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As a travel hub, Singapore experiences continuous importation of dengue viruses.
Moreover, the continuous importation of cases make unsuitable all containing strategies based on the isolation and treatment of the first clusters of cases.
Our results strongly suggest that despite the insular geographic isolation of Moheli and the malaria elimination program launched in late 2007 on this island only, the mass treatment without enhanced vector control may soon be impaired by the continuous importation of new parasites through intense human migrations.
Although the similarity of mosquito isolates of SINV from Sweden and Russia in 1980s and from Finnish patients in 2002 (14 ) favors the endemic cycle, larger analyses of SINV strains from Africa and northern Europe (40 ) suggest a continuous importation of South African strains to northern Europe or vice versa.
If the cost of preventing the disease by the use of a drug exceeds the financial benefit that the owner derives from it, or if the foreign exchange situation of the country is such that continuous importation of the drug cannot be secured, then such drug use is no longer sustainable.
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The pattern of measles virus (MV) genotypes, in combination with epidemiologic investigation, contributes to understanding measles transmission and helps distinguish between continuous circulation and importation and limited transmission of the viruses in a certain region (2, 3 ).
WPV importation has been a continuous threat to China which had experienced WPV importation historically [ 11- 13], as it shares borders with 2 of the remaining 3 countries that had never interrupted WPV transmission as of 2012.
Easy importation has been important to Armon DeMarco as well.
Thus, the potential spread of E. ruminantium to livestock is a continuous threat in these regions from the importation of tick-infested and subclinically infected wild animals from Africa and the importation of livestock from Caribbean islands (1, 2 ).
Our study suggests a 6-year continuous circulation of genetically stable and indigenous strains in Central Africa rather than importation of CHIKV from the recent Indian Ocean or Asian outbreaks.
However, recent reports [ 12] indicate that Italy could risk the importation of the wild polio virus on account of the continuous exchanges with North African countries which are currently in danger of an epidemic due to their negative behaviour towards the vaccination, thus allowing the virus to pass into otherwise polio-free areas.
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