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This emergence is not a likely result of improved laboratory facilities or awareness in clinicians because liquid culture and molecular identification techniques predate the rise in notification and Dutch guidelines advise against performing cultures for chronic otorrhea.
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A concomitant increase in campylobacteriosis hospitalizations has been noted, which suggests this rise in notifications is unlikely to be artifactual (3, 5).
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It has been postulated that this rise in TB notification rates in adults is not well reflected by a corresponding increase in ARTI probably due to the less infectiousness of HIV positive individuals compared to HIV negative ones [40].
The higher proportion of positive sewage samples in 2013 (27%) compared to the semester July-December 2012 (21%), was not as marked as the rise in clinical HAV notifications (for the seven regions studied, 508 notifications in 2013, against 126 in 2012).
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Co-author of the Growing Them Strong, Together report, Prof Muriel Bamblett, told the commission if the NT government had acted on recommendations delivered in 2011, it could have stopped an exponential rise in child protection notifications.
This raises the issue of the need to continue its evaluation, in order to determine whether the changes and the rise in number of notifications persist over time.
The rise in P. knowlesi notifications in Sabah may also be underestimated given PCR-confirmed P. knowlesi is misdiagnosed as P. falciparum or P. vivax in up to 13%and10%0% of cases, respectively, by routine microscopic examination in this area.
Secondly, there was a rapid rise in the number of notifications of locally acquired cases.
From 2004 on, a rise in the number of notifications has been observed for persons 50 aged and older.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com