For each possible adverse event, the report reviews peer-reviewed primary studies, summarizes their findings, and evaluates the epidemiological, clinical, and biological evidence. The CDC recommends or urges precaution against yellow fever vaccinations for pregnant women, children under 9 months of age, breastfeeding mothers, and people with certain other medical conditions. It was finally identified on Aug. 19 when Dr. Benjamin Rush, one of the most prominent American physicians of the time, announced that the cases were of yellow fever. 1558 Words7 Pages. When transmitted to humans, the yellow fever virus can . Saving Lives, Protecting People, Chapter 11 - Screening Asymptomatic Returned Travelers, Chapter 11 - Rapid Diagnostic Tests for Infectious Diseases, Chapter 9, Visiting Friends & Relatives: VFR Travel, National Center for Emerging and Zoonotic Infectious Diseases (NCEZID), Division of Global Migration and Quarantine (DGMQ), Obtención de atención médica en el extranjero, Zika: A CDC Guide for Travelers infographic, Guidelines for US Citizens and Residents Living in Areas with Zika. Consider infection control, public health implications, and requirements for reportable diseases. In most cases, symptoms include fever, chills, loss of appetite, nausea, muscle pains - particularly in the back - and headaches. Found inside – Page 1For more news and specials on immunization and vaccines visit the Pink Book's Facebook fan page Tampa, FL 33604. The Yellow Fever virus came from Central or East Africa. Updated the Diagnosis section on the Zika page, Updated the Last-Minute Traveler to include information on Heplisav-B. A small proportion of patients who contract the virus develop severe symptoms . Travellers should seek up-to-date information about JE virus activity and risk of JE in travel destinations from a reputable source, such as the Centers for Disease Control and Prevention (CDC) Yellow Book. Illness after international travel. The style and format of the questions mirror the format of the exam questions, and the book includes a self-test to aid revision. 1 Current as of August 2018. 4. Brief content visible, double tap to read full content. Arch Intern Med. 2007 Jun 15;44(12):1560–8. The Florida Department of Health in Hillsborough County, no longer offers international travel vaccinations. Yellow fever is a viral infection transmitted by a bite from infected mosquitoes most commonly found in parts of South America and Africa. Found insideBeginning in the jungles of Southeast Asia, trekking through the Middle East, traversing the Pacific, Lawler discovers the secrets behind the chicken's transformation from a shy, wild bird into an animal of astonishing versatility, capable ... Found insidePathogens transmitted among humans, animals, or plants by insects and arthropod vectors have been responsible for significant morbidity and mortality throughout recorded history. This 2020 edition includes: · Country-specific risk guidelines for yellow fever and malaria, including expert recommendations and 26 detailed, country-level maps · Detailed maps showing distribution of travel-related illnesses, including ... KUOKO - YELLOW FEVER GAZE (Yellow Fever Gaze) Producer: KUOKO Set Designer: Lone Schindler, Hien Hoang Studio Personnel: Philipp Schwär Composer Lyricist: Jasmina Quach Cinematographer: Rike Malottke© 2021 Kabul Fire Records A list of Stamaril yellow fever vaccination clinics are available on the CDC website. State law (Administrative Code, Title 51.Public Health-Sanitary Code, Section 905) in accord with the 1977 mandate of the federal government (United States Public Health Service Centers for Disease Control and Prevention or "CDC") requires:. Note: This edition includes a login for online CME questions and accreditation that a physician in non-federal medical facilities offering and administering yellow fever vaccine to . Remember to also check for current recommendations related to outbreaks or emerging situations in Travel Notices that may differ temporarily from recommendations in the CDC Yellow Book 2020. Although most febrile illnesses in returned travelers are related to infections, the clinician should bear in mind that other problems, including pulmonary emboli and drug hypersensitivity reactions, can also be associated with fever. In some instances, public health officials must be alerted if the traveler was possibly contagious while traveling or infected with a pathogen of public health importance (such as yellow fever or Ebola viruses) at the origin or destination. Emerg Infect Dis. 3 By the 19th century, it was recognized that yellow . This list of authorized clinics is accessible from CDC's Travelers' Health website at National Yellow Fever Provider List. Linking to a non-federal website does not constitute an endorsement by CDC or any of its employees of the sponsors or the information and products presented on the website. 