id sid tid token lemma pos cord-291036-j6ybcv93 1 1 key key NNP cord-291036-j6ybcv93 1 2 : : : cord-291036-j6ybcv93 1 3 cord-291036-j6ybcv93 cord-291036-j6ybcv93 . cord-291036-j6ybcv93 2 1 authors author NNS cord-291036-j6ybcv93 2 2 : : : cord-291036-j6ybcv93 2 3 Beebe Beebe NNP cord-291036-j6ybcv93 2 4 , , , cord-291036-j6ybcv93 2 5 James James NNP cord-291036-j6ybcv93 2 6 L. L. NNP cord-291036-j6ybcv93 2 7 title title NN cord-291036-j6ybcv93 2 8 : : : cord-291036-j6ybcv93 2 9 Public public JJ cord-291036-j6ybcv93 2 10 health health NN cord-291036-j6ybcv93 2 11 and and CC cord-291036-j6ybcv93 2 12 clinical clinical JJ cord-291036-j6ybcv93 2 13 laboratories laboratory NNS cord-291036-j6ybcv93 2 14 : : : cord-291036-j6ybcv93 2 15 Partners partner NNS cord-291036-j6ybcv93 2 16 in in IN cord-291036-j6ybcv93 2 17 the the DT cord-291036-j6ybcv93 2 18 age age NN cord-291036-j6ybcv93 2 19 of of IN cord-291036-j6ybcv93 2 20 emerging emerge VBG cord-291036-j6ybcv93 2 21 infections infection NNS cord-291036-j6ybcv93 2 22 date date NN cord-291036-j6ybcv93 2 23 : : : cord-291036-j6ybcv93 2 24 2006 2006 CD cord-291036-j6ybcv93 2 25 - - HYPH cord-291036-j6ybcv93 2 26 01 01 CD cord-291036-j6ybcv93 2 27 - - SYM cord-291036-j6ybcv93 2 28 15 15 CD cord-291036-j6ybcv93 2 29 journal journal NN cord-291036-j6ybcv93 2 30 : : : cord-291036-j6ybcv93 3 1 Clin Clin NNP cord-291036-j6ybcv93 3 2 Microbiol Microbiol NNP cord-291036-j6ybcv93 3 3 Newsl Newsl NNP cord-291036-j6ybcv93 3 4 DOI DOI NNP cord-291036-j6ybcv93 3 5 : : : cord-291036-j6ybcv93 3 6 10.1016 10.1016 CD cord-291036-j6ybcv93 3 7 / / SYM cord-291036-j6ybcv93 3 8 j.clinmicnews.2005.12.007 j.clinmicnews.2005.12.007 NN cord-291036-j6ybcv93 3 9 sha sha XX cord-291036-j6ybcv93 3 10 : : : cord-291036-j6ybcv93 4 1 f1be72a63fbb8599da04160000b1372426ff4388 f1be72a63fbb8599da04160000b1372426ff4388 NNP cord-291036-j6ybcv93 4 2 doc_id doc_id NNP cord-291036-j6ybcv93 4 3 : : : cord-291036-j6ybcv93 5 1 291036 291036 CD cord-291036-j6ybcv93 5 2 cord_uid cord_uid NNS cord-291036-j6ybcv93 5 3 : : : cord-291036-j6ybcv93 6 1 j6ybcv93 j6ybcv93 NNP cord-291036-j6ybcv93 7 1 Clinical clinical JJ cord-291036-j6ybcv93 7 2 and and CC cord-291036-j6ybcv93 7 3 public public JJ cord-291036-j6ybcv93 7 4 health health NN cord-291036-j6ybcv93 7 5 laboratories laboratory NNS cord-291036-j6ybcv93 7 6 have have VBP cord-291036-j6ybcv93 7 7 experienced experience VBN cord-291036-j6ybcv93 7 8 unprecedented unprecedented JJ cord-291036-j6ybcv93 7 9 challenges challenge NNS cord-291036-j6ybcv93 7 10 in in IN cord-291036-j6ybcv93 7 11 the the DT cord-291036-j6ybcv93 7 12 form form NN cord-291036-j6ybcv93 7 13 of of IN cord-291036-j6ybcv93 7 14 demands demand NNS cord-291036-j6ybcv93 7 15 to to TO cord-291036-j6ybcv93 7 16 comply comply VB cord-291036-j6ybcv93 7 17 with with IN cord-291036-j6ybcv93 7 18 revised revised JJ cord-291036-j6ybcv93 7 19 regulations regulation NNS cord-291036-j6ybcv93 7 20 and and CC cord-291036-j6ybcv93 7 21 economic economic JJ cord-291036-j6ybcv93 7 22 pressures pressure NNS cord-291036-j6ybcv93 7 23 to to TO cord-291036-j6ybcv93 7 24 be be VB cord-291036-j6ybcv93 7 25 more more RBR cord-291036-j6ybcv93 7 26 efficient efficient JJ cord-291036-j6ybcv93 7 27 while while IN cord-291036-j6ybcv93 7 28 preparing prepare VBG cord-291036-j6ybcv93 7 29 to to TO cord-291036-j6ybcv93 7 30 respond respond VB cord-291036-j6ybcv93 7 31 to to IN cord-291036-j6ybcv93 7 32 everything everything NN cord-291036-j6ybcv93 7 33 from from IN cord-291036-j6ybcv93 7 34 pandemic pandemic JJ cord-291036-j6ybcv93 7 35 influenza influenza NN cord-291036-j6ybcv93 7 36 to to IN cord-291036-j6ybcv93 7 37 bioterrorism bioterrorism NN cord-291036-j6ybcv93 7 38 . . . cord-291036-j6ybcv93 8 1 These these DT cord-291036-j6ybcv93 8 2 forces force NNS cord-291036-j6ybcv93 8 3 have have VBP cord-291036-j6ybcv93 8 4 been be VBN cord-291036-j6ybcv93 8 5 an an DT cord-291036-j6ybcv93 8 6 impetus impetus NN cord-291036-j6ybcv93 8 7 for for IN cord-291036-j6ybcv93 8 8 laboratorians laboratorian NNS cord-291036-j6ybcv93 8 9 to to TO cord-291036-j6ybcv93 8 10 communicate communicate VB cord-291036-j6ybcv93 8 11 , , , cord-291036-j6ybcv93 8 12 cooperate cooperate VB cord-291036-j6ybcv93 8 13 , , , cord-291036-j6ybcv93 8 14 and and CC cord-291036-j6ybcv93 8 15 collaborate collaborate VB cord-291036-j6ybcv93 8 16 as as RB cord-291036-j6ybcv93 8 17 never never RB cord-291036-j6ybcv93 8 18 before before IN cord-291036-j6ybcv93 8 19 and and CC cord-291036-j6ybcv93 8 20 to to TO cord-291036-j6ybcv93 8 21 seek seek VB cord-291036-j6ybcv93 8 22 the the DT cord-291036-j6ybcv93 8 23 common common JJ cord-291036-j6ybcv93 8 24 ground ground NN cord-291036-j6ybcv93 8 25 where where WRB cord-291036-j6ybcv93 8 26 knowledge knowledge NN cord-291036-j6ybcv93 8 27 and and CC cord-291036-j6ybcv93 8 28 resources resource NNS cord-291036-j6ybcv93 8 29 can can MD cord-291036-j6ybcv93 8 30 be be VB cord-291036-j6ybcv93 8 31 shared share VBN cord-291036-j6ybcv93 8 32 to to TO cord-291036-j6ybcv93 8 33 weather weather VB cord-291036-j6ybcv93 8 34 the the DT cord-291036-j6ybcv93 8 35 profound profound JJ cord-291036-j6ybcv93 8 36 economic economic JJ cord-291036-j6ybcv93 8 37 and and CC cord-291036-j6ybcv93 8 38 political political JJ cord-291036-j6ybcv93 8 39 forces force NNS cord-291036-j6ybcv93 8 40 at at IN cord-291036-j6ybcv93 8 41 work work NN cord-291036-j6ybcv93 8 42 today today NN cord-291036-j6ybcv93 8 43 . . . cord-291036-j6ybcv93 9 1 The the DT cord-291036-j6ybcv93 9 2 appearance appearance NN cord-291036-j6ybcv93 9 3 of of IN cord-291036-j6ybcv93 9 4 newly newly RB cord-291036-j6ybcv93 9 5 emerging emerge VBG cord-291036-j6ybcv93 9 6 and and CC cord-291036-j6ybcv93 9 7 reemergent reemergent JJ cord-291036-j6ybcv93 9 8 infections infection NNS cord-291036-j6ybcv93 9 9 caused cause VBN cord-291036-j6ybcv93 9 10 by by IN cord-291036-j6ybcv93 9 11 agents agent NNS cord-291036-j6ybcv93 9 12 of of IN cord-291036-j6ybcv93 9 13 foodborne foodborne JJ cord-291036-j6ybcv93 9 14 illness illness NN cord-291036-j6ybcv93 9 15 , , , cord-291036-j6ybcv93 9 16 anthrax anthrax NN cord-291036-j6ybcv93 9 17 , , , cord-291036-j6ybcv93 9 18 smallpox smallpox NN cord-291036-j6ybcv93 9 19 , , , cord-291036-j6ybcv93 9 20 plague plague NN cord-291036-j6ybcv93 9 21 , , , cord-291036-j6ybcv93 9 22 influenza influenza NN cord-291036-j6ybcv93 9 23 , , , cord-291036-j6ybcv93 9 24 and and CC cord-291036-j6ybcv93 9 25 other other JJ cord-291036-j6ybcv93 9 26 diseases disease NNS cord-291036-j6ybcv93 9 27 has have VBZ cord-291036-j6ybcv93 9 28 fostered foster VBN cord-291036-j6ybcv93 9 29 cooperative cooperative JJ cord-291036-j6ybcv93 9 30 network network NN cord-291036-j6ybcv93 9 31 enterprises enterprise NNS cord-291036-j6ybcv93 9 32 between between IN cord-291036-j6ybcv93 9 33 clinical clinical JJ cord-291036-j6ybcv93 9 34 and and CC cord-291036-j6ybcv93 9 35 public public JJ cord-291036-j6ybcv93 9 36 health health NN cord-291036-j6ybcv93 9 37 laboratories laboratory NNS cord-291036-j6ybcv93 9 38 , , , cord-291036-j6ybcv93 9 39 allowing allow VBG cord-291036-j6ybcv93 9 40 the the DT cord-291036-j6ybcv93 9 41 early early JJ cord-291036-j6ybcv93 9 42 detection detection NN cord-291036-j6ybcv93 9 43 of of IN cord-291036-j6ybcv93 9 44 outbreaks outbreak NNS cord-291036-j6ybcv93 9 45 of of IN cord-291036-j6ybcv93 9 46 common common JJ cord-291036-j6ybcv93 9 47 and and CC cord-291036-j6ybcv93 9 48 unusual unusual JJ cord-291036-j6ybcv93 9 49 pathogens pathogen NNS cord-291036-j6ybcv93 9 50 and and CC cord-291036-j6ybcv93 9 51 the the DT cord-291036-j6ybcv93 9 52 measurement measurement NN cord-291036-j6ybcv93 9 53 of of IN cord-291036-j6ybcv93 9 54 the the DT cord-291036-j6ybcv93 9 55 effectiveness effectiveness NN cord-291036-j6ybcv93 9 56 of of IN cord-291036-j6ybcv93 9 57 public public JJ cord-291036-j6ybcv93 9 58 health health NN cord-291036-j6ybcv93 9 59 measures measure NNS cord-291036-j6ybcv93 9 60 . . . cord-291036-j6ybcv93 10 1 The the DT cord-291036-j6ybcv93 10 2 pace pace NN cord-291036-j6ybcv93 10 3 of of IN cord-291036-j6ybcv93 10 4 change change NN cord-291036-j6ybcv93 10 5 in in IN cord-291036-j6ybcv93 10 6 the the DT cord-291036-j6ybcv93 10 7 laboratory laboratory NN cord-291036-j6ybcv93 10 8 community community NN cord-291036-j6ybcv93 10 9 continues continue VBZ cord-291036-j6ybcv93 10 10 to to TO cord-291036-j6ybcv93 10 11 accelerate accelerate VB cord-291036-j6ybcv93 10 12 . . . cord-291036-j6ybcv93 11 1 Both both DT cord-291036-j6ybcv93 11 2 clinical clinical JJ cord-291036-j6ybcv93 11 3 and and CC cord-291036-j6ybcv93 11 4 public public JJ cord-291036-j6ybcv93 11 5 health health NN cord-291036-j6ybcv93 11 6 laboratories laboratory NNS cord-291036-j6ybcv93 11 7 have have VBP cord-291036-j6ybcv93 11 8 experienced experience VBN cord-291036-j6ybcv93 11 9 unprecedented unprecedented JJ cord-291036-j6ybcv93 11 10 challenges challenge NNS cord-291036-j6ybcv93 11 11 . . . cord-291036-j6ybcv93 12 1 Demands demand NNS cord-291036-j6ybcv93 12 2 for for IN cord-291036-j6ybcv93 12 3 compliance compliance NN cord-291036-j6ybcv93 12 4 with with IN cord-291036-j6ybcv93 12 5 revised revise VBN cord-291036-j6ybcv93 12 6 regulations regulation NNS cord-291036-j6ybcv93 12 7 have have VBP cord-291036-j6ybcv93 12 8 arrived arrive VBN cord-291036-j6ybcv93 12 9 at at IN cord-291036-j6ybcv93 12 10 the the DT cord-291036-j6ybcv93 12 11 same same JJ cord-291036-j6ybcv93 12 12 time time NN cord-291036-j6ybcv93 12 13 as as IN cord-291036-j6ybcv93 12 14 the the DT cord-291036-j6ybcv93 12 15 need need NN cord-291036-j6ybcv93 12 16 for for IN cord-291036-j6ybcv93 12 17 laboratories laboratory NNS cord-291036-j6ybcv93 12 18 to to TO cord-291036-j6ybcv93 12 19 be be VB cord-291036-j6ybcv93 12 20 prepared prepared JJ cord-291036-j6ybcv93 12 21 to to TO cord-291036-j6ybcv93 12 22 respond respond VB cord-291036-j6ybcv93 12 23 to to IN cord-291036-j6ybcv93 12 24 everything everything NN cord-291036-j6ybcv93 12 25 from from IN cord-291036-j6ybcv93 12 26 pandemic pandemic JJ cord-291036-j6ybcv93 12 27 influenza influenza NN cord-291036-j6ybcv93 12 28 to to IN cord-291036-j6ybcv93 12 29 bioterrorism bioterrorism NN cord-291036-j6ybcv93 12 30 . . . cord-291036-j6ybcv93 13 1 These these DT cord-291036-j6ybcv93 13 2 forces force NNS cord-291036-j6ybcv93 13 3 have have VBP cord-291036-j6ybcv93 13 4 swept sweep VBN cord-291036-j6ybcv93 13 5 together together RB cord-291036-j6ybcv93 13 6 clinical clinical JJ cord-291036-j6ybcv93 13 7 and and CC cord-291036-j6ybcv93 13 8 public public JJ cord-291036-j6ybcv93 13 9 health health NN cord-291036-j6ybcv93 13 10 laboratorians laboratorian NNS cord-291036-j6ybcv93 13 11 , , , cord-291036-j6ybcv93 13 12 as as RB cord-291036-j6ybcv93 13 13 well well RB cord-291036-j6ybcv93 13 14 as as IN cord-291036-j6ybcv93 13 15 laboratory laboratory NN cord-291036-j6ybcv93 13 16 workers worker NNS cord-291036-j6ybcv93 13 17 from from IN cord-291036-j6ybcv93 13 18 other other JJ cord-291036-j6ybcv93 13 19 arenas arena NNS cord-291036-j6ybcv93 13 20 . . . cord-291036-j6ybcv93 14 1 Laboratorians Laboratorians NNPS cord-291036-j6ybcv93 14 2 are be VBP cord-291036-j6ybcv93 14 3 finding find VBG cord-291036-j6ybcv93 14 4 the the DT cord-291036-j6ybcv93 14 5 need need NN cord-291036-j6ybcv93 14 6 to to TO cord-291036-j6ybcv93 14 7 communicate communicate VB cord-291036-j6ybcv93 14 8 , , , cord-291036-j6ybcv93 14 9 cooperate cooperate VB cord-291036-j6ybcv93 14 10 , , , cord-291036-j6ybcv93 14 11 and and CC cord-291036-j6ybcv93 14 12 collaborate collaborate VB cord-291036-j6ybcv93 14 13 as as RB cord-291036-j6ybcv93 14 14 never never RB cord-291036-j6ybcv93 14 15 before before RB cord-291036-j6ybcv93 14 16 and and CC cord-291036-j6ybcv93 14 17 are be VBP cord-291036-j6ybcv93 14 18 seeking seek VBG cord-291036-j6ybcv93 14 19 the the DT cord-291036-j6ybcv93 14 20 common common JJ cord-291036-j6ybcv93 14 21 ground ground NN cord-291036-j6ybcv93 14 22 in in IN cord-291036-j6ybcv93 14 23 which which WDT cord-291036-j6ybcv93 14 24 to to TO cord-291036-j6ybcv93 14 25 share share VB cord-291036-j6ybcv93 14 26 knowledge knowledge NN cord-291036-j6ybcv93 14 27 and and CC cord-291036-j6ybcv93 14 28 resources resource NNS cord-291036-j6ybcv93 14 29 to to TO cord-291036-j6ybcv93 14 30 weather weather VB cord-291036-j6ybcv93 14 31 the the DT cord-291036-j6ybcv93 14 32 profound profound JJ cord-291036-j6ybcv93 14 33 economic economic JJ cord-291036-j6ybcv93 14 34 and and CC cord-291036-j6ybcv93 14 35 political political JJ cord-291036-j6ybcv93 14 36 forces force NNS cord-291036-j6ybcv93 14 37 at at IN cord-291036-j6ybcv93 14 38 work work NN cord-291036-j6ybcv93 14 39 today today NN cord-291036-j6ybcv93 14 40 . . . cord-291036-j6ybcv93 15 1 In in IN cord-291036-j6ybcv93 15 2 1997 1997 CD cord-291036-j6ybcv93 15 3 , , , cord-291036-j6ybcv93 15 4 a a DT cord-291036-j6ybcv93 15 5 Health Health NNP cord-291036-j6ybcv93 15 6 and and CC cord-291036-j6ybcv93 15 7 Human Human NNP cord-291036-j6ybcv93 15 8 Services Services NNP cord-291036-j6ybcv93 15 9 - - HYPH cord-291036-j6ybcv93 15 10 commissioned commission VBN cord-291036-j6ybcv93 15 11 report report NN cord-291036-j6ybcv93 15 12 by by IN cord-291036-j6ybcv93 