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Morbidity and Mortality Weekly Report (MMWR)
 (Recommendations and Reports / Surveillance Summaries)

Instructions for Contributors

 Instructions for Format, Clearance, and Submission

Report Text

  • Software: Microsoft Word only.
  • Line spacing: 2.0.
  • Font: Times New Roman.
  • Type size: 11 or 12 point.
  • Headings: Times New Roman, 11 or 12 point; bold and bold/italics may be used, but no other formatting.

Summaries and Abstracts

  • A summary (maximum 275 words) is required for Recommendations and Reports.
  • A structured abstract (i.e., Problem/Condition, Reporting Period, Description of System, Results and Interpretation, and Public Health Actions Taken) is required for Surveillance Summaries.


  • Software: Word table function or Excel.
  • Must not have tabs, extra spaces, or returns within the cells.
  • Must be submitted in a separate file, not embedded in the text.


  • Required software: Created in (not pasted into) PowerPoint, CorelDraw, or vector format files (e.g., .cdr, .cgm, .eps, and .wmf); no other formats will be accepted.
  • For bar and line graphs, also include data in tabular form.
  • Use of color is acceptable.
  • Photographs (high resolution [300 dpi]) that enhance or clarify the text are encouraged.
  • Numbers, symbols, and lettering should be large enough to remain legible when reduced.
  • Place keys and legends within the figure.
  • Must be submitted in a separate file, not embedded in the text.


  • Will be done by MMWR staff; contributors should not waste their time formatting the report to resemble a published MMWR nor the project editor's time deleting that formatting.

Methods  (Recommendations and Reports)

  • All CDC guidelines should provide a methods section that transparently discusses the following:
    • How do the guidelines add to or differ from what was available previously?
    • Who was involved in the production of the guidelines and how?
    • What information base was considered?
      • What was the rationale for considering this evidence base?
      • What potential information bases were not consulted?
  • How does the information considered support or relate to the conclusions or recommendations?


  • Authors are responsible for the accuracy and completeness of their references and for correct text citation.
  • References should be cited according to instructions contained in The Uniform Requirements for Manuscripts Submitted to Biomedical Journals.
  • Reference numbers must be cited in the text in parentheses and italicized, not superscripted. All citations included in the reference list must be cited at least once in numerical order in the text only. Sources for information in figures and tables must be spelled out with each figure and table. Abbreviate names of journals according to the journals list in PubMed (available at Note: List up to six authors and/or editors; if more than six, list the first three, followed by "et al."
  • Reference numbers must be manually inserted in the text, not linked to an endnote function or reference manager software.


  • The order of footnotes is *, †, §, ¶, **, ††, §§, ¶¶, ***, †††, etc.
  • For footnotes in the text, place the footnote symbol as needed in the text, but place the footnote text in a separate file.
  • For footnotes in tables and figures, place the footnotes in order (including any footnotes in the title) from left to right (i.e., in the order a person reads).

OMB Peer Review

  • If applicable, must be completed before submission for publication.


  • Must be completed through the ADS level of the originating CIO.
  • Cross-clearances must be submitted also, if applicable.
  • Signed clearance forms (CDC 0.576) must be submitted before the report is assigned for production.

ACIP Statements/Other Task Force or Committee Recommendations

  • Must reflect the names of ACIP members who were active at the time the statement was adopted.
  • Authors/contributors are responsible for obtaining an accurate list from ACIP Coordinating Medical Officer, Jean C. Smith, MD, MPH.
  • Other recommendations (e.g., from a task force, working group, or committee) must include the members' full formal names, their highest academic degrees, and their affiliations, including city and state for non-CDC members.

Continuing Education (CE) Activities

  • Will be coordinated through MMWR staff in conjunction with OWCD.
  • Planning for continuing education activities should begin while the draft is being prepared.
  • Procedures for including a CE activity are available upon request.
  • The report's goal, three to five objectives, 6–10 draft content questions, and the correct answers should be included in the package when the draft is submitted for publication.


  • Attributed only to persons who write Surveillance Summaries.
  • Author attribution is not given in MMWR Recommendations and Reports. The report lists the CDC persons who prepared the report, but this list does not confer authorship (see previous instructions regarding authorship).
  • A list of authors/contributors must be submitted with each report. The list must include each person's full formal name, highest academic degree, and affiliation, including city and state.


  • Authors/contributors will be allowed to review and comment on their reports only two times during the production cycle:

— They will be asked to review the edited draft, on which any substantive changes can be made.

— Authors/contributors will see the report again in the layout proof stage (i.e., galleys). Layout proofs should be used to correct egregious errors in format or layout. Proof stage is not the appropriate time to make extensive content changes. MMWR assumes that a correctly cleared report will have undergone that level of scrutiny before it is submitted for publication. If reports require substantial content changes in the proof stage, authors/contributors will be asked to reschedule their publication.


  • Production includes editing, entering changes to electronic files, coding for typesetting, typesetting, proofing, review by established list of reviewers, and printing, which usually requires 12–16 weeks from the date of assignment to the project editor. Authors/contributors can help avoid unnecessary delays by meeting deadlines and following the instructions of the project editor.


  • Printing costs are charged to the originating CIO.
  • Charges cover the cost of printing copies for the established MMWR mailing list (approximately 10,400 copies) and for any additional copies the CIO might desire for their own inventory. Contact MASO for cost estimate.
  • The project editor prepares the print request and coordinates with the author/contributor to have any additional copies printed and stored at CDC's publication warehouse, if desired.

Scheduling and Submitting Reports

  • The Editor, MMWR, and the Managing Editor will determine if articles are accepted for publication.
  • Scheduling must be done by contacting the Lead Technical Writer-Editor of MMWR Recommendations and Reports and Surveillance Summaries.
  • Draft files should be submitted via e-mail (no zipped files, please), and the clearance form and reference face pages by interoffice mail. Printouts of the text, tables, and figures are not required.

If you have any questions regarding these instructions, please contact:
Teresa F. Rutledge
Lead Technical Writer-Editor
MMWR Recommendations and Reports and Surveillance Summaries
MS E-90
Phone: 404-498-2371

Author/Contributor Checklist

  • List of authors/contributors reviewed to ensure that each person meets MMWR authorship criteria.
  • List of authors/contributors with each person's full formal name, highest academic degree, and affiliation (including city and state) included in the text file.
  • Text prepared in Word.
  • Text double-spaced.
  • Summary (Recommendations and Reports) or structured abstract (Surveillance Summaries) included.
  • Tables created with Word table function or Excel and placed in a separate file.
  • Original figures created in (not pasted in) PowerPoint, CorelDraw, or vector format and placed in a separate file.
  • All references cited in order and italicized numbers placed in parentheses in the text.
  • All reference manager or endnote formatting deleted from file.
  • Photocopies of MEDLINE citations or first pages for each reference assimilated.
  • Clearance form (CDC 0.576) signed by all reviewers through the CIO ADS level and initialed by all authors/contributors.
  • ACIP or other committee, task force, or working group membership list prepared, if applicable.
  • Report goal, objectives, content questions, and answers included, if a continuing education activity is planned.
  • Electronic files (unzipped) sent by e-mail to, and clearance form and reference pages sent by interoffice mail to Teresa F. Rutledge, MS E-90.





Safer, Healthier People

Morbidity and Mortality Weekly Report
Centers for Disease Control and Prevention
1600 Clifton Rd, MailStop E-90, Atlanta, GA 30333, U.S.A
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