Morbidity and mortality weekly report, Vol. 30, no. 38, October 2, 1981

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Morbidity and mortality weekly report, Vol. 30, no. 38, October 2, 1981

Published Date:

October 2, 1981

Series:

Morbidity and mortality weekly report ; v. 30, no. 38

Language:

English

[PDF-685.76 KB]

Details:

Corporate Authors:

Center for Disease Control

Keywords:

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Description:

Surveillance summary: Measles, United States - Weeks 33-36, 1981 -- Epidemiologic notes and reports: Loa loa among American naturalists -- High rate of tuberculin skin-test conversions among Indochinese refugees - Monroe County, New York -- International notes: U.S. and Canadian cooperative agreement on health risk appraisal.

Table I. Cases of specified notifiable diseases: United States -- Table II. Notifiable diseases of low frequency, United States -- Table III. Cases of specified notifiable diseases, United States, weeks ending September 26, 1981 and September 20, 1980 (38th week) -- Table IV. Deaths in 121 U.S. cities, week ending September 26, 1981 (38th week).

From January 1979 through December 1980, a total of 664 Indochinese refugees were screened for tuberculosis in Monroe County, New York; 307 (46%) had positive 5-tuberculin unit PPD Mantoux tests. When 217 refugees with initially negative tests were retested at 60 days, 94 (43%) had converted from a negative to a positive test. Although none of the converters had evidence of active tuberculosis disease, 90 (96%) were given isoniazid preventive therapy. This conversion phenomenon has continued over time, discounting an effect of local, national, or international policy changes. The conversions do not seem to be a function of antigen, tester, or reader; criteria for testing, retesting, or reading; home country, camp country, or length of time in camp; or history of prior BCG vaccination, tuberculosis, or immunization exposure, current illness, or testing intervals since arrival in the United States and subsequent testing. Further studies to evaluate boosting or anergy are in progress to assess this potential public health problem.

Document Type:

Journal Issue

Collection(s):

Morbidity and Mortality Weekly Report (MMWR)

Place as Subject:

United States ; Cameroon ; Asia, Southeastern ; New York ; Canada ;

Main Document Checksum:

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Supporting Files:

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