Constipation and Diarrhea - Feeding Tube Awareness
In addition, cases involving local or indigenous transmission occur sporadically, including recent outbreaks in California (1988, 1989, 1990), Florida (1990, 1996), Michigan (1995), New Jersey (1993), New York (1993), and Texas (1995). These incidents were due to introductions of infected humans into areas with competent Anopheles vectors.
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