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It i<span class=ev>sspan> an infection a<span class=ev>sspan><span class=ev>sspan>ociated with <span class=ev>sspan>eriou<span class=ev>sspan> di<span class=ev>sspan>ea<span class=ev>sspan>e, per<span class=ev>sspan>i<span class=ev>sspan>tently high co<span class=ev>sspan>t<span class=ev>sspan> of treatment and care, <span class=ev>sspan>ignificant number of death<span class=ev>sspan> and <span class=ev>sspan>hortened life expectancy.HIV-infektio on vakava <<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 hoitoku<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>tannuk<<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 korkeat ja johon liittyy korkea 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> <<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 lyhentynyt elinajanodote.
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 incubation 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.
HIV i<span class=ev>sspan> <span class=ev>sspan>pread by <span class=ev>sspan>exual contact with an infected per<span class=ev>sspan>on, by <span class=ev>sspan>haring needle<span class=ev>sspan> or <span class=ev>sspan>yringe<span class=ev>sspan> (primarily for drug injection) with <span class=ev>sspan>omeone who i<span class=ev>sspan> infected, or, le<span class=ev>sspan><span class=ev>sspan> commonly (and now very rarely in countrie<span class=ev>sspan> where blood i<span class=ev>sspan> <span class=ev>sspan>creened for HIV antibodie<span class=ev>sspan>), through tran<span class=ev>sspan>fu<span class=ev>sspan>ion<span class=ev>sspan> of infected blood or blood clotting factor<span class=ev>sspan>.HIV leviää <<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><<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 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>aaneelta henkilöltä, neulojen tai 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>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><<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 (lähinnä huumeiden injektiokäytö<<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) 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>aaneelta henkilöltä tai harvemmin (ja nykyään hyvin harvoin 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, 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 vere<<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 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>tataan HIV:n 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-aineet) veren 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>en hyytymi<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>tekijöiden <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>iirro<<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>aaneelta henkilöltä.
Babie<span class=ev>sspan> born to HIV-infected women may become infected before or during birth or through brea<span class=ev>sspan>t-feeding.HIV-infektion <<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 äitien 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 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>aada tartunnan 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, <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ynnytyk<<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 tai imetyk<<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 kautta.
The end-<span class=ev>sspan>tage of the infection, acquired immunodeficiency <span class=ev>sspan>yndrome (AID<span class=ev><span class=ev>Sspan>span>), re<span class=ev>sspan>ult<span class=ev>sspan> from the de<span class=ev>sspan>truction of the immune <span class=ev>sspan>y<span class=ev>sspan>tem.Infektion loppuvaihe, hankinnainen immuunivajavuu<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> (AID<<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>euraa 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 romahtami<<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.
AID<span class=ev><span class=ev>Sspan>span> i<span class=ev>sspan> defined by the pre<span class=ev>sspan>ence of one or more “opportuni<span class=ev>sspan>tic” illne<span class=ev>sspan><span class=ev>sspan>e<span class=ev>sspan> (other illne<span class=ev>sspan><span class=ev>sspan>e<span class=ev>sspan> due to decrea<span class=ev>sspan>ed immunity).AID<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>Sspan>span class=ev>sspan>pan> määritellään yhden tai 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>ean "opportuni<<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>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>airauden (immuniteetin 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 johtuvan muun <<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) 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>iintymi<<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.
Effective combination therapie<span class=ev>sspan>, introduced in the mid-1990<span class=ev>sspan> and widely u<span class=ev>sspan>ed in indu<span class=ev>sspan>triali<span class=ev>sspan>ed countrie<span class=ev>sspan>, have had a profound effect on the cour<span class=ev>sspan>e of HIV infection, improving the quality of life and delaying the on<span class=ev>sspan>et of AID<span class=ev><span class=ev>Sspan>span> and death in HIV-infected individual<span class=ev>sspan>.Teolli<<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>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 1990-luvun puoliväli<<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 lähtien 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 tehokkaat 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>telmähoidot ovat vaikuttaneet voimakkaa<<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 HIV-infektion 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>een. Ne parantavat HIV-infektion <<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 elämänlaatua, hida<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>tavat AID<<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 puhkeami<<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 pidentävät elinaikaa.
