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  Vol. 265 No. 16, April 24, 1991 TABLE OF CONTENTS
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Health Issue at the US-Mexican Border

Edward J. Young, MD
Veterans Affairs Medical Center Houston, Tex

JAMA. 1991;265(16):2066.

Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—

In reviewing health problems along the US-Mexican border, Dr David C. Warner1 neglected to include brucellosis. Caprine brucellosis is enzootic in northern Mexico, and 67% of human brucellosis cases reported in Texas between 1982 and 1986 were linked to the ingestion of unpasteurized goat's milk cheese.2 Outbreaks of human brucellosis related to Mexican goat cheese have occurred in Texas in El Paso,3 Laredo,4 and Houston,5 as well as in Denver, Colo.6 Although brucellosis was once a disease principally affecting men, in occupations such as ranching, veterinary medicine, and abattoir work, the epidemiology of brucellosis along the US-Mexican border has changed and is now predominantly a disease of Hispanics, of both sexes, that is unrelated to direct animal contact and involves the consumption of unpasteurized dairy products. . . . [Full Text PDF of this Article]



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