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At the outset, the incidence of outbreaks was entirely unknown and the program design called for outbreak search and containment.
Both these may have resulted in underestimation of the incidence of outbreaks for the 2002 2009 period.
Incidence of outbreaks caused by nonpasteurized dairy products was higher in states that permitted the sale of nonpasteurized dairy products than in states that prohibited such sale.
From late 2003 to 2006 in Vietnam, the incidence of outbreaks in poultry was particularly high in regions of the Red and Mekong river deltas.
Comparative analysis of outbreaks in neighboring countries over the past 15 years showed a high incidence of outbreaks at 2- to 5-year intervals (2000, 2005, 2010 2011, and 2013).
Indeed, other norovirus outbreaks have previously been reported in the summer season (1, 3 ).The alternating trend of high and low incidence of outbreaks may be related to several factors, some of which may have been implicated in these outbreaks.
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To compare the incidence of outbreak and outbreak-associated cases during illegal state-years to that during legal state-years, we stratified the outbreaks by legal status of the state in which the outbreak occurred at the time of the outbreak and calculated incidence density ratios for reported outbreaks (Poisson model) and for outbreak-associated cases (zero-inflated negative binomial model).
Health education for food handlers and outbreak control measures (such as hand washing, which has been shown to reduce episodes by 30%%) [ 23, 24] should be stressed in order to reduce the incidence of outbreak-related cases and in turn, their cost.
In the past few years, higher incidences of outbreaks caused by MDR Salmonella have been increasingly documented.
Although the incidences of outbreaks of some pathogens may be declining, this is most likely due to increased testing and awareness.
The fitted autoregressive model was used to simulate synthetic dengue outbreaks over multiple decades, and incidence of simulated outbreaks was compared with observed incidence.
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