The geographic spread and temporal increase of the Lyme disease epidemic.

Objective: To describe the temporal and geographic progression of the Lyme disease epidemic in New York State from 1977 through 1989.

Design: Communicable disease surveillance system.

Setting: Statewide.

Public health aspects of current oral rabies vaccines.

The use of a live oral rabies vaccine for the immunization of foxes is an accomplished fact. An oral rabies vaccine for field use has been developed, with care taken to ensure that the vaccine virus will not become established in nature. Education has been a major component of oral rabies vaccination campaigns.

A community hospital outbreak of legionellosis. Transmission by potable hot water.

Seven cases of nosocomial legionellosis occurred between February and September 1982 in a small community hospital in Upstate New York. All seven were cases of Legionella pneumophila serogroup 1; six were hospital patients and one a hospital employee. None of the cases died.