| Source | Target | | The younge<span class=ev>sspan>t and the elderly are tho<span class=ev>sspan>e mo<span class=ev>sspan>t prone to inva<span class=ev>sspan>ive pneumococcal infection<span class=ev>sspan>, <span class=ev>sspan>uch a<span class=ev>sspan> <span class=ev>sspan>evere blood infection, meningiti<span class=ev>sspan> and pneumonia. | Pienet 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>et ja 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>et ovat altteimpia inva<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>iivi<<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 pneumokokki-infektioille, kuten vakavalle 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>infektiolle, 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>elle ja keuhkokuumeelle. |
| Carriage of pneumococci without <span class=ev>sspan>ymptom<span class=ev>sspan> in the no<span class=ev>sspan>e of young children i<span class=ev>sspan> common. | 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>et kantavat 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 pneumokokkeja nenä<<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 ilman oireita. |
| An older generation of pneumococcal vaccine<span class=ev>sspan> (poly<span class=ev>sspan>accharide vaccine<span class=ev>sspan>) are regi<span class=ev>sspan>tered throughout the world. | Maailmalla on 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><<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 aiemman <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ukupolven pneumokokkirokotteita (poly<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>akkaridirokotteet). |
| They protect again<span class=ev>sspan>t inva<span class=ev>sspan>ive pneumococcal di<span class=ev>sspan>ea<span class=ev>sspan>e in adult<span class=ev>sspan>. | Ne <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>uojaavat 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>ia inva<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>iivi<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ilta pneumokokkitaudeilta. |
| <span class=ev><span class=ev>Sspan>span>uch vaccine<span class=ev>sspan>, in<span class=ev>sspan>tead, have little effect in children under five year<span class=ev>sspan> of age and do not prevent the carriage without <span class=ev>sspan>ymptom<span class=ev>sspan>. | Nämä rokotteet eivät kuitenkaan tehoa kunnolla alle 5-vuotiai<<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 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, eivätkä ne 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 oireetonta tartunnan kantami<<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. |
| A new generation of (conjugated) vaccine<span class=ev>sspan> appear<span class=ev>sspan> to be highly efficient again<span class=ev>sspan>t inva<span class=ev>sspan>ive di<span class=ev>sspan>ea<span class=ev>sspan>e and it al<span class=ev>sspan>o prevent<span class=ev>sspan> na<span class=ev>sspan>opharyngeal carriage. | 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 konjugaattirokotteiden <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ukupolvi vaikuttaa tehoavan kunnolla inva<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>iivi<<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 tauteihin ja 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>tävän taudin kantami<<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 nenä<<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 nielu<<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. |
| The<span class=ev>sspan>e vaccine<span class=ev>sspan> cover the type<span class=ev>sspan> of the bacteria commonly <span class=ev>sspan>een in childhood inva<span class=ev>sspan>ive di<span class=ev>sspan>ea<span class=ev>sspan>e and al<span class=ev>sspan>o tho<span class=ev>sspan>e a<span class=ev>sspan><span class=ev>sspan>ociated with antimicrobial re<span class=ev>sspan>i<span class=ev>sspan>tance. | Nämä rokotteet kattavat 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 inva<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>iivi<<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 tauteja aiheuttavat lajit <<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 mikrobire<<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>ten<<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>iin liittyvät lajit. |
| Tran<span class=ev>sspan>mi<span class=ev>sspan><span class=ev>sspan>ion occur<span class=ev>sspan> via the oral-faecal route or contact with <span class=ev>sspan>aliva. | Tauti tarttuu 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 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. |
| Mo<span class=ev>sspan>t infection<span class=ev>sspan> remain completely without <span class=ev>sspan>ymptom<span class=ev>sspan>, while 10% of ca<span class=ev>sspan>e<span class=ev>sspan> develop mild <span class=ev>sspan>ymptom<span class=ev>sspan> only, <span class=ev>sspan>uch a<span class=ev>sspan> fever, malai<span class=ev>sspan>e, nau<span class=ev>sspan>ea, and vomiting. | 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>eimmat tartunnat jäävät täy<<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 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, ja 10 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 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 vain lieviä oireita, kuten kuumetta, huonovointi<<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, pahoinvointia ja 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. |
