id sid tid token lemma pos cord-262623-lmf2h6oc 1 1 key key NNP cord-262623-lmf2h6oc 1 2 : : : cord-262623-lmf2h6oc 1 3 cord-262623-lmf2h6oc cord-262623-lmf2h6oc NNS cord-262623-lmf2h6oc 1 4 authors author NNS cord-262623-lmf2h6oc 1 5 : : : cord-262623-lmf2h6oc 1 6 Light Light NNP cord-262623-lmf2h6oc 1 7 , , , cord-262623-lmf2h6oc 1 8 R. R. NNP cord-262623-lmf2h6oc 1 9 Bruce Bruce NNP cord-262623-lmf2h6oc 1 10 title title NN cord-262623-lmf2h6oc 1 11 : : : cord-262623-lmf2h6oc 1 12 Plagues plague NNS cord-262623-lmf2h6oc 1 13 in in IN cord-262623-lmf2h6oc 1 14 the the DT cord-262623-lmf2h6oc 1 15 ICU ICU NNP cord-262623-lmf2h6oc 1 16 : : : cord-262623-lmf2h6oc 1 17 A a DT cord-262623-lmf2h6oc 1 18 Brief brief JJ cord-262623-lmf2h6oc 1 19 History history NN cord-262623-lmf2h6oc 1 20 of of IN cord-262623-lmf2h6oc 1 21 Community Community NNP cord-262623-lmf2h6oc 1 22 - - HYPH cord-262623-lmf2h6oc 1 23 Acquired Acquired NNP cord-262623-lmf2h6oc 1 24 Epidemic Epidemic NNP cord-262623-lmf2h6oc 1 25 and and CC cord-262623-lmf2h6oc 1 26 Endemic Endemic NNP cord-262623-lmf2h6oc 1 27 Transmissible transmissible JJ cord-262623-lmf2h6oc 1 28 Infections infection NNS cord-262623-lmf2h6oc 1 29 Leading lead VBG cord-262623-lmf2h6oc 1 30 to to IN cord-262623-lmf2h6oc 1 31 Intensive Intensive NNP cord-262623-lmf2h6oc 1 32 Care Care NNP cord-262623-lmf2h6oc 1 33 Admission admission NN cord-262623-lmf2h6oc 1 34 date date NN cord-262623-lmf2h6oc 1 35 : : : cord-262623-lmf2h6oc 1 36 2009 2009 CD cord-262623-lmf2h6oc 1 37 - - SYM cord-262623-lmf2h6oc 1 38 01 01 CD cord-262623-lmf2h6oc 1 39 - - HYPH cord-262623-lmf2h6oc 1 40 31 31 CD cord-262623-lmf2h6oc 1 41 journal journal NN cord-262623-lmf2h6oc 1 42 : : : cord-262623-lmf2h6oc 2 1 Critical Critical NNP cord-262623-lmf2h6oc 2 2 Care Care NNP cord-262623-lmf2h6oc 2 3 Clinics Clinics NNPS cord-262623-lmf2h6oc 2 4 DOI DOI NNP cord-262623-lmf2h6oc 2 5 : : : cord-262623-lmf2h6oc 2 6 10.1016/ 10.1016/ CD cord-262623-lmf2h6oc 3 1 j.ccc.2008.11.002 j.ccc.2008.11.002 NNP cord-262623-lmf2h6oc 3 2 sha sha NNP cord-262623-lmf2h6oc 3 3 : : : cord-262623-lmf2h6oc 4 1 5ec3ce247f52c497785b65717ba533b170716103 5ec3ce247f52c497785b65717ba533b170716103 CD cord-262623-lmf2h6oc 4 2 doc_id doc_id CD cord-262623-lmf2h6oc 4 3 : : : cord-262623-lmf2h6oc 4 4 262623 262623 CD cord-262623-lmf2h6oc 4 5 cord_uid cord_uid NNS cord-262623-lmf2h6oc 4 6 : : : cord-262623-lmf2h6oc 5 1 lmf2h6oc lmf2h6oc NNPS cord-262623-lmf2h6oc 6 1 The the DT cord-262623-lmf2h6oc 6 2 ability ability NN cord-262623-lmf2h6oc 6 3 to to TO cord-262623-lmf2h6oc 6 4 diagnose diagnose VB cord-262623-lmf2h6oc 6 5 and and CC cord-262623-lmf2h6oc 6 6 treat treat VB cord-262623-lmf2h6oc 6 7 infectious infectious JJ cord-262623-lmf2h6oc 6 8 diseases disease NNS cord-262623-lmf2h6oc 6 9 and and CC cord-262623-lmf2h6oc 6 10 handle handle VB cord-262623-lmf2h6oc 6 11 infectious infectious JJ cord-262623-lmf2h6oc 6 12 disease disease NN cord-262623-lmf2h6oc 6 13 outbreaks outbreak NNS cord-262623-lmf2h6oc 6 14 continues continue VBZ cord-262623-lmf2h6oc 6 15 to to TO cord-262623-lmf2h6oc 6 16 improve improve VB cord-262623-lmf2h6oc 6 17 . . . cord-262623-lmf2h6oc 7 1 For for IN cord-262623-lmf2h6oc 7 2 the the DT cord-262623-lmf2h6oc 7 3 most most JJS cord-262623-lmf2h6oc 7 4 part part NN cord-262623-lmf2h6oc 7 5 , , , cord-262623-lmf2h6oc 7 6 the the DT cord-262623-lmf2h6oc 7 7 major major JJ cord-262623-lmf2h6oc 7 8 plagues plague NNS cord-262623-lmf2h6oc 7 9 of of IN cord-262623-lmf2h6oc 7 10 antiquity antiquity NN cord-262623-lmf2h6oc 7 11 remain remain VBP cord-262623-lmf2h6oc 7 12 historical historical JJ cord-262623-lmf2h6oc 7 13 footnotes footnote NNS cord-262623-lmf2h6oc 7 14 , , , cord-262623-lmf2h6oc 7 15 yet yet RB cord-262623-lmf2h6oc 7 16 , , , cord-262623-lmf2h6oc 7 17 despite despite IN cord-262623-lmf2h6oc 7 18 many many JJ cord-262623-lmf2h6oc 7 19 advances advance NNS cord-262623-lmf2h6oc 7 20 , , , cord-262623-lmf2h6oc 7 21 there there EX cord-262623-lmf2h6oc 7 22 is be VBZ cord-262623-lmf2h6oc 7 23 clear clear JJ cord-262623-lmf2h6oc 7 24 evidence evidence NN cord-262623-lmf2h6oc 7 25 that that IN cord-262623-lmf2h6oc 7 26 major major JJ cord-262623-lmf2h6oc 7 27 pandemic pandemic NN cord-262623-lmf2h6oc 7 28 illness illness NN cord-262623-lmf2h6oc 7 29 is be VBZ cord-262623-lmf2h6oc 7 30 always always RB cord-262623-lmf2h6oc 7 31 just just RB cord-262623-lmf2h6oc 7 32 one one CD cord-262623-lmf2h6oc 7 33 outbreak outbreak NN cord-262623-lmf2h6oc 7 34 away away RB cord-262623-lmf2h6oc 7 35 . . . cord-262623-lmf2h6oc 8 1 In in IN cord-262623-lmf2h6oc 8 2 addition addition NN cord-262623-lmf2h6oc 8 3 to to IN cord-262623-lmf2h6oc 8 4 the the DT cord-262623-lmf2h6oc 8 5 HIV HIV NNP cord-262623-lmf2h6oc 8 6 pandemic pandemic NN cord-262623-lmf2h6oc 8 7 , , , cord-262623-lmf2h6oc 8 8 the the DT cord-262623-lmf2h6oc 8 9 smaller small JJR cord-262623-lmf2h6oc 8 10 epidemic epidemic NN cord-262623-lmf2h6oc 8 11 outbreaks outbreak NNS cord-262623-lmf2h6oc 8 12 of of IN cord-262623-lmf2h6oc 8 13 Legionnaire Legionnaire NNP cord-262623-lmf2h6oc 8 14 's 's POS cord-262623-lmf2h6oc 8 15 disease disease NN cord-262623-lmf2h6oc 8 16 , , , cord-262623-lmf2h6oc 8 17 hantavirus hantavirus NN cord-262623-lmf2h6oc 8 18 pulmonary pulmonary JJ cord-262623-lmf2h6oc 8 19 syndrome syndrome NN cord-262623-lmf2h6oc 8 20 , , , cord-262623-lmf2h6oc 8 21 and and CC cord-262623-lmf2h6oc 8 22 severe severe JJ cord-262623-lmf2h6oc 8 23 acute acute JJ cord-262623-lmf2h6oc 8 24 respiratory respiratory JJ cord-262623-lmf2h6oc 8 25 syndrome syndrome NN cord-262623-lmf2h6oc 8 26 , , , cord-262623-lmf2h6oc 8 27 among among IN cord-262623-lmf2h6oc 8 28 many many JJ cord-262623-lmf2h6oc 8 29 others other NNS cord-262623-lmf2h6oc 8 30 , , , cord-262623-lmf2h6oc 8 31 points point VBZ cord-262623-lmf2h6oc 8 32 out out RP cord-262623-lmf2h6oc 8 33 the the DT cord-262623-lmf2h6oc 8 34 potential potential JJ cord-262623-lmf2h6oc 8 35 risk risk NN cord-262623-lmf2h6oc 8 36 associated associate VBN cord-262623-lmf2h6oc 8 37 with with IN cord-262623-lmf2h6oc 8 38 a a DT cord-262623-lmf2h6oc 8 39 lack lack NN cord-262623-lmf2h6oc 8 40 of of IN cord-262623-lmf2h6oc 8 41 preplanning preplanning NN cord-262623-lmf2h6oc 8 42 and and CC cord-262623-lmf2h6oc 8 43 preparedness preparedness NN cord-262623-lmf2h6oc 8 44 . . . cord-262623-lmf2h6oc 9 1 Although although IN cord-262623-lmf2h6oc 9 2 pandemic pandemic NN cord-262623-lmf2h6oc 9 3 influenza influenza NN cord-262623-lmf2h6oc 9 4 is be VBZ cord-262623-lmf2h6oc 9 5 at at IN cord-262623-lmf2h6oc 9 6 the the DT cord-262623-lmf2h6oc 9 7 top top NN cord-262623-lmf2h6oc 9 8 of of IN cord-262623-lmf2h6oc 9 9 the the DT cord-262623-lmf2h6oc 9 10 list list NN cord-262623-lmf2h6oc 9 11 when when WRB cord-262623-lmf2h6oc 9 12 discussing discuss VBG cord-262623-lmf2h6oc 9 13 possible possible JJ cord-262623-lmf2h6oc 9 14 future future JJ cord-262623-lmf2h6oc 9 15 major major JJ cord-262623-lmf2h6oc 9 16 infectious infectious JJ cord-262623-lmf2h6oc 9 17 disease disease NN cord-262623-lmf2h6oc 9 18 outbreaks outbreak NNS cord-262623-lmf2h6oc 9 19 , , , cord-262623-lmf2h6oc 9 20 the the DT cord-262623-lmf2h6oc 9 21 truth truth NN cord-262623-lmf2h6oc 9 22 is be VBZ cord-262623-lmf2h6oc 9 23 that that IN cord-262623-lmf2h6oc 9 24 the the DT cord-262623-lmf2h6oc 9 25 identity identity NN cord-262623-lmf2h6oc 9 26 of of IN cord-262623-lmf2h6oc 9 27 the the DT cord-262623-lmf2h6oc 9 28 next next JJ cord-262623-lmf2h6oc 9 29 major major JJ cord-262623-lmf2h6oc 9 30 pandemic pandemic NN cord-262623-lmf2h6oc 9 31 pathogen pathogen NN cord-262623-lmf2h6oc 9 32 can can MD cord-262623-lmf2h6oc 9 33 not not RB cord-262623-lmf2h6oc 9 34 be be VB cord-262623-lmf2h6oc 9 35 predicted predict VBN cord-262623-lmf2h6oc 9 36 with with IN cord-262623-lmf2h6oc 9 37 any any DT cord-262623-lmf2h6oc 9 38 accuracy accuracy NN cord-262623-lmf2h6oc 9 39 . . . cord-262623-lmf2h6oc 10 1 We -PRON- PRP cord-262623-lmf2h6oc 10 2 can can MD cord-262623-lmf2h6oc 10 3 only only RB cord-262623-lmf2h6oc 10 4 hope hope VB cord-262623-lmf2h6oc 10 5 that that IN cord-262623-lmf2h6oc 10 6 general general JJ cord-262623-lmf2h6oc 10 7 preparedness preparedness NN cord-262623-lmf2h6oc 10 8 and and CC cord-262623-lmf2h6oc 10 9 the the DT cord-262623-lmf2h6oc 10 10 lessons lesson NNS cord-262623-lmf2h6oc 10 11 learned learn VBN cord-262623-lmf2h6oc 10 12 from from IN cord-262623-lmf2h6oc 10 13 previous previous JJ cord-262623-lmf2h6oc 10 14 outbreaks outbreak NNS cord-262623-lmf2h6oc 10 15 suffice suffice VBP cord-262623-lmf2h6oc 10 16 . . . cord-262623-lmf2h6oc 11 1 Intensive intensive JJ cord-262623-lmf2h6oc 11 2 care care NN cord-262623-lmf2h6oc 11 3 , , , cord-262623-lmf2h6oc 11 4 the the DT cord-262623-lmf2h6oc 11 5 epitome epitome NN cord-262623-lmf2h6oc 11 6 of of IN cord-262623-lmf2h6oc 11 7 the the DT cord-262623-lmf2h6oc 11 8 application application NN cord-262623-lmf2h6oc 11 9 of of IN cord-262623-lmf2h6oc 11 10 modern modern JJ cord-262623-lmf2h6oc 11 11 technology technology NN cord-262623-lmf2h6oc 11 12 to to IN cord-262623-lmf2h6oc 11 13 medicine medicine NN cord-262623-lmf2h6oc 11 14 , , , cord-262623-lmf2h6oc 11 15 arguably arguably RB cord-262623-lmf2h6oc 11 16 began begin VBD cord-262623-lmf2h6oc 11 17 as as IN cord-262623-lmf2h6oc 11 18 a a DT cord-262623-lmf2h6oc 11 19 response response NN cord-262623-lmf2h6oc 11 20 to to IN cord-262623-lmf2h6oc 11 21 the the DT cord-262623-lmf2h6oc 11 22 increasing increase VBG cord-262623-lmf2h6oc 11 23 numbers number NNS cord-262623-lmf2h6oc 11 24 of of IN cord-262623-lmf2h6oc 11 25 older old JJR cord-262623-lmf2h6oc 11 26 children child NNS cord-262623-lmf2h6oc 11 27 and and CC cord-262623-lmf2h6oc 11 28 young young JJ cord-262623-lmf2h6oc 11 29 adults adult NNS cord-262623-lmf2h6oc 11 30 developing develop VBG cord-262623-lmf2h6oc 11 31 paralytic paralytic JJ cord-262623-lmf2h6oc 11 32 polio polio NN cord-262623-lmf2h6oc 11 33 during during IN cord-262623-lmf2h6oc 11 34 the the DT cord-262623-lmf2h6oc 11 35 early early JJ cord-262623-lmf2h6oc 11 36 1950s 1950 NNS cord-262623-lmf2h6oc 11 37 . . . cord-262623-lmf2h6oc 12 1 Severe severe JJ cord-262623-lmf2h6oc 12 2 paralytic paralytic JJ cord-262623-lmf2h6oc 12 3 polio polio NN cord-262623-lmf2h6oc 12 4 itself -PRON- PRP cord-262623-lmf2h6oc 12 5 turns turn VBZ cord-262623-lmf2h6oc 12 6 out out RP cord-262623-lmf2h6oc 12 7 to to TO cord-262623-lmf2h6oc 12 8 have have VB cord-262623-lmf2h6oc 12 9 been be VBN cord-262623-lmf2h6oc 12 10 among among IN cord-262623-lmf2h6oc 12 11 the the DT cord-262623-lmf2h6oc 12 12 products product NNS cord-262623-lmf2h6oc 12 13 of of IN cord-262623-lmf2h6oc 12 14 increasing increase VBG cord-262623-lmf2h6oc 12 15 modernity modernity NN cord-262623-lmf2h6oc 12 16 in in IN cord-262623-lmf2h6oc 12 17 the the DT cord-262623-lmf2h6oc 12 18 Western western JJ cord-262623-lmf2h6oc 12 19 world world NN cord-262623-lmf2h6oc 12 20 . . . cord-262623-lmf2h6oc 13 1 Clinical clinical JJ cord-262623-lmf2h6oc 13 2 recognition recognition NN cord-262623-lmf2h6oc 13 3 of of IN cord-262623-lmf2h6oc 13 4 the the DT cord-262623-lmf2h6oc 13 5 syndromes syndrome NNS cord-262623-lmf2h6oc 13 6 associated associate VBN cord-262623-lmf2h6oc 13 7 with with IN cord-262623-lmf2h6oc 13 8 the the DT cord-262623-lmf2h6oc 13 9 polio polio NN cord-262623-lmf2h6oc 13 10 virus virus NN cord-262623-lmf2h6oc 13 11 date date NN cord-262623-lmf2h6oc 13 12 back back RB cord-262623-lmf2h6oc 13 13 about about RB cord-262623-lmf2h6oc 13 14 200 200 CD cord-262623-lmf2h6oc 13 15 years year NNS cord-262623-lmf2h6oc 13 16 . . . cord-262623-lmf2h6oc 14 1 The the DT cord-262623-lmf2h6oc 14 2 fact fact NN cord-262623-lmf2h6oc 14 3 that that IN cord-262623-lmf2h6oc 14 4 the the DT cord-262623-lmf2h6oc 14 5 disease disease NN cord-262623-lmf2h6oc 14 6 was be VBD cord-262623-lmf2h6oc 14 7 caused cause VBN cord-262623-lmf2h6oc 14 8 by by IN cord-262623-lmf2h6oc 14 9 a a DT cord-262623-lmf2h6oc 14 10 transmissible transmissible JJ cord-262623-lmf2h6oc 14 11 viral viral JJ cord-262623-lmf2h6oc 14 12 particle particle NN cord-262623-lmf2h6oc 14 13 was be VBD cord-262623-lmf2h6oc 14 14 demonstrated demonstrate VBN cord-262623-lmf2h6oc 14 15 by by IN cord-262623-lmf2h6oc 14 16 1908 1908 CD cord-262623-lmf2h6oc 14 17 . . . cord-262623-lmf2h6oc 15 1 Until until IN cord-262623-lmf2h6oc 15 2 early early RB cord-262623-lmf2h6oc 15 3 in in IN cord-262623-lmf2h6oc 15 4 the the DT cord-262623-lmf2h6oc 15 5 twentieth twentieth JJ cord-262623-lmf2h6oc 15 6 century century NN cord-262623-lmf2h6oc 15 7 the the DT cord-262623-lmf2h6oc 15 8 virus virus NN cord-262623-lmf2h6oc 15 9 was be VBD cord-262623-lmf2h6oc 15 10 readily readily RB cord-262623-lmf2h6oc 15 11 transmitted transmit VBN cord-262623-lmf2h6oc 15 12 throughout throughout IN cord-262623-lmf2h6oc 15 13 the the DT cord-262623-lmf2h6oc 15 14 population population NN cord-262623-lmf2h6oc 15 15 almost almost RB cord-262623-lmf2h6oc 15 16 continuously continuously RB cord-262623-lmf2h6oc 15 17 by by IN cord-262623-lmf2h6oc 15 18 personal personal JJ cord-262623-lmf2h6oc 15 19 contact contact NN cord-262623-lmf2h6oc 15 20 and and CC cord-262623-lmf2h6oc 15 21 by by IN cord-262623-lmf2h6oc 15 22 the the DT cord-262623-lmf2h6oc 15 23 fecal fecal JJ cord-262623-lmf2h6oc 15 24 - - HYPH cord-262623-lmf2h6oc 15 25 oral oral JJ cord-262623-lmf2h6oc 15 26 route route NN cord-262623-lmf2h6oc 15 27 via via IN cord-262623-lmf2h6oc 15 28 water water NN cord-262623-lmf2h6oc 15 29 . . . cord-262623-lmf2h6oc 16 1 The the DT cord-262623-lmf2h6oc 16 2 result result NN cord-262623-lmf2h6oc 16 3 was be VBD cord-262623-lmf2h6oc 16 4 that that IN cord-262623-lmf2h6oc 16 5 most most JJS cord-262623-lmf2h6oc 16 6 people people NNS cord-262623-lmf2h6oc 16 7 's 's POS cord-262623-lmf2h6oc 16 8 first first JJ cord-262623-lmf2h6oc 16 9 exposure exposure NN cord-262623-lmf2h6oc 16 10 to to IN cord-262623-lmf2h6oc 16 11 the the DT cord-262623-lmf2h6oc 16 12 virus virus NN cord-262623-lmf2h6oc 16 13 occurred occur VBD cord-262623-lmf2h6oc 16 14 in in IN cord-262623-lmf2h6oc 16 15 infancy infancy NN cord-262623-lmf2h6oc 16 16 . . . cord-262623-lmf2h6oc 17 1 At at IN cord-262623-lmf2h6oc 17 2 this this DT cord-262623-lmf2h6oc 17 3 age age NN cord-262623-lmf2h6oc 17 4 most most JJS cord-262623-lmf2h6oc 17 5 infections infection NNS cord-262623-lmf2h6oc 17 6 resulted result VBD cord-262623-lmf2h6oc 17 7 in in IN cord-262623-lmf2h6oc 17 8 a a DT cord-262623-lmf2h6oc 17 9 clinically clinically RB cord-262623-lmf2h6oc 17 10 unapparent unapparent JJ cord-262623-lmf2h6oc 17 11 infection infection NN cord-262623-lmf2h6oc 17 12 , , , cord-262623-lmf2h6oc 17 13 in in IN cord-262623-lmf2h6oc 17 14 part part NN cord-262623-lmf2h6oc 17 15 due due IN cord-262623-lmf2h6oc 17 16 to to IN cord-262623-lmf2h6oc 17 17 partial partial JJ cord-262623-lmf2h6oc 17 18 protection protection NN cord-262623-lmf2h6oc 17 19 by by IN cord-262623-lmf2h6oc 17 20 maternal maternal JJ cord-262623-lmf2h6oc 17 21 antibody antibody NN cord-262623-lmf2h6oc 17 22 , , , cord-262623-lmf2h6oc 17 23 after after IN cord-262623-lmf2h6oc 17 24 which which WDT cord-262623-lmf2h6oc 17 25 lifelong lifelong JJ cord-262623-lmf2h6oc 17 26 immunity immunity NN cord-262623-lmf2h6oc 17 27 was be VBD cord-262623-lmf2h6oc 17 28 established establish VBN cord-262623-lmf2h6oc 17 29 . . . cord-262623-lmf2h6oc 18 1 Only only RB cord-262623-lmf2h6oc 18 2 a a DT cord-262623-lmf2h6oc 18 3 few few JJ cord-262623-lmf2h6oc 18 4 suffered suffer VBD cord-262623-lmf2h6oc 18 5 a a DT cord-262623-lmf2h6oc 18 6 paralytic paralytic JJ cord-262623-lmf2h6oc 18 7 episode episode NN cord-262623-lmf2h6oc 18 8 with with IN cord-262623-lmf2h6oc 18 9 the the DT cord-262623-lmf2h6oc 18 10 infection infection NN cord-262623-lmf2h6oc 18 11 , , , cord-262623-lmf2h6oc 18 12 at at IN cord-262623-lmf2h6oc 18 13 the the DT cord-262623-lmf2h6oc 18 14 time time NN cord-262623-lmf2h6oc 18 15 termed term VBN cord-262623-lmf2h6oc 18 16 ' ' `` cord-262623-lmf2h6oc 18 17 ' ' '' cord-262623-lmf2h6oc 18 18 infantile infantile JJ cord-262623-lmf2h6oc 18 19 paralysis paralysis NN cord-262623-lmf2h6oc 18 20 . . . cord-262623-lmf2h6oc 18 21 ' ' '' cord-262623-lmf2h6oc 18 22 ' ' '' cord-262623-lmf2h6oc 18 23 1 1 CD cord-262623-lmf2h6oc 19 1 As as IN cord-262623-lmf2h6oc 19 2 hygienic hygienic JJ cord-262623-lmf2h6oc 19 3 standards standard NNS cord-262623-lmf2h6oc 19 4 of of IN cord-262623-lmf2h6oc 19 5 the the DT cord-262623-lmf2h6oc 19 6 advanced advanced JJ cord-262623-lmf2h6oc 19 7 economy economy NN cord-262623-lmf2h6oc 19 8 nations nation NNS cord-262623-lmf2h6oc 19 9 rose rise VBD cord-262623-lmf2h6oc 19 10 throughout throughout IN cord-262623-lmf2h6oc 19 11 the the DT cord-262623-lmf2h6oc 19 12 first first JJ cord-262623-lmf2h6oc 19 13 half half NN cord-262623-lmf2h6oc 19 14 of of IN cord-262623-lmf2h6oc 19 15 the the DT cord-262623-lmf2h6oc 19 16 century century NN cord-262623-lmf2h6oc 19 17 , , , cord-262623-lmf2h6oc 19 18 early early JJ cord-262623-lmf2h6oc 19 19 childhood childhood NN cord-262623-lmf2h6oc 19 20 exposure exposure NN cord-262623-lmf2h6oc 19 21 to to IN cord-262623-lmf2h6oc 19 22 the the DT cord-262623-lmf2h6oc 19 23 virus virus NN cord-262623-lmf2h6oc 19 24 declined decline VBD cord-262623-lmf2h6oc 19 25 . . . cord-262623-lmf2h6oc 20 1 An an DT cord-262623-lmf2h6oc 20 2 increasing increase VBG cord-262623-lmf2h6oc 20 3 fraction fraction NN cord-262623-lmf2h6oc 20 4 of of IN cord-262623-lmf2h6oc 20 5 the the DT cord-262623-lmf2h6oc 20 6 population population NN cord-262623-lmf2h6oc 20 7 had have VBD cord-262623-lmf2h6oc 20 8 their -PRON- PRP$ cord-262623-lmf2h6oc 20 9 first first JJ cord-262623-lmf2h6oc 20 10 exposure exposure NN cord-262623-lmf2h6oc 20 11 in in IN cord-262623-lmf2h6oc 20 12 late late JJ cord-262623-lmf2h6oc 20 13 childhood childhood NN cord-262623-lmf2h6oc 20 14 or or CC cord-262623-lmf2h6oc 20 15 during during IN cord-262623-lmf2h6oc 20 16 young young JJ cord-262623-lmf2h6oc 20 17 adulthood adulthood NN cord-262623-lmf2h6oc 20 18 . . . cord-262623-lmf2h6oc 21 1 In in IN cord-262623-lmf2h6oc 21 2 these these DT cord-262623-lmf2h6oc 21 3 age age NN cord-262623-lmf2h6oc 21 4 groups group NNS cord-262623-lmf2h6oc 21 5 the the DT cord-262623-lmf2h6oc 21 6 likelihood likelihood NN cord-262623-lmf2h6oc 21 7 that that IN cord-262623-lmf2h6oc 21 8 the the DT cord-262623-lmf2h6oc 21 9 infection infection NN cord-262623-lmf2h6oc 21 10 will will MD cord-262623-lmf2h6oc 21 11 cause cause VB cord-262623-lmf2h6oc 21 12 a a DT cord-262623-lmf2h6oc 21 13 paralytic paralytic JJ cord-262623-lmf2h6oc 21 14 syndrome syndrome NN cord-262623-lmf2h6oc 21 15 is be VBZ cord-262623-lmf2h6oc 21 16 greatly greatly RB cord-262623-lmf2h6oc 21 17 increased increase VBN cord-262623-lmf2h6oc 21 18 , , , cord-262623-lmf2h6oc 21 19 so so IN cord-262623-lmf2h6oc 21 20 both both CC cord-262623-lmf2h6oc 21 21 the the DT cord-262623-lmf2h6oc 21 22 incidence incidence NN cord-262623-lmf2h6oc 21 23 of of IN cord-262623-lmf2h6oc 21 24 clinically clinically RB cord-262623-lmf2h6oc 21 25 recognized recognize VBN cord-262623-lmf2h6oc 21 26 infection infection NN cord-262623-lmf2h6oc 21 27 and and CC cord-262623-lmf2h6oc 21 28 that that DT cord-262623-lmf2h6oc 21 29 of of IN cord-262623-lmf2h6oc 21 30 paralysis paralysis NN cord-262623-lmf2h6oc 21 31 rose rise VBD cord-262623-lmf2h6oc 21 32 . . . cord-262623-lmf2h6oc 22 1 By by IN cord-262623-lmf2h6oc 22 2 the the DT cord-262623-lmf2h6oc 22 3 early early JJ cord-262623-lmf2h6oc 22 4 1950s 1950 NNS cord-262623-lmf2h6oc 22 5 clinically clinically RB cord-262623-lmf2h6oc 22 6 recognized recognize VBN cord-262623-lmf2h6oc 22 7 cases case NNS cord-262623-lmf2h6oc 22 8 had have VBD cord-262623-lmf2h6oc 22 9 reached reach VBN cord-262623-lmf2h6oc 22 10 15 15 CD cord-262623-lmf2h6oc 22 11 - - SYM cord-262623-lmf2h6oc 22 12 25 25 CD cord-262623-lmf2h6oc 22 13 annually annually RB cord-262623-lmf2h6oc 22 14 for for IN cord-262623-lmf2h6oc 22 15 every every DT cord-262623-lmf2h6oc 22 16 100,000 100,000 CD cord-262623-lmf2h6oc 22 17 people people NNS cord-262623-lmf2h6oc 22 18 in in IN cord-262623-lmf2h6oc 22 19 the the DT cord-262623-lmf2h6oc 22 20 United United NNP cord-262623-lmf2h6oc 22 21 States States NNP cord-262623-lmf2h6oc 22 22 , , , cord-262623-lmf2h6oc 22 23 making make VBG cord-262623-lmf2h6oc 22 24 it -PRON- PRP cord-262623-lmf2h6oc 22 25 a a DT cord-262623-lmf2h6oc 22 26 major major JJ cord-262623-lmf2h6oc 22 27 public public JJ cord-262623-lmf2h6oc 22 28 health health NN cord-262623-lmf2h6oc 22 29 concern concern NN cord-262623-lmf2h6oc 22 30 and and CC cord-262623-lmf2h6oc 22 31 a a DT cord-262623-lmf2h6oc 22 32 source source NN cord-262623-lmf2h6oc 22 33 of of IN cord-262623-lmf2h6oc 22 34 a a DT cord-262623-lmf2h6oc 22 35 great great JJ cord-262623-lmf2h6oc 22 36 deal deal NN cord-262623-lmf2h6oc 22 37 of of IN cord-262623-lmf2h6oc 22 38 fear fear NN cord-262623-lmf2h6oc 22 39 in in IN cord-262623-lmf2h6oc 22 40 the the DT cord-262623-lmf2h6oc 22 41 general general JJ cord-262623-lmf2h6oc 22 42 populace populace NN cord-262623-lmf2h6oc 22 43 . . . cord-262623-lmf2h6oc 23 1 2 2 LS cord-262623-lmf2h6oc 23 2 More More JJR cord-262623-lmf2h6oc 23 3 than than IN cord-262623-lmf2h6oc 23 4 90 90 CD cord-262623-lmf2h6oc 23 5 % % NN cord-262623-lmf2h6oc 23 6 of of IN cord-262623-lmf2h6oc 23 7 polio polio NN cord-262623-lmf2h6oc 23 8 virus virus NN cord-262623-lmf2h6oc 23 9 infections infection NNS cord-262623-lmf2h6oc 23 10 are be VBP cord-262623-lmf2h6oc 23 11 asymptomatic asymptomatic JJ cord-262623-lmf2h6oc 23 12 . . . cord-262623-lmf2h6oc 24 1 However however RB cord-262623-lmf2h6oc 24 2 , , , cord-262623-lmf2h6oc 24 3 at at IN cord-262623-lmf2h6oc 24 4 the the DT cord-262623-lmf2h6oc 24 5 more more RBR cord-262623-lmf2h6oc 24 6 severe severe JJ cord-262623-lmf2h6oc 24 7 end end NN cord-262623-lmf2h6oc 24 8 of of IN cord-262623-lmf2h6oc 24 9 the the DT cord-262623-lmf2h6oc 24 10 clinical clinical JJ cord-262623-lmf2h6oc 24 11 spectrum spectrum NN cord-262623-lmf2h6oc 24 12 are be VBP cord-262623-lmf2h6oc 24 13 the the DT cord-262623-lmf2h6oc 24 14 paralytic paralytic JJ cord-262623-lmf2h6oc 24 15 syndromes syndrome NNS cord-262623-lmf2h6oc 24 16 which which WDT cord-262623-lmf2h6oc 24 17 range range VBP cord-262623-lmf2h6oc 24 18 from from IN cord-262623-lmf2h6oc 24 19 paralysis paralysis NN cord-262623-lmf2h6oc 24 20 of of IN cord-262623-lmf2h6oc 24 21 one one CD cord-262623-lmf2h6oc 24 22 or or CC cord-262623-lmf2h6oc 24 23 more more JJR cord-262623-lmf2h6oc 24 24 limbs limb NNS cord-262623-lmf2h6oc 24 25 ( ( -LRB- cord-262623-lmf2h6oc 24 26 ' ' '' cord-262623-lmf2h6oc 24 27 ' ' `` cord-262623-lmf2h6oc 24 28 spinal spinal JJ cord-262623-lmf2h6oc 24 29 polio polio NN cord-262623-lmf2h6oc 24 30 ' ' '' cord-262623-lmf2h6oc 24 31 ' ' '' cord-262623-lmf2h6oc 24 32 ) ) -RRB- cord-262623-lmf2h6oc 24 33 to to IN cord-262623-lmf2h6oc 24 34 syndromes syndrome NNS cord-262623-lmf2h6oc 24 35 with with IN cord-262623-lmf2h6oc 24 36 respiratory respiratory JJ cord-262623-lmf2h6oc 24 37 muscle muscle NN cord-262623-lmf2h6oc 24 38 or or CC cord-262623-lmf2h6oc 24 39 bulbar bulbar NN cord-262623-lmf2h6oc 24 40 paralysis paralysis NN cord-262623-lmf2h6oc 24 41 ( ( -LRB- cord-262623-lmf2h6oc 24 42 ' ' '' cord-262623-lmf2h6oc 24 43 ' ' `` cord-262623-lmf2h6oc 24 44 respiratory respiratory JJ cord-262623-lmf2h6oc 24 45 polio polio NN cord-262623-lmf2h6oc 24 46 ' ' '' cord-262623-lmf2h6oc 24 47 ' ' '' cord-262623-lmf2h6oc 24 48 or or CC cord-262623-lmf2h6oc 24 49 ' ' `` cord-262623-lmf2h6oc 24 50 ' ' `` cord-262623-lmf2h6oc 24 51 bulbospinal bulbospinal JJ cord-262623-lmf2h6oc 24 52 polio polio NN cord-262623-lmf2h6oc 24 53 ' ' '' cord-262623-lmf2h6oc 24 54 ' ' '' cord-262623-lmf2h6oc 24 55 ) ) -RRB- cord-262623-lmf2h6oc 24 56 with with IN cord-262623-lmf2h6oc 24 57 loss loss NN cord-262623-lmf2h6oc 24 58 of of IN cord-262623-lmf2h6oc 24 59 respiratory respiratory JJ cord-262623-lmf2h6oc 24 60 or or CC cord-262623-lmf2h6oc 24 61 upper upper JJ cord-262623-lmf2h6oc 24 62 airway airway NN cord-262623-lmf2h6oc 24 63 muscle muscle NN cord-262623-lmf2h6oc 24 64 function function NN cord-262623-lmf2h6oc 24 65 or or CC cord-262623-lmf2h6oc 24 66 both both DT cord-262623-lmf2h6oc 24 67 . . . cord-262623-lmf2h6oc 25 1 These these DT cord-262623-lmf2h6oc 25 2 more more RBR cord-262623-lmf2h6oc 25 3 severe severe JJ cord-262623-lmf2h6oc 25 4 outcomes outcome NNS cord-262623-lmf2h6oc 25 5 rise rise VBP cord-262623-lmf2h6oc 25 6 in in IN cord-262623-lmf2h6oc 25 7 incidence incidence NN cord-262623-lmf2h6oc 25 8 from from IN cord-262623-lmf2h6oc 25 9 about about IN cord-262623-lmf2h6oc 25 10 0.1 0.1 CD cord-262623-lmf2h6oc 25 11 % % NN cord-262623-lmf2h6oc 25 12 in in IN cord-262623-lmf2h6oc 25 13 infants infant NNS cord-262623-lmf2h6oc 25 14 to to IN cord-262623-lmf2h6oc 25 15 more more JJR cord-262623-lmf2h6oc 25 16 than than IN cord-262623-lmf2h6oc 25 17 1 1 CD cord-262623-lmf2h6oc 25 18 % % NN cord-262623-lmf2h6oc 25 19 in in IN cord-262623-lmf2h6oc 25 20 older old JJR cord-262623-lmf2h6oc 25 21 children child NNS cord-262623-lmf2h6oc 25 22 and and CC cord-262623-lmf2h6oc 25 23 adults adult NNS cord-262623-lmf2h6oc 25 24 . . . cord-262623-lmf2h6oc 26 1 In in IN cord-262623-lmf2h6oc 26 2 the the DT cord-262623-lmf2h6oc 26 3 early early JJ cord-262623-lmf2h6oc 26 4 part part NN cord-262623-lmf2h6oc 26 5 of of IN cord-262623-lmf2h6oc 26 6 the the DT cord-262623-lmf2h6oc 26 7 century century NN cord-262623-lmf2h6oc 26 8 development development NN cord-262623-lmf2h6oc 26 9 of of IN cord-262623-lmf2h6oc 26 10 polio polio NN cord-262623-lmf2h6oc 26 11 with with IN cord-262623-lmf2h6oc 26 12 bulbar bulbar NN cord-262623-lmf2h6oc 26 13 involvement involvement NN cord-262623-lmf2h6oc 26 14 was be VBD cord-262623-lmf2h6oc 26 15 associated associate VBN cord-262623-lmf2h6oc 26 16 with with IN cord-262623-lmf2h6oc 26 17 a a DT cord-262623-lmf2h6oc 26 18 death death NN cord-262623-lmf2h6oc 26 19 rate rate NN cord-262623-lmf2h6oc 26 20 of of IN cord-262623-lmf2h6oc 26 21 greater great JJR cord-262623-lmf2h6oc 26 22 than than IN cord-262623-lmf2h6oc 26 23 90 90 CD cord-262623-lmf2h6oc 26 24 % % NN cord-262623-lmf2h6oc 26 25 , , , cord-262623-lmf2h6oc 26 26 generally generally RB cord-262623-lmf2h6oc 26 27 from from IN cord-262623-lmf2h6oc 26 28 respiratory respiratory JJ cord-262623-lmf2h6oc 26 29 failure failure NN cord-262623-lmf2h6oc 26 30 . . . cord-262623-lmf2h6oc 27 1 Use use NN cord-262623-lmf2h6oc 27 2 of of IN cord-262623-lmf2h6oc 27 3 a a DT cord-262623-lmf2h6oc 27 4 mechanical mechanical JJ cord-262623-lmf2h6oc 27 5 respirator respirator NN cord-262623-lmf2h6oc 27 6 to to TO cord-262623-lmf2h6oc 27 7 try try VB cord-262623-lmf2h6oc 27 8 to to TO cord-262623-lmf2h6oc 27 9 avert avert VB cord-262623-lmf2h6oc 27 10 death death NN cord-262623-lmf2h6oc 27 11 was be VBD cord-262623-lmf2h6oc 27 12 first first RB cord-262623-lmf2h6oc 27 13 attempted attempt VBN cord-262623-lmf2h6oc 27 14 at at IN cord-262623-lmf2h6oc 27 15 the the DT cord-262623-lmf2h6oc 27 16 Children Children NNPS cord-262623-lmf2h6oc 27 17 's 's POS cord-262623-lmf2h6oc 27 18 Hospital Hospital NNP cord-262623-lmf2h6oc 27 19 in in IN cord-262623-lmf2h6oc 27 20 Boston Boston NNP cord-262623-lmf2h6oc 27 21 in in IN cord-262623-lmf2h6oc 27 22 1928 1928 CD cord-262623-lmf2h6oc 27 23 , , , cord-262623-lmf2h6oc 27 24 using use VBG cord-262623-lmf2h6oc 27 25 an an DT cord-262623-lmf2h6oc 27 26 ' ' `` cord-262623-lmf2h6oc 27 27 ' ' `` cord-262623-lmf2h6oc 27 28 iron iron NN cord-262623-lmf2h6oc 27 29 lung lung NN cord-262623-lmf2h6oc 27 30 . . . cord-262623-lmf2h6oc 27 31 ' ' '' cord-262623-lmf2h6oc 27 32 ' ' '' cord-262623-lmf2h6oc 28 1 3 3 LS cord-262623-lmf2h6oc 29 1 The the DT cord-262623-lmf2h6oc 29 2 machine machine NN cord-262623-lmf2h6oc 29 3 was be VBD cord-262623-lmf2h6oc 29 4 basically basically RB cord-262623-lmf2h6oc 29 5 a a DT cord-262623-lmf2h6oc 29 6 sealed seal VBN cord-262623-lmf2h6oc 29 7 box box NN cord-262623-lmf2h6oc 29 8 with with IN cord-262623-lmf2h6oc 29 9 a a DT cord-262623-lmf2h6oc 29 10 hole hole NN cord-262623-lmf2h6oc 29 11 at at IN cord-262623-lmf2h6oc 29 12 one one CD cord-262623-lmf2h6oc 29 13 end end NN cord-262623-lmf2h6oc 29 14 for for IN cord-262623-lmf2h6oc 29 15 the the DT cord-262623-lmf2h6oc 29 16 patient patient NN cord-262623-lmf2h6oc 29 17 's 's POS cord-262623-lmf2h6oc 29 18 head head NN cord-262623-lmf2h6oc 29 19 to to TO cord-262623-lmf2h6oc 29 20 protrude protrude VB cord-262623-lmf2h6oc 29 21 , , , cord-262623-lmf2h6oc 29 22 attached attach VBN cord-262623-lmf2h6oc 29 23 to to IN cord-262623-lmf2h6oc 29 24 two two CD cord-262623-lmf2h6oc 29 25 vacuum vacuum NN cord-262623-lmf2h6oc 29 26 cleaners cleaner NNS cord-262623-lmf2h6oc 29 27 . . . cord-262623-lmf2h6oc 30 1 The the DT cord-262623-lmf2h6oc 30 2 motors motor NNS cord-262623-lmf2h6oc 30 3 were be VBD cord-262623-lmf2h6oc 30 4 then then RB cord-262623-lmf2h6oc 30 5 cycled cycle VBN cord-262623-lmf2h6oc 30 6 to to TO cord-262623-lmf2h6oc 30 7 alternately alternately RB cord-262623-lmf2h6oc 30 8 create create VB cord-262623-lmf2h6oc 30 9 vacuum vacuum NN cord-262623-lmf2h6oc 30 10 inside inside IN cord-262623-lmf2h6oc 30 11 the the DT cord-262623-lmf2h6oc 30 12 box box NN cord-262623-lmf2h6oc 30 13 , , , cord-262623-lmf2h6oc 30 14 expanding expand VBG cord-262623-lmf2h6oc 30 15 the the DT cord-262623-lmf2h6oc 30 16 patient patient NN cord-262623-lmf2h6oc 30 17 's 's POS cord-262623-lmf2h6oc 30 18 chest chest NN cord-262623-lmf2h6oc 30 19 and and CC cord-262623-lmf2h6oc 30 20 causing cause VBG cord-262623-lmf2h6oc 30 21 the the DT cord-262623-lmf2h6oc 30 22 patient patient NN cord-262623-lmf2h6oc 30 23 to to TO cord-262623-lmf2h6oc 30 24 inhale inhale VB cord-262623-lmf2h6oc 30 25 through through IN cord-262623-lmf2h6oc 30 26 the the DT cord-262623-lmf2h6oc 30 27 mouth mouth NN cord-262623-lmf2h6oc 30 28 ( ( -LRB- cord-262623-lmf2h6oc 30 29 outside outside IN cord-262623-lmf2h6oc 30 30 the the DT cord-262623-lmf2h6oc 30 31 box box NN cord-262623-lmf2h6oc 30 32 ) ) -RRB- cord-262623-lmf2h6oc 30 33 , , , cord-262623-lmf2h6oc 30 34 then then RB cord-262623-lmf2h6oc 30 35 allowing allow VBG cord-262623-lmf2h6oc 30 36 air air NN cord-262623-lmf2h6oc 30 37 back back RB cord-262623-lmf2h6oc 30 38 into into IN cord-262623-lmf2h6oc 30 39 the the DT cord-262623-lmf2h6oc 30 40 box box NN cord-262623-lmf2h6oc 30 41 to to TO cord-262623-lmf2h6oc 30 42 permit permit VB cord-262623-lmf2h6oc 30 43 exhalation exhalation NN cord-262623-lmf2h6oc 30 44 . . . cord-262623-lmf2h6oc 31 1 The the DT cord-262623-lmf2h6oc 31 2 design design NN cord-262623-lmf2h6oc 31 3 was be VBD cord-262623-lmf2h6oc 31 4 further further RB cord-262623-lmf2h6oc 31 5 improved improve VBN cord-262623-lmf2h6oc 31 6 in in IN cord-262623-lmf2h6oc 31 7 1931 1931 CD cord-262623-lmf2h6oc 31 8 , , , cord-262623-lmf2h6oc 31 9 and and CC cord-262623-lmf2h6oc 31 10 the the DT cord-262623-lmf2h6oc 31 11 machines machine NNS cord-262623-lmf2h6oc 31 12 came come VBD cord-262623-lmf2h6oc 31 13 into into IN cord-262623-lmf2h6oc 31 14 increasingly increasingly RB cord-262623-lmf2h6oc 31 15 broad broad JJ cord-262623-lmf2h6oc 31 16 use use NN cord-262623-lmf2h6oc 31 17 throughout throughout IN cord-262623-lmf2h6oc 31 18 North North NNP cord-262623-lmf2h6oc 31 19 America America NNP cord-262623-lmf2h6oc 31 20 and and CC cord-262623-lmf2h6oc 31 21 Europe Europe NNP cord-262623-lmf2h6oc 31 22 during during IN cord-262623-lmf2h6oc 31 23 the the DT cord-262623-lmf2h6oc 31 24 severe severe JJ cord-262623-lmf2h6oc 31 25 outbreaks outbreak NNS cord-262623-lmf2h6oc 31 26 of of IN cord-262623-lmf2h6oc 31 27 the the DT cord-262623-lmf2h6oc 31 28 1930s 1930 NNS cord-262623-lmf2h6oc 31 29 . . . cord-262623-lmf2h6oc 32 1 Adoption adoption NN cord-262623-lmf2h6oc 32 2 of of IN cord-262623-lmf2h6oc 32 3 this this DT cord-262623-lmf2h6oc 32 4 therapy therapy NN cord-262623-lmf2h6oc 32 5 resulted result VBD cord-262623-lmf2h6oc 32 6 in in IN cord-262623-lmf2h6oc 32 7 a a DT cord-262623-lmf2h6oc 32 8 significant significant JJ cord-262623-lmf2h6oc 32 9 reduction reduction NN cord-262623-lmf2h6oc 32 10 in in IN cord-262623-lmf2h6oc 32 11 mortality mortality NN cord-262623-lmf2h6oc 32 12 during during IN cord-262623-lmf2h6oc 32 13 these these DT cord-262623-lmf2h6oc 32 14 years year NNS cord-262623-lmf2h6oc 32 15 . . . cord-262623-lmf2h6oc 33 1 Iron iron NN cord-262623-lmf2h6oc 33 2 lungs lung NNS cord-262623-lmf2h6oc 33 3 , , , cord-262623-lmf2h6oc 33 4 however however RB cord-262623-lmf2h6oc 33 5 , , , cord-262623-lmf2h6oc 33 6 were be VBD cord-262623-lmf2h6oc 33 7 cumbersome cumbersome JJ cord-262623-lmf2h6oc 33 8 , , , cord-262623-lmf2h6oc 33 9 difficult difficult JJ cord-262623-lmf2h6oc 33 10 to to TO cord-262623-lmf2h6oc 33 11 use use VB cord-262623-lmf2h6oc 33 12 when when WRB cord-262623-lmf2h6oc 33 13 trying try VBG cord-262623-lmf2h6oc 33 14 to to TO cord-262623-lmf2h6oc 33 15 provide provide VB cord-262623-lmf2h6oc 33 16 nursing nursing NN cord-262623-lmf2h6oc 33 17 care care NN cord-262623-lmf2h6oc 33 18 , , , cord-262623-lmf2h6oc 33 19 and and CC cord-262623-lmf2h6oc 33 20 expensive expensive JJ cord-262623-lmf2h6oc 33 21 . . . cord-262623-lmf2h6oc 34 1 A a DT cord-262623-lmf2h6oc 34 2 more more RBR cord-262623-lmf2h6oc 34 3 cost cost NN cord-262623-lmf2h6oc 34 4 - - HYPH cord-262623-lmf2h6oc 34 5 effective effective JJ cord-262623-lmf2h6oc 34 6 and and CC cord-262623-lmf2h6oc 34 7 user user NN cord-262623-lmf2h6oc 34 8 - - HYPH cord-262623-lmf2h6oc 34 9 friendly friendly JJ cord-262623-lmf2h6oc 34 10 approach approach NN cord-262623-lmf2h6oc 34 11 to to IN cord-262623-lmf2h6oc 34 12 providing provide VBG cord-262623-lmf2h6oc 34 13 respiratory respiratory JJ cord-262623-lmf2h6oc 34 14 support support NN cord-262623-lmf2h6oc 34 15 was be VBD cord-262623-lmf2h6oc 34 16 clearly clearly RB cord-262623-lmf2h6oc 34 17 needed need VBN cord-262623-lmf2h6oc 34 18 . . . cord-262623-lmf2h6oc 35 1 This this DT cord-262623-lmf2h6oc 35 2 finally finally RB cord-262623-lmf2h6oc 35 3 came come VBD cord-262623-lmf2h6oc 35 4 by by IN cord-262623-lmf2h6oc 35 5 bringing bring VBG cord-262623-lmf2h6oc 35 6 the the DT cord-262623-lmf2h6oc 35 7 positive positive JJ cord-262623-lmf2h6oc 35 8 pressure pressure NN cord-262623-lmf2h6oc 35 9 ventilation ventilation NN cord-262623-lmf2h6oc 35 10 ( ( -LRB- cord-262623-lmf2h6oc 35 11 PPV PPV NNP cord-262623-lmf2h6oc 35 12 ) ) -RRB- cord-262623-lmf2h6oc 35 13 concept concept NN cord-262623-lmf2h6oc 35 14 out out IN cord-262623-lmf2h6oc 35 15 of of IN cord-262623-lmf2h6oc 35 16 the the DT cord-262623-lmf2h6oc 35 17 operating operating NN cord-262623-lmf2h6oc 35 18 room room NN cord-262623-lmf2h6oc 35 19 . . . cord-262623-lmf2h6oc 36 1 PPV PPV NNP cord-262623-lmf2h6oc 36 2 was be VBD cord-262623-lmf2h6oc 36 3 first first RB cord-262623-lmf2h6oc 36 4 used use VBN cord-262623-lmf2h6oc 36 5 for for IN cord-262623-lmf2h6oc 36 6 respiratory respiratory JJ cord-262623-lmf2h6oc 36 7 support support NN cord-262623-lmf2h6oc 36 8 for for IN cord-262623-lmf2h6oc 36 9 polio polio NN cord-262623-lmf2h6oc 36 10 victims victim NNS cord-262623-lmf2h6oc 36 11 at at IN cord-262623-lmf2h6oc 36 12 Blegdam Blegdam NNP cord-262623-lmf2h6oc 36 13 Hospital Hospital NNP cord-262623-lmf2h6oc 36 14 in in IN cord-262623-lmf2h6oc 36 15 Copenhagen Copenhagen NNP cord-262623-lmf2h6oc 36 16 , , , cord-262623-lmf2h6oc 36 17 Denmark Denmark NNP cord-262623-lmf2h6oc 36 18 , , , cord-262623-lmf2h6oc 36 19 an an DT cord-262623-lmf2h6oc 36 20 innovation innovation NN cord-262623-lmf2h6oc 36 21 attributable attributable JJ cord-262623-lmf2h6oc 36 22 to to IN cord-262623-lmf2h6oc 36 23 Danish danish JJ cord-262623-lmf2h6oc 36 24 anesthetist anesthetist NN cord-262623-lmf2h6oc 36 25 Bjorn Bjorn NNP cord-262623-lmf2h6oc 36 26 Ibsen Ibsen NNP cord-262623-lmf2h6oc 36 27 . . . cord-262623-lmf2h6oc 37 1 4 4 LS cord-262623-lmf2h6oc 38 1 During during IN cord-262623-lmf2h6oc 38 2 this this DT cord-262623-lmf2h6oc 38 3 large large JJ cord-262623-lmf2h6oc 38 4 outbreak outbreak NN cord-262623-lmf2h6oc 38 5 in in IN cord-262623-lmf2h6oc 38 6 1952 1952 CD cord-262623-lmf2h6oc 38 7 , , , cord-262623-lmf2h6oc 38 8 some some DT cord-262623-lmf2h6oc 38 9 200 200 CD cord-262623-lmf2h6oc 38 10 medical medical JJ cord-262623-lmf2h6oc 38 11 students student NNS cord-262623-lmf2h6oc 38 12 were be VBD cord-262623-lmf2h6oc 38 13 put put VBN cord-262623-lmf2h6oc 38 14 to to TO cord-262623-lmf2h6oc 38 15 work work VB cord-262623-lmf2h6oc 38 16 hand hand NN cord-262623-lmf2h6oc 38 17 - - HYPH cord-262623-lmf2h6oc 38 18 ventilating ventilate VBG cord-262623-lmf2h6oc 38 19 dozens dozen NNS cord-262623-lmf2h6oc 38 20 of of IN cord-262623-lmf2h6oc 38 21 patients patient NNS cord-262623-lmf2h6oc 38 22 through through IN cord-262623-lmf2h6oc 38 23 tracheostomies tracheostomy NNS cord-262623-lmf2h6oc 38 24 until until IN cord-262623-lmf2h6oc 38 25 the the DT cord-262623-lmf2h6oc 38 26 worst bad JJS cord-262623-lmf2h6oc 38 27 of of IN cord-262623-lmf2h6oc 38 28 the the DT cord-262623-lmf2h6oc 38 29 paralytic paralytic JJ cord-262623-lmf2h6oc 38 30 phase phase NN cord-262623-lmf2h6oc 38 31 of of IN cord-262623-lmf2h6oc 38 32 the the DT cord-262623-lmf2h6oc 38 33 illness illness NN cord-262623-lmf2h6oc 38 34 had have VBD cord-262623-lmf2h6oc 38 35 passed pass VBN cord-262623-lmf2h6oc 38 36 , , , cord-262623-lmf2h6oc 38 37 often often RB cord-262623-lmf2h6oc 38 38 several several JJ cord-262623-lmf2h6oc 38 39 weeks week NNS cord-262623-lmf2h6oc 38 40 . . . cord-262623-lmf2h6oc 39 1 The the DT cord-262623-lmf2h6oc 39 2 concept concept NN cord-262623-lmf2h6oc 39 3 quickly quickly RB cord-262623-lmf2h6oc 39 4 spread spread VBD cord-262623-lmf2h6oc 39 5 elsewhere elsewhere RB cord-262623-lmf2h6oc 39 6 and and CC cord-262623-lmf2h6oc 39 7 was be VBD cord-262623-lmf2h6oc 39 8 widely widely RB cord-262623-lmf2h6oc 39 9 adopted adopt VBN cord-262623-lmf2h6oc 39 10 , , , cord-262623-lmf2h6oc 39 11 yielding yield VBG cord-262623-lmf2h6oc 39 12 substantial substantial JJ cord-262623-lmf2h6oc 39 13 reductions reduction NNS cord-262623-lmf2h6oc 39 14 in in IN cord-262623-lmf2h6oc 39 15 mortality mortality NN cord-262623-lmf2h6oc 39 16 . . . cord-262623-lmf2h6oc 40 1 For for IN cord-262623-lmf2h6oc 40 2 reasons reason NNS cord-262623-lmf2h6oc 40 3 of of IN cord-262623-lmf2h6oc 40 4 efficiency efficiency NN cord-262623-lmf2h6oc 40 5 and and CC cord-262623-lmf2h6oc 40 6 convenience convenience NN cord-262623-lmf2h6oc 40 7 , , , cord-262623-lmf2h6oc 40 8 patients patient NNS cord-262623-lmf2h6oc 40 9 needing need VBG cord-262623-lmf2h6oc 40 10 respiratory respiratory JJ cord-262623-lmf2h6oc 40 11 support support NN cord-262623-lmf2h6oc 40 12 were be VBD cord-262623-lmf2h6oc 40 13 often often RB cord-262623-lmf2h6oc 40 14 grouped group VBN cord-262623-lmf2h6oc 40 15 in in IN cord-262623-lmf2h6oc 40 16 a a DT cord-262623-lmf2h6oc 40 17 single single JJ cord-262623-lmf2h6oc 40 18 location location NN cord-262623-lmf2h6oc 40 19 where where WRB cord-262623-lmf2h6oc 40 20 the the DT cord-262623-lmf2h6oc 40 21 necessary necessary JJ cord-262623-lmf2h6oc 40 22 expertise expertise NN cord-262623-lmf2h6oc 40 23 and and CC cord-262623-lmf2h6oc 40 24 equipment equipment NN cord-262623-lmf2h6oc 40 25 were be VBD cord-262623-lmf2h6oc 40 26 available available JJ cord-262623-lmf2h6oc 40 27 . . . cord-262623-lmf2h6oc 41 1 The the DT cord-262623-lmf2h6oc 41 2 introduction introduction NN cord-262623-lmf2h6oc 41 3 of of IN cord-262623-lmf2h6oc 41 4 PPV PPV NNP cord-262623-lmf2h6oc 41 5 into into IN cord-262623-lmf2h6oc 41 6 a a DT cord-262623-lmf2h6oc 41 7 defined define VBN cord-262623-lmf2h6oc 41 8 area area NN cord-262623-lmf2h6oc 41 9 of of IN cord-262623-lmf2h6oc 41 10 the the DT cord-262623-lmf2h6oc 41 11 hospital hospital NN cord-262623-lmf2h6oc 41 12 used use VBN cord-262623-lmf2h6oc 41 13 to to TO cord-262623-lmf2h6oc 41 14 support support VB cord-262623-lmf2h6oc 41 15 respiratory respiratory JJ cord-262623-lmf2h6oc 41 16 failure failure NN cord-262623-lmf2h6oc 41 17 was be VBD cord-262623-lmf2h6oc 41 18 the the DT cord-262623-lmf2h6oc 41 19 genesis genesis NN cord-262623-lmf2h6oc 41 20 of of IN cord-262623-lmf2h6oc 41 21 the the DT cord-262623-lmf2h6oc 41 22 modern modern JJ cord-262623-lmf2h6oc 41 23 ICU ICU NNP cord-262623-lmf2h6oc 41 24 and and CC cord-262623-lmf2h6oc 41 25 represents represent VBZ cord-262623-lmf2h6oc 41 26 a a DT cord-262623-lmf2h6oc 41 27 signal signal JJ cord-262623-lmf2h6oc 41 28 event event NN cord-262623-lmf2h6oc 41 29 in in IN cord-262623-lmf2h6oc 41 30 the the DT cord-262623-lmf2h6oc 41 31 development development NN cord-262623-lmf2h6oc 41 32 of of IN cord-262623-lmf2h6oc 41 33 the the DT cord-262623-lmf2h6oc 41 34 field field NN cord-262623-lmf2h6oc 41 35 of of IN cord-262623-lmf2h6oc 41 36 Critical Critical NNP cord-262623-lmf2h6oc 41 37 Care Care NNP cord-262623-lmf2h6oc 41 38 Medicine Medicine NNP cord-262623-lmf2h6oc 41 39 . . . cord-262623-lmf2h6oc 42 1 The the DT cord-262623-lmf2h6oc 42 2 introduction introduction NN cord-262623-lmf2h6oc 42 3 of of IN cord-262623-lmf2h6oc 42 4 effective effective JJ cord-262623-lmf2h6oc 42 5 vaccines vaccine NNS cord-262623-lmf2h6oc 42 6 , , , cord-262623-lmf2h6oc 42 7 the the DT cord-262623-lmf2h6oc 42 8 Salk Salk NNP cord-262623-lmf2h6oc 42 9 ( ( -LRB- cord-262623-lmf2h6oc 42 10 inactivated inactivate VBN cord-262623-lmf2h6oc 42 11 ) ) -RRB- cord-262623-lmf2h6oc 42 12 vaccine vaccine NN cord-262623-lmf2h6oc 42 13 in in IN cord-262623-lmf2h6oc 42 14 1952 1952 CD cord-262623-lmf2h6oc 42 15 and and CC cord-262623-lmf2h6oc 42 16 later later RB cord-262623-lmf2h6oc 42 17 the the DT cord-262623-lmf2h6oc 42 18 Sabin Sabin NNP cord-262623-lmf2h6oc 42 19 ( ( -LRB- cord-262623-lmf2h6oc 42 20 live live JJ cord-262623-lmf2h6oc 42 21 attenuated attenuated JJ cord-262623-lmf2h6oc 42 22 oral oral JJ cord-262623-lmf2h6oc 42 23 ) ) -RRB- cord-262623-lmf2h6oc 42 24 vaccine vaccine NN cord-262623-lmf2h6oc 42 25 in in IN cord-262623-lmf2h6oc 42 26 1962 1962 CD cord-262623-lmf2h6oc 42 27 , , , cord-262623-lmf2h6oc 42 28 immediately immediately RB cord-262623-lmf2h6oc 42 29 and and CC cord-262623-lmf2h6oc 42 30 dramatically dramatically RB cord-262623-lmf2h6oc 42 31 reduced reduce VBD cord-262623-lmf2h6oc 42 32 the the DT cord-262623-lmf2h6oc 42 33 incidence incidence NN cord-262623-lmf2h6oc 42 34 of of IN cord-262623-lmf2h6oc 42 35 polio polio NN cord-262623-lmf2h6oc 42 36 to to IN cord-262623-lmf2h6oc 42 37 less less JJR cord-262623-lmf2h6oc 42 38 than than IN cord-262623-lmf2h6oc 42 39 one one CD cord-262623-lmf2h6oc 42 40 per per IN cord-262623-lmf2h6oc 42 41 100,000 100,000 CD cord-262623-lmf2h6oc 42 42 population population NN cord-262623-lmf2h6oc 42 43 by by IN cord-262623-lmf2h6oc 42 44 the the DT cord-262623-lmf2h6oc 42 45 early early JJ cord-262623-lmf2h6oc 42 46 1960s 1960 NNS cord-262623-lmf2h6oc 42 47 and and CC cord-262623-lmf2h6oc 42 48 the the DT cord-262623-lmf2h6oc 42 49 incidence incidence NN cord-262623-lmf2h6oc 42 50 continued continue VBD cord-262623-lmf2h6oc 42 51 to to TO cord-262623-lmf2h6oc 42 52 fall fall VB cord-262623-lmf2h6oc 42 53 thereafter thereafter RB cord-262623-lmf2h6oc 42 54 . . . cord-262623-lmf2h6oc 43 1 The the DT cord-262623-lmf2h6oc 43 2 last last JJ cord-262623-lmf2h6oc 43 3 case case NN cord-262623-lmf2h6oc 43 4 of of IN cord-262623-lmf2h6oc 43 5 wild wild JJ cord-262623-lmf2h6oc 43 6 strain strain NN cord-262623-lmf2h6oc 43 7 polio polio NN cord-262623-lmf2h6oc 43 8 in in IN cord-262623-lmf2h6oc 43 9 North North NNP cord-262623-lmf2h6oc 43 10 America America NNP cord-262623-lmf2h6oc 43 11 was be VBD cord-262623-lmf2h6oc 43 12 reported report VBN cord-262623-lmf2h6oc 43 13 in in IN cord-262623-lmf2h6oc 43 14 1979 1979 CD cord-262623-lmf2h6oc 43 15 , , , cord-262623-lmf2h6oc 43 16 and and CC cord-262623-lmf2h6oc 43 17 since since IN cord-262623-lmf2h6oc 43 18 that that DT cord-262623-lmf2h6oc 43 19 time time NN cord-262623-lmf2h6oc 43 20 the the DT cord-262623-lmf2h6oc 43 21 only only JJ cord-262623-lmf2h6oc 43 22 cases case NNS cord-262623-lmf2h6oc 43 23 of of IN cord-262623-lmf2h6oc 43 24 paralytic paralytic JJ cord-262623-lmf2h6oc 43 25 polio polio NN cord-262623-lmf2h6oc 43 26 have have VBP cord-262623-lmf2h6oc 43 27 been be VBN cord-262623-lmf2h6oc 43 28 rare rare JJ cord-262623-lmf2h6oc 43 29 instances instance NNS cord-262623-lmf2h6oc 43 30 of of IN cord-262623-lmf2h6oc 43 31 disease disease NN cord-262623-lmf2h6oc 43 32 due due IN cord-262623-lmf2h6oc 43 33 to to IN cord-262623-lmf2h6oc 43 34 variants variant NNS cord-262623-lmf2h6oc 43 35 of of IN cord-262623-lmf2h6oc 43 36 the the DT cord-262623-lmf2h6oc 43 37 live live JJ cord-262623-lmf2h6oc 43 38 oral oral JJ cord-262623-lmf2h6oc 43 39 vaccine vaccine NN cord-262623-lmf2h6oc 43 40 strain strain NN cord-262623-lmf2h6oc 43 41 . . . cord-262623-lmf2h6oc 44 1 Polio polio NN cord-262623-lmf2h6oc 44 2 does do VBZ cord-262623-lmf2h6oc 44 3 , , , cord-262623-lmf2h6oc 44 4 however however RB cord-262623-lmf2h6oc 44 5 , , , cord-262623-lmf2h6oc 44 6 still still RB cord-262623-lmf2h6oc 44 7 contribute contribute VB cord-262623-lmf2h6oc 44 8 to to IN cord-262623-lmf2h6oc 44 9 illnesses illness NNS cord-262623-lmf2h6oc 44 10 that that WDT cord-262623-lmf2h6oc 44 11 may may MD cord-262623-lmf2h6oc 44 12 require require VB cord-262623-lmf2h6oc 44 13 intensive intensive JJ cord-262623-lmf2h6oc 44 14 care care NN cord-262623-lmf2h6oc 44 15 in in IN cord-262623-lmf2h6oc 44 16 the the DT cord-262623-lmf2h6oc 44 17 form form NN cord-262623-lmf2h6oc 44 18 of of IN cord-262623-lmf2h6oc 44 19 the the DT cord-262623-lmf2h6oc 44 20 ' ' `` cord-262623-lmf2h6oc 44 21 ' ' `` cord-262623-lmf2h6oc 44 22 post post JJ cord-262623-lmf2h6oc 44 23 - - JJ cord-262623-lmf2h6oc 44 24 polio polio JJ cord-262623-lmf2h6oc 44 25 syndrome syndrome NN cord-262623-lmf2h6oc 44 26 . . . cord-262623-lmf2h6oc 44 27 ' ' '' cord-262623-lmf2h6oc 44 28 ' ' '' cord-262623-lmf2h6oc 45 1 This this DT cord-262623-lmf2h6oc 45 2 occurs occur VBZ cord-262623-lmf2h6oc 45 3 in in IN cord-262623-lmf2h6oc 45 4 patients patient NNS