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"noninfectious" Definitions
  1. not infectious or caused by infection
"noninfectious" Antonyms

67 Sentences With "noninfectious"

How to use noninfectious in a sentence? Find typical usage patterns (collocations)/phrases/context for "noninfectious" and check conjugation/comparative form for "noninfectious". Mastering all the usages of "noninfectious" from sentence examples published by news publications.

Neither had passed the disease to their children, so even close family contact seemed noninfectious.
Creating a stable, noninfectious immunogen to prepare the immune system for the real thing has its limitations.
The lack of progress is especially disheartening considering that H.I.V. medications, when properly administered, render patients almost totally noninfectious.
They produced a noninfectious flu vaccine that would protect against the very deadly Indonesia H5N1 flu virus in an expedited process.
All of our patients underwent evaluation, and after the clinical evaluation we found a certain type of pneumonia that was noninfectious.
"Even though cases appear similar, it's not clear if they have a common cause," said Ileana Arias, acting deputy director for noninfectious diseases for the CDC.
And most laws do not account for prevention measures, such as using condoms or taking drugs that eliminate the virus from the bloodstream, essentially making the individual noninfectious.
A more reliable guide is the natural course of infection, which can be divided into three phases: incubation (infectious without symptoms), symptomatic/infectious, and recovery (noninfectious with symptoms).
The only way to make prions noninfectious is by using lye, a strong alkaline solution that drastically changes the pH balance, and autoclaving — or pressure-treating them — at 270 degrees Fahrenheit.
Dawson and his team spread a noninfectious E. coli strain on people's hands and then measured how much was transferred to the popcorn they picked up and the kernels left in the bowl.
Aldeyra, which is also testing the eye drug in noninfectious anterior uveitis, said it would await data from that mid-stage study to decide on which indication to be pursued in terms of clinical trials.
As was I; we treat pertussis with antibiotics, which make the sick person noninfectious, but the cough, which is severe enough to cause rib fractures in some unfortunate patients, can persist for six weeks or more.
In addition to the four diseases highlighted in the report, noncommunicable diseases include endocrine, blood and immune disorders; noninfectious respiratory, digestive (including liver) and genitourinary diseases; neurological conditions; mental and substance-use disorders; congenital anomalies; and sense organ, skin, musculoskeletal and oral or dental conditions.
The diagnosis of this stage is positive serology. Because the bacteria remains inactive, the late latent syphilis does not spread and is noninfectious.
In botany and agriculture, stunting describes a plant disease that results in dwarfing and loss of vigor. It may be caused by infectious or noninfectious means.
Recent medical advances allows rapid polymerase chain reaction (PCR) testing that analyzes the CSF for DNA or RNA. This can quickly determine if there are bacterial or viral species present in the CSF. If these are ruled out, as well as other causes such as parasitic or fungal causes, then the cause of the meningitis is likely noninfectious in nature. DIAM is among these noninfectious causes of aseptic meningitis.
The risk associated with no incineration is potential spread of infectious diseases, or even no hospitals. Further investigation identifies options such as separating noninfectious from infectious wastes, or air pollution controls on a medical incinerator.
Additionally, sexually active patients are at risk for hematogenous spread due to Neisseria gonorrhoeae (see infectious arthritis). Common noninfectious tenosynovitis are: stenosing tenosynovitis, intersection syndrome, extensor pollicis longus (EPL) tenosynovitis, de Quervain's and fourth compartment tenosynovitis.
The CDC's programs address more than 400 diseases, health threats, and conditions that are major causes of death, disease, and disability. The CDC's website has information on various infectious (and noninfectious) diseases, including smallpox, measles, and others.
Some food-related conditions associated with nausea, vomiting, and diarrhea include: ciguatera poisoning due to consumption of contaminated predatory fish, scombroid associated with the consumption of certain types of spoiled fish, tetrodotoxin poisoning from the consumption of puffer fish among others, and botulism typically due to improperly preserved food. In the United States, rates of emergency department use for noninfectious gastroenteritis dropped 30% from 2006 until 2011. Of the twenty most common conditions seen in the emergency department, rates of noninfectious gastroenteritis had the largest decrease in visits in that time period.
Lateral (tree-to-tree) infection is slow and fruit production is reduced. Severe infection may result in the death of the tree.USDA-ARS. 1976. Virus Diseases and Noninfectious Diseases of Stone Fruits in North America. Agriculture Handbook 437.
