| Source | Target | | Vaccin class=ev>nn>ation class=ev>nn> again class=ev>nn>st hepatitis C is n class=ev>nn>ot yet available. | Er is n class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>og geen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> vaccin class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> tegen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> hepatitis C beschikbaar. |
| The human class=ev>nn> immun class=ev>nn>odeficien class=ev>nn>cy virus (HIV) remain class=ev>nn>s on class=ev>nn>e of the most importan class=ev>nn>t commun class=ev>nn>icable diseases in class=ev>nn> Europe. | Het humaan class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> immun class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>odeficiën class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>tievirus (hiv) is n class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>og altijd een class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> van class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> de belan class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>grijkste overdraagbare ziekten class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> in class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> Europa. |
| It is an class=ev>nn> in class=ev>nn>fection class=ev>nn> associated with serious disease, persisten class=ev>nn>tly high costs of treatmen class=ev>nn>t an class=ev>nn>d care, sign class=ev>nn>ifican class=ev>nn>t n class=ev>nn>umber of deaths an class=ev>nn>d shorten class=ev>nn>ed life expectan class=ev>nn>cy. | Het is een class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> in class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>fectie die gepaard gaat met ern class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>stige ziekte, blijven class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>d hoge kosten class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> voor behan class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>delin class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>g en class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> zorg, een class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> aan class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>zien class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>lijk aan class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>tal sterfgevallen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> en class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> een class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> kortere leven class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>sverwachtin class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>g. |
| HIV is spread by sexual con class=ev>nn>tact with an class=ev>nn> in class=ev>nn>fected person class=ev>nn>, by sharin class=ev>nn>g n class=ev>nn>eedles or syrin class=ev>nn>ges (primarily for drug in class=ev>nn>jection class=ev>nn>) with someon class=ev>nn>e who is in class=ev>nn>fected, or, less common class=ev>nn>ly (an class=ev>nn>d n class=ev>nn>ow very rarely in class=ev>nn> coun class=ev>nn>tries where blood is screen class=ev>nn>ed for HIV an class=ev>nn>tibodies), through tran class=ev>nn>sfusion class=ev>nn>s of in class=ev>nn>fected blood or blood clottin class=ev>nn>g factors. | Hiv wordt verspreid via seksueel con class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>tact met een class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> geïn class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>fecteerde persoon class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>, door het delen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> van class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> n class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>aalden class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> of in class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>jectiespuiten class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> (voorn class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>amelijk voor het in class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>jecteren class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> van class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> drugs) met een class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> geïn class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>fecteerde persoon class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> of – min class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>der vaak (en class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> in class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> lan class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>den class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> waar bloed op hiv-an class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>tilichamen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> wordt getest in class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>middels zeer zelden class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>) – via tran class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>sfusies met geïn class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>fecteerd bloed of geïn class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>fecteerde bloedstollin class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>gsfactoren class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>. |
| Effective combin class=ev>nn>ation class=ev>nn> therapies, in class=ev>nn>troduced in class=ev>nn> the mid-1990s an class=ev>nn>d widely used in class=ev>nn> in class=ev>nn>dustrialised coun class=ev>nn>tries, have had a profoun class=ev>nn>d effect on class=ev>nn> the course of HIV in class=ev>nn>fection class=ev>nn>, improvin class=ev>nn>g the quality of life an class=ev>nn>d delayin class=ev>nn>g the on class=ev>nn>set of AIDS an class=ev>nn>d death in class=ev>nn> HIV-in class=ev>nn>fected in class=ev>nn>dividuals. | De effectieve combin class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>atiebehan class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>delin class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>gen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> die halverwege de jaren class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> n class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>egen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>tig zijn class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> geïn class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>troduceerd, worden class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> in class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> de geïn class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>dustrialiseerde lan class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>den class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> op grote schaal toegepast. Ze hebben class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> een class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> en class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>orm effect op het beloop van class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> een class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> hiv-in class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>fectie, verbeteren class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> de kwaliteit van class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> leven class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> en class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> vertragen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> de eerste verschijn class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>selen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> van class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> aids en class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> het overlijden class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> van class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> met hiv geïn class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>fecteerde person class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>en class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>. |
| They are also an class=ev>nn> essen class=ev>nn>tial tool for modern class=ev>nn> medicin class=ev>nn>e an class=ev>nn>d common class=ev>nn> procedures such as tran class=ev>nn>splan class=ev>nn>ts, chemotherapy for can class=ev>nn>cer an class=ev>nn>d even class=ev>nn> orthopaedic surgery could n class=ev>nn>ot be performed without the availability of poten class=ev>nn>t an class=ev>nn>tibiotics. | Ze zijn class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> ook een class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> on class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>misbaar in class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>strumen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>t voor de modern class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>e gen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>eeskun class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>de: algemeen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> toegepaste procedures als tran class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>splan class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>taties, chemotherapie bij kan class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>ker en class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> zelfs orthopedische chirurgie zouden class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> n class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>iet kun class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>n class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>en class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> worden class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> uitgevoerd zon class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>der de beschikbaarheid van class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> krachtige an class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>tibiotica. |
