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Use of the common syndrome did not have an overall or systematic cost in terms of epidemic signal discrimination.
In terms of epidemic severity, the chikungunya virus raised more concern than the influenza A (H1N1) (level of concern 7.1).
The findings suggest that the common syndrome improves comparability without an overall cost in terms of epidemic signal discrimination.
But it is helpful to begin that discussion by framing it in terms of contagion, epidemics, and vaccines.
Nigel Hughes, at the British Liver Trust, says that it is possible to talk about hepatitis C in terms of an epidemic.
Moreover, model predictions are robust in terms of final epidemic size (with absolute differences of the order of 3%), while they are more sensible in terms of timing of the epidemic.
These efforts will, however, result in significant improvements in terms of defensibility of epidemic models.
The aquatic environmental reservoir is critical to long-term maintenance of epidemic V. cholerae.
Estuarine and freshwater/riverine (13 ) environments are well-recognized reservoirs for V. cholerae and show long-term persistence of epidemic strains in the absence of human cases.
We found that in terms of diagnosis delay, epidemics of all reproduction numbers followed the same pattern: lowest attack rates and antiviral usage occurred with zero delay, and attack rates and antiviral usage increased essentially linearly with diagnosis delay, up to 48 hours delay.
We conclude that pandemics are not always more severe in terms of deaths than epidemics, for reasons still unclear.
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