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Dual infection with Ehrlichia chaffeensis and a spotted fever group rickettsia: a case report.

A. Sulzer

Published 1998 in Emerging Infectious Diseases

ABSTRACT

Among the 54 reporting systems for which further information was obtained, clinical diagnoses (in some countries laboratory confirmed) are reported through the hierarchical chain, normally by mail or facsimile, but in two countries by electronic links. Almost all military reporting systems are parallel to civilian systems. Thirty-four (63%) of 54 systems feed into the civilian system, with a built-in mechanism to avoid duplicate reporting; 16 (30%) systems feeding into the civilian system have no such mechanism in place; and four have no link with the civilian system. The third survey addressed vaccination policies. Among 52 countries that replied, 47 (90%) have a compulsory military vaccination schedule: 45 (87%) for tetanus, 30 (58%) for diphtheria, 23 (44%) for typhoid, 16 (31%) for bacillus Calmette-Guérin and polio, 12 (23%) for meningococcal meningitis, and 10 (19%) for measles, mumps, and rubella. These surveys show that military populations are protected against many infectious diseases and that a wealth of information is obtained by military laboratories and healthcare facilities on populations at high risk for infectious diseases. While most of the information collected from the health-care facilities is reported through civilian systems as well, incorporating the military network of laboratories into the WHO global surveillance network could ensure broader coverage.

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