Incidence of Rocky Mountain spotted fever among American Indians in Oklahoma.

McQuiston, Jennifer H.; Holman, Robert C.; Groom, Amy V.; Kaufman, Stephen F.; Cheek, James E.; Childs, James E.

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Incidence of Rocky Mountain spotted fever among American Indians in Oklahoma.

2000 Sep-Oct
By McQuiston, Jennifer H. ; Holman, Robert C. ; Groom, Amy V. ; ...
Source: Public Health Rep. 115(5):469-475

[PDF-1.82 MB]

English

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Alternative Title:

Public Health Rep
Personal Author:

McQuiston, Jennifer H. ; Holman, Robert C. ; Groom, Amy V. ; Kaufman, Stephen F. ; Cheek, James E. ; ... More +

McQuiston, Jennifer H. ; Holman, Robert C. ; Groom, Amy V. ; Kaufman, Stephen F. ; Cheek, James E. ; Childs, James E. Less -
Description:

Although the state of Oklahoma has traditionally reported very high incidence rates of Rocky Mountain spotted fever (RMSF) cases, the incidence of RMSF among the American Indian population of the state has not been studied. The authors used data from several sources to estimate the incidence of RMSF among American Indians in Oklahoma.|The authors retrospectively reviewed an Indian Health Service (IHS) hospital discharge database for 1980-1996 and available medical charts from four IHS hospitals. The authors also reviewed RMSF case report forms submitted to the Centers for Disease Control and Prevention (CDC) for 1981-1996.|The study data show that American Indians in the IHS Oklahoma City Area were hospitalized with RMSF at an annual rate of 48.2 per million population, compared with an estimated hospitalization rate of 16.9 per million Oklahoma residents. The majority of cases in the IHS database (69%) were diagnosed based on clinical suspicion rather than laboratory confirmation. The incidence of RMSF for Oklahoma American Indians as reported to the CDC was 37.4 cases per million, compared with 21.6 per million for all Oklahoma residents (RR 1.7, 95% confidence interval [CI] 1.5, 2.1).|Rates derived from the IHS database may not be comparable to state and national rates because of differences in case inclusion criteria. However, an analysis of case report forms indicates that American Indians n Oklahoma have a significantly higher incidence of RMSF than that of the overall Oklahoma population. Oklahoma American Indians may benefit from educationa campaigns emphasizing prevention of tick bites and exposure to tick habitats.
Subjects:

[+]

Disease Notification Health Education Hospitalization Hospitals, Federal Humans Incidence Indians, North American Medical Records Population Surveillance Retrospective Studies Rocky Mountain Spotted Fever
Source:

Public Health Rep. 115(5):469-475
Pubmed ID:

11236019
Pubmed Central ID:

PMCnull
Document Type:

Journal Article
Name as Subject:

Centers for Disease Control and Prevention (U.S.) ; United States. Indian Health Service. ; Centers for Disease Control and Prevention (U.S.) ; United States. Indian Health Service.

Centers for Disease Control and Prevention (U.S.) ; United States. Indian Health Service. ; Centers for Disease Control and Prevention (U.S.) ; United States. Indian Health Service. Less -
Place as Subject:

Oklahoma
Volume:

115
Issue:

5
Collection(s):

Public Health Reports
Main Document Checksum:

[+]

urn:sha256:6a62a08617e1a1e726f826c0be6439747a7c1b7c0fe7efa7a24964d9fce1707e
Download URL:

https://stacks.cdc.gov/view/cdc/64928/cdc_64928_DS1.pdf
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Incidence of Rocky Mountain spotted fever among American Indians in Oklahoma.

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