“…Unlike the case where infection and immunity studies can be conducted with inbred strains of age-and sex-matched animals, such research can not be conducted in human populations due to ethical morays, as well as the logistical inability to find a genetically homogeneous population of subjects, small sample size, research expense, patient tracking, and complex secondary interactions (Salem & Gardner, 1994). Variables in the human population likely to alter infectious dose include sex, age, nutritional status, pregnancy, metabolic disorders, gastric acidity, gastric contents, gastric flora, immune competence, previous exposure to the agent, use of medications, immunization, health status (secondary infection), histocompatabilitv markers, and their genetic makeup.…”