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» LymeNet Flash » Questions and Discussion » Medical Questions » American Indian More At Risk for RMSF

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Author Topic: American Indian More At Risk for RMSF
Tincup
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Makes you wonder "why"?

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Am J Trop Med Hyg. 2012 Jan;86(1):152-8.

Trends in clinical diagnoses of Rocky Mountain spotted fever among American Indians, 2001-2008.

Folkema AM, Holman RC, McQuiston JH, Cheek JE.
Source

Division of High-Consequence Pathogens and Pathology, and Division of Vector-Borne Diseases, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia, USA. [email protected]

Abstract
American Indians are at greater risk for Rocky Mountain spotted fever (RMSF) than the general U.S. population.

The epidemiology of RMSF among American Indians was examined by using Indian Health Service inpatient and outpatient records with an RMSF International Classification of Diseases, Ninth Revision, Clinical Modification diagnosis.

For 2001-2008, 958 American Indian patients with clinical diagnoses of RMSF were reported.

The average annual RMSF incidence was 94.6 per 1,000,000 persons, with a significant increasing incidence trend from 24.2 in 2001 to 139.4 in 2008 (P = 0.006).

Most (89%) RMSF hospital visits occurred in the Southern Plains and Southwest regions, where the average annual incidence rates were 277.2 and 49.4, respectively.

Only the Southwest region had a significant increasing incidence trend (P = 0.005), likely linked to the emergence of brown dog ticks as an RMSF vector in eastern Arizona.

It is important to continue monitoring RMSF infection to inform public health interventions that target RMSF reduction in high-risk populations.

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Posts: 20353 | From The Moon | Registered: Jun 2004  |  IP: Logged | Report this post to a Moderator
Pinelady
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Well for one thing they live in the desert reservation with blood hunting critters, and 2 most have no access to clean water other than what they haul...

Arizona legislators are a bunch of lying thieving criminals....

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Suspected Lyme 07 Test neg One band migrating in IgG region
unable to identify.Igenex Jan.09IFA titer 1:40 IND
IgM neg pos
31 +++ 34 IND 39 IND 41 IND 83-93 +
DX:Neuroborreliosis

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shannon12
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i don't know I'm in PA and along w/lyme got rmsf, but was told by local docs, we don't have ticks around here that cause rmsf, guess I'm in the small percentage, but I think there's a ton of cases undiagnosed.
Posts: 229 | From Forty Fort, PA | Registered: Feb 2012  |  IP: Logged | Report this post to a Moderator
   

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