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DF risk is spatially clustered with different patterns for locally acquired and overseas-acquired cases.
There appeared to be different socioecological drivers of locally acquired and overseas-acquired DF.
Posterior estimated RRs of locally acquired and overseas-acquired DF indicated that high-risk areas of locally acquired DF were located in northern Queensland, whereas high-risk areas of overseas-acquired DF were located in coastal cities of Queensland.
Therefore, identifying locally acquired and overseas-acquired DF is crucial for developing an integrated early warning system for DF.
Second, locally acquired coccidioidomycosis has not been reported among other monument workers or in local residents.
Thirty-nine were picked up through last year, half of them locally acquired.
Last month, health officials in Miami announced a case of locally acquired dengue infection.
In December 2015, as cases of microcephaly began to surge in Brazil, cases of locally acquired infections were just beginning to show up in Puerto Rico.
But disease experts say Zika's imminent arrival in Cuba is almost certain, although the island nation has yet to officially report cases of locally acquired Zika infection.
The first four locally acquired cases in the United States were reported in Florida last month.
It is the first locally acquired infection in the United States.
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