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Healthcare-a<span class=ev>sspan><span class=ev>sspan>ociated infection<span class=ev>sspan> (HCAI)<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>Sspan>span class=ev>sspan>pan>airaalainfektiot
The total number of patient<span class=ev>sspan> getting a healthcare-a<span class=ev>sspan><span class=ev>sspan>ociated infection (HCAI) in the EU every year can be e<span class=ev>sspan>timated at 3 000 000 and approximately 50 000 death<span class=ev>sspan> are e<span class=ev>sspan>timated to occur every year a<span class=ev>sspan> a con<span class=ev>sspan>equence of the infection.Joka vuo<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>i arviolta 3 000 000 henkilöä <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>aa EU:<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan><<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>a <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>airaalainfektion ja noin 50 000 henkilöä kuolee <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>en <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>eurauk<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ena.
The mo<span class=ev>sspan>t frequent infection<span class=ev>sspan> are urinary tract infection<span class=ev>sspan>, followed by re<span class=ev>sspan>piratory tract infection<span class=ev>sspan>, infection<span class=ev>sspan> after <span class=ev>sspan>urgery, blood infection, and other<span class=ev>sspan> (including diarrhoea).Ylei<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>impiä infektioita ovat virt<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>atietulehduk<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>et ja niiden jälkeen hengity<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>tietulehduk<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>et, leikkau<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ta <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>euraavat infektiot, verenmyrkytyk<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>et ja muut (mukaan lukien ripuli).
Multi-re<span class=ev>sspan>i<span class=ev>sspan>tant <span class=ev><span class=ev>Sspan>span>taphylococcu<span class=ev>sspan> aureu<span class=ev>sspan> (MR<span class=ev><span class=ev>Sspan>span>A) i<span class=ev>sspan> i<span class=ev>sspan>olated in approximately 5% of all healthcare-a<span class=ev>sspan><span class=ev>sspan>ociated infection<span class=ev>sspan>.Moniva<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>tu<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>tu<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>kykyinen <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>Sspan>span class=ev>sspan>pan>taphylococcu<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> aureu<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> (MR<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>Sspan>span class=ev>sspan>pan>A) todetaan noin 5 pro<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>enti<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan><<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>a kaiki<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ta <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>airaalainfektioi<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ta.
Approximately 20–30% of HCAI are con<span class=ev>sspan>idered to be preventable by inten<span class=ev>sspan>ive hygiene and control programme<span class=ev>sspan>.Noin 20–30 pro<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>enttia <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>airaalainfektioi<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ta voitai<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>iin ehkäi<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>tä tehokkailla hygienia- ja valvontaohjelmilla.
Up to 90% of hepatiti<span class=ev>sspan> A infection in children goe<span class=ev>sspan> with no <span class=ev>sspan>ymptom<span class=ev>sspan> or without jaundice.Lap<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>illa jopa 90 pro<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>enti<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan><<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>a hepatiitti A -infektioi<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ta ei e<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>iinny mitään oireita tai keltai<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>uutta.
Ca<span class=ev>sspan>e<span class=ev>sspan> with jaundice, more common in adult<span class=ev>sspan>, pre<span class=ev>sspan>ent with thi<span class=ev>sspan> <span class=ev>sspan>ymptom and al<span class=ev>sspan>o general <span class=ev>sspan>ymptom<span class=ev>sspan> (fever, lo<span class=ev>sspan><span class=ev>sspan> of appetite, nau<span class=ev>sspan>ea, vomiting, etc.) which may la<span class=ev>sspan>t for <span class=ev>sspan>everal week<span class=ev>sspan>.Aikui<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>illa tähän infektioon liittyy tavalli<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>e<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ti keltai<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>uutta ja ylei<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>iä oireita (kuumetta, ruokahaluttomuutta, pahoinvointia, ok<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>entelua jne.), jotka voivat ke<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>tää u<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>eita viikkoja.
About 15% of patient<span class=ev>sspan> have prolonged or relap<span class=ev>sspan>ing <span class=ev>sspan>ymptom<span class=ev>sspan> over a 6–9-month period.Noin 15 pro<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>entilla potilai<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ta oireet jatkuvat pitkään tai uu<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>iutuvat 6–9 kuukauden aikana.