15 13 the the DT cord-291036-j6ybcv93 15 14 Lewin Lewin NNP cord-291036-j6ybcv93 15 15 Group Group NNP cord-291036-j6ybcv93 15 16 ( ( -LRB- cord-291036-j6ybcv93 15 17 1 1 CD cord-291036-j6ybcv93 15 18 ) ) -RRB- cord-291036-j6ybcv93 15 19 identified identify VBD cord-291036-j6ybcv93 15 20 the the DT cord-291036-j6ybcv93 15 21 trends trend NNS cord-291036-j6ybcv93 15 22 that that WDT cord-291036-j6ybcv93 15 23 were be VBD cord-291036-j6ybcv93 15 24 affecting affect VBG cord-291036-j6ybcv93 15 25 public public JJ cord-291036-j6ybcv93 15 26 health health NN cord-291036-j6ybcv93 15 27 and and CC cord-291036-j6ybcv93 15 28 clinical clinical JJ cord-291036-j6ybcv93 15 29 laboratories laboratory NNS cord-291036-j6ybcv93 15 30 . . . cord-291036-j6ybcv93 16 1 Those those DT cord-291036-j6ybcv93 16 2 forces force NNS cord-291036-j6ybcv93 16 3 are be VBP cord-291036-j6ybcv93 16 4 still still RB cord-291036-j6ybcv93 16 5 at at IN cord-291036-j6ybcv93 16 6 work work NN cord-291036-j6ybcv93 16 7 . . . cord-291036-j6ybcv93 17 1 Table table NN cord-291036-j6ybcv93 17 2 1 1 CD cord-291036-j6ybcv93 17 3 is be VBZ cord-291036-j6ybcv93 17 4 a a DT cord-291036-j6ybcv93 17 5 summary summary NN cord-291036-j6ybcv93 17 6 of of IN cord-291036-j6ybcv93 17 7 some some DT cord-291036-j6ybcv93 17 8 of of IN cord-291036-j6ybcv93 17 9 the the DT cord-291036-j6ybcv93 17 10 economic economic JJ cord-291036-j6ybcv93 17 11 forces force NNS cord-291036-j6ybcv93 17 12 , , , cord-291036-j6ybcv93 17 13 including include VBG cord-291036-j6ybcv93 17 14 the the DT cord-291036-j6ybcv93 17 15 rise rise NN cord-291036-j6ybcv93 17 16 of of IN cord-291036-j6ybcv93 17 17 managed manage VBN cord-291036-j6ybcv93 17 18 care care NN cord-291036-j6ybcv93 17 19 organizations organization NNS cord-291036-j6ybcv93 17 20 and and CC cord-291036-j6ybcv93 17 21 their -PRON- PRP$ cord-291036-j6ybcv93 17 22 attendant attendant NN cord-291036-j6ybcv93 17 23 accumulation accumulation NN cord-291036-j6ybcv93 17 24 of of IN cord-291036-j6ybcv93 17 25 bargaining bargaining NN cord-291036-j6ybcv93 17 26 power power NN cord-291036-j6ybcv93 17 27 with with IN cord-291036-j6ybcv93 17 28 reference reference NN cord-291036-j6ybcv93 17 29 laboratories laboratory NNS cord-291036-j6ybcv93 17 30 . . . cord-291036-j6ybcv93 18 1 In in IN cord-291036-j6ybcv93 18 2 the the DT cord-291036-j6ybcv93 18 3 face face NN cord-291036-j6ybcv93 18 4 of of IN cord-291036-j6ybcv93 18 5 ever ever RB cord-291036-j6ybcv93 18 6 - - HYPH cord-291036-j6ybcv93 18 7 rising rise VBG cord-291036-j6ybcv93 18 8 health health NN cord-291036-j6ybcv93 18 9 care care NN cord-291036-j6ybcv93 18 10 costs cost NNS cord-291036-j6ybcv93 18 11 , , , cord-291036-j6ybcv93 18 12 hospitals hospital NNS cord-291036-j6ybcv93 18 13 are be VBP cord-291036-j6ybcv93 18 14 enduring endure VBG cord-291036-j6ybcv93 18 15 unrelenting unrelenting JJ cord-291036-j6ybcv93 18 16 pressure pressure NN cord-291036-j6ybcv93 18 17 to to TO cord-291036-j6ybcv93 18 18 reduce reduce VB cord-291036-j6ybcv93 18 19 laboratory laboratory NN cord-291036-j6ybcv93 18 20 costs cost NNS cord-291036-j6ybcv93 18 21 , , , cord-291036-j6ybcv93 18 22 resulting result VBG cord-291036-j6ybcv93 18 23 in in IN cord-291036-j6ybcv93 18 24 the the DT cord-291036-j6ybcv93 18 25 formation formation NN cord-291036-j6ybcv93 18 26 of of IN cord-291036-j6ybcv93 18 27 consortium consortium NN cord-291036-j6ybcv93 18 28 laboratories laboratory NNS cord-291036-j6ybcv93 18 29 among among IN cord-291036-j6ybcv93 18 30 hospital hospital NN cord-291036-j6ybcv93 18 31 groups group NNS cord-291036-j6ybcv93 18 32 , , , cord-291036-j6ybcv93 18 33 referrals referral NNS cord-291036-j6ybcv93 18 34 of of IN cord-291036-j6ybcv93 18 35 specimens specimen NNS cord-291036-j6ybcv93 18 36 to to IN cord-291036-j6ybcv93 18 37 private private JJ cord-291036-j6ybcv93 18 38 reference reference NN cord-291036-j6ybcv93 18 39 laboratories laboratory NNS cord-291036-j6ybcv93 18 40 , , , cord-291036-j6ybcv93 18 41 closings closing NNS cord-291036-j6ybcv93 18 42 of of IN cord-291036-j6ybcv93 18 43 smaller small JJR cord-291036-j6ybcv93 18 44 hospital hospital NN cord-291036-j6ybcv93 18 45 laboratories laboratory NNS cord-291036-j6ybcv93 18 46 , , , cord-291036-j6ybcv93 18 47 and and CC cord-291036-j6ybcv93 18 48 reductions reduction NNS cord-291036-j6ybcv93 18 49 in in IN cord-291036-j6ybcv93 18 50 laboratory laboratory NN cord-291036-j6ybcv93 18 51 staff staff NN cord-291036-j6ybcv93 18 52 . . . cord-291036-j6ybcv93 19 1 Table table NN cord-291036-j6ybcv93 19 2 2 2 CD cord-291036-j6ybcv93 19 3 shows show VBZ cord-291036-j6ybcv93 19 4 the the DT cord-291036-j6ybcv93 19 5 forces force NNS cord-291036-j6ybcv93 19 6 at at IN cord-291036-j6ybcv93 19 7 work work NN cord-291036-j6ybcv93 19 8 for for IN cord-291036-j6ybcv93 19 9 clinical clinical JJ cord-291036-j6ybcv93 19 10 laboratories laboratory NNS cord-291036-j6ybcv93 19 11 , , , cord-291036-j6ybcv93 19 12 which which WDT cord-291036-j6ybcv93 19 13 are be VBP cord-291036-j6ybcv93 19 14 fighting fight VBG cord-291036-j6ybcv93 19 15 battles battle NNS cord-291036-j6ybcv93 19 16 on on IN cord-291036-j6ybcv93 19 17 two two CD cord-291036-j6ybcv93 19 18 fronts front NNS cord-291036-j6ybcv93 19 19 to to TO cord-291036-j6ybcv93 19 20 maintain maintain VB cord-291036-j6ybcv93 19 21 staff staff NN cord-291036-j6ybcv93 19 22 levels level NNS cord-291036-j6ybcv93 19 23 against against IN cord-291036-j6ybcv93 19 24 further further JJ cord-291036-j6ybcv93 19 25 erosion erosion NN cord-291036-j6ybcv93 19 26 . . . cord-291036-j6ybcv93 20 1 Management management NN cord-291036-j6ybcv93 20 2 is be VBZ cord-291036-j6ybcv93 20 3 asking ask VBG cord-291036-j6ybcv93 20 4 for for IN cord-291036-j6ybcv93 20 5 workforce workforce NN cord-291036-j6ybcv93 20 6 reductions reduction NNS cord-291036-j6ybcv93 20 7 , , , cord-291036-j6ybcv93 20 8 while while IN cord-291036-j6ybcv93 20 9 fewer few JJR cord-291036-j6ybcv93 20 10 qualified qualified JJ cord-291036-j6ybcv93 20 11 applicants applicant NNS cord-291036-j6ybcv93 20 12 are be VBP cord-291036-j6ybcv93 20 13 available available JJ cord-291036-j6ybcv93 20 14 for for IN cord-291036-j6ybcv93 20 15 open open JJ cord-291036-j6ybcv93 20 16 positions position NNS cord-291036-j6ybcv93 20 17 . . . cord-291036-j6ybcv93 21 1 With with IN cord-291036-j6ybcv93 21 2 the the DT cord-291036-j6ybcv93 21 3 closing closing NN cord-291036-j6ybcv93 21 4 of of IN cord-291036-j6ybcv93 21 5 many many JJ cord-291036-j6ybcv93 21 6 medical medical JJ cord-291036-j6ybcv93 21 7 technology technology NN cord-291036-j6ybcv93 21 8 schools school NNS cord-291036-j6ybcv93 21 9 over over IN cord-291036-j6ybcv93 21 10 the the DT cord-291036-j6ybcv93 21 11 past past JJ cord-291036-j6ybcv93 21 12 two two CD cord-291036-j6ybcv93 21 13 decades decade NNS cord-291036-j6ybcv93 21 14 , , , cord-291036-j6ybcv93 21 15 graduating graduate VBG cord-291036-j6ybcv93 21 16 medical medical JJ cord-291036-j6ybcv93 21 17 technologists technologist NNS cord-291036-j6ybcv93 21 18 , , , cord-291036-j6ybcv93 21 19 clinical clinical JJ cord-291036-j6ybcv93 21 20 laboratory laboratory NN cord-291036-j6ybcv93 21 21 scientists scientist NNS cord-291036-j6ybcv93 21 22 , , , cord-291036-j6ybcv93 21 23 and and CC cord-291036-j6ybcv93 21 24 technicians technician NNS cord-291036-j6ybcv93 21 25 number number NN cord-291036-j6ybcv93 21 26 less less JJR cord-291036-j6ybcv93 21 27 than than IN cord-291036-j6ybcv93 21 28 half half NN cord-291036-j6ybcv93 21 29 of of IN cord-291036-j6ybcv93 21 30 projected project VBN cord-291036-j6ybcv93 21 31 workforce workforce NN cord-291036-j6ybcv93 21 32 needs need NNS cord-291036-j6ybcv93 21 33 . . . cord-291036-j6ybcv93 22 1 At at IN cord-291036-j6ybcv93 22 2 the the DT cord-291036-j6ybcv93 22 3 same same JJ cord-291036-j6ybcv93 22 4 time time NN cord-291036-j6ybcv93 22 5 , , , cord-291036-j6ybcv93 22 6 the the DT cord-291036-j6ybcv93 22 7 federal federal JJ cord-291036-j6ybcv93 22 8 Health Health NNP cord-291036-j6ybcv93 22 9 Insurance Insurance NNP cord-291036-j6ybcv93 22 10 Portability Portability NNP cord-291036-j6ybcv93 22 11 and and CC cord-291036-j6ybcv93 22 12 Accountability Accountability NNP cord-291036-j6ybcv93 22 13 Act Act NNP cord-291036-j6ybcv93 22 14 ( ( -LRB- cord-291036-j6ybcv93 22 15 HIPAA HIPAA NNP cord-291036-j6ybcv93 22 16 ) ) -RRB- cord-291036-j6ybcv93 22 17 has have VBZ cord-291036-j6ybcv93 22 18 placed place VBN cord-291036-j6ybcv93 22 19 new new JJ cord-291036-j6ybcv93 22 20 demands demand NNS cord-291036-j6ybcv93 22 21 for for IN cord-291036-j6ybcv93 22 22 secure secure JJ cord-291036-j6ybcv93 22 23 patient patient JJ cord-291036-j6ybcv93 22 24 information information NN cord-291036-j6ybcv93 22 25 handling handling NN cord-291036-j6ybcv93 22 26 , , , cord-291036-j6ybcv93 22 27 adding add VBG cord-291036-j6ybcv93 22 28 another another DT cord-291036-j6ybcv93 22 29 burden burden NN cord-291036-j6ybcv93 22 30 on on IN cord-291036-j6ybcv93 22 31 laboratory laboratory NN cord-291036-j6ybcv93 22 32 staff staff NN cord-291036-j6ybcv93 22 33 ( ( -LRB- cord-291036-j6ybcv93 22 34 1 1 CD cord-291036-j6ybcv93 22 35 , , , cord-291036-j6ybcv93 22 36 2 2 CD cord-291036-j6ybcv93 22 37 ) ) -RRB- cord-291036-j6ybcv93 22 38 . . . cord-291036-j6ybcv93 23 1 Table table NN cord-291036-j6ybcv93 23 2 3 3 CD cord-291036-j6ybcv93 23 3 lists list VBZ cord-291036-j6ybcv93 23 4 the the DT cord-291036-j6ybcv93 23 5 forces force NNS cord-291036-j6ybcv93 23 6 at at IN cord-291036-j6ybcv93 23 7 work work NN cord-291036-j6ybcv93 23 8 with with IN cord-291036-j6ybcv93 23 9 public public JJ cord-291036-j6ybcv93 23 10 health health NN cord-291036-j6ybcv93 23 11 laboratories laboratory NNS cord-291036-j6ybcv93 23 12 . . . cord-291036-j6ybcv93 24 1 While while IN cord-291036-j6ybcv93 24 2 engaged engage VBN cord-291036-j6ybcv93 24 3 in in IN cord-291036-j6ybcv93 24 4 traditional traditional JJ cord-291036-j6ybcv93 24 5 public public JJ cord-291036-j6ybcv93 24 6 health health NN cord-291036-j6ybcv93 24 7 activities activity NNS cord-291036-j6ybcv93 24 8 , , , cord-291036-j6ybcv93 24 9 these these DT cord-291036-j6ybcv93 24 10 laboratories laboratory NNS cord-291036-j6ybcv93 24 11 are be VBP cord-291036-j6ybcv93 24 12 experiencing experience VBG cord-291036-j6ybcv93 24 13 multiple multiple JJ cord-291036-j6ybcv93 24 14 new new JJ cord-291036-j6ybcv93 24 15 pressures pressure NNS cord-291036-j6ybcv93 24 16 , , , cord-291036-j6ybcv93 24 17 including include VBG cord-291036-j6ybcv93 24 18 HIPAA HIPAA NNP cord-291036-j6ybcv93 24 19 and and CC cord-291036-j6ybcv93 24 20 CLIA CLIA NNP cord-291036-j6ybcv93 24 21 regulatory regulatory JJ cord-291036-j6ybcv93 24 22 compliance compliance NN cord-291036-j6ybcv93 24 23 issues issue NNS cord-291036-j6ybcv93 24 24 , , , cord-291036-j6ybcv93 24 25 the the DT cord-291036-j6ybcv93 24 26 need need NN cord-291036-j6ybcv93 24 27 to to TO cord-291036-j6ybcv93 24 28 be be VB cord-291036-j6ybcv93 24 29 prepared prepare VBN cord-291036-j6ybcv93 24 30 for for IN cord-291036-j6ybcv93 24 31 analytic analytic JJ cord-291036-j6ybcv93 24 32 response response NN cord-291036-j6ybcv93 24 33 to to IN cord-291036-j6ybcv93 24 34 bioterrorism bioterrorism NN cord-291036-j6ybcv93 24 35 acts act NNS cord-291036-j6ybcv93 24 36 , , , cord-291036-j6ybcv93 24 37 loss loss NN cord-291036-j6ybcv93 24 38 of of IN cord-291036-j6ybcv93 24 39 state state NN cord-291036-j6ybcv93 24 40 funding funding NN cord-291036-j6ybcv93 24 41 with with IN cord-291036-j6ybcv93 24 42 a a DT cord-291036-j6ybcv93 24 43 parallel parallel JJ cord-291036-j6ybcv93 24 44 need need NN cord-291036-j6ybcv93 24 45 to to TO cord-291036-j6ybcv93 24 46 bill bill VB cord-291036-j6ybcv93 24 47 Medicaid Medicaid NNP cord-291036-j6ybcv93 24 48 for for IN cord-291036-j6ybcv93 24 49 patient patient JJ cord-291036-j6ybcv93 24 50 testing testing NN cord-291036-j6ybcv93 24 51 and and CC cord-291036-j6ybcv93 24 52 provide provide VB cord-291036-j6ybcv93 24 53 testing testing NN cord-291036-j6ybcv93 24 54 on on IN cord-291036-j6ybcv93 24 55 a a DT cord-291036-j6ybcv93 24 56 fee fee NN cord-291036-j6ybcv93 24 57 - - HYPH cord-291036-j6ybcv93 24 58 for for IN cord-291036-j6ybcv93 24 59 - - HYPH cord-291036-j6ybcv93 24 60 service service NN cord-291036-j6ybcv93 24 61 basis basis NN cord-291036-j6ybcv93 24 62 . . . cord-291036-j6ybcv93 25 1 While while IN cord-291036-j6ybcv93 25 2 a a DT cord-291036-j6ybcv93 25 3 significant significant JJ cord-291036-j6ybcv93 25 4 amount amount NN cord-291036-j6ybcv93 25 5 of of IN cord-291036-j6ybcv93 25 6 funding funding NN cord-291036-j6ybcv93 25 7 support support NN cord-291036-j6ybcv93 25 8 and and CC cord-291036-j6ybcv93 25 9 technology technology NN cord-291036-j6ybcv93 25 10 transfer transfer NN cord-291036-j6ybcv93 25 11 has have VBZ cord-291036-j6ybcv93 25 12 accompanied accompany VBN cord-291036-j6ybcv93 25 13 the the DT cord-291036-j6ybcv93 25 14 charge charge NN cord-291036-j6ybcv93 25 15 to to IN cord-291036-j6ybcv93 25 16 state state NN cord-291036-j6ybcv93 25 17 and and CC cord-291036-j6ybcv93 25 18 local local JJ cord-291036-j6ybcv93 25 19 public public JJ cord-291036-j6ybcv93 25 20 health health NN cord-291036-j6ybcv93 25 21 laboratories laboratory NNS