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Suppose That You Are the State Epidemiologist and You Are

question 46

Essay

Suppose that you are the State Epidemiologist and you are notified about 10 cases of hemolytic uremic syndrome where the stool samples suggest the agent is either E. coli or Salmonella. Describe the epidemiology of the microbes E. coli and Salmonella (associated with gastrointestinal diseases)including sources of the bacteria,mode of transmission,portals of entry and exit. If during your investigation the laboratory analyses find all of the isolates to be E. Coli but only two of the isolates to be genetically identical,would you consider this an outbreak? Explain your reasoning.


Definitions:

Entrance Fee

A charge for entering a facility, participating in an event, or joining an organization or club.

Fixed Inspection Cost

A cost that remains constant in total for the inspection process regardless of the level of production.

Machine-Hours

An assessment of the level of productivity or operational activity, based on the time span machinery is active.

Sales Commissions

Payments made to sales employees as a percentage of the sales they generate.

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