No <span class=ev>sspan>pecific treatment i<span class=ev>sspan> available, and patient<span class=ev>sspan> recover <span class=ev>sspan>pontaneou<span class=ev>sspan>ly.Hepatiitti A:han ei ole mitään erityi<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>tä hoitoa, ja potilaat paranevat it<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>e<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>tään.
Human<span class=ev>sspan> are the only re<span class=ev>sspan>ervoir of hepatiti<span class=ev>sspan> A viru<span class=ev>sspan>, which i<span class=ev>sspan> tran<span class=ev>sspan>mitted from faece<span class=ev>sspan> of infected patient<span class=ev>sspan>, either by per<span class=ev>sspan>on-to-per<span class=ev>sspan>on contact or by con<span class=ev>sspan>umption of contaminated food or water.Ihmi<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>et ovat hepatiitti A:n ainoa re<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ervoaari, ja viru<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> leviää tartunnan <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>aaneiden henkilöiden ulo<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>teen kautta. Tauti voi tarttua joko ihmi<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ten väli<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>e<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>tä ko<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ketuk<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>e<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ta tai <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>aa<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>tunee<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ta ruoa<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ta tai vede<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>tä.
<span class=ev><span class=ev>Sspan>span>exual tran<span class=ev>sspan>mi<span class=ev>sspan><span class=ev>sspan>ion among men who have <span class=ev>sspan>ex with men ha<span class=ev>sspan> al<span class=ev>sspan>o been de<span class=ev>sspan>cribed.<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>Sspan>span class=ev>sspan>pan>e voi myö<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> tarttua <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ukupuoliteit<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>e mie<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ten väli<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>e<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan><<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ä <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ek<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>i<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan><<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ä.
The incubation period of <span class=ev>sspan>ymptomatic ca<span class=ev>sspan>e<span class=ev>sspan> range<span class=ev>sspan> between two and <span class=ev>sspan>even week<span class=ev>sspan>.Oireelli<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>i<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan><<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>a tapauk<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>i<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan><<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>a itämi<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>aika vaihtelee kahde<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ta <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>eit<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>emään viikkoon.
Patient<span class=ev>sspan> are infectiou<span class=ev>sspan> from two week<span class=ev>sspan> before the on<span class=ev>sspan>et of <span class=ev>sspan>ymptom<span class=ev>sspan> and may continue to be infectiou<span class=ev>sspan> for one week or more after.Potilaan alkavat tartuttaa tautia kak<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>i viikkoa ennen oireiden ilmaantumi<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ta ja voivat jatkaa <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>itä <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>enkin jälkeen vielä viikon tai pidempään oireiden ilmaannuttua.
The incubation period i<span class=ev>sspan> long - up to <span class=ev>sspan>ix month<span class=ev>sspan> (or even longer).Itämi<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>aika on pitkä, jopa puoli vuotta (tai enemmänkin).
Acute illne<span class=ev>sspan><span class=ev>sspan> range<span class=ev>sspan> from a mild to a very <span class=ev>sspan>evere di<span class=ev>sspan>ea<span class=ev>sspan>e.Akuuti<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan><<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>a <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>aira<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>tumi<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>e<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan><<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>a taudin voimakkuu<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> voi vaihdella lievä<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>tä erittäin vakavaan.
Hepatiti<span class=ev>sspan> B in children u<span class=ev>sspan>ually goe<span class=ev>sspan> with no <span class=ev>sspan>ymptom<span class=ev>sspan>, with a higher tendency to become chronic.Lap<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>illa hepatiitti B jää u<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ein oireettomak<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>i ja <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>illä on taipumu<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> muuttua krooni<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ek<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>i.
Conver<span class=ev>sspan>ely, the death rate of acute infection canreach 2% in the elderly.Vanhuk<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>i<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ta taa<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> jopa 2 pro<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>entilla akuutti infektio <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>aattaa johtaa kuolemaan.
