Brucellosis in the United States, 1960-1972

BUCHANAN, THOMAS M.; HENDRICKS, STANLEY L.; Patton, C M; Feldman, Roger A.

doi:10.1097/00005792-197411000-00003

Cited by 64 publications

(12 citation statements)

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“…Human brucellosis is not considered a contagious disease (2,19); therefore, clustering could result from common-source outbreaks or time-space clustering of factors that increase risk of infection. Human brucellosis is often associated with work-related (18,21,22) and foodborne (5,27) outbreaks, both of which were reported in California during 1973–1992 (25). The EMM procedure demonstrated clustering in total cases as well as Hispanic and non-Hispanic segments of the population but could not distinguish between risk-factor and common-source causes.…”

Section: Discussionmentioning

confidence: 99%

“…Veterinarians can acquire brucellosis from assisting births in infected animals, as well as through inadvertent exposure to B. abortus strain 19 vaccine (5). Airborne transmission of bacteria to humans has also been documented in clinical laboratories and abattoirs (21, 23). Protective clothing and careful handling of infected animals can reduce occupation-related brucellosis (6,24), and avoiding unpasteurized dairy products should prevent infection in the general population (20).…”

mentioning

confidence: 99%

“…B. abortus infection was common in the general population and before 1960 was the most frequent cause of human brucellosis (18). The relative importance of occupational exposures, especially in abattoir workers, steadily increased during the 1950s to 1970s (9,18,20,21). B. suis became the most frequent isolate in human cases from the mid-1960s to the early 1970s (9,18,19).…”

mentioning

confidence: 99%

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Time-Space Clustering of Human Brucellosis, California, 1973–1992 1

Fosgate

Carpenter

Chomel

et al. 2002

Emerg. Infect. Dis.

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Infection with Brucella spp. continues to pose a human health risk in California despite great strides in eradicating the disease from domestic animals. Clustering of human cases in time and space has important public health implications for understanding risk factors and sources of infection. Temporal-spatial clustering of human brucellosis in California for the 20-year period 1973–1992 was evaluated by the Ederer-Myers-Mantel, Moran’s I, and population-adjusted Moran’s I procedures. Cases were clustered in concentrated agricultural regions in the first 5-year interval (1973–1977). Time-space clustering of human brucellosis cases in California late in the 20-year study period may reflect the distribution of Hispanic populations. Public health programs in California should focus on educating Hispanic populations about the risk of consuming dairy products, such as soft cheeses, made from unpasteurized milk.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Time-Space Clustering of Human Brucellosis, California, 1973–1992 1

Fosgate

Carpenter

Chomel

et al. 2002

Emerg. Infect. Dis.

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“…Estimates vary, but because of the vague clinical signs of disease, the prevalence of subclinical disease, and the difficulty associated with its diagnosis, only 4-50% of cases in the United States are probably reported (146)(147)(148). Swine-associated B. suis was responsible for most human cases of brucellosis in the 1960s and early 1970s; surprisingly, it continues to be reported as an abbatoir-associated disease into the 1990s in spite of its nearly successful eradication in the United States (145,148).…”

Section: Infectious Agentsmentioning

confidence: 99%

Concentrated swine feeding operations and public health: a review of occupational and community health effects.

Cole

Todd

Wing

2000

Environ Health Perspect

179

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Recent industry changes in swine-management practices have resulted in a growing controversy surrounding the environmental and public health effects of modern swine production. The numerous wastes produced by intensive swine production not only pose a significant challenge to effective environmental management but also are associated with decreased air quality in confinement houses, potentially transferable antimicrobial resistance patterns, and several infectious agents that can be pathogenic to humans. Published studies have documented a variety of contaminants, microbial agents, and health effects in those occupationally exposed to swine, and these have provided the groundwork for an increasing body of research to evaluate possible community health effects. Nonetheless, several factors limit our ability to define and quantify the potential role of intensive swine-rearing facilities in occupational and community health. Our incomplete understanding and ability to detect specific exposures; the complicated nature of disease etiology; pathogenesis; and surveillance; and the inherent difficulties associated with study design all contribute to the inadequate level of knowledge that currently prevails. However; an evaluation of the published literature; and a recognition of the elements that may be compromising these studies; provides the foundation from which future studies may develop.

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“…Symptoms of the illness vary from mild and self-limiting to severe, though they are seldom life threatening. Soft tissue infection is an uncommon manifestation of brucellosis [3][4][5] . Though breast involvement in animal brucellosis is common, involvement of the breast in human brucellosis is extremely rare.…”

Section: Introductionmentioning

confidence: 99%

Unusual Complication of Breast Implants: Brucella Infection

2001

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Brucellosis is hyperendemic in Saudi Arabia. We report infection in a breast implant as an unusual complication of laboratory-acquired brucellosis. A 48-year-old female developed fever, rigors, headache, arthralgia and weight loss. A blood culture for Brucella was positive. A 6-week course of antibiotics effected a clinical and bacteriological cure but the resolution was short-lived. Six weeks later a relapse of her febrile symptoms occurred together with the appearance of a breast abscess. Cultures of the abscess and blood yielded brucella. A second course of antibiotics together with surgical drainage and subsequent reconstruction resulted in a cure.

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Brucellosis in the United States, 1960-1972

Cited by 64 publications

References 0 publications

Time-Space Clustering of Human Brucellosis, California, 1973–1992 1

Time-Space Clustering of Human Brucellosis, California, 1973–1992 1

Concentrated swine feeding operations and public health: a review of occupational and community health effects.

Unusual Complication of Breast Implants: Brucella Infection

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