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Simmons J, Gueler J, Diercks D, McNabb S. 35 The Prevalence of Anxiety in Emergency Department Patients Presenting With Chest Pain and Shortness of Breath and the Association With Literacy, Numeracy, and Trust in Physicians. Ann Emerg Med 2019. [DOI: 10.1016/j.annemergmed.2019.08.038] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Noormal B, Eltayeb E, Al Nsour M, Mohsni E, Khader Y, Salter M, McNabb S, Herrera Guibert D, Rawaf S, Baidjoe A, Ikram A, Longuet C, Al Serouri A, Lami F, Khattabi A, AlMudarra S, Iblan I, Samy S, Bouafif Ép Ben Alaya N, Al-Salihi Q. Innovative Approaches to Improve Public Health Practice in the Eastern Mediterranean Region: Findings From the Sixth Eastern Mediterranean Public Health Network Regional Conference. JMIR Public Health Surveill 2019; 5:e11382. [PMID: 30843869 PMCID: PMC6427103 DOI: 10.2196/11382] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2018] [Revised: 11/20/2018] [Accepted: 12/09/2018] [Indexed: 11/29/2022] Open
Abstract
Public health professionals in the Eastern Mediterranean region (EMR) have limited access to continuing education, including workshops and conferences in public health. Held under the theme Innovative Approaches: Adapting to the Current EMR Context, the Eastern Mediterranean Public Health Network (EMPHNET) organized and conducted the Sixth EMPHNET Regional Conference from March 26 to 29, 2018. This paper summarizes the key activities including workshops, roundtable discussions, oral and poster presentations, keynote speeches, and side meetings. Before the opening, 5 preconference workshops were held: “Field Epidemiology Training Program (FETP) Accreditation,” “Innovative Public Health Surveillance,” “Human and Animal Brucellosis,” “Rapid Response Teams,” and “Polio Transition and Routine Immunization.” The conference hosted 6 roundtable discussions: “Consolidation of the FETP Network,” “One Health to Achieve Global Health Security,” “Polio Eradication Efforts and Transition Planning for Measles Elimination,” “Mobile Data Collection and Other Innovative Tools to Enhance Decision Making,” “Confronting Candida auris: An Emerging Multidrug-resistant Global Pathogen,” and “Functioning and Sustainable Country Public Health Emergency Response Operation Framework.” One of the conference’s key objectives was to provide a space for FETP residents, graduates, and public health professionals to showcase achievements. A total of 421 abstracts were submitted and after professional review, 34.9% (147/421) were accepted (111 for oral presentations and 36 for poster presentations) and published by Iproceeding. The conference met the primary objectives of showcasing the public health accomplishments and contributions of the EMR, encouraging the exchange of ideas and coordination among stakeholders, and engaging cross-sectoral workforce in producing recommendations for approaching regional and global health concerns. Moreover, the conference presented a unique opportunity for FETPs and other public health professionals from the Mediterranean region to present their significant scientific work and also facilitated networking among professionals. EMPHNET strives to continue to present similar exchange opportunities for public health professionals in the region.