Acute dacryoadenitis is most commonly due to viral or bacterial infection. Common causes include mumps, Epstein-Barr virus, staphylococcus, and gonococcus. Chronic dacryoadenitis is usually due to noninfectious inflammatory disorders. Examples include sarcoidosis, thyroid eye disease, and orbital pseudotumor.
The USA does not allow civets to be imported, as the species can transmit the SARS virus. The USA does however permit the importation of civet oil, as long as it has been treated to ensure it is noninfectious.
Guttate psoriasis has drop-shaped lesions. Pustular psoriasis presents as small, noninfectious, pus- filled blisters. Inverse psoriasis forms red patches in skin folds. Erythrodermic psoriasis occurs when the rash becomes very widespread, and can develop from any of the other types.
Idiopathic interstitial pneumonia (IIP), or noninfectious pneumonia are a class of diffuse lung diseases. These diseases typically affect the pulmonary interstitium, although some also have a component affecting the airways (for instance, cryptogenic organizing pneumonitis). There are seven recognized distinct subtypes of IIP.
Systemic inflammatory response syndrome (SIRS), is an inflammatory state affecting the whole body. It is the body's response to an infectious or noninfectious insult. Although the definition of SIRS refers to it as an "inflammatory" response, it actually has pro- and anti-inflammatory components.
Retrieved June 20, 2012 In 2019, the U.K.'s National Institute of Health and Care Excellence has recommended funding for ILUVIEN as treatment for noninfectious posterior uveitis. The drug has also been indicated for and funded for the treatment of diabetic macular edema in the United Kingdom.
Houston, David R. 1971. Noninfectious diseases of oaks. In: Oak symposium: Proceedings; 1971 August 16–20; Morgantown, WV. Upper Darby, PA: U.S. Department of Agriculture, Forest Service, Northeastern Forest Experiment Station: 118-123. [9088] Dried oak leaves are also occasionally eaten by white-tailed deer in the fall or winter.
Further investigation identifies options such as separating noninfectious from infectious wastes, or air pollution controls on a medical incinerator. Intelligent thought about a reasonably full set of options is essential. Thus, it is not unusual for there to be an iterative process between analysis, consideration of options, and follow up analysis.
Murid gammaherpesvirus 68 lack gL, gH misfolds. When alpha- or betaherpesviruses lack gL, they are noninfectious. Murid gammaherpesvirus 68 lacks gL, it remains infectious but is less able to bind to fibroblasts and epithelial cells. The open reading frame M7 of the MuHV-68 genome encodes for the surface receptor glycoprotein 150 (gp150).
Those people with accompanying disorders had the worst prognosis and those people with CVID only had frequent infections had the longest survival rates, with life expectancy almost equalling that of the general UK population. Additionally, people with CVID with one or more noninfectious complications have an 11 times higher risk of death as compared to people with only infections.
Livestock Conservation Institute; 1991; 49-51. Animal biosecurity may protect organisms from infectious agents or noninfectious agents such as toxins or pollutants, and can be executed in areas as large as a nation or as small as a local farm.5\. Anderson, F. Biosecurity - a new term for an old concept: how to apply it. Bovine Practitioner; 1998; 32:61-70.
Applying Goffman's definition, he explained various instances of leprosy stigma both in Europe and in other parts of the world.Leprosy Stigma Jopling W Lepr Rev 1991, 62,1-12. The general public has many misconceptions about leprosy and health authorities should launch an information campaign that the disease is curable and patients on treatment are noninfectious. Various factors are present, including religions and laws.
Severe Generalized pustular psoriasis Pustular psoriasis appears as raised bumps filled with noninfectious pus (pustules). The skin under and surrounding the pustules is red and tender. Pustular psoriasis can either be localized or more widespread throughout the body. Two types of localized pustular psoriasis include psoriasis pustulosa palmoplantaris and acrodermatitis continua of Hallopeau; both forms are localized to the hands and feet.
A genital ulcer is an open sore located on the genital area, which includes the vulva, penis, perianal region, or anus. Genital ulcers are most commonly caused by infectious agents (fungal infections, secondary bacterial infections, or sexually transmitted diseases such as genital herpes, syphilis or chancroid). However, this is not always the case, as a genital ulcer may have noninfectious causes as well.
