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Further epidemiologic detective work will tell us whether the virus had been circulating throughout the seasonal flu period in Mexico, beginning as early as last fall, making thousands only mildly ill, and alerting us to its presence only with the unexpected deaths of young adults.
The participants' views regarding different aspects of flu (cause, contagiousness, mode of transmission, etc.…) were globally congruent with scientific knowledge, built on family transmission, experience, recurring information in the media during the flu period, and confirmation of auto-diagnosis by a medical diagnosis.
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During the non-flu period (June October 2008), OC was not detected in sewage discharge (S1, S2, S3) or river water (R5).
Severity was also reasonably well estimated with the age-specific ILI relative risk over the entire flu epidemic period, but use of the two-week retrospective period was preferred as it requires less data (Additional file 1: Figure S5).
Many local fair leaders said their existing safety measures — like isolating livestock after fairs until a typical flu incubation period had passed — already offered enough protection, and some questioned the scientific basis of strict guidelines elsewhere.
This information should be sufficient for users to detect when the annual flu epidemic period starts.
to obtain the posterior probability of being in an epidemic phase, and so rapidly detect when the annual flu epidemic period starts.
17 RIADTs help physicians to diagnose influenza during epidemics, but the RIADT results make it difficult to diagnose flu during periods of transition from epidemic to non-epidemic times, or when patients present with atypical symptoms.
One in 11 of the women died from flu, in a period coinciding with the H1N1 pandemic, half of which could have been prevented with a vaccine, the authors said.
This was associated with having a cold or flu in that period.
During the AZ period, FLU (low-risk patients) was used in 237 (74%) and VOR (high-risk patients) for 84 (26%) of the hospitalizations.
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