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	<title>GIDEON - Global Infectious Diseases and Epidemiology Network</title>
	
	<link>http://www.GIDEONonline.com</link>
	<description>What's new with GIDEON, the premier medical decision support web application</description>
	<lastBuildDate>Sun, 29 Apr 2012 04:50:30 +0000</lastBuildDate>
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		<title>Update: April 29, 2012</title>
		<link>http://www.GIDEONonline.com/2012/04/28/update-april-29-2012/</link>
		<comments>http://www.GIDEONonline.com/2012/04/28/update-april-29-2012/#comments</comments>
		<pubDate>Sun, 29 Apr 2012 04:50:30 +0000</pubDate>
		<dc:creator>Dr. Stephen Berger</dc:creator>
				<category><![CDATA[What's New]]></category>

		<guid isPermaLink="false">http://www.GIDEONonline.com/?p=23895</guid>
		<description><![CDATA[GIDEON what&#8217;s new summary: April 25 to April 29, 2012 Infectious Diseases &#8211; Outbreaks (7 updates) 7 DiseasesMap Infectious Diseases &#8211; Diseases (629 updates) 1 Clinical note117 Diseases510 Country notes1 New Disease Synonym AddedMap Infectious Diseases &#8211; Drugs (1 updates) 1 Interacting drugs &#8211; New]]></description>
			<content:encoded><![CDATA[<p>GIDEON what&#8217;s new summary: April 25 to April 29, 2012</p>
<p><STRONG><A HREF='http://web.gideononline.com/web/whatisnew/whatsnew.php?date=2012_04_29_00_50'>Infectious Diseases &#8211; Outbreaks (7 updates)</A></STRONG><br />
<LI>7 Diseases</LI><LI><A HREF='http://web.gideononline.com/web/whatisnew/whatsnew.php?date=2012_04_29_00_50&#038;tab=map'>Map</A></LI></p>
<p><STRONG><A HREF='http://web.gideononline.com/web/whatisnew/whatsnew.php?date=2012_04_29_00_50'>Infectious Diseases &#8211; Diseases (629 updates)</A></STRONG><br />
<LI>1 Clinical note</LI><LI>117 Diseases</LI><LI>510 Country notes</LI><LI>1 New Disease Synonym Added</LI><LI><A HREF='http://web.gideononline.com/web/whatisnew/whatsnew.php?date=2012_04_29_00_50&#038;tab=map'>Map</A></LI></p>
<p><STRONG><A HREF='http://web.gideononline.com/web/whatisnew/whatsnew.php?date=2012_04_29_00_50'>Infectious Diseases &#8211; Drugs (1 updates)</A></STRONG><br />
<LI>1 Interacting drugs &#8211; New</LI></p>
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		<title>Update: April 25, 2012</title>
		<link>http://www.GIDEONonline.com/2012/04/24/update-april-25-2012/</link>
		<comments>http://www.GIDEONonline.com/2012/04/24/update-april-25-2012/#comments</comments>
		<pubDate>Wed, 25 Apr 2012 05:03:09 +0000</pubDate>
		<dc:creator>Dr. Stephen Berger</dc:creator>
				<category><![CDATA[What's New]]></category>

		<guid isPermaLink="false">http://www.GIDEONonline.com/?p=23891</guid>
		<description><![CDATA[GIDEON what&#8217;s new summary: April 22 to April 25, 2012 Infectious Diseases &#8211; Outbreaks (5 updates) 5 DiseasesMap Infectious Diseases &#8211; Diseases (305 updates) 39 Diseases266 Country notesMap]]></description>
			<content:encoded><![CDATA[<p>GIDEON what&#8217;s new summary: April 22 to April 25, 2012</p>
<p><STRONG><A HREF='http://web.gideononline.com/web/whatisnew/whatsnew.php?date=2012_04_25_01_02'>Infectious Diseases &#8211; Outbreaks (5 updates)</A></STRONG><br />
<LI>5 Diseases</LI><LI><A HREF='http://web.gideononline.com/web/whatisnew/whatsnew.php?date=2012_04_25_01_02&#038;tab=map'>Map</A></LI></p>
