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Pages 1-4

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From page 1...
... However, the committee was able to identify distinctive clinical features, consider possible causes, evaluate plausible mechanisms and rehabilitation efforts, and offer recommendations for future planning and responses. CLINICAL FEATURES A distinct set of unusual clinical manifestations occurred abruptly in some individuals at the onset of their illness, and the illness became chronic and debilitating for some, but not for all.
From page 2...
... However, after reviewing the medical and public health literature, the committee found it highly unlikely that Zika was the cause of the constellation of signs and symptoms reported among DOS personnel. The acute initial, sudden-onset, distinctive, and unusual symptoms and signs are difficult to ascribe to psychological and social factors.
From page 3...
... The committee suggests that DOS utilize an expert panel described in Section 6 to provide advice on the collection of routine medical data. In addition to the collection of data pertaining to individual diplomats, it is critical that additional public health and epidemiological surveillance data be obtained to provide the temporal and geographic context for the health presentation of individuals.
From page 4...
... Program may serve as a valuable model for a coordinated system-wide research response to public health emergencies. In addition, to facilitate early identification of health threats to Embassy personnel, the committee suggests an expanded role for health attachés.

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