However, intolerance to <span class=ev>sspan>ide effect<span class=ev>sspan> and appearance of re<span class=ev>sspan>i<span class=ev>sspan>tant <span class=ev>sspan>train<span class=ev>sspan> remain cau<span class=ev>sspan>e<span class=ev>sspan> for concern.Voimakkaat <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ivuvaikutuk<<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>ekä 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>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>tenttien kantojen ilmaantuminen ovat kuitenkin edelleen huolena.
<span class=ev><span class=ev>Sspan>span>ince their di<span class=ev>sspan>covery, antibiotic<span class=ev>sspan> have revolutioni<span class=ev>sspan>ed the way we treat patient<span class=ev>sspan> with bacterial infection<span class=ev>sspan> and have contributed to reducing the mortality and morbidity from bacterial di<span class=ev>sspan>ea<span class=ev>sspan>e<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 jälkeen kun antibiootit kek<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ittiin, ne ovat mulli<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>taneet bakteeri-infektioiden hoidon ja vähentäneet bakteeritaudei<<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 johtuvaa 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>uutta 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>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>tunei<<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.
They are al<span class=ev>sspan>o an e<span class=ev>sspan><span class=ev>sspan>ential tool for modern medicine and common procedure<span class=ev>sspan> <span class=ev>sspan>uch a<span class=ev>sspan> tran<span class=ev>sspan>plant<span class=ev>sspan>, chemotherapy for cancer and even orthopaedic <span class=ev>sspan>urgery could not be performed without the availability of potent antibiotic<span class=ev>sspan>.Ne 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> olennai<<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 tärkeitä nykylääketieteelle, eikä 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 toimenpiteitä, kuten elin<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>iirtoleikkauk<<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>yövän kemoterapiaa eli <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>olu<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>alpaajahoitoja tai ede<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> ortopedi<<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 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>ia 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>i tehdä ilman tehokkaita antibiootteja.
<span class=ev><span class=ev>Sspan>span>imilarly when diagno<span class=ev>sspan>e<span class=ev>sspan> are not accurately made, more often than not, broad-<span class=ev>sspan>pectrum antibiotic<span class=ev>sspan>, i.e. antibiotic<span class=ev>sspan> that kill a large proportion of variou<span class=ev>sspan> bacteria and not only the bacteria re<span class=ev>sspan>pon<span class=ev>sspan>ible for the di<span class=ev>sspan>ea<span class=ev>sspan>e, are pre<span class=ev>sspan>cribed becau<span class=ev>sspan>e the micro-organi<span class=ev>sspan>m re<span class=ev>sspan>pon<span class=ev>sspan>ible for the infection i<span class=ev>sspan> not known.<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>Sspan>span class=ev>sspan>pan>amaten puutteelli<<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 diagnoo<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ien <<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 määrätään liian 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 laajakirjoi<<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 antibiootteja, eli antibiootteja, jotka tappavat taudin aiheuttajan 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 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 muita bakteereja, kun infektion aiheuttajaa ei tiedetä.
The<span class=ev>sspan>e example<span class=ev>sspan> of mi<span class=ev>sspan>u<span class=ev>sspan>e promote the emergence and the <span class=ev>sspan>election of re<span class=ev>sspan>i<span class=ev>sspan>tant bacteria.Nämä ovat 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>imerkkejä väärinkäytö<<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, joka edi<<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 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>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>tenttien bakteerien kehittymi<<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.
Con<span class=ev>sspan>idering the mechani<span class=ev>sspan>m<span class=ev>sspan> behind the emergence of AMR, the <span class=ev>sspan>trategy to fight it i<span class=ev>sspan> rather <span class=ev>sspan>traightforward:Kun otetaan huomioon antibioottire<<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>in kehittymi<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>mekani<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>mi, <<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 torjunta<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>trategia on melko 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>inkertainen:
- prevent the <span class=ev>sspan>pread of re<span class=ev>sspan>i<span class=ev>sspan>tant <span class=ev>sspan>train<span class=ev>sspan> between per<span class=ev>sspan>on<span class=ev>sspan>.- 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>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>tenttien kantojen leviäminen henkilöltä 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>elle 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>tettävä.
Anthrax i<span class=ev>sspan> a zoonotic di<span class=ev>sspan>ea<span class=ev>sspan>e (could be tran<span class=ev>sspan>ferred from animal<span class=ev>sspan> to human<span class=ev>sspan>) cau<span class=ev>sspan>ed by the <span class=ev>sspan>pore-producing bacterium Bacillu<span class=ev>sspan> anthraci<span class=ev>sspan>.Pernarutto on itiöitä 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>tavan Bacillu<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> anthraci<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> -bakteerin aiheuttama 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 <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>iirtyä eläime<<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>een).
