id sid tid token lemma pos cord-345238-p841weif 1 1 key key NN cord-345238-p841weif 1 2 : : : cord-345238-p841weif 2 1 cord-345238-p841weif cord-345238-p841weif JJ cord-345238-p841weif 2 2 authors author NNS cord-345238-p841weif 2 3 : : : cord-345238-p841weif 2 4 Magalhaes Magalhaes NNPS cord-345238-p841weif 2 5 , , , cord-345238-p841weif 2 6 Tereza Tereza NNP cord-345238-p841weif 2 7 ; ; : cord-345238-p841weif 2 8 Chalegre Chalegre NNP cord-345238-p841weif 2 9 , , , cord-345238-p841weif 2 10 Karlos Karlos NNP cord-345238-p841weif 2 11 Diogo Diogo NNP cord-345238-p841weif 2 12 M. M. NNP cord-345238-p841weif 2 13 ; ; : cord-345238-p841weif 2 14 Braga Braga NNP cord-345238-p841weif 2 15 , , , cord-345238-p841weif 2 16 Cynthia Cynthia NNP cord-345238-p841weif 2 17 ; ; : cord-345238-p841weif 2 18 Foy Foy NNP cord-345238-p841weif 2 19 , , , cord-345238-p841weif 3 1 Brian Brian NNP cord-345238-p841weif 3 2 D. D. NNP cord-345238-p841weif 3 3 title title NN cord-345238-p841weif 3 4 : : : cord-345238-p841weif 4 1 The the DT cord-345238-p841weif 4 2 Endless Endless NNP cord-345238-p841weif 4 3 Challenges challenge NNS cord-345238-p841weif 4 4 of of IN cord-345238-p841weif 4 5 Arboviral Arboviral NNP cord-345238-p841weif 4 6 Diseases Diseases NNPS cord-345238-p841weif 4 7 in in IN cord-345238-p841weif 4 8 Brazil Brazil NNP cord-345238-p841weif 4 9 date date NN cord-345238-p841weif 4 10 : : : cord-345238-p841weif 4 11 2020 2020 CD cord-345238-p841weif 4 12 - - HYPH cord-345238-p841weif 4 13 05 05 CD cord-345238-p841weif 4 14 - - HYPH cord-345238-p841weif 4 15 09 09 CD cord-345238-p841weif 4 16 journal journal NN cord-345238-p841weif 4 17 : : : cord-345238-p841weif 5 1 Trop Trop NNP cord-345238-p841weif 5 2 Med Med NNP cord-345238-p841weif 5 3 Infect infect VB cord-345238-p841weif 5 4 Dis dis NN cord-345238-p841weif 5 5 DOI doi NN cord-345238-p841weif 5 6 : : : cord-345238-p841weif 6 1 10.3390 10.3390 CD cord-345238-p841weif 6 2 / / SYM cord-345238-p841weif 6 3 tropicalmed5020075 tropicalmed5020075 NNP cord-345238-p841weif 6 4 sha sha NNP cord-345238-p841weif 6 5 : : : cord-345238-p841weif 6 6 31163835c7fd69ca235009de4e81a95a2aa1bd2a 31163835c7fd69ca235009de4e81a95a2aa1bd2a CD cord-345238-p841weif 6 7 doc_id doc_id CD cord-345238-p841weif 6 8 : : : cord-345238-p841weif 6 9 345238 345238 CD cord-345238-p841weif 6 10 cord_uid cord_uid NNS cord-345238-p841weif 6 11 : : : cord-345238-p841weif 6 12 p841weif p841weif JJ cord-345238-p841weif 7 1 In in IN cord-345238-p841weif 7 2 this this DT cord-345238-p841weif 7 3 Editorial Editorial NNP cord-345238-p841weif 7 4 , , , cord-345238-p841weif 7 5 we -PRON- PRP cord-345238-p841weif 7 6 list list VBP cord-345238-p841weif 7 7 and and CC cord-345238-p841weif 7 8 discuss discuss VBP cord-345238-p841weif 7 9 some some DT cord-345238-p841weif 7 10 of of IN cord-345238-p841weif 7 11 the the DT cord-345238-p841weif 7 12 main main JJ cord-345238-p841weif 7 13 challenges challenge NNS cord-345238-p841weif 7 14 faced face VBN cord-345238-p841weif 7 15 by by IN cord-345238-p841weif 7 16 the the DT cord-345238-p841weif 7 17 population population NN cord-345238-p841weif 7 18 and and CC cord-345238-p841weif 7 19 public public JJ cord-345238-p841weif 7 20 health health NN cord-345238-p841weif 7 21 authorities authority NNS cord-345238-p841weif 7 22 in in IN cord-345238-p841weif 7 23 Brazil Brazil NNP cord-345238-p841weif 7 24 concerning concern VBG cord-345238-p841weif 7 25 arbovirus arbovirus NN cord-345238-p841weif 7 26 infections infection NNS cord-345238-p841weif 7 27 , , , cord-345238-p841weif 7 28 including include VBG cord-345238-p841weif 7 29 the the DT cord-345238-p841weif 7 30 occurrence occurrence NN cord-345238-p841weif 7 31 of of IN cord-345238-p841weif 7 32 concurrent concurrent JJ cord-345238-p841weif 7 33 epidemics epidemic NNS cord-345238-p841weif 7 34 like like IN cord-345238-p841weif 7 35 the the DT cord-345238-p841weif 7 36 ongoing ongoing JJ cord-345238-p841weif 7 37 SARS SARS NNP cord-345238-p841weif 7 38 - - HYPH cord-345238-p841weif 7 39 CoV-2 CoV-2 NNP cord-345238-p841weif 7 40 / / SYM cord-345238-p841weif 7 41 COVID-19 COVID-19 NNP cord-345238-p841weif 7 42 pandemic pandemic NN cord-345238-p841weif 7 43 . . . cord-345238-p841weif 8 1 The the DT cord-345238-p841weif 8 2 cross cross NN cord-345238-p841weif 8 3 - - NN cord-345238-p841weif 8 4 reactivity reactivity NN cord-345238-p841weif 8 5 between between IN cord-345238-p841weif 8 6 DENV DENV NNP cord-345238-p841weif 8 7 and and CC cord-345238-p841weif 8 8 ZIKV ZIKV NNP cord-345238-p841weif 8 9 serological serological JJ cord-345238-p841weif 8 10 assays assay NNS cord-345238-p841weif 8 11 are be VBP cord-345238-p841weif 8 12 due due JJ cord-345238-p841weif 8 13 to to IN cord-345238-p841weif 8 14 similar similar JJ cord-345238-p841weif 8 15 antigenic antigenic JJ cord-345238-p841weif 8 16 regions region NNS cord-345238-p841weif 8 17 of of IN cord-345238-p841weif 8 18 viral viral JJ cord-345238-p841weif 8 19 proteins protein NNS cord-345238-p841weif 8 20 of of IN cord-345238-p841weif 8 21 these these DT cord-345238-p841weif 8 22 genetically genetically RB cord-345238-p841weif 8 23 related relate VBN cord-345238-p841weif 8 24 flaviviruses flavivirus NNS cord-345238-p841weif 8 25 that that WDT cord-345238-p841weif 8 26 can can MD cord-345238-p841weif 8 27 be be VB cord-345238-p841weif 8 28 recognized recognize VBN cord-345238-p841weif 8 29 by by IN cord-345238-p841weif 8 30 the the DT cord-345238-p841weif 8 31 same same JJ cord-345238-p841weif 8 32 antibodies antibody NNS cord-345238-p841weif 8 33 . . . cord-345238-p841weif 9 1 Besides besides IN cord-345238-p841weif 9 2 being be VBG cord-345238-p841weif 9 3 an an DT cord-345238-p841weif 9 4 issue issue NN cord-345238-p841weif 9 5 in in IN cord-345238-p841weif 9 6 serological serological JJ cord-345238-p841weif 9 7 tests test NNS cord-345238-p841weif 9 8 , , , cord-345238-p841weif 9 9 cross cross JJ cord-345238-p841weif 9 10 - - JJ cord-345238-p841weif 9 11 reactive reactive JJ cord-345238-p841weif 9 12 DENV DENV NNP cord-345238-p841weif 9 13 and and CC cord-345238-p841weif 9 14 ZIKV ZIKV NNP cord-345238-p841weif 9 15 immunity immunity NN cord-345238-p841weif 9 16 can can MD cord-345238-p841weif 9 17 have have VB cord-345238-p841weif 9 18 important important JJ cord-345238-p841weif 9 19 epidemiological epidemiological JJ cord-345238-p841weif 9 20 implications implication NNS cord-345238-p841weif 9 21 in in IN cord-345238-p841weif 9 22 places place NNS cord-345238-p841weif 9 23 where where WRB cord-345238-p841weif 9 24 these these DT cord-345238-p841weif 9 25 viruses virus NNS cord-345238-p841weif 9 26 co co VBP cord-345238-p841weif 9 27 - - VB cord-345238-p841weif 9 28 circulate circulate VB cord-345238-p841weif 9 29 . . . cord-345238-p841weif 10 1 For for IN cord-345238-p841weif 10 2 instance instance NN cord-345238-p841weif 10 3 , , , cord-345238-p841weif 10 4 in in IN cord-345238-p841weif 10 5 vitro vitro FW cord-345238-p841weif 10 6 , , , cord-345238-p841weif 10 7 in in IN cord-345238-p841weif 10 8 vivo vivo NN cord-345238-p841weif 10 9 and and CC cord-345238-p841weif 10 10 epidemiological epidemiological JJ cord-345238-p841weif 10 11 studies study NNS cord-345238-p841weif 10 12 have have VBP cord-345238-p841weif 10 13 shown show VBN cord-345238-p841weif 10 14 that that IN cord-345238-p841weif 10 15 pre pre JJ cord-345238-p841weif 10 16 - - JJ cord-345238-p841weif 10 17 existing existing JJ cord-345238-p841weif 10 18 DENV DENV NNP cord-345238-p841weif 10 19 immunity immunity NN cord-345238-p841weif 10 20 can can MD cord-345238-p841weif 10 21 either either CC cord-345238-p841weif 10 22 protect protect VB cord-345238-p841weif 10 23 or or CC cord-345238-p841weif 10 24 enhance enhance VB cord-345238-p841weif 10 25 ZIKV zikv NN cord-345238-p841weif 10 26 infection infection NN cord-345238-p841weif 10 27 , , , cord-345238-p841weif 10 28 and and CC cord-345238-p841weif 10 29 consequently consequently RB cord-345238-p841weif 10 30 impact impact NN cord-345238-p841weif 10 31 disease disease NN cord-345238-p841weif 10 32 development development NN cord-345238-p841weif 10 33 [ [ -LRB- cord-345238-p841weif 10 34 4 4 CD cord-345238-p841weif 10 35 ] ] -RRB- cord-345238-p841weif 10 36 [ [ -LRB- cord-345238-p841weif 10 37 5 5 CD cord-345238-p841weif 10 38 ] ] -RRB- cord-345238-p841weif 10 39 [ [ -LRB- cord-345238-p841weif 10 40 6 6 CD cord-345238-p841weif 10 41 ] ] -RRB- cord-345238-p841weif 10 42 . . . cord-345238-p841weif 11 1 Other other JJ cord-345238-p841weif 11 2 studies study NNS cord-345238-p841weif 11 3 suggest suggest VBP cord-345238-p841weif 11 4 that that IN cord-345238-p841weif 11 5 the the DT cord-345238-p841weif 11 6 atypically atypically RB cord-345238-p841weif 11 7 low low JJ cord-345238-p841weif 11 8 dengue dengue NN cord-345238-p841weif 11 9 incidence incidence NN cord-345238-p841weif 11 10 observed observe VBN cord-345238-p841weif 11 11 after after IN cord-345238-p841weif 11 12 the the DT cord-345238-p841weif 11 13 Zika Zika NNP cord-345238-p841weif 11 14 epidemics epidemic NNS cord-345238-p841weif 11 15 in in IN cord-345238-p841weif 11 16 Brazil Brazil NNP cord-345238-p841weif 11 17 and and CC cord-345238-p841weif 11 18 other other JJ cord-345238-p841weif 11 19 Latin latin JJ cord-345238-p841weif 11 20 American american JJ cord-345238-p841weif 11 21 countries country NNS cord-345238-p841weif 11 22 was be VBD cord-345238-p841weif 11 23 due due JJ cord-345238-p841weif 11 24 , , , cord-345238-p841weif 11 25 in in IN cord-345238-p841weif 11 26 part part NN cord-345238-p841weif 11 27 , , , cord-345238-p841weif 11 28 to to IN cord-345238-p841weif 11 29 short short JJ cord-345238-p841weif 11 30 - - HYPH cord-345238-p841weif 11 31 term term NN cord-345238-p841weif 11 32 DENV DENV NNP cord-345238-p841weif 11 33 protection protection NN cord-345238-p841weif 11 34 from from IN cord-345238-p841weif 11 35 ZIKV ZIKV NNP cord-345238-p841weif 11 36 infections infection NNS cord-345238-p841weif 11 37 [ [ -LRB- cord-345238-p841weif 11 38 7 7 CD cord-345238-p841weif 11 39 , , , cord-345238-p841weif 11 40 8 8 CD cord-345238-p841weif 11 41 ] ] -RRB- cord-345238-p841weif 11 42 . . . cord-345238-p841weif 12 1 Importantly importantly RB cord-345238-p841weif 12 2 , , , cord-345238-p841weif 12 3 this this DT cord-345238-p841weif 12 4 lower low JJR cord-345238-p841weif 12 5 dengue dengue NN cord-345238-p841weif 12 6 incidence incidence NN cord-345238-p841weif 12 7 was be VBD cord-345238-p841weif 12 8 followed follow VBN cord-345238-p841weif 12 9 by by IN cord-345238-p841weif 12 10 a a DT cord-345238-p841weif 12 11 significant significant JJ cord-345238-p841weif 12 12 increase increase NN cord-345238-p841weif 12 13 in in IN cord-345238-p841weif 12 14 dengue dengue NN cord-345238-p841weif 12 15 cases case NNS cord-345238-p841weif 12 16 [ [ -LRB- cord-345238-p841weif 12 17 2 2 CD cord-345238-p841weif 12 18 , , , cord-345238-p841weif 12 19 7 7 CD cord-345238-p841weif 12 20 ] ] -RRB- cord-345238-p841weif 12 21 . . . cord-345238-p841weif 13 1 The the DT cord-345238-p841weif 13 2 impact impact NN cord-345238-p841weif 13 3 of of IN cord-345238-p841weif 13 4 pre pre JJ cord-345238-p841weif 13 5 - - JJ cord-345238-p841weif 13 6 existing existing JJ cord-345238-p841weif 13 7 DENV DENV NNP cord-345238-p841weif 13 8 and and CC cord-345238-p841weif 13 9 ZIKV ZIKV NNP cord-345238-p841weif 13 10 immunity immunity NN cord-345238-p841weif 13 11 in in IN cord-345238-p841weif 13 12 further further JJ cord-345238-p841weif 13 13 heterologous heterologous JJ cord-345238-p841weif 13 14 infections infection NNS cord-345238-p841weif 13 15 and and CC cord-345238-p841weif 13 16 , , , cord-345238-p841weif 13 17 importantly importantly RB cord-345238-p841weif 13 18 , , , cord-345238-p841weif 13 19 in in IN cord-345238-p841weif 13 20 clinical clinical JJ cord-345238-p841weif 13 21 diseases disease NNS cord-345238-p841weif 13 22 , , , cord-345238-p841weif 13 23 needs need VBZ cord-345238-p841weif 13 24 to to TO cord-345238-p841weif 13 25 be be VB cord-345238-p841weif 13 26 continuously continuously RB cord-345238-p841weif 13 27 assessed assess VBN cord-345238-p841weif 13 28 in in IN cord-345238-p841weif 13 29 endemic endemic JJ cord-345238-p841weif 13 30 areas area NNS cord-345238-p841weif 13 31 . . . cord-345238-p841weif 14 1 It -PRON- PRP cord-345238-p841weif 14 2 is be VBZ cord-345238-p841weif 14 3 also also RB cord-345238-p841weif 14 4 possible possible JJ cord-345238-p841weif 14 5 that that IN cord-345238-p841weif 14 6 ZIKV ZIKV NNP cord-345238-p841weif 14 7 or or CC cord-345238-p841weif 14 8 other other JJ cord-345238-p841weif 14 9 arboviruses arbovirus NNS cord-345238-p841weif 14 10 may may MD cord-345238-p841weif 14 11 establish establish VB cord-345238-p841weif 14 12 sylvatic sylvatic JJ cord-345238-p841weif 14 13 transmission transmission NN cord-345238-p841weif 14 14 cycles cycle NNS cord-345238-p841weif 14 15 in in IN cord-345238-p841weif 14 16 Brazil Brazil NNP cord-345238-p841weif 14 17 , , , cord-345238-p841weif 14 18 as as IN cord-345238-p841weif 14 19 discussed discuss VBN cord-345238-p841weif 14 20 by by IN cord-345238-p841weif 14 21 other other JJ cord-345238-p841weif 14 22 authors author NNS cord-345238-p841weif 14 23 [ [ -LRB- cord-345238-p841weif 14 24 9 9 CD cord-345238-p841weif 14 25 ] ] -RRB- cord-345238-p841weif 14 26 . . . cord-345238-p841weif 15 1 If if IN cord-345238-p841weif 15 2 one one PRP cord-345238-p841weif 15 3 looks look VBZ cord-345238-p841weif 15 4 at at IN cord-345238-p841weif 15 5 the the DT cord-345238-p841weif 15 6 map map NN cord-345238-p841weif 15 7 of of IN cord-345238-p841weif 15 8 Paulista Paulista NNP cord-345238-p841weif 15 9 , , , cord-345238-p841weif 15 10 for for IN cord-345238-p841weif 15 11 example example NN cord-345238-p841weif 15 12 , , , cord-345238-p841weif 15 13 a a DT cord-345238-p841weif 15 14 municipality municipality NN cord-345238-p841weif 15 15 within within IN cord-345238-p841weif 15 16 the the DT cord-345238-p841weif 15 17 Recife Recife NNP cord-345238-p841weif 15 18 Metropolitan Metropolitan NNP cord-345238-p841weif 15 19 Region Region NNP cord-345238-p841weif 15 20 ( ( -LRB- cord-345238-p841weif 15 21 RMR RMR NNP cord-345238-p841weif 15 22 ) ) -RRB- cord-345238-p841weif 15 23 in in IN cord-345238-p841weif 15 24 Pernambuco Pernambuco NNP cord-345238-p841weif 15 25 State State NNP cord-345238-p841weif 15 26 that that WDT cord-345238-p841weif 15 27 was be VBD cord-345238-p841weif 15 28 heavily heavily RB cord-345238-p841weif 15 29 affected affect VBN cord-345238-p841weif 15 30 by by IN cord-345238-p841weif 15 31 ZIKV ZIKV NNP cord-345238-p841weif 15 32 and and CC cord-345238-p841weif 15 33 CHIKV CHIKV NNP cord-345238-p841weif 15 34 , , , cord-345238-p841weif 15 35 forested forested JJ cord-345238-p841weif 15 36 areas area NNS cord-345238-p841weif 15 37 surround surround VBP cord-345238-p841weif 15 38 all all PDT cord-345238-p841weif 15 39 the the DT cord-345238-p841weif 15 40 urban urban JJ cord-345238-p841weif 15 41 areas area NNS cord-345238-p841weif 15 42 where where WRB cord-345238-p841weif 15 43 the the DT cord-345238-p841weif 15 44 viruses virus NNS cord-345238-p841weif 15 45 co co VBD cord-345238-p841weif 15 46 - - VBN cord-345238-p841weif 15 47 circulated circulate VBN cord-345238-p841weif 15 48 and and CC cord-345238-p841weif 15 49 human human JJ cord-345238-p841weif 15 50 cases case NNS cord-345238-p841weif 15 51 were be VBD cord-345238-p841weif 15 52 concentrated concentrate VBN cord-345238-p841weif 15 53 in in IN cord-345238-p841weif 15 54 2015 2015 CD cord-345238-p841weif 15 55 - - SYM cord-345238-p841weif 15 56 16 16 CD cord-345238-p841weif 16 1 ( ( -LRB- cord-345238-p841weif 16 2 Figure figure NN cord-345238-p841weif 16 3 1 1 CD cord-345238-p841weif 16 4 and and CC cord-345238-p841weif 16 5 [ [ -LRB- cord-345238-p841weif 16 6 10 10 CD cord-345238-p841weif 16 7 ] ] -RRB- cord-345238-p841weif 16 8 ) ) -RRB- cord-345238-p841weif 16 9 . . . cord-345238-p841weif 17 1 These these DT cord-345238-p841weif 17 2 forested forested JJ cord-345238-p841weif 17 3 areas area NNS cord-345238-p841weif 17 4 may may MD cord-345238-p841weif 17 5 harbor harbor VB cord-345238-p841weif 17 6 several several JJ cord-345238-p841weif 17 7 sylvatic sylvatic JJ cord-345238-p841weif 17 8 mosquitoes mosquito NNS cord-345238-p841weif 17 9 like like IN cord-345238-p841weif 17 10 Aedes Aedes NNP cord-345238-p841weif 17 11 albopictus albopictus NN cord-345238-p841weif 17 12 , , , cord-345238-p841weif 17 13 Haemagogus Haemagogus NNP cord-345238-p841weif 17 14 janthinomys janthinomys NNP cord-345238-p841weif 17 15 , , , cord-345238-p841weif 17 16 and and CC cord-345238-p841weif 17 17 Sabethes Sabethes NNP cord-345238-p841weif 17 18 tarsopus tarsopus NNP cord-345238-p841weif 17 19 that that WDT cord-345238-p841weif 17 20 feed feed VBP cord-345238-p841weif 17 21 on on IN cord-345238-p841weif 17 22 non non JJ cord-345238-p841weif 17 23 - - JJ cord-345238-p841weif 17 24 human human JJ cord-345238-p841weif 17 25 primates primate NNS cord-345238-p841weif 17 26 ( ( -LRB- cord-345238-p841weif 17 27 NHPs NHPs NNP cord-345238-p841weif 17 28 ) ) -RRB- cord-345238-p841weif 17 29 and and CC cord-345238-p841weif 17 30 may may MD cord-345238-p841weif 17 31 serve serve VB cord-345238-p841weif 17 32 as as IN cord-345238-p841weif 17 33 vectors vector NNS cord-345238-p841weif 17 34 of of IN cord-345238-p841weif 17 35 arboviruses arbovirus NNS cord-345238-p841weif 17 36 [ [ -LRB- cord-345238-p841weif 17 37 11 11 CD cord-345238-p841weif 17 38 ] ] -RRB- cord-345238-p841weif 17 39 . . . cord-345238-p841weif 18 1 In in IN cord-345238-p841weif 18 2 addition addition NN cord-345238-p841weif 18 3 , , , cord-345238-p841weif 18 4 NHPs nhp NNS cord-345238-p841weif 18 5 like like IN cord-345238-p841weif 18 6 the the DT cord-345238-p841weif 18 7 common common JJ cord-345238-p841weif 18 8 marmoset marmoset NNP cord-345238-p841weif 18 9 Callithrix Callithrix NNP cord-345238-p841weif 18 10 jacchus jacchus NNP cord-345238-p841weif 18 11 are be VBP cord-345238-p841weif 18 12 abundant abundant JJ cord-345238-p841weif 18 13 in in IN cord-345238-p841weif 18 14 the the DT cord-345238-p841weif 18 15 area area NN cord-345238-p841weif 18 16 [ [ -LRB- cord-345238-p841weif 18 17 12 12 CD cord-345238-p841weif 18 18 ] ] -RRB- cord-345238-p841weif 18 19 and and CC cord-345238-p841weif 18 20 found find VBD cord-345238-p841weif 18 21 near near IN cord-345238-p841weif 18 22 humans human NNS cord-345238-p841weif 18 23 . . . cord-345238-p841weif 19 1 Importantly importantly RB cord-345238-p841weif 19 2 , , , cord-345238-p841weif 19 3 ZIKV ZIKV NNP cord-345238-p841weif 19 4 RNA RNA NNP cord-345238-p841weif 19 5 and and CC cord-345238-p841weif 19 6 antibodies antibody NNS cord-345238-p841weif 19 7 against against IN cord-345238-p841weif 19 8 several several JJ cord-345238-p841weif 19 9 arboviruses arbovirus NNS cord-345238-p841weif 19 10 have have VBP cord-345238-p841weif 19 11 been be VBN cord-345238-p841weif 19 12 found find VBN cord-345238-p841weif 19 13 in in IN cord-345238-p841weif 19 14 NHPs nhp NNS cord-345238-p841weif 19 15 in in IN cord-345238-p841weif 19 16 different different JJ cord-345238-p841weif 19 17 regions region NNS cord-345238-p841weif 19 18 of of IN cord-345238-p841weif 19 19 Brazil Brazil NNP cord-345238-p841weif 19 20 , , , cord-345238-p841weif 19 21 including include VBG cord-345238-p841weif 19 22 marmosets marmoset NNS cord-345238-p841weif 19 23 [ [ -LRB- cord-345238-p841weif 19 24 13 13 CD cord-345238-p841weif 19 25 ] ] -RRB- cord-345238-p841weif 20 1 [ [ -LRB- cord-345238-p841weif 20 2 14 14 CD cord-345238-p841weif 20 3 ] ] -RRB- cord-345238-p841weif 20 4 [ [ -LRB- cord-345238-p841weif 20 5 15 15 CD cord-345238-p841weif 20 6 ] ] -RRB- cord-345238-p841weif 20 7 [ [ -LRB- cord-345238-p841weif 20 8 16 16 CD cord-345238-p841weif 20 9 ] ] -RRB- cord-345238-p841weif 20 10 . . . cord-345238-p841weif 21 1 The the DT cord-345238-p841weif 21 2 seriousness seriousness NN cord-345238-p841weif 21 3 of of IN cord-345238-p841weif 21 4 an an DT cord-345238-p841weif 21 5 established establish VBN cord-345238-p841weif 21 6 sylvatic sylvatic NNP cord-345238-p841weif 21 7 arbovirus arbovirus NN cord-345238-p841weif 21 8 transmission transmission NN cord-345238-p841weif 