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Volume 16, Number 2—February 2010

Volume 16, Number 2—February 2010   PDF Version [PDF - 4.33 MB - 195 pages]

Perspective

  • Effects of Coronavirus Infections in Children
    N. Principi et al.
        View Abstract

    The isolation of the coronavirus (CoV) identified as the cause of severe acute respiratory syndrome and the detection of 2 new human CoVs (HCoV-NL63 and HCoV-HKU1) have led to studies of the epidemiology and clinical and socioeconomic effects of infections caused by all HCoVs, including those known since the late 1960s (HCoV-229E and HCoV-OC43). HCoV infections can be associated with respiratory and extrarespiratory manifestations, including central nervous system involvement. Furthermore, unlike other RNA viruses, HCoVs can easily mutate and recombine when different strains infect the same cells and give rise to a novel virus with unpredictable host ranges and pathogenicity. Thus, circulating HCoVs should be closely monitored to detect the spread of particularly virulent strains in the community at an early stage and to facilitate the development of adequate preventive and therapeutic measures.

        Cite This Article
    EID Principi N, Bosis S, Esposito S. Effects of Coronavirus Infections in Children. Emerg Infect Dis. 2010;16(2):183-188. https://dx.doi.org/10.3201/eid1602.090469
    AMA Principi N, Bosis S, Esposito S. Effects of Coronavirus Infections in Children. Emerging Infectious Diseases. 2010;16(2):183-188. doi:10.3201/eid1602.090469.
    APA Principi, N., Bosis, S., & Esposito, S. (2010). Effects of Coronavirus Infections in Children. Emerging Infectious Diseases, 16(2), 183-188. https://dx.doi.org/10.3201/eid1602.090469.

Research

  • Imported Methicillin-Resistant Staphylococcus aureus, Sweden PDF Version [PDF - 287 KB - 8 pages]
    M. Stenhem et al.
        View Abstract

    Countries such as Sweden that have a low prevalence of methicillin-resistant Staphylococcus aureus (MRSA) offer the opportunity to discern and study transmission of imported cases of MRSA. We analyzed 444 imported cases of MRSA acquisition reported in Sweden during 2000–2003. Risk for MRSA in returning travelers ranged from 0.1 (95% confidence interval [CI] 0.01–0.4) per 1 million travelers to Nordic countries to 59.4 (95% CI 44.5–79.3) per 1 million travelers to North Africa and the Middle East. Most imported cases (246, 55%) were healthcare acquired, but regions with the highest risk for MRSA in travelers showed a correlation with community acquisition (r = 0.81, p = 0.001). Characteristic differences in MRSA strains acquired were dependent on the region from which they originated and whether they were community or healthcare acquired. Knowledge of differences in transmission of MRSA may improve control measures against imported cases.

        Cite This Article
    EID Stenhem M, Örtqvist Å, Ringberg H, Larsson L, Olsson-Liljequist B, Hæggman S, et al. Imported Methicillin-Resistant Staphylococcus aureus, Sweden. Emerg Infect Dis. 2010;16(2):189-196. https://dx.doi.org/10.3201/eid1602.081655
    AMA Stenhem M, Örtqvist Å, Ringberg H, et al. Imported Methicillin-Resistant Staphylococcus aureus, Sweden. Emerging Infectious Diseases. 2010;16(2):189-196. doi:10.3201/eid1602.081655.
    APA Stenhem, M., Örtqvist, Å., Ringberg, H., Larsson, L., Olsson-Liljequist, B., Hæggman, S....Ekdahl, K. (2010). Imported Methicillin-Resistant Staphylococcus aureus, Sweden. Emerging Infectious Diseases, 16(2), 189-196. https://dx.doi.org/10.3201/eid1602.081655.
  • Medscape CME Activity
    Risk Factors for and Estimated Incidence of Community-associated Clostridium difficile Infection, North Carolina, USA PDF Version [PDF - 189 KB - 7 pages]
    P. K. Kutty et al.
        View Abstract

    We determined estimated incidence of and risk factors for community-associated Clostridium difficile infection (CA-CDI) among patients treated at 6 North Carolina hospitals. CA-CDI case-patients were defined as adults (>18 years of age) with a positive stool test result for C. difficile toxin and no hospitalization within the prior 8 weeks. CA-CDI incidence was 21 and 46 per 100,000 person-years in Veterans Affairs (VA) outpatients and Durham County populations, respectively. VA case-patients were more likely than controls to have received antimicrobial drugs (adjusted odds ratio [aOR] 17.8, 95% confidence interval [CI] 6.6–48] and to have had a recent outpatient visit (aOR 5.1, 95% CI 1.5–17.9). County case-patients were more likely than controls to have received antimicrobial drugs (aOR 9.1, 95% CI 2.9–28.9), to have gastroesophageal reflux disease (aOR 11.2, 95% CI 1.9–64.2), and to have cardiac failure (aOR 3.8, 95% CI 1.1–13.7). Risk factors for CA-CDI overlap with those for healthcare-associated infection.

        Cite This Article
    EID Kutty PK, Woods CW, Sena AC, Benoit SR, Naggie S, Frederick J, et al. Risk Factors for and Estimated Incidence of Community-associated Clostridium difficile Infection, North Carolina, USA. Emerg Infect Dis. 2010;16(2):198-204. https://dx.doi.org/10.3201/eid1602.090953
    AMA Kutty PK, Woods CW, Sena AC, et al. Risk Factors for and Estimated Incidence of Community-associated Clostridium difficile Infection, North Carolina, USA. Emerging Infectious Diseases. 2010;16(2):198-204. doi:10.3201/eid1602.090953.
    APA Kutty, P. K., Woods, C. W., Sena, A. C., Benoit, S. R., Naggie, S., Frederick, J....McDonald, L. C. (2010). Risk Factors for and Estimated Incidence of Community-associated Clostridium difficile Infection, North Carolina, USA. Emerging Infectious Diseases, 16(2), 198-204. https://dx.doi.org/10.3201/eid1602.090953.
  • Household Responses to Pandemic (H1N1) 2009–related School Closures, Perth, Western Australia PDF Version [PDF - 176 KB - 7 pages]
    P. V. Effler et al.
        View Abstract

    School closure is often purported to reduce influenza transmission, but little is known about its effect on families. We surveyed families affected by pandemic (H1N1) 2009–related school closures in Perth, Western Australia, Australia. Surveys were returned for 233 (58%) of 402 students. School closure was deemed appropriate by 110 parents (47%); however, 91 (45%) parents of 202 asymptomatic students reported taking >1 day off work to care for their child, and 71 (35%) had to make childcare arrangements because of the class closures. During the week, 172 (74%) students participated in activities outside the home on >1 occasion, resulting in an average of 3.7 out-of-home activities for each student. In our survey, activities outside the home were commonly reported by students affected by school closure, the effect on families was substantial, and parental opinion regarding school closures as a means to mitigate the outbreak of pandemic (H1N1) 2009 was divided.

        Cite This Article
    EID Effler PV, Carcione D, Giele C, Dowse GK, Goggin L, Mak DB, et al. Household Responses to Pandemic (H1N1) 2009–related School Closures, Perth, Western Australia. Emerg Infect Dis. 2010;16(2):205-211. https://dx.doi.org/10.3201/eid1602.091372
    AMA Effler PV, Carcione D, Giele C, et al. Household Responses to Pandemic (H1N1) 2009–related School Closures, Perth, Western Australia. Emerging Infectious Diseases. 2010;16(2):205-211. doi:10.3201/eid1602.091372.
    APA Effler, P. V., Carcione, D., Giele, C., Dowse, G. K., Goggin, L., & Mak, D. B. (2010). Household Responses to Pandemic (H1N1) 2009–related School Closures, Perth, Western Australia. Emerging Infectious Diseases, 16(2), 205-211. https://dx.doi.org/10.3201/eid1602.091372.
  • Employment and Compliance with Pandemic Influenza Mitigation Recommendations PDF Version [PDF - 157 KB - 7 pages]
    K. D. Blake et al.
        View Abstract

    In the event of a serious pandemic influenza outbreak, businesses must play a key role in protecting employees' health and safety. With regard to pandemic influenza mitigation recommendations requiring social distancing, we examined whether some US employees would disproportionately fail to comply because of job insecurity and financial problems associated with missing work. We used the 2006 Harvard School of Public Health Pandemic Influenza Survey and multivariable logistic regression to determine whether employment characteristics such as inability to work from home, lack of pay when absent from work, and self-employment would be associated with less ability to comply with recommendations. We found that inability to work from home, lack of paid sick leave, and income are associated with working adults’ ability to comply and should be major targets for workplace interventions in the event of a serious outbreak.

