NHHSSNebraska Health and Human Services System
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Second, reliance on school staff members to notify NHHSS of potential cases might have led to incomplete case ascertainment.
dagger] During the 2004 Nebraska outbreak, because of the resistance by parents to vaccinating exposed susceptible students, NHHSS did not consider providing a second dose for previously vaccinated students; 13% of vaccinated children acquired varicella.
However, in September 2003, NHHSS had investigated an outbreak of histoplasmosis at plant A related to excavation of soil and repair of an underground outdoor pipe.