cord-291036-j6ybcv93 25 22 to to TO cord-291036-j6ybcv93 25 23 develop develop VB cord-291036-j6ybcv93 25 24 capability capability NN cord-291036-j6ybcv93 25 25 for for IN cord-291036-j6ybcv93 25 26 bioterrorism bioterrorism NN cord-291036-j6ybcv93 25 27 testing testing NN cord-291036-j6ybcv93 25 28 , , , cord-291036-j6ybcv93 25 29 state state NN cord-291036-j6ybcv93 25 30 funding funding NN cord-291036-j6ybcv93 25 31 for for IN cord-291036-j6ybcv93 25 32 traditional traditional JJ cord-291036-j6ybcv93 25 33 public public JJ cord-291036-j6ybcv93 25 34 health health NN cord-291036-j6ybcv93 25 35 testing testing NN cord-291036-j6ybcv93 25 36 has have VBZ cord-291036-j6ybcv93 25 37 withered wither VBN cord-291036-j6ybcv93 25 38 ( ( -LRB- cord-291036-j6ybcv93 25 39 1 1 CD cord-291036-j6ybcv93 25 40 ) ) -RRB- cord-291036-j6ybcv93 25 41 . . . cord-291036-j6ybcv93 26 1 In in IN cord-291036-j6ybcv93 26 2 this this DT cord-291036-j6ybcv93 26 3 setting setting NN cord-291036-j6ybcv93 26 4 , , , cord-291036-j6ybcv93 26 5 new new JJ cord-291036-j6ybcv93 26 6 , , , cord-291036-j6ybcv93 26 7 emerging emerge VBG cord-291036-j6ybcv93 26 8 infections infection NNS cord-291036-j6ybcv93 26 9 continue continue VBP cord-291036-j6ybcv93 26 10 to to TO cord-291036-j6ybcv93 26 11 arise arise VB cord-291036-j6ybcv93 26 12 . . . cord-291036-j6ybcv93 27 1 Emerging emerge VBG cord-291036-j6ybcv93 27 2 infections infection NNS cord-291036-j6ybcv93 27 3 have have VBP cord-291036-j6ybcv93 27 4 required require VBN cord-291036-j6ybcv93 27 5 public public JJ cord-291036-j6ybcv93 27 6 health health NN cord-291036-j6ybcv93 27 7 laboratories laboratory NNS cord-291036-j6ybcv93 27 8 to to TO cord-291036-j6ybcv93 27 9 be be VB cord-291036-j6ybcv93 27 10 able able JJ cord-291036-j6ybcv93 27 11 to to TO cord-291036-j6ybcv93 27 12 test test VB cord-291036-j6ybcv93 27 13 accurately accurately RB cord-291036-j6ybcv93 27 14 for for IN cord-291036-j6ybcv93 27 15 many many JJ cord-291036-j6ybcv93 27 16 new new JJ cord-291036-j6ybcv93 27 17 agents agent NNS cord-291036-j6ybcv93 27 18 , , , cord-291036-j6ybcv93 27 19 either either CC cord-291036-j6ybcv93 27 20 confirming confirm VBG cord-291036-j6ybcv93 27 21 clinical clinical JJ cord-291036-j6ybcv93 27 22 laboratory laboratory NN cord-291036-j6ybcv93 27 23 findings finding NNS cord-291036-j6ybcv93 27 24 or or CC cord-291036-j6ybcv93 27 25 testing test VBG cord-291036-j6ybcv93 27 26 specimens specimen NNS cord-291036-j6ybcv93 27 27 referred refer VBN cord-291036-j6ybcv93 27 28 from from IN cord-291036-j6ybcv93 27 29 clinical clinical JJ cord-291036-j6ybcv93 27 30 laboratories laboratory NNS cord-291036-j6ybcv93 27 31 . . . cord-291036-j6ybcv93 28 1 The the DT cord-291036-j6ybcv93 28 2 prospect prospect NN cord-291036-j6ybcv93 28 3 of of IN cord-291036-j6ybcv93 28 4 a a DT cord-291036-j6ybcv93 28 5 continued continued JJ cord-291036-j6ybcv93 28 6 emergence emergence NN cord-291036-j6ybcv93 28 7 of of IN cord-291036-j6ybcv93 28 8 newly newly RB cord-291036-j6ybcv93 28 9 recognized recognize VBN cord-291036-j6ybcv93 28 10 pathogens pathogen NNS cord-291036-j6ybcv93 28 11 or or CC cord-291036-j6ybcv93 28 12 reemergent reemergent JJ cord-291036-j6ybcv93 28 13 agents agent NNS cord-291036-j6ybcv93 28 14 is be VBZ cord-291036-j6ybcv93 28 15 waxing wax VBG cord-291036-j6ybcv93 28 16 strong strong JJ cord-291036-j6ybcv93 28 17 . . . cord-291036-j6ybcv93 29 1 In in IN cord-291036-j6ybcv93 29 2 spite spite NN cord-291036-j6ybcv93 29 3 of of IN cord-291036-j6ybcv93 29 4 all all PDT cord-291036-j6ybcv93 29 5 these these DT cord-291036-j6ybcv93 29 6 issues issue NNS cord-291036-j6ybcv93 29 7 , , , cord-291036-j6ybcv93 29 8 or or CC cord-291036-j6ybcv93 29 9 because because IN cord-291036-j6ybcv93 29 10 of of IN cord-291036-j6ybcv93 29 11 them -PRON- PRP cord-291036-j6ybcv93 29 12 , , , cord-291036-j6ybcv93 29 13 public public JJ cord-291036-j6ybcv93 29 14 health health NN cord-291036-j6ybcv93 29 15 and and CC cord-291036-j6ybcv93 29 16 clinical clinical JJ cord-291036-j6ybcv93 29 17 laboratories laboratory NNS cord-291036-j6ybcv93 29 18 are be VBP cord-291036-j6ybcv93 29 19 working work VBG cord-291036-j6ybcv93 29 20 together together RB cord-291036-j6ybcv93 29 21 to to TO cord-291036-j6ybcv93 29 22 surmount surmount VB cord-291036-j6ybcv93 29 23 the the DT cord-291036-j6ybcv93 29 24 challenges challenge NNS cord-291036-j6ybcv93 29 25 and and CC cord-291036-j6ybcv93 29 26 provide provide VB cord-291036-j6ybcv93 29 27 quality quality NN cord-291036-j6ybcv93 29 28 in in IN cord-291036-j6ybcv93 29 29 both both DT cord-291036-j6ybcv93 29 30 patient patient JJ cord-291036-j6ybcv93 29 31 care care NN cord-291036-j6ybcv93 29 32 and and CC cord-291036-j6ybcv93 29 33 public public JJ cord-291036-j6ybcv93 29 34 health health NN cord-291036-j6ybcv93 29 35 laboratory laboratory NN cord-291036-j6ybcv93 29 36 testing testing NN cord-291036-j6ybcv93 29 37 . . . cord-291036-j6ybcv93 30 1 Several several JJ cord-291036-j6ybcv93 30 2 new new JJ cord-291036-j6ybcv93 30 3 initiatives initiative NNS cord-291036-j6ybcv93 30 4 have have VBP cord-291036-j6ybcv93 30 5 been be VBN cord-291036-j6ybcv93 30 6 launched launch VBN cord-291036-j6ybcv93 30 7 to to TO cord-291036-j6ybcv93 30 8 facilitate facilitate VB cord-291036-j6ybcv93 30 9 the the DT cord-291036-j6ybcv93 30 10 collaboration collaboration NN cord-291036-j6ybcv93 30 11 of of IN cord-291036-j6ybcv93 30 12 laboratorians laboratorians NNP cord-291036-j6ybcv93 30 13 , , , cord-291036-j6ybcv93 30 14 but but CC cord-291036-j6ybcv93 30 15 while while IN cord-291036-j6ybcv93 30 16 most most JJS cord-291036-j6ybcv93 30 17 public public JJ cord-291036-j6ybcv93 30 18 health health NN cord-291036-j6ybcv93 30 19 laboratorians laboratorian NNS cord-291036-j6ybcv93 30 20 know know VB cord-291036-j6ybcv93 30 21 what what WP cord-291036-j6ybcv93 30 22 clinical clinical JJ cord-291036-j6ybcv93 30 23 laboratories laboratory NNS cord-291036-j6ybcv93 30 24 do do VBP cord-291036-j6ybcv93 30 25 , , , cord-291036-j6ybcv93 30 26 the the DT cord-291036-j6ybcv93 30 27 reverse reverse NN cord-291036-j6ybcv93 30 28 is be VBZ cord-291036-j6ybcv93 30 29 often often RB cord-291036-j6ybcv93 30 30 not not RB cord-291036-j6ybcv93 30 31 true true JJ cord-291036-j6ybcv93 30 32 . . . cord-291036-j6ybcv93 31 1 Table table NN cord-291036-j6ybcv93 31 2 4 4 CD cord-291036-j6ybcv93 31 3 illustrates illustrate VBZ cord-291036-j6ybcv93 31 4 the the DT cord-291036-j6ybcv93 31 5 parallel parallel NN cord-291036-j6ybcv93 31 6 , , , cord-291036-j6ybcv93 31 7 but but CC cord-291036-j6ybcv93 31 8 different different JJ cord-291036-j6ybcv93 31 9 , , , cord-291036-j6ybcv93 31 10 roles role NNS cord-291036-j6ybcv93 31 11 each each DT cord-291036-j6ybcv93 31 12 plays play NNS cord-291036-j6ybcv93 31 13 . . . cord-291036-j6ybcv93 32 1 Clinical clinical JJ cord-291036-j6ybcv93 32 2 laboratories laboratory NNS cord-291036-j6ybcv93 32 3 are be VBP cord-291036-j6ybcv93 32 4 focused focus VBN cord-291036-j6ybcv93 32 5 on on IN cord-291036-j6ybcv93 32 6 patient patient JJ cord-291036-j6ybcv93 32 7 care care NN cord-291036-j6ybcv93 32 8 , , , cord-291036-j6ybcv93 32 9 while while IN cord-291036-j6ybcv93 32 10 public public JJ cord-291036-j6ybcv93 32 11 health health NN cord-291036-j6ybcv93 32 12 laboratories laboratory NNS cord-291036-j6ybcv93 32 13 are be VBP cord-291036-j6ybcv93 32 14 focused focus VBN cord-291036-j6ybcv93 32 15 on on IN cord-291036-j6ybcv93 32 16 the the DT cord-291036-j6ybcv93 32 17 health health NN cord-291036-j6ybcv93 32 18 of of IN cord-291036-j6ybcv93 32 19 the the DT cord-291036-j6ybcv93 32 20 entire entire JJ cord-291036-j6ybcv93 32 21 population population NN cord-291036-j6ybcv93 32 22 . . . cord-291036-j6ybcv93 33 1 Clinical clinical JJ cord-291036-j6ybcv93 33 2 laboratory laboratory NN cord-291036-j6ybcv93 33 3 information information NN cord-291036-j6ybcv93 33 4 is be VBZ cord-291036-j6ybcv93 33 5 directed direct VBN cord-291036-j6ybcv93 33 6 to to IN cord-291036-j6ybcv93 33 7 physicians physician NNS cord-291036-j6ybcv93 33 8 , , , cord-291036-j6ybcv93 33 9 and and CC cord-291036-j6ybcv93 33 10 from from IN cord-291036-j6ybcv93 33 11 them -PRON- PRP cord-291036-j6ybcv93 33 12 , , , cord-291036-j6ybcv93 33 13 ends end VBZ cord-291036-j6ybcv93 33 14 at at IN cord-291036-j6ybcv93 33 15 patient patient NN cord-291036-j6ybcv93 33 16 care care NN cord-291036-j6ybcv93 33 17 . . . cord-291036-j6ybcv93 34 1 In in IN cord-291036-j6ybcv93 34 2 contrast contrast NN cord-291036-j6ybcv93 34 3 , , , cord-291036-j6ybcv93 34 4 public public JJ cord-291036-j6ybcv93 34 5 health health NN cord-291036-j6ybcv93 34 6 laboratories laboratory NNS cord-291036-j6ybcv93 34 7 gather gather VBP cord-291036-j6ybcv93 34 8 information information NN cord-291036-j6ybcv93 34 9 for for IN cord-291036-j6ybcv93 34 10 public public JJ cord-291036-j6ybcv93 34 11 health health NN cord-291036-j6ybcv93 34 12 experts expert NNS cord-291036-j6ybcv93 34 13 and and CC cord-291036-j6ybcv93 34 14 epidemiologists epidemiologist NNS cord-291036-j6ybcv93 34 15 , , , cord-291036-j6ybcv93 34 16 who who WP cord-291036-j6ybcv93 34 17 must must MD cord-291036-j6ybcv93 34 18 determine determine VB cord-291036-j6ybcv93 34 19 the the DT cord-291036-j6ybcv93 34 20 cause cause NN cord-291036-j6ybcv93 34 21 of of IN cord-291036-j6ybcv93 34 22 illnesses illness NNS cord-291036-j6ybcv93 34 23 and and CC cord-291036-j6ybcv93 34 24 outbreaks outbreak NNS cord-291036-j6ybcv93 34 25 affecting affect VBG cord-291036-j6ybcv93 34 26 patients patient NNS cord-291036-j6ybcv93 34 27 in in IN cord-291036-j6ybcv93 34 28 many many JJ cord-291036-j6ybcv93 34 29 hospitals hospital NNS cord-291036-j6ybcv93 34 30 , , , cord-291036-j6ybcv93 34 31 detect detect VBP cord-291036-j6ybcv93 34 32 new new JJ cord-291036-j6ybcv93 34 33 and and CC cord-291036-j6ybcv93 34 34 unusual unusual JJ cord-291036-j6ybcv93 34 35 threats threat NNS cord-291036-j6ybcv93 34 36 to to IN cord-291036-j6ybcv93 34 37 the the DT cord-291036-j6ybcv93 34 38 health health NN cord-291036-j6ybcv93 34 39 of of IN cord-291036-j6ybcv93 34 40 the the DT cord-291036-j6ybcv93 34 41 community community NN cord-291036-j6ybcv93 34 42 , , , cord-291036-j6ybcv93 34 43 and and CC cord-291036-j6ybcv93 34 44 respond respond VB cord-291036-j6ybcv93 34 45 to to IN cord-291036-j6ybcv93 34 46 these these DT cord-291036-j6ybcv93 34 47 threats threat NNS cord-291036-j6ybcv93 34 48 and and CC cord-291036-j6ybcv93 34 49 prevent prevent VB cord-291036-j6ybcv93 34 50 them -PRON- PRP cord-291036-j6ybcv93 34 51 . . . cord-291036-j6ybcv93 35 1 These these DT cord-291036-j6ybcv93 35 2 roles role NNS cord-291036-j6ybcv93 35 3 are be VBP cord-291036-j6ybcv93 35 4 complementary complementary JJ cord-291036-j6ybcv93 35 5 , , , cord-291036-j6ybcv93 35 6 and and CC cord-291036-j6ybcv93 35 7 as as IN cord-291036-j6ybcv93 35 8 many many JJ cord-291036-j6ybcv93 35 9 laboratory laboratory NN cord-291036-j6ybcv93 35 10 professionals professional NNS cord-291036-j6ybcv93 35 11 are be VBP cord-291036-j6ybcv93 35 12 discovering discover VBG cord-291036-j6ybcv93 35 13 , , , cord-291036-j6ybcv93 35 14 mutually mutually RB cord-291036-j6ybcv93 35 15 supportive supportive JJ cord-291036-j6ybcv93 35 16 . . . cord-291036-j6ybcv93 36 1 The the DT cord-291036-j6ybcv93 36 2 1988 1988 CD cord-291036-j6ybcv93 36 3 Institute Institute NNP cord-291036-j6ybcv93 36 4 of of IN cord-291036-j6ybcv93 36 5 Medicine Medicine NNP cord-291036-j6ybcv93 36 6 report report NN cord-291036-j6ybcv93 36 7 , , , cord-291036-j6ybcv93 36 8 The the DT cord-291036-j6ybcv93 36 9 Future Future NNP cord-291036-j6ybcv93 36 10 of of IN cord-291036-j6ybcv93 36 11 Public Public NNP cord-291036-j6ybcv93 36 12 Health Health NNP cord-291036-j6ybcv93 36 13 ( ( -LRB- cord-291036-j6ybcv93 36 14 3 3 CD cord-291036-j6ybcv93 36 15 ) ) -RRB- cord-291036-j6ybcv93 36 16 , , , cord-291036-j6ybcv93 36 17 defined define VBN cord-291036-j6ybcv93 36 18 for for IN cord-291036-j6ybcv93 36 19 the the DT cord-291036-j6ybcv93 36 20 first first JJ cord-291036-j6ybcv93 36 21 time time NN cord-291036-j6ybcv93 36 22 the the DT cord-291036-j6ybcv93 36 23 functions function NNS cord-291036-j6ybcv93 36 24 of of IN cord-291036-j6ybcv93 36 25 public public JJ cord-291036-j6ybcv93 36 26 health health NN cord-291036-j6ybcv93 36 27 as as IN cord-291036-j6ybcv93 36 28 ( ( -LRB- cord-291036-j6ybcv93 36 29 i i NN cord-291036-j6ybcv93 36 30 ) ) -RRB- cord-291036-j6ybcv93 36 31 assessment assessment NN cord-291036-j6ybcv93 36 32 , , , cord-291036-j6ybcv93 36 33 ( ( -LRB- cord-291036-j6ybcv93 36 34 ii ii NN cord-291036-j6ybcv93 36 35 ) ) -RRB- cord-291036-j6ybcv93 36 36 policy policy NN cord-291036-j6ybcv93 36 37 development development NN cord-291036-j6ybcv93 36 38 , , , cord-291036-j6ybcv93 36 39 and and CC cord-291036-j6ybcv93 36 40 ( ( -LRB- cord-291036-j6ybcv93 36 41 iii iii NN cord-291036-j6ybcv93 36 42 ) ) -RRB- cord-291036-j6ybcv93 36 43 assurance assurance NN cord-291036-j6ybcv93 36 44 . . . cord-291036-j6ybcv93 37 1 These these DT cord-291036-j6ybcv93 37 2 The the DT cord-291036-j6ybcv93 37 3 need need NN cord-291036-j6ybcv93 37 4 for for IN cord-291036-j6ybcv93 37 5 cooperation cooperation NN cord-291036-j6ybcv93 37 6 and and CC