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evaluation of national tsutsugamushi disease surveillance--japan, 2000.in japan, tsutsugamushi disease, which is caused by orientia tsutsugamushi, is re-emerging with newly recognized strains and is now endemic in all prefectures except hokkaido and okinawa. we analyzed recent surveillance data to describe the epidemiology of tsutsugamushi disease and to evaluate the newly implemented national surveillance system according to the cdc guidelines for evaluating surveillance systems. in 2000, 756 cases of tsutsugamushi disease were reported from 37 of 47 prefectures; ...200212606829
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