| Source | Target | | It i<span class=ev>sspan> an infection a<span class=ev>sspan><span class=ev>sspan>ociated with <span class=ev>sspan>eriou<span class=ev>sspan> di<span class=ev>sspan>ea<span class=ev>sspan>e, per<span class=ev>sspan>i<span class=ev>sspan>tently high co<span class=ev>sspan>t<span class=ev>sspan> of treatment and care, <span class=ev>sspan>ignificant number of death<span class=ev>sspan> and <span class=ev>sspan>hortened life expectancy. | Het i<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> een infectie die gepaard gaat met ern<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>tige ziekte, blijvend hoge ko<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ten voor behandeling en zorg, een aanzienlijk aantal <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>terfgevallen en een kortere leven<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>verwachting. |
| HIV i<span class=ev>sspan> a viru<span class=ev>sspan>, which attack<span class=ev>sspan> the immune <span class=ev>sspan>y<span class=ev>sspan>tem and cau<span class=ev>sspan>e<span class=ev>sspan> a lifelong <span class=ev>sspan>evere illne<span class=ev>sspan><span class=ev>sspan> with a long incubation period. | Hiv i<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> een viru<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> dat het afweer<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>y<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>teem aanvalt en een leven<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>lange ern<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>tige ziekte veroorzaakt met een lange incubatietijd. |
| HIV i<span class=ev>sspan> <span class=ev>sspan>pread by <span class=ev>sspan>exual contact with an infected per<span class=ev>sspan>on, by <span class=ev>sspan>haring needle<span class=ev>sspan> or <span class=ev>sspan>yringe<span class=ev>sspan> (primarily for drug injection) with <span class=ev>sspan>omeone who i<span class=ev>sspan> infected, or, le<span class=ev>sspan><span class=ev>sspan> commonly (and now very rarely in countrie<span class=ev>sspan> where blood i<span class=ev>sspan> <span class=ev>sspan>creened for HIV antibodie<span class=ev>sspan>), through tran<span class=ev>sspan>fu<span class=ev>sspan>ion<span class=ev>sspan> of infected blood or blood clotting factor<span class=ev>sspan>. | Hiv wordt ver<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>preid via <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ek<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ueel contact met een geïnfecteerde per<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>oon, door het delen van naalden of injectie<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>puiten (voornamelijk voor het injecteren van drug<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>) met een geïnfecteerde per<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>oon of – minder vaak (en in landen waar bloed op hiv-antilichamen wordt gete<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>t inmiddel<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> zeer zelden) – via tran<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>fu<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ie<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> met geïnfecteerd bloed of geïnfecteerde bloed<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>tolling<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>factoren. |
| The end-<span class=ev>sspan>tage of the infection, acquired immunodeficiency <span class=ev>sspan>yndrome (AID<span class=ev><span class=ev>Sspan>span>), re<span class=ev>sspan>ult<span class=ev>sspan> from the de<span class=ev>sspan>truction of the immune <span class=ev>sspan>y<span class=ev>sspan>tem. | Het eind<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>tadium van de infectie, 'acquired immunodeficiency <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>yndrome' (aid<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>), i<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> het gevolg van de vernietiging van het afweer<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>y<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>teem. |
| Effective combination therapie<span class=ev>sspan>, introduced in the mid-1990<span class=ev>sspan> and widely u<span class=ev>sspan>ed in indu<span class=ev>sspan>triali<span class=ev>sspan>ed countrie<span class=ev>sspan>, have had a profound effect on the cour<span class=ev>sspan>e of HIV infection, improving the quality of life and delaying the on<span class=ev>sspan>et of AID<span class=ev><span class=ev>Sspan>span> and death in HIV-infected individual<span class=ev>sspan>. | De effectieve combinatiebehandelingen die halverwege de jaren negentig zijn geïntroduceerd, worden in de geïndu<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>triali<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>eerde landen op grote <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>chaal toegepa<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>t. Ze hebben een enorm effect op het beloop van een hiv-infectie, verbeteren de kwaliteit van leven en vertragen de eer<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>te ver<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>chijn<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>elen van aid<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> en het overlijden van met hiv geïnfecteerde per<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>onen. |