cord-262623-lmf2h6oc 45 5 who who WP cord-262623-lmf2h6oc 45 6 survived survive VBD cord-262623-lmf2h6oc 45 7 paralytic paralytic JJ cord-262623-lmf2h6oc 45 8 polio polio NN cord-262623-lmf2h6oc 45 9 decades decade NNS cord-262623-lmf2h6oc 45 10 ago ago RB cord-262623-lmf2h6oc 45 11 and and CC cord-262623-lmf2h6oc 45 12 who who WP cord-262623-lmf2h6oc 45 13 , , , cord-262623-lmf2h6oc 45 14 over over IN cord-262623-lmf2h6oc 45 15 the the DT cord-262623-lmf2h6oc 45 16 years year NNS cord-262623-lmf2h6oc 45 17 , , , cord-262623-lmf2h6oc 45 18 develop develop VB cord-262623-lmf2h6oc 45 19 a a DT cord-262623-lmf2h6oc 45 20 gradual gradual JJ cord-262623-lmf2h6oc 45 21 decline decline NN cord-262623-lmf2h6oc 45 22 in in IN cord-262623-lmf2h6oc 45 23 function function NN cord-262623-lmf2h6oc 45 24 in in IN cord-262623-lmf2h6oc 45 25 the the DT cord-262623-lmf2h6oc 45 26 originally originally RB cord-262623-lmf2h6oc 45 27 affected affect VBN cord-262623-lmf2h6oc 45 28 nerves nerve NNS cord-262623-lmf2h6oc 45 29 and and CC cord-262623-lmf2h6oc 45 30 muscles muscle NNS cord-262623-lmf2h6oc 45 31 which which WDT cord-262623-lmf2h6oc 45 32 can can MD cord-262623-lmf2h6oc 45 33 years year NNS cord-262623-lmf2h6oc 45 34 later later RB cord-262623-lmf2h6oc 45 35 once once RB cord-262623-lmf2h6oc 45 36 again again RB cord-262623-lmf2h6oc 45 37 threaten threaten VB cord-262623-lmf2h6oc 45 38 them -PRON- PRP cord-262623-lmf2h6oc 45 39 with with IN cord-262623-lmf2h6oc 45 40 disability disability NN cord-262623-lmf2h6oc 45 41 and and CC cord-262623-lmf2h6oc 45 42 , , , cord-262623-lmf2h6oc 45 43 in in IN cord-262623-lmf2h6oc 45 44 some some DT cord-262623-lmf2h6oc 45 45 cases case NNS cord-262623-lmf2h6oc 45 46 , , , cord-262623-lmf2h6oc 45 47 respiratory respiratory JJ cord-262623-lmf2h6oc 45 48 failure failure NN cord-262623-lmf2h6oc 45 49 requiring require VBG cord-262623-lmf2h6oc 45 50 intensive intensive JJ cord-262623-lmf2h6oc 45 51 care care NN cord-262623-lmf2h6oc 45 52 . . . cord-262623-lmf2h6oc 46 1 5 5 LS cord-262623-lmf2h6oc 47 1 In in IN cord-262623-lmf2h6oc 47 2 July July NNP cord-262623-lmf2h6oc 47 3 1976 1976 CD cord-262623-lmf2h6oc 47 4 , , , cord-262623-lmf2h6oc 47 5 American American NNP cord-262623-lmf2h6oc 47 6 Legion Legion NNP cord-262623-lmf2h6oc 47 7 members member NNS cord-262623-lmf2h6oc 47 8 attending attend VBG cord-262623-lmf2h6oc 47 9 a a DT cord-262623-lmf2h6oc 47 10 convention convention NN cord-262623-lmf2h6oc 47 11 at at IN cord-262623-lmf2h6oc 47 12 a a DT cord-262623-lmf2h6oc 47 13 hotel hotel NN cord-262623-lmf2h6oc 47 14 in in IN cord-262623-lmf2h6oc 47 15 Philadelphia Philadelphia NNP cord-262623-lmf2h6oc 47 16 suddenly suddenly RB cord-262623-lmf2h6oc 47 17 began begin VBD cord-262623-lmf2h6oc 47 18 falling fall VBG cord-262623-lmf2h6oc 47 19 ill ill RB cord-262623-lmf2h6oc 47 20 with with IN cord-262623-lmf2h6oc 47 21 an an DT cord-262623-lmf2h6oc 47 22 acute acute JJ cord-262623-lmf2h6oc 47 23 febrile febrile JJ cord-262623-lmf2h6oc 47 24 illness illness NN cord-262623-lmf2h6oc 47 25 with with IN cord-262623-lmf2h6oc 47 26 pneumonia pneumonia NN cord-262623-lmf2h6oc 47 27 , , , cord-262623-lmf2h6oc 47 28 often often RB cord-262623-lmf2h6oc 47 29 associated associate VBN cord-262623-lmf2h6oc 47 30 with with IN cord-262623-lmf2h6oc 47 31 extrapulmonary extrapulmonary JJ cord-262623-lmf2h6oc 47 32 symptoms symptom NNS cord-262623-lmf2h6oc 47 33 such such JJ cord-262623-lmf2h6oc 47 34 as as IN cord-262623-lmf2h6oc 47 35 myalgia myalgia NN cord-262623-lmf2h6oc 47 36 or or CC cord-262623-lmf2h6oc 47 37 diarrhea diarrhea NN cord-262623-lmf2h6oc 47 38 . . . cord-262623-lmf2h6oc 48 1 6 6 CD cord-262623-lmf2h6oc 49 1 Many many JJ cord-262623-lmf2h6oc 49 2 developed develop VBD cord-262623-lmf2h6oc 49 3 acute acute JJ cord-262623-lmf2h6oc 49 4 respiratory respiratory JJ cord-262623-lmf2h6oc 49 5 failure failure NN cord-262623-lmf2h6oc 49 6 requiring require VBG cord-262623-lmf2h6oc 49 7 mechanical mechanical JJ cord-262623-lmf2h6oc 49 8 ventilatory ventilatory JJ cord-262623-lmf2h6oc 49 9 support support NN cord-262623-lmf2h6oc 49 10 in in IN cord-262623-lmf2h6oc 49 11 ICU ICU NNP cord-262623-lmf2h6oc 49 12 . . . cord-262623-lmf2h6oc 50 1 Over over IN cord-262623-lmf2h6oc 50 2 200 200 CD cord-262623-lmf2h6oc 50 3 were be VBD cord-262623-lmf2h6oc 50 4 affected affect VBN cord-262623-lmf2h6oc 50 5 and and CC cord-262623-lmf2h6oc 50 6 34 34 CD cord-262623-lmf2h6oc 50 7 died die VBD cord-262623-lmf2h6oc 50 8 , , , cord-262623-lmf2h6oc 50 9 an an DT cord-262623-lmf2h6oc 50 10 alarming alarming JJ cord-262623-lmf2h6oc 50 11 mortality mortality NN cord-262623-lmf2h6oc 50 12 rate rate NN cord-262623-lmf2h6oc 50 13 , , , cord-262623-lmf2h6oc 50 14 especially especially RB cord-262623-lmf2h6oc 50 15 since since IN cord-262623-lmf2h6oc 50 16 physicians physician NNS cord-262623-lmf2h6oc 50 17 caring care VBG cord-262623-lmf2h6oc 50 18 for for IN cord-262623-lmf2h6oc 50 19 the the DT cord-262623-lmf2h6oc 50 20 patients patient NNS cord-262623-lmf2h6oc 50 21 had have VBD cord-262623-lmf2h6oc 50 22 no no DT cord-262623-lmf2h6oc 50 23 idea idea NN cord-262623-lmf2h6oc 50 24 what what WP cord-262623-lmf2h6oc 50 25 was be VBD cord-262623-lmf2h6oc 50 26 causing cause VBG cord-262623-lmf2h6oc 50 27 the the DT cord-262623-lmf2h6oc 50 28 illness illness NN cord-262623-lmf2h6oc 50 29 . . . cord-262623-lmf2h6oc 51 1 Conventional conventional JJ cord-262623-lmf2h6oc 51 2 microbiologic microbiologic JJ cord-262623-lmf2h6oc 51 3 investigations investigation NNS cord-262623-lmf2h6oc 51 4 yielded yield VBD cord-262623-lmf2h6oc 51 5 no no DT cord-262623-lmf2h6oc 51 6 convincing convincing JJ cord-262623-lmf2h6oc 51 7 pathogens pathogen NNS cord-262623-lmf2h6oc 51 8 despite despite IN cord-262623-lmf2h6oc 51 9 intensive intensive JJ cord-262623-lmf2h6oc 51 10 investigation investigation NN cord-262623-lmf2h6oc 51 11 for for IN cord-262623-lmf2h6oc 51 12 the the DT cord-262623-lmf2h6oc 51 13 usual usual JJ cord-262623-lmf2h6oc 51 14 bacteria bacteria NNS cord-262623-lmf2h6oc 51 15 and and CC cord-262623-lmf2h6oc 51 16 viruses virus NNS cord-262623-lmf2h6oc 51 17 and and CC cord-262623-lmf2h6oc 51 18 other other JJ cord-262623-lmf2h6oc 51 19 potential potential JJ cord-262623-lmf2h6oc 51 20 pathogens pathogen NNS cord-262623-lmf2h6oc 51 21 . . . cord-262623-lmf2h6oc 52 1 Epidemiologic epidemiologic JJ cord-262623-lmf2h6oc 52 2 and and CC cord-262623-lmf2h6oc 52 3 various various JJ cord-262623-lmf2h6oc 52 4 biologic biologic JJ cord-262623-lmf2h6oc 52 5 investigations investigation NNS cord-262623-lmf2h6oc 52 6 were be VBD cord-262623-lmf2h6oc 52 7 quickly quickly RB cord-262623-lmf2h6oc 52 8 implemented implement VBN cord-262623-lmf2h6oc 52 9 by by IN cord-262623-lmf2h6oc 52 10 local local JJ cord-262623-lmf2h6oc 52 11 health health NN cord-262623-lmf2h6oc 52 12 authorities authority NNS cord-262623-lmf2h6oc 52 13 and and CC cord-262623-lmf2h6oc 52 14 by by IN cord-262623-lmf2h6oc 52 15 the the DT cord-262623-lmf2h6oc 52 16 Centers Centers NNPS cord-262623-lmf2h6oc 52 17 for for IN cord-262623-lmf2h6oc 52 18 Disease Disease NNP cord-262623-lmf2h6oc 52 19 Control Control NNP cord-262623-lmf2h6oc 52 20 and and CC cord-262623-lmf2h6oc 52 21 Prevention Prevention NNP cord-262623-lmf2h6oc 52 22 ( ( -LRB- cord-262623-lmf2h6oc 52 23 CDC CDC NNP cord-262623-lmf2h6oc 52 24 ) ) -RRB- cord-262623-lmf2h6oc 52 25 . . . cord-262623-lmf2h6oc 53 1 These these DT cord-262623-lmf2h6oc 53 2 showed show VBD cord-262623-lmf2h6oc 53 3 that that IN cord-262623-lmf2h6oc 53 4 the the DT cord-262623-lmf2h6oc 53 5 disease disease NN cord-262623-lmf2h6oc 53 6 was be VBD cord-262623-lmf2h6oc 53 7 likely likely RB cord-262623-lmf2h6oc 53 8 airborne airborne JJ cord-262623-lmf2h6oc 53 9 and and CC cord-262623-lmf2h6oc 53 10 that that IN cord-262623-lmf2h6oc 53 11 it -PRON- PRP cord-262623-lmf2h6oc 53 12 occurred occur VBD cord-262623-lmf2h6oc 53 13 more more RBR cord-262623-lmf2h6oc 53 14 frequently frequently RB cord-262623-lmf2h6oc 53 15 in in IN cord-262623-lmf2h6oc 53 16 older old JJR cord-262623-lmf2h6oc 53 17 individuals individual NNS cord-262623-lmf2h6oc 53 18 who who WP cord-262623-lmf2h6oc 53 19 had have VBD cord-262623-lmf2h6oc 53 20 underlying underlie VBG cord-262623-lmf2h6oc 53 21 lung lung NN cord-262623-lmf2h6oc 53 22 disease disease NN cord-262623-lmf2h6oc 53 23 , , , cord-262623-lmf2h6oc 53 24 smoked smoke VBN cord-262623-lmf2h6oc 53 25 , , , cord-262623-lmf2h6oc 53 26 or or CC cord-262623-lmf2h6oc 53 27 were be VBD cord-262623-lmf2h6oc 53 28 relatively relatively RB cord-262623-lmf2h6oc 53 29 immunocompromised immunocompromised JJ cord-262623-lmf2h6oc 53 30 . . . cord-262623-lmf2h6oc 54 1 Analysis analysis NN cord-262623-lmf2h6oc 54 2 of of IN cord-262623-lmf2h6oc 54 3 the the DT cord-262623-lmf2h6oc 54 4 likelihood likelihood NN cord-262623-lmf2h6oc 54 5 of of IN cord-262623-lmf2h6oc 54 6 death death NN cord-262623-lmf2h6oc 54 7 revealed reveal VBD cord-262623-lmf2h6oc 54 8 that that IN cord-262623-lmf2h6oc 54 9 those those DT cord-262623-lmf2h6oc 54 10 who who WP cord-262623-lmf2h6oc 54 11 received receive VBD cord-262623-lmf2h6oc 54 12 tetracyclines tetracycline NNS cord-262623-lmf2h6oc 54 13 or or CC cord-262623-lmf2h6oc 54 14 macrolide macrolide NN cord-262623-lmf2h6oc 54 15 antibiotics antibiotic NNS cord-262623-lmf2h6oc 54 16 were be VBD cord-262623-lmf2h6oc 54 17 more more RBR cord-262623-lmf2h6oc 54 18 likely likely JJ cord-262623-lmf2h6oc 54 19 to to TO cord-262623-lmf2h6oc 54 20 survive survive VB cord-262623-lmf2h6oc 54 21 than than IN cord-262623-lmf2h6oc 54 22 those those DT cord-262623-lmf2h6oc 54 23 who who WP cord-262623-lmf2h6oc 54 24 received receive VBD cord-262623-lmf2h6oc 54 25 only only JJ cord-262623-lmf2h6oc 54 26 betalactams betalactam NNS cord-262623-lmf2h6oc 54 27 . . . cord-262623-lmf2h6oc 55 1 However however RB cord-262623-lmf2h6oc 55 2 , , , cord-262623-lmf2h6oc 55 3 no no DT cord-262623-lmf2h6oc 55 4 causal causal JJ cord-262623-lmf2h6oc 55 5 agent agent NN cord-262623-lmf2h6oc 55 6 was be VBD cord-262623-lmf2h6oc 55 7 uncovered uncover VBN cord-262623-lmf2h6oc 55 8 , , , cord-262623-lmf2h6oc 55 9 though though IN cord-262623-lmf2h6oc 55 10 many many JJ cord-262623-lmf2h6oc 55 11 potential potential JJ cord-262623-lmf2h6oc 55 12 causes cause NNS cord-262623-lmf2h6oc 55 13 were be VBD cord-262623-lmf2h6oc 55 14 excluded exclude VBN cord-262623-lmf2h6oc 55 15 - - : cord-262623-lmf2h6oc 55 16 most most RBS cord-262623-lmf2h6oc 55 17 known know VBN cord-262623-lmf2h6oc 55 18 bacteria bacteria NNS cord-262623-lmf2h6oc 55 19 and and CC cord-262623-lmf2h6oc 55 20 viruses virus NNS cord-262623-lmf2h6oc 55 21 , , , cord-262623-lmf2h6oc 55 22 many many JJ cord-262623-lmf2h6oc 55 23 biologic biologic JJ cord-262623-lmf2h6oc 55 24 toxins toxin NNS cord-262623-lmf2h6oc 55 25 and and CC cord-262623-lmf2h6oc 55 26 many many JJ cord-262623-lmf2h6oc 55 27 environmental environmental JJ cord-262623-lmf2h6oc 55 28 agents agent NNS cord-262623-lmf2h6oc 55 29 such such JJ cord-262623-lmf2h6oc 55 30 as as IN cord-262623-lmf2h6oc 55 31 toxic toxic JJ cord-262623-lmf2h6oc 55 32 chemicals chemical NNS cord-262623-lmf2h6oc 55 33 and and CC cord-262623-lmf2h6oc 55 34 metals metal NNS cord-262623-lmf2h6oc 55 35 . . . cord-262623-lmf2h6oc 56 1 In in IN cord-262623-lmf2h6oc 56 2 1977 1977 CD cord-262623-lmf2h6oc 56 3 , , , cord-262623-lmf2h6oc 56 4 Joseph Joseph NNP cord-262623-lmf2h6oc 56 5 McDade McDade NNP cord-262623-lmf2h6oc 56 6 and and CC cord-262623-lmf2h6oc 56 7 Charles Charles NNP cord-262623-lmf2h6oc 56 8 Shepard Shepard NNP cord-262623-lmf2h6oc 56 9 of of IN cord-262623-lmf2h6oc 56 10 the the DT cord-262623-lmf2h6oc 56 11 CDC CDC NNP cord-262623-lmf2h6oc 56 12 reported report VBD cord-262623-lmf2h6oc 56 13 the the DT cord-262623-lmf2h6oc 56 14 isolation isolation NN cord-262623-lmf2h6oc 56 15 of of IN cord-262623-lmf2h6oc 56 16 a a DT cord-262623-lmf2h6oc 56 17 novel novel JJ cord-262623-lmf2h6oc 56 18 fastidious fastidious JJ cord-262623-lmf2h6oc 56 19 gram gram NN cord-262623-lmf2h6oc 56 20 - - HYPH cord-262623-lmf2h6oc 56 21 negative negative JJ cord-262623-lmf2h6oc 56 22 bacillus bacillus NN cord-262623-lmf2h6oc 56 23 from from IN cord-262623-lmf2h6oc 56 24 the the DT cord-262623-lmf2h6oc 56 25 available available JJ cord-262623-lmf2h6oc 56 26 clinical clinical JJ cord-262623-lmf2h6oc 56 27 specimens specimen NNS cord-262623-lmf2h6oc 56 28 . . . cord-262623-lmf2h6oc 57 1 7 7 CD cord-262623-lmf2h6oc 58 1 They -PRON- PRP cord-262623-lmf2h6oc 58 2 named name VBD cord-262623-lmf2h6oc 58 3 it -PRON- PRP cord-262623-lmf2h6oc 58 4 Legionella Legionella NNP cord-262623-lmf2h6oc 58 5 pneumophila pneumophila NN cord-262623-lmf2h6oc 58 6 . . . cord-262623-lmf2h6oc 59 1 This this DT cord-262623-lmf2h6oc 59 2 discovery discovery NN cord-262623-lmf2h6oc 59 3 was be VBD cord-262623-lmf2h6oc 59 4 quickly quickly RB cord-262623-lmf2h6oc 59 5 followed follow VBN cord-262623-lmf2h6oc 59 6 by by IN cord-262623-lmf2h6oc 59 7 an an DT cord-262623-lmf2h6oc 59 8 explosion explosion NN cord-262623-lmf2h6oc 59 9 of of IN cord-262623-lmf2h6oc 59 10 knowledge knowledge NN cord-262623-lmf2h6oc 59 11 about about IN cord-262623-lmf2h6oc 59 12 the the DT cord-262623-lmf2h6oc 59 13 organism organism NN cord-262623-lmf2h6oc 59 14 and and CC cord-262623-lmf2h6oc 59 15 its -PRON- PRP$ cord-262623-lmf2h6oc 59 16 ecology ecology NN cord-262623-lmf2h6oc 59 17 , , , cord-262623-lmf2h6oc 59 18 antimicrobial antimicrobial JJ cord-262623-lmf2h6oc 59 19 susceptibility susceptibility NN cord-262623-lmf2h6oc 59 20 , , , cord-262623-lmf2h6oc 59 21 and and CC cord-262623-lmf2h6oc 59 22 of of IN cord-262623-lmf2h6oc 59 23 other other JJ cord-262623-lmf2h6oc 59 24 bacteria bacteria NNS cord-262623-lmf2h6oc 59 25 within within IN cord-262623-lmf2h6oc 59 26 the the DT cord-262623-lmf2h6oc 59 27 genus genus NN cord-262623-lmf2h6oc 59 28 . . . cord-262623-lmf2h6oc 60 1 Over over IN cord-262623-lmf2h6oc 60 2 time time NN cord-262623-lmf2h6oc 60 3 , , , cord-262623-lmf2h6oc 60 4 demonstration demonstration NN cord-262623-lmf2h6oc 60 5 that that IN cord-262623-lmf2h6oc 60 6 it -PRON- PRP cord-262623-lmf2h6oc 60 7 was be VBD cord-262623-lmf2h6oc 60 8 a a DT cord-262623-lmf2h6oc 60 9 widely widely RB cord-262623-lmf2h6oc 60 10 occurring occur VBG cord-262623-lmf2h6oc 60 11 colonizer colonizer NN cord-262623-lmf2h6oc 60 12 of of IN cord-262623-lmf2h6oc 60 13 brackish brackish JJ cord-262623-lmf2h6oc 60 14 water water NN cord-262623-lmf2h6oc 60 15 , , , cord-262623-lmf2h6oc 60 16 particularly particularly RB cord-262623-lmf2h6oc 60 17 in in IN cord-262623-lmf2h6oc 60 18 air air NN cord-262623-lmf2h6oc 60 19 conditioners conditioner NNS cord-262623-lmf2h6oc 60 20 , , , cord-262623-lmf2h6oc 60 21 cooling cool VBG cord-262623-lmf2h6oc 60 22 towers tower NNS cord-262623-lmf2h6oc 60 23 , , , cord-262623-lmf2h6oc 60 24 and and CC cord-262623-lmf2h6oc 60 25 water water NN cord-262623-lmf2h6oc 60 26 heaters heater NNS cord-262623-lmf2h6oc 60 27 and and CC cord-262623-lmf2h6oc 60 28 pipes pipe NNS cord-262623-lmf2h6oc 60 29 , , , cord-262623-lmf2h6oc 60 30 led lead VBD cord-262623-lmf2h6oc 60 31 to to IN cord-262623-lmf2h6oc 60 32 the the DT cord-262623-lmf2h6oc 60 33 implication implication NN cord-262623-lmf2h6oc 60 34 of of IN cord-262623-lmf2h6oc 60 35 these these DT cord-262623-lmf2h6oc 60 36 reservoirs reservoir NNS cord-262623-lmf2h6oc 60 37 in in IN cord-262623-lmf2h6oc 60 38 several several JJ cord-262623-lmf2h6oc 60 39 hundred hundred CD cord-262623-lmf2h6oc 60 40 outbreaks outbreak NNS cord-262623-lmf2h6oc 60 41 of of IN cord-262623-lmf2h6oc 60 42 the the DT cord-262623-lmf2h6oc 60 43 disease disease NN cord-262623-lmf2h6oc 60 44 worldwide worldwide RB cord-262623-lmf2h6oc 60 45 , , , cord-262623-lmf2h6oc 60 46 especially especially RB cord-262623-lmf2h6oc 60 47 in in IN cord-262623-lmf2h6oc 60 48 hospitals hospital NNS cord-262623-lmf2h6oc 60 49 and and CC cord-262623-lmf2h6oc 60 50 other other JJ cord-262623-lmf2h6oc 60 51 public public JJ cord-262623-lmf2h6oc 60 52 health health NN cord-262623-lmf2h6oc 60 53 institutions institution NNS cord-262623-lmf2h6oc 60 54 , , , cord-262623-lmf2h6oc 60 55 and and CC cord-262623-lmf2h6oc 60 56 hotels hotel NNS cord-262623-lmf2h6oc 60 57 . . . cord-262623-lmf2h6oc 61 1 Thus thus RB cord-262623-lmf2h6oc 61 2 began begin VBD cord-262623-lmf2h6oc 61 3 widespread widespread JJ cord-262623-lmf2h6oc 61 4 development development NN cord-262623-lmf2h6oc 61 5 of of IN cord-262623-lmf2h6oc 61 6 regulations regulation NNS cord-262623-lmf2h6oc 61 7 and and CC cord-262623-lmf2h6oc 61 8 guidelines guideline NNS cord-262623-lmf2h6oc 61 9 for for IN cord-262623-lmf2h6oc 61 10 limiting limit VBG cord-262623-lmf2h6oc 61 11 the the DT cord-262623-lmf2h6oc 61 12 degree degree NN cord-262623-lmf2h6oc 61 13 of of IN cord-262623-lmf2h6oc 61 14 colonization colonization NN cord-262623-lmf2h6oc 61 15 of of IN cord-262623-lmf2h6oc 61 16 these these DT cord-262623-lmf2h6oc 61 17 water water NN cord-262623-lmf2h6oc 61 18 sources source NNS cord-262623-lmf2h6oc 61 19 by by IN cord-262623-lmf2h6oc 61 20 Legionella Legionella NNP cord-262623-lmf2h6oc 61 21 , , , cord-262623-lmf2h6oc 61 22 resulting result VBG cord-262623-lmf2h6oc 61 23 in in IN cord-262623-lmf2h6oc 61 24 a a DT cord-262623-lmf2h6oc 61 25 reduction reduction NN cord-262623-lmf2h6oc 61 26 in in IN cord-262623-lmf2h6oc 61 27 the the DT cord-262623-lmf2h6oc 61 28 size size NN cord-262623-lmf2h6oc 61 29 , , , cord-262623-lmf2h6oc 61 30 number number NN cord-262623-lmf2h6oc 61 31 , , , cord-262623-lmf2h6oc 61 32 and and CC cord-262623-lmf2h6oc 61 33 scope scope NN cord-262623-lmf2h6oc 61 34 of of IN cord-262623-lmf2h6oc 61 35 subsequent subsequent JJ cord-262623-lmf2h6oc 61 36 outbreaks outbreak NNS cord-262623-lmf2h6oc 61 37 . . . cord-262623-lmf2h6oc 62 1 Since since IN cord-262623-lmf2h6oc 62 2 the the DT cord-262623-lmf2h6oc 62 3 initial initial JJ cord-262623-lmf2h6oc 62 4 description description NN cord-262623-lmf2h6oc 62 5 of of IN cord-262623-lmf2h6oc 62 6 the the DT cord-262623-lmf2h6oc 62 7 disease disease NN cord-262623-lmf2h6oc 62 8 , , , cord-262623-lmf2h6oc 62 9 Legionella Legionella NNP cord-262623-lmf2h6oc 62 10 has have VBZ cord-262623-lmf2h6oc 62 11 , , , cord-262623-lmf2h6oc 62 12 of of IN cord-262623-lmf2h6oc 62 13 course course NN cord-262623-lmf2h6oc 62 14 , , , cord-262623-lmf2h6oc 62 15 been be VBN cord-262623-lmf2h6oc 62 16 shown show VBN cord-262623-lmf2h6oc 62 17 to to TO cord-262623-lmf2h6oc 62 18 be be VB cord-262623-lmf2h6oc 62 19 one one CD cord-262623-lmf2h6oc 62 20 of of IN cord-262623-lmf2h6oc 62 21 the the DT cord-262623-lmf2h6oc 62 22 major major JJ cord-262623-lmf2h6oc 62 23 causes cause NNS cord-262623-lmf2h6oc 62 24 of of IN cord-262623-lmf2h6oc 62 25 community community NN cord-262623-lmf2h6oc 62 26 - - HYPH cord-262623-lmf2h6oc 62 27 acquired acquire VBN cord-262623-lmf2h6oc 62 28 pneumonia pneumonia NN cord-262623-lmf2h6oc 62 29 ( ( -LRB- cord-262623-lmf2h6oc 62 30 CAP CAP NNP cord-262623-lmf2h6oc 62 31 ) ) -RRB- cord-262623-lmf2h6oc 62 32 , , , cord-262623-lmf2h6oc 62 33 particularly particularly RB cord-262623-lmf2h6oc 62 34 in in IN cord-262623-lmf2h6oc 62 35 the the DT cord-262623-lmf2h6oc 62 36 more more RBR cord-262623-lmf2h6oc 62 37 severe severe JJ cord-262623-lmf2h6oc 62 38 subset subset JJ cord-262623-lmf2h6oc 62 39 requiring require VBG cord-262623-lmf2h6oc 62 40 ICU ICU NNP cord-262623-lmf2h6oc 62 41 care care NN cord-262623-lmf2h6oc 62 42 ; ; : cord-262623-lmf2h6oc 62 43 this this DT cord-262623-lmf2h6oc 62 44 fact fact NN cord-262623-lmf2h6oc 62 45 underlies underlie VBZ cord-262623-lmf2h6oc 62 46 the the DT cord-262623-lmf2h6oc 62 47 major major JJ cord-262623-lmf2h6oc 62 48 lesson lesson NN cord-262623-lmf2h6oc 62 49 from from IN cord-262623-lmf2h6oc 62 50 Plagues plague NNS cord-262623-lmf2h6oc 62 51 in in IN cord-262623-lmf2h6oc 62 52 the the DT cord-262623-lmf2h6oc 62 53 ICU ICU NNP cord-262623-lmf2h6oc 62 54 the the DT cord-262623-lmf2h6oc 62 55 outbreak outbreak NN cord-262623-lmf2h6oc 62 56 - - : cord-262623-lmf2h6oc 62 57 the the DT cord-262623-lmf2h6oc 62 58 nearly nearly RB cord-262623-lmf2h6oc 62 59 universal universal JJ cord-262623-lmf2h6oc 62 60 recommendation recommendation NN cord-262623-lmf2h6oc 62 61 for for IN cord-262623-lmf2h6oc 62 62 inclusion inclusion NN cord-262623-lmf2h6oc 62 63 of of IN cord-262623-lmf2h6oc 62 64 antimicrobial antimicrobial JJ cord-262623-lmf2h6oc 62 65 therapy therapy NN cord-262623-lmf2h6oc 62 66 for for IN cord-262623-lmf2h6oc 62 67 Legionell Legionell NNP cord-262623-lmf2h6oc 62 68 spp spp NNS cord-262623-lmf2h6oc 62 69 in in IN cord-262623-lmf2h6oc 62 70 any any DT cord-262623-lmf2h6oc 62 71 treatment treatment NN cord-262623-lmf2h6oc 62 72 regimen regimen NN cord-262623-lmf2h6oc 62 73 for for IN cord-262623-lmf2h6oc 62 74 severe severe JJ cord-262623-lmf2h6oc 62 75 CAP cap NN cord-262623-lmf2h6oc 62 76 without without IN cord-262623-lmf2h6oc 62 77 another another DT cord-262623-lmf2h6oc 62 78 obvious obvious JJ cord-262623-lmf2h6oc 62 79 cause cause NN cord-262623-lmf2h6oc 62 80 . . . cord-262623-lmf2h6oc 63 1 Although although IN cord-262623-lmf2h6oc 63 2 we -PRON- PRP cord-262623-lmf2h6oc 63 3 now now RB cord-262623-lmf2h6oc 63 4 know know VBP cord-262623-lmf2h6oc 63 5 that that IN cord-262623-lmf2h6oc 63 6 no no DT cord-262623-lmf2h6oc 63 7 amount amount NN cord-262623-lmf2h6oc 63 8 of of IN cord-262623-lmf2h6oc 63 9 continuing continue VBG cord-262623-lmf2h6oc 63 10 effort effort NN cord-262623-lmf2h6oc 63 11 can can MD cord-262623-lmf2h6oc 63 12 completely completely RB cord-262623-lmf2h6oc 63 13 eliminate eliminate VB cord-262623-lmf2h6oc 63 14 this this DT cord-262623-lmf2h6oc 63 15 organism organism NN cord-262623-lmf2h6oc 63 16 from from IN cord-262623-lmf2h6oc 63 17 our -PRON- PRP$ cord-262623-lmf2h6oc 63 18 environment environment NN cord-262623-lmf2h6oc 63 19 , , , cord-262623-lmf2h6oc 63 20 and and CC cord-262623-lmf2h6oc 63 21 that that IN cord-262623-lmf2h6oc 63 22 we -PRON- PRP cord-262623-lmf2h6oc 63 23 will will MD cord-262623-lmf2h6oc 63 24 continue continue VB cord-262623-lmf2h6oc 63 25 to to TO cord-262623-lmf2h6oc 63 26 see see VB cord-262623-lmf2h6oc 63 27 endemic endemic JJ cord-262623-lmf2h6oc 63 28 cases case NNS cord-262623-lmf2h6oc 63 29 , , , cord-262623-lmf2h6oc 63 30 we -PRON- PRP cord-262623-lmf2h6oc 63 31 also also RB cord-262623-lmf2h6oc 63 32 know know VBP cord-262623-lmf2h6oc 63 33 that that IN cord-262623-lmf2h6oc 63 34 clusters cluster NNS cord-262623-lmf2h6oc 63 35 of of IN cord-262623-lmf2h6oc 63 36 cases case NNS cord-262623-lmf2h6oc 63 37 should should MD cord-262623-lmf2h6oc 63 38 trigger trigger VB cord-262623-lmf2h6oc 63 39 an an DT cord-262623-lmf2h6oc 63 40 investigation investigation NN cord-262623-lmf2h6oc 63 41 into into IN cord-262623-lmf2h6oc 63 42 finding find VBG cord-262623-lmf2h6oc 63 43 the the DT cord-262623-lmf2h6oc 63 44 point point NN cord-262623-lmf2h6oc 63 45 source source NN cord-262623-lmf2h6oc 63 46 of of IN cord-262623-lmf2h6oc 63 47 the the DT cord-262623-lmf2h6oc 63 48 outbreak outbreak NN cord-262623-lmf2h6oc 63 49 , , , cord-262623-lmf2h6oc 63 50 a a DT cord-262623-lmf2h6oc 63 51 situation situation NN cord-262623-lmf2h6oc 63 52 that that WDT cord-262623-lmf2h6oc 63 53 continues continue VBZ cord-262623-lmf2h6oc 63 54 to to TO cord-262623-lmf2h6oc 63 55 occur occur VB cord-262623-lmf2h6oc 63 56 several several JJ cord-262623-lmf2h6oc 63 57 times time NNS cord-262623-lmf2h6oc 63 58 a a DT cord-262623-lmf2h6oc 63 59 year year NN cord-262623-lmf2h6oc 63 60 somewhere somewhere RB cord-262623-lmf2h6oc 63 61 in in IN cord-262623-lmf2h6oc 63 62 the the DT cord-262623-lmf2h6oc 63 63 world world NN cord-262623-lmf2h6oc 63 64 . . . cord-262623-lmf2h6oc 64 1 In in IN cord-262623-lmf2h6oc 64 2 addition addition NN cord-262623-lmf2h6oc 64 3 , , , cord-262623-lmf2h6oc 64 4 the the DT cord-262623-lmf2h6oc 64 5 1976 1976 CD cord-262623-lmf2h6oc 64 6 Philadelphia Philadelphia NNP cord-262623-lmf2h6oc 64 7 outbreak outbreak NN cord-262623-lmf2h6oc 64 8 that that WDT cord-262623-lmf2h6oc 64 9 defined define VBD cord-262623-lmf2h6oc 64 10 ' ' '' cord-262623-lmf2h6oc 64 11 ' ' '' cord-262623-lmf2h6oc 64 12 Legionnaire Legionnaire NNP cord-262623-lmf2h6oc 64 13 's 's POS cord-262623-lmf2h6oc 64 14 Disease Disease NNP cord-262623-lmf2h6oc 64 15 ' ' '' cord-262623-lmf2h6oc 64 16 ' ' '' cord-262623-lmf2h6oc 64 17 was be VBD cord-262623-lmf2h6oc 64 18 the the DT cord-262623-lmf2h6oc 64 19 first first JJ cord-262623-lmf2h6oc 64 20 in in IN cord-262623-lmf2h6oc 64 21 the the DT cord-262623-lmf2h6oc 64 22 modern modern JJ cord-262623-lmf2h6oc 64 23 ICU ICU NNP cord-262623-lmf2h6oc 64 24 era era NN cord-262623-lmf2h6oc 64 25 to to TO cord-262623-lmf2h6oc 64 26 demonstrate demonstrate VB cord-262623-lmf2h6oc 64 27 that that IN cord-262623-lmf2h6oc 64 28 major major JJ cord-262623-lmf2h6oc 64 29 unknown unknown JJ cord-262623-lmf2h6oc 64 30 infectious infectious JJ cord-262623-lmf2h6oc 64 31 disease disease NN cord-262623-lmf2h6oc 64 32 syndromes syndrome NNS cord-262623-lmf2h6oc 64 33 of of IN cord-262623-lmf2h6oc 64 34 severe severe JJ cord-262623-lmf2h6oc 64 35 consequence consequence NN cord-262623-lmf2h6oc 64 36 still still RB cord-262623-lmf2h6oc 64 37 exist exist VBP cord-262623-lmf2h6oc 64 38 , , , cord-262623-lmf2h6oc 64 39 presaging presage VBG cord-262623-lmf2h6oc 64 40 the the DT cord-262623-lmf2h6oc 64 41 new new JJ cord-262623-lmf2h6oc 64 42 infectious infectious JJ cord-262623-lmf2h6oc 64 43 disease disease NN cord-262623-lmf2h6oc 64 44 syndromes syndrome NNS cord-262623-lmf2h6oc 64 45 to to TO cord-262623-lmf2h6oc 64 46 be be VB cord-262623-lmf2h6oc 64 47 discovered discover VBN cord-262623-lmf2h6oc 64 48 in in IN cord-262623-lmf2h6oc 64 49 the the DT cord-262623-lmf2h6oc 64 50 years year NNS cord-262623-lmf2h6oc 64 51 that that WDT cord-262623-lmf2h6oc 64 52 followed follow VBD cord-262623-lmf2h6oc 64 53 . . . cord-262623-lmf2h6oc 65 1 In in IN cord-262623-lmf2h6oc 65 2 the the DT cord-262623-lmf2h6oc 65 3 late late JJ cord-262623-lmf2h6oc 65 4 1970s 1970 NNS cord-262623-lmf2h6oc 65 5 , , , cord-262623-lmf2h6oc 65 6 emergency emergency NN cord-262623-lmf2h6oc 65 7 rooms room NNS cord-262623-lmf2h6oc 65 8 and and CC cord-262623-lmf2h6oc 65 9 ICUs icus NN cord-262623-lmf2h6oc 65 10 throughout throughout IN cord-262623-lmf2h6oc 65 11 North North NNP cord-262623-lmf2h6oc 65 12 America America NNP cord-262623-lmf2h6oc 65 13 began begin VBD cord-262623-lmf2h6oc 65 14 to to TO cord-262623-lmf2h6oc 65 15 see see VB cord-262623-lmf2h6oc 65 16 an an DT cord-262623-lmf2h6oc 65 17 increasing increase VBG cord-262623-lmf2h6oc 65 18 number number NN cord-262623-lmf2h6oc 65 19 of of IN cord-262623-lmf2h6oc 65 20 young young JJ cord-262623-lmf2h6oc 65 21 menstruating menstruate VBG cord-262623-lmf2h6oc 65 22 women woman NNS cord-262623-lmf2h6oc 65 23 presenting present VBG cord-262623-lmf2h6oc 65 24 with with IN cord-262623-lmf2h6oc 65 25 a a DT cord-262623-lmf2h6oc 65 26 previously previously RB cord-262623-lmf2h6oc 65 27 little little RB cord-262623-lmf2h6oc 65 28 - - HYPH cord-262623-lmf2h6oc 65 29 known know VBN cord-262623-lmf2h6oc 65 30 syndrome syndrome NN cord-262623-lmf2h6oc 65 31 characterized characterize VBN cord-262623-lmf2h6oc 65 32 by by IN cord-262623-lmf2h6oc 65 33 sudden sudden JJ cord-262623-lmf2h6oc 65 34 onset onset NN cord-262623-lmf2h6oc 65 35 of of IN cord-262623-lmf2h6oc 65 36 a a DT cord-262623-lmf2h6oc 65 37 high high JJ cord-262623-lmf2h6oc 65 38 fever fever NN cord-262623-lmf2h6oc 65 39 , , , cord-262623-lmf2h6oc 65 40 often often RB cord-262623-lmf2h6oc 65 41 associated associate VBN cord-262623-lmf2h6oc 65 42 with with IN cord-262623-lmf2h6oc 65 43 vomiting vomiting NN cord-262623-lmf2h6oc 65 44 and and CC cord-262623-lmf2h6oc 65 45 diarrhea diarrhea NN cord-262623-lmf2h6oc 65 46 , , , cord-262623-lmf2h6oc 65 47 quickly quickly RB cord-262623-lmf2h6oc 65 48 followed follow VBN cord-262623-lmf2h6oc 65 49 by by IN cord-262623-lmf2h6oc 65 50 severe severe JJ cord-262623-lmf2h6oc 65 51 hypotension hypotension NN cord-262623-lmf2h6oc 65 52 . . . cord-262623-lmf2h6oc 66 1 Early early RB cord-262623-lmf2h6oc 66 2 in in IN cord-262623-lmf2h6oc 66 3 the the DT cord-262623-lmf2h6oc 66 4 course course NN cord-262623-lmf2h6oc 66 5 most most JJS cord-262623-lmf2h6oc 66 6 patients patient NNS cord-262623-lmf2h6oc 66 7 developed develop VBD cord-262623-lmf2h6oc 66 8 a a DT cord-262623-lmf2h6oc 66 9 diffuse diffuse JJ cord-262623-lmf2h6oc 66 10 macular macular JJ cord-262623-lmf2h6oc 66 11 rash rash NN cord-262623-lmf2h6oc 66 12 , , , cord-262623-lmf2h6oc 66 13 often often RB cord-262623-lmf2h6oc 66 14 with with IN cord-262623-lmf2h6oc 66 15 mucous mucous JJ cord-262623-lmf2h6oc 66 16 membrane membrane NN cord-262623-lmf2h6oc 66 17 inflammation inflammation NN cord-262623-lmf2h6oc 66 18 , , , cord-262623-lmf2h6oc 66 19 with with IN cord-262623-lmf2h6oc 66 20 subsequent subsequent JJ cord-262623-lmf2h6oc 66 21 desquamation desquamation NN cord-262623-lmf2h6oc 66 22 during during IN cord-262623-lmf2h6oc 66 23 convalescence convalescence NN cord-262623-lmf2h6oc 66 24 . . . cord-262623-lmf2h6oc 67 1 Patients patient NNS cord-262623-lmf2h6oc 67 2 frequently frequently RB cord-262623-lmf2h6oc 67 3 required require VBD cord-262623-lmf2h6oc 67 4 massive massive JJ cord-262623-lmf2h6oc 67 5 fluid fluid JJ cord-262623-lmf2h6oc 67 6 resuscitation resuscitation NN cord-262623-lmf2h6oc 67 7 because because IN cord-262623-lmf2h6oc 67 8 of of IN cord-262623-lmf2h6oc 67 9 systemic systemic JJ cord-262623-lmf2h6oc 67 10 capillary capillary JJ cord-262623-lmf2h6oc 67 11 leak leak NN cord-262623-lmf2h6oc 67 12 , , , cord-262623-lmf2h6oc 67 13 as as RB cord-262623-lmf2h6oc 67 14 well well RB cord-262623-lmf2h6oc 67 15 as as IN cord-262623-lmf2h6oc 67 16 vasopressor vasopressor NN cord-262623-lmf2h6oc 67 17 support support NN cord-262623-lmf2h6oc 67 18 , , , cord-262623-lmf2h6oc 67 19 mechanical mechanical JJ cord-262623-lmf2h6oc 67 20 ventilation ventilation NN cord-262623-lmf2h6oc 67 21 for for IN cord-262623-lmf2h6oc 67 22 adult adult NN cord-262623-lmf2h6oc 67 23 respiratory respiratory JJ cord-262623-lmf2h6oc 67 24 distress distress NN cord-262623-lmf2h6oc 67 25 syndrome syndrome NN cord-262623-lmf2h6oc 67 26 , , , cord-262623-lmf2h6oc 67 27 and and CC cord-262623-lmf2h6oc 67 28 even even RB cord-262623-lmf2h6oc 67 29 renal renal JJ cord-262623-lmf2h6oc 67 30 replacement replacement NN cord-262623-lmf2h6oc 67 31 therapy therapy NN cord-262623-lmf2h6oc 67 32 for for IN cord-262623-lmf2h6oc 67 33 acute acute JJ cord-262623-lmf2h6oc 67 34 renal renal JJ cord-262623-lmf2h6oc 67 35 failure failure NN cord-262623-lmf2h6oc 67 36 , , , cord-262623-lmf2h6oc 67 37 complicating complicate VBG cord-262623-lmf2h6oc 67 38 the the DT cord-262623-lmf2h6oc 67 39 shock shock NN cord-262623-lmf2h6oc 67 40 episode episode NN cord-262623-lmf2h6oc 67 41 . . . cord-262623-lmf2h6oc 68 1 One one CD cord-262623-lmf2h6oc 68 2 of of IN cord-262623-lmf2h6oc 68 3 the the DT cord-262623-lmf2h6oc 68 4 early early JJ cord-262623-lmf2h6oc 68 5 clusters cluster NNS cord-262623-lmf2h6oc 68 6 of of IN cord-262623-lmf2h6oc 68 7 observed observed JJ cord-262623-lmf2h6oc 68 8 cases case NNS cord-262623-lmf2h6oc 68 9 was be VBD cord-262623-lmf2h6oc 68 10 reported report VBN cord-262623-lmf2h6oc 68 11 in in IN cord-262623-lmf2h6oc 68 12 1978 1978 CD cord-262623-lmf2h6oc 68 13 , , , cord-262623-lmf2h6oc 68 14 and and CC cord-262623-lmf2h6oc 68 15 the the DT cord-262623-lmf2h6oc 68 16 term term NN cord-262623-lmf2h6oc 68 17 ' ' '' cord-262623-lmf2h6oc 68 18 ' ' `` cord-262623-lmf2h6oc 68 19 toxic toxic JJ cord-262623-lmf2h6oc 68 20 shock shock NN cord-262623-lmf2h6oc 68 21 syndrome syndrome NN cord-262623-lmf2h6oc 68 22 ' ' '' cord-262623-lmf2h6oc 68 23 ' ' '' cord-262623-lmf2h6oc 68 24 was be VBD cord-262623-lmf2h6oc 68 25 coined coin VBN cord-262623-lmf2h6oc 68 26 based base VBN cord-262623-lmf2h6oc 68 27 on on IN cord-262623-lmf2h6oc 68 28 the the DT cord-262623-lmf2h6oc 68 29 isolation isolation NN cord-262623-lmf2h6oc 68 30 of of IN cord-262623-lmf2h6oc 68 31 an an DT cord-262623-lmf2h6oc 68 32 exotoxin exotoxin NN cord-262623-lmf2h6oc 68 33 - - HYPH cord-262623-lmf2h6oc 68 34 producing produce VBG cord-262623-lmf2h6oc 68 35 Staphylococcus Staphylococcus NNP cord-262623-lmf2h6oc 68 36 aureus aureus NN cord-262623-lmf2h6oc 68 37 from from IN cord-262623-lmf2h6oc 68 38 mucosal mucosal JJ cord-262623-lmf2h6oc 68 39 surfaces surface NNS cord-262623-lmf2h6oc 68 40 or or CC cord-262623-lmf2h6oc 68 41 the the DT cord-262623-lmf2h6oc 68 42 site site NN cord-262623-lmf2h6oc 68 43 of of IN cord-262623-lmf2h6oc 68 44 a a DT cord-262623-lmf2h6oc 68 45 minor minor JJ cord-262623-lmf2h6oc 68 46 infection infection NN cord-262623-lmf2h6oc 68 47 in in IN cord-262623-lmf2h6oc 68 48 the the DT cord-262623-lmf2h6oc 68 49 absence absence NN cord-262623-lmf2h6oc 68 50 of of IN cord-262623-lmf2h6oc 68 51 bacteremia bacteremia NN cord-262623-lmf2h6oc 68 52 . . . cord-262623-lmf2h6oc 69 1 8 8 CD cord-262623-lmf2h6oc 70 1 As as IN cord-262623-lmf2h6oc 70 2 the the DT cord-262623-lmf2h6oc 70 3 case case NN cord-262623-lmf2h6oc 70 4 numbers number NNS cord-262623-lmf2h6oc 70 5 rapidly rapidly RB cord-262623-lmf2h6oc 70 6 increased increase VBD cord-262623-lmf2h6oc 70 7 case case NN cord-262623-lmf2h6oc 70 8 definitions definition NNS cord-262623-lmf2h6oc 70 9 for for IN cord-262623-lmf2h6oc 70 10 the the DT cord-262623-lmf2h6oc 70 11 syndrome syndrome NN cord-262623-lmf2h6oc 70 12 were be VBD cord-262623-lmf2h6oc 70 13 formulated formulate VBN cord-262623-lmf2h6oc 70 14 and and CC cord-262623-lmf2h6oc 70 15 epidemiologic epidemiologic JJ cord-262623-lmf2h6oc 70 16 studies study NNS cord-262623-lmf2h6oc 70 17 mounted mount VBD cord-262623-lmf2h6oc 70 18 . . . cord-262623-lmf2h6oc 71 1 By by IN cord-262623-lmf2h6oc 71 2 1980 1980 CD cord-262623-lmf2h6oc 71 3 , , , cord-262623-lmf2h6oc 71 4 over over IN cord-262623-lmf2h6oc 71 5 1000 1000 CD cord-262623-lmf2h6oc 71 6 cases case NNS cord-262623-lmf2h6oc 71 7 had have VBD cord-262623-lmf2h6oc 71 8 been be VBN cord-262623-lmf2h6oc 71 9 formally formally RB cord-262623-lmf2h6oc 71 10 reported report VBN cord-262623-lmf2h6oc 71 11 to to IN cord-262623-lmf2h6oc 71 12 the the DT cord-262623-lmf2h6oc 71 13 CDC CDC NNP cord-262623-lmf2h6oc 71 14 . . . cord-262623-lmf2h6oc 72 1 9 9 CD cord-262623-lmf2h6oc 73 1 The the DT cord-262623-lmf2h6oc 73 2 case case NN cord-262623-lmf2h6oc 73 3 fatality fatality NN cord-262623-lmf2h6oc 73 4 rate rate NN cord-262623-lmf2h6oc 73 5 was be VBD cord-262623-lmf2h6oc 73 6 reported report VBN cord-262623-lmf2h6oc 73 7 to to TO cord-262623-lmf2h6oc 73 8 be be VB cord-262623-lmf2h6oc 73 9 as as RB cord-262623-lmf2h6oc 73 10 high high JJ cord-262623-lmf2h6oc 73 11 as as IN cord-262623-lmf2h6oc 73 12 15 15 CD cord-262623-lmf2h6oc 73 13 % % NN cord-262623-lmf2h6oc 73 14 in in IN cord-262623-lmf2h6oc 73 15 the the DT cord-262623-lmf2h6oc 73 16 more more RBR cord-262623-lmf2h6oc 73 17 severe severe JJ cord-262623-lmf2h6oc 73 18 cases case NNS cord-262623-lmf2h6oc 73 19 included include VBN cord-262623-lmf2h6oc 73 20 in in IN cord-262623-lmf2h6oc 73 21 the the DT cord-262623-lmf2h6oc 73 22 earliest early JJS cord-262623-lmf2h6oc 73 23 reports report NNS cord-262623-lmf2h6oc 73 24 , , , cord-262623-lmf2h6oc 73 25 falling fall VBG cord-262623-lmf2h6oc 73 26 to to IN cord-262623-lmf2h6oc 73 27 about about IN cord-262623-lmf2h6oc 73 28 3%-5 3%-5 CD cord-262623-lmf2h6oc 73 29 % % NN cord-262623-lmf2h6oc 73 30 as as IN cord-262623-lmf2h6oc 73 31 recognition recognition NN cord-262623-lmf2h6oc 73 32 of of IN cord-262623-lmf2h6oc 73 33 the the DT cord-262623-lmf2h6oc 73 34 syndrome syndrome NN cord-262623-lmf2h6oc 73 35 improved improve VBN cord-262623-lmf2h6oc 73 36 . . . cord-262623-lmf2h6oc 74 1 By by IN cord-262623-lmf2h6oc 74 2 this this DT cord-262623-lmf2h6oc 74 3 time time NN cord-262623-lmf2h6oc 74 4 there there EX cord-262623-lmf2h6oc 74 5 were be VBD cord-262623-lmf2h6oc 74 6 clear clear JJ cord-262623-lmf2h6oc 74 7 epidemiologic epidemiologic JJ cord-262623-lmf2h6oc 74 8 links link NNS cord-262623-lmf2h6oc 74 9 between between IN cord-262623-lmf2h6oc 74 10 the the DT cord-262623-lmf2h6oc 74 11 syndrome syndrome NN cord-262623-lmf2h6oc 74 12 and and CC cord-262623-lmf2h6oc 74 13 menstrual menstrual JJ cord-262623-lmf2h6oc 74 14 use use NN cord-262623-lmf2h6oc 74 15 of of IN cord-262623-lmf2h6oc 74 16 high high JJ cord-262623-lmf2h6oc 74 17 - - HYPH cord-262623-lmf2h6oc 74 18 absorbency absorbency NN cord-262623-lmf2h6oc 74 19 tampons tampon NNS cord-262623-lmf2h6oc 74 20 which which WDT cord-262623-lmf2h6oc 74 21 were be VBD cord-262623-lmf2h6oc 74 22 often often RB cord-262623-lmf2h6oc 74 23 left leave VBN cord-262623-lmf2h6oc 74 24 in in IN cord-262623-lmf2h6oc 74 25 place place NN cord-262623-lmf2h6oc 74 26 longer long RBR cord-262623-lmf2h6oc 74 27 than than IN cord-262623-lmf2h6oc 74 28 less less RBR cord-262623-lmf2h6oc 74 29 absorbent absorbent JJ cord-262623-lmf2h6oc 74 30 products product NNS cord-262623-lmf2h6oc 74 31 . . . cord-262623-lmf2h6oc 75 1 Colonization colonization NN cord-262623-lmf2h6oc 75 2 of of IN cord-262623-lmf2h6oc 75 3 the the DT cord-262623-lmf2h6oc 75 4 tampon tampon NN cord-262623-lmf2h6oc 75 5 with with IN cord-262623-lmf2h6oc 75 6 Staphylococcus Staphylococcus NNP cord-262623-lmf2h6oc 75 7 aureus aureus NN cord-262623-lmf2h6oc 75 8 was be VBD cord-262623-lmf2h6oc 75 9 also also RB cord-262623-lmf2h6oc 75 10 implicated implicate VBN cord-262623-lmf2h6oc 75 11 , , , cord-262623-lmf2h6oc 75 12 consistent consistent JJ cord-262623-lmf2h6oc 75 13 with with IN cord-262623-lmf2h6oc 75 14 the the DT cord-262623-lmf2h6oc 75 15 postulated postulate VBN cord-262623-lmf2h6oc 75 16 toxin toxin NN cord-262623-lmf2h6oc 75 17 - - HYPH cord-262623-lmf2h6oc 75 18 mediated mediate VBN cord-262623-lmf2h6oc 75 19 disease disease NN cord-262623-lmf2h6oc 75 20 mechanism mechanism NN cord-262623-lmf2h6oc 75 21 . . . cord-262623-lmf2h6oc 76 1 10 10 CD cord-262623-lmf2h6oc 77 1 Within within IN cord-262623-lmf2h6oc 77 2 months month NNS cord-262623-lmf2h6oc 77 3 of of IN cord-262623-lmf2h6oc 77 4 these these DT cord-262623-lmf2h6oc 77 5 revelations revelation NNS cord-262623-lmf2h6oc 77 6 the the DT cord-262623-lmf2h6oc 77 7 main main JJ cord-262623-lmf2h6oc 77 8 manufacturer manufacturer NN cord-262623-lmf2h6oc 77 9 of of IN cord-262623-lmf2h6oc 77 10 the the DT cord-262623-lmf2h6oc 77 11 implicated implicate VBN cord-262623-lmf2h6oc 77 12 tampons tampon NNS cord-262623-lmf2h6oc 77 13 withdrew withdraw VBD cord-262623-lmf2h6oc 77 14 them -PRON- PRP cord-262623-lmf2h6oc 77 15 from from IN cord-262623-lmf2h6oc 77 16 the the DT cord-262623-lmf2h6oc 77 17 market market NN cord-262623-lmf2h6oc 77 18 and and CC cord-262623-lmf2h6oc 77 19 women woman NNS cord-262623-lmf2h6oc 77 20 began begin VBD cord-262623-lmf2h6oc 77 21 changing change VBG cord-262623-lmf2h6oc 77 22 tampons tampon NNS cord-262623-lmf2h6oc 77 23 with with IN cord-262623-lmf2h6oc 77 24 greater great JJR cord-262623-lmf2h6oc 77 25 frequency frequency NN cord-262623-lmf2h6oc 77 26 or or CC cord-262623-lmf2h6oc 77 27 stopped stop VBD cord-262623-lmf2h6oc 77 28 using use VBG cord-262623-lmf2h6oc 77 29 them -PRON- PRP cord-262623-lmf2h6oc 77 30 at at IN cord-262623-lmf2h6oc 77 31 the the DT cord-262623-lmf2h6oc 77 32 urging urging NN cord-262623-lmf2h6oc 77 33 of of IN cord-262623-lmf2h6oc 77 34 public public JJ cord-262623-lmf2h6oc 77 35 health health NN cord-262623-lmf2h6oc 77 36 authorities authority NNS cord-262623-lmf2h6oc 77 37 . . . cord-262623-lmf2h6oc 78 1 The the DT cord-262623-lmf2h6oc 78 2 incidence incidence NN cord-262623-lmf2h6oc 78 3 of of IN cord-262623-lmf2h6oc 78 4 the the DT cord-262623-lmf2h6oc 78 5 syndrome syndrome NN cord-262623-lmf2h6oc 78 6 immediately immediately RB cord-262623-lmf2h6oc 78 7 began begin VBD cord-262623-lmf2h6oc 78 8 to to TO cord-262623-lmf2h6oc 78 9 fall fall VB cord-262623-lmf2h6oc 78 10 and and CC cord-262623-lmf2h6oc 78 11 within within IN cord-262623-lmf2h6oc 78 12 a a DT cord-262623-lmf2h6oc 78 13 few few JJ cord-262623-lmf2h6oc 78 14 years year NNS cord-262623-lmf2h6oc 78 15 , , , cord-262623-lmf2h6oc 78 16 with with IN cord-262623-lmf2h6oc 78 17 the the DT cord-262623-lmf2h6oc 78 18 changing changing NN cord-262623-lmf2h6oc 78 19 of of IN cord-262623-lmf2h6oc 78 20 use use NN cord-262623-lmf2h6oc 78 21 patterns pattern NNS cord-262623-lmf2h6oc 78 22 of of IN cord-262623-lmf2h6oc 78 23 tampons tampon NNS cord-262623-lmf2h6oc 78 24 and and CC cord-262623-lmf2h6oc 78 25 changes change NNS cord-262623-lmf2h6oc 78 26 in in IN cord-262623-lmf2h6oc 78 27 their -PRON- PRP$ cord-262623-lmf2h6oc 78 28 manufacture manufacture NN cord-262623-lmf2h6oc 78 29 , , , cord-262623-lmf2h6oc 78 30 toxic toxic JJ cord-262623-lmf2h6oc 78 31 shock shock NN cord-262623-lmf2h6oc 78 32 syndrome syndrome NN cord-262623-lmf2h6oc 78 33 disappeared disappear VBD cord-262623-lmf2h6oc 78 34 , , , cord-262623-lmf2h6oc 78 35 for for IN cord-262623-lmf2h6oc 78 36 the the DT cord-262623-lmf2h6oc 78 37 most most JJS cord-262623-lmf2h6oc 78 38 part part NN cord-262623-lmf2h6oc 78 39 , , , cord-262623-lmf2h6oc 78 40 but but CC cord-262623-lmf2h6oc 78 41 not not RB cord-262623-lmf2h6oc 78 42 entirely entirely RB cord-262623-lmf2h6oc 78 43 , , , cord-262623-lmf2h6oc 78 44 from from IN cord-262623-lmf2h6oc 78 45 the the DT cord-262623-lmf2h6oc 78 46 ICU ICU NNP cord-262623-lmf2h6oc 78 47 . . . cord-262623-lmf2h6oc 79 1 Even even RB cord-262623-lmf2h6oc 79 2 at at IN cord-262623-lmf2h6oc 79 3 the the DT cord-262623-lmf2h6oc 79 4 height height NN cord-262623-lmf2h6oc 79 5 of of IN cord-262623-lmf2h6oc 79 6 TSS TSS NNP cord-262623-lmf2h6oc 79 7 incidence incidence NN cord-262623-lmf2h6oc 79 8 in in IN cord-262623-lmf2h6oc 79 9 the the DT cord-262623-lmf2h6oc 79 10 United United NNP cord-262623-lmf2h6oc 79 11 States States NNP cord-262623-lmf2h6oc 79 12 , , , cord-262623-lmf2h6oc 79 13 about about RB cord-262623-lmf2h6oc 79 14 6 6 CD cord-262623-lmf2h6oc 79 15 % % NN cord-262623-lmf2h6oc 79 16 of of IN cord-262623-lmf2h6oc 79 17 the the DT cord-262623-lmf2h6oc 79 18 cases case NNS cord-262623-lmf2h6oc 79 19 reported report VBN cord-262623-lmf2h6oc 79 20 were be VBD cord-262623-lmf2h6oc 79 21 nonmenstrual nonmenstrual JJ cord-262623-lmf2h6oc 79 22 and and CC cord-262623-lmf2h6oc 79 23 4 4 CD cord-262623-lmf2h6oc 79 24 % % NN cord-262623-lmf2h6oc 79 25 were be VBD cord-262623-lmf2h6oc 79 26 in in IN cord-262623-lmf2h6oc 79 27 males male NNS cord-262623-lmf2h6oc 79 28 . . . cord-262623-lmf2h6oc 80 1 11 11 CD cord-262623-lmf2h6oc 81 1 Subsequent subsequent JJ cord-262623-lmf2h6oc 81 2 development development NN cord-262623-lmf2h6oc 81 3 of of IN cord-262623-lmf2h6oc 81 4 the the DT cord-262623-lmf2h6oc 81 5 knowledge knowledge NN cord-262623-lmf2h6oc 81 6 that that WDT cord-262623-lmf2h6oc 81 7 the the DT cord-262623-lmf2h6oc 81 8 clinical clinical JJ cord-262623-lmf2h6oc 81 9 syndrome syndrome NN cord-262623-lmf2h6oc 81 10 was be VBD cord-262623-lmf2h6oc 81 11 due due JJ cord-262623-lmf2h6oc 81 12 to to IN cord-262623-lmf2h6oc 81 13 strains strain NNS cord-262623-lmf2h6oc 81 14 of of IN cord-262623-lmf2h6oc 81 15 Staphylococcus Staphylococcus NNP cord-262623-lmf2h6oc 81 16 aureus aureus NN cord-262623-lmf2h6oc 81 17 that that WDT cord-262623-lmf2h6oc 81 18 secrete secrete VBP cord-262623-lmf2h6oc 81 19 a a DT cord-262623-lmf2h6oc 81 20 particular particular JJ cord-262623-lmf2h6oc 81 21 toxin toxin NN cord-262623-lmf2h6oc 81 22 ( ( -LRB- cord-262623-lmf2h6oc 81 23 Toxic toxic JJ cord-262623-lmf2h6oc 81 24 shock shock NN cord-262623-lmf2h6oc 81 25 syndrome syndrome NN cord-262623-lmf2h6oc 81 26 toxin toxin NN cord-262623-lmf2h6oc 81 27 1 1 CD cord-262623-lmf2h6oc 81 28 , , , cord-262623-lmf2h6oc 81 29 or or CC cord-262623-lmf2h6oc 81 30 TSST-1 TSST-1 NNP cord-262623-lmf2h6oc 81 31 ) ) -RRB- cord-262623-lmf2h6oc 81 32 , , , cord-262623-lmf2h6oc 81 33 which which WDT cord-262623-lmf2h6oc 81 34 is be VBZ cord-262623-lmf2h6oc 81 35 both both DT cord-262623-lmf2h6oc 81 36 absorbable absorbable JJ cord-262623-lmf2h6oc 81 37 from from IN cord-262623-lmf2h6oc 81 38 mucosal mucosal JJ cord-262623-lmf2h6oc 81 39 surfaces surface NNS cord-262623-lmf2h6oc 81 40 and and CC cord-262623-lmf2h6oc 81 41 capable capable JJ cord-262623-lmf2h6oc 81 42 of of IN cord-262623-lmf2h6oc 81 43 producing produce VBG cord-262623-lmf2h6oc 81 44 a a DT cord-262623-lmf2h6oc 81 45 profound profound JJ cord-262623-lmf2h6oc 81 46 shock shock NN cord-262623-lmf2h6oc 81 47 syndrome syndrome NN cord-262623-lmf2h6oc 81 48 even even RB cord-262623-lmf2h6oc 81 49 in in IN cord-262623-lmf2h6oc 81 50 the the DT cord-262623-lmf2h6oc 81 51 absence absence NN cord-262623-lmf2h6oc 81 52 of of IN cord-262623-lmf2h6oc 81 53 significant significant JJ cord-262623-lmf2h6oc 81 54 invasive invasive JJ cord-262623-lmf2h6oc 81 55 infection infection NN cord-262623-lmf2h6oc 81 56 , , , cord-262623-lmf2h6oc 81 57 soon soon RB cord-262623-lmf2h6oc 81 58 led lead VBD cord-262623-lmf2h6oc 81 59 to to IN cord-262623-lmf2h6oc 81 60 the the DT cord-262623-lmf2h6oc 81 61 more more RBR cord-262623-lmf2h6oc 81 62 widespread widespread JJ cord-262623-lmf2h6oc 81 63 recognition recognition NN cord-262623-lmf2h6oc 81 64 of of IN cord-262623-lmf2h6oc 81 65 the the DT cord-262623-lmf2h6oc 81 66 nonmenstrual nonmenstrual JJ cord-262623-lmf2h6oc 81 67 toxic toxic JJ cord-262623-lmf2h6oc 81 68 shock shock NN cord-262623-lmf2h6oc 81 69 syndrome syndrome NN cord-262623-lmf2h6oc 81 70 . . . cord-262623-lmf2h6oc 82 1 This this DT cord-262623-lmf2h6oc 82 2 syndrome syndrome NN cord-262623-lmf2h6oc 82 3 , , , cord-262623-lmf2h6oc 82 4 which which WDT cord-262623-lmf2h6oc 82 5 was be VBD cord-262623-lmf2h6oc 82 6 almost almost RB cord-262623-lmf2h6oc 82 7 certainly certainly RB cord-262623-lmf2h6oc 82 8 extant extant JJ cord-262623-lmf2h6oc 82 9 before before IN cord-262623-lmf2h6oc 82 10 but but CC cord-262623-lmf2h6oc 82 11 little little RB cord-262623-lmf2h6oc 82 12 - - HYPH cord-262623-lmf2h6oc 82 13 recognized recognize VBN