| However, after expo<span class=ev>sspan>ure and an incubation period of about one to two week<span class=ev>sspan> the viru<span class=ev>sspan> can <span class=ev>sspan>pread from the dige<span class=ev>sspan>tive tract to the central nervou<span class=ev>sspan> <span class=ev>sspan>y<span class=ev>sspan>tem, re<span class=ev>sspan>ulting in meningiti<span class=ev>sspan> and neural damage with paraly<span class=ev>sspan>i<span class=ev>sspan> (the latter in le<span class=ev>sspan><span class=ev>sspan> than 1% of ca<span class=ev>sspan>e<span class=ev>sspan>). | 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>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>en ja noin viikon tai kahden viikon 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 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> voi kuitenkin levitä ruoan<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ulatu<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>kanava<<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 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>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>hermo<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>toon ja 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 ja (alle 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 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>ta) halvaantumi<<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 johtavia hermovaurioita. |
| No <span class=ev>sspan>pecific therapy i<span class=ev>sspan> available again<span class=ev>sspan>t the viru<span class=ev>sspan>. | 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>een ei ole 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. |
| Childhood immuni<span class=ev>sspan>ation programme<span class=ev>sspan> with live weakened oral polioviru<span class=ev>sspan> vaccine (OPV) or with inactivated, injectable polioviru<span class=ev>sspan> vaccine (IPV) ha<span class=ev>sspan> been very effective. | 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>ten 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>aatio-ohjelmat, 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>a käytetään eläviä heikennettyjä 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>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>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>ältävää oraali<<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 poliorokotetta (OPV) tai inaktivoituja polioviruk<<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>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>ältävää rui<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>kutettavaa rokotetta (IPV), ovat olleet erittäin tehokkaita. |
| <span class=ev><span class=ev>Sspan>span>ince the viru<span class=ev>sspan> i<span class=ev>sspan> <span class=ev>sspan>till pre<span class=ev>sspan>ent in other part<span class=ev>sspan> of the world, importation of ca<span class=ev>sspan>e<span class=ev>sspan> remain<span class=ev>sspan> po<span class=ev>sspan><span class=ev>sspan>ible and traveller<span class=ev>sspan> to endemic area<span class=ev>sspan> <span class=ev>sspan>hould be adequately coun<span class=ev>sspan>elled. | 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 on kuitenkin vielä muualla 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, joten muualta tuotuina 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>et ovat 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>ia, ja matkailijat tarvit<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>evat 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>ianmukai<<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 neuvontaa, ennen kuin he lähtevät endeemi<<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 alueille. |
| Infection in human<span class=ev>sspan> occur<span class=ev>sspan> through inhalation of viru<span class=ev>sspan> in aero<span class=ev>sspan>ol from excreta of infected rodent<span class=ev>sspan>. | 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 <<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 hengittämällä 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>ia infektoituneiden 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>ijöiden 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. |
| Up to 80% of infection<span class=ev>sspan> may be without <span class=ev>sspan>ymptom<span class=ev>sspan>. | Jopa 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 tartunnoi<<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 on oireettomia. |
| Clinical illne<span class=ev>sspan><span class=ev>sspan> re<span class=ev>sspan>ult<span class=ev>sspan> in a <span class=ev>sspan>yndrome called “haemorrhagic fever with renal <span class=ev>sspan>yndrome” (al<span class=ev>sspan>o called “nephropatia epidemica”). | <<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>tuminen johtaa oireyhtymään nimeltä 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>oireinen verenvuotokuume (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>elta nimeltään myyräkuume). |
| The <span class=ev>sspan>ymptom<span class=ev>sspan> are fever, general tendency of bleeding and kidney failure. | Oireita ovat kuume, yleinen verenvuoto ja 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>ten vajaatoiminta. |
| Le<span class=ev>sspan><span class=ev>sspan> than 0.5% of tho<span class=ev>sspan>e who get the infection die. | Alle 0,5 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 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>ta henkilöi<<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 kuolee. |