2014 Apr;20(4):532–41. Additional information about yellow fever is available from the CDC and the WHO. Resources. CDC maintains a website of yellow fever vaccination clinics. Map. Travelers who visit rural areas or farms with cattle, sheep, goats, or other livestock may be exposed to Q fever. About 15% of people who get yellow fever develop serious illness that can lead to bleeding, shock, organ failure, and sometimes death. If using an existing valid ICVP with "Yellow Fever" recorded, simply add "Polio" (or "Poliomyelitis") on the same line. Upper temperature of warm water temperatures that amplify Legionnaires’ disease updated from 108° to 113°. While today pest control measures and a vaccine can protect us from yellow fever, the disease has a messed up history of affecting Panama Canal construction, interfering in Haiti's war efforts, and reducing Philadelphia's population. All travelers to Uganda must have a valid yellow fever immunization card. Current Outbreak Of Yellow Fever Is A Reminder Of The Disease's Storied History : Goats and Soda An outbreak in Angola and the Democratic Republic of Congo has raised concerns about the infamous . The need for a booster dose of JE vaccine depends on: Other potential health hazards, which although uncommon should not be overlooked, include the effects of unusual . So demonstrates Mark Harrison in this pathbreaking investigation of the intimate connections between trade and disease throughout modern history. Couldn't fault it and looking forward to the rest of my vacation. Symptoms of yellow fever (fever, chills, headache, backache, and muscle aches) take 3-6 days to develop. Yellow fever: the green book, chapter 35 external link opens in a new window. Travel medicine is accepted as a unique subspecialty in medicine. With more persons travelling to tropical and subtropical destinations, travel medicine is becoming an increasing challenge for the health care systems in many countries. You will be subject to the destination website's privacy policy when you follow the link. In addition to vaccination against yellow fever, which may be required to enter some countries, protective measures may be advisable against malaria, poliomyelitis, infectious hepatitis, diphtheria, tetanus, and typhoid fever. Providers with a current Yellow Fever Vaccination Stamp issued by their state or territorial health department may now order YF-VAX from the manufacturer. [all . Efficacy and immunogenicity #. The Yellow Fever: A Dangerous Virus Essay example. The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. They can have prominent respiratory (including acute respiratory distress syndrome), gastrointestinal, or central nervous system findings. Linking to a non-federal website does not constitute an endorsement by CDC or any of its employees of the sponsors or the information and products presented on the website. Travelers to South and Southeast Asia are at high risk of acquiring multidrug-resistant Enterobacteriaceae. 1, 2. A review of GeoSentinel Surveillance Network data showed that a larger proportion of VFRs than tourist travelers presented with serious (requiring hospitalization), potentially preventable travel-related illnesses (see Chapter 9, Visiting Friends & Relatives: VFR Travel). There is no medicine to treat or cure infection. They can also document vaccination against illnesses such as cholera or rubella, according to . Laboratory diagnosis of yellow fever virus infection external link opens in a new window. Travelers' Malaria is considered an essential resource for practitioners of travel medicine. This updated book focuses on the epidemiology, prevention and treatment of malaria in non-immune travelers and immigrants. For example, influenza transmission can occur throughout the year in tropical areas, and the peak season in the Southern Hemisphere is April to September; clinicians in the Northern Hemisphere must be alert to the possibility of influenza outside the usual “winter” influenza season. The Yellow Card is recognized internationally and may be required for entry to certain countries where there are increased health risks for travelers. Yellow Book: A reference book written by the CDC and published biennially by Elsevier for health professionals who advise international travellers about health risks Preparation before travel (for example, vaccinations and malaria prophylaxis) will markedly reduce the likelihood of some infections, so this is also a relevant part of the history. For the most up-to-date visa information, including fees, contact the Embassy of the Republic of Uganda at 5911 16th Street NW, Washington, DC 20011; telephone (202) 726-7100 or visit their website . The Yellow Card is recognized internationally and may be required for entry to certain countries where there are increased health risks for travelers. Yellow fever is a rapidly occurring viral illness of short duration with symptoms that may be mild to severe. The new 27th edition has been thoroughly revised and updated to help you stay in step with the latest developments and recommendations. 