        Cite This Article
    EID Blake KD, Blendon RJ, Viswanath K. Employment and Compliance with Pandemic Influenza Mitigation Recommendations. Emerg Infect Dis. 2010;16(2):212-218. https://dx.doi.org/10.3201/eid1602.090638
    AMA Blake KD, Blendon RJ, Viswanath K. Employment and Compliance with Pandemic Influenza Mitigation Recommendations. Emerging Infectious Diseases. 2010;16(2):212-218. doi:10.3201/eid1602.090638.
    APA Blake, K. D., Blendon, R. J., & Viswanath, K. (2010). Employment and Compliance with Pandemic Influenza Mitigation Recommendations. Emerging Infectious Diseases, 16(2), 212-218. https://dx.doi.org/10.3201/eid1602.090638.
  • Human Hendra Virus Encephalitis Associated with Equine Outbreak, Australia, 2008 PDF Version [PDF - 133 KB - 5 pages]
    E. G. Playford et al.
        View Abstract

    A recent Hendra virus outbreak at a veterinary clinic in Brisbane, Queensland, Australia, involved 5 equine and 2 human infections. In contrast to previous outbreaks, infected horses had predominantly encephalitic, rather than respiratory, signs. After an incubation period of 9–16 days, influenza-like illnesses developed in the 2 persons before progressing to encephalitis; 1 died. Both patients were given ribavirin. Basal serum and cerebrospinal fluid levels were 10–13 mg/L after intravenous administration and 6 mg/L after oral administration (isolate 90% inhibitory concentration 64 mg/L). Both patients were exposed to infected horses, 1 during the late incubation period in a horse. The attack rate for veterinary clinic staff exposed to infected horses was 10%. An isolate from this outbreak showed genetic heterogeneity with isolates from a concurrent, but geographically remote, outbreak and from previous outbreaks. Emergence of Hendra virus is a serious medical, veterinary, and public health challenge.

        Cite This Article
    EID Playford EG, McCall B, Smith G, Slinko V, Allen G, Smith I, et al. Human Hendra Virus Encephalitis Associated with Equine Outbreak, Australia, 2008. Emerg Infect Dis. 2010;16(2):219-223. https://dx.doi.org/10.3201/eid1602.090552
    AMA Playford EG, McCall B, Smith G, et al. Human Hendra Virus Encephalitis Associated with Equine Outbreak, Australia, 2008. Emerging Infectious Diseases. 2010;16(2):219-223. doi:10.3201/eid1602.090552.
    APA Playford, E. G., McCall, B., Smith, G., Slinko, V., Allen, G., Smith, I....Field, H. E. (2010). Human Hendra Virus Encephalitis Associated with Equine Outbreak, Australia, 2008. Emerging Infectious Diseases, 16(2), 219-223. https://dx.doi.org/10.3201/eid1602.090552.
  • Cost-effectiveness of Pharmaceutical-based Pandemic Influenza Mitigation Strategies PDF Version [PDF - 282 KB - 7 pages]
    A. T. Newall et al.
        View Abstract

    We used a hybrid transmission and economic model to evaluate the relative merits of stockpiling antiviral drugs and vaccine for pandemic influenza mitigation. In the absence of any intervention, our base-case assumptions generated a population clinical attack rate of 31.1%. For at least some parameter values, population prepandemic vaccination strategies were effective at containing an outbreak of pandemic influenza until the arrival of a matched vaccine. Because of the uncertain nature of many parameters, we used a probabilistic approach to determine the most cost-effective strategies. At a willingness to pay of >A$24,000 per life-year saved, more than half the simulations showed that a prepandemic vaccination program combined with antiviral treatment was cost-effective in Australia.

        Cite This Article
    EID Newall AT, Wood JG, Oudin N, MacIntyre C. Cost-effectiveness of Pharmaceutical-based Pandemic Influenza Mitigation Strategies. Emerg Infect Dis. 2010;16(2):224-230. https://dx.doi.org/10.3201/eid1602.090571
    AMA Newall AT, Wood JG, Oudin N, et al. Cost-effectiveness of Pharmaceutical-based Pandemic Influenza Mitigation Strategies. Emerging Infectious Diseases. 2010;16(2):224-230. doi:10.3201/eid1602.090571.
    APA Newall, A. T., Wood, J. G., Oudin, N., & MacIntyre, C. (2010). Cost-effectiveness of Pharmaceutical-based Pandemic Influenza Mitigation Strategies. Emerging Infectious Diseases, 16(2), 224-230. https://dx.doi.org/10.3201/eid1602.090571.
  • Domestic Animals and Epidemiology of Visceral Leishmaniasis, Nepal PDF Version [PDF - 335 KB - 7 pages]
    N. R. Bhattarai et al.
        View Abstract

    On the Indian subcontinent, visceral leishmaniasis (VL) is considered an anthroponosis. To determine possible reasons for its persistence during interepidemic periods, we mapped Leishmania infections among healthy persons and animals in an area of active VL transmission in Nepal. During 4 months (September 2007–February 2008), blood was collected from persons, goats, cows, and buffaloes in 1 village. Leishmania infections were determined by using PCR. We found infections among persons (6.1%), cows (5%), buffaloes (4%), and goats (16%). Data were georeferenced and entered into a geographic information system. The bivariate K-function results indicated spatial clustering of Leishmania spp.–positive persons and domestic animals. Classification tree analysis determined that among several possible risk factors for Leishmania infection among persons, proximity of Leishmania spp.–positive goats ranked first. Although our data do not necessarily mean that goats constitute a reservoir host of L. donovani, these observations indicate the need for further investigation of goats’ possible role in VL transmission.

        Cite This Article
    EID Bhattarai NR, Van der Auwera G, Rijal S, Picado A, Speybroeck N, Khanal B, et al. Domestic Animals and Epidemiology of Visceral Leishmaniasis, Nepal. Emerg Infect Dis. 2010;16(2):231-237. https://dx.doi.org/10.3201/eid1602.090623
    AMA Bhattarai NR, Van der Auwera G, Rijal S, et al. Domestic Animals and Epidemiology of Visceral Leishmaniasis, Nepal. Emerging Infectious Diseases. 2010;16(2):231-237. doi:10.3201/eid1602.090623.
    APA Bhattarai, N. R., Van der Auwera, G., Rijal, S., Picado, A., Speybroeck, N., Khanal, B....Dujardin, J. (2010). Domestic Animals and Epidemiology of Visceral Leishmaniasis, Nepal. Emerging Infectious Diseases, 16(2), 231-237. https://dx.doi.org/10.3201/eid1602.090623.
  • Investigating an Airborne Tularemia Outbreak, Germany PDF Version [PDF - 154 KB - 6 pages]
    A. M. Hauri et al.
        View Abstract

    In November 2005, an outbreak of tularemia occurred among 39 participants in a hare hunt in Hesse, Germany. Previously reported tularemia outbreaks in Germany dated back to the 1950s. We conducted a retrospective cohort study among participants and investigated the environment to identify risk factors for infection. Ten participants had serologic evidence of acute Francisella tularensis infection; 1 other participant died before laboratory confirmation was obtained. Presence within 5 meters of the place where disemboweled hares were rinsed with a water hose was the risk factor most strongly associated with infection (risk ratio 22.1; 95% confidence interval 13.2–154.3). Swabs taken at the game chamber and water samples were PCR negative for F. tularensis. Eleven of 14 hare parts showed low-level concentrations of F. tularensis, compatible with cross-contamination. More than half of case-patients may have acquired infection through inhalation of aerosolized droplets containing F. tularensis generated during rinsing of infected hares.

        Cite This Article
    EID Hauri AM, Hofstetter I, Seibold E, Kaysser P, Eckert J, Neubauer H, et al. Investigating an Airborne Tularemia Outbreak, Germany. Emerg Infect Dis. 2010;16(2):238-243. https://dx.doi.org/10.3201/eid1602.081727
    AMA Hauri AM, Hofstetter I, Seibold E, et al. Investigating an Airborne Tularemia Outbreak, Germany. Emerging Infectious Diseases. 2010;16(2):238-243. doi:10.3201/eid1602.081727.
    APA Hauri, A. M., Hofstetter, I., Seibold, E., Kaysser, P., Eckert, J., Neubauer, H....Splettstoesser, W. D. (2010). Investigating an Airborne Tularemia Outbreak, Germany. Emerging Infectious Diseases, 16(2), 238-243. https://dx.doi.org/10.3201/eid1602.081727.
  • Statewide School-located Influenza Vaccination Program for Children 5–13 Years of Age, Hawaii, USA
    P. V. Effler et al.
        View Abstract

    New guidance recommends annual influenza vaccination for all children 5–18 years of age in the United States. During 2007–2008, Hawaii offered inactivated and live attenuated influenza vaccine at school-located clinics for grades kindergarten through 8. Most (90%) public and private schools participated, and 622 clinics were conducted at 340 schools. Of 132,775 children 5–13 years of age, 60,760 (46%) were vaccinated. The proportion vaccinated peaked at 54% for those 6 years of age and declined for older cohorts. More than 90% of schoolchildren transited the clinic in <10 minutes. A total of 16,920 staff-hours were expended; estimated cost per dose administered was $27 and included vaccine purchase and administration, health staffing resources, printing costs, data management, and promotion. This program demonstrates the feasibility of conducting mass school-located influenza vaccination programs in public and private schools statewide, as might be indicated to respond to pandemic influenza.