| Natural re<span class=ev>sspan>ervoir<span class=ev>sspan> include <span class=ev>sspan>everal dome<span class=ev>sspan>tic and wild animal<span class=ev>sspan>, mo<span class=ev>sspan>t of which <span class=ev>sspan>how no <span class=ev>sspan>ign<span class=ev>sspan> of di<span class=ev>sspan>ea<span class=ev>sspan>e (although infection can cau<span class=ev>sspan>e abortion<span class=ev>sspan>). | <<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 luontai<<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 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>ervoaareja ovat 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>et koti- ja villieläimet, 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>ta 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>eimmilla ei näy mitään taudin oireita (mutta tartunta voi aiheuttaa 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). |
| Due to the high re<span class=ev>sspan>ilience in the environment of Coxiella, human<span class=ev>sspan> are mo<span class=ev>sspan>t often infected by inhalation of aero<span class=ev>sspan>ol<span class=ev>sspan> produced in contaminated location<span class=ev>sspan>, but other mode<span class=ev>sspan> of infection have been documented (including food-borne). | Coxiella <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>äilyy hyvin 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, joten 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 <<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 hengittämällä hiukka<<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>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>tuneilla alueilla, mutta muutkin tartuntatavat ovat 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>ia (kuten ruoan kautta <<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 tartunta). |
| After an incubation period of, u<span class=ev>sspan>ually, 2–3 week<span class=ev>sspan>, di<span class=ev>sspan>ea<span class=ev>sspan>e <span class=ev>sspan>ymptom<span class=ev>sspan> may appear but more frequently they do not. | 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 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 2–3 viikkoa, minkä jälkeen oireita voi ilmaantua, mutta niitä ilmaantuu vain harvoin. |
| Which <span class=ev>sspan>y<span class=ev>sspan>tem<span class=ev>sspan> are in place and in u<span class=ev>sspan>e to en<span class=ev>sspan>ure laboratory quality in the EU? | Millai<<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 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>telmiä 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 on 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><<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 laboratoriolaadun varmi<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>tami<<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? |
| A <span class=ev>sspan>eriou<span class=ev>sspan> clinical picture can <span class=ev>sspan>uddenly emerge characteri<span class=ev>sspan>ed by high fever, eye infection, re<span class=ev>sspan>piratory tract infection, and <span class=ev>sspan>evere headache. | Äkilli<<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 ilmenevälle vakavalle taudinkuvalle on ominai<<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 korkea kuume, <<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>, 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>tieinfektio ja voimaka<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> pään<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ärky. |
| Occa<span class=ev>sspan>ionally, the infection take<span class=ev>sspan> a chronic cour<span class=ev>sspan>e, leading to infection of the heart valve<span class=ev>sspan>, hepatiti<span class=ev>sspan> and other organ involvement. | Infektio voi 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>inaan 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 ja johtaa <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ydänläpän, 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 ja muiden elinten tulehduk<<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. |
| Acute ca<span class=ev>sspan>e<span class=ev>sspan> re<span class=ev>sspan>pond to appropriate antibiotic treatment but infected heart valve<span class=ev>sspan> may require <span class=ev>sspan>urgery. | Akuutit 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>et voidaan hoitaa <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>opivilla antibiooteilla, 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>ydänläppätulehdu<<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>aattaa vaatia leikkauk<<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. |
| The main<span class=ev>sspan>tay<span class=ev>sspan> of prevention aim at avoiding the production and inhalation of contaminated du<span class=ev>sspan>t and the con<span class=ev>sspan>umption of potentially contaminated food (e.g. un-pa<span class=ev>sspan>teuri<span class=ev>sspan>ed milk). | Tartunnan 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>emi<<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 pyritään välttämään <<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 pölyn muodo<<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>ta 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>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>äänhengity<<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>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ekä 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>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>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 elintarvikkeiden (kuten pa<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>töroimattoman maidon) nauttimi<<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. |
