The last century has seen multiple epidemics of LBRF in Europe, with high mortality rates up to 40%.
The ST239 lineage of methicillin-resistant Staphylococcus aureus (MRSA) is one of the most widely disseminated hospital-associated MRSAs (HA-MRSA) [ 1], which has caused multiple epidemics around the world in recent decades.
Likewise, multiple epidemics of sleeping sickness have occurred in Africa, particularly in Uganda, where both Trypanosoma subspecies are endemic.
Pakistan has had multiple epidemics ever since the first episode in 1994 [ 5].
As Dr. Helene D. Gayle, who directs AIDS programs at the disease control centers in Atlanta, says, "It is multiple epidemics".
(7) Ecological and serological comparisons between areas that have experienced multiple epidemics and areas that have experienced single epidemics, which may reveal factors in susceptibility to, and transmission of, filoviral disease.
Mr. Draper said the diseased seedlings, found in stores as far west as Ohio, were at least one source of the illness, but, he added, "It's possible that we are looking at multiple epidemics".
This supports the idea that the gene pool sustained by the Vibrionaceae aids in the emergence of multiple epidemic strains when conditions are favorable.
The epidemics in the tropics tend to peak in multiple clusters between August and January.
It has instead established endemicity at multiple sites around the globe and continues to trigger major localized epidemics, including the epidemics in Zimbabwe during 2008 2009 (3 ) and Haiti during 2010.