Hepatiti<span class=ev>sspan> B i<span class=ev>sspan> tran<span class=ev>sspan>mitted via contact (broken <span class=ev>sspan>kin or muco<span class=ev>sspan>al contact) with blood or other body fluid<span class=ev>sspan> (<span class=ev>sspan>erum, <span class=ev>sspan>emen, <span class=ev>sspan>aliva) from infected patient<span class=ev>sspan>.Hepatiitti B tarttuu ko<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ketuk<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>e<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ta (ihon haavojen tai limakalvojen kautta) tartunnan <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>aaneen henkilön veren tai muiden ruumiinne<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>teiden (<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>eerumin, <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>perman tai <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>yljen) välityk<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ellä.
The incubation period range<span class=ev>sspan> from one to <span class=ev>sspan>even month<span class=ev>sspan>.Itämi<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>aika vaihtelee kuukaude<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ta <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>eit<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>emään kuukauteen.
For infant<span class=ev>sspan> and children, the main <span class=ev>sspan>ource of infection i<span class=ev>sspan> mother-to-child tran<span class=ev>sspan>mi<span class=ev>sspan><span class=ev>sspan>ion and tran<span class=ev>sspan>mi<span class=ev>sspan><span class=ev>sspan>ion from infected member<span class=ev>sspan> within the hou<span class=ev>sspan>ehold.Vauvoihin ja lap<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>iin tauti tarttuu pääa<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ia<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan><<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>a äidiltä ja muilta tartunnan <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>aaneilta henkilöiltä, jotka a<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>uvat <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ama<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan><<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>a taloude<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan><<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>a.
Adole<span class=ev>sspan>cent<span class=ev>sspan> and adult<span class=ev>sspan> normally become infected through unprotected <span class=ev>sspan>exual activity or a<span class=ev>sspan> a con<span class=ev>sspan>equence of injecting drug u<span class=ev>sspan>er<span class=ev>sspan> <span class=ev>sspan>haring contaminated needle<span class=ev>sspan>.Nuoret ja aikui<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>et <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>aavat tartunnan yleen<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ä <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>uojaamattoma<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ta <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ukupuoliyhdynnä<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>tä tai <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>aa<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>tuneiden huumerui<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>kujen yhtei<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>käytö<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>tä.
Tran<span class=ev>sspan>mi<span class=ev>sspan><span class=ev>sspan>ion via blood tran<span class=ev>sspan>fu<span class=ev>sspan>ion or through the u<span class=ev>sspan>e of pla<span class=ev>sspan>ma-derived product<span class=ev>sspan> i<span class=ev>sspan> now rare in the EU.Taudin tarttuminen veren<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>iirron tai pla<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>majohdannai<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ten käytön <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>eurauk<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ena on nykyään harvinai<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ta EU:<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan><<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>a.
Hepatiti<span class=ev>sspan> B occur<span class=ev>sspan> worldwide with a very high burden of di<span class=ev>sspan>ea<span class=ev>sspan>e (an e<span class=ev>sspan>timated 280 million carrier<span class=ev>sspan> worldwide).Hepatiitti B:tä e<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>iintyy kaikkialla maailma<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan><<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>a, ja <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>en aiheuttama tautitaakka on erittäin <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>uuri (maailma<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan><<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>a arvioidaan olevan 280 miljoonaa viruk<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>en kantajaa).
The ri<span class=ev>sspan>k of mother-to-child tran<span class=ev>sspan>mi<span class=ev>sspan><span class=ev>sspan>ion i<span class=ev>sspan> around 3–5%, but in ca<span class=ev>sspan>e<span class=ev>sspan> of <span class=ev>sspan>imultaneou<span class=ev>sspan> HIV infection it may reach 15%.Äidiltä lap<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>elle tapahtuvan tartunnan ri<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ki on noin 3–5 pro<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>enttia, mutta <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>amanaikainen HIV-infektio voi ka<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>vattaa ri<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>kin 15 pro<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>enttiin.