cord-291036-j6ybcv93 37 7 collaboration collaboration NN cord-291036-j6ybcv93 37 8 among among IN cord-291036-j6ybcv93 37 9 laboratories laboratory NNS cord-291036-j6ybcv93 37 10 has have VBZ cord-291036-j6ybcv93 37 11 been be VBN cord-291036-j6ybcv93 37 12 long long RB cord-291036-j6ybcv93 37 13 recognized recognize VBN cord-291036-j6ybcv93 37 14 by by IN cord-291036-j6ybcv93 37 15 public public JJ cord-291036-j6ybcv93 37 16 health health NN cord-291036-j6ybcv93 37 17 experts expert NNS cord-291036-j6ybcv93 37 18 . . . cord-291036-j6ybcv93 38 1 In in IN cord-291036-j6ybcv93 38 2 1994 1994 CD cord-291036-j6ybcv93 38 3 , , , cord-291036-j6ybcv93 38 4 a a DT cord-291036-j6ybcv93 38 5 CDC CDC NNP cord-291036-j6ybcv93 38 6 strategy strategy NN cord-291036-j6ybcv93 38 7 document document NN cord-291036-j6ybcv93 38 8 ( ( -LRB- cord-291036-j6ybcv93 38 9 6 6 CD cord-291036-j6ybcv93 38 10 ) ) -RRB- cord-291036-j6ybcv93 38 11 outlined outline VBD cord-291036-j6ybcv93 38 12 the the DT cord-291036-j6ybcv93 38 13 need need NN cord-291036-j6ybcv93 38 14 for for IN cord-291036-j6ybcv93 38 15 the the DT cord-291036-j6ybcv93 38 16 formation formation NN cord-291036-j6ybcv93 38 17 of of IN cord-291036-j6ybcv93 38 18 networks network NNS cord-291036-j6ybcv93 38 19 to to TO cord-291036-j6ybcv93 38 20 gather gather VB cord-291036-j6ybcv93 38 21 information information NN cord-291036-j6ybcv93 38 22 to to TO cord-291036-j6ybcv93 38 23 detect detect VB cord-291036-j6ybcv93 38 24 , , , cord-291036-j6ybcv93 38 25 report report VB cord-291036-j6ybcv93 38 26 , , , cord-291036-j6ybcv93 38 27 and and CC cord-291036-j6ybcv93 38 28 analyze analyze VB cord-291036-j6ybcv93 38 29 information information NN cord-291036-j6ybcv93 38 30 regarding regard VBG cord-291036-j6ybcv93 38 31 infection infection NN cord-291036-j6ybcv93 38 32 . . . cord-291036-j6ybcv93 39 1 This this DT cord-291036-j6ybcv93 39 2 document document NN cord-291036-j6ybcv93 39 3 became become VBD cord-291036-j6ybcv93 39 4 the the DT cord-291036-j6ybcv93 39 5 foundation foundation NN cord-291036-j6ybcv93 39 6 for for IN cord-291036-j6ybcv93 39 7 actions action NNS cord-291036-j6ybcv93 39 8 that that WDT cord-291036-j6ybcv93 39 9 led lead VBD cord-291036-j6ybcv93 39 10 to to IN cord-291036-j6ybcv93 39 11 the the DT cord-291036-j6ybcv93 39 12 formation formation NN cord-291036-j6ybcv93 39 13 of of IN cord-291036-j6ybcv93 39 14 networks network NNS cord-291036-j6ybcv93 39 15 that that WDT cord-291036-j6ybcv93 39 16 are be VBP cord-291036-j6ybcv93 39 17 cementing cement VBG cord-291036-j6ybcv93 39 18 bonds bond NNS cord-291036-j6ybcv93 39 19 between between IN cord-291036-j6ybcv93 39 20 clinical clinical JJ cord-291036-j6ybcv93 39 21 and and CC cord-291036-j6ybcv93 39 22 public public JJ cord-291036-j6ybcv93 39 23 health health NN cord-291036-j6ybcv93 39 24 laboratories laboratory NNS cord-291036-j6ybcv93 39 25 . . . cord-291036-j6ybcv93 40 1 Clinical clinical JJ cord-291036-j6ybcv93 40 2 laboratories laboratory NNS cord-291036-j6ybcv93 40 3 have have VBP cord-291036-j6ybcv93 40 4 traditionally traditionally RB cord-291036-j6ybcv93 40 5 referred refer VBN cord-291036-j6ybcv93 40 6 isolates isolate NNS cord-291036-j6ybcv93 40 7 to to IN cord-291036-j6ybcv93 40 8 public public JJ cord-291036-j6ybcv93 40 9 health health NN cord-291036-j6ybcv93 40 10 laboratories laboratory NNS cord-291036-j6ybcv93 40 11 for for IN cord-291036-j6ybcv93 40 12 confirmation confirmation NN cord-291036-j6ybcv93 40 13 and and CC cord-291036-j6ybcv93 40 14 serotyping serotyping NN cord-291036-j6ybcv93 40 15 , , , cord-291036-j6ybcv93 40 16 but but CC cord-291036-j6ybcv93 40 17 beginning begin VBG cord-291036-j6ybcv93 40 18 in in IN cord-291036-j6ybcv93 40 19 1998 1998 CD cord-291036-j6ybcv93 40 20 , , , cord-291036-j6ybcv93 40 21 these these DT cord-291036-j6ybcv93 40 22 isolates isolate NNS cord-291036-j6ybcv93 40 23 were be VBD cord-291036-j6ybcv93 40 24 subjected subject VBN cord-291036-j6ybcv93 40 25 to to IN cord-291036-j6ybcv93 40 26 a a DT cord-291036-j6ybcv93 40 27 new new JJ cord-291036-j6ybcv93 40 28 powerful powerful JJ cord-291036-j6ybcv93 40 29 method method NN cord-291036-j6ybcv93 40 30 to to TO cord-291036-j6ybcv93 40 31 type type VB cord-291036-j6ybcv93 40 32 the the DT cord-291036-j6ybcv93 40 33 strains strain NNS cord-291036-j6ybcv93 40 34 . . . cord-291036-j6ybcv93 41 1 Public public JJ cord-291036-j6ybcv93 41 2 health health NN cord-291036-j6ybcv93 41 3 laboratories laboratory NNS cord-291036-j6ybcv93 41 4 began begin VBD cord-291036-j6ybcv93 41 5 to to TO cord-291036-j6ybcv93 41 6 use use VB cord-291036-j6ybcv93 41 7 pulsedfield pulsedfield NN cord-291036-j6ybcv93 41 8 gel gel NN cord-291036-j6ybcv93 41 9 electrophoresis electrophoresis NN cord-291036-j6ybcv93 41 10 ( ( -LRB- cord-291036-j6ybcv93 41 11 PFGE PFGE NNP cord-291036-j6ybcv93 41 12 ) ) -RRB- cord-291036-j6ybcv93 41 13 to to TO cord-291036-j6ybcv93 41 14 type type VB cord-291036-j6ybcv93 41 15 isolates isolate NNS cord-291036-j6ybcv93 41 16 of of IN cord-291036-j6ybcv93 41 17 Escherichia Escherichia NNP cord-291036-j6ybcv93 41 18 coli coli NNS cord-291036-j6ybcv93 41 19 O157 O157 NNP cord-291036-j6ybcv93 41 20 : : : cord-291036-j6ybcv93 42 1 H7 H7 NNP cord-291036-j6ybcv93 42 2 and and CC cord-291036-j6ybcv93 42 3 other other JJ cord-291036-j6ybcv93 42 4 foodborne foodborne JJ cord-291036-j6ybcv93 42 5 - - HYPH cord-291036-j6ybcv93 42 6 illness illness NN cord-291036-j6ybcv93 42 7 pathogens pathogen NNS cord-291036-j6ybcv93 42 8 , , , cord-291036-j6ybcv93 42 9 subdividing subdivide VBG cord-291036-j6ybcv93 42 10 these these DT cord-291036-j6ybcv93 42 11 isolates isolate NNS cord-291036-j6ybcv93 42 12 into into IN cord-291036-j6ybcv93 42 13 closely closely RB cord-291036-j6ybcv93 42 14 related related JJ cord-291036-j6ybcv93 42 15 groups group NNS cord-291036-j6ybcv93 42 16 or or CC cord-291036-j6ybcv93 42 17 clones clone NNS cord-291036-j6ybcv93 42 18 , , , cord-291036-j6ybcv93 42 19 and and CC cord-291036-j6ybcv93 42 20 allowing allow VBG cord-291036-j6ybcv93 42 21 epidemiologists epidemiologist NNS cord-291036-j6ybcv93 42 22 to to TO cord-291036-j6ybcv93 42 23 efficiently efficiently RB cord-291036-j6ybcv93 42 24 investigate investigate VB cord-291036-j6ybcv93 42 25 cases case NNS cord-291036-j6ybcv93 42 26 of of IN cord-291036-j6ybcv93 42 27 infections infection NNS cord-291036-j6ybcv93 42 28 and and CC cord-291036-j6ybcv93 42 29 determine determine VB cord-291036-j6ybcv93 42 30 the the DT cord-291036-j6ybcv93 42 31 cause cause NN cord-291036-j6ybcv93 42 32 . . . cord-291036-j6ybcv93 43 1 Often often RB cord-291036-j6ybcv93 43 2 , , , cord-291036-j6ybcv93 43 3 clusters cluster NNS cord-291036-j6ybcv93 43 4 of of IN cord-291036-j6ybcv93 43 5 cases case NNS cord-291036-j6ybcv93 43 6 are be VBP cord-291036-j6ybcv93 43 7 seen see VBN cord-291036-j6ybcv93 43 8 immediately immediately RB cord-291036-j6ybcv93 43 9 by by IN cord-291036-j6ybcv93 43 10 public public JJ cord-291036-j6ybcv93 43 11 health health NN cord-291036-j6ybcv93 43 12 laboratory laboratory NN cord-291036-j6ybcv93 43 13 scientists scientist NNS cord-291036-j6ybcv93 43 14 when when WRB cord-291036-j6ybcv93 43 15 a a DT cord-291036-j6ybcv93 43 16 group group NN cord-291036-j6ybcv93 43 17 of of IN cord-291036-j6ybcv93 43 18 isolates isolate NNS cord-291036-j6ybcv93 43 19 with with IN cord-291036-j6ybcv93 43 20 a a DT cord-291036-j6ybcv93 43 21 unique unique JJ cord-291036-j6ybcv93 43 22 pattern pattern NN cord-291036-j6ybcv93 43 23 are be VBP cord-291036-j6ybcv93 43 24 observed observe VBN cord-291036-j6ybcv93 43 25 . . . cord-291036-j6ybcv93 44 1 Epidemiologists epidemiologist NNS cord-291036-j6ybcv93 44 2 can can MD cord-291036-j6ybcv93 44 3 investigate investigate VB cord-291036-j6ybcv93 44 4 smaller small JJR cord-291036-j6ybcv93 44 5 numbers number NNS cord-291036-j6ybcv93 44 6 of of IN cord-291036-j6ybcv93 44 7 cases case NNS cord-291036-j6ybcv93 44 8 and and CC cord-291036-j6ybcv93 44 9 spend spend VB cord-291036-j6ybcv93 44 10 less less JJR cord-291036-j6ybcv93 44 11 time time NN cord-291036-j6ybcv93 44 12 collecting collect VBG cord-291036-j6ybcv93 44 13 the the DT cord-291036-j6ybcv93 44 14 information information NN cord-291036-j6ybcv93 44 15 that that WDT cord-291036-j6ybcv93 44 16 points point VBZ cord-291036-j6ybcv93 44 17 to to IN cord-291036-j6ybcv93 44 18 a a DT cord-291036-j6ybcv93 44 19 particular particular JJ cord-291036-j6ybcv93 44 20 food food NN cord-291036-j6ybcv93 44 21 product product NN cord-291036-j6ybcv93 44 22 . . . cord-291036-j6ybcv93 45 1 This this DT cord-291036-j6ybcv93 45 2 has have VBZ cord-291036-j6ybcv93 45 3 occurred occur VBN cord-291036-j6ybcv93 45 4 many many JJ cord-291036-j6ybcv93 45 5 times time NNS cord-291036-j6ybcv93 45 6 since since IN cord-291036-j6ybcv93 45 7 the the DT cord-291036-j6ybcv93 45 8 initiation initiation NN cord-291036-j6ybcv93 45 9 of of IN cord-291036-j6ybcv93 45 10 the the DT cord-291036-j6ybcv93 45 11 PulseNet PulseNet NNP cord-291036-j6ybcv93 45 12 system system NN cord-291036-j6ybcv93 45 13 . . . cord-291036-j6ybcv93 46 1 Outbreaks outbreak NNS cord-291036-j6ybcv93 46 2 caused cause VBN cord-291036-j6ybcv93 46 3 by by IN cord-291036-j6ybcv93 46 4 Salmonella Salmonella NNP cord-291036-j6ybcv93 46 5 spp spp NNS cord-291036-j6ybcv93 46 6 . . . cord-291036-j6ybcv93 47 1 , , , cord-291036-j6ybcv93 47 2 Shigella Shigella NNP cord-291036-j6ybcv93 47 3 spp spp NNS cord-291036-j6ybcv93 47 4 . . . cord-291036-j6ybcv93 48 1 , , , cord-291036-j6ybcv93 48 2 E. E. NNP cord-291036-j6ybcv93 48 3 coli coli NNP cord-291036-j6ybcv93 48 4 O157 O157 NNP cord-291036-j6ybcv93 48 5 , , , cord-291036-j6ybcv93 48 6 and and CC cord-291036-j6ybcv93 48 7 Camplylobacter Camplylobacter NNP cord-291036-j6ybcv93 48 8 and and CC cord-291036-j6ybcv93 48 9 Listeria Listeria NNP cord-291036-j6ybcv93 48 10 spp spp NNP cord-291036-j6ybcv93 48 11 . . . cord-291036-j6ybcv93 49 1 are be VBP cord-291036-j6ybcv93 49 2 detected detect VBN cord-291036-j6ybcv93 49 3 , , , cord-291036-j6ybcv93 49 4 and and CC cord-291036-j6ybcv93 49 5 the the DT cord-291036-j6ybcv93 49 6 numbers number NNS cord-291036-j6ybcv93 49 7 of of IN cord-291036-j6ybcv93 49 8 cases case NNS cord-291036-j6ybcv93 49 9 are be VBP cord-291036-j6ybcv93 49 10 limited limit VBN cord-291036-j6ybcv93 49 11 when when WRB cord-291036-j6ybcv93 49 12 the the DT cord-291036-j6ybcv93 49 13 incriminated incriminate VBN cord-291036-j6ybcv93 49 14 food food NN cord-291036-j6ybcv93 49 15 product product NN cord-291036-j6ybcv93 49 16 is be VBZ cord-291036-j6ybcv93 49 17 determined determine VBN cord-291036-j6ybcv93 49 18 and and CC cord-291036-j6ybcv93 49 19 recalled recall VBN cord-291036-j6ybcv93 49 20 . . . cord-291036-j6ybcv93 50 1 Clinical clinical JJ cord-291036-j6ybcv93 50 2 laboratories laboratory NNS cord-291036-j6ybcv93 50 3 are be VBP cord-291036-j6ybcv93 50 4 being be VBG cord-291036-j6ybcv93 50 5 encouraged encourage VBN cord-291036-j6ybcv93 50 6 to to TO cord-291036-j6ybcv93 50 7 refer refer VB cord-291036-j6ybcv93 50 8 such such JJ cord-291036-j6ybcv93 50 9 pathogens pathogen NNS cord-291036-j6ybcv93 50 10 quickly quickly RB cord-291036-j6ybcv93 50 11 , , , cord-291036-j6ybcv93 50 12 rather rather RB cord-291036-j6ybcv93 50 13 than than IN cord-291036-j6ybcv93 50 14 letting let VBG cord-291036-j6ybcv93 50 15 a a DT cord-291036-j6ybcv93 50 16 group group NN cord-291036-j6ybcv93 50 17 of of IN cord-291036-j6ybcv93 50 18 isolates isolate NNS cord-291036-j6ybcv93 50 19 accumulate accumulate VBP cord-291036-j6ybcv93 50 20 for for IN cord-291036-j6ybcv93 50 21 convenient convenient JJ cord-291036-j6ybcv93 50 22 transport transport NN cord-291036-j6ybcv93 50 23 to to IN cord-291036-j6ybcv93 50 24 a a DT cord-291036-j6ybcv93 50 25 state state NN cord-291036-j6ybcv93 50 26 laboratory laboratory NN cord-291036-j6ybcv93 50 27 , , , cord-291036-j6ybcv93 50 28 where where WRB cord-291036-j6ybcv93 50 29 outbreaks outbreak NNS cord-291036-j6ybcv93 50 30 of of IN cord-291036-j6ybcv93 50 31 foodborne foodborne JJ cord-291036-j6ybcv93 50 32 illness illness NN cord-291036-j6ybcv93 50 33 can can MD cord-291036-j6ybcv93 50 34 be be VB cord-291036-j6ybcv93 50 35 identified identify VBN cord-291036-j6ybcv93 50 36 rapidly rapidly RB cord-291036-j6ybcv93 50 37 , , , cord-291036-j6ybcv93 50 38 resulting result VBG cord-291036-j6ybcv93 50 39 in in IN cord-291036-j6ybcv93 50 40 limitations limitation NNS cord-291036-j6ybcv93 50 41 on on IN cord-291036-j6ybcv93 50 42 the the DT cord-291036-j6ybcv93 50 43 extent extent NN cord-291036-j6ybcv93 50 44 of of IN cord-291036-j6ybcv93 50 45 outbreaks outbreak NNS cord-291036-j6ybcv93 50 46 ( ( -LRB- cord-291036-j6ybcv93 50 47 7 7 CD cord-291036-j6ybcv93 50 48 ) ) -RRB- cord-291036-j6ybcv93 50 49 . . . cord-291036-j6ybcv93 51 1 PFGE PFGE NNP cord-291036-j6ybcv93 51 2 patterns pattern NNS cord-291036-j6ybcv93 51 3 uploaded upload VBN cord-291036-j6ybcv93 51 4 by by IN cord-291036-j6ybcv93 51 5 public public JJ cord-291036-j6ybcv93 51 6 health health NN cord-291036-j6ybcv93 51 7 laboratories laboratory NNS cord-291036-j6ybcv93 51 8 to to IN cord-291036-j6ybcv93 51 9 the the DT cord-291036-j6ybcv93 51 10 CDC CDC NNP cord-291036-j6ybcv93 51 11 PulseNet PulseNet NNP cord-291036-j6ybcv93 