Re<span class=ev>sspan>ervoir<span class=ev>sspan> are gra<span class=ev>sspan><span class=ev>sspan>-eating animal<span class=ev>sspan>, and the <span class=ev>sspan>pore<span class=ev>sspan> can <span class=ev>sspan>urvive in the environment for decade<span class=ev>sspan>.Bakteerin 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 ruohoa <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>yövät eläimet, ja itiöt voivat elää ympäri<<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<<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 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>ikymmeniä.
The di<span class=ev>sspan>ea<span class=ev>sspan>e i<span class=ev>sspan> endemic in <span class=ev>sspan>everal region<span class=ev>sspan> of the world, including <span class=ev>sspan>outhern and ea<span class=ev>sspan>tern Europe.Tautia 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 monilla alueilla eri puolilla maailmaa, 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> Etelä- ja Itä-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.
Human<span class=ev>sspan> may acquire the infection after expo<span class=ev>sspan>ure to <span class=ev>sspan>pore<span class=ev>sspan>, and <span class=ev>sspan>ymptom<span class=ev>sspan> appear one to <span class=ev>sspan>even day<span class=ev>sspan> (up to 60 day<span class=ev>sspan>) later.Pernarutto 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>een itiölle 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 kautta, 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 oireet ilmaantuvat viikon (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> jopa 60 päivän) 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.
Clinical pre<span class=ev>sspan>entation<span class=ev>sspan> include <span class=ev>sspan>kin anthrax, lung anthrax, (with 75% death rate) and ga<span class=ev>sspan>trointe<span class=ev>sspan>tinal form<span class=ev>sspan> (that may progre<span class=ev>sspan><span class=ev>sspan> to blood infection and death).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 tavattaviin tautimuotoihin kuuluvat ihopernarutto, keuhkopernarutto (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>a 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 75 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) ja ga<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>trointe<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>tinaalinen pernarutto (joka voi johtaa 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>infektioon ja kuolemaan).
Antibiotic treatment i<span class=ev>sspan> effective if given at an early <span class=ev>sspan>tage.Tauti voidaan hoitaa antibiooteilla, 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> hoito aloitetaan riittävän aikai<<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.
di<span class=ev>sspan>infection, decontamination and di<span class=ev>sspan>po<span class=ev>sspan>al of contaminated material<span class=ev>sspan> and decontamination of the environment.<<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>tunut aine<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> de<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>infioidaan, <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>teriloidaan ja hävitetään ja ympäri<<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 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>tetaan.
The<span class=ev>sspan>e are divided into tho<span class=ev>sspan>e of high and low pathogenicity according to the <span class=ev>sspan>everity of infection in bird<span class=ev>sspan>.Ne jaetaan matala- ja korkeapatogeeni<<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 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>iin <<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 mukaan, kuinka 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 ne aiheuttavat linnuilla.
<span class=ev><span class=ev>Sspan>span>ince 1997 a new and more deadly <span class=ev>sspan>train of highly pathogenic avian influenza viru<span class=ev>sspan> (A/H5N1) ha<span class=ev>sspan> appeared in dome<span class=ev>sspan>tic poultry and human<span class=ev>sspan>, initially in <span class=ev>sspan>outhern China where the fir<span class=ev>sspan>t human-to-human tran<span class=ev>sspan>mi<span class=ev>sspan><span class=ev>sspan>ion took place.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 1997 lähtien <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>iipikarjan 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>ten 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 on levinnyt korkeapatogeeni<<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 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 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 ja aiempaa tappavampi kanta (A/H5N1). Kanta on lähtöi<<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 Etelä-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>ta, 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>a 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> todettiin <<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 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>et 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>eltä 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>elle tapahtuneet tartunnat.
After 2003, influenza A/H5N1 appeared in many A<span class=ev>sspan>ian countrie<span class=ev>sspan> cau<span class=ev>sspan>ing huge outbreak<span class=ev>sspan> in bird<span class=ev>sspan> and a <span class=ev>sspan>mall number of <span class=ev>sspan>evere human infection<span class=ev>sspan>, almo<span class=ev>sspan>t entirely among people with clo<span class=ev>sspan>e contact<span class=ev>sspan> with dome<span class=ev>sspan>tic poultry.Vuoden 2003 jälkeen A/H5N1-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>aa 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>iintynyt 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>ei<<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 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>ian 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, 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 <<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 on aiheuttanut epidemioita lintujen 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 ja vakavan infektion muutamalla 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>ellä, jotka ovat 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> kaikki 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 tekemi<<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 <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>iipikarjan kan<<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.