| An class=ev>nn>tibiotics are often class=ev>nn> un class=ev>nn>n class=ev>nn>ecessarily prescribed for viral in class=ev>nn>fection class=ev>nn>s, again class=ev>nn>st which they have n class=ev>nn>o effect. | Zo worden class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> ze dikwijls n class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>odeloos voorgeschreven class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> voor virusin class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>fecties, waartegen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> ze n class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>iet werken class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>. |
| Similarly when class=ev>nn> diagn class=ev>nn>oses are n class=ev>nn>ot accurately made, more often class=ev>nn> than class=ev>nn> n class=ev>nn>ot, broad-spectrum an class=ev>nn>tibiotics, i.e. an class=ev>nn>tibiotics that kill a large proportion class=ev>nn> of various bacteria an class=ev>nn>d n class=ev>nn>ot on class=ev>nn>ly the bacteria respon class=ev>nn>sible for the disease, are prescribed because the micro-organ class=ev>nn>ism respon class=ev>nn>sible for the in class=ev>nn>fection class=ev>nn> is n class=ev>nn>ot kn class=ev>nn>own class=ev>nn>. | Ook wan class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>n class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>eer er geen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> n class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>auwkeurige diagn class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>ose wordt gesteld omdat n class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>iet beken class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>d is welk micro-organ class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>isme de in class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>fectie veroorzaakt, worden class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> vaker wel dan class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> geen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> breedspectruman class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>tibiotica voorgeschreven class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>, d.w.z. an class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>tibiotica die een class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> groot deel van class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> de diverse bacteriën class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> doden class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> en class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> n class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>iet alleen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> de voor de ziekte veran class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>twoordelijke bacteriën class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>. |
| Con class=ev>nn>siderin class=ev>nn>g the mechan class=ev>nn>isms behin class=ev>nn>d the emergen class=ev>nn>ce of AMR, the strategy to fight it is rather straightforward: | Gezien class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> de mechan class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>ismen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> achter het optreden class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> van class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> an class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>timicrobiële resisten class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>tie, is de strategie om deze te bestrijden class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> n class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>ogal simpel: |
| - use less an class=ev>nn>tibiotics, i.e. on class=ev>nn>ly when class=ev>nn> they are n class=ev>nn>eeded to treat patien class=ev>nn>ts; | - min class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>der an class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>tibiotica gebruiken class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>, d.w.z. alleen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> wan class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>n class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>eer deze n class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>odig zijn class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> om patiën class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>ten class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> te behan class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>delen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>; |
| Human class=ev>nn>s may acquire the in class=ev>nn>fection class=ev>nn> after exposure to spores, an class=ev>nn>d symptoms appear on class=ev>nn>e to seven class=ev>nn> days (up to 60 days) later. | Men class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>sen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> kun class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>n class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>en class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> geïn class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>fecteerd raken class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> n class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>a blootstellin class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>g aan class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> sporen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> en class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> de verschijn class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>selen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> treden class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> een class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> tot zeven class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> dagen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> (tot wel 60 dagen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>) later op. |
| Vaccin class=ev>nn>ation class=ev>nn> of exposed an class=ev>nn>imals an class=ev>nn>d human class=ev>nn>s is required. | Vaccin class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>atie van class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> blootgestelde dieren class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> en class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> men class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>sen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> is n class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>oodzakelijk. |
| The agen class=ev>nn>t was n class=ev>nn>ot con class=ev>nn>firmed, but a preparedn class=ev>nn>ess an class=ev>nn>d respon class=ev>nn>se programme for attacks by biological an class=ev>nn>d chemical agen class=ev>nn>ts (BICHAT) was developed in class=ev>nn> 2002 by the European class=ev>nn> Commission class=ev>nn>. | Aan class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>wezigheid van class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> de ziekteverwekker werd n class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>iet bevestigd, maar in class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> 2002 heeft de Europese Commissie een class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> programma on class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>twikkeld voor paraatheid en class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> maatregelen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> in class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> geval van class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> aan class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>slagen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> met biologische en class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> chemische stoffen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> (BICHAT). |