        Cite This Article
    EID Effler PV, Chu C, He H, Gaynor K, Sakamoto S, Nagao M, et al. Statewide School-located Influenza Vaccination Program for Children 5–13 Years of Age, Hawaii, USA. Emerg Infect Dis. 2010;16(2):244-250. https://dx.doi.org/10.3201/eid1602.091375
    AMA Effler PV, Chu C, He H, et al. Statewide School-located Influenza Vaccination Program for Children 5–13 Years of Age, Hawaii, USA. Emerging Infectious Diseases. 2010;16(2):244-250. doi:10.3201/eid1602.091375.
    APA Effler, P. V., Chu, C., He, H., Gaynor, K., Sakamoto, S., Nagao, M....Park, S. Y. (2010). Statewide School-located Influenza Vaccination Program for Children 5–13 Years of Age, Hawaii, USA. Emerging Infectious Diseases, 16(2), 244-250. https://dx.doi.org/10.3201/eid1602.091375.
  • Epidemiology of Cryptococcus gattii, British Columbia, Canada, 1999–2007 PDF Version [PDF - 115 KB - 7 pages]
    E. Galanis et al.
    View Summary

    Incidence is high, but the predominant strain does not seem to cause greater illness or death than do other strains.

        View Abstract

    British Columbia, Canada, has the largest reported population of Cryptococcus gattii–infected persons worldwide. To assess the impact of illness, we retrospectively analyzed demographic and clinical features of reported cases, hospitalizations, and deaths during 1999–2007. A total of 218 cases were reported (average annual incidence 5.8 per million persons). Most persons who sought treatment had respiratory illness (76.6%) or lung cryptococcoma (75.4%). Persons without HIV/AIDS hospitalized with cryptococcosis were more likely than those with HIV/AIDS to be older and admitted for pulmonary cryptococcosis. The 19 (8.7%) persons who died were more likely to be older and to have central nervous system disease and infection from the VGIIb strain. Although incidence in British Columbia is high, the predominant strain (VGIIa) does not seem to cause greater illness or death than do other strains. Further studies are needed to explain host and strain characteristics for regional differences in populations affected and disease outcomes.

        Cite This Article
    EID Galanis E, MacDougall L, Kidd S, Morshed M. Epidemiology of Cryptococcus gattii, British Columbia, Canada, 1999–2007. Emerg Infect Dis. 2010;16(2):251-257. https://dx.doi.org/10.3201/eid1602.090900
    AMA Galanis E, MacDougall L, Kidd S, et al. Epidemiology of Cryptococcus gattii, British Columbia, Canada, 1999–2007. Emerging Infectious Diseases. 2010;16(2):251-257. doi:10.3201/eid1602.090900.
    APA Galanis, E., MacDougall, L., Kidd, S., & Morshed, M. (2010). Epidemiology of Cryptococcus gattii, British Columbia, Canada, 1999–2007. Emerging Infectious Diseases, 16(2), 251-257. https://dx.doi.org/10.3201/eid1602.090900.
  • Tropheryma whipplei in Patients with Pneumonia PDF Version [PDF - 143 KB - 6 pages]
    S. Bousbia et al.
        View Abstract

    Tropheryma whipplei is the etiologic pathogenic agent of Whipple disease (WD), characterized by various clinical signs, such as diarrhea, weight loss, lymphadenopathy, and polyarthritis. PCR-based methods for diagnosis of WD have been developed. T. whipplei has been identified in saliva and stool samples from patients with WD and from healthy persons. T. whipplei DNA has also been found in bronchoalveolar lavage (BAL) samples of a child with pneumonia. We detected DNA of T. whipplei in 6 (3%) of 210 BAL samples collected in intensive care units by using 16S rDNA and specific quantitative PCR. We identified 4 novel genotypes of T. whipplei. In 1 case, T. whipplei was the only bacterium; in 4 others, it was associated with buccal flora. We suggest that T. whipplei should be investigated as an etiologic agent of pneumonia.

        Cite This Article
    EID Bousbia S, Papazian L, Auffray J, Fenollar F, Martin C, Li W, et al. Tropheryma whipplei in Patients with Pneumonia. Emerg Infect Dis. 2010;16(2):258-263. https://dx.doi.org/10.3201/eid1602.090610
    AMA Bousbia S, Papazian L, Auffray J, et al. Tropheryma whipplei in Patients with Pneumonia. Emerging Infectious Diseases. 2010;16(2):258-263. doi:10.3201/eid1602.090610.
    APA Bousbia, S., Papazian, L., Auffray, J., Fenollar, F., Martin, C., Li, W....Raoult, D. (2010). Tropheryma whipplei in Patients with Pneumonia. Emerging Infectious Diseases, 16(2), 258-263. https://dx.doi.org/10.3201/eid1602.090610.
  • Emergence of Increased Resistance and Extensively Drug-Resistant Tuberculosis Despite Treatment Adherence, South Africa PDF Version [PDF - 175 KB - 9 pages]
    A. D. Calver et al.
        View Abstract

    We investigated the emergence and evolution of drug-resistant tuberculosis (TB) in an HIV co-infected population at a South African gold mine with a well-functioning TB control program. Of 128 patients with drug-resistant TB diagnosed during January 2003–November 2005, a total of 77 had multidrug-resistant (MDR) TB, 26 had pre–extensively drug-resistant TB (XDR TB), and 5 had XDR TB. Genotyping suggested ongoing transmission of drug-resistant TB, and contact tracing among case-patients in the largest cluster demonstrated multiple possible points of contact. Phylogenetic analysis demonstrated stepwise evolution of drug resistance, despite stringent treatment adherence. These findings suggested that existing TB control measures were inadequate to control the spread of drug-resistant TB in this HIV co-infected population. Diagnosis delay and inappropriate therapy facilitated disease transmission and drug-resistance. These data call for improved infection control measures, implementation of rapid diagnostics, enhanced active screening strategies, and pharmacokinetic studies to determine optimal dosages and treatment regimens.

        Cite This Article
    EID Calver AD, Falmer AA, Murray M, Strauss OJ, Streicher EM, Hanekom M, et al. Emergence of Increased Resistance and Extensively Drug-Resistant Tuberculosis Despite Treatment Adherence, South Africa. Emerg Infect Dis. 2010;16(2):264-271. https://dx.doi.org/10.3201/eid1602.090968
    AMA Calver AD, Falmer AA, Murray M, et al. Emergence of Increased Resistance and Extensively Drug-Resistant Tuberculosis Despite Treatment Adherence, South Africa. Emerging Infectious Diseases. 2010;16(2):264-271. doi:10.3201/eid1602.090968.
    APA Calver, A. D., Falmer, A. A., Murray, M., Strauss, O. J., Streicher, E. M., Hanekom, M....Victor, T. C. (2010). Emergence of Increased Resistance and Extensively Drug-Resistant Tuberculosis Despite Treatment Adherence, South Africa. Emerging Infectious Diseases, 16(2), 264-271. https://dx.doi.org/10.3201/eid1602.090968.
  • Associations between Mycobacterium tuberculosis Strains and Phenotypes PDF Version [PDF - 341 KB - 3 pages]
    T. Brown et al.
        View Abstract

    To inform development of tuberculosis (TB) control strategies, we characterized a total of 2,261 Mycobacterium tuberculosis complex isolates by using multiple phenotypic and molecular markers, including polymorphisms in repetitive sequences (spoligotyping and variable-number tandem repeats [VNTRs]) and large sequence and single-nucleotide polymorphisms. The Beijing family was strongly associated with multidrug resistance (p = 0.0001), and VNTR allelic variants showed strong associations with spoligotyping families: >5 copies at exact tandem repeat (ETR) A, >2 at mycobacterial interspersed repetitive unit 24, and >3 at ETR-B associated with the East African–Indian and M. bovis strains. All M. tuberculosis isolates were differentiated into 4 major lineages, and a maximum parsimony tree was constructed suggesting a more complex phylogeny for M. africanum. These findings can be used as a model of pathogen global diversity.

