Emerging Infectious Diseases
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Vol. 2, No. 1, January–March 1996 Emerging TrackingInfectious trends and analyzing new and reemerging Diseases infectious disease issues around the world Molecular Population Genetic James M. Musser Analysis of Emerged Bacterial Pathogens Emergence of the Ehrlichioses as David H. Walker Human Health Problems Surveillance for Pneumonic Plague Curtis L. Fritz Malaria Transmission Jane R. Zucker Cluster of Lyme Disease Cases G. Thomas Strickland Unexplained Deaths Due to Bradley A. Perkins Possibly Infectious Causes Trends in Bacteremic Infection Due Daniel M. Musher to S. pyogenes Infectious Diseases in Latin A. David America and the Caribbean Brandling-Bennet Microbial Threats and the Global Stuart B. Levy Society Xenotransplantation:Risks, Clinical Robert E. Michler Potential, and Future Prospects Another Human Case of Equine Morbillivirus Disease in Australia U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Public Health Service Emerging Infectious Diseases Emerging Infectious Diseases is indexed in Current Contents and in several electronic databases. Liaison Representatives Editors Anthony I. Adams, M.D. Gerald L. Mandell, M.D. Editor Chief Medical Adviser Liaison to Infectious Diseases Society Joseph E. McDade, Ph.D. Commonwealth Department of of America National Center for Infectious Diseases Human Services and Health Centers for Disease Control University of Virginia Medical Center and Prevention (CDC) Canberra, Australia Charlottesville, Virginia, USA Atlanta, Georgia, USA David Brandling-Bennett, M.D. Philip P. Mortimer, M.D. Deputy Director Director, Virus Reference Division Perspectives Editor Stephen S. Morse, Ph.D. Pan American Health Organization Central Public Health Laboratory The Rockefeller University World Health Organization London, United Kingdom New York, New York, USA Washington, D.C., USA Robert Shope, M.D. Synopses Editor Gail Cassell, Ph.D. Professor of Research Phillip J. Baker, Ph.D. Liaison to American Society for Microbiology University of Texas Medical Branch Division of Microbiology and Infectious Diseases University of Alabama at Birmingham Galveston, TX National Institute of Allergy and Infectious Diseases Birmingham, Alabama, USA National Institutes of Health (NIH) Natalya B. Sipachova, M.D., Ph.D. Bethesda, Maryland, USA Richard A. Goodman, M.D., M.P.H. Scientific Editor Editor, MMWR Russian Republic Information & Analytic Centre Dispatches Editor Centers for Disease Control Moscow, Russia Stephen Ostroff, M.D. and Prevention (CDC) National Center for Infectious Diseases Atlanta, Georgia, USA Bonnie Smoak, M.D. Centers for Disease Control and Prevention (CDC) Chief, Dept of Epidemiology Atlanta, Georgia, USA William Hueston, D.V.M., Ph.D Division of Preventive Medicine Acting Leader, Center for Animal Health Walter Reed Army Institute of Research Managing Editor Monitoring Washington, D.C., USA Polyxeni Potter, M.A. Centers for Epidemiology and Animal Health National Center for Infectious Diseases Veterinary Services, Animal and Plant Robert Swanepoel, B.V.Sc., Ph.D. Centers for Disease Control and Prevention (CDC) Health Inspection Service Head, Special Pathogens Unit Atlanta, Georgia, USA U.S. Department of Agriculture National Institute for Virology Fort Collins, Colorado, USA Sandrinham 2131, South Africa James LeDuc, Ph.D. Roberto Tapia, M.D. Advisor for Arboviral Diseases Director General de Epidemiología Division of Communicable Diseases Dirección General de Epidemiología World Health Organization Secretaría de Salud Editorial and Computer Support Geneva, Switzerland México Emerging Infectious Diseases receives editorial Joseph Losos, M.D. and computer support from the Office of Planning Director General and Health Communication, National Center for Laboratory Center for Disease Control Infectious Diseases. Ontario, Canada Editorial Support Emerging Infectious Diseases Maria T. Brito Anne D. Mather Emerging Infectious Diseases is published four times a year by the National Center for Infectious Diseases, Carol D. Snarey, M.A. Centers for Disease Control and Prevention (CDC), 1600 Clifton Road., Mailstop C-12, Atlanta, GA 30333, USA. Telephone 404-639-3967, fax 404-639-3039, e-mail [email protected]. The opinions expressed by authors contributing to this journal do not necessarily reflect the opinions of CDC Production or the institutions with which the authors are affiliated. Rita M. Furman, M.A. All material published in Emerging Infectious Diseases is in the public domain and may be used and reprinted without special permission; proper citation, however, is appreciated. Electronic Distribution Use of trade names is for identification only and does not imply endorsement by the Public Health Service or by Carol