In addition to outbreaks, OROV can also cause sporadic human infections (2 ).
In addition to outbreaks associated with cheese made from raw milk, listeriosis outbreaks from pasteurized dairy products (20 ) also occurred during the study period.
In addition to the outbreak described here, one similar outbreak was reported this year involving five children in a day-care centre infected with aEPEC O76, where contact with calves during a farm visit was the suspected source of infection.
In addition to the outbreak in the Netherlands, several other outbreaks of HPAI (H5N8) virus infections were reported in Europe at the end of 2014 after exponentially increasing deaths occurred in chicken and turkey flocks.
The characterization of these isolates by public health laboratories has improved surveillance data in addition to enhancing outbreak investigations.
In addition to supporting outbreak detection, these syndromic surveillance systems provide situational awareness for public health authorities and may serve other purposes.
However, from one single sample submitted by case 14, one stx-negative E. coli O145 strain with a distinct different MLVA profile was detected, in addition to the outbreak strain.
In addition to this large outbreak, additional outbreaks were reported between 1998 and 2002; however, each outbreak was small, and most involved fewer than six persons.
In addition to three outbreaks recorded in neighboring countries (Table 1), Sudan was subjected to the heaviest rainfall season reported in the last forty years.
In addition to frequent outbreaks, an increased genetic diversity of DENV may have contributed to severe consequences such as an increase in pathogenicity, transmissibility, and virulence properties [ 79].
