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"Zika virus survives in semen longer than other body fluids so recommending male travellers returning from Zika transmission countries, with or without symptoms, practise safe sex for six months is sensible".
The results have important control implications for several low transmission countries in Africa.
Differences between different modes of transmission, countries and age categories were examined using least square mean differences.
Vulnerability to cross-border importation of risk from the higher transmission countries such as Angola and to a lesser extent Zambia, Zimbabwe and Botswana has been recognised as a major threat to elimination by 2020 in Namibia.
National Malaria Indicator Surveys (MIS) have been established largely to provide milestone measurements for reaching endemic control ambitions in high to moderate transmission countries, with parasite prevalence as the main transmission indicator.
40, 42 Taken together with these studies, our finding of a lack of change in predicted prevalence in Malawi suggests that transmission reductions experienced through scale-up in lower baseline transmission countries may not translate into reductions of equivalent magnitude or occur on similar time scales in high baseline transmission settings.
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Although the U.S. suffered a yellow fever epidemic during the 19th century, including outbreaks in Boston, Baltimore, New York City and Philadelphia, the U.S. isn't considered a yellow fever transmission country today thanks to the elimination of mosquito breeding grounds and use of pesticides.
Relationships between the rate of secondary cases and modes of transmission, country and median age were explored using univariate GLMs with Poisson errors, with mode of transmission, country or median age category inserted as the explanatory variable, number of secondary cases as the response variable and log transformed number of primary cases as the offset variable.
Published data was obtained from 90 confirmed Escherichia coli O157 outbreaks in Great Britain, Ireland, Scandinavia, Canada, the United States and Japan, and the outbreaks were described in terms of modes of primary and secondary transmission, country, case numbers and median case age.
No statistical analysis of the three-way interaction between mode of primary transmission, country and median age was possible because there were no outbreaks within some mode-country-median age combination categories (e.g. Animal/Environmental-any country-median age ≥ 60, Food-Scotland-median age ≥ 60, Milk-United States – median age other than <6).
The aim of this study was to characterise secondary outbreak cases, estimate the overall proportion of outbreak cases that were the result of secondary transmission and to analyse the relationships between primary and secondary outbreak cases by mode of transmission, country and median age.
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