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Kimberly Nelson, Alice N. Maina, Angela Brisco, Chelsea Foo, Curtis Croker, Van Ngo, Rachel Civen, Allen L. Richards, Kenn Fujioka, J. Wakoli Wekesa
A 2015 outbreak of flea-borne rickettsiosis in San Gabriel Valley, Los Angeles County, California
www.plosntds.org
www.plosntds.org
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4.3483 0 Td
(\(RFLOs\),)Tj
3.9175 0 Td
(particularly)Tj
/F11 1 Tf
4.8075 0 Td
[()13()4()13()8()8()10()4()]TJ
3.9855 0 Td
[()-3()2()]TJ
-35.2797 -1.2983 Td
[()4()11()6()2()10()-4()]TJ
/F8 1 Tf
3.5319 0 Td
(and)Tj
/F11 1 Tf
1.7291 0 Td
[()-2()16()6()12()4()4()22()7()-4()]TJ
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(senegalensis,)Tj
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/F11 1 Tf
1.0148 0 Td
[()]TJ
/F8 1 Tf
(.)Tj
/F11 1 Tf
1.0375 0 Td
[()9()15(\r)12()-4()]TJ
/F8 1 Tf
1.7064 0 Td
([)Tj
0.83 0.64 0.02 0 k
(12)Tj
0 g
(].)Tj
2.0807 0 Td
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(clinical)Tj
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(illness,)Tj
/F11 1 Tf
2.897 0 Td
[()]TJ
/F8 1 Tf
(.)Tj
/F11 1 Tf
1.0375 0 Td
[()-3()2()17()4()11()6()2()10()-4()]TJ
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[()28()6()7()6()7()]TJ
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[()9()-3()1()4()1()4(\r)4()16()-9()-4()]TJ
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(14)Tj
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[()-2()]TJ
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(and)Tj
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(humans)Tj
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([)Tj
0.83 0.64 0.02 0 k
(11)Tj
0 g
(].)Tj
2.0749 0 Td
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4.2803 0 Td
(infection)Tj
3.7871 0 Td
(transfer)Tj
3.3165 0 Td
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-32.8136 -1.3039 Td
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3.3278 0 Td
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1.457 0 Td
(outdoors.)Tj
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3.6737 0 Td
(free-roaming)Tj
5.4935 0 Td
(cats,)Tj
1.9615 0 Td
(and)Tj
1.7292 0 Td
(domestic)Tj
3.8494 0 Td
(animals)Tj
3.3278 0 Td
(are)Tj
1.4514 0 Td
(brought)Tj
3.4242 0 Td
(in)Tj
-36.7027 -1.2983 Td
(proximity)Tj
4.1838 0 Td
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2.3981 0 Td
(food)Tj
2.0466 0 Td
(is)Tj
0.8448 0 Td
(left)Tj
1.474 0 Td
(outdoors,)Tj
4.0478 0 Td
(increasing)Tj
4.3257 0 Td
(the)Tj
1.4683 0 Td
(potential)Tj
3.7587 0 Td
(for)Tj
1.3833 0 Td
(exchanging)Tj
4.7849 0 Td
(fleas.)Tj
2.194 0 Td
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2.6815 0 Td
(ecto-)Tj
-35.5915 -1.2982 Td
(parasites)Tj
3.685 0 Td
(of)Tj
1.0147 0 Td
(wildlife)Tj
3.1692 0 Td
(become)Tj
3.3278 0 Td
(too)Tj
1.5307 0 Td
(numerous,)Tj
4.5298 0 Td
(they)Tj
1.9275 0 Td
(infest)Tj
2.4038 0 Td
(new)Tj
1.8765 0 Td
(hosts,)Tj
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(increasing)Tj
4.3313 0 Td
(the)Tj
1.4684 0 Td
(risk)Tj
1.7178 0 Td
(that)Tj
1.7744 0 Td
(they)Tj
-35.257 -1.2983 Td
(may)Tj
1.9275 0 Td
(transmit)Tj
3.617 0 Td
(disease)Tj
3.016 0 Td
(to)Tj
1.0261 0 Td
(domestic)Tj
3.8495 0 Td
