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A Peer-Reviewed Journal Tracking and Analyzing Disease Trends pages 191–360 EDITOR-IN-CHIEF D. Peter Drotman EDITORIAL STAFF EDITORIAL BOARD Dennis Alexander, Addlestone Surrey, United Kingdom Founding Editor Ban Allos, Nashville, Tennessee, USA Joseph E. McDade, Rome, Georgia, USA Michael Apicella, Iowa City, Iowa, USA Managing Senior Editor Barry J. Beaty, Ft. Collins, Colorado, USA Martin J. Blaser, New York, New York, USA Polyxeni Potter, Atlanta, Georgia, USA David Brandling-Bennet, Washington, D.C., USA Associate Editors Donald S. Burke, Baltimore, Maryland, USA Charles Ben Beard, Ft. Collins, Colorado, USA Jay C. Butler, Anchorage, Alaska David Bell, Atlanta, Georgia, USA Charles H. Calisher, Ft. Collins, Colorado, USA Arturo Casadevall, New York, New York, USA Patrice Courvalin, Paris, France Kenneth C. Castro, Atlanta, Georgia, USA Stephanie James, Bethesda, Maryland, USA Thomas Cleary, Houston, Texas, USA Brian W.J. Mahy, Atlanta, Georgia, USA Anne DeGroot, Providence, Rhode Island, USA Takeshi Kurata, Tokyo, Japan Vincent Deubel, Shanghai, China Martin I. Meltzer, Atlanta, Georgia, USA Ed Eitzen, Washington, D.C., USA Duane J. Gubler, Honolulu, Hawaii, USA David Morens, Bethesda, Maryland, USA Scott Halstead, Arlington, Virginia, USA J. Glenn Morris, Baltimore, Maryland, USA David L. Heymann, Geneva, Switzerland Tanja Popovic, Atlanta, Georgia, USA Sakae Inouye, Tokyo, Japan Patricia M. Quinlisk, Des Moines, Iowa, USA Charles King, Cleveland, Ohio, USA Keith Klugman, Atlanta, Georgia, USA Gabriel Rabinovich, Buenos Aires, Argentina S.K. Lam, Kuala Lumpur, Malaysia Didier Raoult, Marseilles, France Bruce R. Levin, Atlanta, Georgia, USA Pierre Rollin, Atlanta, Georgia, USA Myron Levine, Baltimore, Maryland, USA David Walker, Galveston, Texas, USA Stuart Levy, Boston, Massachusetts, USA John S. MacKenzie, Brisbane, Australia Henrik C. Wegener, Copenhagen, Denmark Tom Marrie, Edmonton, Alberta, Canada Copy Editors John E. McGowan, Jr., Atlanta, Georgia, USA Angie Frey, Ronnie Henry, Anne Mather, Carol Snarey, Stephen S. Morse, New York, New York, USA Cathy Young Philip P. Mortimer, London, United Kingdom Production Fred A. Murphy, Davis, California, USA Barbara E. Murray, Houston, Texas, USA Reginald Tucker, Ann Jordan, Maureen Marshall P. Keith Murray, Ames, Iowa, USA Editorial Assistant Stephen Ostroff, Atlanta, Georgia, USA Carolyn Collins Rosanna W. Peeling, Geneva, Switzerland David H. Persing, Seattle, Washington, USA Gianfranco Pezzino, Topeka, Kansas, USA www.cdc.gov/eid Richard Platt, Boston, Massachusetts, USA Mario Raviglione, Geneva, Switzerland Emerging Infectious Diseases Leslie Real, Atlanta, Georgia, USA Emerging Infectious Diseases is published monthly by the David Relman, Palo Alto, California, USA National Center for Infectious Diseases, Centers for Disease Nancy Rosenstein, Atlanta, Georgia, USA Control and Prevention, 1600 Clifton Road, Mailstop D61, Atlanta, GA 30333, USA. Telephone 404-371-5329, Connie Schmaljohn, Frederick, Maryland, USA fax 404-371-5449, email [email protected]. Tom Schwan, Hamilton, Montana, USA Ira Schwartz, Valhalla, New York, USA The opinions expressed by authors contributing to this journal Tom Shinnick, Atlanta, Georgia, USA do not necessarily reflect the opinions of the Centers for Disease Patricia Simone, Atlanta, Georgia, USA Control and Prevention or the institutions with which the authors Bonnie Smoak, Bethesda, Maryland, USA are affiliated. Rosemary Soave, New York, New York, USA P. Frederick Sparling, Chapel Hill, North Carolina, USA All material published in Emerging Infectious Diseases is in Jan Svoboda, Prague, Czech Republic the public domain and may be used and reprinted without special Bala Swaminathan, Atlanta, Georgia, USA permission; proper citation, however, is required. Robert Swanepoel, Johannesburg, South Africa Use of trade names is for identification only and does not Phillip Tarr, Seattle, Washington, USA imply endorsement by the Public Health Service or by the U.S. Timothy Tucker, Cape Town, South Africa Department of Health and Human Services. Elaine Tuomanen, Memphis, Tennessee, USA Mary E. Wilson, Cambridge, Massachusetts, USA ∞ Emerging Infectious Diseases is printed on acid-free paper that meets John Ward, Atlanta, Georgia, USA the requirements of ANSI/NISO 239.48-1992 (Permanence of Paper) Emerging Infectious Diseases • www.cdc.gov/eid • Vol. 11, No. 2, February 2005 A Peer-Reviewed Journal Tracking and Analyzing Disease Trends Vol. 11, No. 2, February 2005 On the Cover Novel Flavivirus or New Romare Bearden (1911–1988). Lineage of West Nile Virus . .225 The Sea Nymph (1977) T. Bakonyi et al. Collage on various papers with paint and Rabensburg virus, isolated from Culex pipiens graphite on fiberboard mosquitoes in central Europe, represents a new (111.8 cm x 81.3 cm). lineage of West Nile virus or a novel flavivirus of the Permanent collection: Glen and Lynn Tobias. Japanese encephalitis virus group. Cover art copyright Romare Bearden Foundation / Survey for Bat Lyssaviruses, Licensed by VAGA, New York, New York Thailand . .232 B. Lumlertdacha et al. About the Cover p. 358 Existence of lyssavirus infection in Thai bats has been confirmed by demonstration of serum neutralizing antibodies. Perspective p. 205 Distinguishing Febrile Respiratory Spotted Fever and Typhus Illnesses from SARS . .191 Group Rickettsioses . .237 K. Khan et al. Y.