Timothy A Dignam1, Martha Stanbury2, Robert Scott3, Rish Vaidyanathan, PhD4, Melissa Smith1, Corinne Miller2, Brian Kaplan4, Stevan Bullard1, Junaid Maqsood5, Ellen Yard6 and Xiaoting Qin4, (1)Centers for Disease Control and Prevention, Atlanta, GA, (2)Michigan Department of Health and Human Services, Lansing, MI, (3)Michigan Department of Community Health, lansing, MI, (4)Centers for Disease Control and Prevention, atlanta, GA, (5)Michigan Department of Community Health, lansing, ME, (6)CDC/National Center for Environmental Health, Chamblee, GA