%PDF-1.6
%
1 0 obj
<>
endobj
2 0 obj
<>stream
William A. de Glanville, Raquel Conde-Álvarez, Ignacio Moriyón, John Njeru, Ramón Díaz, Elizabeth A. J. Cook, Matilda Morin, Barend M. de C. Bronsvoort, Lian F. Thomas, Samuel Kariuki, Eric M. Fèvre
Poor performance of the rapid test for human brucellosis in health facilities in Kenya
www.plosntds.org
www.plosntds.org
endstream
endobj
3 0 obj
<>/XObject<>>>/CropBox[0 0 612 792]/MediaBox[0 0 612 792]/Parent 12 0 R/Annots 13 0 R/Contents 14 0 R/TrimBox[0 0 612 792]>>
endobj
13 0 obj
[15 0 R 16 0 R 17 0 R 18 0 R 19 0 R 20 0 R 21 0 R 22 0 R 23 0 R 24 0 R 25 0 R 26 0 R 27 0 R 28 0 R 29 0 R 30 0 R 31 0 R 32 0 R 33 0 R 34 0 R 35 0 R 36 0 R 37 0 R 38 0 R]
endobj
15 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref001)>>
endobj
16 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref004)>>
endobj
17 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref005)>>
endobj
18 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref007)>>
endobj
19 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref008)>>
endobj
20 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref010)>>
endobj
21 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref011)>>
endobj
22 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref012)>>
endobj
23 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref013)>>
endobj
24 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref014)>>
endobj
25 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref015)>>
endobj
26 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref016)>>
endobj
27 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref016)>>
endobj
28 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref001)>>
endobj
29 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref017)>>
endobj
30 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref001)>>
endobj
31 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref017)>>
endobj
32 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref021)>>
endobj
33 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref009)>>
endobj
34 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref022)>>
endobj
35 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref023)>>
endobj
36 0 obj
<>/Border[0 0 0]/A 39 0 R>>
endobj
39 0 obj
<>
endobj
37 0 obj
<>/Border[0 0 0]/A 40 0 R>>
endobj
40 0 obj
<>
endobj
38 0 obj
<>/Border[0 0 0]/A 41 0 R>>
endobj
41 0 obj
<>
endobj
14 0 obj
[42 0 R 43 0 R 44 0 R 45 0 R 46 0 R 47 0 R 48 0 R 49 0 R 50 0 R 51 0 R 52 0 R 53 0 R 54 0 R 55 0 R 56 0 R 57 0 R 58 0 R 59 0 R 60 0 R]
endobj
42 0 obj
<>stream
q
0.955 g
0 w
199.9998 655.23 m
575.9997 655.23 l
575.9997 429.2306 l
199.9998 429.2306 l
f*
0.45 0.36 0.35 0.01 k
575.9997 680.2299 m
199.9998 680.2299 l
199.9998 680.73 l
575.9997 680.73 l
f*
0.83 0.64 0.02 0 k
391.1244 354.8976 m
395.8866 354.8976 l
h
f*
401.0457 354.8976 m
405.8079 354.8976 l
h
f*
308.5228 328.9323 m
313.285 328.9323 l
h
f*
318.4441 328.9323 m
323.2063 328.9323 l
h
f*
390.7843 302.9102 m
395.5465 302.9102 l
h
f*
400.7055 302.9102 m
410.2299 302.9102 l
h
f*
545.3858 276.9449 m
554.9102 276.9449 l
h
f*
557.1213 276.9449 m
566.6457 276.9449 l
h
f*
350.7024 250.9228 m
360.2268 250.9228 l
h
f*
517.7197 224.9008 m
527.2441 224.9008 l
h
f*
529.5118 224.9008 m
539.0362 224.9008 l
h
f*
444.926 198.9354 m
454.4504 198.9354 l
h
f*
475.937 159.9307 m
485.4047 159.9307 l
h
f*
536.0315 146.948 m
540.7937 146.948 l
h
f*
543.0614 146.948 m
552.5291 146.948 l
h
f*
547.4268 107.9433 m
552.189 107.9433 l
h
f*
554.4 107.9433 m
563.9244 107.9433 l
h
f*
200.0126 94.9039 m
209.537 94.9039 l
h
f*
340.4409 81.9213 m
345.2031 81.9213 l
h
f*
347.4709 81.9213 m
356.9953 81.9213 l
h
f*
359.263 81.9213 m
368.7307 81.9213 l
h
f*
0 g
1 j
1 J
9.5 0 0 9.5 200.0125 707.7543 cm
BT
/F0 1 Tf
1 TL
-0.0042 Tc
0 0 Td
(economic)Tj
4.4518 0 Td
(impacts)Tj
3.6343 0 Td
(on)Tj
1.3189 0 Td
(affected)Tj
3.7417 0 Td
(patients)Tj
3.682 0 Td
(subjected)Tj
4.4459 0 Td
(to)Tj
1.0503 0 Td
(the)Tj
1.5934 0 Td
(long)Tj
2.0827 0 Td
(and)Tj
1.8619 0 Td
(likely)Tj
2.411 0 Td
(unnecessary)Tj
5.8244 0 Td
(courses)Tj
-36.0983 -1.474 Td
(of)Tj
1.0443 0 Td
(multiple)Tj
3.6164 0 Td
(antibiotics)Tj
4.613 0 Td
(required)Tj
3.8372 0 Td
(for)Tj
1.3725 0 Td
(treatment)Tj
4.4101 0 Td
(of)Tj
1.0444 0 Td
(the)Tj
1.5934 0 Td
(disease.)Tj
ET
Q
q
1 j
1 J
0 w
11.9999 0 0 11.9999 209.9905 637.2283 cm
BT
/F0 1 Tf
1 TL
-0.0033 Tc
0 0 Td
(Author)Tj
3.137 0 Td
(summary)Tj
ET
Q
q
1 j
1 J
0 w
10 0 0 10 209.9905 619.2566 cm
BT
/F8 1 Tf
1 TL
-0.004 Tc
0 0 Td
(Brucellosis)Tj
4.5354 0 Td
(is)Tj
0.8503 0 Td
(a)Tj
0.652 0 Td
(debilitating)Tj
4.7679 0 Td
(disease)Tj
3.0217 0 Td
(of)Tj
1.0148 0 Td
(people)Tj
2.8516 0 Td
(caused)Tj
2.9197 0 Td
(by)Tj
1.1792 0 Td
(infection)Tj
3.7927 0 Td
(with)Tj
1.9956 0 Td
(one)Tj
1.7008 0 Td
(of)Tj
1.0148 0 Td
(a)Tj
0.6519 0 Td
(number)Tj
3.4186 0 Td
(of)Tj
-34.367 -1.3039 Td
(different)Tj
/F12 1 Tf
3.6566 0 Td
[()17()-9()4()7()15()4()4()]TJ
/F8 1 Tf
3.4016 0 Td
(species.)Tj
3.2201 0 Td
(In)Tj
1.1112 0 Td
(almost)Tj
2.8856 0 Td
(all)Tj
1.1452 0 Td
(cases,)Tj
2.4491 0 Td
(people)Tj
2.8517 0 Td
(acquire)Tj
3.1748 0 Td
(the)Tj
1.4683 0 Td
(infection)Tj
3.7927 0 Td
(through)Tj
3.4469 0 Td
(expo-)Tj
-32.6038 -1.2982 Td
(sure)Tj
1.9048 0 Td
(to)Tj
1.0262 0 Td
(infected)Tj
3.4185 0 Td
(animals)Tj
3.3335 0 Td
(or)Tj
1.0942 0 Td
(contaminated)Tj
5.7543 0 Td
(animal)Tj
2.965 0 Td
(products.)Tj
3.9798 0 Td
(Human)Tj
3.3166 0 Td
(brucellosis)Tj
4.4617 0 Td
(is)Tj
0.8503 0 Td
(well)Tj
-32.1049 -1.2983 Td
(known)Tj
3.0047 0 Td
(for)Tj
1.3889 0 Td
(its)Tj
1.1452 0 Td
(wide)Tj
2.1203 0 Td
(range)Tj
2.4661 0 Td
(of)Tj
1.0148 0 Td
(symptoms,)Tj
4.5808 0 Td
(and)Tj
1.7291 0 Td
(is)Tj
0.8504 0 Td
(often)Tj
2.2847 0 Td
(clinically)Tj
3.7757 0 Td
(indistinguishable)Tj
7.0696 0 Td
(from)Tj
2.2053 0 Td
(other)Tj
-33.6356 -1.3039 Td
(infectious)Tj
4.1328 0 Td
(diseases,)Tj
3.6057 0 Td
(such)Tj
2.0579 0 Td
(as)Tj
1.0148 0 Td
(malaria)Tj
3.2258 0 Td
(or)Tj
1.0999 0 Td
(typhoid.)Tj
3.5432 0 Td
(Diagnosing)Tj
4.8189 0 Td
(the)Tj
1.474 0 Td
(disease)Tj
3.0161 0 Td
(therefore)Tj
3.8551 0 Td
