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A Peer-Reviewed Journal Tracking and Analyzing Disease Trends pages 993–1166 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 Arturo Casadevall, New York, New York, USA Charles H. Calisher, Ft. Collins, Colorado, USA Kenneth C. Castro, Atlanta, Georgia, USA Thomas Cleary, Houston, Texas, USA Patrice Courvalin, Paris, France Anne DeGroot, Providence, Rhode Island, USA Stephanie James, Bethesda, Maryland, USA Vincent Deubel, Shanghai, China Takeshi Kurata, Tokyo, Japan Ed Eitzen, Washington, D.C., USA Brian W.J. Mahy, Atlanta, Georgia, USA Duane J. Gubler, Honolulu, Hawaii, USA Richard L. Guerrant, Charlottesville, Virginia, USA Martin I. Meltzer, Atlanta, Georgia, USA Scott Halstead, Arlington, Virginia, USA David Morens, Bethesda, Maryland, USA David L. Heymann, Geneva, Switzerland J. Glenn Morris, Baltimore, Maryland, USA Sakae Inouye, Tokyo, Japan Tanja Popovic, Atlanta, Georgia, USA Charles King, Cleveland, Ohio, USA Patricia M. Quinlisk, Des Moines, Iowa, USA Keith Klugman, Atlanta, Georgia, USA S.K. Lam, Kuala Lumpur, Malaysia Gabriel Rabinovich, Buenos Aires, Argentina Bruce R. Levin, Atlanta, Georgia, USA Didier Raoult, Marseilles, France Myron Levine, Baltimore, Maryland, USA Pierre Rollin, Atlanta, Georgia, USA Stuart Levy, Boston, Massachusetts, USA David Walker, Galveston, Texas, USA John S. MacKenzie, Perth, Australia Henrik C. Wegener, Copenhagen, Denmark Tom Marrie, Edmonton, Alberta, Canada John E. McGowan, Jr., Atlanta, Georgia, USA Copy Editors Philip P. Mortimer, London, United Kingdom Angie Frey, Thomas Gryczan, Ronnie Henry, Fred A. Murphy, Davis, California, USA Anne Mather, Carol Snarey Barbara E. Murray, Houston, Texas, USA Production P. Keith Murray, Ames, Iowa, USA Stephen Ostroff, Honolulu, Hawaii, USA Reginald Tucker, Ann Jordan, Maureen Marshall Rosanna W. Peeling, Geneva, Switzerland Editorial Assistant David H. Persing, Seattle, Washington, USA Carolyn Collins Gianfranco Pezzino, Topeka, Kansas, USA Richard Platt, Boston, Massachusetts, USA www.cdc.gov/eid 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, Connie Schmaljohn, Frederick, Maryland, USA Atlanta, GA 30333, USA. Telephone 404-371-5329, Tom Schwan, Hamilton, Montana, USA fax 404-371-5449, email [email protected]. Ira Schwartz, Valhalla, New York, USA Tom Shinnick, Atlanta, Georgia, USA The opinions expressed by authors contributing to this journal Patricia Simone, Atlanta, Georgia, USA do not necessarily reflect the opinions of the Centers for Disease 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 Phillip Tarr, St. Louis, Missouri, USA Use of trade names is for identification only and does not Timothy Tucker, Cape Town, South Africa imply endorsement by the Public Health Service or by the U.S. Elaine Tuomanen, Memphis, Tennessee, USA Department of Health and Human Services. John Ward, Atlanta, Georgia, USA ∞ Emerging Infectious Diseases is printed on acid-free paper that meets J. Todd Weber, Atlanta, Georgia, USA the requirements of ANSI/NISO 239.48-1992 (Permanence of Paper) Mary E. Wilson, Cambridge, Massachusetts, USA Emerging Infectious Diseases • www.cdc.gov/eid • Vol. 11, No. 7, July 2005 A Peer-Reviewed Journal Tracking and Analyzing Disease Trends Vol. 11, No. 7, July 2005 On the Cover Research The Painted Gallery (17,000 BC) Ceiling, Lascaux Caves, West Nile Virus–associated Perigord, Dordogne, France Flaccid Paralysis . .1021 Image courtesy of CNP - Ministère J.J. Sejvar et al. de la Culture, France Poliomyelitislike syndrome, the most common mechanism of WNV-associated paralysis, causes About the Cover p. 1164 frequent illness and death. Primate-to-Human Retroviral Transmission in Asia . .1028 L. Jones-Engel et al. Simian foamy virus infection is documented in a Balinese monkey temple worker. Influenza A H5N1 Replication Sites in Humans . .1036 M. Uiprasertkul et al. Perspectives H5N1 replication in humans is restricted to the Attributing Illness to Food . .993 lungs and intestines. M.B. Batz et al Attributing foodborne illness to specific foods is Nipah Virus in Flying critical, but an adequate source of US data does Foxes, Cambodia . .1042 not exist. J.