RESUMEN
Cases of human granulocytic anaplasmosis have increased in number and are being identified in new geographic areas since its discovery in 1994. White-tailed deer (WTD) become infected with the causative agent, Anaplasma phagocytophilum, and serve as natural sentinels for this organism. In order to determine if A. phagocytophilum is present in the state of Iowa, sera collected from 628 WTD in 2004 from 13 sites and from 282 WTD in 1999 from a single, common site were tested by enzyme-linked immunosorbent assay and Western immunoblotting. A seroprevalence of 9.1% was found among the 2004 samples, and there was no change in seropositivity rates from 1999 to 2004 at the single, common site. As A. phagocytophilum is another tick-borne human pathogen to be identified in the state of Iowa, this study has important implications for health care providers.
Asunto(s)
Anaplasma phagocytophilum/inmunología , Anticuerpos Antibacterianos/sangre , Ciervos/microbiología , Ehrlichiosis/veterinaria , Animales , Animales Salvajes/microbiología , Vectores Arácnidos/microbiología , Western Blotting/métodos , Western Blotting/veterinaria , Reservorios de Enfermedades/veterinaria , Ehrlichiosis/epidemiología , Ehrlichiosis/transmisión , Ensayo de Inmunoadsorción Enzimática/métodos , Ensayo de Inmunoadsorción Enzimática/veterinaria , Femenino , Humanos , Iowa/epidemiología , Ixodes/microbiología , Masculino , Vigilancia de Guardia/veterinaria , Estudios Seroepidemiológicos , ZoonosisRESUMEN
The impact of a bioterrorism attack can be greatly reduced by collaboration among primary healthcare providers, laboratories, the veterinary community, public health officials, and emergency response personnel. Improved communication and coordination are essential to make this happen. As a first-line provider, the emergency physician must keep in mind the possibility of bioterrorism and alert the laboratory so that samples can be processed in the correct fashion. New and exciting developments in laboratory organization, communication, and diagnostic capabilities will ensure that all patients receive the best possible care.
Asunto(s)
Bioterrorismo , Enfermedades Transmisibles/diagnóstico , Planificación en Desastres , Medicina de Emergencia/organización & administración , Laboratorios/organización & administración , Intoxicación/diagnóstico , Enfermedades de los Animales/diagnóstico , Animales , Conducta Cooperativa , Humanos , Atención Primaria de Salud , Administración en Salud Pública , Manejo de Especímenes , Estados UnidosRESUMEN
We report serologic evidence of avian influenza infection in 1 duck hunter and 2 wildlife professionals with extensive histories of wild waterfowl and game bird exposure. Two laboratory methods showed evidence of past infection with influenza A/H11N9, a less common virus strain in wild ducks, in these 3 persons.