Epidemiologic and Sociologic Features of A Large Urban Outbreak of Shigellosis

Wiley H. Mosley; Beatrice Adams; Edwin D. Lyman

doi:10.1001/jama.1962.03050520005002

Epidemiologic and Sociologic Features of A Large Urban Outbreak of Shigellosis

Wiley H. Mosley, Beatrice Adams, Edwin D. Lyman

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Abstract

An outbreak of 87 bacteriologically confirmed cases of shigellosis occurred from September 1961 through January 1962 in 41 households and one nursing home in Omaha, Neb. Forty-three of these cases occurred in children under 5 years of age. The clinical picture varied from a prostrating illness terminating fatally in a 2-year-old child to asymptomatic infections. The majority of the infected households were concentrated in a low socioeconomic, predominantly nonwhite area of the city, where epidemiological investigation demonstrated person to person transmission. Correlations with household congestion and dilapidation by census tract revealed the attack rate to be directly associated with poor environmental living conditions.

Original language	English (US)
Pages (from-to)	1307-1311
Number of pages	5
Journal	JAMA: The Journal of the American Medical Association
Volume	182
Issue number	13
DOIs	https://doi.org/10.1001/jama.1962.03050520005002
State	Published - Dec 29 1962
Externally published	Yes

ASJC Scopus subject areas

General Medicine

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10.1001/jama.1962.03050520005002

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abstract = "An outbreak of 87 bacteriologically confirmed cases of shigellosis occurred from September 1961 through January 1962 in 41 households and one nursing home in Omaha, Neb. Forty-three of these cases occurred in children under 5 years of age. The clinical picture varied from a prostrating illness terminating fatally in a 2-year-old child to asymptomatic infections. The majority of the infected households were concentrated in a low socioeconomic, predominantly nonwhite area of the city, where epidemiological investigation demonstrated person to person transmission. Correlations with household congestion and dilapidation by census tract revealed the attack rate to be directly associated with poor environmental living conditions.",

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AB - An outbreak of 87 bacteriologically confirmed cases of shigellosis occurred from September 1961 through January 1962 in 41 households and one nursing home in Omaha, Neb. Forty-three of these cases occurred in children under 5 years of age. The clinical picture varied from a prostrating illness terminating fatally in a 2-year-old child to asymptomatic infections. The majority of the infected households were concentrated in a low socioeconomic, predominantly nonwhite area of the city, where epidemiological investigation demonstrated person to person transmission. Correlations with household congestion and dilapidation by census tract revealed the attack rate to be directly associated with poor environmental living conditions.

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Epidemiologic and Sociologic Features of A Large Urban Outbreak of Shigellosis

Abstract

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