title: Invasive Haemophilus influenzae type b disease in children less than 5 years of age in Minnesota and in Dallas County, Texas, 1983-1984.
abstract: During 1983 and 1984, 733 cases of invasive Haemophilus influenzae type b disease in children less than 5 years of age were identified in Minnesota and in Dallas County, Texas. The overall incidence of disease was lower in Minnesota than in Dallas County. However, among urban residents, the rates of disease for whites were similar in the two areas. A higher rate of disease among whites in urban Minnesota compared with rural Minnesota resulted from an increased rate of cases for diagnoses other than meningitis. Local practices might have affected the rate of certain diagnoses, since ascertainment of Hib disease other than meningitis is more dependent on diagnostic practices than is diagnosis of meningitis. These data suggest that the incidence of invasive H. influenzae type b disease is influenced by the racial composition of the population, the rates of disease in specific subgroups, and possibly by local medical practices. Understanding the factors that contribute to the incidence of disease is necessary to interpret variations in different populations and changes over time.
authors.affiliation: Department of Pediatrics, University of Texas Southwestern Medical Center, Dallas 75235-9063.
authors.forename: T V
authors.initials: TV
authors.lastname: Murphy
authors.forename: D M
authors.initials: DM
authors.lastname: Granoff
authors.forename: L M
authors.initials: LM
authors.lastname: Pierson
authors.forename: P
authors.initials: P
authors.lastname: Pastor
authors.forename: K E
authors.initials: KE
authors.lastname: White
authors.forename: J F
authors.initials: JF
authors.lastname: Clements
authors.forename: M T
authors.initials: MT
authors.lastname: Osterholm
mesh_terms: D000367:Age Factors; D044383:Black People; D002656:Child Day Care Centers; D002675:Child, Preschool; D015331:Cohort Studies; D004826:Epiglottitis / Q000453:epidemiology / Q000208:ethnology; D005260:Female; D006192:Haemophilus Infections / Q000453:epidemiology* / Q000208:ethnology; D006193:Haemophilus influenzae / Q000302:isolation & purification*; D006630:Hispanic or Latino; D006801:Humans; D015994:Incidence; D007223:Infant; D008297:Male; D008583:Meningitis, Haemophilus / Q000453:epidemiology / Q000208:ethnology / Q000401:mortality; D008910:Minnesota / Q000453:epidemiology; D011014:Pneumonia / Q000453:epidemiology / Q000208:ethnology; D012424:Rural Population; D012737:Sex Factors; D013781:Texas / Q000453:epidemiology; D014505:Urban Population; D044465:White People; D001741:Black or African American