        Cite This Article
    EID Brown T, Nikolayevskyy V, Velji P, Drobniewski F. Associations between Mycobacterium tuberculosis Strains and Phenotypes. Emerg Infect Dis. 2010;16(2):272-280. https://dx.doi.org/10.3201/eid1602.091032
    AMA Brown T, Nikolayevskyy V, Velji P, et al. Associations between Mycobacterium tuberculosis Strains and Phenotypes. Emerging Infectious Diseases. 2010;16(2):272-280. doi:10.3201/eid1602.091032.
    APA Brown, T., Nikolayevskyy, V., Velji, P., & Drobniewski, F. (2010). Associations between Mycobacterium tuberculosis Strains and Phenotypes. Emerging Infectious Diseases, 16(2), 272-280. https://dx.doi.org/10.3201/eid1602.091032.

Historical Review

  • New Hypothesis for Cause of Epidemic among Native Americans, New England, 1616–1619
    J. S. Marr and J. T. Cathey
        View Abstract

    In the years before English settlers established the Plymouth colony (1616–1619), most Native Americans living on the southeastern coast of present-day Massachusetts died from a mysterious disease. Classic explanations have included yellow fever, smallpox, and plague. Chickenpox and trichinosis are among more recent proposals. We suggest an additional candidate: leptospirosis complicated by Weil syndrome. Rodent reservoirs from European ships infected indigenous reservoirs and contaminated land and fresh water. Local ecology and high-risk quotidian practices of the native population favored exposure and were not shared by Europeans. Reduction of the population may have been incremental, episodic, and continuous; local customs continuously exposed this population to hyperendemic leptospiral infection over months or years, and only a fraction survived. Previous proposals do not adequately account for signature signs (epistaxis, jaundice) and do not consider customs that may have been instrumental to the near annihilation of Native Americans, which facilitated successful colonization of the Massachusetts Bay area.

        Cite This Article
    EID Marr JS, Cathey JT. New Hypothesis for Cause of Epidemic among Native Americans, New England, 1616–1619. Emerg Infect Dis. 2010;16(2):281-286. https://dx.doi.org/10.3201/eid1602.090276
    AMA Marr JS, Cathey JT. New Hypothesis for Cause of Epidemic among Native Americans, New England, 1616–1619. Emerging Infectious Diseases. 2010;16(2):281-286. doi:10.3201/eid1602.090276.
    APA Marr, J. S., & Cathey, J. T. (2010). New Hypothesis for Cause of Epidemic among Native Americans, New England, 1616–1619. Emerging Infectious Diseases, 16(2), 281-286. https://dx.doi.org/10.3201/eid1602.090276.

Dispatches

  • Clonal Distribution of Invasive Pneumococci, Czech Republic, 1996–2003 PDF Version [PDF - 231 KB - 3 pages]
    H. Žemličková et al.
        View Abstract

    We conducted surveillance on invasive pneumococci isolated from adults in the Czech Republic during 1996–2003. The 7 most prevalent serotypes were characterized. Coverage with the 7-valent pneumococcal conjugate vaccine was low. Our observations confirm that detection methods may have modified the expected effect of this vaccine.

        Cite This Article
    EID Žemličková H, Urbášková P, Jakubů V, Motlová J, Musílek M, Procházka B, et al. Clonal Distribution of Invasive Pneumococci, Czech Republic, 1996–2003. Emerg Infect Dis. 2010;16(2):287-289. https://dx.doi.org/10.3201/eid1602.080535
    AMA Žemličková H, Urbášková P, Jakubů V, et al. Clonal Distribution of Invasive Pneumococci, Czech Republic, 1996–2003. Emerging Infectious Diseases. 2010;16(2):287-289. doi:10.3201/eid1602.080535.
    APA Žemličková, H., Urbášková, P., Jakubů, V., Motlová, J., Musílek, M., & Procházka, B. (2010). Clonal Distribution of Invasive Pneumococci, Czech Republic, 1996–2003. Emerging Infectious Diseases, 16(2), 287-289. https://dx.doi.org/10.3201/eid1602.080535.
  • White-Nose Syndrome Fungus (Geomyces destructans) in Bat, France PDF Version [PDF - 566 KB - 4 pages]
    S. J. Puechmaille et al.
        View Abstract

    White-nose syndrome is caused by the fungus Geomyces destructans and is responsible for the deaths of >1,000,000 bats since 2006. This disease and fungus had been restricted to the northeastern United States. We detected this fungus in a bat in France and assessed the implications of this finding.

        Cite This Article
    EID Puechmaille SJ, Verdeyroux P, Fuller H, Gouilh MA, Bekaert M, Teeling EC, et al. White-Nose Syndrome Fungus (Geomyces destructans) in Bat, France. Emerg Infect Dis. 2010;16(2):290-293. https://dx.doi.org/10.3201/eid1602.091391
    AMA Puechmaille SJ, Verdeyroux P, Fuller H, et al. White-Nose Syndrome Fungus (Geomyces destructans) in Bat, France. Emerging Infectious Diseases. 2010;16(2):290-293. doi:10.3201/eid1602.091391.
    APA Puechmaille, S. J., Verdeyroux, P., Fuller, H., Gouilh, M. A., Bekaert, M., & Teeling, E. C. (2010). White-Nose Syndrome Fungus (Geomyces destructans) in Bat, France. Emerging Infectious Diseases, 16(2), 290-293. https://dx.doi.org/10.3201/eid1602.091391.
  • Increasing Incidence of Nontuberculous Mycobacteria, Taiwan, 2000–2008 PDF Version [PDF - 280 KB - 3 pages]
    C. Lai et al.
        View Abstract

    To assess the species distribution and epidemiologic trends of nontuberculous mycobacteria, we examined isolates from patients in Taiwan. During 2000–2008, the proportion increased significantly from 32.3% to 49.8%. Associated disease incidence increased from 2.7 to 10.2 cases per 100,000 patients. Mycobacterium avium complex and M. abscessus were most frequently isolated.

        Cite This Article
    EID Lai C, Tan C, Chou C, Hsu H, Liao C, Huang Y, et al. Increasing Incidence of Nontuberculous Mycobacteria, Taiwan, 2000–2008. Emerg Infect Dis. 2010;16(2):294-296. https://dx.doi.org/10.3201/eid1602.090675
    AMA Lai C, Tan C, Chou C, et al. Increasing Incidence of Nontuberculous Mycobacteria, Taiwan, 2000–2008. Emerging Infectious Diseases. 2010;16(2):294-296. doi:10.3201/eid1602.090675.
    APA Lai, C., Tan, C., Chou, C., Hsu, H., Liao, C., Huang, Y....Hsueh, P. (2010). Increasing Incidence of Nontuberculous Mycobacteria, Taiwan, 2000–2008. Emerging Infectious Diseases, 16(2), 294-296. https://dx.doi.org/10.3201/eid1602.090675.
  • Bordetella pertussis Clones Identified by Multilocus Variable-Number Tandem-Repeat Analysis PDF Version [PDF - 233 KB - 4 pages]
    J. Kurniawan et al.
        View Abstract

    Multilocus variable-number tandem-repeat analysis (MLVA) of 316 Bordetella pertussis isolates collected over 40 years from Australia and 3 other continents identified 66 MLVA types (MTs), including 6 predominant MTs. Typing of genes encoding acellular vaccine antigens showed changes that may be vaccine driven in 2 MTs prevalent in Australia.

        Cite This Article
    EID Kurniawan J, Maharjan RP, Chan W, Reeves PR, Sintchenko V, Gilbert GL, et al. Bordetella pertussis Clones Identified by Multilocus Variable-Number Tandem-Repeat Analysis. Emerg Infect Dis. 2010;16(2):297-300. https://dx.doi.org/10.3201/eid1602.081707
    AMA Kurniawan J, Maharjan RP, Chan W, et al. Bordetella pertussis Clones Identified by Multilocus Variable-Number Tandem-Repeat Analysis. Emerging Infectious Diseases. 2010;16(2):297-300. doi:10.3201/eid1602.081707.
    APA Kurniawan, J., Maharjan, R. P., Chan, W., Reeves, P. R., Sintchenko, V., Gilbert, G. L....Lan, R. (2010). Bordetella pertussis Clones Identified by Multilocus Variable-Number Tandem-Repeat Analysis. Emerging Infectious Diseases, 16(2), 297-300. https://dx.doi.org/10.3201/eid1602.081707.
  • Plasmodium falciparum Malaria, Southern Algeria, 2007 PDF Version [PDF - 209 KB - 3 pages]
    S. C. Boubidi et al.
        View Abstract

    An outbreak of Plasmodium falciparum malaria occurred in Tinzaouatine in southern Algeria in 2007. The likely vector, Anopheles gambiae mosquitoes, had not been detected in Algeria. Genes for resistance to chloroquine were detected in the parasite. The outbreak shows the potential for an increase in malaria vectors in Algeria.