<p><STRONG><A HREF='http://web.gideononline.com/web/whatisnew/whatsnew.php?date=2012_04_25_01_02'>Infectious Diseases &#8211; Diseases (305 updates)</A></STRONG><br />
<LI>39 Diseases</LI><LI>266 Country notes</LI><LI><A HREF='http://web.gideononline.com/web/whatisnew/whatsnew.php?date=2012_04_25_01_02&#038;tab=map'>Map</A></LI></p>
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		</item>
		<item>
		<title>Lyme Disease – Incidence by States</title>
		<link>http://www.GIDEONonline.com/2012/04/23/lyme-disease-incidence-by-states/</link>
		<comments>http://www.GIDEONonline.com/2012/04/23/lyme-disease-incidence-by-states/#comments</comments>
		<pubDate>Tue, 24 Apr 2012 06:28:06 +0000</pubDate>
		<dc:creator>Dr. Stephen Berger</dc:creator>
				<category><![CDATA[Ebooks]]></category>
		<category><![CDATA[Epidemiology]]></category>
		<category><![CDATA[Graphs]]></category>
		<category><![CDATA[ProMED]]></category>
		<category><![CDATA[lyme disease]]></category>
		<category><![CDATA[united states]]></category>

		<guid isPermaLink="false">http://www.GIDEONonline.com/?p=23885</guid>
		<description><![CDATA[Although most cases of Lyme disease in the United States were initially reported by New York, Pennsylvania and Connecticut, disease incidence in these states has not paralled a steady increase in national rates since the 1990&#8242;s (see graph). [1-3] References: 1. Berger SA. Infectious Diseases of the United States, 2012. 1089 pp, 467 graphs, 9760 [...]]]></description>
			<content:encoded><![CDATA[<p>Although most cases of Lyme disease in the United States were initially reported by New York, Pennsylvania and Connecticut, disease incidence in these states has not paralled a steady increase in national rates since the 1990&#8242;s (see graph). [1-3]</p>
<p><a href="http://www.GIDEONonline.com/2012/04/23/lyme-disease-incidence-by-states/lyme-states/" rel="attachment wp-att-23886"><img src="http://www.GIDEONonline.com/wp/wp-content/uploads/Lyme-States.png" alt="" title="Lyme-States" width="570" height="500" class="aligncenter size-full wp-image-23886" /></a></p>
<p>References:<br />
1. Berger SA. Infectious Diseases of the United States, 2012. 1089 pp, 467 graphs, 9760 references. Gideon e-books, <a href="http://www.gideononline.com/ebooks/country/infectious-diseases-of-the-united-states/">http://www.gideononline.com/ebooks/country/infectious-diseases-of-the-united-states/</a><br />
2. Berger SA. Lyme Disease: Global Status, 2012. 73 pp, 65 graphs, 593 references. Gideon e-books, <a href="http://www.gideononline.com/ebooks/disease/lyme-disease-global-status/">http://www.gideononline.com/ebooks/disease/lyme-disease-global-status/</a><br />
3. Gideon graph tool at  <a href="http://www.GIDEONonline.com/wp/wp-content/uploads/Gideon-Graphs.pps">http://www.GIDEONonline.com/wp/wp-content/uploads/Gideon-Graphs.pps</a></p>
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		<title>Update: April 22, 2012</title>
		<link>http://www.GIDEONonline.com/2012/04/22/update-april-22-2012/</link>
		<comments>http://www.GIDEONonline.com/2012/04/22/update-april-22-2012/#comments</comments>
		<pubDate>Sun, 22 Apr 2012 08:42:13 +0000</pubDate>
		<dc:creator>Dr. Stephen Berger</dc:creator>
				<category><![CDATA[What's New]]></category>

		<guid isPermaLink="false">http://www.GIDEONonline.com/?p=23882</guid>
