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As RNTCP moves to further increase case detection by implementing more "active" case finding activities, these issues will need to be considered and addressed.
The primary reason reported for not conducting more active case surveillance is lack of staff.
In the United States the marked and abrupt increase in incidence in the late 1980s probably reflects more active case finding.
The primary reason for not conducting more active case surveillance of enteric disease is lack of staff, while the primary reasons for not investigating foodborne disease outbreaks are limited staff and delayed notification of the outbreak.
The survey found that lack of staff was the most frequent reason (81% of respondents) for not conducting more active case surveillance, and the most frequent reasons given for not investigating outbreaks were delayed notification (83%) and limited staff (63%) (Table 2).
Similar(54)
In the intervening years, Agent MacDonald chipped away at the case off and on, even as he juggled it with more active cases, like a large gang investigation in Yonkers.
More active TB cases can be identified through different strategies of active-case finding (ACF), including contact investigation, in which the yield is varied by design and program implementation.
But he became more active handling cases of police abuse and religious freedom for Christian churches and the Falun Gong.
We conclude that the cohort data from Turkey are, therefore, likely to be biased towards more active CHB cases, which could mean that the number of eligible patients might be an overestimation.
Figure 1C shows that both groups exhibited abnormally high figures of DN memory B cells and PC, but they differed in that the more active SLE cases additionally showed significantly lower CD27 IgD IgM B cells and S memory B cells, and abnormally high naive B cells.
The economics of implementing a more active approach to case finding in resource-constrained setting also deserve further study.
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