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Khat (Catha edulis) is widely used in East Africa and the Middle East, often in combination with tobacco smoking. Sleep disturbance has been linked with habitual khat use; however, no systematic attempt has been made to test the hypothesis that use of khat and khat and tobacco in combination are related to sleep disturbance. Sleep disturbances are associated with dysregulations in emotional and physiological functions and can increase health risks.

The global tobacco epidemic contributed to 100 million deaths worldwide during the 20th century and continues to kill nearly 6 million persons each year, including approximately 600,000 from secondhand smoke. If current trends persist, an estimated 500 million persons alive today will die from the use of tobacco products. By 2030, tobacco use will result in approximately 8 million deaths worldwide each year.

Edna K. Moturi, MBChB1, Kimberly A. Porter, PhD2, Steven G.

Marc Fischer, MD1, J. Erin Staples, MD1 (Author affiliations at end of text).

Gregory S. Wallace, MD1, Jane F. Seward, MBBS1, Mark A.

Seung Hee Lee-Kwan, PhD1,2, Liping Pan, MD2, Leah Maynard, PhD2, Gayathri Kumar, MD1, Sohyun Park, PhD2 (Affiliations at end of text).

Other than skin cancer, breast cancer is the most common cancer among American women. Getting mammograms regularly can lower the risk of dying from breast cancer.

Kaci L. Hickox, MSN, MPH1,2, Nancy Williams, MD2, Laurie F. Beck, MPH3, Tom Coleman, MD2, John Fudenberg4, Byron Robinson, PhD5, John Middaugh, MD2 (Author affiliations at end of text).

Effective August 1, 2014, subscribers who currently receive printed copies of MMWR at no cost directly from CDC each week will no longer receive them. This decision was reached after careful consideration of the costs of printing and mailing. Distribution of printed copies of MMWR serial publications (i.

Catherine G. Corey, MSPH1, Brian A. King, PhD2, Blair N.

James Matthias, MPH1, Cristina Dusek2, P. Scott Pritchard, MPH1, Laura Rutledge2, Paula Kinchen3, Mark Lander, MS3 (Author affiliations at end of text).

On August 5, 2014, this report was posted as an MMWR Early Release on the MMWR website (http://www.cdc.gov/mmwr).

Ellen Andresen, MSc1, Oleg O. Bilukha, MD2, Zeray Menkir, MPH3, Megan Gayford, MPH1, Millicent Kavosa1, Mulugeta Wtsadik1, Gidraf Maina, MPH1, Mesfin Gose, MSc4, Irene Nyagucha, MSc5, Cyrus Shahpar, MD2 (Author affiliations at end of text).

If you have diabetes, take care of your feet and the rest of your body.

Water is the foundation for life. Learn more about the vital role safe water plays in our lives and what CDC is doing to address challenges to our water supply.