| These are divided in class=ev>nn>to those of high an class=ev>nn>d low pathogen class=ev>nn>icity accordin class=ev>nn>g to the severity of in class=ev>nn>fection class=ev>nn> in class=ev>nn> birds. | Deze zijn class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> on class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>derverdeeld in class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> virussen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> met een class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> hoog en class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> virussen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> met een class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> laag ziekteverwekken class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>d vermogen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>, n class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>aargelan class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>g van class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> de ern class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>st van class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> de in class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>fectie bij vogels. |
| Sin class=ev>nn>ce 1997 a n class=ev>nn>ew an class=ev>nn>d more deadly strain class=ev>nn> of highly pathogen class=ev>nn>ic avian class=ev>nn> in class=ev>nn>fluen class=ev>nn>za virus (A/H5n class=ev>n class=ev>Nn>n>1) has appeared in class=ev>nn> domestic poultry an class=ev>nn>d human class=ev>nn>s, in class=ev>nn>itially in class=ev>nn> southern class=ev>nn> Chin class=ev>nn>a where the first human class=ev>nn>-to-human class=ev>nn> tran class=ev>nn>smission class=ev>nn> took place. | Sin class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>ds 1997 is er een class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> n class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>ieuwe en class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> dodelijker stam van class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> het zeer ziekmaken class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>de aviaire-in class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>fluen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>zavirus (A/H5n class=ev>nn> class=ev>n class=ev>Nn>n class=ev>nn>>1) opgedoken class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> on class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>der pluimvee en class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> men class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>sen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>, voor het eerst in class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> zuidelijk Chin class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>a, waar de eerste overdracht van class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> men class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>s op men class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>s plaatsvon class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>d. |
| After 2003, in class=ev>nn>fluen class=ev>nn>za A/H5n class=ev>n class=ev>Nn>n>1 appeared in class=ev>nn> man class=ev>nn>y Asian class=ev>nn> coun class=ev>nn>tries causin class=ev>nn>g huge outbreaks in class=ev>nn> birds an class=ev>nn>d a small n class=ev>nn>umber of severe human class=ev>nn> in class=ev>nn>fection class=ev>nn>s, almost en class=ev>nn>tirely amon class=ev>nn>g people with close con class=ev>nn>tacts with domestic poultry. | n class=ev>nn> class=ev>n class=ev>Nn>n class=ev>nn>>a 2003 verscheen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> in class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>fluen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>za A/H5n class=ev>nn> class=ev>n class=ev>Nn>n class=ev>nn>>1 in class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> een class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> groot aan class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>tal Aziatische lan class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>den class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>, waar en class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>orme uitbraken class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> on class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>der vogels en class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> een class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> klein class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> aan class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>tal ern class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>stige in class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>fecties bij de men class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>s optraden class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>, vrijwel uitsluiten class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>d bij men class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>sen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> die direct met pluimvee in class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> aan class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>rakin class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>g kwamen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>. |
| There have been class=ev>nn> a few examples of person class=ev>nn>-to-person class=ev>nn> tran class=ev>nn>smission class=ev>nn>s but n class=ev>nn>o further spread. | Er is een class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> klein class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> aan class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>tal voorbeelden class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> van class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> overdracht van class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> men class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>s op men class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>s, maar n class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>iet van class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> verdere verspreidin class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>g. |
| This A/H5n class=ev>n class=ev>Nn>n>1 group has shown class=ev>nn> itself to be un class=ev>nn>usually stable for an class=ev>nn> avian class=ev>nn> in class=ev>nn>fluen class=ev>nn>za strain class=ev>nn> an class=ev>nn>d has spread amon class=ev>nn>g birds in class=ev>nn> two waves, the secon class=ev>nn>d of which took it out of south an class=ev>nn>d south-east Asia to Europe an class=ev>nn>d Africa through migratory birds an class=ev>nn>d trade. | Deze A/H5n class=ev>nn> class=ev>n class=ev>Nn>n class=ev>nn>>1-groep blijkt on class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>gewoon class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> stabiel voor een class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> aviaire-in class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>fluen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>zastam en class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> heeft zich in class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> twee golven class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> on class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>der vogels verspreid, waarvan class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> de tweede zich via trekvogels en class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> han class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>delsverkeer heeft verplaatst van class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> Zuidoost-Azië n class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>aar Europa en class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> Afrika. |
| However, there is gen class=ev>nn>erally n class=ev>nn>o tran class=ev>nn>smission class=ev>nn> from on class=ev>nn>e human class=ev>nn> to an class=ev>nn>other. | In class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> het algemeen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> is er echter geen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> sprake van class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> overdracht van class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> men class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>s op men class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>s. |
| Botulism is a serious paralytic illn class=ev>nn>ess caused by a n class=ev>nn>erve toxin class=ev>nn> produced by the bacterium Clostridium botulin class=ev>nn>um. | Botulisme is een class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> ern class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>stige ziekte die gepaard gaat met verlammin class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>gsverschijn class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>selen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> en class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> wordt veroorzaakt door een class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> zen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>uwgif dat door de bacterie Clostridium botulin class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>um wordt geproduceerd. |
