The initial reports of 1981, including the full-length articles
published in the prestigious and widely read New England
Journal of Medicine in December 1981, described other odd
infections. These infections were so uncommon in industrialized
countries that most physicians in the United States
had never heard of them. Nevertheless, they were serious,
aggressive, and deadly. Doctors and public health officials were
trying to grasp what was happening—vigorous young men
were being hospitalized for and dying from infection in the latter
part of the twentieth century. It just was not computing.
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