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Even a small outbreak "would mean millions," if not billions, of dollars, Dr. Breitmeyer said.
Each small outbreak had a different death rate, but most were well over 50percentt.
By mid-May, Mississippi's small outbreak was the only one that could be attributed to parvovirus, which causes fifth disease.
A small outbreak response team and a small unit monitoring drug resistance among microbes had nobody at work.
There has been a small outbreak of cases in Europe, with 13 cases identified by health officials since June last year.
It all may have started with the terror caused by a small outbreak of bubonic plague in India a few years back.
It never became established in the Americas (though there was a small outbreak in Brazil 90 years ago), nor in Australia or New Zealand.
The government already has a small stockpile of some 15 million doses of smallpox vaccine that might be enough to blunt a small outbreak in one location, depending on how it developed.
That is a small outbreak compared with those in Mexico or the United States, but the cases grew so quickly that Ukraine closed its schools and universities and asked for help.
The open-air test of a Soviet smallpox weapon in 1971 caused a small outbreak of the disease in a port on the Aral Sea, in what is now Kazakhstan, even among people who had been vaccinated.
Two years ago there was a small outbreak in Palmer Cove in Groton, and a decade ago there was one in both Palmer Cove and Mumford Cove, also in Groton.
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