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September 4, 1948

BRUCELLOSIS AS A CAUSE OF SACROILIAC ARTHRITIS: A Study of Its Relationship to Rheumatoid Spondylitis

Author Affiliations

Rochester, N. Y.

JAMA. 1948;138(1):15-19. doi:10.1001/jama.1948.02900010017006

Knowledge by physicians of bovine brucellosis as it affects cattle is almost zero. This paucity of knowledge is further complicated by the many accepted fallacies regarding epidemiology, clinical history and control of infection in animals and man. Better dissemination of present day knowledge and more research are needed for a disease which affects 30,000 to 40,000 persons annually in the United States.1 Physicians generally hold to the idea that infected cattle are destroyed. This is not true. It is economic suicide and a practical impossibility to eradicate bovine brucellosis by slaughter of infected cattle. The generally accepted method of control of this infection in animals by veterinarians is by vaccination of calves and adult cows with strain 19.2 The adult pregnant cow should be vaccinated before the fourth month of pregnancy; sanitary procedures and immediate ultimate removal of all animals showing a titer of 1: 100 or higher