[Federal Register Volume 69, Number 192 (Tuesday, October 5, 2004)]
[Notices]
[Pages 59599-59600]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 04-22348]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[30Day-04-04HH]


Proposed Data Collections Submitted for Public Comment and 
Recommendations

    The Centers for Disease Control and Prevention (CDC) publishes a 
list of information collection requests under review by the Office of 
Management and Budget (OMB) in compliance with the Paperwork Reduction 
Act (44 U.S.C. Chapter 35). To request a copy of these requests, call 
the CDC Reports Clearance Officer at (404) 498-1210 or send an email to 
<a href="/cdn-cgi/l/email-protection#c3acaea183a0a7a0eda4acb5"><span class="__cf_email__" data-cfemail="bdd2d0dffdded9de93dad2cb">[email protected]</span></a>. Send written comments to CDC Desk Officer, Human Resources 
and Housing Branch, New Executive Office Building, Room 10235, 
Washington, DC 20503 or by fax to (202) 395-6974. Written comments 
should be received within 30 days of this notice.

Proposed Project

    Active Surveillance of Ciguatera in Culebra, Puerto Rico--New--
National Center for Environmental Health (NCEH), Centers for Disease 
Control and Prevention (CDC).
    Ciguatera fish poisoning (CFP) is a serious health threat to people 
in Puerto Rico. Many finfish that live in the island's coral reefs 
carry ciguatoxin. When people consume these finfish, they can get CFP, 
a condition that causes gastrointestinal and neurological symptoms. To 
quantify the health burden caused by CFP, the local department of 
health tallies the number of cases of CFP reported by health care 
providers on the island. A recent evaluation of this passive 
surveillance system determined that the majority of CFP cases that 
occur on the island are missed. To accurately quantify the health 
threat of CFP to the population in Puerto Rico, the National Center for 
Environmental Health, Centers for Disease Control and Prevention, in 
conjunction with the Puerto Rico Department of Health, will conduct 
active surveillance for CFP for twelve (12) months in Puerto Rico.
    This active surveillance system will quantify the public health 
burden of CFP by determining the incidence, risk factors, and economic 
effect of CFP in Culebra, Puerto Rico. Household questionnaire, Part B 
will be administered to each household in Culebra every four (4) months 
for one (1) year. This questionnaire elicits information on household 
fish consumption and identifies individuals who have developed symptoms 
of CFP. A second questionnaire will be administered once individuals 
having symptoms compatible with CFP are identified. This second 
questionnaire explores personal risk factors, medical management, and 
costs incurred while the individuals were ill with CFP. To confirm the 
presence of ciguatoxin in affected areas, fish will be collected from 
local reefs, fish vendors, and any appropriate leftover fish from 
people with CFP. The fish will be analyzed by the U.S. Food and Drug 
Administration.
    Ultimately, the information provided by this study will aid the 
Puerto Rico Department of Health in controlling the health threat of 
CFP. Quantifying the incidence, risk factors, and economic burden of 
CFP will guide the development of preventive strategies. The annualized 
burden to respondents is estimated to be 250 hours.

[[Page 59600]]



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                                                                                     Number of    Average burden
                           Respondents                               Number of     responses per    per response
                                                                    respondents     respondent       (in hrs.)
----------------------------------------------------------------------------------------------------------------
Recruitment and consent.........................................             512               1            2/60
Household Part A................................................             360               1            7/60
Household Part B................................................             720               3            5/60
Individuals.....................................................              45               1           15/60
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    Dated: September 29, 2004.
Alvin Hall,
Director, Management Analysis and Services Office, Centers for Disease 
Control and Prevention.
[FR Doc. 04-22348 Filed 10-4-04; 8:45 am]
BILLING CODE 4163-18-P


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