		<description><![CDATA[GIDEON what&#8217;s new summary: April 20 to April 22, 2012 Infectious Diseases &#8211; Outbreaks (8 updates) 8 DiseasesMap Infectious Diseases &#8211; Diseases (338 updates) 56 Diseases281 Country notes1 New Disease Synonym AddedMap]]></description>
			<content:encoded><![CDATA[<p>GIDEON what&#8217;s new summary: April 20 to April 22, 2012</p>
<p><STRONG><A HREF='http://web.gideononline.com/web/whatisnew/whatsnew.php?date=2012_04_22_04_42'>Infectious Diseases &#8211; Outbreaks (8 updates)</A></STRONG><br />
<LI>8 Diseases</LI><LI><A HREF='http://web.gideononline.com/web/whatisnew/whatsnew.php?date=2012_04_22_04_42&#038;tab=map'>Map</A></LI></p>
<p><STRONG><A HREF='http://web.gideononline.com/web/whatisnew/whatsnew.php?date=2012_04_22_04_42'>Infectious Diseases &#8211; Diseases (338 updates)</A></STRONG><br />
<LI>56 Diseases</LI><LI>281 Country notes</LI><LI>1 New Disease Synonym Added</LI><LI><A HREF='http://web.gideononline.com/web/whatisnew/whatsnew.php?date=2012_04_22_04_42&#038;tab=map'>Map</A></LI></p>
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		<item>
		<title>Ross River Disease in Australia</title>
		<link>http://www.GIDEONonline.com/2012/04/20/ross-river-disease-in-australia/</link>
		<comments>http://www.GIDEONonline.com/2012/04/20/ross-river-disease-in-australia/#comments</comments>
		<pubDate>Fri, 20 Apr 2012 08:01:22 +0000</pubDate>
		<dc:creator>Dr. Stephen Berger</dc:creator>
				<category><![CDATA[Ebooks]]></category>
		<category><![CDATA[Epidemiology]]></category>
		<category><![CDATA[Graphs]]></category>
		<category><![CDATA[ProMED]]></category>
		<category><![CDATA[australia]]></category>
		<category><![CDATA[Ross River disease]]></category>

		<guid isPermaLink="false">http://www.GIDEONonline.com/?p=23874</guid>
		<description><![CDATA[For over 20 years, the highest incidence of Ross River disease has been reported in Queensland and New South Wales (highest disease rates per 100,000 in Northern Territory). [1,2] In 2011, Victoria reported more cases than any other state. See graph [3] The blue line (arrow) represents incidence in Victoria. References: 1. Berger SA. Infectious [...]]]></description>
			<content:encoded><![CDATA[<p>For over 20 years, the highest incidence of Ross River disease has been reported in Queensland and New South Wales (highest disease rates per 100,000 in Northern Territory). [1,2]   In 2011, Victoria reported more cases than any other state.  See graph [3]  The blue line (arrow) represents incidence in Victoria.</p>
<p><a href="http://www.GIDEONonline.com/2012/04/20/ross-river-disease-in-australia/rrf-austr/" rel="attachment wp-att-23875"><img src="http://www.GIDEONonline.com/wp/wp-content/uploads/RRF-Austr.png" alt="" title="RRF-Austr" width="552" height="532" class="aligncenter size-full wp-image-23875" /></a></p>
<p>References:<br />
1. Berger SA. Infectious Diseases of Australia, 2012. 519 pp, 161 graphs, 2950 references. Gideon e-books, <a href="http://www.gideononline.com/ebooks/country/infectious-diseases-of-australia/">http://www.gideononline.com/ebooks/country/infectious-diseases-of-australia/</a><br />
2. Berger SA. Australo-Pacific Arboviruses: Global Status, 2012. 30 pp, 19 graphs, 280 references. Gideon e-books, <a href="http://www.gideononline.com/ebooks/disease/australo-pacific-arboviruses-global-status/">http://www.gideononline.com/ebooks/disease/australo-pacific-arboviruses-global-status/</a><br />
