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Situations favoring the use of airport thermal scanners include short-incubation diseases and geographically distant outbreak epicenters, such that arriving passengers have been on a long-haul flight.
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Thus, epidemic clones (ECs) involved in geographically and temporally distant outbreaks or in large, single outbreaks have been defined [ 15].
We found high-level relatedness among strains from the 2 geographically distant outbreaks in Seattle and Papworth.
Finally, we showed that three small geographically distant outbreaks (two in southern Germany and one in north-eastern Italy) most likely originated from CSE Europe.
The detection of 17 CVB1 isolates collected in 3 distant onychomadesis outbreaks (≈1,000 km from A Coruña to Valencia) during a year (May 2008 April 2009) seems too high to be considered just a chance event.
This isolate was located distant to the outbreak cluster on the phylogenetic tree, and was therefore not considered to be linked to the outbreak.
As mentioned, some BV outbreaks were temporally and spatially distant from other outbreaks, in areas with little or no pecuary activity.
Both of these isolates were ∼10 000 to 13 000 SNPs distant from the outbreak cluster.
That bacterial virulence factor genes can be found in unexpected organisms or in environments physically distinct or distant from disease outbreaks suggests that bacteria pick up genetic material by horizontal gene transfer more readily than had been thought, and that the mechanisms for geographical spread are potentially very complex.
Physicians reportedly fled Surat, the affected city, stating that there was "nothing to be done," and tetracycline was hoarded in areas distant from the reported outbreak (7 ).
Six other lineages (A, C, E, G, H and N) contained clusters of isolates associated with outbreaks in individual countries or regions, but each also included isolates from distant locations or separate outbreaks.
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