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Discussion Starter · #1 ·
<a href="http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5420md.htm" target="_blank">http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5420md.htm</a><br><br>
Take a look at this week's report (which also lists cummulative stats for 2004 and 2005 so far.<br><br>
Does anyone have any logical ideas why Guam, Puerto Rico and the Virgin Islands (who must report b/c they are part of the U.S.) have virtually no incidence of disease with the exception of sexually transmitted diseases?<br><br>
Almost 6,000 pertussis cases in United States so far in 2005, but <i>none</i> reported so far in any of these areas?<br><br>
The most logical for me would be the density of these areas. In other words, they may not have heavy populated areas.
 

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I don't know that this is the case but something I'd look for is access to healthcare/healthcare utilization - things don't get reported if people don't go to the doctor/hospital.
 

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I thought about that too, but it seems "strange" that not one case was reported (with the exception of Puerto Rico).<br><br>
6,000 pertussis cases reported in the U.S. so far this year, yet <i>no</i> cases reported in these territories? Now imagine the number of cases in the U.S. that don't get reported b/c of misdiagnosis, so the number of U.S. cases is most likely much higher . . . and the year is not even over yet.<br><br>
I understand that access to healthcare may be spotty, but not even a <i>death</i> relating to pertussis (or other VPD) reported?
 

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They must not have unvaccinated people to spread the disease <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/wink1.gif" style="border:0px solid;" title="wink1">.
 

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I think it's probably a combination of factors. Take USVI - there's only like 100,000 people there. I think that the way they use healthcare providers is different than here, I think their lifestyles/risk factors are different than here, I think they are less likely to be vaxed & so they probably have different patterns of illness than here.
 

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I have no answer on this... but DP is from Puerto Rico. There are about 4 million people there, and it's a teeny island, which makes it very densely populated in the cities. It's one of the most crowded places in the world, so you would expect to see reported cases of disease, wouldn't you? They have perfectly good access to doctors and hospitals, and there are healthcare programs for the poor. I know that vaccination is pushed really hard over there, just as it is here, but they have a much higher rate of compliance (that word always makes me see zombies -eek!) . I've seen it reported at 98%.
 

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<div>Originally Posted by <strong>Lula's Mom</strong></div>
<div style="font-style:italic;">I have no answer on this... (snip)</div>
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<img alt="" class="inlineimg" src="/img/vbsmilies/smilies/yeahthat.gif" style="border:0px solid;" title="yeah that">:<br><br>
I also have family there and totally agree with the pp.
 

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Discussion Starter · #8 ·
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<table border="0" cellpadding="6" cellspacing="0" width="99%"><tr><td class="alt2" style="border:1px inset;">
<div>Originally Posted by <strong>Lula's Mom</strong></div>
<div style="font-style:italic;">It's one of the most crowded places in the world, so you would expect to see reported cases of disease, wouldn't you?</div>
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Right! And I'm sure they have <b>schools</b> in these territories too . . . with <i>nurses</i> working in them?!
 
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