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Affiliation(s)
| | | | | | | | - Yousef Khader
- Jordan University of Science and Technology, Irbid, Jordan
| | - Mark Salter
- Public Health England, London, United Kingdom
| | - Scott McNabb
- Emory University, Rollins School of Public Health, North Carolina, NC, United States
| | - Dionisio Herrera Guibert
- Training Programs in Epidemiology and Public Health Interventions Network, Decatur, GA, United States
| | | | | | - Aamer Ikram
- National Institute of Health, Islamabad, Pakistan
| | - Christophe Longuet
- Connecting Organizations for Regional Disease Surveillance, Lyon, France
| | | | - Faris Lami
- Iraq Field Epidemiology Training Program, Baghdad, Iraq
| | | | - Sami AlMudarra
- Saudi Field Epidemiology Training Program, Riyadh, Saudi Arabia
| | | | - Sahar Samy
- Ministry of Health and Population, Cairo, Egypt
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Alqahtani S, Kashkary A, Asiri A, Kamal H, Binongo J, Castro K, McNabb S. Impact of mobile teams on tuberculosis treatment outcomes, Riyadh Region, Kingdom of Saudi Arabia, 2013-2015. J Epidemiol Glob Health 2017; 7 Suppl 1:S29-S33. [PMID: 29801590 PMCID: PMC7386446 DOI: 10.1016/j.jegh.2017.09.005] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2017] [Revised: 09/10/2017] [Accepted: 09/22/2017] [Indexed: 11/16/2022] Open
Abstract
The objective of this study was to evaluate the impact of the tuberculosis (TB) mobile teams on treatment outcomes in Riyadh Region by comparing patients who received treatment under mobile teams and those who did not, from 2013 to 2015. This was a retrospective descriptive study using National TB Control and Prevention Program data from 2013 to 2015 from Riyadh, Kingdom of Saudi Arabia. Descriptive analyses were used to summarize characteristics of TB case-patients served by mobile teams and those who were not served. The χ2 test measured the significant differences between mobile-served and non-mobile-served case-patients. Exposure was whether or not the TB case-patient was under the care of the mobile team; the outcome of interest was whether or not treatment was successful, defined as treatment completed and cured. We found that the ratio of treatment success among mobile team case-patients was 1.28 greater than among those not served by mobile teams. The χ2 test showed a statistically significant finding (probability ratio=1.28; 95% confidence interval=1.21-1.35, p<0.01). Mobile teams increased the treatment success rate to 92%, compared to 71.77% among those not served by mobile teams. This study shows that community mobilization of mobile teams is an effective strategy to enhance TB treatment, reduced mortality and loss to follow-up and improve TB treatment outcomes.
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Affiliation(s)
| | | | - Abdullah Asiri
- Ministry of Health, Riyadh, Saudi Arabia; Rollins School of Public Health, Emory University, Atlanta, GA, USA
| | - Heba Kamal
- Ministry of Health, Riyadh, Saudi Arabia
| | - Jose Binongo
- Rollins School of Public Health, Emory University, Atlanta, GA, USA
| | - Kenneth Castro
- Rollins School of Public Health, Emory University, Atlanta, GA, USA
| | - Scott McNabb
- Rollins School of Public Health, Emory University, Atlanta, GA, USA
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Morters MK, McNabb S, Horton DL, Fooks AR, Schoeman JP, Whay HR, Wood JLN, Cleaveland S. Effective vaccination against rabies in puppies in rabies endemic regions. Vet Rec 2015; 177:150. [PMID: 26109286 PMCID: PMC4552936 DOI: 10.1136/vr.102975] [Citation(s) in RCA: 28] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/19/2015] [Indexed: 12/25/2022]
Abstract
In rabies endemic regions, a proportionally higher incidence of rabies is often reported in dogs younger than 12 months of age, which includes puppies less than 3 months of age; this presents a serious risk to public health. The higher incidence of rabies in young dogs may be the effect of low vaccination coverage in this age class, partly as a result of the perception that immature immune systems and maternal antibodies inhibit seroconversion to rabies vaccine in puppies less than three months of age. Therefore, to test this perception, the authors report the virus neutralising antibody titres from 27 dogs that were vaccinated with high quality, inactivated rabies vaccine aged three months of age and under as part of larger serological studies undertaken in Gauteng Province, South Africa, and the Serengeti District, Tanzania. All of these dogs seroconverted to a single dose of vaccine with no adverse reactions reported and with postvaccinal peak titres ranging from 2.0 IU/ml to 90.5 IU/ml. In light of these results, and the risk of human beings contracting rabies from close contact with puppies, the authors recommend that all dogs in rabies endemic regions, including those less than three months of age, are vaccinated with high quality, inactivated vaccine.