21 9 cycle cycle NN cord-345238-p841weif 21 10 in in IN cord-345238-p841weif 21 11 NHPs nhp NNS cord-345238-p841weif 21 12 and and CC cord-345238-p841weif 21 13 sylvatic sylvatic JJ cord-345238-p841weif 21 14 mosquitoes mosquito NNS cord-345238-p841weif 21 15 in in IN cord-345238-p841weif 21 16 Brazil Brazil NNP cord-345238-p841weif 21 17 is be VBZ cord-345238-p841weif 21 18 well well RB cord-345238-p841weif 21 19 represented represent VBN cord-345238-p841weif 21 20 by by IN cord-345238-p841weif 21 21 yellow yellow JJ cord-345238-p841weif 21 22 fever fever NN cord-345238-p841weif 21 23 virus virus NN cord-345238-p841weif 21 24 ( ( -LRB- cord-345238-p841weif 21 25 YFV YFV NNP cord-345238-p841weif 21 26 ) ) -RRB- cord-345238-p841weif 21 27 , , , cord-345238-p841weif 21 28 which which WDT cord-345238-p841weif 21 29 causes cause VBZ cord-345238-p841weif 21 30 sporadic sporadic JJ cord-345238-p841weif 21 31 spillover spillover NN cord-345238-p841weif 21 32 human human JJ cord-345238-p841weif 21 33 outbreaks outbreak NNS cord-345238-p841weif 21 34 leading lead VBG cord-345238-p841weif 21 35 to to IN cord-345238-p841weif 21 36 hundreds hundred NNS cord-345238-p841weif 21 37 of of IN cord-345238-p841weif 21 38 deaths death NNS cord-345238-p841weif 21 39 . . . cord-345238-p841weif 22 1 Although although IN cord-345238-p841weif 22 2 a a DT cord-345238-p841weif 22 3 few few JJ cord-345238-p841weif 22 4 studies study NNS cord-345238-p841weif 22 5 have have VBP cord-345238-p841weif 22 6 found find VBN cord-345238-p841weif 22 7 little little JJ cord-345238-p841weif 22 8 evidence evidence NN cord-345238-p841weif 22 9 of of IN cord-345238-p841weif 22 10 sylvatic sylvatic JJ cord-345238-p841weif 22 11 ZIKV ZIKV NNP cord-345238-p841weif 22 12 transmission transmission NN cord-345238-p841weif 22 13 in in IN cord-345238-p841weif 22 14 Brazil Brazil NNP cord-345238-p841weif 22 15 [ [ -LRB- cord-345238-p841weif 22 16 16 16 CD cord-345238-p841weif 22 17 , , , cord-345238-p841weif 22 18 17 17 CD cord-345238-p841weif 22 19 ] ] -RRB- cord-345238-p841weif 22 20 , , , cord-345238-p841weif 22 21 the the DT cord-345238-p841weif 22 22 possibility possibility NN cord-345238-p841weif 22 23 of of IN cord-345238-p841weif 22 24 a a DT cord-345238-p841weif 22 25 sylvatic sylvatic JJ cord-345238-p841weif 22 26 cycle cycle NN cord-345238-p841weif 22 27 being be VBG cord-345238-p841weif 22 28 established establish VBN cord-345238-p841weif 22 29 in in IN cord-345238-p841weif 22 30 distinct distinct JJ cord-345238-p841weif 22 31 Brazilian brazilian JJ cord-345238-p841weif 22 32 regions region NNS cord-345238-p841weif 22 33 and and CC cord-345238-p841weif 22 34 at at IN cord-345238-p841weif 22 35 different different JJ cord-345238-p841weif 22 36 times time NNS cord-345238-p841weif 22 37 can can MD cord-345238-p841weif 22 38 not not RB cord-345238-p841weif 22 39 be be VB cord-345238-p841weif 22 40 excluded exclude VBN cord-345238-p841weif 22 41 . . . cord-345238-p841weif 23 1 Further further JJ cord-345238-p841weif 23 2 governmental governmental JJ cord-345238-p841weif 23 3 or or CC cord-345238-p841weif 23 4 research research NN cord-345238-p841weif 23 5 - - HYPH cord-345238-p841weif 23 6 related relate VBN cord-345238-p841weif 23 7 arbovirus arbovirus NN cord-345238-p841weif 23 8 surveillance surveillance NN cord-345238-p841weif 23 9 activities activity NNS cord-345238-p841weif 23 10 should should MD cord-345238-p841weif 23 11 intensify intensify VB cord-345238-p841weif 23 12 monitoring monitor VBG cord-345238-p841weif 23 13 of of IN cord-345238-p841weif 23 14 sylvatic sylvatic JJ cord-345238-p841weif 23 15 mosquitoes mosquito NNS cord-345238-p841weif 23 16 , , , cord-345238-p841weif 23 17 NHPs nhp NNS cord-345238-p841weif 23 18 and and CC cord-345238-p841weif 23 19 other other JJ cord-345238-p841weif 23 20 small small JJ cord-345238-p841weif 23 21 mammals mammal NNS cord-345238-p841weif 23 22 , , , cord-345238-p841weif 23 23 as as IN cord-345238-p841weif 23 24 the the DT cord-345238-p841weif 23 25 establishment establishment NN cord-345238-p841weif 23 26 of of IN cord-345238-p841weif 23 27 sylvatic sylvatic JJ cord-345238-p841weif 23 28 cycles cycle NNS cord-345238-p841weif 23 29 will will MD cord-345238-p841weif 23 30 require require VB cord-345238-p841weif 23 31 changes change NNS cord-345238-p841weif 23 32 in in IN cord-345238-p841weif 23 33 the the DT cord-345238-p841weif 23 34 design design NN cord-345238-p841weif 23 35 of of IN cord-345238-p841weif 23 36 control control NN cord-345238-p841weif 23 37 programs program NNS cord-345238-p841weif 23 38 . . . cord-345238-p841weif 24 1 The the DT cord-345238-p841weif 24 2 ZIKV ZIKV NNP cord-345238-p841weif 24 3 outbreaks outbreak NNS cord-345238-p841weif 24 4 that that WDT cord-345238-p841weif 24 5 occurred occur VBD cord-345238-p841weif 24 6 in in IN cord-345238-p841weif 24 7 Brazil Brazil NNP cord-345238-p841weif 24 8 in in IN cord-345238-p841weif 24 9 2014 2014 CD cord-345238-p841weif 24 10 - - SYM cord-345238-p841weif 24 11 16 16 CD cord-345238-p841weif 24 12 probably probably RB cord-345238-p841weif 24 13 ceased cease VBD cord-345238-p841weif 24 14 due due JJ cord-345238-p841weif 24 15 to to TO cord-345238-p841weif 24 16 herd herd VB cord-345238-p841weif 24 17 immunity immunity NN cord-345238-p841weif 24 18 - - : cord-345238-p841weif 24 19 however however RB cord-345238-p841weif 24 20 , , , cord-345238-p841weif 24 21 instead instead RB cord-345238-p841weif 24 22 of of IN cord-345238-p841weif 24 23 disappearing disappear VBG cord-345238-p841weif 24 24 , , , cord-345238-p841weif 24 25 the the DT cord-345238-p841weif 24 26 virus virus NN cord-345238-p841weif 24 27 is be VBZ cord-345238-p841weif 24 28 still still RB cord-345238-p841weif 24 29 circulating circulate VBG cord-345238-p841weif 24 30 in in IN cord-345238-p841weif 24 31 areas area NNS cord-345238-p841weif 24 32 that that WDT cord-345238-p841weif 24 33 were be VBD cord-345238-p841weif 24 34 intensely intensely RB cord-345238-p841weif 24 35 affected affect VBN cord-345238-p841weif 24 36 , , , cord-345238-p841weif 24 37 like like IN cord-345238-p841weif 24 38 the the DT cord-345238-p841weif 24 39 RMR RMR NNP cord-345238-p841weif 24 40 , , , cord-345238-p841weif 24 41 even even RB cord-345238-p841weif 24 42 if if IN cord-345238-p841weif 24 43 at at IN cord-345238-p841weif 24 44 low low JJ cord-345238-p841weif 24 45 rates rate NNS cord-345238-p841weif 24 46 . . . cord-345238-p841weif 25 1 In in IN cord-345238-p841weif 25 2 addition addition NN cord-345238-p841weif 25 3 , , , cord-345238-p841weif 25 4 virus virus NN cord-345238-p841weif 25 5 transmission transmission NN cord-345238-p841weif 25 6 during during IN cord-345238-p841weif 25 7 the the DT cord-345238-p841weif 25 8 outbreaks outbreak NNS cord-345238-p841weif 25 9 was be VBD cord-345238-p841weif 25 10 focal focal JJ cord-345238-p841weif 25 11 across across IN cord-345238-p841weif 25 12 metropolitan metropolitan JJ cord-345238-p841weif 25 13 regions region NNS cord-345238-p841weif 25 14 , , , cord-345238-p841weif 25 15 where where WRB cord-345238-p841weif 25 16 some some DT cord-345238-p841weif 25 17 areas area NNS cord-345238-p841weif 25 18 were be VBD cord-345238-p841weif 25 19 more more RBR cord-345238-p841weif 25 20 intensely intensely RB cord-345238-p841weif 25 21 hit hit VBN cord-345238-p841weif 25 22 than than IN cord-345238-p841weif 25 23 others other NNS cord-345238-p841weif 25 24 within within IN cord-345238-p841weif 25 25 the the DT cord-345238-p841weif 25 26 same same JJ cord-345238-p841weif 25 27 municipality municipality NN cord-345238-p841weif 25 28 [ [ -LRB- cord-345238-p841weif 25 29 4 4 CD cord-345238-p841weif 25 30 ] ] -RRB- cord-345238-p841weif 25 31 , , , cord-345238-p841weif 25 32 corroborating corroborate VBG cord-345238-p841weif 25 33 the the DT cord-345238-p841weif 25 34 notion notion NN cord-345238-p841weif 25 35 of of IN cord-345238-p841weif 25 36 clustered clustered JJ cord-345238-p841weif 25 37 household household NN cord-345238-p841weif 25 38 / / SYM cord-345238-p841weif 25 39 community community NN cord-345238-p841weif 25 40 transmission transmission NN cord-345238-p841weif 25 41 of of IN cord-345238-p841weif 25 42 arboviruses arbovirus NNS cord-345238-p841weif 25 43 transmitted transmit VBN cord-345238-p841weif 25 44 by by IN cord-345238-p841weif 25 45 Ae Ae NNP cord-345238-p841weif 25 46 . . . cord-345238-p841weif 25 47 aegypti aegypti NNP cord-345238-p841weif 25 48 . . . cord-345238-p841weif 26 1 The the DT cord-345238-p841weif 26 2 low low JJ cord-345238-p841weif 26 3 but but CC cord-345238-p841weif 26 4 constant constant JJ cord-345238-p841weif 26 5 circulation circulation NN cord-345238-p841weif 26 6 of of IN cord-345238-p841weif 26 7 ZIKV ZIKV NNP cord-345238-p841weif 26 8 , , , cord-345238-p841weif 26 9 the the DT cord-345238-p841weif 26 10 presence presence NN cord-345238-p841weif 26 11 of of IN cord-345238-p841weif 26 12 prior prior JJ cord-345238-p841weif 26 13 virus virus NN cord-345238-p841weif 26 14 foci foci NN cord-345238-p841weif 26 15 with with IN cord-345238-p841weif 26 16 surrounding surround VBG cord-345238-p841weif 26 17 patchy patchy JJ cord-345238-p841weif 26 18 areas area NNS cord-345238-p841weif 26 19 containing contain VBG cord-345238-p841weif 26 20 higher high JJR cord-345238-p841weif 26 21 numbers number NNS cord-345238-p841weif 26 22 of of IN cord-345238-p841weif 26 23 naïve naïve JJ cord-345238-p841weif 26 24 people people NNS cord-345238-p841weif 26 25 , , , cord-345238-p841weif 26 26 and and CC cord-345238-p841weif 26 27 the the DT cord-345238-p841weif 26 28 possibility possibility NN cord-345238-p841weif 26 29 of of IN cord-345238-p841weif 26 30 a a DT cord-345238-p841weif 26 31 sylvatic sylvatic JJ cord-345238-p841weif 26 32 cycle cycle NN cord-345238-p841weif 26 33 being be VBG cord-345238-p841weif 26 34 established establish VBN cord-345238-p841weif 26 35 in in IN cord-345238-p841weif 26 36 some some DT cord-345238-p841weif 26 37 regions region NNS cord-345238-p841weif 26 38 increase increase VBP cord-345238-p841weif 26 39 the the DT cord-345238-p841weif 26 40 chances chance NNS