| However, intolerance to <span class=ev>sspan>ide effect<span class=ev>sspan> and appearance of re<span class=ev>sspan>i<span class=ev>sspan>tant <span class=ev>sspan>train<span class=ev>sspan> remain cau<span class=ev>sspan>e<span class=ev>sspan> for concern. | Onverdraagbare bijwerkingen en het ver<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>chijnen van re<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>i<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>tente <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>tammen blijven echter bronnen van zorg. |
| <span class=ev><span class=ev>Sspan>span>ince their di<span class=ev>sspan>covery, antibiotic<span class=ev>sspan> have revolutioni<span class=ev>sspan>ed the way we treat patient<span class=ev>sspan> with bacterial infection<span class=ev>sspan> and have contributed to reducing the mortality and morbidity from bacterial di<span class=ev>sspan>ea<span class=ev>sspan>e<span class=ev>sspan>. | <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>Sspan>span class=ev>sspan>pan>ind<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> hun ontdekking hebben antibiotica een revolutie teweeggebracht in de manier waarop we patiënten met bacteriële infectie<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> behandelen en hebben ze bijgedragen aan het terugdringen van mortaliteit en morbiditeit al<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> gevolg van bacteriële ziekten. |
| They are al<span class=ev>sspan>o an e<span class=ev>sspan><span class=ev>sspan>ential tool for modern medicine and common procedure<span class=ev>sspan> <span class=ev>sspan>uch a<span class=ev>sspan> tran<span class=ev>sspan>plant<span class=ev>sspan>, chemotherapy for cancer and even orthopaedic <span class=ev>sspan>urgery could not be performed without the availability of potent antibiotic<span class=ev>sspan>. | Ze zijn ook een onmi<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>baar in<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>trument voor de moderne genee<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>kunde: algemeen toegepa<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>te procedure<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> al<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> tran<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>plantatie<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>, chemotherapie bij kanker en zelf<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> orthopedi<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>che chirurgie zouden niet kunnen worden uitgevoerd zonder de be<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>chikbaarheid van krachtige antibiotica. |
| <span class=ev><span class=ev>Sspan>span>imilarly when diagno<span class=ev>sspan>e<span class=ev>sspan> are not accurately made, more often than not, broad-<span class=ev>sspan>pectrum antibiotic<span class=ev>sspan>, i.e. antibiotic<span class=ev>sspan> that kill a large proportion of variou<span class=ev>sspan> bacteria and not only the bacteria re<span class=ev>sspan>pon<span class=ev>sspan>ible for the di<span class=ev>sspan>ea<span class=ev>sspan>e, are pre<span class=ev>sspan>cribed becau<span class=ev>sspan>e the micro-organi<span class=ev>sspan>m re<span class=ev>sspan>pon<span class=ev>sspan>ible for the infection i<span class=ev>sspan> not known. | Ook wanneer er geen nauwkeurige diagno<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>e wordt ge<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>teld omdat niet bekend i<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> welk micro-organi<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>me de infectie veroorzaakt, worden vaker wel dan geen breed<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>pectrumantibiotica voorge<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>chreven, d.w.z. antibiotica die een groot deel van de diver<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>e bacteriën doden en niet alleen de voor de ziekte verantwoordelijke bacteriën. |
| The<span class=ev>sspan>e example<span class=ev>sspan> of mi<span class=ev>sspan>u<span class=ev>sspan>e promote the emergence and the <span class=ev>sspan>election of re<span class=ev>sspan>i<span class=ev>sspan>tant bacteria. | Dergelijke voorbeelden van mi<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>bruik bevorderen het ver<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>chijnen en de <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>electie van re<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>i<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>tente bacteriën. |
| Con<span class=ev>sspan>idering the mechani<span class=ev>sspan>m<span class=ev>sspan> behind the emergence of AMR, the <span class=ev>sspan>trategy to fight it i<span class=ev>sspan> rather <span class=ev>sspan>traightforward: | Gezien de mechani<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>men achter het optreden van antimicrobiële re<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>i<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>tentie, i<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> de <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>trategie om deze te be<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>trijden nogal <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>impel: |
| - prevent the <span class=ev>sspan>pread of re<span class=ev>sspan>i<span class=ev>sspan>tant <span class=ev>sspan>train<span class=ev>sspan> between per<span class=ev>sspan>on<span class=ev>sspan>. | - de ver<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>preiding van re<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>i<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>tente <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>tammen onder per<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>onen voorkomen. |
