estrogen                        I. Introduction
                                              and (4) allow NYC HD to characterize                    products are now approved for the                        The loss of ovarian function with
                                              the geographic distribution of Legionella               treatment of moderate to severe                       menopause leads to a drastic reduction
                                              strains throughout New York City,                       symptoms of VVA due to menopause,                     in circulating estrogen concentration,
                                              support the new public health                           and some in the scientific/medical                    which in turn leads to physiologic
                                              engineering program to monitor the                      community have questioned whether                     changes to the vulva, vagina, and lower
                                              compliance of building owners with the                  the current ‘‘Boxed Warnings’’ section                urinary tract. Reduced circulating
                                              new cooling tower regulations, and                      in the labeling is applicable in whole or             estrogen concentration results in an
                                              work with CDC to evaluate the impact                    in part to these lower-dose estrogen                  increase in vaginal pH, a thinning and
                                              of these regulations.                                   products. This meeting, a scientific                  reduction of the folds of the vaginal
                                              DATES: Effective date is date of
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                                                                                                      workshop, will provide an opportunity                 lining, reduction of vaginal secretions,
                                              publication in the Federal Register.                    for FDA to seek input from experts on                 and loss of elasticity in vaginal tissues.
                                              ADDRESSES: Alvin Shultz, MSPH,                          the Boxed Warnings section, estrogen                  Symptoms of decreased circulating
                                              Division of Preparedness and Emerging                   exposure data, and pharmacokinetic                    estrogen include vaginal and vulvar
                                              Infectious, National Center for Emerging                (PK)/pharmacodynamic (PD)                             itching and/or irritation, vaginal dryness
                                              and Zoonotic Infectious Diseases,                       relationships relative to labeling lower-             and vaginal pain (dyspareunia), and/or
                                              Centers for Disease Control and                         dose estrogen-alone products intended                 bleeding with intercourse. Not all


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Document Created: 2018-02-26 10:22:08
Document Modified: 2018-02-26 10:22:08
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
ActionNotice.
DatesEffective date is date of publication in the Federal Register.
ContactAlvin Shultz, MSPH, Division of Preparedness and Emerging Infectious, National Center for Emerging and Zoonotic Infectious, Diseases Centers for Disease Control and Prevention, 3311 Toledo Road, Room 4204, Hyattsville, MD 20782 Phone: 301-458-4371, FAX: 301-458-4028, E-Mail: [email protected]
FR Citation80 FR 58258 

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