3. Gideon graph tool at  <a href="http://www.GIDEONonline.com/wp/wp-content/uploads/Gideon-Graphs.pps">http://www.GIDEONonline.com/wp/wp-content/uploads/Gideon-Graphs.pps</a></p>
<p>Note featured on <a href="http://www.promedmail.org/direct.php?id=20120421.1109313">ProMED</a></p>
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		<title>Update: April 20, 2012</title>
		<link>http://www.GIDEONonline.com/2012/04/19/update-april-20-2012/</link>
		<comments>http://www.GIDEONonline.com/2012/04/19/update-april-20-2012/#comments</comments>
		<pubDate>Fri, 20 Apr 2012 06:49:45 +0000</pubDate>
		<dc:creator>Dr. Stephen Berger</dc:creator>
				<category><![CDATA[What's New]]></category>

		<guid isPermaLink="false">http://www.GIDEONonline.com/?p=23872</guid>
		<description><![CDATA[GIDEON what&#8217;s new summary: April 18 to April 20, 2012 Infectious Diseases &#8211; Outbreaks (6 updates) 6 DiseasesMap Infectious Diseases &#8211; Diseases (394 updates) 2 Clinical notes72 Diseases320 Country notesMap]]></description>
			<content:encoded><![CDATA[<p>GIDEON what&#8217;s new summary: April 18 to April 20, 2012</p>
<p><STRONG><A HREF='http://web.gideononline.com/web/whatisnew/whatsnew.php?date=2012_04_20_02_49'>Infectious Diseases &#8211; Outbreaks (6 updates)</A></STRONG><br />
<LI>6 Diseases</LI><LI><A HREF='http://web.gideononline.com/web/whatisnew/whatsnew.php?date=2012_04_20_02_49&#038;tab=map'>Map</A></LI></p>
<p><STRONG><A HREF='http://web.gideononline.com/web/whatisnew/whatsnew.php?date=2012_04_20_02_49'>Infectious Diseases &#8211; Diseases (394 updates)</A></STRONG><br />
<LI>2 Clinical notes</LI><LI>72 Diseases</LI><LI>320 Country notes</LI><LI><A HREF='http://web.gideononline.com/web/whatisnew/whatsnew.php?date=2012_04_20_02_49&#038;tab=map'>Map</A></LI></p>
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		<title>Update: April 18, 2012</title>
		<link>http://www.GIDEONonline.com/2012/04/18/update-april-18-2012/</link>
		<comments>http://www.GIDEONonline.com/2012/04/18/update-april-18-2012/#comments</comments>
		<pubDate>Wed, 18 Apr 2012 11:51:00 +0000</pubDate>
		<dc:creator>Dr. Stephen Berger</dc:creator>
				<category><![CDATA[What's New]]></category>

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		<description><![CDATA[GIDEON what&#8217;s new summary: April 15 to April 18, 2012 Infectious Diseases &#8211; Outbreaks (4 updates) 4 DiseasesMap Infectious Diseases &#8211; Diseases (338 updates) 46 Diseases292 Country notesMap]]></description>
			<content:encoded><![CDATA[<p>GIDEON what&#8217;s new summary: April 15 to April 18, 2012</p>
<p><STRONG><A HREF='http://web.gideononline.com/web/whatisnew/whatsnew.php?date=2012_04_18_07_50'>Infectious Diseases &#8211; Outbreaks (4 updates)</A></STRONG><br />
<LI>4 Diseases</LI><LI><A HREF='http://web.gideononline.com/web/whatisnew/whatsnew.php?date=2012_04_18_07_50&#038;tab=map'>Map</A></LI></p>
<p><STRONG><A HREF='http://web.gideononline.com/web/whatisnew/whatsnew.php?date=2012_04_18_07_50'>Infectious Diseases &#8211; Diseases (338 updates)</A></STRONG><br />
<LI>46 Diseases</LI><LI>292 Country notes</LI><LI><A HREF='http://web.gideononline.com/web/whatisnew/whatsnew.php?date=2012_04_18_07_50&#038;tab=map'>Map</A></LI></p>
