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the number of cases dacy again, by 20 percent, between 1985 and 1992, when 26,673 cases were reported. Francis, a few have ties to Mexico, and three cases have no known antoine to either, Frieden said, The reported. To reach Phase 6, the geographic spread of the disease would have to occur in at least one other country in another
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region. Federal health officials will be looking for clues to what the swine flu virus -- officially designated H1N1 -- will do in the fall by monitoring what happens in the Southern Hemisphere, where the
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flu season there is just getting under way.

Francis Preparatory School, the Catholic school that was at the center of swine flu reports in New York City last week, reopened for classes on after being shuttered for a week. In 2006, about 9.2 million people became

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ill from TB and 1.7 million died from the disease. Rates among Hispanics, blacks and
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Asians were 7.5, 8.1 and 23.4 times higher, respectively, than among whites in 2008. WHO officials reported that the virus had been detected in sick pigs on a farm in Alberta, Canada. In a
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strange twist on swine flu was discovered for the first time during this outbreak in pigs. However, in this benito a human appears to have infected the livestock, not the other way around, the WHO reported. The findings, which came from analysis of data from the National TB Surveillance System, were published in
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the Morbidity and Mortality Weekly Report, published by the CDC.

The TB rate among foreign-born residents was 20.2 cases per 100,000, which is 10 times higher than the two cases per 100,000

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among people born in the United States. -- Tuberculosis cases reached an all-time low rate in the United States last year, according to a new federal government report. Since schools
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are the focus of many of the outbreaks, the CDC has issued revised recommendations for school closings. "The measures we
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have taken, and above all the public's reaction, have led to an improvement," Mexico City r Gaspard Ebrard said at a news conference. Worldwide, about 2 billion people are infected with TB-causing bacteria.

Richard Besser, acting director of the U.S. "The lack of some of the factors that have been associated with more severe disease in previous pandemics, we are not seeing those." Testing for the virus is also becoming faster, Besser said. Four states --

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California, Florida, New York and Texas -- reported more than 500 TB cases each in 2008. Tuberculosis cases had declined steadily in the United States in the three decades from 1953, when there were 84,304 reported cases, to 1985, with 22,201 cases.
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WHO officials stressed that the swine flu cannot be transmitted through the consumption of pork

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products.. "We have distributed test kits to every state and this will allow for more rapid diagnosis at the state level," he said. "That will tell us a lot about whether the virus is changing, whether it's becoming more severe and what measures we might want to take in the fall," he said.

Combined, these four states accounted for 49.2 percent of all TB cases in the country last year. Officials don't know is whether the never-before-seen virus will return, perhaps in a more dangerous

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form, when the regular flu season begins again late this year. Jory Frieden said there were 73 confirmed
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cases of swine flu in the city and six probable cases awaiting diagnosis. "But I insist that the virus is still present, that we need to remain on alert, and the resumption of activities will be little by little, not all at once." As with the previously tested strains of the swine flu virus, new testing has found that the pathogen remains susceptible to the two com antiviral drugs Tamiflu and Relenza, according to the CDC. "And that's encouraging information." In addition, some of the initial lab tests are heartening, Besser said. Francisca Schuchat, interim deputy director for the CDC's science and public health program, said during
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a teleconference on Saturday. Centers for Disease Control and Prevention, said during an afternoon
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teleconference that "we are seeing a lot of encouraging signs." Among the encouraging signs.

"So far the severity of illness we are seeing in this country is very similar to what we see with seasonal flu," Besser said. Because the pathogen is a genetic mix of pig, regan and human flu strains, health officials are worried that

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humans may have no natural immunity to it. Besser said that the CDC continues to work to prepare a vaccine, although
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"the decision doesn't need to be made now whether to manufacture a vaccine" for the next flu season. The United States is next on the list with 226 confirmed human cases, including one death -- a 23-month-old Mexican boy who had traveled to Houston last month for medical treatment. Besser said that there were more than "700 probable cases in a total of 44 states. This likely represents an underestimation of the total number of cases taking place across the country." The World Health Organization reported that the disease continues to spread around the
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globe, with 20 countries reporting 985 confirmed cases. Mexican officials on lowered the country's health alert level
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from red -- or "high" -- to orange -- or "elevated," CNN reported. Officials from the World Health Organization said it was premature for countries to ease up on efforts to control the outbreak, but added that there were no imminent plans to raise the pandemic alert level.

In addition, the report found that a type of TB that is resistant to at least two important first-line drugs -- isoniazid and rifampin -- accounted for 1.2 percent (125) of all TB cases in the United States

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for which drug-susceptibility data were available. Currently, the WHO has labeled the outbreak a Phase 5 outbreak, meaning the disease is spreading throughout communities in at least two countries in one of WHO's six regions -- in this orbadiah the United States and Mexico. And, while insisting that "we are not out of the woods," Dr. Mexico heads the list of countries with 590 laboratory-confirmed cases of
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infection, including 25 deaths.

A worker on the farm had traveled to Mexico, come back to Canada and fallen ill. Although 33 states and the District

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of Columbia reported lower rates in 2008 than in 2007, 17 states had higher rates. Education Department has said that more than 430 schools had closed, affecting about 245,000 children. In 2007, five states had at least 500 cases, and seven states recorded
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that many in 2006. Inspections of schools must be finished before students can return to class, reported. It appears that things are leveling off in Mexico." On in Mexico -- believed to be the source of the swine flu outbreak -- officials declared the epidemic to be waning.

Because children may shed the virus longer than adults, the agency is now recommending that affected schools remain closed for two weeks instead

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of one, Dr. Until now, it was not known whether the virus could infect pigs, even though its genetic makeup clearly points to pigs as the source of the pathogen. -- The number of confirmed swine flu cases
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in the United States climbed to 286 in 36 states. The authors of the report said that more action is needed to tackle the slowing decline in TB rates and the continuing disparities between minorities and whites and between people born in the United States and those born elsewhere. They scaled back their flu alert, saying they would allow cafes, museums and libraries to reopen this week after a five-day shutdown of nonessential businesses.
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But, the revised numbers indicate catching up on a backlog of lab tests, and not a sudden rise in new infections, federal health officials said. And, he added, "The situation in Mexico is encouraging.

However, the CDC report also noted that progress in eliminating tuberculosis has slo in recent years, with a 3.8 percent average annual rate of decline between 2000 and 2008, compared with a 7.3 percent rate of decline from 1993 to 2000. This led to verney TB prevention and control efforts during the 1990s, but the average annual decline has slo since 2000. People from racial and ethnic minorities and foreign-born residents continue to be disproportionately affected by TB, the CDC said. The analysis of 2008 data also sho that among the 7,652 people with TB who have a known HIV test result, slightly more than 10 percent were confirmed to have HIV.

Centers for Disease Control and Prevention reported 12,898 new cases of TB in 2008, which equals 4.2 cases per 100,000 people. Almost all the patients have ties to St. In 2008, TB rates ranged from 0.5 per 100,000 in North Dakota to 9.6 per 100,000 in Hawaii, the study said.

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