-M. Reynes et al. Flying foxes could be the natural host of Nipah virus. Wildlife Trade and Global Disease Emergence . .1000 Leptospirosis in Germany, W.B. Karesh et al. 1962–2003 . .1048 Regulating the global wildlife trade could A. Jansen et al. decrease disease risk. p. 1001 Changes in leptospirosis transmission patterns may facilitate disease spread in temperate climates. Occupational Deaths among Healthcare Workers . .1003 Tickborne Infections K.A. Sepkowitz and L. Eisenberg in Denmark . .1055 National registry would quantify occupational p. 1038 S. Skarphédinsson et al. deaths among healthcare workers A marked shift has occurred in the distribution of tickborne encephalitis–complex virus in Denmark. Drug-resistant Neisseria gonorrhoeae in Michigan . .1009 Risk Factors for Group A K.E. Macomber et al. Streptococcal Disease . .1062 Fluoroquinolone-resistant N. gonorrhoeae S.H. Factor et al. surveillance guides local STD programs. Household characteristics that influence exposure most affect development of invasive disease. Synopsis Emergency Department SARS Vaccine Development . .1016 Response to SARS, Taiwan . .1067 S. Jiang et al. W.-K. Chen et al. Recombinant RBDs may be used as safe vaccines Centralizing treatment of SARS patients in early for SARS-CoV. stages of infection may reduce epidemic spread. Human Metapneumovirus Genetic Variability . .1074 H.P. Ludewick et al. A Peer-Reviewed Journal Tracking and Analyzing Disease Trends Vol. 11, No. 7, July 2005 The complex circulating pattern of human metapneumovirus in Africa allows the virus to 1128 Yersinia pseudotuberculosis evade preexisting immunity. Septicemia and HIV Norovirus Recombination in M.G. Paglia et al. ORF1/ORF2 Overlap . .1079 1131 Bordetella petrii Clinical Isolate R.A. Bull et al. N.K. Fry et al. This recombination hotspot is a subgenomic 1134 Caliciviruses and Foodborne RNA promoter. Gastroenteritis, Chile p. 1087 R. Vidal et al. Policy Review 1138 Beliefs about Appropriate Adventitious Agents and Antibacterial Therapy K.C. Cummings et al. Smallpox Vaccine . .1086 F.A. Murphy and B.I. Osburn 1142 Asymptomatic SARS Coronavirus Old smallpox vaccines should be tested for Infection, Singapore adventitious infectious agents. A. Wilder-Smith et al. Dispatches Another Dimension 1090 New Chlamydia trachomatis 1103 Landscape Variant, Amsterdam M. Oliver J. Spaargaren et al. 1093 Household Transmission of Letters Gastroenteritis S. Perry et al. 1146 Hedgehog Zoonoses (Replies) 1097 Nosocomial Malaria and Saline 1146 Bartonella henselae, Cats, Jamaica Flush 1148 Pandemic Vibrio parahaemolyticus S.K. Jain et al. O3:K6 Spread, France 1100 West Nile Virus Surveillance, 1150 Third Borrelia Species in Mice Guadeloupe, 2003–2004 T. Lefrançois et al. 1151 Comparing Diagnostic Coding and Laboratory Results 1104 Enterotoxigenic Escherichia coli Diarrhea, Bangladesh 1153 Concurrent Dengue and Malaria F. Qadri et al. p. 1102 1154 West Nile Virus Detection and 1108 SARS Coronavirus Detection Commercial Assays Methods 1155 Hepatitis A, Italy S.K.P. Lau et al. 1157 Stenotrophomonas maltophilia 1112 Veillonella montpellierensis in Salad Endocarditis C. Rovery et al. 1158 Avian Influenza H5N1 and Healthcare Workers 1115 Burkholderia fungorum Septicemia 1160 Cell Phones and Acinetobacter G.P. Gerrits et al. Transmission 1118 Blackwater Fever in Children, Burundi Book Reviews F. Gobbi et al. 1121 Cervids as Babesiae Hosts, 1162 Beasts of the Earth: Animals, Slovenia Humans, and Disease D. Duh et al. 1162 Viral Haemorrhgic Fevers 1124 Salmonella Agona Outbreak from Contaminated Aniseed, Germany J. Koch et al. News & Notes About the Cover 1164 Global Wildlife Trade PERSPECTIVE Attributing Illness to Food Michael B. Batz,* Michael P. Doyle,† J. Glenn Morris, Jr.,‡ John Painter,§ Ruby Singh,¶ Robert V. Tauxe,§ Michael R. Taylor,* and Danilo M.A. Lo Fo Wong,# for the Food Attribution Working Group1 Identification and prioritization of effective food safety increasingly robust data on the incidence of illness due to interventions require an understanding of the relationship specific enteric pathogens, no method exists