| Cla<span class=ev>sspan><span class=ev>sspan>ic rabie<span class=ev>sspan> i<span class=ev>sspan> e<span class=ev>sspan><span class=ev>sspan>entially a zoono<span class=ev>sspan>i<span class=ev>sspan> (infection that could <span class=ev>sspan>pread from animal<span class=ev>sspan> to human<span class=ev>sspan>), and mo<span class=ev>sspan>t animal<span class=ev>sspan> are <span class=ev>sspan>u<span class=ev>sspan>ceptible to it. | Perinteinen 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>ikauhu on lähinnä zoonoo<<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 (tauti, joka voi tarttua eläimi<<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 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), johon 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>eimmat eläimet voivat <<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>tua. |
| The main re<span class=ev>sspan>ervoir i<span class=ev>sspan> wild and dome<span class=ev>sspan>tic canid<span class=ev>sspan> (dog<span class=ev>sspan>, wolve<span class=ev>sspan>, foxe<span class=ev>sspan>, coyote<span class=ev>sspan>, dingoe<span class=ev>sspan>, jackal<span class=ev>sspan>). | Tärkein 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 ovat villit 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>yt koiraeläimet (koirat, <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>udet, ketut, kojootit, dingot, <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>akaalit). |
| <span class=ev><span class=ev>Sspan>span>ix other Ly<span class=ev>sspan><span class=ev>sspan>aviru<span class=ev>sspan>e<span class=ev>sspan> are now recogni<span class=ev>sspan>ed, who<span class=ev>sspan>e potential of giving di<span class=ev>sspan>ea<span class=ev>sspan>e in human<span class=ev>sspan> i<span class=ev>sspan> variable, and for which bat<span class=ev>sspan> are the re<span class=ev>sspan>ervoir. | Tähän menne<<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 on tunni<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>tettu kuu<<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 muuta ly<<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>ta, joiden kyky 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>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> 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 vaihtelee ja joiden 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>ervoaarina ovat lepakot. |
| Tran<span class=ev>sspan>mi<span class=ev>sspan><span class=ev>sspan>ion normally occur<span class=ev>sspan> through a bite or direct contact with the <span class=ev>sspan>aliva of an infected animal. | Tartunta tapahtuu 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 infektoituneen eläimen pureman 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 kautta. |
| After an incubation period of 3–8 week<span class=ev>sspan> (though <span class=ev>sspan>ometime<span class=ev>sspan> much longer), non-<span class=ev>sspan>pecific <span class=ev>sspan>ymptom<span class=ev>sspan> appear, <span class=ev>sspan>uch a<span class=ev>sspan> headache, fever and numbne<span class=ev>sspan><span class=ev>sspan> of the <span class=ev>sspan>kin around the <span class=ev>sspan>ite of the bite. | 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 3–8 viikkoa (<<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 olla paljon pidempikin), minkä jälkeen ilmaantuu 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>luontei<<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, kuten pään<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ärkyä, kuumetta ja ihon puutumi<<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 purema-alueella. |
| A pha<span class=ev>sspan>e of <span class=ev>sspan>eizure<span class=ev>sspan> and eventually coma follow<span class=ev>sspan>, which almo<span class=ev>sspan>t invariably lead to the patient’<span class=ev>sspan> death. | Näitä <<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 kohtauk<<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 lopulta kooma, joka johtaa lähe<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> aina potilaan kuolemaan. |
| Prevention i<span class=ev>sspan> po<span class=ev>sspan><span class=ev>sspan>ible by vaccination, including po<span class=ev>sspan>t-expo<span class=ev>sspan>ure immuni<span class=ev>sspan>ation to be given a<span class=ev>sspan> <span class=ev>sspan>oon after the expo<span class=ev>sspan>ure a<span class=ev>sspan> po<span class=ev>sspan><span class=ev>sspan>ible. | Taudin voi 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 rokotteella, joka voidaan antaa 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> 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>imman pian 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>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>en jälkeen. |
| Oral vaccination ha<span class=ev>sspan> proven effective in preventing the <span class=ev>sspan>pread of di<span class=ev>sspan>ea<span class=ev>sspan>e within wild animal population<span class=ev>sspan>. | <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>Sspan>span class=ev>sspan>pan>uun kautta otettava rokote on o<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>oittautunut tehokkaak<<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 tavak<<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 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 taudin 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>tä villieläimi<<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. |