cord-262623-lmf2h6oc 82 14 , , , cord-262623-lmf2h6oc 82 15 was be VBD cord-262623-lmf2h6oc 82 16 perhaps perhaps RB cord-262623-lmf2h6oc 82 17 the the DT cord-262623-lmf2h6oc 82 18 main main JJ cord-262623-lmf2h6oc 82 19 lesson lesson NN cord-262623-lmf2h6oc 82 20 from from IN cord-262623-lmf2h6oc 82 21 the the DT cord-262623-lmf2h6oc 82 22 outbreak outbreak NN cord-262623-lmf2h6oc 82 23 : : : cord-262623-lmf2h6oc 82 24 even even RB cord-262623-lmf2h6oc 82 25 trivial trivial JJ cord-262623-lmf2h6oc 82 26 staphylococcal staphylococcal JJ cord-262623-lmf2h6oc 82 27 skin skin NN cord-262623-lmf2h6oc 82 28 or or CC cord-262623-lmf2h6oc 82 29 wound wound NN cord-262623-lmf2h6oc 82 30 infections infection NNS cord-262623-lmf2h6oc 82 31 Light light JJ cord-262623-lmf2h6oc 82 32 or or CC cord-262623-lmf2h6oc 82 33 mucosal mucosal JJ cord-262623-lmf2h6oc 82 34 surface surface NN cord-262623-lmf2h6oc 82 35 colonization colonization NN cord-262623-lmf2h6oc 82 36 in in IN cord-262623-lmf2h6oc 82 37 the the DT cord-262623-lmf2h6oc 82 38 presence presence NN cord-262623-lmf2h6oc 82 39 of of IN cord-262623-lmf2h6oc 82 40 a a DT cord-262623-lmf2h6oc 82 41 foreign foreign JJ cord-262623-lmf2h6oc 82 42 body body NN cord-262623-lmf2h6oc 82 43 such such JJ cord-262623-lmf2h6oc 82 44 as as IN cord-262623-lmf2h6oc 82 45 a a DT cord-262623-lmf2h6oc 82 46 nasal nasal NN cord-262623-lmf2h6oc 82 47 pack pack NN cord-262623-lmf2h6oc 82 48 for for IN cord-262623-lmf2h6oc 82 49 nosebleed nosebleed NN cord-262623-lmf2h6oc 82 50 can can MD cord-262623-lmf2h6oc 82 51 lead lead VB cord-262623-lmf2h6oc 82 52 to to IN cord-262623-lmf2h6oc 82 53 a a DT cord-262623-lmf2h6oc 82 54 severe severe JJ cord-262623-lmf2h6oc 82 55 shock shock NN cord-262623-lmf2h6oc 82 56 syndrome syndrome NN cord-262623-lmf2h6oc 82 57 if if IN cord-262623-lmf2h6oc 82 58 the the DT cord-262623-lmf2h6oc 82 59 organism organism NN cord-262623-lmf2h6oc 82 60 is be VBZ cord-262623-lmf2h6oc 82 61 present present JJ cord-262623-lmf2h6oc 82 62 and and CC cord-262623-lmf2h6oc 82 63 produces produce VBZ cord-262623-lmf2h6oc 82 64 this this DT cord-262623-lmf2h6oc 82 65 toxin toxin NN cord-262623-lmf2h6oc 82 66 or or CC cord-262623-lmf2h6oc 82 67 one one CD cord-262623-lmf2h6oc 82 68 of of IN cord-262623-lmf2h6oc 82 69 several several JJ cord-262623-lmf2h6oc 82 70 related related JJ cord-262623-lmf2h6oc 82 71 ones one NNS cord-262623-lmf2h6oc 82 72 . . . cord-262623-lmf2h6oc 83 1 The the DT cord-262623-lmf2h6oc 83 2 recognition recognition NN cord-262623-lmf2h6oc 83 3 of of IN cord-262623-lmf2h6oc 83 4 the the DT cord-262623-lmf2h6oc 83 5 staphylococcal staphylococcal JJ cord-262623-lmf2h6oc 83 6 toxic toxic JJ cord-262623-lmf2h6oc 83 7 shock shock NN cord-262623-lmf2h6oc 83 8 syndrome syndrome NN cord-262623-lmf2h6oc 83 9 also also RB cord-262623-lmf2h6oc 83 10 led lead VBD cord-262623-lmf2h6oc 83 11 to to IN cord-262623-lmf2h6oc 83 12 increasing increase VBG cord-262623-lmf2h6oc 83 13 understanding understanding NN cord-262623-lmf2h6oc 83 14 of of IN cord-262623-lmf2h6oc 83 15 the the DT cord-262623-lmf2h6oc 83 16 role role NN cord-262623-lmf2h6oc 83 17 of of IN cord-262623-lmf2h6oc 83 18 ' ' `` cord-262623-lmf2h6oc 83 19 ' ' `` cord-262623-lmf2h6oc 83 20 superantigens superantigens NNP cord-262623-lmf2h6oc 83 21 ' ' '' cord-262623-lmf2h6oc 83 22 ' ' '' cord-262623-lmf2h6oc 83 23 as as IN cord-262623-lmf2h6oc 83 24 a a DT cord-262623-lmf2h6oc 83 25 mechanism mechanism NN cord-262623-lmf2h6oc 83 26 of of IN cord-262623-lmf2h6oc 83 27 disease disease NN cord-262623-lmf2h6oc 83 28 - - HYPH cord-262623-lmf2h6oc 83 29 bacterial bacterial JJ cord-262623-lmf2h6oc 83 30 toxins toxin NNS cord-262623-lmf2h6oc 83 31 capable capable JJ cord-262623-lmf2h6oc 83 32 of of IN cord-262623-lmf2h6oc 83 33 activating activate VBG cord-262623-lmf2h6oc 83 34 a a DT cord-262623-lmf2h6oc 83 35 large large JJ cord-262623-lmf2h6oc 83 36 fraction fraction NN cord-262623-lmf2h6oc 83 37 ( ( -LRB- cord-262623-lmf2h6oc 83 38 up up IN cord-262623-lmf2h6oc 83 39 to to TO cord-262623-lmf2h6oc 83 40 20 20 CD cord-262623-lmf2h6oc 83 41 % % NN cord-262623-lmf2h6oc 83 42 ) ) -RRB- cord-262623-lmf2h6oc 83 43 of of IN cord-262623-lmf2h6oc 83 44 the the DT cord-262623-lmf2h6oc 83 45 total total JJ cord-262623-lmf2h6oc 83 46 T t NN cord-262623-lmf2h6oc 83 47 - - HYPH cord-262623-lmf2h6oc 83 48 lymphocyte lymphocyte NN cord-262623-lmf2h6oc 83 49 population population NN cord-262623-lmf2h6oc 83 50 . . . cord-262623-lmf2h6oc 84 1 Such such JJ cord-262623-lmf2h6oc 84 2 superantigens superantigen NNS cord-262623-lmf2h6oc 84 3 have have VBP cord-262623-lmf2h6oc 84 4 since since IN cord-262623-lmf2h6oc 84 5 been be VBN cord-262623-lmf2h6oc 84 6 implicated implicate VBN cord-262623-lmf2h6oc 84 7 in in IN cord-262623-lmf2h6oc 84 8 a a DT cord-262623-lmf2h6oc 84 9 number number NN cord-262623-lmf2h6oc 84 10 of of IN cord-262623-lmf2h6oc 84 11 other other JJ cord-262623-lmf2h6oc 84 12 disease disease NN cord-262623-lmf2h6oc 84 13 syndromes syndrome NNS cord-262623-lmf2h6oc 84 14 , , , cord-262623-lmf2h6oc 84 15 among among IN cord-262623-lmf2h6oc 84 16 them -PRON- PRP cord-262623-lmf2h6oc 84 17 the the DT cord-262623-lmf2h6oc 84 18 streptococcal streptococcal JJ cord-262623-lmf2h6oc 84 19 toxic toxic JJ cord-262623-lmf2h6oc 84 20 shock shock NN cord-262623-lmf2h6oc 84 21 syndrome syndrome NN cord-262623-lmf2h6oc 84 22 ( ( -LRB- cord-262623-lmf2h6oc 84 23 see see VB cord-262623-lmf2h6oc 84 24 below below RB cord-262623-lmf2h6oc 84 25 ) ) -RRB- cord-262623-lmf2h6oc 84 26 . . . cord-262623-lmf2h6oc 85 1 Over over IN cord-262623-lmf2h6oc 85 2 the the DT cord-262623-lmf2h6oc 85 3 past past JJ cord-262623-lmf2h6oc 85 4 two two CD cord-262623-lmf2h6oc 85 5 decades decade NNS cord-262623-lmf2h6oc 85 6 , , , cord-262623-lmf2h6oc 85 7 the the DT cord-262623-lmf2h6oc 85 8 incidence incidence NN cord-262623-lmf2h6oc 85 9 of of IN cord-262623-lmf2h6oc 85 10 menstrual menstrual JJ cord-262623-lmf2h6oc 85 11 and and CC cord-262623-lmf2h6oc 85 12 nonmenstrual nonmenstrual JJ cord-262623-lmf2h6oc 85 13 staphylococcal staphylococcal JJ cord-262623-lmf2h6oc 85 14 TSS TSS NNP cord-262623-lmf2h6oc 85 15 has have VBZ cord-262623-lmf2h6oc 85 16 been be VBN cord-262623-lmf2h6oc 85 17 about about IN cord-262623-lmf2h6oc 85 18 one one CD cord-262623-lmf2h6oc 85 19 per per IN cord-262623-lmf2h6oc 85 20 100,000 100,000 CD cord-262623-lmf2h6oc 85 21 population population NN cord-262623-lmf2h6oc 85 22 in in IN cord-262623-lmf2h6oc 85 23 most most JJS cord-262623-lmf2h6oc 85 24 areas area NNS cord-262623-lmf2h6oc 85 25 . . . cord-262623-lmf2h6oc 86 1 Busy busy JJ cord-262623-lmf2h6oc 86 2 ICUs ICUs NNP cord-262623-lmf2h6oc 86 3 will will MD cord-262623-lmf2h6oc 86 4 , , , cord-262623-lmf2h6oc 86 5 therefore therefore RB cord-262623-lmf2h6oc 86 6 , , , cord-262623-lmf2h6oc 86 7 continue continue VBP cord-262623-lmf2h6oc 86 8 to to TO cord-262623-lmf2h6oc 86 9 see see VB cord-262623-lmf2h6oc 86 10 occasional occasional JJ cord-262623-lmf2h6oc 86 11 cases case NNS cord-262623-lmf2h6oc 86 12 . . . cord-262623-lmf2h6oc 87 1 However however RB cord-262623-lmf2h6oc 87 2 , , , cord-262623-lmf2h6oc 87 3 there there EX cord-262623-lmf2h6oc 87 4 is be VBZ cord-262623-lmf2h6oc 87 5 some some DT cord-262623-lmf2h6oc 87 6 recent recent JJ cord-262623-lmf2h6oc 87 7 evidence evidence NN cord-262623-lmf2h6oc 87 8 that that IN cord-262623-lmf2h6oc 87 9 case case NN cord-262623-lmf2h6oc 87 10 numbers number NNS cord-262623-lmf2h6oc 87 11 may may MD cord-262623-lmf2h6oc 87 12 be be VB cord-262623-lmf2h6oc 87 13 on on IN cord-262623-lmf2h6oc 87 14 the the DT cord-262623-lmf2h6oc 87 15 rise rise NN cord-262623-lmf2h6oc 87 16 again again RB cord-262623-lmf2h6oc 87 17 in in IN cord-262623-lmf2h6oc 87 18 at at IN cord-262623-lmf2h6oc 87 19 least least JJS cord-262623-lmf2h6oc 87 20 some some DT cord-262623-lmf2h6oc 87 21 areas area NNS cord-262623-lmf2h6oc 87 22 , , , cord-262623-lmf2h6oc 87 23 possibly possibly RB cord-262623-lmf2h6oc 87 24 because because IN cord-262623-lmf2h6oc 87 25 of of IN cord-262623-lmf2h6oc 87 26 a a DT cord-262623-lmf2h6oc 87 27 resurgence resurgence NN cord-262623-lmf2h6oc 87 28 in in IN cord-262623-lmf2h6oc 87 29 the the DT cord-262623-lmf2h6oc 87 30 prevalence prevalence NN cord-262623-lmf2h6oc 87 31 of of IN cord-262623-lmf2h6oc 87 32 toxin toxin NN cord-262623-lmf2h6oc 87 33 - - HYPH cord-262623-lmf2h6oc 87 34 producing produce VBG cord-262623-lmf2h6oc 87 35 strains strain NNS cord-262623-lmf2h6oc 87 36 in in IN cord-262623-lmf2h6oc 87 37 the the DT cord-262623-lmf2h6oc 87 38 community community NN cord-262623-lmf2h6oc 87 39 . . . cord-262623-lmf2h6oc 88 1 12 12 CD cord-262623-lmf2h6oc 88 2 _SP cord-262623-lmf2h6oc 89 1 In in IN cord-262623-lmf2h6oc 89 2 1980 1980 CD cord-262623-lmf2h6oc 89 3 , , , cord-262623-lmf2h6oc 89 4 physicians physician NNS cord-262623-lmf2h6oc 89 5 working work VBG cord-262623-lmf2h6oc 89 6 in in IN cord-262623-lmf2h6oc 89 7 infectious infectious JJ cord-262623-lmf2h6oc 89 8 diseases disease NNS cord-262623-lmf2h6oc 89 9 and and CC cord-262623-lmf2h6oc 89 10 critical critical JJ cord-262623-lmf2h6oc 89 11 care care NN cord-262623-lmf2h6oc 89 12 medicine medicine NN cord-262623-lmf2h6oc 89 13 thought think VBD cord-262623-lmf2h6oc 89 14 they -PRON- PRP cord-262623-lmf2h6oc 89 15 knew know VBD cord-262623-lmf2h6oc 89 16 all all RB cord-262623-lmf2h6oc 89 17 about about IN cord-262623-lmf2h6oc 89 18 Pneumocystosis Pneumocystosis NNP cord-262623-lmf2h6oc 89 19 . . . cord-262623-lmf2h6oc 90 1 The the DT cord-262623-lmf2h6oc 90 2 organism organism NN cord-262623-lmf2h6oc 90 3 , , , cord-262623-lmf2h6oc 90 4 then then RB cord-262623-lmf2h6oc 90 5 thought think VBD cord-262623-lmf2h6oc 90 6 to to TO cord-262623-lmf2h6oc 90 7 be be VB cord-262623-lmf2h6oc 90 8 a a DT cord-262623-lmf2h6oc 90 9 protozoon protozoon NN cord-262623-lmf2h6oc 90 10 , , , cord-262623-lmf2h6oc 90 11 had have VBD cord-262623-lmf2h6oc 90 12 been be VBN cord-262623-lmf2h6oc 90 13 first first RB cord-262623-lmf2h6oc 90 14 described describe VBN cord-262623-lmf2h6oc 90 15 in in IN cord-262623-lmf2h6oc 90 16 1909 1909 CD cord-262623-lmf2h6oc 90 17 by by IN cord-262623-lmf2h6oc 90 18 Carlos Carlos NNP cord-262623-lmf2h6oc 90 19 Chagas Chagas NNP cord-262623-lmf2h6oc 90 20 in in IN cord-262623-lmf2h6oc 90 21 Brazil Brazil NNP cord-262623-lmf2h6oc 90 22 , , , cord-262623-lmf2h6oc 90 23 and and CC cord-262623-lmf2h6oc 90 24 since since IN cord-262623-lmf2h6oc 90 25 then then RB cord-262623-lmf2h6oc 90 26 had have VBD cord-262623-lmf2h6oc 90 27 been be VBN cord-262623-lmf2h6oc 90 28 clearly clearly RB cord-262623-lmf2h6oc 90 29 implicated implicate VBN cord-262623-lmf2h6oc 90 30 as as IN cord-262623-lmf2h6oc 90 31 a a DT cord-262623-lmf2h6oc 90 32 cause cause NN cord-262623-lmf2h6oc 90 33 of of IN cord-262623-lmf2h6oc 90 34 interstitial interstitial JJ cord-262623-lmf2h6oc 90 35 pneumonia pneumonia NN cord-262623-lmf2h6oc 90 36 in in IN cord-262623-lmf2h6oc 90 37 debilitated debilitated JJ cord-262623-lmf2h6oc 90 38 and and CC cord-262623-lmf2h6oc 90 39 malnourished malnourished JJ cord-262623-lmf2h6oc 90 40 children child NNS cord-262623-lmf2h6oc 90 41 ( ( -LRB- cord-262623-lmf2h6oc 90 42 in in IN cord-262623-lmf2h6oc 90 43 the the DT cord-262623-lmf2h6oc 90 44 aftermath aftermath NN cord-262623-lmf2h6oc 90 45 of of IN cord-262623-lmf2h6oc 90 46 World World NNP cord-262623-lmf2h6oc 90 47 War War NNP cord-262623-lmf2h6oc 90 48 II II NNP cord-262623-lmf2h6oc 90 49 ) ) -RRB- cord-262623-lmf2h6oc 90 50 and and CC cord-262623-lmf2h6oc 90 51 , , , cord-262623-lmf2h6oc 90 52 later later RB cord-262623-lmf2h6oc 90 53 , , , cord-262623-lmf2h6oc 90 54 a a DT cord-262623-lmf2h6oc 90 55 cause cause NN cord-262623-lmf2h6oc 90 56 of of IN cord-262623-lmf2h6oc 90 57 severe severe JJ cord-262623-lmf2h6oc 90 58 opportunistic opportunistic JJ cord-262623-lmf2h6oc 90 59 pneumonia pneumonia NN cord-262623-lmf2h6oc 90 60 in in IN cord-262623-lmf2h6oc 90 61 immunocompromised immunocompromised JJ cord-262623-lmf2h6oc 90 62 patients patient NNS cord-262623-lmf2h6oc 90 63 , , , cord-262623-lmf2h6oc 90 64 usually usually RB cord-262623-lmf2h6oc 90 65 those those DT cord-262623-lmf2h6oc 90 66 being be VBG cord-262623-lmf2h6oc 90 67 treated treat VBN cord-262623-lmf2h6oc 90 68 with with IN cord-262623-lmf2h6oc 90 69 highdose highdose NN cord-262623-lmf2h6oc 90 70 corticosteroids corticosteroid NNS cord-262623-lmf2h6oc 90 71 for for IN cord-262623-lmf2h6oc 90 72 connective connective JJ cord-262623-lmf2h6oc 90 73 tissue tissue NN cord-262623-lmf2h6oc 90 74 diseases disease NNS cord-262623-lmf2h6oc 90 75 or or CC cord-262623-lmf2h6oc 90 76 lymphoreticular lymphoreticular JJ cord-262623-lmf2h6oc 90 77 neoplasms neoplasm NNS cord-262623-lmf2h6oc 90 78 . . . cord-262623-lmf2h6oc 91 1 13 13 CD cord-262623-lmf2h6oc 92 1 In in IN cord-262623-lmf2h6oc 92 2 these these DT cord-262623-lmf2h6oc 92 3 patients patient NNS cord-262623-lmf2h6oc 92 4 it -PRON- PRP cord-262623-lmf2h6oc 92 5 caused cause VBD cord-262623-lmf2h6oc 92 6 an an DT cord-262623-lmf2h6oc 92 7 impressively impressively RB cord-262623-lmf2h6oc 92 8 aggressive aggressive JJ cord-262623-lmf2h6oc 92 9 bilateral bilateral JJ cord-262623-lmf2h6oc 92 10 pneumonia pneumonia NN cord-262623-lmf2h6oc 92 11 leading lead VBG cord-262623-lmf2h6oc 92 12 to to IN cord-262623-lmf2h6oc 92 13 acute acute JJ cord-262623-lmf2h6oc 92 14 respiratory respiratory JJ cord-262623-lmf2h6oc 92 15 failure failure NN cord-262623-lmf2h6oc 92 16 . . . cord-262623-lmf2h6oc 93 1 This this DT cord-262623-lmf2h6oc 93 2 pneumonia pneumonia NN cord-262623-lmf2h6oc 93 3 was be VBD cord-262623-lmf2h6oc 93 4 notoriously notoriously RB cord-262623-lmf2h6oc 93 5 difficult difficult JJ cord-262623-lmf2h6oc 93 6 to to TO cord-262623-lmf2h6oc 93 7 definitively definitively RB cord-262623-lmf2h6oc 93 8 diagnose diagnose VB cord-262623-lmf2h6oc 93 9 , , , cord-262623-lmf2h6oc 93 10 requiring require VBG cord-262623-lmf2h6oc 93 11 bronchoscopy bronchoscopy NN cord-262623-lmf2h6oc 93 12 or or CC cord-262623-lmf2h6oc 93 13 open open JJ cord-262623-lmf2h6oc 93 14 lung lung NN cord-262623-lmf2h6oc 93 15 biopsy biopsy NN cord-262623-lmf2h6oc 93 16 to to TO cord-262623-lmf2h6oc 93 17 demonstrate demonstrate VB cord-262623-lmf2h6oc 93 18 the the DT cord-262623-lmf2h6oc 93 19 small small JJ cord-262623-lmf2h6oc 93 20 numbers number NNS cord-262623-lmf2h6oc 93 21 of of IN cord-262623-lmf2h6oc 93 22 characteristic characteristic JJ cord-262623-lmf2h6oc 93 23 Pneumocystis Pneumocystis NNP cord-262623-lmf2h6oc 93 24 organisms organism NNS cord-262623-lmf2h6oc 93 25 on on IN cord-262623-lmf2h6oc 93 26 special special JJ cord-262623-lmf2h6oc 93 27 silver silver NN cord-262623-lmf2h6oc 93 28 stains stain NNS cord-262623-lmf2h6oc 93 29 of of IN cord-262623-lmf2h6oc 93 30 clinical clinical JJ cord-262623-lmf2h6oc 93 31 specimens specimen NNS cord-262623-lmf2h6oc 93 32 . . . cord-262623-lmf2h6oc 94 1 The the DT cord-262623-lmf2h6oc 94 2 mainstay mainstay NN cord-262623-lmf2h6oc 94 3 of of IN cord-262623-lmf2h6oc 94 4 treatment treatment NN cord-262623-lmf2h6oc 94 5 at at IN cord-262623-lmf2h6oc 94 6 that that DT cord-262623-lmf2h6oc 94 7 time time NN cord-262623-lmf2h6oc 94 8 was be VBD cord-262623-lmf2h6oc 94 9 pentamidine pentamidine NN cord-262623-lmf2h6oc 94 10 , , , cord-262623-lmf2h6oc 94 11 generally generally RB cord-262623-lmf2h6oc 94 12 given give VBN cord-262623-lmf2h6oc 94 13 intramuscularly intramuscularly RB cord-262623-lmf2h6oc 94 14 , , , cord-262623-lmf2h6oc 94 15 giving give VBG cord-262623-lmf2h6oc 94 16 way way NN cord-262623-lmf2h6oc 94 17 to to IN cord-262623-lmf2h6oc 94 18 trimethoprim trimethoprim NNP cord-262623-lmf2h6oc 94 19 / / SYM cord-262623-lmf2h6oc 94 20 sulfamethoxazole sulfamethoxazole NNP cord-262623-lmf2h6oc 94 21 after after IN cord-262623-lmf2h6oc 94 22 the the DT cord-262623-lmf2h6oc 94 23 publication publication NN cord-262623-lmf2h6oc 94 24 in in IN cord-262623-lmf2h6oc 94 25 1978 1978 CD cord-262623-lmf2h6oc 94 26 of of IN cord-262623-lmf2h6oc 94 27 a a DT cord-262623-lmf2h6oc 94 28 randomized randomized JJ cord-262623-lmf2h6oc 94 29 clinical clinical JJ cord-262623-lmf2h6oc 94 30 trial trial NN cord-262623-lmf2h6oc 94 31 showing show VBG cord-262623-lmf2h6oc 94 32 that that IN cord-262623-lmf2h6oc 94 33 it -PRON- PRP cord-262623-lmf2h6oc 94 34 was be VBD cord-262623-lmf2h6oc 94 35 at at RB cord-262623-lmf2h6oc 94 36 least least JJS cord-262623-lmf2h6oc 94 37 as as IN cord-262623-lmf2h6oc 94 38 effective effective JJ cord-262623-lmf2h6oc 94 39 and and CC cord-262623-lmf2h6oc 94 40 generally generally RB cord-262623-lmf2h6oc 94 41 better well RBR cord-262623-lmf2h6oc 94 42 tolerated tolerate VBN cord-262623-lmf2h6oc 94 43 . . . cord-262623-lmf2h6oc 95 1 14 14 CD cord-262623-lmf2h6oc 96 1 In in IN cord-262623-lmf2h6oc 96 2 the the DT cord-262623-lmf2h6oc 96 3 early early JJ cord-262623-lmf2h6oc 96 4 1980s 1980 NNS cord-262623-lmf2h6oc 96 5 , , , cord-262623-lmf2h6oc 96 6 a a DT cord-262623-lmf2h6oc 96 7 new new JJ cord-262623-lmf2h6oc 96 8 form form NN cord-262623-lmf2h6oc 96 9 of of IN cord-262623-lmf2h6oc 96 10 the the DT cord-262623-lmf2h6oc 96 11 infection infection NN cord-262623-lmf2h6oc 96 12 began begin VBD cord-262623-lmf2h6oc 96 13 to to TO cord-262623-lmf2h6oc 96 14 be be VB cord-262623-lmf2h6oc 96 15 seen see VBN cord-262623-lmf2h6oc 96 16 with with IN cord-262623-lmf2h6oc 96 17 regularity regularity NN cord-262623-lmf2h6oc 96 18 . . . cord-262623-lmf2h6oc 97 1 Young young JJ cord-262623-lmf2h6oc 97 2 men man NNS cord-262623-lmf2h6oc 97 3 began begin VBD cord-262623-lmf2h6oc 97 4 to to TO cord-262623-lmf2h6oc 97 5 present present VB cord-262623-lmf2h6oc 97 6 to to IN cord-262623-lmf2h6oc 97 7 hospital hospital NN cord-262623-lmf2h6oc 97 8 with with IN cord-262623-lmf2h6oc 97 9 a a DT cord-262623-lmf2h6oc 97 10 rather rather RB cord-262623-lmf2h6oc 97 11 more more RBR cord-262623-lmf2h6oc 97 12 indolent indolent JJ cord-262623-lmf2h6oc 97 13 diffuse diffuse JJ cord-262623-lmf2h6oc 97 14 bilateral bilateral JJ cord-262623-lmf2h6oc 97 15 pneumonia pneumonia NN cord-262623-lmf2h6oc 97 16 that that WDT cord-262623-lmf2h6oc 97 17 nevertheless nevertheless RB cord-262623-lmf2h6oc 97 18 went go VBD cord-262623-lmf2h6oc 97 19 on on RP cord-262623-lmf2h6oc 97 20 to to TO cord-262623-lmf2h6oc 97 21 cause cause VB cord-262623-lmf2h6oc 97 22 respiratory respiratory JJ cord-262623-lmf2h6oc 97 23 failure failure NN cord-262623-lmf2h6oc 97 24 and and CC cord-262623-lmf2h6oc 97 25 which which WDT cord-262623-lmf2h6oc 97 26 , , , cord-262623-lmf2h6oc 97 27 when when WRB cord-262623-lmf2h6oc 97 28 investigated investigate VBN cord-262623-lmf2h6oc 97 29 , , , cord-262623-lmf2h6oc 97 30 proved prove VBD cord-262623-lmf2h6oc 97 31 to to TO cord-262623-lmf2h6oc 97 32 be be VB cord-262623-lmf2h6oc 97 33 due due JJ cord-262623-lmf2h6oc 97 34 to to IN cord-262623-lmf2h6oc 97 35 Pneumocystis Pneumocystis NNP cord-262623-lmf2h6oc 97 36 . . . cord-262623-lmf2h6oc 98 1 15 15 CD cord-262623-lmf2h6oc 99 1 The the DT cord-262623-lmf2h6oc 99 2 course course NN cord-262623-lmf2h6oc 99 3 of of IN cord-262623-lmf2h6oc 99 4 the the DT cord-262623-lmf2h6oc 99 5 disease disease NN cord-262623-lmf2h6oc 99 6 was be VBD cord-262623-lmf2h6oc 99 7 quite quite RB cord-262623-lmf2h6oc 99 8 different different JJ cord-262623-lmf2h6oc 99 9 from from IN cord-262623-lmf2h6oc 99 10 what what WP cord-262623-lmf2h6oc 99 11 physicians physician NNS cord-262623-lmf2h6oc 99 12 had have VBD cord-262623-lmf2h6oc 99 13 been be VBN cord-262623-lmf2h6oc 99 14 used use VBN cord-262623-lmf2h6oc 99 15 to to IN cord-262623-lmf2h6oc 99 16 up up IN cord-262623-lmf2h6oc 99 17 to to IN cord-262623-lmf2h6oc 99 18 then then RB cord-262623-lmf2h6oc 99 19 . . . cord-262623-lmf2h6oc 100 1 It -PRON- PRP cord-262623-lmf2h6oc 100 2 began begin VBD cord-262623-lmf2h6oc 100 3 more more RBR cord-262623-lmf2h6oc 100 4 gradually gradually RB cord-262623-lmf2h6oc 100 5 , , , cord-262623-lmf2h6oc 100 6 progressed progress VBD cord-262623-lmf2h6oc 100 7 at at IN cord-262623-lmf2h6oc 100 8 a a DT cord-262623-lmf2h6oc 100 9 slower slow JJR cord-262623-lmf2h6oc 100 10 pace pace NN cord-262623-lmf2h6oc 100 11 and and CC cord-262623-lmf2h6oc 100 12 was be VBD cord-262623-lmf2h6oc 100 13 associated associate VBN cord-262623-lmf2h6oc 100 14 with with IN cord-262623-lmf2h6oc 100 15 a a DT cord-262623-lmf2h6oc 100 16 much much RB cord-262623-lmf2h6oc 100 17 lesser less JJR cord-262623-lmf2h6oc 100 18 systemic systemic JJ cord-262623-lmf2h6oc 100 19 inflammatory inflammatory JJ cord-262623-lmf2h6oc 100 20 response response NN cord-262623-lmf2h6oc 100 21 . . . cord-262623-lmf2h6oc 101 1 Microscopy Microscopy NNS cord-262623-lmf2h6oc 101 2 of of IN cord-262623-lmf2h6oc 101 3 respiratory respiratory JJ cord-262623-lmf2h6oc 101 4 specimens specimen NNS cord-262623-lmf2h6oc 101 5 revealed reveal VBN cord-262623-lmf2h6oc 101 6 exponentially exponentially RB cord-262623-lmf2h6oc 101 7 more more JJR cord-262623-lmf2h6oc 101 8 organisms organism NNS cord-262623-lmf2h6oc 101 9 than than IN cord-262623-lmf2h6oc 101 10 previously previously RB cord-262623-lmf2h6oc 101 11 seen see VBN cord-262623-lmf2h6oc 101 12 , , , cord-262623-lmf2h6oc 101 13 such such JJ cord-262623-lmf2h6oc 101 14 that that IN cord-262623-lmf2h6oc 101 15 many many JJ cord-262623-lmf2h6oc 101 16 patients patient NNS cord-262623-lmf2h6oc 101 17 could could MD cord-262623-lmf2h6oc 101 18 be be VB cord-262623-lmf2h6oc 101 19 diagnosed diagnose VBN cord-262623-lmf2h6oc 101 20 from from IN cord-262623-lmf2h6oc 101 21 sputum sputum NN cord-262623-lmf2h6oc 101 22 specimens specimen NNS cord-262623-lmf2h6oc 101 23 rather rather RB cord-262623-lmf2h6oc 101 24 than than IN cord-262623-lmf2h6oc 101 25 bronchoscopy bronchoscopy NN cord-262623-lmf2h6oc 101 26 , , , cord-262623-lmf2h6oc 101 27 and and CC cord-262623-lmf2h6oc 101 28 biopsy biopsy NN cord-262623-lmf2h6oc 101 29 was be VBD cord-262623-lmf2h6oc 101 30 virtually virtually RB cord-262623-lmf2h6oc 101 31 never never RB cord-262623-lmf2h6oc 101 32 needed need VBN cord-262623-lmf2h6oc 101 33 . . . cord-262623-lmf2h6oc 102 1 Nobody nobody NN cord-262623-lmf2h6oc 102 2 had have VBD cord-262623-lmf2h6oc 102 3 any any DT cord-262623-lmf2h6oc 102 4 idea idea NN cord-262623-lmf2h6oc 102 5 why why WRB cord-262623-lmf2h6oc 102 6 this this DT cord-262623-lmf2h6oc 102 7 was be VBD cord-262623-lmf2h6oc 102 8 happening happen VBG cord-262623-lmf2h6oc 102 9 , , , cord-262623-lmf2h6oc 102 10 although although IN cord-262623-lmf2h6oc 102 11 it -PRON- PRP cord-262623-lmf2h6oc 102 12 quickly quickly RB cord-262623-lmf2h6oc 102 13 became become VBD cord-262623-lmf2h6oc 102 14 apparent apparent JJ cord-262623-lmf2h6oc 102 15 that that IN cord-262623-lmf2h6oc 102 16 the the DT cord-262623-lmf2h6oc 102 17 underlying underlying JJ cord-262623-lmf2h6oc 102 18 cause cause NN cord-262623-lmf2h6oc 102 19 of of IN cord-262623-lmf2h6oc 102 20 the the DT cord-262623-lmf2h6oc 102 21 infection infection NN cord-262623-lmf2h6oc 102 22 was be VBD cord-262623-lmf2h6oc 102 23 a a DT cord-262623-lmf2h6oc 102 24 new new JJ cord-262623-lmf2h6oc 102 25 form form NN cord-262623-lmf2h6oc 102 26 of of IN cord-262623-lmf2h6oc 102 27 severe severe JJ cord-262623-lmf2h6oc 102 28 deficiency deficiency NN cord-262623-lmf2h6oc 102 29 of of IN cord-262623-lmf2h6oc 102 30 cell cell NN cord-262623-lmf2h6oc 102 31 - - HYPH cord-262623-lmf2h6oc 102 32 mediated mediate VBN cord-262623-lmf2h6oc 102 33 immunity immunity NN cord-262623-lmf2h6oc 102 34 . . . cord-262623-lmf2h6oc 103 1 Epidemiologic epidemiologic JJ cord-262623-lmf2h6oc 103 2 investigations investigation NNS cord-262623-lmf2h6oc 103 3 were be VBD cord-262623-lmf2h6oc 103 4 soon soon RB cord-262623-lmf2h6oc 103 5 underway underway JJ cord-262623-lmf2h6oc 103 6 . . . cord-262623-lmf2h6oc 104 1 Patterns pattern NNS cord-262623-lmf2h6oc 104 2 began begin VBD cord-262623-lmf2h6oc 104 3 to to TO cord-262623-lmf2h6oc 104 4 emerge emerge VB cord-262623-lmf2h6oc 104 5 . . . cord-262623-lmf2h6oc 105 1 Many many JJ cord-262623-lmf2h6oc 105 2 of of IN cord-262623-lmf2h6oc 105 3 the the DT cord-262623-lmf2h6oc 105 4 young young JJ cord-262623-lmf2h6oc 105 5 men man NNS cord-262623-lmf2h6oc 105 6 were be VBD cord-262623-lmf2h6oc 105 7 Haitian haitian JJ cord-262623-lmf2h6oc 105 8 or or CC cord-262623-lmf2h6oc 105 9 had have VBD cord-262623-lmf2h6oc 105 10 been be VBN cord-262623-lmf2h6oc 105 11 to to IN cord-262623-lmf2h6oc 105 12 Haiti Haiti NNP cord-262623-lmf2h6oc 105 13 . . . cord-262623-lmf2h6oc 106 1 Many many JJ cord-262623-lmf2h6oc 106 2 were be VBD cord-262623-lmf2h6oc 106 3 homosexual homosexual JJ cord-262623-lmf2h6oc 106 4 , , , cord-262623-lmf2h6oc 106 5 bisexual bisexual JJ cord-262623-lmf2h6oc 106 6 , , , cord-262623-lmf2h6oc 106 7 or or CC cord-262623-lmf2h6oc 106 8 had have VBD cord-262623-lmf2h6oc 106 9 worked work VBN cord-262623-lmf2h6oc 106 10 in in IN cord-262623-lmf2h6oc 106 11 the the DT cord-262623-lmf2h6oc 106 12 sex sex NN cord-262623-lmf2h6oc 106 13 trade trade NN cord-262623-lmf2h6oc 106 14 ; ; : cord-262623-lmf2h6oc 106 15 others other NNS cord-262623-lmf2h6oc 106 16 had have VBD cord-262623-lmf2h6oc 106 17 abused abuse VBN cord-262623-lmf2h6oc 106 18 intravenous intravenous JJ cord-262623-lmf2h6oc 106 19 drugs drug NNS cord-262623-lmf2h6oc 106 20 . . . cord-262623-lmf2h6oc 107 1 The the DT cord-262623-lmf2h6oc 107 2 many many JJ cord-262623-lmf2h6oc 107 3 fewer few JJR cord-262623-lmf2h6oc 107 4 women woman NNS cord-262623-lmf2h6oc 107 5 with with IN cord-262623-lmf2h6oc 107 6 the the DT cord-262623-lmf2h6oc 107 7 disease disease NN cord-262623-lmf2h6oc 107 8 had have VBD cord-262623-lmf2h6oc 107 9 similar similar JJ cord-262623-lmf2h6oc 107 10 exposures exposure NNS cord-262623-lmf2h6oc 107 11 . . . cord-262623-lmf2h6oc 108 1 Theories theory NNS cord-262623-lmf2h6oc 108 2 proliferated proliferate VBD cord-262623-lmf2h6oc 108 3 . . . cord-262623-lmf2h6oc 109 1 Was be VBD cord-262623-lmf2h6oc 109 2 it -PRON- PRP cord-262623-lmf2h6oc 109 3 immunologic immunologic JJ cord-262623-lmf2h6oc 109 4 exhaustion exhaustion NN cord-262623-lmf2h6oc 109 5 from from IN cord-262623-lmf2h6oc 109 6 exposure exposure NN cord-262623-lmf2h6oc 109 7 to to IN cord-262623-lmf2h6oc 109 8 too too RB cord-262623-lmf2h6oc 109 9 many many JJ cord-262623-lmf2h6oc 109 10 microbial microbial JJ cord-262623-lmf2h6oc 109 11 stresses stress NNS cord-262623-lmf2h6oc 109 12 ? ? . cord-262623-lmf2h6oc 110 1 Toxins toxin NNS cord-262623-lmf2h6oc 110 2 ? ? . cord-262623-lmf2h6oc 111 1 Drugs drug NNS cord-262623-lmf2h6oc 111 2 used use VBN cord-262623-lmf2h6oc 111 3 in in IN cord-262623-lmf2h6oc 111 4 the the DT cord-262623-lmf2h6oc 111 5 sex sex NN cord-262623-lmf2h6oc 111 6 trade trade NN cord-262623-lmf2h6oc 111 7 ? ? . cord-262623-lmf2h6oc 112 1 Multiple multiple JJ cord-262623-lmf2h6oc 112 2 and and CC cord-262623-lmf2h6oc 112 3 synergistic synergistic JJ cord-262623-lmf2h6oc 112 4 viral viral JJ cord-262623-lmf2h6oc 112 5 infections infection NNS cord-262623-lmf2h6oc 112 6 ? ? . cord-262623-lmf2h6oc 113 1 Through through IN cord-262623-lmf2h6oc 113 2 the the DT cord-262623-lmf2h6oc 113 3 early early JJ cord-262623-lmf2h6oc 113 4 1980s 1980 NNS cord-262623-lmf2h6oc 113 5 , , , cord-262623-lmf2h6oc 113 6 the the DT cord-262623-lmf2h6oc 113 7 case case NN cord-262623-lmf2h6oc 113 8 load load NN cord-262623-lmf2h6oc 113 9 grew grow VBD cord-262623-lmf2h6oc 113 10 . . . cord-262623-lmf2h6oc 114 1 ICUs ICUs NNP cord-262623-lmf2h6oc 114 2 throughout throughout IN cord-262623-lmf2h6oc 114 3 North North NNP cord-262623-lmf2h6oc 114 4 America America NNP cord-262623-lmf2h6oc 114 5 and and CC cord-262623-lmf2h6oc 114 6 , , , cord-262623-lmf2h6oc 114 7 later later RB cord-262623-lmf2h6oc 114 8 , , , cord-262623-lmf2h6oc 114 9 in in IN cord-262623-lmf2h6oc 114 10 Europe Europe NNP cord-262623-lmf2h6oc 114 11 and and CC cord-262623-lmf2h6oc 114 12 elsewhere elsewhere RB cord-262623-lmf2h6oc 114 13 , , , cord-262623-lmf2h6oc 114 14 saw see VBD cord-262623-lmf2h6oc 114 15 increasing increase VBG cord-262623-lmf2h6oc 114 16 numbers number NNS cord-262623-lmf2h6oc 114 17 of of IN cord-262623-lmf2h6oc 114 18 young young JJ cord-262623-lmf2h6oc 114 19 people people NNS cord-262623-lmf2h6oc 114 20 , , , cord-262623-lmf2h6oc 114 21 mainly mainly RB cord-262623-lmf2h6oc 114 22 men man NNS cord-262623-lmf2h6oc 114 23 , , , cord-262623-lmf2h6oc 114 24 Plagues plague NNS cord-262623-lmf2h6oc 114 25 in in IN cord-262623-lmf2h6oc 114 26 the the DT cord-262623-lmf2h6oc 114 27 ICU ICU NNP cord-262623-lmf2h6oc 114 28 with with IN cord-262623-lmf2h6oc 114 29 severe severe JJ cord-262623-lmf2h6oc 114 30 respiratory respiratory JJ cord-262623-lmf2h6oc 114 31 failure failure NN cord-262623-lmf2h6oc 114 32 due due JJ cord-262623-lmf2h6oc 114 33 to to IN cord-262623-lmf2h6oc 114 34 Pneumocystis Pneumocystis NNP cord-262623-lmf2h6oc 114 35 pneumonia pneumonia NN cord-262623-lmf2h6oc 114 36 . . . cord-262623-lmf2h6oc 115 1 By by IN cord-262623-lmf2h6oc 115 2 1981 1981 CD cord-262623-lmf2h6oc 115 3 they -PRON- PRP cord-262623-lmf2h6oc 115 4 were be VBD cord-262623-lmf2h6oc 115 5 being be VBG cord-262623-lmf2h6oc 115 6 called call VBN cord-262623-lmf2h6oc 115 7 patients patient NNS cord-262623-lmf2h6oc 115 8 with with IN cord-262623-lmf2h6oc 115 9 acquired acquire VBN cord-262623-lmf2h6oc 115 10 immunodeficiency immunodeficiency NN cord-262623-lmf2h6oc 115 11 syndrome syndrome NN cord-262623-lmf2h6oc 115 12 ( ( -LRB- cord-262623-lmf2h6oc 115 13 AIDS AIDS NNP cord-262623-lmf2h6oc 115 14 ) ) -RRB- cord-262623-lmf2h6oc 115 15 on on IN cord-262623-lmf2h6oc 115 16 the the DT cord-262623-lmf2h6oc 115 17 basis basis NN cord-262623-lmf2h6oc 115 18 of of IN cord-262623-lmf2h6oc 115 19 demonstration demonstration NN cord-262623-lmf2h6oc 115 20 of of IN cord-262623-lmf2h6oc 115 21 low low JJ cord-262623-lmf2h6oc 115 22 numbers number NNS cord-262623-lmf2h6oc 115 23 of of IN cord-262623-lmf2h6oc 115 24 CD4 CD4 NNP cord-262623-lmf2h6oc 115 25 lymphocytes lymphocyte NNS cord-262623-lmf2h6oc 115 26 in in IN cord-262623-lmf2h6oc 115 27 the the DT cord-262623-lmf2h6oc 115 28 blood blood NN cord-262623-lmf2h6oc 115 29 , , , cord-262623-lmf2h6oc 115 30 but but CC cord-262623-lmf2h6oc 115 31 the the DT cord-262623-lmf2h6oc 115 32 cause cause NN cord-262623-lmf2h6oc 115 33 remained remain VBD cord-262623-lmf2h6oc 115 34 unclear unclear JJ cord-262623-lmf2h6oc 115 35 . . . cord-262623-lmf2h6oc 116 1 Then then RB cord-262623-lmf2h6oc 116 2 , , , cord-262623-lmf2h6oc 116 3 in in IN cord-262623-lmf2h6oc 116 4 1984 1984 CD cord-262623-lmf2h6oc 116 5 , , , cord-262623-lmf2h6oc 116 6 Montagnier Montagnier NNP cord-262623-lmf2h6oc 116 7 and and CC cord-262623-lmf2h6oc 116 8 Barre Barre NNP cord-262623-lmf2h6oc 116 9 - - HYPH cord-262623-lmf2h6oc 116 10 Sinoussi Sinoussi NNP cord-262623-lmf2h6oc 116 11 at at IN cord-262623-lmf2h6oc 116 12 the the DT cord-262623-lmf2h6oc 116 13 Pasteur Pasteur NNP cord-262623-lmf2h6oc 116 14 Institute Institute NNP cord-262623-lmf2h6oc 116 15 in in IN cord-262623-lmf2h6oc 116 16 France France NNP cord-262623-lmf2h6oc 116 17 isolated isolate VBD cord-262623-lmf2h6oc 116 18 a a DT cord-262623-lmf2h6oc 116 19 viral viral JJ cord-262623-lmf2h6oc 116 20 pathogen pathogen NN cord-262623-lmf2h6oc 116 21 that that IN cord-262623-lmf2h6oc 116 22 they -PRON- PRP cord-262623-lmf2h6oc 116 23 named name VBD cord-262623-lmf2h6oc 116 24 Lymphadenopathy Lymphadenopathy NNP cord-262623-lmf2h6oc 116 25 - - HYPH cord-262623-lmf2h6oc 116 26 Associated Associated NNP cord-262623-lmf2h6oc 116 27 Virus Virus NNP cord-262623-lmf2h6oc 116 28 ( ( -LRB- cord-262623-lmf2h6oc 116 29 LAV LAV NNP cord-262623-lmf2h6oc 116 30 ) ) -RRB- cord-262623-lmf2h6oc 116 31 . . . cord-262623-lmf2h6oc 117 1 At at IN cord-262623-lmf2h6oc 117 2 the the DT cord-262623-lmf2h6oc 117 3 National National NNP cord-262623-lmf2h6oc 117 4 Institutes Institutes NNPS cord-262623-lmf2h6oc 117 5 of of IN cord-262623-lmf2h6oc 117 6 Health Health NNP cord-262623-lmf2h6oc 117 7 in in IN cord-262623-lmf2h6oc 117 8 the the DT cord-262623-lmf2h6oc 117 9 United United NNP cord-262623-lmf2h6oc 117 10 States States NNP cord-262623-lmf2h6oc 117 11 , , , cord-262623-lmf2h6oc 117 12 Gallo Gallo NNP cord-262623-lmf2h6oc 117 13 demonstrated demonstrate VBD cord-262623-lmf2h6oc 117 14 that that IN cord-262623-lmf2h6oc 117 15 the the DT cord-262623-lmf2h6oc 117 16 virus virus NN cord-262623-lmf2h6oc 117 17 ( ( -LRB- cord-262623-lmf2h6oc 117 18 which which WDT cord-262623-lmf2h6oc 117 19 he -PRON- PRP cord-262623-lmf2h6oc 117 20 referred refer VBD cord-262623-lmf2h6oc 117 21 to to IN cord-262623-lmf2h6oc 117 22 as as IN cord-262623-lmf2h6oc 117 23 Human Human NNP cord-262623-lmf2h6oc 117 24 T T NNP cord-262623-lmf2h6oc 117 25 - - HYPH cord-262623-lmf2h6oc 117 26 cell cell NN cord-262623-lmf2h6oc 117 27 Leukemia Leukemia NNP cord-262623-lmf2h6oc 117 28 Virus Virus NNP cord-262623-lmf2h6oc 117 29 III III NNP cord-262623-lmf2h6oc 117 30 , , , cord-262623-lmf2h6oc 117 31 based base VBN cord-262623-lmf2h6oc 117 32 on on IN cord-262623-lmf2h6oc 117 33 an an DT cord-262623-lmf2h6oc 117 34 unproven unproven JJ cord-262623-lmf2h6oc 117 35 relationship relationship NN cord-262623-lmf2h6oc 117 36 to to IN cord-262623-lmf2h6oc 117 37 other other JJ cord-262623-lmf2h6oc 117 38 viruses virus NNS cord-262623-lmf2h6oc 117 39 he -PRON- PRP cord-262623-lmf2h6oc 117 40 had have VBD cord-262623-lmf2h6oc 117 41 previously previously RB cord-262623-lmf2h6oc 117 42 discovered discover VBN cord-262623-lmf2h6oc 117 43 ) ) -RRB- cord-262623-lmf2h6oc 117 44 definitively definitively RB cord-262623-lmf2h6oc 117 45 caused cause VBD cord-262623-lmf2h6oc 117 46 AIDS AIDS NNP cord-262623-lmf2h6oc 117 47 . . . cord-262623-lmf2h6oc 118 1 The the DT cord-262623-lmf2h6oc 118 2 virus virus NN cord-262623-lmf2h6oc 118 3 , , , cord-262623-lmf2h6oc 118 4 now now RB cord-262623-lmf2h6oc 118 5 called call VBN cord-262623-lmf2h6oc 118 6 human human JJ cord-262623-lmf2h6oc 118 7 immunodeficiency immunodeficiency NN cord-262623-lmf2h6oc 118 8 virus virus NN cord-262623-lmf2h6oc 118 9 ( ( -LRB- cord-262623-lmf2h6oc 118 10 HIV)-1 HIV)-1 NNP cord-262623-lmf2h6oc 118 11 was be VBD cord-262623-lmf2h6oc 118 12 isolated isolate VBN cord-262623-lmf2h6oc 118 13 and and CC cord-262623-lmf2h6oc 118 14 described describe VBN cord-262623-lmf2h6oc 118 15 and and CC cord-262623-lmf2h6oc 118 16 the the DT cord-262623-lmf2h6oc 118 17 first first JJ cord-262623-lmf2h6oc 118 18 diagnostic diagnostic JJ cord-262623-lmf2h6oc 118 19 kits kit NNS cord-262623-lmf2h6oc 118 20 devised devise VBN cord-262623-lmf2h6oc 118 21 , , , cord-262623-lmf2h6oc 118 22 resolving resolve VBG cord-262623-lmf2h6oc 118 23 the the DT cord-262623-lmf2h6oc 118 24 mystery mystery NN cord-262623-lmf2h6oc 118 25 of of IN cord-262623-lmf2h6oc 118 26 causation causation NN cord-262623-lmf2h6oc 118 27 . . . cord-262623-lmf2h6oc 119 1 Montagnier Montagnier NNP cord-262623-lmf2h6oc 119 2 and and CC cord-262623-lmf2h6oc 119 3 Barre Barre NNP cord-262623-lmf2h6oc 119 4 - - HYPH cord-262623-lmf2h6oc 119 5 Sinoussi Sinoussi NNP cord-262623-lmf2h6oc 119 6 would would MD cord-262623-lmf2h6oc 119 7 eventually eventually RB cord-262623-lmf2h6oc 119 8 win win VB cord-262623-lmf2h6oc 119 9 the the DT cord-262623-lmf2h6oc 119 10 Nobel Nobel NNP cord-262623-lmf2h6oc 119 11 Prize Prize NNP cord-262623-lmf2h6oc 119 12 in in IN cord-262623-lmf2h6oc 119 13 Medicine Medicine NNP cord-262623-lmf2h6oc 119 14 in in IN cord-262623-lmf2h6oc 119 15 2008 2008 CD cord-262623-lmf2h6oc 119 16 for for IN cord-262623-lmf2h6oc 119 17 their -PRON- PRP$ cord-262623-lmf2h6oc 119 18 contribution contribution NN cord-262623-lmf2h6oc 119 19 . . . cord-262623-lmf2h6oc 120 1 During during IN cord-262623-lmf2h6oc 120 2 the the DT cord-262623-lmf2h6oc 120 3 1980s 1980 NNS cord-262623-lmf2h6oc 120 4 , , , cord-262623-lmf2h6oc 120 5 patients patient NNS cord-262623-lmf2h6oc 120 6 continued continue VBD cord-262623-lmf2h6oc 120 7 to to TO cord-262623-lmf2h6oc 120 8 present present VB cord-262623-lmf2h6oc 120 9 with with IN cord-262623-lmf2h6oc 120 10 severe severe JJ cord-262623-lmf2h6oc 120 11 pneumonia pneumonia NN cord-262623-lmf2h6oc 120 12 requiring require VBG cord-262623-lmf2h6oc 120 13 respiratory respiratory JJ cord-262623-lmf2h6oc 120 14 support support NN cord-262623-lmf2h6oc 120 15 and and CC cord-262623-lmf2h6oc 120 16 intensive intensive JJ cord-262623-lmf2h6oc 120 17 antimicrobial antimicrobial JJ cord-262623-lmf2h6oc 120 18 therapy therapy NN cord-262623-lmf2h6oc 120 19 , , , cord-262623-lmf2h6oc 120 20 often often RB cord-262623-lmf2h6oc 120 21 with with IN cord-262623-lmf2h6oc 120 22 less less JJR cord-262623-lmf2h6oc 120 23 than than IN cord-262623-lmf2h6oc 120 24 satisfactory satisfactory JJ cord-262623-lmf2h6oc 120 25 results result NNS cord-262623-lmf2h6oc 120 26 . . . cord-262623-lmf2h6oc 121 1 As as IN cord-262623-lmf2h6oc 121 2 knowledge knowledge NN cord-262623-lmf2h6oc 121 3 progressed progress VBD cord-262623-lmf2h6oc 121 4 , , , cord-262623-lmf2h6oc 121 5 HIV HIV NNP cord-262623-lmf2h6oc 121 6 - - HYPH cord-262623-lmf2h6oc 121 7 associated associate VBN cord-262623-lmf2h6oc 121 8 Pneumocystis Pneumocystis NNP cord-262623-lmf2h6oc 121 9 infection infection NN cord-262623-lmf2h6oc 121 10 in in IN cord-262623-lmf2h6oc 121 11 the the DT cord-262623-lmf2h6oc 121 12 ICU ICU NNP cord-262623-lmf2h6oc 121 13 changed change VBD cord-262623-lmf2h6oc 121 14 its -PRON- PRP$ cord-262623-lmf2h6oc 121 15 face face NN cord-262623-lmf2h6oc 121 16 several several JJ cord-262623-lmf2h6oc 121 17 times time NNS cord-262623-lmf2h6oc 121 18 over over IN cord-262623-lmf2h6oc 121 19 the the DT cord-262623-lmf2h6oc 121 20 years year NNS cord-262623-lmf2h6oc 121 21 . . . cord-262623-lmf2h6oc 122 1 At at IN cord-262623-lmf2h6oc 122 2 the the DT cord-262623-lmf2h6oc 122 3 beginning beginning NN cord-262623-lmf2h6oc 122 4 of of IN cord-262623-lmf2h6oc 122 5 the the DT cord-262623-lmf2h6oc 122 6 epidemic epidemic NN cord-262623-lmf2h6oc 122 7 , , , cord-262623-lmf2h6oc 122 8 most most JJS cord-262623-lmf2h6oc 122 9 patients patient NNS cord-262623-lmf2h6oc 122 10 presenting present VBG cord-262623-lmf2h6oc 122 11 for for IN cord-262623-lmf2h6oc 122 12 care care NN cord-262623-lmf2h6oc 122 13 with with IN cord-262623-lmf2h6oc 122 14 HIV HIV NNP cord-262623-lmf2h6oc 122 15 / / SYM cord-262623-lmf2h6oc 122 16 AIDS AIDS NNP cord-262623-lmf2h6oc 122 17 and and CC cord-262623-lmf2h6oc 122 18 Pneumocystosis Pneumocystosis NNP cord-262623-lmf2h6oc 122 19 were be VBD cord-262623-lmf2h6oc 122 20 severely severely RB cord-262623-lmf2h6oc 122 21 ill ill JJ cord-262623-lmf2h6oc 122 22 with with IN cord-262623-lmf2h6oc 122 23 diffuse diffuse JJ cord-262623-lmf2h6oc 122 24 pneumonia pneumonia NN cord-262623-lmf2h6oc 122 25 and and CC cord-262623-lmf2h6oc 122 26 hypoxemic hypoxemic JJ cord-262623-lmf2h6oc 122 27 respiratory respiratory JJ cord-262623-lmf2h6oc 122 28 failure failure NN cord-262623-lmf2h6oc 122 29 and and CC cord-262623-lmf2h6oc 122 30 many many JJ cord-262623-lmf2h6oc 122 31 died die VBD cord-262623-lmf2h6oc 122 32 , , , cord-262623-lmf2h6oc 122 33 80%-90 80%-90 CD cord-262623-lmf2h6oc 122 34 % % NN cord-262623-lmf2h6oc 122 35 in in IN cord-262623-lmf2h6oc 122 36 most most JJS cord-262623-lmf2h6oc 122 37 centers center NNS cord-262623-lmf2h6oc 122 38 , , , cord-262623-lmf2h6oc 122 39 prompting prompt VBG cord-262623-lmf2h6oc 122 40 widespread widespread JJ cord-262623-lmf2h6oc 122 41 debate debate NN cord-262623-lmf2h6oc 122 42 about about IN cord-262623-lmf2h6oc 122 43 whether whether IN cord-262623-lmf2h6oc 122 44 such such JJ cord-262623-lmf2h6oc 122 45 patients patient NNS cord-262623-lmf2h6oc 122 46 should should MD cord-262623-lmf2h6oc 122 47 even even RB cord-262623-lmf2h6oc 122 48 be be VB cord-262623-lmf2h6oc 122 49 admitted admit VBN cord-262623-lmf2h6oc 122 50 to to IN cord-262623-lmf2h6oc 122 51 ICU ICU NNP cord-262623-lmf2h6oc 122 52 for for IN cord-262623-lmf2h6oc 122 53 mechanical mechanical JJ cord-262623-lmf2h6oc 122 54 ventilatory ventilatory JJ cord-262623-lmf2h6oc 122 55 support support NN cord-262623-lmf2h6oc 122 56 . . . cord-262623-lmf2h6oc 123 1 However however RB cord-262623-lmf2h6oc 123 2 , , , cord-262623-lmf2h6oc 123 3 as as IN cord-262623-lmf2h6oc 123 4 experience experience NN cord-262623-lmf2h6oc 123 5 with with IN cord-262623-lmf2h6oc 123 6 the the DT cord-262623-lmf2h6oc 123 7 disease disease NN cord-262623-lmf2h6oc 123 8 developed develop VBD cord-262623-lmf2h6oc 123 9 it -PRON- PRP cord-262623-lmf2h6oc 123 10 became become VBD cord-262623-lmf2h6oc 123 11 clear clear JJ cord-262623-lmf2h6oc 123 12 that that IN cord-262623-lmf2h6oc 123 13 an an DT cord-262623-lmf2h6oc 123 14 early early JJ cord-262623-lmf2h6oc 123 15 and and CC cord-262623-lmf2h6oc 123 16 aggressive aggressive JJ cord-262623-lmf2h6oc 123 17 approach approach NN cord-262623-lmf2h6oc 123 18 could could MD cord-262623-lmf2h6oc 123 19 improve improve VB cord-262623-lmf2h6oc 123 20 prognosis prognosis NN cord-262623-lmf2h6oc 123 21 . . . cord-262623-lmf2h6oc 124 1 It -PRON- PRP cord-262623-lmf2h6oc 124 2 was be VBD cord-262623-lmf2h6oc 124 3 found find VBN cord-262623-lmf2h6oc 124 4 that that IN cord-262623-lmf2h6oc 124 5 in in IN cord-262623-lmf2h6oc 124 6 the the DT cord-262623-lmf2h6oc 124 7 AIDS AIDS NNP cord-262623-lmf2h6oc 124 8 population population NN cord-262623-lmf2h6oc 124 9 even even RB cord-262623-lmf2h6oc 124 10 minor minor JJ cord-262623-lmf2h6oc 124 11 respiratory respiratory JJ cord-262623-lmf2h6oc 124 12 symptoms symptom NNS cord-262623-lmf2h6oc 124 13 with with IN cord-262623-lmf2h6oc 124 14 few few JJ cord-262623-lmf2h6oc 124 15 or or CC cord-262623-lmf2h6oc 124 16 no no DT cord-262623-lmf2h6oc 124 17 abnormalities abnormality NNS cord-262623-lmf2h6oc 124 18 on on IN cord-262623-lmf2h6oc 124 19 chest chest NN cord-262623-lmf2h6oc 124 20 radiograph radiograph NN cord-262623-lmf2h6oc 124 21 could could MD cord-262623-lmf2h6oc 124 22 be be VB cord-262623-lmf2h6oc 124 23 due due JJ cord-262623-lmf2h6oc 124 24 to to IN cord-262623-lmf2h6oc 124 25 Pneumocystis Pneumocystis NNP cord-262623-lmf2h6oc 124 26 infection infection NN cord-262623-lmf2h6oc 124 27 in in IN cord-262623-lmf2h6oc 124 28 the the DT cord-262623-lmf2h6oc 124 29 earlier early JJR cord-262623-lmf2h6oc 124 30 stages stage NNS cord-262623-lmf2h6oc 124 31 , , , cord-262623-lmf2h6oc 124 32 and and CC cord-262623-lmf2h6oc 124 33 that that IN cord-262623-lmf2h6oc 124 34 even even RB cord-262623-lmf2h6oc 124 35 modest modest JJ cord-262623-lmf2h6oc 124 36 degrees degree NNS cord-262623-lmf2h6oc 124 37 of of IN cord-262623-lmf2h6oc 124 38 arterial arterial JJ cord-262623-lmf2h6oc 124 39 oxygen oxygen NN cord-262623-lmf2h6oc 124 40 desaturation desaturation NN cord-262623-lmf2h6oc 124 41 signaled signal VBD cord-262623-lmf2h6oc 124 42 impending impending JJ cord-262623-lmf2h6oc 124 43 respiratory respiratory JJ cord-262623-lmf2h6oc 124 44 failure failure NN cord-262623-lmf2h6oc 124 45 . . . cord-262623-lmf2h6oc 125 1 Earlier early RBR cord-262623-lmf2h6oc 125 2 bronchoscopy bronchoscopy NN cord-262623-lmf2h6oc 125 3 for for IN cord-262623-lmf2h6oc 125 4 diagnosis diagnosis NN cord-262623-lmf2h6oc 125 5 followed follow VBN cord-262623-lmf2h6oc 125 6 by by IN cord-262623-lmf2h6oc 125 7 prompt prompt JJ cord-262623-lmf2h6oc 125 8 antimicrobial antimicrobial JJ cord-262623-lmf2h6oc 125 9 therapy therapy NN cord-262623-lmf2h6oc 125 10 , , , cord-262623-lmf2h6oc 125 11 with with IN cord-262623-lmf2h6oc 125 12 pentamidine pentamidine NNP cord-262623-lmf2h6oc 125 13 predominantly predominantly RB cord-262623-lmf2h6oc 125 14 in in IN cord-262623-lmf2h6oc 125 15 the the DT cord-262623-lmf2h6oc 125 16 early early JJ cord-262623-lmf2h6oc 125 17 80s 80 NNS cord-262623-lmf2h6oc 125 18 and and CC cord-262623-lmf2h6oc 125 19 later later RB cord-262623-lmf2h6oc 125 20 primarily primarily RB cord-262623-lmf2h6oc 125 21 with with IN cord-262623-lmf2h6oc 125 22 trimethoprim trimethoprim NNP cord-262623-lmf2h6oc 125 23 / / SYM cord-262623-lmf2h6oc 125 24 sulfamethoxazole sulfamethoxazole NNP cord-262623-lmf2h6oc 125 25 , , , cord-262623-lmf2h6oc 125 26 led lead VBD cord-262623-lmf2h6oc 125 27 to to IN cord-262623-lmf2h6oc 125 28 overall overall JJ cord-262623-lmf2h6oc 125 29 mortality mortality NN cord-262623-lmf2h6oc 125 30 rates rate NNS cord-262623-lmf2h6oc 125 31 falling fall VBG cord-262623-lmf2h6oc 125 32 to to IN cord-262623-lmf2h6oc 125 33 the the DT cord-262623-lmf2h6oc 125 34 50%-60 50%-60 CD cord-262623-lmf2h6oc 125 35 % % NN cord-262623-lmf2h6oc 125 36 range range NN cord-262623-lmf2h6oc 125 37 by by IN cord-262623-lmf2h6oc 125 38 the the DT cord-262623-lmf2h6oc 125 39 middle middle NN cord-262623-lmf2h6oc 125 40 of of IN cord-262623-lmf2h6oc 125 41 the the DT cord-262623-lmf2h6oc 125 42 decade decade NN cord-262623-lmf2h6oc 125 43 . . . cord-262623-lmf2h6oc 126 1 The the DT cord-262623-lmf2h6oc 126 2 advent advent NN cord-262623-lmf2h6oc 126 3 of of IN cord-262623-lmf2h6oc 126 4 systemic systemic JJ cord-262623-lmf2h6oc 126 5 corticosteroids corticosteroid NNS cord-262623-lmf2h6oc 126 6 therapy therapy NN cord-262623-lmf2h6oc 126 7 for for IN cord-262623-lmf2h6oc 126 8 early early JJ cord-262623-lmf2h6oc 126 9 respiratory respiratory JJ cord-262623-lmf2h6oc 126 10 failure failure NN cord-262623-lmf2h6oc 126 11 in in IN cord-262623-lmf2h6oc 126 12 AIDSassociated aidsassociate VBN cord-262623-lmf2h6oc 126 13 Pneumocystosis Pneumocystosis NNP cord-262623-lmf2h6oc 126 14 was be VBD cord-262623-lmf2h6oc 126 15 then then RB cord-262623-lmf2h6oc 126 16 shown show VBN cord-262623-lmf2h6oc 126 17 to to TO cord-262623-lmf2h6oc 126 18 further further RB cord-262623-lmf2h6oc 126 19 reduce reduce VB cord-262623-lmf2h6oc 126 20 the the DT cord-262623-lmf2h6oc 126 21 numbers number NNS cord-262623-lmf2h6oc 126 22 of of IN cord-262623-lmf2h6oc 126 23 patients patient NNS cord-262623-lmf2h6oc 126 24 progressing progress VBG cord-262623-lmf2h6oc 126 25 to to IN cord-262623-lmf2h6oc 126 26 advanced advanced JJ cord-262623-lmf2h6oc 126 27 respiratory respiratory JJ cord-262623-lmf2h6oc 126 28 failure failure NN cord-262623-lmf2h6oc 