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		<title>Rabies: Canada ex Dominican Republic</title>
		<link>http://www.GIDEONonline.com/2012/04/17/rabies-canada-ex-dominican-republic/</link>
		<comments>http://www.GIDEONonline.com/2012/04/17/rabies-canada-ex-dominican-republic/#comments</comments>
		<pubDate>Wed, 18 Apr 2012 05:46:08 +0000</pubDate>
		<dc:creator>Dr. Stephen Berger</dc:creator>
				<category><![CDATA[Ebooks]]></category>
		<category><![CDATA[Epidemiology]]></category>
		<category><![CDATA[Graphs]]></category>
		<category><![CDATA[ProMED]]></category>
		<category><![CDATA[Canada]]></category>
		<category><![CDATA[Dominican Republic]]></category>
		<category><![CDATA[Rabies]]></category>

		<guid isPermaLink="false">http://www.GIDEONonline.com/?p=23860</guid>
		<description><![CDATA[In analyzing a recent case in Canada ex Dominican Republic, it is interesting to compare the background of rabies in these two countries. [1-4] While human rabies is clearly more common in the Dominican Republic (graph 1), the incidence of animal rabies is higher in Canada (graph 2). Skunks and foxes account for over 50% [...]]]></description>
			<content:encoded><![CDATA[<p>In analyzing a recent case in Canada ex Dominican Republic, it is interesting to compare the  background of rabies in these two countries. [1-4]  While human rabies is clearly more common in the Dominican Republic (graph 1), the incidence of animal rabies is higher in Canada (graph 2).   </p>
<p><a href="http://www.GIDEONonline.com/2012/04/17/rabies-canada-ex-dominican-republic/rabhum-candr/" rel="attachment wp-att-23861"><img src="http://www.GIDEONonline.com/wp/wp-content/uploads/RabHum-CanDR.png" alt="" title="RabHum-CanDR" width="570" height="450" class="aligncenter size-full wp-image-23861" /></a></p>
<p><a href="http://www.GIDEONonline.com/2012/04/17/rabies-canada-ex-dominican-republic/raban-drcan/" rel="attachment wp-att-23862"><img src="http://www.GIDEONonline.com/wp/wp-content/uploads/RabAn-DRCan.png" alt="" title="RabAn-DRCan" width="570" height="450" class="aligncenter size-full wp-image-23862" /></a></p>
<p>Skunks and foxes account for over 50% of aminal rabies in Canada, while dogs, mongoose and ruminants account for most cases in the Dominican republic.   The number of rabid dogs reported by the two countries has been strikingly similar through much of the past four decades (graph 3).</p>
<p><a href="http://www.GIDEONonline.com/2012/04/17/rabies-canada-ex-dominican-republic/rabdog-candr/" rel="attachment wp-att-23863"><img src="http://www.GIDEONonline.com/wp/wp-content/uploads/RabDog-CanDR.png" alt="" title="RabDog-CanDR" width="570" height="450" class="aligncenter size-full wp-image-23863" /></a></p>
<p>References:</p>
<p>References:<br />
1. Berger SA. Infectious Diseases of Canada, 2012. 496 pp, 107 graphs, 3130 references.  Gideon e-books, <a href="http://www.gideononline.com/ebooks/country/infectious-diseases-of-canada/">http://www.gideononline.com/ebooks/country/infectious-diseases-of-canada/</a><br />
2. Berger SA. Infectious Diseases of the Dominican Republic, 2012. 339 pp, 53 graphs, 1314 references. Gideon e-books, <a href="http://www.gideononline.com/ebooks/country/infectious-diseases-of-the-dominican-republic/">http://www.gideononline.com/ebooks/country/infectious-diseases-of-the-dominican-republic/</a><br />