| It i<span class=ev>sspan> tran<span class=ev>sspan>mitted from per<span class=ev>sspan>on to per<span class=ev>sspan>on via droplet<span class=ev>sspan> (the viru<span class=ev>sspan> i<span class=ev>sspan> pre<span class=ev>sspan>ent in throat <span class=ev>sspan>ecretion<span class=ev>sspan>). | <<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>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 pi<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>aratartuntana (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> on nieluerittei<<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). |
| It affect<span class=ev>sspan> mainly, but not only, children and when pregnant women are infected, it may re<span class=ev>sspan>ult in malformation of the foetu<span class=ev>sspan>. | <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>Sspan>span class=ev>sspan>pan>iihen <<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>tuvat 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 mutteivät yk<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>inomaan 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>et, ja 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 olevan 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>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>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>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>aattaa 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>ikiölle epämuodo<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>tumia. |
| About 20–50% of rubella infection<span class=ev>sspan> remain without <span class=ev>sspan>ymptom<span class=ev>sspan>. | Noin 20–50 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 vihurirokkotartunnoi<<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 on oireettomia. |
| Read more about rubella in the fact<span class=ev>sspan>heet for general public and fact<span class=ev>sspan>heet for health profe<span class=ev>sspan><span class=ev>sspan>ional<span class=ev>sspan> . | Lue 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>ää vihuriroko<<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>uurelle 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>ölle tarkoitetu<<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 tietolehti<<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 ja terveydenhuollon ammattilai<<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 tarkoitetu<<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 tietolehti<<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 . |
| In <span class=ev>sspan>ymptomatic ca<span class=ev>sspan>e<span class=ev>sspan>, after an incubation period of 2–3 week<span class=ev>sspan>, patient<span class=ev>sspan> develop <span class=ev>sspan>wollen lymph gland<span class=ev>sspan>, malai<span class=ev>sspan>e, ra<span class=ev>sspan>h, and upper re<span class=ev>sspan>piratory tract <span class=ev>sspan>ymptom<span class=ev>sspan>. | Oireilevi<<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 potilaille ilmaantuu 2–3 viikon 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 imu<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>olmukkeiden turpoami<<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, huonovointi<<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, ihottumaa ja ylähengity<<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 oireita. |
| Rare complication<span class=ev>sspan> include <span class=ev>sspan>kin bleeding<span class=ev>sspan>, brain infection, neuriti<span class=ev>sspan>, and inflammation of the te<span class=ev>sspan>ticle<span class=ev>sspan>. | 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>ia jälkitauteja ovat muun mua<<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 ihon verenvuoto, aivotulehdu<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>, hermotulehdu<<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 kive<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>tulehdu<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>. |
| The mo<span class=ev>sspan>t <span class=ev>sspan>eriou<span class=ev>sspan> con<span class=ev>sspan>equence<span class=ev>sspan> of rubella infection occur when it i<span class=ev>sspan> acquired during the fir<span class=ev>sspan>t 3 month<span class=ev>sspan> of pregnancy. | Vihurirokkotartunnan <<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>et ovat vakavimmat, 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> <<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 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>kauden 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>immäi<<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 kolmannek<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ella. |
| In thi<span class=ev>sspan> <span class=ev>sspan>ituation the viru<span class=ev>sspan> can affect all the organ<span class=ev>sspan> of the developing foetu<span class=ev>sspan>, cau<span class=ev>sspan>ing foetal death, mi<span class=ev>sspan>carriage, or congenital malformation. | <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>Sspan>span class=ev>sspan>pan>illoin 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> voi vaikuttaa kaikkiin <<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 elimiin ja 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 kuoleman, 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 <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ynnynnäi<<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 epämuodo<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>tuman. |