        Cite This Article
    EID Boubidi SC, Gassen I, Khechache Y, Lamali K, Tchicha B, Brengues C, et al. Plasmodium falciparum Malaria, Southern Algeria, 2007. Emerg Infect Dis. 2010;16(2):301-303. https://dx.doi.org/10.3201/eid1602.090914
    AMA Boubidi SC, Gassen I, Khechache Y, et al. Plasmodium falciparum Malaria, Southern Algeria, 2007. Emerging Infectious Diseases. 2010;16(2):301-303. doi:10.3201/eid1602.090914.
    APA Boubidi, S. C., Gassen, I., Khechache, Y., Lamali, K., Tchicha, B., Brengues, C....Harrat, Z. (2010). Plasmodium falciparum Malaria, Southern Algeria, 2007. Emerging Infectious Diseases, 16(2), 301-303. https://dx.doi.org/10.3201/eid1602.090914.
  • Sin Nombre Virus Infection in Field Workers, Colorado, USA PDF Version [PDF - 178 KB - 3 pages]
    F. Torres-Pérez et al.
        View Abstract

    We report 2 cases of Sin Nombre virus (SNV) infection in field workers, possibly contracted through rodent bites. Screening for antibodies to SNV in rodents trapped in 2 seasons showed that 9.77% were seropositive. Quantitative real-time PCR showed that 2 of 79 deer mice had detectable titers of SNV RNA.

        Cite This Article
    EID Torres-Pérez F, Wilson L, Collinge SK, Harmon H, Ray C, Medina RA, et al. Sin Nombre Virus Infection in Field Workers, Colorado, USA. Emerg Infect Dis. 2010;16(2):308-310. https://dx.doi.org/10.3201/eid1602.090735
    AMA Torres-Pérez F, Wilson L, Collinge SK, et al. Sin Nombre Virus Infection in Field Workers, Colorado, USA. Emerging Infectious Diseases. 2010;16(2):308-310. doi:10.3201/eid1602.090735.
    APA Torres-Pérez, F., Wilson, L., Collinge, S. K., Harmon, H., Ray, C., Medina, R. A....Hjelle, B. (2010). Sin Nombre Virus Infection in Field Workers, Colorado, USA. Emerging Infectious Diseases, 16(2), 308-310. https://dx.doi.org/10.3201/eid1602.090735.
  • Pandemic (H1N1) 2009 Cases, Buenos Aires, Argentina PDF Version [PDF - 200 KB - 3 pages]
    M. Echavarría et al.
        View Abstract

    To determine clinical and virologic characteristics of pandemic (H1N1) 2009 in Buenos Aires, Argentina, we conducted real-time reverse transcription–PCR on samples from patients with influenza-like illness, June 11–30, 2009. Of 513 patients tested, 54% were positive for influenza virus subtype H1N1. Infection rate was lowest for patients ≥60 years of age.

        Cite This Article
    EID Echavarría M, Querci M, Marcone D, Videla C, Martínez A, Bonvehi P, et al. Pandemic (H1N1) 2009 Cases, Buenos Aires, Argentina. Emerg Infect Dis. 2010;16(2):311-313. https://dx.doi.org/10.3201/eid1602.091114
    AMA Echavarría M, Querci M, Marcone D, et al. Pandemic (H1N1) 2009 Cases, Buenos Aires, Argentina. Emerging Infectious Diseases. 2010;16(2):311-313. doi:10.3201/eid1602.091114.
    APA Echavarría, M., Querci, M., Marcone, D., Videla, C., Martínez, A., Bonvehi, P....Carballal, G. (2010). Pandemic (H1N1) 2009 Cases, Buenos Aires, Argentina. Emerging Infectious Diseases, 16(2), 311-313. https://dx.doi.org/10.3201/eid1602.091114.
  • Extensive Mammalian Ancestry of Pandemic (H1N1) 2009 Virus PDF Version [PDF - 276 KB - 4 pages]
    N. A. Ilyushina et al.
        View Abstract

    We demonstrate that the novel pandemic influenza (H1N1) viruses have human virus–like receptor specificity and can no longer replicate in aquatic waterfowl, their historic natural reservoir. The biological properties of these viruses are consistent with those of their phylogenetic progenitors, indicating longstanding adaptation to mammals.

        Cite This Article
    EID Ilyushina NA, Kim J, Negovetich NJ, Choi Y, Lang V, Bovin NV, et al. Extensive Mammalian Ancestry of Pandemic (H1N1) 2009 Virus. Emerg Infect Dis. 2010;16(2):314-317. https://dx.doi.org/10.3201/eid1602.091141
    AMA Ilyushina NA, Kim J, Negovetich NJ, et al. Extensive Mammalian Ancestry of Pandemic (H1N1) 2009 Virus. Emerging Infectious Diseases. 2010;16(2):314-317. doi:10.3201/eid1602.091141.
    APA Ilyushina, N. A., Kim, J., Negovetich, N. J., Choi, Y., Lang, V., Bovin, N. V....Webby, R. J. (2010). Extensive Mammalian Ancestry of Pandemic (H1N1) 2009 Virus. Emerging Infectious Diseases, 16(2), 314-317. https://dx.doi.org/10.3201/eid1602.091141.
  • Concurrent Silicosis and Pulmonary Mycosis at Death PDF Version [PDF - 177 KB - 3 pages]
    Y. Iossifova et al.
        View Abstract

    To examine risk for mycosis among persons with silicosis, we examined US mortality data for 1979–2004. Persons with silicosis were more likely to die with pulmonary mycosis than were those without pneumoconiosis or those with more common pneumoconioses. Health professionals should consider enhanced risk for mycosis for silica-exposed patients.

        Cite This Article
    EID Iossifova Y, Bailey R, Wood J, Kreiss K. Concurrent Silicosis and Pulmonary Mycosis at Death. Emerg Infect Dis. 2010;16(2):318-320. https://dx.doi.org/10.3201/eid1602.090824
    AMA Iossifova Y, Bailey R, Wood J, et al. Concurrent Silicosis and Pulmonary Mycosis at Death. Emerging Infectious Diseases. 2010;16(2):318-320. doi:10.3201/eid1602.090824.
    APA Iossifova, Y., Bailey, R., Wood, J., & Kreiss, K. (2010). Concurrent Silicosis and Pulmonary Mycosis at Death. Emerging Infectious Diseases, 16(2), 318-320. https://dx.doi.org/10.3201/eid1602.090824.
  • Coccidioidomycosis among Scholarship Athletes and Other College Students, Arizona, USA PDF Version [PDF - 195 KB - 3 pages]
    N. G. Stern and J. N. Galgiani
        View Abstract

    To compare coccidioidomycosis case rates among groups of young adults in a disease-endemic region, we reviewed medical charts for serologic testing and coding. Case rates were higher for scholarship athletes than for other students and paralleled 5× more serologic testing. Our findings underscore the need to routinely test patients for coccidioidomycosis.

        Cite This Article
    EID Stern NG, Galgiani JN. Coccidioidomycosis among Scholarship Athletes and Other College Students, Arizona, USA. Emerg Infect Dis. 2010;16(2):321-323. https://dx.doi.org/10.3201/eid1602.090918
    AMA Stern NG, Galgiani JN. Coccidioidomycosis among Scholarship Athletes and Other College Students, Arizona, USA. Emerging Infectious Diseases. 2010;16(2):321-323. doi:10.3201/eid1602.090918.
    APA Stern, N. G., & Galgiani, J. N. (2010). Coccidioidomycosis among Scholarship Athletes and Other College Students, Arizona, USA. Emerging Infectious Diseases, 16(2), 321-323. https://dx.doi.org/10.3201/eid1602.090918.
  • Novel Human Bocavirus in Children with Acute Respiratory Tract Infection PDF Version [PDF - 308 KB - 4 pages]
    J. Song et al.
        View Abstract

    Human bocavirus (HBoV) and HBoV2, two human bocavirus species, were found in 18 and 10 of 235 nasopharyngeal aspirates, respectively, from children hospitalized with acute respiratory tract infection. Our results suggest that, like HBoV, HBoV2 is distributed worldwide and may be associated with respiratory and enteric diseases.

