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[(wi)19.8(de)19.7(sp)15.3(re)19.7(ad)-251(wi)19.8(th)-250(si)20.9(gn)15.1(i)20.9(ca)18.5(nt)-250(co)19.7(st)15.1(s)-260.1(i)0(n)20.7(c)0(u)19.7(r)0(r)20.9(e)0(d)-251(b)0(y)-249.9(f)0(o)15.1(o)0(d)-249.9(b)0(u)20.8(s)0(i)20.9(n)0(e)19.7(s)0(s)15.5(e)0(s)]TJ
T*
[(\(F)21(oo)15.1(d)-289.1(S)0(t)20.9(a)0(n)19.7(d)0(a)13.9(r)0(d)20.9(s)-288.9(Au)20(st)15.1(ra)19.7(li)20.6(a)-296(N)0(e)18.8(w)-289.9(Ze)18.5(al)19.5(an)19.7(d,)-286.8(20)20.8(01)20.8(,)-291.4(2)0(0)20.8(0)0(2)20.8(\))0(.)-281(G)0(i)14.1(v)0(e)19.7(n)]TJ
0 -1.1174 TD
[(th)20.7(e)-244.2(i)0(m)19.5(p)0(o)20.8(r)0(t)20.7(a)0(n)19.7(c)0(e)-234.9(o)0(f)-226.8(i)0(n)20.7(-)0(d)15.1(e)0(p)19.7(t)0(h)-227(a)0(n)19.7(a)0(l)13.8(y)0(s)21(e)0(s)-227.8(o)0(f)-232.6(t)0(h)20.7(e)-238.4(va)13.9(ri)20.7(ou)20.8(s)-237(f)0(a)14(c)0(t)19.5(o)0(r)20.9(s)-242.8(th)20.7(at)]TJ
0 -1.1116 TD
[(de)19.7(te)19.5(rm)19.7(in)15(e)-336.3(t)0(h)20.7(e)-336.3(oc)19.7(cu)19.7(rr)15.1(en)19.7(ce)-327.1(of)-324.7(fo)20.9(od)15.1(bo)20.8(rn)20.9(e)-336.3(d)0(i)20.7(s)0(e)19.9(a)0(s)14.1(e)-336.3(in)-324.9(th)20.7(e)-336.3(d)0(e)19.7(v)0(e)13.9(l)0(-)]TJ
T*
[(op)20.8(me)18.4(nt)-359.4(of)-353.5(im)19.5(pr)20.9(ov)15.1(ed)-354.7(co)19.7(nt)20.7(ro)15.1(l)-364.1(a)0(n)19.7(d)-369.7(pr)20.9(ev)19.7(en)19.7(ti)20.6(on)-359.3(st)20.9(ra)19.7(te)19.6(gi)15(es)-354.5(\()-75.9(M)0(a)18.8(-)]TJ
T*
[(jo)20.7(wi)19.8(cz)]TJ
/F7 1 Tf
3.1448 0 TD
[(et)-504.6(al)15(.)13.9(,)]TJ
/F6 1 Tf
3.0008 0 TD
[(20)15.1(05)20.8(;)-513.8(L)0(y)19.6(y)0(t)20.7(i)0(k)15(a)0(i)19.5(n)0(e)19.7(n)]TJ
/F7 1 Tf
8.029 0 TD
[(et)-510.3(al)20.7(.,)]TJ
/F6 1 Tf
3.0066 0 TD
[(20)20.8(06)20.8(\),)-505.6(th)15(is)-503.2(st)15.1(ud)20.8(y)]TJ
-17.1812 -1.1174 TD
[(pr)20.9(es)14.1(en)19.7(ts)-203.7(an)-205(ov)20.8(er)19.7(vi)14.9(ew)-205.8(of)-203.8(ke)19.7(y)-214.2(e)0(p)19.7(i)0(d)15(e)0(m)18.5(i)0(o)20.7(l)0(o)20.7(g)0(i)20.7(c)0(a)18.5(l)-214.3(tr)15(en)19.7(ds)-203.6(re)19.7(la)19.6(ti)14.8(ng)-203.8(to)]TJ
0 -1.1116 TD
[(fo)20.9(od)15.1(bo)20.8(rn)20.9(e)]TJ
/F7 1 Tf
4.3083 0 TD
[(Li)20.9(st)15.1(er)19.9(ia)]TJ
/F6 1 Tf
3.3176 0 TD
[(in)15(fe)19.7(ct)19.5(io)20.7(ns)-266.9(in)-261.5(Au)20(st)20.9(ra)14(li)20.6(a)-273(w)0(i)19.8(t)0(h)-267.3(p)0(a)19.7(r)0(t)20.7(i)0(c)19.6(u)0(l)20.7(a)0(r)-268.3(e)0(m)18.5(-)]TJ
