Further study is merited to clarify these important questions, as the answers potentially greatly impact medicine practice in dengue epidemics which are distributed worldwide, mainly in tropical areas where medical resources are deficient.
Efficient public health practice necessitates that epidemics be detected early, stocks of vaccines be set up in target regions, and field vaccination with the bivalent vaccine be rapid, since the quadrivalent ACYW135 vaccine has limited worldwide supply and is more expensive.
The World Health Organization has for example discussed this at length in its (2005) document "Outbreak Communication" using the SARS epidemic in 2003 as an example of how good co-ordination and communication and practice prevent an epidemic from becoming entrenched.
But they are worth recalling, as a cautionary tale about the effects of the bafflement and fear that can surround an unknown disease and as a reminder of the sweeping changes in medical practice that the epidemic has brought about.
Over the past couple of years, the practice has reached epidemic proportions, as trolls have broadened their targets to include not just high-tech firms, but also universities, retailers, hospitals, charities and even consumers themselves.
Most studies examining POU practices during cholera epidemics have relied on single cross-sectional studies which are limited for assessing behavioural changes.
This suggests that the actual automatic infectious disease surveillance practice should take epidemic features into consideration, and select the appropriate algorithm to improve detection performance.
Corroborating these agronomical practices, oospore-initiated epidemics were reported only in the NE in national surveys in the Netherlands in the period 1999 2005 (Evenhuis et al. 2007).
The current study investigated household's knowledge, attitudes and practices concerning malaria epidemics in Muleba district and explored determinant factors that might have contributed to malaria epidemics in the district.
Mass culling has been the long-standing practice employed to curtail epidemics of emerging diseases in agricultural and wild animals, such as for rabies and foot-and-mouth disease, in addition to avian influenza.
The practice led to an epidemic of kuru, or "shaking death," a mad-cow-like neurodegenerative disease caused by eating human brains.