        Cite This Article
    EID Song J, Jin Y, Xie Z, Gao H, Xiao N, Chen W, et al. Novel Human Bocavirus in Children with Acute Respiratory Tract Infection. Emerg Infect Dis. 2010;16(2):324-327. https://dx.doi.org/10.3201/eid1602.090553
    AMA Song J, Jin Y, Xie Z, et al. Novel Human Bocavirus in Children with Acute Respiratory Tract Infection. Emerging Infectious Diseases. 2010;16(2):324-327. doi:10.3201/eid1602.090553.
    APA Song, J., Jin, Y., Xie, Z., Gao, H., Xiao, N., Chen, W....Duan, Z. (2010). Novel Human Bocavirus in Children with Acute Respiratory Tract Infection. Emerging Infectious Diseases, 16(2), 324-327. https://dx.doi.org/10.3201/eid1602.090553.
  • Lymphocytic Choriomeningitis Virus Meningitis, New York, NY, USA, 2009 PDF Version [PDF - 357 KB - 3 pages]
    D. S. Asnis et al.
        View Abstract

    We describe a case of lymphocytic choriomeningitis virus (LCMV) meningitis in a New York, NY, resident who had no apparent risk factors. Clues leading to the diagnosis included aseptic meningitis during winter and the finding of hypoglycorrachia and lymphocytosis in the cerebrospinal fluid. LCMV continues to be an underdiagnosed zoonotic disease.

        Cite This Article
    EID Asnis DS, Muana O, Kim DG, Garcia M, Rollin PE, Slavinski S, et al. Lymphocytic Choriomeningitis Virus Meningitis, New York, NY, USA, 2009. Emerg Infect Dis. 2010;16(2):328-330. https://dx.doi.org/10.3201/eid1602.091347
    AMA Asnis DS, Muana O, Kim DG, et al. Lymphocytic Choriomeningitis Virus Meningitis, New York, NY, USA, 2009. Emerging Infectious Diseases. 2010;16(2):328-330. doi:10.3201/eid1602.091347.
    APA Asnis, D. S., Muana, O., Kim, D. G., Garcia, M., Rollin, P. E., & Slavinski, S. (2010). Lymphocytic Choriomeningitis Virus Meningitis, New York, NY, USA, 2009. Emerging Infectious Diseases, 16(2), 328-330. https://dx.doi.org/10.3201/eid1602.091347.
  • Severe Leptospirosis in Hospitalized Patients, Guadeloupe PDF Version [PDF - 183 KB - 4 pages]
    C. Herrmann-Storck et al.
        View Abstract

    We evaluated prognostic factors for leptospirosis in 168 consecutive hospitalized patients in Guadeloupe. Factors independently associated with severity included chronic hypertension or chronic alcoholism, late initiation of antibacterial therapy, abnormal chest auscultation results, icterus, oligoanuria, disorders of consciousness, elevated aspartate aminotransferase levels, hyperamylasemia, and Leptospira interrogans serovar Icterohemorrhagiae.

        Cite This Article
    EID Herrmann-Storck C, Saint Louis M, Foucand T, Lamaury I, Deloumeaux J, Baranton G, et al. Severe Leptospirosis in Hospitalized Patients, Guadeloupe. Emerg Infect Dis. 2010;16(2):331-334. https://dx.doi.org/10.3201/eid1602.090139
    AMA Herrmann-Storck C, Saint Louis M, Foucand T, et al. Severe Leptospirosis in Hospitalized Patients, Guadeloupe. Emerging Infectious Diseases. 2010;16(2):331-334. doi:10.3201/eid1602.090139.
    APA Herrmann-Storck, C., Saint Louis, M., Foucand, T., Lamaury, I., Deloumeaux, J., Baranton, G....Cornet, M. (2010). Severe Leptospirosis in Hospitalized Patients, Guadeloupe. Emerging Infectious Diseases, 16(2), 331-334. https://dx.doi.org/10.3201/eid1602.090139.
  • Seropositivity for Enterocytozoon bieneusi, Czech Republic PDF Version [PDF - 232 KB - 3 pages]
    B. Sak et al.
        View Abstract

    To determine seropositivity for Enterocytozoon bieneusi in the Czech Republic, we tested 115 serum samples from various groups. We found that 20% from HIV-positive persons, 33% from persons with occupational exposure to animals, and 10% from healthy persons were positive by indirect immunofluorescence assay. Proteins of 32 kDa were detected in serum samples from seropositive persons.

        Cite This Article
    EID Sak B, Kučerová Z, Kváč M, Květoňová D, Rost M, Secor EW, et al. Seropositivity for Enterocytozoon bieneusi, Czech Republic. Emerg Infect Dis. 2010;16(2):335-337. https://dx.doi.org/10.3201/eid1602.090964
    AMA Sak B, Kučerová Z, Kváč M, et al. Seropositivity for Enterocytozoon bieneusi, Czech Republic. Emerging Infectious Diseases. 2010;16(2):335-337. doi:10.3201/eid1602.090964.
    APA Sak, B., Kučerová, Z., Kváč, M., Květoňová, D., Rost, M., & Secor, E. W. (2010). Seropositivity for Enterocytozoon bieneusi, Czech Republic. Emerging Infectious Diseases, 16(2), 335-337. https://dx.doi.org/10.3201/eid1602.090964.
  • Hendra Virus Outbreak with Novel Clinical Features, Australia
    H. E. Field et al.
        View Abstract

    To determine the epidemiologic and clinical features of a 2008 outbreak of Hendra virus infection in a veterinary clinic in Australia, we investigated the equine case-series. Four of 5 infected horses died, as did 1 of 2 infected staff members. Clinical manifestation in horses was predominantly neurologic. Preclinical transmission appears likely.

        Cite This Article
    EID Field HE, Schaaf K, Kung N, Simon C, Waltisbuhl D, Hobert H, et al. Hendra Virus Outbreak with Novel Clinical Features, Australia. Emerg Infect Dis. 2010;16(2):338-340. https://dx.doi.org/10.3201/eid1602.090780
    AMA Field HE, Schaaf K, Kung N, et al. Hendra Virus Outbreak with Novel Clinical Features, Australia. Emerging Infectious Diseases. 2010;16(2):338-340. doi:10.3201/eid1602.090780.
    APA Field, H. E., Schaaf, K., Kung, N., Simon, C., Waltisbuhl, D., Hobert, H....Lovell, D. (2010). Hendra Virus Outbreak with Novel Clinical Features, Australia. Emerging Infectious Diseases, 16(2), 338-340. https://dx.doi.org/10.3201/eid1602.090780.
  • Pandemic (H1N1) 2009 Outbreak on Pig Farm, Argentina PDF Version [PDF - 423 KB - 4 pages]
    A. Pereda et al.
        View Abstract

    In June–July 2009, an outbreak of pandemic (H1N1) 2009 infection occurred on a pig farm in Argentina. Molecular analysis indicated that the virus was genetically related to the pandemic (H1N1) 2009 influenza virus strain. The outbreak presumably resulted from direct human-to-pig transmission.

        Cite This Article
    EID Pereda A, Cappuccio J, Quiroga MA, Baumeister E, Insarralde L, Ibar M, et al. Pandemic (H1N1) 2009 Outbreak on Pig Farm, Argentina. Emerg Infect Dis. 2010;16(2):304-307. https://dx.doi.org/10.3201/eid1602.091230
    AMA Pereda A, Cappuccio J, Quiroga MA, et al. Pandemic (H1N1) 2009 Outbreak on Pig Farm, Argentina. Emerging Infectious Diseases. 2010;16(2):304-307. doi:10.3201/eid1602.091230.
    APA Pereda, A., Cappuccio, J., Quiroga, M. A., Baumeister, E., Insarralde, L., Ibar, M....Perfumo, C. J. (2010). Pandemic (H1N1) 2009 Outbreak on Pig Farm, Argentina. Emerging Infectious Diseases, 16(2), 304-307. https://dx.doi.org/10.3201/eid1602.091230.

Commentaries

  • The Critical Role of Permanent Voucher Specimens of Hosts and Vectors in Public Health and Epidemiology PDF Version [PDF - 144 KB - 2 pages]
    A. T. Peterson
            Cite This Article
    EID Peterson AT. The Critical Role of Permanent Voucher Specimens of Hosts and Vectors in Public Health and Epidemiology. Emerg Infect Dis. 2010;16(2):341-342. https://dx.doi.org/10.3201/eid1602.091241
    AMA Peterson AT. The Critical Role of Permanent Voucher Specimens of Hosts and Vectors in Public Health and Epidemiology. Emerging Infectious Diseases. 2010;16(2):341-342. doi:10.3201/eid1602.091241.
    APA Peterson, A. T. (2010). The Critical Role of Permanent Voucher Specimens of Hosts and Vectors in Public Health and Epidemiology. Emerging Infectious Diseases, 16(2), 341-342. https://dx.doi.org/10.3201/eid1602.091241.