126 29 , , , cord-262623-lmf2h6oc 126 30 leading lead VBG cord-262623-lmf2h6oc 126 31 to to IN cord-262623-lmf2h6oc 126 32 reductions reduction NNS cord-262623-lmf2h6oc 126 33 in in IN cord-262623-lmf2h6oc 126 34 the the DT cord-262623-lmf2h6oc 126 35 numbers number NNS cord-262623-lmf2h6oc 126 36 of of IN cord-262623-lmf2h6oc 126 37 cases case NNS cord-262623-lmf2h6oc 126 38 needing need VBG cord-262623-lmf2h6oc 126 39 ICU ICU NNP cord-262623-lmf2h6oc 126 40 admission admission NN cord-262623-lmf2h6oc 126 41 and and CC cord-262623-lmf2h6oc 126 42 further further RB cord-262623-lmf2h6oc 126 43 reducing reduce VBG cord-262623-lmf2h6oc 126 44 overall overall JJ cord-262623-lmf2h6oc 126 45 mortality mortality NN cord-262623-lmf2h6oc 126 46 rates rate NNS cord-262623-lmf2h6oc 126 47 to to IN cord-262623-lmf2h6oc 126 48 the the DT cord-262623-lmf2h6oc 126 49 15%-20 15%-20 CD cord-262623-lmf2h6oc 126 50 % % NN cord-262623-lmf2h6oc 126 51 range range NN cord-262623-lmf2h6oc 126 52 . . . cord-262623-lmf2h6oc 127 1 16 16 CD cord-262623-lmf2h6oc 128 1 But but CC cord-262623-lmf2h6oc 128 2 for for IN cord-262623-lmf2h6oc 128 3 patients patient NNS cord-262623-lmf2h6oc 128 4 requiring require VBG cord-262623-lmf2h6oc 128 5 ICU ICU NNP cord-262623-lmf2h6oc 128 6 care care NN cord-262623-lmf2h6oc 128 7 mortality mortality NN cord-262623-lmf2h6oc 128 8 rates rate NNS cord-262623-lmf2h6oc 128 9 were be VBD cord-262623-lmf2h6oc 128 10 as as RB cord-262623-lmf2h6oc 128 11 high high JJ cord-262623-lmf2h6oc 128 12 as as IN cord-262623-lmf2h6oc 128 13 before before IN cord-262623-lmf2h6oc 128 14 the the DT cord-262623-lmf2h6oc 128 15 use use NN cord-262623-lmf2h6oc 128 16 of of IN cord-262623-lmf2h6oc 128 17 steroids steroid NNS cord-262623-lmf2h6oc 128 18 and and CC cord-262623-lmf2h6oc 128 19 often often RB cord-262623-lmf2h6oc 128 20 higher high JJR cord-262623-lmf2h6oc 128 21 , , , cord-262623-lmf2h6oc 128 22 likely likely RB cord-262623-lmf2h6oc 128 23 related relate VBN cord-262623-lmf2h6oc 128 24 to to IN cord-262623-lmf2h6oc 128 25 the the DT cord-262623-lmf2h6oc 128 26 fact fact NN cord-262623-lmf2h6oc 128 27 that that IN cord-262623-lmf2h6oc 128 28 most most JJS cord-262623-lmf2h6oc 128 29 patients patient NNS cord-262623-lmf2h6oc 128 30 developing develop VBG cord-262623-lmf2h6oc 128 31 respiratory respiratory JJ cord-262623-lmf2h6oc 128 32 failure failure NN cord-262623-lmf2h6oc 128 33 had have VBD cord-262623-lmf2h6oc 128 34 already already RB cord-262623-lmf2h6oc 128 35 failed fail VBN cord-262623-lmf2h6oc 128 36 to to TO cord-262623-lmf2h6oc 128 37 improve improve VB cord-262623-lmf2h6oc 128 38 or or CC cord-262623-lmf2h6oc 128 39 had have VBD cord-262623-lmf2h6oc 128 40 progressed progress VBN cord-262623-lmf2h6oc 128 41 despite despite IN cord-262623-lmf2h6oc 128 42 intensive intensive JJ cord-262623-lmf2h6oc 128 43 antimicrobial antimicrobial JJ cord-262623-lmf2h6oc 128 44 and and CC cord-262623-lmf2h6oc 128 45 corticosteroid corticosteroid NN cord-262623-lmf2h6oc 128 46 therapy therapy NN cord-262623-lmf2h6oc 128 47 . . . cord-262623-lmf2h6oc 129 1 17 17 CD cord-262623-lmf2h6oc 130 1 Along along IN cord-262623-lmf2h6oc 130 2 with with IN cord-262623-lmf2h6oc 130 3 these these DT cord-262623-lmf2h6oc 130 4 developments development NNS cord-262623-lmf2h6oc 130 5 in in IN cord-262623-lmf2h6oc 130 6 management management NN cord-262623-lmf2h6oc 130 7 of of IN cord-262623-lmf2h6oc 130 8 the the DT cord-262623-lmf2h6oc 130 9 disease disease NN cord-262623-lmf2h6oc 130 10 , , , cord-262623-lmf2h6oc 130 11 progress progress NN cord-262623-lmf2h6oc 130 12 was be VBD cord-262623-lmf2h6oc 130 13 being be VBG cord-262623-lmf2h6oc 130 14 made make VBN cord-262623-lmf2h6oc 130 15 on on IN cord-262623-lmf2h6oc 130 16 HIV HIV NNP cord-262623-lmf2h6oc 130 17 itself -PRON- PRP cord-262623-lmf2h6oc 130 18 . . . cord-262623-lmf2h6oc 131 1 Following follow VBG cord-262623-lmf2h6oc 131 2 identification identification NN cord-262623-lmf2h6oc 131 3 of of IN cord-262623-lmf2h6oc 131 4 the the DT cord-262623-lmf2h6oc 131 5 virus virus NN cord-262623-lmf2h6oc 131 6 in in IN cord-262623-lmf2h6oc 131 7 1984 1984 CD cord-262623-lmf2h6oc 131 8 , , , cord-262623-lmf2h6oc 131 9 there there EX cord-262623-lmf2h6oc 131 10 soon soon RB cord-262623-lmf2h6oc 131 11 followed follow VBD cord-262623-lmf2h6oc 131 12 increasingly increasingly RB cord-262623-lmf2h6oc 131 13 reliable reliable JJ cord-262623-lmf2h6oc 131 14 diagnostic diagnostic JJ cord-262623-lmf2h6oc 131 15 tests test NNS cord-262623-lmf2h6oc 131 16 for for IN cord-262623-lmf2h6oc 131 17 the the DT cord-262623-lmf2h6oc 131 18 infection infection NN cord-262623-lmf2h6oc 131 19 , , , cord-262623-lmf2h6oc 131 20 leading lead VBG cord-262623-lmf2h6oc 131 21 to to IN cord-262623-lmf2h6oc 131 22 earlier early JJR cord-262623-lmf2h6oc 131 23 identification identification NN cord-262623-lmf2h6oc 131 24 of of IN cord-262623-lmf2h6oc 131 25 cases case NNS cord-262623-lmf2h6oc 131 26 and and CC cord-262623-lmf2h6oc 131 27 monitoring monitoring NN cord-262623-lmf2h6oc 131 28 of of IN cord-262623-lmf2h6oc 131 29 CD4 CD4 NNP cord-262623-lmf2h6oc 131 30 lymphocyte lymphocyte NN cord-262623-lmf2h6oc 131 31 counts count VBZ cord-262623-lmf2h6oc 131 32 . . . cord-262623-lmf2h6oc 132 1 By by IN cord-262623-lmf2h6oc 132 2 the the DT cord-262623-lmf2h6oc 132 3 early early JJ cord-262623-lmf2h6oc 132 4 1990s 1990 NNS cord-262623-lmf2h6oc 132 5 , , , cord-262623-lmf2h6oc 132 6 studies study NNS cord-262623-lmf2h6oc 132 7 supporting support VBG cord-262623-lmf2h6oc 132 8 widespread widespread JJ cord-262623-lmf2h6oc 132 9 use use NN cord-262623-lmf2h6oc 132 10 of of IN cord-262623-lmf2h6oc 132 11 chemoprophylaxis chemoprophylaxis NN cord-262623-lmf2h6oc 132 12 against against IN cord-262623-lmf2h6oc 132 13 Pneumocystis Pneumocystis NNP cord-262623-lmf2h6oc 132 14 in in IN cord-262623-lmf2h6oc 132 15 all all DT cord-262623-lmf2h6oc 132 16 patients patient NNS cord-262623-lmf2h6oc 132 17 with with IN cord-262623-lmf2h6oc 132 18 CD4 CD4 NNP cord-262623-lmf2h6oc 132 19 counts count VBZ cord-262623-lmf2h6oc 132 20 < < XX cord-262623-lmf2h6oc 132 21 200 200 CD cord-262623-lmf2h6oc 132 22 / / SYM cord-262623-lmf2h6oc 132 23 mm mm NN cord-262623-lmf2h6oc 132 24 3 3 CD cord-262623-lmf2h6oc 132 25 were be VBD cord-262623-lmf2h6oc 132 26 available available JJ cord-262623-lmf2h6oc 132 27 and and CC cord-262623-lmf2h6oc 132 28 became become VBD cord-262623-lmf2h6oc 132 29 standard standard JJ cord-262623-lmf2h6oc 132 30 public public JJ cord-262623-lmf2h6oc 132 31 health health NN cord-262623-lmf2h6oc 132 32 agency agency NN cord-262623-lmf2h6oc 132 33 recommendations recommendation NNS cord-262623-lmf2h6oc 132 34 . . . cord-262623-lmf2h6oc 133 1 Pneumocystosis Pneumocystosis NNP cord-262623-lmf2h6oc 133 2 , , , cord-262623-lmf2h6oc 133 3 which which WDT cord-262623-lmf2h6oc 133 4 in in IN cord-262623-lmf2h6oc 133 5 the the DT cord-262623-lmf2h6oc 133 6 1980s 1980 NNS cord-262623-lmf2h6oc 133 7 and and CC cord-262623-lmf2h6oc 133 8 1990s 1990s CD cord-262623-lmf2h6oc 133 9 was be VBD cord-262623-lmf2h6oc 133 10 one one CD cord-262623-lmf2h6oc 133 11 of of IN cord-262623-lmf2h6oc 133 12 the the DT cord-262623-lmf2h6oc 133 13 principal principal JJ cord-262623-lmf2h6oc 133 14 causes cause NNS cord-262623-lmf2h6oc 133 15 of of IN cord-262623-lmf2h6oc 133 16 hypoxemic hypoxemic JJ cord-262623-lmf2h6oc 133 17 respiratory respiratory JJ cord-262623-lmf2h6oc 133 18 failure failure NN cord-262623-lmf2h6oc 133 19 in in IN cord-262623-lmf2h6oc 133 20 many many JJ cord-262623-lmf2h6oc 133 21 ICUs icu NNS cord-262623-lmf2h6oc 133 22 in in IN cord-262623-lmf2h6oc 133 23 North North NNP cord-262623-lmf2h6oc 133 24 America America NNP cord-262623-lmf2h6oc 133 25 and and CC cord-262623-lmf2h6oc 133 26 western western JJ cord-262623-lmf2h6oc 133 27 Europe Europe NNP cord-262623-lmf2h6oc 133 28 , , , cord-262623-lmf2h6oc 133 29 began begin VBD cord-262623-lmf2h6oc 133 30 to to TO cord-262623-lmf2h6oc 133 31 decline decline VB cord-262623-lmf2h6oc 133 32 rapidly rapidly RB cord-262623-lmf2h6oc 133 33 in in IN cord-262623-lmf2h6oc 133 34 incidence incidence NN cord-262623-lmf2h6oc 133 35 , , , cord-262623-lmf2h6oc 133 36 becoming become VBG cord-262623-lmf2h6oc 133 37 relatively relatively RB cord-262623-lmf2h6oc 133 38 uncommon uncommon JJ cord-262623-lmf2h6oc 133 39 even even RB cord-262623-lmf2h6oc 133 40 before before IN cord-262623-lmf2h6oc 133 41 the the DT cord-262623-lmf2h6oc 133 42 widespread widespread JJ cord-262623-lmf2h6oc 133 43 adoption adoption NN cord-262623-lmf2h6oc 133 44 of of IN cord-262623-lmf2h6oc 133 45 highly highly RB cord-262623-lmf2h6oc 133 46 active active JJ cord-262623-lmf2h6oc 133 47 antiretroviral antiretroviral JJ cord-262623-lmf2h6oc 133 48 therapy therapy NN cord-262623-lmf2h6oc 133 49 , , , cord-262623-lmf2h6oc 133 50 which which WDT cord-262623-lmf2h6oc 133 51 has have VBZ cord-262623-lmf2h6oc 133 52 , , , cord-262623-lmf2h6oc 133 53 since since IN cord-262623-lmf2h6oc 133 54 the the DT cord-262623-lmf2h6oc 133 55 mid-1990s mid-1990 NNS cord-262623-lmf2h6oc 133 56 , , , cord-262623-lmf2h6oc 133 57 caused cause VBD cord-262623-lmf2h6oc 133 58 the the DT cord-262623-lmf2h6oc 133 59 disease disease NN cord-262623-lmf2h6oc 133 60 to to IN cord-262623-lmf2h6oc 133 61 all all DT cord-262623-lmf2h6oc 133 62 but but CC cord-262623-lmf2h6oc 133 63 disappear disappear VB cord-262623-lmf2h6oc 133 64 from from IN cord-262623-lmf2h6oc 133 65 our -PRON- PRP$ cord-262623-lmf2h6oc 133 66 ICUs icu NNS cord-262623-lmf2h6oc 133 67 . . . cord-262623-lmf2h6oc 134 1 Although although IN cord-262623-lmf2h6oc 134 2 many many JJ cord-262623-lmf2h6oc 134 3 lessons lesson NNS cord-262623-lmf2h6oc 134 4 can can MD cord-262623-lmf2h6oc 134 5 be be VB cord-262623-lmf2h6oc 134 6 drawn draw VBN cord-262623-lmf2h6oc 134 7 from from IN cord-262623-lmf2h6oc 134 8 the the DT cord-262623-lmf2h6oc 134 9 battle battle NN cord-262623-lmf2h6oc 134 10 against against IN cord-262623-lmf2h6oc 134 11 AIDS AIDS NNP cord-262623-lmf2h6oc 134 12 - - HYPH cord-262623-lmf2h6oc 134 13 related relate VBN cord-262623-lmf2h6oc 134 14 pneumoncystis pneumoncystis NN cord-262623-lmf2h6oc 134 15 pneumonia pneumonia NN cord-262623-lmf2h6oc 134 16 during during IN cord-262623-lmf2h6oc 134 17 the the DT cord-262623-lmf2h6oc 134 18 1980s 1980 NNS cord-262623-lmf2h6oc 134 19 and and CC cord-262623-lmf2h6oc 134 20 1990s 1990 NNS cord-262623-lmf2h6oc 134 21 , , , cord-262623-lmf2h6oc 134 22 for for IN cord-262623-lmf2h6oc 134 23 ICU ICU NNP cord-262623-lmf2h6oc 134 24 and and CC cord-262623-lmf2h6oc 134 25 infectious infectious JJ cord-262623-lmf2h6oc 134 26 diseases disease NNS cord-262623-lmf2h6oc 134 27 practitioners practitioner NNS cord-262623-lmf2h6oc 134 28 one one CD cord-262623-lmf2h6oc 134 29 of of IN cord-262623-lmf2h6oc 134 30 the the DT cord-262623-lmf2h6oc 134 31 main main JJ cord-262623-lmf2h6oc 134 32 ones one NNS cord-262623-lmf2h6oc 134 33 comes come VBZ cord-262623-lmf2h6oc 134 34 from from IN cord-262623-lmf2h6oc 134 35 the the DT cord-262623-lmf2h6oc 134 36 sad sad JJ cord-262623-lmf2h6oc 134 37 fact fact NN cord-262623-lmf2h6oc 134 38 that that IN cord-262623-lmf2h6oc 134 39 once once IN cord-262623-lmf2h6oc 134 40 patients patient NNS cord-262623-lmf2h6oc 134 41 had have VBD cord-262623-lmf2h6oc 134 42 developed develop VBN cord-262623-lmf2h6oc 134 43 full full RB cord-262623-lmf2h6oc 134 44 - - HYPH cord-262623-lmf2h6oc 134 45 blown blow VBN cord-262623-lmf2h6oc 134 46 hypoxemic hypoxemic JJ cord-262623-lmf2h6oc 134 47 respiratory respiratory JJ cord-262623-lmf2h6oc 134 48 failure failure NN cord-262623-lmf2h6oc 134 49 even even RB cord-262623-lmf2h6oc 134 50 the the DT cord-262623-lmf2h6oc 134 51 best good JJS cord-262623-lmf2h6oc 134 52 intensive intensive JJ cord-262623-lmf2h6oc 134 53 care care NN cord-262623-lmf2h6oc 134 54 could could MD cord-262623-lmf2h6oc 134 55 only only RB cord-262623-lmf2h6oc 134 56 deliver deliver VB cord-262623-lmf2h6oc 134 57 20 20 CD cord-262623-lmf2h6oc 134 58 % % NN cord-262623-lmf2h6oc 134 59 survival survival NN cord-262623-lmf2h6oc 134 60 rates rate NNS cord-262623-lmf2h6oc 134 61 . . . cord-262623-lmf2h6oc 135 1 The the DT cord-262623-lmf2h6oc 135 2 really really RB cord-262623-lmf2h6oc 135 3 large large JJ cord-262623-lmf2h6oc 135 4 gains gain NNS cord-262623-lmf2h6oc 135 5 in in IN cord-262623-lmf2h6oc 135 6 survival survival NN cord-262623-lmf2h6oc 135 7 came come VBD cord-262623-lmf2h6oc 135 8 not not RB cord-262623-lmf2h6oc 135 9 from from IN cord-262623-lmf2h6oc 135 10 better well JJR cord-262623-lmf2h6oc 135 11 ICU ICU NNP cord-262623-lmf2h6oc 135 12 technology technology NN cord-262623-lmf2h6oc 135 13 but but CC cord-262623-lmf2h6oc 135 14 from from IN cord-262623-lmf2h6oc 135 15 pre pre JJ cord-262623-lmf2h6oc 135 16 - - JJ cord-262623-lmf2h6oc 135 17 empting empte VBG cord-262623-lmf2h6oc 135 18 the the DT cord-262623-lmf2h6oc 135 19 disease disease NN cord-262623-lmf2h6oc 135 20 on on IN cord-262623-lmf2h6oc 135 21 multiple multiple JJ cord-262623-lmf2h6oc 135 22 fronts front NNS cord-262623-lmf2h6oc 135 23 , , , cord-262623-lmf2h6oc 135 24 including include VBG cord-262623-lmf2h6oc 135 25 earlier early JJR cord-262623-lmf2h6oc 135 26 diagnosis diagnosis NN cord-262623-lmf2h6oc 135 27 of of IN cord-262623-lmf2h6oc 135 28 HIV HIV NNP cord-262623-lmf2h6oc 135 29 infection infection NN cord-262623-lmf2h6oc 135 30 , , , cord-262623-lmf2h6oc 135 31 early early JJ cord-262623-lmf2h6oc 135 32 diagnosis diagnosis NN cord-262623-lmf2h6oc 135 33 and and CC cord-262623-lmf2h6oc 135 34 antimicrobial antimicrobial JJ cord-262623-lmf2h6oc 135 35 treatment treatment NN cord-262623-lmf2h6oc 135 36 of of IN cord-262623-lmf2h6oc 135 37 pneumonia pneumonia NN cord-262623-lmf2h6oc 135 38 , , , cord-262623-lmf2h6oc 135 39 steroid steroid NN cord-262623-lmf2h6oc 135 40 treatment treatment NN cord-262623-lmf2h6oc 135 41 of of IN cord-262623-lmf2h6oc 135 42 early early JJ cord-262623-lmf2h6oc 135 43 respiratory respiratory JJ cord-262623-lmf2h6oc 135 44 failure failure NN cord-262623-lmf2h6oc 135 45 , , , cord-262623-lmf2h6oc 135 46 antimicrobial antimicrobial JJ cord-262623-lmf2h6oc 135 47 prophylactic prophylactic JJ cord-262623-lmf2h6oc 135 48 regimens regimen NNS cord-262623-lmf2h6oc 135 49 and and CC cord-262623-lmf2h6oc 135 50 , , , cord-262623-lmf2h6oc 135 51 later later RB cord-262623-lmf2h6oc 135 52 , , , cord-262623-lmf2h6oc 135 53 effective effective JJ cord-262623-lmf2h6oc 135 54 antiretroviral antiretroviral JJ cord-262623-lmf2h6oc 135 55 therapy therapy NN cord-262623-lmf2h6oc 135 56 . . . cord-262623-lmf2h6oc 136 1 Until until IN cord-262623-lmf2h6oc 136 2 1993 1993 CD cord-262623-lmf2h6oc 136 3 , , , cord-262623-lmf2h6oc 136 4 the the DT cord-262623-lmf2h6oc 136 5 only only JJ cord-262623-lmf2h6oc 136 6 members member NNS cord-262623-lmf2h6oc 136 7 of of IN cord-262623-lmf2h6oc 136 8 the the DT cord-262623-lmf2h6oc 136 9 Bunyaviridae Bunyaviridae NNP cord-262623-lmf2h6oc 136 10 family family NN cord-262623-lmf2h6oc 136 11 of of IN cord-262623-lmf2h6oc 136 12 viruses virus NNS cord-262623-lmf2h6oc 136 13 known know VBN cord-262623-lmf2h6oc 136 14 to to TO cord-262623-lmf2h6oc 136 15 cause cause VB cord-262623-lmf2h6oc 136 16 disease disease NN cord-262623-lmf2h6oc 136 17 in in IN cord-262623-lmf2h6oc 136 18 North North NNP cord-262623-lmf2h6oc 136 19 America America NNP cord-262623-lmf2h6oc 136 20 were be VBD cord-262623-lmf2h6oc 136 21 members member NNS cord-262623-lmf2h6oc 136 22 of of IN cord-262623-lmf2h6oc 136 23 the the DT cord-262623-lmf2h6oc 136 24 genus genus NN cord-262623-lmf2h6oc 136 25 Bunyavirus Bunyavirus NNP cord-262623-lmf2h6oc 136 26 , , , cord-262623-lmf2h6oc 136 27 all all DT cord-262623-lmf2h6oc 136 28 causing cause VBG cord-262623-lmf2h6oc 136 29 mosquito mosquito NN cord-262623-lmf2h6oc 136 30 - - HYPH cord-262623-lmf2h6oc 136 31 borne bear VBN cord-262623-lmf2h6oc 136 32 viral viral JJ cord-262623-lmf2h6oc 136 33 encephalitis encephalitis RB cord-262623-lmf2h6oc 136 34 , , , cord-262623-lmf2h6oc 136 35 mainly mainly RB cord-262623-lmf2h6oc 136 36 in in IN cord-262623-lmf2h6oc 136 37 children child NNS cord-262623-lmf2h6oc 136 38 ( ( -LRB- cord-262623-lmf2h6oc 136 39 California California NNP cord-262623-lmf2h6oc 136 40 encephalitis encephalitis RB cord-262623-lmf2h6oc 136 41 ) ) -RRB- cord-262623-lmf2h6oc 136 42 . . . cord-262623-lmf2h6oc 137 1 Other other JJ cord-262623-lmf2h6oc 137 2 members member NNS cord-262623-lmf2h6oc 137 3 of of IN cord-262623-lmf2h6oc 137 4 the the DT cord-262623-lmf2h6oc 137 5 family family NN cord-262623-lmf2h6oc 137 6 were be VBD cord-262623-lmf2h6oc 137 7 known know VBN cord-262623-lmf2h6oc 137 8 to to TO cord-262623-lmf2h6oc 137 9 cause cause VB cord-262623-lmf2h6oc 137 10 serious serious JJ cord-262623-lmf2h6oc 137 11 febrile febrile JJ cord-262623-lmf2h6oc 137 12 illnesses illness NNS cord-262623-lmf2h6oc 137 13 , , , cord-262623-lmf2h6oc 137 14 encephalitides encephalitis NNS cord-262623-lmf2h6oc 137 15 and and CC cord-262623-lmf2h6oc 137 16 hemorrhagic hemorrhagic JJ cord-262623-lmf2h6oc 137 17 - - HYPH cord-262623-lmf2h6oc 137 18 fevers fever NNS cord-262623-lmf2h6oc 137 19 in in IN cord-262623-lmf2h6oc 137 20 Africa Africa NNP cord-262623-lmf2h6oc 137 21 and and CC cord-262623-lmf2h6oc 137 22 Asia Asia NNP cord-262623-lmf2h6oc 137 23 ( ( -LRB- cord-262623-lmf2h6oc 137 24 Rift Rift NNP cord-262623-lmf2h6oc 137 25 Valley Valley NNP cord-262623-lmf2h6oc 137 26 Fever Fever NNP cord-262623-lmf2h6oc 137 27 , , , cord-262623-lmf2h6oc 137 28 Crimean Crimean NNP cord-262623-lmf2h6oc 137 29 - - HYPH cord-262623-lmf2h6oc 137 30 Congo Congo NNP cord-262623-lmf2h6oc 137 31 Hemorrhagic Hemorrhagic NNP cord-262623-lmf2h6oc 137 32 Fever Fever NNP cord-262623-lmf2h6oc 137 33 , , , cord-262623-lmf2h6oc 137 34 Hemorrhagic Hemorrhagic NNP cord-262623-lmf2h6oc 137 35 Fever Fever NNP cord-262623-lmf2h6oc 137 36 with with IN cord-262623-lmf2h6oc 137 37 Renal Renal NNP cord-262623-lmf2h6oc 137 38 Syndrome Syndrome NNP cord-262623-lmf2h6oc 137 39 ) ) -RRB- cord-262623-lmf2h6oc 137 40 . . . cord-262623-lmf2h6oc 138 1 However however RB cord-262623-lmf2h6oc 138 2 , , , cord-262623-lmf2h6oc 138 3 in in IN cord-262623-lmf2h6oc 138 4 the the DT cord-262623-lmf2h6oc 138 5 spring spring NN cord-262623-lmf2h6oc 138 6 of of IN cord-262623-lmf2h6oc 138 7 1993 1993 CD cord-262623-lmf2h6oc 138 8 wetter wet JJR cord-262623-lmf2h6oc 138 9 - - HYPH cord-262623-lmf2h6oc 138 10 than than IN cord-262623-lmf2h6oc 138 11 - - HYPH cord-262623-lmf2h6oc 138 12 usual usual JJ cord-262623-lmf2h6oc 138 13 conditions condition NNS cord-262623-lmf2h6oc 138 14 in in IN cord-262623-lmf2h6oc 138 15 the the DT cord-262623-lmf2h6oc 138 16 American American NNP cord-262623-lmf2h6oc 138 17 Southwest Southwest NNP cord-262623-lmf2h6oc 138 18 led lead VBD cord-262623-lmf2h6oc 138 19 to to IN cord-262623-lmf2h6oc 138 20 increased increase VBN cord-262623-lmf2h6oc 138 21 availability availability NN cord-262623-lmf2h6oc 138 22 of of IN cord-262623-lmf2h6oc 138 23 food food NN cord-262623-lmf2h6oc 138 24 for for IN cord-262623-lmf2h6oc 138 25 deer deer NN cord-262623-lmf2h6oc 138 26 mice mouse NNS cord-262623-lmf2h6oc 138 27 , , , cord-262623-lmf2h6oc 138 28 leading lead VBG cord-262623-lmf2h6oc 138 29 to to IN cord-262623-lmf2h6oc 138 30 a a DT cord-262623-lmf2h6oc 138 31 population population NN cord-262623-lmf2h6oc 138 32 explosion explosion NN cord-262623-lmf2h6oc 138 33 and and CC cord-262623-lmf2h6oc 138 34 increasing increase VBG cord-262623-lmf2h6oc 138 35 movement movement NN cord-262623-lmf2h6oc 138 36 of of IN cord-262623-lmf2h6oc 138 37 rodents rodent NNS cord-262623-lmf2h6oc 138 38 into into IN cord-262623-lmf2h6oc 138 39 human human NN cord-262623-lmf2h6oc 138 40 - - HYPH cord-262623-lmf2h6oc 138 41 occupied occupy VBN cord-262623-lmf2h6oc 138 42 spaces space NNS cord-262623-lmf2h6oc 138 43 , , , cord-262623-lmf2h6oc 138 44 increasing increase VBG cord-262623-lmf2h6oc 138 45 the the DT cord-262623-lmf2h6oc 138 46 chance chance NN cord-262623-lmf2h6oc 138 47 that that IN cord-262623-lmf2h6oc 138 48 humans human NNS cord-262623-lmf2h6oc 138 49 might may MD cord-262623-lmf2h6oc 138 50 be be VB cord-262623-lmf2h6oc 138 51 exposed expose VBN cord-262623-lmf2h6oc 138 52 to to IN cord-262623-lmf2h6oc 138 53 the the DT cord-262623-lmf2h6oc 138 54 rodents rodent NNS cord-262623-lmf2h6oc 138 55 and and CC cord-262623-lmf2h6oc 138 56 their -PRON- PRP$ cord-262623-lmf2h6oc 138 57 excreta excreta NN cord-262623-lmf2h6oc 138 58 . . . cord-262623-lmf2h6oc 139 1 In in IN cord-262623-lmf2h6oc 139 2 rapid rapid JJ cord-262623-lmf2h6oc 139 3 succession succession NN cord-262623-lmf2h6oc 139 4 , , , cord-262623-lmf2h6oc 139 5 several several JJ cord-262623-lmf2h6oc 139 6 previously previously RB cord-262623-lmf2h6oc 139 7 healthy healthy JJ cord-262623-lmf2h6oc 139 8 young young JJ cord-262623-lmf2h6oc 139 9 people people NNS cord-262623-lmf2h6oc 139 10 , , , cord-262623-lmf2h6oc 139 11 mainly mainly RB cord-262623-lmf2h6oc 139 12 Navajos Navajos NNP cord-262623-lmf2h6oc 139 13 , , , cord-262623-lmf2h6oc 139 14 presented present VBN cord-262623-lmf2h6oc 139 15 to to IN cord-262623-lmf2h6oc 139 16 health health NN cord-262623-lmf2h6oc 139 17 care care NN cord-262623-lmf2h6oc 139 18 institutions institution NNS cord-262623-lmf2h6oc 139 19 in in IN cord-262623-lmf2h6oc 139 20 the the DT cord-262623-lmf2h6oc 139 21 Four Four NNP cord-262623-lmf2h6oc 139 22 Corners Corners NNPS cord-262623-lmf2h6oc 139 23 area area NN cord-262623-lmf2h6oc 139 24 of of IN cord-262623-lmf2h6oc 139 25 the the DT cord-262623-lmf2h6oc 139 26 Southwestern Southwestern NNP cord-262623-lmf2h6oc 139 27 United United NNP cord-262623-lmf2h6oc 139 28 States States NNP cord-262623-lmf2h6oc 139 29 , , , cord-262623-lmf2h6oc 139 30 all all RB cord-262623-lmf2h6oc 139 31 with with IN cord-262623-lmf2h6oc 139 32 fulminant fulminant JJ cord-262623-lmf2h6oc 139 33 illnesses illness NNS cord-262623-lmf2h6oc 139 34 leading lead VBG cord-262623-lmf2h6oc 139 35 to to IN cord-262623-lmf2h6oc 139 36 shock shock NN cord-262623-lmf2h6oc 139 37 and and CC cord-262623-lmf2h6oc 139 38 acute acute JJ cord-262623-lmf2h6oc 139 39 respiratory respiratory JJ cord-262623-lmf2h6oc 139 40 failure failure NN cord-262623-lmf2h6oc 139 41 requiring require VBG cord-262623-lmf2h6oc 139 42 ICU ICU NNP cord-262623-lmf2h6oc 139 43 care care NN cord-262623-lmf2h6oc 139 44 . . . cord-262623-lmf2h6oc 140 1 By by IN cord-262623-lmf2h6oc 140 2 early early JJ cord-262623-lmf2h6oc 140 3 June June NNP cord-262623-lmf2h6oc 140 4 that that DT cord-262623-lmf2h6oc 140 5 year year NN cord-262623-lmf2h6oc 140 6 , , , cord-262623-lmf2h6oc 140 7 24 24 CD cord-262623-lmf2h6oc 140 8 cases case NNS cord-262623-lmf2h6oc 140 9 had have VBD cord-262623-lmf2h6oc 140 10 been be VBN cord-262623-lmf2h6oc 140 11 identified identify VBN cord-262623-lmf2h6oc 140 12 and and CC cord-262623-lmf2h6oc 140 13 12 12 CD cord-262623-lmf2h6oc 140 14 had have VBD cord-262623-lmf2h6oc 140 15 died die VBN cord-262623-lmf2h6oc 140 16 . . . cord-262623-lmf2h6oc 141 1 18 18 CD cord-262623-lmf2h6oc 142 1 In in IN cord-262623-lmf2h6oc 142 2 most most JJS cord-262623-lmf2h6oc 142 3 cases case NNS cord-262623-lmf2h6oc 142 4 the the DT cord-262623-lmf2h6oc 142 5 illness illness NN cord-262623-lmf2h6oc 142 6 had have VBD cord-262623-lmf2h6oc 142 7 started start VBN cord-262623-lmf2h6oc 142 8 with with IN cord-262623-lmf2h6oc 142 9 fever fever NN cord-262623-lmf2h6oc 142 10 and and CC cord-262623-lmf2h6oc 142 11 widespread widespread JJ cord-262623-lmf2h6oc 142 12 myalgia myalgia NN cord-262623-lmf2h6oc 142 13 , , , cord-262623-lmf2h6oc 142 14 soon soon RB cord-262623-lmf2h6oc 142 15 followed follow VBN cord-262623-lmf2h6oc 142 16 by by IN cord-262623-lmf2h6oc 142 17 cough cough NN cord-262623-lmf2h6oc 142 18 , , , cord-262623-lmf2h6oc 142 19 then then RB cord-262623-lmf2h6oc 142 20 by by IN cord-262623-lmf2h6oc 142 21 cardiovascular cardiovascular JJ cord-262623-lmf2h6oc 142 22 collapse collapse NN cord-262623-lmf2h6oc 142 23 due due IN cord-262623-lmf2h6oc 142 24 to to IN cord-262623-lmf2h6oc 142 25 a a DT cord-262623-lmf2h6oc 142 26 severe severe JJ cord-262623-lmf2h6oc 142 27 systemic systemic JJ cord-262623-lmf2h6oc 142 28 capillary capillary JJ cord-262623-lmf2h6oc 142 29 leak leak NN cord-262623-lmf2h6oc 142 30 syndrome syndrome NN cord-262623-lmf2h6oc 142 31 and and CC cord-262623-lmf2h6oc 142 32 by by IN cord-262623-lmf2h6oc 142 33 acute acute JJ cord-262623-lmf2h6oc 142 34 respiratory respiratory JJ cord-262623-lmf2h6oc 142 35 failure failure NN cord-262623-lmf2h6oc 142 36 due due JJ cord-262623-lmf2h6oc 142 37 to to IN cord-262623-lmf2h6oc 142 38 low low JJ cord-262623-lmf2h6oc 142 39 - - HYPH cord-262623-lmf2h6oc 142 40 pressure pressure NN cord-262623-lmf2h6oc 142 41 pulmonary pulmonary JJ cord-262623-lmf2h6oc 142 42 edema edema NN cord-262623-lmf2h6oc 142 43 . . . cord-262623-lmf2h6oc 143 1 In in IN cord-262623-lmf2h6oc 143 2 some some DT cord-262623-lmf2h6oc 143 3 cases case NNS cord-262623-lmf2h6oc 143 4 the the DT cord-262623-lmf2h6oc 143 5 time time NN cord-262623-lmf2h6oc 143 6 from from IN cord-262623-lmf2h6oc 143 7 onset onset NN cord-262623-lmf2h6oc 143 8 to to IN cord-262623-lmf2h6oc 143 9 ICU ICU NNP cord-262623-lmf2h6oc 143 10 or or CC cord-262623-lmf2h6oc 143 11 death death NN cord-262623-lmf2h6oc 143 12 was be VBD cord-262623-lmf2h6oc 143 13 as as RB cord-262623-lmf2h6oc 143 14 little little JJ cord-262623-lmf2h6oc 143 15 as as IN cord-262623-lmf2h6oc 143 16 24 24 CD cord-262623-lmf2h6oc 143 17 hours hour NNS cord-262623-lmf2h6oc 143 18 , , , cord-262623-lmf2h6oc 143 19 in in IN cord-262623-lmf2h6oc 143 20 others other NNS cord-262623-lmf2h6oc 143 21 a a DT cord-262623-lmf2h6oc 143 22 few few JJ cord-262623-lmf2h6oc 143 23 days day NNS cord-262623-lmf2h6oc 143 24 . . . cord-262623-lmf2h6oc 144 1 19 19 CD cord-262623-lmf2h6oc 144 2 Remarkably remarkably RB cord-262623-lmf2h6oc 144 3 , , , cord-262623-lmf2h6oc 144 4 although although IN cord-262623-lmf2h6oc 144 5 no no DT cord-262623-lmf2h6oc 144 6 pathogen pathogen NN cord-262623-lmf2h6oc 144 7 was be VBD cord-262623-lmf2h6oc 144 8 initially initially RB cord-262623-lmf2h6oc 144 9 identified identify VBN cord-262623-lmf2h6oc 144 10 from from IN cord-262623-lmf2h6oc 144 11 blood blood NN cord-262623-lmf2h6oc 144 12 or or CC cord-262623-lmf2h6oc 144 13 tissues tissue NNS cord-262623-lmf2h6oc 144 14 , , , cord-262623-lmf2h6oc 144 15 in in IN cord-262623-lmf2h6oc 144 16 less less JJR cord-262623-lmf2h6oc 144 17 than than IN cord-262623-lmf2h6oc 144 18 a a DT cord-262623-lmf2h6oc 144 19 month month NN cord-262623-lmf2h6oc 144 20 after after IN cord-262623-lmf2h6oc 144 21 the the DT cord-262623-lmf2h6oc 144 22 first first JJ cord-262623-lmf2h6oc 144 23 report report NN cord-262623-lmf2h6oc 144 24 of of IN cord-262623-lmf2h6oc 144 25 a a DT cord-262623-lmf2h6oc 144 26 possible possible JJ cord-262623-lmf2h6oc 144 27 outbreak outbreak NN cord-262623-lmf2h6oc 144 28 , , , cord-262623-lmf2h6oc 144 29 serologic serologic NNP cord-262623-lmf2h6oc 144 30 testing testing NN cord-262623-lmf2h6oc 144 31 had have VBD cord-262623-lmf2h6oc 144 32 demonstrated demonstrate VBN cord-262623-lmf2h6oc 144 33 antibody antibody NN cord-262623-lmf2h6oc 144 34 cross cross NN cord-262623-lmf2h6oc 144 35 - - NN cord-262623-lmf2h6oc 144 36 reactivity reactivity NN cord-262623-lmf2h6oc 144 37 with with IN cord-262623-lmf2h6oc 144 38 a a DT cord-262623-lmf2h6oc 144 39 range range NN cord-262623-lmf2h6oc 144 40 of of IN cord-262623-lmf2h6oc 144 41 known know VBN cord-262623-lmf2h6oc 144 42 pathogens pathogen NNS cord-262623-lmf2h6oc 144 43 of of IN cord-262623-lmf2h6oc 144 44 the the DT cord-262623-lmf2h6oc 144 45 Hantavirus Hantavirus NNP cord-262623-lmf2h6oc 144 46 group group NN cord-262623-lmf2h6oc 144 47 , , , cord-262623-lmf2h6oc 144 48 suggesting suggest VBG cord-262623-lmf2h6oc 144 49 that that IN cord-262623-lmf2h6oc 144 50 the the DT cord-262623-lmf2h6oc 144 51 disease disease NN cord-262623-lmf2h6oc 144 52 was be VBD cord-262623-lmf2h6oc 144 53 due due JJ cord-262623-lmf2h6oc 144 54 to to IN cord-262623-lmf2h6oc 144 55 a a DT cord-262623-lmf2h6oc 144 56 previously previously RB cord-262623-lmf2h6oc 144 57 unknown unknown JJ cord-262623-lmf2h6oc 144 58 member member NN cord-262623-lmf2h6oc 144 59 of of IN cord-262623-lmf2h6oc 144 60 this this DT cord-262623-lmf2h6oc 144 61 group group NN cord-262623-lmf2h6oc 144 62 . . . cord-262623-lmf2h6oc 145 1 Shortly shortly RB cord-262623-lmf2h6oc 145 2 thereafter thereafter RB cord-262623-lmf2h6oc 145 3 exposure exposure NN cord-262623-lmf2h6oc 145 4 to to IN cord-262623-lmf2h6oc 145 5 deer deer NN cord-262623-lmf2h6oc 145 6 mice mouse NNS cord-262623-lmf2h6oc 145 7 and and CC cord-262623-lmf2h6oc 145 8 their -PRON- PRP$ cord-262623-lmf2h6oc 145 9 excreta excreta NN cord-262623-lmf2h6oc 145 10 was be VBD cord-262623-lmf2h6oc 145 11 implicated implicate VBN cord-262623-lmf2h6oc 145 12 as as IN cord-262623-lmf2h6oc 145 13 the the DT cord-262623-lmf2h6oc 145 14 likely likely JJ cord-262623-lmf2h6oc 145 15 source source NN cord-262623-lmf2h6oc 145 16 of of IN cord-262623-lmf2h6oc 145 17 the the DT cord-262623-lmf2h6oc 145 18 infection infection NN cord-262623-lmf2h6oc 145 19 . . . cord-262623-lmf2h6oc 146 1 The the DT cord-262623-lmf2h6oc 146 2 mortality mortality NN cord-262623-lmf2h6oc 146 3 rate rate NN cord-262623-lmf2h6oc 146 4 for for IN cord-262623-lmf2h6oc 146 5 the the DT cord-262623-lmf2h6oc 146 6 early early JJ cord-262623-lmf2h6oc 146 7 cases case NNS cord-262623-lmf2h6oc 146 8 of of IN cord-262623-lmf2h6oc 146 9 hantavirus hantavirus NN cord-262623-lmf2h6oc 146 10 pulmonary pulmonary JJ cord-262623-lmf2h6oc 146 11 syndrome syndrome NN cord-262623-lmf2h6oc 146 12 ( ( -LRB- cord-262623-lmf2h6oc 146 13 HPS HPS NNP cord-262623-lmf2h6oc 146 14 ) ) -RRB- cord-262623-lmf2h6oc 146 15 was be VBD cord-262623-lmf2h6oc 146 16 extremely extremely RB cord-262623-lmf2h6oc 146 17 high-80 high-80 CD cord-262623-lmf2h6oc 146 18 % % NN cord-262623-lmf2h6oc 146 19 in in IN cord-262623-lmf2h6oc 146 20 the the DT cord-262623-lmf2h6oc 146 21 initially initially RB cord-262623-lmf2h6oc 146 22 reported report VBN cord-262623-lmf2h6oc 146 23 group group NN cord-262623-lmf2h6oc 146 24 of of IN cord-262623-lmf2h6oc 146 25 patients patient NNS cord-262623-lmf2h6oc 146 26 - - : cord-262623-lmf2h6oc 146 27 mostly mostly RB cord-262623-lmf2h6oc 146 28 due due JJ cord-262623-lmf2h6oc 146 29 to to IN cord-262623-lmf2h6oc 146 30 intractable intractable JJ cord-262623-lmf2h6oc 146 31 shock shock NN cord-262623-lmf2h6oc 146 32 and and CC cord-262623-lmf2h6oc 146 33 unsupportable unsupportable JJ cord-262623-lmf2h6oc 146 34 hypoxemic hypoxemic JJ cord-262623-lmf2h6oc 146 35 respiratory respiratory JJ cord-262623-lmf2h6oc 146 36 failure failure NN cord-262623-lmf2h6oc 146 37 due due JJ cord-262623-lmf2h6oc 146 38 to to IN cord-262623-lmf2h6oc 146 39 acute acute JJ cord-262623-lmf2h6oc 146 40 respiratory respiratory JJ cord-262623-lmf2h6oc 146 41 distress distress NN cord-262623-lmf2h6oc 146 42 syndrome syndrome NN cord-262623-lmf2h6oc 146 43 ( ( -LRB- cord-262623-lmf2h6oc 146 44 ARDS ARDS NNP cord-262623-lmf2h6oc 146 45 ) ) -RRB- cord-262623-lmf2h6oc 146 46 . . . cord-262623-lmf2h6oc 147 1 However however RB cord-262623-lmf2h6oc 147 2 , , , cord-262623-lmf2h6oc 147 3 this this DT cord-262623-lmf2h6oc 147 4 improved improve VBD cord-262623-lmf2h6oc 147 5 with with IN cord-262623-lmf2h6oc 147 6 clinical clinical JJ cord-262623-lmf2h6oc 147 7 experience experience NN cord-262623-lmf2h6oc 147 8 as as IN cord-262623-lmf2h6oc 147 9 it -PRON- PRP cord-262623-lmf2h6oc 147 10 became become VBD cord-262623-lmf2h6oc 147 11 evident evident JJ cord-262623-lmf2h6oc 147 12 that that IN cord-262623-lmf2h6oc 147 13 administration administration NN cord-262623-lmf2h6oc 147 14 of of IN cord-262623-lmf2h6oc 147 15 large large JJ cord-262623-lmf2h6oc 147 16 amounts amount NNS cord-262623-lmf2h6oc 147 17 of of IN cord-262623-lmf2h6oc 147 18 intravenous intravenous JJ cord-262623-lmf2h6oc 147 19 fluids fluid NNS cord-262623-lmf2h6oc 147 20 in in IN cord-262623-lmf2h6oc 147 21 the the DT cord-262623-lmf2h6oc 147 22 face face NN cord-262623-lmf2h6oc 147 23 of of IN cord-262623-lmf2h6oc 147 24 profound profound JJ cord-262623-lmf2h6oc 147 25 capillary capillary JJ cord-262623-lmf2h6oc 147 26 leak leak NN cord-262623-lmf2h6oc 147 27 only only RB cord-262623-lmf2h6oc 147 28 resulted result VBD cord-262623-lmf2h6oc 147 29 in in IN cord-262623-lmf2h6oc 147 30 much much RB cord-262623-lmf2h6oc 147 31 worse bad JJR cord-262623-lmf2h6oc 147 32 generalized generalized JJ cord-262623-lmf2h6oc 147 33 and and CC cord-262623-lmf2h6oc 147 34 pulmonary pulmonary JJ cord-262623-lmf2h6oc 147 35 edema edema NN cord-262623-lmf2h6oc 147 36 , , , cord-262623-lmf2h6oc 147 37 with with IN cord-262623-lmf2h6oc 147 38 little little JJ cord-262623-lmf2h6oc 147 39 improvement improvement NN cord-262623-lmf2h6oc 147 40 in in IN cord-262623-lmf2h6oc 147 41 the the DT cord-262623-lmf2h6oc 147 42 shock shock NN cord-262623-lmf2h6oc 147 43 state state NN cord-262623-lmf2h6oc 147 44 and and CC cord-262623-lmf2h6oc 147 45 only only RB cord-262623-lmf2h6oc 147 46 worsening worsen VBG cord-262623-lmf2h6oc 147 47 of of IN cord-262623-lmf2h6oc 147 48 the the DT cord-262623-lmf2h6oc 147 49 respiratory respiratory JJ cord-262623-lmf2h6oc 147 50 failure failure NN cord-262623-lmf2h6oc 147 51 . . . cord-262623-lmf2h6oc 148 1 Management management NN cord-262623-lmf2h6oc 148 2 changed change VBD cord-262623-lmf2h6oc 148 3 to to IN cord-262623-lmf2h6oc 148 4 an an DT cord-262623-lmf2h6oc 148 5 approach approach NN cord-262623-lmf2h6oc 148 6 limiting limit VBG cord-262623-lmf2h6oc 148 7 the the DT cord-262623-lmf2h6oc 148 8 amount amount NN cord-262623-lmf2h6oc 148 9 of of IN cord-262623-lmf2h6oc 148 10 fluid fluid NN cord-262623-lmf2h6oc 148 11 administered administer VBN cord-262623-lmf2h6oc 148 12 early early RB cord-262623-lmf2h6oc 148 13 in in IN cord-262623-lmf2h6oc 148 14 the the DT cord-262623-lmf2h6oc 148 15 course course NN cord-262623-lmf2h6oc 148 16 together together RB cord-262623-lmf2h6oc 148 17 with with IN cord-262623-lmf2h6oc 148 18 earlier early JJR cord-262623-lmf2h6oc 148 19 institution institution NN cord-262623-lmf2h6oc 148 20 of of IN cord-262623-lmf2h6oc 148 21 inotropic inotropic NNP cord-262623-lmf2h6oc 148 22 support support NN cord-262623-lmf2h6oc 148 23 , , , cord-262623-lmf2h6oc 148 24 resulting result VBG cord-262623-lmf2h6oc 148 25 in in IN cord-262623-lmf2h6oc 148 26 a a DT cord-262623-lmf2h6oc 148 27 much much RB cord-262623-lmf2h6oc 148 28 improved improve VBN cord-262623-lmf2h6oc 148 29 survival survival NN cord-262623-lmf2h6oc 148 30 rate rate NN cord-262623-lmf2h6oc 148 31 of of IN cord-262623-lmf2h6oc 148 32 about about RB cord-262623-lmf2h6oc 148 33 60 60 CD cord-262623-lmf2h6oc 148 34 % % NN cord-262623-lmf2h6oc 148 35 , , , cord-262623-lmf2h6oc 148 36 generally generally RB cord-262623-lmf2h6oc 148 37 with with IN cord-262623-lmf2h6oc 148 38 minimal minimal JJ cord-262623-lmf2h6oc 148 39 or or CC cord-262623-lmf2h6oc 148 40 no no DT cord-262623-lmf2h6oc 148 41 long long JJ cord-262623-lmf2h6oc 148 42 - - HYPH cord-262623-lmf2h6oc 148 43 term term NN cord-262623-lmf2h6oc 148 44 sequelae sequela NNS cord-262623-lmf2h6oc 148 45 in in IN cord-262623-lmf2h6oc 148 46 survivors survivor NNS cord-262623-lmf2h6oc 148 47 . . . cord-262623-lmf2h6oc 149 1 20 20 CD cord-262623-lmf2h6oc 150 1 In in IN cord-262623-lmf2h6oc 150 2 subsequent subsequent JJ cord-262623-lmf2h6oc 150 3 years year NNS cord-262623-lmf2h6oc 150 4 development development NN cord-262623-lmf2h6oc 150 5 of of IN cord-262623-lmf2h6oc 150 6 increasingly increasingly RB cord-262623-lmf2h6oc 150 7 specific specific JJ cord-262623-lmf2h6oc 150 8 serologic serologic NN cord-262623-lmf2h6oc 150 9 and and CC cord-262623-lmf2h6oc 150 10 virologic virologic NN cord-262623-lmf2h6oc 150 11 testing testing NN cord-262623-lmf2h6oc 150 12 has have VBZ cord-262623-lmf2h6oc 150 13 demonstrated demonstrate VBN cord-262623-lmf2h6oc 150 14 that that IN cord-262623-lmf2h6oc 150 15 this this DT cord-262623-lmf2h6oc 150 16 disease disease NN cord-262623-lmf2h6oc 150 17 had have VBD cord-262623-lmf2h6oc 150 18 been be VBN cord-262623-lmf2h6oc 150 19 present present JJ cord-262623-lmf2h6oc 150 20 but but CC cord-262623-lmf2h6oc 150 21 unrecognized unrecognized JJ cord-262623-lmf2h6oc 150 22 throughout throughout IN cord-262623-lmf2h6oc 150 23 North North NNP cord-262623-lmf2h6oc 150 24 and and CC cord-262623-lmf2h6oc 150 25 South South NNP cord-262623-lmf2h6oc 150 26 America America NNP cord-262623-lmf2h6oc 150 27 long long RB cord-262623-lmf2h6oc 150 28 before before IN cord-262623-lmf2h6oc 150 29 this this DT cord-262623-lmf2h6oc 150 30 outbreak outbreak NN cord-262623-lmf2h6oc 150 31 , , , cord-262623-lmf2h6oc 150 32 and and CC cord-262623-lmf2h6oc 150 33 that that IN cord-262623-lmf2h6oc 150 34 there there EX cord-262623-lmf2h6oc 150 35 are be VBP cord-262623-lmf2h6oc 150 36 several several JJ cord-262623-lmf2h6oc 150 37 related related JJ cord-262623-lmf2h6oc 150 38 viruses virus NNS cord-262623-lmf2h6oc 150 39 , , , cord-262623-lmf2h6oc 150 40 each each DT cord-262623-lmf2h6oc 150 41 associated associate VBN cord-262623-lmf2h6oc 150 42 with with IN cord-262623-lmf2h6oc 150 43 a a DT cord-262623-lmf2h6oc 150 44 particular particular JJ cord-262623-lmf2h6oc 150 45 rodent rodent NN cord-262623-lmf2h6oc 150 46 , , , cord-262623-lmf2h6oc 150 47 causing cause VBG cord-262623-lmf2h6oc 150 48 endemic endemic JJ cord-262623-lmf2h6oc 150 49 disease disease NN cord-262623-lmf2h6oc 150 50 and and CC cord-262623-lmf2h6oc 150 51 the the DT cord-262623-lmf2h6oc 150 52 occasional occasional JJ cord-262623-lmf2h6oc 150 53 outbreak outbreak NN cord-262623-lmf2h6oc 150 54 . . . cord-262623-lmf2h6oc 151 1 By by IN cord-262623-lmf2h6oc 151 2 the the DT cord-262623-lmf2h6oc 151 3 mid-1990s mid-1990 NNS cord-262623-lmf2h6oc 151 4 , , , cord-262623-lmf2h6oc 151 5 over over IN cord-262623-lmf2h6oc 151 6 150 150 CD cord-262623-lmf2h6oc 151 7 cases case NNS cord-262623-lmf2h6oc 151 8 were be VBD cord-262623-lmf2h6oc 151 9 reported report VBN cord-262623-lmf2h6oc 151 10 in in IN cord-262623-lmf2h6oc 151 11 25 25 CD cord-262623-lmf2h6oc 151 12 states state NNS cord-262623-lmf2h6oc 151 13 , , , cord-262623-lmf2h6oc 151 14 mainly mainly RB cord-262623-lmf2h6oc 151 15 in in IN cord-262623-lmf2h6oc 151 16 the the DT cord-262623-lmf2h6oc 151 17 Southwest Southwest NNP cord-262623-lmf2h6oc 151 18 , , , cord-262623-lmf2h6oc 151 19 and and CC cord-262623-lmf2h6oc 151 20 cases case NNS cord-262623-lmf2h6oc 151 21 have have VBP cord-262623-lmf2h6oc 151 22 since since IN cord-262623-lmf2h6oc 151 23 been be VBN cord-262623-lmf2h6oc 151 24 reported report VBN cord-262623-lmf2h6oc 151 25 Plagues plague NNS cord-262623-lmf2h6oc 151 26 in in IN cord-262623-lmf2h6oc 151 27 the the DT cord-262623-lmf2h6oc 151 28 ICU ICU NNP cord-262623-lmf2h6oc 151 29 in in IN cord-262623-lmf2h6oc 151 30 small small JJ cord-262623-lmf2h6oc 151 31 numbers number NNS cord-262623-lmf2h6oc 151 32 in in IN cord-262623-lmf2h6oc 151 33 most most JJS cord-262623-lmf2h6oc 151 34 other other JJ cord-262623-lmf2h6oc 151 35 states state NNS cord-262623-lmf2h6oc 151 36 , , , cord-262623-lmf2h6oc 151 37 Canada Canada NNP cord-262623-lmf2h6oc 151 38 , , , cord-262623-lmf2h6oc 151 39 Mexico Mexico NNP cord-262623-lmf2h6oc 151 40 , , , cord-262623-lmf2h6oc 151 41 and and CC cord-262623-lmf2h6oc 151 42 South South NNP cord-262623-lmf2h6oc 151 43 America America NNP cord-262623-lmf2h6oc 151 44 , , , cord-262623-lmf2h6oc 151 45 where where WRB cord-262623-lmf2h6oc 151 46 several several JJ cord-262623-lmf2h6oc 151 47 outbreaks outbreak NNS cord-262623-lmf2h6oc 151 48 have have VBP cord-262623-lmf2h6oc 151 49 occurred occur VBN cord-262623-lmf2h6oc 151 50 . . . cord-262623-lmf2h6oc 152 1 Whereas whereas IN cord-262623-lmf2h6oc 152 2 occasional occasional JJ cord-262623-lmf2h6oc 152 3 cases case NNS cord-262623-lmf2h6oc 152 4 continue continue VBP cord-262623-lmf2h6oc 152 5 to to TO cord-262623-lmf2h6oc 152 6 be be VB cord-262623-lmf2h6oc 152 7 seen see VBN cord-262623-lmf2h6oc 152 8 in in IN cord-262623-lmf2h6oc 152 9 ICUs ICUs NNP cord-262623-lmf2h6oc 152 10 in in IN cord-262623-lmf2h6oc 152 11 all all PDT cord-262623-lmf2h6oc 152 12 these these DT cord-262623-lmf2h6oc 152 13 areas area NNS cord-262623-lmf2h6oc 152 14 , , , cord-262623-lmf2h6oc 152 15 no no DT cord-262623-lmf2h6oc 152 16 further further JJ cord-262623-lmf2h6oc 152 17 major major JJ cord-262623-lmf2h6oc 152 18 outbreaks outbreak NNS cord-262623-lmf2h6oc 152 19 have have VBP cord-262623-lmf2h6oc 152 20 yet yet RB cord-262623-lmf2h6oc 152 21 occurred occur VBN cord-262623-lmf2h6oc 152 22 in in IN cord-262623-lmf2h6oc 152 23 the the DT cord-262623-lmf2h6oc 152 24 United United NNP cord-262623-lmf2h6oc 152 25 States States NNP cord-262623-lmf2h6oc 152 26 or or CC cord-262623-lmf2h6oc 152 27 Canada Canada NNP cord-262623-lmf2h6oc 152 28 , , , cord-262623-lmf2h6oc 152 29 though though IN cord-262623-lmf2h6oc 152 30 clearly clearly RB cord-262623-lmf2h6oc 152 31 remaining remain VBG cord-262623-lmf2h6oc 152 32 a a DT cord-262623-lmf2h6oc 152 33 threat threat NN cord-262623-lmf2h6oc 152 34 under under IN cord-262623-lmf2h6oc 152 35 the the DT cord-262623-lmf2h6oc 152 36 right right JJ cord-262623-lmf2h6oc 152 37 conditions condition NNS cord-262623-lmf2h6oc 152 38 ; ; : cord-262623-lmf2h6oc 152 39 the the DT cord-262623-lmf2h6oc 152 40 only only RB cord-262623-lmf2h6oc 152 41 currently currently RB cord-262623-lmf2h6oc 152 42 available available JJ cord-262623-lmf2h6oc 152 43 preventive preventive JJ cord-262623-lmf2h6oc 152 44 measure measure NN cord-262623-lmf2h6oc 152 45 is be VBZ cord-262623-lmf2h6oc 152 46 avoiding avoid VBG cord-262623-lmf2h6oc 152 47 rodent rodent NN cord-262623-lmf2h6oc 152 48 contact contact NN cord-262623-lmf2h6oc 152 49 . . . cord-262623-lmf2h6oc 153 1 21 21 CD cord-262623-lmf2h6oc 153 2 Steven Steven NNP cord-262623-lmf2h6oc 153 3 Simpson Simpson NNP cord-262623-lmf2h6oc 153 4 , , , cord-262623-lmf2h6oc 153 5 MD MD NNP cord-262623-lmf2h6oc 153 6 , , , cord-262623-lmf2h6oc 153 7 one one CD cord-262623-lmf2h6oc 153 8 of of IN cord-262623-lmf2h6oc 153 9 the the DT cord-262623-lmf2h6oc 153 10 intensivists intensivist NNS cord-262623-lmf2h6oc 153 11 at at IN cord-262623-lmf2h6oc 153 12 the the DT cord-262623-lmf2h6oc 153 13 Health Health NNP cord-262623-lmf2h6oc 153 14 Sciences Sciences NNPS cord-262623-lmf2h6oc 153 15 Center Center NNP cord-262623-lmf2h6oc 153 16 in in IN cord-262623-lmf2h6oc 153 17 Albuquerque Albuquerque NNP cord-262623-lmf2h6oc 153 18 , , , cord-262623-lmf2h6oc 153 19 New New NNP cord-262623-lmf2h6oc 153 20 Mexico Mexico NNP cord-262623-lmf2h6oc 153 21 , , , cord-262623-lmf2h6oc 153 22 who who WP cord-262623-lmf2h6oc 153 23 was be VBD cord-262623-lmf2h6oc 153 24 closely closely RB cord-262623-lmf2h6oc 153 25 involved involve VBN cord-262623-lmf2h6oc 153 26 in in IN cord-262623-lmf2h6oc 153 27 the the DT cord-262623-lmf2h6oc 153 28 initial initial JJ cord-262623-lmf2h6oc 153 29 Four four CD cord-262623-lmf2h6oc 153 30 Corners Corners NNPS cord-262623-lmf2h6oc 153 31 outbreak outbreak NN cord-262623-lmf2h6oc 153 32 , , , cord-262623-lmf2h6oc 153 33 points point VBZ cord-262623-lmf2h6oc 153 34 out out RP cord-262623-lmf2h6oc 153 35 that that IN cord-262623-lmf2h6oc 153 36 the the DT cord-262623-lmf2h6oc 153 37 event event NN cord-262623-lmf2h6oc 153 38 highlights highlight VBZ cord-262623-lmf2h6oc 153 39 several several JJ cord-262623-lmf2h6oc 153 40 trends trend NNS cord-262623-lmf2h6oc 153 41 in in IN cord-262623-lmf2h6oc 153 42 subsequent subsequent JJ cord-262623-lmf2h6oc 153 43 disease disease NN cord-262623-lmf2h6oc 153 44 outbreaks outbreak NNS cord-262623-lmf2h6oc 153 45 in in IN cord-262623-lmf2h6oc 153 46 North North NNP cord-262623-lmf2h6oc 153 47 America America NNP cord-262623-lmf2h6oc 153 48 . . . cord-262623-lmf2h6oc 154 1 One one CD cord-262623-lmf2h6oc 154 2 is be VBZ cord-262623-lmf2h6oc 154 3 the the DT cord-262623-lmf2h6oc 154 4 extreme extreme JJ cord-262623-lmf2h6oc 154 5 rapidity rapidity NN cord-262623-lmf2h6oc 154 6 with with IN cord-262623-lmf2h6oc 154 7 which which WDT cord-262623-lmf2h6oc 154 8 novel novel NN cord-262623-lmf2h6oc 154 9 pathogens pathogen NNS cord-262623-lmf2h6oc 154 10 and and CC cord-262623-lmf2h6oc 154 11 potential potential JJ cord-262623-lmf2h6oc 154 12 pharmacotherapeutic pharmacotherapeutic JJ cord-262623-lmf2h6oc 154 13 agents agent NNS cord-262623-lmf2h6oc 154 14 can can MD cord-262623-lmf2h6oc 154 15 now now RB cord-262623-lmf2h6oc 154 16 be be VB cord-262623-lmf2h6oc 154 17 identified identify VBN cord-262623-lmf2h6oc 154 18 . . . cord-262623-lmf2h6oc 155 1 Whereas whereas IN cord-262623-lmf2h6oc 155 2 the the DT cord-262623-lmf2h6oc 155 3 pathogen pathogen NN cord-262623-lmf2h6oc 155 4 in in IN cord-262623-lmf2h6oc 155 5 the the DT cord-262623-lmf2h6oc 155 6 Legionnaire Legionnaire NNP cord-262623-lmf2h6oc 155 7 's 's POS cord-262623-lmf2h6oc 155 8 outbreak outbreak NN cord-262623-lmf2h6oc 155 9 took take VBD cord-262623-lmf2h6oc 155 10 almost almost RB cord-262623-lmf2h6oc 155 11 a a DT cord-262623-lmf2h6oc 155 12 year year NN cord-262623-lmf2h6oc 155 13 to to TO cord-262623-lmf2h6oc 155 14 identify identify VB cord-262623-lmf2h6oc 155 15 , , , cord-262623-lmf2h6oc 155 16 researchers researcher NNS cord-262623-lmf2h6oc 155 17 identified identify VBD cord-262623-lmf2h6oc 155 18 the the DT cord-262623-lmf2h6oc 155 19 HPS HPS NNP cord-262623-lmf2h6oc 155 20 pathogen pathogen NN cord-262623-lmf2h6oc 155 21 and and CC cord-262623-lmf2h6oc 155 22 its -PRON- PRP$ cord-262623-lmf2h6oc 155 23 source source NN cord-262623-lmf2h6oc 155 24 in in IN cord-262623-lmf2h6oc 155 25 just just JJ cord-262623-lmf2h6oc 155 26 months month NNS cord-262623-lmf2h6oc 155 27 . . . cord-262623-lmf2h6oc 156 1 Computerized computerized JJ cord-262623-lmf2h6oc 156 2 access access NN cord-262623-lmf2h6oc 156 3 to to IN cord-262623-lmf2h6oc 156 4 data datum NNS