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Vaccine use without government approval would have raised questions about the appropriateness of using the outbreak to pilot a large-scale reactive cholera vaccination campaign without documented effectiveness.
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Arguably worse still is when the person originally responsible for the whole MMR scare, Andrew Wakefield, uses the outbreak to bafflingly argue that he was right all along.
These tactics by Limbaugh and his fellow Tea Party broadcasters seem intended to use the Ebola outbreak to undermine confidence in the government and to drive a wedge between the president and racial minorities.
Plants are an integral part of the Réunion Island pharmacopeia and therefore were mainly used during the outbreaks to treat fever, pain, and inflammation.
For instance, officials used nasal swabs early in the outbreak to test people for exposure to anthrax.
"We used publicly available data on the outbreak to recreate it in a computer simulation," said Gregg S. Gonsalves, assistant professor of epidemiology and the study's first author.
Dr. Tauxe, who has talked to European officials during the investigation, though not on Sunday, said sprouts were included in a questionnaire that German investigators had used to interview victims of the outbreak to determine what they had eaten.
Investigators traced the outbreak to contaminated water used in food preparation at the Horeb Youth Center.
In 2011 and 2013, EIP staff provided training in outbreak response to a multidisciplinary audience comprised of public health nurses, sanitarians, laboratorians, and epidemiologists, using the Council to Improve Foodborne Outbreak Response Toolkit (3 ).
Assuming that outbreaks provide a representative denominator population from which to calculate the proportion of hospitalized case-patients, we confirmed the appropriateness of the multiplier by using the OzFoodNet Outbreak Register (http://www.ozfoodnet.gov.au/) to calculate, for a number of pathogens, the proportion of hospitalized case-patients.
We used SRST to screen the outbreak data using the E. coli MLST database to identify the chromosomal ST and all publicly available plasmid MLST databases to identify IncI1, IncN, IncHI1 or IncHI2 plasmids (see above).
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