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Possible explanations included acquisition of disease from unrecognized sources in the community or healthcare setting, incomplete collection or recording of contact histories, and clinical illness that met the SARS case definition but was caused by etiologic agents other than SARS-CoV.
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Alternatively, some of these high levels may have been due to previous spills from other, unrecognized sources.
If transmission with VRE from unrecognized community sources can be identified and controlled, increased incidence of colonization and infection among hospitalized patients may be prevented.
But in a report last year summarizing data from 2008 to 2013, CDC noted that "three cases of melioidosis occurred in U.S. residents with no travel history either outside of the United States or to regions where melioidosis is endemic, possibly indicating unrecognized sources of exposure in the United States".
David Barsalou has dedicated decades to identifying all of Lichtenstein's source materials and has posted over 1000 images on Flickr detailing Lichtenstein's unrecognized sources.
Soil lead reservoirs in urban cores of older cities may be significant but unrecognized sources of airborne lead.
Biosecurity interventions should be based on information on industry structure and company affiliation, and include part-time workers as potentially unrecognized sources of viral transmission.
Apart from these known sources for variation, we wish to illustrate certain under-estimated and frequently unrecognized sources of variability.
In this article, we show that the majority of the most common artifacts and some potentially important but unrecognized sources of artifacts (e.g., systematic stimulus-dependent movements) in infant ERP studies are most readily detected through offline analysis of participant behavior from video records, prior to any analysis of the electrophysiological signal itself.
This study is an example of how WGS and genomic epidemiology can be used to uncover previously unrecognized sources and reservoirs of pathogens causing extraintestinal infections.
Contact tracing should rapidly identify possible early cases of secondary SARS and any unrecognized sources of infection for persons without epidemiologic links.
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