| outbreak investigation of scrub typhus in himachal pradesh (india). | scrub typhus outbreak investigation was undertaken during september 2003 in the three worst affected districts shimla, solan and sirmaur in himachal pradesh (india). a total of 113 cases and 19 deaths (17.27 percent case fatality rate) were reported from the eight districts, which were reporting cases. cases were prevalent in all age groups and in both the sexes among the persons frequenting forest for occupational work. 35.7 percent of the patients serum samples showed a titer of > 1: 80 agains ... | 2004 | 16506551 |