It is possible that he ate food that had been contaminated in an endemic country and shipped to Japan.

Perinatal infection is a major route of infection in endemic (mainly developing) countries.

This treatment was quite expensive, and was not quickly adopted in most endemic countries.

The disease is endemic in 74-76 developing countries.

Be part of the push to rid the world of the disease from the four remaining endemic countries.

A high background titre may reduce the positive predictive value of serological tests in endemic countries.

Cholera exists as a seasonal disease in many endemic countries, occurring annually mostly during rainy seasons.

Of these, 1,506 occurred in the four endemic countries and 146 elsewhere.

Outside endemic countries Chad reported the greatest number (37 cases).

The plan calls for mass immunization campaigns in the three remaining endemic countries.