Another Dimension

  • Personal Log, Stardate 42552.6 PDF Version [PDF - 70 KB - 1 page]
    C. Kim
            Cite This Article
    EID Kim C. Personal Log, Stardate 42552.6. Emerg Infect Dis. 2010;16(2):368. https://dx.doi.org/10.3201/eid1602.AD1602
    AMA Kim C. Personal Log, Stardate 42552.6. Emerging Infectious Diseases. 2010;16(2):368. doi:10.3201/eid1602.AD1602.
    APA Kim, C. (2010). Personal Log, Stardate 42552.6. Emerging Infectious Diseases, 16(2), 368. https://dx.doi.org/10.3201/eid1602.AD1602.

Letters

  • Perinatal Pandemic (H1N1) 2009 Infection, Thailand PDF Version [PDF - 126 KB - 2 pages]
    W. Dulyachai et al.
            Cite This Article
    EID Dulyachai W, Makkoch J, Rianthavorn P, Changpinyo M, Prayangprecha S, Payungporn S, et al. Perinatal Pandemic (H1N1) 2009 Infection, Thailand. Emerg Infect Dis. 2010;16(2):343-344. https://dx.doi.org/10.3201/eid1602.091733
    AMA Dulyachai W, Makkoch J, Rianthavorn P, et al. Perinatal Pandemic (H1N1) 2009 Infection, Thailand. Emerging Infectious Diseases. 2010;16(2):343-344. doi:10.3201/eid1602.091733.
    APA Dulyachai, W., Makkoch, J., Rianthavorn, P., Changpinyo, M., Prayangprecha, S., Payungporn, S....Poovorawan, Y. (2010). Perinatal Pandemic (H1N1) 2009 Infection, Thailand. Emerging Infectious Diseases, 16(2), 343-344. https://dx.doi.org/10.3201/eid1602.091733.
  • Bronchial Casts and Pandemic (H1N1) 2009 Virus Infection PDF Version [PDF - 132 KB - 3 pages]
    M. Hasegawa et al.
            Cite This Article
    EID Hasegawa M, Inamo Y, Fuchigami T, Hashimoto K, Morozumi M, Ubukata K, et al. Bronchial Casts and Pandemic (H1N1) 2009 Virus Infection. Emerg Infect Dis. 2010;16(2):344-346. https://dx.doi.org/10.3201/eid1602.091607
    AMA Hasegawa M, Inamo Y, Fuchigami T, et al. Bronchial Casts and Pandemic (H1N1) 2009 Virus Infection. Emerging Infectious Diseases. 2010;16(2):344-346. doi:10.3201/eid1602.091607.
    APA Hasegawa, M., Inamo, Y., Fuchigami, T., Hashimoto, K., Morozumi, M., Ubukata, K....Takahashi, T. (2010). Bronchial Casts and Pandemic (H1N1) 2009 Virus Infection. Emerging Infectious Diseases, 16(2), 344-346. https://dx.doi.org/10.3201/eid1602.091607.
  • Methicillin-Resistant Staphylococcus aureus ST398, Italy PDF Version [PDF - 101 KB - 3 pages]
    L. Soavi et al.
            Cite This Article
    EID Soavi L, Stellini R, Signorini L, Antonini B, Pedroni P, Zanetti L, et al. Methicillin-Resistant Staphylococcus aureus ST398, Italy. Emerg Infect Dis. 2010;16(2):346-348. https://dx.doi.org/10.3201/eid1602.091478
    AMA Soavi L, Stellini R, Signorini L, et al. Methicillin-Resistant Staphylococcus aureus ST398, Italy. Emerging Infectious Diseases. 2010;16(2):346-348. doi:10.3201/eid1602.091478.
    APA Soavi, L., Stellini, R., Signorini, L., Antonini, B., Pedroni, P., Zanetti, L....Carosi, G. (2010). Methicillin-Resistant Staphylococcus aureus ST398, Italy. Emerging Infectious Diseases, 16(2), 346-348. https://dx.doi.org/10.3201/eid1602.091478.
  • Neisseria meningitidis Serogroup W135, China PDF Version [PDF - 85 KB - 2 pages]
    Z. Shao et al.
            Cite This Article
    EID Shao Z, Zhou H, Gao Y, Ren H, Xu L, Kan B, et al. Neisseria meningitidis Serogroup W135, China. Emerg Infect Dis. 2010;16(2):348-349. https://dx.doi.org/10.3201/eid1602.090901
    AMA Shao Z, Zhou H, Gao Y, et al. Neisseria meningitidis Serogroup W135, China. Emerging Infectious Diseases. 2010;16(2):348-349. doi:10.3201/eid1602.090901.
    APA Shao, Z., Zhou, H., Gao, Y., Ren, H., Xu, L., Kan, B....Xu, J. (2010). Neisseria meningitidis Serogroup W135, China. Emerging Infectious Diseases, 16(2), 348-349. https://dx.doi.org/10.3201/eid1602.090901.
  • Avian Influenza (H5N1) Outbreak among Wild Birds, Russia, 2009 PDF Version [PDF - 117 KB - 3 pages]
    K. Sharshov et al.
            Cite This Article
    EID Sharshov K, Silko N, Sousloparov I, Zaykovskaya AV, Shestopalov A, Drozdov I, et al. Avian Influenza (H5N1) Outbreak among Wild Birds, Russia, 2009. Emerg Infect Dis. 2010;16(2):349-351. https://dx.doi.org/10.3201/eid1602.090974
    AMA Sharshov K, Silko N, Sousloparov I, et al. Avian Influenza (H5N1) Outbreak among Wild Birds, Russia, 2009. Emerging Infectious Diseases. 2010;16(2):349-351. doi:10.3201/eid1602.090974.
    APA Sharshov, K., Silko, N., Sousloparov, I., Zaykovskaya, A. V., Shestopalov, A., & Drozdov, I. (2010). Avian Influenza (H5N1) Outbreak among Wild Birds, Russia, 2009. Emerging Infectious Diseases, 16(2), 349-351. https://dx.doi.org/10.3201/eid1602.090974.
  • Detection of Pandemic (H1N1) 2009 Virus in Patients Treated with Oseltamivir PDF Version [PDF - 80 KB - 2 pages]
    D. Boutolleau et al.
            Cite This Article
    EID Boutolleau D, Houhou N, Deback C, Agut H, Brun-Vézinet F. Detection of Pandemic (H1N1) 2009 Virus in Patients Treated with Oseltamivir. Emerg Infect Dis. 2010;16(2):351-352. https://dx.doi.org/10.3201/eid1602.091328
    AMA Boutolleau D, Houhou N, Deback C, et al. Detection of Pandemic (H1N1) 2009 Virus in Patients Treated with Oseltamivir. Emerging Infectious Diseases. 2010;16(2):351-352. doi:10.3201/eid1602.091328.
    APA Boutolleau, D., Houhou, N., Deback, C., Agut, H., & Brun-Vézinet, F. (2010). Detection of Pandemic (H1N1) 2009 Virus in Patients Treated with Oseltamivir. Emerging Infectious Diseases, 16(2), 351-352. https://dx.doi.org/10.3201/eid1602.091328.
  • Marburg Virus in Fruit Bat, Kenya PDF Version [PDF - 100 KB - 3 pages]
    I. V. Kuzmin et al.
            Cite This Article
    EID Kuzmin IV, Niezgoda M, Franka R, Agwanda B, Markotter W, Breiman RF, et al. Marburg Virus in Fruit Bat, Kenya. Emerg Infect Dis. 2010;16(2):352-354. https://dx.doi.org/10.3201/eid1602.091269
    AMA Kuzmin IV, Niezgoda M, Franka R, et al. Marburg Virus in Fruit Bat, Kenya. Emerging Infectious Diseases. 2010;16(2):352-354. doi:10.3201/eid1602.091269.
    APA Kuzmin, I. V., Niezgoda, M., Franka, R., Agwanda, B., Markotter, W., Breiman, R. F....Rupprecht, C. E. (2010). Marburg Virus in Fruit Bat, Kenya. Emerging Infectious Diseases, 16(2), 352-354. https://dx.doi.org/10.3201/eid1602.091269.
  • Human African Trypanosomiasis in Areas without Surveillance PDF Version [PDF - 101 KB - 3 pages]
    F. Chappuis et al.
            Cite This Article
    EID Chappuis F, Lima MA, Flevaud L, Ritmeijer K. Human African Trypanosomiasis in Areas without Surveillance. Emerg Infect Dis. 2010;16(2):354-356. https://dx.doi.org/10.3201/eid1602.090967
    AMA Chappuis F, Lima MA, Flevaud L, et al. Human African Trypanosomiasis in Areas without Surveillance. Emerging Infectious Diseases. 2010;16(2):354-356. doi:10.3201/eid1602.090967.
    APA Chappuis, F., Lima, M. A., Flevaud, L., & Ritmeijer, K. (2010). Human African Trypanosomiasis in Areas without Surveillance. Emerging Infectious Diseases, 16(2), 354-356. https://dx.doi.org/10.3201/eid1602.090967.
  • Using Museum Collections to Detect Pathogens PDF Version [PDF - 95 KB - 2 pages]
    C. M. Pinto et al.
            Cite This Article
    EID Pinto CM, Baxter BD, Hanson JD, Méndez-Harclerode FM, Suchecki JR, Grijalva MJ, et al. Using Museum Collections to Detect Pathogens. Emerg Infect Dis. 2010;16(2):356-357. https://dx.doi.org/10.3201/eid1602.090998
    AMA Pinto CM, Baxter BD, Hanson JD, et al. Using Museum Collections to Detect Pathogens. Emerging Infectious Diseases. 2010;16(2):356-357. doi:10.3201/eid1602.090998.
    APA Pinto, C. M., Baxter, B. D., Hanson, J. D., Méndez-Harclerode, F. M., Suchecki, J. R., Grijalva, M. J....Bradley, R. D. (2010). Using Museum Collections to Detect Pathogens. Emerging Infectious Diseases, 16(2), 356-357. https://dx.doi.org/10.3201/eid1602.090998.
  • Aggression and Rabid Coyotes, Massachusetts, USA PDF Version [PDF - 88 KB - 13 pages]
    X. Wang et al.
            Cite This Article
    EID Wang X, Brown CM, Smole S, Werner BG, Han L, Farris M, et al. Aggression and Rabid Coyotes, Massachusetts, USA. Emerg Infect Dis. 2010;16(2):357-369. https://dx.doi.org/10.3201/eid1602.090731
    AMA Wang X, Brown CM, Smole S, et al. Aggression and Rabid Coyotes, Massachusetts, USA. Emerging Infectious Diseases. 2010;16(2):357-369. doi:10.3201/eid1602.090731.
    APA Wang, X., Brown, C. M., Smole, S., Werner, B. G., Han, L., Farris, M....DeMaria, A. (2010). Aggression and Rabid Coyotes, Massachusetts, USA. Emerging Infectious Diseases, 16(2), 357-369. https://dx.doi.org/10.3201/eid1602.090731.
  • Neisseria meningitidis Serogroup X Sequence Type 2888, Italy PDF Version [PDF - 99 KB - 2 pages]
    C. Fazio et al.
            Cite This Article
    EID Fazio C, Starnino S, Dal Soldà M, Sofia T, Neri A, Mastrantonio P, et al. Neisseria meningitidis Serogroup X Sequence Type 2888, Italy. Emerg Infect Dis. 2010;16(2):359-360. https://dx.doi.org/10.3201/eid1602.091553
    AMA Fazio C, Starnino S, Dal Soldà M, et al. Neisseria meningitidis Serogroup X Sequence Type 2888, Italy. Emerging Infectious Diseases. 2010;16(2):359-360. doi:10.3201/eid1602.091553.
    APA Fazio, C., Starnino, S., Dal Soldà, M., Sofia, T., Neri, A., Mastrantonio, P....Stefanelli, P. (2010). Neisseria meningitidis Serogroup X Sequence Type 2888, Italy. Emerging Infectious Diseases, 16(2), 359-360. https://dx.doi.org/10.3201/eid1602.091553.
  • Antiphospholipid Syndrome and Acute HIV Infection PDF Version [PDF - 102 KB - 2 pages]
    J. S. Díaz et al.
            Cite This Article
    EID Díaz JS, Octavio JG, Guerrero ML. Antiphospholipid Syndrome and Acute HIV Infection. Emerg Infect Dis. 2010;16(2):360-361. https://dx.doi.org/10.3201/eid1602.090728
    AMA Díaz JS, Octavio JG, Guerrero ML. Antiphospholipid Syndrome and Acute HIV Infection. Emerging Infectious Diseases. 2010;16(2):360-361. doi:10.3201/eid1602.090728.
    APA Díaz, J. S., Octavio, J. G., & Guerrero, M. L. (2010). Antiphospholipid Syndrome and Acute HIV Infection. Emerging Infectious Diseases, 16(2), 360-361. https://dx.doi.org/10.3201/eid1602.090728.
  • Mycobacterium tuberculosis Beijing Strain, Bamako, Mali PDF Version [PDF - 90 KB - 2 pages]
    B. Diarra et al.
            Cite This Article
    EID Diarra B, Siddiqui S, Sogoba D, Traore B, Maiga M, Washington J, et al. Mycobacterium tuberculosis Beijing Strain, Bamako, Mali. Emerg Infect Dis. 2010;16(2):362-363. https://dx.doi.org/10.3201/eid1602.090501
    AMA Diarra B, Siddiqui S, Sogoba D, et al. Mycobacterium tuberculosis Beijing Strain, Bamako, Mali. Emerging Infectious Diseases. 2010;16(2):362-363. doi:10.3201/eid1602.090501.
    APA Diarra, B., Siddiqui, S., Sogoba, D., Traore, B., Maiga, M., Washington, J....Polis, M. A. (2010). Mycobacterium tuberculosis Beijing Strain, Bamako, Mali. Emerging Infectious Diseases, 16(2), 362-363. https://dx.doi.org/10.3201/eid1602.090501.
  • Hemorrhagic Fever with Renal Syndrome, Vietnam PDF Version [PDF - 117 KB - 3 pages]
    V. T. Huong et al.
            Cite This Article
    EID Huong VT, Yoshimatsu K, Luan VD, Van Tuan L, Nhi L, Arikawa J, et al. Hemorrhagic Fever with Renal Syndrome, Vietnam. Emerg Infect Dis. 2010;16(2):363-365. https://dx.doi.org/10.3201/eid1602.091204
    AMA Huong VT, Yoshimatsu K, Luan VD, et al. Hemorrhagic Fever with Renal Syndrome, Vietnam. Emerging Infectious Diseases. 2010;16(2):363-365. doi:10.3201/eid1602.091204.
    APA Huong, V. T., Yoshimatsu, K., Luan, V. D., Van Tuan, L., Nhi, L., Arikawa, J....Nguyen, T. M. (2010). Hemorrhagic Fever with Renal Syndrome, Vietnam. Emerging Infectious Diseases, 16(2), 363-365. https://dx.doi.org/10.3201/eid1602.091204.
  • Origin of Highly Pathogenic Porcine Reproductive and Respiratory Syndrome Virus, China PDF Version [PDF - 101 KB - 3 pages]
    T. An et al.
            Cite This Article
    EID An T, Tian Z, Xiao Y, Li R, Peng J, Wei T, et al. Origin of Highly Pathogenic Porcine Reproductive and Respiratory Syndrome Virus, China. Emerg Infect Dis. 2010;16(2):365-367. https://dx.doi.org/10.3201/eid1602.090005
    AMA An T, Tian Z, Xiao Y, et al. Origin of Highly Pathogenic Porcine Reproductive and Respiratory Syndrome Virus, China. Emerging Infectious Diseases. 2010;16(2):365-367. doi:10.3201/eid1602.090005.
    APA An, T., Tian, Z., Xiao, Y., Li, R., Peng, J., Wei, T....Tong, G. (2010). Origin of Highly Pathogenic Porcine Reproductive and Respiratory Syndrome Virus, China. Emerging Infectious Diseases, 16(2), 365-367. https://dx.doi.org/10.3201/eid1602.090005.

