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The emergence and dominance of the fim3B allele probably coincides with the increase in notifications.
In 1996 a sudden increase in notifications was observed and this high level has been maintained until today [ 5].
Compared to previous years there was an increase in notifications of aseptic meningitis cases in Germany in 2000.
This may be due to differences in the characteristics of individual outbreaks such as rate of increase in notifications or the absolute number of notifications involved.
For instance, there has been an increase in notifications of Chlamydia trachomatis, secondary syphilis, genital warts and genital herpes in the UK over the past years [ 2].
Increases among ptxS1A, prn2, ptxP3, and MLVA 27 were not significantly correlated with the increase in notifications, whereas the proportion of fim3B-encoding strains was significantly correlated with pertussis notifications (r = 0.8608; p = 0.0277).
Similar(52)
In rural regions, the greatest increase in notification rates since 1983 occurred in the Pilbara, Mid West & Gascoyne, and Great Southern health regions with 56-, 48-, and 45-fold increases, respectively.
Nevertheless, the increase in notification of symptomatic infections but not of carriage, supplemented by a time-series analysis of methicillin-sensible and -resistant cases [ 38], indicate also a real increase in infections.
Most commonly these false alarms occurred following isolated small-scale increases in notifications, or increases prior to a defined outbreak period.
Similar increases in notification in women were reported in Tanzania between 1985 and 1991 [ 4] in keeping with the global increase in tuberculosis.
Furthermore, improved surveillance methods based on individual data with a more timely data flow to regional epidemiologists or to local public health authorities (i.e., the Health Protection Team in the UK) would enable these professionals to identify increases in notification data indicative of STI outbreaks.
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