Meningitis, whether acute or chronic, is by definition an inflammation of the meninges. This can be due to both infectious or non-infectious reasons. DIAM is a noninfectious meningitis that is associated with the use of certain medications listed above. The pathogenesis of DIAM is poorly understood and may be related to autoimmune hypersensitivity reactions, although it may vary depending on the inciting medication.
Idiopathic interstitial pneumonia or noninfectious pneumonia is a class of diffuse lung diseases. They include diffuse alveolar damage, organizing pneumonia, nonspecific interstitial pneumonia, lymphocytic interstitial pneumonia, desquamative interstitial pneumonia, respiratory bronchiolitis interstitial lung disease, and usual interstitial pneumonia. Lipoid pneumonia is another rare cause due to lipids entering the lung. These lipids can either be inhaled or spread to the lungs from elsewhere in the body.
The scientists of the Triple G. and Annuncio have the mission to find out what killed them. For the first two weeks after landing, everyone remains aboard while the scientists take readings. After Rodriguez, the expedition's microbiologist, declares that the local life forms are noninfectious, a handful of scientists, plus Annuncio, travel to the original site of the colony. Relations between the scientists and Annuncio deteriorate rapidly.
This leads to the formation of noninfectious, immature virus particles, incapable of infecting other cells. No other class of drugs shares this mechanism of action, thus maturation inhibitors retain inhibitory activity against HIV infections with resistance. There are no currently available drugs from the class; however several clinical trials have been conducted. The first maturation inhibitor to be studied in humans was bevirimat, another was MPC-9055 (vivecon).
Once infectious causes ruled out, noninfectious causes should be investigated. These include a history of chemical irritation from recent surgery or chemicals injected into the subarachnoid space such as spinal anesthesia, other inflammatory or vascular conditions such as sarcoidosis or vasculitis, as well as Neoplastic conditions such as lymphoma. CSF analysis tends to show inflammatory changes in DIAM such as elevated white blood cells and elevated protein levels. Glucose was either normal or low.
Currently, no vaccine exists to prevent infection by all parvoviruses, but recently, the virus's capsid proteins, which are noninfectious molecules, have been suggested acting as antigens for improving of vaccines. For pig vaccine, inactivated live, monovalent combined, most contain old PPV-1 strains to protect already positive sows. Vaccinate after 6 months, once or twice before mating, and repeat yearly. Antivirals and human immunoglobulin-sourced treatments are usually for relief of symptoms.
Gene therapy is currently under investigation. It involves the use of a noninfectious virus to shuttle a gene into a part of the brain. The gene used leads to the production of an enzyme which helps to manage PD symptoms or protects the brain from further damage. One of the gene therapy based approach involves gene delivery of neurturin and gilial cell-derived neurotrophic factor (GDNF) to the putamen in patients with advanced Parkinson’s disease.
In markedly increased ESR of over 100 mm/h, infection is the most common cause (33% of cases in an American study), followed by cancer (17%), kidney disease (17%) and noninfectious inflammatory disorders (14%). -Which cites: Yet, in pneumonia the ESR stays under 100. The usefulness of the ESR in current practice has been questioned by some, as it is a relatively imprecise and non-specific test compared to other available diagnostic tests.
The root cause of the condition is not entirely clear, and it appears to have multiple causes, including iatrogenic cause from misplaced epidural steroid injection therapy when accidentally administered intrathecally (inside the dura mater, the sac enveloping the arachnoid mater), or from contrast media used in myelography prior to the introduction of metrizamide. Other noninfectious inflammatory processes include surgery, intrathecal hemorrhage, and the administration of anesthetics (e.g. chloroprocaine), and steroids (e.g. prednisolone, triamcinolone acetonide).
40(21): p. 3941-3961. Bioaerosols are also associated with some noninfectious airway diseases, such as allergies and asthma. As a known component of indoor bioaerosol, β(1→3)-glucan (cell wall components of most fungi) is proposed to be the causative agent of mold-induced nonallergic inflammatory reactions. It is reported that 25%-30% of allergenic asthma cases in industrialised countries are induced by fungi, which has been the focus of concerns about human exposure to airborne microorganisms in recent years.