-7.6258 -1.1116 TD
[(ph)20.8(as)14.1(is)-301.6(on)]TJ
/F7 1 Tf
4.0721 0 TD
[(Li)20.9(st)20.9(er)14.1(ia)]TJ
/F6 1 Tf
3.3579 0 TD
[(no)20.8(ti)14.8(c)19.8(at)19.5(io)20.7(n)-317.9(r)0(a)19.7(t)0(e)19.6(s)0(,)-303.8(k)0(e)19.7(y)-317.9(ou)20.8(tb)20.7(re)19.7(ak)13.9(s,)-303.8(an)19.7(d)-312.1(f)0(o)15.1(o)0(d)]TJ
-7.43 -1.1174 TD
[(re)19.7(ca)18.5(ll)14.8(s)-265.8(t)0(h)15(a)0(t)-256.9(h)0(a)19.7(v)0(e)-262.5(b)0(e)19.7(e)0(n)-262.5(d)0(o)20.8(c)0(u)19.7(m)0(e)18.4(n)0(t)15(e)0(d)-256.8(i)0(n)-261.5(t)0(h)20.7(e)-273(20)20.8(01)20.8(2)15.1(01)20.8(0)-266(p)0(e)13.9(r)0(i)20.7(o)0(d)20.8(.)]TJ
/F5 1 Tf
8.9663 0 0 8.9663 62.022 248.4283 Tm
[(Materials)-332.7(and)-338.2(Methods)]TJ
/F6 1 Tf
9.843 0 0 9.843 72 231.9873 Tm
[(In)-434.1(20)20.8(00)15.1(,)-446.9(t)0(h)20.7(e)-445.8(Au)20(st)15.1(ra)19.7(li)20.6(an)-435.3(Go)20(ve)13.9(rn)20.9(me)18.4(nt)-434.3(an)19.7(d)-450.4(D)0(e)18.8(p)0(a)19.7(r)0(t)20.7(m)0(e)18.4(n)0(t)-440.1(o)0(f)]TJ
-1.0137 -1.1116 TD
[(He)18.8(al)19.5(th)-330.6(an)19.7(d)-340.9(A)0(g)20(e)0(i)19.5(n)0(g)-330.5(e)0(s)19.9(t)0(a)13.8(b)0(l)20.7(i)0(s)20.9(h)0(e)19.7(d)-340.9(Oz)18.8(Fo)21(od)20.8(Ne)18.8(t)-341(a)0(s)-331.5(a)-342.1(su)21(rv)20.9(ei)19.6(ll)14.8(an)19.7(ce)]TJ
0 -1.1174 TD
[(in)20.7(it)20.6(ia)13.8(ti)20.6(ve)-170.4(wi)19.8(th)-169.4(Au)20(st)15.1(ra)19.7(li)20.6(a)19.7(s)-179.5(S)0(t)20.9(a)0(t)13.8(e)-180.8(an)19.7(d)-179.6(T)0(e)18.5(r)0(r)20.9(i)0(t)20.6(o)0(r)20.9(y)-179.6(he)13.9(al)19.5(th)-169.4(au)19.7(th)20.7(or)20.9(it)14.8(ie)19.6(s)]TJ
0 -1.1116 TD
[(\(T)19.7(he)-481.4(Oz)18.8(Fo)21(od)20.8(Ne)18.8(t)-485(W)0(o)18.6(r)0(k)15.1(i)0(n)20.7(g)-484.9(Gr)20(ou)15.1(p,)-471.1(20)15.1(01)20.8(\).)-476.8(Th)19.6(e)-486.1(O)0(z)18.8(F)0(o)21(o)0(d)15.1(N)0(e)18.8(t)]TJ
T*
[(ne)19.7(tw)19.8(or)15.1(k)-600.1(c)0(o)19.7(m)0(p)19.6(r)0(i)20.7(s)0(e)19.9(s)-599.9(ep)19.7(id)15(em)18.5(io)20.7(lo)20.7(gi)20.7(st)20.9(s)-605.7(a)0(n)19.7(d)-600.1(fo)20.9(od)-589.7(mi)19.5(cr)19.7(ob)20.8(io)15(lo)20.7(-)]TJ
T*
[(gi)20.7(st)15.1(s)-208.2(w)0(h)20(o)-214.2(wo)20(rk)-198(in)-203.9(co)19.7(ll)20.6(ab)19.7(or)15.1(at)19.5(io)20.7(n)-208.4(o)0(n)-203.8(f)0(o)20.9(o)0(d)20.8(b)0(o)20.8(r)0(n)15.1(e)-209.6(di)20.7(se)14.1(as)19.9(e)-209.6(r)0(e)19.7(s)0(e)14.1(a)0(r)19.7(c)0(h)]TJ
0 -1.1174 TD
[(in)-440.1(Au)20(st)20.9(ra)19.7(li)14.8(a)-445.8(\()0(T)19.7(h)0(e)-441.1(O)0(z)18.8(F)0(o)21(o)0(d)15.1(N)0(e)18.8(t)-444.7(Wo)18.6(rk)15.1(in)20.7(g)-444.6(G)0(r)14.2(o)0(u)20.8(p)0(,)-436.5(2)0(0)20.8(0)0(2)20.8(\))0(.)-442.2(T)0(h)19.6(e)]TJ
0 -1.1116 TD
[(Oz)18.8(Fo)21(od)15.1(Ne)18.8(t)-231.6(w)0(o)14.2(r)0(k)20.9(i)0(n)20.7(g)-237.2(gr)20.9(ou)20.8(p)-237.2(u)0(t)20.7(i)0(l)20.6(i)0(z)13.8(e)0(s)-222(f)0(o)15.1(o)0(d)-226.8(p)0(a)19.7(t)0(h)20.7(o)0(g)20.8(e)0(n)-228(n)0(o)20.8(t)0(i)20.6()0(c)19.8(a)0(t)13.8(i)0(o)20.7(n)]TJ
T*
[(da)19.7(ta)-349.1(ob)20.8(ta)19.6(in)20.7(ed)-348.9(fr)20.9(om)-349(st)20.9(at)19.5(e)-359.4(h)0(e)19.7(a)0(l)19.5(t)0(h)-347.9(d)0(e)19.7(p)0(a)19.7(r)0(t)20.7(m)0(e)18.4(n)0(t)20.7(s)-358(to)-342.1(pe)13.9(rf)20.9(or)20.9(m)-353.7(e)0(p)13.9(i)0(-)]TJ
0 -1.1174 TD
[(de)19.7(mi)19.5(ol)20.7(og)15.1(ic)19.6(al)-187.8(st)20.9(ud)20.8(ie)13.8(s)-196.7(\()0(T)19.7(h)0(e)-187.7(O)0(z)18.8(F)0(o)15.2(o)0(d)20.8(N)0(e)18.8(t)-197.1(Wo)18.6(rk)20.9(in)20.7(g)-196.9(G)0(r)14.2(o)0(u)20.8(p)0(,)-188.8(2)0(0)20.8(0)0(1)20.8(\))0(.)]TJ
0 -1.1116 TD
[(Th)19.6(ei)19.5(r)-502.2()0(n)21(d)0(i)15(n)0(g)20.8(s)-502(ar)19.7(e)-503.4(p)0(u)20.8(b)0(l)20.7(i)0(s)15.1(h)0(e)19.7(d)-502.2(in)-491.9(bo)20.8(th)-491.9(qu)20.8(ar)19.7(te)19.6(rl)20.7(y)-502.2(a)0(n)19.7(d)-502.2(ye)19.7(ar)14(ly)]TJ
T*
[(re)19.7(po)20.8(rt)15(s.)-401.8(Fo)21(r)-410(t)0(h)20.7(e)-417(pu)20.8(rp)20.9(os)21(es)-406.3(of)-399.6(th)20.7(is)-405.3(st)20.9(ud)20.8(y,)-402(an)19.7(nu)20.8(al)-406.7(su)21(rv)20.9(ei)19.6(ll)14.8(an)19.7(ce)]TJ
0 -1.1174 TD
[(da)19.7(ta)-285.7(fr)20.9(om)-279.9(Oz)18.8(Fo)21(od)15.1(Ne)18.8(t)-289.2(a)0(r)19.7(e)-290.2(co)13.9(ll)20.6(at)19.5(ed)-279.8(to)-284.6(pr)20.9(ov)20.8(id)20.7(e)-290.2(a)0(n)-285.6(o)0(v)20.8(e)0(r)19.7(v)0(i)20.7(e)0(w)-286.5(o)0(f)]TJ
/F7 1 Tf
0 -1.1116 TD
[(Li)20.9(st)15.1(er)19.9(ia)]TJ
/F6 1 Tf
3.3406 0 TD
[(in)20.7(ci)19.5(de)19.7(nc)19.7(e)-296(a)0(n)19.7(d)-294.8(to)-278.8(id)15(en)19.7(ti)20.6(fy)-284.4(ke)19.7(y)-294.8(e)0(p)19.7(i)0(d)20.7(e)0(m)18.5(i)0(o)20.7(l)0(o)20.7(g)0(i)20.7(c)0(a)12.8(l)-289.2(tr)20.7(en)13.9(ds)]TJ
-3.3406 -1.1116 TD
[(re)19.7(la)19.6(ti)14.8(ng)-411.1(to)]TJ
/F7 1 Tf
4.6193 0 TD
[(L.)-407.5(mo)20(no)20.8(cy)12.8(to)20.7(ge)19.7(ne)19.7(s)]TJ
/F6 1 Tf
7.6892 0 TD