51 12 database database NN cord-291036-j6ybcv93 51 13 are be VBP cord-291036-j6ybcv93 51 14 examined examine VBN cord-291036-j6ybcv93 51 15 by by IN cord-291036-j6ybcv93 51 16 epidemiologists epidemiologist NNS cord-291036-j6ybcv93 51 17 looking look VBG cord-291036-j6ybcv93 51 18 for for IN cord-291036-j6ybcv93 51 19 the the DT cord-291036-j6ybcv93 51 20 appearance appearance NN cord-291036-j6ybcv93 51 21 of of IN cord-291036-j6ybcv93 51 22 clusters cluster NNS cord-291036-j6ybcv93 51 23 that that WDT cord-291036-j6ybcv93 51 24 cross cross VBP cord-291036-j6ybcv93 51 25 state state NN cord-291036-j6ybcv93 51 26 borders border NNS cord-291036-j6ybcv93 51 27 . . . cord-291036-j6ybcv93 52 1 Numerous numerous JJ cord-291036-j6ybcv93 52 2 multi multi JJ cord-291036-j6ybcv93 52 3 - - JJ cord-291036-j6ybcv93 52 4 state state JJ cord-291036-j6ybcv93 52 5 and and CC cord-291036-j6ybcv93 52 6 national national JJ cord-291036-j6ybcv93 52 7 foodborne foodborne NN cord-291036-j6ybcv93 52 8 - - HYPH cord-291036-j6ybcv93 52 9 illness illness NN cord-291036-j6ybcv93 52 10 outbreaks outbreak NNS cord-291036-j6ybcv93 52 11 have have VBP cord-291036-j6ybcv93 52 12 been be VBN cord-291036-j6ybcv93 52 13 uncovered uncover VBN cord-291036-j6ybcv93 52 14 that that WDT cord-291036-j6ybcv93 52 15 could could MD cord-291036-j6ybcv93 52 16 not not RB cord-291036-j6ybcv93 52 17 have have VB cord-291036-j6ybcv93 52 18 been be VBN cord-291036-j6ybcv93 52 19 detected detect VBN cord-291036-j6ybcv93 52 20 by by IN cord-291036-j6ybcv93 52 21 other other JJ cord-291036-j6ybcv93 52 22 means mean NNS cord-291036-j6ybcv93 52 23 . . . cord-291036-j6ybcv93 53 1 PulseNet PulseNet NNP cord-291036-j6ybcv93 53 2 works work NNS cord-291036-j6ybcv93 53 3 because because IN cord-291036-j6ybcv93 53 4 clinical clinical JJ cord-291036-j6ybcv93 53 5 laboratories laboratory NNS cord-291036-j6ybcv93 53 6 are be VBP cord-291036-j6ybcv93 53 7 effective effective JJ cord-291036-j6ybcv93 53 8 in in IN cord-291036-j6ybcv93 53 9 culturing culture VBG cord-291036-j6ybcv93 53 10 agents agent NNS cord-291036-j6ybcv93 53 11 of of IN cord-291036-j6ybcv93 53 12 foodborne foodborne JJ cord-291036-j6ybcv93 53 13 illness illness NN cord-291036-j6ybcv93 53 14 and and CC cord-291036-j6ybcv93 53 15 referring refer VBG cord-291036-j6ybcv93 53 16 these these DT cord-291036-j6ybcv93 53 17 isolates isolate NNS cord-291036-j6ybcv93 53 18 quickly quickly RB cord-291036-j6ybcv93 53 19 to to IN cord-291036-j6ybcv93 53 20 public public JJ cord-291036-j6ybcv93 53 21 health health NN cord-291036-j6ybcv93 53 22 laboratories laboratory NNS cord-291036-j6ybcv93 53 23 that that WDT cord-291036-j6ybcv93 53 24 perform perform VBP cord-291036-j6ybcv93 53 25 PFGE PFGE NNP cord-291036-j6ybcv93 53 26 typing typing NN cord-291036-j6ybcv93 53 27 , , , cord-291036-j6ybcv93 53 28 conduct conduct VB cord-291036-j6ybcv93 53 29 a a DT cord-291036-j6ybcv93 53 30 statewide statewide JJ cord-291036-j6ybcv93 53 31 analysis analysis NN cord-291036-j6ybcv93 53 32 , , , cord-291036-j6ybcv93 53 33 and and CC cord-291036-j6ybcv93 53 34 then then RB cord-291036-j6ybcv93 53 35 upload upload VB cord-291036-j6ybcv93 53 36 this this DT cord-291036-j6ybcv93 53 37 information information NN cord-291036-j6ybcv93 53 38 to to IN cord-291036-j6ybcv93 53 39 the the DT cord-291036-j6ybcv93 53 40 CDC CDC NNP cord-291036-j6ybcv93 53 41 database database NN cord-291036-j6ybcv93 53 42 for for IN cord-291036-j6ybcv93 53 43 nationwide nationwide JJ cord-291036-j6ybcv93 53 44 analysis analysis NN cord-291036-j6ybcv93 53 45 . . . cord-291036-j6ybcv93 54 1 This this DT cord-291036-j6ybcv93 54 2 partnership partnership NN cord-291036-j6ybcv93 54 3 has have VBZ cord-291036-j6ybcv93 54 4 raised raise VBN cord-291036-j6ybcv93 54 5 the the DT cord-291036-j6ybcv93 54 6 level level NN cord-291036-j6ybcv93 54 7 of of IN cord-291036-j6ybcv93 54 8 detection detection NN cord-291036-j6ybcv93 54 9 of of IN cord-291036-j6ybcv93 54 10 foodborne foodborne JJ cord-291036-j6ybcv93 54 11 illness illness NN cord-291036-j6ybcv93 54 12 to to IN cord-291036-j6ybcv93 54 13 unprecedented unprecedented JJ cord-291036-j6ybcv93 54 14 levels level NNS cord-291036-j6ybcv93 54 15 , , , cord-291036-j6ybcv93 54 16 virtually virtually RB cord-291036-j6ybcv93 54 17 ensuring ensure VBG cord-291036-j6ybcv93 54 18 that that IN cord-291036-j6ybcv93 54 19 no no DT cord-291036-j6ybcv93 54 20 multistate multistate JJ cord-291036-j6ybcv93 54 21 outbreak outbreak NN cord-291036-j6ybcv93 54 22 of of IN cord-291036-j6ybcv93 54 23 foodborne foodborne JJ cord-291036-j6ybcv93 54 24 illness illness NN cord-291036-j6ybcv93 54 25 of of IN cord-291036-j6ybcv93 54 26 any any DT cord-291036-j6ybcv93 54 27 significant significant JJ cord-291036-j6ybcv93 54 28 magnitude magnitude NN cord-291036-j6ybcv93 54 29 will will MD cord-291036-j6ybcv93 54 30 go go VB cord-291036-j6ybcv93 54 31 undetected undetected JJ cord-291036-j6ybcv93 54 32 . . . cord-291036-j6ybcv93 55 1 When when WRB cord-291036-j6ybcv93 55 2 three three CD cord-291036-j6ybcv93 55 3 state state NN cord-291036-j6ybcv93 55 4 laboratories laboratory NNS cord-291036-j6ybcv93 55 5 determine determine VBP cord-291036-j6ybcv93 55 6 a a DT cord-291036-j6ybcv93 55 7 strain strain NN cord-291036-j6ybcv93 55 8 to to TO cord-291036-j6ybcv93 55 9 be be VB cord-291036-j6ybcv93 55 10 the the DT cord-291036-j6ybcv93 55 11 same same JJ cord-291036-j6ybcv93 55 12 by by IN cord-291036-j6ybcv93 55 13 PFGE PFGE NNP cord-291036-j6ybcv93 55 14 typing typing NN cord-291036-j6ybcv93 55 15 , , , cord-291036-j6ybcv93 55 16 the the DT cord-291036-j6ybcv93 55 17 recovery recovery NN cord-291036-j6ybcv93 55 18 of of IN cord-291036-j6ybcv93 55 19 a a DT cord-291036-j6ybcv93 55 20 single single JJ cord-291036-j6ybcv93 55 21 isolate isolate NN cord-291036-j6ybcv93 55 22 by by IN cord-291036-j6ybcv93 55 23 each each DT cord-291036-j6ybcv93 55 24 of of IN cord-291036-j6ybcv93 55 25 three three CD cord-291036-j6ybcv93 55 26 clinical clinical JJ cord-291036-j6ybcv93 55 27 microbiologists microbiologist NNS cord-291036-j6ybcv93 55 28 in in IN cord-291036-j6ybcv93 55 29 three three CD cord-291036-j6ybcv93 55 30 different different JJ cord-291036-j6ybcv93 55 31 states state NNS cord-291036-j6ybcv93 55 32 might may MD cord-291036-j6ybcv93 55 33 be be VB cord-291036-j6ybcv93 55 34 enough enough JJ cord-291036-j6ybcv93 55 35 to to TO cord-291036-j6ybcv93 55 36 detect detect VB cord-291036-j6ybcv93 55 37 a a DT cord-291036-j6ybcv93 55 38 nationwide nationwide JJ cord-291036-j6ybcv93 55 39 food food NN cord-291036-j6ybcv93 55 40 problem problem NN cord-291036-j6ybcv93 55 41 . . . cord-291036-j6ybcv93 56 1 The the DT cord-291036-j6ybcv93 56 2 recovery recovery NN cord-291036-j6ybcv93 56 3 and and CC cord-291036-j6ybcv93 56 4 referral referral NN cord-291036-j6ybcv93 56 5 of of IN cord-291036-j6ybcv93 56 6 isolates isolate NNS cord-291036-j6ybcv93 56 7 have have VBP cord-291036-j6ybcv93 56 8 done do VBN cord-291036-j6ybcv93 56 9 more more JJR cord-291036-j6ybcv93 56 10 than than IN cord-291036-j6ybcv93 56 11 detect detect VB cord-291036-j6ybcv93 56 12 outbreaks outbreak NNS cord-291036-j6ybcv93 56 13 of of IN cord-291036-j6ybcv93 56 14 foodborne foodborne JJ cord-291036-j6ybcv93 56 15 illnesses illness NNS cord-291036-j6ybcv93 56 16 . . . cord-291036-j6ybcv93 57 1 By by IN cord-291036-j6ybcv93 57 2 extremely extremely RB cord-291036-j6ybcv93 57 3 accurate accurate JJ cord-291036-j6ybcv93 57 4 measurements measurement NNS cord-291036-j6ybcv93 57 5 of of IN cord-291036-j6ybcv93 57 6 the the DT cord-291036-j6ybcv93 57 7 number number NN cord-291036-j6ybcv93 57 8 of of IN cord-291036-j6ybcv93 57 9 infections infection NNS cord-291036-j6ybcv93 57 10 in in IN cord-291036-j6ybcv93 57 11 10 10 CD cord-291036-j6ybcv93 57 12 states state NNS cord-291036-j6ybcv93 57 13 , , , cord-291036-j6ybcv93 57 14 the the DT cord-291036-j6ybcv93 57 15 CDC CDC NNP cord-291036-j6ybcv93 57 16 's 's POS cord-291036-j6ybcv93 57 17 Emerging Emerging NNP cord-291036-j6ybcv93 57 18 Infections Infections NNPS cord-291036-j6ybcv93 57 19 Program Program NNP cord-291036-j6ybcv93 57 20 ( ( -LRB- cord-291036-j6ybcv93 57 21 EIP EIP NNP cord-291036-j6ybcv93 57 22 ) ) -RRB- cord-291036-j6ybcv93 57 23 , , , cord-291036-j6ybcv93 57 24 a a DT cord-291036-j6ybcv93 57 25 program program NN cord-291036-j6ybcv93 57 26 for for IN cord-291036-j6ybcv93 57 27 surveillance surveillance NN cord-291036-j6ybcv93 57 28 of of IN cord-291036-j6ybcv93 57 29 invasive invasive JJ cord-291036-j6ybcv93 57 30 bacterial bacterial JJ cord-291036-j6ybcv93 57 31 infections infection NNS cord-291036-j6ybcv93 57 32 , , , cord-291036-j6ybcv93 57 33 has have VBZ cord-291036-j6ybcv93 57 34 shown show VBN cord-291036-j6ybcv93 57 35 that that IN cord-291036-j6ybcv93 57 36 vaccines vaccine NNS cord-291036-j6ybcv93 57 37 , , , cord-291036-j6ybcv93 57 38 such such JJ cord-291036-j6ybcv93 57 39 as as IN cord-291036-j6ybcv93 57 40 the the DT cord-291036-j6ybcv93 57 41 pneumococcal pneumococcal JJ cord-291036-j6ybcv93 57 42 vaccine vaccine NN cord-291036-j6ybcv93 57 43 , , , cord-291036-j6ybcv93 57 44 are be VBP cord-291036-j6ybcv93 57 45 highly highly RB cord-291036-j6ybcv93 57 46 effective effective JJ cord-291036-j6ybcv93 57 47 and and CC cord-291036-j6ybcv93 57 48 virtually virtually RB cord-291036-j6ybcv93 57 49 eliminate eliminate VB cord-291036-j6ybcv93 57 50 illness illness NN cord-291036-j6ybcv93 57 51 in in IN cord-291036-j6ybcv93 57 52 vaccinated vaccinated JJ cord-291036-j6ybcv93 57 53 groups group NNS cord-291036-j6ybcv93 57 54 ( ( -LRB- cord-291036-j6ybcv93 57 55 8) 8) NNP cord-291036-j6ybcv93 57 56 . . . cord-291036-j6ybcv93 58 1 An an DT cord-291036-j6ybcv93 58 2 EIP EIP NNP cord-291036-j6ybcv93 58 3 program program NN cord-291036-j6ybcv93 58 4 called call VBN cord-291036-j6ybcv93 58 5 FoodNet FoodNet NNP cord-291036-j6ybcv93 58 6 is be VBZ cord-291036-j6ybcv93 58 7 an an DT cord-291036-j6ybcv93 58 8 alliance alliance NN cord-291036-j6ybcv93 58 9 of of IN cord-291036-j6ybcv93 58 10 10 10 CD cord-291036-j6ybcv93 58 11 state state NN cord-291036-j6ybcv93 58 12 public public JJ cord-291036-j6ybcv93 58 13 health health NN cord-291036-j6ybcv93 58 14 programs program NNS cord-291036-j6ybcv93 58 15 and and CC cord-291036-j6ybcv93 58 16 clinical clinical JJ cord-291036-j6ybcv93 58 17 laboratories laboratory NNS cord-291036-j6ybcv93 58 18 , , , cord-291036-j6ybcv93 58 19 which which WDT cord-291036-j6ybcv93 58 20 , , , cord-291036-j6ybcv93 58 21 year year NN cord-291036-j6ybcv93 58 22 - - HYPH cord-291036-j6ybcv93 58 23 to to IN cord-291036-j6ybcv93 58 24 - - HYPH cord-291036-j6ybcv93 58 25 year year NN cord-291036-j6ybcv93 58 26 , , , cord-291036-j6ybcv93 58 27 has have VBZ cord-291036-j6ybcv93 58 28 determined determine VBN cord-291036-j6ybcv93 58 29 the the DT cord-291036-j6ybcv93 58 30 overall overall JJ cord-291036-j6ybcv93 58 31 rates rate NNS cord-291036-j6ybcv93 58 32 of of IN cord-291036-j6ybcv93 58 33 sporadic sporadic JJ cord-291036-j6ybcv93 58 34 cases case NNS cord-291036-j6ybcv93 58 35 ( ( -LRB- cord-291036-j6ybcv93 58 36 not not RB cord-291036-j6ybcv93 58 37 outbreaks outbreak NNS cord-291036-j6ybcv93 58 38 ) ) -RRB- cord-291036-j6ybcv93 58 39 caused cause VBN cord-291036-j6ybcv93 58 40 by by IN cord-291036-j6ybcv93 58 41 a a DT cord-291036-j6ybcv93 58 42 number number NN cord-291036-j6ybcv93 58 43 of of IN cord-291036-j6ybcv93 58 44 foodborne foodborne JJ cord-291036-j6ybcv93 58 45 pathogens pathogen NNS cord-291036-j6ybcv93 58 46 and and CC cord-291036-j6ybcv93 58 47 the the DT cord-291036-j6ybcv93 58 48 factors factor NNS cord-291036-j6ybcv93 58 49 associated associate VBN cord-291036-j6ybcv93 58 50 with with IN cord-291036-j6ybcv93 58 51 infection infection NN cord-291036-j6ybcv93 58 52 . . . cord-291036-j6ybcv93 59 1 The the DT cord-291036-j6ybcv93 59 2 isolation isolation NN cord-291036-j6ybcv93 59 3 of of IN cord-291036-j6ybcv93 59 4 agents agent NNS cord-291036-j6ybcv93 59 5 such such JJ cord-291036-j6ybcv93 59 6 as as IN cord-291036-j6ybcv93 59 7 Salmonella Salmonella NNP cord-291036-j6ybcv93 59 8 , , , cord-291036-j6ybcv93 59 9 Shigella Shigella NNP cord-291036-j6ybcv93 59 10 , , , cord-291036-j6ybcv93 59 11 and and CC cord-291036-j6ybcv93 59 12 Listeria Listeria NNP cord-291036-j6ybcv93 59 13 spp spp NNP cord-291036-j6ybcv93 59 14 . . . cord-291036-j6ybcv93 60 1 and and CC cord-291036-j6ybcv93 60 2 E. E. NNP cord-291036-j6ybcv93 60 3 coli coli NNP cord-291036-j6ybcv93 60 4 O157 O157 NNP cord-291036-j6ybcv93 60 5 , , , cord-291036-j6ybcv93 60 6 which which WDT cord-291036-j6ybcv93 60 7 are be VBP cord-291036-j6ybcv93 60 8 recovered recover VBN cord-291036-j6ybcv93 60 9 by by IN cord-291036-j6ybcv93 60 10 clinical clinical JJ cord-291036-j6ybcv93 60 11 laboratories laboratory NNS cord-291036-j6ybcv93 60 12 and and CC cord-291036-j6ybcv93 60 13 referred refer VBD cord-291036-j6ybcv93 60 14 to to TO cord-291036-j6ybcv93 60 15 state state VB cord-291036-j6ybcv93 60 16 public public JJ cord-291036-j6ybcv93 60 17 health health NN cord-291036-j6ybcv93 60 18 laboratories laboratory NNS cord-291036-j6ybcv93 60 19 , , , cord-291036-j6ybcv93 60 20 is be VBZ cord-291036-j6ybcv93 60 21 doubly doubly RB cord-291036-j6ybcv93 