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establishment of the milk-borne transmission as a key factor for the peculiar endemicity of human t-lymphotropic virus type 1 (htlv-1): the atl prevention program nagasaki.in late 2010, the nation-wide screening of pregnant women for human t-lymphotropic virus type 1 (htlv-1) infection was implemented in japan to prevent milk-borne transmission of htlv-1. in the late 1970s, recognition of the adult t-cell leukemia (atl) cluster in kyushu, japan, led to the discovery of the first human retrovirus, htlv-1. in 1980, we started to investigate mother-to-child transmission (mtct) for explaining the peculiar endemicity of htlv-1. retrospective and prospective epidemiolog ...201121558754
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