After 1991, blood tran<span class=ev>sspan>fu<span class=ev>sspan>ion<span class=ev>sspan> and blood product<span class=ev>sspan> became much <span class=ev>sspan>afer than before, a<span class=ev>sspan> routine HCV te<span class=ev>sspan>t<span class=ev>sspan> <span class=ev>sspan>tarted to become widely available.Veren<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>iirtojen ja verituotteiden turvalli<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>uu<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> on parantunut huomattava<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ti vuode<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ta 1991 lähtien, kun HCV-te<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>tit ovat ylei<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>tyneet.
HIV i<span class=ev>sspan> a viru<span class=ev>sspan>, which attack<span class=ev>sspan> the immune <span class=ev>sspan>y<span class=ev>sspan>tem and cau<span class=ev>sspan>e<span class=ev>sspan> a lifelong <span class=ev>sspan>evere illne<span class=ev>sspan><span class=ev>sspan> with a long incubatio period.HIV on viru<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>, joka hyökkää immuunijärje<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>telmää va<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>taan ja aiheuttaa pitkän itämi<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ajan jälkeen elinikäi<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>en vakavan <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>airauden.
<span class=ev><span class=ev>Sspan>span>exual tran<span class=ev>sspan>mi<span class=ev>sspan><span class=ev>sspan>ion <span class=ev>sspan>eem<span class=ev>sspan> to be infrequent.Tauti vaikuttai<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>i tarttuvan <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ukupuoliteit<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>e vain harvoin.
Approximately 4 100 000 patient<span class=ev>sspan> are e<span class=ev>sspan>timated to acquire a healthcare-a<span class=ev>sspan><span class=ev>sspan>ociated infection in the EU every year.Joka vuo<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>i arviolta 4 100 000 henkilöä <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>aa <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>airaalainfektion EU:n alueella.
Hepatiti<span class=ev>sspan> C i<span class=ev>sspan> con<span class=ev>sspan>idered to be the leading cau<span class=ev>sspan>e of liver cancer and liver tran<span class=ev>sspan>plant<span class=ev>sspan> in Europe and the U<span class=ev><span class=ev>Sspan>span>A.Pääa<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ialli<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ena <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>yynä mak<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>a<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>yöpään ja mak<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>an<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>iirtoihin Euroopa<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan><<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>a ja Yhdy<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>valloi<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan><<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>a pidetään hepatiitti C:tä.
The mo<span class=ev>sspan>t effective preventive mea<span class=ev>sspan>ure<span class=ev>sspan> are <span class=ev>sspan>creening and te<span class=ev>sspan>ting of blood and organ donor<span class=ev>sspan>, viru<span class=ev>sspan>-inactivating proce<span class=ev>sspan><span class=ev>sspan>ing of blood product<span class=ev>sspan>, good infection control and <span class=ev>sspan>afe injection practice<span class=ev>sspan> in healthcare <span class=ev>sspan>etting<span class=ev>sspan>.Tehokkaimmat ehkäi<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ytoimet ovat veren- ja elintenluovuttajien <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>eulonta ja te<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>tau<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>, verituotteiden kä<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ittely viruk<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>en inaktivoimi<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ek<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>i, infektioiden kunnollinen hallinta ja turvalli<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>et injektiokäytännöt terveydenhoitolaitok<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>i<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan><<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>a.
Avian influenza i<span class=ev>sspan> a di<span class=ev>sspan>ea<span class=ev>sspan>e in bird<span class=ev>sspan> cau<span class=ev>sspan>ed by influenza viru<span class=ev>sspan>e<span class=ev>sspan> that are <span class=ev>sspan>imilar to tho<span class=ev>sspan>e cau<span class=ev>sspan>ing di<span class=ev>sspan>ea<span class=ev>sspan>e in human<span class=ev>sspan>.Lintuinfluen<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan><<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>a on <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ellai<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ten influen<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan><<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>aviru<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ten linnuille aiheuttama <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>airau<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>, jotka ovat <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>amankaltai<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ia kuin ne, jotka aiheuttavat influen<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan><<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>an ihmi<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ille.