2013 Mar 19;158(6):456–68. Yellow fever vaccine is recommended for people who are 9 months old or older and who are traveling to or living in areas at risk for yellow fever virus in Africa and South America.. For most people, a single dose of yellow fever vaccine provides long-lasting protection and a booster dose of the vaccine is not needed. You will be subject to the destination website's privacy policy when you follow the link. Where can I find more information on immunizations for foreign travel? Found insideEmerging Viral Diseases is the summary of a public workshop hosted in March 2014 to examine factors driving the appearance, establishment, and spread of emerging, re-emerging and novel viral diseases; the global health and economic impacts ... Inactivated vaccines may be given at any spacing interval if they are not administered simultaneously. Many countries require the vaccine for all travellers or only for travellers coming from countries with risk of yellow fever transmission. Please refer to the CDC's website for specific guidance. liver, kidneys and heart). Td-IPV or Tdap-IPV). Yellow fever vaccine is a live, freeze-dried preparation of attenuated 17D strain yellow fever virus. Yellow fever, which is also known as sylvatic fever and viral hemorrhagic fever or VHF, is a severe infectious disease caused by a type of virus called a flavivirus. This is the third edition of this publication which contains the latest information on vaccines and vaccination procedures for all the vaccine preventable infectious diseases that may occur in the UK or in travellers going outside of the UK ... Mortality of these clinical cases can be as high as 80%, on a par with Ebola, Marburg and other haemorrhagic viral infections. Because each infection has a characteristic incubation period (although the range is extremely wide with some infections), the time of exposure needs to be defined in different geographic areas. Rush asserted that the atmosphere was responsible. Wilson ME, Weld LH, Boggild A, Keystone JS, Kain KC, von Sonnenburg F, et al. The "Yellow Book" is the annual fruit of research conducted by the World Socialism Research Center attached to the Chinese Academy of Social Sciences, which is a selection of cutting-edge and representative research articles dealing with the issues of world . The blue book: guidelines for the control of infectious diseases has been published by the Communicable Diseases Section, Public Health Group, Victorian Department of Human Services, to assist public health practitioners in the prevention and control of infectious diseases. The largest known Q fever outbreak reported to date involved approximately 4,000 human cases and occurred during 2007-2010 in the Netherlands. Bottieau E, Clerinx J, Schrooten W, Van den Enden E, Wouters R, Van Esbroeck M, et al. This 2020 edition includes: · Country-specific risk guidelines for yellow fever and malaria, including expert recommendations and 26 detailed, country-level maps · Detailed maps showing distribution of travel-related illnesses, including ... Findings that should prompt urgent attention include hemorrhage, low blood pressure, altered consciousness, and high respiratory rate. Print "Polio" (or "Poliomyelitis") even if the vaccine was given in combination (e.g. Infections with typical seasonal transmission in the United States may occur at different times of the year (or throughout the year) in the tropics and subtropics. Complete the CDC Yellow Fever Vaccine cours e and attach certificate of completion to application. Note: Javascript is disabled or is not supported by your browser. Ann Intern Med. More guidelines. Linking to a non-federal website does not constitute an endorsement by CDC or any of its employees of the sponsors or the information and products presented on the website. I agree to the following control measures and requirements. YELLOW FEVER Since publication of the 2018 edition of the CDC Yellow Book, large YF outbreaks occurred in eastern Brazil in 2017 and 2018, involving states where YF was not previously considered endemic. More guidelines Yellow fever vaccine is a live-attenuated virus vaccine that has been available since the 1930s. Fever in returned travelers is often caused by common infections, such as diarrhea, pneumonia, and pyelonephritis, which should not be overlooked in the search for exotic diagnoses. Thwaites GE, Day PJ. Image/CDC. Dengue is the most common cause of febrile illness among people who seek medical care after travel to Latin America or Asia. 1737. Publisher ‏ : ‎ CDC (January 1, 2019) Pamphlet ‏ : ‎ 10 pages. Location. CDC is not responsible for Section 508 compliance (accessibility) on other federal or private website. The International Certificate of Vaccination (ICV) against yellow fever is required by many countries to gain entry. The