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Outbreak role index is calculated from SNA graph which represents the probability of any user to receive or spread the infection.
The key point of the paper is the use of SNA graphs to calculate role of an infected user in spreading the outbreak known as Outbreak Role Index (ORI).
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In a previous study on this outbreak, the role of LTR in tropism was unclear and env encoded sequences, likely involved in tropism, were not investigated.
This outbreak highlights the role of air travel in spread of influenza infections (17 – 20 ).
An issue raised by this outbreak is the role of ozonation in the treatment of apple cider.
The cider was embargoed on October 24, and we initiated an investigation by using epidemiologic and molecular techniques to determine the cause and extent of the outbreak and the role played by the cider and ozonation.
This study highlights the challenges faced in providing a timely response to a rapidly spreading infectious disease outbreak and the role that event-based biosurveillance can play in quickly identifying areas for public health intervention.
HCW have been affected by many outbreaks and their role in measles transmission is key on many occasions [ 15, 27, 28].
Although, the conclusive determination of the cause of the outbreak and the roles of particular identified pathogens was not possible based on the available data, the outbreak investigation demonstrated potential usefulness of the broad-range microbial detection technology in future investigations.
The primacy of a utilitarian approach dictates that those who are in a position to assist the cessation of the most serious outbreaks in whatever role they may have, must be present to provide their services, and those who administer health care must also be present to ensure that all responders are supported and protected to the highest degree.
To ensure that surveillance remains robust, the authors emphasize the need for public health practitioners to clearly explain the value of surveillance for enteric pathogens, its crucial role in outbreak detection and tracking trends, the role of outbreak detection and robust trend data in protecting public health, and the need to collaborate with all stakeholders to develop solutions.
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