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A centralized disease notification system was lacking; however, death records were maintained by parishes.
First, there is neither a reliable disease notification system, nor has any regular nation-wide epidemiological survey of TB and HIV been conducted.
In the absence of a local surveillance and disease notification system, the number of patients with suspected DHF at different hospitals in Karachi could not be ascertained.
We examined the epidemiology of this outbreak in Germany, where reporting of BT cases through the national animal disease notification system (5 ) is mandatory.
The second tea plantation hospital is adjacent to plantation 1 and since 1970 has maintained a weekly infectious disease notification system that identifies all blood smear positive malaria cases.
If the others were self diagnosed or diagnosed by informal examinations by a faculty member, these infections may not have been reported to the communicable disease notification system of the country.
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According to USA data, only 1 in 10 cases are reported via disease notification systems [ 8].
Parallel to implementing syndromic systems to achieve early and sensitive surveillance, improving classic disease notification systems for physicians (18 ) will also be important.
Many sources of data, such as data obtained from disease registries, infectious disease notification systems, and hospitalizations, provide ongoing measurement and monitoring of human communities.
The communicable diseases notification system is operated under the guidance of the Communicable Diseases Network Australia (Queensland Department of Health 2004).
Using reporting speed data for 6 infectious diseases in the notification system in the Netherlands, we calculated the proportion of infections produced by index and secondary cases until the index case is reported.
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