cord-345238-p841weif 26 41 of of IN cord-345238-p841weif 26 42 unexpected unexpected JJ cord-345238-p841weif 26 43 re re NN cord-345238-p841weif 26 44 - - NN cord-345238-p841weif 26 45 emergence emergence NN cord-345238-p841weif 26 46 of of IN cord-345238-p841weif 26 47 the the DT cord-345238-p841weif 26 48 virus virus NN cord-345238-p841weif 26 49 . . . cord-345238-p841weif 27 1 It -PRON- PRP cord-345238-p841weif 27 2 will will MD cord-345238-p841weif 27 3 also also RB cord-345238-p841weif 27 4 be be VB cord-345238-p841weif 27 5 important important JJ cord-345238-p841weif 27 6 to to TO cord-345238-p841weif 27 7 assess assess VB cord-345238-p841weif 27 8 the the DT cord-345238-p841weif 27 9 importance importance NN cord-345238-p841weif 27 10 of of IN cord-345238-p841weif 27 11 sexual sexual JJ cord-345238-p841weif 27 12 transmission transmission NN cord-345238-p841weif 27 13 among among IN cord-345238-p841weif 27 14 the the DT cord-345238-p841weif 27 15 sustained sustained JJ cord-345238-p841weif 27 16 , , , cord-345238-p841weif 27 17 low low JJ cord-345238-p841weif 27 18 ZIKV ZIKV NNP cord-345238-p841weif 27 19 circulation circulation NN cord-345238-p841weif 27 20 in in IN cord-345238-p841weif 27 21 endemic endemic JJ cord-345238-p841weif 27 22 regions region NNS cord-345238-p841weif 27 23 , , , cord-345238-p841weif 27 24 as as IN cord-345238-p841weif 27 25 the the DT cord-345238-p841weif 27 26 epidemiological epidemiological JJ cord-345238-p841weif 27 27 relevance relevance NN cord-345238-p841weif 27 28 of of IN cord-345238-p841weif 27 29 ZIKV ZIKV NNP cord-345238-p841weif 27 30 sexual sexual JJ cord-345238-p841weif 27 31 transmission transmission NN cord-345238-p841weif 27 32 may may MD cord-345238-p841weif 27 33 be be VB cord-345238-p841weif 27 34 higher high JJR cord-345238-p841weif 27 35 than than IN cord-345238-p841weif 27 36 previously previously RB cord-345238-p841weif 27 37 thought think VBN cord-345238-p841weif 27 38 ( ( -LRB- cord-345238-p841weif 27 39 [ [ -LRB- cord-345238-p841weif 27 40 18 18 CD cord-345238-p841weif 27 41 ] ] -RRB- cord-345238-p841weif 27 42 and and CC cord-345238-p841weif 28 1 Magalhaes Magalhaes NNPS cord-345238-p841weif 28 2 et et NNP cord-345238-p841weif 28 3 al al NNP cord-345238-p841weif 28 4 . . . cord-345238-p841weif 29 1 , , , cord-345238-p841weif 29 2 unpublished unpublished JJ cord-345238-p841weif 29 3 ) ) -RRB- cord-345238-p841weif 29 4 . . . cord-345238-p841weif 30 1 Escalating escalate VBG cord-345238-p841weif 30 2 the the DT cord-345238-p841weif 30 3 problem problem NN cord-345238-p841weif 30 4 of of IN cord-345238-p841weif 30 5 arboviral arboviral NNP cord-345238-p841weif 30 6 disease disease NN cord-345238-p841weif 30 7 surveillance surveillance NN cord-345238-p841weif 30 8 and and CC cord-345238-p841weif 30 9 management management NN cord-345238-p841weif 30 10 , , , cord-345238-p841weif 30 11 concurrent concurrent JJ cord-345238-p841weif 30 12 outbreaks outbreak NNS cord-345238-p841weif 30 13 / / SYM cord-345238-p841weif 30 14 epidemics epidemic NNS cord-345238-p841weif 30 15 of of IN cord-345238-p841weif 30 16 arboviruses arbovirus NNS cord-345238-p841weif 30 17 and and CC cord-345238-p841weif 30 18 non non JJ cord-345238-p841weif 30 19 - - JJ cord-345238-p841weif 30 20 arthropod arthropod JJ cord-345238-p841weif 30 21 - - HYPH cord-345238-p841weif 30 22 borne bear VBN cord-345238-p841weif 30 23 pathogens pathogen NNS cord-345238-p841weif 30 24 can can MD cord-345238-p841weif 30 25 further further RB cord-345238-p841weif 30 26 complicate complicate VB cord-345238-p841weif 30 27 clinical clinical JJ cord-345238-p841weif 30 28 diagnosis diagnosis NN cord-345238-p841weif 30 29 and and CC cord-345238-p841weif 30 30 completely completely RB cord-345238-p841weif 30 31 overwhelm overwhelm VB cord-345238-p841weif 30 32 / / SYM cord-345238-p841weif 30 33 saturate saturate VB cord-345238-p841weif 30 34 the the DT cord-345238-p841weif 30 35 health health NN cord-345238-p841weif 30 36 care care NN cord-345238-p841weif 30 37 system system NN cord-345238-p841weif 30 38 , , , cord-345238-p841weif 30 39 as as IN cord-345238-p841weif 30 40 we -PRON- PRP cord-345238-p841weif 30 41 may may MD cord-345238-p841weif 30 42 be be VB cord-345238-p841weif 30 43 seeing see VBG cord-345238-p841weif 30 44 now now RB cord-345238-p841weif 30 45 with with IN cord-345238-p841weif 30 46 the the DT cord-345238-p841weif 30 47 pandemic pandemic NN cord-345238-p841weif 30 48 of of IN cord-345238-p841weif 30 49 coronavirus coronavirus NN cord-345238-p841weif 30 50 disease disease NN cord-345238-p841weif 30 51 ( ( -LRB- cord-345238-p841weif 30 52 COVID-19 COVID-19 NNP cord-345238-p841weif 30 53 ) ) -RRB- cord-345238-p841weif 30 54 caused cause VBN cord-345238-p841weif 30 55 by by IN cord-345238-p841weif 30 56 severe severe JJ cord-345238-p841weif 30 57 acute acute JJ cord-345238-p841weif 30 58 respiratory respiratory JJ cord-345238-p841weif 30 59 syndrome syndrome NN cord-345238-p841weif 30 60 coronavirus coronavirus NN cord-345238-p841weif 30 61 2 2 CD cord-345238-p841weif 31 1 ( ( -LRB- cord-345238-p841weif 31 2 SARS SARS NNP cord-345238-p841weif 31 3 - - HYPH cord-345238-p841weif 31 4 CoV-2 CoV-2 NNP cord-345238-p841weif 31 5 ) ) -RRB- cord-345238-p841weif 31 6 . . . cord-345238-p841weif 32 1 The the DT cord-345238-p841weif 32 2 number number NN cord-345238-p841weif 32 3 of of IN cord-345238-p841weif 32 4 notified notify VBN cord-345238-p841weif 32 5 dengue dengue NN cord-345238-p841weif 32 6 , , , cord-345238-p841weif 32 7 Zika Zika NNP cord-345238-p841weif 32 8 and and CC cord-345238-p841weif 32 9 chikungunya chikungunya NN cord-345238-p841weif 32 10 cases case NNS cord-345238-p841weif 32 11 in in IN cord-345238-p841weif 32 12 Brazil Brazil NNP cord-345238-p841weif 32 13 in in IN cord-345238-p841weif 32 14 2020 2020 CD cord-345238-p841weif 32 15 have have VBP cord-345238-p841weif 32 16 reached reach VBN cord-345238-p841weif 32 17 over over IN cord-345238-p841weif 32 18 660,000 660,000 CD cord-345238-p841weif 32 19 by by IN cord-345238-p841weif 32 20 April April NNP cord-345238-p841weif 32 21 [ [ -LRB- cord-345238-p841weif 32 22 2 2 CD cord-345238-p841weif 32 23 ] ] -RRB- cord-345238-p841weif 32 24 , , , cord-345238-p841weif 32 25 reflecting reflect VBG cord-345238-p841weif 32 26 a a DT cord-345238-p841weif 32 27 difficult difficult JJ cord-345238-p841weif 32 28 year year NN cord-345238-p841weif 32 29 for for IN cord-345238-p841weif 32 30 arboviral arboviral NNP cord-345238-p841weif 32 31 diseases disease NNS cord-345238-p841weif 32 32 in in IN cord-345238-p841weif 32 33 the the DT cord-345238-p841weif 32 34 country country NN cord-345238-p841weif 32 35 ( ( -LRB- cord-345238-p841weif 32 36 Figure figure NN cord-345238-p841weif 32 37 2A 2a CD cord-345238-p841weif 32 38 ) ) -RRB- cord-345238-p841weif 32 39 . . . cord-345238-p841weif 33 1 Although although IN cord-345238-p841weif 33 2 the the DT cord-345238-p841weif 33 3 true true JJ cord-345238-p841weif 33 4 incidences incidence NNS cord-345238-p841weif 33 5 of of IN cord-345238-p841weif 33 6 SARS SARS NNP cord-345238-p841weif 33 7 - - HYPH cord-345238-p841weif 33 8 CoV-2 CoV-2 NNP cord-345238-p841weif 33 9 infections infection NNS cord-345238-p841weif 33 10 and and CC cord-345238-p841weif 33 11 COVID-19 covid-19 JJ cord-345238-p841weif 33 12 cases case NNS cord-345238-p841weif 33 13 are be VBP cord-345238-p841weif 33 14 unknown unknown JJ cord-345238-p841weif 33 15 in in IN cord-345238-p841weif 33 16 Brazil Brazil NNP cord-345238-p841weif 33 17 due due IN cord-345238-p841weif 33 18 to to IN cord-345238-p841weif 33 19 the the DT cord-345238-p841weif 33 20 very very RB cord-345238-p841weif 33 21 limited limited JJ cord-345238-p841weif 33 22 testing testing NN cord-345238-p841weif 33 23 ( ( -LRB- cord-345238-p841weif 33 24 currently currently RB cord-345238-p841weif 33 25 , , , cord-345238-p841weif 33 26 the the DT cord-345238-p841weif 33 27 Brazilian brazilian JJ cord-345238-p841weif 33 28 government government NN cord-345238-p841weif 33 29 recommends recommend VBZ cord-345238-p841weif 33 30 that that IN cord-345238-p841weif 33 31 only only JJ cord-345238-p841weif 33 32 severe severe JJ cord-345238-p841weif 33 33 cases case NNS cord-345238-p841weif 33 34 are be VBP cord-345238-p841weif 33 35 tested test VBN cord-345238-p841weif 33 36 in in IN cord-345238-p841weif 33 37 health health NN cord-345238-p841weif 33 38 clinics clinic NNS cord-345238-p841weif 33 39 and and CC cord-345238-p841weif 33 40 hospitals hospital NNS cord-345238-p841weif 33 41 ) ) -RRB- cord-345238-p841weif 33 42 , , , cord-345238-p841weif 33 43 the the DT cord-345238-p841weif 33 44 notified notify VBN cord-345238-p841weif 33 45 numbers number NNS cord-345238-p841weif 33 46 of of IN cord-345238-p841weif 33 47 infections infection NNS cord-345238-p841weif 33 48 and and CC cord-345238-p841weif 33 49 deaths death NNS cord-345238-p841weif 33 50 are be VBP cord-345238-p841weif 33 51 starting start VBG cord-345238-p841weif 33 52 to to TO cord-345238-p841weif 33 53 increase increase VB cord-345238-p841weif 33 54 , , , cord-345238-p841weif 33 55 indicating indicate VBG cord-345238-p841weif 33 56 a a DT cord-345238-p841weif 33 57 worsening worsen VBG cord-345238-p841weif 33 58 epidemic epidemic NN cord-345238-p841weif 33 59 scenario scenario NN cord-345238-p841weif 33 60 as as IN cord-345238-p841weif 33 61 of of IN cord-345238-p841weif 33 62 April April NNP cord-345238-p841weif 33 63 2020 2020 CD cord-345238-p841weif 33 64 ( ( -LRB- cord-345238-p841weif 33 65 Figure figure NN cord-345238-p841weif 33 66 2B 2b CD cord-345238-p841weif 33 67 ) ) -RRB- cord-345238-p841weif 33 68 [ [ -LRB- cord-345238-p841weif 33 69 2 2 CD cord-345238-p841weif 33 70 ] ] -RRB- cord-345238-p841weif 33 71 . . . cord-345238-p841weif 34 1 At at IN cord-345238-p841weif 34 2 the the DT cord-345238-p841weif 34 3 moment moment NN cord-345238-p841weif 34 4 , , , cord-345238-p841weif 34 5 health health NN cord-345238-p841weif 34 6 care care NN cord-345238-p841weif 34 7 units unit NNS cord-345238-p841weif 34 8 like like IN cord-345238-p841weif 34 9 the the DT cord-345238-p841weif 34 10 local local JJ cord-345238-p841weif 34 11 rapid rapid JJ cord-345238-p841weif 34 12 - - HYPH cord-345238-p841weif 34 13 access access NN cord-345238-p841weif 34 14 units unit NNS cord-345238-p841weif 34 15 ( ( -LRB- cord-345238-p841weif 34 16 Unidades Unidades NNP cord-345238-p841weif 34 17 de de NNP cord-345238-p841weif 34 18 Pronto Pronto NNP cord-345238-p841weif 34 19 Atendimento Atendimento NNP cord-345238-p841weif 34 20 - - HYPH cord-345238-p841weif 34 21 UPAs UPAs NNP cord-345238-p841weif 34 22 ) ) -RRB- cord-345238-p841weif 34 23 , , , cord-345238-p841weif 34 24 which which WDT cord-345238-p841weif 34 25 serve serve VBP cord-345238-p841weif 34 26 communities community NNS cord-345238-p841weif 34 27 like like IN cord-345238-p841weif 34 28 the the DT cord-345238-p841weif 34 29 Paulista Paulista NNP cord-345238-p841weif 34 30 population population NN cord-345238-p841weif 34 31 ( ( -LRB- cord-345238-p841weif 34 32 ~330,000 ~330,000 CD cord-345238-p841weif 34 33 habitants habitant NNS cord-345238-p841weif 34 34 ) ) -RRB- cord-345238-p841weif 34 35 , , , cord-345238-p841weif 34 36 are be VBP cord-345238-p841weif 34 37 working work VBG cord-345238-p841weif 34 38 with with IN cord-345238-p841weif 34 39 a a DT cord-345238-p841weif 34 40 reduced reduce VBN cord-345238-p841weif 34 41 number number NN cord-345238-p841weif 34 42 of of IN cord-345238-p841weif 34 43 staff staff NN cord-345238-p841weif 34 44 as as IN cord-345238-p841weif 34 45 some some DT cord-345238-p841weif 34 46 individuals individual NNS cord-345238-p841weif 34 47 have have VBP cord-345238-p841weif 34 48 fallen fall VBN cord-345238-p841weif 34 49 ill ill JJ cord-345238-p841weif 34 50 and and CC cord-345238-p841weif 34 51 many many JJ cord-345238-p841weif 34 52 elderly elderly JJ cord-345238-p841weif 34 53 professionals professional NNS cord-345238-p841weif 34 54 or or CC cord-345238-p841weif 34 55 those those DT cord-345238-p841weif 34 56 with with IN cord-345238-p841weif 34 57 comorbidities comorbiditie NNS cord-345238-p841weif 34 58 are be VBP cord-345238-p841weif 34 59 on on IN cord-345238-p841weif 34 60 leave leave NN cord-345238-p841weif 34 61 due due JJ cord-345238-p841weif 34 62 to to IN cord-345238-p841weif 34 63 fear fear NN cord-345238-p841weif 34 64 of of IN cord-345238-p841weif 34 65 becoming become VBG cord-345238-p841weif 34 66 infected infect VBN cord-345238-p841weif 34 67 with with IN cord-345238-p841weif 34 68 the the DT cord-345238-p841weif 34 69 virus virus NN cord-345238-p841weif 34 70 . . . cord-345238-p841weif 35 1 In in IN cord-345238-p841weif 35 2 a a DT cord-345238-p841weif 35 3 recent recent JJ cord-345238-p841weif 35 4 serosurvey serosurvey NN cord-345238-p841weif 35 5 of of IN cord-345238-p841weif 35 6 SARS SARS NNP cord-345238-p841weif 35 7 - - HYPH cord-345238-p841weif 35 8 CoV-2 CoV-2 NNP cord-345238-p841weif 35 9 antibodies antibody NNS cord-345238-p841weif 35 10 among among IN cord-345238-p841weif 35 11 health health NN cord-345238-p841weif 35 12 professionals professional NNS cord-345238-p841weif 35 13 in in IN cord-345238-p841weif 35 14 Pernambuco Pernambuco NNP cord-345238-p841weif 35 15 State State NNP cord-345238-p841weif 35 16 , , , cord-345238-p841weif 35 17 60 60 CD cord-345238-p841weif 35 18 % % NN cord-345238-p841weif 35 19 have have VBP cord-345238-p841weif 35 20 tested test VBN cord-345238-p841weif 35 21 positive positive JJ cord-345238-p841weif 35 22 , , , cord-345238-p841weif 35 23 confirming confirm VBG cord-345238-p841weif 35 24 these these DT cord-345238-p841weif 35 25 professionals professional NNS cord-345238-p841weif 35 26 are be VBP cord-345238-p841weif 35 27 under under IN cord-345238-p841weif 35 28 very very RB cord-345238-p841weif 35 29 high high JJ cord-345238-p841weif 35 30 risk risk NN cord-345238-p841weif 35 31 of of IN cord-345238-p841weif 35 32 infection infection NN cord-345238-p841weif 35 33 [ [ -LRB- cord-345238-p841weif 35 34 19 19 CD cord-345238-p841weif 35 35 ] ] -RRB- cord-345238-p841weif 35 36 . . . cord-345238-p841weif 36 1 Although although IN cord-345238-p841weif 36 2 the the DT cord-345238-p841weif 36 3 highest high JJS cord-345238-p841weif 36 4 numbers number NNS cord-345238-p841weif 36 5 of of IN cord-345238-p841weif 36 6 notified notify VBN cord-345238-p841weif 36 7 arboviral arboviral JJ cord-345238-p841weif 36 8 diseases disease NNS cord-345238-p841weif 36 9 seemed seem VBD cord-345238-p841weif 36 10 to to TO cord-345238-p841weif 36 11 have have VB cord-345238-p841weif 36 12 occurred occur VBN cord-345238-p841weif 36 13 in in IN cord-345238-p841weif 36 14 March March NNP cord-345238-p841weif 36 15 2020 2020 CD cord-345238-p841weif 37 1 , , , cord-345238-p841weif 37 2 it -PRON- PRP cord-345238-p841weif 37 3 is be VBZ cord-345238-p841weif 37 4 very very RB cord-345238-p841weif 37 5 likely likely JJ cord-345238-p841weif 37 6 that that IN cord-345238-p841weif 37 7 case case NN cord-345238-p841weif 37 8 notification notification NN cord-345238-p841weif 37 9 has have VBZ cord-345238-p841weif 37 10 dropped drop VBN cord-345238-p841weif 37 11 as as IN cord-345238-p841weif 37 12 a a DT cord-345238-p841weif 37 13 result result NN cord-345238-p841weif 37 14 of of IN cord-345238-p841weif 37 15 fewer few JJR cord-345238-p841weif 37 16 people people NNS cord-345238-p841weif 37 17 infected infect VBN cord-345238-p841weif 37 18 with with IN cord-345238-p841weif 37 19 arboviruses arbovirus NNS cord-345238-p841weif 37 20 seeking seek VBG cord-345238-p841weif 37 21 health health NN cord-345238-p841weif 37 22 facilities facility NNS cord-345238-p841weif 37 23 due due IN cord-345238-p841weif 37 24 to to IN cord-345238-p841weif 37 25 the the DT cord-345238-p841weif 37 26 SARS SARS NNP cord-345238-p841weif 37 27 - - HYPH cord-345238-p841weif 37 28 CoV-2 CoV-2 NNP cord-345238-p841weif 37 29 pandemic pandemic NN cord-345238-p841weif 37 30 . . . cord-345238-p841weif 38 1 In in IN cord-345238-p841weif 38 2 fact fact NN cord-345238-p841weif 38 3 , , , cord-345238-p841weif 38 4 it -PRON- PRP cord-345238-p841weif 38 5 would would MD cord-345238-p841weif 38 6 be be VB cord-345238-p841weif 38 7 important important JJ cord-345238-p841weif 38 8 to to TO cord-345238-p841weif 38 9 see see VB cord-345238-p841weif 38 10 if if IN cord-345238-p841weif 38 11 household household NN cord-345238-p841weif 38 12 mosquito mosquito NN cord-345238-p841weif 38 13 transmission transmission NN cord-345238-p841weif 38 14 of of IN cord-345238-p841weif 38 15 arboviruses arbovirus NNS cord-345238-p841weif 38 16 increases increase VBZ cord-345238-p841weif 38 17 because because IN cord-345238-p841weif 38 18 of of IN cord-345238-p841weif 38 19 social social JJ cord-345238-p841weif 38 20 isolation isolation NN cord-345238-p841weif 38 21 during during IN cord-345238-p841weif 38 22 the the DT cord-345238-p841weif 38 23 COVID-19 COVID-19 NNP cord-345238-p841weif 38 24 pandemic pandemic NN cord-345238-p841weif 38 25 , , , cord-345238-p841weif 38 26 considering consider VBG cord-345238-p841weif 38 27 the the DT cord-345238-p841weif 38 28 endophilic endophilic JJ cord-345238-p841weif 38 29 behavior behavior NN cord-345238-p841weif 38 30 of of IN cord-345238-p841weif 38 31 Ae Ae NNP cord-345238-p841weif 38 32 . . . cord-345238-p841weif 39 1 aegypti aegypti NNP cord-345238-p841weif 39 2 ( ( -LRB- cord-345238-p841weif 39 3 although although IN cord-345238-p841weif 39 4 social social JJ cord-345238-p841weif 39 5 isolation isolation NN cord-345238-p841weif 39 6 is be VBZ cord-345238-p841weif 39 7 necessary necessary JJ cord-345238-p841weif 39 8 , , , cord-345238-p841weif 39 9 it -PRON- PRP cord-345238-p841weif 39 10 is be VBZ cord-345238-p841weif 39 11 also also RB cord-345238-p841weif 39 12 important important JJ cord-345238-p841weif 39 13 to to TO cord-345238-p841weif 39 14 assess assess VB cord-345238-p841weif 39 15 its -PRON- PRP$ cord-345238-p841weif 39 16 effects effect NNS cord-345238-p841weif 39 17 on on IN cord-345238-p841weif 39 18 other other JJ cord-345238-p841weif 39 19 health health NN cord-345238-p841weif 39 20 factors factor NNS cord-345238-p841weif 39 21 ) ) -RRB- cord-345238-p841weif 39 22 . . . cord-345238-p841weif 40 1 The the DT cord-345238-p841weif 40 2 blunt blunt JJ cord-345238-p841weif 40 3 reality reality NN cord-345238-p841weif 40 4 is be VBZ cord-345238-p841weif 40 5 that that IN cord-345238-p841weif 40 6 health health NN cord-345238-p841weif 40 7 care care NN cord-345238-p841weif 40 8 units unit NNS cord-345238-p841weif 40 9 have have VBP cord-345238-p841weif 40 10 been be VBN cord-345238-p841weif 40 11 dealing deal VBG cord-345238-p841weif 40 12 with with IN cord-345238-p841weif 40 13 a a DT cord-345238-p841weif 40 14 peak peak NN cord-345238-p841weif 40 15 in in IN cord-345238-p841weif 40 16 arbovirus arbovirus NN cord-345238-p841weif 40 17 infections infection NNS cord-345238-p841weif 40 18 and and CC cord-345238-p841weif 40 19 COVID-19 covid-19 JJ cord-345238-p841weif 40 20 cases case NNS cord-345238-p841weif 40 21 concomitantly concomitantly RB cord-345238-p841weif 40 22 . . . cord-345238-p841weif 41 1 Besides besides IN cord-345238-p841weif 41 2 the the DT cord-345238-p841weif 41 3 many many JJ cord-345238-p841weif 41 4 troubles trouble NNS cord-345238-p841weif 41 5 inherent inherent JJ cord-345238-p841weif 41 6 to to IN cord-345238-p841weif 41 7 an an DT cord-345238-p841weif 41 8 overwhelmed overwhelmed JJ cord-345238-p841weif 41 9 health health NN cord-345238-p841weif 41 10 care care NN cord-345238-p841weif 41 11 system system NN cord-345238-p841weif 41 12 , , , cord-345238-p841weif 41 13 concurrent concurrent JJ cord-345238-p841weif 41 14 epidemics epidemic NNS cord-345238-p841weif 41 15 also also RB cord-345238-p841weif 41 16 can can MD cord-345238-p841weif 41 17 complicate complicate VB cord-345238-p841weif 41 18 clinical clinical JJ cord-345238-p841weif 41 19 - - HYPH cord-345238-p841weif 41 20 epidemiological epidemiological JJ cord-345238-p841weif 41 21 diagnoses diagnosis NNS cord-345238-p841weif 41 22 . . . cord-345238-p841weif 42 1 Some some DT cord-345238-p841weif 42 2 studies study NNS cord-345238-p841weif 42 3 show show VBP cord-345238-p841weif 42 4 that that IN