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The persistence of Shigella flexneri in the United States: Increasing role of adult males

Author

Listed:
  • Tauxe, R.V.
  • McDonald, R.C.
  • Hargrett-Bean, N.
  • Blake, P.A.

Abstract

The annual reported isolation rate of Shigella flexneri decreased from 1964 to 1973, but has remained constant since then at 1 per 100,000. Between 1975 and 1985, the median age of males from whom S. flexneri was isolated rose from 5 to 26 years. During this time, the isolation rate of S. flexneri rose more than five-fold among men, did not change in adult women, and decreased in children. By 1985, 23 per cent of reported S. flexneri isolates came from men aged 20-49. Increased male homosexual transmission of S. flexneri is a possible explanation for these findings.

Suggested Citation

  • Tauxe, R.V. & McDonald, R.C. & Hargrett-Bean, N. & Blake, P.A., 1988. "The persistence of Shigella flexneri in the United States: Increasing role of adult males," American Journal of Public Health, American Public Health Association, vol. 78(11), pages 1432-1435.
    • Handle: RePEc:aph:ajpbhl:1988:78:11:1432-1435_9
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