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In the full study period there were no significant (p < 0.05) clusters of high rates of cases but one cluster with low rates of cases (p < 0.01).
The response rates of cases and controls were 92% and 89%, respectively.
Participation rates of cases and controls were very high in this study.
It reduces the size of the potential cluster set by determining levels of the rates of cases.
The different response rates of cases and controls can be explained by the physical and emotional states of the cases.
Because of the lack of statistically significant clusters with high rates of cases the case farm level scan statistic was not repeated for each 6-year study period.
Similar(40)
However, no clusters of high rates of case farms were identified.
The highest rates of case and virus detection were observed 44 days after the first case was detected.
A second potential issue is that there may have been different rates of case ascertainment (identifying all culture-positive cases among residents) among our surveillance regions.
Accordingly, the use of the GP registry as the denominator can improve rates of case finding and may permit identification of patients at earlier stages.
As little is known about the processes associated with care seeking and rates of case detection for influenza, the parameterisation of care-seeking processes is difficult.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com