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Peer-Reviewed Journal Tracking and Analyzing Disease Trends pages 1581–1790 EDITOR-IN-CHIEF D. Peter Drotman Managing Senior Editor EDITORIAL BOARD Polyxeni Potter, Atlanta, Georgia, USA Dennis Alexander, Addlestone Surrey, United Kingdom Senior Associate Editor Timothy Barrett, Atlanta, GA, USA Brian W.J. Mahy, Bury St. Edmunds, Suffolk, UK Barry J. Beaty, Ft. Collins, Colorado, USA Martin J. Blaser, New York, New York, USA Associate Editors Sharon Bloom, Atlanta, GA, USA Paul Arguin, Atlanta, Georgia, USA Christopher Braden, Atlanta, GA, USA Charles Ben Beard, Ft. Collins, Colorado, USA Mary Brandt, Atlanta, Georgia, USA Ermias Belay, Atlanta, GA, USA Arturo Casadevall, New York, New York, USA David Bell, Atlanta, Georgia, USA Kenneth C. Castro, Atlanta, Georgia, USA Corrie Brown, Athens, Georgia, USA Louisa Chapman, Atlanta, GA, USA Charles H. Calisher, Ft. Collins, Colorado, USA Thomas Cleary, Houston, Texas, USA Michel Drancourt, Marseille, France Vincent Deubel, Shanghai, China Paul V. Effl er, Perth, Australia Ed Eitzen, Washington, DC, USA David Freedman, Birmingham, AL, USA Daniel Feikin, Baltimore, MD, USA Peter Gerner-Smidt, Atlanta, GA, USA Anthony Fiore, Atlanta, Georgia, USA Stephen Hadler, Atlanta, GA, USA Kathleen Gensheimer, Cambridge, MA, USA Nina Marano, Atlanta, Georgia, USA Duane J. Gubler, Singapore Martin I. Meltzer, Atlanta, Georgia, USA Richard L. Guerrant, Charlottesville, Virginia, USA David Morens, Bethesda, Maryland, USA Scott Halstead, Arlington, Virginia, USA J. Glenn Morris, Gainesville, Florida, USA David L. Heymann, London, UK Patrice Nordmann, Paris, France Charles King, Cleveland, Ohio, USA Tanja Popovic, Atlanta, Georgia, USA Keith Klugman, Atlanta, Georgia, USA Didier Raoult, Marseille, France Takeshi Kurata, Tokyo, Japan Pierre Rollin, Atlanta, Georgia, USA S.K. Lam, Kuala Lumpur, Malaysia Ronald M. Rosenberg, Fort Collins, Colorado, USA Stuart Levy, Boston, Massachusetts, USA Dixie E. Snider, Atlanta, Georgia, USA John S. MacKenzie, Perth, Australia Frank Sorvillo, Los Angeles, California, USA Marian McDonald, Atlanta, Georgia, USA David Walker, Galveston, Texas, USA John E. McGowan, Jr., Atlanta, Georgia, USA J. Todd Weber, Atlanta, Georgia, USA Tom Marrie, Halifax, Nova Scotia, Canada Henrik C. Wegener, Copenhagen, Denmark Philip P. Mortimer, London, United Kingdom Fred A. Murphy, Galveston, Texas, USA Founding Editor Barbara E. Murray, Houston, Texas, USA Joseph E. McDade, Rome, Georgia, USA P. Keith Murray, Geelong, Australia Copy Editors Claudia Chesley, Karen Foster, Thomas Gryczan, Stephen M. Ostroff, Harrisburg, Pennsylvania, USA Nancy Mannikko, Beverly Merritt, Carol Snarey, P. Lynne Stockton, David H. Persing, Seattle, Washington, USA Caran R. Wilbanks Richard Platt, Boston, Massachusetts, USA Gabriel Rabinovich, Buenos Aires, Argentina Production Carrie Huntington, Ann Jordan, Shannon O’Connor, Mario Raviglione, Geneva, Switzerland Reginald Tucker David Relman, Palo Alto, California, USA Editorial Assistant Christina Dzikowski Connie Schmaljohn, Frederick, Maryland, USA Tom Schwan, Hamilton, Montana, USA Social Media Sarah Logan Gregory Ira Schwartz, Valhalla, New York, USA Intern Kylie L. Gregory Tom Shinnick, Atlanta, Georgia, USA Emerging Infectious Diseases is published monthly by the Centers for Disease Bonnie Smoak, Bethesda, Maryland, USA Control and Prevention, 1600 Clifton Road, Mailstop D61, Atlanta, GA 30333, Rosemary Soave, New York, New York, USA USA. Telephone 404-639-1960, fax 404-639-1954, email [email protected]. P. Frederick Sparling, Chapel Hill, North Carolina, USA Robert Swanepoel, Pretoria, South Africa The opinions expressed by authors contributing to this journal do not neces- sarily refl ect the opinions of the Centers for Disease Control and Prevention or Phillip Tarr, St. Louis, Missouri, USA the institutions with which the authors are affi liated. Timothy Tucker, Cape Town, South Africa All material published in Emerging Infectious Diseases is in the public do- Elaine Tuomanen, Memphis, Tennessee, USA main and may be used and reprinted without special permission; proper citation, John Ward, Atlanta, Georgia, USA however, is required. Mary E. Wilson, Cambridge, Massachusetts, USA Use of trade names is for identifi cation only and does not imply endorsement by the Public Health Service or by the U.S. Department of Health and Human ∞ Emerging Infectious Diseases is printed on acid-free paper that meets the requirements Services. of ANSI/NISO 239.48-1992 (Permanence of Paper) Emerging Infectious Diseases • www.cdc.gov/eid • Vol. 17, No. 9, September 2011 September 2011 On the Cover Multiple Reassortment between Frans Snyders (1579–1657) Pandemic (H1N1) 2009 and Endemic Still Life with Fighting Infl uenza Viruses in