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Addressing Emerging Microbial Threats in the United States
Ruth L. Berkelman, MD;
Robert W. Pinner, MD;
James M. Hughes, MD
JAMA. 1996;275(4):315-317.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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Public health professionals generally have been complacent regarding the erosion of infectious disease surveillance, prevention, and control programs in the United States over the past two decades.1-4 As infectious diseases have emerged or reemerged, some crises such as those posed by the emergence of the acquired immunodeficiency syndrome (AIDS) or resurgence of tuberculosis and measles have been addressed selectively. However, the infrastructure to maintain vigilance and to respond to most emergent or reemergent infectious diseases has generally continued to deteriorate. Consequently, for domestic problems ranging from outbreaks of cryptosporidiosis caused by contamination of municipal water supplies5 to the currently growing crisis of antibiotic resistance,6 efforts at surveillance, prevention, and control have frequently been delayed or inadequate. Global capacity to detect and respond to emerging diseases has also been compromised as surveillance networks have deteriorated and laboratory capacity for accurate diagnosis has declined in many countries.2,7
There
. . . [Full Text PDF of this Article]
Author Affiliations
From the National Center for Infectious Diseases, Centers for Disease Control and Prevention, Public Health Service, US Department of Health and Human Services, Atlanta, Ga.
Footnotes
This article is one of a series addressing emerging and reemerging global microbial threats.
Reprint requests to the National Center for Infectious Diseases, Centers for Disease Control and Prevention, 1600 Clifton Rd NE, Mailstop C12, Atlanta, GA 30333 (Dr Berkelman).
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