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Previous Volume 342:1918-1919 June 22, 2000 Number 25 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: In an informative report, Curtis et al. describe extensive transmission of tuberculosis by an adopted nine-year-old child (Nov. 11 issue).¹ However, I think the authors of the paper and the author of the accompanying editorial² overlooked a factor that probably was involved in the development of tuberculosis in this child. It seems clear that the child was not infected in North Dakota, where the tuberculosis case rate is about 2 per 100,000 population, but rather in his native Marshall Islands, where the case rate is 104 per 100,000 population. A tuberculin skin test was performed shortly after . . . [Full Text of this Article]

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