 | RICKETTSIOLOGY: Present and Future Directions
Copyright © 2003 by the New York Academy of Sciences
description
Annals of the New York Academy of Sciences 990:80-89 (2003)
© 2003 New York Academy of Sciences
National Surveillance for the Human Ehrlichioses in the United States, 1997-2001, and Proposed Methods for Evaluation of Data Quality
STACY L. GARDNERa,
ROBERT C. HOLMANb,
JOHN W. KREBSb,
RUTH BERKELMANa AND
JAMES E. CHILDSb
aDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia 30333, USA
bDivision of Viral and Rickettsial Diseases, Centers for Disease Control and Prevention (CDC), Atlanta, Georgia USA
Address for correspondence: Dr. James E. Childs, Chief, Viral and Rickettsial Zoonoses Branch, Division of Viral and Rickettsial Diseases, National Center for Infectious Diseases, Centers for Disease Control and Prevention, MS-G13, 1600 Clifton Road, Atlanta, GA 30333. Voice: 404 373-1769; fax: 404 639-4436.
JChilds{at}cdc.gov
Ann. N.Y. Acad. Sci. 990: 80-89 (2003).
This report describes the data accumulated during the first 5 years of national surveillance for the human ehrlichioses in the United States and territories, from its initiation in 1997 through 2001. Reported cases of human monocytic and granulocytic ehrlichiosis (HME and HGE) and cases of "other ehrlichiosis" (OE), where the agent was unspecified, originated from 30 states. As anticipated, most HME cases were from the south-central and southeastern United States, while HGE was most commonly reported from the northeastern and upper-Midwestern region. State-level incident reports of 487 HME, 1,091 HGE, and 11 OE cases were evaluated. The average annual incidences of HME, HGE, and OE per million persons residing in states reporting disease were 0.7, 1.6, and 0.2, respectively. The median ages of HME (53 yr) and HGE cases (51 yr) were consistent with published patient series. Most (> 57%) ehrlichiosis patients were male. The results suggest that national surveillance for the ehrlichioses, although imperfect in coverage, will help define endemic regions and may be useful for monitoring long-term trends. Although the data appear representative of the demographic profiles established for HME and HGE, rigorous evaluation of the system is required. Methods are proposed for evaluating the quality and representativeness of HME and HGE surveillance data, using well-established surveillance systems for Rocky Mountain spotted fever and Lyme disease.
Key Words: ehrlichiosis • surveillance • epidemiology • evaluation • tick-borne diseases
This article has been cited by other articles:
|
|
|
|
 
U. Blas-Machado, J. de la Fuente, E. F. Blouin, C. Almazan, K. M. Kocan, and J. V. Mysore
Experimental Infection of C3H/HeJ Mice with the NY18 Isolate of Anaplasma phagocytophilum
Vet. Pathol.,
January 1, 2007;
44(1):
64 - 73.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
M. PEREZ, M. BODOR, C. ZHANG, Q. XIONG, and Y. RIKIHISA
Human Infection with Ehrlichia Canis Accompanied by Clinical Signs in Venezuela
Ann. N.Y. Acad. Sci.,
October 1, 2006;
1078(1):
110 - 117.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
L. J DEMMA, R.C HOLMAN, J.H MCQUISTON, J.W KREBS, and D.L SWERDLOW
Human Monocytic Ehrlichiosis and Human Granulocytic Anaplasmosis in the United States, 2001-2002
Ann. N.Y. Acad. Sci.,
October 1, 2006;
1078(1):
118 - 119.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
Q. Lin, C. Zhang, and Y. Rikihisa
Analysis of Involvement of the RecF Pathway in p44 Recombination in Anaplasma phagocytophilum and in Escherichia coli by Using a Plasmid Carrying the p44 Expression and p44 Donor Loci
Infect. Immun.,
April 1, 2006;
74(4):
2052 - 2062.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
L. J. DEMMA, R. C. HOLMAN, J. H. MCQUISTON, J. W. KREBS, and D. L. SWERDLOW
EPIDEMIOLOGY OF HUMAN EHRLICHIOSIS AND ANAPLASMOSIS IN THE UNITED STATES, 2001-2002
Am J Trop Med Hyg,
August 1, 2005;
73(2):
400 - 409.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
M. J. YABSLEY, M. C. WIMBERLY, D. E. STALLKNECHT, S. E. LITTLE, and W. R. DAVIDSON
SPATIAL ANALYSIS OF THE DISTRIBUTION OF EHRLICHIA CHAFFEENSIS, CAUSATIVE AGENT OF HUMAN MONOCYTOTROPIC EHRLICHIOSIS, ACROSS A MULTI-STATE REGION
Am J Trop Med Hyg,
June 1, 2005;
72(6):
840 - 850.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
J. H. Stone, K. Dierberg, G. Aram, and J. S. Dumler
Human Monocytic Ehrlichiosis
JAMA,
November 10, 2004;
292(18):
2263 - 2270.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