cord-262623-lmf2h6oc 156 5 and and CC cord-262623-lmf2h6oc 156 6 data data NN cord-262623-lmf2h6oc 156 7 analysis analysis NN cord-262623-lmf2h6oc 156 8 along along IN cord-262623-lmf2h6oc 156 9 with with IN cord-262623-lmf2h6oc 156 10 virtually virtually RB cord-262623-lmf2h6oc 156 11 instantaneous instantaneous JJ cord-262623-lmf2h6oc 156 12 electronic electronic JJ cord-262623-lmf2h6oc 156 13 transmission transmission NN cord-262623-lmf2h6oc 156 14 of of IN cord-262623-lmf2h6oc 156 15 information information NN cord-262623-lmf2h6oc 156 16 plays play VBZ cord-262623-lmf2h6oc 156 17 a a DT cord-262623-lmf2h6oc 156 18 central central JJ cord-262623-lmf2h6oc 156 19 role role NN cord-262623-lmf2h6oc 156 20 in in IN cord-262623-lmf2h6oc 156 21 this this DT cord-262623-lmf2h6oc 156 22 development development NN cord-262623-lmf2h6oc 156 23 . . . cord-262623-lmf2h6oc 157 1 The the DT cord-262623-lmf2h6oc 157 2 initial initial JJ cord-262623-lmf2h6oc 157 3 HPS hps NN cord-262623-lmf2h6oc 157 4 outbreak outbreak NN cord-262623-lmf2h6oc 157 5 has have VBZ cord-262623-lmf2h6oc 157 6 several several JJ cord-262623-lmf2h6oc 157 7 ICU ICU NNP cord-262623-lmf2h6oc 157 8 - - HYPH cord-262623-lmf2h6oc 157 9 related relate VBN cord-262623-lmf2h6oc 157 10 lessons lesson NNS cord-262623-lmf2h6oc 157 11 to to TO cord-262623-lmf2h6oc 157 12 teach teach VB cord-262623-lmf2h6oc 157 13 us -PRON- PRP cord-262623-lmf2h6oc 157 14 . . . cord-262623-lmf2h6oc 158 1 While while IN cord-262623-lmf2h6oc 158 2 the the DT cord-262623-lmf2h6oc 158 3 aforementioned aforementioned JJ cord-262623-lmf2h6oc 158 4 treatment treatment NN cord-262623-lmf2h6oc 158 5 strategies strategy NNS cord-262623-lmf2h6oc 158 6 effective effective JJ cord-262623-lmf2h6oc 158 7 in in IN cord-262623-lmf2h6oc 158 8 a a DT cord-262623-lmf2h6oc 158 9 systemic systemic JJ cord-262623-lmf2h6oc 158 10 capillary capillary JJ cord-262623-lmf2h6oc 158 11 leak leak NN cord-262623-lmf2h6oc 158 12 syndrome syndrome NN cord-262623-lmf2h6oc 158 13 have have VBP cord-262623-lmf2h6oc 158 14 been be VBN cord-262623-lmf2h6oc 158 15 absorbed absorb VBN cord-262623-lmf2h6oc 158 16 by by IN cord-262623-lmf2h6oc 158 17 the the DT cord-262623-lmf2h6oc 158 18 critical critical JJ cord-262623-lmf2h6oc 158 19 care care NN cord-262623-lmf2h6oc 158 20 community community NN cord-262623-lmf2h6oc 158 21 , , , cord-262623-lmf2h6oc 158 22 it -PRON- PRP cord-262623-lmf2h6oc 158 23 appears appear VBZ cord-262623-lmf2h6oc 158 24 that that IN cord-262623-lmf2h6oc 158 25 one one CD cord-262623-lmf2h6oc 158 26 lesson lesson NN cord-262623-lmf2h6oc 158 27 taken take VBN cord-262623-lmf2h6oc 158 28 to to IN cord-262623-lmf2h6oc 158 29 heart heart NN cord-262623-lmf2h6oc 158 30 by by IN cord-262623-lmf2h6oc 158 31 the the DT cord-262623-lmf2h6oc 158 32 local local JJ cord-262623-lmf2h6oc 158 33 ICU ICU NNP cord-262623-lmf2h6oc 158 34 teams team NNS cord-262623-lmf2h6oc 158 35 failed fail VBD cord-262623-lmf2h6oc 158 36 to to TO cord-262623-lmf2h6oc 158 37 disseminate disseminate VB cord-262623-lmf2h6oc 158 38 to to IN cord-262623-lmf2h6oc 158 39 the the DT cord-262623-lmf2h6oc 158 40 broader broad JJR cord-262623-lmf2h6oc 158 41 ICU ICU NNP cord-262623-lmf2h6oc 158 42 community community NN cord-262623-lmf2h6oc 158 43 . . . cord-262623-lmf2h6oc 159 1 The the DT cord-262623-lmf2h6oc 159 2 initial initial JJ cord-262623-lmf2h6oc 159 3 outbreak outbreak NN cord-262623-lmf2h6oc 159 4 was be VBD cord-262623-lmf2h6oc 159 5 accompanied accompany VBN cord-262623-lmf2h6oc 159 6 by by IN cord-262623-lmf2h6oc 159 7 a a DT cord-262623-lmf2h6oc 159 8 marked marked JJ cord-262623-lmf2h6oc 159 9 element element NN cord-262623-lmf2h6oc 159 10 of of IN cord-262623-lmf2h6oc 159 11 fear fear NN cord-262623-lmf2h6oc 159 12 and and CC cord-262623-lmf2h6oc 159 13 concern concern NN cord-262623-lmf2h6oc 159 14 among among IN cord-262623-lmf2h6oc 159 15 health health NN cord-262623-lmf2h6oc 159 16 care care NN cord-262623-lmf2h6oc 159 17 workers worker NNS cord-262623-lmf2h6oc 159 18 , , , cord-262623-lmf2h6oc 159 19 including include VBG cord-262623-lmf2h6oc 159 20 those those DT cord-262623-lmf2h6oc 159 21 in in IN cord-262623-lmf2h6oc 159 22 the the DT cord-262623-lmf2h6oc 159 23 ICU ICU NNP cord-262623-lmf2h6oc 159 24 , , , cord-262623-lmf2h6oc 159 25 and and CC cord-262623-lmf2h6oc 159 26 a a DT cord-262623-lmf2h6oc 159 27 significant significant JJ cord-262623-lmf2h6oc 159 28 level level NN cord-262623-lmf2h6oc 159 29 of of IN cord-262623-lmf2h6oc 159 30 panic panic NN cord-262623-lmf2h6oc 159 31 in in IN cord-262623-lmf2h6oc 159 32 the the DT cord-262623-lmf2h6oc 159 33 local local JJ cord-262623-lmf2h6oc 159 34 community community NN cord-262623-lmf2h6oc 159 35 ; ; : cord-262623-lmf2h6oc 159 36 a a DT cord-262623-lmf2h6oc 159 37 combination combination NN cord-262623-lmf2h6oc 159 38 of of IN cord-262623-lmf2h6oc 159 39 this this DT cord-262623-lmf2h6oc 159 40 fear fear NN cord-262623-lmf2h6oc 159 41 , , , cord-262623-lmf2h6oc 159 42 the the DT cord-262623-lmf2h6oc 159 43 requirement requirement NN cord-262623-lmf2h6oc 159 44 for for IN cord-262623-lmf2h6oc 159 45 rigorous rigorous JJ cord-262623-lmf2h6oc 159 46 quarantine quarantine NN cord-262623-lmf2h6oc 159 47 precautions precaution NNS cord-262623-lmf2h6oc 159 48 , , , cord-262623-lmf2h6oc 159 49 and and CC cord-262623-lmf2h6oc 159 50 a a DT cord-262623-lmf2h6oc 159 51 marked marked JJ cord-262623-lmf2h6oc 159 52 increase increase NN cord-262623-lmf2h6oc 159 53 in in IN cord-262623-lmf2h6oc 159 54 transfers transfer NNS cord-262623-lmf2h6oc 159 55 to to IN cord-262623-lmf2h6oc 159 56 the the DT cord-262623-lmf2h6oc 159 57 ICU ICU NNP cord-262623-lmf2h6oc 159 58 of of IN cord-262623-lmf2h6oc 159 59 any any DT cord-262623-lmf2h6oc 159 60 severely severely RB cord-262623-lmf2h6oc 159 61 ill ill JJ cord-262623-lmf2h6oc 159 62 patients patient NNS cord-262623-lmf2h6oc 159 63 with with IN cord-262623-lmf2h6oc 159 64 symptoms symptom NNS cord-262623-lmf2h6oc 159 65 remotely remotely RB cord-262623-lmf2h6oc 159 66 compatible compatible JJ cord-262623-lmf2h6oc 159 67 with with IN cord-262623-lmf2h6oc 159 68 HPS HPS NNP cord-262623-lmf2h6oc 159 69 resulted result VBD cord-262623-lmf2h6oc 159 70 in in IN cord-262623-lmf2h6oc 159 71 some some DT cord-262623-lmf2h6oc 159 72 compromise compromise NN cord-262623-lmf2h6oc 159 73 of of IN cord-262623-lmf2h6oc 159 74 ICU ICU NNP cord-262623-lmf2h6oc 159 75 operations operation NNS cord-262623-lmf2h6oc 159 76 , , , cord-262623-lmf2h6oc 159 77 due due IN cord-262623-lmf2h6oc 159 78 to to IN cord-262623-lmf2h6oc 159 79 being be VBG cord-262623-lmf2h6oc 159 80 completely completely RB cord-262623-lmf2h6oc 159 81 overwhelmed overwhelmed JJ cord-262623-lmf2h6oc 159 82 . . . cord-262623-lmf2h6oc 160 1 This this DT cord-262623-lmf2h6oc 160 2 might may MD cord-262623-lmf2h6oc 160 3 potentially potentially RB cord-262623-lmf2h6oc 160 4 have have VB cord-262623-lmf2h6oc 160 5 been be VBN cord-262623-lmf2h6oc 160 6 avoided avoid VBN cord-262623-lmf2h6oc 160 7 by by IN cord-262623-lmf2h6oc 160 8 an an DT cord-262623-lmf2h6oc 160 9 awareness awareness NN cord-262623-lmf2h6oc 160 10 that that WDT cord-262623-lmf2h6oc 160 11 for for IN cord-262623-lmf2h6oc 160 12 an an DT cord-262623-lmf2h6oc 160 13 effective effective JJ cord-262623-lmf2h6oc 160 14 epidemic epidemic NN cord-262623-lmf2h6oc 160 15 response response NN cord-262623-lmf2h6oc 160 16 , , , cord-262623-lmf2h6oc 160 17 it -PRON- PRP cord-262623-lmf2h6oc 160 18 is be VBZ cord-262623-lmf2h6oc 160 19 essential essential JJ cord-262623-lmf2h6oc 160 20 to to TO cord-262623-lmf2h6oc 160 21 include include VB cord-262623-lmf2h6oc 160 22 both both DT cord-262623-lmf2h6oc 160 23 hospital hospital NN cord-262623-lmf2h6oc 160 24 and and CC cord-262623-lmf2h6oc 160 25 ICU ICU NNP cord-262623-lmf2h6oc 160 26 operations operation NNS cord-262623-lmf2h6oc 160 27 in in IN cord-262623-lmf2h6oc 160 28 each each DT cord-262623-lmf2h6oc 160 29 locale locale NN cord-262623-lmf2h6oc 160 30 . . . cord-262623-lmf2h6oc 161 1 The the DT cord-262623-lmf2h6oc 161 2 outbreak outbreak NN cord-262623-lmf2h6oc 161 3 also also RB cord-262623-lmf2h6oc 161 4 reinforces reinforce VBZ cord-262623-lmf2h6oc 161 5 the the DT cord-262623-lmf2h6oc 161 6 principle principle NN cord-262623-lmf2h6oc 161 7 that that IN cord-262623-lmf2h6oc 161 8 nearly nearly RB cord-262623-lmf2h6oc 161 9 all all DT cord-262623-lmf2h6oc 161 10 old old JJ cord-262623-lmf2h6oc 161 11 and and CC cord-262623-lmf2h6oc 161 12 most most RBS cord-262623-lmf2h6oc 161 13 new new JJ cord-262623-lmf2h6oc 161 14 epidemic epidemic NN cord-262623-lmf2h6oc 161 15 infectious infectious JJ cord-262623-lmf2h6oc 161 16 diseases disease NNS cord-262623-lmf2h6oc 161 17 have have VBP cord-262623-lmf2h6oc 161 18 their -PRON- PRP$ cord-262623-lmf2h6oc 161 19 origin origin NN cord-262623-lmf2h6oc 161 20 in in IN cord-262623-lmf2h6oc 161 21 close close JJ cord-262623-lmf2h6oc 161 22 contact contact NN cord-262623-lmf2h6oc 161 23 between between IN cord-262623-lmf2h6oc 161 24 humans human NNS cord-262623-lmf2h6oc 161 25 and and CC cord-262623-lmf2h6oc 161 26 other other JJ cord-262623-lmf2h6oc 161 27 species specie NNS cord-262623-lmf2h6oc 161 28 of of IN cord-262623-lmf2h6oc 161 29 animal animal NN cord-262623-lmf2h6oc 161 30 , , , cord-262623-lmf2h6oc 161 31 both both CC cord-262623-lmf2h6oc 161 32 wild wild JJ cord-262623-lmf2h6oc 161 33 and and CC cord-262623-lmf2h6oc 161 34 domestic domestic JJ cord-262623-lmf2h6oc 161 35 , , , cord-262623-lmf2h6oc 161 36 and and CC cord-262623-lmf2h6oc 161 37 new new JJ cord-262623-lmf2h6oc 161 38 kinds kind NNS cord-262623-lmf2h6oc 161 39 and and CC cord-262623-lmf2h6oc 161 40 quantities quantity NNS cord-262623-lmf2h6oc 161 41 of of IN cord-262623-lmf2h6oc 161 42 such such JJ cord-262623-lmf2h6oc 161 43 contact contact NN cord-262623-lmf2h6oc 161 44 are be VBP cord-262623-lmf2h6oc 161 45 likely likely JJ cord-262623-lmf2h6oc 161 46 to to TO cord-262623-lmf2h6oc 161 47 cause cause VB cord-262623-lmf2h6oc 161 48 new new JJ cord-262623-lmf2h6oc 161 49 , , , cord-262623-lmf2h6oc 161 50 or or CC cord-262623-lmf2h6oc 161 51 newly newly RB cord-262623-lmf2h6oc 161 52 recognized recognize VBN cord-262623-lmf2h6oc 161 53 , , , cord-262623-lmf2h6oc 161 54 disease disease NN cord-262623-lmf2h6oc 161 55 syndromes syndrome NNS cord-262623-lmf2h6oc 161 56 . . . cord-262623-lmf2h6oc 162 1 Streptococcus streptococcus NN cord-262623-lmf2h6oc 162 2 pyogenes pyogene NNS cord-262623-lmf2h6oc 162 3 was be VBD cord-262623-lmf2h6oc 162 4 one one CD cord-262623-lmf2h6oc 162 5 of of IN cord-262623-lmf2h6oc 162 6 the the DT cord-262623-lmf2h6oc 162 7 first first JJ cord-262623-lmf2h6oc 162 8 bacteria bacteria NNS cord-262623-lmf2h6oc 162 9 ever ever RB cord-262623-lmf2h6oc 162 10 to to TO cord-262623-lmf2h6oc 162 11 be be VB cord-262623-lmf2h6oc 162 12 conclusively conclusively RB cord-262623-lmf2h6oc 162 13 linked link VBN cord-262623-lmf2h6oc 162 14 to to IN cord-262623-lmf2h6oc 162 15 human human JJ cord-262623-lmf2h6oc 162 16 disease disease NN cord-262623-lmf2h6oc 162 17 ( ( -LRB- cord-262623-lmf2h6oc 162 18 puerperal puerperal JJ cord-262623-lmf2h6oc 162 19 infection infection NN cord-262623-lmf2h6oc 162 20 associated associate VBN cord-262623-lmf2h6oc 162 21 with with IN cord-262623-lmf2h6oc 162 22 childbirth childbirth NN cord-262623-lmf2h6oc 162 23 ) ) -RRB- cord-262623-lmf2h6oc 162 24 . . . cord-262623-lmf2h6oc 163 1 However however RB cord-262623-lmf2h6oc 163 2 , , , cord-262623-lmf2h6oc 163 3 over over IN cord-262623-lmf2h6oc 163 4 the the DT cord-262623-lmf2h6oc 163 5 past past JJ cord-262623-lmf2h6oc 163 6 125 125 CD cord-262623-lmf2h6oc 163 7 years year NNS cord-262623-lmf2h6oc 163 8 the the DT cord-262623-lmf2h6oc 163 9 nature nature NN cord-262623-lmf2h6oc 163 10 of of IN cord-262623-lmf2h6oc 163 11 the the DT cord-262623-lmf2h6oc 163 12 diseases disease NNS cord-262623-lmf2h6oc 163 13 stemming stem VBG cord-262623-lmf2h6oc 163 14 from from IN cord-262623-lmf2h6oc 163 15 it -PRON- PRP cord-262623-lmf2h6oc 163 16 has have VBZ cord-262623-lmf2h6oc 163 17 changed change VBN cord-262623-lmf2h6oc 163 18 dramatically dramatically RB cord-262623-lmf2h6oc 163 19 on on IN cord-262623-lmf2h6oc 163 20 several several JJ cord-262623-lmf2h6oc 163 21 occasions occasion NNS cord-262623-lmf2h6oc 163 22 . . . cord-262623-lmf2h6oc 164 1 At at IN cord-262623-lmf2h6oc 164 2 the the DT cord-262623-lmf2h6oc 164 3 turn turn NN cord-262623-lmf2h6oc 164 4 of of IN cord-262623-lmf2h6oc 164 5 the the DT cord-262623-lmf2h6oc 164 6 last last JJ cord-262623-lmf2h6oc 164 7 century century NN cord-262623-lmf2h6oc 164 8 , , , cord-262623-lmf2h6oc 164 9 it -PRON- PRP cord-262623-lmf2h6oc 164 10 was be VBD cord-262623-lmf2h6oc 164 11 well well RB cord-262623-lmf2h6oc 164 12 known know VBN cord-262623-lmf2h6oc 164 13 as as IN cord-262623-lmf2h6oc 164 14 a a DT cord-262623-lmf2h6oc 164 15 cause cause NN cord-262623-lmf2h6oc 164 16 of of IN cord-262623-lmf2h6oc 164 17 streptococcal streptococcal JJ cord-262623-lmf2h6oc 164 18 pharyngitis pharyngitis NN cord-262623-lmf2h6oc 164 19 , , , cord-262623-lmf2h6oc 164 20 erysipelas erysipela NNS cord-262623-lmf2h6oc 164 21 , , , cord-262623-lmf2h6oc 164 22 and and CC cord-262623-lmf2h6oc 164 23 wound wind VBD cord-262623-lmf2h6oc 164 24 infections infection NNS cord-262623-lmf2h6oc 164 25 . . . cord-262623-lmf2h6oc 165 1 It -PRON- PRP cord-262623-lmf2h6oc 165 2 also also RB cord-262623-lmf2h6oc 165 3 caused cause VBD cord-262623-lmf2h6oc 165 4 severe severe JJ cord-262623-lmf2h6oc 165 5 septicemic septicemic JJ cord-262623-lmf2h6oc 165 6 illnesses illness NNS cord-262623-lmf2h6oc 165 7 that that WDT cord-262623-lmf2h6oc 165 8 frequently frequently RB cord-262623-lmf2h6oc 165 9 led lead VBD cord-262623-lmf2h6oc 165 10 to to IN cord-262623-lmf2h6oc 165 11 death death NN cord-262623-lmf2h6oc 165 12 . . . cord-262623-lmf2h6oc 166 1 Osler Osler NNP cord-262623-lmf2h6oc 166 2 22 22 CD cord-262623-lmf2h6oc 166 3 knew know VBD cord-262623-lmf2h6oc 166 4 Streptococcus streptococcus NN cord-262623-lmf2h6oc 166 5 pyogenes pyogene NNS cord-262623-lmf2h6oc 166 6 as as IN cord-262623-lmf2h6oc 166 7 a a DT cord-262623-lmf2h6oc 166 8 principal principal JJ cord-262623-lmf2h6oc 166 9 cause cause NN cord-262623-lmf2h6oc 166 10 of of IN cord-262623-lmf2h6oc 166 11 thoracic thoracic JJ cord-262623-lmf2h6oc 166 12 empyema empyema JJ cord-262623-lmf2h6oc 166 13 following follow VBG cord-262623-lmf2h6oc 166 14 pneumonia pneumonia NN cord-262623-lmf2h6oc 166 15 or or CC cord-262623-lmf2h6oc 166 16 severe severe JJ cord-262623-lmf2h6oc 166 17 cases case NNS cord-262623-lmf2h6oc 166 18 of of IN cord-262623-lmf2h6oc 166 19 scarlet scarlet JJ cord-262623-lmf2h6oc 166 20 fever fever NN cord-262623-lmf2h6oc 166 21 , , , cord-262623-lmf2h6oc 166 22 and and CC cord-262623-lmf2h6oc 166 23 also also RB cord-262623-lmf2h6oc 166 24 as as IN cord-262623-lmf2h6oc 166 25 a a DT cord-262623-lmf2h6oc 166 26 major major JJ cord-262623-lmf2h6oc 166 27 cause cause NN cord-262623-lmf2h6oc 166 28 of of IN cord-262623-lmf2h6oc 166 29 primary primary JJ cord-262623-lmf2h6oc 166 30 bacteremia bacteremia NN cord-262623-lmf2h6oc 166 31 with with IN cord-262623-lmf2h6oc 166 32 sepsis sepsis NN cord-262623-lmf2h6oc 166 33 . . . cord-262623-lmf2h6oc 167 1 These these DT cord-262623-lmf2h6oc 167 2 more more RBR cord-262623-lmf2h6oc 167 3 severe severe JJ cord-262623-lmf2h6oc 167 4 manifestations manifestation NNS cord-262623-lmf2h6oc 167 5 of of IN cord-262623-lmf2h6oc 167 6 streptococcal streptococcal JJ cord-262623-lmf2h6oc 167 7 infection infection NN cord-262623-lmf2h6oc 167 8 became become VBD cord-262623-lmf2h6oc 167 9 increasingly increasingly RB cord-262623-lmf2h6oc 167 10 uncommon uncommon JJ cord-262623-lmf2h6oc 167 11 as as IN cord-262623-lmf2h6oc 167 12 the the DT cord-262623-lmf2h6oc 167 13 twentieth twentieth JJ cord-262623-lmf2h6oc 167 14 century century NN cord-262623-lmf2h6oc 167 15 progressed progress VBD cord-262623-lmf2h6oc 167 16 , , , cord-262623-lmf2h6oc 167 17 particularly particularly RB cord-262623-lmf2h6oc 167 18 after after IN cord-262623-lmf2h6oc 167 19 the the DT cord-262623-lmf2h6oc 167 20 arrival arrival NN cord-262623-lmf2h6oc 167 21 of of IN cord-262623-lmf2h6oc 167 22 antibiotics antibiotic NNS cord-262623-lmf2h6oc 167 23 mid mid NN cord-262623-lmf2h6oc 167 24 - - JJ cord-262623-lmf2h6oc 167 25 century century NN cord-262623-lmf2h6oc 167 26 . . . cord-262623-lmf2h6oc 168 1 Notably notably RB cord-262623-lmf2h6oc 168 2 , , , cord-262623-lmf2h6oc 168 3 Osler Osler NNP cord-262623-lmf2h6oc 168 4 did do VBD cord-262623-lmf2h6oc 168 5 not not RB cord-262623-lmf2h6oc 168 6 mention mention VB cord-262623-lmf2h6oc 168 7 Streptococcus Streptococcus NNP cord-262623-lmf2h6oc 168 8 as as IN cord-262623-lmf2h6oc 168 9 a a DT cord-262623-lmf2h6oc 168 10 cause cause NN cord-262623-lmf2h6oc 168 11 of of IN cord-262623-lmf2h6oc 168 12 necrotizing necrotize VBG cord-262623-lmf2h6oc 168 13 fasciitis fasciitis NN cord-262623-lmf2h6oc 168 14 or or CC cord-262623-lmf2h6oc 168 15 being be VBG cord-262623-lmf2h6oc 168 16 associated associate VBN cord-262623-lmf2h6oc 168 17 with with IN cord-262623-lmf2h6oc 168 18 soft soft JJ cord-262623-lmf2h6oc 168 19 tissue tissue NN cord-262623-lmf2h6oc 168 20 necrosis necrosis NN cord-262623-lmf2h6oc 168 21 in in IN cord-262623-lmf2h6oc 168 22 wound wound NN cord-262623-lmf2h6oc 168 23 infections infection NNS cord-262623-lmf2h6oc 168 24 . . . cord-262623-lmf2h6oc 169 1 This this DT cord-262623-lmf2h6oc 169 2 syndrome syndrome NN cord-262623-lmf2h6oc 169 3 was be VBD cord-262623-lmf2h6oc 169 4 first first RB cord-262623-lmf2h6oc 169 5 described describe VBN cord-262623-lmf2h6oc 169 6 by by IN cord-262623-lmf2h6oc 169 7 Meleney Meleney NNP cord-262623-lmf2h6oc 169 8 in in IN cord-262623-lmf2h6oc 169 9 1924 1924 CD cord-262623-lmf2h6oc 169 10 ; ; : cord-262623-lmf2h6oc 169 11 23 23 CD cord-262623-lmf2h6oc 169 12 at at IN cord-262623-lmf2h6oc 169 13 that that DT cord-262623-lmf2h6oc 169 14 time time NN cord-262623-lmf2h6oc 169 15 , , , cord-262623-lmf2h6oc 169 16 it -PRON- PRP cord-262623-lmf2h6oc 169 17 was be VBD cord-262623-lmf2h6oc 169 18 characteristically characteristically RB cord-262623-lmf2h6oc 169 19 a a DT cord-262623-lmf2h6oc 169 20 slowly slowly RB cord-262623-lmf2h6oc 169 21 evolving evolve VBG cord-262623-lmf2h6oc 169 22 gangrenous gangrenous JJ cord-262623-lmf2h6oc 169 23 infection infection NN cord-262623-lmf2h6oc 169 24 , , , cord-262623-lmf2h6oc 169 25 usually usually RB cord-262623-lmf2h6oc 169 26 of of IN cord-262623-lmf2h6oc 169 27 surgical surgical JJ cord-262623-lmf2h6oc 169 28 wounds wound NNS cord-262623-lmf2h6oc 169 29 , , , cord-262623-lmf2h6oc 169 30 which which WDT cord-262623-lmf2h6oc 169 31 often often RB cord-262623-lmf2h6oc 169 32 responded respond VBD cord-262623-lmf2h6oc 169 33 well well RB cord-262623-lmf2h6oc 169 34 to to IN cord-262623-lmf2h6oc 169 35 debridement debridement NN cord-262623-lmf2h6oc 169 36 and and CC cord-262623-lmf2h6oc 169 37 was be VBD cord-262623-lmf2h6oc 169 38 associated associate VBN cord-262623-lmf2h6oc 169 39 with with IN cord-262623-lmf2h6oc 169 40 a a DT cord-262623-lmf2h6oc 169 41 mortality mortality NN cord-262623-lmf2h6oc 169 42 rate rate NN cord-262623-lmf2h6oc 169 43 of of IN cord-262623-lmf2h6oc 169 44 only only RB cord-262623-lmf2h6oc 169 45 20 20 CD cord-262623-lmf2h6oc 169 46 % % NN cord-262623-lmf2h6oc 169 47 . . . cord-262623-lmf2h6oc 170 1 24 24 CD cord-262623-lmf2h6oc 170 2 For for IN cord-262623-lmf2h6oc 170 3 over over IN cord-262623-lmf2h6oc 170 4 a a DT cord-262623-lmf2h6oc 170 5 generation generation NN cord-262623-lmf2h6oc 170 6 after after IN cord-262623-lmf2h6oc 170 7 the the DT cord-262623-lmf2h6oc 170 8 advent advent NN cord-262623-lmf2h6oc 170 9 of of IN cord-262623-lmf2h6oc 170 10 the the DT cord-262623-lmf2h6oc 170 11 modern modern JJ cord-262623-lmf2h6oc 170 12 antibiotic antibiotic JJ cord-262623-lmf2h6oc 170 13 era era NN cord-262623-lmf2h6oc 170 14 , , , cord-262623-lmf2h6oc 170 15 Streptococcus streptococcus NN cord-262623-lmf2h6oc 170 16 pyogenes pyogene NNS cord-262623-lmf2h6oc 170 17 was be VBD cord-262623-lmf2h6oc 170 18 seldom seldom RB cord-262623-lmf2h6oc 170 19 a a DT cord-262623-lmf2h6oc 170 20 problem problem NN cord-262623-lmf2h6oc 170 21 that that WDT cord-262623-lmf2h6oc 170 22 led lead VBD cord-262623-lmf2h6oc 170 23 to to IN cord-262623-lmf2h6oc 170 24 critical critical JJ cord-262623-lmf2h6oc 170 25 illness illness NN cord-262623-lmf2h6oc 170 26 - - HYPH cord-262623-lmf2h6oc 170 27 soft soft JJ cord-262623-lmf2h6oc 170 28 tissue tissue NN cord-262623-lmf2h6oc 170 29 infections infection NNS cord-262623-lmf2h6oc 170 30 and and CC cord-262623-lmf2h6oc 170 31 Light light VB cord-262623-lmf2h6oc 170 32 the the DT cord-262623-lmf2h6oc 170 33 occasional occasional JJ cord-262623-lmf2h6oc 170 34 bacteremia bacteremia NN cord-262623-lmf2h6oc 170 35 were be VBD cord-262623-lmf2h6oc 170 36 generally generally RB cord-262623-lmf2h6oc 170 37 very very RB cord-262623-lmf2h6oc 170 38 amenable amenable JJ cord-262623-lmf2h6oc 170 39 to to IN cord-262623-lmf2h6oc 170 40 treatment treatment NN cord-262623-lmf2h6oc 170 41 ; ; : cord-262623-lmf2h6oc 170 42 extensive extensive JJ cord-262623-lmf2h6oc 170 43 surgery surgery NN cord-262623-lmf2h6oc 170 44 or or CC cord-262623-lmf2h6oc 170 45 drainage drainage NN cord-262623-lmf2h6oc 170 46 was be VBD cord-262623-lmf2h6oc 170 47 seldom seldom RB cord-262623-lmf2h6oc 170 48 required require VBN cord-262623-lmf2h6oc 170 49 , , , cord-262623-lmf2h6oc 170 50 and and CC cord-262623-lmf2h6oc 170 51 cases case NNS cord-262623-lmf2h6oc 170 52 requiring require VBG cord-262623-lmf2h6oc 170 53 ICU ICU NNP cord-262623-lmf2h6oc 170 54 support support NN cord-262623-lmf2h6oc 170 55 for for IN cord-262623-lmf2h6oc 170 56 shock shock NN cord-262623-lmf2h6oc 170 57 or or CC cord-262623-lmf2h6oc 170 58 respiratory respiratory JJ cord-262623-lmf2h6oc 170 59 failure failure NN cord-262623-lmf2h6oc 170 60 were be VBD cord-262623-lmf2h6oc 170 61 rare rare JJ cord-262623-lmf2h6oc 170 62 . . . cord-262623-lmf2h6oc 171 1 Beginning begin VBG cord-262623-lmf2h6oc 171 2 in in IN cord-262623-lmf2h6oc 171 3 the the DT cord-262623-lmf2h6oc 171 4 mid-1980s mid-1980 NNS cord-262623-lmf2h6oc 171 5 , , , cord-262623-lmf2h6oc 171 6 medical medical JJ cord-262623-lmf2h6oc 171 7 practitioners practitioner NNS cord-262623-lmf2h6oc 171 8 in in IN cord-262623-lmf2h6oc 171 9 centers center NNS cord-262623-lmf2h6oc 171 10 across across IN cord-262623-lmf2h6oc 171 11 North North NNP cord-262623-lmf2h6oc 171 12 America America NNP cord-262623-lmf2h6oc 171 13 and and CC cord-262623-lmf2h6oc 171 14 Europe Europe NNP cord-262623-lmf2h6oc 171 15 began begin VBD cord-262623-lmf2h6oc 171 16 seeing see VBG cord-262623-lmf2h6oc 171 17 previously previously RB cord-262623-lmf2h6oc 171 18 unknown unknown JJ cord-262623-lmf2h6oc 171 19 forms form NNS cord-262623-lmf2h6oc 171 20 of of IN cord-262623-lmf2h6oc 171 21 severe severe JJ cord-262623-lmf2h6oc 171 22 streptococcal streptococcal JJ cord-262623-lmf2h6oc 171 23 disease disease NN cord-262623-lmf2h6oc 171 24 , , , cord-262623-lmf2h6oc 171 25 soon soon RB cord-262623-lmf2h6oc 171 26 labeled label VBD cord-262623-lmf2h6oc 171 27 Streptococcal Streptococcal NNP cord-262623-lmf2h6oc 171 28 necrotizing necrotize VBG cord-262623-lmf2h6oc 171 29 fasciitis fasciitis NN cord-262623-lmf2h6oc 171 30 and and CC cord-262623-lmf2h6oc 171 31 Streptococcal Streptococcal NNP cord-262623-lmf2h6oc 171 32 toxic toxic JJ cord-262623-lmf2h6oc 171 33 shock shock NN cord-262623-lmf2h6oc 171 34 syndrome syndrome NN cord-262623-lmf2h6oc 171 35 . . . cord-262623-lmf2h6oc 172 1 25 25 CD cord-262623-lmf2h6oc 172 2 Streptococcal Streptococcal NNP cord-262623-lmf2h6oc 172 3 toxic toxic JJ cord-262623-lmf2h6oc 172 4 shock shock NN cord-262623-lmf2h6oc 172 5 syndrome syndrome NN cord-262623-lmf2h6oc 172 6 ( ( -LRB- cord-262623-lmf2h6oc 172 7 Strep Strep NNP cord-262623-lmf2h6oc 172 8 TSS TSS NNP cord-262623-lmf2h6oc 172 9 ) ) -RRB- cord-262623-lmf2h6oc 172 10 is be VBZ cord-262623-lmf2h6oc 172 11 any any DT cord-262623-lmf2h6oc 172 12 infection infection NN cord-262623-lmf2h6oc 172 13 with with IN cord-262623-lmf2h6oc 172 14 Streptococcus streptococcus NN cord-262623-lmf2h6oc 172 15 pyogenes pyogene NNS cord-262623-lmf2h6oc 172 16 that that WDT cord-262623-lmf2h6oc 172 17 is be VBZ cord-262623-lmf2h6oc 172 18 associated associate VBN cord-262623-lmf2h6oc 172 19 with with IN cord-262623-lmf2h6oc 172 20 a a DT cord-262623-lmf2h6oc 172 21 rapidly rapidly RB cord-262623-lmf2h6oc 172 22 progressing progress VBG cord-262623-lmf2h6oc 172 23 systemic systemic JJ cord-262623-lmf2h6oc 172 24 toxic toxic JJ cord-262623-lmf2h6oc 172 25 response response NN cord-262623-lmf2h6oc 172 26 characterized characterize VBN cord-262623-lmf2h6oc 172 27 by by IN cord-262623-lmf2h6oc 172 28 early early JJ cord-262623-lmf2h6oc 172 29 onset onset NN cord-262623-lmf2h6oc 172 30 of of IN cord-262623-lmf2h6oc 172 31 high high JJ cord-262623-lmf2h6oc 172 32 fever fever NN cord-262623-lmf2h6oc 172 33 and and CC cord-262623-lmf2h6oc 172 34 myalgia myalgia NN cord-262623-lmf2h6oc 172 35 , , , cord-262623-lmf2h6oc 172 36 often often RB cord-262623-lmf2h6oc 172 37 with with IN cord-262623-lmf2h6oc 172 38 prominent prominent JJ cord-262623-lmf2h6oc 172 39 gastrointestinal gastrointestinal JJ cord-262623-lmf2h6oc 172 40 symptoms symptom NNS cord-262623-lmf2h6oc 172 41 , , , cord-262623-lmf2h6oc 172 42 and and CC cord-262623-lmf2h6oc 172 43 by by IN cord-262623-lmf2h6oc 172 44 rapid rapid JJ cord-262623-lmf2h6oc 172 45 progression progression NN cord-262623-lmf2h6oc 172 46 to to IN cord-262623-lmf2h6oc 172 47 hypotension hypotension NN cord-262623-lmf2h6oc 172 48 and and CC cord-262623-lmf2h6oc 172 49 multiple multiple JJ cord-262623-lmf2h6oc 172 50 organ organ NN cord-262623-lmf2h6oc 172 51 system system NN cord-262623-lmf2h6oc 172 52 failure failure NN cord-262623-lmf2h6oc 172 53 . . . cord-262623-lmf2h6oc 173 1 The the DT cord-262623-lmf2h6oc 173 2 illness illness NN cord-262623-lmf2h6oc 173 3 usually usually RB cord-262623-lmf2h6oc 173 4 requires require VBZ cord-262623-lmf2h6oc 173 5 ICU ICU NNP cord-262623-lmf2h6oc 173 6 support support NN cord-262623-lmf2h6oc 173 7 for for IN cord-262623-lmf2h6oc 173 8 massive massive JJ cord-262623-lmf2h6oc 173 9 fluid fluid JJ cord-262623-lmf2h6oc 173 10 resuscitation resuscitation NN cord-262623-lmf2h6oc 173 11 , , , cord-262623-lmf2h6oc 173 12 vasopressor vasopressor NN cord-262623-lmf2h6oc 173 13 and and CC cord-262623-lmf2h6oc 173 14 inotropic inotropic NNP cord-262623-lmf2h6oc 173 15 support support NN cord-262623-lmf2h6oc 173 16 and and CC cord-262623-lmf2h6oc 173 17 mechanical mechanical JJ cord-262623-lmf2h6oc 173 18 ventilation ventilation NN cord-262623-lmf2h6oc 173 19 . . . cord-262623-lmf2h6oc 174 1 Although although IN cord-262623-lmf2h6oc 174 2 some some DT cord-262623-lmf2h6oc 174 3 cases case NNS cord-262623-lmf2h6oc 174 4 have have VBP cord-262623-lmf2h6oc 174 5 primary primary JJ cord-262623-lmf2h6oc 174 6 bacteremia bacteremia NN cord-262623-lmf2h6oc 174 7 , , , cord-262623-lmf2h6oc 174 8 many many JJ cord-262623-lmf2h6oc 174 9 others other NNS cord-262623-lmf2h6oc 174 10 have have VBP cord-262623-lmf2h6oc 174 11 a a DT cord-262623-lmf2h6oc 174 12 localized localize VBN cord-262623-lmf2h6oc 174 13 focus focus NN cord-262623-lmf2h6oc 174 14 of of IN cord-262623-lmf2h6oc 174 15 infection infection NN cord-262623-lmf2h6oc 174 16 , , , cord-262623-lmf2h6oc 174 17 most most RBS cord-262623-lmf2h6oc 174 18 often often RB cord-262623-lmf2h6oc 174 19 in in IN cord-262623-lmf2h6oc 174 20 soft soft JJ cord-262623-lmf2h6oc 174 21 tissues tissue NNS cord-262623-lmf2h6oc 174 22 , , , cord-262623-lmf2h6oc 174 23 that that IN cord-262623-lmf2h6oc 174 24 only only RB cord-262623-lmf2h6oc 174 25 becomes become VBZ cord-262623-lmf2h6oc 174 26 clinically clinically RB cord-262623-lmf2h6oc 174 27 apparent apparent JJ cord-262623-lmf2h6oc 174 28 after after IN cord-262623-lmf2h6oc 174 29 the the DT cord-262623-lmf2h6oc 174 30 onset onset NN cord-262623-lmf2h6oc 174 31 of of IN cord-262623-lmf2h6oc 174 32 shock shock NN cord-262623-lmf2h6oc 174 33 . . . cord-262623-lmf2h6oc 175 1 Streptococcal streptococcal JJ cord-262623-lmf2h6oc 175 2 necrotizing necrotize VBG cord-262623-lmf2h6oc 175 3 fasciitis fasciitis NN cord-262623-lmf2h6oc 175 4 is be VBZ cord-262623-lmf2h6oc 175 5 often often RB cord-262623-lmf2h6oc 175 6 associated associate VBN cord-262623-lmf2h6oc 175 7 with with IN cord-262623-lmf2h6oc 175 8 Strep Strep NNP cord-262623-lmf2h6oc 175 9 TSS TSS NNP cord-262623-lmf2h6oc 175 10 and and CC cord-262623-lmf2h6oc 175 11 , , , cord-262623-lmf2h6oc 175 12 as as IN cord-262623-lmf2h6oc 175 13 mentioned mention VBN cord-262623-lmf2h6oc 175 14 , , , cord-262623-lmf2h6oc 175 15 is be VBZ cord-262623-lmf2h6oc 175 16 often often RB cord-262623-lmf2h6oc 175 17 only only RB cord-262623-lmf2h6oc 175 18 correctly correctly RB cord-262623-lmf2h6oc 175 19 diagnosed diagnose VBN cord-262623-lmf2h6oc 175 20 after after IN cord-262623-lmf2h6oc 175 21 the the DT cord-262623-lmf2h6oc 175 22 onset onset NN cord-262623-lmf2h6oc 175 23 of of IN cord-262623-lmf2h6oc 175 24 shock shock NN cord-262623-lmf2h6oc 175 25 . . . cord-262623-lmf2h6oc 176 1 The the DT cord-262623-lmf2h6oc 176 2 most most RBS cord-262623-lmf2h6oc 176 3 characteristic characteristic JJ cord-262623-lmf2h6oc 176 4 story story NN cord-262623-lmf2h6oc 176 5 is be VBZ cord-262623-lmf2h6oc 176 6 presentation presentation NN cord-262623-lmf2h6oc 176 7 to to IN cord-262623-lmf2h6oc 176 8 a a DT cord-262623-lmf2h6oc 176 9 physician physician NN cord-262623-lmf2h6oc 176 10 or or CC cord-262623-lmf2h6oc 176 11 an an DT cord-262623-lmf2h6oc 176 12 emergency emergency NN cord-262623-lmf2h6oc 176 13 room room NN cord-262623-lmf2h6oc 176 14 with with IN cord-262623-lmf2h6oc 176 15 abrupt abrupt JJ cord-262623-lmf2h6oc 176 16 onset onset NN cord-262623-lmf2h6oc 176 17 of of IN cord-262623-lmf2h6oc 176 18 severe severe JJ cord-262623-lmf2h6oc 176 19 pain pain NN cord-262623-lmf2h6oc 176 20 , , , cord-262623-lmf2h6oc 176 21 often often RB cord-262623-lmf2h6oc 176 22 in in IN cord-262623-lmf2h6oc 176 23 an an DT cord-262623-lmf2h6oc 176 24 extremity extremity NN cord-262623-lmf2h6oc 176 25 with with IN cord-262623-lmf2h6oc 176 26 minimal minimal JJ cord-262623-lmf2h6oc 176 27 or or CC cord-262623-lmf2h6oc 176 28 no no DT cord-262623-lmf2h6oc 176 29 evidence evidence NN cord-262623-lmf2h6oc 176 30 of of IN cord-262623-lmf2h6oc 176 31 cutaneous cutaneous JJ cord-262623-lmf2h6oc 176 32 injury injury NN cord-262623-lmf2h6oc 176 33 . . . cord-262623-lmf2h6oc 177 1 At at IN cord-262623-lmf2h6oc 177 2 this this DT cord-262623-lmf2h6oc 177 3 stage stage NN cord-262623-lmf2h6oc 177 4 severe severe JJ cord-262623-lmf2h6oc 177 5 systemic systemic JJ cord-262623-lmf2h6oc 177 6 toxicity toxicity NN cord-262623-lmf2h6oc 177 7 is be VBZ cord-262623-lmf2h6oc 177 8 usually usually RB cord-262623-lmf2h6oc 177 9 not not RB cord-262623-lmf2h6oc 177 10 present present JJ cord-262623-lmf2h6oc 177 11 and and CC cord-262623-lmf2h6oc 177 12 , , , cord-262623-lmf2h6oc 177 13 since since IN cord-262623-lmf2h6oc 177 14 examination examination NN cord-262623-lmf2h6oc 177 15 of of IN cord-262623-lmf2h6oc 177 16 the the DT cord-262623-lmf2h6oc 177 17 painful painful JJ cord-262623-lmf2h6oc 177 18 site site NN cord-262623-lmf2h6oc 177 19 is be VBZ cord-262623-lmf2h6oc 177 20 also also RB cord-262623-lmf2h6oc 177 21 at at IN cord-262623-lmf2h6oc 177 22 this this DT cord-262623-lmf2h6oc 177 23 stage stage NN cord-262623-lmf2h6oc 177 24 quite quite RB cord-262623-lmf2h6oc 177 25 unremarkable unremarkable JJ cord-262623-lmf2h6oc 177 26 , , , cord-262623-lmf2h6oc 177 27 patients patient NNS cord-262623-lmf2h6oc 177 28 are be VBP cord-262623-lmf2h6oc 177 29 frequently frequently RB cord-262623-lmf2h6oc 177 30 sent send VBN cord-262623-lmf2h6oc 177 31 home home RB cord-262623-lmf2h6oc 177 32 with with IN cord-262623-lmf2h6oc 177 33 analgesics analgesic NNS cord-262623-lmf2h6oc 177 34 and and CC cord-262623-lmf2h6oc 177 35 reassurance reassurance NN cord-262623-lmf2h6oc 177 36 . . . cord-262623-lmf2h6oc 178 1 Over over IN cord-262623-lmf2h6oc 178 2 the the DT cord-262623-lmf2h6oc 178 3 next next JJ cord-262623-lmf2h6oc 178 4 4 4 CD cord-262623-lmf2h6oc 178 5 - - SYM cord-262623-lmf2h6oc 178 6 48 48 CD cord-262623-lmf2h6oc 178 7 hours hour NNS cord-262623-lmf2h6oc 178 8 pain pain NN cord-262623-lmf2h6oc 178 9 at at IN cord-262623-lmf2h6oc 178 10 the the DT cord-262623-lmf2h6oc 178 11 site site NN cord-262623-lmf2h6oc 178 12 of of IN cord-262623-lmf2h6oc 178 13 infection infection NN cord-262623-lmf2h6oc 178 14 continues continue VBZ cord-262623-lmf2h6oc 178 15 to to TO cord-262623-lmf2h6oc 178 16 increase increase VB cord-262623-lmf2h6oc 178 17 , , , cord-262623-lmf2h6oc 178 18 soft soft JJ cord-262623-lmf2h6oc 178 19 tissue tissue NN cord-262623-lmf2h6oc 178 20 swelling swelling NN cord-262623-lmf2h6oc 178 21 and and CC cord-262623-lmf2h6oc 178 22 redness redness NN cord-262623-lmf2h6oc 178 23 appear appear VBP cord-262623-lmf2h6oc 178 24 above above IN cord-262623-lmf2h6oc 178 25 the the DT cord-262623-lmf2h6oc 178 26 deeper deep JJR cord-262623-lmf2h6oc 178 27 tissues tissue NNS cord-262623-lmf2h6oc 178 28 that that WDT cord-262623-lmf2h6oc 178 29 are be VBP cord-262623-lmf2h6oc 178 30 undergoing undergo VBG cord-262623-lmf2h6oc 178 31 ongoing ongoing JJ cord-262623-lmf2h6oc 178 32 necrotizing necrotize VBG cord-262623-lmf2h6oc 178 33 infection infection NN cord-262623-lmf2h6oc 178 34 , , , cord-262623-lmf2h6oc 178 35 eventually eventually RB cord-262623-lmf2h6oc 178 36 resulting result VBG cord-262623-lmf2h6oc 178 37 in in IN cord-262623-lmf2h6oc 178 38 full full JJ cord-262623-lmf2h6oc 178 39 - - HYPH cord-262623-lmf2h6oc 178 40 thickness thickness NN cord-262623-lmf2h6oc 178 41 necrosis necrosis NN cord-262623-lmf2h6oc 178 42 evidenced evidence VBN cord-262623-lmf2h6oc 178 43 by by IN cord-262623-lmf2h6oc 178 44 ecchymosis ecchymosis NN cord-262623-lmf2h6oc 178 45 , , , cord-262623-lmf2h6oc 178 46 cutaneous cutaneous JJ cord-262623-lmf2h6oc 178 47 necrosis necrosis NN cord-262623-lmf2h6oc 178 48 , , , cord-262623-lmf2h6oc 178 49 and and CC cord-262623-lmf2h6oc 178 50 bullae bulla NNS cord-262623-lmf2h6oc 178 51 formation formation NN cord-262623-lmf2h6oc 178 52 . . . cord-262623-lmf2h6oc 179 1 26 26 CD cord-262623-lmf2h6oc 180 1 Early early RB cord-262623-lmf2h6oc 180 2 or or CC cord-262623-lmf2h6oc 180 3 later later RB cord-262623-lmf2h6oc 180 4 in in IN cord-262623-lmf2h6oc 180 5 this this DT cord-262623-lmf2h6oc 180 6 course course NN cord-262623-lmf2h6oc 180 7 Strep Strep NNP cord-262623-lmf2h6oc 180 8 TSS TSS NNP cord-262623-lmf2h6oc 180 9 frequently frequently RB cord-262623-lmf2h6oc 180 10 occurs occur VBZ cord-262623-lmf2h6oc 180 11 . . . cord-262623-lmf2h6oc 181 1 When when WRB cord-262623-lmf2h6oc 181 2 these these DT cord-262623-lmf2h6oc 181 3 cases case NNS cord-262623-lmf2h6oc 181 4 first first RB cord-262623-lmf2h6oc 181 5 began begin VBD cord-262623-lmf2h6oc 181 6 to to TO cord-262623-lmf2h6oc 181 7 appear appear VB cord-262623-lmf2h6oc 181 8 , , , cord-262623-lmf2h6oc 181 9 clinicians clinician NNS cord-262623-lmf2h6oc 181 10 ' ' POS cord-262623-lmf2h6oc 181 11 approach approach NN cord-262623-lmf2h6oc 181 12 to to IN cord-262623-lmf2h6oc 181 13 both both CC cord-262623-lmf2h6oc 181 14 the the DT cord-262623-lmf2h6oc 181 15 sepsis sepsis NN cord-262623-lmf2h6oc 181 16 and and CC cord-262623-lmf2h6oc 181 17 the the DT cord-262623-lmf2h6oc 181 18 tissue tissue NN cord-262623-lmf2h6oc 181 19 necrosis necrosis NN cord-262623-lmf2h6oc 181 20 was be VBD cord-262623-lmf2h6oc 181 21 essentially essentially RB cord-262623-lmf2h6oc 181 22 the the DT cord-262623-lmf2h6oc 181 23 same same JJ cord-262623-lmf2h6oc 181 24 as as IN cord-262623-lmf2h6oc 181 25 that that DT cord-262623-lmf2h6oc 181 26 used use VBD cord-262623-lmf2h6oc 181 27 for for IN cord-262623-lmf2h6oc 181 28 apparently apparently RB cord-262623-lmf2h6oc 181 29 similar similar JJ cord-262623-lmf2h6oc 181 30 syndromes syndrome NNS cord-262623-lmf2h6oc 181 31 caused cause VBN cord-262623-lmf2h6oc 181 32 by by IN cord-262623-lmf2h6oc 181 33 other other JJ cord-262623-lmf2h6oc 181 34 bacteria bacteria NNS cord-262623-lmf2h6oc 181 35 . . . cord-262623-lmf2h6oc 182 1 A a DT cord-262623-lmf2h6oc 182 2 broad broad JJ cord-262623-lmf2h6oc 182 3 spectrum spectrum NN cord-262623-lmf2h6oc 182 4 antimicrobial antimicrobial NN cord-262623-lmf2h6oc 182 5 was be VBD cord-262623-lmf2h6oc 182 6 started start VBN cord-262623-lmf2h6oc 182 7 , , , cord-262623-lmf2h6oc 182 8 fluid fluid JJ cord-262623-lmf2h6oc 182 9 resuscitation resuscitation NN cord-262623-lmf2h6oc 182 10 begun begin VBN cord-262623-lmf2h6oc 182 11 and and CC cord-262623-lmf2h6oc 182 12 imaging imaging NN cord-262623-lmf2h6oc 182 13 studies study NNS cord-262623-lmf2h6oc 182 14 ordered order VBN cord-262623-lmf2h6oc 182 15 to to TO cord-262623-lmf2h6oc 182 16 better better RB cord-262623-lmf2h6oc 182 17 define define VB cord-262623-lmf2h6oc 182 18 the the DT cord-262623-lmf2h6oc 182 19 source source NN cord-262623-lmf2h6oc 182 20 of of IN cord-262623-lmf2h6oc 182 21 infection infection NN cord-262623-lmf2h6oc 182 22 causing cause VBG cord-262623-lmf2h6oc 182 23 pain pain NN cord-262623-lmf2h6oc 182 24 or or CC cord-262623-lmf2h6oc 182 25 localized localize VBN cord-262623-lmf2h6oc 182 26 swelling swelling NN cord-262623-lmf2h6oc 182 27 . . . cord-262623-lmf2h6oc 183 1 Imaging image VBG cord-262623-lmf2h6oc 183 2 frequently frequently RB cord-262623-lmf2h6oc 183 3 demonstrated demonstrate VBD cord-262623-lmf2h6oc 183 4 only only RB cord-262623-lmf2h6oc 183 5 soft soft JJ cord-262623-lmf2h6oc 183 6 tissue tissue NN cord-262623-lmf2h6oc 183 7 swelling swell VBG cord-262623-lmf2h6oc 183 8 consistent consistent JJ cord-262623-lmf2h6oc 183 9 with with IN cord-262623-lmf2h6oc 183 10 cellulitis cellulitis NN cord-262623-lmf2h6oc 183 11 , , , cord-262623-lmf2h6oc 183 12 so so RB cord-262623-lmf2h6oc 183 13 surgery surgery NN cord-262623-lmf2h6oc 183 14 was be VBD cord-262623-lmf2h6oc 183 15 often often RB cord-262623-lmf2h6oc 183 16 deferred defer VBN cord-262623-lmf2h6oc 183 17 until until IN cord-262623-lmf2h6oc 183 18 superficial superficial JJ cord-262623-lmf2h6oc 183 19 signs sign NNS cord-262623-lmf2h6oc 183 20 of of IN cord-262623-lmf2h6oc 183 21 tissue tissue NN cord-262623-lmf2h6oc 183 22 necrosis necrosis NN cord-262623-lmf2h6oc 183 23 became become VBD cord-262623-lmf2h6oc 183 24 obvious obvious JJ cord-262623-lmf2h6oc 183 25 , , , cord-262623-lmf2h6oc 183 26 and and CC cord-262623-lmf2h6oc 183 27 then then RB cord-262623-lmf2h6oc 183 28 when when WRB cord-262623-lmf2h6oc 183 29 surgery surgery NN cord-262623-lmf2h6oc 183 30 was be VBD cord-262623-lmf2h6oc 183 31 done do VBN cord-262623-lmf2h6oc 183 32 it -PRON- PRP cord-262623-lmf2h6oc 183 33 was be VBD cord-262623-lmf2h6oc 183 34 often often RB cord-262623-lmf2h6oc 183 35 performed perform VBN cord-262623-lmf2h6oc 183 36 using use VBG cord-262623-lmf2h6oc 183 37 the the DT cord-262623-lmf2h6oc 183 38 conventional conventional JJ cord-262623-lmf2h6oc 183 39 approach approach NN cord-262623-lmf2h6oc 183 40 of of IN cord-262623-lmf2h6oc 183 41 trying try VBG cord-262623-lmf2h6oc 183 42 to to TO cord-262623-lmf2h6oc 183 43 conserve conserve VB cord-262623-lmf2h6oc 183 44 as as RB cord-262623-lmf2h6oc 183 45 much much JJ cord-262623-lmf2h6oc 183 46 tissue tissue NN cord-262623-lmf2h6oc 183 47 as as IN cord-262623-lmf2h6oc 183 48 possible possible JJ cord-262623-lmf2h6oc 183 49 . . . cord-262623-lmf2h6oc 184 1 The the DT cord-262623-lmf2h6oc 184 2 result result NN cord-262623-lmf2h6oc 184 3 was be VBD cord-262623-lmf2h6oc 184 4 that that DT cord-262623-lmf2h6oc 184 5 treatment treatment NN cord-262623-lmf2h6oc 184 6 was be VBD cord-262623-lmf2h6oc 184 7 often often RB cord-262623-lmf2h6oc 184 8 too too RB cord-262623-lmf2h6oc 184 9 little little JJ cord-262623-lmf2h6oc 184 10 and and CC cord-262623-lmf2h6oc 184 11 too too RB cord-262623-lmf2h6oc 184 12 late late RB cord-262623-lmf2h6oc 184 13 , , , cord-262623-lmf2h6oc 184 14 with with IN cord-262623-lmf2h6oc 184 15 mortality mortality NN cord-262623-lmf2h6oc 184 16 rates rate NNS cord-262623-lmf2h6oc 184 17 exceeding exceed VBG cord-262623-lmf2h6oc 184 18 70 70 CD cord-262623-lmf2h6oc 184 19 % % NN cord-262623-lmf2h6oc 184 20 in in IN cord-262623-lmf2h6oc 184 21 many many JJ cord-262623-lmf2h6oc 184 22 reported report VBN cord-262623-lmf2h6oc 184 23 series series NN cord-262623-lmf2h6oc 184 24 . . . cord-262623-lmf2h6oc 185 1 With with IN cord-262623-lmf2h6oc 185 2 the the DT cord-262623-lmf2h6oc 185 3 realization realization NN cord-262623-lmf2h6oc 185 4 that that DT cord-262623-lmf2h6oc 185 5 treatment treatment NN cord-262623-lmf2h6oc 185 6 , , , cord-262623-lmf2h6oc 185 7 to to TO cord-262623-lmf2h6oc 185 8 be be VB cord-262623-lmf2h6oc 185 9 successful successful JJ cord-262623-lmf2h6oc 185 10 , , , cord-262623-lmf2h6oc 185 11 must must MD cord-262623-lmf2h6oc 185 12 be be VB cord-262623-lmf2h6oc 185 13 swift swift JJ cord-262623-lmf2h6oc 185 14 and and CC cord-262623-lmf2h6oc 185 15 aggressive aggressive JJ cord-262623-lmf2h6oc 185 16 , , , cord-262623-lmf2h6oc 185 17 approaches approach VBZ cord-262623-lmf2h6oc 185 18 to to IN cord-262623-lmf2h6oc 185 19 therapy therapy NN cord-262623-lmf2h6oc 185 20 changed change VBN cord-262623-lmf2h6oc 185 21 . . . cord-262623-lmf2h6oc 186 1 Emergency emergency NN cord-262623-lmf2h6oc 186 2 physicians physician NNS cord-262623-lmf2h6oc 186 3 were be VBD cord-262623-lmf2h6oc 186 4 increasingly increasingly RB cord-262623-lmf2h6oc 186 5 alerted alert VBN cord-262623-lmf2h6oc 186 6 to to IN cord-262623-lmf2h6oc 186 7 the the DT cord-262623-lmf2h6oc 186 8 fact fact NN cord-262623-lmf2h6oc 186 9 that that IN cord-262623-lmf2h6oc 186 10 severe severe JJ cord-262623-lmf2h6oc 186 11 pain pain NN cord-262623-lmf2h6oc 186 12 at at IN cord-262623-lmf2h6oc 186 13 any any DT cord-262623-lmf2h6oc 186 14 body body NN cord-262623-lmf2h6oc 186 15 site site NN cord-262623-lmf2h6oc 186 16 , , , cord-262623-lmf2h6oc 186 17 even even RB cord-262623-lmf2h6oc 186 18 with with IN cord-262623-lmf2h6oc 186 19 relatively relatively RB cord-262623-lmf2h6oc 186 20 minimal minimal JJ cord-262623-lmf2h6oc 186 21 localized localized JJ cord-262623-lmf2h6oc 186 22 physical physical JJ cord-262623-lmf2h6oc 186 23 findings finding NNS cord-262623-lmf2h6oc 186 24 and and CC cord-262623-lmf2h6oc 186 25 particularly particularly RB cord-262623-lmf2h6oc 186 26 if if IN cord-262623-lmf2h6oc 186 27 accompanied accompany VBN cord-262623-lmf2h6oc 186 28 by by IN cord-262623-lmf2h6oc 186 29 signs sign NNS cord-262623-lmf2h6oc 186 30 of of IN cord-262623-lmf2h6oc 186 31 systemic systemic JJ cord-262623-lmf2h6oc 186 32 inflammation inflammation NN cord-262623-lmf2h6oc 186 33 , , , cord-262623-lmf2h6oc 186 34 could could MD cord-262623-lmf2h6oc 186 35 represent represent VB cord-262623-lmf2h6oc 186 36 necrotizing necrotize VBG cord-262623-lmf2h6oc 186 37 fasciitis fasciitis NN cord-262623-lmf2h6oc 186 38 . . . cord-262623-lmf2h6oc 187 1 Surgeons surgeon NNS cord-262623-lmf2h6oc 187 2 began begin VBD cord-262623-lmf2h6oc 187 3 to to TO cord-262623-lmf2h6oc 187 4 be be VB cord-262623-lmf2h6oc 187 5 consulted consult VBN cord-262623-lmf2h6oc 187 6 much much RB cord-262623-lmf2h6oc 187 7 earlier early RBR cord-262623-lmf2h6oc 187 8 , , , cord-262623-lmf2h6oc 187 9 and and CC cord-262623-lmf2h6oc 187 10 any any DT cord-262623-lmf2h6oc 187 11 localized localized JJ cord-262623-lmf2h6oc 187 12 pain pain NN cord-262623-lmf2h6oc 187 13 with with IN cord-262623-lmf2h6oc 187 14 swelling swell VBG cord-262623-lmf2h6oc 187 15 more more RBR cord-262623-lmf2h6oc 187 16 often often RB cord-262623-lmf2h6oc 187 17 led lead VBN cord-262623-lmf2h6oc 187 18 to to IN cord-262623-lmf2h6oc 187 19 diagnostic diagnostic JJ cord-262623-lmf2h6oc 187 20 surgical surgical JJ cord-262623-lmf2h6oc 187 21 exploration exploration NN cord-262623-lmf2h6oc 187 22 rather rather RB cord-262623-lmf2h6oc 187 23 than than IN cord-262623-lmf2h6oc 187 24 imaging image VBG cord-262623-lmf2h6oc 187 25 and and CC cord-262623-lmf2h6oc 187 26 waiting wait VBG cord-262623-lmf2h6oc 187 27 . . . cord-262623-lmf2h6oc 188 1 Antimicrobial antimicrobial JJ cord-262623-lmf2h6oc 188 2 strategies strategy NNS cord-262623-lmf2h6oc 188 3 changed change VBD cord-262623-lmf2h6oc 188 4 . . . cord-262623-lmf2h6oc 189 1 Addition addition NN cord-262623-lmf2h6oc 189 2 of of IN cord-262623-lmf2h6oc 189 3 clindamycin clindamycin NN cord-262623-lmf2h6oc 189 4 to to IN cord-262623-lmf2h6oc 189 5 the the DT cord-262623-lmf2h6oc 189 6 usual usual JJ cord-262623-lmf2h6oc 189 7 penicillin penicillin NN cord-262623-lmf2h6oc 189 8 or or CC cord-262623-lmf2h6oc 189 9 other other JJ cord-262623-lmf2h6oc 189 10 beta beta NN cord-262623-lmf2h6oc 189 11 - - HYPH cord-262623-lmf2h6oc 189 12 lactam lactam NN cord-262623-lmf2h6oc 189 13 therapy therapy NN cord-262623-lmf2h6oc 189 14 was be VBD cord-262623-lmf2h6oc 189 15 advocated advocate VBN cord-262623-lmf2h6oc 189 16 and and CC cord-262623-lmf2h6oc 189 17 widely widely RB cord-262623-lmf2h6oc 189 18 adopted adopt VBN cord-262623-lmf2h6oc 189 19 , , , cord-262623-lmf2h6oc 189 20 based base VBN cord-262623-lmf2h6oc 189 21 on on IN cord-262623-lmf2h6oc 189 22 results result NNS cord-262623-lmf2h6oc 189 23 from from IN cord-262623-lmf2h6oc 189 24 animal animal NN cord-262623-lmf2h6oc 189 25 models model NNS cord-262623-lmf2h6oc 189 26 of of IN cord-262623-lmf2h6oc 189 27 the the DT cord-262623-lmf2h6oc 189 28 syndrome syndrome NN cord-262623-lmf2h6oc 189 29 and and CC cord-262623-lmf2h6oc 189 30 on on IN cord-262623-lmf2h6oc 189 31 pharmacologic pharmacologic JJ cord-262623-lmf2h6oc 189 32 and and CC cord-262623-lmf2h6oc 189 33 physiologic physiologic JJ cord-262623-lmf2h6oc 189 34 considerations consideration NNS cord-262623-lmf2h6oc 189 35 , , , cord-262623-lmf2h6oc 189 36 including include VBG cord-262623-lmf2h6oc 