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Peer-Reviewed Journal Tracking and Analyzing Disease Trends pages 1717–1928 EDITOR-IN-CHIEF D. Peter Drotman Managing Senior Editor EDITORIAL BOARD Polyxeni Potter, Atlanta, Georgia, USA Dennis Alexander, Addlestone, Surrey, UK Associate Editors Timothy Barrett, Atlanta, Georgia, USA Paul Arguin, Atlanta, Georgia, USA Barry J. Beaty, Ft. Collins, Colorado, USA Charles Ben Beard, Ft. Collins, Colorado, USA Martin J. Blaser, New York, New York, USA Ermias Belay, Atlanta, Georgia, USA Christopher Braden, Atlanta, Georgia, USA David Bell, Atlanta, Georgia, USA Arturo Casadevall, New York, New York, USA Sharon Bloom, Atlanta, GA, USA Kenneth C. Castro, Atlanta, Georgia, USA Mary Brandt, Atlanta, Georgia, USA Louisa Chapman, Atlanta, Georgia, USA Corrie Brown, Athens, Georgia, USA Thomas Cleary, Houston, Texas, USA Charles H. Calisher, Ft. Collins, Colorado, USA Vincent Deubel, Shanghai, China Michel Drancourt, Marseille, France Ed Eitzen, Washington, DC, USA Paul V. Effl er, Perth, Australia Daniel Feikin, Baltimore, Maryland, USA David Freedman, Birmingham, Alabama, USA Anthony Fiore, Atlanta, Georgia, USA Peter Gerner-Smidt, Atlanta, Georgia, USA Kathleen Gensheimer, Cambridge, Massachusetts, USA Stephen Hadler, Atlanta, Georgia, USA Duane J. Gubler, Singapore Nina Marano, Atlanta, Georgia, 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, London, UK J. Glenn Morris, Gainesville, Florida, USA Charles King, Cleveland, Ohio, USA Patrice Nordmann, Paris, France Keith Klugman, Atlanta, Georgia, USA Tanja Popovic, Atlanta, Georgia, USA Takeshi Kurata, Tokyo, Japan Didier Raoult, Marseille, France S.K. Lam, Kuala Lumpur, Malaysia Pierre Rollin, Atlanta, Georgia, USA Stuart Levy, Boston, Massachusetts, USA Ronald M. Rosenberg, Fort Collins, Colorado, USA John S. MacKenzie, Perth, Australia Dixie E. Snider, Atlanta, Georgia, USA Marian McDonald, Atlanta, Georgia, USA Frank Sorvillo, Los Angeles, California, USA John E. McGowan, Jr., Atlanta, Georgia, USA David Walker, Galveston, Texas, USA Tom Marrie, Halifax, Nova Scotia, Canada J. Todd Weber, Atlanta, Georgia, USA Philip P. Mortimer, London, UK Fred A. Murphy, Galveston, Texas, USA Founding Editor Joseph E. McDade, Rome, Georgia, USA Barbara E. Murray, Houston, Texas, USA P. Keith Murray, Geelong, Australia Senior Associate Editor, Emeritus Stephen M. Ostroff, Harrisburg, Pennsylvania, USA Brian W.J. Mahy, Bury St. Edmunds, Suffolk, UK Richard Platt, Boston, Massachusetts, USA Copy Editors Claudia Chesley, Karen Foster, Thomas Gryczan, Gabriel Rabinovich, Buenos Aires, Argentina Jean Michaels Jones, Carol Snarey, P. Lynne Stockton Mario Raviglione, Geneva, Switzerland David Relman, Palo Alto, California, USA Production Carrie Huntington, Ann Jordan, Shannon O’Connor, Connie Schmaljohn, Frederick, Maryland, USA Reginald Tucker Tom Schwan, Hamilton, Montana, USA Editorial Assistant Christina Dzikowski Ira Schwartz, Valhalla, New York, USA Social Media/Communications Sarah Logan Gregory Tom Shinnick, Atlanta, Georgia, USA Bonnie Smoak, Bethesda, Maryland, USA Emerging Infectious Diseases is published monthly by the Centers for Disease Rosemary Soave, New York, New York, USA Control and Prevention, 1600 Clifton Road, Mailstop D61, Atlanta, GA 30333, P. Frederick Sparling, Chapel Hill, North Carolina, USA USA. Telephone 404-639-1960, fax 404-639-1954, email [email protected]. Robert Swanepoel, Pretoria, South Africa The opinions expressed by authors contributing to this journal do not neces- Phillip Tarr, St. Louis, Missouri, USA sarily refl ect the opinions of the Centers for Disease Control and Prevention or Timothy Tucker, Cape Town, South Africa the institutions with which the authors are affi liated. Elaine Tuomanen, Memphis, Tennessee, USA All material published in Emerging Infectious Diseases is in the public do- John Ward, Atlanta, Georgia, USA main and may be used and reprinted without special permission; proper citation, 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 of ANSI/NISO 239.48-1992 (Permanence of Paper) Services. Emerging Infectious Diseases • www.cdc.gov/eid • Vol. 18, No. 11, November 2012 November 2012 On the Cover Paul Signac (1863–1935) La salle à manger, Breakfast (1886–1887) Nasopharyngeal Oil on canvas Bacterial Interactions (89.5 cm × 116.5 cm) in Children ......................... 1738 Kröller-Müller Museum, Otterlo, the Q. Xu et al. Netherlands www.kmm.nl Pathogen prevalence differs during periods of health and at onset of acute otitis media. About the Cover p. 1922 Lack of Evidence for Zoonotic Perspective Transmission of Schmallenberg Virus ................................................... 