| Anthrax i<span class=ev>sspan> a zoonotic di<span class=ev>sspan>ea<span class=ev>sspan>e (could be tran<span class=ev>sspan>ferred from animal<span class=ev>sspan> to human<span class=ev>sspan>) cau<span class=ev>sspan>ed by the <span class=ev>sspan>pore-producing bacterium Bacillu<span class=ev>sspan> anthraci<span class=ev>sspan>. | Miltvuur i<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> een zoöno<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>e (infectieziekte die van dier op men<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> kan overgaan) die wordt veroorzaakt door de <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>porenvormende bacterie Bacillu<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> anthraci<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>. |
| Re<span class=ev>sspan>ervoir<span class=ev>sspan> are gra<span class=ev>sspan><span class=ev>sspan>-eating animal<span class=ev>sspan>, and the <span class=ev>sspan>pore<span class=ev>sspan> can <span class=ev>sspan>urvive in the environment for decade<span class=ev>sspan>. | Gra<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>etende dieren zijn het re<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ervoir en de <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>poren kunnen tientallen jaren in het milieu overleven. |
| The di<span class=ev>sspan>ea<span class=ev>sspan>e i<span class=ev>sspan> endemic in <span class=ev>sspan>everal region<span class=ev>sspan> of the world, including <span class=ev>sspan>outhern and ea<span class=ev>sspan>tern Europe. | De ziekte i<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> in ver<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>chillende regio'<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> van de wereld endemi<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ch (inheem<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>), onder meer in Zuid- en Oo<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>t-Europa. |
| Human<span class=ev>sspan> may acquire the infection after expo<span class=ev>sspan>ure to <span class=ev>sspan>pore<span class=ev>sspan>, and <span class=ev>sspan>ymptom<span class=ev>sspan> appear one to <span class=ev>sspan>even day<span class=ev>sspan> (up to 60 day<span class=ev>sspan>) later. | Men<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>en kunnen geïnfecteerd raken na bloot<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>telling aan <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>poren en de ver<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>chijn<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>elen treden een tot zeven dagen (tot wel 60 dagen) later op. |
| Clinical pre<span class=ev>sspan>entation<span class=ev>sspan> include <span class=ev>sspan>kin anthrax, lung anthrax, (with 75% death rate) and ga<span class=ev>sspan>trointe<span class=ev>sspan>tinal form<span class=ev>sspan> (that may progre<span class=ev>sspan><span class=ev>sspan> to blood infection and death). | Klini<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>che pre<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>entatie<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> zijn onder meer huidmiltvuur, longmiltvuur (met een <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>terftecijfer van 75 %) en darmmiltvuur (dat kan leiden tot bloedvergiftiging en overlijden). |
| Antibiotic treatment i<span class=ev>sspan> effective if given at an early <span class=ev>sspan>tage. | Behandeling met een antibioticum i<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> effectief al<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> dit in een vroeg <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>tadium wordt toegepa<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>t. |
| The agent wa<span class=ev>sspan> not confirmed, but a preparedne<span class=ev>sspan><span class=ev>sspan> and re<span class=ev>sspan>pon<span class=ev>sspan>e programme for attack<span class=ev>sspan> by biological and chemical agent<span class=ev>sspan> (BICHAT) wa<span class=ev>sspan> developed in 2002 by the European Commi<span class=ev>sspan><span class=ev>sspan>ion. | Aanwezigheid van de ziekteverwekker werd niet beve<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>tigd, maar in 2002 heeft de Europe<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>e Commi<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan><<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ie een programma ontwikkeld voor paraatheid en maatregelen in geval van aan<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>lagen met biologi<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>che en chemi<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>che <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>toffen (BICHAT). |
| The<span class=ev>sspan>e are divided into tho<span class=ev>sspan>e of high and low pathogenicity according to the <span class=ev>sspan>everity of infection in bird<span class=ev>sspan>. | Deze zijn onderverdeeld in viru<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan><<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>en met een hoog en viru<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan><<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>en met een laag ziekteverwekkend vermogen, naargelang van de ern<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>t van de infectie bij vogel<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>. |
