This consists of taking the historical past (asking questions), performing the physical examination, and obtaining selective laboratory and/or imaging tests. A massive proportion of adolescents (eighty four%) and chil- dren (sixty seven%) reported to have disruption in every day living actions with lack of train tolerance most frequently mentioned (25% adolescents and 21% kids). Nonethless, specialists advise elevated surveillance and active contact tracing in addition to thorough investigation into potential animal hosts and routes of zoonotic reinfection, which seems to be perpetuating the outbreak (Breban, R
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