3. Berger SA. Rabies: Global Status, 2012. 376 pp, 546 graphs, 1375 references.  Gideon e-books, <a href="http://www.gideononline.com/ebooks/disease/rabies-global-status/">http://www.gideononline.com/ebooks/disease/rabies-global-status/</a><br />
4. Gideon graph tool at  <a href="http://www.GIDEONonline.com/wp/wp-content/uploads/Gideon-Graphs.pps">http://www.GIDEONonline.com/wp/wp-content/uploads/Gideon-Graphs.pps</a></p>
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		<title>Update: April 15, 2012</title>
		<link>http://www.GIDEONonline.com/2012/04/15/update-april-15-2012/</link>
		<comments>http://www.GIDEONonline.com/2012/04/15/update-april-15-2012/#comments</comments>
		<pubDate>Sun, 15 Apr 2012 09:17:38 +0000</pubDate>
		<dc:creator>Dr. Stephen Berger</dc:creator>
				<category><![CDATA[What's New]]></category>

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		<description><![CDATA[GIDEON what&#8217;s new summary: April 11 to April 15, 2012 Infectious Diseases &#8211; Outbreaks (7 updates) 7 DiseasesMap Infectious Diseases &#8211; Diseases (475 updates) 1 Clinical note97 Diseases377 Country notesMap Microbiology &#8211; Bacteria (1 updates) 1 New Bacteria Added]]></description>
			<content:encoded><![CDATA[<p>GIDEON what&#8217;s new summary: April 11 to April 15, 2012</p>
<p><STRONG><A HREF='http://web.gideononline.com/web/whatisnew/whatsnew.php?date=2012_04_15_05_17'>Infectious Diseases &#8211; Outbreaks (7 updates)</A></STRONG><br />
<LI>7 Diseases</LI><LI><A HREF='http://web.gideononline.com/web/whatisnew/whatsnew.php?date=2012_04_15_05_17&#038;tab=map'>Map</A></LI></p>
<p><STRONG><A HREF='http://web.gideononline.com/web/whatisnew/whatsnew.php?date=2012_04_15_05_17'>Infectious Diseases &#8211; Diseases (475 updates)</A></STRONG><br />
<LI>1 Clinical note</LI><LI>97 Diseases</LI><LI>377 Country notes</LI><LI><A HREF='http://web.gideononline.com/web/whatisnew/whatsnew.php?date=2012_04_15_05_17&#038;tab=map'>Map</A></LI></p>
<p><STRONG><A HREF='http://web.gideononline.com/web/whatisnew/whatsnew.php?date=2012_04_15_05_17'>Microbiology &#8211; Bacteria (1 updates)</A></STRONG><br />
<LI>1 New Bacteria Added</LI></p>
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		<title>Rubella in Spain</title>
		<link>http://www.GIDEONonline.com/2012/04/13/rubella-in-spain/</link>
		<comments>http://www.GIDEONonline.com/2012/04/13/rubella-in-spain/#comments</comments>
		<pubDate>Sat, 14 Apr 2012 05:44:46 +0000</pubDate>
		<dc:creator>Dr. Stephen Berger</dc:creator>
				<category><![CDATA[Ebooks]]></category>
		<category><![CDATA[Epidemiology]]></category>
		<category><![CDATA[Graphs]]></category>
		<category><![CDATA[ProMED]]></category>
		<category><![CDATA[Rubella]]></category>
		<category><![CDATA[Spain]]></category>

		<guid isPermaLink="false">http://www.GIDEONonline.com/?p=23848</guid>
		<description><![CDATA[The following background data on rubella in Spain are abstracted from Gideon www.GideonOnline.com and the Gideon e-book series. [1,2] (Primary references available on request) Vaccination of 11-year-old girls with monovalent Rubella vaccine was introduced in 1979. - Routine MMR immunization was introduced in 1981. - The second dose was advanced to age 3 to 6 [...]]]></description>