[(in)-411.3(Au)20(st)20.9(ra)14(li)20.6(a.)-408.9(Th)19.6(e)-422.7()0(r)21(s)0(t)-411.1(a)0(n)13.9(n)0(u)20.8(a)0(l)]TJ
-12.3085 -1.1174 TD
[(Oz)18.8(Fo)21(od)15.1(Ne)18.8(t)-208.6(r)0(e)14(p)0(o)20.8(r)0(t)-203.9(w)0(a)18.8(s)-214(re)19.7(le)19.6(as)19.9(ed)-204.9(in)-203.9(20)20.8(01)-203.8(an)19.7(d)-214.2(t)0(h)20.7(e)-215.4(mo)19.6(st)-203.7(re)19.7(ce)18.5(nt)-203.9(in)]TJ
0 -1.1116 TD
[(20)20.8(10)20.8(.)-245.3(I)0(n)-238.3(a)0(d)19.7(d)0(i)20.7(t)0(i)14.8(o)0(n)20.8(,)-245.3(Au)20(st)20.9(ra)19.7(li)14.8(an)-233.7(fo)20.9(od)-238.3(re)19.7(ca)18.5(ll)-238.6(da)19.7(ta)-233.9(wi)19.8(ll)-238.6(be)-233.7(ac)18.5(qu)15.1(ir)20.7(ed)]TJ
25.504 67.9184 TD
[(fr)15.1(om)-435.4(Fo)21(od)-434.2(St)20.9(an)13.9(da)19.7(rd)20.9(s)-444.4(A)0(u)20(s)0(t)15.1(r)0(a)19.7(l)0(i)20.6(a)-445.8(Ne)18.8(w)-445.5(Z)0(e)18.5(a)0(l)13.8(a)0(n)19.7(d)-444.6(\(F)21(SA)20.1(NZ)18.8(\).)-436.5(A)]TJ
0 -1.1174 TD
[(su)15.3(mm)18.4(ar)19.7(y)-329.4(o)0(f)-324.7(A)0(u)20(s)0(t)15.1(r)0(a)19.7(l)0(i)20.6(a)0(n)-325.9(f)0(o)20.9(o)0(d)-324.7(r)0(e)19.7(c)0(a)18.5(l)0(l)-325(s)0(t)20.9(a)0(t)19.6(i)0(s)15.1(t)0(i)20.6(c)0(s)-325.7(h)0(e)19.7(l)0(p)20.7(s)-335(de)19.7(te)19.5(rm)19.6(in)20.7(e)]TJ
0 -1.1116 TD
[(co)13.9(mm)24.1(on)-215.3(re)19.7(ca)18.5(ll)-209.8(tr)15(en)19.7(ds)-209.4(am)18.5(on)20.8(g)-225.7(f)0(o)20.9(o)0(d)20.8(s)-219.8(af)14(fe)19.7(ct)19.5(ed)-210.7(by)-215.3(mi)19.5(cr)19.7(ob)20.8(ia)19.6(l)-220.1(a)0(n)13.9(d)0(,)]TJ
T*
[(mo)19.6(re)-262.5(sp)15.3(ec)18.5(i)20.9(ca)18.5(ll)20.6(y,)]TJ
/F7 1 Tf
7.2918 0 TD
[(Li)20.9(st)20.9(er)19.9(ia)]TJ
/F6 1 Tf
3.3118 0 TD
[(co)19.7(nt)20.7(am)18.4(in)15(at)19.5(io)20.7(n.)]TJ
/F5 1 Tf
8.9663 0 0 8.9663 313.0582 670.3369 Tm
(Denitions)Tj
/F6 1 Tf
9.843 0 0 9.843 323.0361 653.8959 Tm
[(In)-330.5(Australia,)-333.5(listeriosis)-335.9(is)-330.4(determined)-338.5(by)-330.5(isolation)-328.2(of)]TJ
/F7 1 Tf
21.7256 0 TD
(Lis-)Tj
-22.7393 -1.1116 TD
(teria)Tj
/F6 1 Tf
2.3557 0 TD
[(species)-460.2(from)-460.6(a)-457.3(sterile)-459.4(site)-460.6(\(blood,)-453.6(spinal)-462.9(uid,)-457.1(fetal)]TJ
-2.3557 -1.1116 TD
[(gastrointest)-9.9(inal)-247.7(contents\))-254.2(\(The)-254.4(Department)-253(of)-249.8(Health,)-249.7(2010\).)]TJ
0 -1.1174 TD
[(Cases)-198.6(of)-192.2(listeriosis)-197.6(involving)-188.9(a)-192.3(pregnant)-195.6(woman,)-196.5(miscarriage,)]TJ
0 -1.1116 TD
