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CDC's Office on Smoking and Health offers information related to smoking and tobacco use.

Scott Fridkin, MD1, James Baggs, PhD1, Ryan Fagan, MD1, Shelley Magill, MD, PhD1, Lori A. Pollack, MD1, Paul Malpiedi, MPH1, Rachel Slayton, PhD1, Karim Khader, PhD2 Michael A. Rubin, MD, PhD2, Makoto Jones, MD1, Matthew H.

This is another in a series of occasional MMWR reports titled CDC Grand Rounds. These reports are based on grand rounds presentations at CDC on high-profile issues in public health science, practice, and policy. Information about CDC Grand Rounds is available at http://www.

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Colin Basler, DVM1, Tony M. Forshey, DVM2, Kimberly Machesky, MPH3, C. Matthew Erdman, DVM, PhD4, Thomas M.

Katherine Gonzales, MPH1, Jim Roeber, MSPH2, Dafna Kanny, PhD3, Annie Tran, MPH4, Cathy Saiki, MS5, Hal Johnson, MPH6, Kristin Yeoman, MD7, Tom Safranek, MD8, Kathleen Creppage, MPH9, Alicia Lepp10, Tracy Miller, MPH10, Nato Tarkhashvili, MD11, Kristine E. Lynch, PhD12, Joanna R. Watson, DPhil13, Danielle Henderson, MPH14, Megan Christenson, MS, MPH15, Sarah Dee Geiger, PhD16 (Author affiliations at end of text).

People who enjoy outdoor activities where freshwater or wet soil are encountered may be at risk for leptospirosis. This includes swimming, kayaking, rafting and canoeing in freshwater, hiking and camping. Learn how to help prevent infection and stay safe outdoors.

Mohamed A Sheikh, MD1, Frederick Makokha2, M. Abdullahi Hussein, MD2, Gedi Mohamed, MD3, Ondrej Mach, MD4, Kabir Humayun, MD4, Samuel Okiror, MD5, Leila Abrar, MPH6, Orkhan Nasibov, MD7, John Burton, MD7, Ahmed Unshur8, Kathleen Wannemuehler, PhD9, Concepcion F. Estivariz, MD9 (Author affiliations at end of text).

Ousmane M. Diop, PhD1, Cara C. Burns, PhD2, Steven G.

Guidelines for managing pharmacologic interactions that can result when patients receive antiretroviral drugs for treatment of human immunodeficiency virus (HIV) infection together with rifamycin antibiotics for treatment of tuberculosis (TB) have been published previously (1–4). Newly updated guidelines, developed by CDC in collaboration with experts from other key national and international institutions, are now available at http://www.cdc.