-J. Choi et al. Optimal management of febrile respiratory illnesses Multiplex nested PCR and sequencing analysis during a hypothetical SARS outbreak varies, but indicated rickettsialike agents in serum specimens increasing influenza vaccination rates would save from febrile patients. money and lives. Pneumocystis jirovecii in General Population . .245 Research F.J. Medrano et al. Human Disease from Influenza A P. jirovecii colonization can be frequently detected (H5N1), Thailand, 2004 . .201 in immunocompetent adults, which suggests that T. Chotpitayasunondh et al. the general population could be a source of this Direct contact with sick poultry, young age, infection. pneumonia and lymphopenia, and acute respiratory distress syndrome should prompt specific laboratory Cryptosporidiosis Decline after testing for H5 influenza. Membrane Filtration . .251 S. Goh et al. No H5N1 Transmission to Hospital Sporadic cryptosporidiosis and associated hospital Employees, Hanoi . .210 admissions of children declined after membrane N.T. Liem et al. filtration of public drinking water supplies was A seroprevalence study found no transmission of introduced. avian influenza H5N1 viruses from patients to hospital employees in Vietnam, 2004. Carbapenemase in Enterobacteriaceae, U.S. Rivers . .260 Bacterial Zoonoses and Infective C. Aubron et al. Endocarditis, Algeria . .216 Identification of imipenem-resistant Enterobacter A. Benslimani et al. asburiae isolates from distant rivers indicates an Serologic and molecular tools are important for the environmental reservoir for carbapenemase genes. diagnosis of blood culture–negative endocarditis. Investigation of Rickettsial Infection in Brazil . .265 p. 221 L.A. Sangioni et al. Surveys of horse serum are a useful method of surveillance for Brazilian spotted fever in areas where humans are exposed to Amblyomma cajennense ticks. Waddlia malaysiensis: New Chlamydialike Bacterium . .271 P.K.B. Chua et al. A Peer-Reviewed Journal Tracking and Analyzing Disease Trends Vol. 11, No. 2, February 2005 A novel obligate intracellular bacterium was isolated from urine samples from fruit bats (Eonycteris spelaea) in peninsular Malaysia. 330 Pneumocystis Transmission in Pediatric Transplant Unit Quarantine for SARS, Taiwan . .278 B. Höcker et al. Y.-H. Hsieh et al. Quarantine for SARS during the 2003 Taiwan outbreak expedited case detection, thereby Another Dimension indirectly preventing infections. 333 First Self Wild Animal Mortality Monitoring G. Callahan and Human Ebola . .283 P. Rouquet et al. An animal mortality monitoring network in Gabon Letters and the Republic of Congo has demonstrated potential to predict and possibly prevent human 339 Schistosoma mansoni in Family Ebola outbreaks. 5 Years after Safari p. 288 341 Methicillin-resistant Historical Review Staphylococcus aureus, Singapore Smallpox Surveillance and 343 Mumps Virus–associated Control Measures . .291 Hemophagocytic Syndrome E. Kerrod et al. 343 Imported Cutaneous Diphtheria, Targeted surveillance and containment Germany interventions have been successful for outbreak control and should be explored as alternatives to 344 Antimicrobial Drug Consumption mass vaccination. in Companion Animals Dispatches 346 Vibrio cholerae SXT Element, Laos 347 Impact of Influenza Pandemic on 298 In Vitro Host-Cell Susceptibility Pacific Islands to Usutu Virus 349 Mycotic Brain Abscess T. Bakonyi et al. 351 Tuberculosis in Undocumented 302 Bat Incidents at Children’s p. 299 Migrants, Geneva Camps, New York A. Robbins et al. 352 Mycobacterium chelonae in Kidney-Pancreas Recipient 306 West Nile Virus in Morocco I. Schuffenecker et al. 354 Psychological Effects of Quarantine (Replies) 310 Differential Detection of Multiple Respiratory Pathogens Book Reviews T. Briese et al. 314 Comparing Aberration 356 Community-based Health Research Detection Methods L. Hutwagner et al. 356 The Pneumococcus 317 Malaria Epidemic and Drug 357 DNA Amplification Resistance, Djibouti C. Rogier et al. News & Notes 322 Late Recognition of SARS in Nosocomial Outbreak About the Cover T. Wong et al. 358 Hazards of Travel 326 Typhoid Fever in Children in Urban Slum, Bangladesh