Which of the following is an example of how international travel has contributed to increased prevalence and incidence of nonindigenous diseases?
A) An airline pilot getting ill after eating pork in a restaurant in Hong Kong
B) Outbreak of hemolytic–uremic syndrome related to contaminated salad being shipped to various regions
C) Increase in the number of reported Lyme disease cases related to hot summer with local large deer population
D) Hepatitis A outbreak when a restaurant worker forgot to wash the hands after using the rest room
Ans: B
Feedback:
Travel results in more sources of infection, but it does not necessarily influence portals of entry, virulence, and the course of diseases. In 2011, one of the largest foodborne outbreaks of E. coli emerged as a global threat. Beginning in May 2011, German public health authorities reported an outbreak of hemolytic–uremic syndrome. Within 3 weeks, German authorities announced the source of the outbreak was cucumbers from Spain, a report later proven incorrect. As the investigation into the source of the outbreak continued, clients in surrounding countries also began to report illness. As the outbreak continued, epidemiologists focused their investigation on bean sprouts from a farm in Lower Saxony, Germany.
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