The SARS (severe acute respiratory syndrome) outbreak was an epidemic that spread over sever-al countries. Which of the following terms describes what happened?
a. Hyperendemic
b. Pandemic
c. Mixed outbreak
d. Holoendemic
ANS: B
A pandemic refers to the epidemic spread of the problem over several countries or continents. If a problem is considered hyperendemic, there is a persistently (usually) high number of cases. A mixed outbreak is a common source followed by secondary exposures related to person-to-person contact. Holoendemic implies a highly prevalent problem found in a population commonly ac-quired early in life.
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