title: Rocky mountain spotted fever hospitalizations among American Indians.
abstract: To describe the epidemiology of Rocky Mountain spotted fever (RMSF) among American Indians/Alaska Natives (AI/ANs), we conducted a retrospective analysis of hospitalization records with an RMSF diagnosis using Indian Health Service (IHS) hospital discharge data for calendar years 1980-2003. A total of 261 RMSF hospitalizations were reported among AIs, for an average annual hospitalization rate of 1.21 per 100,000 persons; two deaths were reported (0.8%). Most hospitalizations (88.5%) occurred in the Southern Plains region, where the rate was 4.23 per 100,000 persons. Children 1-4 years of age had the highest age-specific hospitalization rate of 2.50 per 100,000 persons. The overall annual RMSF hospitalization rate declined during the study period. Understanding the epidemiology of RMSF among AI/ANs and educating IHS/tribal physicians on the diagnosis of tick-borne diseases remain important for the prompt treatment of RMSF and the reduction of the disease occurrence among AI/ANs, particularly in high-risk areas.
authors.affiliation: Division of Viral and Rickettsial Diseases, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA. lqd1@cdc.gov
authors.forename: Linda J
authors.initials: LJ
authors.lastname: Demma
authors.forename: Robert C
authors.initials: RC
authors.lastname: Holman
authors.forename: Christina A
authors.initials: CA
authors.lastname: Mikosz
authors.forename: Aaron T
authors.initials: AT
authors.lastname: Curns
authors.forename: David L
authors.initials: DL
authors.lastname: Swerdlow
authors.forename: Edna L
authors.initials: EL
authors.lastname: Paisano
authors.forename: James E
authors.initials: JE
authors.lastname: Cheek
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D002675:Child, Preschool; D005260:Female; D006760:Hospitalization / Q000706:statistics & numerical data*; D006801:Humans; D007198:Indians, North American; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D012373:Rocky Mountain Spotted Fever / Q000175:diagnosis / Q000628:therapy*