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During the two years of this study (June 2006 through May 2008), a total of 6,835 patients, with a median age of 13 years, were recruited from 31 clinics and hospitals; 6,308 were enrolled by regular passive surveillance and 527 were enrolled as part of outbreak investigations.
This isolate was also different by PFGE typing indicating that this strain might not be a part of outbreak #7, or that this outbreak had several strains involved.
Communicable disease control professionals were expected to do well in this survey because of their regular preparedness, response, and prevention activities, as part of outbreak management.
Respiratory samples are submitted for testing for respiratory viruses from across the healthcare system as part of routine clinical care, and by public health departments as part of outbreak investigations.
It is important to note that many S. aureus isolates obtained as a part of outbreak investigation may not be tested for antibiotic susceptibility, as antibiotics are not used in the treatment regimen.
After further epidemiologic investigations, these eight bovine genotypes, although submitted to the primary diagnostic laboratory at the same time as the human genotypes, were considered contemporary sporadic cases and not part of outbreak C.
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Approximately three quarters (74%) of these cases were part of outbreaks [11].
This suggests that many cases were not sporadic but were part of outbreaks.
For example, mild cases of botulism are often recognized as part of outbreaks, but affected persons seldom seek medical care and are not captured by surveillance except during outbreaks (26, 27 ).
Oral fluid testing was also used to test cases that were not formally reported as part of outbreaks in 3 universities associated with imported virus from Greece in 1999 177 ).
All outbreaks except for the 2007 Mweka outbreak have involved hospital transmission during the early part of the outbreak, illustrating the amplifying effect that poor infection control can have on EVD epidemics.
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