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Journal of Tropical Pediatrics 1995 41(5):281-284; doi:10.1093/tropej/41.5.281
© 1995 by Oxford University Press
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Epidemic Shigella dysenieriae Type 1 in Natal

N. C. Rollins*, D. F. Wittenberg*, H. M. Coovadia*, D. G. Pillay**, A. J. Karas** and A. W. Sturm**

*Departments of Paediatrics and Microbiology Faculty of Medicine, University of Natal PO Box 17039, Congella 4013, South Africa
**Departments of Microbiology Faculty of Medicine, University of Natal PO Box 17039, Congella 4013, South Africa

Since its first isolation in South Africa in 1994, Shigella dysenteriae type 1 has now spread to cause an epidemic outbreak in Natal Kwaznlu, resulting in a steep rise in admissions for dysentery and the haemolytk uraemic syndrome in children. We report on die epidemic as it has evolved so far. A large outbreak is to be expected in South Africa in view of large scale poverty, lack of housing, and adequate water and sanitation, unless urgent'public health measures are taken.


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