| An infant infected with rubella during pregnancy can continue to <span class=ev>sspan>hed the viru<span class=ev>sspan> for about one year, <span class=ev>sspan>ometime<span class=ev>sspan> longer. | Vauva, joka 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>aanut vihurirokkotartunnan 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>kauden aikana, voi jatkaa 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 levittämi<<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 vielä vuoden ajan tai pidempäänkin. |
| <span class=ev><span class=ev>Sspan>span>almonello<span class=ev>sspan>i<span class=ev>sspan> | <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>Sspan>span class=ev>sspan>pan>almonelloo<<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 |
| Enteric infection<span class=ev>sspan> due to <span class=ev><span class=ev>Sspan>span>almonella bacteria are generally referred to by the term ‘<span class=ev>sspan>almonello<span class=ev>sspan>i<span class=ev>sspan>’ when they are due to <span class=ev><span class=ev>Sspan>span>almonella <span class=ev>sspan>pecie<span class=ev>sspan> other than <span class=ev><span class=ev>Sspan>span>almonella typhi and <span class=ev><span class=ev>Sspan>span>almonella paratyphi. | <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>Sspan>span class=ev>sspan>pan>almonella-bakteerin aiheuttamia <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>uoli<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>totulehduk<<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 kut<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>utaan 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>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>almonelloo<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>eik<<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>illoin, kun niiden aiheuttajana on jokin muu <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>Sspan>span class=ev>sspan>pan>almonella-laji kuin <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>Sspan>span class=ev>sspan>pan>almonella typhi 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>almonella paratyphi. |
| Variou<span class=ev>sspan> animal<span class=ev>sspan> (e<span class=ev>sspan>pecially poultry, pig<span class=ev>sspan>, cattle, and reptile<span class=ev>sspan>) can be re<span class=ev>sspan>ervoir<span class=ev>sspan> for <span class=ev><span class=ev>Sspan>span>almonella, and human<span class=ev>sspan> generally become infected by eating poorly cooked, contaminated food. | 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>et eläimet (etenkin <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>iipikarja, <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>iat, naudat ja matelijat) voivat 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>almonellan 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>ervoaarina, ja 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 <<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>yömällä <<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>tunutta ruokaa, jota ei ole kyp<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ennetty kunnolla. |
| The incubation period and the <span class=ev>sspan>ymptom<span class=ev>sspan> depend on the amount of bacteria pre<span class=ev>sspan>ent in the food, the immune <span class=ev>sspan>tatu<span class=ev>sspan> of the per<span class=ev>sspan>on and the type of <span class=ev><span class=ev>Sspan>span>almonella. | 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 ja oireet riippuvat bakteerien määrä<<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 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><<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, yk<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ilölli<<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 immuniteeti<<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 <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>Sspan>span class=ev>sspan>pan>almonella-laji<<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. |
| In general, 12 to 36 hour<span class=ev>sspan> after the con<span class=ev>sspan>umption of contaminated food, a clinical picture characteri<span class=ev>sspan>ed by fever, diarrhoea, abdominal pain, nau<span class=ev>sspan>ea and vomiting may appear. | Taudinkuva, jolle on ominai<<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 kuume, ripuli, mahakipu, pahoinvointi ja 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>entelu, kehittyy 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 12–36 tunnin kulue<<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>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 nauttimi<<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><span class=ev>Sspan>span>ymptom<span class=ev>sspan> u<span class=ev>sspan>ually la<span class=ev>sspan>t for a few day<span class=ev>sspan>. | Oireet jatkuvat 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 muutaman päivän. |
| Due to the effect<span class=ev>sspan> of dehydration, ho<span class=ev>sspan>pital admi<span class=ev>sspan><span class=ev>sspan>ion may <span class=ev>sspan>ometime<span class=ev>sspan> be required. | Potilaat <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>aattavat 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>inaan tarvita <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>airaalahoitoa kuivumi<<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 takia. |
| In the elderly and otherwi<span class=ev>sspan>e weak patient<span class=ev>sspan> death <span class=ev>sspan>ometime<span class=ev>sspan> occur<span class=ev>sspan>. | 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>et ja muuten heikot potilaat <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>aattavat menehtyä. |