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Affiliation(s)
- M K Morters
- Disease Dynamics Unit, Department of Veterinary Medicine, University of Cambridge, Cambridge, UK
| | - S McNabb
- The Neighbourhood Vet, East Dulwich, London, UK
| | - D L Horton
- School of Veterinary Medicine, University of Surrey, Guildford, UK
| | - A R Fooks
- Animal and Plant Health Agency, Weybridge, UK; and Department of Clinical Infection, Microbiology and Immunology, University of Liverpool, Liverpool, UK
| | - J P Schoeman
- Department of Companion Animal Clinical Studies, Faculty of Veterinary Science, University of Pretoria, Pretoria, South Africa
| | - H R Whay
- School of Veterinary Sciences, University of Bristol, Bristol, UK
| | - J L N Wood
- Disease Dynamics Unit, Department of Veterinary Medicine, University of Cambridge, Cambridge, UK
| | - S Cleaveland
- Institute of Biodiversity, Animal Health and Comparative Medicine, University of Glasgow, Glasgow, UK
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McNabb S, Wamala J, Naz A, Hartrampf A, Samoly D, Mutonga D, Park M. Novel conceptual framework and toolset for country-wide assessments of opportunities and challenges for public health interventions. Emerging Health Threats Journal 2011. [DOI: 10.3402/ehtj.v4i0.11169] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
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Srinivasan A, Abellera JP, Danos S, McNabb S. Improving awareness in message exchanging platform - a knowledge driven approach. AMIA Annu Symp Proc 2007:1122. [PMID: 18694219] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Received: 03/15/2007] [Accepted: 10/11/2007] [Indexed: 05/26/2023]
Abstract
One of the key functionalities in the Enterprise Application Integration (EAI) engines is a dashboard to provide awareness on the message traffic, performance and throughput. Current dashboards present a rich data set but often lacks context to interpret these data. This poster presents a knowledge driven approach in improving the dashboard by presenting contextualized information. The new dashboard will be evaluated by measuring user awareness, as measured by applying a quantitative analysis technique called SAGAT (Situational Awareness Global Assessment Technique) and the results will be presented.
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Affiliation(s)
- Arunkumar Srinivasan
- Division of Integrated Surveillance System and Services, National Center for Public Health Informatics, The Centers For Disease Control And Prevention, Atlanta-GA 30333, USA
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Abellera JP, Srinivasan A, Danos CS, McNabb S, Rhodes B. Unified messaging solution for biosurveillance and disease surveillance. AMIA Annu Symp Proc 2007:857. [PMID: 18693959] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Received: 03/15/2007] [Accepted: 10/11/2007] [Indexed: 05/26/2023]
Abstract
Biosurveillance and disease surveillance systems serve different purposes. However, the richness and quality of an existing data stream and infrastructure used in biosurveillance may prove beneficial for any state-based electronic disease surveillance system, especially if an electronic laboratory data feed does not exist between a hospital and state-based system. The use of an Enterprise Application Integration(EAI) engine, such as the BioSense Integrator,will be necessary to map heterogeneous messages into standard representations, then validate and route them [1] to a disparate system. This poster illustrates the use of an existing BioSense Integrator in order to create a unified message to support the exchange of electronic lab messages necessary for reportable disease notification. An evaluation of the infrastructure for data messaging will be examined and presented, along with a cost and benefit analysis between hospital and state-based system.
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Affiliation(s)
- John P Abellera
- Division of Integrated Surveillance System and Services, National Center for Public Health Infromatics Centers for Disease Control and Prevention, Atlanta, GA, USA
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Abstract
Anatomy textbooks state that the conus medullaris moves cephalad when the vertebral column is flexed. This could confer protection against spinal cord damage during dural puncture, but has not been demonstrated in vivo. We therefore imaged the spine of 10 volunteers using magnetic resonance imaging to determine if such movement occurs with the spine in the neutral and flexed positions. The position of the conus medullaris in relation to the superior endplate of the L1 vertebra was determined. On spinal flexion, the conus medullaris moved cephalad in three subjects and caudad in three subjects, with no change in the remaining four. The median overall movement (95% CI [range]) was 0 mm (4 mm caudad to 1 mm cephalad [3 mm caudad to 1 mm cephalad]; p = 1.0). Whilst spinal flexion may facilitate needle insertion during dural puncture, it is unlikely to confer extra protection against spinal cord damage.
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Affiliation(s)
- P D W Fettes
- Department of Anaesthesia and Pain Management, Royal Melbourne Hospital, Australia.