| <span class=ev><span class=ev>Sspan>span>ince 1997 a new and more deadly <span class=ev>sspan>train of highly pathogenic avian influenza viru<span class=ev>sspan> (A/H5N1) ha<span class=ev>sspan> appeared in dome<span class=ev>sspan>tic poultry and human<span class=ev>sspan>, initially in <span class=ev>sspan>outhern China where the fir<span class=ev>sspan>t human-to-human tran<span class=ev>sspan>mi<span class=ev>sspan><span class=ev>sspan>ion took place. | <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>Sspan>span class=ev>sspan>pan>ind<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> 1997 i<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> er een nieuwe en dodelijker <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>tam van het zeer ziekmakende aviaire-influenzaviru<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> (A/H5N1) opgedoken onder pluimvee en men<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>en, voor het eer<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>t in zuidelijk China, waar de eer<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>te overdracht van men<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> op men<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> plaat<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>vond. |
| After 2003, influenza A/H5N1 appeared in many A<span class=ev>sspan>ian countrie<span class=ev>sspan> cau<span class=ev>sspan>ing huge outbreak<span class=ev>sspan> in bird<span class=ev>sspan> and a <span class=ev>sspan>mall number of <span class=ev>sspan>evere human infection<span class=ev>sspan>, almo<span class=ev>sspan>t entirely among people with clo<span class=ev>sspan>e contact<span class=ev>sspan> with dome<span class=ev>sspan>tic poultry. | Na 2003 ver<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>cheen influenza A/H5N1 in een groot aantal Aziati<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>che landen, waar enorme uitbraken onder vogel<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> en een klein aantal ern<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>tige infectie<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> bij de men<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> optraden, vrijwel uit<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>luitend bij men<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>en die direct met pluimvee in aanraking kwamen. |
| There have been a few example<span class=ev>sspan> of per<span class=ev>sspan>on-to-per<span class=ev>sspan>on tran<span class=ev>sspan>mi<span class=ev>sspan><span class=ev>sspan>ion<span class=ev>sspan> but no further <span class=ev>sspan>pread. | Er i<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> een klein aantal voorbeelden van overdracht van men<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> op men<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>, maar niet van verdere ver<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>preiding. |
| Thi<span class=ev>sspan> A/H5N1 group ha<span class=ev>sspan> <span class=ev>sspan>hown it<span class=ev>sspan>elf to be unu<span class=ev>sspan>ually <span class=ev>sspan>table for an avian influenza <span class=ev>sspan>train and ha<span class=ev>sspan> <span class=ev>sspan>pread among bird<span class=ev>sspan> in two wave<span class=ev>sspan>, the <span class=ev>sspan>econd of which took it out of <span class=ev>sspan>outh and <span class=ev>sspan>outh-ea<span class=ev>sspan>t A<span class=ev>sspan>ia to Europe and Africa through migratory bird<span class=ev>sspan> and trade. | Deze A/H5N1-groep blijkt ongewoon <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>tabiel voor een aviaire-influenza<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>tam en heeft zich in twee golven onder vogel<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> ver<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>preid, waarvan de tweede zich via trekvogel<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> en handel<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>verkeer heeft verplaat<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>t van Zuidoo<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>t-Azië naar Europa en Afrika. |
| The viru<span class=ev>sspan> i<span class=ev>sspan> poorly adapted to human<span class=ev>sspan> who are difficult to infect except at high do<span class=ev>sspan>e<span class=ev>sspan>. | Het viru<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> i<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>lecht aangepa<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>t aan men<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>en, die moeilijk te infecteren zijn behalve bij grote do<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>e<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> van het viru<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>. |
| The danger to human<span class=ev>sspan> lie<span class=ev>sspan> in the fact that the <span class=ev>sspan>train i<span class=ev>sspan> highly pathogenic in tho<span class=ev>sspan>e few human<span class=ev>sspan> that do become infected. | Het gevaar voor de men<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> i<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> gelegen in het feit dat de <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>tam bij de weinige men<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>en die wel geïnfecteerd raken, zeer ziekmakend i<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>. |
| However, there i<span class=ev>sspan> generally no tran<span class=ev>sspan>mi<span class=ev>sspan><span class=ev>sspan>ion from one human to another. | In het algemeen i<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> er echter geen <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>prake van overdracht van men<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> op men<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>. |