(typically)Tj
-31.8442 -1.2983 Td
(relies)Tj
2.313 0 Td
(on)Tj
1.2756 0 Td
(laboratory)Tj
4.3483 0 Td
(tests.)Tj
2.1883 0 Td
(A)Tj
0.9071 0 Td
(wide)Tj
2.1203 0 Td
(range)Tj
2.4661 0 Td
(of)Tj
1.0148 0 Td
(tests)Tj
1.9616 0 Td
(are)Tj
1.4457 0 Td
(available,)Tj
3.8947 0 Td
(but)Tj
1.5534 0 Td
(little)Tj
1.9956 0 Td
(is)Tj
0.8504 0 Td
(known)Tj
3.0047 0 Td
(about)Tj
2.4945 0 Td
(the)Tj
-33.8341 -1.2982 Td
(accuracy)Tj
3.7133 0 Td
(of)Tj
1.0148 0 Td
(the)Tj
1.4683 0 Td
(principal)Tj
3.8155 0 Td
(test)Tj
1.5987 0 Td
(used)Tj
2.0579 0 Td
(in)Tj
1.0375 0 Td
(Government)Tj
5.3291 0 Td
(health)Tj
2.6816 0 Td
(facilities)Tj
3.4922 0 Td
(in)Tj
1.0375 0 Td
(Kenya,)Tj
2.982 0 Td
(the)Tj
1.4684 0 Td
(febrile)Tj
/F12 1 Tf
-31.6968 -1.304 Td
[()17()-9()4()7()15()4()4()]TJ
/F8 1 Tf
3.4015 0 Td
(agglutination)Tj
5.5275 0 Td
(test)Tj
1.5988 0 Td
(\(FBAT\).)Tj
3.5319 0 Td
(In)Tj
1.1055 0 Td
(this)Tj
1.6724 0 Td
(study,)Tj
2.6192 0 Td
(we)Tj
1.3266 0 Td
(identified)Tj
4.0592 0 Td
(people)Tj
2.8517 0 Td
(with)Tj
2.0012 0 Td
(symptoms)Tj
-29.6955 -1.2982 Td
(compatible)Tj
4.6657 0 Td
(with)Tj
1.9956 0 Td
(brucellosis)Tj
4.4617 0 Td
(attending)Tj
4.0309 0 Td
(health)Tj
2.6759 0 Td
(centres)Tj
3.0727 0 Td
(in)Tj
1.0375 0 Td
(Kenya.)Tj
2.9763 0 Td
(By)Tj
1.2529 0 Td
(comparing)Tj
4.5751 0 Td
(results)Tj
2.812 0 Td
(from)Tj
-33.5563 -1.2983 Td
(the)Tj
1.4683 0 Td
(FBAT)Tj
2.6249 0 Td
(performed)Tj
4.4673 0 Td
(on)Tj
1.2756 0 Td
(samples)Tj
3.3846 0 Td
(collected)Tj
3.7417 0 Td
(from)Tj
2.2053 0 Td
(these)Tj
2.2507 0 Td
(individuals)Tj
4.6488 0 Td
(with)Tj
2.0012 0 Td
(the)Tj
1.4684 0 Td
(results)Tj
2.8063 0 Td
(from)Tj
2.2053 0 Td
(a)Tj
-34.5484 -1.3039 Td
(range)Tj
2.4661 0 Td
(of)Tj
1.0148 0 Td
(well-established)Tj
6.5423 0 Td
(diagnostic)Tj
4.32 0 Td
(tests,)Tj
2.1883 0 Td
(we)Tj
1.3266 0 Td
(were)Tj
2.126 0 Td
(able)Tj
1.8311 0 Td
(to)Tj
1.0205 0 Td
(show)Tj
2.3017 0 Td
(that)Tj
1.7802 0 Td
(the)Tj
1.4683 0 Td
(FBAT)Tj
2.6249 0 Td
(produces)Tj
-31.0108 -1.2983 Td
(large)Tj
2.1599 0 Td
(numbers)Tj
3.7814 0 Td
(of)Tj
1.0148 0 Td
(false)Tj
1.9729 0 Td
(positive)Tj
3.3165 0 Td
(results.)Tj
3.0331 0 Td
(We)Tj
1.6101 0 Td
(expect)Tj
2.7722 0 Td
(that)Tj
1.7745 0 Td
(this)Tj
1.6724 0 Td
(leads)Tj
2.2167 0 Td
(to)Tj
1.0262 0 Td
(a)Tj
0.6519 0 Td
(high)Tj
2.0069 0 Td
(levels)Tj
2.3754 0 Td
(of)Tj
1.0148 0 Td
(overdi-)Tj
-32.3997 -1.2982 Td
(agnosis)Tj
3.1634 0 Td
(of)Tj
1.0148 0 Td
(brucellosis)Tj
4.4617 0 Td
(in)Tj
1.0375 0 Td
(some)Tj
2.33 0 Td
(parts)Tj
2.1997 0 Td
(of)Tj
1.0148 0 Td
(Kenya.)Tj
2.982 0 Td
(Treatment)Tj
4.4504 0 Td
(of)Tj
1.0148 0 Td
(the)Tj
1.4683 0 Td
(disease)Tj
3.0161 0 Td
(involves)Tj
3.4809 0 Td
(multiple)Tj
-31.6344 -1.2983 Td
(weeks)Tj
2.6078 0 Td
(of)Tj
1.0148 0 Td
(multiple)Tj
3.566 0 Td
(antibiotics,)Tj
4.6261 0 Td
(and)Tj
1.7291 0 Td
(these)Tj
2.2564 0 Td
(incorrect)Tj
3.8551 0 Td
(diagnoses)Tj
4.1102 0 Td
(may)Tj
1.9332 0 Td
(have)Tj
2.0579 0 Td
(important)Tj
4.2803 0 Td
(and)Tj
-32.0369 -1.3039 Td
(unnecessary)Tj
5.0966 0 Td
(negative)Tj
3.5376 0 Td
(impacts)Tj
3.3392 0 Td
(on)Tj
1.2756 0 Td
(affected)Tj
3.3279 0 Td
(patients.)Tj
ET
Q
q
1 j
1 J
0 w
11.9999 0 0 11.9999 200.0125 386.022 cm
BT
/F2 1 Tf
1 TL
-0.0033 Tc
0 0 Td
(Introduction)Tj
ET
Q
q
1 j
1 J
0 w
10 0 0 10 200.0125 369.0141 cm
BT
/F8 1 Tf
1 TL
-0.004 Tc
0 0 Td
(Brucellosis)Tj
4.5354 0 Td
(is)Tj
0.8447 0 Td
(a)Tj
0.6576 0 Td
(zoonotic)Tj
3.6907 0 Td
(disease)Tj
3.016 0 Td
(with)Tj
1.9956 0 Td
(a)Tj
0.6576 0 Td
(global)Tj
2.6249 0 Td
(distribution)Tj
4.9663 0 Td
(that)Tj
1.7801 0 Td
(can)Tj
1.6214 0 Td
(cause)Tj
2.3925 0 Td
(severe)Tj
2.6758 0 Td
(illness)Tj
2.6759 0 Td
(in)Tj
1.0375 0 Td
(peo-)Tj
-35.172 -1.3039 Td
(ple)Tj
1.4059 0 Td
(and)Tj
1.7291 0 Td
(important)Tj
4.2803 0 Td
(economic)Tj
4.1443 0 Td
(losses)Tj
2.4774 0 Td
(in)Tj
1.0375 0 Td
(livestock)Tj
3.6964 0 Td
([)Tj
0.83 0.64 0.02 0 k
(1)Tj
0 g
()Tj
0.83 0.64 0.02 0 k
(4)Tj
0 g
(].)Tj
/F12 1 Tf
2.5908 0 Td
[()17()-9()4()7()15()4()4()]TJ
3.4016 0 Td
[()22()4( )11()-19(\n)7()-4()]TJ
/F8 1 Tf
3.1634 0 Td
(and)Tj
/F12 1 Tf
1.7291 0 Td
[()]TJ
/F8 1 Tf
(.)Tj
/F12 1 Tf
1.0148 0 Td
[()6()15()12(\r)14(\n)11()2()10(\r)-4()]TJ
/F8 1 Tf
4.0422 0 Td
(are)Tj
1.4457 0 Td
(the)Tj
-36.1585 -1.2982 Td
(most)Tj
2.2053 0 Td
(important)Tj
4.2803 0 Td
(zoonotic)Tj
3.6907 0 Td
(pathogens,)Tj
4.5297 0 Td
(and)Tj
1.7291 0 Td
(both)Tj
2.058 0 Td
(species)Tj
2.999 0 Td
(are)Tj
1.4513 0 Td
(likely)Tj
2.3528 0 Td
(to)Tj
1.0261 0 Td
(be)Tj
1.1509 0 Td
(endemic)Tj
3.651 0 Td
(in)Tj
1.0374 0 Td
(cattle)Tj
2.3414 0 Td
(and)Tj
-34.503 -1.2983 Td
(small)Tj
2.3243 0 Td
(ruminants)Tj
4.3994 0 Td
(in)Tj
1.0318 0 Td
(Kenya)Tj
2.7552 0 Td
([)Tj
0.83 0.64 0.02 0 k
(5)Tj
0 g
()Tj
0.83 0.64 0.02 0 k
(7)Tj
0 g
(].)Tj
-9.3145 -1.2983 Td
(In)Tj
1.1111 0 Td
(humans,)Tj
3.6624 0 Td
(brucellosis)Tj
4.4617 0 Td
(is)Tj
0.8504 0 Td
(a)Tj
0.6519 0 Td
(debilitating)Tj
4.7735 0 Td
(disease)Tj
3.0161 0 Td
(that)Tj
1.7801 0 Td
(can)Tj
1.6214 0 Td
(cause)Tj
2.3925 0 Td
(a)Tj
0.6519 0 Td
(wide)Tj
2.126 0 Td
(range)Tj
2.4605 0 Td
(of)Tj
1.0148 0 Td
(symptoms)Tj
-31.7705 -1.3039 Td
(including)Tj
4.0421 0 Td
(fever,)Tj
2.4038 0 Td
(arthralgia,)Tj
4.2973 0 Td
(myalgia)Tj
3.3392 0 Td
(and)Tj
1.7291 0 Td
(fatigue)Tj
2.9253 0 Td
([)Tj
0.83 0.64 0.02 0 k
(8)Tj
0 g
()Tj
0.83 0.64 0.02 0 k
(10)Tj
0 g
(].)Tj
3.0671 0 Td
(Development)Tj
5.6182 0 Td
(of)Tj
1.0148 0 Td
(focal)Tj
2.1203 0 Td
(\(e.g.)Tj
1.8992 0 Td
(joint,)Tj
2.3244 0 Td
(pul-)Tj
-34.7808 -1.2982 Td
(monary,)Tj
3.5773 0 Td
(gastrointestinal,)Tj
6.5763 0 Td
(hepatobiliary,)Tj
5.6976 0 Td
(genitourinary)Tj
5.7033 0 Td
(and)Tj
1.7291 0 Td
(neurological\))Tj
5.5275 0 Td
(complications)Tj
5.8337 0 Td
(is)Tj
0.8504 0 Td
(com-)Tj
-35.4952 -1.2983 Td
(mon)Tj
2.0919 0 Td
(and)Tj
1.7348 0 Td
(influenced)Tj
4.4447 0 Td
(by)Tj
1.1792 0 Td
(the)Tj
1.4683 0 Td
(length)Tj
2.7326 0 Td
(of)Tj
1.0148 0 Td
(time)Tj
2.0239 0 Td
(before)Tj
2.744 0 Td
(diagnosis)Tj
3.9571 0 Td
(and)Tj
1.7291 0 Td
(initiation)Tj
3.9231 0 Td
(of)Tj
1.0148 0 Td
(treatment)Tj
4.1386 0 Td
([)Tj
0.83 0.64 0.02 0 k
(11)Tj
0 g
(,)Tj
0.83 0.64 0.02 0 k
(12)Tj
0 g
(].)Tj
-34.1969 -1.3039 Td
(Treatment)Tj