			<content:encoded><![CDATA[<p>The following background data on rubella in Spain are abstracted from Gideon www.GideonOnline.com and the Gideon e-book series. [1,2]  (Primary references available on request)</p>
<p>Vaccination of 11-year-old girls with monovalent Rubella vaccine was introduced in 1979.<br />
- Routine MMR immunization was introduced in 1981.<br />
- The second dose was advanced to age 3 to 6 years in 1999.</p>
<p>The following graph contrasts Rubella (MMR) vaccine uptake with rubella incidence in Spain [3]: </p>
<p><a href="http://www.GIDEONonline.com/2012/04/13/rubella-in-spain/rubella-spain/" rel="attachment wp-att-23849"><img src="http://www.GIDEONonline.com/wp/wp-content/uploads/Rubella-Spain-1024x812.png" alt="" title="Rubella-Spain" width="1024" height="812" class="aligncenter size-large wp-image-23849" /></a></p>
<p>Graph Notes:<br />
1. 658,767 cases of rubella were reported during 1982 to 1989.<br />
2. Six fatal cases were reported during 1980 to 1994.<br />
3. 267 hospitalizations for rubella (0.065 per 100,000) were reported during 1997 to 2006 &#8211; including 144 for intrpartum infection.<br />
4. Eighteen cases of congenital rubella syndrome were reported during 1997 through 2011.</p>
<p>Seroprevalence surveys:<br />
     95% of the general population of Madrid (98.6% of women of childbearing age) (2000 survey)<br />
     96.4% of persons ages 17 to 36 (Barcelona, 1992 to 1993)<br />
     91.2% of women of childbearing age (Aragon, 2003 to 2007)<br />
     99.95% of pregnant women in Salamanca (2001)<br />
     93.4% of pregnant women (94.9% of indigenous women, 89% of immigrants) at the time of delivery (Catalonia, 2007 publication)<br />
     92% of pregnant immigrant women and 97.7% of native pregnant women (2006 to 2010)<br />
     95% of native-born pregnant women (2007 to 2008)<br />
     97.3% of pregnant women in Grenada (2007 to 2008)<br />
     88.3% of immigrant women in Catalonia (2009 publication)<br />
     95.7% of children ages 1 to 5 years, and 90.5% ages 5 to 14 in Castilla de Leon (2001 to 2002)<br />
     98.1% in Catalonia (1996) </p>
<p>Notable outbreaks:<br />
     1991 &#8211; An outbreak (175 cases) was reported in Cadiz.<br />
     2002 to 2003 &#8211; An outbreak was reported in Madrid &#8211; 19 cases (11 of whom were from Ecuador).<br />
     2004 to 2005 &#8211; An outbreak (460 suspect  cases) was reported in Madrid region.<br />
     2005 &#8211; An outbreak (8 cases) was reported in Barcelona, among expatriates from Brazil. </p>
<p>References:<br />
1. Berger SA. Infectious Diseases of Spain, 2012. 557 pp, 194 graphs, 2850 references. Gideon e-books, <a href="http://www.gideononline.com/ebooks/country/infectious-diseases-of-spain/">http://www.gideononline.com/ebooks/country/infectious-diseases-of-spain/</a><br />
2. Berger SA. Rubella: Global Status, 2012. 314 pp, 447 graphs, 611 references.  Gideon e-books, <a href="http://www.gideononline.com/ebooks/disease/rubella-global-status/">http://www.gideononline.com/ebooks/disease/rubella-global-status/</a><br />
3. Gideon graph tool at  <a href="http://www.gideononline.com/ebooks/disease/rubella-global-status/">http://www.GIDEONonline.com/wp/wp-content/uploads/Gideon-Graphs.pps</a></p>
<p>Featured on <a href="http://www.promedmail.org/direct.php?id=20120414.1101179">ProMED</a></p>
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