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auto-update week 36
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"respiratory diseases": {
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"text": "<strong>Meningococcal meningitis </strong>- Meningococcal disease occurs worldwide, with the highest incidence of disease found in the ‘meningitis belt’ of sub-Saharan Africa (see attached map). In this region, major epidemics occur every 5 to 12 years with attack rates reaching 1,000 cases per 100,000 population. Bacteria called <em>Neisseria meningitidis</em> cause meningococcal disease. About 1 in 10 people have these bacteria in the back of their nose and throat without being ill. This is called being ‘a carrier.’ Sometimes the bacteria invade the body and cause certain illnesses, which are known as meningococcal disease. Other regions of the world experience lower overall rates of disease and occasional outbreaks. Annual attack rates in these regions averages around 0.3 to 3 per 100,000 population. Risk factors for meningococcal disease outbreaks in Africa are not fully understood. However, the following characteristics create favorable conditions for meningococcal disease epidemics: Dry and dusty conditions during the dry season between December to June, Immunological susceptibility of the population, Travel and large population displacements, Crowded living conditions"
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},
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"note": "<strong>note 1:</strong> widespread ongoing transmission of a respiratory illness caused by the novel coronavirus (COVID-19) is occurring globally; older adults and people of any age with serious chronic medical conditions are at increased risk for severe disease; as of 23 August 2023, 769,806,130 confirmed cases of COVID-19 and 6,955,497 deaths had been reported to the World Health Organization; as of 23 August 2023, 70.5% of the World population had received at least one dose of COVID-19 vaccine<br><br><strong>note 2:</strong> on 28 July 2023, the US Centers for Disease Control and Prevention (CDC) issued a Travel Alert for some international destinations (see attached map) currently considered a high risk to travelers for circulating vaccine-derived polioviruses (cVDPV); vaccine-derived poliovirus (VDPV) is a strain of the weakened poliovirus that was initially included in oral polio vaccine (OPV) and that has changed over time and behaves more like the wild or naturally occurring virus; this means it can be spread more easily to people who are unvaccinated against polio and who come in contact with the stool or respiratory secretions, such as from a sneeze, of an “infected” person who received oral polio vaccine; the CDC recommends that before any international travel, anyone unvaccinated, incompletely vaccinated, or with an unknown polio vaccination status should complete the routine polio vaccine series; before travel to any high-risk destination, the CDC recommends that adults who previously completed the full, routine polio vaccine series receive a single, lifetime booster dose of polio vaccine"
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"note": "<strong>note 1:</strong> widespread ongoing transmission of a respiratory illness caused by the novel coronavirus (COVID-19) is occurring globally; older adults and people of any age with serious chronic medical conditions are at increased risk for severe disease; as of 23 August 2023, 769,806,130 confirmed cases of COVID-19 and 6,955,497 deaths had been reported to the World Health Organization; as of 23 August 2023, 70.5% of the World population had received at least one dose of COVID-19 vaccine<br><br><strong>note 2:</strong> on 31 August 2023, the US Centers for Disease Control and Prevention (CDC) issued a Travel Alert for some international destinations (see attached map) currently considered a high risk to travelers for circulating vaccine-derived polioviruses (cVDPV); vaccine-derived poliovirus (VDPV) is a strain of the weakened poliovirus that was initially included in oral polio vaccine (OPV) and that has changed over time and behaves more like the wild or naturally occurring virus; this means it can be spread more easily to people who are unvaccinated against polio and who come in contact with the stool or respiratory secretions, such as from a sneeze, of an “infected” person who received oral polio vaccine; the CDC recommends that before any international travel, anyone unvaccinated, incompletely vaccinated, or with an unknown polio vaccination status should complete the routine polio vaccine series; before travel to any high-risk destination, the CDC recommends that adults who previously completed the full, routine polio vaccine series receive a single, lifetime booster dose of polio vaccine"
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},
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"Currently married women (ages 15-49)": {
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"text": "66.2% (2023 est.)"
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