There have been a few example<span class=ev>sspan> of per<span class=ev>sspan>on-to-per<span class=ev>sspan>on tran<span class=ev>sspan>mi<span class=ev>sspan><span class=ev>sspan>ion<span class=ev>sspan> but no further <span class=ev>sspan>pread.Taudin on todettu pari<<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>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 tarttuneen 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>eltä 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>elle, 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 ei ole levinnyt <<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 laajemmalle.
Thi<span class=ev>sspan> A/H5N1 group ha<span class=ev>sspan> <span class=ev>sspan>hown it<span class=ev>sspan>elf to be unu<span class=ev>sspan>ually <span class=ev>sspan>table for an avian influenza <span class=ev>sspan>train and ha<span class=ev>sspan> <span class=ev>sspan>pread among bird<span class=ev>sspan> in two wave<span class=ev>sspan>, the <span class=ev>sspan>econd of which took it out of <span class=ev>sspan>outh and <span class=ev>sspan>outh-ea<span class=ev>sspan>t A<span class=ev>sspan>ia to Europe and Africa through migratory bird<span class=ev>sspan> and trade.Tämä A/H5N1-kanta 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 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>en 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>täväk<<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 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>akannak<<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>e on levinnyt lintujen 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 kahtena aaltona, 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 jälkimmäinen kantoi <<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 Etelä- ja Kaakkoi<<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>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>ta muuttolintujen ja kauppavirtojen mukana Eurooppaan ja Afrikkaan.
The viru<span class=ev>sspan> i<span class=ev>sspan> poorly adapted to human<span class=ev>sspan> who are difficult to infect except at high do<span class=ev>sspan>e<span class=ev>sspan>.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> ei tartu 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 herkä<<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, vaan ainoa<<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 <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>uurina määrinä.
The danger to human<span class=ev>sspan> lie<span class=ev>sspan> in the fact that the <span class=ev>sspan>train i<span class=ev>sspan> highly pathogenic in tho<span class=ev>sspan>e few human<span class=ev>sspan> that do become infected.Taudin vaara 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 piilee <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>iinä, että kanta on erittäin patogeeninen niillä muutamalla, jotka <<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.
Botuli<span class=ev>sspan>m i<span class=ev>sspan> a <span class=ev>sspan>eriou<span class=ev>sspan> paralytic illne<span class=ev>sspan><span class=ev>sspan> cau<span class=ev>sspan>ed by a nerve toxin produced by the bacterium Clo<span class=ev>sspan>tridium botulinum.Botuli<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>mi on vakava halvaannuttava <<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 Clo<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>tridium botulinum -bakteerin tuottama hermomyrkky.
The di<span class=ev>sspan>ea<span class=ev>sspan>e may occur after eating food<span class=ev>sspan> containing the toxin or due to development of the <span class=ev>sspan>pore<span class=ev>sspan> within the inte<span class=ev>sspan>tine of young children or within wound<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>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> voi puhjeta myrkkyä <<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>ältävän 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>en jälkeen tai itiöiden kehityttyä pienten 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 <<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>to<<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 tai haavoi<<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.
Food botuli<span class=ev>sspan>m i<span class=ev>sspan> the dominating form of the di<span class=ev>sspan>ea<span class=ev>sspan>e, and paralytic <span class=ev>sspan>ymptom<span class=ev>sspan> generally appear after an incubation period of 12–36 hour<span class=ev>sspan> (up to <span class=ev>sspan>everal day<span class=ev>sspan>) after con<span class=ev>sspan>umption of the toxin-containing food.Elintarvikkei<<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 johtuva botuli<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>mi on taudin 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 muoto. 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>oireet ilmaantuvat 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 12–36 tunnin (jopa vuorokau<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ien) 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 myrkkyä <<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>ältävän 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.
The <span class=ev>sspan>ymptom<span class=ev>sspan> may be very <span class=ev>sspan>evere, and require inten<span class=ev>sspan>ive-care treatment and the admini<span class=ev>sspan>tration of an anti-toxin.Oireet voivat olla erittäin vakavia, ja ne edellyttävät tehohoitoa ja 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>tamyrkkyä.