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Affiliation(s)
- Scott Holmberg
- Centers for Disease Control and Prevention, Atlanta, Georgia, USA
| | - Scott McNabb
- Centers for Disease Control and Prevention, Atlanta, Georgia, USA
| | - Sevgi Aral
- Centers for Disease Control and Prevention, Atlanta, Georgia, USA
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Nsubuga P, Eseko N, Tadesse W, Ndayimirije N, Stella C, McNabb S. Structure and performance of infectious disease surveillance and response, United Republic of Tanzania, 1998. Bull World Health Organ 2002; 80:196-203. [PMID: 11984605 DOI: 10.1590/s0042-96862002000300005] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/27/2023] Open
Abstract
OBJECTIVE To assess the structure and performance of and support for five infectious disease surveillance systems in the United Republic of Tanzania: Health Management Information System (HMIS); Infectious Disease Week Ending; Tuberculosis/Leprosy; Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome; and Acute Flaccid Paralysis/Poliomyelitis. METHODS The systems were assessed by analysing the core activities of surveillance and response and support functions (provision of training, supervision, and resources). Data were collected using questionnaires that involved both interviews and observations at regional, district, and health facility levels in three of the 20 regions in the United Republic of Tanzania. FINDINGS An HMIS was found at 26 of 32 health facilities (81%) surveyed and at all 14 regional and district medical offices. The four other surveillance systems were found at <20% of health facilities and <75% of medical offices. Standardized case definitions were used for only 3 of 21 infectious diseases. Nineteen (73%) health facilities with HMIS had adequate supplies of forms; 9 (35%) reported on time; and 11 (42%) received supervision or feedback. Four (29%) medical offices with HMIS had population denominators to use for data analyses; 12 (86%) were involved in outbreak investigations; and 11 (79%) had conducted community prevention activities. CONCLUSION While HMIS could serve as the backbone for IDSR in the United Republic of Tanzania, this will require supervision, standardized case definitions, and improvements in the quality of reporting, analysis, and feedback.
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Affiliation(s)
- Peter Nsubuga
- Division of International Health, Epidemiology Program Office, Centers for Disease Control and Prevention, Atlanta, GA 30341, USA.
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Reichrtova E, Lang Dunlop A, Palkovicova L, Ciznar P, Adamcakova A, Ursinyova M, Prachar V, McNabb S. Predictors of Cord Blood IgE
Positivity Among Neonates, Slovak Republic, 1997-
1998. ACTA ACUST UNITED AC 2002. [DOI: 10.1027/0838-1925.14.3.117] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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Abstract
This paper reviews the diagnostic features of cluster headache-like disorder and describes its presentation in childhood. Case note summaries of patients with this condition are presented in the context of a brief summary of the literature. Four patients (two girls; aged 12 to 15 years) with cluster headache-like disorder were seen over a period of four years in the paediatric neurology department of Birmingham Children's Hospital. Their histories and clinical courses are described. All had a history of "thrashing around" or bizarre behaviour during attacks, which had distracted attention from the headache and seemed to contribute to delay in diagnosis. It appears that cluster headache-like disorder does occur in childhood but is not common and can be mistaken for other conditions. A history of thrashing around accompanied by headache is very suggestive. Recognition of the symptoms in the general paediatric clinic would allow rapid diagnosis.