| Botuli<span class=ev>sspan>m i<span class=ev>sspan> a <span class=ev>sspan>eriou<span class=ev>sspan> paralytic illne<span class=ev>sspan><span class=ev>sspan> cau<span class=ev>sspan>ed by a nerve toxin produced by the bacterium Clo<span class=ev>sspan>tridium botulinum. | Botuli<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>me i<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> een ern<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>tige ziekte die gepaard gaat met verlamming<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ver<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>chijn<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>elen en wordt veroorzaakt door een zenuwgif dat door de bacterie Clo<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>tridium botulinum wordt geproduceerd. |
| The di<span class=ev>sspan>ea<span class=ev>sspan>e may occur after eating food<span class=ev>sspan> containing the toxin or due to development of the <span class=ev>sspan>pore<span class=ev>sspan> within the inte<span class=ev>sspan>tine of young children or within wound<span class=ev>sspan>. | De ziekte kan optreden na het eten van voed<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>el dat het gif bevat, of door de ontwikkeling van <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>poren in het darmkanaal van kleine kinderen of in wonden. |
| Food botuli<span class=ev>sspan>m i<span class=ev>sspan> the dominating form of the di<span class=ev>sspan>ea<span class=ev>sspan>e, and paralytic <span class=ev>sspan>ymptom<span class=ev>sspan> generally appear after an incubation period of 12–36 hour<span class=ev>sspan> (up to <span class=ev>sspan>everal day<span class=ev>sspan>) after con<span class=ev>sspan>umption of the toxin-containing food. | Voed<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>elbotuli<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>me i<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> de mee<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>t voorkomende vorm van de ziekte. Na een incubatietijd van 12–36 uur (tot wel enkele dagen) na de inname van gifbevattend voed<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>el doen zich in het algemeen verlamming<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ver<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>chijn<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>elen voor. |
| The <span class=ev>sspan>ymptom<span class=ev>sspan> may be very <span class=ev>sspan>evere, and require inten<span class=ev>sspan>ive-care treatment and the admini<span class=ev>sspan>tration of an anti-toxin. | De ver<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>chijn<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>elen kunnen zeer ern<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>tig zijn en maken behandeling op een inten<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ivecareafdeling en toediening van een tegengif noodzakelijk. |
| Due to the extremely high potency of the toxin, botuli<span class=ev>sspan>m i<span class=ev>sspan> included among the potential bio-terrori<span class=ev>sspan>t threat<span class=ev>sspan>. | Omdat het gif uitermate <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>terk i<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>, behoort botuli<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>me tot de potentiële bioterrori<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ti<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>che dreigingen. |
| Following laboratory accident<span class=ev>sspan>, the toxin ha<span class=ev>sspan> al<span class=ev>sspan>o cau<span class=ev>sspan>ed <span class=ev>sspan>ymptom<span class=ev>sspan> on inhalation, with a <span class=ev>sspan>ub<span class=ev>sspan>tantially reduced incubation period. | Bij ongevallen in laboratoria heeft het gif ook ver<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>chijn<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>elen veroorzaakt na inademing, waarbij de incubatietijd aanzienlijk korter i<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>. |
| The common re<span class=ev>sspan>ervoir<span class=ev>sspan> for Brucella bacteria that may infect human<span class=ev>sspan> are cattle, dog<span class=ev>sspan>, <span class=ev>sspan>heep, goat<span class=ev>sspan>, and pig<span class=ev>sspan>. | De gebruikelijke re<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ervoir<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> voor Brucella -bacteriën die de men<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> kunnen infecteren, zijn rundvee, honden, <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>chapen, geiten en varken<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>. |
| After an incubation period of five to 60 day<span class=ev>sspan>, <span class=ev>sspan>ymptom<span class=ev>sspan> may appear either acutely or in<span class=ev>sspan>idiou<span class=ev>sspan>ly. | Na een incubatietijd van 5 tot 60 dagen kunnen er acuut of geleidelijk ver<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>chijn<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>elen optreden. |
| The variou<span class=ev>sspan> <span class=ev>sspan>ymptom<span class=ev>sspan> are both general (fever, weakne<span class=ev>sspan><span class=ev>sspan>, joint pain) and organ-<span class=ev>sspan>pecific (including infection<span class=ev>sspan> in the brain infection and heart valve<span class=ev>sspan>). | De diver<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>e ver<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>chijn<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>elen variëren van algemeen (koort<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>, zwakte, gewricht<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>pijn) tot orgaan<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>pecifiek (waaronder infectie<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> in de her<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>enen en van de hartkleppen). |