cord-345238-p841weif 42 5 dengue dengue NN cord-345238-p841weif 42 6 cases case NNS cord-345238-p841weif 42 7 can can MD cord-345238-p841weif 42 8 be be VB cord-345238-p841weif 42 9 misdiagnosed misdiagnose VBN cord-345238-p841weif 42 10 as as IN cord-345238-p841weif 42 11 respiratory respiratory JJ cord-345238-p841weif 42 12 infections infection NNS cord-345238-p841weif 42 13 and and CC cord-345238-p841weif 42 14 vice vice NN cord-345238-p841weif 42 15 - - HYPH cord-345238-p841weif 42 16 versa versa RB cord-345238-p841weif 42 17 [ [ -LRB- cord-345238-p841weif 42 18 20 20 CD cord-345238-p841weif 42 19 , , , cord-345238-p841weif 42 20 21 21 CD cord-345238-p841weif 42 21 ] ] -RRB- cord-345238-p841weif 42 22 . . . cord-345238-p841weif 43 1 Coinfections coinfection NNS cord-345238-p841weif 43 2 during during IN cord-345238-p841weif 43 3 concurrent concurrent JJ cord-345238-p841weif 43 4 epidemics epidemic NNS cord-345238-p841weif 43 5 must must MD cord-345238-p841weif 43 6 also also RB cord-345238-p841weif 43 7 be be VB cord-345238-p841weif 43 8 considered consider VBN cord-345238-p841weif 43 9 as as IN cord-345238-p841weif 43 10 they -PRON- PRP cord-345238-p841weif 43 11 may may MD cord-345238-p841weif 43 12 worsen worsen VB cord-345238-p841weif 43 13 clinical clinical JJ cord-345238-p841weif 43 14 diseases disease NNS cord-345238-p841weif 43 15 . . . cord-345238-p841weif 44 1 Coinfections Coinfections NNP cord-345238-p841weif 44 2 of of IN cord-345238-p841weif 44 3 influenza influenza NN cord-345238-p841weif 44 4 virus virus NN cord-345238-p841weif 44 5 and and CC cord-345238-p841weif 44 6 DENV DENV NNP cord-345238-p841weif 44 7 have have VBP cord-345238-p841weif 44 8 been be VBN cord-345238-p841weif 44 9 identified identify VBN cord-345238-p841weif 44 10 in in IN cord-345238-p841weif 44 11 several several JJ cord-345238-p841weif 44 12 occasions occasion NNS cord-345238-p841weif 44 13 during during IN cord-345238-p841weif 44 14 concurrent concurrent JJ cord-345238-p841weif 44 15 epidemics epidemic NNS cord-345238-p841weif 44 16 [ [ -LRB- cord-345238-p841weif 44 17 22 22 CD cord-345238-p841weif 44 18 ] ] -RRB- cord-345238-p841weif 44 19 [ [ -LRB- cord-345238-p841weif 44 20 23 23 CD cord-345238-p841weif 44 21 ] ] -RRB- cord-345238-p841weif 44 22 [ [ -LRB- cord-345238-p841weif 44 23 24 24 CD cord-345238-p841weif 44 24 ] ] -RRB- cord-345238-p841weif 44 25 . . . cord-345238-p841weif 45 1 Future future JJ cord-345238-p841weif 45 2 control control NN cord-345238-p841weif 45 3 efforts effort NNS cord-345238-p841weif 45 4 and and CC cord-345238-p841weif 45 5 programs program NNS cord-345238-p841weif 45 6 must must MD cord-345238-p841weif 45 7 consider consider VB cord-345238-p841weif 45 8 concurrent concurrent JJ cord-345238-p841weif 45 9 epidemics epidemic NNS cord-345238-p841weif 45 10 as as IN cord-345238-p841weif 45 11 they -PRON- PRP cord-345238-p841weif 45 12 will will MD cord-345238-p841weif 45 13 most most RBS cord-345238-p841weif 45 14 likely likely RB cord-345238-p841weif 45 15 continue continue VB cord-345238-p841weif 45 16 to to TO cord-345238-p841weif 45 17 happen happen VB cord-345238-p841weif 45 18 in in IN cord-345238-p841weif 45 19 the the DT cord-345238-p841weif 45 20 future future NN cord-345238-p841weif 45 21 ( ( -LRB- cord-345238-p841weif 45 22 e.g. e.g. RB cord-345238-p841weif 45 23 , , , cord-345238-p841weif 45 24 epidemics epidemic NNS cord-345238-p841weif 45 25 of of IN cord-345238-p841weif 45 26 DENV DENV NNP cord-345238-p841weif 45 27 and and CC cord-345238-p841weif 45 28 new new JJ cord-345238-p841weif 45 29 strains strain NNS cord-345238-p841weif 45 30 of of IN cord-345238-p841weif 45 31 influenza influenza NN cord-345238-p841weif 45 32 virus virus NN cord-345238-p841weif 45 33 ) ) -RRB- cord-345238-p841weif 45 34 . . . cord-345238-p841weif 46 1 areas area NNS cord-345238-p841weif 46 2 where where WRB cord-345238-p841weif 46 3 cases case NNS cord-345238-p841weif 46 4 were be VBD cord-345238-p841weif 46 5 concentrated concentrate VBN cord-345238-p841weif 46 6 : : : cord-345238-p841weif 46 7 an an DT cord-345238-p841weif 46 8 optimal optimal JJ cord-345238-p841weif 46 9 interface interface NN cord-345238-p841weif 46 10 for for IN cord-345238-p841weif 46 11 the the DT cord-345238-p841weif 46 12 establishment establishment NN cord-345238-p841weif 46 13 of of IN cord-345238-p841weif 46 14 sylvatic sylvatic JJ cord-345238-p841weif 46 15 cycles cycle NNS cord-345238-p841weif 46 16 of of IN cord-345238-p841weif 46 17 arbovirus arbovirus NNP cord-345238-p841weif 46 18 transmission transmission NN cord-345238-p841weif 47 1 ( ( -LRB- cord-345238-p841weif 47 2 this this DT cord-345238-p841weif 47 3 map map NN cord-345238-p841weif 47 4 was be VBD cord-345238-p841weif 47 5 published publish VBN cord-345238-p841weif 47 6 in in IN cord-345238-p841weif 47 7 [ [ -LRB- cord-345238-p841weif 47 8 10 10 CD cord-345238-p841weif 47 9 ] ] -RRB- cord-345238-p841weif 47 10 ) ) -RRB- cord-345238-p841weif 47 11 . . . cord-345238-p841weif 47 12 _SP cord-345238-p841weif 48 1 Effective effective JJ cord-345238-p841weif 48 2 management management NN cord-345238-p841weif 48 3 of of IN cord-345238-p841weif 48 4 arboviral arboviral NNP cord-345238-p841weif 48 5 diseases disease NNS cord-345238-p841weif 48 6 in in IN cord-345238-p841weif 48 7 Brazil Brazil NNP cord-345238-p841weif 48 8 requires require VBZ cord-345238-p841weif 48 9 confronting confront VBG cord-345238-p841weif 48 10 major major JJ cord-345238-p841weif 48 11 challenges challenge NNS cord-345238-p841weif 48 12 . . . cord-345238-p841weif 49 1 The the DT cord-345238-p841weif 49 2 co co NN cord-345238-p841weif 49 3 - - NN cord-345238-p841weif 49 4 endemicity endemicity NN cord-345238-p841weif 49 5 of of IN cord-345238-p841weif 49 6 multiple multiple JJ cord-345238-p841weif 49 7 and and CC cord-345238-p841weif 49 8 related related JJ cord-345238-p841weif 49 9 arboviruses arbovirus NNS cord-345238-p841weif 49 10 complicates complicate VBZ cord-345238-p841weif 49 11 clinical clinical JJ cord-345238-p841weif 49 12 - - HYPH cord-345238-p841weif 49 13 epidemiological epidemiological JJ cord-345238-p841weif 49 14 diagnoses diagnosis NNS cord-345238-p841weif 49 15 , , , cord-345238-p841weif 49 16 clinical clinical JJ cord-345238-p841weif 49 17 management management NN cord-345238-p841weif 49 18 and and CC cord-345238-p841weif 49 19 case case NN cord-345238-p841weif 49 20 notification notification NN cord-345238-p841weif 49 21 , , , cord-345238-p841weif 49 22 in in IN cord-345238-p841weif 49 23 addition addition NN cord-345238-p841weif 49 24 to to IN cord-345238-p841weif 49 25 impacting impact VBG cord-345238-p841weif 49 26 the the DT cord-345238-p841weif 49 27 epidemiology epidemiology NN cord-345238-p841weif 49 28 of of IN cord-345238-p841weif 49 29 arboviral arboviral JJ cord-345238-p841weif 49 30 diseases disease NNS cord-345238-p841weif 49 31 in in IN cord-345238-p841weif 49 32 unclear unclear JJ cord-345238-p841weif 49 33 ways way NNS cord-345238-p841weif 49 34 . . . cord-345238-p841weif 50 1 The the DT cord-345238-p841weif 50 2 possible possible JJ cord-345238-p841weif 50 3 establishment establishment NN cord-345238-p841weif 50 4 of of IN cord-345238-p841weif 50 5 sylvatic sylvatic JJ cord-345238-p841weif 50 6 transmission transmission NN cord-345238-p841weif 50 7 cycles cycle NNS cord-345238-p841weif 50 8 will will MD cord-345238-p841weif 50 9 represent represent VB cord-345238-p841weif 50 10 a a DT cord-345238-p841weif 50 11 significant significant JJ cord-345238-p841weif 50 12 additional additional JJ cord-345238-p841weif 50 13 challenge challenge NN cord-345238-p841weif 50 14 to to IN cord-345238-p841weif 50 15 the the DT cord-345238-p841weif 50 16 development development NN cord-345238-p841weif 50 17 of of IN cord-345238-p841weif 50 18 control control NN cord-345238-p841weif 50 19 programs program NNS cord-345238-p841weif 50 20 and and CC cord-345238-p841weif 50 21 should should MD cord-345238-p841weif 50 22 be be VB cord-345238-p841weif 50 23 constantly constantly RB cord-345238-p841weif 50 24 monitored monitor VBN cord-345238-p841weif 50 25 . . . cord-345238-p841weif 51 1 Lastly lastly RB cord-345238-p841weif 51 2 , , , cord-345238-p841weif 51 3 concurrent concurrent JJ cord-345238-p841weif 51 4 epidemics epidemic NNS cord-345238-p841weif 51 5 like like IN cord-345238-p841weif 51 6 the the DT cord-345238-p841weif 51 7 SARS SARS NNP cord-345238-p841weif 51 8 - - HYPH cord-345238-p841weif 51 9 CoV-2 CoV-2 NNP cord-345238-p841weif 51 10 / / SYM cord-345238-p841weif 51 11 COVID-19 covid-19 VBP cord-345238-p841weif 51 12 or or CC cord-345238-p841weif 51 13 other other JJ cord-345238-p841weif 51 14 respiratory respiratory JJ cord-345238-p841weif 51 15 pathogens pathogen NNS cord-345238-p841weif 52 1 /illnesses /illnesses , cord-345238-p841weif 52 2 can can MD cord-345238-p841weif 52 3 overwhelm overwhelm VB cord-345238-p841weif 52 4 health health NN cord-345238-p841weif 52 5 care care NN cord-345238-p841weif 52 6 systems system NNS cord-345238-p841weif 52 7 and and CC cord-345238-p841weif 52 8 further further RB cord-345238-p841weif 52 9 complicate complicate VB cord-345238-p841weif 52 10 clinicalepidemiological clinicalepidemiological JJ cord-345238-p841weif 52 11 diagnoses diagnosis NNS cord-345238-p841weif 52 12 . . . cord-345238-p841weif 53 1 Efforts effort NNS cord-345238-p841weif 53 2 to to TO cord-345238-p841weif 53 3 better well RBR cord-345238-p841weif 53 4 control control VB cord-345238-p841weif 53 5 these these DT cord-345238-p841weif 53 6 diseases disease NNS cord-345238-p841weif 53 7 must must MD cord-345238-p841weif 53 8 seriously seriously RB cord-345238-p841weif 53 9 consider consider VB cord-345238-p841weif 53 10 all all PDT cord-345238-p841weif 53 11 these these DT cord-345238-p841weif 53 12 issues issue NNS cord-345238-p841weif 53 13 . . . cord-345238-p841weif 53 14 _SP cord-345238-p841weif 54 1 The the DT cord-345238-p841weif 54 2 authors author NNS cord-345238-p841weif 54 3 declare declare VBP cord-345238-p841weif 54 4 no no DT cord-345238-p841weif 54 5 conflict conflict NN cord-345238-p841weif 54 6 of of IN cord-345238-p841weif 