Due to the extremely high potency of the toxin, botuli<span class=ev>sspan>m i<span class=ev>sspan> included among the potential bio-terrori<span class=ev>sspan>t threat<span class=ev>sspan>.Myrkyn voimakkuuden takia botuli<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>mi 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>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>ällytetty 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>iin bioterroriuhkiin.
Following laboratory accident<span class=ev>sspan>, the toxin ha<span class=ev>sspan> al<span class=ev>sspan>o cau<span class=ev>sspan>ed <span class=ev>sspan>ymptom<span class=ev>sspan> on inhalation, with a <span class=ev>sspan>ub<span class=ev>sspan>tantially reduced incubation period.Laboratorioi<<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 tapahtuneiden onnettomuuk<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ien <<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 myrkky on aiheuttanut oireita 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> <<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>äänhengitettynä, 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>illoin 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 ollut 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 lyhyempi.
The common re<span class=ev>sspan>ervoir<span class=ev>sspan> for Brucella bacteria that may infect human<span class=ev>sspan> are cattle, dog<span class=ev>sspan>, <span class=ev>sspan>heep, goat<span class=ev>sspan>, and pig<span class=ev>sspan>.Brucella-bakteerin 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>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, 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 tauti voi tarttua 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, ovat naudat, koirat, lampaat, vuohet 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>iat.
Brucello<span class=ev>sspan>i<span class=ev>sspan> occur<span class=ev>sspan> worldwide but the Mediterranean region ha<span class=ev>sspan> been particularly affected.Bru<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>elloo<<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 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>iintyä 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, mutta 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>en yleinen <<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 on Välimeren alueella.
Human<span class=ev>sspan> become infected by direct or indirect contact with animal<span class=ev>sspan> or with contaminated animal product<span class=ev>sspan> (including unpa<span class=ev>sspan>teuri<span class=ev>sspan>ed milk and dairy product<span class=ev>sspan>) or by the inhalation of aero<span class=ev>sspan>ol<span class=ev>sspan>.Tauti 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 <<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 tai välilli<<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 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 eläimiin 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>tunei<<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 eläintuottei<<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 (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> 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>töroimattomi<<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 maito- ja meijerituottei<<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 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>ten hengittämi<<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 kautta.
After an incubation period of five to 60 day<span class=ev>sspan>, <span class=ev>sspan>ymptom<span class=ev>sspan> may appear either acutely or in<span class=ev>sspan>idiou<span class=ev>sspan>ly.Taudin 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 5–60 vuorokautta, minkä jälkeen oireet voivat ilmaantua joko 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 tai vähitellen.
Untreated, the di<span class=ev>sspan>ea<span class=ev>sspan>e may become chronic.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> tautia ei hoideta, <<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 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.
The variou<span class=ev>sspan> <span class=ev>sspan>ymptom<span class=ev>sspan> are both general (fever, weakne<span class=ev>sspan><span class=ev>sspan>, joint pain) and organ-<span class=ev>sspan>pecific (including infection<span class=ev>sspan> in the brain infection and heart valve<span class=ev>sspan>).Oireet voivat olla 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 (kuume, heikotu<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>, nivelkipu), 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>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>ia, jotka vaikuttavat tiettyyn elimeen (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 infektiot aivo<<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 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>ydänläpä<<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).
Control mea<span class=ev>sspan>ure<span class=ev>sspan> include animal vaccination and/or te<span class=ev>sspan>t-and-<span class=ev>sspan>laughter of infected animal<span class=ev>sspan>, a<span class=ev>sspan> well a<span class=ev>sspan> pa<span class=ev>sspan>teuri<span class=ev>sspan>ation of milk and dairy product<span class=ev>sspan>.Torjuntatoimiin kuuluvat eläinten rokottaminen ja/tai 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 eläinten 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> ja teura<<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> <<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 maito- ja meijerituotteiden 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>törointi.
Campylobacterio<span class=ev>sspan>i<span class=ev>sspan> i<span class=ev>sspan> a diarrhoeal di<span class=ev>sspan>ea<span class=ev>sspan>e cau<span class=ev>sspan>ed by Campylobacter bacteria, found in animal<span class=ev>sspan> <span class=ev>sspan>uch a<span class=ev>sspan> poultry, cattle, pig<span class=ev>sspan>, wild bird<span class=ev>sspan> and wild mammal<span class=ev>sspan>.Kampylobakterioo<<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 on ripulitauti, jonka aiheuttaa eläinten, kuten <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>iipikarjan, nautakarjan, <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ikojen, villilintujen ja luonnonvarai<<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 ni<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>äkkäiden kantama kampylobakteeri.
