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Improved outbreak detection furthermore will provide an opportunity to better define the specific food sources of human listeriosis cases.
Relaxing the decision threshold for signaling outbreaks greatly increased false-positives, improved outbreak detection slightly, and led to earlier outbreak detection.
The increased numbers of outbreaks reported since 1993 but with smaller sizes are likely due to increased awareness of disease, improved diagnostics, increased E. coli O157 testing, and improved outbreak detection through molecular subtyping.
A model that takes such effects into account could achieve improved outbreak detection, especially when modeling infectious diseases like influenza where being near an infected individual increases the probability of transmission of an infection.
These differences might be partly attributable to continued improvements in surveillance, including the maturation of the national molecular subtyping network, PulseNet, which supported earlier detection of more outbreaks (10 ), as well as improved outbreak investigations and systematic, electronic reporting of outbreaks of all transmission modes (4 ).
Association of cluster cases with the correct Campylobacter species is the first step of suspecting an outbreak and can lead to improved outbreak detection.
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This year, CDC worked with the Nigerian government along with the Bill and Melinda Gates Foundation, WHO, UNICEF, and Rotary International to strengthen polio immunization services, develop outreach programs to underserved populations, improve outbreak response and disease tracking, and establish an emergency operations center in the effort to eradicate polio.
Thus, the knowledge of such people can also be used to improve outbreak detection [ 17].
Countries en route to measles elimination, such as Malawi, should improve outbreak preparedness.
Despite limitations, CATI, when combined with control banks, may improve outbreak investigations.
Rapid and efficient infectious disease surveillance systems are necessary to improve outbreak management and mitigate the consequences of outbreaks.
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