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Dual infection with Ehrlichia chaffeensis and a spotted fever group rickettsia: a case report.

Authors
Publisher
Centers for Disease Control
Publication Date
Keywords
  • Letter
Disciplines
  • Medicine

Abstract

705Vol. 4, No. 4, October December 1998 Emerging Infectious Diseases Letters Among the 54 reporting systems for which further information was obtained, clinical diagnoses (in some countries laboratory con- firmed) are reported through the hierarchical chain, normally by mail or facsimile, but in two countries by electronic links. Almost all military reporting systems are parallel to civilian systems. Thirty-four (63%) of 54 systems feed into the civilian system, with a built-in mechanism to avoid duplicate reporting; 16 (30%) systems feeding into the civilian system have no such mechanism in place; and four have no link with the civilian system. The third survey addressed vaccination policies. Among 52 countries that replied, 47 (90%) have a compulsory military vaccination schedule: 45 (87%) for tetanus, 30 (58%) for diphtheria, 23 (44%) for typhoid, 16 (31%) for bacillus Calmette-GuØrin and polio, 12 (23%) for meningococcal meningitis, and 10 (19%) for measles, mumps, and rubella. These surveys show that military popula- tions are protected against many infectious diseases and that a wealth of information is obtained by military laboratories and health- care facilities on populations at high risk for infectious diseases. While most of the informa- tion collected from the health-care facilities is reported through civilian systems as well, incorporating the military network of laborato- ries into the WHO global surveillance network could ensure broader coverage. Raffaele D Amelio* and David L. Heymann *Ministero della Difesa, Direzione Generale Sanità Militare, Roma, Italy; and World Health Organization, Geneva, Switzerland Reference 1. Heymann DL, Rodier GG. Global surveillance of Communicable Diseases. Emerg Infect Dis 1998;4:362-5. Dual Infection with Ehrlichia chaffeensis and a Spotted Fever Group Rickettsia: A Case Report To the Editor: In their article, Daniel J. Sexton et al. state, Well- documented cases of simulta- neous human infections with more than one tick

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