{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,11]],"date-time":"2026-04-11T12:20:31Z","timestamp":1775910031937,"version":"3.50.1"},"reference-count":0,"publisher":"Cambridge University Press (CUP)","issue":"1","license":[{"start":{"date-parts":[[2000,11,3]],"date-time":"2000-11-03T00:00:00Z","timestamp":973209600000},"content-version":"unspecified","delay-in-days":94,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Epidemiol. Infect."],"published-print":{"date-parts":[[2000,8]]},"abstract":"<jats:p>A St. Louis encephalitis (SLE) epidemic in Florida during 25 weeks in 1990\u20131, resulted in 222 \nlaboratory-diagnosed cases, an attack rate in the 28 affected counties of 2\u00b725\/100000. Disease \nrisk rose with advanced age, to 17\u00b714\/100000 in persons over 80 years, and all 14 fatal cases \nwere in persons over 55 years (median, 70 years). Community serosurveys in Indian River \nCounty, the epicenter of the outbreak (attack rate 21\/100000), showed acute asymptomatic \ninfections in 3\u00b76% of the persons surveyed, with higher rates in persons with outdoor \noccupational exposure (7\u00b74%) and in clients of a shelter for the indigent (13\u00b73%). A matched \ncase-control study found that evening outdoor exposure for more than 2 h was associated with \nan increased risk for acquiring illness (odds ratio [OR] 4\u00b733, 95% CI 1\u00b723\u201315\u00b721) while a \nnumber of recommended personal protective measures were protective. Four SLE patients were \ndually infected with Highlands J virus, the first reported cases of acute infection with this \nalphavirus. The case-control study provided the first evidence that a public education campaign \nto reduce exposure had a protective effect against acquiring the disease.<\/jats:p>","DOI":"10.1017\/s0950268899004227","type":"journal-article","created":{"date-parts":[[2002,7,27]],"date-time":"2002-07-27T09:23:42Z","timestamp":1027761822000},"page":"181-188","source":"Crossref","is-referenced-by-count":32,"title":["Epidemiological features of and public health response to a St. Louis encephalitis epidemic in Florida, 1990\u20131"],"prefix":"10.1017","volume":"125","author":[{"given":"P. J.","family":"MEEHAN","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D. L.","family":"WELLS","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"W.","family":"PAUL","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E.","family":"BUFF","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"LEWIS","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D.","family":"MUTH","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R.","family":"HOPKINS","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N.","family":"KARABATSOS","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T. F.","family":"TSAI","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2000,11,3]]},"container-title":["Epidemiology and Infection"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0950268899004227","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,11]],"date-time":"2019-04-11T16:07:12Z","timestamp":1554998832000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0950268899004227\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2000,8]]},"references-count":0,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2000,8]]}},"alternative-id":["S0950268899004227"],"URL":"https:\/\/doi.org\/10.1017\/s0950268899004227","relation":{},"ISSN":["0950-2688","1469-4409"],"issn-type":[{"value":"0950-2688","type":"print"},{"value":"1469-4409","type":"electronic"}],"subject":[],"published":{"date-parts":[[2000,8]]}}}