Periodic deadly outbreaks, documentation of person-to-person transmission, and the potential of this virus as an agent of agroterror reinforce the need for effective means of therapy and prevention.
Furthermore, due to insufficient documentation during the outbreak and crisis circumstances, we were not able to track the ECMO requests to the referral call center.
To our knowledge, this is the first documentation of an outbreak of childhood lead poisoning associated with artisanal gold mining.
Although the hospital authority in question previously prohibited documentation of the outbreak, detailed clinical and epidemiologic information was obtained by the first author (MT) for academic purpose while working as a nurse in this institute.
The documentation of a brucellosis outbreak in pigs despite the freedom-of-disease status underlines the importance of improving pathogen surveillance strategies and increasing disease awareness of farmers and veterinary practitioners.
A cluster was considered solved if the epidemiologic evaluation of that cluster resulted in the identification of a common source of infection for those cases and consequently the documentation of a confirmed outbreak.
Information about cases of C. novyi infection and anthrax were obtained from reports and documentation of the respective outbreaks (7, 10 – 12 ); case definitions are described in these reports.