| The disease may occur after eatin class=ev>nn>g foods con class=ev>nn>tain class=ev>nn>in class=ev>nn>g the toxin class=ev>nn> or due to developmen class=ev>nn>t of the spores within class=ev>nn> the in class=ev>nn>testin class=ev>nn>e of youn class=ev>nn>g children class=ev>nn> or within class=ev>nn> woun class=ev>nn>ds. | De ziekte kan class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> optreden class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> n class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>a het eten class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> van class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> voedsel dat het gif bevat, of door de on class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>twikkelin class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>g van class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> sporen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> in class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> het darmkan class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>aal van class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> klein class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>e kin class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>deren class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> of in class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> won class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>den class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>. |
| Food botulism is the domin class=ev>nn>atin class=ev>nn>g form of the disease, an class=ev>nn>d paralytic symptoms gen class=ev>nn>erally appear after an class=ev>nn> in class=ev>nn>cubation class=ev>nn> period of 12–36 hours (up to several days) after con class=ev>nn>sumption class=ev>nn> of the toxin class=ev>nn>-con class=ev>nn>tain class=ev>nn>in class=ev>nn>g food. | Voedselbotulisme is de meest voorkomen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>de vorm van class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> de ziekte. n class=ev>nn> class=ev>n class=ev>Nn>n class=ev>nn>>a een class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> in class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>cubatietijd van class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> 12–36 uur (tot wel en class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>kele dagen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>) n class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>a de in class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>n class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>ame van class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> gifbevatten class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>d voedsel doen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> zich in class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> het algemeen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> verlammin class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>gsverschijn class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>selen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> voor. |
| The symptoms may be very severe, an class=ev>nn>d require in class=ev>nn>ten class=ev>nn>sive-care treatmen class=ev>nn>t an class=ev>nn>d the admin class=ev>nn>istration class=ev>nn> of an class=ev>nn> an class=ev>nn>ti-toxin class=ev>nn>. | De verschijn class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>selen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> kun class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>n class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>en class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> zeer ern class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>stig zijn class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> en class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> maken class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> behan class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>delin class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>g op een class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> in class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>ten class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>sivecareafdelin class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>g en class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> toedien class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>in class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>g van class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> een class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> tegen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>gif n class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>oodzakelijk. |
| Followin class=ev>nn>g laboratory acciden class=ev>nn>ts, the toxin class=ev>nn> has also caused symptoms on class=ev>nn> in class=ev>nn>halation class=ev>nn>, with a substan class=ev>nn>tially reduced in class=ev>nn>cubation class=ev>nn> period. | Bij on class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>gevallen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> in class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> laboratoria heeft het gif ook verschijn class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>selen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> veroorzaakt n class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>a in class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>ademin class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>g, waarbij de in class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>cubatietijd aan class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>zien class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>lijk korter is. |
| Brucellosis occurs worldwide but the Mediterran class=ev>nn>ean class=ev>nn> region class=ev>nn> has been class=ev>nn> particularly affected. | Brucellose komt over de hele wereld voor, maar met n class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>ame in class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> de regio ron class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>d de Middellan class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>dse Zee. |
| Human class=ev>nn>s become in class=ev>nn>fected by direct or in class=ev>nn>direct con class=ev>nn>tact with an class=ev>nn>imals or with con class=ev>nn>tamin class=ev>nn>ated an class=ev>nn>imal products (in class=ev>nn>cludin class=ev>nn>g un class=ev>nn>pasteurised milk an class=ev>nn>d dairy products) or by the in class=ev>nn>halation class=ev>nn> of aerosols. | Men class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>sen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> raken class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> geïn class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>fecteerd door direct of in class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>direct con class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>tact met dieren class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> of besmette dierlijke producten class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> (waaron class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>der n class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>iet-gepasteuriseerde melk en class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> zuivelproducten class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>), of door in class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>ademin class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>g van class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> in class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> de lucht zweven class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>de deeltjes. |
| After an class=ev>nn> in class=ev>nn>cubation class=ev>nn> period of five to 60 days, symptoms may appear either acutely or in class=ev>nn>sidiously. | n class=ev>nn> class=ev>n class=ev>Nn>n class=ev>nn>>a een class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> in class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>cubatietijd van class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> 5 tot 60 dagen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> kun class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>n class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>en class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> er acuut of geleidelijk verschijn class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>selen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> optreden class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>. |
| Other risk factors in class=ev>nn>clude swimmin class=ev>nn>g in class=ev>nn> n class=ev>nn>atural surface-waters an class=ev>nn>d direct con class=ev>nn>tact with in class=ev>nn>fected an class=ev>nn>imals. | An class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>dere risicofactoren class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> zijn class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> on class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>der meer zwemmen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> in class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> n class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>atuurlijk oppervlaktewater en class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> rechtstreeks con class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>tact met geïn class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>fecteerde dieren class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>. |
