1970
DOI: 10.1001/jama.1970.03180110021004
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The Epidemiology of Murine Typhus in Texas, 1969

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Cited by 27 publications
(14 citation statements)
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“…When murine typhus made an apparent reappearance in Galveston, we could not help but wonder if the alternate cycle of transmission had a role in its reemergence. After all, opossums and C. felis fleas have been linked to cases of murine typhus in a city with longstanding endemicity (Corpus Christi, TX) 11,12 and in a city with a recent outbreak (Austin, TX) 5 -both of which are only 220 miles from Galveston.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…When murine typhus made an apparent reappearance in Galveston, we could not help but wonder if the alternate cycle of transmission had a role in its reemergence. After all, opossums and C. felis fleas have been linked to cases of murine typhus in a city with longstanding endemicity (Corpus Christi, TX) 11,12 and in a city with a recent outbreak (Austin, TX) 5 -both of which are only 220 miles from Galveston.…”
Section: Discussionmentioning
confidence: 99%
“…In Galveston, after decades of apparent disease quiescence following the control of rat fleas with DDT, 11,12 two cases of murine typhus were diagnosed in 2012 with an additional 12 patients in 2013. 4 Since this reemergence, murine typhus has continued to affect residents of Galveston County (L. Blanton, unpublished data).…”
Section: 10mentioning
confidence: 99%
“…However, in 1946, as part of an ectoparasite eradication program, the insecticide DDT was applied to common rat paths; subsequently, the number of ectoparasites spread by rats in human habitats was reduced. As a result, the incidence of murine typhus in Galveston decreased dramatically ( 2 ) and continued to decline through subsequent decades ( 11 ). This study describes what is probably the reemergence of murine typhus in this area.…”
Section: Discussionmentioning
confidence: 99%
“…Efforts to decrease the burden of rat ectoparasites by intensive dusting with DDT virtually eliminated this disease [2, 3]. Although the southern counties of Texas and California currently report the greatest number of murine typhus cases in the United States, the disease is still uncommonly diagnosed.…”
Section: Discussionmentioning
confidence: 99%
“…This situation makes a definitive diagnosis during the acute stage of illness difficult to establish [1]. Although control of the flea vectors can effectively control the burden of human disease [2, 3], the peridomestic invasion of reservoir hosts (e.g., rats and opossums) places people at risk for disease [4–6]. We herein report a case of murine typhus in an area where the broad use of DDT in the mid-20th century made it a rare disease [2, 3].…”
Section: Introductionmentioning
confidence: 99%