A Foodshed Analysis of the Cache County School District

The Cache County School District serves 26 schools across Cache County, Utah. This exhibit is intended to examine the history of the school lunch program in Cache County and assess the current state of the lunch program in 2016. This exhibit is also intended to provide options to improve and change the school lunch system to move toward a healthy, sustainable food system within Cache County Schools

Tuberculosis and HIV Co-infection, California, USA, 1993–2008

To understand the epidemiology of tuberculosis (TB) and HIV co-infection in California, we cross-matched incident TB cases reported to state surveillance systems during 1993–2008 with cases in the state HIV/AIDS registry. Of 57,527 TB case-patients, 3,904 (7%) had known HIV infection. TB rates for persons with HIV declined from 437 to 126 cases/100,000 persons during 1993–2008; rates were highest for Hispanics (225/100,000) and Blacks (148/100,000). Patients co-infected with TB–HIV during 2001–2008 were significantly more likely than those infected before highly active antiretroviral therapy became available to be foreign born, Hispanic, or Asian/Pacific Islander and to have pyrazinamide-monoresistant TB. Death rates decreased after highly active antiretroviral therapy became available but remained twice that for TB patients without HIV infection and higher for women. In California, HIV-associated TB has concentrated among persons from low and middle income countries who often acquire HIV infection in the peri-immigration period