THE number of cases of tuberculosis reported annually in the United States declined steadily from 84,304 in 1953 to 22,255 in 1984.1,2 In a dramatic reversal of this trend, the number rose by 3 percent in 1986, by 5 percent to 23,495 in 1989, and by a provisional 6 percent in 1990.1 2 3 4 This unpre...
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