CBO’s long-term budget projections are generally similar to those the agency published in the past year. The previous edition of this volume, The 2016 Long-Term Budget Outlook , published in July 2016, showed projections through 2046. CBO now projects debt in 2046 that, measured as a share of GDP, is 5 percentage points higher than it projected last year. In addition, in January 2017 CBO released simplified long-term projections through 2047. The agency’s current projection of debt in 2047 is 5 percentage points higher than it was in January.
The syndromes included here represent a variety of clinically relevant infections that can occur in the LTCF population. Surveillance should be performed for infections for which there are clear strategies that can be implemented for prevention and control of transmission ( Table 1 ). However, for completeness and consistency with the original surveillance definitions, 1 several infections that may occur because of underlying host factors rather than transmission within the facility have also been included in this document, so that both infection prevention programs and research studies have a standard set of criteria. Given the limited infection prevention and control resources that are currently available in most LTCFs, surveillance activities may need to target those infections in a facility that have the most potential for prevention. In addition, some infections are associated with a high likelihood of transmission and development of outbreaks (eg, norovirus, influenza, group A Streptococcus , acute viral hepatitis). For these infections, identification of even a single case in a LTCF should trigger a more intensive investigation. 6 , 7