first written evidence of such an epidemic occurred in the Yucatan in 1648. Symptoms typically improve within five days. Changes will also be indicated within the online sections. Clin Infect Dis. Applications with missing or incomplete information will not be processed. Typhoid and paratyphoid fever > Food and water precautions > For this reason, some items on this page will be unavailable. For more information about this message, please visit this page: Centers for Disease Control and Prevention. The 2003 Red Book, 26th Edition advances the Red Book's mission for the 21st century, with the most current information on clinical manifestations, etiology, epidemiology, diagnosis, and treatment of more than 200 childhood infectious ... CDC is not responsible for Section 508 compliance (accessibility) on other federal or private website. Yellow Fever Vaccine Access. This map is an updated version of the 2010 map created by the Informal WHO Working Group on the Geographic Risk of Yellow Fever. During an outbreak such as the Ebola epidemic in West Africa, special screening protocols may be needed. Fax completed application to 317-234-2812. Because the geographic area of travel determines the relative likelihood of major causes of fever, it is essential to identify where the febrile patient has traveled and lived (Table 11-03). Other arboviral infections are emerging as causes of fever in travelers, including chikungunya and Zika viruses. The Advisory Committee on Immunization Practices (ACIP) provides advice and guidance to the Director of the CDC regarding use of vaccines and related agents for control of vaccine-preventable diseases in the civilian population of the United States. Yellow Fever Vaccine Access. Info.HillsWeb@FLHealth.gov. Antimicrobials increase travelers’ risk of colonization by extended-spectrum beta-lactamase-producing Enterobacteriaceae. The data is updated regularly with the most recent official country reporting collected through the WHO/UNICEF joint reporting process. 18 January 2018 2016;63(3):322–9. Yellow fever is a rapidly occurring viral illness of short duration with symptoms that may be mild to severe. Chapter 4: travel-related infectious diseases, Yellow fever. The typhoid and paratyphoid section was updated with information about oral vaccine availability. Updated the Yellow Fever section to reflect the end of the YF-VAX shortage. Health information for international travel (Yellow Book). Yellow fever is the most common vaccine required for international travel. What are synonyms for Yellow Book? The Centers for Disease Control and Prevention suggests that some travelers consider being vaccinated against the flu, which occurs year-round in the Caribbean, and April through September in the Southern Hemisphere. What is yellow fever? Mendelson M, Han PV, Vincent P, von Sonnenburg F, Cramer JP, Loutan L, et al. Yellow Fever Uniform Stamp/Vaccination Center Agreement. CDC's Yellow Book is a reference for health professionals providing care to international travelers. CDC twenty four seven. The vaccine scheduler table summarizes the current vaccination schedule for young children, adolescents, and adults for Yellow fever. Enteric fever (typhoid or paratyphoid fever), has become increasingly resistant to fluoroquinolones and third-generation cephalosporins and azithromycin in some regions (see Chapter 4, Typhoid & Paratyphoid Fever). Updates to the Online Edition of CDC Yellow Book 2020: Health Information for International Travel. Malaria is the most common cause of acute undifferentiated fever after travel to sub-Saharan Africa and some other tropical areas. Updated to reflect recent changes to Yellow Fever recommendations by country. The CDC Yellow Book 2020 includes important travel medicine updates: Recommendations for providing travel health care remotely via telemedicine Discussion of legal issues facing clinicians providing travel health care Cutting-edge rapid diagnostic tests for infectious diseases How do I view different file formats (PDF, DOC, PPT, MPEG) on this site? Known popularly as the Carte Jaune or Yellow Card, this is the international certificate of vaccination (ICV) approved by the World Health Organization. Both the Centers for Disease Control and Prevention (CDC) and the World Health Organization (WHO) offer general and country-specific information about epidemiologic risks and related recommendations for vaccination and chemoprophylaxis. malignant fever. Clinicians have access to resources on the Internet that provide information about geographic-specific risks, disease activity, and other useful information, such as drug-susceptibility patterns for pathogens. For your convenience, these archived publications can be used for historical and research purposes. N Engl J Med. Yellow Fever Vaccination Center Certification. 