About the Cover

  • Bird’s Eye View of Emerging Zoonoses PDF Version [PDF - 177 KB - 2 pages]
    P. Potter
            Cite This Article
    EID Potter P. Bird’s Eye View of Emerging Zoonoses. Emerg Infect Dis. 2010;16(2):369-370. https://dx.doi.org/10.3201/eid1602.AC1602
    AMA Potter P. Bird’s Eye View of Emerging Zoonoses. Emerging Infectious Diseases. 2010;16(2):369-370. doi:10.3201/eid1602.AC1602.
    APA Potter, P. (2010). Bird’s Eye View of Emerging Zoonoses. Emerging Infectious Diseases, 16(2), 369-370. https://dx.doi.org/10.3201/eid1602.AC1602.

Etymologia

  • Etymologia: Cryptococcus gattii
    C. Snarey
            Cite This Article
    EID Snarey C. Etymologia: Cryptococcus gattii. Emerg Infect Dis. 2010;16(2):286. https://dx.doi.org/10.3201/eid1602.ET1602
    AMA Snarey C. Etymologia: Cryptococcus gattii. Emerging Infectious Diseases. 2010;16(2):286. doi:10.3201/eid1602.ET1602.
    APA Snarey, C. (2010). Etymologia: Cryptococcus gattii. Emerging Infectious Diseases, 16(2), 286. https://dx.doi.org/10.3201/eid1602.ET1602.
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