189 37 its -PRON- PRP$ cord-262623-lmf2h6oc 189 38 ability ability NN cord-262623-lmf2h6oc 189 39 to to TO cord-262623-lmf2h6oc 189 40 inhibit inhibit VB cord-262623-lmf2h6oc 189 41 bacterial bacterial JJ cord-262623-lmf2h6oc 189 42 protein protein NN cord-262623-lmf2h6oc 189 43 ( ( -LRB- cord-262623-lmf2h6oc 189 44 ie ie FW cord-262623-lmf2h6oc 189 45 , , , cord-262623-lmf2h6oc 189 46 toxin toxin NN cord-262623-lmf2h6oc 189 47 ) ) -RRB- cord-262623-lmf2h6oc 189 48 synthesis synthesis NN cord-262623-lmf2h6oc 189 49 , , , cord-262623-lmf2h6oc 189 50 penetrate penetrate VB cord-262623-lmf2h6oc 189 51 necrotic necrotic JJ cord-262623-lmf2h6oc 189 52 tissues tissue NNS cord-262623-lmf2h6oc 189 53 , , , cord-262623-lmf2h6oc 189 54 and and CC cord-262623-lmf2h6oc 189 55 inhibit inhibit VB cord-262623-lmf2h6oc 189 56 inflammatory inflammatory JJ cord-262623-lmf2h6oc 189 57 cytokine cytokine NN cord-262623-lmf2h6oc 189 58 synthesis synthesis NN cord-262623-lmf2h6oc 189 59 . . . cord-262623-lmf2h6oc 190 1 27 27 CD cord-262623-lmf2h6oc 190 2 Toxin toxin NN cord-262623-lmf2h6oc 190 3 neutralization neutralization NN cord-262623-lmf2h6oc 190 4 using use VBG cord-262623-lmf2h6oc 190 5 pooled pool VBN cord-262623-lmf2h6oc 190 6 intravenous intravenous JJ cord-262623-lmf2h6oc 190 7 gamma gamma NN cord-262623-lmf2h6oc 190 8 globulin globulin NN cord-262623-lmf2h6oc 190 9 was be VBD cord-262623-lmf2h6oc 190 10 also also RB cord-262623-lmf2h6oc 190 11 advocated advocate VBN cord-262623-lmf2h6oc 190 12 with with IN cord-262623-lmf2h6oc 190 13 the the DT cord-262623-lmf2h6oc 190 14 support support NN cord-262623-lmf2h6oc 190 15 of of IN cord-262623-lmf2h6oc 190 16 primarily primarily RB cord-262623-lmf2h6oc 190 17 historical historical JJ cord-262623-lmf2h6oc 190 18 case case NN cord-262623-lmf2h6oc 190 19 - - HYPH cord-262623-lmf2h6oc 190 20 control control NN cord-262623-lmf2h6oc 190 21 studies study NNS cord-262623-lmf2h6oc 190 22 . . . cord-262623-lmf2h6oc 191 1 28 28 CD cord-262623-lmf2h6oc 192 1 In in IN cord-262623-lmf2h6oc 192 2 most most JJS cord-262623-lmf2h6oc 192 3 centers center NNS cord-262623-lmf2h6oc 192 4 , , , cord-262623-lmf2h6oc 192 5 implementation implementation NN cord-262623-lmf2h6oc 192 6 of of IN cord-262623-lmf2h6oc 192 7 these these DT cord-262623-lmf2h6oc 192 8 approaches approach NNS cord-262623-lmf2h6oc 192 9 has have VBZ cord-262623-lmf2h6oc 192 10 led lead VBN cord-262623-lmf2h6oc 192 11 to to IN cord-262623-lmf2h6oc 192 12 dramatic dramatic JJ cord-262623-lmf2h6oc 192 13 reductions reduction NNS cord-262623-lmf2h6oc 192 14 in in IN cord-262623-lmf2h6oc 192 15 mortality mortality NN cord-262623-lmf2h6oc 192 16 rates rate NNS cord-262623-lmf2h6oc 192 17 to to IN cord-262623-lmf2h6oc 192 18 about about RB cord-262623-lmf2h6oc 192 19 20%-30 20%-30 CD cord-262623-lmf2h6oc 192 20 % % NN cord-262623-lmf2h6oc 192 21 although although IN cord-262623-lmf2h6oc 192 22 , , , cord-262623-lmf2h6oc 192 23 in in IN cord-262623-lmf2h6oc 192 24 the the DT cord-262623-lmf2h6oc 192 25 absence absence NN cord-262623-lmf2h6oc 192 26 of of IN cord-262623-lmf2h6oc 192 27 any any DT cord-262623-lmf2h6oc 192 28 adequate adequate JJ cord-262623-lmf2h6oc 192 29 controlled control VBN cord-262623-lmf2h6oc 192 30 trials trial NNS cord-262623-lmf2h6oc 192 31 , , , cord-262623-lmf2h6oc 192 32 it -PRON- PRP cord-262623-lmf2h6oc 192 33 remains remain VBZ cord-262623-lmf2h6oc 192 34 unclear unclear JJ cord-262623-lmf2h6oc 192 35 what what WP cord-262623-lmf2h6oc 192 36 the the DT cord-262623-lmf2h6oc 192 37 relative relative JJ cord-262623-lmf2h6oc 192 38 contribution contribution NN cord-262623-lmf2h6oc 192 39 of of IN cord-262623-lmf2h6oc 192 40 each each DT cord-262623-lmf2h6oc 192 41 of of IN cord-262623-lmf2h6oc 192 42 these these DT cord-262623-lmf2h6oc 192 43 measures measure NNS cord-262623-lmf2h6oc 192 44 has have VBZ cord-262623-lmf2h6oc 192 45 been be VBN cord-262623-lmf2h6oc 192 46 to to IN cord-262623-lmf2h6oc 192 47 the the DT cord-262623-lmf2h6oc 192 48 improved improved JJ cord-262623-lmf2h6oc 192 49 outcome outcome NN cord-262623-lmf2h6oc 192 50 . . . cord-262623-lmf2h6oc 193 1 Unlike unlike IN cord-262623-lmf2h6oc 193 2 several several JJ cord-262623-lmf2h6oc 193 3 of of IN cord-262623-lmf2h6oc 193 4 the the DT cord-262623-lmf2h6oc 193 5 other other JJ cord-262623-lmf2h6oc 193 6 ' ' POS cord-262623-lmf2h6oc 193 7 ' ' `` cord-262623-lmf2h6oc 193 8 plagues plague NNS cord-262623-lmf2h6oc 193 9 ' ' '' cord-262623-lmf2h6oc 193 10 ' ' '' cord-262623-lmf2h6oc 193 11 discussed discuss VBN cord-262623-lmf2h6oc 193 12 above above RB cord-262623-lmf2h6oc 193 13 , , , cord-262623-lmf2h6oc 193 14 this this DT cord-262623-lmf2h6oc 193 15 is be VBZ cord-262623-lmf2h6oc 193 16 one one NN cord-262623-lmf2h6oc 193 17 that that WDT cord-262623-lmf2h6oc 193 18 is be VBZ cord-262623-lmf2h6oc 193 19 still still RB cord-262623-lmf2h6oc 193 20 very very RB cord-262623-lmf2h6oc 193 21 much much RB cord-262623-lmf2h6oc 193 22 with with IN cord-262623-lmf2h6oc 193 23 us -PRON- PRP cord-262623-lmf2h6oc 193 24 . . . cord-262623-lmf2h6oc 194 1 The the DT cord-262623-lmf2h6oc 194 2 Streptococcus streptococcus NN cord-262623-lmf2h6oc 194 3 pyogenes pyogene NNS cord-262623-lmf2h6oc 194 4 strains strain VBZ cord-262623-lmf2h6oc 194 5 most most RBS cord-262623-lmf2h6oc 194 6 strongly strongly RB cord-262623-lmf2h6oc 194 7 associated associate VBN cord-262623-lmf2h6oc 194 8 with with IN cord-262623-lmf2h6oc 194 9 severe severe JJ cord-262623-lmf2h6oc 194 10 invasive invasive JJ cord-262623-lmf2h6oc 194 11 disease disease NN cord-262623-lmf2h6oc 194 12 ( ( -LRB- cord-262623-lmf2h6oc 194 13 M M NNP cord-262623-lmf2h6oc 194 14 - - HYPH cord-262623-lmf2h6oc 194 15 protein protein NN cord-262623-lmf2h6oc 194 16 types type NNS cord-262623-lmf2h6oc 194 17 1 1 CD cord-262623-lmf2h6oc 194 18 and and CC cord-262623-lmf2h6oc 194 19 3 3 LS cord-262623-lmf2h6oc 194 20 ) ) -RRB- cord-262623-lmf2h6oc 194 21 have have VBP cord-262623-lmf2h6oc 194 22 increasingly increasingly RB cord-262623-lmf2h6oc 194 23 been be VBN cord-262623-lmf2h6oc 194 24 supplanting supplant VBG cord-262623-lmf2h6oc 194 25 those those DT cord-262623-lmf2h6oc 194 26 associated associate VBN cord-262623-lmf2h6oc 194 27 with with IN cord-262623-lmf2h6oc 194 28 less less RBR cord-262623-lmf2h6oc 194 29 severe severe JJ cord-262623-lmf2h6oc 194 30 disease disease NN cord-262623-lmf2h6oc 194 31 resulting result VBG cord-262623-lmf2h6oc 194 32 in in IN cord-262623-lmf2h6oc 194 33 an an DT cord-262623-lmf2h6oc 194 34 endemic endemic JJ cord-262623-lmf2h6oc 194 35 sporadic sporadic JJ cord-262623-lmf2h6oc 194 36 case case NN cord-262623-lmf2h6oc 194 37 - - HYPH cord-262623-lmf2h6oc 194 38 rate rate NN cord-262623-lmf2h6oc 194 39 for for IN cord-262623-lmf2h6oc 194 40 severe severe JJ cord-262623-lmf2h6oc 194 41 disease disease NN cord-262623-lmf2h6oc 194 42 of of IN cord-262623-lmf2h6oc 194 43 one one CD cord-262623-lmf2h6oc 194 44 to to TO cord-262623-lmf2h6oc 194 45 20 20 CD cord-262623-lmf2h6oc 194 46 cases/100,000 cases/100,000 NN cord-262623-lmf2h6oc 194 47 population population NN cord-262623-lmf2h6oc 194 48 yearly yearly RB cord-262623-lmf2h6oc 194 49 , , , cord-262623-lmf2h6oc 194 50 with with IN cord-262623-lmf2h6oc 194 51 intermittent intermittent JJ cord-262623-lmf2h6oc 194 52 larger large JJR cord-262623-lmf2h6oc 194 53 - - HYPH cord-262623-lmf2h6oc 194 54 scale scale NN cord-262623-lmf2h6oc 194 55 community community NN cord-262623-lmf2h6oc 194 56 outbreaks outbreak NNS cord-262623-lmf2h6oc 194 57 , , , cord-262623-lmf2h6oc 194 58 both both DT cord-262623-lmf2h6oc 194 59 of of IN cord-262623-lmf2h6oc 194 60 which which WDT cord-262623-lmf2h6oc 194 61 will will MD cord-262623-lmf2h6oc 194 62 continue continue VB cord-262623-lmf2h6oc 194 63 to to TO cord-262623-lmf2h6oc 194 64 require require VB cord-262623-lmf2h6oc 194 65 vigilance vigilance NN cord-262623-lmf2h6oc 194 66 and and CC cord-262623-lmf2h6oc 194 67 an an DT cord-262623-lmf2h6oc 194 68 aggressive aggressive JJ cord-262623-lmf2h6oc 194 69 therapeutic therapeutic JJ cord-262623-lmf2h6oc 194 70 stance stance NN cord-262623-lmf2h6oc 194 71 from from IN cord-262623-lmf2h6oc 194 72 the the DT cord-262623-lmf2h6oc 194 73 critical critical JJ cord-262623-lmf2h6oc 194 74 care care NN cord-262623-lmf2h6oc 194 75 community community NN cord-262623-lmf2h6oc 194 76 . . . cord-262623-lmf2h6oc 195 1 29 29 CD cord-262623-lmf2h6oc 195 2 _SP cord-262623-lmf2h6oc 196 1 The the DT cord-262623-lmf2h6oc 196 2 first first JJ cord-262623-lmf2h6oc 196 3 case case NN cord-262623-lmf2h6oc 196 4 of of IN cord-262623-lmf2h6oc 196 5 this this DT cord-262623-lmf2h6oc 196 6 apparently apparently RB cord-262623-lmf2h6oc 196 7 novel novel JJ cord-262623-lmf2h6oc 196 8 severe severe JJ cord-262623-lmf2h6oc 196 9 viral viral JJ cord-262623-lmf2h6oc 196 10 respiratory respiratory JJ cord-262623-lmf2h6oc 196 11 infection infection NN cord-262623-lmf2h6oc 196 12 occurred occur VBD cord-262623-lmf2h6oc 196 13 in in IN cord-262623-lmf2h6oc 196 14 Guangdong Guangdong NNP cord-262623-lmf2h6oc 196 15 Province Province NNP cord-262623-lmf2h6oc 196 16 in in IN cord-262623-lmf2h6oc 196 17 southern southern JJ cord-262623-lmf2h6oc 196 18 China China NNP cord-262623-lmf2h6oc 196 19 in in IN cord-262623-lmf2h6oc 196 20 November November NNP cord-262623-lmf2h6oc 196 21 2002 2002 CD cord-262623-lmf2h6oc 196 22 . . . cord-262623-lmf2h6oc 197 1 The the DT cord-262623-lmf2h6oc 197 2 victim victim NN cord-262623-lmf2h6oc 197 3 , , , cord-262623-lmf2h6oc 197 4 a a DT cord-262623-lmf2h6oc 197 5 farmer farmer NN cord-262623-lmf2h6oc 197 6 , , , cord-262623-lmf2h6oc 197 7 died die VBD cord-262623-lmf2h6oc 197 8 of of IN cord-262623-lmf2h6oc 197 9 an an DT cord-262623-lmf2h6oc 197 10 undiagnosed undiagnosed JJ cord-262623-lmf2h6oc 197 11 ' ' '' cord-262623-lmf2h6oc 197 12 ' ' `` cord-262623-lmf2h6oc 197 13 atypical atypical JJ cord-262623-lmf2h6oc 197 14 pneumonia pneumonia NN cord-262623-lmf2h6oc 197 15 . . . cord-262623-lmf2h6oc 197 16 ' ' '' cord-262623-lmf2h6oc 197 17 ' ' '' cord-262623-lmf2h6oc 198 1 Over over IN cord-262623-lmf2h6oc 198 2 the the DT cord-262623-lmf2h6oc 198 3 ensuing ensue VBG cord-262623-lmf2h6oc 198 4 weeks week NNS cord-262623-lmf2h6oc 198 5 several several JJ cord-262623-lmf2h6oc 198 6 more more JJR cord-262623-lmf2h6oc 198 7 cases case NNS cord-262623-lmf2h6oc 198 8 of of IN cord-262623-lmf2h6oc 198 9 severe severe JJ cord-262623-lmf2h6oc 198 10 respiratory respiratory JJ cord-262623-lmf2h6oc 198 11 syndromes syndrome NNS cord-262623-lmf2h6oc 198 12 began begin VBD cord-262623-lmf2h6oc 198 13 to to TO cord-262623-lmf2h6oc 198 14 appear appear VB cord-262623-lmf2h6oc 198 15 in in IN cord-262623-lmf2h6oc 198 16 the the DT cord-262623-lmf2h6oc 198 17 region region NN cord-262623-lmf2h6oc 198 18 , , , cord-262623-lmf2h6oc 198 19 also also RB cord-262623-lmf2h6oc 198 20 undiagnosed undiagnosed JJ cord-262623-lmf2h6oc 198 21 . . . cord-262623-lmf2h6oc 199 1 By by IN cord-262623-lmf2h6oc 199 2 the the DT cord-262623-lmf2h6oc 199 3 end end NN cord-262623-lmf2h6oc 199 4 of of IN cord-262623-lmf2h6oc 199 5 November November NNP cord-262623-lmf2h6oc 199 6 there there EX cord-262623-lmf2h6oc 199 7 had have VBD cord-262623-lmf2h6oc 199 8 been be VBN cord-262623-lmf2h6oc 199 9 enough enough JJ cord-262623-lmf2h6oc 199 10 such such JJ cord-262623-lmf2h6oc 199 11 cases case NNS cord-262623-lmf2h6oc 199 12 to to TO cord-262623-lmf2h6oc 199 13 generate generate VB cord-262623-lmf2h6oc 199 14 considerable considerable JJ cord-262623-lmf2h6oc 199 15 alarm alarm NN cord-262623-lmf2h6oc 199 16 among among IN cord-262623-lmf2h6oc 199 17 the the DT cord-262623-lmf2h6oc 199 18 medical medical JJ cord-262623-lmf2h6oc 199 19 community community NN cord-262623-lmf2h6oc 199 20 in in IN cord-262623-lmf2h6oc 199 21 China China NNP cord-262623-lmf2h6oc 199 22 , , , cord-262623-lmf2h6oc 199 23 generating generate VBG cord-262623-lmf2h6oc 199 24 Internet internet NN cord-262623-lmf2h6oc 199 25 communications communication NNS cord-262623-lmf2h6oc 199 26 between between IN cord-262623-lmf2h6oc 199 27 institutions institution NNS cord-262623-lmf2h6oc 199 28 which which WDT cord-262623-lmf2h6oc 199 29 were be VBD cord-262623-lmf2h6oc 199 30 picked pick VBN cord-262623-lmf2h6oc 199 31 up up RP cord-262623-lmf2h6oc 199 32 by by IN cord-262623-lmf2h6oc 199 33 international international JJ cord-262623-lmf2h6oc 199 34 monitoring monitoring NN cord-262623-lmf2h6oc 199 35 agencies agency NNS cord-262623-lmf2h6oc 199 36 . . . cord-262623-lmf2h6oc 200 1 This this DT cord-262623-lmf2h6oc 200 2 led lead VBD cord-262623-lmf2h6oc 200 3 to to IN cord-262623-lmf2h6oc 200 4 a a DT cord-262623-lmf2h6oc 200 5 request request NN cord-262623-lmf2h6oc 200 6 from from IN cord-262623-lmf2h6oc 200 7 the the DT cord-262623-lmf2h6oc 200 8 World World NNP cord-262623-lmf2h6oc 200 9 Health Health NNP cord-262623-lmf2h6oc 200 10 Organization Organization NNP cord-262623-lmf2h6oc 200 11 ( ( -LRB- cord-262623-lmf2h6oc 200 12 WHO who WP cord-262623-lmf2h6oc 200 13 ) ) -RRB- cord-262623-lmf2h6oc 200 14 for for IN cord-262623-lmf2h6oc 200 15 information information NN cord-262623-lmf2h6oc 200 16 about about IN cord-262623-lmf2h6oc 200 17 the the DT cord-262623-lmf2h6oc 200 18 outbreak outbreak NN cord-262623-lmf2h6oc 200 19 , , , cord-262623-lmf2h6oc 200 20 but but CC cord-262623-lmf2h6oc 200 21 no no DT cord-262623-lmf2h6oc 200 22 information information NN cord-262623-lmf2h6oc 200 23 was be VBD cord-262623-lmf2h6oc 200 24 forthcoming forthcoming JJ cord-262623-lmf2h6oc 200 25 from from IN cord-262623-lmf2h6oc 200 26 Chinese chinese JJ cord-262623-lmf2h6oc 200 27 authorities authority NNS cord-262623-lmf2h6oc 200 28 . . . cord-262623-lmf2h6oc 201 1 The the DT cord-262623-lmf2h6oc 201 2 first first JJ cord-262623-lmf2h6oc 201 3 official official JJ cord-262623-lmf2h6oc 201 4 report report NN cord-262623-lmf2h6oc 201 5 about about IN cord-262623-lmf2h6oc 201 6 the the DT cord-262623-lmf2h6oc 201 7 outbreak outbreak NN cord-262623-lmf2h6oc 201 8 was be VBD cord-262623-lmf2h6oc 201 9 made make VBN cord-262623-lmf2h6oc 201 10 to to IN cord-262623-lmf2h6oc 201 11 public public JJ cord-262623-lmf2h6oc 201 12 health health NN cord-262623-lmf2h6oc 201 13 authorities authority NNS cord-262623-lmf2h6oc 201 14 in in IN cord-262623-lmf2h6oc 201 15 Guangdong Guangdong NNP cord-262623-lmf2h6oc 201 16 in in IN cord-262623-lmf2h6oc 201 17 early early JJ cord-262623-lmf2h6oc 201 18 January January NNP cord-262623-lmf2h6oc 201 19 2003 2003 CD cord-262623-lmf2h6oc 201 20 , , , cord-262623-lmf2h6oc 201 21 with with IN cord-262623-lmf2h6oc 201 22 a a DT cord-262623-lmf2h6oc 201 23 later later JJ cord-262623-lmf2h6oc 201 24 report report NN cord-262623-lmf2h6oc 201 25 to to IN cord-262623-lmf2h6oc 201 26 the the DT cord-262623-lmf2h6oc 201 27 WHO WHO NNP cord-262623-lmf2h6oc 201 28 in in IN cord-262623-lmf2h6oc 201 29 February February NNP cord-262623-lmf2h6oc 201 30 that that IN cord-262623-lmf2h6oc 201 31 , , , cord-262623-lmf2h6oc 201 32 in in IN cord-262623-lmf2h6oc 201 33 retrospect retrospect NN cord-262623-lmf2h6oc 201 34 , , , cord-262623-lmf2h6oc 201 35 did do VBD cord-262623-lmf2h6oc 201 36 not not RB cord-262623-lmf2h6oc 201 37 fully fully RB cord-262623-lmf2h6oc 201 38 make make VB cord-262623-lmf2h6oc 201 39 clear clear JJ cord-262623-lmf2h6oc 201 40 either either CC cord-262623-lmf2h6oc 201 41 the the DT cord-262623-lmf2h6oc 201 42 nature nature NN cord-262623-lmf2h6oc 201 43 or or CC cord-262623-lmf2h6oc 201 44 the the DT cord-262623-lmf2h6oc 201 45 scale scale NN cord-262623-lmf2h6oc 201 46 of of IN cord-262623-lmf2h6oc 201 47 the the DT cord-262623-lmf2h6oc 201 48 problem problem NN cord-262623-lmf2h6oc 201 49 . . . cord-262623-lmf2h6oc 202 1 30 30 CD cord-262623-lmf2h6oc 202 2 Transmission transmission NN cord-262623-lmf2h6oc 202 3 of of IN cord-262623-lmf2h6oc 202 4 the the DT cord-262623-lmf2h6oc 202 5 disease disease NN cord-262623-lmf2h6oc 202 6 within within IN cord-262623-lmf2h6oc 202 7 China China NNP cord-262623-lmf2h6oc 202 8 continued continue VBD cord-262623-lmf2h6oc 202 9 to to TO cord-262623-lmf2h6oc 202 10 occur occur VB cord-262623-lmf2h6oc 202 11 , , , cord-262623-lmf2h6oc 202 12 leading lead VBG cord-262623-lmf2h6oc 202 13 to to IN cord-262623-lmf2h6oc 202 14 rapidly rapidly RB cord-262623-lmf2h6oc 202 15 increasing increase VBG cord-262623-lmf2h6oc 202 16 numbers number NNS cord-262623-lmf2h6oc 202 17 of of IN cord-262623-lmf2h6oc 202 18 cases case NNS cord-262623-lmf2h6oc 202 19 in in IN cord-262623-lmf2h6oc 202 20 South South NNP cord-262623-lmf2h6oc 202 21 China China NNP cord-262623-lmf2h6oc 202 22 , , , cord-262623-lmf2h6oc 202 23 then then RB cord-262623-lmf2h6oc 202 24 throughout throughout IN cord-262623-lmf2h6oc 202 25 the the DT cord-262623-lmf2h6oc 202 26 country country NN cord-262623-lmf2h6oc 202 27 and and CC cord-262623-lmf2h6oc 202 28 to to IN cord-262623-lmf2h6oc 202 29 the the DT cord-262623-lmf2h6oc 202 30 capitol capitol NN cord-262623-lmf2h6oc 202 31 Beijing Beijing NNP cord-262623-lmf2h6oc 202 32 ( ( -LRB- cord-262623-lmf2h6oc 202 33 where where WRB cord-262623-lmf2h6oc 202 34 one one CD cord-262623-lmf2h6oc 202 35 of of IN cord-262623-lmf2h6oc 202 36 the the DT cord-262623-lmf2h6oc 202 37 largest large JJS cord-262623-lmf2h6oc 202 38 outbreaks outbreak NNS cord-262623-lmf2h6oc 202 39 occurred occur VBD cord-262623-lmf2h6oc 202 40 ) ) -RRB- cord-262623-lmf2h6oc 202 41 . . . cord-262623-lmf2h6oc 203 1 Exposure exposure NN cord-262623-lmf2h6oc 203 2 of of IN cord-262623-lmf2h6oc 203 3 Chinese chinese JJ cord-262623-lmf2h6oc 203 4 travelers traveler NNS cord-262623-lmf2h6oc 203 5 and and CC cord-262623-lmf2h6oc 203 6 visitors visitor NNS cord-262623-lmf2h6oc 203 7 to to IN cord-262623-lmf2h6oc 203 8 the the DT cord-262623-lmf2h6oc 203 9 country country NN cord-262623-lmf2h6oc 203 10 was be VBD cord-262623-lmf2h6oc 203 11 inevitable inevitable JJ cord-262623-lmf2h6oc 203 12 , , , cord-262623-lmf2h6oc 203 13 given give VBN cord-262623-lmf2h6oc 203 14 the the DT cord-262623-lmf2h6oc 203 15 scale scale NN cord-262623-lmf2h6oc 203 16 of of IN cord-262623-lmf2h6oc 203 17 the the DT cord-262623-lmf2h6oc 203 18 outbreak outbreak NN cord-262623-lmf2h6oc 203 19 . . . cord-262623-lmf2h6oc 204 1 One one CD cord-262623-lmf2h6oc 204 2 exposed expose VBN cord-262623-lmf2h6oc 204 3 individual individual NN cord-262623-lmf2h6oc 204 4 was be VBD cord-262623-lmf2h6oc 204 5 a a DT cord-262623-lmf2h6oc 204 6 physician physician NN cord-262623-lmf2h6oc 204 7 from from IN cord-262623-lmf2h6oc 204 8 mainland mainland NN cord-262623-lmf2h6oc 204 9 China China NNP cord-262623-lmf2h6oc 204 10 who who WP cord-262623-lmf2h6oc 204 11 , , , cord-262623-lmf2h6oc 204 12 incubating incubate VBG cord-262623-lmf2h6oc 204 13 the the DT cord-262623-lmf2h6oc 204 14 disease disease NN cord-262623-lmf2h6oc 204 15 during during IN cord-262623-lmf2h6oc 204 16 his -PRON- PRP$ cord-262623-lmf2h6oc 204 17 travel travel NN cord-262623-lmf2h6oc 204 18 , , , cord-262623-lmf2h6oc 204 19 stayed stay VBD cord-262623-lmf2h6oc 204 20 at at IN cord-262623-lmf2h6oc 204 21 the the DT cord-262623-lmf2h6oc 204 22 Metropole Metropole NNP cord-262623-lmf2h6oc 204 23 hotel hotel NN cord-262623-lmf2h6oc 204 24 in in IN cord-262623-lmf2h6oc 204 25 Hong Hong NNP cord-262623-lmf2h6oc 204 26 Kong Kong NNP cord-262623-lmf2h6oc 204 27 in in IN cord-262623-lmf2h6oc 204 28 early early JJ cord-262623-lmf2h6oc 204 29 March March NNP cord-262623-lmf2h6oc 204 30 . . . cord-262623-lmf2h6oc 205 1 Later later JJ cord-262623-lmf2h6oc 205 2 investigations investigation NNS cord-262623-lmf2h6oc 205 3 showed show VBD cord-262623-lmf2h6oc 205 4 that that IN cord-262623-lmf2h6oc 205 5 he -PRON- PRP cord-262623-lmf2h6oc 205 6 transmitted transmit VBD cord-262623-lmf2h6oc 205 7 the the DT cord-262623-lmf2h6oc 205 8 virus virus NN cord-262623-lmf2h6oc 205 9 to to IN cord-262623-lmf2h6oc 205 10 at at RB cord-262623-lmf2h6oc 205 11 least least RBS cord-262623-lmf2h6oc 205 12 16 16 CD cord-262623-lmf2h6oc 205 13 other other JJ cord-262623-lmf2h6oc 205 14 guests guest NNS cord-262623-lmf2h6oc 205 15 at at IN cord-262623-lmf2h6oc 205 16 the the DT cord-262623-lmf2h6oc 205 17 hotel hotel NN cord-262623-lmf2h6oc 205 18 , , , cord-262623-lmf2h6oc 205 19 who who WP cord-262623-lmf2h6oc 205 20 then then RB cord-262623-lmf2h6oc 205 21 carried carry VBD cord-262623-lmf2h6oc 205 22 it -PRON- PRP cord-262623-lmf2h6oc 205 23 by by IN cord-262623-lmf2h6oc 205 24 international international JJ cord-262623-lmf2h6oc 205 25 air air NN cord-262623-lmf2h6oc 205 26 travel travel NN cord-262623-lmf2h6oc 205 27 to to IN cord-262623-lmf2h6oc 205 28 Taiwan Taiwan NNP cord-262623-lmf2h6oc 205 29 , , , cord-262623-lmf2h6oc 205 30 Singapore Singapore NNP cord-262623-lmf2h6oc 205 31 , , , cord-262623-lmf2h6oc 205 32 Vietnam Vietnam NNP cord-262623-lmf2h6oc 205 33 , , , cord-262623-lmf2h6oc 205 34 and and CC cord-262623-lmf2h6oc 205 35 Canada Canada NNP cord-262623-lmf2h6oc 205 36 . . . cord-262623-lmf2h6oc 206 1 One one CD cord-262623-lmf2h6oc 206 2 of of IN cord-262623-lmf2h6oc 206 3 these these DT cord-262623-lmf2h6oc 206 4 contact contact NN cord-262623-lmf2h6oc 206 5 cases case NNS cord-262623-lmf2h6oc 206 6 was be VBD cord-262623-lmf2h6oc 206 7 an an DT cord-262623-lmf2h6oc 206 8 American american JJ cord-262623-lmf2h6oc 206 9 businessman businessman NN cord-262623-lmf2h6oc 206 10 headed head VBN cord-262623-lmf2h6oc 206 11 for for IN cord-262623-lmf2h6oc 206 12 Singapore Singapore NNP cord-262623-lmf2h6oc 206 13 . . . cord-262623-lmf2h6oc 207 1 Becoming become VBG cord-262623-lmf2h6oc 207 2 ill ill JJ cord-262623-lmf2h6oc 207 3 while while NN cord-262623-lmf2h6oc 207 4 in in IN cord-262623-lmf2h6oc 207 5 transit transit NN cord-262623-lmf2h6oc 207 6 , , , cord-262623-lmf2h6oc 207 7 he -PRON- PRP cord-262623-lmf2h6oc 207 8 stopped stop VBD cord-262623-lmf2h6oc 207 9 in in IN cord-262623-lmf2h6oc 207 10 Hanoi Hanoi NNP cord-262623-lmf2h6oc 207 11 where where WRB cord-262623-lmf2h6oc 207 12 he -PRON- PRP cord-262623-lmf2h6oc 207 13 was be VBD cord-262623-lmf2h6oc 207 14 admitted admit VBN cord-262623-lmf2h6oc 207 15 to to IN cord-262623-lmf2h6oc 207 16 hospital hospital NN cord-262623-lmf2h6oc 207 17 with with IN cord-262623-lmf2h6oc 207 18 a a DT cord-262623-lmf2h6oc 207 19 severe severe JJ cord-262623-lmf2h6oc 207 20 pneumonia pneumonia NN cord-262623-lmf2h6oc 207 21 , , , cord-262623-lmf2h6oc 207 22 to to TO cord-262623-lmf2h6oc 207 23 which which WDT cord-262623-lmf2h6oc 207 24 he -PRON- PRP cord-262623-lmf2h6oc 207 25 eventually eventually RB cord-262623-lmf2h6oc 207 26 succumbed succumb VBD cord-262623-lmf2h6oc 207 27 . . . cord-262623-lmf2h6oc 208 1 Soon soon RB cord-262623-lmf2h6oc 208 2 after after RB cord-262623-lmf2h6oc 208 3 , , , cord-262623-lmf2h6oc 208 4 a a DT cord-262623-lmf2h6oc 208 5 number number NN cord-262623-lmf2h6oc 208 6 of of IN cord-262623-lmf2h6oc 208 7 health health NN cord-262623-lmf2h6oc 208 8 care care NN cord-262623-lmf2h6oc 208 9 workers worker NNS cord-262623-lmf2h6oc 208 10 who who WP cord-262623-lmf2h6oc 208 11 had have VBD cord-262623-lmf2h6oc 208 12 been be VBN cord-262623-lmf2h6oc 208 13 in in IN cord-262623-lmf2h6oc 208 14 contact contact NN cord-262623-lmf2h6oc 208 15 with with IN cord-262623-lmf2h6oc 208 16 him -PRON- PRP cord-262623-lmf2h6oc 208 17 also also RB cord-262623-lmf2h6oc 208 18 became become VBD cord-262623-lmf2h6oc 208 19 acutely acutely RB cord-262623-lmf2h6oc 208 20 ill ill JJ cord-262623-lmf2h6oc 208 21 . . . cord-262623-lmf2h6oc 209 1 Fortunately fortunately RB cord-262623-lmf2h6oc 209 2 for for IN cord-262623-lmf2h6oc 209 3 the the DT cord-262623-lmf2h6oc 209 4 course course NN cord-262623-lmf2h6oc 209 5 of of IN cord-262623-lmf2h6oc 209 6 the the DT cord-262623-lmf2h6oc 209 7 outbreak outbreak NN cord-262623-lmf2h6oc 209 8 , , , cord-262623-lmf2h6oc 209 9 one one CD cord-262623-lmf2h6oc 209 10 of of IN cord-262623-lmf2h6oc 209 11 the the DT cord-262623-lmf2h6oc 209 12 consultants consultant NNS cord-262623-lmf2h6oc 209 13 on on IN cord-262623-lmf2h6oc 209 14 the the DT cord-262623-lmf2h6oc 209 15 case case NN cord-262623-lmf2h6oc 209 16 was be VBD cord-262623-lmf2h6oc 209 17 an an DT cord-262623-lmf2h6oc 209 18 Italian italian JJ cord-262623-lmf2h6oc 209 19 physician physician NN cord-262623-lmf2h6oc 209 20 working work VBG cord-262623-lmf2h6oc 209 21 with with IN cord-262623-lmf2h6oc 209 22 the the DT cord-262623-lmf2h6oc 209 23 WHO WHO NNP cord-262623-lmf2h6oc 209 24 in in IN cord-262623-lmf2h6oc 209 25 Vietnam Vietnam NNP cord-262623-lmf2h6oc 209 26 , , , cord-262623-lmf2h6oc 209 27 Dr. Dr. NNP cord-262623-lmf2h6oc 209 28 Carlo Carlo NNP cord-262623-lmf2h6oc 209 29 Urbani Urbani NNP cord-262623-lmf2h6oc 209 30 . . . cord-262623-lmf2h6oc 210 1 He -PRON- PRP cord-262623-lmf2h6oc 210 2 immediately immediately RB cord-262623-lmf2h6oc 210 3 recognized recognize VBD cord-262623-lmf2h6oc 210 4 that that IN cord-262623-lmf2h6oc 210 5 this this DT cord-262623-lmf2h6oc 210 6 was be VBD cord-262623-lmf2h6oc 210 7 a a DT cord-262623-lmf2h6oc 210 8 previously previously RB cord-262623-lmf2h6oc 210 9 unknown unknown JJ cord-262623-lmf2h6oc 210 10 severe severe JJ cord-262623-lmf2h6oc 210 11 atypical atypical JJ cord-262623-lmf2h6oc 210 12 pneumonia pneumonia NN cord-262623-lmf2h6oc 210 13 that that WDT cord-262623-lmf2h6oc 210 14 was be VBD cord-262623-lmf2h6oc 210 15 relatively relatively RB cord-262623-lmf2h6oc 210 16 easily easily RB cord-262623-lmf2h6oc 210 17 transmissible transmissible JJ cord-262623-lmf2h6oc 210 18 and and CC cord-262623-lmf2h6oc 210 19 reported report VBD cord-262623-lmf2h6oc 210 20 it -PRON- PRP cord-262623-lmf2h6oc 210 21 to to IN cord-262623-lmf2h6oc 210 22 the the DT cord-262623-lmf2h6oc 210 23 WHO WHO NNP cord-262623-lmf2h6oc 210 24 ; ; : cord-262623-lmf2h6oc 210 25 this this DT cord-262623-lmf2h6oc 210 26 led lead VBD cord-262623-lmf2h6oc 210 27 to to IN cord-262623-lmf2h6oc 210 28 immediate immediate JJ cord-262623-lmf2h6oc 210 29 mobilization mobilization NN cord-262623-lmf2h6oc 210 30 of of IN cord-262623-lmf2h6oc 210 31 investigative investigative JJ cord-262623-lmf2h6oc 210 32 efforts effort NNS cord-262623-lmf2h6oc 210 33 and and CC cord-262623-lmf2h6oc 210 34 worldwide worldwide RB cord-262623-lmf2h6oc 210 35 alerts alert NNS cord-262623-lmf2h6oc 210 36 about about IN cord-262623-lmf2h6oc 210 37 the the DT cord-262623-lmf2h6oc 210 38 threat threat NN cord-262623-lmf2h6oc 210 39 . . . cord-262623-lmf2h6oc 211 1 31 31 CD cord-262623-lmf2h6oc 212 1 Unfortunately unfortunately RB cord-262623-lmf2h6oc 212 2 , , , cord-262623-lmf2h6oc 212 3 in in IN cord-262623-lmf2h6oc 212 4 the the DT cord-262623-lmf2h6oc 212 5 course course NN cord-262623-lmf2h6oc 212 6 of of IN cord-262623-lmf2h6oc 212 7 caring care VBG cord-262623-lmf2h6oc 212 8 for for IN cord-262623-lmf2h6oc 212 9 the the DT cord-262623-lmf2h6oc 212 10 victims victim NNS cord-262623-lmf2h6oc 212 11 of of IN cord-262623-lmf2h6oc 212 12 the the DT cord-262623-lmf2h6oc 212 13 disease disease NN cord-262623-lmf2h6oc 212 14 in in IN cord-262623-lmf2h6oc 212 15 Hanoi Hanoi NNP cord-262623-lmf2h6oc 212 16 , , , cord-262623-lmf2h6oc 212 17 Dr. Dr. NNP cord-262623-lmf2h6oc 212 18 Urbani Urbani NNP cord-262623-lmf2h6oc 212 19 himself -PRON- PRP cord-262623-lmf2h6oc 212 20 contracted contract VBD cord-262623-lmf2h6oc 212 21 the the DT cord-262623-lmf2h6oc 212 22 infection infection NN cord-262623-lmf2h6oc 212 23 and and CC cord-262623-lmf2h6oc 212 24 died die VBD cord-262623-lmf2h6oc 212 25 of of IN cord-262623-lmf2h6oc 212 26 it -PRON- PRP cord-262623-lmf2h6oc 212 27 later later RB cord-262623-lmf2h6oc 212 28 . . . cord-262623-lmf2h6oc 213 1 As as IN cord-262623-lmf2h6oc 213 2 information information NN cord-262623-lmf2h6oc 213 3 from from IN cord-262623-lmf2h6oc 213 4 China China NNP cord-262623-lmf2h6oc 213 5 became become VBD cord-262623-lmf2h6oc 213 6 more more RBR cord-262623-lmf2h6oc 213 7 available available JJ cord-262623-lmf2h6oc 213 8 , , , cord-262623-lmf2h6oc 213 9 it -PRON- PRP cord-262623-lmf2h6oc 213 10 became become VBD cord-262623-lmf2h6oc 213 11 clear clear JJ cord-262623-lmf2h6oc 213 12 that that IN cord-262623-lmf2h6oc 213 13 by by IN cord-262623-lmf2h6oc 213 14 this this DT cord-262623-lmf2h6oc 213 15 time time NN cord-262623-lmf2h6oc 213 16 there there EX cord-262623-lmf2h6oc 213 17 had have VBD cord-262623-lmf2h6oc 213 18 already already RB cord-262623-lmf2h6oc 213 19 been be VBN cord-262623-lmf2h6oc 213 20 hundreds hundred NNS cord-262623-lmf2h6oc 213 21 of of IN cord-262623-lmf2h6oc 213 22 cases case NNS cord-262623-lmf2h6oc 213 23 and and CC cord-262623-lmf2h6oc 213 24 numerous numerous JJ cord-262623-lmf2h6oc 213 25 deaths death NNS cord-262623-lmf2h6oc 213 26 . . . cord-262623-lmf2h6oc 214 1 The the DT cord-262623-lmf2h6oc 214 2 majority majority NN cord-262623-lmf2h6oc 214 3 of of IN cord-262623-lmf2h6oc 214 4 the the DT cord-262623-lmf2h6oc 214 5 initial initial JJ cord-262623-lmf2h6oc 214 6 wave wave NN cord-262623-lmf2h6oc 214 7 of of IN cord-262623-lmf2h6oc 214 8 cases case NNS cord-262623-lmf2h6oc 214 9 were be VBD cord-262623-lmf2h6oc 214 10 noted note VBN cord-262623-lmf2h6oc 214 11 to to TO cord-262623-lmf2h6oc 214 12 have have VB cord-262623-lmf2h6oc 214 13 occurred occur VBN cord-262623-lmf2h6oc 214 14 primarily primarily RB cord-262623-lmf2h6oc 214 15 in in IN cord-262623-lmf2h6oc 214 16 farmers farmer NNS cord-262623-lmf2h6oc 214 17 and and CC cord-262623-lmf2h6oc 214 18 food food NN cord-262623-lmf2h6oc 214 19 handlers handler NNS cord-262623-lmf2h6oc 214 20 , , , cord-262623-lmf2h6oc 214 21 particularly particularly RB cord-262623-lmf2h6oc 214 22 those those DT cord-262623-lmf2h6oc 214 23 working work VBG cord-262623-lmf2h6oc 214 24 in in IN cord-262623-lmf2h6oc 214 25 food food NN cord-262623-lmf2h6oc 214 26 markets market NNS cord-262623-lmf2h6oc 214 27 where where WRB cord-262623-lmf2h6oc 214 28 live live VBP cord-262623-lmf2h6oc 214 29 wild wild JJ cord-262623-lmf2h6oc 214 30 animals animal NNS cord-262623-lmf2h6oc 214 31 were be VBD cord-262623-lmf2h6oc 214 32 kept keep VBN cord-262623-lmf2h6oc 214 33 and and CC cord-262623-lmf2h6oc 214 34 sold sell VBN cord-262623-lmf2h6oc 214 35 for for IN cord-262623-lmf2h6oc 214 36 food food NN cord-262623-lmf2h6oc 214 37 . . . cord-262623-lmf2h6oc 215 1 The the DT cord-262623-lmf2h6oc 215 2 second second JJ cord-262623-lmf2h6oc 215 3 large large JJ cord-262623-lmf2h6oc 215 4 wave wave NN cord-262623-lmf2h6oc 215 5 of of IN cord-262623-lmf2h6oc 215 6 those those DT cord-262623-lmf2h6oc 215 7 affected affect VBN cord-262623-lmf2h6oc 215 8 were be VBD cord-262623-lmf2h6oc 215 9 health health NN cord-262623-lmf2h6oc 215 10 care care NN cord-262623-lmf2h6oc 215 11 workers worker NNS cord-262623-lmf2h6oc 215 12 exposed expose VBN cord-262623-lmf2h6oc 215 13 in in IN cord-262623-lmf2h6oc 215 14 hospital hospital NN cord-262623-lmf2h6oc 215 15 to to IN cord-262623-lmf2h6oc 215 16 patients patient NNS cord-262623-lmf2h6oc 215 17 with with IN cord-262623-lmf2h6oc 215 18 the the DT cord-262623-lmf2h6oc 215 19 disease disease NN cord-262623-lmf2h6oc 215 20 . . . cord-262623-lmf2h6oc 216 1 The the DT cord-262623-lmf2h6oc 216 2 illness illness NN cord-262623-lmf2h6oc 216 3 was be VBD cord-262623-lmf2h6oc 216 4 characterized characterize VBN cord-262623-lmf2h6oc 216 5 by by IN cord-262623-lmf2h6oc 216 6 fever fever NN cord-262623-lmf2h6oc 216 7 and and CC cord-262623-lmf2h6oc 216 8 myalgia myalgia NN cord-262623-lmf2h6oc 216 9 with with IN cord-262623-lmf2h6oc 216 10 gastrointestinal gastrointestinal JJ cord-262623-lmf2h6oc 216 11 symptoms symptom NNS cord-262623-lmf2h6oc 216 12 in in IN cord-262623-lmf2h6oc 216 13 the the DT cord-262623-lmf2h6oc 216 14 initial initial JJ cord-262623-lmf2h6oc 216 15 phase phase NN cord-262623-lmf2h6oc 216 16 , , , cord-262623-lmf2h6oc 216 17 occurring occur VBG cord-262623-lmf2h6oc 216 18 an an DT cord-262623-lmf2h6oc 216 19 average average NN cord-262623-lmf2h6oc 216 20 of of IN cord-262623-lmf2h6oc 216 21 5 5 CD cord-262623-lmf2h6oc 216 22 days day NNS cord-262623-lmf2h6oc 216 23 after after IN cord-262623-lmf2h6oc 216 24 exposure exposure NN cord-262623-lmf2h6oc 216 25 ( ( -LRB- cord-262623-lmf2h6oc 216 26 range range NNP cord-262623-lmf2h6oc 216 27 2 2 CD cord-262623-lmf2h6oc 216 28 - - SYM cord-262623-lmf2h6oc 216 29 10 10 CD cord-262623-lmf2h6oc 216 30 days day NNS cord-262623-lmf2h6oc 216 31 ) ) -RRB- cord-262623-lmf2h6oc 216 32 . . . cord-262623-lmf2h6oc 217 1 Many many JJ cord-262623-lmf2h6oc 217 2 cases case NNS cord-262623-lmf2h6oc 217 3 got get VBD cord-262623-lmf2h6oc 217 4 no no RB cord-262623-lmf2h6oc 217 5 worse bad JJR cord-262623-lmf2h6oc 217 6 than than IN cord-262623-lmf2h6oc 217 7 this this DT cord-262623-lmf2h6oc 217 8 , , , cord-262623-lmf2h6oc 217 9 but but CC cord-262623-lmf2h6oc 217 10 others other NNS cord-262623-lmf2h6oc 217 11 went go VBD cord-262623-lmf2h6oc 217 12 on on RP cord-262623-lmf2h6oc 217 13 to to TO cord-262623-lmf2h6oc 217 14 develop develop VB cord-262623-lmf2h6oc 217 15 dyspnea dyspnea NN cord-262623-lmf2h6oc 217 16 associated associate VBN cord-262623-lmf2h6oc 217 17 with with IN cord-262623-lmf2h6oc 217 18 radiographic radiographic JJ cord-262623-lmf2h6oc 217 19 evidence evidence NN cord-262623-lmf2h6oc 217 20 of of IN cord-262623-lmf2h6oc 217 21 a a DT cord-262623-lmf2h6oc 217 22 diffuse diffuse JJ cord-262623-lmf2h6oc 217 23 , , , cord-262623-lmf2h6oc 217 24 patchy patchy JJ cord-262623-lmf2h6oc 217 25 pneumonitis pneumonitis NN cord-262623-lmf2h6oc 217 26 which which WDT cord-262623-lmf2h6oc 217 27 , , , cord-262623-lmf2h6oc 217 28 in in IN cord-262623-lmf2h6oc 217 29 some some DT cord-262623-lmf2h6oc 217 30 , , , cord-262623-lmf2h6oc 217 31 progressed progress VBD cord-262623-lmf2h6oc 217 32 to to IN cord-262623-lmf2h6oc 217 33 ARDS ARDS NNP cord-262623-lmf2h6oc 217 34 . . . cord-262623-lmf2h6oc 218 1 An an DT cord-262623-lmf2h6oc 218 2 average average NN cord-262623-lmf2h6oc 218 3 of of IN cord-262623-lmf2h6oc 218 4 Light Light NNP cord-262623-lmf2h6oc 218 5 15 15 CD cord-262623-lmf2h6oc 218 6 % % NN cord-262623-lmf2h6oc 218 7 required require VBD cord-262623-lmf2h6oc 218 8 mechanical mechanical JJ cord-262623-lmf2h6oc 218 9 ventilatory ventilatory NN cord-262623-lmf2h6oc 218 10 support support NN cord-262623-lmf2h6oc 218 11 , , , cord-262623-lmf2h6oc 218 12 and and CC cord-262623-lmf2h6oc 218 13 when when WRB cord-262623-lmf2h6oc 218 14 the the DT cord-262623-lmf2h6oc 218 15 data datum NNS cord-262623-lmf2h6oc 218 16 were be VBD cord-262623-lmf2h6oc 218 17 all all DT cord-262623-lmf2h6oc 218 18 in in IN cord-262623-lmf2h6oc 218 19 from from IN cord-262623-lmf2h6oc 218 20 later later JJ cord-262623-lmf2h6oc 218 21 phases phase NNS cord-262623-lmf2h6oc 218 22 of of IN cord-262623-lmf2h6oc 218 23 the the DT cord-262623-lmf2h6oc 218 24 outbreak outbreak NN cord-262623-lmf2h6oc 218 25 , , , cord-262623-lmf2h6oc 218 26 mortality mortality NN cord-262623-lmf2h6oc 218 27 rates rate NNS cord-262623-lmf2h6oc 218 28 averaged average VBD cord-262623-lmf2h6oc 218 29 about about RB cord-262623-lmf2h6oc 218 30 10 10 CD cord-262623-lmf2h6oc 218 31 % % NN cord-262623-lmf2h6oc 218 32 overall overall JJ cord-262623-lmf2h6oc 218 33 , , , cord-262623-lmf2h6oc 218 34 worse bad JJR cord-262623-lmf2h6oc 218 35 in in IN cord-262623-lmf2h6oc 218 36 the the DT cord-262623-lmf2h6oc 218 37 aged aged JJ cord-262623-lmf2h6oc 218 38 and and CC cord-262623-lmf2h6oc 218 39 debilitated debilitated JJ cord-262623-lmf2h6oc 218 40 , , , cord-262623-lmf2h6oc 218 41 lower low JJR cord-262623-lmf2h6oc 218 42 in in IN cord-262623-lmf2h6oc 218 43 the the DT cord-262623-lmf2h6oc 218 44 young young JJ cord-262623-lmf2h6oc 218 45 and and CC cord-262623-lmf2h6oc 218 46 healthy healthy JJ cord-262623-lmf2h6oc 218 47 . . . cord-262623-lmf2h6oc 219 1 The the DT cord-262623-lmf2h6oc 219 2 largest large JJS cord-262623-lmf2h6oc 219 3 outbreak outbreak NN cord-262623-lmf2h6oc 219 4 outside outside IN cord-262623-lmf2h6oc 219 5 Asia Asia NNP cord-262623-lmf2h6oc 219 6 occurred occur VBD cord-262623-lmf2h6oc 219 7 in in IN cord-262623-lmf2h6oc 219 8 Toronto Toronto NNP cord-262623-lmf2h6oc 219 9 , , , cord-262623-lmf2h6oc 219 10 Canada Canada NNP cord-262623-lmf2h6oc 219 11 . . . cord-262623-lmf2h6oc 220 1 The the DT cord-262623-lmf2h6oc 220 2 index index NN cord-262623-lmf2h6oc 220 3 case case NN cord-262623-lmf2h6oc 220 4 , , , cord-262623-lmf2h6oc 220 5 a a DT cord-262623-lmf2h6oc 220 6 visitor visitor NN cord-262623-lmf2h6oc 220 7 to to IN cord-262623-lmf2h6oc 220 8 China China NNP cord-262623-lmf2h6oc 220 9 , , , cord-262623-lmf2h6oc 220 10 returned return VBD cord-262623-lmf2h6oc 220 11 to to IN cord-262623-lmf2h6oc 220 12 Canada Canada NNP cord-262623-lmf2h6oc 220 13 and and CC cord-262623-lmf2h6oc 220 14 died die VBD cord-262623-lmf2h6oc 220 15 of of IN cord-262623-lmf2h6oc 220 16 pneumonia pneumonia NN cord-262623-lmf2h6oc 220 17 at at IN cord-262623-lmf2h6oc 220 18 home home NN cord-262623-lmf2h6oc 220 19 , , , cord-262623-lmf2h6oc 220 20 undiagnosed undiagnosed JJ cord-262623-lmf2h6oc 220 21 , , , cord-262623-lmf2h6oc 220 22 in in IN cord-262623-lmf2h6oc 220 23 early early JJ cord-262623-lmf2h6oc 220 24 March March NNP cord-262623-lmf2h6oc 220 25 2003 2003 CD cord-262623-lmf2h6oc 220 26 . . . cord-262623-lmf2h6oc 221 1 Shortly shortly RB cord-262623-lmf2h6oc 221 2 thereafter thereafter RB cord-262623-lmf2h6oc 221 3 , , , cord-262623-lmf2h6oc 221 4 one one CD cord-262623-lmf2h6oc 221 5 of of IN cord-262623-lmf2h6oc 221 6 his -PRON- PRP$ cord-262623-lmf2h6oc 221 7 sons son NNS cord-262623-lmf2h6oc 221 8 was be VBD cord-262623-lmf2h6oc 221 9 admitted admit VBN cord-262623-lmf2h6oc 221 10 to to IN cord-262623-lmf2h6oc 221 11 hospital hospital NN cord-262623-lmf2h6oc 221 12 with with IN cord-262623-lmf2h6oc 221 13 a a DT cord-262623-lmf2h6oc 221 14 severe severe JJ cord-262623-lmf2h6oc 221 15 respiratory respiratory JJ cord-262623-lmf2h6oc 221 16 illness illness NN cord-262623-lmf2h6oc 221 17 and and CC cord-262623-lmf2h6oc 221 18 died die VBD cord-262623-lmf2h6oc 221 19 a a DT cord-262623-lmf2h6oc 221 20 few few JJ cord-262623-lmf2h6oc 221 21 days day NNS cord-262623-lmf2h6oc 221 22 later later RB cord-262623-lmf2h6oc 221 23 . . . cord-262623-lmf2h6oc 222 1 By by IN cord-262623-lmf2h6oc 222 2 this this DT cord-262623-lmf2h6oc 222 3 time time NN cord-262623-lmf2h6oc 222 4 , , , cord-262623-lmf2h6oc 222 5 four four CD cord-262623-lmf2h6oc 222 6 other other JJ cord-262623-lmf2h6oc 222 7 family family NN cord-262623-lmf2h6oc 222 8 members member NNS cord-262623-lmf2h6oc 222 9 had have VBD cord-262623-lmf2h6oc 222 10 become become VBN cord-262623-lmf2h6oc 222 11 ill ill JJ cord-262623-lmf2h6oc 222 12 and and CC cord-262623-lmf2h6oc 222 13 had have VBD cord-262623-lmf2h6oc 222 14 been be VBN cord-262623-lmf2h6oc 222 15 admitted admit VBN cord-262623-lmf2h6oc 222 16 to to IN cord-262623-lmf2h6oc 222 17 hospital hospital NN cord-262623-lmf2h6oc 222 18 ; ; : cord-262623-lmf2h6oc 222 19 the the DT cord-262623-lmf2h6oc 222 20 first first JJ cord-262623-lmf2h6oc 222 21 cases case NNS cord-262623-lmf2h6oc 222 22 of of IN cord-262623-lmf2h6oc 222 23 affected affected JJ cord-262623-lmf2h6oc 222 24 health health NN cord-262623-lmf2h6oc 222 25 care care NN cord-262623-lmf2h6oc 222 26 workers worker NNS cord-262623-lmf2h6oc 222 27 appeared appear VBD cord-262623-lmf2h6oc 222 28 soon soon RB cord-262623-lmf2h6oc 222 29 after after IN cord-262623-lmf2h6oc 222 30 among among IN cord-262623-lmf2h6oc 222 31 those those DT cord-262623-lmf2h6oc 222 32 who who WP cord-262623-lmf2h6oc 222 33 had have VBD cord-262623-lmf2h6oc 222 34 cared care VBN cord-262623-lmf2h6oc 222 35 for for IN cord-262623-lmf2h6oc 222 36 the the DT cord-262623-lmf2h6oc 222 37 dying die VBG cord-262623-lmf2h6oc 222 38 son son NN cord-262623-lmf2h6oc 222 39 of of IN cord-262623-lmf2h6oc 222 40 the the DT cord-262623-lmf2h6oc 222 41 index index NN cord-262623-lmf2h6oc 222 42 case case NN cord-262623-lmf2h6oc 222 43 . . . cord-262623-lmf2h6oc 223 1 Within within IN cord-262623-lmf2h6oc 223 2 days day NNS cord-262623-lmf2h6oc 223 3 , , , cord-262623-lmf2h6oc 223 4 other other JJ cord-262623-lmf2h6oc 223 5 instances instance NNS cord-262623-lmf2h6oc 223 6 of of IN cord-262623-lmf2h6oc 223 7 transmission transmission NN cord-262623-lmf2h6oc 223 8 from from IN cord-262623-lmf2h6oc 223 9 undiagnosed undiagnosed JJ cord-262623-lmf2h6oc 223 10 contacts contact NNS cord-262623-lmf2h6oc 223 11 of of IN cord-262623-lmf2h6oc 223 12 the the DT cord-262623-lmf2h6oc 223 13 initial initial JJ cord-262623-lmf2h6oc 223 14 cases case NNS cord-262623-lmf2h6oc 223 15 in in IN cord-262623-lmf2h6oc 223 16 hospitals hospital NNS cord-262623-lmf2h6oc 223 17 , , , cord-262623-lmf2h6oc 223 18 doctors doctor NNS cord-262623-lmf2h6oc 223 19 ' ' POS cord-262623-lmf2h6oc 223 20 offices office NNS cord-262623-lmf2h6oc 223 21 , , , cord-262623-lmf2h6oc 223 22 emergency emergency NN cord-262623-lmf2h6oc 223 23 rooms room NNS cord-262623-lmf2h6oc 223 24 , , , cord-262623-lmf2h6oc 223 25 and and CC cord-262623-lmf2h6oc 223 26 at at IN cord-262623-lmf2h6oc 223 27 social social JJ cord-262623-lmf2h6oc 223 28 events event NNS cord-262623-lmf2h6oc 223 29 were be VBD cord-262623-lmf2h6oc 223 30 leading lead VBG cord-262623-lmf2h6oc 223 31 to to IN cord-262623-lmf2h6oc 223 32 admission admission NN cord-262623-lmf2h6oc 223 33 of of IN cord-262623-lmf2h6oc 223 34 cases case NNS cord-262623-lmf2h6oc 223 35 to to IN cord-262623-lmf2h6oc 223 36 several several JJ cord-262623-lmf2h6oc 223 37 hospitals hospital NNS cord-262623-lmf2h6oc 223 38 throughout throughout IN cord-262623-lmf2h6oc 223 39 Toronto Toronto NNP cord-262623-lmf2h6oc 223 40 . . . cord-262623-lmf2h6oc 224 1 The the DT cord-262623-lmf2h6oc 224 2 response response NN cord-262623-lmf2h6oc 224 3 of of IN cord-262623-lmf2h6oc 224 4 the the DT cord-262623-lmf2h6oc 224 5 public public JJ cord-262623-lmf2h6oc 224 6 health health NN cord-262623-lmf2h6oc 224 7 authorities authority NNS cord-262623-lmf2h6oc 224 8 , , , cord-262623-lmf2h6oc 224 9 beginning begin VBG cord-262623-lmf2h6oc 224 10 soon soon RB cord-262623-lmf2h6oc 224 11 after after IN cord-262623-lmf2h6oc 224 12 the the DT cord-262623-lmf2h6oc 224 13 WHO WHO NNP cord-262623-lmf2h6oc 224 14 global global JJ cord-262623-lmf2h6oc 224 15 alert alert NN cord-262623-lmf2h6oc 224 16 and and CC cord-262623-lmf2h6oc 224 17 coincident coincident JJ cord-262623-lmf2h6oc 224 18 with with IN cord-262623-lmf2h6oc 224 19 the the DT cord-262623-lmf2h6oc 224 20 recognition recognition NN cord-262623-lmf2h6oc 224 21 of of IN cord-262623-lmf2h6oc 224 22 the the DT cord-262623-lmf2h6oc 224 23 first first JJ cord-262623-lmf2h6oc 224 24 local local JJ cord-262623-lmf2h6oc 224 25 cases case NNS cord-262623-lmf2h6oc 224 26 , , , cord-262623-lmf2h6oc 224 27 was be VBD cord-262623-lmf2h6oc 224 28 quick quick JJ cord-262623-lmf2h6oc 224 29 and and CC cord-262623-lmf2h6oc 224 30 vigorous vigorous JJ cord-262623-lmf2h6oc 224 31 , , , cord-262623-lmf2h6oc 224 32 including include VBG cord-262623-lmf2h6oc 224 33 closure closure NN cord-262623-lmf2h6oc 224 34 of of IN cord-262623-lmf2h6oc 224 35 the the DT cord-262623-lmf2h6oc 224 36 main main JJ cord-262623-lmf2h6oc 224 37 affected affected JJ cord-262623-lmf2h6oc 224 38 hospital hospital NN cord-262623-lmf2h6oc 224 39 , , , cord-262623-lmf2h6oc 224 40 intensive intensive JJ cord-262623-lmf2h6oc 224 41 follow follow NN cord-262623-lmf2h6oc 224 42 - - HYPH cord-262623-lmf2h6oc 224 43 up up NN cord-262623-lmf2h6oc 224 44 of of IN cord-262623-lmf2h6oc 224 45 probable probable JJ cord-262623-lmf2h6oc 224 46 contacts contact NNS cord-262623-lmf2h6oc 224 47 , , , cord-262623-lmf2h6oc 224 48 quarantine quarantine NN cord-262623-lmf2h6oc 224 49 of of IN cord-262623-lmf2h6oc 224 50 suspected suspect VBN cord-262623-lmf2h6oc 224 51 cases case NNS cord-262623-lmf2h6oc 224 52 based base VBN cord-262623-lmf2h6oc 224 53 on on IN cord-262623-lmf2h6oc 224 54 a a DT cord-262623-lmf2h6oc 224 55 fairly fairly RB cord-262623-lmf2h6oc 224 56 inclusive inclusive JJ cord-262623-lmf2h6oc 224 57 case case NN cord-262623-lmf2h6oc 224 58 definition definition NN cord-262623-lmf2h6oc 224 59 and and CC cord-262623-lmf2h6oc 224 60 strict strict JJ cord-262623-lmf2h6oc 224 61 institution institution NN cord-262623-lmf2h6oc 224 62 of of IN cord-262623-lmf2h6oc 224 63 barrier barrier NN cord-262623-lmf2h6oc 224 64 contact contact NN cord-262623-lmf2h6oc 224 65 protection protection NN cord-262623-lmf2h6oc 224 66 for for IN cord-262623-lmf2h6oc 224 67 health health NN cord-262623-lmf2h6oc 224 68 care care NN cord-262623-lmf2h6oc 224 69 workers worker NNS cord-262623-lmf2h6oc 224 70 . . . cord-262623-lmf2h6oc 225 1 32 32 CD cord-262623-lmf2h6oc 226 1 By by IN cord-262623-lmf2h6oc 226 2 mid mid NNP cord-262623-lmf2h6oc 226 3 - - NNP cord-262623-lmf2h6oc 226 4 April April NNP cord-262623-lmf2h6oc 226 5 the the DT cord-262623-lmf2h6oc 226 6 number number NN cord-262623-lmf2h6oc 226 7 of of IN cord-262623-lmf2h6oc 226 8 new new JJ cord-262623-lmf2h6oc 226 9 cases case NNS cord-262623-lmf2h6oc 226 10 was be VBD cord-262623-lmf2h6oc 226 11 rapidly rapidly RB cord-262623-lmf2h6oc 226 12 declining decline VBG cord-262623-lmf2h6oc 226 13 , , , cord-262623-lmf2h6oc 226 14 although although IN cord-262623-lmf2h6oc 226 15 there there EX cord-262623-lmf2h6oc 226 16 was be VBD cord-262623-lmf2h6oc 226 17 one one CD cord-262623-lmf2h6oc 226 18 cluster cluster NN cord-262623-lmf2h6oc 226 19 of of IN cord-262623-lmf2h6oc 226 20 late late JJ cord-262623-lmf2h6oc 226 21 cases case NNS cord-262623-lmf2h6oc 226 22 related relate VBN cord-262623-lmf2h6oc 226 23 to to IN cord-262623-lmf2h6oc 226 24 exposure exposure NN cord-262623-lmf2h6oc 226 25 of of IN cord-262623-lmf2h6oc 226 26 a a DT cord-262623-lmf2h6oc 226 27 large large JJ cord-262623-lmf2h6oc 226 28 number number NN cord-262623-lmf2h6oc 226 29 of of IN cord-262623-lmf2h6oc 226 30 health health NN cord-262623-lmf2h6oc 226 31 care care NN cord-262623-lmf2h6oc 226 32 workers worker NNS cord-262623-lmf2h6oc 226 33 during during IN cord-262623-lmf2h6oc 226 34 the the DT cord-262623-lmf2h6oc 