Avian influenza i<span class=ev>sspan> mainly a huge veterinary problem, but avian influenza viru<span class=ev>sspan>e<span class=ev>sspan> may al<span class=ev>sspan>o cau<span class=ev>sspan>e di<span class=ev>sspan>ea<span class=ev>sspan>e in human<span class=ev>sspan> after very clo<span class=ev>sspan>e contact with infected bird<span class=ev>sspan>.Lintuinfluen<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan><<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>a on pääa<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ialli<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>e<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ti <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>uuri eläinlääkinnällinen ongelma, mutta lintuinfluen<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan><<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>aviru<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> voi aiheuttaa <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>airauden myö<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> ihmi<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>i<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan><<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ä, jotka ovat olleet lähei<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>e<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ti ko<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ketuk<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>e<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan><<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>a tartunnan <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>aanei<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>iin lintuihin.
Exceptionally avian influenza viru<span class=ev>sspan> ha<span class=ev>sspan> al<span class=ev>sspan>o been tran<span class=ev>sspan>mitted from human<span class=ev>sspan> to human<span class=ev>sspan>, but no <span class=ev>sspan>u<span class=ev>sspan>tained tran<span class=ev>sspan>mi<span class=ev>sspan><span class=ev>sspan>ion ha<span class=ev>sspan> been de<span class=ev>sspan>cribed.Lintuinfluen<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan><<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>aviruk<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>en tiedetään poikkeuk<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>elli<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>e<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ti <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>iirtyneen ihmi<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>e<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>tä toi<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>een, mutta <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>en laajemma<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ta leviämi<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>e<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>tä ei ole <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>aatu tietoa.
<span class=ev><span class=ev>Sspan>span>ea<span class=ev>sspan>onal influenzaKau<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>i-influen<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan><<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>a
<span class=ev><span class=ev>Sspan>span>ea<span class=ev>sspan>onal influenza hit<span class=ev>sspan> the Northern hemi<span class=ev>sspan>phere every winter and cau<span class=ev>sspan>e<span class=ev>sspan> a <span class=ev>sspan>ub<span class=ev>sspan>tantial di<span class=ev>sspan>ea<span class=ev>sspan>e burden with people being ab<span class=ev>sspan>ent from work and <span class=ev>sspan>chool<span class=ev>sspan>.Kau<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>i-influen<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan><<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>a i<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>kee pohjoi<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>een pallonpuoli<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>koon joka talvi aiheuttaen merkittävän tautitaakan, kun <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>aira<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>tuneet joutuvat jättäytymään poi<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> töi<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>tä ja koului<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ta.
Every year many per<span class=ev>sspan>on<span class=ev>sspan> die from influenza, and ri<span class=ev>sspan>k group<span class=ev>sspan> <span class=ev>sspan>uch a<span class=ev>sspan> elderly people and per<span class=ev>sspan>on<span class=ev>sspan> with certain underlying di<span class=ev>sspan>ea<span class=ev>sspan>e<span class=ev>sspan>, <span class=ev>sspan>uch a<span class=ev>sspan> cardiova<span class=ev>sspan>cular di<span class=ev>sspan>ea<span class=ev>sspan>e and lung di<span class=ev>sspan>ea<span class=ev>sspan>e<span class=ev>sspan> are advi<span class=ev>sspan>ed to be vaccinated before the flu <span class=ev>sspan>ea<span class=ev>sspan>on <span class=ev>sspan>tart<span class=ev>sspan>.U<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>eita ihmi<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>iä kuolee vuo<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ittain influen<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan><<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>aan, ja ri<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>kiryhmille, kuten vanhuk<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ille ja henkilöille, joilla on e<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>imerkik<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>i <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ydän- ja veri<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>uoni- tai keuhko<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>airau<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>, <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>uo<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>itellaan rokotu<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ta ennen influen<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan><<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>akauden alkami<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ta.
Pandemic influenza i<span class=ev>sspan> a global <span class=ev>sspan>pread of a new influenza <span class=ev>sspan>train to which the general population i<span class=ev>sspan> not immune.Pandeeminen influen<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan><<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>a on <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ellai<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>en uuden influen<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan><<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>akannan maailmanlaajuinen leviäminen, jolle väe<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>tö ei ole immuuni.
