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encephalitis and malaria (2008) Nicaragua degree of risk: intermediate food or waterborne diseases: bacterial diarrhea, hepatitis A, and typhoid fever vectorborne disease: dengue fever and malaria water contact disease: leptospirosis (2008) Niger degree of risk: very high food or waterborne diseases: bacterial and protozoal diarrhea, hepatitis A, and typhoid fever vectorborne disease: malaria respiratory disease: meningococcal meningitis note: highly pathogenic H5N1 avian influenza has been identified in this country; it poses a negligible risk with extremely rare cases possible among US citizens who have close contact with birds (2008) Nigeria degree of risk: very high food or waterborne diseases: bacterial and protozoal diarrhea, hepatitis A, and typhoid fever vectorborne disease: malaria and yellow fever respiratory disease: meningococcal meningitis aerosolized dust or soil contact disease: one of the most highly endemic areas for Lassa fever water contact disease: leptospirosis and shistosomiasis note: highly pathogenic H5N1 avian influenza has been identified in this country; it poses a negligible risk with extremely rare cases possible among US citizens who have close contact with birds (2008) Pakistan degree of risk: high food or waterborne diseases: bacterial diarrhea, hepatitis A and E, and typhoid fever vectorborne diseases: dengue fever and malaria animal contact disease: rabies note: highly pathogenic H5N1 avian influenza has been identified in this country; it poses a negligible risk with extremely rare cases possible among US citizens who have close contact with birds (2008) Panama degree of risk: intermediate food or waterborne diseases: bacterial diarrhea and hepatitis A vectorborne disease: dengue fever and malaria water contact disease: leptospirosis (2008) Papua New Guinea degree of risk: very high food or waterborne diseases: bacterial diarrhea, hepatitis A, and typhoid fever vectorborne diseases: dengue fever and malaria (2008) Paraguay degree of risk: intermediate food or waterborne diseases: bacterial diarrhea, hepatitis A, and typhoid fever vectorborne disease: dengue fever and malaria (2008) Peru degree of risk: very high food or waterborne diseases: bacterial, hepatitis A, and typhoid fever vectorborne disease: dengue fever, malaria, Oroya fever, and yellow feve
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