1746 Investigation of Outbreaks Complicated C. Reusken et al. by Universal Exposure .....................1717 The risk to public health is absent or extremely A. Tostmann et al. low. Maximizing the information collected about aspects of the exposure can support investigations of disease outbreaks complicated Unchanged Severity of Infl uenza by universal exposure. A(H1N1)pdm09 Infection in Children during First Postpandemic Research Season ............................................... 1755 M. Altmann et al. p. 1750 Improvement is needed in preventing severe disease and nosocomial transmission in Coccidioidomycosis- children beyond pandemic situations. associated Deaths, United States, 1990–2008 .............1723 J.Y. Huang et al. Mycoplasmosis in Ferrets ............... 1763 This disease disproportionately affects selected M. Kiupel et al. demographic groups and geographic areas. A newly recognized respiratory disease of domestic ferrets is associated with a novel p. 1766 Mycoplasma species. Lack of Cross-protection Invasive Pneumococcal against Bordetella holmesii Disease and 7-Valent after Pertussis Vaccination.............. 1771 Pneumococcal X. Zhang et al. Conjugate Vaccine, Vaccines for B. pertussis do not protect the Netherlands ................ 1729 against circulating strains of a closely related A.M.M. van Deursen et al. respiratory pathogen. Disease incidence and case-fatality rates declined 4 years after introduction of the vaccine. Emerging Infectious Diseases • www.cdc.gov/eid • Vol. 18, No. 11, November 2012 Seroprevalence of Antibodies against Chikungunya, Dengue, and Rift Valley Fever Viruses November 2012 after Febrile Illness Outbreak, Community Outbreak of Madagascar ....................................... 1780 Adenovirus, Taiwan, 2011 ................1825 N.G. Schwarz et al. T.-P. Tsou et al. The outbreak was an isolated chikungunya Adenovirus type 7 caused a high proportion of epidemic without relevant dengue virus co- severe infections. transmission. Antigenic Diversity of Enteroviruses Epidemic Myalgia in Adults and Associated with Nonpolio Acute Human Parechovirus Type 3 Flaccid Paralysis, India, Infection, Yamagata, Japan, 2008 ... 1787 2007–2009.......................................... 1833 K. Mizuta et al. C.D. Rao et al. This virus typically causes illness in young Three new enterovirus 71 genogroups are children but was found to be associated with geographically widely dispersed. illness in adults. p. 1782 Infectious Disease Mortality Livestock Density and Livestock- Rates, Thailand, 1958–2009 .............1794 associated Methicillin-Resistant S. Aungkulanon et al. Staphylococcus aureus, the Netherlands ....................................... 1841 Reliable, relevant, and timely data guide public health policies that protect and promote health. B.J. Feingold et al. The risk for livestock-associated MRSA increases with increasing density of pigs and HIV Infection and Geographically calves. Bound Transmission of Drug-Resistant Tuberculosis, Sources of Dengue Viruses Argentina ........................................... 1802 Imported into Queensland, V. Ritacco et al. p. 1873 Australia, 2002–2010 ........................ 1850 Disease trends are driven by HIV co-infection D. Warrilow et al. and transmission of a few strains within narrow geographic niches. Molecular epidemiologic analysis shows that travelers returning from Asia are the greatest source of risk. Risk for Travel-associated Legionnaires’ Disease, Europe, Phylogeography of Dengue Virus 2009.................................................... 1811 Serotype 4, Brazil, 2010–2011.......... 1858 J. Beauté et al. M.R. Teixeira Nunes et al. Disease tended to increase from northwestern Multiple origins indicate several introduction to southeastern Europe; highest risk was found episodes of this serotype. in Greece. Litchi–associated Acute Dispatches Encephalitis in Children, Northern 1865 Coxsackievirus B3, Shandong Vietnam, 2004–2009 .......................... 1817 Province, China, 1990–2010 J. Paireau et al. Z. Tao et al. Outbreaks are spatiotemporally associated with harvest, but the causative agent remains 1868 Vibrio fl uvialis in Patients with unknown. Diarrhea, Kolkata, India G. Chowdhury et al. Emerging Infectious Diseases • www.cdc.gov/eid • Vol. 18, No. 11, November 2012 Letters November 2012 1904 Extensively Drug-Resistant Tuberculosis, Central China, 1872 Legionella pneumophila 2007–2009 Serotype 1 Pneumonia in Patient Receiving Adalimumab 1905 Seroprevalence of Pandemic T.C.