The mo<span class=ev>sspan>t frequent way of getting infected i<span class=ev>sspan> through the con<span class=ev>sspan>umption of contaminated food (mainly poultry) or water.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>in tartuntatapa 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>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 (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>iipikarjan) tai veden nauttiminen.
Other ri<span class=ev>sspan>k factor<span class=ev>sspan> include <span class=ev>sspan>wimming in natural <span class=ev>sspan>urface-water<span class=ev>sspan> and direct contact with infected animal<span class=ev>sspan>.Muita 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>kitekijöitä ovat uinti <<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><<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 pintavede<<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 <<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 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>ketu<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> 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>aanee<<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 eläimeen.
After an incubation period of 2–5 day<span class=ev>sspan> (range 1–10 day<span class=ev>sspan>) common <span class=ev>sspan>ymptom<span class=ev>sspan> are <span class=ev>sspan>evere abdominal pain, watery and/or bloody diarrhoea and fever.Taudin 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 2–5 vuorokautta (vaihteluväli 1–10 vuorokautta), minkä jälkeen 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 ovat kova vat<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>akipu, vetinen ja/tai verinen ripuli ja kuume.
Chikungunya i<span class=ev>sspan> pre<span class=ev>sspan>ent in part<span class=ev>sspan> of Africa, <span class=ev><span class=ev>Sspan>span>outhea<span class=ev>sspan>t A<span class=ev>sspan>ia and on the Indian <span class=ev>sspan>ubcontinent.Chikungunya-kuumetta 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 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>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 Afrikkaa, Kaakkoi<<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>iaa <<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 Intian niemimaata.
U<span class=ev>sspan>ually, <span class=ev>sspan>ymptom<span class=ev>sspan> la<span class=ev>sspan>t for a few day<span class=ev>sspan> and the di<span class=ev>sspan>ea<span class=ev>sspan>e i<span class=ev>sspan> <span class=ev>sspan>elf-limiting but occa<span class=ev>sspan>ionally they will per<span class=ev>sspan>i<span class=ev>sspan>t and re<span class=ev>sspan>ult in ho<span class=ev>sspan>pitali<span class=ev>sspan>ation.Oireet 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>tävät 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 muutaman päivän ja tauti paranee 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, mutta 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 oireet jatkuvat ja vaativat <<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.
Antimicrobial therapy i<span class=ev>sspan> <span class=ev>sspan>eldom needed.Antibioottihoitoa tarvitaan vain harvoin.
Campylobacter infection ha<span class=ev>sspan> been a<span class=ev>sspan><span class=ev>sspan>ociated with complication<span class=ev>sspan> <span class=ev>sspan>uch a<span class=ev>sspan> later joint inflammation (5–10% of ca<span class=ev>sspan>e<span class=ev>sspan>) and, on rare occa<span class=ev>sspan>ion<span class=ev>sspan>, Guillain-Barré <span class=ev>sspan>yndrome (a temporary but <span class=ev>sspan>evere paraly<span class=ev>sspan>i<span class=ev>sspan> that may be total).Kampylobakteerin aiheuttamaan infektioon voi liittyä <<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>ia jälkitauteja kuin 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> (5–10 % 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) ja harvoin Guillain-Barrén oireyhtymä (ohimenevä mutta 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> halvaantuminen, joka voi olla täydellinen).
The mo<span class=ev>sspan>t recent large outbreak<span class=ev>sspan> were reported in 2005–2006 from Réunion I<span class=ev>sspan>land, Mauritiu<span class=ev>sspan>, Mayotte and <span class=ev>sspan>everal Indian <span class=ev>sspan>tate<span class=ev>sspan>.Viimei<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>immät laajat epidemiat todettiin 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>ina 2005–2006 Réunionilla, Mauritiuk<<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, Mayottella ja 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>ei<<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 Intian 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>avaltioi<<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.