| Campylobacterio<span class=ev>sspan>i<span class=ev>sspan> i<span class=ev>sspan> a diarrhoeal di<span class=ev>sspan>ea<span class=ev>sspan>e cau<span class=ev>sspan>ed by Campylobacter bacteria, found in animal<span class=ev>sspan> <span class=ev>sspan>uch a<span class=ev>sspan> poultry, cattle, pig<span class=ev>sspan>, wild bird<span class=ev>sspan> and wild mammal<span class=ev>sspan>. | Campylobacterio<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>e i<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> een met diarree gepaard gaande ziekte die wordt veroorzaakt door bacteriën van het ge<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>lacht Campylobacter. Deze bacteriën komen voor bij dieren al<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> pluimvee, rundvee, varken<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>, wilde vogel<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> en wilde zoogdieren. |
| Other ri<span class=ev>sspan>k factor<span class=ev>sspan> include <span class=ev>sspan>wimming in natural <span class=ev>sspan>urface-water<span class=ev>sspan> and direct contact with infected animal<span class=ev>sspan>. | Andere ri<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>icofactoren zijn onder meer zwemmen in natuurlijk oppervlaktewater en recht<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>treek<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> contact met geïnfecteerde dieren. |
| After an incubation period of 2–5 day<span class=ev>sspan> (range 1–10 day<span class=ev>sspan>) common <span class=ev>sspan>ymptom<span class=ev>sspan> are <span class=ev>sspan>evere abdominal pain, watery and/or bloody diarrhoea and fever. | Na een incubatietijd van 2–5 dagen (<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>preiding van 1–10 dagen) zijn de gebruikelijke ver<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>chijn<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>elen hevige buikpijn, waterige en/of bloederige diarree en koort<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>. |
| Chikungunya i<span class=ev>sspan> pre<span class=ev>sspan>ent in part<span class=ev>sspan> of Africa, <span class=ev><span class=ev>Sspan>span>outhea<span class=ev>sspan>t A<span class=ev>sspan>ia and on the Indian <span class=ev>sspan>ubcontinent. | Chikungunya komt voor in delen van Afrika, in Zuidoo<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>t-Azië en op het India<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>e <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ubcontinent. |
| U<span class=ev>sspan>ually, <span class=ev>sspan>ymptom<span class=ev>sspan> la<span class=ev>sspan>t for a few day<span class=ev>sspan> and the di<span class=ev>sspan>ea<span class=ev>sspan>e i<span class=ev>sspan> <span class=ev>sspan>elf-limiting but occa<span class=ev>sspan>ionally they will per<span class=ev>sspan>i<span class=ev>sspan>t and re<span class=ev>sspan>ult in ho<span class=ev>sspan>pitali<span class=ev>sspan>ation. | Gewoonlijk houden de ver<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>chijn<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>elen enkele dagen aan en verdwijnt de ziekte vanzelf, maar zo nu en dan houden de ver<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>chijn<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>elen langer aan waardoor ziekenhui<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>opname noodzakelijk wordt. |
| Antimicrobial therapy i<span class=ev>sspan> <span class=ev>sspan>eldom needed. | Antimicrobiële behandeling i<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> zelden noodzakelijk. |
| Campylobacter infection ha<span class=ev>sspan> been a<span class=ev>sspan><span class=ev>sspan>ociated with complication<span class=ev>sspan> <span class=ev>sspan>uch a<span class=ev>sspan> later joint inflammation (5–10% of ca<span class=ev>sspan>e<span class=ev>sspan>) and, on rare occa<span class=ev>sspan>ion<span class=ev>sspan>, Guillain-Barré <span class=ev>sspan>yndrome (a temporary but <span class=ev>sspan>evere paraly<span class=ev>sspan>i<span class=ev>sspan> that may be total). | Infectie met Campylobacter i<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> in verband gebracht met complicatie<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> al<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> later optredende gewricht<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ont<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>teking (5–10 % van de gevallen) en, in zeldzame gevallen, het <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>yndroom van Guillain-Barré (een voorbijgaande maar ern<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>tige verlamming die totaal kan zijn). |
| The mo<span class=ev>sspan>t recent large outbreak<span class=ev>sspan> were reported in 2005–2006 from Réunion I<span class=ev>sspan>land, Mauritiu<span class=ev>sspan>, Mayotte and <span class=ev>sspan>everal Indian <span class=ev>sspan>tate<span class=ev>sspan>. | De mee<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>t recente groot<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>chalige uitbraken zijn in 2005– 2006 gemeld op Réunion, Mauritiu<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> en Mayotte en in ver<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>cheidene India<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>e deel<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>taten. |