Pigs .........................1624 Monkeys (1635) M.F. Ducatez et al. Oil on canvas (74.9 cm × 108 cm) Viruses belonging to these novel genotypes are Bequest of John Ringling, 1936, The indistinguishable phenotypically from endemic swine viruses. John and Mable Ringling Museum of Art, the State Art Museum of Florida, a division of Florida State University Role of Chlamydia trachomatis in About the Cover p. 1785 Miscarriage................................................1630 D. Baud et al. Women experiencing miscarriage should be screened for this Synopsis pathogen. Risk-based Estimate of Effect Classical Bovine Spongiform of Foodborne Diseases on Encephalopathy by Transmission Public Health, Greece...............................1581 of H-Type Prion in Homologous E. Gkogka et al. Prion Protein Context ...............................1636 These infections may account for 896 disability-adjusted J.-M. Torres et al. life-years/1 million inhabitants annually. Epidemic BSE agent could have originated from such a cattle prion. Research Invasive Haemophilus infl uenzae Estimating Effect of Antiviral Disease in Adults, Utah, USA ..................1645 Drug Use during Pandemic (H1N1) M.P. Rubach et al. 2009 Outbreak, United States ..................1591 This infection disproportionately affected persons >65 years C.Y. Atkins et al. p. 1633 of age. Use of these medications prevented 8,400–12,600 hospitalizations. Central Venous Catheter–associated Nocardia Bacteremia in Cancer Intrahousehold Transmission of Patients......................................................1651 Pandemic (H1N1) 2009 Virus, F. Al Akhrass et al. Victoria, Australia .....................................1599 Heavy biofi lm growth on catheters can be reduced through C. Van Gemert et al. use of antimicrobial lock solutions. Antiviral prophylaxis for quarantined contacts reduces secondary transmission. p. 1660 Endemic Scrub Typhus–like Illness, Chile..............................................1659 Epidemiologic Modeling with M.E. Balcells et al. FluSurge for Pandemic (H1N1) Rickettsiae closely related to the scrub typhus pathogen are 2009, Queensland, Australia ....................1608 present in the Western Hemisphere. P.R.A. Baker et al. Predictions of the effect of pandemic infl uenza on hospital Geographic Distribution of resources were helpful for service planning. Endemic Fungal Infections among Older Persons, United States ..................1664 Effects of Pandemic (H1N1) 2009 J.W. Baddley et al. on Remote and Indigenous Groups, Incidence rates were highest for histoplasmosis and Northern Territory, Australia ....................1615 blastomycosis in the Midwest and for coccidioidomycosis in J.M. Trauer et al. the West. Vaccination campaigns and public health response should focus on high-risk groups. Emerging Infectious Diseases • www.cdc.gov/eid • Vol. 17, No. 9, September 2011 Seroepidemiologic Study of Pandemic (H1N1) 2009 during Outbreak in Boarding School, England .......................1670 September 2011 S. Johnson et al. 1747 Ciprofl oxacin-Resistant Shigella sonnei Infection was widespread in a closed setting, and a among Men Who Have Sex with Men, substantial proportion were asymptomatic. Canada, 2010 1751 Multidrug-Resistant Acinetobacter baumannii Leptospirosis as Frequent Cause in Veterinary Clinics, Germany of Acute Febrile Illness in Southern Sri Lanka ...................................................1678 M.E. Reller et al. Letters Because clinical impression and immunoglobulin M tests of 1755 Escherichia coli O104:H4 from 2011 European acute-phase specimens are insensitive, rapid, pathogen- Outbreak and Strain from South Korea based tests are needed. 1756 Respiratory Illness in Households of School- Dismissed Students during Pandemic (H1N1) 2009 Inpatient Capacity at Children’s 1757 Pandemic (H1N1) 2009 Virus in Swine Herds, Hospitals during Pandemic (H1N1) China 2009 Outbreak, United States ..................1685 1759 Pulmonary Disease Associated with M.R. Sills et al. Nontuberculous Mycobacteria, Oregon Modestly increased rates of admission or emergency p. 1728 1761 Carriage of Meningococci by University department visits would have caused substantial Students, United Kingdom overcrowding. 1763 Pandemic (H1N1) 2009 in Neonates, Japan 1765 Social Network as Outbreak Investigation Tool Mycobacterium chelonae-abscessus 1766 Susceptibility of Health Care Students to Complex Associated with Sinopulmonary Measles, Paris, France Disease, Northeastern United States......1692 1767 Toxigenic Corynebacterium ulcerans in K.E. Simmon et al. Woman and Cat Accurate identifi cation of these organisms is needed. 1769 Isoniazid-Resistant Tuberculosis, Taiwan, 2000–2010 Dispatches 1770 Novel Mycobacterium Species in Seahorses with Tail Rot 1701 High Rates of Malaria among US