A<span class=ev>sspan> a prophylactic mea<span class=ev>sspan>ure, control of Campylobacter coloni<span class=ev>sspan>ation in poultry i<span class=ev>sspan> important, a<span class=ev>sspan> well a<span class=ev>sspan> hygienic proce<span class=ev>sspan><span class=ev>sspan>ing of meat, and the protection and control of private drinking water <span class=ev>sspan>upplie<span class=ev>sspan>.Infektion 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>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 on tärkeää torjua kampylobakteerin 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 <<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><<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, 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>itellä lihaa hygieeni<<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>ekä <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>uojata ja valvoa 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>ityi<<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 juomaveden lähteitä.
Crimean Congo haemorrhagic fever (CCHF) i<span class=ev>sspan> a tick-borne viral di<span class=ev>sspan>ea<span class=ev>sspan>e with <span class=ev>sspan>ymptom<span class=ev>sspan> <span class=ev>sspan>uch a<span class=ev>sspan> high fever, mu<span class=ev>sspan>cle pain, dizzine<span class=ev>sspan><span class=ev>sspan>, abnormal <span class=ev>sspan>en<span class=ev>sspan>itivity to light, abdominal pain and vomiting.Krimin-Kongon verenvuotokuume on punkkien levittämä 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>tauti, jonka oireita ovat korkea 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, huimau<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>, valoherkkyy<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>, vat<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>akipu 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.
Later on, <span class=ev>sspan>harp mood <span class=ev>sspan>wing<span class=ev>sspan> may occur, and the patient may become confu<span class=ev>sspan>ed and aggre<span class=ev>sspan><span class=ev>sspan>ive.Myöhemmä<<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 vaihee<<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 voi 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>iintyä 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>ta mielialan vaihtelua, ja potila<<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 muuttua <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ekavak<<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 väkivaltai<<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.
Chikungunya fever i<span class=ev>sspan> a mo<span class=ev>sspan>quito-borne viral di<span class=ev>sspan>ea<span class=ev>sspan>e with <span class=ev>sspan>ymptom<span class=ev>sspan> <span class=ev>sspan>uch a<span class=ev>sspan> fever, joint pain, mu<span class=ev>sspan>cle pain, headache and no<span class=ev>sspan>e and gum bleeding.Chikungunya-kuume on hytty<<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 levittämä 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>tauti, jonka oireita ovat kuume, nivelkipu, 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, 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 <<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 nenä- ja ienverenvuoto.
Chikungunya i<span class=ev>sspan> pre<span class=ev>sspan>ent in part<span class=ev>sspan> of Africa, <span class=ev><span class=ev>Sspan>span>outhea<span class=ev>sspan>t A<span class=ev>sspan>ia and on the Indian <span class=ev>sspan>ub-continent.Chikungunya-kuumetta 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 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>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 Afrikkaa, Kaakkoi<<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>iaa <<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 Intian niemimaata.
Recent and very large outbreak<span class=ev>sspan> have been reported from La Réunion, Mauritiu<span class=ev>sspan>, Mayotte and <span class=ev>sspan>everal Indian <span class=ev>sspan>tate<span class=ev>sspan>.Laajoja epidemioita on viime aikoina puhjennut Réunionilla, Mauritiuk<<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, Mayottella ja 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>ei<<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 Intian 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>avaltioi<<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.
Imported ca<span class=ev>sspan>e<span class=ev>sspan> among touri<span class=ev>sspan>t<span class=ev>sspan> have been identified in <span class=ev>sspan>everal European countrie<span class=ev>sspan>.Turi<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>tien mukana tautia on kulkeutunut 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>ei<<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 Euroopan maihin.
The fir<span class=ev>sspan>t <span class=ev>sspan>pread within Europe wa<span class=ev>sspan> reported from North-Ea<span class=ev>sspan>tern Italy in Augu<span class=ev>sspan>t 2007.Taudin 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>immäinen epidemia 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 todettiin elokuu<<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 2007 Koilli<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>-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.
Chlamydiae are bacteria capable of producing infection in <span class=ev>sspan>everal organ <span class=ev>sspan>y<span class=ev>sspan>tem<span class=ev>sspan>.Chlamydia-bakteerit voivat aiheuttaa infektioita 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>ei<<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 elimi<<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 Europe the mo<span class=ev>sspan>t important infection<span class=ev>sspan> are <span class=ev>sspan>exually tran<span class=ev>sspan>mitted infection<span class=ev>sspan> (<span class=ev><span class=ev>Sspan>span>TI).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 merkittävimpiä klamydiainfektioita 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>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 tarttuvat infektiot.

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