| After an class=ev>nn> in class=ev>nn>cubation class=ev>nn> period of 2–5 days (ran class=ev>nn>ge 1–10 days) common class=ev>nn> symptoms are severe abdomin class=ev>nn>al pain class=ev>nn>, watery an class=ev>nn>d/or bloody diarrhoea an class=ev>nn>d fever. | n class=ev>nn> class=ev>n class=ev>Nn>n class=ev>nn>>a een class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> in class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>cubatietijd van class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> 2–5 dagen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> (spreidin class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>g van class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> 1–10 dagen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>) zijn class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> de gebruikelijke verschijn class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>selen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> hevige buikpijn class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>, waterige en class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>/of bloederige diarree en class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> koorts. |
| Usually, symptoms last for a few days an class=ev>nn>d the disease is self-limitin class=ev>nn>g but occasion class=ev>nn>ally they will persist an class=ev>nn>d result in class=ev>nn> hospitalisation class=ev>nn>. | Gewoon class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>lijk houden class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> de verschijn class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>selen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> en class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>kele dagen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> aan class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> en class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> verdwijn class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>t de ziekte van class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>zelf, maar zo n class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>u en class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> dan class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> houden class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> de verschijn class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>selen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> lan class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>ger aan class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> waardoor zieken class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>huisopn class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>ame n class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>oodzakelijk wordt. |
| An class=ev>nn>timicrobial therapy is seldom n class=ev>nn>eeded. | An class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>timicrobiële behan class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>delin class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>g is zelden class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> n class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>oodzakelijk. |
| The first tran class=ev>nn>smission class=ev>nn> within class=ev>nn> con class=ev>nn>tin class=ev>nn>en class=ev>nn>tal Europe was reported from n class=ev>nn>orth-eastern class=ev>nn> Italy in class=ev>nn> August 2007. Every year, imported cases amon class=ev>nn>g tourists are iden class=ev>nn>tified in class=ev>nn> several European class=ev>nn> coun class=ev>nn>tries | De eerste overdracht op het Europese vastelan class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>d is in class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> augustus 2007 gemeld van class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>uit het n class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>oordoosten class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> van class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> Italië. Elk jaar worden class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> in class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> diverse Europese lan class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>den class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> geïmporteerde gevallen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> on class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>der toeristen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> geïden class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>tificeerd. |
| Recen class=ev>nn>tly outbreaks have occurred in class=ev>nn> the Balkan class=ev>nn>s an class=ev>nn>d in class=ev>nn> n class=ev>n class=ev>Nn>n>orth-Eastern class=ev>nn> Turkey. | Recen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>te uitbraken class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> hebben class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> zich voorgedaan class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> in class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> de Balkan class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>lan class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>den class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> en class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> in class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> n class=ev>nn> class=ev>n class=ev>Nn>n class=ev>nn>>oordoost-Turkije. |
| Chikun class=ev>nn>gun class=ev>nn>ya fever is a mosquito-born class=ev>nn>e viral disease with symptoms such as fever, join class=ev>nn>t pain class=ev>nn>, muscle pain class=ev>nn>, headache an class=ev>nn>d n class=ev>nn>ose an class=ev>nn>d gum bleedin class=ev>nn>g. | Chikun class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>gun class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>ya-virusziekte is een class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> door muggen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> overgedragen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> virusziekte met verschijn class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>selen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> als koorts, gewrichtspijn class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>, spierpijn class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>, hoofdpijn class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> en class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> n class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>eus- en class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> tan class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>dvleesbloedin class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>gen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>. |
| The first spread within class=ev>nn> Europe was reported from n class=ev>n class=ev>Nn>n>orth-Eastern class=ev>nn> Italy in class=ev>nn> August 2007. | De eerste verspreidin class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>g bin class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>n class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>en class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> Europa werd in class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> augustus 2007 in class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> n class=ev>nn> class=ev>n class=ev>Nn>n class=ev>nn>>oordoost-Italië gemeld. |
| They are due to Chlamydia trachomatis causin class=ev>nn>g uro-gen class=ev>nn>ital disease an class=ev>nn>d “lymphogran class=ev>nn>uloma ven class=ev>nn>ereum” (LGV), a systemic disease with swollen class=ev>nn> lymph n class=ev>nn>odes in class=ev>nn> the groin class=ev>nn>. | Ze worden class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> veroorzaakt door Chlamydia trachomatis die een class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> urogen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>itale aan class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>doen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>in class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>g en class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> "lymphogran class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>uloma ven class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>ereum" (LGV), een class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> systemische ziekte met opgezette lymfeklieren class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> in class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> de lies, veroorzaakt. |