[(stillbirth,)-251.1(or)-249.8(an)-251(infant)-249.9(less)-247.2(than)-253.4(1)-248.8(month)-248.8(of)-244.1(age)-253.3(are)-247.5(dened)-250.7(as)]TJ
T*
[(maternal)-296(or)-284.4(neonatal)-289(\(Crerar)]TJ
/F7 1 Tf
11.8074 0 TD
[(et)-285.7(al.,)]TJ
/F6 1 Tf
2.5803 0 TD
[(1996\).)-285.4(If)-290.1(a)-284.5(pregnant)-287.7(wo-)]TJ
-14.3877 -1.1174 TD
[(man)-247.6(and)-240.6(her)-246.3(newborn)-245.9(are)-247.5(infected)-242.9(by)]TJ
/F7 1 Tf
15.1307 0 TD
[(L.)-240.5(monocytoge)-9.8(nes)]TJ
/F6 1 Tf
7.2227 0 TD
[(,)-245.3(this)]TJ
-22.3534 -1.1116 TD
[(is)-353.5(described)-353.1(as)-348.7(a)-347.8(single)-347.7(case)-353.3(of)-347.7(listeriosis)-353.1(\(The)-352.3(OzFoodNet)]TJ
T*
[(Working)-430.5(Group,)-430.2(2001\).)-423.6(Single)-428.3(cases)-434.8(of)]TJ
/F7 1 Tf
17.0257 0 TD
(Listeria)Tj
/F6 1 Tf
3.5365 0 TD
(gastroen-)Tj
-20.5621 -1.1116 TD
[(teriti)-8.3(s)-294.6(and)-298.2(infections)-301.5(of)-301.7(nonsterile)-301.5(sites)-300.3(are)-299.3(non-notiable)-299.1(to)]TJ
0 -1.1174 TD
[(health)-395.1(departments)-397(in)-388.2(Australia)-393.4(\(The)-392.6(OzFoodNet)-394.1(Working)]TJ
0 -1.1116 TD
[(Group,)-355.4(2001\).)-348.7(An)-354.4(outbreak)-351.1(is)-353.5(identied)-352.3(when)-352(two)-349.9(or)-353.5(more)]TJ
T*
[(listeriosis)-312.8(cases)-308.1(are)-305.1(caused)-309.4(by)-301.7(the)-304.1(same)-307.3(serotype)-310.5(of)]TJ
/F7 1 Tf
21.1784 0 TD
(Listeria)Tj
/F6 1 Tf
-21.1784 -1.1174 TD
[(and)-424.9(are)-426.1(also)-426(found)-425.9(to)-422.8(be)-423.8(associated)-430.2(with)-426(a)-428.5(common)-424.9(food)]TJ
0 -1.1116 TD
[(source)-486.8(\(The)-479(Department)-483.4(of)-480.2(Health,)-480(2010\).)-481.2(Outbreaks)-485.3(are)]TJ
T*
[(consid)-7.7(ered)-369.6(to)-376.7(be)-372(multijurisdictional)-376.8(if)-370.9(cases)-377.2(relating)-374.4(to)-376.7(the)]TJ
0 -1.1174 TD
[(same)-313(serotype)-310.5(of)]TJ
/F7 1 Tf
7.2169 0 TD
[(L.)-309.6(monocytogenes)]TJ
/F6 1 Tf
7.5971 0 TD
[(occur)-307.3(in)-307.6(more)-312(than)-311(one)]TJ
-14.814 -1.1116 TD
[(state)-290.1(\(OzFoodNet)-285.7(Working)-286.5(Group,)-286.3(2002\).)-285.4(Sporadic)-287.5(cases)-285.1(of)]TJ
T*
[(listeriosis,)-247.1(on)-238.3(the)-240.7(other)-242.9(hand,)-239.4(are)-241.7(dened)-239.2(as)-245.1(cases)-239(that)-242(appear)]TJ
T*
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