54 7 interest interest NN cord-345238-p841weif 54 8 . . . cord-345238-p841weif 55 1 Brito Brito NNP cord-345238-p841weif 55 2 _SP cord-345238-p841weif 55 3 Effective effective JJ cord-345238-p841weif 55 4 management management NN cord-345238-p841weif 55 5 of of IN cord-345238-p841weif 55 6 arboviral arboviral NNP cord-345238-p841weif 55 7 diseases disease NNS cord-345238-p841weif 55 8 in in IN cord-345238-p841weif 55 9 Brazil Brazil NNP cord-345238-p841weif 55 10 requires require VBZ cord-345238-p841weif 55 11 confronting confront VBG cord-345238-p841weif 55 12 major major JJ cord-345238-p841weif 55 13 challenges challenge NNS cord-345238-p841weif 55 14 . . . cord-345238-p841weif 56 1 The the DT cord-345238-p841weif 56 2 co co NN cord-345238-p841weif 56 3 - - NN cord-345238-p841weif 56 4 endemicity endemicity NN cord-345238-p841weif 56 5 of of IN cord-345238-p841weif 56 6 multiple multiple JJ cord-345238-p841weif 56 7 and and CC cord-345238-p841weif 56 8 related related JJ cord-345238-p841weif 56 9 arboviruses arbovirus NNS cord-345238-p841weif 56 10 complicates complicate VBZ cord-345238-p841weif 56 11 clinical clinical JJ cord-345238-p841weif 56 12 - - HYPH cord-345238-p841weif 56 13 epidemiological epidemiological JJ cord-345238-p841weif 56 14 diagnoses diagnosis NNS cord-345238-p841weif 56 15 , , , cord-345238-p841weif 56 16 clinical clinical JJ cord-345238-p841weif 56 17 management management NN cord-345238-p841weif 56 18 and and CC cord-345238-p841weif 56 19 case case NN cord-345238-p841weif 56 20 notification notification NN cord-345238-p841weif 56 21 , , , cord-345238-p841weif 56 22 in in IN cord-345238-p841weif 56 23 addition addition NN cord-345238-p841weif 56 24 to to IN cord-345238-p841weif 56 25 impacting impact VBG cord-345238-p841weif 56 26 the the DT cord-345238-p841weif 56 27 epidemiology epidemiology NN cord-345238-p841weif 56 28 of of IN cord-345238-p841weif 56 29 arboviral arboviral JJ cord-345238-p841weif 56 30 diseases disease NNS cord-345238-p841weif 56 31 in in IN cord-345238-p841weif 56 32 unclear unclear JJ cord-345238-p841weif 56 33 ways way NNS cord-345238-p841weif 56 34 . . . cord-345238-p841weif 57 1 The the DT cord-345238-p841weif 57 2 possible possible JJ cord-345238-p841weif 57 3 establishment establishment NN cord-345238-p841weif 57 4 of of IN cord-345238-p841weif 57 5 sylvatic sylvatic JJ cord-345238-p841weif 57 6 transmission transmission NN cord-345238-p841weif 57 7 cycles cycle NNS cord-345238-p841weif 57 8 will will MD cord-345238-p841weif 57 9 represent represent VB cord-345238-p841weif 57 10 a a DT cord-345238-p841weif 57 11 significant significant JJ cord-345238-p841weif 57 12 additional additional JJ cord-345238-p841weif 57 13 challenge challenge NN cord-345238-p841weif 57 14 to to IN cord-345238-p841weif 57 15 the the DT cord-345238-p841weif 57 16 development development NN cord-345238-p841weif 57 17 of of IN cord-345238-p841weif 57 18 control control NN cord-345238-p841weif 57 19 programs program NNS cord-345238-p841weif 57 20 and and CC cord-345238-p841weif 57 21 should should MD cord-345238-p841weif 57 22 be be VB cord-345238-p841weif 57 23 constantly constantly RB cord-345238-p841weif 57 24 monitored monitor VBN cord-345238-p841weif 57 25 . . . cord-345238-p841weif 58 1 Lastly lastly RB cord-345238-p841weif 58 2 , , , cord-345238-p841weif 58 3 concurrent concurrent JJ cord-345238-p841weif 58 4 epidemics epidemic NNS cord-345238-p841weif 58 5 like like IN cord-345238-p841weif 58 6 the the DT cord-345238-p841weif 58 7 SARS SARS NNP cord-345238-p841weif 58 8 - - HYPH cord-345238-p841weif 58 9 CoV-2 CoV-2 NNP cord-345238-p841weif 58 10 / / SYM cord-345238-p841weif 58 11 COVID-19 covid-19 VBP cord-345238-p841weif 58 12 or or CC cord-345238-p841weif 58 13 other other JJ cord-345238-p841weif 58 14 respiratory respiratory JJ cord-345238-p841weif 58 15 pathogens pathogen NNS cord-345238-p841weif 59 1 /illnesses /illnesses , cord-345238-p841weif 59 2 can can MD cord-345238-p841weif 59 3 overwhelm overwhelm VB cord-345238-p841weif 59 4 health health NN cord-345238-p841weif 59 5 care care NN cord-345238-p841weif 59 6 systems system NNS cord-345238-p841weif 59 7 and and CC cord-345238-p841weif 59 8 further far RBR cord-345238-p841weif 59 9 complicate complicate VB cord-345238-p841weif 59 10 clinical clinical JJ cord-345238-p841weif 59 11 - - HYPH cord-345238-p841weif 59 12 epidemiological epidemiological JJ cord-345238-p841weif 59 13 diagnoses diagnosis NNS cord-345238-p841weif 59 14 . . . cord-345238-p841weif 60 1 Efforts effort NNS cord-345238-p841weif 60 2 to to TO cord-345238-p841weif 60 3 better well RBR cord-345238-p841weif 60 4 control control VB cord-345238-p841weif 60 5 these these DT cord-345238-p841weif 60 6 diseases disease NNS cord-345238-p841weif 60 7 must must MD cord-345238-p841weif 60 8 seriously seriously RB cord-345238-p841weif 60 9 consider consider VB cord-345238-p841weif 60 10 all all PDT cord-345238-p841weif 60 11 these these DT cord-345238-p841weif 60 12 issues issue NNS cord-345238-p841weif 60 13 . . . cord-345238-p841weif 60 14 _SP cord-345238-p841weif 61 1 The the DT cord-345238-p841weif 61 2 authors author NNS cord-345238-p841weif 61 3 declare declare VBP cord-345238-p841weif 61 4 no no DT cord-345238-p841weif 61 5 conflict conflict NN cord-345238-p841weif 61 6 of of IN cord-345238-p841weif 61 7 interest interest NN cord-345238-p841weif 61 8 . . . cord-345238-p841weif 62 1 One one CD cord-345238-p841weif 62 2 year year NN cord-345238-p841weif 62 3 after after IN cord-345238-p841weif 62 4 the the DT cord-345238-p841weif 62 5 Zika Zika NNP cord-345238-p841weif 62 6 virus virus NN cord-345238-p841weif 62 7 outbreak outbreak NN cord-345238-p841weif 62 8 in in IN cord-345238-p841weif 62 9 Brazil Brazil NNP cord-345238-p841weif 62 10 : : : cord-345238-p841weif 62 11 From from IN cord-345238-p841weif 62 12 hypotheses hypothesis NNS cord-345238-p841weif 62 13 to to TO cord-345238-p841weif 62 14 evidence evidence VB cord-345238-p841weif 62 15 Serological serological JJ cord-345238-p841weif 62 16 tests test NNS cord-345238-p841weif 62 17 reveal reveal VBP cord-345238-p841weif 62 18 significant significant JJ cord-345238-p841weif 62 19 cross cross JJ cord-345238-p841weif 62 20 - - JJ cord-345238-p841weif 62 21 reactive reactive JJ cord-345238-p841weif 62 22 human human JJ cord-345238-p841weif 62 23 antibody antibody NN cord-345238-p841weif 62 24 responses response NNS cord-345238-p841weif 62 25 to to IN cord-345238-p841weif 62 26 Zika Zika NNP cord-345238-p841weif 62 27 and and CC cord-345238-p841weif 62 28 Dengue dengue NN cord-345238-p841weif 62 29 viruses virus NNS cord-345238-p841weif 62 30 in in IN cord-345238-p841weif 62 31 the the DT cord-345238-p841weif 62 32 Mexican mexican JJ cord-345238-p841weif 62 33 population population NN cord-345238-p841weif 62 34 Impact impact NN cord-345238-p841weif 62 35 of of IN cord-345238-p841weif 62 36 preexisting preexist VBG cord-345238-p841weif 62 37 dengue dengue NN cord-345238-p841weif 62 38 immunity immunity NN cord-345238-p841weif 62 39 on on IN cord-345238-p841weif 62 40 Zika Zika NNP cord-345238-p841weif 62 41 virus virus NN cord-345238-p841weif 62 42 emergence emergence NN cord-345238-p841weif 62 43 in in IN cord-345238-p841weif 62 44 a a DT cord-345238-p841weif 62 45 dengue dengue NN cord-345238-p841weif 62 46 endemic endemic JJ cord-345238-p841weif 62 47 region region NN cord-345238-p841weif 62 48 Previous previous JJ cord-345238-p841weif 62 49 dengue dengue NN cord-345238-p841weif 62 50 or or CC cord-345238-p841weif 62 51 Zika Zika NNP cord-345238-p841weif 62 52 virus virus NN cord-345238-p841weif 62 53 exposure exposure NN cord-345238-p841weif 62 54 can can MD cord-345238-p841weif 62 55 drive drive VB cord-345238-p841weif 62 56 to to IN cord-345238-p841weif 62 57 infection infection NN cord-345238-p841weif 62 58 enhancement enhancement NN cord-345238-p841weif 62 59 or or CC cord-345238-p841weif 62 60 neutralisation neutralisation NN cord-345238-p841weif 62 61 of of IN cord-345238-p841weif 62 62 other other JJ cord-345238-p841weif 62 63 flaviviruses flavivirus NNS cord-345238-p841weif 62 64 Dengue Dengue NNP cord-345238-p841weif 62 65 Virus Virus NNP cord-345238-p841weif 62 66 and and CC cord-345238-p841weif 62 67 Zika Zika NNP cord-345238-p841weif 62 68 Virus Virus NNP cord-345238-p841weif 62 69 Serological Serological NNP cord-345238-p841weif 62 70 Cross Cross NNP cord-345238-p841weif 62 71 - - HYPH cord-345238-p841weif 62 72 reactivity reactivity NN cord-345238-p841weif 62 73 and and CC cord-345238-p841weif 62 74 Their -PRON- PRP$ cord-345238-p841weif 62 75 Impact Impact NNP cord-345238-p841weif 62 76 on on IN cord-345238-p841weif 62 77 Pathogenesis Pathogenesis NNP cord-345238-p841weif 62 78 in in IN cord-345238-p841weif 62 79 Mice Mice NNP cord-345238-p841weif 62 80 Impacts impact NNS cord-345238-p841weif 62 81 of of IN cord-345238-p841weif 62 82 Zika Zika NNP cord-345238-p841weif 62 83 emergence emergence NN cord-345238-p841weif 62 84 in in IN cord-345238-p841weif 62 85 Latin Latin NNP cord-345238-p841weif 62 86 America America NNP cord-345238-p841weif 62 87 on on IN cord-345238-p841weif 62 88 endemic endemic JJ cord-345238-p841weif 62 89 dengue dengue NN cord-345238-p841weif 62 90 transmission transmission NN cord-345238-p841weif 63 1 The the DT cord-345238-p841weif 63 2 decline decline NN cord-345238-p841weif 63 3 of of IN cord-345238-p841weif 63 4 dengue dengue NN cord-345238-p841weif 63 5 in in IN cord-345238-p841weif 63 6 the the DT cord-345238-p841weif 63 7 Americas Americas NNPS cord-345238-p841weif 63 8 in in IN cord-345238-p841weif 63 9 2017 2017 CD cord-345238-p841weif 63 10 : : : cord-345238-p841weif 63 11 Discussion discussion NN cord-345238-p841weif 63 12 of of IN cord-345238-p841weif 63 13 multiple multiple JJ cord-345238-p841weif 63 14 hypotheses hypothesis NNS cord-345238-p841weif 64 1 Human human JJ cord-345238-p841weif 64 2 Urban Urban NNP cord-345238-p841weif 64 3 Arboviruses Arboviruses NNP cord-345238-p841weif 64 4 Can Can MD cord-345238-p841weif 64 5 Infect infect VB cord-345238-p841weif 64 6 Wild wild JJ cord-345238-p841weif 64 7 Animals