Y. Crawford the U.S. Department of Health and Human Services. Electronic Access to Emerging Infectious Diseases If you have Internet access, you can retrieve the pub/Publications/EID directory in each of the file free Adobe Acrobat Reader by subscribing to the list. journal electronically through file transfer protocol types listed above. EID-PS sends the journal in PostScript format. How- (FTP), electronic mail, or World-Wide Web (WWW). WWW: Launch WWW browser for the Internet ever, because of the large file sizes and the com- The journal is available in three file formats: ASCII, and connect to the following address: plexity of sending the journal to different e-mail Adobe Acrobat (.pdf), and PostScript (.ps). The http://www.cdc.gov. Your WWW software will allow systems, it is strongly recommended that if you have ASCII version of the journal does not contain figures. you to view, print, and retrieve journal articles. FTP capabilities, you choose to access EID through FTP rather than by e-mail lists. Both the .pdf and .ps files, however, contain graphics LISTSERVer (e-mail lists): You may have the and figures and are true representations of the hard table of contents sent to your e-mail box by subscrib- To subscribe to a list, send an e-mail to copy of the journal. The Adobe Acrobat format re- ing to the EID-TOC mailing list. When you subscribe [email protected] with the following in the body of quires an Adobe Reader. This reader is available in to this list, you automatically receive the table of con- your message: subscribe listname (e.g., subscribe DOS, Windows, UNIX, and Macintosh versions. In- tents and will be able to receive individual journal articles EID-ASCII). Once you have requested a subscrip- stallation instructions come with the Adobe software. by FTP or e-mail. tion, you will receive further instructions by e-mail. Access Methods If you choose to receive the entire journal, you may For more information about receiving Emerging FTP: Download the journal through anonymous subscribe to one of three other lists. EID-ASCII Infectious Diseases electronically, send an e-mail to FTP at ftp.cdc.gov. The files can be found in the sends the journal in ASCII format. EID-PDF sends [email protected]. the journal in Adobe Acrobat format. You can get the Editorial Policy and Call for Articles The goals of Emerging Infectious Diseases (EID) are to promote the recognition of emerging and reemerging infectious diseases and improve the understanding of factors involved in disease emergence, prevention, and elimination. Emerging infections are new or newly identified pathogens or syndromes that have been recognized in the past two decades. Reemerging infections are known pathogens or syndromes that are increasing in incidence, expanding into new geographic areas, affecting new populations, or threatening to increase in the near future. EID has an international scope and is intended for professionals in infectious diseases and related sciences. We welcome contributions from infectious disease specialists in academia, industry, clinical practice, and public health as well as from specialists in economics, demography, sociology, and other disciplines whose study elucidates the factors influencing the emergence of infectious diseases. Inquiries about the suitability of proposed articles may be directed to the editor at 404-639-3967 (telephone), 404-727-8737 (fax), or [email protected] (e-mail). EID is published in English and features three types of articles: Perspectives, Synopses, and Dispatches.The purpose and requirements of each type of article are described in detail below. Instructions to Authors Manuscripts should be prepared according to the Perspectives: Contributions to the Perspectives section “Uniform Requirements for Manuscripts Submitted to should provide insightful analysis and commentary about Biomedical Journals” (JAMA 1993:269[17]: 2282-6). new and reemerging infectious diseases or related issues. Begin each of the following sections on a new page and Perspectives may also address factors known to influence in this order: title page, abstract, text, acknowledgments, the emergence of infectious diseases, including microbial references, each table, figure legends, and figures. On the adaption and change; human demographics and behavior; title page, give complete information about each author (full technology and industry; economic development and land names and highest degree). Give current mailing address for use; international travel and commerce; and the breakdown correspondence (include fax number and e-mail address). of public health measures. Articles should be approximately Follow Uniform Requirements style for references. Consult 3,500 words and should include references, not to exceed List of Journals Indexed in Index Medicus