4.4446 0 Td
(of)Tj
1.0148 0 Td
(human)Tj
3.0784 0 Td
(disease)Tj
3.0218 0 Td
(requires)Tj
3.4695 0 Td
(long)Tj
1.99 0 Td
(courses)Tj
3.1917 0 Td
(of)Tj
1.0148 0 Td
(combined)Tj
4.2463 0 Td
(antibiotics)Tj
4.3994 0 Td
(and)Tj
1.7291 0 Td
(whilst)Tj
2.6022 0 Td
(rates)Tj
2.1089 0 Td
(of)Tj
-36.3115 -1.2983 Td
(relapse)Tj
2.9933 0 Td
(are)Tj
1.4513 0 Td
(low)Tj
1.6555 0 Td
(with)Tj
2.0012 0 Td
(the)Tj
1.4684 0 Td
(best)Tj
1.8084 0 Td
(regimes)Tj
3.3506 0 Td
([)Tj
0.83 0.64 0.02 0 k
(13)Tj
0 g
(],)Tj
2.0749 0 Td
(compliance)Tj
4.8302 0 Td
(in)Tj
1.0375 0 Td
(resource-limited)Tj
6.8315 0 Td
(countries)Tj
3.9458 0 Td
(is)Tj
0.8503 0 Td
(often)Tj
-34.2989 -1.2983 Td
(difficult)Tj
3.3505 0 Td
(to)Tj
1.0261 0 Td
(achieve.)Tj
3.4016 0 Td
(Brucellosis)Tj
4.5354 0 Td
(can)Tj
1.6214 0 Td
(therefore)Tj
3.8551 0 Td
(be)Tj
1.1508 0 Td
(a)Tj
0.6577 0 Td
(considerable)Tj
5.2554 0 Td
(economic)Tj
4.1442 0 Td
(burden)Tj
3.1238 0 Td
(on)Tj
1.2755 0 Td
(affected)Tj
-33.3975 -1.3039 Td
(individuals,)Tj
4.8755 0 Td
(both)Tj
2.0579 0 Td
(in)Tj
1.0375 0 Td
(terms)Tj
2.4888 0 Td
(of)Tj
1.0148 0 Td
(the)Tj
1.474 0 Td
(cost)Tj
1.8085 0 Td
(of)Tj
1.0148 0 Td
(therapy)Tj
3.2485 0 Td
(and)Tj
1.7291 0 Td
(days)Tj
1.9956 0 Td
(of)Tj
1.0148 0 Td
(potential)Tj
3.7587 0 Td
(work)Tj
2.2791 0 Td
(lost)Tj
1.6327 0 Td
([)Tj
0.83 0.64 0.02 0 k
(14)Tj
0 g
(,)Tj
0.83 0.64 0.02 0 k
(15)Tj
0 g
(].)Tj
3.2542 0 Td
(Whilst)Tj
-34.6845 -1.2982 Td
(animal)Tj
2.9706 0 Td
(contact)Tj
3.1521 0 Td
(is)Tj
0.8448 0 Td
(a)Tj
0.6576 0 Td
(major)Tj
2.6079 0 Td
(risk)Tj
1.7121 0 Td
(factor)Tj
2.5455 0 Td
(for)Tj
1.3833 0 Td
(human)Tj
3.0784 0 Td
(infection,)Tj
/F12 1 Tf
4.0195 0 Td
[()17()-9()4()7()15()4()4()]TJ
/F8 1 Tf
3.3959 0 Td
(spp.)Tj
1.8425 0 Td
(are)Tj
1.4513 0 Td
(excreted)Tj
3.5773 0 Td
(in)Tj
1.0318 0 Td
(milk)Tj
-34.2706 -1.2983 Td
(and)Tj
1.7291 0 Td
(may)Tj
1.9275 0 Td
(be)Tj
1.1509 0 Td
(present)Tj
3.1634 0 Td
(in)Tj
1.0375 0 Td
(the)Tj
1.4683 0 Td
(offal)Tj
1.9843 0 Td
(and)Tj
1.7291 0 Td
(meat)Tj
2.194 0 Td
(of)Tj
1.0148 0 Td
(infected)Tj
3.4242 0 Td
(animals)Tj
3.3279 0 Td
([)Tj
0.83 0.64 0.02 0 k
(16)Tj
0 g
(].)Tj
2.0749 0 Td
(Hence,)Tj
3.0331 0 Td
(individuals)Tj
4.6488 0 Td
(living)Tj
2.4718 0 Td
(in)Tj
-36.3796 -1.3039 Td
(both)Tj
2.0579 0 Td
(livestock)Tj
3.6963 0 Td
(and)Tj
1.7348 0 Td
(non-livestock)Tj
5.6523 0 Td
(keeping)Tj
3.3619 0 Td
(households)Tj
4.7338 0 Td
(may)Tj
1.9275 0 Td
(be)Tj
1.1509 0 Td
(at)Tj
0.9524 0 Td
(risk)Tj
1.7178 0 Td
(in)Tj
1.0318 0 Td
(areas)Tj
2.245 0 Td
(in)Tj
1.0375 0 Td
(which)Tj
/F12 1 Tf
2.6476 0 Td
[()17()-9()4()7()15()4()4()]TJ
/F8 1 Tf
-33.9475 -1.2983 Td
(spp.)Tj
1.8425 0 Td
(are)Tj
1.4456 0 Td
(endemic)Tj
3.6567 0 Td
(in)Tj
1.0318 0 Td
(animals.)Tj
3.5546 0 Td
(There)Tj
2.5795 0 Td
(is)Tj
0.8504 0 Td
(no)Tj
1.2756 0 Td
(human)Tj
3.0727 0 Td
(vaccine,)Tj
3.4243 0 Td
(and)Tj
1.7291 0 Td
(prevention)Tj
4.5807 0 Td
(of)Tj
1.0148 0 Td
(infection)Tj
3.7928 0 Td
(relies)Tj
2.313 0 Td
(on)Tj
-36.1641 -1.2982 Td
(reducing)Tj
3.7757 0 Td
(people's)Tj
3.4299 0 Td
(exposure)Tj
3.8154 0 Td
(to)Tj
1.0261 0 Td
(infected)Tj
3.4186 0 Td
(animals)Tj
3.3335 0 Td
(and)Tj
1.7291 0 Td
(animal)Tj
2.965 0 Td
(products)Tj
3.7588 0 Td
([)Tj
0.83 0.64 0.02 0 k
(16)Tj
0 g
(].)Tj
-26.0559 -1.2983 Td
(Little)Tj
2.296 0 Td
(is)Tj
0.8447 0 Td
(known)Tj
3.0047 0 Td
(about)Tj
2.4945 0 Td
(the)Tj
1.4683 0 Td
(prevalence)Tj
4.4901 0 Td
(of)Tj
1.0148 0 Td
(human)Tj
3.0784 0 Td
(brucellosis)Tj
4.4617 0 Td
(in)Tj
1.0318 0 Td
(sub-Saharan)Tj
5.193 0 Td
(Africa)Tj
2.6873 0 Td
([)Tj
0.83 0.64 0.02 0 k
(1)Tj
0 g
(,)Tj
0.83 0.64 0.02 0 k
(17)Tj
0 g
(].)Tj
-33.2615 -1.3039 Td
(The)Tj
1.7801 0 Td
(disease)Tj
3.016 0 Td
(can)Tj
1.6271 0 Td
(mimic)Tj
2.8176 0 Td
(a)Tj
0.6577 0 Td
(variety)Tj
2.9196 0 Td
(of)Tj
1.0148 0 Td
(acute)Tj
2.3301 0 Td
(febrile)Tj
2.7439 0 Td
(illnesses,)Tj
3.685 0 Td
(and)Tj
1.7292 0 Td
(laboratory)Tj
4.3483 0 Td
(tests)Tj
1.9672 0 Td
(are)Tj
1.4457 0 Td
(essential)Tj
3.5829 0 Td
(for)Tj
-35.6652 -1.2983 Td
(diagnosis.)Tj
4.1839 0 Td
(Identifying)Tj
4.6488 0 Td
(cases)Tj
2.2223 0 Td
(presents)Tj
3.5263 0 Td
(a)Tj
0.6519 0 Td
(particular)Tj
4.1103 0 Td
(challenge)Tj
3.9571 0 Td
(in)Tj
1.0375 0 Td
(settings)Tj
3.2428 0 Td
(with)Tj
1.9956 0 Td
(limited)Tj
3.0727 0 Td
(laboratory)Tj
-32.6492 -1.2983 Td
(capacity)Tj
3.4695 0 Td
(and)Tj
1.7292 0 Td
(where)Tj
2.6532 0 Td
(better-known)Tj
5.6749 0 Td
(causes)Tj
2.7553 0 Td
(of)Tj
1.0147 0 Td
(fever,)Tj
2.4038 0 Td
(such)Tj
2.058 0 Td
(as)Tj
1.0147 0 Td
(malaria)Tj
3.2259 0 Td
(or)Tj
1.0998 0 Td
(typhoid,)Tj
3.5433 0 Td
(co-occur)Tj
3.7587 0 Td
([)Tj
0.83 0.64 0.02 0 k
(1)Tj
0 g
(,)Tj
0.83 0.64 0.02 0 k
(17)Tj
0 g
()Tj
0.83 0.64 0.02 0 k
-34.401 -1.3039 Td
(21)Tj
0 g
(].)Tj
1.7347 0 Td
(It)Tj
0.8618 0 Td
(is)Tj
0.8447 0 Td
(generally)Tj
3.8324 0 Td
(considered)Tj
4.6034 0 Td
(that)Tj
1.7802 0 Td
(human)Tj
3.0727 0 Td
(brucellosis)Tj
4.4617 0 Td
(is)Tj
0.8504 0 Td
(under-diagnosed)Tj
7.0299 0 Td
(in)Tj
1.0375 0 Td
(many)Tj
2.4774 0 Td
(of)Tj
1.0148 0 Td
(the)Tj
1.4684 0 Td
(areas)Tj
-35.07 -1.2982 Td
(in)Tj
1.0318 0 Td
(which)Tj
2.6532 0 Td
(it)Tj
0.7823 0 Td
(is)Tj
0.8504 0 Td
(endemic)Tj
3.6567 0 Td
(in)Tj
1.0318 0 Td
(livestock)Tj
3.6963 0 Td
([)Tj
0.83 0.64 0.02 0 k
(9)Tj
0 g
(,)Tj
0.83 0.64 0.02 0 k
(22)Tj
0 g
(,)Tj
0.83 0.64 0.02 0 k
(23)Tj
0 g
(].)Tj
ET
Q
q
1 j
1 J
0 w
576 737.1 m
36 737.1 l
36 737.6 l
576 737.6 l
f*
36 741.2598 183.2882 23.6976 re
W* n
q
183.2315 0 0 23.6409 36 741.3165 cm
q
/I0 Do
Q
Q
Q
q
0 0 612 792 re
W* n
1 j
1 J
0 w
7.9999 0 0 7.9999 460.1763 745.7952 cm
BT
/F0 1 Tf
1 TL
-0.005 Tc
0 0 Td
(Poor)Tj
2.296 0 Td
(brucello)Tj
3.4229 0 Td
(sis)Tj
1.4244 0 Td
(test)Tj
1.8071 0 Td
(performanc)Tj
4.9749 0 Td
(e)Tj
ET
Q
q
1 j
1 J
0 w
36 48.0002 m
576 48.0002 l
576 47.5002 l
36 47.5002 l
f*
0.83 0.64 0.02 0 k
163.5591 34.9228 m
317.7071 34.9228 l
h
f*
0 g
7.9999 0 0 7.9999 36 36 cm
BT
/F0 1 Tf
1 TL
-0.005 Tc
0 0 Td
(PLOS)Tj
2.8559 0 Td
(Neglected)Tj
4.6417 0 Td
(Tropical)Tj
3.7135 0 Td
(Disease)Tj
3.5433 0 Td
(s)Tj
0.7158 0 Td
(|)Tj
0.83 0.64 0.02 0 k
0.4748 0 Td
(https://doi.or)Tj
5.4142 0 Td
(g/10.137)Tj
3.8197 0 Td
(1/journal.pn)Tj