226 35 resuscitation resuscitation NN cord-262623-lmf2h6oc 226 36 and and CC cord-262623-lmf2h6oc 226 37 difficult difficult JJ cord-262623-lmf2h6oc 226 38 intubation intubation NN cord-262623-lmf2h6oc 226 39 of of IN cord-262623-lmf2h6oc 226 40 a a DT cord-262623-lmf2h6oc 226 41 critically critically RB cord-262623-lmf2h6oc 226 42 ill ill JJ cord-262623-lmf2h6oc 226 43 patient patient NN cord-262623-lmf2h6oc 226 44 . . . cord-262623-lmf2h6oc 227 1 A a DT cord-262623-lmf2h6oc 227 2 later later JJ cord-262623-lmf2h6oc 227 3 cluster cluster NN cord-262623-lmf2h6oc 227 4 of of IN cord-262623-lmf2h6oc 227 5 cases case NNS cord-262623-lmf2h6oc 227 6 also also RB cord-262623-lmf2h6oc 227 7 occurred occur VBD cord-262623-lmf2h6oc 227 8 in in IN cord-262623-lmf2h6oc 227 9 a a DT cord-262623-lmf2h6oc 227 10 rehabilitation rehabilitation NN cord-262623-lmf2h6oc 227 11 hospital hospital NN cord-262623-lmf2h6oc 227 12 , , , cord-262623-lmf2h6oc 227 13 where where WRB cord-262623-lmf2h6oc 227 14 it -PRON- PRP cord-262623-lmf2h6oc 227 15 appeared appear VBD cord-262623-lmf2h6oc 227 16 that that IN cord-262623-lmf2h6oc 227 17 unrecognized unrecognized JJ cord-262623-lmf2h6oc 227 18 contacts contact NNS cord-262623-lmf2h6oc 227 19 from from IN cord-262623-lmf2h6oc 227 20 the the DT cord-262623-lmf2h6oc 227 21 first first JJ cord-262623-lmf2h6oc 227 22 phase phase NN cord-262623-lmf2h6oc 227 23 of of IN cord-262623-lmf2h6oc 227 24 the the DT cord-262623-lmf2h6oc 227 25 outbreak outbreak NN cord-262623-lmf2h6oc 227 26 had have VBD cord-262623-lmf2h6oc 227 27 been be VBN cord-262623-lmf2h6oc 227 28 transferred transfer VBN cord-262623-lmf2h6oc 227 29 and and CC cord-262623-lmf2h6oc 227 30 transmitted transmit VBN cord-262623-lmf2h6oc 227 31 the the DT cord-262623-lmf2h6oc 227 32 disease disease NN cord-262623-lmf2h6oc 227 33 to to IN cord-262623-lmf2h6oc 227 34 other other JJ cord-262623-lmf2h6oc 227 35 patients patient NNS cord-262623-lmf2h6oc 227 36 and and CC cord-262623-lmf2h6oc 227 37 staff staff NN cord-262623-lmf2h6oc 227 38 . . . cord-262623-lmf2h6oc 228 1 The the DT cord-262623-lmf2h6oc 228 2 worldwide worldwide JJ cord-262623-lmf2h6oc 228 3 outbreak outbreak NN cord-262623-lmf2h6oc 228 4 was be VBD cord-262623-lmf2h6oc 228 5 essentially essentially RB cord-262623-lmf2h6oc 228 6 over over RB cord-262623-lmf2h6oc 228 7 by by IN cord-262623-lmf2h6oc 228 8 July July NNP cord-262623-lmf2h6oc 228 9 2003 2003 CD cord-262623-lmf2h6oc 228 10 . . . cord-262623-lmf2h6oc 229 1 There there EX cord-262623-lmf2h6oc 229 2 were be VBD cord-262623-lmf2h6oc 229 3 a a DT cord-262623-lmf2h6oc 229 4 total total NN cord-262623-lmf2h6oc 229 5 of of IN cord-262623-lmf2h6oc 229 6 8098 8098 CD cord-262623-lmf2h6oc 229 7 reported report VBN cord-262623-lmf2h6oc 229 8 cases case NNS cord-262623-lmf2h6oc 229 9 from from IN cord-262623-lmf2h6oc 229 10 26 26 CD cord-262623-lmf2h6oc 229 11 countries country NNS cord-262623-lmf2h6oc 229 12 , , , cord-262623-lmf2h6oc 229 13 with with IN cord-262623-lmf2h6oc 229 14 774 774 CD cord-262623-lmf2h6oc 229 15 deaths death NNS cord-262623-lmf2h6oc 229 16 . . . cord-262623-lmf2h6oc 230 1 Intensive intensive JJ cord-262623-lmf2h6oc 230 2 epidemiologic epidemiologic JJ cord-262623-lmf2h6oc 230 3 and and CC cord-262623-lmf2h6oc 230 4 laboratory laboratory JJ cord-262623-lmf2h6oc 230 5 study study NN cord-262623-lmf2h6oc 230 6 of of IN cord-262623-lmf2h6oc 230 7 the the DT cord-262623-lmf2h6oc 230 8 disease disease NN cord-262623-lmf2h6oc 230 9 by by IN cord-262623-lmf2h6oc 230 10 investigators investigator NNS cord-262623-lmf2h6oc 230 11 and and CC cord-262623-lmf2h6oc 230 12 laboratories laboratory NNS cord-262623-lmf2h6oc 230 13 worldwide worldwide RB cord-262623-lmf2h6oc 230 14 led lead VBD cord-262623-lmf2h6oc 230 15 to to IN cord-262623-lmf2h6oc 230 16 unprecedented unprecedented JJ cord-262623-lmf2h6oc 230 17 rapid rapid JJ cord-262623-lmf2h6oc 230 18 growth growth NN cord-262623-lmf2h6oc 230 19 in in IN cord-262623-lmf2h6oc 230 20 knowledge knowledge NN cord-262623-lmf2h6oc 230 21 about about IN cord-262623-lmf2h6oc 230 22 the the DT cord-262623-lmf2h6oc 230 23 causative causative JJ cord-262623-lmf2h6oc 230 24 agent agent NN cord-262623-lmf2h6oc 230 25 . . . cord-262623-lmf2h6oc 231 1 The the DT cord-262623-lmf2h6oc 231 2 virus virus NN cord-262623-lmf2h6oc 231 3 , , , cord-262623-lmf2h6oc 231 4 more more RBR cord-262623-lmf2h6oc 231 5 or or CC cord-262623-lmf2h6oc 231 6 less less RBR cord-262623-lmf2h6oc 231 7 simultaneously simultaneously RB cord-262623-lmf2h6oc 231 8 characterized characterize VBN cord-262623-lmf2h6oc 231 9 at at IN cord-262623-lmf2h6oc 231 10 a a DT cord-262623-lmf2h6oc 231 11 number number NN cord-262623-lmf2h6oc 231 12 of of IN cord-262623-lmf2h6oc 231 13 laboratories laboratory NNS cord-262623-lmf2h6oc 231 14 around around IN cord-262623-lmf2h6oc 231 15 the the DT cord-262623-lmf2h6oc 231 16 world world NN cord-262623-lmf2h6oc 231 17 , , , cord-262623-lmf2h6oc 231 18 proved prove VBD cord-262623-lmf2h6oc 231 19 to to TO cord-262623-lmf2h6oc 231 20 be be VB cord-262623-lmf2h6oc 231 21 a a DT cord-262623-lmf2h6oc 231 22 previously previously RB cord-262623-lmf2h6oc 231 23 unknown unknown JJ cord-262623-lmf2h6oc 231 24 coronavirus coronavirus NN cord-262623-lmf2h6oc 231 25 ( ( -LRB- cord-262623-lmf2h6oc 231 26 severe severe JJ cord-262623-lmf2h6oc 231 27 acute acute JJ cord-262623-lmf2h6oc 231 28 respiratory respiratory JJ cord-262623-lmf2h6oc 231 29 syndrome syndrome NN cord-262623-lmf2h6oc 231 30 [ [ -LRB- cord-262623-lmf2h6oc 231 31 SARS]-CoV sars]-cov NN cord-262623-lmf2h6oc 231 32 ) ) -RRB- cord-262623-lmf2h6oc 231 33 with with IN cord-262623-lmf2h6oc 231 34 capacity capacity NN cord-262623-lmf2h6oc 231 35 to to TO cord-262623-lmf2h6oc 231 36 infect infect VB cord-262623-lmf2h6oc 231 37 and and CC cord-262623-lmf2h6oc 231 38 spread spread VB cord-262623-lmf2h6oc 231 39 from from IN cord-262623-lmf2h6oc 231 40 a a DT cord-262623-lmf2h6oc 231 41 variety variety NN cord-262623-lmf2h6oc 231 42 of of IN cord-262623-lmf2h6oc 231 43 wild wild JJ cord-262623-lmf2h6oc 231 44 animals animal NNS cord-262623-lmf2h6oc 231 45 to to IN cord-262623-lmf2h6oc 231 46 humans human NNS cord-262623-lmf2h6oc 231 47 . . . cord-262623-lmf2h6oc 232 1 Epidemiologic epidemiologic JJ cord-262623-lmf2h6oc 232 2 , , , cord-262623-lmf2h6oc 232 3 serologic serologic NN cord-262623-lmf2h6oc 232 4 , , , cord-262623-lmf2h6oc 232 5 and and CC cord-262623-lmf2h6oc 232 6 virologic virologic JJ cord-262623-lmf2h6oc 232 7 evidence evidence NN cord-262623-lmf2h6oc 232 8 was be VBD cord-262623-lmf2h6oc 232 9 developed develop VBN cord-262623-lmf2h6oc 232 10 linking link VBG cord-262623-lmf2h6oc 232 11 human human JJ cord-262623-lmf2h6oc 232 12 cases case NNS cord-262623-lmf2h6oc 232 13 to to IN cord-262623-lmf2h6oc 232 14 exposure exposure VB cord-262623-lmf2h6oc 232 15 to to IN cord-262623-lmf2h6oc 232 16 infected infected JJ cord-262623-lmf2h6oc 232 17 wild wild JJ cord-262623-lmf2h6oc 232 18 animals animal NNS cord-262623-lmf2h6oc 232 19 , , , cord-262623-lmf2h6oc 232 20 including include VBG cord-262623-lmf2h6oc 232 21 masked mask VBN cord-262623-lmf2h6oc 232 22 palm palm NN cord-262623-lmf2h6oc 232 23 civets civet NNS cord-262623-lmf2h6oc 232 24 , , , cord-262623-lmf2h6oc 232 25 raccoon raccoon NN cord-262623-lmf2h6oc 232 26 dogs dog NNS cord-262623-lmf2h6oc 232 27 , , , cord-262623-lmf2h6oc 232 28 ferrets ferret NNS cord-262623-lmf2h6oc 232 29 and and CC cord-262623-lmf2h6oc 232 30 ferret ferret JJ cord-262623-lmf2h6oc 232 31 badgers badger NNS cord-262623-lmf2h6oc 232 32 , , , cord-262623-lmf2h6oc 232 33 all all DT cord-262623-lmf2h6oc 232 34 being be VBG cord-262623-lmf2h6oc 232 35 sold sell VBN cord-262623-lmf2h6oc 232 36 for for IN cord-262623-lmf2h6oc 232 37 human human JJ cord-262623-lmf2h6oc 232 38 consumption consumption NN cord-262623-lmf2h6oc 232 39 in in IN cord-262623-lmf2h6oc 232 40 markets market NNS cord-262623-lmf2h6oc 232 41 in in IN cord-262623-lmf2h6oc 232 42 China China NNP cord-262623-lmf2h6oc 232 43 . . . cord-262623-lmf2h6oc 233 1 33 33 CD cord-262623-lmf2h6oc 233 2 Control control NN cord-262623-lmf2h6oc 233 3 of of IN cord-262623-lmf2h6oc 233 4 their -PRON- PRP$ cord-262623-lmf2h6oc 233 5 transport transport NN cord-262623-lmf2h6oc 233 6 and and CC cord-262623-lmf2h6oc 233 7 sale sale NN cord-262623-lmf2h6oc 233 8 and and CC cord-262623-lmf2h6oc 233 9 exposures exposure NNS cord-262623-lmf2h6oc 233 10 to to IN cord-262623-lmf2h6oc 233 11 humans human NNS cord-262623-lmf2h6oc 233 12 by by IN cord-262623-lmf2h6oc 233 13 Chinese chinese JJ cord-262623-lmf2h6oc 233 14 health health NN cord-262623-lmf2h6oc 233 15 authorities authority NNS cord-262623-lmf2h6oc 233 16 was be VBD cord-262623-lmf2h6oc 233 17 probably probably RB cord-262623-lmf2h6oc 233 18 one one CD cord-262623-lmf2h6oc 233 19 of of IN cord-262623-lmf2h6oc 233 20 the the DT cord-262623-lmf2h6oc 233 21 major major JJ cord-262623-lmf2h6oc 233 22 factors factor NNS cord-262623-lmf2h6oc 233 23 in in IN cord-262623-lmf2h6oc 233 24 bringing bring VBG cord-262623-lmf2h6oc 233 25 the the DT cord-262623-lmf2h6oc 233 26 first first JJ cord-262623-lmf2h6oc 233 27 outbreak outbreak NN cord-262623-lmf2h6oc 233 28 under under IN cord-262623-lmf2h6oc 233 29 control control NN cord-262623-lmf2h6oc 233 30 , , , cord-262623-lmf2h6oc 233 31 the the DT cord-262623-lmf2h6oc 233 32 partial partial JJ cord-262623-lmf2h6oc 233 33 failure failure NN cord-262623-lmf2h6oc 233 34 of of IN cord-262623-lmf2h6oc 233 35 which which WDT cord-262623-lmf2h6oc 233 36 later later RB cord-262623-lmf2h6oc 233 37 led lead VBD cord-262623-lmf2h6oc 233 38 to to IN cord-262623-lmf2h6oc 233 39 a a DT cord-262623-lmf2h6oc 233 40 second second JJ cord-262623-lmf2h6oc 233 41 , , , cord-262623-lmf2h6oc 233 42 much much RB cord-262623-lmf2h6oc 233 43 smaller small JJR cord-262623-lmf2h6oc 233 44 outbreak outbreak NN cord-262623-lmf2h6oc 233 45 late late RB cord-262623-lmf2h6oc 233 46 in in IN cord-262623-lmf2h6oc 233 47 2004 2004 CD cord-262623-lmf2h6oc 233 48 . . . cord-262623-lmf2h6oc 234 1 Although although IN cord-262623-lmf2h6oc 234 2 the the DT cord-262623-lmf2h6oc 234 3 initial initial JJ cord-262623-lmf2h6oc 234 4 speculation speculation NN cord-262623-lmf2h6oc 234 5 was be VBD cord-262623-lmf2h6oc 234 6 that that IN cord-262623-lmf2h6oc 234 7 one one CD cord-262623-lmf2h6oc 234 8 or or CC cord-262623-lmf2h6oc 234 9 more more JJR cord-262623-lmf2h6oc 234 10 of of IN cord-262623-lmf2h6oc 234 11 these these DT cord-262623-lmf2h6oc 234 12 wild wild JJ cord-262623-lmf2h6oc 234 13 animals animal NNS cord-262623-lmf2h6oc 234 14 were be VBD cord-262623-lmf2h6oc 234 15 the the DT cord-262623-lmf2h6oc 234 16 reservoir reservoir NN cord-262623-lmf2h6oc 234 17 in in IN cord-262623-lmf2h6oc 234 18 nature nature NN cord-262623-lmf2h6oc 234 19 for for IN cord-262623-lmf2h6oc 234 20 the the DT cord-262623-lmf2h6oc 234 21 infection infection NN cord-262623-lmf2h6oc 234 22 , , , cord-262623-lmf2h6oc 234 23 it -PRON- PRP cord-262623-lmf2h6oc 234 24 now now RB cord-262623-lmf2h6oc 234 25 appears appear VBZ cord-262623-lmf2h6oc 234 26 more more RBR cord-262623-lmf2h6oc 234 27 likely likely JJ cord-262623-lmf2h6oc 234 28 that that IN cord-262623-lmf2h6oc 234 29 the the DT cord-262623-lmf2h6oc 234 30 viral viral JJ cord-262623-lmf2h6oc 234 31 reservoir reservoir NN cord-262623-lmf2h6oc 234 32 is be VBZ cord-262623-lmf2h6oc 234 33 actually actually RB cord-262623-lmf2h6oc 234 34 bats bat NNS cord-262623-lmf2h6oc 234 35 , , , cord-262623-lmf2h6oc 234 36 with with IN cord-262623-lmf2h6oc 234 37 crosstransmission crosstransmission NN cord-262623-lmf2h6oc 234 38 of of IN cord-262623-lmf2h6oc 234 39 the the DT cord-262623-lmf2h6oc 234 40 virus virus NN cord-262623-lmf2h6oc 234 41 between between IN cord-262623-lmf2h6oc 234 42 bats bat NNS cord-262623-lmf2h6oc 234 43 , , , cord-262623-lmf2h6oc 234 44 food food NN cord-262623-lmf2h6oc 234 45 animals animal NNS cord-262623-lmf2h6oc 234 46 , , , cord-262623-lmf2h6oc 234 47 and and CC cord-262623-lmf2h6oc 234 48 humans human NNS cord-262623-lmf2h6oc 234 49 in in IN cord-262623-lmf2h6oc 234 50 crowded crowded JJ cord-262623-lmf2h6oc 234 51 markets market NNS cord-262623-lmf2h6oc 234 52 leading lead VBG cord-262623-lmf2h6oc 234 53 to to IN cord-262623-lmf2h6oc 234 54 development development NN cord-262623-lmf2h6oc 234 55 of of IN cord-262623-lmf2h6oc 234 56 strains strain NNS cord-262623-lmf2h6oc 234 57 with with IN cord-262623-lmf2h6oc 234 58 the the DT cord-262623-lmf2h6oc 234 59 capacity capacity NN cord-262623-lmf2h6oc 234 60 to to TO cord-262623-lmf2h6oc 234 61 transmit transmit VB cord-262623-lmf2h6oc 234 62 between between IN cord-262623-lmf2h6oc 234 63 humans human NNS cord-262623-lmf2h6oc 234 64 . . . cord-262623-lmf2h6oc 235 1 34 34 CD cord-262623-lmf2h6oc 235 2 Public public JJ cord-262623-lmf2h6oc 235 3 health health NN cord-262623-lmf2h6oc 235 4 authorities authority NNS cord-262623-lmf2h6oc 235 5 worldwide worldwide RB cord-262623-lmf2h6oc 235 6 learned learn VBD cord-262623-lmf2h6oc 235 7 much much RB cord-262623-lmf2h6oc 235 8 from from IN cord-262623-lmf2h6oc 235 9 SARS SARS NNP cord-262623-lmf2h6oc 235 10 about about IN cord-262623-lmf2h6oc 235 11 the the DT cord-262623-lmf2h6oc 235 12 importance importance NN cord-262623-lmf2h6oc 235 13 of of IN cord-262623-lmf2h6oc 235 14 effective effective JJ cord-262623-lmf2h6oc 235 15 international international JJ cord-262623-lmf2h6oc 235 16 communication communication NN cord-262623-lmf2h6oc 235 17 in in IN cord-262623-lmf2h6oc 235 18 developing develop VBG cord-262623-lmf2h6oc 235 19 a a DT cord-262623-lmf2h6oc 235 20 rapid rapid JJ cord-262623-lmf2h6oc 235 21 and and CC cord-262623-lmf2h6oc 235 22 effective effective JJ cord-262623-lmf2h6oc 235 23 response response NN cord-262623-lmf2h6oc 235 24 to to IN cord-262623-lmf2h6oc 235 25 outbreaks outbreak NNS cord-262623-lmf2h6oc 235 26 of of IN cord-262623-lmf2h6oc 235 27 novel novel NN cord-262623-lmf2h6oc 235 28 viruses virus NNS cord-262623-lmf2h6oc 235 29 , , , cord-262623-lmf2h6oc 235 30 and and CC cord-262623-lmf2h6oc 235 31 more more JJR cord-262623-lmf2h6oc 235 32 about about IN cord-262623-lmf2h6oc 235 33 how how WRB cord-262623-lmf2h6oc 235 34 to to TO cord-262623-lmf2h6oc 235 35 go go VB cord-262623-lmf2h6oc 235 36 about about IN cord-262623-lmf2h6oc 235 37 containing contain VBG cord-262623-lmf2h6oc 235 38 such such JJ cord-262623-lmf2h6oc 235 39 infections infection NNS cord-262623-lmf2h6oc 235 40 within within IN cord-262623-lmf2h6oc 235 41 communities community NNS cord-262623-lmf2h6oc 235 42 and and CC cord-262623-lmf2h6oc 235 43 hospitals hospital NNS cord-262623-lmf2h6oc 235 44 . . . cord-262623-lmf2h6oc 236 1 Several several JJ cord-262623-lmf2h6oc 236 2 intensivists intensivist NNS cord-262623-lmf2h6oc 236 3 involved involve VBN cord-262623-lmf2h6oc 236 4 in in IN cord-262623-lmf2h6oc 236 5 the the DT cord-262623-lmf2h6oc 236 6 outbreak outbreak NN cord-262623-lmf2h6oc 236 7 credit credit NN cord-262623-lmf2h6oc 236 8 e e NN cord-262623-lmf2h6oc 236 9 - - NN cord-262623-lmf2h6oc 236 10 mail mail NN cord-262623-lmf2h6oc 236 11 communications communication NNS cord-262623-lmf2h6oc 236 12 from from IN cord-262623-lmf2h6oc 236 13 other other JJ cord-262623-lmf2h6oc 236 14 international international JJ cord-262623-lmf2h6oc 236 15 outbreak outbreak NN cord-262623-lmf2h6oc 236 16 sites site NNS cord-262623-lmf2h6oc 236 17 for for IN cord-262623-lmf2h6oc 236 18 effective effective JJ cord-262623-lmf2h6oc 236 19 advice advice NN cord-262623-lmf2h6oc 236 20 on on IN cord-262623-lmf2h6oc 236 21 critical critical JJ cord-262623-lmf2h6oc 236 22 elements element NNS cord-262623-lmf2h6oc 236 23 of of IN cord-262623-lmf2h6oc 236 24 disease disease NN cord-262623-lmf2h6oc 236 25 protection protection NN cord-262623-lmf2h6oc 236 26 ( ( -LRB- cord-262623-lmf2h6oc 236 27 eg eg UH cord-262623-lmf2h6oc 236 28 , , , cord-262623-lmf2h6oc 236 29 Powered Powered NNP cord-262623-lmf2h6oc 236 30 Air Air NNP cord-262623-lmf2h6oc 236 31 Purifying Purifying NNP cord-262623-lmf2h6oc 236 32 Respirators Respirators NNPS cord-262623-lmf2h6oc 236 33 and and CC cord-262623-lmf2h6oc 236 34 full full JJ cord-262623-lmf2h6oc 236 35 contact contact NN cord-262623-lmf2h6oc 236 36 rather rather RB cord-262623-lmf2h6oc 236 37 than than IN cord-262623-lmf2h6oc 236 38 droplet droplet NN cord-262623-lmf2h6oc 236 39 precautions precaution NNS cord-262623-lmf2h6oc 236 40 ) ) -RRB- cord-262623-lmf2h6oc 236 41 and and CC cord-262623-lmf2h6oc 236 42 therapy therapy NN cord-262623-lmf2h6oc 236 43 . . . cord-262623-lmf2h6oc 237 1 For for IN cord-262623-lmf2h6oc 237 2 the the DT cord-262623-lmf2h6oc 237 3 critical critical JJ cord-262623-lmf2h6oc 237 4 care care NN cord-262623-lmf2h6oc 237 5 community community NN cord-262623-lmf2h6oc 237 6 , , , cord-262623-lmf2h6oc 237 7 perhaps perhaps RB cord-262623-lmf2h6oc 237 8 one one CD cord-262623-lmf2h6oc 237 9 main main JJ cord-262623-lmf2h6oc 237 10 lesson lesson NN cord-262623-lmf2h6oc 237 11 was be VBD cord-262623-lmf2h6oc 237 12 the the DT cord-262623-lmf2h6oc 237 13 importance importance NN cord-262623-lmf2h6oc 237 14 of of IN cord-262623-lmf2h6oc 237 15 ' ' `` cord-262623-lmf2h6oc 237 16 ' ' `` cord-262623-lmf2h6oc 237 17 super super RB cord-262623-lmf2h6oc 237 18 - - JJ cord-262623-lmf2h6oc 237 19 spreading spread VBG cord-262623-lmf2h6oc 237 20 incidents incident NNS cord-262623-lmf2h6oc 237 21 ' ' POS cord-262623-lmf2h6oc 237 22 ' ' '' cord-262623-lmf2h6oc 237 23 in in IN cord-262623-lmf2h6oc 237 24 propagating propagate VBG cord-262623-lmf2h6oc 237 25 the the DT cord-262623-lmf2h6oc 237 26 disease disease NN cord-262623-lmf2h6oc 237 27 in in IN cord-262623-lmf2h6oc 237 28 hospitals hospital NNS cord-262623-lmf2h6oc 237 29 . . . cord-262623-lmf2h6oc 238 1 Many many JJ cord-262623-lmf2h6oc 238 2 of of IN cord-262623-lmf2h6oc 238 3 these these DT cord-262623-lmf2h6oc 238 4 occurred occur VBD cord-262623-lmf2h6oc 238 5 in in IN cord-262623-lmf2h6oc 238 6 critically critically RB cord-262623-lmf2h6oc 238 7 ill ill JJ cord-262623-lmf2h6oc 238 8 patients patient NNS cord-262623-lmf2h6oc 238 9 undergoing undergo VBG cord-262623-lmf2h6oc 238 10 resuscitation resuscitation NN cord-262623-lmf2h6oc 238 11 with with IN cord-262623-lmf2h6oc 238 12 difficult difficult JJ cord-262623-lmf2h6oc 238 13 or or CC cord-262623-lmf2h6oc 238 14 traumatic traumatic JJ cord-262623-lmf2h6oc 238 15 intubation intubation NN cord-262623-lmf2h6oc 238 16 , , , cord-262623-lmf2h6oc 238 17 generating generate VBG cord-262623-lmf2h6oc 238 18 aerosols aerosol NNS cord-262623-lmf2h6oc 238 19 in in IN cord-262623-lmf2h6oc 238 20 closed closed JJ cord-262623-lmf2h6oc 238 21 spaces space NNS cord-262623-lmf2h6oc 238 22 which which WDT cord-262623-lmf2h6oc 238 23 contained contain VBD cord-262623-lmf2h6oc 238 24 many many JJ cord-262623-lmf2h6oc 238 25 superfluous superfluous JJ cord-262623-lmf2h6oc 238 26 and and CC cord-262623-lmf2h6oc 238 27 inadequately inadequately RB cord-262623-lmf2h6oc 238 28 protected protect VBN cord-262623-lmf2h6oc 238 29 health health NN cord-262623-lmf2h6oc 238 30 care care NN cord-262623-lmf2h6oc 238 31 workers worker NNS cord-262623-lmf2h6oc 238 32 . . . cord-262623-lmf2h6oc 239 1 Handling handle VBG cord-262623-lmf2h6oc 239 2 these these DT cord-262623-lmf2h6oc 239 3 situations situation NNS cord-262623-lmf2h6oc 239 4 safely safely RB cord-262623-lmf2h6oc 239 5 depends depend VBZ cord-262623-lmf2h6oc 239 6 crucially crucially RB cord-262623-lmf2h6oc 239 7 on on IN cord-262623-lmf2h6oc 239 8 identifying identify VBG cord-262623-lmf2h6oc 239 9 the the DT cord-262623-lmf2h6oc 239 10 potential potential JJ cord-262623-lmf2h6oc 239 11 risk risk NN cord-262623-lmf2h6oc 239 12 and and CC cord-262623-lmf2h6oc 239 13 undertaking undertake VBG cord-262623-lmf2h6oc 239 14 the the DT cord-262623-lmf2h6oc 239 15 resuscitation resuscitation NN cord-262623-lmf2h6oc 239 16 and and CC cord-262623-lmf2h6oc 239 17 intubation intubation NN cord-262623-lmf2h6oc 239 18 using use VBG cord-262623-lmf2h6oc 239 19 the the DT cord-262623-lmf2h6oc 239 20 most most RBS cord-262623-lmf2h6oc 239 21 experienced experienced JJ cord-262623-lmf2h6oc 239 22 operators operator NNS cord-262623-lmf2h6oc 239 23 available available JJ cord-262623-lmf2h6oc 239 24 , , , cord-262623-lmf2h6oc 239 25 adequately adequately RB cord-262623-lmf2h6oc 239 26 protected protect VBN cord-262623-lmf2h6oc 239 27 with with IN cord-262623-lmf2h6oc 239 28 basic basic JJ cord-262623-lmf2h6oc 239 29 barrier barrier NN cord-262623-lmf2h6oc 239 30 precautions precaution NNS cord-262623-lmf2h6oc 239 31 ( ( -LRB- cord-262623-lmf2h6oc 239 32 eye eye NN cord-262623-lmf2h6oc 239 33 protection protection NN cord-262623-lmf2h6oc 239 34 , , , cord-262623-lmf2h6oc 239 35 gloves glove NNS cord-262623-lmf2h6oc 239 36 and and CC cord-262623-lmf2h6oc 239 37 surgical surgical JJ cord-262623-lmf2h6oc 239 38 face face NN cord-262623-lmf2h6oc 239 39 - - HYPH cord-262623-lmf2h6oc 239 40 masks mask NNS cord-262623-lmf2h6oc 239 41 ) ) -RRB- cord-262623-lmf2h6oc 239 42 , , , cord-262623-lmf2h6oc 239 43 using use VBG cord-262623-lmf2h6oc 239 44 sedation sedation NN cord-262623-lmf2h6oc 239 45 or or CC cord-262623-lmf2h6oc 239 46 paralysis paralysis NN cord-262623-lmf2h6oc 239 47 as as IN cord-262623-lmf2h6oc 239 48 necessary necessary JJ cord-262623-lmf2h6oc 239 49 to to TO cord-262623-lmf2h6oc 239 50 minimize minimize VB cord-262623-lmf2h6oc 239 51 trauma trauma NN cord-262623-lmf2h6oc 239 52 and and CC cord-262623-lmf2h6oc 239 53 aerosol aerosol NN cord-262623-lmf2h6oc 239 54 generation generation NN cord-262623-lmf2h6oc 239 55 , , , cord-262623-lmf2h6oc 239 56 and and CC cord-262623-lmf2h6oc 239 57 with with IN cord-262623-lmf2h6oc 239 58 only only RB cord-262623-lmf2h6oc 239 59 essential essential JJ cord-262623-lmf2h6oc 239 60 and and CC cord-262623-lmf2h6oc 239 61 adequately adequately RB cord-262623-lmf2h6oc 239 62 protected protect VBN cord-262623-lmf2h6oc 239 63 staff staff NN cord-262623-lmf2h6oc 239 64 in in IN cord-262623-lmf2h6oc 239 65 the the DT cord-262623-lmf2h6oc 239 66 room room NN cord-262623-lmf2h6oc 239 67 . . . cord-262623-lmf2h6oc 240 1 35 35 CD cord-262623-lmf2h6oc 241 1 This this DT cord-262623-lmf2h6oc 241 2 likely likely RB cord-262623-lmf2h6oc 241 3 applies apply VBZ cord-262623-lmf2h6oc 241 4 to to IN cord-262623-lmf2h6oc 241 5 many many JJ cord-262623-lmf2h6oc 241 6 other other JJ cord-262623-lmf2h6oc 241 7 situations situation NNS cord-262623-lmf2h6oc 241 8 with with IN cord-262623-lmf2h6oc 241 9 potential potential NN cord-262623-lmf2h6oc 241 10 for for IN cord-262623-lmf2h6oc 241 11 disease disease NN cord-262623-lmf2h6oc 241 12 transmission transmission NN cord-262623-lmf2h6oc 241 13 to to IN cord-262623-lmf2h6oc 241 14 health health NN cord-262623-lmf2h6oc 241 15 care care NN cord-262623-lmf2h6oc 241 16 workers worker NNS cord-262623-lmf2h6oc 241 17 . . . cord-262623-lmf2h6oc 242 1 Unfortunately unfortunately RB cord-262623-lmf2h6oc 242 2 , , , cord-262623-lmf2h6oc 242 3 this this DT cord-262623-lmf2h6oc 242 4 epidemic epidemic NN cord-262623-lmf2h6oc 242 5 again again RB cord-262623-lmf2h6oc 242 6 points point VBZ cord-262623-lmf2h6oc 242 7 out out RP cord-262623-lmf2h6oc 242 8 the the DT cord-262623-lmf2h6oc 242 9 primary primary JJ cord-262623-lmf2h6oc 242 10 lesson lesson NN cord-262623-lmf2h6oc 242 11 that that WDT cord-262623-lmf2h6oc 242 12 was be VBD cord-262623-lmf2h6oc 242 13 not not RB cord-262623-lmf2h6oc 242 14 absorbed absorb VBN cord-262623-lmf2h6oc 242 15 from from IN cord-262623-lmf2h6oc 242 16 the the DT cord-262623-lmf2h6oc 242 17 earlier early JJR cord-262623-lmf2h6oc 242 18 HPS HPS NNP cord-262623-lmf2h6oc 242 19 outbreak outbreak NN cord-262623-lmf2h6oc 242 20 , , , cord-262623-lmf2h6oc 242 21 namely namely RB cord-262623-lmf2h6oc 242 22 , , , cord-262623-lmf2h6oc 242 23 the the DT cord-262623-lmf2h6oc 242 24 need need NN cord-262623-lmf2h6oc 242 25 for for IN cord-262623-lmf2h6oc 242 26 detailed detailed JJ cord-262623-lmf2h6oc 242 27 preplanning preplanning NN cord-262623-lmf2h6oc 242 28 and and CC cord-262623-lmf2h6oc 242 29 preparation preparation NN cord-262623-lmf2h6oc 242 30 for for IN cord-262623-lmf2h6oc 242 31 a a DT cord-262623-lmf2h6oc 242 32 major major JJ cord-262623-lmf2h6oc 242 33 infectious infectious JJ cord-262623-lmf2h6oc 242 34 disease disease NN cord-262623-lmf2h6oc 242 35 epidemic epidemic NN cord-262623-lmf2h6oc 242 36 that that WDT cord-262623-lmf2h6oc 242 37 is be VBZ cord-262623-lmf2h6oc 242 38 inclusive inclusive JJ cord-262623-lmf2h6oc 242 39 of of IN cord-262623-lmf2h6oc 242 40 hospital hospital NN cord-262623-lmf2h6oc 242 41 and and CC cord-262623-lmf2h6oc 242 42 ICU ICU NNP cord-262623-lmf2h6oc 242 43 operations operation NNS cord-262623-lmf2h6oc 242 44 in in IN cord-262623-lmf2h6oc 242 45 each each DT cord-262623-lmf2h6oc 242 46 locale locale NN cord-262623-lmf2h6oc 242 47 . . . cord-262623-lmf2h6oc 243 1 According accord VBG cord-262623-lmf2h6oc 243 2 to to IN cord-262623-lmf2h6oc 243 3 participants participant NNS cord-262623-lmf2h6oc 243 4 , , , cord-262623-lmf2h6oc 243 5 the the DT cord-262623-lmf2h6oc 243 6 SARS SARS NNP cord-262623-lmf2h6oc 243 7 outbreak outbreak NN cord-262623-lmf2h6oc 243 8 demonstrated demonstrate VBD cord-262623-lmf2h6oc 243 9 many many JJ cord-262623-lmf2h6oc 243 10 of of IN cord-262623-lmf2h6oc 243 11 the the DT cord-262623-lmf2h6oc 243 12 same same JJ cord-262623-lmf2h6oc 243 13 early early JJ cord-262623-lmf2h6oc 243 14 ICU ICU NNP cord-262623-lmf2h6oc 243 15 operational operational JJ cord-262623-lmf2h6oc 243 16 problems problem NNS cord-262623-lmf2h6oc 243 17 that that WDT cord-262623-lmf2h6oc 243 18 plagued plague VBD cord-262623-lmf2h6oc 243 19 the the DT cord-262623-lmf2h6oc 243 20 HPS HPS NNP cord-262623-lmf2h6oc 243 21 outbreak outbreak NN cord-262623-lmf2h6oc 243 22 albeit albeit IN cord-262623-lmf2h6oc 243 23 on on IN cord-262623-lmf2h6oc 243 24 a a DT cord-262623-lmf2h6oc 243 25 larger large JJR cord-262623-lmf2h6oc 243 26 scale scale NN cord-262623-lmf2h6oc 243 27 . . . cord-262623-lmf2h6oc 244 1 In in IN cord-262623-lmf2h6oc 244 2 the the DT cord-262623-lmf2h6oc 244 3 ICU ICU NNP cord-262623-lmf2h6oc 244 4 era era NN cord-262623-lmf2h6oc 244 5 , , , cord-262623-lmf2h6oc 244 6 there there EX cord-262623-lmf2h6oc 244 7 has have VBZ cord-262623-lmf2h6oc 244 8 yet yet RB cord-262623-lmf2h6oc 244 9 to to TO cord-262623-lmf2h6oc 244 10 occur occur VB cord-262623-lmf2h6oc 244 11 a a DT cord-262623-lmf2h6oc 244 12 true true JJ cord-262623-lmf2h6oc 244 13 influenza influenza NN cord-262623-lmf2h6oc 244 14 pandemic pandemic NN cord-262623-lmf2h6oc 244 15 with with IN cord-262623-lmf2h6oc 244 16 a a DT cord-262623-lmf2h6oc 244 17 high high JJ cord-262623-lmf2h6oc 244 18 attack attack NN cord-262623-lmf2h6oc 244 19 rate rate NN cord-262623-lmf2h6oc 244 20 in in IN cord-262623-lmf2h6oc 244 21 all all DT cord-262623-lmf2h6oc 244 22 age age NN cord-262623-lmf2h6oc 244 23 groups group NNS cord-262623-lmf2h6oc 244 24 and and CC cord-262623-lmf2h6oc 244 25 associated associate VBD cord-262623-lmf2h6oc 244 26 high high JJ cord-262623-lmf2h6oc 244 27 hospitalization hospitalization NN cord-262623-lmf2h6oc 244 28 and and CC cord-262623-lmf2h6oc 244 29 mortality mortality NN cord-262623-lmf2h6oc 244 30 rates rate NNS cord-262623-lmf2h6oc 244 31 , , , cord-262623-lmf2h6oc 244 32 as as IN cord-262623-lmf2h6oc 244 33 was be VBD cord-262623-lmf2h6oc 244 34 seen see VBN cord-262623-lmf2h6oc 244 35 in in IN cord-262623-lmf2h6oc 244 36 the the DT cord-262623-lmf2h6oc 244 37 great great JJ cord-262623-lmf2h6oc 244 38 1918 1918 CD cord-262623-lmf2h6oc 244 39 pandemic pandemic NN cord-262623-lmf2h6oc 244 40 . . . cord-262623-lmf2h6oc 245 1 In in IN cord-262623-lmf2h6oc 245 2 that that DT cord-262623-lmf2h6oc 245 3 worldwide worldwide JJ cord-262623-lmf2h6oc 245 4 disaster disaster NN cord-262623-lmf2h6oc 245 5 , , , cord-262623-lmf2h6oc 245 6 it -PRON- PRP cord-262623-lmf2h6oc 245 7 is be VBZ cord-262623-lmf2h6oc 245 8 estimated estimate VBN cord-262623-lmf2h6oc 245 9 that that IN cord-262623-lmf2h6oc 245 10 30 30 CD cord-262623-lmf2h6oc 245 11 % % NN cord-262623-lmf2h6oc 245 12 of of IN cord-262623-lmf2h6oc 245 13 all all DT cord-262623-lmf2h6oc 245 14 people people NNS cord-262623-lmf2h6oc 245 15 became become VBD cord-262623-lmf2h6oc 245 16 ill ill JJ cord-262623-lmf2h6oc 245 17 with with IN cord-262623-lmf2h6oc 245 18 the the DT cord-262623-lmf2h6oc 245 19 virus virus NN cord-262623-lmf2h6oc 245 20 and and CC cord-262623-lmf2h6oc 245 21 an an DT cord-262623-lmf2h6oc 245 22 estimated estimate VBN cord-262623-lmf2h6oc 245 23 50 50 CD cord-262623-lmf2h6oc 245 24 - - SYM cord-262623-lmf2h6oc 245 25 100 100 CD cord-262623-lmf2h6oc 245 26 million million CD cord-262623-lmf2h6oc 245 27 died die VBD cord-262623-lmf2h6oc 245 28 . . . cord-262623-lmf2h6oc 246 1 36 36 CD cord-262623-lmf2h6oc 246 2 Minor minor JJ cord-262623-lmf2h6oc 246 3 recent recent JJ cord-262623-lmf2h6oc 246 4 pandemics pandemic NNS cord-262623-lmf2h6oc 246 5 in in IN cord-262623-lmf2h6oc 246 6 1968 1968 CD cord-262623-lmf2h6oc 246 7 and and CC cord-262623-lmf2h6oc 246 8 1977 1977 CD cord-262623-lmf2h6oc 246 9 had have VBD cord-262623-lmf2h6oc 246 10 less less JJR cord-262623-lmf2h6oc 246 11 than than IN cord-262623-lmf2h6oc 246 12 one one CD cord-262623-lmf2h6oc 246 13 twentieth twentieth NN cord-262623-lmf2h6oc 246 14 of of IN cord-262623-lmf2h6oc 246 15 the the DT cord-262623-lmf2h6oc 246 16 impact impact NN cord-262623-lmf2h6oc 246 17 of of IN cord-262623-lmf2h6oc 246 18 the the DT cord-262623-lmf2h6oc 246 19 1918 1918 CD cord-262623-lmf2h6oc 246 20 influenza influenza NN cord-262623-lmf2h6oc 246 21 , , , cord-262623-lmf2h6oc 246 22 not not RB cord-262623-lmf2h6oc 246 23 greatly greatly RB cord-262623-lmf2h6oc 246 24 different different JJ cord-262623-lmf2h6oc 246 25 from from IN cord-262623-lmf2h6oc 246 26 the the DT cord-262623-lmf2h6oc 246 27 yearly yearly JJ cord-262623-lmf2h6oc 246 28 interpandemic interpandemic NNP cord-262623-lmf2h6oc 246 29 influenza influenza NN cord-262623-lmf2h6oc 246 30 the the DT cord-262623-lmf2h6oc 246 31 world world NN cord-262623-lmf2h6oc 246 32 has have VBZ cord-262623-lmf2h6oc 246 33 been be VBN cord-262623-lmf2h6oc 246 34 experiencing experience VBG cord-262623-lmf2h6oc 246 35 in in IN cord-262623-lmf2h6oc 246 36 the the DT cord-262623-lmf2h6oc 246 37 30 30 CD cord-262623-lmf2h6oc 246 38 years year NNS cord-262623-lmf2h6oc 246 39 since since IN cord-262623-lmf2h6oc 246 40 . . . cord-262623-lmf2h6oc 247 1 Interpandemic Interpandemic NNP cord-262623-lmf2h6oc 247 2 influenza influenza NN cord-262623-lmf2h6oc 247 3 epidemics epidemic NNS cord-262623-lmf2h6oc 247 4 since since IN cord-262623-lmf2h6oc 247 5 1977 1977 CD cord-262623-lmf2h6oc 247 6 have have VBP cord-262623-lmf2h6oc 247 7 been be VBN cord-262623-lmf2h6oc 247 8 caused cause VBN cord-262623-lmf2h6oc 247 9 primarily primarily RB cord-262623-lmf2h6oc 247 10 by by IN cord-262623-lmf2h6oc 247 11 H3N2 H3N2 NNP cord-262623-lmf2h6oc 247 12 and and CC cord-262623-lmf2h6oc 247 13 H1N1 H1N1 NNP cord-262623-lmf2h6oc 247 14 influenza influenza NN cord-262623-lmf2h6oc 247 15 viruses virus NNS cord-262623-lmf2h6oc 247 16 , , , cord-262623-lmf2h6oc 247 17 to to TO cord-262623-lmf2h6oc 247 18 which which WDT cord-262623-lmf2h6oc 247 19 most most JJS cord-262623-lmf2h6oc 247 20 of of IN cord-262623-lmf2h6oc 247 21 the the DT cord-262623-lmf2h6oc 247 22 population population NN cord-262623-lmf2h6oc 247 23 has have VBZ cord-262623-lmf2h6oc 247 24 developed develop VBN cord-262623-lmf2h6oc 247 25 some some DT cord-262623-lmf2h6oc 247 26 degree degree NN cord-262623-lmf2h6oc 247 27 of of IN cord-262623-lmf2h6oc 247 28 immunity immunity NN cord-262623-lmf2h6oc 247 29 from from IN cord-262623-lmf2h6oc 247 30 prior prior JJ cord-262623-lmf2h6oc 247 31 infection infection NN cord-262623-lmf2h6oc 247 32 or or CC cord-262623-lmf2h6oc 247 33 vaccination vaccination NN cord-262623-lmf2h6oc 247 34 . . . cord-262623-lmf2h6oc 248 1 The the DT cord-262623-lmf2h6oc 248 2 result result NN cord-262623-lmf2h6oc 248 3 is be VBZ cord-262623-lmf2h6oc 248 4 what what WP cord-262623-lmf2h6oc 248 5 public public JJ cord-262623-lmf2h6oc 248 6 health health NN cord-262623-lmf2h6oc 248 7 authorities authority NNS cord-262623-lmf2h6oc 248 8 have have VBP cord-262623-lmf2h6oc 248 9 become become VBN cord-262623-lmf2h6oc 248 10 used use VBN cord-262623-lmf2h6oc 248 11 to to IN cord-262623-lmf2h6oc 248 12 seeing see VBG cord-262623-lmf2h6oc 248 13 : : : cord-262623-lmf2h6oc 248 14 each each DT cord-262623-lmf2h6oc 248 15 year year NN cord-262623-lmf2h6oc 248 16 a a DT cord-262623-lmf2h6oc 248 17 slightly slightly RB cord-262623-lmf2h6oc 248 18 different different JJ cord-262623-lmf2h6oc 248 19 influenza influenza NN cord-262623-lmf2h6oc 248 20 A a NN cord-262623-lmf2h6oc 248 21 appears appear VBZ cord-262623-lmf2h6oc 248 22 in in IN cord-262623-lmf2h6oc 248 23 Asia Asia NNP cord-262623-lmf2h6oc 248 24 with with IN cord-262623-lmf2h6oc 248 25 minor minor JJ cord-262623-lmf2h6oc 248 26 antigenic antigenic JJ cord-262623-lmf2h6oc 248 27 changes change NNS cord-262623-lmf2h6oc 248 28 in in IN cord-262623-lmf2h6oc 248 29 the the DT cord-262623-lmf2h6oc 248 30 HA HA NNP cord-262623-lmf2h6oc 248 31 or or CC cord-262623-lmf2h6oc 248 32 NA NA NNP cord-262623-lmf2h6oc 248 33 surface surface NN cord-262623-lmf2h6oc 248 34 proteins protein NNS cord-262623-lmf2h6oc 248 35 ( ( -LRB- cord-262623-lmf2h6oc 248 36 termed term VBN cord-262623-lmf2h6oc 248 37 drift drift NN cord-262623-lmf2h6oc 248 38 ) ) -RRB- cord-262623-lmf2h6oc 248 39 , , , cord-262623-lmf2h6oc 248 40 making make VBG cord-262623-lmf2h6oc 248 41 it -PRON- PRP cord-262623-lmf2h6oc 248 42 infectious infectious JJ cord-262623-lmf2h6oc 248 43 once once RB cord-262623-lmf2h6oc 248 44 again again RB cord-262623-lmf2h6oc 248 45 for for IN cord-262623-lmf2h6oc 248 46 humans human NNS cord-262623-lmf2h6oc 248 47 whose whose WP$ cord-262623-lmf2h6oc 248 48 immune immune JJ cord-262623-lmf2h6oc 248 49 systems system NNS cord-262623-lmf2h6oc 248 50 have have VBP cord-262623-lmf2h6oc 248 51 yet yet RB cord-262623-lmf2h6oc 248 52 to to TO cord-262623-lmf2h6oc 248 53 be be VB cord-262623-lmf2h6oc 248 54 exposed expose VBN cord-262623-lmf2h6oc 248 55 to to IN cord-262623-lmf2h6oc 248 56 the the DT cord-262623-lmf2h6oc 248 57 new new JJ cord-262623-lmf2h6oc 248 58 variant variant NN cord-262623-lmf2h6oc 248 59 , , , cord-262623-lmf2h6oc 248 60 and and CC cord-262623-lmf2h6oc 248 61 a a DT cord-262623-lmf2h6oc 248 62 new new JJ cord-262623-lmf2h6oc 248 63 epidemic epidemic NN cord-262623-lmf2h6oc 248 64 is be VBZ cord-262623-lmf2h6oc 248 65 launched launch VBN cord-262623-lmf2h6oc 248 66 . . . cord-262623-lmf2h6oc 249 1 When when WRB cord-262623-lmf2h6oc 249 2 the the DT cord-262623-lmf2h6oc 249 3 ' ' `` cord-262623-lmf2h6oc 249 4 ' ' `` cord-262623-lmf2h6oc 249 5 flu flu NN cord-262623-lmf2h6oc 249 6 ' ' '' cord-262623-lmf2h6oc 249 7 ' ' '' cord-262623-lmf2h6oc 249 8 arrives arrive VBZ cord-262623-lmf2h6oc 249 9 in in IN cord-262623-lmf2h6oc 249 10 an an DT cord-262623-lmf2h6oc 249 11 area area NN cord-262623-lmf2h6oc 249 12 , , , cord-262623-lmf2h6oc 249 13 cases case NNS cord-262623-lmf2h6oc 249 14 begin begin VBP cord-262623-lmf2h6oc 249 15 to to TO cord-262623-lmf2h6oc 249 16 appear appear VB cord-262623-lmf2h6oc 249 17 suddenly suddenly RB cord-262623-lmf2h6oc 249 18 and and CC cord-262623-lmf2h6oc 249 19 there there EX cord-262623-lmf2h6oc 249 20 is be VBZ cord-262623-lmf2h6oc 249 21 rapid rapid JJ cord-262623-lmf2h6oc 249 22 spread spread NN cord-262623-lmf2h6oc 249 23 in in IN cord-262623-lmf2h6oc 249 24 the the DT cord-262623-lmf2h6oc 249 25 population population NN cord-262623-lmf2h6oc 249 26 , , , cord-262623-lmf2h6oc 249 27 usually usually RB cord-262623-lmf2h6oc 249 28 with with IN cord-262623-lmf2h6oc 249 29 20%-30 20%-30 CD cord-262623-lmf2h6oc 249 30 % % NN cord-262623-lmf2h6oc 249 31 becoming become VBG cord-262623-lmf2h6oc 249 32 infected infect VBN cord-262623-lmf2h6oc 249 33 over over IN cord-262623-lmf2h6oc 249 34 a a DT cord-262623-lmf2h6oc 249 35 6-week 6-week CD cord-262623-lmf2h6oc 249 36 period period NN cord-262623-lmf2h6oc 249 37 with with IN cord-262623-lmf2h6oc 249 38 a a DT cord-262623-lmf2h6oc 249 39 peak peak NN cord-262623-lmf2h6oc 249 40 in in IN cord-262623-lmf2h6oc 249 41 case case NN cord-262623-lmf2h6oc 249 42 numbers number NNS cord-262623-lmf2h6oc 249 43 at at IN cord-262623-lmf2h6oc 249 44 week week NN cord-262623-lmf2h6oc 249 45 two two CD cord-262623-lmf2h6oc 249 46 or or CC cord-262623-lmf2h6oc 249 47 three three CD cord-262623-lmf2h6oc 249 48 . . . cord-262623-lmf2h6oc 250 1 About about RB cord-262623-lmf2h6oc 250 2 half half NN cord-262623-lmf2h6oc 250 3 of of IN cord-262623-lmf2h6oc 250 4 those those DT cord-262623-lmf2h6oc 250 5 infected infect VBN cord-262623-lmf2h6oc 250 6 will will MD cord-262623-lmf2h6oc 250 7 seek seek VB cord-262623-lmf2h6oc 250 8 medical medical JJ cord-262623-lmf2h6oc 250 9 attention attention NN cord-262623-lmf2h6oc 250 10 , , , cord-262623-lmf2h6oc 250 11 many many JJ cord-262623-lmf2h6oc 250 12 more more JJR cord-262623-lmf2h6oc 250 13 than than IN cord-262623-lmf2h6oc 250 14 once once RB cord-262623-lmf2h6oc 250 15 , , , cord-262623-lmf2h6oc 250 16 and and CC cord-262623-lmf2h6oc 250 17 one one CD cord-262623-lmf2h6oc 250 18 to to IN cord-262623-lmf2h6oc 250 19 about about RB cord-262623-lmf2h6oc 250 20 25 25 CD cord-262623-lmf2h6oc 250 21 per per IN cord-262623-lmf2h6oc 250 22 thousand thousand CD cord-262623-lmf2h6oc 250 23 infected infected JJ cord-262623-lmf2h6oc 250 24 will will MD cord-262623-lmf2h6oc 250 25 be be VB cord-262623-lmf2h6oc 250 26 admitted admit VBN cord-262623-lmf2h6oc 250 27 to to IN cord-262623-lmf2h6oc 250 28 hospital hospital NN cord-262623-lmf2h6oc 250 29 with with IN cord-262623-lmf2h6oc 250 30 a a DT cord-262623-lmf2h6oc 250 31 respiratory respiratory JJ cord-262623-lmf2h6oc 250 32 syndrome syndrome NN cord-262623-lmf2h6oc 250 33 such such JJ cord-262623-lmf2h6oc 250 34 as as IN cord-262623-lmf2h6oc 250 35 pneumonia pneumonia NN cord-262623-lmf2h6oc 250 36 , , , cord-262623-lmf2h6oc 250 37 chronic chronic JJ cord-262623-lmf2h6oc 250 38 obstructive obstructive JJ cord-262623-lmf2h6oc 250 39 pulmonary pulmonary JJ cord-262623-lmf2h6oc 250 40 disease disease NN cord-262623-lmf2h6oc 250 41 exacerbation exacerbation NN cord-262623-lmf2h6oc 250 42 , , , cord-262623-lmf2h6oc 250 43 asthmatic asthmatic JJ cord-262623-lmf2h6oc 250 44 attack attack NN cord-262623-lmf2h6oc 250 45 , , , cord-262623-lmf2h6oc 250 46 or or CC cord-262623-lmf2h6oc 250 47 cardiac cardiac JJ cord-262623-lmf2h6oc 250 48 failure failure NN cord-262623-lmf2h6oc 250 49 , , , cord-262623-lmf2h6oc 250 50 the the DT cord-262623-lmf2h6oc 250 51 rate rate NN cord-262623-lmf2h6oc 250 52 depending depend VBG cord-262623-lmf2h6oc 250 53 on on IN cord-262623-lmf2h6oc 250 54 age age NN cord-262623-lmf2h6oc 250 55 and and CC cord-262623-lmf2h6oc 250 56 underlying underlying JJ cord-262623-lmf2h6oc 250 57 comorbidities comorbiditie NNS cord-262623-lmf2h6oc 250 58 . . . cord-262623-lmf2h6oc 251 1 Overall overall RB cord-262623-lmf2h6oc 251 2 , , , cord-262623-lmf2h6oc 251 3 about about RB cord-262623-lmf2h6oc 251 4 0.1 0.1 CD cord-262623-lmf2h6oc 251 5 % % NN cord-262623-lmf2h6oc 251 6 of of IN cord-262623-lmf2h6oc 251 7 those those DT cord-262623-lmf2h6oc 251 8 infected infect VBN cord-262623-lmf2h6oc 251 9 die die NN cord-262623-lmf2h6oc 251 10 , , , cord-262623-lmf2h6oc 251 11 with with IN cord-262623-lmf2h6oc 251 12 mortality mortality NN cord-262623-lmf2h6oc 251 13 rates rate NNS cord-262623-lmf2h6oc 251 14 among among IN cord-262623-lmf2h6oc 251 15 those those DT cord-262623-lmf2h6oc 251 16 with with IN cord-262623-lmf2h6oc 251 17 major major JJ cord-262623-lmf2h6oc 251 18 comorbidities comorbiditie NNS cord-262623-lmf2h6oc 251 19 up up IN cord-262623-lmf2h6oc 251 20 to to TO cord-262623-lmf2h6oc 251 21 5 5 CD cord-262623-lmf2h6oc 251 22 % % NN cord-262623-lmf2h6oc 251 23 . . . cord-262623-lmf2h6oc 252 1 These these DT cord-262623-lmf2h6oc 252 2 latter latter JJ cord-262623-lmf2h6oc 252 3 cases case NNS cord-262623-lmf2h6oc 252 4 constitute constitute VBP cord-262623-lmf2h6oc 252 5 most most JJS cord-262623-lmf2h6oc 252 6 of of IN cord-262623-lmf2h6oc 252 7 the the DT cord-262623-lmf2h6oc 252 8 increase increase NN cord-262623-lmf2h6oc 252 9 in in IN cord-262623-lmf2h6oc 252 10 the the DT cord-262623-lmf2h6oc 252 11 ICU ICU NNP cord-262623-lmf2h6oc 252 12 case case NN cord-262623-lmf2h6oc 252 13 load load NN cord-262623-lmf2h6oc 252 14 which which WDT cord-262623-lmf2h6oc 252 15 most most JJS cord-262623-lmf2h6oc 252 16 units unit NNS cord-262623-lmf2h6oc 252 17 experience experience VBP cord-262623-lmf2h6oc 252 18 every every DT cord-262623-lmf2h6oc 252 19 winter winter NN cord-262623-lmf2h6oc 252 20 . . . cord-262623-lmf2h6oc 253 1 The the DT cord-262623-lmf2h6oc 253 2 load load NN cord-262623-lmf2h6oc 253 3 is be VBZ cord-262623-lmf2h6oc 253 4 sometimes sometimes RB cord-262623-lmf2h6oc 253 5 taxing tax VBG cord-262623-lmf2h6oc 253 6 but but CC cord-262623-lmf2h6oc 253 7 usually usually RB cord-262623-lmf2h6oc 253 8 not not RB cord-262623-lmf2h6oc 253 9 overwhelming overwhelming JJ cord-262623-lmf2h6oc 253 10 . . . cord-262623-lmf2h6oc 254 1 A a DT cord-262623-lmf2h6oc 254 2 true true JJ cord-262623-lmf2h6oc 254 3 pandemic pandemic NN cord-262623-lmf2h6oc 254 4 is be VBZ cord-262623-lmf2h6oc 254 5 unlikely unlikely JJ cord-262623-lmf2h6oc 254 6 to to TO cord-262623-lmf2h6oc 254 7 play play VB cord-262623-lmf2h6oc 254 8 out out RP cord-262623-lmf2h6oc 254 9 this this DT cord-262623-lmf2h6oc 254 10 way way NN cord-262623-lmf2h6oc 254 11 . . . cord-262623-lmf2h6oc 255 1 How how WRB cord-262623-lmf2h6oc 255 2 different different JJ cord-262623-lmf2h6oc 255 3 it -PRON- PRP cord-262623-lmf2h6oc 255 4 would would MD cord-262623-lmf2h6oc 255 5 be be VB cord-262623-lmf2h6oc 255 6 depends depend VBZ cord-262623-lmf2h6oc 255 7 on on IN cord-262623-lmf2h6oc 255 8 a a DT cord-262623-lmf2h6oc 255 9 number number NN cord-262623-lmf2h6oc 255 10 of of IN cord-262623-lmf2h6oc 255 11 factors factor NNS cord-262623-lmf2h6oc 255 12 : : : cord-262623-lmf2h6oc 255 13 the the DT cord-262623-lmf2h6oc 255 14 antigenic antigenic JJ cord-262623-lmf2h6oc 255 15 difference difference NN cord-262623-lmf2h6oc 255 16 in in IN cord-262623-lmf2h6oc 255 17 the the DT cord-262623-lmf2h6oc 255 18 new new JJ cord-262623-lmf2h6oc 255 19 Influenza Influenza NNP cord-262623-lmf2h6oc 255 20 virus virus NN cord-262623-lmf2h6oc 255 21 compared compare VBN cord-262623-lmf2h6oc 255 22 with with IN cord-262623-lmf2h6oc 255 23 the the DT cord-262623-lmf2h6oc 255 24 old old JJ cord-262623-lmf2h6oc 255 25 ( ( -LRB- cord-262623-lmf2h6oc 255 26 ie ie FW cord-262623-lmf2h6oc 255 27 , , , cord-262623-lmf2h6oc 255 28 the the DT cord-262623-lmf2h6oc 255 29 antigenic antigenic JJ cord-262623-lmf2h6oc 255 30 ' ' `` cord-262623-lmf2h6oc 255 31 ' ' `` cord-262623-lmf2h6oc 255 32 shift shift NN cord-262623-lmf2h6oc 255 33 ' ' '' cord-262623-lmf2h6oc 255 34 ' ' '' cord-262623-lmf2h6oc 255 35 to to IN cord-262623-lmf2h6oc 255 36 a a DT cord-262623-lmf2h6oc 255 37 different different JJ cord-262623-lmf2h6oc 255 38 one one CD cord-262623-lmf2h6oc 255 39 of of IN cord-262623-lmf2h6oc 255 40 15 15 CD cord-262623-lmf2h6oc 255 41 HA HA NNP cord-262623-lmf2h6oc 255 42 or or CC cord-262623-lmf2h6oc 255 43 9 9 CD cord-262623-lmf2h6oc 255 44 NA NA NNP cord-262623-lmf2h6oc 255 45 protein protein NN cord-262623-lmf2h6oc 255 46 subtypes subtype NNS cord-262623-lmf2h6oc 255 47 due due JJ cord-262623-lmf2h6oc 255 48 to to IN cord-262623-lmf2h6oc 255 49 introduction introduction NN cord-262623-lmf2h6oc 255 50 of of IN cord-262623-lmf2h6oc 255 51 a a DT cord-262623-lmf2h6oc 255 52 variant variant NN cord-262623-lmf2h6oc 255 53 from from IN cord-262623-lmf2h6oc 255 54 another another DT cord-262623-lmf2h6oc 255 55 influenza influenza NN cord-262623-lmf2h6oc 255 56 - - HYPH cord-262623-lmf2h6oc 255 57 susceptible susceptible JJ cord-262623-lmf2h6oc 255 58 species specie NNS cord-262623-lmf2h6oc 255 59 ) ) -RRB- cord-262623-lmf2h6oc 255 60 , , , cord-262623-lmf2h6oc 255 61 how how WRB cord-262623-lmf2h6oc 255 62 transmissible transmissible JJ cord-262623-lmf2h6oc 255 63 the the DT cord-262623-lmf2h6oc 255 64 new new JJ cord-262623-lmf2h6oc 255 65 virus virus NN cord-262623-lmf2h6oc 255 66 is be VBZ cord-262623-lmf2h6oc 255 67 , , , cord-262623-lmf2h6oc 255 68 how how WRB cord-262623-lmf2h6oc 255 69 virulent virulent JJ cord-262623-lmf2h6oc 255 70 it -PRON- PRP cord-262623-lmf2h6oc 255 71 is be VBZ cord-262623-lmf2h6oc 255 72 , , , cord-262623-lmf2h6oc 255 73 how how WRB cord-262623-lmf2h6oc 255 74 susceptible susceptible JJ cord-262623-lmf2h6oc 255 75 it -PRON- PRP cord-262623-lmf2h6oc 255 76 is be VBZ cord-262623-lmf2h6oc 255 77 to to IN cord-262623-lmf2h6oc 255 78 antiviral antiviral JJ cord-262623-lmf2h6oc 255 79 drugs drug NNS cord-262623-lmf2h6oc 255 80 , , , cord-262623-lmf2h6oc 255 81 and and CC cord-262623-lmf2h6oc 255 82 whether whether IN cord-262623-lmf2h6oc 255 83 the the DT cord-262623-lmf2h6oc 255 84 world world NN cord-262623-lmf2h6oc 255 85 is be VBZ cord-262623-lmf2h6oc 255 86 prepared prepare VBN cord-262623-lmf2h6oc 255 87 for for IN cord-262623-lmf2h6oc 255 88 it -PRON- PRP cord-262623-lmf2h6oc 255 89 with with IN cord-262623-lmf2h6oc 255 90 drug drug NN cord-262623-lmf2h6oc 255 91 availability availability NN cord-262623-lmf2h6oc 255 92 and and CC cord-262623-lmf2h6oc 255 93 vaccines vaccine NNS cord-262623-lmf2h6oc 255 94 . . . cord-262623-lmf2h6oc 256 1 The the DT cord-262623-lmf2h6oc 256 2 prototype prototype NN cord-262623-lmf2h6oc 256 3 severe severe JJ cord-262623-lmf2h6oc 256 4 pandemic pandemic NN cord-262623-lmf2h6oc 256 5 was be VBD cord-262623-lmf2h6oc 256 6 the the DT cord-262623-lmf2h6oc 256 7 Spanish spanish JJ cord-262623-lmf2h6oc 256 8 influenza influenza NN cord-262623-lmf2h6oc 256 9 of of IN cord-262623-lmf2h6oc 256 10 1918 1918 CD cord-262623-lmf2h6oc 256 11 , , , cord-262623-lmf2h6oc 256 12 an an