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gram-positive rod surveillance for early anthrax detection.connecticut established telephone-based gram-positive rod (gpr) reporting primarily to detect inhalational anthrax cases more quickly. from march to december 2003, annualized incidence of blood isolates was 21.3/100,000 persons; reports included 293 corynebacterium spp., 193 bacillus spp., 73 clostridium spp., 26 lactobacillus spp., and 49 other genera. around-the-clock gpr reporting has described gpr epidemiology and enhanced rapid communication with clinical laboratories.200516229790
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