As the sarcocyst matures, the small, rounded, noninfectious metrocytes give rise to crescent-shaped bodies called bradyzoites (also known as "bradyzoic merozoites") that are infectious for the definitive host. The time required for maturation varies with the species and may take 2 months or more. In species in which symptoms develop, these typically occur 20–40 days after ingestion of sporocysts and during the subsequent migration of sporozoites through the body vessels. Acute lesions (oedema, hemorrhages, and necrosis) develop in the affected tissues.
In addition, C. pneumoniae infection tends to be persistence due to IFN-γ, penicillin and nutrient deficiencies. These deficiencies prevent C.pneumoniae from completing their normal developmental cycle, leading to the formation of aberrant, noninfectious C. pneumoniae that persist in the human host. C. pneumonia infection may not only be persistent and chronic, but it also has irreversible tissue injury and scarring processes, which are symptoms in asthma patients. Infection with C. pneumoniae induces both humoral and cell-mediated immune responses.
An unstained T. gondii tissue cyst, 200px Like tachyzoites, merozoites divide quickly, and are responsible for expanding the population of the parasite inside the cat's intestine before sexual reproduction. When a feline definitive host consumes a tissue cyst (containing bradyzoites), bradyzoites convert into merozoites inside intestinal epithelial cells. Following a brief period of rapid population growth in the intestinal epithelium, merozoites convert into the noninfectious sexual stages of the parasite to undergo sexual reproduction, eventually resulting in zygote-containing oocysts.
The Duesberg hypothesis is the claim, associated with University of California, Berkeley professor Peter Duesberg, that various noninfectious factors such as but not limited to, recreational and pharmaceutical drug use are the cause of AIDS, and that HIV (human immunodeficiency virus) is merely a harmless passenger virus. The scientific consensus is that the Duesberg hypothesis is incorrect and that HIV is the cause of AIDS.World Health Organization HIV and AIDS Programme, from the World Health Organization website. Retrieved 9 March 2007.
The vaccine was approved in 1981. The blood-derived hepatitis B vaccine was withdrawn from the marketplace in 1986, when Pablo DT Valenzuela, Research Director of Chiron Corporation, succeeded in making the antigen in yeast and invented the world's first recombinant vaccine. The recombinant vaccine was developed by inserting the HBV gene that codes for the surface protein into the yeast Saccharomyces cerevisiae. This allows the yeast to produce only the noninfectious surface protein, without any danger of introducing actual viral DNA into the final product.
After division, the reticulate body transforms back to the elementary form and is released by the cell by exocytosis. Studies on the growth cycle of Ch. trachomatis and Ch. psittaci in cell cultures in vitro reveal that the infectious elementary body (EB) develops into a noninfectious reticulate body (RB) within a cytoplasmic vacuole in the infected cell. After the elementary body enters the infected cell, an eclipse phase of 20 hours occurs while the infectious particle develops into a reticulate body. The yield of chlamydial elementary bodies is maximal 36 to 50 hours after infection.
This treatment alone is not wholly effective, and many people still experience other symptoms like lung disease and noninfectious inflammatory symptoms. CVID was first diagnosed over 60 years ago, and since has emerged as the predominant class of primary antibody deficiencies. CVID is formally diagnosed by levels of IgG and IgA more than two standard deviations below the norm, and no other cause for hypogammaglobulinemia, an abnormally low level of immunoglobulins in the blood. It is thought to affect between 1 in 25,000 to 1 in 50,000 people worldwide.
Thyroiditis is generally caused by an immune system attack on the thyroid, resulting in inflammation and damage to the thyroid cells. This disease is often considered a malfunction of the immune system and can be associated with IgG4-related systemic disease, in which symptoms of autoimmune pancreatitis, retroperitoneal fibrosis and noninfectious aortitis also occur. Such is also the case in Riedel thyroiditis, an inflammation in which the thyroid tissue is replaced by fibrous tissue which can extend to neighbouring structures. Antibodies that attack the thyroid are what causes most types of thyroiditis.
Fluocinolone acetonide is a synthetic corticosteroid as potent as dexamethasone, but with a much lower water solubility, which could be accounted for the extended period of release from the intravitreal implant injected. It was also proven to have a localized effect in the posterior segment of the eye and is not absorbed into the systemic circulation, thus less likely to give rise to systemic adverse effect. The medication could be used in treatment for noninfectious posterior uveitis and diabetic macular edema, while applications in the management of other ophthalmic diseases are still under research.
