title: Haemophilus influenzae Type b Invasive Disease in Amish Children, Missouri, USA, 2014.
abstract: During 5 months in 2014, three Amish children in Missouri, USA, were diagnosed with invasive Haemophilus influenzae type b infection. Two were rural neighbors infected with a genetically similar rare strain, sequence type 45. One child had recently traveled, raising the possibility of maintenance of this strain among unvaccinated carriers in Amish communities.
authors.forename: Angela L
authors.initials: AL
authors.lastname: Myers
authors.forename: Mary Anne
authors.initials: MA
authors.lastname: Jackson
authors.forename: Lixin
authors.initials: L
authors.lastname: Zhang
authors.forename: Douglas S
authors.initials: DS
authors.lastname: Swanson
authors.forename: Janet R
authors.initials: JR
authors.lastname: Gilsdorf
mesh_terms: D061365:Amish / Q000523:psychology*; D002675:Child, Preschool; D005260:Female; D006192:Haemophilus Infections / Q000453:epidemiology* / Q000208:ethnology* / Q000517:prevention & control / Q000635:transmission; D018073:Haemophilus Vaccines / Q000008:administration & dosage; D019741:Haemophilus influenzae type b / Q000145:classification / Q000235:genetics / Q000302:isolation & purification / Q000472:pathogenicity*; D006801:Humans; D007223:Infant; D008297:Male; D008923:Missouri / Q000453:epidemiology; D058885:Multilocus Sequence Typing; D014611:Vaccination / Q000523:psychology
chemical_list: D018073:Haemophilus Vaccines
keywords: Amish; Haemophilus influenzae type b; Hib; Missouri; United States; at risk; bacteria; children; epidemiology; invasive disease; transmission; underimmunized communities; undervaccinated; undervaccinated communities; unvaccinated; unvaccinated carriers; vaccine hesitancy; vaccines