60-day FRN Public Comments

Attachment 2b

Comments Received to 60-FRN

STD Surveillance Network (SSuN)

Revision Request

OMB# 0920-1072

May 12, 2023

Comment Number 1: Docket/Document (CDC-2023-0017-0001), received Mar 10 2023

To whom it may concern within the Centers for Disease Control and Prevention,

My name is Kristina Martins, and I am an RN within a community health center in the city of Brockton. I believe that the 2023 STD Surveillance Network will benefit the state of Massachusetts, and is critical regarding implementing community healthcare to minimize the spread of sexually-transmitted diseases and increase education on this topic. Within this network, abstracting behavioral, demographic, and epidemiological data on STDs within the state of Massachusetts can help to assess for any inequalities. If any inequalities are found, this can help minimize any burdens to proper health care and disease prevention for the future.
This data can be abstracted through online patient data via medical software (i.e. NextGen, Epic, MediTech, etc.) in those that are flagged as positive for STDs. Evaluating this data can determine any clusters of STI spreads that may indicate that more in-depth education on prevention and health promotion is needed. I see a large group of young adolescents that test positive for STIs, as they are unsure of safe sex practices. It has been shown that sociocultural contexts of STI perceptions and sex education can directly affect the prevalence of STIs within the population (Ayres et. al., 2021). As Massachusetts has many diverse communities, assessing any demographic data that is correlated to a higher risk for STIs is critical to provide quality patient care.
I do believe that STD Surveillance is the first step towards minimizing the prevalence of these diseases, however, if community health centers and other medical professionals help educate the community on how to prevent the spread of these infections, and promote regular STI testing, this will help as well. I hope that as long as this surveillance program provides the healthcare field with promising data, then these future changes can be implemented as well.

Reference
Ayres, J., Calazans, G., Gianini, R., Botelho, F., Devincenzi, M., Bellenzani, R., Silva, V. & Amorim, G. (2021). Testing, Inequities and Vulnerability of Adolescents to Sexually Transmitted Infections. Journal of Community Health, 47(1), p. 118-126. Doi: 10.1007/s10900-021-01028-6.

Comment Number 2: Docket/Document (CDC-2023-0017-0003), received May 10 2023

ATTN Dr. Sala-i-Martin,
</br>
</br>Dear PrezBo,</br></p>
You know exactly who to thank for the honorable mention.
</br>
obo Financial Crimes Enforcement Network</p>
</p>
—FINCEN-2023-0004-0001</p>
—COLC-2023-0002-0001</p>
—for the Advancement of Agency Cybersecurity, Infrastructure Security Agency, and the NSF.
</p>
ID CISA-2023-0007-0001, et. al.</p></p>

</p>
Here a USC Title 18.225 Violation that not yet been Adjudicated. You’re retired anyways do us all a favor and maybe this will help contain this maniac to keep her mouth shut as well!</p></p> Plus! You can add it to your wiki after the Federal Reserve work you did! Sounds good to me big man!</p></p>

</p>

In light of the paperwork reduction Act I have prepared these artifacts; namely, to make an example of these criminals who generally place the protection of consumers at risk. </p> State Farm casualty is a oxymoron business…
- oxymoron, mostly because they are an automobile insurance company trying to commit crimes in the financial space (not their area of specialization), which is supposed to defraud automobile owners, now also they are defrauding real property taxes and the SEC?? So I also have other questions, like why haven’t they been charged for gross negligence of property taxes, the Sarbanes-Oxley Rules…
like put their shareholders at risk to hide the Zucker Ponzi scheme—
</p></p>each unit// 144 of them valued at $20 million in soho without a certificate of occupancy??? Good luck with that liability, back taxes 10-Years as reported to the NY DFS they also obtained unlawful lines of credit with those artifacts, which is also a breach of USC 18.21 —
</p>

</p>

** Block 803, Lot 8, Acris. </p> </p>No lie</p></p>
</p>

https://archive.org/details/document-index-tcr-5

</p>

https://archive.org/details/2020-05-27-index-and-papers

</p>

https://ia902602.us.archive.org/17/items/document-index-tcr-5/document%20index%20TCR5.pdf</br>
Best Wishes!</br> BBO.</br>

no play play either</p></p>
Is this what they are thinking??? </p> </p>
https://memes.getyarn.io/yarn-clip/3458149a-ceb0-49e7-8800-0bc285617948/embed?autoplay=false&responsive=true </p> </p>

Attachment 2b Page 2 May 2023