5.1237 0 Td
(td.00055)Tj
3.8197 0 Td
(08)Tj
0 g
2.0905 0 Td
(April)Tj
2.1827 0 Td
(7,)Tj
1.0418 0 Td
(2017)Tj
25.7033 0 Td
(2)Tj
0.7654 0 Td
(/)Tj
0.496 0 Td
(15)Tj
ET
Q
q
0.83 0.64 0.02 0 k
1 j
1 J
0 w
62.1354 553.663 m
179.7165 553.663 l
h
f*
36 542.6646 m
94.5638 542.6646 l
h
f*
0 g
7.9999 0 0 7.9999 36 708.7181 cm
BT
/F10 1 Tf
1 TL
-0.025 Tc
0 0 Td
(support)Tj
3.0968 0 Td
(during)Tj
2.615 0 Td
(writing)Tj
2.7567 0 Td
(and)Tj
1.5874 0 Td
(analysis)Tj
3.189 0 Td
(from)Tj
2.0056 0 Td
(the)Tj
-15.2505 -1.3748 Td
(Biotechnolog)Tj
4.8472 0 Td
(y)Tj
0.6449 0 Td
(and)Tj
1.5874 0 Td
(Biological)Tj
3.7843 0 Td
(Sciences)Tj
3.515 0 Td
(Research)Tj
-14.3788 -1.3748 Td
(Council,)Tj
3.196 0 Td
(Department)Tj
4.5922 0 Td
(for)Tj
1.2543 0 Td
(International)Tj
-9.0425 -1.3748 Td
(Developmen)Tj
4.6417 0 Td
(t,)Tj
0.7016 0 Td
(the)Tj
1.3677 0 Td
(Economic)Tj
3.9048 0 Td
(&)Tj
0.8575 0 Td
(Social)Tj
2.4449 0 Td
(Research)Tj
-13.9182 -1.3748 Td
(Council,)Tj
3.196 0 Td
(the)Tj
1.3749 0 Td
(Medica)Tj
2.6787 0 Td
(l)Tj
0.4181 0 Td
(Researc)Tj
2.9977 0 Td
(h)Tj
0.6945 0 Td
(Council,)Tj
3.1961 0 Td
(the)Tj
1.3748 0 Td
(Natural)Tj
-15.9308 -1.3748 Td
(Environme)Tj
3.9897 0 Td
(nt)Tj
0.9497 0 Td
(Research)Tj
3.6992 0 Td
(Council)Tj
2.9693 0 Td
(and)Tj
1.5874 0 Td
(the)Tj
1.3748 0 Td
(Defence)Tj
-14.5701 -1.3748 Td
(Science)Tj
3.0968 0 Td
(&)Tj
0.8575 0 Td
(Technology)Tj
4.5213 0 Td
(Laborato)Tj
3.2953 0 Td
(ry,)Tj
1.1764 0 Td
(under)Tj
2.3669 0 Td
(the)Tj
-15.3142 -1.3748 Td
(Zoonoses)Tj
3.848 0 Td
(and)Tj
1.5945 0 Td
(Emergin)Tj
3.0898 0 Td
(g)Tj
0.6945 0 Td
(Livestock)Tj
3.7276 0 Td
(Systems)Tj
3.437 0 Td
(\(ZELS\))Tj
-16.3914 -1.3749 Td
(programm)Tj
3.9614 0 Td
(e,)Tj
0.8646 0 Td
(grant)Tj
2.1543 0 Td
(reference)Tj
3.6709 0 Td
(BB/L019)Tj
3.1961 0 Td
(019/1)Tj
2.374 0 Td
(\(EMF\))Tj
-16.2213 -1.3748 Td
(and)Tj
1.5874 0 Td
(BB/L0189)Tj
3.6709 0 Td
(26/1)Tj
1.8992 0 Td
(\(WAdG\)\).)Tj
3.7559 0 Td
(This)Tj
1.7859 0 Td
(work)Tj
2.0622 0 Td
(receive)Tj
2.6008 0 Td
(d)Tj
-17.3623 -1.3748 Td
(support)Tj
3.0968 0 Td
(from)Tj
2.0126 0 Td
(the)Tj
1.3678 0 Td
(CGIAR)Tj
2.7 0 Td
(Research)Tj
3.6992 0 Td
(Program)Tj
3.4796 0 Td
(on)Tj
-16.356 -1.3748 Td
(Agriculture)Tj
4.2661 0 Td
(for)Tj
1.2544 0 Td
(Nutrition)Tj
3.4299 0 Td
(and)Tj
1.5874 0 Td
(Health)Tj
2.5725 0 Td
(\(A4NH\),)Tj
3.2386 0 Td
(led)Tj
1.3039 0 Td
(by)Tj
-17.6528 -1.3748 Td
(the)Tj
1.3677 0 Td
(International)Tj
4.8402 0 Td
(Food)Tj
2.0622 0 Td
(Policy)Tj
2.4449 0 Td
(Research)Tj
3.6992 0 Td
(Institute)Tj
-14.4142 -1.3748 Td
(\(IFPRI\).)Tj
3.1039 0 Td
(We)Tj
1.4457 0 Td
(also)Tj
1.7291 0 Td
(acknowledge)Tj
5.0528 0 Td
(the)Tj
1.3748 0 Td
(CGIAR)Tj
2.7001 0 Td
(Fund)Tj
-15.4064 -1.3748 Td
(Donors)Tj
2.9551 0 Td
(\()Tj
0.83 0.64 0.02 0 k
(http://ww)Tj
3.7772 0 Td
(w.cgiar.org/wh)Tj
5.5276 0 Td
(o-we-are/cgi)Tj
4.6418 0 Td
(ar-)Tj
-16.9017 -1.3749 Td
(fund/fund-)Tj
3.9118 0 Td
(donors-2)Tj
0 g
(\).)Tj
4.1599 0 Td
(Researc)Tj
2.9976 0 Td
(h)Tj
0.6945 0 Td
(at)Tj
0.9 0 Td
(the)Tj
1.3678 0 Td
(Department)Tj
-14.0316 -1.3748 Td
(of)Tj
0.9496 0 Td
(Microbiolo)Tj
3.9543 0 Td
(gy)Tj
1.1126 0 Td
(and)Tj
1.5874 0 Td
(Parasitology)Tj
4.8048 0 Td
(of)Tj
0.9496 0 Td
(the)Tj
1.3678 0 Td
(University)Tj
-14.7261 -1.3748 Td
(of)Tj
0.9496 0 Td
(Navarra)Tj
3.1039 0 Td
(is)Tj
0.8363 0 Td
(supported)Tj
3.9968 0 Td
(by)Tj
1.1126 0 Td
(The)Tj
1.5875 0 Td
(Institute)Tj
3.2244 0 Td
(for)Tj
-14.8111 -1.3819 Td
(Tropical)Tj
3.1748 0 Td
(Health)Tj
2.5724 0 Td
(and)Tj
1.5875 0 Td
(by)Tj
1.1196 0 Td
(MINECO)Tj
3.4016 0 Td
(grant)Tj
2.1473 0 Td
(AGL2014-)Tj
-14.0032 -1.3748 Td
(58795-CA.)Tj
4.1669 0 Td
(The)Tj
1.5874 0 Td
(funders)Tj
3.0473 0 Td
(had)Tj
1.5874 0 Td
(no)Tj
1.1693 0 Td
(role)Tj
1.6158 0 Td
(in)Tj
0.8858 0 Td
(study)Tj
-14.0599 -1.3748 Td
(design,)Tj
2.8984 0 Td
(data)Tj
1.7929 0 Td
(collection)Tj
3.7418 0 Td
(and)Tj
1.5874 0 Td
(analysis,)Tj
3.4087 0 Td
(decision)Tj
3.2953 0 Td
(to)Tj
-16.7245 -1.3748 Td
(publish,)Tj
3.1464 0 Td
(or)Tj
0.9993 0 Td
(preparation)Tj
4.4433 0 Td
(of)Tj
0.9496 0 Td
(the)Tj
1.3677 0 Td
(manuscript.)Tj
/F9 1 Tf
-10.9063 -2.1189 Td
(Competing)Tj
4.3795 0 Td
(interests)Tj
3.3307 0 Td
(:)Tj
/F10 1 Tf
0.4819 0 Td
(The)Tj
1.5875 0 Td
(authors)Tj
3.0401 0 Td
(have)Tj
1.963 0 Td
(declared)Tj
-14.7827 -1.3749 Td
(that)Tj
1.6228 0 Td
(no)Tj
1.1693 0 Td
(competing)Tj
4.1599 0 Td
(interests)Tj
ET
endstream
endobj
43 0 obj
<>stream
endstream
endobj
44 0 obj
<>stream
endstream
endobj
45 0 obj
<>stream
endstream
endobj
46 0 obj
<>stream
endstream
endobj
47 0 obj
<>stream
endstream
endobj
48 0 obj
<>stream
endstream
endobj
49 0 obj
<>stream
endstream
endobj
50 0 obj
<>stream
endstream
endobj
51 0 obj
<>stream
endstream
endobj
52 0 obj
<>stream
endstream
endobj
53 0 obj
<>stream
endstream
endobj
54 0 obj
<>stream
endstream
endobj
55 0 obj
<>stream
endstream
endobj
56 0 obj
<>stream
endstream
endobj
57 0 obj
<>stream
endstream
endobj
58 0 obj
<>stream
endstream
endobj
59 0 obj
<>stream
endstream
endobj
60 0 obj
<>stream
BT
10.3394 -32.3719 Td
(exist.)Tj
ET
Q
endstream
endobj
61 0 obj
<>/XObject<>>>/CropBox[0 0 612 792]/MediaBox[0 0 612 792]/Parent 12 0 R/Annots 62 0 R/Contents 63 0 R/TrimBox[0 0 612 792]>>
endobj
62 0 obj
[64 0 R 65 0 R 66 0 R 67 0 R 68 0 R 69 0 R 70 0 R 71 0 R 72 0 R 73 0 R 74 0 R 75 0 R 76 0 R 77 0 R 78 0 R 79 0 R 80 0 R 81 0 R 82 0 R 83 0 R 84 0 R]
endobj
64 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref024)>>
endobj
65 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref025)>>
endobj
66 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref024)>>
endobj
67 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref011)>>
endobj
68 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref025)>>
endobj
69 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref027)>>
endobj
70 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref028)>>
endobj
71 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref011)>>
endobj
72 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref024)>>
endobj
73 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref025)>>
endobj
74 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref024)>>