| The fir<span class=ev>sspan>t tran<span class=ev>sspan>mi<span class=ev>sspan><span class=ev>sspan>ion within continental Europe wa<span class=ev>sspan> reported from north-ea<span class=ev>sspan>tern Italy in Augu<span class=ev>sspan>t 2007. Every year, imported ca<span class=ev>sspan>e<span class=ev>sspan> among touri<span class=ev>sspan>t<span class=ev>sspan> are identified in <span class=ev>sspan>everal European countrie<span class=ev>sspan> | De eer<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>te overdracht op het Europe<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>e va<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>teland i<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> in augu<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>tu<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> 2007 gemeld vanuit het noordoo<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ten van Italië. Elk jaar worden in diver<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>e Europe<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>e landen geïmporteerde gevallen onder toeri<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ten geïdentificeerd. |
| A<span class=ev>sspan> a prophylactic mea<span class=ev>sspan>ure, control of Campylobacter coloni<span class=ev>sspan>ation in poultry i<span class=ev>sspan> important, a<span class=ev>sspan> well a<span class=ev>sspan> hygienic proce<span class=ev>sspan><span class=ev>sspan>ing of meat, and the protection and control of private drinking water <span class=ev>sspan>upplie<span class=ev>sspan>. | Al<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> preventieve maatregel i<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> de be<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>trijding van koloni<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>atie van Campylobacter in pluimvee belangrijk, evenal<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> hygiëni<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>che verwerking van vlee<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> en be<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>cherming en controle van particuliere drinkwatervoorzieningen. |
| Crimean Congo haemorrhagic fever (CCHF) i<span class=ev>sspan> a tick-borne viral di<span class=ev>sspan>ea<span class=ev>sspan>e with <span class=ev>sspan>ymptom<span class=ev>sspan> <span class=ev>sspan>uch a<span class=ev>sspan> high fever, mu<span class=ev>sspan>cle pain, dizzine<span class=ev>sspan><span class=ev>sspan>, abnormal <span class=ev>sspan>en<span class=ev>sspan>itivity to light, abdominal pain and vomiting. | Hemorragi<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>che Krim-Congokoort<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> (CCHF) i<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> een door teken overgedragen viru<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ziekte met ver<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>chijn<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>elen al<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> hoge koort<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>, <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>pierpijn, duizeligheid, abnormale gevoeligheid voor licht, buikpijn en braken. |
| Later on, <span class=ev>sspan>harp mood <span class=ev>sspan>wing<span class=ev>sspan> may occur, and the patient may become confu<span class=ev>sspan>ed and aggre<span class=ev>sspan><span class=ev>sspan>ive. | In een latere fa<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>e kunnen <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>terke <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>temming<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>wi<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan><<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>elingen optreden en kan de patiënt verward en agre<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan><<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ief worden. |
| Chikungunya fever i<span class=ev>sspan> a mo<span class=ev>sspan>quito-borne viral di<span class=ev>sspan>ea<span class=ev>sspan>e with <span class=ev>sspan>ymptom<span class=ev>sspan> <span class=ev>sspan>uch a<span class=ev>sspan> fever, joint pain, mu<span class=ev>sspan>cle pain, headache and no<span class=ev>sspan>e and gum bleeding. | Chikungunya-viru<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ziekte i<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> een door muggen overgedragen viru<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ziekte met ver<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>chijn<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>elen al<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> koort<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>, gewricht<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>pijn, <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>pierpijn, hoofdpijn en neu<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>- en tandvlee<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>bloedingen. |
| Chikungunya i<span class=ev>sspan> pre<span class=ev>sspan>ent in part<span class=ev>sspan> of Africa, <span class=ev><span class=ev>Sspan>span>outhea<span class=ev>sspan>t A<span class=ev>sspan>ia and on the Indian <span class=ev>sspan>ub-continent. | Chikungunya komt voor in delen van Afrika, Zuidoo<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>t-Azië en op het India<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>e <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ubcontinent. |
| Recent and very large outbreak<span class=ev>sspan> have been reported from La Réunion, Mauritiu<span class=ev>sspan>, Mayotte and <span class=ev>sspan>everal Indian <span class=ev>sspan>tate<span class=ev>sspan>. | Recente en zeer groot<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>chalige uitbraken zijn gemeld op La Réunion, Mauritiu<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>, Mayotte en in ver<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>cheidene India<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>e <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>taten. |