Animals NNPS cord-345238-p841weif 64 8 and and CC cord-345238-p841weif 64 9 Jump jump VB cord-345238-p841weif 64 10 to to IN cord-345238-p841weif 64 11 Sylvatic Sylvatic NNP cord-345238-p841weif 64 12 Maintenance Maintenance NNP cord-345238-p841weif 64 13 Cycles Cycles NNPS cord-345238-p841weif 64 14 in in IN cord-345238-p841weif 64 15 South South NNP cord-345238-p841weif 64 16 America America NNP cord-345238-p841weif 65 1 A a DT cord-345238-p841weif 65 2 list list NN cord-345238-p841weif 65 3 of of IN cord-345238-p841weif 65 4 mosquito mosquito NN cord-345238-p841weif 65 5 species specie NNS cord-345238-p841weif 65 6 of of IN cord-345238-p841weif 65 7 the the DT cord-345238-p841weif 65 8 Brazilian brazilian JJ cord-345238-p841weif 65 9 State State NNP cord-345238-p841weif 65 10 of of IN cord-345238-p841weif 65 11 Pernambuco Pernambuco NNP cord-345238-p841weif 65 12 , , , cord-345238-p841weif 65 13 including include VBG cord-345238-p841weif 65 14 the the DT cord-345238-p841weif 65 15 first first JJ cord-345238-p841weif 65 16 report report NN cord-345238-p841weif 65 17 of of IN cord-345238-p841weif 65 18 Haemagogus Haemagogus NNP cord-345238-p841weif 65 19 janthinomys janthinomys NNP cord-345238-p841weif 65 20 ( ( -LRB- cord-345238-p841weif 65 21 Diptera Diptera NNS cord-345238-p841weif 65 22 : : : cord-345238-p841weif 65 23 Culicidae Culicidae NNP cord-345238-p841weif 65 24 ) ) -RRB- cord-345238-p841weif 65 25 , , , cord-345238-p841weif 65 26 yellow yellow JJ cord-345238-p841weif 65 27 fever fever NN cord-345238-p841weif 65 28 vector vector NN cord-345238-p841weif 65 29 and and CC cord-345238-p841weif 65 30 14 14 CD cord-345238-p841weif 65 31 other other JJ cord-345238-p841weif 65 32 species specie NNS cord-345238-p841weif 65 33 ( ( -LRB- cord-345238-p841weif 65 34 Diptera Diptera NNS cord-345238-p841weif 65 35 : : : cord-345238-p841weif 65 36 Culicidae Culicidae NNP cord-345238-p841weif 65 37 ) ) -RRB- cord-345238-p841weif 66 1 Spatial spatial JJ cord-345238-p841weif 66 2 distribution distribution NN cord-345238-p841weif 66 3 and and CC cord-345238-p841weif 66 4 exploitation exploitation NN cord-345238-p841weif 66 5 of of IN cord-345238-p841weif 66 6 trees tree NNS cord-345238-p841weif 66 7 gouged gouge VBN cord-345238-p841weif 66 8 by by IN cord-345238-p841weif 66 9 common common JJ cord-345238-p841weif 66 10 marmosets marmoset NNS cord-345238-p841weif 67 1 ( ( -LRB- cord-345238-p841weif 67 2 Callithrix Callithrix NNP cord-345238-p841weif 67 3 jacchus jacchus NNP cord-345238-p841weif 67 4 ) ) -RRB- cord-345238-p841weif 67 5 Evidence evidence NN cord-345238-p841weif 67 6 of of IN cord-345238-p841weif 67 7 natural natural JJ cord-345238-p841weif 67 8 Zika Zika NNP cord-345238-p841weif 67 9 virus virus NN cord-345238-p841weif 67 10 infection infection NN cord-345238-p841weif 67 11 in in IN cord-345238-p841weif 67 12 neotropical neotropical JJ cord-345238-p841weif 67 13 non non JJ cord-345238-p841weif 67 14 - - JJ cord-345238-p841weif 67 15 human human JJ cord-345238-p841weif 67 16 primates primate NNS cord-345238-p841weif 67 17 in in IN cord-345238-p841weif 67 18 Brazil Brazil NNP cord-345238-p841weif 67 19 Seroprevalence Seroprevalence NNP cord-345238-p841weif 67 20 of of IN cord-345238-p841weif 67 21 selected select VBN cord-345238-p841weif 67 22 flaviviruses flavivirus NNS cord-345238-p841weif 67 23 in in IN cord-345238-p841weif 67 24 free free RB cord-345238-p841weif 67 25 - - HYPH cord-345238-p841weif 67 26 living living NN cord-345238-p841weif 67 27 and and CC cord-345238-p841weif 67 28 captive captive JJ cord-345238-p841weif 67 29 capuchin capuchin JJ cord-345238-p841weif 67 30 monkeys monkey NNS cord-345238-p841weif 67 31 in in IN cord-345238-p841weif 67 32 the the DT cord-345238-p841weif 67 33 state state NN cord-345238-p841weif 67 34 of of IN cord-345238-p841weif 67 35 Pernambuco Pernambuco NNP cord-345238-p841weif 67 36 Limited Limited NNP cord-345238-p841weif 67 37 Evidence evidence NN cord-345238-p841weif 67 38 for for IN cord-345238-p841weif 67 39 Infection Infection NNP cord-345238-p841weif 67 40 of of IN cord-345238-p841weif 67 41 Urban Urban NNP cord-345238-p841weif 67 42 and and CC cord-345238-p841weif 67 43 Peri Peri NNP cord-345238-p841weif 67 44 - - HYPH cord-345238-p841weif 67 45 urban urban JJ cord-345238-p841weif 67 46 Nonhuman Nonhuman NNP cord-345238-p841weif 67 47 Primates Primates NNPS cord-345238-p841weif 67 48 with with IN cord-345238-p841weif 67 49 Zika Zika NNP cord-345238-p841weif 67 50 and and CC cord-345238-p841weif 67 51 Chikungunya chikungunya NN cord-345238-p841weif 67 52 Viruses Viruses NNPS cord-345238-p841weif 67 53 in in IN cord-345238-p841weif 67 54 Brazil Brazil NNP cord-345238-p841weif 67 55 Zika Zika NNP cord-345238-p841weif 67 56 Virus Virus NNP cord-345238-p841weif 67 57 Surveillance surveillance NN cord-345238-p841weif 67 58 at at IN cord-345238-p841weif 67 59 the the DT cord-345238-p841weif 67 60 Human Human NNP cord-345238-p841weif 67 61 - - HYPH cord-345238-p841weif 67 62 Animal Animal NNP cord-345238-p841weif 67 63 Interface Interface NNP cord-345238-p841weif 67 64 in in IN cord-345238-p841weif 67 65 West West NNP cord-345238-p841weif 67 66 - - HYPH cord-345238-p841weif 67 67 Central Central NNP cord-345238-p841weif 67 68 Brazil Brazil NNP cord-345238-p841weif 67 69 Prevalence Prevalence NNP cord-345238-p841weif 67 70 and and CC cord-345238-p841weif 67 71 Incidence Incidence NNP cord-345238-p841weif 67 72 of of IN cord-345238-p841weif 67 73 Zika Zika NNP cord-345238-p841weif 67 74 Virus Virus NNP cord-345238-p841weif 67 75 Infection infection NN cord-345238-p841weif 67 76 Among among IN cord-345238-p841weif 67 77 Household Household NNP cord-345238-p841weif 67 78 Contacts Contacts NNPS cord-345238-p841weif 67 79 of of IN cord-345238-p841weif 67 80 Patients patient NNS cord-345238-p841weif 68 1 With with IN cord-345238-p841weif 68 2 Zika Zika NNP cord-345238-p841weif 68 3 Virus Virus NNP cord-345238-p841weif 68 4 Disease Disease NNP cord-345238-p841weif 68 5 Influenza Influenza NNP cord-345238-p841weif 68 6 Illness Illness NNP cord-345238-p841weif 68 7 among among IN cord-345238-p841weif 68 8 Case case NN cord-345238-p841weif 68 9 - - HYPH cord-345238-p841weif 68 10 Patients patient NNS cord-345238-p841weif 68 11 Hospitalized hospitalize VBN cord-345238-p841weif 68 12 for for IN cord-345238-p841weif 68 13 Suspected suspect VBN cord-345238-p841weif 68 14 Dengue Dengue NNP cord-345238-p841weif 68 15 Frequency Frequency NNP cord-345238-p841weif 68 16 and and CC cord-345238-p841weif 68 17 clinical clinical JJ cord-345238-p841weif 68 18 features feature NNS cord-345238-p841weif 68 19 of of IN cord-345238-p841weif 68 20 dengue dengue NN cord-345238-p841weif 68 21 infection infection NN cord-345238-p841weif 68 22 in in IN cord-345238-p841weif 68 23 a a DT cord-345238-p841weif 68 24 schoolchildren schoolchildren NNS cord-345238-p841weif 68 25 cohort cohort NN cord-345238-p841weif 68 26 from from IN cord-345238-p841weif 68 27 medellin medellin NNP cord-345238-p841weif 68 28 , , , cord-345238-p841weif 68 29 Colombia Colombia NNP cord-345238-p841weif 68 30 Severe severe JJ cord-345238-p841weif 68 31 coinfections coinfection NNS cord-345238-p841weif 68 32 of of IN cord-345238-p841weif 68 33 dengue dengue NN cord-345238-p841weif 68 34 and and CC cord-345238-p841weif 68 35 pandemic pandemic NN cord-345238-p841weif 69 1 influenza influenza NN cord-345238-p841weif 69 2 A a DT cord-345238-p841weif 69 3 H1N1 H1N1 NNP cord-345238-p841weif 69 4 viruses virus NNS cord-345238-p841weif 69 5 Co co NN cord-345238-p841weif 69 6 - - NN cord-345238-p841weif 69 7 infection infection NN cord-345238-p841weif 69 8 with with IN cord-345238-p841weif 69 9 dengue dengue NN cord-345238-p841weif 69 10 virus virus NN cord-345238-p841weif 69 11 and and CC cord-345238-p841weif 69 12 pandemic pandemic NN cord-345238-p841weif 69 13 ( ( -LRB- cord-345238-p841weif 70 1 H1N1 H1N1 NNP cord-345238-p841weif 70 2 ) ) -RRB- cord-345238-p841weif 70 3 2009 2009 CD cord-345238-p841weif 70 4 virus virus NN cord-345238-p841weif 71 1 The the DT cord-345238-p841weif 71 2 diagnostic diagnostic JJ cord-345238-p841weif 71 3 challenge challenge NN cord-345238-p841weif 71 4 of of IN cord-345238-p841weif 71 5 pandemic pandemic NN cord-345238-p841weif 71 6 H1N1 H1N1 NNP cord-345238-p841weif 71 7 2009 2009 CD cord-345238-p841weif 71 8 virus virus NN cord-345238-p841weif 71 9 in in IN cord-345238-p841weif 71 10 a a DT cord-345238-p841weif 71 11 dengue dengue NN cord-345238-p841weif 71 12 - - HYPH cord-345238-p841weif 71 13 endemic endemic JJ cord-345238-p841weif 71 14 region region NN cord-345238-p841weif 71 15 : : : cord-345238-p841weif 71 16 A a DT cord-345238-p841weif 71 17 case case NN cord-345238-p841weif 71 18 report report NN cord-345238-p841weif 71 19 of of IN cord-345238-p841weif 71 20 combined combine VBN cord-345238-p841weif 71 21 infection infection NN cord-345238-p841weif 71 22 in in IN cord-345238-p841weif 71 23 Jeddah Jeddah NNP cord-345238-p841weif 71 24 , , , cord-345238-p841weif 71 25 Kingdom Kingdom NNP cord-345238-p841weif 71 26 of of IN cord-345238-p841weif 71 27 Saudi Saudi NNP cord-345238-p841weif 71 28 Arabia Arabia NNP cord-345238-p841weif 72 1 This this DT cord-345238-p841weif 72 2 article article NN cord-345238-p841weif 72 3 is be VBZ cord-345238-p841weif 72 4 an an DT cord-345238-p841weif 72 5 open open JJ cord-345238-p841weif 72 6 access access NN cord-345238-p841weif 72 7 article article NN cord-345238-p841weif 72 8 distributed distribute VBN cord-345238-p841weif 72 9 under under IN cord-345238-p841weif 72 10 the the DT cord-345238-p841weif 72 11 terms term NNS cord-345238-p841weif 72 12 and and CC cord-345238-p841weif 72 13 conditions condition NNS cord-345238-p841weif 72 14 of of IN cord-345238-p841weif 72 15 the the DT cord-345238-p841weif 72 16 Creative Creative NNP cord-345238-p841weif 72 17 Commons Commons NNP cord-345238-p841weif 72 18 Attribution Attribution NNP cord-345238-p841weif 72 19 ( ( -LRB- cord-345238-p841weif 72 20 CC CC NNP cord-345238-p841weif 72 21 BY by IN cord-345238-p841weif 72 22 ) ) -RRB- cord-345238-p841weif 72 23 license license NN