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Reported Lyme Disease Cases by Year United States, 1982-2002

25,000. 20,000. 15,000. Cases. 10,000. 5,000. 0. 1982. 1984. 1986. 1988. 1990. 1992. 1994. 1996. 1998. 2000. 2002. Year. Reported Lyme Disease Cases by Year United States, 1982-2002. Confirmed cases. Probable cases *.

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Reported Lyme Disease Cases by Year United States, 1982-2002

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  1. 25,000 20,000 15,000 Cases 10,000 5,000 0 1982 1984 1986 1988 1990 1992 1994 1996 1998 2000 2002 Year Reported Lyme Disease Cases by YearUnited States, 1982-2002

  2. Confirmed cases Probablecases* Reported Cases of Lyme Disease by Year, United States, 1995-2012 *National Surveillance case definition revised in 2008 to include probable cases; details at http://www.cdc.gov/ncphi/disss/nndss/casedef/lyme_disease_2008.htm

  3. Nipah Encephalitis

  4. Nipah Virus

  5. Nipah Encephalitis Misdiagnoised as Japanese Encephalitis Clinical Epidemiologic Laboratory

  6. Microbial Threats to Health

  7. Chain of transmission among guests at Hotel M—Hong Kong, 2003 2 family members 2 close contacts Guangdong Province, China 4 family members 10 HCWs 4 HCWs* Hospital 2Hong Kong Canada F A A F G † G † 3 HCWs K † K † Ireland 156 close contacts of HCWs and patients A Hospital 3 Hong Kong H H I Hotel MHong Kong L§ J I United States E 99 HCWs (includes 17 medical students) J D B M§ Hospital 1 HK C C D E B Germany 0 HCWs Singapore HCW HCW B Vietnam Hospital 4 Hong Kong 34 HCWs 28 HCWs 2 family members 37 HCWs HCW 37 close contacts 4 other Hong Kong Hospitals Unknown numberclose contacts HCW * Health-care workers; † All guests except G and K stayed on the 9th floor of the hotel. Guest G stayed on the 14th floor, and Guest K stayed on the 11th floor; § Guests L and M (spouses) were not at Hotel M during the same time as index Guest A but were at the hotel during the same times as Guests G, H, and I, who were ill during this period. Bangkok Data as of 3/28/03

  8. Global SARS Cases (Probable)WHO 26 September 2003

  9. SARS Corona Virus

  10. Tuesday, Oct 16, 2012 • The Armageddon virus: Why experts fear a disease that leaps from animals to humans could devastate mankind in the next five years • Warning comes after man died from a Sars-like virus that had previously only been seen in bats • Earlier this month a man from Glasgow died from a tick-borne disease that is widespread in domestic and wild animals in Africa and Asia http://www.dailymail.co.uk/science

  11. 12/19/2019gubler2

  12. 52,160 cases 231 deaths CFR-0.44% 93 countries 12/19/2019gubler2

  13. Avian Influenza

  14. What did These Epidemic Diseases have in Common? • All were zoonotic pathogens • Jumped species • Most had Asian origin • Clinical and laboratory diagnosis problematic • Poor communication • Transmission & spread as result of demographic and societal changes • Major economic impact

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