endobj
75 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref029)>>
endobj
76 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref030)>>
endobj
77 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref024)>>
endobj
78 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref027)>>
endobj
79 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref026)>>
endobj
80 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref027)>>
endobj
81 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref031)>>
endobj
82 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref033)>>
endobj
83 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref034)>>
endobj
84 0 obj
<>/Border[0 0 0]/A 85 0 R>>
endobj
85 0 obj
<>
endobj
63 0 obj
[86 0 R 87 0 R 88 0 R 89 0 R 90 0 R 91 0 R 92 0 R 93 0 R 94 0 R 95 0 R 96 0 R 97 0 R 98 0 R 99 0 R]
endobj
86 0 obj
<>stream
q
0.83 0.64 0.02 0 k
484.3843 693.2976 m
493.852 693.2976 l
h
f*
203.4142 602.3055 m
212.9386 602.3055 l
h
f*
356.5984 563.3008 m
366.1228 563.3008 l
h
f*
427.4079 537.3354 m
436.9323 537.3354 l
h
f*
439.2 537.3354 m
448.7244 537.3354 l
h
f*
453.8835 537.3354 m
463.4079 537.3354 l
h
f*
385.9087 524.2961 m
395.4331 524.2961 l
h
f*
226.0346 511.3134 m
235.5591 511.3134 l
h
f*
237.8268 511.3134 m
247.3512 511.3134 l
h
f*
249.5622 511.3134 m
259.0866 511.3134 l
h
f*
203.4142 498.3307 m
212.9386 498.3307 l
h
f*
434.4945 485.348 m
444.0189 485.348 l
h
f*
446.2299 485.348 m
455.7543 485.348 l
h
f*
470.5512 459.326 m
480.0189 459.326 l
h
f*
485.2346 459.326 m
494.7024 459.326 l
h
f*
462.4441 433.3039 m
471.9118 433.3039 l
h
f*
474.1795 433.3039 m
483.7039 433.3039 l
h
f*
485.9717 433.3039 m
495.4961 433.3039 l
h
f*
500.6551 433.3039 m
510.1795 433.3039 l
h
f*
466.4126 290.3244 m
475.937 290.3244 l
h
f*
0 g
1 j
1 J
0 w
10 0 0 10 211.9748 707.4141 cm
BT
/F8 1 Tf
1 TL
-0.004 Tc
0 0 Td
(Culture)Tj
3.2824 0 Td
(of)Tj
1.0148 0 Td
(clinical)Tj
3.0728 0 Td
(specimens)Tj
4.3653 0 Td
(has)Tj
1.542 0 Td
(100%)Tj
2.4038 0 Td
(specificity,)Tj
4.439 0 Td
(but)Tj
1.5534 0 Td
(often)Tj
2.2847 0 Td
(poor)Tj
2.1203 0 Td
(sensitivity,)Tj
4.4504 0 Td
(particularly)Tj
4.8075 0 Td
(in)Tj
-36.5326 -1.3039 Td
(chronic)Tj
3.2881 0 Td
(cases,)Tj
2.4491 0 Td
(and)Tj
1.7291 0 Td
(also)Tj
1.7689 0 Td
(requires)Tj
3.4695 0 Td
(the)Tj
1.4684 0 Td
(availability)Tj
4.5354 0 Td
(of)Tj
1.0148 0 Td
(appropriate)Tj
4.8755 0 Td
(facilities)Tj
3.498 0 Td
([)Tj
0.83 0.64 0.02 0 k
(24)Tj
0 g
(].)Tj
2.0749 0 Td
(Serological)Tj
4.5864 0 Td
(tests)Tj
-34.7581 -1.2982 Td
(are)Tj
1.4456 0 Td
(therefore)Tj
3.8551 0 Td
(the)Tj
1.4683 0 Td
(mainstay)Tj
3.8381 0 Td
(of)Tj
1.0148 0 Td
(laboratory)Tj
4.354 0 Td
(diagnosis)Tj
3.9571 0 Td
(in)Tj
1.0375 0 Td
(the)Tj
1.4684 0 Td
(majority)Tj
3.6283 0 Td
(of)Tj
1.0148 0 Td
(endemic)Tj
3.651 0 Td
(areas.)Tj
2.4718 0 Td
(Serum)Tj
-33.2048 -1.2983 Td
(agglutination)Tj
5.5275 0 Td
(assays)Tj
2.6248 0 Td
(using)Tj
2.3868 0 Td
(whole)Tj
2.6078 0 Td
(smooth)Tj
/F12 1 Tf
3.2429 0 Td
[()17()-9()4()7()15()4()4()]TJ
/F8 1 Tf
3.4015 0 Td
(cell)Tj
1.5591 0 Td
(suspensions)Tj
5.0002 0 Td
(as)Tj
1.0148 0 Td
(antigens)Tj
3.566 0 Td
(are)Tj
1.4513 0 Td
(the)Tj
1.4684 0 Td
(most)Tj
-33.8511 -1.2983 Td
(commonly)Tj
4.5467 0 Td
(used)Tj
2.0579 0 Td
(test)Tj
1.5987 0 Td
(and)Tj
1.7348 0 Td
(are)Tj
1.4457 0 Td
(available)Tj
3.668 0 Td
(in)Tj
1.0375 0 Td
(a)Tj
0.6519 0 Td
(variety)Tj
2.9254 0 Td
(of)Tj
1.0148 0 Td
(formats.)Tj
3.5206 0 Td
(These)Tj
2.5682 0 Td
(include)Tj
3.1861 0 Td
(the)Tj
1.4683 0 Td
(rapid)Tj
2.3358 0 Td
(slide)Tj
/F12 1 Tf
2.0466 0 Td
[()17()-9()]TJ
-35.807 -1.3039 Td
[()7()15()4()4()]TJ
/F8 1 Tf
1.9388 0 Td
(agglutination)Tj
5.5275 0 Td
(test)Tj
1.6044 0 Td
(performed)Tj
4.4674 0 Td
(with)Tj
1.9956 0 Td
(plain)Tj
2.2337 0 Td
(serum)Tj
2.7212 0 Td
(at)Tj
0.9525 0 Td
(neutral)Tj
3.0727 0 Td
(pH)Tj
1.5024 0 Td
(and)Tj
1.7347 0 Td
(the)Tj
1.4684 0 Td
(buffered)Tj
3.5773 0 Td
(plate)Tj
2.1373 0 Td
(agglu-)Tj
-34.9339 -1.2982 Td
(tination)Tj
3.3902 0 Td
(tests,)Tj
2.1826 0 Td
(a)Tj
0.6576 0 Td
(family)Tj
2.727 0 Td
(of)Tj
1.0148 0 Td
(rapid)Tj
2.3414 0 Td
(tests)Tj
1.9615 0 Td
(that)Tj
1.7745 0 Td
(use)Tj
/F12 1 Tf
1.5364 0 Td
[()]TJ
/F8 1 Tf
(.)Tj
/F12 1 Tf
1.0148 0 Td
[()22()4( )11()-19(\n)7()-4()]TJ
/F8 1 Tf
3.1634 0 Td
(suspensions)Tj
5.0003 0 Td
(in)Tj
1.0375 0 Td
(lactate)Tj
2.7779 0 Td
(buffer)Tj
2.6249 0 Td
(at)Tj
0.9524 0 Td
(low)Tj
1.6554 0 Td
(pH.)Tj
-35.8126 -1.2983 Td
(The)Tj
1.7801 0 Td
(Rose)Tj
2.1316 0 Td
(Bengal)Tj
2.9197 0 Td
(Test)Tj
1.9162 0 Td
(\(RBT\))Tj
2.7099 0 Td
(is)Tj
0.8504 0 Td
(the)Tj
1.4683 0 Td
(most)Tj
2.2054 0 Td
(widely)Tj
2.8233 0 Td
(used)Tj
2.0579 0 Td
(of)Tj
1.0148 0 Td
(the)Tj
1.474 0 Td
(buffered)Tj
3.5716 0 Td
(plate)Tj
2.143 0 Td
(agglutination)Tj
5.5275 0 Td
(tests)Tj
-34.5937 -1.3039 Td
([)Tj
0.83 0.64 0.02 0 k
(25)Tj
0 g
(].)Tj
2.0749 0 Td
(While)Tj
2.6532 0 Td
(these)Tj
2.2507 0 Td
(rapid)Tj
2.3357 0 Td
(tests)Tj
1.9673 0 Td
(may)Tj
1.9275 0 Td
(be)Tj
1.1509 0 Td
(used)Tj
2.0579 0 Td
(to)Tj
1.0261 0 Td
(provide)Tj
3.2882 0 Td
(a)Tj
0.652 0 Td
(semi-quantitative)Tj
7.1999 0 Td
(assessment)Tj
4.6148 0 Td
(of)Tj
1.0148 0 Td
(anti-)Tj
-34.2139 -1.2983 Td
(body)Tj
2.2166 0 Td
(titre)Tj
1.8765 0 Td
(through)Tj
3.4469 0 Td
(serial)Tj
2.3244 0 Td
(dilutions,)Tj
3.9912 0 Td
(the)Tj
1.474 0 Td
(standard)Tj
3.719 0 Td
(tube)Tj
1.9786 0 Td
(agglutination)Tj
5.5275 0 Td
(test)Tj
1.5988 0 Td
(\(SAT\),)Tj
2.897 0 Td
(performed)Tj
4.473 0 Td
(with)Tj
-35.5235 -1.2983 Td
(serum)Tj
2.7212 0 Td
(dilutions)Tj
3.77 0 Td
(in)Tj
1.0375 0 Td
(tubes)Tj
2.3357 0 Td
(or)Tj
1.0999 0 Td
(microplates)Tj
4.8869 0 Td
(at)Tj
0.9524 0 Td
(neutral)Tj
3.0727 0 Td
(pH)Tj
1.5024 0 Td
(using)Tj
2.3924 0 Td
(saline)Tj
2.5002 0 Td
(as)Tj
1.0148 0 Td
(the)Tj
1.4683 0 Td
(diluent,)Tj
3.2825 0 Td
(enables)Tj
3.1634 0 Td
(more)Tj
-35.2003 -1.3039 Td
(accurate)Tj
3.5546 0 Td
(assessment)Tj
4.6091 0 Td
(of)Tj
1.0148 0 Td
(antibody)Tj
3.7643 0 Td
(levels)Tj
2.3755 0 Td
([)Tj
0.83 0.64 0.02 0 k
(24)Tj
0 g
(].)Tj
2.0806 0 Td
(Infection)Tj
3.8607 0 Td
(with)Tj
/F12 1 Tf
2.0013 0 Td
[()17()-9()4()7()15()4()4()]TJ
/F8 1 Tf
3.3959 0 Td
(can)Tj
