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To identify rickets and PEM cases among children aged 6 months--5 years, GDHR and CDC reviewed hospital discharge records for January 1997--June 1999, and confirmed cases by medical record review.
An estimated 8000 migrant and seasonal laborers work in Tift County and neighboring Colquitt County (GDHR, unpublished data, 1994).
The Office of Epidemiology, Georgia Department of Human Resources (GDHR), maintains surveillance for three tickborne diseases--Lyme disease (LD), Rocky Mountain spotted fever (RMSF), and human ehrlichiosis.
During 1989, 23 RMSF cases (0.4 cases per 100,000 population) were reported to the GDHR. Six (26%) patients were <10 years of age, and 10 (43%) were <20 years of age (range: 4-71 years; median: 33 years).
The 12-fold increase in the number of LD cases reported by the GDHR from 1988 to 1989 is one of the largest reported by any state for a similar period; the Georgia rate in 1989 is among the 10 highest in the United States and is 10- to 20-fold greater than the rates reported in surrounding states.
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