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Whilst treating infections remains paramount, opportunistic approaches have largely failed to demonstrate sufficient coverage among the target population [ 8], have tended not to achieve sustained screening engagement over time or show effectiveness in reducing population prevalence [ 9].
Conversely, women without family networks should be considered at additional risk for poorly sustained screening patterns, and the identification of alternative sources of reinforcing partnerships for these women should be explored.
We suggest that the early detection of a specific NDM-1 clone on the NICU complex in 2011 would have alerted hospital staff to intervene, permitted on-going surveillance with a review of the antimicrobial treatment policy and sustained screening and patient isolation.
Similarly, funders have a key role in driving efforts to track avian influenza virus diversity but will have to embrace sustained screening efforts for highly pathogenic and low pathogenicity avian influenza viruses and promote the value of increased sharing of negative findings and require full-genome sequencing of avian influenza viruses, even if required for only a subset of samples.
Consistent with the literature, the experts contended that widespread and sustained screening of travelers would ultimately be impractical and inefficient as long as detecting asymptomatic shedding is not feasible.
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However, Carlson et al (2012) did furnish some insights into potential problems implementing and sustaining screening.
Joint efforts are needed to relocate gold ore processing activities to locations inaccessible to children, fully assess and remediate contaminated villages, communicate health messages and enhance risk awareness in affected communities, sustain screening and medical treatment programs, and continue to identify lead-contaminated villages.
Resource utilization would be an issue for universal screening or sustaining selected screening of MRSA in the long run.
Conclusions: In areas with widespread sustained mammographic screening, trends in advanced breast cancer incidence do not support a substantial role for screening in the decrease in mortality.
Symptoms as a trigger for cervical screening, has been reported in other studies and needs to be addressed in order to attain earlier and sustained cervical screening by HIV infected women [ 21, 23].
Because of the small number of infected erythrocytes needed to sustain infection, screening peripheral blood for organisms, even with confocal microscopy, has a poor success rate (12 ).
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