<span class=ev><span class=ev>Sspan>span>uch new influenza <span class=ev>sspan>train<span class=ev>sspan> may be a mutant avian viru<span class=ev>sspan>, or a recombination of a human and avian viru<span class=ev>sspan>.Tällainen uu<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>i influen<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan><<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>akanta voi olla lintuinfluen<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan><<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>aviruk<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>en mutantti tai ihmi<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>i<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan><<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ä ja linnui<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan><<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>a e<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>iintyvien viru<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ten uu<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>i yhdi<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>telmä.
The 20th century <span class=ev>sspan>aw three large pandemic<span class=ev>sspan>;Viime vuo<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>i<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>adalla koettiin kolme laajaa pandemiaa:
The re<span class=ev>sspan>ervoir of La<span class=ev>sspan><span class=ev>sspan>a viru<span class=ev>sspan> i<span class=ev>sspan> in rodent<span class=ev>sspan>, and human<span class=ev>sspan> become infected through contact with the excreta of infected rat<span class=ev>sspan>.La<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan><<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>a-viru<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ta kantavat jyr<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ijät, ja <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>e tarttuu ihmi<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>iin infektoituneiden rottien ulo<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>tee<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ta.
While about 80% of the infection<span class=ev>sspan> go with no <span class=ev>sspan>ymptom<span class=ev>sspan>, the remaining patient<span class=ev>sspan> develop <span class=ev>sspan>evere multi-<span class=ev>sspan>y<span class=ev>sspan>tem di<span class=ev>sspan>ea<span class=ev>sspan>e and up to 15% of the ho<span class=ev>sspan>pitalized ca<span class=ev>sspan>e<span class=ev>sspan> may die.Noin 80 pro<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>enttia infektioi<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ta jää oireettomik<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>i, mutta muille kehittyy vakava monielin<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>airau<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>, ja jopa 15 pro<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>enttia <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>airaalahoitoon joutunei<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ta potilai<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ta <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>aattaa menehtyä.
The bacteria are able to <span class=ev>sspan>urvive in the nature at a wide range of temperature<span class=ev>sspan>.Bakteerit voivat elää luonno<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan><<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>a erilai<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>i<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan><<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>a lämpötiloi<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan><<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>a.
Their re<span class=ev>sspan>ervoir<span class=ev>sspan> are aquatic <span class=ev>sspan>y<span class=ev>sspan>tem<span class=ev>sspan> like cooling tower<span class=ev>sspan>, evaporative conden<span class=ev>sspan>er<span class=ev>sspan>, humidifier<span class=ev>sspan>, decorative fountain<span class=ev>sspan>, hot water <span class=ev>sspan>y<span class=ev>sspan>tem<span class=ev>sspan> and <span class=ev>sspan>imilar <span class=ev>sspan>y<span class=ev>sspan>tem<span class=ev>sspan>.Ne elävät ve<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ijärje<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>telmi<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan><<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ä, kuten jäähdyty<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>tornei<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan><<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>a, lauhduttimi<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan><<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>a, ko<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>tuttimi<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan><<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>a, kori<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>te<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>uihkulähtei<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan><<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ä, kuumave<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ijärje<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>telmi<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan><<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ä ja mui<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan><<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>a va<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>taavi<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan><<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>a järje<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>telmi<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan><<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ä.
In mo<span class=ev>sspan>t ca<span class=ev>sspan>e<span class=ev>sspan> legionello<span class=ev>sspan>i<span class=ev>sspan> can be treated effectively with antibiotic<span class=ev>sspan>, but death rate<span class=ev>sspan> can be high among the elderly and in patient<span class=ev>sspan> with a weakened immune <span class=ev>sspan>y<span class=ev>sspan>tem.Legionelloo<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>i voidaan u<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>eimmiten hoitaa tehokkaa<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ti antibiooteilla, mutta kuollei<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>uu<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> voi olla <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>uuri vanhu<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ten ja immuunijärje<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>telmän heikentymi<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>e<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>tä kär<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ivien potilaiden ke<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>kuude<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan><<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>a.
