DOI: 10.3201/eid2301.160593; PMCID: PMC5176238
© 2017, Centers for Disease Control and Prevention (CDC). All rights reserved. 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.
Emerging Infectious Diseases
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
Myers, A. L., Jackson, M., Zhang, L., Swanson, D. S., Gilsdorf, J. R. Haemophilus influenzae type b invasive disease in amish children, Missouri, USA, 2014 Emerging Infectious Diseases 23, 112-114 (2017).