60 22 important important JJ cord-291036-j6ybcv93 60 23 because because IN cord-291036-j6ybcv93 60 24 it -PRON- PRP cord-291036-j6ybcv93 60 25 provides provide VBZ cord-291036-j6ybcv93 60 26 critical critical JJ cord-291036-j6ybcv93 60 27 information information NN cord-291036-j6ybcv93 60 28 in in IN cord-291036-j6ybcv93 60 29 revealing reveal VBG cord-291036-j6ybcv93 60 30 outbreaks outbreak NNS cord-291036-j6ybcv93 60 31 and and CC cord-291036-j6ybcv93 60 32 allows allow VBZ cord-291036-j6ybcv93 60 33 measurement measurement NN cord-291036-j6ybcv93 60 34 of of IN cord-291036-j6ybcv93 60 35 the the DT cord-291036-j6ybcv93 60 36 overall overall JJ cord-291036-j6ybcv93 60 37 disease disease NN cord-291036-j6ybcv93 60 38 burden burden NN cord-291036-j6ybcv93 60 39 of of IN cord-291036-j6ybcv93 60 40 sporadic sporadic JJ cord-291036-j6ybcv93 60 41 cases case NNS cord-291036-j6ybcv93 60 42 . . . cord-291036-j6ybcv93 61 1 Sporadic sporadic JJ cord-291036-j6ybcv93 61 2 cases case NNS cord-291036-j6ybcv93 61 3 are be VBP cord-291036-j6ybcv93 61 4 those those DT cord-291036-j6ybcv93 61 5 in in IN cord-291036-j6ybcv93 61 6 which which WDT cord-291036-j6ybcv93 61 7 an an DT cord-291036-j6ybcv93 61 8 outbreak outbreak NN cord-291036-j6ybcv93 61 9 has have VBZ cord-291036-j6ybcv93 61 10 not not RB cord-291036-j6ybcv93 61 11 occurred occur VBN cord-291036-j6ybcv93 61 12 but but CC cord-291036-j6ybcv93 61 13 some some DT cord-291036-j6ybcv93 61 14 part part NN cord-291036-j6ybcv93 61 15 of of IN cord-291036-j6ybcv93 61 16 the the DT cord-291036-j6ybcv93 61 17 food food NN cord-291036-j6ybcv93 61 18 system system NN cord-291036-j6ybcv93 61 19 has have VBZ cord-291036-j6ybcv93 61 20 failed fail VBN cord-291036-j6ybcv93 61 21 . . . cord-291036-j6ybcv93 62 1 Over over IN cord-291036-j6ybcv93 62 2 the the DT cord-291036-j6ybcv93 62 3 past past JJ cord-291036-j6ybcv93 62 4 8 8 CD cord-291036-j6ybcv93 62 5 years year NNS cord-291036-j6ybcv93 62 6 , , , cord-291036-j6ybcv93 62 7 extremely extremely RB cord-291036-j6ybcv93 62 8 accurate accurate JJ cord-291036-j6ybcv93 62 9 data datum NNS cord-291036-j6ybcv93 62 10 have have VBP cord-291036-j6ybcv93 62 11 shown show VBN cord-291036-j6ybcv93 62 12 that that IN cord-291036-j6ybcv93 62 13 the the DT cord-291036-j6ybcv93 62 14 numbers number NNS cord-291036-j6ybcv93 62 15 of of IN cord-291036-j6ybcv93 62 16 cases case NNS cord-291036-j6ybcv93 62 17 of of IN cord-291036-j6ybcv93 62 18 illness illness NN cord-291036-j6ybcv93 62 19 due due IN cord-291036-j6ybcv93 62 20 to to IN cord-291036-j6ybcv93 62 21 some some DT cord-291036-j6ybcv93 62 22 foodborne foodborne JJ cord-291036-j6ybcv93 62 23 pathogens pathogen NNS cord-291036-j6ybcv93 62 24 have have VBP cord-291036-j6ybcv93 62 25 declined decline VBN cord-291036-j6ybcv93 62 26 ( ( -LRB- cord-291036-j6ybcv93 62 27 9 9 CD cord-291036-j6ybcv93 62 28 , , , cord-291036-j6ybcv93 62 29 10 10 CD cord-291036-j6ybcv93 62 30 ) ) -RRB- cord-291036-j6ybcv93 62 31 . . . cord-291036-j6ybcv93 63 1 These these DT cord-291036-j6ybcv93 63 2 data datum NNS cord-291036-j6ybcv93 63 3 provide provide VBP cord-291036-j6ybcv93 63 4 hard hard JJ cord-291036-j6ybcv93 63 5 evidence evidence NN cord-291036-j6ybcv93 63 6 that that IN cord-291036-j6ybcv93 63 7 food food NN cord-291036-j6ybcv93 63 8 safety safety NN cord-291036-j6ybcv93 63 9 measures measure NNS cord-291036-j6ybcv93 63 10 are be VBP cord-291036-j6ybcv93 63 11 actually actually RB cord-291036-j6ybcv93 63 12 protecting protect VBG cord-291036-j6ybcv93 63 13 people people NNS cord-291036-j6ybcv93 63 14 from from IN cord-291036-j6ybcv93 63 15 foodborne foodborne JJ cord-291036-j6ybcv93 63 16 illness illness NN cord-291036-j6ybcv93 63 17 . . . cord-291036-j6ybcv93 64 1 Initiatives initiative NNS cord-291036-j6ybcv93 64 2 in in IN cord-291036-j6ybcv93 64 3 several several JJ cord-291036-j6ybcv93 64 4 states state NNS cord-291036-j6ybcv93 64 5 have have VBP cord-291036-j6ybcv93 64 6 spawned spawn VBN cord-291036-j6ybcv93 64 7 a a DT cord-291036-j6ybcv93 64 8 new new JJ cord-291036-j6ybcv93 64 9 model model NN cord-291036-j6ybcv93 64 10 for for IN cord-291036-j6ybcv93 64 11 progressive progressive JJ cord-291036-j6ybcv93 64 12 collaboration collaboration NN cord-291036-j6ybcv93 64 13 between between IN cord-291036-j6ybcv93 64 14 clinical clinical JJ cord-291036-j6ybcv93 64 15 and and CC cord-291036-j6ybcv93 64 16 public public JJ cord-291036-j6ybcv93 64 17 health health NN cord-291036-j6ybcv93 64 18 laboratories laboratory NNS cord-291036-j6ybcv93 64 19 . . . cord-291036-j6ybcv93 65 1 With with IN cord-291036-j6ybcv93 65 2 support support NN cord-291036-j6ybcv93 65 3 from from IN cord-291036-j6ybcv93 65 4 the the DT cord-291036-j6ybcv93 65 5 CDC CDC NNP cord-291036-j6ybcv93 65 6 , , , cord-291036-j6ybcv93 65 7 states state NNS cord-291036-j6ybcv93 65 8 , , , cord-291036-j6ybcv93 65 9 and and CC cord-291036-j6ybcv93 65 10 other other JJ cord-291036-j6ybcv93 65 11 agencies agency NNS cord-291036-j6ybcv93 65 12 , , , cord-291036-j6ybcv93 65 13 cooperative cooperative JJ cord-291036-j6ybcv93 65 14 state state NN cord-291036-j6ybcv93 65 15 - - HYPH cord-291036-j6ybcv93 65 16 based base VBN cord-291036-j6ybcv93 65 17 networks network NNS cord-291036-j6ybcv93 65 18 , , , cord-291036-j6ybcv93 65 19 such such JJ cord-291036-j6ybcv93 65 20 as as IN cord-291036-j6ybcv93 65 21 the the DT cord-291036-j6ybcv93 65 22 Colorado Colorado NNP cord-291036-j6ybcv93 65 23 Laboratory Laboratory NNP cord-291036-j6ybcv93 65 24 Forum Forum NNP cord-291036-j6ybcv93 65 25 , , , cord-291036-j6ybcv93 65 26 the the DT cord-291036-j6ybcv93 65 27 Minnesota Minnesota NNP cord-291036-j6ybcv93 65 28 Laboratory Laboratory NNP cord-291036-j6ybcv93 65 29 System System NNP cord-291036-j6ybcv93 65 30 , , , cord-291036-j6ybcv93 65 31 the the DT cord-291036-j6ybcv93 65 32 Nebraska Nebraska NNP cord-291036-j6ybcv93 65 33 Laboratory Laboratory NNP cord-291036-j6ybcv93 65 34 System System NNP cord-291036-j6ybcv93 65 35 , , , cord-291036-j6ybcv93 65 36 the the DT cord-291036-j6ybcv93 65 37 Washington Washington NNP cord-291036-j6ybcv93 65 38 State State NNP cord-291036-j6ybcv93 65 39 Clinical Clinical NNP cord-291036-j6ybcv93 65 40 Laboratory Laboratory NNP cord-291036-j6ybcv93 65 41 Initiative Initiative NNP cord-291036-j6ybcv93 65 42 , , , cord-291036-j6ybcv93 65 43 the the DT cord-291036-j6ybcv93 65 44 Michigan Michigan NNP cord-291036-j6ybcv93 65 45 Laboratory Laboratory NNP cord-291036-j6ybcv93 65 46 System System NNP cord-291036-j6ybcv93 65 47 , , , cord-291036-j6ybcv93 65 48 and and CC cord-291036-j6ybcv93 65 49 groups group NNS cord-291036-j6ybcv93 65 50 in in IN cord-291036-j6ybcv93 65 51 10 10 CD cord-291036-j6ybcv93 65 52 other other JJ cord-291036-j6ybcv93 65 53 states state NNS cord-291036-j6ybcv93 65 54 , , , cord-291036-j6ybcv93 65 55 have have VBP cord-291036-j6ybcv93 65 56 been be VBN cord-291036-j6ybcv93 65 57 set set VBN cord-291036-j6ybcv93 65 58 up up RP cord-291036-j6ybcv93 65 59 . . . cord-291036-j6ybcv93 66 1 Table table NN cord-291036-j6ybcv93 66 2 6 6 CD cord-291036-j6ybcv93 66 3 shows show VBZ cord-291036-j6ybcv93 66 4 a a DT cord-291036-j6ybcv93 66 5 broad broad JJ cord-291036-j6ybcv93 66 6 array array NN cord-291036-j6ybcv93 66 7 of of IN cord-291036-j6ybcv93 66 8 activities activity NNS cord-291036-j6ybcv93 66 9 in in IN cord-291036-j6ybcv93 66 10 which which WDT cord-291036-j6ybcv93 66 11 these these DT cord-291036-j6ybcv93 66 12 new new JJ cord-291036-j6ybcv93 66 13 networks network NNS cord-291036-j6ybcv93 66 14 are be VBP cord-291036-j6ybcv93 66 15 engaged engage VBN cord-291036-j6ybcv93 66 16 , , , cord-291036-j6ybcv93 66 17 including include VBG cord-291036-j6ybcv93 66 18 improving improve VBG cord-291036-j6ybcv93 66 19 communication communication NN cord-291036-j6ybcv93 66 20 , , , cord-291036-j6ybcv93 66 21 providing provide VBG cord-291036-j6ybcv93 66 22 education education NN cord-291036-j6ybcv93 66 23 and and CC cord-291036-j6ybcv93 66 24 training training NN cord-291036-j6ybcv93 66 25 , , , cord-291036-j6ybcv93 66 26 enhancing enhance VBG cord-291036-j6ybcv93 66 27 the the DT cord-291036-j6ybcv93 66 28 quality quality NN cord-291036-j6ybcv93 66 29 of of IN cord-291036-j6ybcv93 66 30 laboratory laboratory NN cord-291036-j6ybcv93 66 31 data datum NNS cord-291036-j6ybcv93 66 32 , , , cord-291036-j6ybcv93 66 33 responding respond VBG cord-291036-j6ybcv93 66 34 to to IN cord-291036-j6ybcv93 66 35 emergencies emergency NNS cord-291036-j6ybcv93 66 36 , , , cord-291036-j6ybcv93 66 37 and and CC cord-291036-j6ybcv93 66 38 sharing share VBG cord-291036-j6ybcv93 66 39 information information NN cord-291036-j6ybcv93 66 40 . . . cord-291036-j6ybcv93 67 1 As as IN cord-291036-j6ybcv93 67 2 an an DT cord-291036-j6ybcv93 67 3 example example NN cord-291036-j6ybcv93 67 4 , , , cord-291036-j6ybcv93 67 5 the the DT cord-291036-j6ybcv93 67 6 Colorado Colorado NNP cord-291036-j6ybcv93 67 7 Laboratory Laboratory NNP cord-291036-j6ybcv93 67 8 Forum Forum NNP cord-291036-j6ybcv93 67 9 consists consist VBZ cord-291036-j6ybcv93 67 10 of of IN cord-291036-j6ybcv93 67 11 laboratorians laboratorians NNPS cord-291036-j6ybcv93 67 12 from from IN cord-291036-j6ybcv93 67 13 clinical clinical JJ cord-291036-j6ybcv93 67 14 , , , cord-291036-j6ybcv93 67 15 public public JJ cord-291036-j6ybcv93 67 16 health health NN cord-291036-j6ybcv93 67 17 , , , cord-291036-j6ybcv93 67 18 veterinary veterinary NN cord-291036-j6ybcv93 67 19 , , , cord-291036-j6ybcv93 67 20 agricultural agricultural JJ cord-291036-j6ybcv93 67 21 , , , cord-291036-j6ybcv93 67 22 forensic forensic JJ cord-291036-j6ybcv93 67 23 , , , cord-291036-j6ybcv93 67 24 environmental environmental JJ cord-291036-j6ybcv93 67 25 , , , cord-291036-j6ybcv93 67 26 federal federal JJ cord-291036-j6ybcv93 67 27 , , , cord-291036-j6ybcv93 67 28 military military NN cord-291036-j6ybcv93 67 29 , , , cord-291036-j6ybcv93 67 30 food food NN cord-291036-j6ybcv93 67 31 , , , cord-291036-j6ybcv93 67 32 and and CC cord-291036-j6ybcv93 67 33 research research NN cord-291036-j6ybcv93 67 34 agencies agency NNS cord-291036-j6ybcv93 67 35 , , , cord-291036-j6ybcv93 67 36 with with IN cord-291036-j6ybcv93 67 37 the the DT cord-291036-j6ybcv93 67 38 following follow VBG cord-291036-j6ybcv93 67 39 goals goal NNS cord-291036-j6ybcv93 67 40 : : : cord-291036-j6ybcv93 67 41 to to TO cord-291036-j6ybcv93 67 42 facilitate facilitate VB cord-291036-j6ybcv93 67 43 communications communication NNS cord-291036-j6ybcv93 67 44 , , , cord-291036-j6ybcv93 67 45 improve improve VB cord-291036-j6ybcv93 67 46 analytic analytic JJ cord-291036-j6ybcv93 67 47 capabilities capability NNS cord-291036-j6ybcv93 67 48 of of IN cord-291036-j6ybcv93 67 49 all all DT cord-291036-j6ybcv93 67 50 member member NN cord-291036-j6ybcv93 67 51 laboratories laboratory NNS cord-291036-j6ybcv93 67 52 , , , cord-291036-j6ybcv93 67 53 and and CC cord-291036-j6ybcv93 67 54 facilitate facilitate VB cord-291036-j6ybcv93 67 55 education education NN cord-291036-j6ybcv93 67 56 and and CC cord-291036-j6ybcv93 67 57 training training NN cord-291036-j6ybcv93 67 58 . . . cord-291036-j6ybcv93 68 1 The the DT cord-291036-j6ybcv93 68 2 goal goal NN cord-291036-j6ybcv93 68 3 is be VBZ cord-291036-j6ybcv93 68 4 to to TO cord-291036-j6ybcv93 68 5 solidify solidify VB cord-291036-j6ybcv93 68 6 these these DT cord-291036-j6ybcv93 68 7 state state NN cord-291036-j6ybcv93 68 8 groups group NNS cord-291036-j6ybcv93 68 9 into into IN cord-291036-j6ybcv93 68 10 a a DT cord-291036-j6ybcv93 68 11 National National NNP cord-291036-j6ybcv93 68 12 Laboratory Laboratory NNP cord-291036-j6ybcv93 68 13 System System NNP cord-291036-j6ybcv93 68 14 ( ( -LRB- cord-291036-j6ybcv93 68 15 11 11 CD cord-291036-j6ybcv93 68 16 ) ) -RRB- cord-291036-j6ybcv93 68 17 . . . cord-291036-j6ybcv93 69 1 Clinical clinical JJ cord-291036-j6ybcv93 69 2 laboratorians laboratorian NNS cord-291036-j6ybcv93 69 3 can can MD cord-291036-j6ybcv93 69 4 capture capture VB cord-291036-j6ybcv93 69 5 the the DT cord-291036-j6ybcv93 69 6 first first JJ cord-291036-j6ybcv93 69 7 evidence evidence NN cord-291036-j6ybcv93 69 8 of of IN cord-291036-j6ybcv93 69 9 biologic biologic JJ cord-291036-j6ybcv93 69 10 - - HYPH cord-291036-j6ybcv93 69 11 agent agent NN cord-291036-j6ybcv93 69 12 use use NN cord-291036-j6ybcv93 69 13 by by IN cord-291036-j6ybcv93 69 14 culturing culture VBG cord-291036-j6ybcv93 69 15 the the DT cord-291036-j6ybcv93 69 16 agent agent NN cord-291036-j6ybcv93 69 17 and and CC cord-291036-j6ybcv93 69 18 conducting conduct VBG cord-291036-j6ybcv93 69 19 presumptive presumptive JJ cord-291036-j6ybcv93 69 20 identification identification NN cord-291036-j6ybcv93 69 21 tests test NNS cord-291036-j6ybcv93 69 22 . . . cord-291036-j6ybcv93 70 1 During during IN cord-291036-j6ybcv93 70 2 the the DT cord-291036-j6ybcv93 70 3 anthrax anthrax NN cord-291036-j6ybcv93 70 4 spore spore NN cord-291036-j6ybcv93 70 5 attacks attack NNS cord-291036-j6ybcv93 70 6 of of IN cord-291036-j6ybcv93 70 7 2001 2001 CD cord-291036-j6ybcv93 70 8 , , , cord-291036-j6ybcv93 70 9 it -PRON- PRP cord-291036-j6ybcv93 70 10 was be VBD cord-291036-j6ybcv93 70 11 a a DT cord-291036-j6ybcv93 70 12 clinical clinical JJ cord-291036-j6ybcv93 70 