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Volume 31, Number 7—July 2025

Dispatch

Environmental Exposures Relative to Locally Acquired Hansen Disease, United States

Danielle ChaneyComments to Author , Jennifer Breiman, and Jessica K. Fairley
Author affiliation: Emory University Rollins School of Public Health, Atlanta, Georgia, USA (D. Chaney); Emory Healthcare, Atlanta (J. Breiman); Emory University School of Medicine, Atlanta (J.K. Fairley)

Main Article

Table 1

Clinical characteristics from chart review of local and immigrant cases in study of environmental exposures in suspected locally acquired Hansen disease, United States*

Variable Local cases, n = 13 Immigrant cases, n = 42 p value† Odds ratio (95% CI)
Mean age at time of diagnosis, y (SD)
62 (+11)
36 (+13)
<0.005
NA
Sex 0.88 1.71 (0.36–11.24)
F 3 (23) 14 (33) NA NA
M 10 (77) 27 (64) NA NA
Unknown/not available
0 (0)
1 (2)
NA
NA
Type of disease 1.00 1.11 (0.21–5.01)
Paucibacillary 4 (31) 12 (29) NA NA
Multibacillary
9 (69)
30 (71)
NA
NA
Had leprosy reaction 0.032 4.23 (1.13–17.14)
Y 5 (39) 30 (71) NA NA
N 8 (62) 11 (26) NA NA
Unknown 0 (0) 1 (2) NA NA

*Values are no. (%) except as indicated. NA, not applicable. †2-sided p value was calculated by either t-test, χ2 test, or mid-P exact test (for an expected value <5) as appropriate, comparing immigrant cases to local cases as the reference.

Main Article

Page created: June 04, 2025
Page updated: June 25, 2025
Page reviewed: June 25, 2025
The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.
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