| LGV is n class=ev>nn>ow also in class=ev>nn>creasin class=ev>nn>g, havin class=ev>nn>g un class=ev>nn>til recen class=ev>nn>tly occurred on class=ev>nn>ly sporadically in class=ev>nn> the western class=ev>nn> world an class=ev>nn>d sin class=ev>nn>ce 2004, LGV in class=ev>nn>fection class=ev>nn> has been class=ev>nn> n class=ev>nn>oted in class=ev>nn> several large European class=ev>nn> cities amon class=ev>nn>g men class=ev>nn> who have sex with men class=ev>nn>. | Ook de in class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>ciden class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>tie van class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> LGV n class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>eemt tegen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>woordig toe, terwijl de in class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>fectie tot kort geleden class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> in class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> de westerse lan class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>den class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> slechts sporadisch voorkwam. Sin class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>ds 2004 is in class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>fectie met LGV in class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> een class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> aan class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>tal grote Europese steden class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> vastgesteld bij man class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>n class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>en class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> die seks met an class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>dere man class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>n class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>en class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> hebben class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>. |
| Sexual partn class=ev>nn>ers n class=ev>nn>eed to be evaluated an class=ev>nn>d even class=ev>nn>tually treated to preven class=ev>nn>t mutual re-in class=ev>nn>fection class=ev>nn> an class=ev>nn>d/or further spread of disease. | Sekspartn class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>ers moeten class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> worden class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> on class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>derzocht en class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> uitein class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>delijk behan class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>deld om wederzijdse herin class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>fectie en class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>/of verdere verspreidin class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>g van class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> de ziekte te voorkomen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>. |
| Con class=ev>nn>sumption class=ev>nn> of con class=ev>nn>tamin class=ev>nn>ated water an class=ev>nn>d food, especially seafood eaten class=ev>nn> un class=ev>nn>der-cooked, results in class=ev>nn> in class=ev>nn>fection class=ev>nn>. | In class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>n class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>ame van class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> besmet water en class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> voedsel, met n class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>ame on class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>voldoen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>de verhitte zeevis en class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> schaal- en class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> schelpdieren class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>, leidt tot in class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>fectie. |
| After a short in class=ev>nn>cubation class=ev>nn> period of less than class=ev>nn> five days, the typical symptoms might develop, characterised by vomitin class=ev>nn>g an class=ev>nn>d watery diarrhoea. | n class=ev>nn> class=ev>n class=ev>Nn>n class=ev>nn>>a een class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> korte in class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>cubatietijd van class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> min class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>der dan class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> vijf dagen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> kun class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>n class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>en class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> de typische verschijn class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>selen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> optreden class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>, geken class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>merkt door braken class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> en class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> waterige diarree. |
| In class=ev>nn> most cases, though, symptoms are mild or absen class=ev>nn>t an class=ev>nn>d in class=ev>nn>fected in class=ev>nn>dividuals become carriers with n class=ev>nn>o symptoms. | In class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> de meeste gevallen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> zijn class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> de verschijn class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>selen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> echter licht of afwezig en class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> worden class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> de geïn class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>fecteerde person class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>en class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> symptoomvrije dragers. |
| The disease has n class=ev>nn>ot been class=ev>nn> en class=ev>nn>demic in class=ev>nn> Europe for a lon class=ev>nn>g time, an class=ev>nn>d than class=ev>nn>ks to high hygien class=ev>nn>e stan class=ev>nn>dards the poten class=ev>nn>tial for imported cases to gen class=ev>nn>erate further on class=ev>nn>es is low. | De ziekte is in class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> Europa al lan class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>g n class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>iet meer en class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>demisch en class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> dan class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>kzij hoge hygiën class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>en class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>ormen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> is de kan class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>s op verspreidin class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>g door geïmporteerde gevallen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> laag. |
| The disease is often class=ev>nn> (but n class=ev>nn>ot always) associated with previous an class=ev>nn>tibiotic use, an class=ev>nn>d has main class=ev>nn>ly been class=ev>nn> spread within class=ev>nn> hospitals. | De ziekte han class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>gt dikwijls (maar n class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>iet altijd) samen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> met eerder an class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>tibioticumgebruik en class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> is tot n class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>u toe voorn class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>amelijk verspreid bin class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>n class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>en class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> zieken class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>huizen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>. |
| There is an class=ev>nn> in class=ev>nn>crease of reports of commun class=ev>nn>ity-acquired in class=ev>nn>fection class=ev>nn>. | Het aan class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>tal meldin class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>gen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> van class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> buiten class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> het zieken class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>huis opgelopen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> ("commun class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>ity-acquired") in class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>fectie n class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>eemt echter toe. |
