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A large scale Hepatitis A outbreak was reported in internally displaced camps (IDP) camp settings in Vavuniya district in the aftermath of the 2009 conflict [ 22].
In the Philippines, the distribution of serogroups causing IMD is not known, but a serogroup A outbreak was reported in Baguio City, Mt. Province and Ifugao between 2004 and 2005, with 33% mortality.
Hepatitis A outbreak was reported at a school of Hebei Province where a part of 6 9-y-old children had been immunized with H2 strain at 8 mo previously.
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In 2010, after over a century without epidemic cholera, an outbreak was reported in Haiti after an earthquake.
Decades before an outbreak was reported, a study found that Liberians had been exposed to Ebola – and survived.
When an outbreak was reported to public health authorities, a routine investigation was carried out to determine the characteristics of the cases and the possible food involved using a standardized questionnaire.
As soon as an outbreak was reported, animal movement restrictions were imposed, and a 3-km radius protection zone and 10-km radius surveillance zone were set around the outbreak area.
Admission to wards was also restricted when an outbreak was reported by University Hospitals of Morecambe Bay NHS Foundation Trust on 20 February.
But the disease did not begin to spread widely in the Americas until May, when an outbreak was reported in Brazil.
Recently (1999) an outbreak was reported in Portugal.
In 2005, an outbreak was reported on French island of ReUnion in the Indian Ocean [ 8, 10].
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