Publications

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shigellosis in day-care centres.increasing numbers of outbreaks of shigellosis in day-care centres have been reported to the center for disease control since 1972. investigations reveal certain unique epidemiological features of shigellosis in this setting. attack-rates tend to be higher than in outbreaks in primary schools, and epidemiologically these outbreaks resemble those in custodial institutions. person-to-person transmission is the usual mode of spread; secondary spread within households is common, and there may also b ...197546035
an international foodborne outbreak of shigellosis associated with a commercial airline.to determine the source of an international outbreak of shigellosis associated with consumption of food served by a minnesota-based airline.19921433760
resistance of shigellae to ampicillin and other antibiotics. its clinical and epidemiological implications. 19724113693
shigellosis sonnei in south carolina. 19826755065
shigella surveillance in a large metropolitan area: assessment of a passive reporting system.a passive disease report card (drc) surveillance system failed to detect an epidemic of diarrheal disease caused by a newly identified drug-resistant strain of shigella sonnei. the drc system inaccurately described both the population at risk and the geographic location of cases. specific limitations of the drc system, including problems of underreporting and ascertainment bias, were complicated by the absence of timely data analysis and feedback to providers.19806986094
prevalence of shigellosis and other enteric pathogens in a zoologic collection of primates.an epidemiologic study of shigellosis was the preliminary step in the formulation of a plan for the control of devastating infectious diseases in nonhuman primates at the national zoological park. data were collected from primate groups with enzootic shigellosis and included the following species: white-cheeked and siamong gibbons (hylobates concolor and h syndactylies); lion-tailed, celebes, and barbary macaques (macaca silenus, m nigera, and m sylvanus); black and white colobus monkeys (colobu ...19938407446
clearance of shigella flexneri carriers in a zoologic collection of primates.in 1990, a high prevalence of shigella flexneri was documented in the gibbon population at the national zoological park. the enzootic strain had been determined to be resistant to most antibiotics and had been responsible for animal deaths. prevalence of shigella spp was high in the entire primate population. to address the clinical problem, eradication was attempted by use of enrofloxacin. facilities disinfection comprised a large part of shigella clearance efforts. after the clearance protocol ...19938407447
day care-related outbreaks of rhamnose-negative shigella sonnei--six states, june 2001-march 2003.during june 2001--march 2003, outbreaks of shigella sonnei infections were reported in delaware, maryland, new jersey, north carolina, south carolina, and virginia. five- to fortyfold increases in statewide shigellosis rates were observed during this period. these increases were attributed primarily to outbreaks in multiple day care settings that became prolonged and community wide. s. sonnei isolates from these states, as well as from new york city and philadelphia, were similar genetically by ...200414749615
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