| Especially healthy in class=ev>nn>dividuals, may, after an class=ev>nn> in class=ev>nn>cubation class=ev>nn> period averagin class=ev>nn>g on class=ev>nn>e week, get a diarrhoea that spon class=ev>nn>tan class=ev>nn>eously resolves over a couple of weeks. | Vooral gezon class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>de person class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>en class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> kun class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>n class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>en class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> n class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>a een class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> in class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>cubatietijd van class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> on class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>geveer zeven class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> dagen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> diarree krijgen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> die in class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> de loop van class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> een class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> aan class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>tal weken class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> van class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>zelf overgaat. |
| Den class=ev>nn>gue fever is presen class=ev>nn>t in class=ev>nn> Asia, the Pacific, the Caribbean class=ev>nn>, the Americas an class=ev>nn>d Africa. | Kn class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>okkelkoorts komt voor in class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> Azië, het Stille-Zuidzeegebied, het Caribisch gebied, n class=ev>nn> class=ev>n class=ev>Nn>n class=ev>nn>>oord-, Midden class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>- en class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> Zuid-Amerika en class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> Afrika. |
| After an class=ev>nn> in class=ev>nn>cubation class=ev>nn> of 8-10 days, a mild an class=ev>nn>d usually self-limited flu-like illn class=ev>nn>ess develops. | n class=ev>nn> class=ev>n class=ev>Nn>n class=ev>nn>>a een class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> in class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>cubatietijd van class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> 8-10 dagen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> on class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>twikkelt zich een class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> lichte griepachtige ziekte, die doorgaan class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>s van class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>zelf overgaat. |
| n class=ev>n class=ev>Nn>n>o specific treatmen class=ev>nn>t or vaccin class=ev>nn>e exists for den class=ev>nn>gue, an class=ev>nn>d gen class=ev>nn>eral in class=ev>nn>ten class=ev>nn>sive care is often class=ev>nn> n class=ev>nn>eeded. | Er bestaat geen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> specifieke behan class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>delin class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>g of vaccin class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> voor kn class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>okkelkoorts en class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> vaak is algehele in class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>ten class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>sieve zorg n class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>odig. |
| Tran class=ev>nn>smission class=ev>nn> of the viruses occurs from person class=ev>nn> to person class=ev>nn> through close con class=ev>nn>tact with blood or body fluids. | Virusoverdracht vin class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>dt plaats van class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> men class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>s op men class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>s via n class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>auw con class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>tact met bloed of an class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>dere lichaamsvloeistoffen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>. |
| n class=ev>n class=ev>Nn>n>o treatmen class=ev>nn>t or vaccin class=ev>nn>e is available for either disease. | Voor geen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> van class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> beide aan class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>doen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>in class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>gen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> is een class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> behan class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>delin class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>g of vaccin class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> voorhan class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>den class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>. |
| Eggs are excreted in class=ev>nn> the faeces of in class=ev>nn>fected dogs an class=ev>nn>d foxes an class=ev>nn>d can class=ev>nn> be in class=ev>nn>gested by human class=ev>nn>s either by close con class=ev>nn>tact with these an class=ev>nn>imals or through con class=ev>nn>tamin class=ev>nn>ated food. | De eieren class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> worden class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> uitgescheiden class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> in class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> de on class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>tlastin class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>g van class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> geïn class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>fecteerde hon class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>den class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> en class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> vossen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>, en class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> kun class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>n class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>en class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> via in class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>n class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>ame van class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> besmet voedsel of door n class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>auw con class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>tact met deze dieren class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> in class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> de men class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>s terechtkomen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>. |
| The most common class=ev>nn> location class=ev>nn> of cysts is the liver, but cysts may develop in class=ev>nn> almost an class=ev>nn>y organ class=ev>nn>, in class=ev>nn>cludin class=ev>nn>g lun class=ev>nn>gs, kidn class=ev>nn>eys, spleen class=ev>nn>, n class=ev>nn>ervous tissue, etc, years after the in class=ev>nn>gestion class=ev>nn> of the echin class=ev>nn>ococcus eggs. | De meest voorkomen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>de plaats voor cysten class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> is de lever, maar ze kun class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>n class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>en class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> zich jaren class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> n class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>a de in class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>n class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>ame van class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> de echin class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>ococcuseieren class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> in class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> vrijwel elk orgaan class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> (bv. lon class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>gen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>, n class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>ieren class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>, milt, zen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>uwweefsel) on class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>twikkelen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>. |
| The lun class=ev>nn>g form is restricted to n class=ev>nn>orthern class=ev>nn> coun class=ev>nn>tries, where foxes aboun class=ev>nn>d. | De lon class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>gvorm blijft beperkt tot n class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>oordelijke lan class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>den class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> waar vossen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> veel voorkomen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>. |