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Affiliation(s)
- S McNabb
- Department of Paediatric Neurology, Birmingham Children's Hospital, Birmingham B4 6NH, UK
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McFalls EO, Ward HB, Krupski WC, Goldman S, Littooy F, Eagle K, Nyman JA, Moritz T, McNabb S, Henderson WG. Prophylactic coronary artery revascularization for elective vascular surgery: study design. Veterans Affairs Cooperative Study Group on Coronary Artery Revascularization Prophylaxis for Elective Vascular Surgery. Control Clin Trials 1999; 20:297-308. [PMID: 10357501 DOI: 10.1016/s0197-2456(99)00004-5] [Citation(s) in RCA: 25] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
This article describes the design of an ongoing randomized trial intended to test whether patients who require elective vascular surgery would benefit from preoperative coronary artery revascularization prior to the vascular procedure. The primary objective is to determine whether coronary artery revascularization reduces long-term mortality (mean 3.5 years) in patients undergoing vascular surgery. The study design calls for 620 patients to be randomized and followed for a mean of 3.5 years following vascular surgery. Secondary endpoints include measures of quality of life and cost-effectiveness. Patients with coronary artery disease in need of an elective vascular operation are considered candidates for the study. Anatomic exclusion criteria include ejection fraction <20%, severe aortic stenosis (valve area <1.0 cm2), left main stenosis > or =50%, nonobstructive coronary artery disease (stenosis <70%), and coronary arteries that are not amenable to revascularization. Prior to the vascular surgery, the trial randomizes eligible patients to coronary artery revascularization (either bypass surgery or angioplasty) versus medical therapy. The trial stratifies the randomization by hospital and type of vascular surgery (intraabdominal versus infrainguinal) because of differences in long-term prognosis in those patients. A 1-year feasibility trial involving five Veterans Affairs (VA) medical centers of variable vascular surgical loads has been completed. The results showed that over 90% of expected patients could be randomized. As a result, a larger VA Cooperative Study involving 18 centers will begin recruitment of patients. The findings should help determine the best strategy for managing patients with coronary artery disease in need of elective vascular surgery.
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Affiliation(s)
- E O McFalls
- Veterans Affairs Medical Center, Minneapolis, Minnesota 55417, USA.
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Abstract
This report describes the structure and expression of the outspread (osp) gene of Drosophila melanogaster. Previous work showed that chromosomal breakpoints associated with mutations of the osp locus map to both sides of the alcohol dehydrogenase gene (Adh), suggesting that Adh and the adjacent gene Adhr are nested in osp. We extended a chromosomal walk and mapped additional osp mutations to define the maximum molecular limit of osp as 119 kb. We identified a 6-kb transcript that hybridizes to osp region DNA and is altered or absent in osp mutants. Accumulation of this RNA peaks during embryonic and pupal periods. The osp cDNAs comprise two distinct classes based on alternative splicing patterns. The 5' end of the longest cDNA was extended by PCR amplification. When hybridized to the osp walk, the 5' extension verifies that Adh and Adhr are nested in osp and shows that osp has a transcription unit of > or = 74 kb. In situ hybridization shows that osp is expressed both maternally and zygotically. In the ovary, osp is transcribed in nurse cells and localized in the oocyte. In embryos, expression is most abundant in the developing visceral and somatic musculature.
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Affiliation(s)
- S McNabb
- Department of Genetics, University of Cambridge, England, United Kingdom
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Wharton M, Price W, Hoesly F, Woolard D, White K, Greene C, McNabb S. Evaluation of a method for detecting outbreaks of diseases in six states. Am J Prev Med 1993; 9:45-9. [PMID: 8439438] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/30/2023]
Abstract
A new statistical method, developed for detection of changes in reporting, has proved useful in analysis of provisional data reported by state health departments to the National Notifiable Diseases Surveillance System (NNDSS). In this system, data from the current four-week period can be compared with data from the previous, same, and subsequent four-week periods from each of the preceding five years, and reports exceeding historical limits are highlighted in a horizontal bar graph. To evaluate the usefulness of this method at the state level, we applied it to weekly reports of seven notifiable diseases in six states over a four-month period. Participating state health departments investigated all events exceeding historical limits and reported known outbreaks that were not identified by the method. During the four-month period, the method identified 27 episodes of disease reports exceeding historical limits. Of these, 14 (52%) represented outbreaks. None was detectable by analysis of aggregate national surveillance data. Five outbreaks known to state health department officials were not identified by the method, because of increased disease activity during the baseline period or lack of timely provisional reporting of outbreak-related cases. Methods for detection of increases in reporting at the state level may identify events of public health importance that are obscured in aggregate national data and may supplement other local sources of information available to state health departments in the recognition of significant public health events.
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Affiliation(s)
- M Wharton
- Division of Surveillance and Epidemiology, Centers for Disease Control, Atlanta, GA 30333
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