1.6271 0 Td
(result)Tj
2.4491 0 Td
(in)Tj
1.0374 0 Td
(the)Tj
1.4684 0 Td
(produc-)Tj
-33.2388 -1.2982 Td
(tion)Tj
1.8424 0 Td
(of)Tj
1.0148 0 Td
(antibodies)Tj
4.3597 0 Td
(that)Tj
1.7745 0 Td
(do)Tj
1.2586 0 Td
(not)Tj
1.5703 0 Td
(agglutinate)Tj
4.6318 0 Td
(at)Tj
0.9525 0 Td
(neutral)Tj
3.067 0 Td
(pH,)Tj
1.7291 0 Td
(which)Tj
2.6533 0 Td
(steadily)Tj
3.2314 0 Td
(increase)Tj
3.4753 0 Td
(and)Tj
1.7291 0 Td
(replace)Tj
-33.2898 -1.2983 Td
(agglutinating)Tj
5.4821 0 Td
(antibodies)Tj
4.3653 0 Td
(over)Tj
1.9729 0 Td
(the)Tj
1.4684 0 Td
(course)Tj
2.8346 0 Td
(of)Tj
1.0148 0 Td
(the)Tj
1.474 0 Td
(infection)Tj
3.7871 0 Td
([)Tj
0.83 0.64 0.02 0 k
(11)Tj
0 g
(,)Tj
0.83 0.64 0.02 0 k
(25)Tj
0 g
()Tj
0.83 0.64 0.02 0 k
(27)Tj
0 g
(].)Tj
4.7225 0 Td
(Thus,)Tj
2.4718 0 Td
(the)Tj
1.474 0 Td
(SAT)Tj
1.9899 0 Td
(is)Tj
0.8447 0 Td
(usually)Tj
-33.9021 -1.3039 Td
(complemented)Tj
6.1964 0 Td
(with)Tj
1.9956 0 Td
(the)Tj
/F12 1 Tf
1.474 0 Td
[()17()-9()4()7()15()4()4()]TJ
/F8 1 Tf
3.3959 0 Td
(Coombs)Tj
3.5886 0 Td
(test)Tj
1.5988 0 Td
([)Tj
0.83 0.64 0.02 0 k
(28)Tj
0 g
(],)Tj
2.0749 0 Td
(an)Tj
1.2019 0 Td
(IgG)Tj
1.7405 0 Td
(and)Tj
1.7348 0 Td
(IgA)Tj
1.7064 0 Td
(anti-immunoglobulin)Tj
-26.7078 -1.2983 Td
(assay)Tj
2.262 0 Td
([)Tj
0.83 0.64 0.02 0 k
(11)Tj
0 g
(,)Tj
0.83 0.64 0.02 0 k
(24)Tj
0 g
(,)Tj
0.83 0.64 0.02 0 k
(25)Tj
0 g
(].)Tj
4.4333 0 Td
(All)Tj
1.3947 0 Td
(of)Tj
1.0148 0 Td
(these)Tj
2.2563 0 Td
(tests)Tj
1.9616 0 Td
(detect)Tj
2.6135 0 Td
(antibodies)Tj
4.3597 0 Td
(to)Tj
1.0261 0 Td
(the)Tj
/F12 1 Tf
1.4683 0 Td
[()17()-9()4()7()15()4()4()]TJ
/F8 1 Tf
3.4016 0 Td
(smooth)Tj
3.2371 0 Td
(lipopolysaccharide)Tj
-29.429 -1.2982 Td
([)Tj
0.83 0.64 0.02 0 k
(24)Tj
0 g
(],)Tj
2.0749 0 Td
(and)Tj
1.7291 0 Td
(the)Tj
1.474 0 Td
(purified)Tj
3.4072 0 Td
(antigen)Tj
3.2032 0 Td
(is)Tj
0.8504 0 Td
(also)Tj
1.7688 0 Td
(used)Tj
2.0579 0 Td
(in)Tj
1.0375 0 Td
(a)Tj
0.6519 0 Td
(variety)Tj
2.9254 0 Td
(of)Tj
1.0148 0 Td
(non-agglutination)Tj
7.4834 0 Td
(based)Tj
2.4718 0 Td
(tests,)Tj
2.1883 0 Td
(includ-)Tj
-34.3386 -1.2983 Td
(ing)Tj
1.5023 0 Td
(the)Tj
1.4683 0 Td
(lateral)Tj
2.6702 0 Td
(flow)Tj
1.9446 0 Td
(immunochromatographic)Tj
10.6072 0 Td
(assay)Tj
2.262 0 Td
(\(LFA\))Tj
2.6532 0 Td
([)Tj
0.83 0.64 0.02 0 k
(29)Tj
0 g
(,)Tj
0.83 0.64 0.02 0 k
(30)Tj
0 g
(].)Tj
3.2542 0 Td
(The)Tj
1.7801 0 Td
(sensitivity)Tj
4.2236 0 Td
(and)Tj
1.7291 0 Td
(specific-)Tj
-34.0948 -1.3039 Td
(ity)Tj
1.2415 0 Td
(of)Tj
1.0148 0 Td
(serological)Tj
4.4674 0 Td
(testing)Tj
2.8856 0 Td
(for)Tj
1.3833 0 Td
(brucellosis)Tj
4.4617 0 Td
(varies)Tj
2.5342 0 Td
(depending)Tj
4.4674 0 Td
(upon)Tj
2.3187 0 Td
(the)Tj
1.474 0 Td
(characteristics)Tj
5.9017 0 Td
(of)Tj
1.0148 0 Td
(the)Tj
1.4683 0 Td
(test)Tj
-34.6334 -1.2983 Td
(and)Tj
1.7291 0 Td
(the)Tj
1.4683 0 Td
(antigenic)Tj
3.8948 0 Td
(suspensions)Tj
5.0059 0 Td
(used,)Tj
2.2847 0 Td
(as)Tj
1.0148 0 Td
(well)Tj
1.8199 0 Td
(as)Tj
1.0148 0 Td
(the)Tj
1.4683 0 Td
(stage)Tj
2.2053 0 Td
(of)Tj
1.0148 0 Td
(infection)Tj
3.7928 0 Td
([)Tj
0.83 0.64 0.02 0 k
(24)Tj
0 g
()Tj
0.83 0.64 0.02 0 k
(27)Tj
0 g
(].)Tj
3.5433 0 Td
(Reduced)Tj
3.6963 0 Td
(specific-)Tj
-33.9531 -1.2983 Td
(ity)Tj
1.2415 0 Td
(can)Tj
1.6214 0 Td
(result)Tj
2.4491 0 Td
(from)Tj
2.2054 0 Td
(the)Tj
1.474 0 Td
(persistence)Tj
4.6374 0 Td
(of)Tj
1.0148 0 Td
(anti-lipopolysaccharide)Tj
9.5754 0 Td
(antibody)Tj
3.7644 0 Td
(titres)Tj
2.2393 0 Td
(in)Tj
1.0318 0 Td
(a)Tj
0.6577 0 Td
(proportion)Tj
4.6318 0 Td
(of)Tj
-36.544 -1.3039 Td
(recovered)Tj
4.1442 0 Td
(patients)Tj
3.3675 0 Td
(as)Tj
1.0148 0 Td
(well)Tj
1.8198 0 Td
(as)Tj
1.0148 0 Td
(infections)Tj
4.1556 0 Td
(by)Tj
1.1792 0 Td
(cross-reacting)Tj
5.828 0 Td
(bacteria)Tj
3.3789 0 Td
([)Tj
0.83 0.64 0.02 0 k
(26)Tj
0 g
(,)Tj
0.83 0.64 0.02 0 k
(27)Tj
0 g
(,)Tj
0.83 0.64 0.02 0 k
(31)Tj
0 g
()Tj
0.83 0.64 0.02 0 k
(33)Tj
0 g
(].)Tj
-24.7066 -1.2982 Td
(The)Tj
1.7858 0 Td
(serological)Tj
4.473 0 Td
(test)Tj
1.5987 0 Td
(currently)Tj
3.8835 0 Td
(used)Tj
2.0636 0 Td
(for)Tj
1.3833 0 Td
(the)Tj
1.4683 0 Td
(laboratory)Tj
4.354 0 Td
(diagnosis)Tj
3.9572 0 Td
(of)Tj
1.0147 0 Td
(human)Tj
3.0785 0 Td
(brucellosis)Tj
4.4617 0 Td
(in)Tj
1.0374 0 Td
(gov-)Tj
-35.7559 -1.2983 Td
(ernment)Tj
3.6509 0 Td
(health)Tj
2.6816 0 Td
(facilities)Tj
3.4923 0 Td
(in)Tj
1.0374 0 Td
(Kenya)Tj
2.7553 0 Td
(and,)Tj
1.9559 0 Td
(to)Tj
1.0204 0 Td
(our)Tj
1.6271 0 Td
(knowledge,)Tj
4.7679 0 Td
(throughout)Tj
4.7792 0 Td
(Tanzania)Tj
3.9117 0 Td
(and)Tj
1.7292 0 Td
(Uganda,)Tj
-33.4089 -1.3039 Td
(is)Tj
0.8448 0 Td
(a)Tj
0.6575 0 Td
(variant)Tj
3.0274 0 Td
(of)Tj
1.0148 0 Td
(the)Tj
1.4683 0 Td
(rapid)Tj
2.3357 0 Td
(slide)Tj
/F12 1 Tf
2.0466 0 Td
[()17()-9()4()7()15()4()4()]TJ
/F8 1 Tf
3.4016 0 Td
(agglutination)Tj
5.5275 0 Td
(test.)Tj
1.8255 0 Td
(There)Tj
2.5795 0 Td
(are)Tj
1.4457 0 Td
(several)Tj
2.9367 0 Td
(commercial)Tj
4.9549 0 Td
(kits)Tj
1.6384 0 Td
(cur-)Tj
-35.7049 -1.2983 Td
(rently)Tj
2.5568 0 Td
(available)Tj
3.6623 0 Td
(in)Tj
1.0318 0 Td
(East)Tj
1.8765 0 Td
(Africa,)Tj
2.9084 0 Td
(comprising)Tj
4.7621 0 Td
(separate)Tj
/F12 1 Tf
3.481 0 Td
[()36()6()15()12(\r)14(\n)11()2()10(\r)-4()47()]TJ
/F8 1 Tf
4.439 0 Td
(and)Tj
/F12 1 Tf
1.7291 0 Td
[()80()22()4( )11()-19(\n)7()-4()47()]TJ
/F8 1 Tf
3.566 0 Td
(antigens,)Tj
3.787 0 Td
(marketed)Tj
-33.8 -1.2983 Td
(as)Tj
1.0148 0 Td
(part)Tj
1.8424 0 Td
(of)Tj
1.0148 0 Td
(a)Tj
0.652 0 Td
("febrile)Tj
3.0671 0 Td
(antigen)Tj
3.2031 0 Td
(test)Tj
1.9956 0 Td
(kit.)Tj
1.5023 0 Td
(Despite)Tj
3.2485 0 Td
(their)Tj
2.109 0 Td
(widespread)Tj
4.7565 0 Td
(use)Tj
1.5307 0 Td
(in)Tj
1.0375 0 Td
(East)Tj
1.8821 0 Td
(Africa,)Tj
2.914 0 Td
(very)Tj
1.9276 0 Td
(little)Tj
1.9956 0 Td
(has)Tj
-35.6936 -1.2982 Td
(been)Tj
2.1202 0 Td
(reported)Tj
3.6624 0 Td
(regarding)Tj
4.0932 0 Td
(the)Tj
1.4683 0 Td
(diagnostic)Tj
4.32 0 Td
(accuracy)Tj
3.7134 0 Td
(of)Tj
1.0147 0 Td
(these)Tj
2.2507 0 Td
(febrile)Tj
2.7496 0 Td
(antigen)Tj
/F12 1 Tf
3.2032 0 Td
[()17()-9()4()7()15()4()4()]TJ
/F8 1 Tf
3.4015 0 Td
(agglutination)Tj
-31.9972 -1.3039 Td
(tests)Tj
1.9558 0 Td
(\(FBAT\))Tj
3.2939 0 Td
(or)Tj
1.0941 0 Td