Secondly, siRNAs corresponding to sequences from viroid genomes have been isolated from infected plants. Finally, transgenic expression of the noninfectious hpRNA of potato spindle tuber viroid develops all the corresponding viroid-like symptoms. This indicates that when viroids replicate via a double stranded intermediate RNA, they are targeted by a dicer enzyme and cleaved into siRNAs that are then loaded onto the RNA-induced silencing complex. The viroid siRNAs contain sequences capable of complementary base pairing with the plant's own messenger RNAs, and induction of degradation or inhibition of translation causes the classic viroid symptoms.
Other conditions may give rise to blepharitis, whether they be infectious or noninfectious, including, but not limited to, bacterial infections or allergies. Different variations of blepharitis can be classified as seborrheic, staphylococcal, mixed, posterior or meibomitis, or parasitic. In a survey of US ophthalmologists and optometrists, 37% to 47% of patients seen by those surveyed had signs of blepharitis, which can affect all ages and ethnic groups. One single-center study of 90 patients with chronic blepharitis found that the average age of patients was 50 years old.
Bacteriophage T7 (or the T7 phage) is a bacteriophage, a virus that infects bacteria. It infects most strains of an Escherichia coli and relies on these hosts to propagate. Bacteriophage T7 has a lytic life cycle, meaning that it destroys the cell it infects. It also possesses several properties that make it an ideal phage for experimentation: its purification and concentration have produced consistent values in chemical analyses; it can be rendered noninfectious by exposure to UV light; and it can be used in phage display to clone RNA binding proteins.
Osteitis pubis is a noninfectious inflammation of the pubis symphysis (also known as the pubic symphysis, symphysis pubis, or symphysis pubica), causing varying degrees of lower abdominal and pelvic pain. Osteitis pubis was first described in patients who had undergone suprapubic surgery, and it remains a well-known complication of invasive procedures about the pelvis. It may also occur as an inflammatory process in athletes. The incidence and cause of osteitis pubis as an inflammatory process versus an infectious process continues to fuel debate among physicians when confronted by a patient who presents complaining of abdominal pain or pelvic pain and overlapping symptoms.
The broadness of the differential diagnosis is a challenge to timely diagnosis of Kawasaki disease. Infectious and noninfectious conditions requiring consideration include: measles and other viral infections (e.g. adenovirus, enterovirus); staphylococcal and streptococcal toxin-mediated diseases such as scarlet fever and toxic shock syndrome; drug hypersensitivity reactions (including Stevens Johnson syndrome); systemic onset juvenile idiopathic arthritis; Rocky Mountain spotted fever or other rickettsial infections; and leptospirosis. Infectious conditions that can mimic Kawasaki disease include periorbital cellulitis, peritonsillar abscess, retropharyngeal abscess, cervical lymphadenitis, parvovirus B19, mononucleosis, rheumatic fever, meningitis, staphylococcal scalded skin syndrome, toxic epidermal necrolysis, and Lyme disease.
Two vaccines are used throughout the world to combat poliomyelitis. The first polio vaccine, developed by Jonas Salk, is an inactivated poliovirus vaccine (IPV), consisting of a mixture of three wild, virulent strains of poliovirus, grown in a type of monkey kidney tissue culture (Vero cell line), and made noninfectious by formalin treatment. The second vaccine, an oral polio vaccine (OPV), is a live-attenuated vaccine, produced by the passage of the virus through non-human cells at a sub- physiological temperature. The passage of virus produces mutations within the viral genome, and hinders the virus's ability to infect nervous tissue.
A broad differential diagnosis can be performed that looks at many potential causes of the encephalitis, infectious and noninfectious. Potential alternatives to viral encephalitis include malignancy, autoimmune or paraneoplastic diseases such as anti-NMDA receptor encephalitis, a brain abscess, tuberculosis or drug-induced delirium, exposure to certain drugs or toxins, neurosyphilis, vascular disease, metabolic disease, or encephalitis from infection caused by a bacterium, fungus, protozoan, or parasitic worm. In children, differential diagnosis may not be able to distinguish between viral encephalitis and immune-mediated inflammatory CNS diseases, such as acute disseminated encephalomyelitis, as well as immune-mediated encephalitis, so other diagnostic methods may need to be used.