13 microbiologist microbiologist NN cord-291036-j6ybcv93 70 14 who who WP cord-291036-j6ybcv93 70 15 , , , cord-291036-j6ybcv93 70 16 shortly shortly RB cord-291036-j6ybcv93 70 17 after after IN cord-291036-j6ybcv93 70 18 taking take VBG cord-291036-j6ybcv93 70 19 training training NN cord-291036-j6ybcv93 70 20 provided provide VBN cord-291036-j6ybcv93 70 21 by by IN cord-291036-j6ybcv93 70 22 public public JJ cord-291036-j6ybcv93 70 23 health health NN cord-291036-j6ybcv93 70 24 laboratories laboratory NNS cord-291036-j6ybcv93 70 25 , , , cord-291036-j6ybcv93 70 26 recognized recognize VBD cord-291036-j6ybcv93 70 27 and and CC cord-291036-j6ybcv93 70 28 referred refer VBD cord-291036-j6ybcv93 70 29 the the DT cord-291036-j6ybcv93 70 30 isolate isolate NN cord-291036-j6ybcv93 70 31 from from IN cord-291036-j6ybcv93 70 32 the the DT cord-291036-j6ybcv93 70 33 first first JJ cord-291036-j6ybcv93 70 34 case case NN cord-291036-j6ybcv93 70 35 of of IN cord-291036-j6ybcv93 70 36 anthrax anthrax NN cord-291036-j6ybcv93 70 37 ( ( -LRB- cord-291036-j6ybcv93 70 38 12 12 CD cord-291036-j6ybcv93 70 39 ) ) -RRB- cord-291036-j6ybcv93 70 40 . . . cord-291036-j6ybcv93 71 1 Public public JJ cord-291036-j6ybcv93 71 2 health health NN cord-291036-j6ybcv93 71 3 groups group NNS cord-291036-j6ybcv93 71 4 have have VBP cord-291036-j6ybcv93 71 5 provided provide VBN cord-291036-j6ybcv93 71 6 training training NN cord-291036-j6ybcv93 71 7 for for IN cord-291036-j6ybcv93 71 8 clinical clinical JJ cord-291036-j6ybcv93 71 9 laboratorians laboratorian NNS cord-291036-j6ybcv93 71 10 to to TO cord-291036-j6ybcv93 71 11 ensure ensure VB cord-291036-j6ybcv93 71 12 that that IN cord-291036-j6ybcv93 71 13 agents agent NNS cord-291036-j6ybcv93 71 14 of of IN cord-291036-j6ybcv93 71 15 anthrax anthrax NN cord-291036-j6ybcv93 71 16 , , , cord-291036-j6ybcv93 71 17 plague plague NN cord-291036-j6ybcv93 71 18 , , , cord-291036-j6ybcv93 71 19 and and CC cord-291036-j6ybcv93 71 20 tularemia tularemia NN cord-291036-j6ybcv93 71 21 , , , cord-291036-j6ybcv93 71 22 rarely rarely RB cord-291036-j6ybcv93 71 23 seen see VBN cord-291036-j6ybcv93 71 24 by by IN cord-291036-j6ybcv93 71 25 any any DT cord-291036-j6ybcv93 71 26 laboratory laboratory NN cord-291036-j6ybcv93 71 27 worker worker NN cord-291036-j6ybcv93 71 28 in in IN cord-291036-j6ybcv93 71 29 the the DT cord-291036-j6ybcv93 71 30 United United NNP cord-291036-j6ybcv93 71 31 States States NNP cord-291036-j6ybcv93 71 32 , , , cord-291036-j6ybcv93 71 33 are be VBP cord-291036-j6ybcv93 71 34 recognized recognize VBN cord-291036-j6ybcv93 71 35 and and CC cord-291036-j6ybcv93 71 36 referred refer VBN cord-291036-j6ybcv93 71 37 as as RB cord-291036-j6ybcv93 71 38 soon soon RB cord-291036-j6ybcv93 71 39 as as IN cord-291036-j6ybcv93 71 40 possible possible JJ cord-291036-j6ybcv93 71 41 . . . cord-291036-j6ybcv93 72 1 The the DT cord-291036-j6ybcv93 72 2 partnership partnership NN cord-291036-j6ybcv93 72 3 is be VBZ cord-291036-j6ybcv93 72 4 evident evident JJ cord-291036-j6ybcv93 72 5 . . . cord-291036-j6ybcv93 73 1 Clinical clinical JJ cord-291036-j6ybcv93 73 2 microbiologists microbiologist NNS cord-291036-j6ybcv93 73 3 are be VBP cord-291036-j6ybcv93 73 4 at at IN cord-291036-j6ybcv93 73 5 the the DT cord-291036-j6ybcv93 73 6 front front JJ cord-291036-j6ybcv93 73 7 lines line NNS cord-291036-j6ybcv93 73 8 , , , cord-291036-j6ybcv93 73 9 handling handling NN cord-291036-j6ybcv93 73 10 , , , cord-291036-j6ybcv93 73 11 culturing culturing NN cord-291036-j6ybcv93 73 12 , , , cord-291036-j6ybcv93 73 13 and and CC cord-291036-j6ybcv93 73 14 testing test VBG cord-291036-j6ybcv93 73 15 primary primary JJ cord-291036-j6ybcv93 73 16 specimens specimen NNS cord-291036-j6ybcv93 73 17 and and CC cord-291036-j6ybcv93 73 18 providing provide VBG cord-291036-j6ybcv93 73 19 the the DT cord-291036-j6ybcv93 73 20 information information NN cord-291036-j6ybcv93 73 21 needed need VBN cord-291036-j6ybcv93 73 22 to to TO cord-291036-j6ybcv93 73 23 make make VB cord-291036-j6ybcv93 73 24 the the DT cord-291036-j6ybcv93 73 25 primary primary JJ cord-291036-j6ybcv93 73 26 diagnosis diagnosis NN cord-291036-j6ybcv93 73 27 . . . cord-291036-j6ybcv93 74 1 Public public JJ cord-291036-j6ybcv93 74 2 health health NN cord-291036-j6ybcv93 74 3 microbiologists microbiologist NNS cord-291036-j6ybcv93 74 4 are be VBP cord-291036-j6ybcv93 74 5 in in IN cord-291036-j6ybcv93 74 6 the the DT cord-291036-j6ybcv93 74 7 best good JJS cord-291036-j6ybcv93 74 8 position position NN cord-291036-j6ybcv93 74 9 to to TO cord-291036-j6ybcv93 74 10 train train VB cord-291036-j6ybcv93 74 11 clinical clinical JJ cord-291036-j6ybcv93 74 12 microbiologists microbiologist NNS cord-291036-j6ybcv93 74 13 about about IN cord-291036-j6ybcv93 74 14 bioterrorism bioterrorism NN cord-291036-j6ybcv93 74 15 agents agent NNS cord-291036-j6ybcv93 74 16 and and CC cord-291036-j6ybcv93 74 17 then then RB cord-291036-j6ybcv93 74 18 to to TO cord-291036-j6ybcv93 74 19 rapidly rapidly RB cord-291036-j6ybcv93 74 20 confirm confirm VB cord-291036-j6ybcv93 74 21 the the DT cord-291036-j6ybcv93 74 22 identity identity NN cord-291036-j6ybcv93 74 23 of of IN cord-291036-j6ybcv93 74 24 referred refer VBN cord-291036-j6ybcv93 74 25 isolates isolate NNS cord-291036-j6ybcv93 74 26 . . . cord-291036-j6ybcv93 75 1 Trained train VBN cord-291036-j6ybcv93 75 2 and and CC cord-291036-j6ybcv93 75 3 equipped equip VBN cord-291036-j6ybcv93 75 4 , , , cord-291036-j6ybcv93 75 5 public public JJ cord-291036-j6ybcv93 75 6 health health NN cord-291036-j6ybcv93 75 7 laboratories laboratory NNS cord-291036-j6ybcv93 75 8 are be VBP cord-291036-j6ybcv93 75 9 using use VBG cord-291036-j6ybcv93 75 10 leading lead VBG cord-291036-j6ybcv93 75 11 - - HYPH cord-291036-j6ybcv93 75 12 edge edge NN cord-291036-j6ybcv93 75 13 methods method NNS cord-291036-j6ybcv93 75 14 developed develop VBN cord-291036-j6ybcv93 75 15 at at IN cord-291036-j6ybcv93 75 16 the the DT cord-291036-j6ybcv93 75 17 CDC CDC NNP cord-291036-j6ybcv93 75 18 , , , cord-291036-j6ybcv93 75 19 such such JJ cord-291036-j6ybcv93 75 20 as as IN cord-291036-j6ybcv93 75 21 real real JJ cord-291036-j6ybcv93 75 22 - - HYPH cord-291036-j6ybcv93 75 23 time time NN cord-291036-j6ybcv93 75 24 PCR PCR NNP cord-291036-j6ybcv93 75 25 , , , cord-291036-j6ybcv93 75 26 luminex luminex NN cord-291036-j6ybcv93 75 27 - - HYPH cord-291036-j6ybcv93 75 28 type type NN cord-291036-j6ybcv93 75 29 assays assay NNS cord-291036-j6ybcv93 75 30 , , , cord-291036-j6ybcv93 75 31 and and CC cord-291036-j6ybcv93 75 32 time time NN cord-291036-j6ybcv93 75 33 - - HYPH cord-291036-j6ybcv93 75 34 resolved resolve VBN cord-291036-j6ybcv93 75 35 fluorescence fluorescence NN cord-291036-j6ybcv93 75 36 antigen antigen NN cord-291036-j6ybcv93 75 37 immunoassays immunoassays NNP cord-291036-j6ybcv93 75 38 ( ( -LRB- cord-291036-j6ybcv93 75 39 13 13 CD cord-291036-j6ybcv93 75 40 ) ) -RRB- cord-291036-j6ybcv93 75 41 . . . cord-291036-j6ybcv93 76 1 These these DT cord-291036-j6ybcv93 76 2 new new JJ cord-291036-j6ybcv93 76 3 methods method NNS cord-291036-j6ybcv93 76 4 have have VBP cord-291036-j6ybcv93 76 5 elevated elevate VBN cord-291036-j6ybcv93 76 6 identification identification NN cord-291036-j6ybcv93 76 7 accuracy accuracy NN cord-291036-j6ybcv93 76 8 to to IN cord-291036-j6ybcv93 76 9 new new JJ cord-291036-j6ybcv93 76 10 heights height NNS cord-291036-j6ybcv93 76 11 while while IN cord-291036-j6ybcv93 76 12 reducing reduce VBG cord-291036-j6ybcv93 76 13 the the DT cord-291036-j6ybcv93 76 14 time time NN cord-291036-j6ybcv93 76 15 needed need VBN cord-291036-j6ybcv93 76 16 for for IN cord-291036-j6ybcv93 76 17 confirmation confirmation NN cord-291036-j6ybcv93 76 18 to to IN cord-291036-j6ybcv93 76 19 a a DT cord-291036-j6ybcv93 76 20 few few JJ cord-291036-j6ybcv93 76 21 hours hour NNS cord-291036-j6ybcv93 76 22 rather rather RB cord-291036-j6ybcv93 76 23 than than IN cord-291036-j6ybcv93 76 24 the the DT cord-291036-j6ybcv93 76 25 many many JJ cord-291036-j6ybcv93 76 26 days day NNS cord-291036-j6ybcv93 76 27 conventional conventional JJ cord-291036-j6ybcv93 76 28 techniques technique NNS cord-291036-j6ybcv93 76 29 typically typically RB cord-291036-j6ybcv93 76 30 require require VBP cord-291036-j6ybcv93 76 31 . . . cord-291036-j6ybcv93 77 1 Clinical clinical JJ cord-291036-j6ybcv93 77 2 laboratory laboratory NN cord-291036-j6ybcv93 77 3 microbiologists microbiologist NNS cord-291036-j6ybcv93 77 4 , , , cord-291036-j6ybcv93 77 5 by by IN cord-291036-j6ybcv93 77 6 serving serve VBG cord-291036-j6ybcv93 77 7 in in IN cord-291036-j6ybcv93 77 8 the the DT cord-291036-j6ybcv93 77 9 role role NN cord-291036-j6ybcv93 77 10 of of IN cord-291036-j6ybcv93 77 11 sentinels sentinel NNS cord-291036-j6ybcv93 77 12 , , , cord-291036-j6ybcv93 77 13 have have VBP cord-291036-j6ybcv93 77 14 responded respond VBN cord-291036-j6ybcv93 77 15 to to IN cord-291036-j6ybcv93 77 16 the the DT cord-291036-j6ybcv93 77 17 call call NN cord-291036-j6ybcv93 77 18 , , , cord-291036-j6ybcv93 77 19 rapidly rapidly RB cord-291036-j6ybcv93 77 20 referring refer VBG cord-291036-j6ybcv93 77 21 suspicious suspicious JJ cord-291036-j6ybcv93 77 22 isolates isolate NNS cord-291036-j6ybcv93 77 23 to to IN cord-291036-j6ybcv93 77 24 their -PRON- PRP$ cord-291036-j6ybcv93 77 25 partner partner NN cord-291036-j6ybcv93 77 26 public public JJ cord-291036-j6ybcv93 77 27 health health NN cord-291036-j6ybcv93 77 28 laboratories laboratory NNS cord-291036-j6ybcv93 77 29 , , , cord-291036-j6ybcv93 77 30 which which WDT cord-291036-j6ybcv93 77 31 can can MD cord-291036-j6ybcv93 77 32 then then RB cord-291036-j6ybcv93 77 33 either either RB cord-291036-j6ybcv93 77 34 confirm confirm VB cord-291036-j6ybcv93 77 35 the the DT cord-291036-j6ybcv93 77 36 identity identity NN cord-291036-j6ybcv93 77 37 of of IN cord-291036-j6ybcv93 77 38 or or CC cord-291036-j6ybcv93 77 39 rule rule VB cord-291036-j6ybcv93 77 40 out out RP cord-291036-j6ybcv93 77 41 a a DT cord-291036-j6ybcv93 77 42 possible possible JJ cord-291036-j6ybcv93 77 43 agent agent NN cord-291036-j6ybcv93 77 44 of of IN cord-291036-j6ybcv93 77 45 bioterrorism bioterrorism NN cord-291036-j6ybcv93 77 46 . . . cord-291036-j6ybcv93 78 1 Clinical clinical JJ cord-291036-j6ybcv93 78 2 and and CC cord-291036-j6ybcv93 78 3 public public JJ cord-291036-j6ybcv93 78 4 health health NN cord-291036-j6ybcv93 78 5 laboratories laboratory NNS cord-291036-j6ybcv93 78 6 each each DT cord-291036-j6ybcv93 78 7 have have VBP cord-291036-j6ybcv93 78 8 an an DT cord-291036-j6ybcv93 78 9 indispensable indispensable JJ cord-291036-j6ybcv93 78 10 function function NN cord-291036-j6ybcv93 78 11 , , , cord-291036-j6ybcv93 78 12 and and CC cord-291036-j6ybcv93 78 13 neither neither DT cord-291036-j6ybcv93 78 14 can can MD cord-291036-j6ybcv93 78 15 be be VB cord-291036-j6ybcv93 78 16 successful successful JJ cord-291036-j6ybcv93 78 17 without without IN cord-291036-j6ybcv93 78 18 the the DT cord-291036-j6ybcv93 78 19 other other JJ cord-291036-j6ybcv93 78 20 . . . cord-291036-j6ybcv93 79 1 Many many JJ cord-291036-j6ybcv93 79 2 public public JJ cord-291036-j6ybcv93 79 3 health health NN cord-291036-j6ybcv93 79 4 laboratory laboratory NN cord-291036-j6ybcv93 79 5 scientists scientist NNS cord-291036-j6ybcv93 79 6 have have VBP cord-291036-j6ybcv93 79 7 had have VBN cord-291036-j6ybcv93 79 8 to to TO cord-291036-j6ybcv93 79 9 adopt adopt VB cord-291036-j6ybcv93 79 10 a a DT cord-291036-j6ybcv93 79 11 new new JJ cord-291036-j6ybcv93 79 12 leadership leadership NN cord-291036-j6ybcv93 79 13 role role NN cord-291036-j6ybcv93 79 14 for for IN cord-291036-j6ybcv93 79 15 the the DT cord-291036-j6ybcv93 79 16 state state NN cord-291036-j6ybcv93 79 17 or or CC cord-291036-j6ybcv93 79 18 city city NN cord-291036-j6ybcv93 79 19 to to TO cord-291036-j6ybcv93 79 20 which which WDT cord-291036-j6ybcv93 79 21 they -PRON- PRP cord-291036-j6ybcv93 79 22 are be VBP cord-291036-j6ybcv93 79 23 responsible responsible JJ cord-291036-j6ybcv93 79 24 , , , cord-291036-j6ybcv93 79 25 providing provide VBG cord-291036-j6ybcv93 79 26 training training NN cord-291036-j6ybcv93 79 27 ; ; : cord-291036-j6ybcv93 79 28 establishing establish VBG cord-291036-j6ybcv93 79 29 safe safe JJ cord-291036-j6ybcv93 79 30 and and CC cord-291036-j6ybcv93 79 31 secure secure JJ cord-291036-j6ybcv93 79 32 laboratory laboratory NN cord-291036-j6ybcv93 79 33 facilities facility NNS cord-291036-j6ybcv93 79 34 for for IN cord-291036-j6ybcv93 79 35 possessing possess VBG cord-291036-j6ybcv93 79 36 , , , cord-291036-j6ybcv93 79 37 using use VBG cord-291036-j6ybcv93 79 38 , , , cord-291036-j6ybcv93 79 39 and and CC cord-291036-j6ybcv93 79 40 maintaining maintain VBG cord-291036-j6ybcv93 79 41 select select JJ cord-291036-j6ybcv93 79 42 agents agent NNS cord-291036-j6ybcv93 79 43 ; ; : cord-291036-j6ybcv93 79 44 channeling channel VBG cord-291036-j6ybcv93 79 45 funding funding NN cord-291036-j6ybcv93 79 46 to to IN cord-291036-j6ybcv93 79 47 clinical clinical JJ cord-291036-j6ybcv93 79 48 laboratories laboratory NNS cord-291036-j6ybcv93 79 49 for for IN cord-291036-j6ybcv93 79 50 bioterrorism bioterrorism NN cord-291036-j6ybcv93 79 51 preparedness preparedness