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Data were available for 12 of the 14 countries for which mortality data were available.
In the 4 outbreaks for which mortality data were available, 7 (0.4%) of 1,708 persons died.
This population-based cohort study included two periods: a 5-year exposure period (January 1994 December 1998) and a 4-year follow-up period (January 1999 December 2002) for which mortality data were available.
The study period was confined to the years 1991 to 2010, as the former year was the first for which data necessary for determining completeness of death reporting were available, and the latter was the last for which mortality data were available.
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We examined incidence for 1994-2010 and mortality for 1994-2009 (2009 was the latest year for which mortality data was available at the time of the study).
Specific mortality rates for Belgium were recorded until 1997, after which they became available for Flanders and Brussels until 2006, whereas for Wallonia mortality data were available only for 2004.
For mortality, data were available for 3,108 counties in all states except Hawaii and Alaska, plus the District of Columbia.
In-hospital mortality data were available for 3451 patients and six-month mortality data for 3170 patients.
Mortality data were available for 526 patients from 2 hospitals.
Mortality data were available for 24 randomized comparisons.
Mortality data were available for 24 outbreaks involving 21,927 persons.
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