DT cord-262623-lmf2h6oc 256 13 H1N1 H1N1 NNP cord-262623-lmf2h6oc 256 14 virus virus NN cord-262623-lmf2h6oc 256 15 . . . cord-262623-lmf2h6oc 257 1 The the DT cord-262623-lmf2h6oc 257 2 most most RBS cord-262623-lmf2h6oc 257 3 recent recent JJ cord-262623-lmf2h6oc 257 4 circulating circulate VBG cord-262623-lmf2h6oc 257 5 influenza influenza NN cord-262623-lmf2h6oc 257 6 virus virus NN cord-262623-lmf2h6oc 257 7 just just RB cord-262623-lmf2h6oc 257 8 before before IN cord-262623-lmf2h6oc 257 9 that that DT cord-262623-lmf2h6oc 257 10 time time NN cord-262623-lmf2h6oc 257 11 was be VBD cord-262623-lmf2h6oc 257 12 an an DT cord-262623-lmf2h6oc 257 13 H3N8 H3N8 NNP cord-262623-lmf2h6oc 257 14 that that WDT cord-262623-lmf2h6oc 257 15 had have VBD cord-262623-lmf2h6oc 257 16 arrived arrive VBN cord-262623-lmf2h6oc 257 17 in in IN cord-262623-lmf2h6oc 257 18 1901 1901 CD cord-262623-lmf2h6oc 257 19 . . . cord-262623-lmf2h6oc 258 1 Current current JJ cord-262623-lmf2h6oc 258 2 evidence evidence NN cord-262623-lmf2h6oc 258 3 suggests suggest VBZ cord-262623-lmf2h6oc 258 4 that that IN cord-262623-lmf2h6oc 258 5 an an DT cord-262623-lmf2h6oc 258 6 avian avian JJ cord-262623-lmf2h6oc 258 7 influenza influenza NN cord-262623-lmf2h6oc 258 8 virus virus NN cord-262623-lmf2h6oc 258 9 underwent undergo VBD cord-262623-lmf2h6oc 258 10 a a DT cord-262623-lmf2h6oc 258 11 period period NN cord-262623-lmf2h6oc 258 12 of of IN cord-262623-lmf2h6oc 258 13 evolutionary evolutionary JJ cord-262623-lmf2h6oc 258 14 adaptation adaptation NN cord-262623-lmf2h6oc 258 15 , , , cord-262623-lmf2h6oc 258 16 possibly possibly RB cord-262623-lmf2h6oc 258 17 in in IN cord-262623-lmf2h6oc 258 18 another another DT cord-262623-lmf2h6oc 258 19 susceptible susceptible JJ cord-262623-lmf2h6oc 258 20 species specie NNS cord-262623-lmf2h6oc 258 21 such such JJ cord-262623-lmf2h6oc 258 22 as as IN cord-262623-lmf2h6oc 258 23 swine swine NN cord-262623-lmf2h6oc 258 24 , , , cord-262623-lmf2h6oc 258 25 fitting fit VBG cord-262623-lmf2h6oc 258 26 it -PRON- PRP cord-262623-lmf2h6oc 258 27 for for IN cord-262623-lmf2h6oc 258 28 transmission transmission NN cord-262623-lmf2h6oc 258 29 to to IN cord-262623-lmf2h6oc 258 30 humans human NNS cord-262623-lmf2h6oc 258 31 , , , cord-262623-lmf2h6oc 258 32 which which WDT cord-262623-lmf2h6oc 258 33 it -PRON- PRP cord-262623-lmf2h6oc 258 34 then then RB cord-262623-lmf2h6oc 258 35 did do VBD cord-262623-lmf2h6oc 258 36 . . . cord-262623-lmf2h6oc 259 1 36 36 CD cord-262623-lmf2h6oc 259 2 , , , cord-262623-lmf2h6oc 259 3 37 37 CD cord-262623-lmf2h6oc 260 1 This this DT cord-262623-lmf2h6oc 260 2 H1N1 H1N1 NNP cord-262623-lmf2h6oc 260 3 virus virus NN cord-262623-lmf2h6oc 260 4 had have VBD cord-262623-lmf2h6oc 260 5 not not RB cord-262623-lmf2h6oc 260 6 been be VBN cord-262623-lmf2h6oc 260 7 previously previously RB cord-262623-lmf2h6oc 260 8 experienced experience VBN cord-262623-lmf2h6oc 260 9 by by IN cord-262623-lmf2h6oc 260 10 any any DT cord-262623-lmf2h6oc 260 11 segment segment NN cord-262623-lmf2h6oc 260 12 of of IN cord-262623-lmf2h6oc 260 13 the the DT cord-262623-lmf2h6oc 260 14 population population NN cord-262623-lmf2h6oc 260 15 except except IN cord-262623-lmf2h6oc 260 16 the the DT cord-262623-lmf2h6oc 260 17 very very RB cord-262623-lmf2h6oc 260 18 old old JJ cord-262623-lmf2h6oc 260 19 , , , cord-262623-lmf2h6oc 260 20 so so RB cord-262623-lmf2h6oc 260 21 nearly nearly RB cord-262623-lmf2h6oc 260 22 everyone everyone NN cord-262623-lmf2h6oc 260 23 , , , cord-262623-lmf2h6oc 260 24 particularly particularly RB cord-262623-lmf2h6oc 260 25 non non JJ cord-262623-lmf2h6oc 260 26 - - JJ cord-262623-lmf2h6oc 260 27 elderly elderly JJ cord-262623-lmf2h6oc 260 28 adults adult NNS cord-262623-lmf2h6oc 260 29 and and CC cord-262623-lmf2h6oc 260 30 children child NNS cord-262623-lmf2h6oc 260 31 , , , cord-262623-lmf2h6oc 260 32 was be VBD cord-262623-lmf2h6oc 260 33 without without IN cord-262623-lmf2h6oc 260 34 immunity immunity NN cord-262623-lmf2h6oc 260 35 and and CC cord-262623-lmf2h6oc 260 36 was be VBD cord-262623-lmf2h6oc 260 37 at at IN cord-262623-lmf2h6oc 260 38 risk risk NN cord-262623-lmf2h6oc 260 39 of of IN cord-262623-lmf2h6oc 260 40 severe severe JJ cord-262623-lmf2h6oc 260 41 infection infection NN cord-262623-lmf2h6oc 260 42 . . . cord-262623-lmf2h6oc 261 1 Attack attack NN cord-262623-lmf2h6oc 261 2 rates rate NNS cord-262623-lmf2h6oc 261 3 , , , cord-262623-lmf2h6oc 261 4 as as IN cord-262623-lmf2h6oc 261 5 noted note VBN cord-262623-lmf2h6oc 261 6 earlier early RBR cord-262623-lmf2h6oc 261 7 , , , cord-262623-lmf2h6oc 261 8 were be VBD cord-262623-lmf2h6oc 261 9 extremely extremely RB cord-262623-lmf2h6oc 261 10 high high JJ cord-262623-lmf2h6oc 261 11 everywhere everywhere RB cord-262623-lmf2h6oc 261 12 as as IN cord-262623-lmf2h6oc 261 13 were be VBD cord-262623-lmf2h6oc 261 14 rates rate NNS cord-262623-lmf2h6oc 261 15 of of IN cord-262623-lmf2h6oc 261 16 primary primary JJ cord-262623-lmf2h6oc 261 17 influenza influenza NN cord-262623-lmf2h6oc 261 18 pneumonia pneumonia NN cord-262623-lmf2h6oc 261 19 , , , cord-262623-lmf2h6oc 261 20 complicating complicate VBG cord-262623-lmf2h6oc 261 21 bacterial bacterial JJ cord-262623-lmf2h6oc 261 22 pneumonia pneumonia NN cord-262623-lmf2h6oc 261 23 , , , cord-262623-lmf2h6oc 261 24 and and CC cord-262623-lmf2h6oc 261 25 death death NN cord-262623-lmf2h6oc 261 26 . . . cord-262623-lmf2h6oc 262 1 In in IN cord-262623-lmf2h6oc 262 2 the the DT cord-262623-lmf2h6oc 262 3 United United NNP cord-262623-lmf2h6oc 262 4 States States NNP cord-262623-lmf2h6oc 262 5 , , , cord-262623-lmf2h6oc 262 6 death death NN cord-262623-lmf2h6oc 262 7 rates rate NNS cord-262623-lmf2h6oc 262 8 were be VBD cord-262623-lmf2h6oc 262 9 more more JJR cord-262623-lmf2h6oc 262 10 than than IN cord-262623-lmf2h6oc 262 11 20-fold 20-fold JJ cord-262623-lmf2h6oc 262 12 higher high JJR cord-262623-lmf2h6oc 262 13 than than IN cord-262623-lmf2h6oc 262 14 in in IN cord-262623-lmf2h6oc 262 15 any any DT cord-262623-lmf2h6oc 262 16 influenza influenza NN cord-262623-lmf2h6oc 262 17 pandemic pandemic NN cord-262623-lmf2h6oc 262 18 since since IN cord-262623-lmf2h6oc 262 19 . . . cord-262623-lmf2h6oc 263 1 An an DT cord-262623-lmf2h6oc 263 2 outbreak outbreak NN cord-262623-lmf2h6oc 263 3 of of IN cord-262623-lmf2h6oc 263 4 influenza influenza NN cord-262623-lmf2h6oc 263 5 on on IN cord-262623-lmf2h6oc 263 6 this this DT cord-262623-lmf2h6oc 263 7 scale scale NN cord-262623-lmf2h6oc 263 8 , , , cord-262623-lmf2h6oc 263 9 if if IN cord-262623-lmf2h6oc 263 10 unchecked unchecked JJ cord-262623-lmf2h6oc 263 11 by by IN cord-262623-lmf2h6oc 263 12 effective effective JJ cord-262623-lmf2h6oc 263 13 antiviral antiviral JJ cord-262623-lmf2h6oc 263 14 therapy therapy NN cord-262623-lmf2h6oc 263 15 or or CC cord-262623-lmf2h6oc 263 16 vaccines vaccine NNS cord-262623-lmf2h6oc 263 17 , , , cord-262623-lmf2h6oc 263 18 would would MD cord-262623-lmf2h6oc 263 19 render render VB cord-262623-lmf2h6oc 263 20 ICU ICU NNP cord-262623-lmf2h6oc 263 21 care care NN cord-262623-lmf2h6oc 263 22 such such JJ cord-262623-lmf2h6oc 263 23 as as IN cord-262623-lmf2h6oc 263 24 mechanical mechanical JJ cord-262623-lmf2h6oc 263 25 ventilatory ventilatory NN cord-262623-lmf2h6oc 263 26 support support NN cord-262623-lmf2h6oc 263 27 for for IN cord-262623-lmf2h6oc 263 28 respiratory respiratory JJ cord-262623-lmf2h6oc 263 29 failure failure NN cord-262623-lmf2h6oc 263 30 irrelevant irrelevant JJ cord-262623-lmf2h6oc 263 31 . . . cord-262623-lmf2h6oc 264 1 Even even RB cord-262623-lmf2h6oc 264 2 today today NN cord-262623-lmf2h6oc 264 3 , , , cord-262623-lmf2h6oc 264 4 with with IN cord-262623-lmf2h6oc 264 5 maximal maximal JJ cord-262623-lmf2h6oc 264 6 respiratory respiratory JJ cord-262623-lmf2h6oc 264 7 support support NN cord-262623-lmf2h6oc 264 8 , , , cord-262623-lmf2h6oc 264 9 most most JJS cord-262623-lmf2h6oc 264 10 patients patient NNS cord-262623-lmf2h6oc 264 11 with with IN cord-262623-lmf2h6oc 264 12 diffuse diffuse JJ cord-262623-lmf2h6oc 264 13 primary primary JJ cord-262623-lmf2h6oc 264 14 viral viral JJ cord-262623-lmf2h6oc 264 15 pneumonia pneumonia NN cord-262623-lmf2h6oc 264 16 complicated complicate VBN cord-262623-lmf2h6oc 264 17 by by IN cord-262623-lmf2h6oc 264 18 respiratory respiratory JJ cord-262623-lmf2h6oc 264 19 failure failure NN cord-262623-lmf2h6oc 264 20 can can MD cord-262623-lmf2h6oc 264 21 not not RB cord-262623-lmf2h6oc 264 22 be be VB cord-262623-lmf2h6oc 264 23 saved save VBN cord-262623-lmf2h6oc 264 24 , , , cord-262623-lmf2h6oc 264 25 and and CC cord-262623-lmf2h6oc 264 26 the the DT cord-262623-lmf2h6oc 264 27 numbers number NNS cord-262623-lmf2h6oc 264 28 presenting present VBG cord-262623-lmf2h6oc 264 29 for for IN cord-262623-lmf2h6oc 264 30 such such JJ cord-262623-lmf2h6oc 264 31 care care NN cord-262623-lmf2h6oc 264 32 in in IN cord-262623-lmf2h6oc 264 33 a a DT cord-262623-lmf2h6oc 264 34 short short JJ cord-262623-lmf2h6oc 264 35 space space NN cord-262623-lmf2h6oc 264 36 of of IN cord-262623-lmf2h6oc 264 37 time time NN cord-262623-lmf2h6oc 264 38 , , , cord-262623-lmf2h6oc 264 39 if if IN cord-262623-lmf2h6oc 264 40 comparable comparable JJ cord-262623-lmf2h6oc 264 41 to to IN cord-262623-lmf2h6oc 264 42 the the DT cord-262623-lmf2h6oc 264 43 1918 1918 CD cord-262623-lmf2h6oc 264 44 pandemic pandemic NN cord-262623-lmf2h6oc 264 45 , , , cord-262623-lmf2h6oc 264 46 would would MD cord-262623-lmf2h6oc 264 47 overwhelm overwhelm VB cord-262623-lmf2h6oc 264 48 our -PRON- PRP$ cord-262623-lmf2h6oc 264 49 current current JJ cord-262623-lmf2h6oc 264 50 ICU ICU NNP cord-262623-lmf2h6oc 264 51 capacity capacity NN cord-262623-lmf2h6oc 264 52 within within IN cord-262623-lmf2h6oc 264 53 days day NNS cord-262623-lmf2h6oc 264 54 . . . cord-262623-lmf2h6oc 265 1 Currently currently RB cord-262623-lmf2h6oc 265 2 the the DT cord-262623-lmf2h6oc 265 3 main main JJ cord-262623-lmf2h6oc 265 4 apparent apparent JJ cord-262623-lmf2h6oc 265 5 threat threat NN cord-262623-lmf2h6oc 265 6 of of IN cord-262623-lmf2h6oc 265 7 a a DT cord-262623-lmf2h6oc 265 8 new new JJ cord-262623-lmf2h6oc 265 9 pandemic pandemic NN cord-262623-lmf2h6oc 265 10 comes come VBZ cord-262623-lmf2h6oc 265 11 in in IN cord-262623-lmf2h6oc 265 12 the the DT cord-262623-lmf2h6oc 265 13 form form NN cord-262623-lmf2h6oc 265 14 of of IN cord-262623-lmf2h6oc 265 15 the the DT cord-262623-lmf2h6oc 265 16 H5N1 H5N1 NNP cord-262623-lmf2h6oc 265 17 influenza influenza NN cord-262623-lmf2h6oc 265 18 virus virus NN cord-262623-lmf2h6oc 265 19 . . . cord-262623-lmf2h6oc 266 1 This this DT cord-262623-lmf2h6oc 266 2 virus virus NN cord-262623-lmf2h6oc 266 3 is be VBZ cord-262623-lmf2h6oc 266 4 now now RB cord-262623-lmf2h6oc 266 5 present present JJ cord-262623-lmf2h6oc 266 6 nearly nearly RB cord-262623-lmf2h6oc 266 7 worldwide worldwide RB cord-262623-lmf2h6oc 266 8 in in IN cord-262623-lmf2h6oc 266 9 migratory migratory JJ cord-262623-lmf2h6oc 266 10 and and CC cord-262623-lmf2h6oc 266 11 , , , cord-262623-lmf2h6oc 266 12 intermittently intermittently RB cord-262623-lmf2h6oc 266 13 , , , cord-262623-lmf2h6oc 266 14 domestic domestic JJ cord-262623-lmf2h6oc 266 15 bird bird NN cord-262623-lmf2h6oc 266 16 populations population NNS cord-262623-lmf2h6oc 266 17 . . . cord-262623-lmf2h6oc 267 1 From from IN cord-262623-lmf2h6oc 267 2 time time NN cord-262623-lmf2h6oc 267 3 to to IN cord-262623-lmf2h6oc 267 4 time time NN cord-262623-lmf2h6oc 267 5 , , , cord-262623-lmf2h6oc 267 6 transmission transmission NN cord-262623-lmf2h6oc 267 7 of of IN cord-262623-lmf2h6oc 267 8 the the DT cord-262623-lmf2h6oc 267 9 virus virus NN cord-262623-lmf2h6oc 267 10 from from IN cord-262623-lmf2h6oc 267 11 birds bird NNS cord-262623-lmf2h6oc 267 12 to to IN cord-262623-lmf2h6oc 267 13 humans human NNS cord-262623-lmf2h6oc 267 14 occurs occur VBZ cord-262623-lmf2h6oc 267 15 , , , cord-262623-lmf2h6oc 267 16 generally generally RB cord-262623-lmf2h6oc 267 17 from from IN cord-262623-lmf2h6oc 267 18 close close JJ cord-262623-lmf2h6oc 267 19 contact contact NN cord-262623-lmf2h6oc 267 20 situations situation NNS cord-262623-lmf2h6oc 267 21 . . . cord-262623-lmf2h6oc 268 1 WHO who WP cord-262623-lmf2h6oc 268 2 data datum NNS cord-262623-lmf2h6oc 268 3 indicate indicate VBP cord-262623-lmf2h6oc 268 4 that that IN cord-262623-lmf2h6oc 268 5 there there EX cord-262623-lmf2h6oc 268 6 have have VBP cord-262623-lmf2h6oc 268 7 been be VBN cord-262623-lmf2h6oc 268 8 387 387 CD cord-262623-lmf2h6oc 268 9 laboratory laboratory NN cord-262623-lmf2h6oc 268 10 - - HYPH cord-262623-lmf2h6oc 268 11 confirmed confirm VBN cord-262623-lmf2h6oc 268 12 cases case NNS cord-262623-lmf2h6oc 268 13 of of IN cord-262623-lmf2h6oc 268 14 such such JJ cord-262623-lmf2h6oc 268 15 transmission transmission NN cord-262623-lmf2h6oc 268 16 from from IN cord-262623-lmf2h6oc 268 17 2003 2003 CD cord-262623-lmf2h6oc 268 18 to to IN cord-262623-lmf2h6oc 268 19 mid-2008 mid-2008 NN cord-262623-lmf2h6oc 268 20 . . . cord-262623-lmf2h6oc 269 1 38 38 CD cord-262623-lmf2h6oc 270 1 The the DT cord-262623-lmf2h6oc 270 2 mortality mortality NN cord-262623-lmf2h6oc 270 3 rate rate NN cord-262623-lmf2h6oc 270 4 has have VBZ cord-262623-lmf2h6oc 270 5 exceeded exceed VBN cord-262623-lmf2h6oc 270 6 60 60 CD cord-262623-lmf2h6oc 270 7 % % NN cord-262623-lmf2h6oc 270 8 , , , cord-262623-lmf2h6oc 270 9 although although IN cord-262623-lmf2h6oc 270 10 it -PRON- PRP cord-262623-lmf2h6oc 270 11 is be VBZ cord-262623-lmf2h6oc 270 12 likely likely JJ cord-262623-lmf2h6oc 270 13 that that IN cord-262623-lmf2h6oc 270 14 many many JJ cord-262623-lmf2h6oc 270 15 less less JJR cord-262623-lmf2h6oc 270 16 severe severe JJ cord-262623-lmf2h6oc 270 17 cases case NNS cord-262623-lmf2h6oc 270 18 do do VBP cord-262623-lmf2h6oc 270 19 not not RB cord-262623-lmf2h6oc 270 20 come come VB cord-262623-lmf2h6oc 270 21 to to IN cord-262623-lmf2h6oc 270 22 medical medical JJ cord-262623-lmf2h6oc 270 23 attention attention NN cord-262623-lmf2h6oc 270 24 and and CC cord-262623-lmf2h6oc 270 25 are be VBP cord-262623-lmf2h6oc 270 26 therefore therefore RB cord-262623-lmf2h6oc 270 27 not not RB cord-262623-lmf2h6oc 270 28 counted count VBN cord-262623-lmf2h6oc 270 29 as as IN cord-262623-lmf2h6oc 270 30 confirmed confirm VBN cord-262623-lmf2h6oc 270 31 case case NN cord-262623-lmf2h6oc 270 32 survivors survivor NNS cord-262623-lmf2h6oc 270 33 . . . cord-262623-lmf2h6oc 271 1 To to IN cord-262623-lmf2h6oc 271 2 date date VB cord-262623-lmf2h6oc 271 3 no no DT cord-262623-lmf2h6oc 271 4 instances instance NNS cord-262623-lmf2h6oc 271 5 of of IN cord-262623-lmf2h6oc 271 6 transmission transmission NN cord-262623-lmf2h6oc 271 7 to to IN cord-262623-lmf2h6oc 271 8 humans human NNS cord-262623-lmf2h6oc 271 9 by by IN cord-262623-lmf2h6oc 271 10 humans human NNS cord-262623-lmf2h6oc 271 11 or or CC cord-262623-lmf2h6oc 271 12 other other JJ cord-262623-lmf2h6oc 271 13 mammals mammal NNS cord-262623-lmf2h6oc 271 14 has have VBZ cord-262623-lmf2h6oc 271 15 been be VBN cord-262623-lmf2h6oc 271 16 documented document VBN cord-262623-lmf2h6oc 271 17 . . . cord-262623-lmf2h6oc 272 1 However however RB cord-262623-lmf2h6oc 272 2 , , , cord-262623-lmf2h6oc 272 3 the the DT cord-262623-lmf2h6oc 272 4 threat threat NN cord-262623-lmf2h6oc 272 5 remains remain VBZ cord-262623-lmf2h6oc 272 6 that that IN cord-262623-lmf2h6oc 272 7 if if IN cord-262623-lmf2h6oc 272 8 this this DT cord-262623-lmf2h6oc 272 9 virus virus NN cord-262623-lmf2h6oc 272 10 were be VBD cord-262623-lmf2h6oc 272 11 to to TO cord-262623-lmf2h6oc 272 12 become become VB cord-262623-lmf2h6oc 272 13 capable capable JJ cord-262623-lmf2h6oc 272 14 of of IN cord-262623-lmf2h6oc 272 15 human human NN cord-262623-lmf2h6oc 272 16 - - HYPH cord-262623-lmf2h6oc 272 17 to to IN cord-262623-lmf2h6oc 272 18 - - HYPH cord-262623-lmf2h6oc 272 19 human human JJ cord-262623-lmf2h6oc 272 20 transmission transmission NN cord-262623-lmf2h6oc 272 21 by by IN cord-262623-lmf2h6oc 272 22 adaptation adaptation NN cord-262623-lmf2h6oc 272 23 in in IN cord-262623-lmf2h6oc 272 24 another another DT cord-262623-lmf2h6oc 272 25 susceptible susceptible JJ cord-262623-lmf2h6oc 272 26 mammalian mammalian JJ cord-262623-lmf2h6oc 272 27 host host NN cord-262623-lmf2h6oc 272 28 such such JJ cord-262623-lmf2h6oc 272 29 as as IN cord-262623-lmf2h6oc 272 30 swine swine NN cord-262623-lmf2h6oc 272 31 , , , cord-262623-lmf2h6oc 272 32 a a DT cord-262623-lmf2h6oc 272 33 pandemic pandemic NN cord-262623-lmf2h6oc 272 34 on on IN cord-262623-lmf2h6oc 272 35 the the DT cord-262623-lmf2h6oc 272 36 order order NN cord-262623-lmf2h6oc 272 37 of of IN cord-262623-lmf2h6oc 272 38 the the DT cord-262623-lmf2h6oc 272 39 1918 1918 CD cord-262623-lmf2h6oc 272 40 event event NN cord-262623-lmf2h6oc 272 41 could could MD cord-262623-lmf2h6oc 272 42 occur occur VB cord-262623-lmf2h6oc 272 43 . . . cord-262623-lmf2h6oc 273 1 With with IN cord-262623-lmf2h6oc 273 2 no no DT cord-262623-lmf2h6oc 273 3 true true JJ cord-262623-lmf2h6oc 273 4 pandemic pandemic NN cord-262623-lmf2h6oc 273 5 for for IN cord-262623-lmf2h6oc 273 6 over over IN cord-262623-lmf2h6oc 273 7 30 30 CD cord-262623-lmf2h6oc 273 8 years year NNS cord-262623-lmf2h6oc 273 9 , , , cord-262623-lmf2h6oc 273 10 including include VBG cord-262623-lmf2h6oc 273 11 all all DT cord-262623-lmf2h6oc 273 12 of of IN cord-262623-lmf2h6oc 273 13 the the DT cord-262623-lmf2h6oc 273 14 ICU ICU NNP cord-262623-lmf2h6oc 273 15 era era NN cord-262623-lmf2h6oc 273 16 , , , cord-262623-lmf2h6oc 273 17 health health NN cord-262623-lmf2h6oc 273 18 authorities authority NNS cord-262623-lmf2h6oc 273 19 worldwide worldwide RB cord-262623-lmf2h6oc 273 20 are be VBP cord-262623-lmf2h6oc 273 21 deeply deeply RB cord-262623-lmf2h6oc 273 22 engaged engaged JJ cord-262623-lmf2h6oc 273 23 in in IN cord-262623-lmf2h6oc 273 24 trying try VBG cord-262623-lmf2h6oc 273 25 to to TO cord-262623-lmf2h6oc 273 26 learn learn VB cord-262623-lmf2h6oc 273 27 the the DT cord-262623-lmf2h6oc 273 28 lesson lesson NN cord-262623-lmf2h6oc 273 29 of of IN cord-262623-lmf2h6oc 273 30 this this DT cord-262623-lmf2h6oc 273 31 new new JJ cord-262623-lmf2h6oc 273 32 ' ' '' cord-262623-lmf2h6oc 273 33 ' ' `` cord-262623-lmf2h6oc 273 34 plague plague NN cord-262623-lmf2h6oc 273 35 ' ' '' cord-262623-lmf2h6oc 273 36 ' ' '' cord-262623-lmf2h6oc 273 37 before before IN cord-262623-lmf2h6oc 273 38 it -PRON- PRP cord-262623-lmf2h6oc 273 39 actually actually RB cord-262623-lmf2h6oc 273 40 occurs occur VBZ cord-262623-lmf2h6oc 273 41 . . . cord-262623-lmf2h6oc 274 1 It -PRON- PRP cord-262623-lmf2h6oc 274 2 is be VBZ cord-262623-lmf2h6oc 274 3 clear clear JJ cord-262623-lmf2h6oc 274 4 that that IN cord-262623-lmf2h6oc 274 5 we -PRON- PRP cord-262623-lmf2h6oc 274 6 will will MD cord-262623-lmf2h6oc 274 7 need need VB cord-262623-lmf2h6oc 274 8 excellent excellent JJ cord-262623-lmf2h6oc 274 9 international international JJ cord-262623-lmf2h6oc 274 10 communication communication NN cord-262623-lmf2h6oc 274 11 , , , cord-262623-lmf2h6oc 274 12 rapidly rapidly RB cord-262623-lmf2h6oc 274 13 enactable enactable JJ cord-262623-lmf2h6oc 274 14 containment containment NN cord-262623-lmf2h6oc 274 15 and and CC cord-262623-lmf2h6oc 274 16 quarantine quarantine NN cord-262623-lmf2h6oc 274 17 plans plan NNS cord-262623-lmf2h6oc 274 18 and and CC cord-262623-lmf2h6oc 274 19 , , , cord-262623-lmf2h6oc 274 20 if if IN cord-262623-lmf2h6oc 274 21 possible possible JJ cord-262623-lmf2h6oc 274 22 , , , cord-262623-lmf2h6oc 274 23 effective effective JJ cord-262623-lmf2h6oc 274 24 antivirals antiviral NNS cord-262623-lmf2h6oc 274 25 and and CC cord-262623-lmf2h6oc 274 26 vaccines vaccine NNS cord-262623-lmf2h6oc 274 27 to to TO cord-262623-lmf2h6oc 274 28 deal deal VB cord-262623-lmf2h6oc 274 29 with with IN cord-262623-lmf2h6oc 274 30 the the DT cord-262623-lmf2h6oc 274 31 H5N1 H5N1 NNP cord-262623-lmf2h6oc 274 32 virus virus NN cord-262623-lmf2h6oc 274 33 . . . cord-262623-lmf2h6oc 275 1 If if IN cord-262623-lmf2h6oc 275 2 it -PRON- PRP cord-262623-lmf2h6oc 275 3 evolves evolve VBZ cord-262623-lmf2h6oc 275 4 as as IN cord-262623-lmf2h6oc 275 5 feared fear VBN cord-262623-lmf2h6oc 275 6 and and CC cord-262623-lmf2h6oc 275 7 becomes become VBZ cord-262623-lmf2h6oc 275 8 easily easily RB cord-262623-lmf2h6oc 275 9 transmissible transmissible JJ cord-262623-lmf2h6oc 275 10 while while IN cord-262623-lmf2h6oc 275 11 retaining retain VBG cord-262623-lmf2h6oc 275 12 its -PRON- PRP$ cord-262623-lmf2h6oc 275 13 current current JJ cord-262623-lmf2h6oc 275 14 virulence virulence NN cord-262623-lmf2h6oc 275 15 ; ; : cord-262623-lmf2h6oc 275 16 modern modern JJ cord-262623-lmf2h6oc 275 17 life life NN cord-262623-lmf2h6oc 275 18 - - HYPH cord-262623-lmf2h6oc 275 19 sustaining sustain VBG cord-262623-lmf2h6oc 275 20 technology technology NN cord-262623-lmf2h6oc 275 21 alone alone RB cord-262623-lmf2h6oc 275 22 will will MD cord-262623-lmf2h6oc 275 23 be be VB cord-262623-lmf2h6oc 275 24 no no DT cord-262623-lmf2h6oc 275 25 shield shield NN cord-262623-lmf2h6oc 275 26 at at RB cord-262623-lmf2h6oc 275 27 all all RB cord-262623-lmf2h6oc 275 28 . . . cord-262623-lmf2h6oc 276 1 The the DT cord-262623-lmf2h6oc 276 2 last last JJ cord-262623-lmf2h6oc 276 3 60 60 CD cord-262623-lmf2h6oc 276 4 years year NNS cord-262623-lmf2h6oc 276 5 have have VBP cord-262623-lmf2h6oc 276 6 seen see VBN cord-262623-lmf2h6oc 276 7 remarkable remarkable JJ cord-262623-lmf2h6oc 276 8 advances advance NNS cord-262623-lmf2h6oc 276 9 in in IN cord-262623-lmf2h6oc 276 10 the the DT cord-262623-lmf2h6oc 276 11 ability ability NN cord-262623-lmf2h6oc 276 12 to to TO cord-262623-lmf2h6oc 276 13 diagnose diagnose VB cord-262623-lmf2h6oc 276 14 and and CC cord-262623-lmf2h6oc 276 15 treat treat VB cord-262623-lmf2h6oc 276 16 infectious infectious JJ cord-262623-lmf2h6oc 276 17 diseases disease NNS cord-262623-lmf2h6oc 276 18 and and CC cord-262623-lmf2h6oc 276 19 handle handle VB cord-262623-lmf2h6oc 276 20 infectious infectious JJ cord-262623-lmf2h6oc 276 21 disease disease NN cord-262623-lmf2h6oc 276 22 outbreaks outbreak NNS cord-262623-lmf2h6oc 276 23 . . . cord-262623-lmf2h6oc 277 1 For for IN cord-262623-lmf2h6oc 277 2 the the DT cord-262623-lmf2h6oc 277 3 most most JJS cord-262623-lmf2h6oc 277 4 part part NN cord-262623-lmf2h6oc 277 5 , , , cord-262623-lmf2h6oc 277 6 the the DT cord-262623-lmf2h6oc 277 7 major major JJ cord-262623-lmf2h6oc 277 8 plagues plague NNS cord-262623-lmf2h6oc 277 9 of of IN cord-262623-lmf2h6oc 277 10 antiquity antiquity NN cord-262623-lmf2h6oc 277 11 remain remain VBP cord-262623-lmf2h6oc 277 12 historical historical JJ cord-262623-lmf2h6oc 277 13 footnotes footnote NNS cord-262623-lmf2h6oc 277 14 . . . cord-262623-lmf2h6oc 278 1 However however RB cord-262623-lmf2h6oc 278 2 , , , cord-262623-lmf2h6oc 278 3 despite despite IN cord-262623-lmf2h6oc 278 4 these these DT cord-262623-lmf2h6oc 278 5 advances advance NNS cord-262623-lmf2h6oc 278 6 , , , cord-262623-lmf2h6oc 278 7 there there EX cord-262623-lmf2h6oc 278 8 is be VBZ cord-262623-lmf2h6oc 278 9 clear clear JJ cord-262623-lmf2h6oc 278 10 evidence evidence NN cord-262623-lmf2h6oc 278 11 that that IN cord-262623-lmf2h6oc 278 12 major major JJ cord-262623-lmf2h6oc 278 13 pandemic pandemic NN cord-262623-lmf2h6oc 278 14 illness illness NN cord-262623-lmf2h6oc 278 15 is be VBZ cord-262623-lmf2h6oc 278 16 always always RB cord-262623-lmf2h6oc 278 17 just just RB cord-262623-lmf2h6oc 278 18 one one CD cord-262623-lmf2h6oc 278 19 outbreak outbreak NN cord-262623-lmf2h6oc 278 20 away away RB cord-262623-lmf2h6oc 278 21 . . . cord-262623-lmf2h6oc 279 1 In in IN cord-262623-lmf2h6oc 279 2 addition addition NN cord-262623-lmf2h6oc 279 3 to to IN cord-262623-lmf2h6oc 279 4 the the DT cord-262623-lmf2h6oc 279 5 HIV HIV NNP cord-262623-lmf2h6oc 279 6 pandemic pandemic NN cord-262623-lmf2h6oc 279 7 , , , cord-262623-lmf2h6oc 279 8 the the DT cord-262623-lmf2h6oc 279 9 smaller small JJR cord-262623-lmf2h6oc 279 10 epidemic epidemic NN cord-262623-lmf2h6oc 279 11 outbreaks outbreak NNS cord-262623-lmf2h6oc 279 12 of of IN cord-262623-lmf2h6oc 279 13 Legionnaire Legionnaire NNP cord-262623-lmf2h6oc 279 14 's 's POS cord-262623-lmf2h6oc 279 15 disease disease NN cord-262623-lmf2h6oc 279 16 , , , cord-262623-lmf2h6oc 279 17 hantavirus hantavirus NN cord-262623-lmf2h6oc 279 18 pulmonary pulmonary JJ cord-262623-lmf2h6oc 279 19 syndrome syndrome NN cord-262623-lmf2h6oc 279 20 , , , cord-262623-lmf2h6oc 279 21 and and CC cord-262623-lmf2h6oc 279 22 SARS SARS NNP cord-262623-lmf2h6oc 279 23 , , , cord-262623-lmf2h6oc 279 24 among among IN cord-262623-lmf2h6oc 279 25 many many JJ cord-262623-lmf2h6oc 279 26 others other NNS cord-262623-lmf2h6oc 279 27 , , , cord-262623-lmf2h6oc 279 28 points point VBZ cord-262623-lmf2h6oc 279 29 out out RP cord-262623-lmf2h6oc 279 30 the the DT cord-262623-lmf2h6oc 279 31 potential potential JJ cord-262623-lmf2h6oc 279 32 risk risk NN cord-262623-lmf2h6oc 279 33 associated associate VBN cord-262623-lmf2h6oc 279 34 with with IN cord-262623-lmf2h6oc 279 35 a a DT cord-262623-lmf2h6oc 279 36 lack lack NN cord-262623-lmf2h6oc 279 37 of of IN cord-262623-lmf2h6oc 279 38 preplanning preplanning NN cord-262623-lmf2h6oc 279 39 and and CC cord-262623-lmf2h6oc 279 40 preparedness preparedness NN cord-262623-lmf2h6oc 279 41 . . . cord-262623-lmf2h6oc 280 1 Although although IN cord-262623-lmf2h6oc 280 2 pandemic pandemic NN cord-262623-lmf2h6oc 280 3 influenza influenza NN cord-262623-lmf2h6oc 280 4 is be VBZ cord-262623-lmf2h6oc 280 5 at at IN cord-262623-lmf2h6oc 280 6 the the DT cord-262623-lmf2h6oc 280 7 top top NN cord-262623-lmf2h6oc 280 8 of of IN cord-262623-lmf2h6oc 280 9 the the DT cord-262623-lmf2h6oc 280 10 list list NN cord-262623-lmf2h6oc 280 11 when when WRB cord-262623-lmf2h6oc 280 12 discussing discuss VBG cord-262623-lmf2h6oc 280 13 possible possible JJ cord-262623-lmf2h6oc 280 14 future future JJ cord-262623-lmf2h6oc 280 15 major major JJ cord-262623-lmf2h6oc 280 16 infectious infectious JJ cord-262623-lmf2h6oc 280 17 disease disease NN cord-262623-lmf2h6oc 280 18 outbreaks outbreak NNS cord-262623-lmf2h6oc 280 19 , , , cord-262623-lmf2h6oc 280 20 the the DT cord-262623-lmf2h6oc 280 21 truth truth NN cord-262623-lmf2h6oc 280 22 is be VBZ cord-262623-lmf2h6oc 280 23 that that IN cord-262623-lmf2h6oc 280 24 the the DT cord-262623-lmf2h6oc 280 25 identity identity NN cord-262623-lmf2h6oc 280 26 of of IN cord-262623-lmf2h6oc 280 27 the the DT cord-262623-lmf2h6oc 280 28 next next JJ cord-262623-lmf2h6oc 280 29 major major JJ cord-262623-lmf2h6oc 280 30 pandemic pandemic NN cord-262623-lmf2h6oc 280 31 pathogen pathogen NN cord-262623-lmf2h6oc 280 32 can can MD cord-262623-lmf2h6oc 280 33 not not RB cord-262623-lmf2h6oc 280 34 be be VB cord-262623-lmf2h6oc 280 35 predicted predict VBN cord-262623-lmf2h6oc 280 36 with with IN cord-262623-lmf2h6oc 280 37 any any DT cord-262623-lmf2h6oc 280 38 accuracy accuracy NN cord-262623-lmf2h6oc 280 39 . . . cord-262623-lmf2h6oc 281 1 We -PRON- PRP cord-262623-lmf2h6oc 281 2 can can MD cord-262623-lmf2h6oc 281 3 only only RB cord-262623-lmf2h6oc 281 4 hope hope VB cord-262623-lmf2h6oc 281 5 that that IN cord-262623-lmf2h6oc 281 6 general general JJ cord-262623-lmf2h6oc 281 7 preparedness preparedness NN cord-262623-lmf2h6oc 281 8 and and CC cord-262623-lmf2h6oc 281 9 the the DT cord-262623-lmf2h6oc 281 10 lessons lesson NNS cord-262623-lmf2h6oc 281 11 learned learn VBN cord-262623-lmf2h6oc 281 12 from from IN cord-262623-lmf2h6oc 281 13 previous previous JJ cord-262623-lmf2h6oc 281 14 outbreaks outbreak NNS cord-262623-lmf2h6oc 281 15 suffice suffice VBP cord-262623-lmf2h6oc 281 16 . . . cord-262623-lmf2h6oc 282 1 A a DT cord-262623-lmf2h6oc 282 2 history history NN cord-262623-lmf2h6oc 282 3 of of IN cord-262623-lmf2h6oc 282 4 poliomyelitis poliomyelitis NN cord-262623-lmf2h6oc 282 5 Polio Polio NNP cord-262623-lmf2h6oc 282 6 : : : cord-262623-lmf2h6oc 282 7 an an DT cord-262623-lmf2h6oc 282 8 American american JJ cord-262623-lmf2h6oc 282 9 story story NN cord-262623-lmf2h6oc 283 1 An an DT cord-262623-lmf2h6oc 283 2 apparatus apparatus NN cord-262623-lmf2h6oc 283 3 for for IN cord-262623-lmf2h6oc 283 4 the the DT cord-262623-lmf2h6oc 283 5 prolonged prolonged JJ cord-262623-lmf2h6oc 283 6 administration administration NN cord-262623-lmf2h6oc 283 7 of of IN cord-262623-lmf2h6oc 283 8 artificial artificial JJ cord-262623-lmf2h6oc 283 9 respiration respiration NN cord-262623-lmf2h6oc 284 1 The the DT cord-262623-lmf2h6oc 284 2 physiologic physiologic JJ cord-262623-lmf2h6oc 284 3 challenges challenge NNS cord-262623-lmf2h6oc 284 4 of of IN cord-262623-lmf2h6oc 284 5 the the DT cord-262623-lmf2h6oc 284 6 1952 1952 CD cord-262623-lmf2h6oc 284 7 Copenhagen Copenhagen NNP cord-262623-lmf2h6oc 284 8 poliomyelitis poliomyelitis NN cord-262623-lmf2h6oc 284 9 epidemic epidemic NN cord-262623-lmf2h6oc 284 10 and and CC cord-262623-lmf2h6oc 284 11 a a DT cord-262623-lmf2h6oc 284 12 renaissance renaissance NN cord-262623-lmf2h6oc 284 13 in in IN cord-262623-lmf2h6oc 284 14 clinical clinical JJ cord-262623-lmf2h6oc 284 15 respiratory respiratory JJ cord-262623-lmf2h6oc 284 16 physiology physiology NN cord-262623-lmf2h6oc 284 17 Post post NN cord-262623-lmf2h6oc 284 18 - - JJ cord-262623-lmf2h6oc 284 19 poliomyelitis poliomyelitis JJ cord-262623-lmf2h6oc 284 20 syndrome syndrome NN cord-262623-lmf2h6oc 284 21 Legionnaire Legionnaire NNP cord-262623-lmf2h6oc 284 22 's 's POS cord-262623-lmf2h6oc 284 23 disease disease NN cord-262623-lmf2h6oc 284 24 : : : cord-262623-lmf2h6oc 284 25 description description NN cord-262623-lmf2h6oc 284 26 of of IN cord-262623-lmf2h6oc 284 27 an an DT cord-262623-lmf2h6oc 284 28 epidemic epidemic NN cord-262623-lmf2h6oc 284 29 of of IN cord-262623-lmf2h6oc 284 30 pneumonia pneumonia NN cord-262623-lmf2h6oc 284 31 Legionnaire Legionnaire NNP cord-262623-lmf2h6oc 284 32 's 's POS cord-262623-lmf2h6oc 284 33 disease disease NN cord-262623-lmf2h6oc 284 34 : : : cord-262623-lmf2h6oc 284 35 isolation isolation NN cord-262623-lmf2h6oc 284 36 of of IN cord-262623-lmf2h6oc 284 37 a a DT cord-262623-lmf2h6oc 284 38 bacterium bacterium NN cord-262623-lmf2h6oc 284 39 and and CC cord-262623-lmf2h6oc 284 40 demonstration demonstration NN cord-262623-lmf2h6oc 284 41 of of IN cord-262623-lmf2h6oc 284 42 its -PRON- PRP$ cord-262623-lmf2h6oc 284 43 role role NN cord-262623-lmf2h6oc 284 44 in in IN cord-262623-lmf2h6oc 284 45 other other JJ cord-262623-lmf2h6oc 284 46 respiratory respiratory JJ cord-262623-lmf2h6oc 284 47 diseases disease NNS cord-262623-lmf2h6oc 284 48 Toxic toxic JJ cord-262623-lmf2h6oc 284 49 - - HYPH cord-262623-lmf2h6oc 284 50 shock shock NN cord-262623-lmf2h6oc 284 51 syndrome syndrome NN cord-262623-lmf2h6oc 284 52 associated associate VBN cord-262623-lmf2h6oc 284 53 with with IN cord-262623-lmf2h6oc 284 54 phagegroup-1 phagegroup-1 NNP cord-262623-lmf2h6oc 284 55 staphylococci staphylococcus NNS cord-262623-lmf2h6oc 284 56 Toxic toxic JJ cord-262623-lmf2h6oc 284 57 - - HYPH cord-262623-lmf2h6oc 284 58 shock shock NN cord-262623-lmf2h6oc 284 59 syndrome syndrome NN cord-262623-lmf2h6oc 284 60 -United -unite VBD cord-262623-lmf2h6oc 285 1 States States NNP cord-262623-lmf2h6oc 285 2 Toxic toxic JJ cord-262623-lmf2h6oc 285 3 - - HYPH cord-262623-lmf2h6oc 285 4 shock shock NN cord-262623-lmf2h6oc 285 5 syndrome syndrome NN cord-262623-lmf2h6oc 285 6 in in IN cord-262623-lmf2h6oc 285 7 menstruating menstruate VBG cord-262623-lmf2h6oc 285 8 women woman NNS cord-262623-lmf2h6oc 285 9 : : : cord-262623-lmf2h6oc 285 10 association association NN cord-262623-lmf2h6oc 285 11 with with IN cord-262623-lmf2h6oc 285 12 tampon tampon DT cord-262623-lmf2h6oc 285 13 use use NN cord-262623-lmf2h6oc 285 14 and and CC cord-262623-lmf2h6oc 285 15 Staphylococcus Staphylococcus NNP cord-262623-lmf2h6oc 285 16 aureus aureus NN cord-262623-lmf2h6oc 285 17 and and CC cord-262623-lmf2h6oc 285 18 clinical clinical JJ cord-262623-lmf2h6oc 285 19 features feature NNS cord-262623-lmf2h6oc 285 20 in in IN cord-262623-lmf2h6oc 285 21 52 52 CD cord-262623-lmf2h6oc 285 22 cases case NNS cord-262623-lmf2h6oc 285 23 Epidemiologic epidemiologic JJ cord-262623-lmf2h6oc 285 24 notes note NNS cord-262623-lmf2h6oc 285 25 and and CC cord-262623-lmf2h6oc 285 26 reports report NNS cord-262623-lmf2h6oc 285 27 , , , cord-262623-lmf2h6oc 285 28 toxic toxic JJ cord-262623-lmf2h6oc 285 29 - - HYPH cord-262623-lmf2h6oc 285 30 shock shock NN cord-262623-lmf2h6oc 285 31 syndrome syndrome NN cord-262623-lmf2h6oc 285 32 , , , cord-262623-lmf2h6oc 285 33 United United NNP cord-262623-lmf2h6oc 285 34 States States NNP cord-262623-lmf2h6oc 285 35 Reemergence Reemergence NNP cord-262623-lmf2h6oc 285 36 of of IN cord-262623-lmf2h6oc 285 37 staphylococcal staphylococcal JJ cord-262623-lmf2h6oc 285 38 toxicshock toxicshock NN cord-262623-lmf2h6oc 285 39 syndrome syndrome NN cord-262623-lmf2h6oc 285 40 in in IN cord-262623-lmf2h6oc 285 41 Intensity intensity NN cord-262623-lmf2h6oc 285 42 of of IN cord-262623-lmf2h6oc 285 43 immunosuppression immunosuppression NN cord-262623-lmf2h6oc 285 44 and and CC cord-262623-lmf2h6oc 285 45 the the DT cord-262623-lmf2h6oc 285 46 incidence incidence NN cord-262623-lmf2h6oc 285 47 of of IN cord-262623-lmf2h6oc 285 48 Pneumocystis Pneumocystis NNP cord-262623-lmf2h6oc 285 49 carinii carinii FW cord-262623-lmf2h6oc 285 50 pneumonia pneumonia NN cord-262623-lmf2h6oc 285 51 Comparison comparison NN cord-262623-lmf2h6oc 285 52 of of IN cord-262623-lmf2h6oc 285 53 pentamadine pentamadine NNP cord-262623-lmf2h6oc 285 54 isothionate isothionate NNP cord-262623-lmf2h6oc 285 55 and and CC cord-262623-lmf2h6oc 285 56 trimethoprim trimethoprim NNP cord-262623-lmf2h6oc 285 57 / / SYM cord-262623-lmf2h6oc 285 58 sulfamethoxazole sulfamethoxazole NNP cord-262623-lmf2h6oc 285 59 in in IN cord-262623-lmf2h6oc 285 60 the the DT cord-262623-lmf2h6oc 285 61 treatment treatment NN cord-262623-lmf2h6oc 285 62 of of IN cord-262623-lmf2h6oc 285 63 Pneumocystis Pneumocystis NNP cord-262623-lmf2h6oc 285 64 carinii carinii FW cord-262623-lmf2h6oc 285 65 pneumonia pneumonia NN cord-262623-lmf2h6oc 285 66 Pneumocystis Pneumocystis NNP cord-262623-lmf2h6oc 285 67 pneumonia pneumonia NN cord-262623-lmf2h6oc 286 1 -Los -los XX cord-262623-lmf2h6oc 287 1 Angeles Angeles NNP cord-262623-lmf2h6oc 288 1 A a DT cord-262623-lmf2h6oc 288 2 controlled control VBN cord-262623-lmf2h6oc 288 3 trial trial NN cord-262623-lmf2h6oc 288 4 of of IN cord-262623-lmf2h6oc 288 5 early early JJ cord-262623-lmf2h6oc 288 6 adjunctive adjunctive JJ cord-262623-lmf2h6oc 288 7 treatment treatment NN cord-262623-lmf2h6oc 288 8 with with IN cord-262623-lmf2h6oc 288 9 corticosteroids corticosteroid NNS cord-262623-lmf2h6oc 288 10 for for IN cord-262623-lmf2h6oc 288 11 PCP PCP NNP cord-262623-lmf2h6oc 288 12 in in IN cord-262623-lmf2h6oc 288 13 AIDS AIDS NNP cord-262623-lmf2h6oc 288 14 AIDS AIDS NNP cord-262623-lmf2h6oc 288 15 - - HYPH cord-262623-lmf2h6oc 288 16 related relate VBN cord-262623-lmf2h6oc 288 17 pneumonia pneumonia NN cord-262623-lmf2h6oc 288 18 in in IN cord-262623-lmf2h6oc 288 19 the the DT cord-262623-lmf2h6oc 288 20 era era NN cord-262623-lmf2h6oc 288 21 of of IN cord-262623-lmf2h6oc 288 22 adjunctive adjunctive JJ cord-262623-lmf2h6oc 288 23 steroids steroid NNS cord-262623-lmf2h6oc 288 24 Outbreak outbreak NN cord-262623-lmf2h6oc 288 25 of of IN cord-262623-lmf2h6oc 288 26 acute acute JJ cord-262623-lmf2h6oc 288 27 illness illness NN cord-262623-lmf2h6oc 288 28 -southwestern -southwestern . cord-262623-lmf2h6oc 289 1 United United NNP cord-262623-lmf2h6oc 289 2 States States NNP cord-262623-lmf2h6oc 289 3 Hantavirus Hantavirus NNP cord-262623-lmf2h6oc 289 4 pulmonary pulmonary JJ cord-262623-lmf2h6oc 289 5 syndrome syndrome NN cord-262623-lmf2h6oc 289 6 : : : cord-262623-lmf2h6oc 290 1 a a DT cord-262623-lmf2h6oc 290 2 clinical clinical JJ cord-262623-lmf2h6oc 290 3 description description NN cord-262623-lmf2h6oc 290 4 of of IN cord-262623-lmf2h6oc 290 5 17 17 CD cord-262623-lmf2h6oc 290 6 patients patient NNS cord-262623-lmf2h6oc 290 7 with with IN cord-262623-lmf2h6oc 290 8 a a DT cord-262623-lmf2h6oc 290 9 newly newly RB cord-262623-lmf2h6oc 290 10 recognized recognize VBN cord-262623-lmf2h6oc 290 11 disease disease NN cord-262623-lmf2h6oc 290 12 Cardiopulmonary cardiopulmonary JJ cord-262623-lmf2h6oc 290 13 manifestations manifestation NNS cord-262623-lmf2h6oc 290 14 of of IN cord-262623-lmf2h6oc 290 15 Hantavirus Hantavirus NNP cord-262623-lmf2h6oc 290 16 pulmonary pulmonary JJ cord-262623-lmf2h6oc 290 17 syndrome syndrome NN cord-262623-lmf2h6oc 290 18 Hantavirus Hantavirus NNP cord-262623-lmf2h6oc 290 19 pulmonary pulmonary JJ cord-262623-lmf2h6oc 290 20 syndrome syndrome NN cord-262623-lmf2h6oc 290 21 -United -unite VBD cord-262623-lmf2h6oc 290 22 States States NNP cord-262623-lmf2h6oc 290 23 : : : cord-262623-lmf2h6oc 290 24 updated update VBN cord-262623-lmf2h6oc 290 25 recommendations recommendation NNS cord-262623-lmf2h6oc 290 26 for for IN cord-262623-lmf2h6oc 290 27 risk risk NN cord-262623-lmf2h6oc 290 28 reduction reduction NN cord-262623-lmf2h6oc 291 1 The the DT cord-262623-lmf2h6oc 291 2 principles principle NNS cord-262623-lmf2h6oc 291 3 and and CC cord-262623-lmf2h6oc 291 4 practice practice NN cord-262623-lmf2h6oc 291 5 of of IN cord-262623-lmf2h6oc 291 6 medicine medicine NN cord-262623-lmf2h6oc 291 7 Hemolytic hemolytic JJ cord-262623-lmf2h6oc 291 8 streptococcus streptococcus NN cord-262623-lmf2h6oc 291 9 gangrene gangrene NN cord-262623-lmf2h6oc 291 10 Hemolytic hemolytic JJ cord-262623-lmf2h6oc 291 11 streptococcal streptococcal JJ cord-262623-lmf2h6oc 291 12 gangrene gangrene NN cord-262623-lmf2h6oc 291 13 : : : cord-262623-lmf2h6oc 291 14 the the DT cord-262623-lmf2h6oc 291 15 importance importance NN cord-262623-lmf2h6oc 291 16 of of IN cord-262623-lmf2h6oc 291 17 early early JJ cord-262623-lmf2h6oc 291 18 diagnosis diagnosis NN cord-262623-lmf2h6oc 291 19 and and CC cord-262623-lmf2h6oc 291 20 operation operation NN cord-262623-lmf2h6oc 291 21 Clinical clinical JJ cord-262623-lmf2h6oc 291 22 and and CC cord-262623-lmf2h6oc 291 23 bacteriological bacteriological JJ cord-262623-lmf2h6oc 291 24 observations observation NNS cord-262623-lmf2h6oc 291 25 of of IN cord-262623-lmf2h6oc 291 26 a a DT cord-262623-lmf2h6oc 291 27 toxic toxic JJ cord-262623-lmf2h6oc 291 28 - - HYPH cord-262623-lmf2h6oc 291 29 shock shock NN cord-262623-lmf2h6oc 291 30 - - HYPH cord-262623-lmf2h6oc 291 31 like like JJ cord-262623-lmf2h6oc 291 32 syndrome syndrome NN cord-262623-lmf2h6oc 291 33 due due IN cord-262623-lmf2h6oc 291 34 to to IN cord-262623-lmf2h6oc 291 35 Streptococcus streptococcus NN cord-262623-lmf2h6oc 291 36 pyogenes pyogene NNS cord-262623-lmf2h6oc 291 37 Streptococcal Streptococcal NNP cord-262623-lmf2h6oc 291 38 necrotizing necrotize VBG cord-262623-lmf2h6oc 291 39 fasciitis fasciitis NN cord-262623-lmf2h6oc 291 40 : : : cord-262623-lmf2h6oc 291 41 comparison comparison NN cord-262623-lmf2h6oc 291 42 between between IN cord-262623-lmf2h6oc 291 43 histological histological JJ cord-262623-lmf2h6oc 291 44 and and CC cord-262623-lmf2h6oc 291 45 clinical clinical JJ cord-262623-lmf2h6oc 291 46 features feature VBZ cord-262623-lmf2h6oc 291 47 Antibiotic antibiotic JJ cord-262623-lmf2h6oc 291 48 effects effect NNS cord-262623-lmf2h6oc 291 49 on on IN cord-262623-lmf2h6oc 291 50 bacterial bacterial JJ cord-262623-lmf2h6oc 291 51 viability viability NN cord-262623-lmf2h6oc 291 52 , , , cord-262623-lmf2h6oc 291 53 toxin toxin NN cord-262623-lmf2h6oc 291 54 production production NN cord-262623-lmf2h6oc 291 55 and and CC cord-262623-lmf2h6oc 291 56 host host NN cord-262623-lmf2h6oc 291 57 response response NN cord-262623-lmf2h6oc 292 1 Intravenous intravenous JJ cord-262623-lmf2h6oc 292 2 immunoglobulin immunoglobulin NN cord-262623-lmf2h6oc 292 3 therapy therapy NN cord-262623-lmf2h6oc 292 4 for for IN cord-262623-lmf2h6oc 292 5 streptococcal streptococcal JJ cord-262623-lmf2h6oc 292 6 toxic toxic JJ cord-262623-lmf2h6oc 292 7 - - HYPH cord-262623-lmf2h6oc 292 8 shock shock NN cord-262623-lmf2h6oc 292 9 syndrome syndrome NN cord-262623-lmf2h6oc 292 10 -a -a , cord-262623-lmf2h6oc 292 11 comparative comparative JJ cord-262623-lmf2h6oc 292 12 observational observational JJ cord-262623-lmf2h6oc 292 13 study study NN cord-262623-lmf2h6oc 292 14 . . . cord-262623-lmf2h6oc 293 1 The the DT cord-262623-lmf2h6oc 293 2 Canadian Canadian NNP cord-262623-lmf2h6oc 293 3 Streptococcal Streptococcal NNP cord-262623-lmf2h6oc 293 4 Study Study NNP cord-262623-lmf2h6oc 293 5 Group Group NNP cord-262623-lmf2h6oc 293 6 Epidemiologic Epidemiologic NNP cord-262623-lmf2h6oc 293 7 analysis analysis NN cord-262623-lmf2h6oc 293 8 of of IN cord-262623-lmf2h6oc 293 9 group group NN cord-262623-lmf2h6oc 293 10 A a DT cord-262623-lmf2h6oc 293 11 streptococcal streptococcal JJ cord-262623-lmf2h6oc 293 12 serotypes serotype NNS cord-262623-lmf2h6oc 293 13 associated associate VBN cord-262623-lmf2h6oc 293 14 with with IN cord-262623-lmf2h6oc 293 15 severe severe JJ cord-262623-lmf2h6oc 293 16 systemic systemic JJ cord-262623-lmf2h6oc 293 17 infections infection NNS cord-262623-lmf2h6oc 293 18 , , , cord-262623-lmf2h6oc 293 19 rheumatic rheumatic JJ cord-262623-lmf2h6oc 293 20 fever fever NN cord-262623-lmf2h6oc 293 21 , , , cord-262623-lmf2h6oc 293 22 or or CC cord-262623-lmf2h6oc 293 23 uncomplicated uncomplicated JJ cord-262623-lmf2h6oc 293 24 pharyngitis pharyngitis NN cord-262623-lmf2h6oc 293 25 WHO who WP cord-262623-lmf2h6oc 293 26 -Epidemic -epidemic VBP cord-262623-lmf2h6oc 293 27 and and CC cord-262623-lmf2h6oc 293 28 Pandemic Pandemic NNP cord-262623-lmf2h6oc 293 29 Alert Alert NNP cord-262623-lmf2h6oc 293 30 and and CC cord-262623-lmf2h6oc 293 31 Response response NN cord-262623-lmf2h6oc 294 1 ( ( -LRB- cord-262623-lmf2h6oc 294 2 EPR EPR NNP cord-262623-lmf2h6oc 294 3 ) ) -RRB- cord-262623-lmf2h6oc 294 4 Acute acute JJ cord-262623-lmf2h6oc 294 5 respiratory respiratory JJ cord-262623-lmf2h6oc 294 6 syndrome syndrome NN cord-262623-lmf2h6oc 294 7 in in IN cord-262623-lmf2h6oc 294 8 Hong Hong NNP cord-262623-lmf2h6oc 294 9 Kong Kong NNP cord-262623-lmf2h6oc 294 10 special special JJ cord-262623-lmf2h6oc 294 11 administrative administrative JJ cord-262623-lmf2h6oc 294 12 region region NN cord-262623-lmf2h6oc 294 13 of of IN cord-262623-lmf2h6oc 294 14 China China NNP cord-262623-lmf2h6oc 294 15 / / SYM cord-262623-lmf2h6oc 294 16 Vietnam Vietnam NNP cord-262623-lmf2h6oc 294 17 Public Public NNP cord-262623-lmf2h6oc 294 18 health health NN cord-262623-lmf2h6oc 294 19 measures measure NNS cord-262623-lmf2h6oc 294 20 to to TO cord-262623-lmf2h6oc 294 21 control control VB cord-262623-lmf2h6oc 294 22 the the DT cord-262623-lmf2h6oc 294 23 spread spread NN cord-262623-lmf2h6oc 294 24 of of IN cord-262623-lmf2h6oc 294 25 the the DT cord-262623-lmf2h6oc 294 26 severe severe JJ cord-262623-lmf2h6oc 294 27 acute acute JJ cord-262623-lmf2h6oc 294 28 respiratory respiratory JJ cord-262623-lmf2h6oc 294 29 syndrome syndrome NN cord-262623-lmf2h6oc 294 30 during during IN cord-262623-lmf2h6oc 294 31 the the DT cord-262623-lmf2h6oc 294 32 outbreak outbreak NN cord-262623-lmf2h6oc 294 33 in in IN cord-262623-lmf2h6oc 294 34 Toronto Toronto NNP cord-262623-lmf2h6oc 294 35 Isolation Isolation NNP cord-262623-lmf2h6oc 294 36 and and CC cord-262623-lmf2h6oc 294 37 characterization characterization NN cord-262623-lmf2h6oc 294 38 of of IN cord-262623-lmf2h6oc 294 39 viruses virus NNS cord-262623-lmf2h6oc 294 40 related relate VBN cord-262623-lmf2h6oc 294 41 to to IN cord-262623-lmf2h6oc 294 42 the the DT cord-262623-lmf2h6oc 294 43 SARS SARS NNP cord-262623-lmf2h6oc 294 44 coronavirus coronavirus NN cord-262623-lmf2h6oc 294 45 from from IN cord-262623-lmf2h6oc 294 46 animals animal NNS cord-262623-lmf2h6oc 294 47 in in IN cord-262623-lmf2h6oc 294 48 southern southern JJ cord-262623-lmf2h6oc 294 49 China China NNP cord-262623-lmf2h6oc 294 50 Bats Bats NNPS cord-262623-lmf2h6oc 294 51 are be VBP cord-262623-lmf2h6oc 294 52 natural natural JJ cord-262623-lmf2h6oc 294 53 reservoirs reservoir NNS cord-262623-lmf2h6oc 294 54 of of IN cord-262623-lmf2h6oc 294 55 SARS SARS NNP cord-262623-lmf2h6oc 294 56 - - HYPH cord-262623-lmf2h6oc 294 57 like like JJ cord-262623-lmf2h6oc 294 58 coronaviruses coronaviruse NNS cord-262623-lmf2h6oc 295 1 Critically critically RB cord-262623-lmf2h6oc 295 2 ill ill JJ cord-262623-lmf2h6oc 295 3 patients patient NNS cord-262623-lmf2h6oc 295 4 with with IN cord-262623-lmf2h6oc 295 5 severe severe JJ cord-262623-lmf2h6oc 295 6 acute acute JJ cord-262623-lmf2h6oc 295 7 respiratory respiratory JJ cord-262623-lmf2h6oc 295 8 syndrome syndrome NN cord-262623-lmf2h6oc 296 1 Influenza influenza NN cord-262623-lmf2h6oc 296 2 : : : cord-262623-lmf2h6oc 296 3 the the DT cord-262623-lmf2h6oc 296 4 mother mother NN cord-262623-lmf2h6oc 296 5 of of IN cord-262623-lmf2h6oc 296 6 all all DT cord-262623-lmf2h6oc 296 7 pandemics pandemic NNS cord-262623-lmf2h6oc 296 8 Molecular molecular JJ cord-262623-lmf2h6oc 296 9 basis basis NN cord-262623-lmf2h6oc 296 10 for for IN cord-262623-lmf2h6oc 296 11 the the DT cord-262623-lmf2h6oc 296 12 generation generation NN cord-262623-lmf2h6oc 296 13 in in IN cord-262623-lmf2h6oc 296 14 pigs pig NNS cord-262623-lmf2h6oc 296 15 of of IN cord-262623-lmf2h6oc 296 16 Influenza Influenza NNP cord-262623-lmf2h6oc 296 17 A A NNP cord-262623-lmf2h6oc 296 18 viruses virus NNS cord-262623-lmf2h6oc 296 19 with with IN cord-262623-lmf2h6oc 296 20 pandemic pandemic NN cord-262623-lmf2h6oc 296 21 potential potential NN cord-262623-lmf2h6oc 296 22 WHO who WP cord-262623-lmf2h6oc 296 23 - - HYPH cord-262623-lmf2h6oc 296 24 epidemic epidemic NN cord-262623-lmf2h6oc 296 25 and and CC cord-262623-lmf2h6oc 296 26 pandemic pandemic NN cord-262623-lmf2h6oc 296 27 alert alert NN cord-262623-lmf2h6oc 296 28 and and CC cord-262623-lmf2h6oc 296 29 response response NN cord-262623-lmf2h6oc 296 30 ( ( -LRB- cord-262623-lmf2h6oc 296 31 EPR EPR NNP cord-262623-lmf2h6oc 296 32 ) ) -RRB-