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The ritual consumption of deceased relatives is the attributed cause of the epidemic cases of Kuru in Papua New Guinea with incubation periods exceeding 50 years [8].
M. abscessus is also a leading cause of sporadic and epidemic cases of skin and soft-tissue RGM infections, following the use of contaminated syringes or needles, and after plastic or cardiac surgery [19], [20].
Early after the outbreak of the HIV epidemic, cases of an SS-like illness were reported among HIV-1-infected patients [ 27].
Although more than 200 serogroups of Vibrio cholerae have been described only two serogroups, O1 and O139, are responsible for the epidemic cases of cholera that are reported throughout the world.
In many African countries including Ghana which lie within the meningitis belt, epidemic cases of acute bacterial meningitis caused by different subtypes of N. meningitidis and S. pneumoniae have been reported [ 17- 23].
Distribution of serotype (O: cell wall antigen number, H: flagella antigen) and shiga-like toxin profile in sporadic and epidemic cases of shiga toxin producing E. coli-related hemolytic-uremic syndrome in children in Norway, 1999 2008 (N = 23).
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Although serogroup Y strains have not been associated with large epidemics, cases of meningococcal disease caused by this serogroup have been increasing in the USA and Canada since the 1990s [ 6- 8].
The total number of epidemic cases is more dependent on the interaction of the delay (due to travel restrictions) and seasonality, as discussed further below.
The overall value of that delay in combination with vaccination can be seen in the reduction of the total number of epidemic cases.
Chinese NGOs and human rights activists have exposed mining disasters, the SARS epidemic, and cases of peasant protest.
For example, the definition section of the Control of Communicable Diseases Manual, a standard reference work, includes "endemic" (said of a disease that is usually present in an area or a population group) and "epidemic" (more cases of an illness than would normally be expected) but not "pandemic".
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