NN cord-291036-j6ybcv93 79 52 and and CC cord-291036-j6ybcv93 79 53 communications communication NNS cord-291036-j6ybcv93 79 54 ; ; : cord-291036-j6ybcv93 79 55 and and CC cord-291036-j6ybcv93 79 56 maintaining maintain VBG cord-291036-j6ybcv93 79 57 links link NNS cord-291036-j6ybcv93 79 58 between between IN cord-291036-j6ybcv93 79 59 laboratories laboratory NNS cord-291036-j6ybcv93 79 60 . . . cord-291036-j6ybcv93 80 1 The the DT cord-291036-j6ybcv93 80 2 end end NN cord-291036-j6ybcv93 80 3 result result NN cord-291036-j6ybcv93 80 4 of of IN cord-291036-j6ybcv93 80 5 these these DT cord-291036-j6ybcv93 80 6 collaborative collaborative JJ cord-291036-j6ybcv93 80 7 efforts effort NNS cord-291036-j6ybcv93 80 8 is be VBZ cord-291036-j6ybcv93 80 9 difficult difficult JJ cord-291036-j6ybcv93 80 10 to to TO cord-291036-j6ybcv93 80 11 ascertain ascertain VB cord-291036-j6ybcv93 80 12 , , , cord-291036-j6ybcv93 80 13 but but CC cord-291036-j6ybcv93 80 14 collectively collectively RB cord-291036-j6ybcv93 80 15 , , , cord-291036-j6ybcv93 80 16 factors factor NNS cord-291036-j6ybcv93 80 17 such such JJ cord-291036-j6ybcv93 80 18 as as IN cord-291036-j6ybcv93 80 19 the the DT cord-291036-j6ybcv93 80 20 reduction reduction NN cord-291036-j6ybcv93 80 21 in in IN cord-291036-j6ybcv93 80 22 the the DT cord-291036-j6ybcv93 80 23 size size NN cord-291036-j6ybcv93 80 24 and and CC cord-291036-j6ybcv93 80 25 frequency frequency NN cord-291036-j6ybcv93 80 26 of of IN cord-291036-j6ybcv93 80 27 outbreaks outbreak NNS cord-291036-j6ybcv93 80 28 and and CC cord-291036-j6ybcv93 80 29 sporadic sporadic JJ cord-291036-j6ybcv93 80 30 cases case NNS cord-291036-j6ybcv93 80 31 of of IN cord-291036-j6ybcv93 80 32 infection infection NN cord-291036-j6ybcv93 80 33 , , , cord-291036-j6ybcv93 80 34 proof proof NN cord-291036-j6ybcv93 80 35 that that IN cord-291036-j6ybcv93 80 36 food food NN cord-291036-j6ybcv93 80 37 safety safety NN cord-291036-j6ybcv93 80 38 practices practice NNS cord-291036-j6ybcv93 80 39 are be VBP cord-291036-j6ybcv93 80 40 effective effective JJ cord-291036-j6ybcv93 80 41 , , , cord-291036-j6ybcv93 80 42 and and CC cord-291036-j6ybcv93 80 43 validation validation NN cord-291036-j6ybcv93 80 44 of of IN cord-291036-j6ybcv93 80 45 the the DT cord-291036-j6ybcv93 80 46 efficacy efficacy NN cord-291036-j6ybcv93 80 47 of of IN cord-291036-j6ybcv93 80 48 new new JJ cord-291036-j6ybcv93 80 49 vaccines vaccine NNS cord-291036-j6ybcv93 80 50 can can MD cord-291036-j6ybcv93 80 51 result result VB cord-291036-j6ybcv93 80 52 in in IN cord-291036-j6ybcv93 80 53 a a DT cord-291036-j6ybcv93 80 54 healthier healthy JJR cord-291036-j6ybcv93 80 55 population population NN cord-291036-j6ybcv93 80 56 , , , cord-291036-j6ybcv93 80 57 the the DT cord-291036-j6ybcv93 80 58 goal goal NN cord-291036-j6ybcv93 80 59 of of IN cord-291036-j6ybcv93 80 60 both both DT cord-291036-j6ybcv93 80 61 medical medical JJ cord-291036-j6ybcv93 80 62 care care NN cord-291036-j6ybcv93 80 63 and and CC cord-291036-j6ybcv93 80 64 public public JJ cord-291036-j6ybcv93 80 65 health health NN cord-291036-j6ybcv93 80 66 . . . cord-291036-j6ybcv93 81 1 A a DT cord-291036-j6ybcv93 81 2 healthier healthy JJR cord-291036-j6ybcv93 81 3 population population NN cord-291036-j6ybcv93 81 4 means mean VBZ cord-291036-j6ybcv93 81 5 a a DT cord-291036-j6ybcv93 81 6 reduction reduction NN cord-291036-j6ybcv93 81 7 in in IN cord-291036-j6ybcv93 81 8 the the DT cord-291036-j6ybcv93 81 9 overall overall JJ cord-291036-j6ybcv93 81 10 cost cost NN cord-291036-j6ybcv93 81 11 of of IN cord-291036-j6ybcv93 81 12 health health NN cord-291036-j6ybcv93 81 13 care care NN cord-291036-j6ybcv93 81 14 related relate VBN cord-291036-j6ybcv93 81 15 to to IN cord-291036-j6ybcv93 81 16 infections infection NNS cord-291036-j6ybcv93 81 17 . . . cord-291036-j6ybcv93 82 1 The the DT cord-291036-j6ybcv93 82 2 alliance alliance NN cord-291036-j6ybcv93 82 3 of of IN cord-291036-j6ybcv93 82 4 clinical clinical JJ cord-291036-j6ybcv93 82 5 and and CC cord-291036-j6ybcv93 82 6 public public JJ cord-291036-j6ybcv93 82 7 health health NN cord-291036-j6ybcv93 82 8 laboratories laboratory NNS cord-291036-j6ybcv93 82 9 promises promise VBZ cord-291036-j6ybcv93 82 10 to to TO cord-291036-j6ybcv93 82 11 be be VB cord-291036-j6ybcv93 82 12 a a DT cord-291036-j6ybcv93 82 13 key key JJ cord-291036-j6ybcv93 82 14 component component NN cord-291036-j6ybcv93 82 15 in in IN cord-291036-j6ybcv93 82 16 slowing slow VBG cord-291036-j6ybcv93 82 17 the the DT cord-291036-j6ybcv93 82 18 rise rise NN cord-291036-j6ybcv93 82 19 of of IN cord-291036-j6ybcv93 82 20 health health NN cord-291036-j6ybcv93 82 21 insurance insurance NN cord-291036-j6ybcv93 82 22 costs cost NNS cord-291036-j6ybcv93 82 23 and and CC cord-291036-j6ybcv93 82 24 managed manage VBD cord-291036-j6ybcv93 82 25 care care NN cord-291036-j6ybcv93 82 26 expenses expense NNS cord-291036-j6ybcv93 82 27 . . . cord-291036-j6ybcv93 83 1 Report report VB cord-291036-j6ybcv93 83 2 for for IN cord-291036-j6ybcv93 83 3 the the DT cord-291036-j6ybcv93 83 4 Office Office NNP cord-291036-j6ybcv93 83 5 of of IN cord-291036-j6ybcv93 83 6 the the DT cord-291036-j6ybcv93 83 7 Assistant Assistant NNP cord-291036-j6ybcv93 83 8 Secretary Secretary NNP cord-291036-j6ybcv93 83 9 for for IN cord-291036-j6ybcv93 83 10 Planning Planning NNP cord-291036-j6ybcv93 83 11 and and CC cord-291036-j6ybcv93 83 12 Evaluation Evaluation NNP cord-291036-j6ybcv93 83 13 , , , cord-291036-j6ybcv93 83 14 Office Office NNP cord-291036-j6ybcv93 83 15 of of IN cord-291036-j6ybcv93 83 16 Health Health NNP cord-291036-j6ybcv93 83 17 Policy Policy NNP cord-291036-j6ybcv93 83 18 . . . cord-291036-j6ybcv93 84 1 Public Public NNP cord-291036-j6ybcv93 84 2 Health Health NNP cord-291036-j6ybcv93 84 3 Laboratories Laboratories NNPS cord-291036-j6ybcv93 84 4 and and CC cord-291036-j6ybcv93 84 5 health health NN cord-291036-j6ybcv93 84 6 system system NN cord-291036-j6ybcv93 84 7 change change NN cord-291036-j6ybcv93 84 8 Managed manage VBN cord-291036-j6ybcv93 84 9 care care VBP cord-291036-j6ybcv93 84 10 deeply deeply RB cord-291036-j6ybcv93 84 11 affecting affect VBG cord-291036-j6ybcv93 84 12 clinical clinical JJ cord-291036-j6ybcv93 84 13 microbiology microbiology NNP cord-291036-j6ybcv93 84 14 Committee Committee NNP cord-291036-j6ybcv93 84 15 on on IN cord-291036-j6ybcv93 84 16 the the DT cord-291036-j6ybcv93 84 17 Study Study NNP cord-291036-j6ybcv93 84 18 of of IN cord-291036-j6ybcv93 84 19 the the DT cord-291036-j6ybcv93 84 20 Future Future NNP cord-291036-j6ybcv93 84 21 of of IN cord-291036-j6ybcv93 84 22 Public Public NNP cord-291036-j6ybcv93 84 23 Health Health NNP cord-291036-j6ybcv93 84 24 , , , cord-291036-j6ybcv93 84 25 Division Division NNP cord-291036-j6ybcv93 84 26 of of IN cord-291036-j6ybcv93 84 27 Health Health NNP cord-291036-j6ybcv93 84 28 Care Care NNP cord-291036-j6ybcv93 84 29 Services Services NNPS cord-291036-j6ybcv93 84 30 . . . cord-291036-j6ybcv93 85 1 1988 1988 CD cord-291036-j6ybcv93 85 2 . . . cord-291036-j6ybcv93 86 1 The the DT cord-291036-j6ybcv93 86 2 future future NN cord-291036-j6ybcv93 86 3 of of IN cord-291036-j6ybcv93 86 4 public public JJ cord-291036-j6ybcv93 86 5 health health NN cord-291036-j6ybcv93 86 6 Core core NN cord-291036-j6ybcv93 86 7 functions function NNS cord-291036-j6ybcv93 86 8 and and CC cord-291036-j6ybcv93 86 9 capabilities capability NNS cord-291036-j6ybcv93 86 10 of of IN cord-291036-j6ybcv93 86 11 state state NN cord-291036-j6ybcv93 86 12 public public JJ cord-291036-j6ybcv93 86 13 health health NN cord-291036-j6ybcv93 86 14 laboratories laboratory NNS cord-291036-j6ybcv93 86 15 Response Response NNP cord-291036-j6ybcv93 86 16 of of IN cord-291036-j6ybcv93 86 17 the the DT cord-291036-j6ybcv93 86 18 clinical clinical JJ cord-291036-j6ybcv93 86 19 microbiology microbiology NN cord-291036-j6ybcv93 86 20 laboratory laboratory NN cord-291036-j6ybcv93 86 21 to to IN cord-291036-j6ybcv93 86 22 emerging emerge VBG cord-291036-j6ybcv93 86 23 ( ( -LRB- cord-291036-j6ybcv93 86 24 new new JJ cord-291036-j6ybcv93 86 25 ) ) -RRB- cord-291036-j6ybcv93 86 26 and and CC cord-291036-j6ybcv93 86 27 reemerging reemerge VBG cord-291036-j6ybcv93 86 28 infectious infectious JJ cord-291036-j6ybcv93 86 29 diseases disease NNS cord-291036-j6ybcv93 86 30 Addressing addressing IN cord-291036-j6ybcv93 86 31 emerging emerge VBG cord-291036-j6ybcv93 86 32 infectious infectious JJ cord-291036-j6ybcv93 86 33 disease disease NN cord-291036-j6ybcv93 86 34 threats threat NNS cord-291036-j6ybcv93 86 35 : : : cord-291036-j6ybcv93 86 36 a a DT cord-291036-j6ybcv93 86 37 prevention prevention NN cord-291036-j6ybcv93 86 38 strategy strategy NN cord-291036-j6ybcv93 86 39 for for IN cord-291036-j6ybcv93 86 40 the the DT cord-291036-j6ybcv93 86 41 United United NNP cord-291036-j6ybcv93 86 42 States States NNP cord-291036-j6ybcv93 86 43 PulseNet PulseNet NNP cord-291036-j6ybcv93 86 44 : : : cord-291036-j6ybcv93 86 45 the the DT cord-291036-j6ybcv93 86 46 molecular molecular JJ cord-291036-j6ybcv93 86 47 subtyping subtyping NN cord-291036-j6ybcv93 86 48 network network NN cord-291036-j6ybcv93 86 49 for for IN cord-291036-j6ybcv93 86 50 foodborne foodborne JJ cord-291036-j6ybcv93 86 51 bacterial bacterial JJ cord-291036-j6ybcv93 86 52 disease disease NN cord-291036-j6ybcv93 86 53 surveillance surveillance NN cord-291036-j6ybcv93 86 54 , , , cord-291036-j6ybcv93 86 55 United United NNP cord-291036-j6ybcv93 86 56 States States NNP cord-291036-j6ybcv93 86 57 Epidemiology Epidemiology NNP cord-291036-j6ybcv93 86 58 of of IN cord-291036-j6ybcv93 86 59 invasive invasive JJ cord-291036-j6ybcv93 86 60 Streptococcus streptococcus NN cord-291036-j6ybcv93 86 61 pneumoniae pneumoniae NN cord-291036-j6ybcv93 86 62 infections infection NNS cord-291036-j6ybcv93 86 63 in in IN cord-291036-j6ybcv93 86 64 the the DT cord-291036-j6ybcv93 86 65 United United NNP cord-291036-j6ybcv93 86 66 States States NNP cord-291036-j6ybcv93 86 67 , , , cord-291036-j6ybcv93 86 68 1995 1995 CD cord-291036-j6ybcv93 86 69 - - SYM cord-291036-j6ybcv93 86 70 1998 1998 CD cord-291036-j6ybcv93 86 71 : : : cord-291036-j6ybcv93 86 72 opportunities opportunity NNS cord-291036-j6ybcv93 86 73 for for IN cord-291036-j6ybcv93 86 74 prevention prevention NN cord-291036-j6ybcv93 86 75 in in IN cord-291036-j6ybcv93 86 76 the the DT cord-291036-j6ybcv93 86 77 conjugate conjugate JJ cord-291036-j6ybcv93 86 78 vaccine vaccine NN cord-291036-j6ybcv93 86 79 era era NN cord-291036-j6ybcv93 86 80 Dramatic dramatic JJ cord-291036-j6ybcv93 86 81 decrease decrease NN cord-291036-j6ybcv93 86 82 in in IN cord-291036-j6ybcv93 86 83 the the DT cord-291036-j6ybcv93 86 84 incidence incidence NN cord-291036-j6ybcv93 86 85 of of IN cord-291036-j6ybcv93 86 86 Salmonella Salmonella NNP cord-291036-j6ybcv93 86 87 serotype serotype NN cord-291036-j6ybcv93 86 88 Enteritidis enteritidis NN cord-291036-j6ybcv93 86 89 infections infection NNS cord-291036-j6ybcv93 86 90 in in IN cord-291036-j6ybcv93 86 91 5 5 CD cord-291036-j6ybcv93 86 92 FoodNet FoodNet NNP cord-291036-j6ybcv93 86 93 sites site NNS cord-291036-j6ybcv93 86 94 : : : cord-291036-j6ybcv93 86 95 1996 1996 CD cord-291036-j6ybcv93 86 96 - - SYM cord-291036-j6ybcv93 86 97 1999 1999 CD cord-291036-j6ybcv93 86 98 Preliminary Preliminary NNP cord-291036-j6ybcv93 86 99 FoodNet FoodNet NNP cord-291036-j6ybcv93 86 100 data datum NNS cord-291036-j6ybcv93 86 101 on on IN cord-291036-j6ybcv93 86 102 the the DT cord-291036-j6ybcv93 86 103 incidence incidence NN cord-291036-j6ybcv93 86 104 of of IN cord-291036-j6ybcv93 86 105 infection infection NN cord-291036-j6ybcv93 86 106 with with IN cord-291036-j6ybcv93 86 107 pathogens pathogen NNS cord-291036-j6ybcv93 86 108 transmitted transmit VBN cord-291036-j6ybcv93 86 109 commonly commonly RB cord-291036-j6ybcv93 86 110 through through IN cord-291036-j6ybcv93 86 111 foodselected foodselected JJ cord-291036-j6ybcv93 86 112 sites site NNS cord-291036-j6ybcv93 86 113 , , , cord-291036-j6ybcv93 86 114 United United NNP cord-291036-j6ybcv93 86 115 States States NNP cord-291036-j6ybcv93 87 1 The the DT cord-291036-j6ybcv93 87 2 US US NNP cord-291036-j6ybcv93 87 3 needs need VBZ cord-291036-j6ybcv93 87 4 a a DT cord-291036-j6ybcv93 87 5 national national JJ cord-291036-j6ybcv93 87 6 laboratory laboratory NN cord-291036-j6ybcv93 87 7 system system NN cord-291036-j6ybcv93 88 1 Bioterrorismrelated Bioterrorismrelated NNP cord-291036-j6ybcv93 88 2 inhalational inhalational JJ cord-291036-j6ybcv93 88 3 anthrax anthrax NN cord-291036-j6ybcv93 88 4 : : : cord-291036-j6ybcv93 88 5 the the DT cord-291036-j6ybcv93 88 6 first first JJ cord-291036-j6ybcv93 88 7 10 10 CD cord-291036-j6ybcv93 88 8 cases case NNS cord-291036-j6ybcv93 88 9 reported report VBN cord-291036-j6ybcv93 88 10 in in IN cord-291036-j6ybcv93 88 11 the the DT cord-291036-j6ybcv93 88 12 United United NNP cord-291036-j6ybcv93 88 13 States States NNP cord-291036-j6ybcv93 88 14 The the DT cord-291036-j6ybcv93 88 15 Laboratory Laboratory NNP cord-291036-j6ybcv93 88 16 Response Response NNP cord-291036-j6ybcv93 88 17 Network Network NNP cord-291036-j6ybcv93 88 18 for for IN cord-291036-j6ybcv93 88 19 bioterrorism bioterrorism NN