Article: Scrub typhus, Republic of Palau.(RESEARCH)

Scrub typhus, caused by Orientia tsutsugamushi, is a severe febrile illness transmitted to humans by trombiculid mites, which normally feed on rodents. The first known outbreak of scrub typhus in Palau occurred in 2001 to 2003 among residents of the remote southwest islands. To determine the extent of scrub typhus distribution in Palau, we tested serum samples from humans and rodents for antibodies to O. tsutsugamushi. Of 212 Palau residents surveyed in 2003, 101 (47.6%) had immunoglobulin G (IgG) antibody titers [greater than or equal to] 1:64, and 56 (26.4%) had concurrent IgG and IgM antibody titers [greater than or equal to] 1:512 and 1:64, respectively. Of 635 banked ...

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