(animals)Tj
3.3278 0 Td
(and)Tj
1.7348 0 Td
(humans)Tj
3.4356 0 Td
([)Tj
0.83 0.64 0.02 0 k
(16)Tj
0 g
(,)Tj
0.83 0.64 0.02 0 k
(17)Tj
0 g
(].)Tj
-20.7381 -1.3039 Td
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2.5795 0 Td
(human)Tj
3.0784 0 Td
(case)Tj
1.8595 0 Td
(reports)Tj
3.0727 0 Td
(of)Tj
1.0148 0 Td
(flea-borne)Tj
4.32 0 Td
(rickettsiosis)Tj
4.9209 0 Td
(among)Tj
2.9934 0 Td
(residents)Tj
3.804 0 Td
(of)Tj
1.0148 0 Td
(a)Tj
0.652 0 Td
(single)Tj
2.5342 0 Td
(95-unit)Tj
-33.0404 -1.2983 Td
(mobile)Tj
2.9876 0 Td
(home)Tj
2.5002 0 Td
(community)Tj
4.8869 0 Td
(\(MHC\),)Tj
3.4469 0 Td
(with)Tj
1.9956 0 Td
(disease)Tj
3.0217 0 Td
(onsets)Tj
2.7155 0 Td
(from)Tj
2.2054 0 Td
(April)Tj
2.3074 0 Td
(23rd)Tj
2.0693 0 Td
(to)Tj
1.0261 0 Td
(June)Tj
2.0523 0 Td
(9th,)Tj
1.7461 0 Td
(2015)Tj
-32.961 -1.2983 Td
(prompted)Tj
4.2009 0 Td
(an)Tj
1.2018 0 Td
(initial)Tj
2.5512 0 Td
(investigation,)Tj
5.5842 0 Td
(and)Tj
1.7291 0 Td
(subsequent)Tj
4.7055 0 Td
(abatement)Tj
4.405 0 Td
(order)Tj
2.4208 0 Td
(by)Tj
1.1849 0 Td
(the)Tj
1.4683 0 Td
(San)Tj
1.6781 0 Td
(Gabriel)Tj
3.1861 0 Td
(Valley)Tj
-34.3159 -1.3039 Td
(Mosquito)Tj
4.0875 0 Td
(and)Tj
1.7291 0 Td
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2.9367 0 Td
(Control)Tj
3.3618 0 Td
(District)Tj
3.2429 0 Td
(\(District\))Tj
3.9231 0 Td
([)Tj
0.83 0.64 0.02 0 k
(18)Tj
0 g
(].)Tj
2.0806 0 Td
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1.7801 0 Td
(Los)Tj
1.6271 0 Td
(Angeles)Tj
3.3732 0 Td
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5.091 0 Td
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2.7495 0 Td
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2.9197 0 Td
(\(LACDPH\))Tj
4.8472 0 Td
(initiated)Tj
3.549 0 Td
(active)Tj
2.5228 0 Td
(case)Tj
1.8595 0 Td
(finding)Tj
3.1351 0 Td
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1.0261 0 Td
(look)Tj
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1.389 0 Td
(additional)Tj
4.2746 0 Td
(outbreak-associ-)Tj
-30.2454 -1.2983 Td
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(multi-agency)Tj
5.4821 0 Td
(notification,)Tj
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0.83 0.64 0.02 0 k
(19)Tj
0 g
(,)Tj
0.83 0.64 0.02 0 k
(4)Tj
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(].)Tj
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(and)Tj
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([)Tj
0.83 0.64 0.02 0 k
(20)Tj
0 g
(].)Tj
2.075 0 Td
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(identify)Tj
3.2939 0 Td
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1.474 0 Td
(etiological)Tj
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q
1 j
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BT
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Q
q
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2.3471 0 Td
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1.474 0 Td
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4.3199 0 Td
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(conditions)Tj
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(cases)Tj
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Q
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