Viral vectors are generally genetically engineered viruses carrying modified viral DNA or RNA that has been rendered noninfectious, but still contain viral promoters and also the transgene, thus allowing for translation of the transgene through a viral promoter. However, because viral vectors frequently are lacking infectious sequences, they require helper viruses or packaging lines for large-scale transfection. Viral vectors are often designed for permanent incorporation of the insert into the host genome, and thus leave distinct genetic markers in the host genome after incorporating the transgene. For example, retroviruses leave a characteristic retroviral integration pattern after insertion that is detectable and indicates that the viral vector has incorporated into the host genome.
While the original authors conservatively noted that it is "too early to tell" whether MCV is a cause of Merkel cell carcinoma, general scientific opinion now suggests that the virus causes most, but not all Merkel cell tumors. The virus is monoclonally integrated into the tumor when present, indicating that the proto-tumor cell was infected with the virus prior to its cancerous expansion. Mutations in the T antigen render the virus noninfectious, and therefore it is not a passenger virus that infected the tumor after the tumor had already started. Finally, the T antigen oncogene is expressed in all of the tumor cells and when it is inhibited ("knocked down" by RNAi), MCV-positive cells die.
Of the pathways linking the non-pathogenic stressors associated with depression to inflammation, inflammasome activation has been highlighted as one of the most promising. While major depression is associated with increased inflammasome activation in general, the NLRP3 inflammasome complex has received the most attention in relation to major depression due to both its role in triggering the release of interleukin-1β and interleukin-18 and its association with depression and depression-like symptoms in both humans and non-human animals. Compared to other inflammasomes, NLPR3 is sensitive to a greater number and variety of stressors and has been shown to result in inflammation without the presence of pathogens. This is possible due to NLPR3's sensitivity to a wide range of danger-associated molecular patterns (DAMPs), which can indicate the presence of various forms noninfectious stressors throughout the body.
In addition, there were efforts to establish a Child Health Assurance Program to improve prevention by broadening eligibility for the existing Medicaid Early and Periodic Screening, Diagnosis and Treatment Program. At PHS Richmond remains best known for his leadership in devising and implementing quantitative goals for public health, first published in 1979 as Healthy People: The Surgeon General’s Report on Health Promotion and Disease Prevention. Healthy People moved PHS beyond its limited capabilities to lessen disparities in health services provision, to spur change by getting information out to journalists, health departments, and others about gains already made in reduced mortality from noninfectious causes. Richmond and Secretary Califano drew on the precedent of former Surgeon General Luther Terry's 1964 Report on Smoking and Health to build professional and public consensus toward making prevention key to PHS's efforts.
Two types of vaccines for FeLV are available: an adjuvanted killed virus noninfectious vaccine and a nonadjuvanted canarypox virus- vectored recombinant infectious vaccine ( ATCvet code QI066AA01 and various combination vaccines), though no currently available vaccine offers 100% protection from the virus. Vaccination is recommended for high-risk cats: those that have access to the outdoors, feral cats, cats that do not have the virus but live with an infected cat, multicat households, and cats with an unknown status, such as cats in catteries and shelters. Serious side effects have also been reported as a result of FeLV vaccination; in particular, a small percentage of cats who received the adjuvanted killed virus vaccine developed vaccine-associated sarcomas, an aggressive tumour, at the injection site. The development of sarcomas with the use of the old FeLV and other vaccines may be due to the inflammation caused by aluminium adjuvants in the vaccines.
The 1999 estimate looked at three plausible scenarios for the course of the infectious disease threat over the next 20 years: :#Steady progress to a "health transition" in which such noninfectious diseases as heart disease and cancer would replace infectious diseases as the overarching global health challenge. The intelligence community states this is unlikely, givem inadequate emphasis to persistent demographic and socioeconomic challenges in the developing countries, to increasing microbial resistance to existing antibiotics, and because related models have already underestimated the force of major killers such as HIV/AIDS, TB, and malaria. :#"Progress stymied" is a more pessimistic—and more plausible—scenario projects little or no progress in countering infectious diseases over the duration of this Estimate. Under this scenario, HIV/AIDS reaches catastrophic proportions as the virus spreads throughout the vast populations of India, China, the former Soviet Union, and Latin America, while multidrug treatments encounter microbial resistance and remain prohibitively expensive for developing countries.

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