Prophylactic mea<span class=ev>sspan>ure<span class=ev>sspan> include regular cleaning and adequate maintenance of the particular water <span class=ev>sspan>y<span class=ev>sspan>tem<span class=ev>sspan>.Ehkäi<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>evänä toimenpiteenä on tietynlai<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ten ve<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ijärje<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>telmien <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>äännöllinen ja peru<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>teellinen puhdi<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>tu<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>.
Although more common in tropical area<span class=ev>sspan> of the world, the di<span class=ev>sspan>ea<span class=ev>sspan>e i<span class=ev>sspan> al<span class=ev>sspan>o pre<span class=ev>sspan>ent in temperate area<span class=ev>sspan>, including Europe.Tauti on ylei<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>in trooppi<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>illa alueilla, mutta <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>itä e<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>iintyy myö<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> lauhkealla vyöhykkeellä, myö<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> Euroopa<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan><<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>a.
Different <span class=ev>sspan>pecie<span class=ev>sspan> of dome<span class=ev>sspan>tic and wild animal<span class=ev>sspan> act a<span class=ev>sspan> maintenance ho<span class=ev>sspan>t<span class=ev>sspan>.Pääi<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>äntinä toimivat u<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>eat koti- ja villieläinlajit.
Human<span class=ev>sspan> get lepto<span class=ev>sspan>piro<span class=ev>sspan>i<span class=ev>sspan> either from direct contact with the urine of infected animal<span class=ev>sspan>, or from contact with material contaminated by it, <span class=ev>sspan>uch a<span class=ev>sspan> water or <span class=ev>sspan>oil.Lepto<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>piroo<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>i tarttuu ihmi<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>iin joko <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>uora<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ta ko<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ketuk<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>e<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ta infektoituneen eläimen virt<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>aan tai ko<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ketuk<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>e<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ta <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>en <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>aa<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>tuttamaan ainek<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>een, kuten veteen tai maaperään.
The <span class=ev>sspan>ymptom<span class=ev>sspan> vary.Tautiin liittyy monenlai<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ia oireita.
Fever, mu<span class=ev>sspan>cle ache and eye infection are very frequent.Kuume, liha<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>kipu ja <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ilmätulehdu<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> ovat erittäin ylei<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>iä oireita.
Liver, kidney, lung, heart, and more rarely brain involvement and bleeding are the mo<span class=ev>sspan>t <span class=ev>sspan>eriou<span class=ev>sspan> <span class=ev>sspan>ymptom<span class=ev>sspan>.Vakavimmat oireet liittyvät mak<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>aan, munuai<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>iin, keuhkoihin, <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ydämeen ja jo<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ku<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> harvoin aivoihin ja verenvuotoon.
Timely antibiotic treatment i<span class=ev>sspan> effective, and the death rate i<span class=ev>sspan> low, but doe<span class=ev>sspan> increa<span class=ev>sspan>e with advancing age and may reach up to 20% or more in complicated ca<span class=ev>sspan>e<span class=ev>sspan> with <span class=ev>sspan>evere di<span class=ev>sspan>ea<span class=ev>sspan>e.Varhain aloitettu antibioottihoito tehoaa tautiin, ja kuollei<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>uu<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> on alhainen, mutta <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>e ka<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>vaa ikääntymi<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>en myötä ja voi ylittää jopa 20 pro<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>enttia kompli<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>oitunei<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan><<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>a tapauk<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>i<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan><<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>a, joihin liittyy vaikea <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>airau<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>.
Preventive mea<span class=ev>sspan>ure<span class=ev>sspan> include controlling rodent population<span class=ev>sspan>, avoiding contaminated area<span class=ev>sspan> and covering cut<span class=ev>sspan> and abraded <span class=ev>sspan>kin when operating in the environment.Ehkäi<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>eviä toimenpiteitä ovat jyr<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ijäkannan hallinta, <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>aa<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>tuneiden alueiden välttäminen <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ekä haavojen ja hiertymien peittäminen luonno<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan><<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>a kuljettae<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan><<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>a.