| Imported ca<span class=ev>sspan>e<span class=ev>sspan> among touri<span class=ev>sspan>t<span class=ev>sspan> have been identified in <span class=ev>sspan>everal European countrie<span class=ev>sspan>. | In een aantal Europe<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>e landen zijn geïmporteerde gevallen onder toeri<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ten ge<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ignaleerd. |
| The fir<span class=ev>sspan>t <span class=ev>sspan>pread within Europe wa<span class=ev>sspan> reported from North-Ea<span class=ev>sspan>tern Italy in Augu<span class=ev>sspan>t 2007. | De eer<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>te ver<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>preiding binnen Europa werd in augu<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>tu<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> 2007 in Noordoo<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>t-Italië gemeld. |
| Chlamydiae are bacteria capable of producing infection in <span class=ev>sspan>everal organ <span class=ev>sspan>y<span class=ev>sspan>tem<span class=ev>sspan>. | Chlamydiae zijn bacteriën die een infectie in ver<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>chillende orgaan<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>y<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>temen kunnen veroorzaken. |
| In Europe the mo<span class=ev>sspan>t important infection<span class=ev>sspan> are <span class=ev>sspan>exually tran<span class=ev>sspan>mitted infection<span class=ev>sspan> (<span class=ev><span class=ev>Sspan>span>TI). | In Europa zijn de belangrijk<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>te infectie<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> de <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ek<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ueel overdraagbare aandoeningen (<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>oa'<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>). |
| They are due to Chlamydia trachomati<span class=ev>sspan> cau<span class=ev>sspan>ing uro-genital di<span class=ev>sspan>ea<span class=ev>sspan>e and “lymphogranuloma venereum” (LGV), a <span class=ev>sspan>y<span class=ev>sspan>temic di<span class=ev>sspan>ea<span class=ev>sspan>e with <span class=ev>sspan>wollen lymph node<span class=ev>sspan> in the groin. | Ze worden veroorzaakt door Chlamydia trachomati<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> die een urogenitale aandoening en "lymphogranuloma venereum" (LGV), een <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>y<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>temi<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>che ziekte met opgezette lymfeklieren in de lie<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>, veroorzaakt. |
| The incubation period of chlamydia <span class=ev><span class=ev>Sspan>span>TI<span class=ev>sspan> i<span class=ev>sspan> between two and three week<span class=ev>sspan>. | De incubatietijd van <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ek<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ueel overdraagbare chlamydia-infectie<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> bedraagt twee tot drie weken. |
| However, uro-genital Chlamydia infection often remain without <span class=ev>sspan>ymptom<span class=ev>sspan> and can undetected cau<span class=ev>sspan>e infertility. | Urogenitale chlamydia-infectie verloopt echter dikwijl<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> zonder ver<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>chijn<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>elen maar kan wel, indien onontdekt, onvruchtbaarheid veroorzaken. |
| Chlamydia infection i<span class=ev>sspan> the mo<span class=ev>sspan>t frequently reported bacterial <span class=ev><span class=ev>Sspan>span>TI in <span class=ev>sspan>everal European countrie<span class=ev>sspan>. | In ver<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>chillende Europe<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>e landen i<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> chlamydia-infectie de mee<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>t gemelde bacteriële <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>oa. |
| LGV i<span class=ev>sspan> now al<span class=ev>sspan>o increa<span class=ev>sspan>ing, having until recently occurred only <span class=ev>sspan>poradically in the we<span class=ev>sspan>tern world and <span class=ev>sspan>ince 2004, LGV infection ha<span class=ev>sspan> been noted in <span class=ev>sspan>everal large European citie<span class=ev>sspan> among men who have <span class=ev>sspan>ex with men. | Ook de incidentie van LGV neemt tegenwoordig toe, terwijl de infectie tot kort geleden in de we<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ter<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>e landen <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>lecht<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>poradi<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ch voorkwam. <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>Sspan>span class=ev>sspan>pan>ind<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> 2004 i<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> infectie met LGV in een aantal grote Europe<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>e <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>teden va<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>tge<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>teld bij mannen die <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ek<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> met andere mannen hebben. |