| Poor han class=ev>nn>d hygien class=ev>nn>e, close con class=ev>nn>tact with in class=ev>nn>fected an class=ev>nn>imals an class=ev>nn>d con class=ev>nn>sumption class=ev>nn> of un class=ev>nn>dercooked, un class=ev>nn>washed food con class=ev>nn>tamin class=ev>nn>ated with echin class=ev>nn>ococcus eggs (e.g. vegetables) are all risk factors. | Slechte han class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>dhygiën class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>e, n class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>auw con class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>tact met geïn class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>fecteerde dieren class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> en class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> con class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>sumptie van class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> on class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>voldoen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>de verhit, on class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>gewassen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> voedsel dat met echin class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>ococcuseieren class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> besmet is (bv. groen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>ten class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>), zijn class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> allemaal risicofactoren class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>. |
| Giardia lamblia (Giardia in class=ev>nn>testin class=ev>nn>alis an class=ev>nn>d Giardia duoden class=ev>nn>alis are syn class=ev>nn>on class=ev>nn>yms) is a cyst-producin class=ev>nn>g parasite, able to settle in class=ev>nn> the human class=ev>nn> an class=ev>nn>d an class=ev>nn>imal bowel. | Giardia lamblia (Giardia in class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>testin class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>alis en class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> Giardia duoden class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>alis zijn class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> syn class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>on class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>iemen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>) is een class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> cysten class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>produceren class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>de parasiet die zich in class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> de in class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>gewan class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>den class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> van class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> men class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>s en class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> dier kan class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> n class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>estelen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>. |
| Thus, in class=ev>nn>dividuals in class=ev>nn> n class=ev>nn>ursin class=ev>nn>g homes or day-care cen class=ev>nn>tres are particularly susceptible to outbreaks. | Hierdoor zijn class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> met n class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>ame person class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>en class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> in class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> verpleeghuizen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> of kin class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>derdagverblijven class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> gevoelig voor uitbraken class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>. |
| Giardia cysts can class=ev>nn> survive for exten class=ev>nn>ded periods of time in class=ev>nn> the en class=ev>nn>viron class=ev>nn>men class=ev>nn>t an class=ev>nn>d chlorin class=ev>nn>ation class=ev>nn> of water alon class=ev>nn>e can class=ev>nn>n class=ev>nn>ot in class=ev>nn>activate them. | Giardia -cysten class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> kun class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>n class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>en class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> lan class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>gere tijd in class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> het milieu overleven class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> en class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> alleen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> chlorerin class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>g van class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> water is n class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>iet voldoen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>de om ze uit te schakelen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>. |
| Therefore, cases amon class=ev>nn>g hikers or backpackers in class=ev>nn> wildern class=ev>nn>ess areas are common class=ev>nn>, an class=ev>nn>d waterborn class=ev>nn>e outbreaks due to in class=ev>nn>adequate treatmen class=ev>nn>t of drin class=ev>nn>kin class=ev>nn>g water are common class=ev>nn>. | Daardoor komen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> gevallen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> on class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>der trekkers of rugzaktoeristen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> in class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> n class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>atuurgebieden class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> vaak voor, even class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>als door water overgedragen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> uitbraken class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> als gevolg van class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> on class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>voldoen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>de behan class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>delin class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>g van class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> drin class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>kwater. |
| Gon class=ev>nn>orrhoea is a sexually tran class=ev>nn>smitted in class=ev>nn>fection class=ev>nn> (STI) caused by n class=ev>n class=ev>Nn>n>eisseria gon class=ev>nn>orrhoeae bacteria. | Gon class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>orroe is een class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> seksueel overdraagbare aan class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>doen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>in class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>g (soa) veroorzaakt door de bacterie n class=ev>nn> class=ev>n class=ev>Nn>n class=ev>nn>>eisseria gon class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>orrhoeae. |
| Urethral symptoms an class=ev>nn>d vagin class=ev>nn>al discharge may appear after a short in class=ev>nn>cubation class=ev>nn> (2–7 days followin class=ev>nn>g exposure), but in class=ev>nn> women class=ev>nn> cervicitis may remain class=ev>nn> without symptoms. | n class=ev>nn> class=ev>n class=ev>Nn>n class=ev>nn>>a een class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> korte in class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>cubatietijd (2– 7 dagen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> n class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>a blootstellin class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>g) kun class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>n class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>en class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> er verschijn class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>selen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> met betrekkin class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>g tot de urethra (plasbuis) en class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> vagin class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>ale afscheidin class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>g optreden class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>, maar baarmoederhalson class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>tstekin class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>g kan class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> zon class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>der verschijn class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>selen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>> verlopen class=ev>nn> class=ev>n class=ev>nn>n class=ev>nn>>. |
