1974
DOI: 10.1093/infdis/129.2.218
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Impact in the United States of the Shiga Dysentery Pandemic of Central America and Mexico: A Review of Surveillance Data through 1972

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Cited by 20 publications
(5 citation statements)
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“…During this gap, large outbreaks occurred in Central America: Guatemala in 1968–69 [20,21]; El Salvador [22], Honduras [22], Mexico in 1969 [23]; and Costa Rica in 1970 [22]. A 1972 manuscript mentioned a large outbreak in Bangladesh, although Sd1 is reported to be endemic in this region [24].…”
Section: Resultsmentioning
confidence: 99%
“…During this gap, large outbreaks occurred in Central America: Guatemala in 1968–69 [20,21]; El Salvador [22], Honduras [22], Mexico in 1969 [23]; and Costa Rica in 1970 [22]. A 1972 manuscript mentioned a large outbreak in Bangladesh, although Sd1 is reported to be endemic in this region [24].…”
Section: Resultsmentioning
confidence: 99%
“…When it was introduced into the United States during a massive Central American epidemic (Table 3), the secondary spread (i.e. in the absence of waterborne transmission) was insufficient to maintain the pathogen; the number of new infections from a given infection was approximately 0-4 (calculated from [170]). …”
Section: Introductionmentioning
confidence: 99%
“…But in this case as well, evidence indicates that severe diarrheal diseases cannot successfully invade where infrastructure blocks transmission from very sick people. The inability of Shigella dysentery type 1 to spread within the US during a massive epidemic in Mexico, for example, implicates the effectiveness of protected water supplies; a CDC study in Los Angeles showed that in the absence of waterborne transmission, transmission was insufficient to perpetuate the outbreak (Weissman et al 1974).…”
Section: Environmental Influences On Disease Emergencementioning
confidence: 99%