9 The U.S. occupation government, confident that the unproven fomite theory was correct, implemented a massive public health campaign to improve sanitation on the island. a country that requires you to have a certificate proving you have been vaccinated against yellow fever. Providers with a current Yellow Fever Vaccination Stamp issued by their state or territorial health department may now order YF-VAX from the manufacturer. For more information about this message, please visit this page: Centers for Disease Control and Prevention. Yellow fever is a hemorrhagic fever caused by a virus spread by certain mosquitoes. Immunization Services. Clin Infect Dis. Antonyms for Yellow Book. Download and complete the Certified Yellow Fever Provider Application and Vaccination Site Agreement. Fever commonly accompanies serious illness in returned travelers, and the most common life-threatening tropical disease associated with fever in returned travelers is malaria. In the United States, >90% of reported cases of Plasmodium falciparum malaria manifest within 30 days of return, but almost half of cases of P. vivax malaria manifest >30 days after return. Item Weight ‏ : ‎ 0.5 ounces. A Continuing Education Certificate for each staff member should be in the clinic's records prior to receiving authorization to provide yellow fever vaccination as part of an international travel health clinic. N Engl J Med. The virus is cultured in, and harvested from, embryonated chicken eggs. Symptoms of yellow fever include fever, headache, jaundice, muscle pain, nausea, vomiting and fatigue. Embracing a complete list of the dead, the names of the doctors and nurses employed, names of all who contributed money or means, and the name and history of the Ho In addition to vaccination against yellow fever, which may be required to enter some countries, protective measures may be advisable against malaria, poliomyelitis, infectious hepatitis, diphtheria, tetanus, and typhoid fever. Other threats include malaria, typhoid, hepatitis A and B, measles, yellow fever, and rabies. This webpage will contain a listing of permanent changes made to the online text of CDC Yellow Book 2020: Health Information for International Travel since its May 2019 hardcopy release. Can anyone let me. The Centers for Disease Control and Prevention (CDC) has developed a web-based registry of yellow fever vaccination clinics located in the US. Recommendations made by the ACIP are reviewed by the CDC Director and, if adopted, are published as official CDC/HHS recommendations in the Morbidity and Mortality Weekly Report (MMWR). Gershman MD, Staples JE, Yellow fever, Chapter 3 in Centers for Disease Control and Prevention (US CDC) Yellow book Health Information for International Travel 2018 [Accessed 15 March 2018] European Centres for Disease Prevention and Control. No vaccine efficacy studies have been performed with yellow fever vaccine. A History of the Yellow Fever: The Yellow Fever Epidemic of 1878, in Memphis, Tennessee. For more information, please see the following resources: CDC Clinical Update Announcement: Yellow Fever Vaccine Access. While the CDC does not generally recommend the yellow fever vaccination for travel to Rwanda, the U.S. Embassy recommends that travelers bring proof of yellow fever vaccination. The Centers for Disease Control and Prevention (CDC) has issued a Level 3 Travel Health Notice for Liberia due to COVID-19, indicating a high level of COVID-19 in the country. What is yellow fever? Illness ranges from a fever with aches and pains to severe liver disease with bleeding and yellowing skin (jaundice). Yellow fever is a very rare cause of illness in U.S. travelers. The revised International Health Regulations, adopted in 2005, provide a legal framework for a more effective coordinated international response to emergencies caused by outbreaks of infectious diseases. Because an increased temperature can signal a rapidly progressive infection, clinicians must initiate early evaluation, especially in people who have visited areas with malaria in recent months (see Chapter 4, Malaria). a country that requires you to have a certificate proving you have been vaccinated against yellow fever. Synonyms for Yellow Book in Free Thesaurus. GeoSentinel surveillance of illness in returned travelers, 2007–2011. CDC health information for international travel (Yellow Book) - yellow fever external link opens in a new window Centers for Disease Control and Prevention (CDC). 10 April 2018 | Abuja, Nigeria - Nearly one billion people will be vaccinated against yellow fever in 27 high-risk African countries by 2026 with support from WHO, Gavi - the Vaccine Alliance, UNICEF and more than 50 health partners. 