| Elderly patient<span class=ev>sspan> are al<span class=ev>sspan>o more prone to developing <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>et ovat 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> muita alttiimpia vakavalle 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>infektiolle. |
| In addition, po<span class=ev>sspan>t-infectiou<span class=ev>sspan> complication<span class=ev>sspan>, <span class=ev>sspan>uch a<span class=ev>sspan> reactive joint inflammation occur in about 10% of the ca<span class=ev>sspan>e<span class=ev>sspan>. | 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>äk<<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 noin 10 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 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>ta liittyy jälkitauteja, kuten reaktiivinen niveltulehdu<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>. |
| Diarrhoea-cau<span class=ev>sspan>ing <span class=ev><span class=ev>Sspan>span>almonellae are pre<span class=ev>sspan>ent worldwide. | Ripulia aiheuttavia <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>Sspan>span class=ev>sspan>pan>almonella-bakteereja on 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. |
| Prophylactic mea<span class=ev>sspan>ure<span class=ev>sspan> are aimed at all <span class=ev>sspan>tage<span class=ev>sspan> of food <span class=ev>sspan>upply, from production to di<span class=ev>sspan>tribution and con<span class=ev>sspan>umption. | 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>evät toimet kattavat kaikki elintarvikeketjun vaiheet aina tuotanno<<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 jakeluun ja kulutuk<<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. |
| <span class=ev><span class=ev>Sspan>span>evere acute re<span class=ev>sspan>piratory <span class=ev>sspan>yndrome (<span class=ev><span class=ev>Sspan>span>AR<span class=ev><span class=ev>Sspan>span>) | Äkillinen vakava 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>tieoireyhtymä (<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>Sspan>span class=ev>sspan>pan>AR<<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><span class=ev>Sspan>span>evere acute re<span class=ev>sspan>piratory <span class=ev>sspan>yndrome (<span class=ev><span class=ev>Sspan>span>AR<span class=ev><span class=ev>Sspan>span>) i<span class=ev>sspan> a life-threatening re<span class=ev>sspan>piratory di<span class=ev>sspan>ea<span class=ev>sspan>e cau<span class=ev>sspan>ed by a recently identified coronaviru<span class=ev>sspan>; the <span class=ev><span class=ev>Sspan>span>AR<span class=ev><span class=ev>Sspan>span>-a<span class=ev>sspan><span class=ev>sspan>ociated coronaviru<span class=ev>sspan> (<span class=ev><span class=ev>Sspan>span>AR<span class=ev><span class=ev>Sspan>span>-CoV). | Äkillinen vakava 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>tieoireyhtymä (<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>Sspan>span class=ev>sspan>pan>AR<<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 hengenvaarallinen 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>tie<<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>, jonka aiheuttaa hiljattain tunni<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>tettu <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>Sspan>span class=ev>sspan>pan>AR<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>Sspan>span class=ev>sspan>pan>-koronaviru<<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>AR<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>Sspan>span class=ev>sspan>pan>-CoV). |
| Thi<span class=ev>sspan> i<span class=ev>sspan> believed to be an animal viru<span class=ev>sspan> that recently cro<span class=ev>sspan><span class=ev>sspan>ed the <span class=ev>sspan>pecie<span class=ev>sspan> barrier to infect human<span class=ev>sspan>. | <<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 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>kotaan olevan eläinviru<<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 on 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>kettäin ylittänyt lajien 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>en kuilun ja joka tarttuu nyt 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. |
| The fir<span class=ev>sspan>t ca<span class=ev>sspan>e<span class=ev>sspan> of di<span class=ev>sspan>ea<span class=ev>sspan>e in human<span class=ev>sspan> are believed to have occurred in Guangdong province, China, in November 2002, but the <span class=ev>sspan>yndrome wa<span class=ev>sspan> only recogni<span class=ev>sspan>ed three month<span class=ev>sspan> later. | 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>illä tauti todettiin 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>immäi<<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 kerran Guangongin maakunna<<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 Kiina<<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 marra<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>kuu<<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 2002, mutta oireyhtymä tunni<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>tettiin 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 kolme kuukautta myöhemmin. |
| A high fever then appear<span class=ev>sspan> accompanied by general <span class=ev>sspan>ymptom<span class=ev>sspan> and, often, by diarrhoea. | <<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 jälkeen ilmaantuu korkea kuume 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 <<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 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 ripulia. |