(their)Tj
2.0977 0 Td
(predictive)Tj
4.1895 0 Td
(value)Tj
2.2961 0 Td
(in)Tj
1.0318 0 Td
(brucellosis)Tj
4.456 0 Td
(endemic)Tj
3.6454 0 Td
(areas.)Tj
2.4604 0 Td
(Clearly,)Tj
3.2768 0 Td
(filling)Tj
2.5455 0 Td
(this)Tj
1.6668 0 Td
(informa-)Tj
-34.0098 -1.2983 Td
(tion)Tj
1.8424 0 Td
(gap)Tj
1.6328 0 Td
(has)Tj
1.542 0 Td
(important)Tj
4.2803 0 Td
(implications)Tj
5.1817 0 Td
(for)Tj
1.3833 0 Td
(the)Tj
1.4684 0 Td
(clinical)Tj
3.0784 0 Td
(application)Tj
4.6771 0 Td
(of)Tj
1.0205 0 Td
(this)Tj
1.6724 0 Td
(test.)Tj
1.8255 0 Td
(Furthermore,)Tj
5.6126 0 Td
(a)Tj
-35.2174 -1.2983 Td
(recent)Tj
2.7098 0 Td
(review)Tj
2.8403 0 Td
(highlighted)Tj
4.7679 0 Td
(the)Tj
1.4683 0 Td
(paucity)Tj
3.1408 0 Td
(of)Tj
1.0148 0 Td
(data)Tj
1.9162 0 Td
(available)Tj
3.6623 0 Td
(to)Tj
1.0262 0 Td
(estimate)Tj
3.5489 0 Td
(global)Tj
2.6249 0 Td
(human)Tj
3.0784 0 Td
(brucellosis)Tj
-31.7988 -1.3039 Td
(burden,)Tj
3.3505 0 Td
(and)Tj
1.7291 0 Td
(identified)Tj
4.0592 0 Td
(the)Tj
1.4683 0 Td
(strengthening)Tj
5.7656 0 Td
(of)Tj
1.0148 0 Td
(public)Tj
2.7099 0 Td
(health)Tj
2.6816 0 Td
(systems)Tj
3.2995 0 Td
(as)Tj
1.0148 0 Td
(an)Tj
1.2019 0 Td
(important)Tj
4.2803 0 Td
(mechanism)Tj
-32.5755 -1.2982 Td
(to)Tj
1.0262 0 Td
(improve)Tj
3.5772 0 Td
(the)Tj
1.4683 0 Td
(quality)Tj
2.9594 0 Td
(of)Tj
1.0148 0 Td
(data)Tj
1.9105 0 Td
(captured)Tj
3.7474 0 Td
(through)Tj
3.4412 0 Td
(routine)Tj
3.1635 0 Td
(reporting)Tj
3.9911 0 Td
([)Tj
0.83 0.64 0.02 0 k
(34)Tj
0 g
(].)Tj
2.075 0 Td
(A)Tj
0.907 0 Td
(major)Tj
2.6079 0 Td
(consideration)Tj
-31.8895 -1.2983 Td
(in)Tj
1.0318 0 Td
(interpreting)Tj
5.0229 0 Td
(the)Tj
1.4683 0 Td
(data)Tj
1.9162 0 Td
(generated)Tj
4.1329 0 Td
(by)Tj
1.1849 0 Td
(public)Tj
2.7099 0 Td
(health)Tj
2.6759 0 Td
(systems)Tj
3.2995 0 Td
(is)Tj
0.8447 0 Td
(the)Tj
1.474 0 Td
(performance)Tj
5.3461 0 Td
(of)Tj
1.0148 0 Td
(tests)Tj
1.9616 0 Td
(used)Tj
2.0579 0 Td
(to)Tj
-36.1414 -1.3039 Td
(diagnose)Tj
3.753 0 Td
(brucellosis)Tj
4.4617 0 Td
(in)Tj
1.0375 0 Td
(endemic)Tj
3.651 0 Td
(areas.)Tj
-11.707 -1.2983 Td
(The)Tj
1.7858 0 Td
(aim)Tj
1.7404 0 Td
(of)Tj
1.0148 0 Td
(this)Tj
1.6725 0 Td
(study)Tj
2.3924 0 Td
(was)Tj
1.6951 0 Td
(to)Tj
1.0261 0 Td
(assess)Tj
2.5228 0 Td
(the)Tj
1.4684 0 Td
(performance)Tj
5.3461 0 Td
(of)Tj
1.0148 0 Td
(the)Tj
1.474 0 Td
(FBAT)Tj
2.6192 0 Td
(as)Tj
1.0148 0 Td
(currently)Tj
3.8891 0 Td
(used)Tj
2.0579 0 Td
(in)Tj
1.0375 0 Td
(health)Tj
-34.9679 -1.2983 Td
(facilities)Tj
3.4922 0 Td
(in)Tj
1.0375 0 Td
(Kenya.)Tj
2.982 0 Td
(We)Tj
1.6101 0 Td
(conducted)Tj
4.4277 0 Td
(a)Tj
0.6519 0 Td
(serological)Tj
4.4731 0 Td
(and)Tj
1.7291 0 Td
(questionnaire-based)Tj
8.3054 0 Td
(survey)Tj
2.812 0 Td
(of)Tj
1.0148 0 Td
(individuals)Tj
-32.5358 -1.3039 Td
(presenting)Tj
4.4446 0 Td
(to)Tj
1.0262 0 Td
(health)Tj
2.6759 0 Td
(facilities)Tj
3.4922 0 Td
(in)Tj
1.0375 0 Td
(western)Tj
3.3335 0 Td
(Kenya)Tj
2.7496 0 Td
(with)Tj
2.0013 0 Td
(symptoms)Tj
4.3596 0 Td
(compatible)Tj
4.6601 0 Td
(with)Tj
1.9956 0 Td
(brucellosis.)Tj
-31.7761 -1.2982 Td
(The)Tj
1.7801 0 Td
(performance)Tj
5.3461 0 Td
(of)Tj
1.0148 0 Td
(the)Tj
1.474 0 Td
(FBAT)Tj
2.6192 0 Td
(was)Tj
1.7008 0 Td
(compared)Tj
4.2462 0 Td
(with)Tj
1.9956 0 Td
(that)Tj
1.7802 0 Td
(of)Tj
1.0148 0 Td
(a)Tj
0.6519 0 Td
(range)Tj
2.4605 0 Td
(of)Tj
1.0148 0 Td
(serological)Tj
4.473 0 Td
(assays)Tj
2.6249 0 Td
(with)Tj
-34.1969 -1.2983 Td
(well-established)Tj
6.5479 0 Td
(diagnostic)Tj
4.32 0 Td
(performance.)Tj
5.5729 0 Td
(To)Tj
1.3379 0 Td
(provide)Tj
3.2882 0 Td
(epidemiological)Tj
6.5593 0 Td
(evidence)Tj
3.7134 0 Td
(to)Tj
1.0261 0 Td
(support)Tj
3.3165 0 Td
(test)Tj
-35.6822 -1.2983 Td
(performance,)Tj
5.5728 0 Td
(logistic)Tj
3.0557 0 Td
(regression)Tj
4.32 0 Td
(was)Tj
1.6951 0 Td
(used)Tj
2.0636 0 Td
(to)Tj
1.0205 0 Td
(explore)Tj
3.1748 0 Td
(predictors)Tj
4.2916 0 Td
(of)Tj
1.0148 0 Td
(FBAT)Tj
2.6192 0 Td
(seropositivity.)Tj
ET
Q
q
1 j
1 J
0 w
11.9999 0 0 11.9999 200.0125 144 cm
BT
/F2 1 Tf
1 TL
-0.0033 Tc
0 0 Td
(Methods)Tj
/F0 1 Tf
0 -1.5023 Td
(Ethics)Tj
2.9149 0 Td
(statement)Tj
ET
Q
q
1 j
1 J
0 w
10 0 0 10 200.0125 109.0204 cm
BT
/F8 1 Tf
1 TL
-0.004 Tc
0 0 Td
(Ethical)Tj
2.9876 0 Td
(approval)Tj
3.6964 0 Td
(for)Tj
1.389 0 Td
(the)Tj
1.4683 0 Td
(study)Tj
2.3924 0 Td
(was)Tj
1.6951 0 Td
(granted)Tj
3.2882 0 Td
(by)Tj
1.1849 0 Td
(the)Tj
1.4683 0 Td
(Kenya)Tj
2.7553 0 Td
(Medical)Tj
3.4355 0 Td
(Research)Tj
3.8041 0 Td
(Institute)Tj
3.583 0 Td
(\(KEMRI\))Tj
-33.1481 -1.3039 Td
(ethical)Tj
2.8402 0 Td
(review)Tj
2.8403 0 Td
(board)Tj
2.5682 0 Td
(\(SCC1701\).)Tj
4.8302 0 Td
(All)Tj
1.4003 0 Td
(participants)Tj
4.955 0 Td
(provided)Tj
3.8154 0 Td
(written)Tj
3.1124 0 Td
(informed)Tj
3.9741 0 Td
(consent;)Tj
3.5547 0 Td
(minors)Tj
-33.8908 -1.2982 Td
(between)Tj
3.5262 0 Td
(5)Tj
0.6973 0 Td
(and)Tj
1.7292 0 Td
(17)Tj
1.1735 0 Td
(signed)Tj
2.812 0 Td
(an)Tj
1.2018 0 Td
(assent)Tj
2.6476 0 Td
(document)Tj
4.2973 0 Td
(and)Tj
1.7291 0 Td
(their)Tj
2.109 0 Td
(guardians)Tj
4.1555 0 Td
(provided)Tj
3.8154 0 Td
(consent.)Tj
ET
Q
q
1 j
1 J
0 w
576 737.1 m
36 737.1 l
36 737.6 l
576 737.6 l
f*
36 741.2598 183.2882 23.6976 re
W* n
q
183.2315 0 0 23.6409 36 741.3165 cm
q
/I0 Do
Q
Q
Q
q
0 0 612 792 re
W* n
1 j
1 J
0 w
7.9999 0 0 7.9999 460.1763 745.7952 cm
BT
/F0 1 Tf
1 TL
-0.005 Tc
0 0 Td
(Poor)Tj
2.296 0 Td
(brucello)Tj
3.4229 0 Td
(sis)Tj
1.4244 0 Td
(test)Tj
1.8071 0 Td
(performanc)Tj
4.9749 0 Td
(e)Tj
ET
Q
q
1 j
1 J
0 w
36 48.0002 m
576 48.0002 l
576 47.5002 l
36 47.5002 l
f*
0.83 0.64 0.02 0 k
163.5591 34.9228 m
317.7071 34.9228 l
h
f*
0 g
7.9999 0 0 7.9999 36 36 cm
BT
/F0 1 Tf
1 TL
-0.005 Tc
0 0 Td
(PLOS)Tj
2.8559 0 Td
(Neglected)Tj
4.6417 0 Td
(Tropical)Tj
3.7135 0 Td
(Disease)Tj
3.5433 0 Td
(s)Tj
0.7158 0 Td
(|)Tj
0.83 0.64 0.02 0 k
0.4748 0 Td
(https://doi.or)Tj
5.4142 0 Td
(g/10.137)Tj
3.8197 0 Td
(1/journal.pn)Tj
5.1237 0 Td
(td.00055)Tj
3.8197 0 Td
(08)Tj
0 g
2.0905 0 Td
(April)Tj
2.1827 0 Td
(7,)Tj
1.0418 0 Td
(2017)Tj
25.7033 0 Td
(3)Tj
0.7654 0 Td
(/)Tj
ET
endstream
endobj
87 0 obj
<>stream
endstream
endobj
88 0 obj
<>stream
endstream
endobj
89 0 obj
<>stream
endstream
endobj
90 0 obj