Immuni<span class=ev>sspan>ation of per<span class=ev>sspan>on<span class=ev>sspan> at occupational ri<span class=ev>sspan>k of expo<span class=ev>sspan>ure ha<span class=ev>sspan> been carried out in <span class=ev>sspan>ome countrie<span class=ev>sspan> (Italy, France, <span class=ev><span class=ev>Sspan>span>pain).Joi<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan><<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>akin mai<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan><<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>a (Italia<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan><<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>a, Ran<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ka<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan><<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>a, E<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>panja<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan><<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>a) on immuni<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>oitu henkilöitä, jotka alti<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>tuvat lepto<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>piroo<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ille työ<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan><<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ään.
The di<span class=ev>sspan>ea<span class=ev>sspan>e primarily cau<span class=ev>sspan>e<span class=ev>sspan> problem<span class=ev>sspan> in pregnant women, newborn<span class=ev>sspan>, and adult<span class=ev>sspan> with a weakened immune <span class=ev>sspan>y<span class=ev>sspan>tem.<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>Sspan>span class=ev>sspan>pan>e aiheuttaa ongelmia lähinnä ra<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>kaana oleville nai<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ille, va<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ta<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>yntyneille <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ekä aikui<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ille, joiden immuunijärje<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>telmä on heikentynyt.
After expo<span class=ev>sspan>ure (via contaminated food) mo<span class=ev>sspan>t healthy adult<span class=ev>sspan> do not develop any <span class=ev>sspan>ymptom<span class=ev>sspan>, except in the ca<span class=ev>sspan>e of pregnant women.Alti<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>tuminen (<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>aa<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>tuneen ruoan kautta) ei yleen<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ä aiheuta oireita muille terveille aikui<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ille kuin ra<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>kaana oleville nai<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ille.
After an incubation period of about three week<span class=ev>sspan> pregnant women may <span class=ev>sspan>uffer from a <span class=ev>sspan>elf-limiting influenza-like illne<span class=ev>sspan><span class=ev>sspan> which may affect the uteru<span class=ev>sspan>.Noin kolmen viikon pitui<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>en itämi<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ajan jälkeen ra<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>kaana oleville nai<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ille voi ilmaantua it<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>e<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>tään parantuva flun<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan><<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ankaltainen <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>airau<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>, joka voi vaikuttaa kohtuun.
In that ca<span class=ev>sspan>e, it can lead to death of the foetu<span class=ev>sspan> and con<span class=ev>sspan>equent abortion or to a dramatic picture of congenital li<span class=ev>sspan>terio<span class=ev>sspan>i<span class=ev>sspan> in the newborn.<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>Sspan>span class=ev>sspan>pan>e voi aiheuttaa <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ikiön menehtymi<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>en ja ke<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>kenmenon tai va<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ta<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>yntyneen li<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>terioo<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>in.
In addition, li<span class=ev>sspan>terio<span class=ev>sspan>i<span class=ev>sspan> in adult<span class=ev>sspan> with weakened immune <span class=ev>sspan>y<span class=ev>sspan>tem and the elderly may lead to meningiti<span class=ev>sspan>, brain infection, and <span class=ev>sspan>evere blood infection.Vanhuk<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>illa <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ekä aikui<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>illa, joiden immuunijärje<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>telmä on heikentynyt, li<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>terioo<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>i voi aiheuttaa aivokalvontulehduk<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>en, aivotulehduk<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>en ja vakavan ylei<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>infektion.
All clinical pre<span class=ev>sspan>entation<span class=ev>sspan> are treatable with prolonged cour<span class=ev>sspan>e<span class=ev>sspan> of antibiotic<span class=ev>sspan>, but the progno<span class=ev>sspan>i<span class=ev>sspan> of the mo<span class=ev>sspan>t <span class=ev>sspan>eriou<span class=ev>sspan> one<span class=ev>sspan> i<span class=ev>sspan> poor.Taudin kaikki kliini<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>et muodot voidaan hoitaa pitkällä antibioottikuurilla, mutta vakavimmi<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan><<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>a tapauk<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>i<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan><<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>a paranemi<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>mahdolli<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>uudet ovat heikot.

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