{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,5]],"date-time":"2026-01-05T15:19:12Z","timestamp":1767626352748},"reference-count":19,"publisher":"Cambridge University Press (CUP)","issue":"2","license":[{"start":{"date-parts":[[2009,5,15]],"date-time":"2009-05-15T00:00:00Z","timestamp":1242345600000},"content-version":"unspecified","delay-in-days":13132,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":["journals.cambridge.org"],"crossmark-restriction":true},"short-container-title":["J. Hyg."],"published-print":{"date-parts":[[1973,6]]},"abstract":"<jats:title>SUMMARY<\/jats:title><jats:p>During a laboratory study of diarrhoea in a large urban area during the years 1953\u201368, 5319 Sonne dysentery infections in 2620 households and six cases of Flexner dysentery in five households were confirmed. The annual incidence per 10,000 population fluctuated between 2 and 31 with an average of 12.<\/jats:p><jats:p><jats:italic>Shigella sonnei<\/jats:italic> was found in 10% of new cases of diarrhoea investigated. Plural infections were found in 58% of the households studied and 30% of all contacts examined were shown to be infected. Among these contacts the infection rate was higher for children (42%) than adults (20%), and higher for adult females (24%) than males (16%). The duration of infection was under 2 weeks in nearly half the index cases followed up and longer than 2 months in only 3%, Intermittent excretion was observed in 15%. Repeated Sonne dysentery infection and illness was observed after intervals as short as 5 months. Antibiotic sensitivity was recorded after 1955 and colicine typing after 1960. Changes in antibiotic sensitivity were noted. Children of primary-school age were most susceptible to Sonne dysentery, but symptoms in ill cases were as severe in adults as in children. During years of high incidence cases were concentrated within a small number of primary schools.<\/jats:p><jats:p><jats:italic>Sh. sonnei<\/jats:italic> infections were compared with salmonella infections studied concurrently. Sonne dysentery was a winter disease and most cases were under 11 years old, and case-to-case infection was the usual means of spread. Salmonellosis was prevalent in summer and affected nearly as many adults as children, often persons sharing an article of food. It was more prolonged and severe than Sonne dysentery, but less infectious. In all these respects <jats:italic>S. typhimurium<\/jats:italic> occupied an intermediate place between Sonne dysentery and \u2018other salmonellas\u2019.<\/jats:p>","DOI":"10.1017\/s0022172400022828","type":"journal-article","created":{"date-parts":[[2009,5,15]],"date-time":"2009-05-15T06:07:56Z","timestamp":1242367676000},"page":"373-389","update-policy":"http:\/\/dx.doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":14,"title":["Dysentery in general practice: a study of cases and their contacts in Enfield and an epidemiological comparison with salmonellosis"],"prefix":"10.1017","volume":"71","author":[{"given":"Mair E. M.","family":"Thomas","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hilary E.","family":"Tillett","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2009,5,15]]},"reference":[{"key":"S0022172400022828_ref019","unstructured":"W.H.O. Technical Report Series (1972). No. 500."},{"key":"S0022172400022828_ref018","doi-asserted-by":"publisher","DOI":"10.1017\/S0022172400042601"},{"key":"S0022172400022828_ref016","doi-asserted-by":"publisher","DOI":"10.1099\/00222615-2-4-457"},{"key":"S0022172400022828_ref015","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(66)91891-5"},{"key":"S0022172400022828_ref013","doi-asserted-by":"publisher","DOI":"10.1136\/vr.84.25.626"},{"key":"S0022172400022828_ref012","unstructured":"Public Health Act (1936). Part 5, paragraph 144."},{"key":"S0022172400022828_ref011","first-page":"457","article-title":"Studies on vaccination against bacillary dysentery","volume":"45","author":"Mel","year":"1971","journal-title":"Bulletin of the World Health Organization"},{"key":"S0022172400022828_ref008","first-page":"36","article-title":"A retrospective study of bacillary dysentery","volume":"28","author":"Hunponu-Wusu","year":"1970","journal-title":"Health Bulletin. Scottish Home and Health Department"},{"key":"S0022172400022828_ref007","first-page":"346","article-title":"Sonne dysentery in primary schools","volume":"124","author":"Hollins","year":"1970","journal-title":"Medical Officer"},{"key":"S0022172400022828_ref006","doi-asserted-by":"publisher","DOI":"10.1017\/S0022172400040572"},{"key":"S0022172400022828_ref005","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.2.4371.489"},{"key":"S0022172400022828_ref003","first-page":"584","article-title":"Sonne in schools","volume":"i","year":"1966","journal-title":"Lancet"},{"key":"S0022172400022828_ref001","first-page":"51","article-title":"Colicine typing of Shigella sonnei","volume":"20","author":"Abbott","year":"1961","journal-title":"Monthly Bulletin of the Ministry of Health and the Public Health Laboratory Service"},{"key":"S0022172400022828_ref014","first-page":"147","article-title":"The notification of infectious disease","volume":"30","author":"Sharp","year":"1972","journal-title":"Health Bulletin. Scottish Home and Health Department"},{"key":"S0022172400022828_ref010","first-page":"27","article-title":"On the problem of enteral vaccination with attenuated intestinal bacteria","volume":"49","author":"Linde","year":"1972","journal-title":"Zhurnal Mikrobiologii, Epidemiologii I Immunobiologii"},{"key":"S0022172400022828_ref017","doi-asserted-by":"publisher","DOI":"10.1017\/S0022172400063166"},{"key":"S0022172400022828_ref004","unstructured":"Chief Medical Officer of Health Annual Reports (1953\u20131968)."},{"key":"S0022172400022828_ref009","first-page":"58","article-title":"The treatment of diarrhoea in general practice","volume":"12","author":"Knox","year":"1972","journal-title":"Prescribers' Journal"},{"key":"S0022172400022828_ref002","first-page":"34","article-title":"Virulence of Sh. sonnei isolated from children suffering from dysentery","volume":"49","author":"Andreeva","year":"1972","journal-title":"Zhurnal Mikrobiologii, Epidemiologii I Immunobiologii"}],"container-title":["Journal of Hygiene"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0022172400022828","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,5,30]],"date-time":"2019-05-30T15:51:16Z","timestamp":1559231476000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0022172400022828\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1973,6]]},"references-count":19,"journal-issue":{"issue":"2","published-print":{"date-parts":[[1973,6]]}},"alternative-id":["S0022172400022828"],"URL":"https:\/\/doi.org\/10.1017\/s0022172400022828","relation":{},"ISSN":["0022-1724"],"issn-type":[{"value":"0022-1724","type":"print"}],"subject":[],"published":{"date-parts":[[1973,6]]},"assertion":[{"value":"Cambridge University Press 1973","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}}]}}