2 Over the ensuing 200 years, outbreaks occurred widely in tropical America, the North American coastal cities, and Europe. Additional pages have space for your other vaccinations. Filter by country. Date KA, Newton AE Medalla F, Blackstock A, Richardson L, McCullough A, et al. From the difficult to diagnose to the difficult to treat, Manson's Tropical Diseases prepares you to effectively handle whatever your patients may have contracted. yellow fever] People who were given either LAIV or an injectable live virus vaccine (e.g., MMR, VAR, yellow fever) should wait 28 days before receiving another vaccination of this type (30 days for yellow fever). Exceptions are typically made for newborns until 9 months or one year of age, depending on the country. The yellow fever vaccine is recommended for people from 9 months of age who are travelling to: an area where yellow fever is found , including parts of sub-Saharan Africa, South America, Central America and Trinidad in the Caribbean. Updated Typhoid & Paratyphoid Fever section with an alert box about cases of extensively drug-resistant Salmonella Typhi infection that have been reported in the United States among people without recent international travel. Advisory Committee on Immunization Practices (ACIP), Published in Morbidity and Mortality Weekly Report (MMWR). Changes will also be indicated within the online sections. This webpage will contain a listing of permanent changes made to the online text of CDC Yellow Book 2020: Health Information for International Travel since its May 2019 hardcopy release. The IOM's Forum on Microbial Threats hosted the workshop "Globalization, Movement of Pathogens (and Their Hosts) and the Revised International Health Regulations" December 16-17, 2008 in order to explore issues related to infectious disease ... MMWR, February 12, 2010, Vol 59, #5 Yellow fever (YF) is caused by a virus of the Flaviviridae family, which circulates between infected monkeys or humans and mosquitoes.. YF virus can cause an illness that results in jaundice (yellowing of the skin and eyes) and bleeding with severe damage to the major organs (e.g. For the primary care clinician, the specialized travel medicine clinician, or the avid or first-time international traveler, this book is an indispensable safety net, providing readers with everything they need to know to prevent or to seek ... U.S. Department of Health & Human Services, Chikungunya, dengue, malaria (Hispaniola), Zika, Leptospirosis, histoplasmosis, coccidioidomycosis, leishmaniasis, Bartonellosis, leptospirosis, enteric fever, histoplasmosis, Dengue, enteric fever, malaria (primarily non-falciparum), Dengue, malaria (primarily non-falciparum), African trypanosomiasis, chikungunya enteric fever, meningococcal meningitis, Dengue, chikungunya, Zika, measles, spotted fever or typhus group rickettsioses, enteric fever (skin lesions may be sparse or absent), meningococcemia, acute HIV infection, varicella, Enteric fever, amebic or pyogenic liver abscess, Fever and normal or low white blood cell count, Dengue, malaria, rickettsial infection, enteric fever, chikungunya, Zika, acute HIV, Viral hemorrhagic fevers (for example, dengue, yellow fever, Ebola, Lassa fever), meningococcemia, leptospirosis, spotted fever group rickettsial infections, Fever and arthralgia or myalgia (sometimes persistent), Chikungunya, dengue, Zika, Ross River virus, muscular sarcocystosis, trichinellosis, Acute schistosomiasis, drug hypersensitivity reaction; fascioliasis, sarcocystosis, trichinellosis, angiostrongyliasis, and other parasitic infections (rare), Fever and respiratory symptoms/pulmonary infiltrates, Influenza and other common bacterial and viral pathogens, legionellosis, tuberculosis, acute schistosomiasis, Q fever, leptospirosis, Middle East respiratory syndrome, acute histoplasmosis or coccidioidomycosis, psittacosis, melioidosis, pneumonic plague, Fever and altered mental status/central nervous system involvement, Cerebral malaria, arboviral encephalitides (for example, Japanese encephalitis, West Nile virus), meningococcal meningitis, rabies, African trypanosomiasis, scrub typhus, angiostrongyliasis, tickborne encephalitis, rabies, Acute viral hepatitis (A, B, C, E), yellow fever and other viral hemorrhagic fevers, severe malaria, leptospirosis, Epstein-Barr virus infection, cytomegalovirus infection, toxoplasmosis, acute HIV infection, Malaria, enteric fever, Epstein- Barr virus infection, cytomegalovirus infection, toxoplasmosis, acute HIV infection, acute schistosomiasis, brucellosis, tuberculosis, Q fever, visceral leishmaniasis (rare), Skin rash with or without conjunctivitis (for example, measles, meningococcemia, hemorrhagic fevers such as Ebola), Rapid respiratory rate (for example, influenza, Middle East respiratory syndrome [MERS], pneumonic plague), Persistent cough (for example, tuberculosis, pertussis), Decreased consciousness (for example, meningococcal meningitis, rabies), Bruising or unusual bleeding without previous injury (for example, hemorrhagic fevers), Persistent voluminous diarrhea (for example, cholera), Persistent vomiting other than air or motion sickness (for example, norovirus infection), Flaccid paralysis of recent onset (for example, polio). 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