Author: Nathan D. Grubaugh; Sharada Saraf; Karthik Gangavarapu; Alexander Watts; Amanda L. Tan; Rachel J. Oidtman; Jason T. Ladner; Glenn Oliveira; Nathaniel L. Matteson; Moritz U.G. Kraemer; Chantal B.F. Vogels; Aaron Hentoff; Deepit Bhatia; Danielle Stanek; Blake Scott; Vanessa Landis; Ian Stryker; Marshall R. Cone; Edgar W. Kopp; Andrew C. Cannons; Lea Heberlein-Larson; Stephen White; Leah D. Gillis; Michael J. Ricciardi; Jaclyn Kwal; Paola K. Lichtenberger; Diogo M. Magnani; David I. Watkins; Gustavo Palacios; Davidson H. Hamer; Lauren M. Gardner; T. Alex Perkins; Guy Baele; Kamran Khan; Andrea Morrison; Sharon Isern; Scott F. Michael; Kristian G. Andersen
Title: International travelers and genomics uncover a ‘hidden’ Zika outbreak Document date: 2018_12_14
ID: lh6zul8l_35
Snippet: Our estimated outbreak size also does not take into account differences in public health systems providing local data, and differing likelihoods of travelers becoming infected. For example, because of differences in public health infrastructure and resources, Zika case reporting in Haiti may be less accurate than Puerto Rico (Braga et al., 2017; Dowell et al., 2011) . Additionally, exposures to mosquitoes are likely different between local reside.....
Document: Our estimated outbreak size also does not take into account differences in public health systems providing local data, and differing likelihoods of travelers becoming infected. For example, because of differences in public health infrastructure and resources, Zika case reporting in Haiti may be less accurate than Puerto Rico (Braga et al., 2017; Dowell et al., 2011) . Additionally, exposures to mosquitoes are likely different between local residents and travelers, leading to differences in infection risks between the two populations. Such potential risk differences are largely unknown and dependent on location, behaviors, and length of stay (Cauchemez et al., 2014; Fraser et al., 2009) , which could influence our estimates.
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