<>stream
endstream
endobj
91 0 obj
<>stream
endstream
endobj
92 0 obj
<>stream
endstream
endobj
93 0 obj
<>stream
endstream
endobj
94 0 obj
<>stream
endstream
endobj
95 0 obj
<>stream
endstream
endobj
96 0 obj
<>stream
endstream
endobj
97 0 obj
<>stream
endstream
endobj
98 0 obj
<>stream
endstream
endobj
99 0 obj
<>stream
BT
66.402 0 Td
(15)Tj
ET
Q
endstream
endobj
100 0 obj
<>/XObject<>>>/CropBox[0 0 612 792]/MediaBox[0 0 612 792]/Parent 12 0 R/Annots 103 0 R/Contents 104 0 R/TrimBox[0 0 612 792]>>
endobj
103 0 obj
[105 0 R 106 0 R 107 0 R 108 0 R 109 0 R]
endobj
105 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref035)>>
endobj
106 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.t001)>>
endobj
107 0 obj
<>/Border[0 0 0]/Dest(Lpntd.0005508.t001)>>
endobj
108 0 obj
<>/Border[0 0 0]/A 110 0 R>>
endobj
110 0 obj
<>
endobj
109 0 obj
<>/Border[0 0 0]/A 111 0 R>>
endobj
111 0 obj
<>
endobj
104 0 obj
[112 0 R 113 0 R 114 0 R 115 0 R 116 0 R 117 0 R]
endobj
112 0 obj
<>stream
q
0.83 0.64 0.02 0 k
462.7843 635.9811 m
472.3087 635.9811 l
h
f*
530.8724 522.7654 m
560.0693 522.7654 l
h
f*
0 g
1 j
1 J
0 w
11.9999 0 0 11.9999 200.0125 706.0535 cm
BT
/F0 1 Tf
1 TL
-0.0033 Tc
0 0 Td
(Study)Tj
2.7543 0 Td
(area)Tj
ET
Q
q
1 j
1 J
0 w
10 0 0 10 200.0125 689.1023 cm
BT
/F8 1 Tf
1 TL
-0.004 Tc
0 0 Td
(The)Tj
1.7801 0 Td
(study)Tj
2.3924 0 Td
(was)Tj
1.6951 0 Td
(conducted)Tj
4.4277 0 Td
(in)Tj
1.0375 0 Td
(Busia)Tj
2.3924 0 Td
(county)Tj
2.9764 0 Td
(which)Tj
2.6532 0 Td
(has)Tj
1.542 0 Td
(a)Tj
0.652 0 Td
(total)Tj
2.0069 0 Td
(area)Tj
1.8822 0 Td
(of)Tj
1.0148 0 Td
(1637)Tj
2.1203 0 Td
(km)Tj
ET
Q
q
1 j
1 J
0 w
7.4999 0 0 6.6659 498.8976 693.5244 cm
BT
/F8 1 Tf
1 TL
-0.0053 Tc
0 0 Td
(2)Tj
ET
Q
q
1 j
1 J
0 w
10 0 0 10 504.6803 689.1023 cm
BT
/F8 1 Tf
1 TL
-0.004 Tc
0 0 Td
(and)Tj
1.7291 0 Td
(a)Tj
0.6519 0 Td
(population)Tj
-32.8475 -1.3039 Td
(of)Tj
1.0148 0 Td
(786,365)Tj
3.2995 0 Td
(people)Tj
2.8516 0 Td
(\(Open)Tj
2.795 0 Td
(Kenya\).)Tj
3.3221 0 Td
(Two)Tj
2.024 0 Td
(health)Tj
2.6758 0 Td
(facilities)Tj
3.498 0 Td
(were)Tj
2.1203 0 Td
(selected)Tj
3.3448 0 Td
(for)Tj
1.389 0 Td
(this)Tj
1.6724 0 Td
(study.)Tj
2.6191 0 Td
(These)Tj
2.5625 0 Td
(were)Tj
-35.1889 -1.2982 Td
(Busia)Tj
2.3867 0 Td
(County)Tj
3.2202 0 Td
(Referral)Tj
3.4015 0 Td
(Hospital)Tj
3.617 0 Td
(\(BCH\))Tj
2.9083 0 Td
(and)Tj
1.7348 0 Td
(a)Tj
0.652 0 Td
(private)Tj
2.9877 0 Td
(clinic)Tj
2.3924 0 Td
(at)Tj
0.9524 0 Td
(the)Tj
1.4741 0 Td
(Kenya)Tj
2.7495 0 Td
(Medical)Tj
3.4355 0 Td
(Research)Tj
-31.9121 -1.2983 Td
(Institute)Tj
3.5829 0 Td
(\(KEMRI\))Tj
3.9969 0 Td
(field)Tj
1.9729 0 Td
(station)Tj
2.931 0 Td
(at)Tj
0.9524 0 Td
(Alupe.)Tj
2.846 0 Td
(Livestock)Tj
3.9911 0 Td
(production)Tj
4.7168 0 Td
(in)Tj
1.0319 0 Td
(the)Tj
1.474 0 Td
(County)Tj
3.2143 0 Td
(is)Tj
0.8504 0 Td
(characterised)Tj
-31.5606 -1.3039 Td
(by)Tj
1.1792 0 Td
(a)Tj
0.6576 0 Td
(predominantly)Tj
6.1795 0 Td
(small-scale,)Tj
4.7905 0 Td
(mixed)Tj
2.7269 0 Td
(crop)Tj
2.0353 0 Td
(and)Tj
1.7348 0 Td
(livestock)Tj
3.6963 0 Td
(system)Tj
2.9367 0 Td
([)Tj
0.83 0.64 0.02 0 k
(35)Tj
0 g
(].)Tj
ET
Q
q
1 j
1 J
0 w
11.9999 0 0 11.9999 200.0125 605.8771 cm
BT
/F0 1 Tf
1 TL
-0.0033 Tc
0 0 Td
(Patient)Tj
3.2976 0 Td
(selection)Tj
4.115 0 Td
(and)Tj
1.8614 0 Td
(sampling)Tj
ET
Q
q
1 j
1 J
0 w
10 0 0 10 200.0125 588.8692 cm
BT
/F8 1 Tf
1 TL
-0.004 Tc
0 0 Td
(Sampling)Tj
3.9911 0 Td
(took)Tj
2.0296 0 Td
(place)Tj
2.262 0 Td
(on)Tj
1.2756 0 Td
(weekdays)Tj
4.0252 0 Td
(from)Tj
2.211 0 Td
(June)Tj
2.0466 0 Td
(to)Tj
1.0261 0 Td
(December)Tj
4.3484 0 Td
(2012.)Tj
2.347 0 Td
(A)Tj
0.9014 0 Td
(separate)Tj
3.4866 0 Td
(focus)Tj
2.3244 0 Td
(of)Tj
1.0148 0 Td
(the)Tj
1.474 0 Td
(study)Tj
-34.7638 -1.2982 Td
(was)Tj
1.6951 0 Td
(to)Tj
1.0261 0 Td
(use)Tj
1.5364 0 Td
(epidemiological)Tj
6.5593 0 Td
(tools)Tj
2.1373 0 Td
(to)Tj
1.0261 0 Td
(identify)Tj
3.2939 0 Td
(the)Tj
1.474 0 Td
(source)Tj
2.8346 0 Td
(of)Tj
1.0148 0 Td
(infection)Tj
3.7871 0 Td
(in)Tj
1.0374 0 Td
(suspect)Tj
3.1351 0 Td
(brucellosis)Tj
4.4561 0 Td
(cases,)Tj
-35.0133 -1.3039 Td
(with)Tj
1.9955 0 Td
(sampling)Tj
3.8778 0 Td
(effort)Tj
2.3981 0 Td
(intended)Tj
3.7871 0 Td
(to)Tj
1.0204 0 Td
(maximise)Tj
4.0819 0 Td
(the)Tj
1.4683 0 Td
(number)Tj
3.4186 0 Td
(of)Tj
1.0148 0 Td
(identified)Tj
4.0592 0 Td
(cases)Tj
2.2223 0 Td
(within)Tj
2.812 0 Td
(the)Tj
1.4683 0 Td
(study)Tj
-33.6243 -1.2983 Td
(period.)Tj
3.0557 0 Td
(Patients)Tj
3.4129 0 Td
(attending)Tj
4.0308 0 Td
(the)Tj
1.4683 0 Td
(outpatient)Tj
4.3427 0 Td
(clinic)Tj
2.3924 0 Td
(of)Tj
1.0148 0 Td
(BCH)Tj
2.2337 0 Td
(and)Tj
1.7291 0 Td
(the)Tj
1.4684 0 Td
(KEMRI)Tj
3.3165 0 Td
(clinic)Tj
2.3981 0 Td
(were)Tj
2.1203 0 Td
(recruited)Tj
-32.9837 -1.2983 Td
(into)Tj
1.8425 0 Td
(the)Tj
1.4683 0 Td
(study)Tj
2.3868 0 Td
(by)Tj
1.1848 0 Td
(non-study)Tj
4.3427 0 Td
(health)Tj
2.6759 0 Td
(centre)Tj
2.7099 0 Td
(clinicians.)Tj
4.2292 0 Td
(The)Tj
1.7858 0 Td
(criterion)Tj
3.6964 0 Td
(for)Tj
1.389 0 Td
(inclusion)Tj
3.9174 0 Td
(was)Tj
1.6951 0 Td
(clinical)Tj
-33.3238 -1.3039 Td
(suspicion)Tj
3.9968 0 Td
(of)Tj
1.0148 0 Td
(brucellosis,)Tj
4.6884 0 Td
(including)Tj
4.0422 0 Td
(exposure)Tj
3.8154 0 Td
(history)Tj
3.0104 0 Td
(and)Tj
1.7291 0 Td
(compatible)Tj
4.6602 0 Td
(symptoms)Tj
4.3596 0 Td
(\(see)Tj
0.83 0.64 0.02 0 k
1.7688 0 Td
(Table)Tj
2.4435 0 Td
(1)Tj
0 g
(\).)Tj
-35.5292 -1.2982 Td
(We)Tj
1.61 0 Td
(therefore)Tj
3.8494 0 Td
(aimed)Tj
2.6929 0 Td
(to)Tj
1.0262 0 Td
(include)Tj
3.1861 0 Td
(those)Tj
2.3357 0 Td
(patients)Tj
3.3676 0 Td
(who)Tj
1.9389 0 Td
(would)Tj
2.7155 0 Td
(normally)Tj
3.8438 0 Td
(present)Tj
3.1634 0 Td
(for)Tj
1.389 0 Td
(laboratory-)Tj
-31.1185 -1.2983 Td
(based)Tj
2.4717 0 Td
(brucellosis)Tj
4.4617 0 Td
(testing)Tj
2.88 0 Td
(within)Tj
2.812 0 Td
(either)Tj
2.5341 0 Td
(health)Tj
2.6759 0 Td
(facility.)Tj
3.1238 0 Td
(Exclusion)Tj
4.1385 0 Td
(criteria)Tj
3.0728 0 Td
(were)Tj
2.126 0 Td
(patients)Tj
3.3675 0 Td
(less)Tj
1.6101 0 Td
(than)Tj
-35.2741 -1.3039 Td
(5)Tj
0.6916 0 Td
(years)Tj
2.2677 0 Td
(of)Tj
1.0148 0 Td
(age,)Tj
1.7688 0 Td
(minors)Tj
3.0954 0 Td
(\(517)Tj
2.5002 0 Td
(years\))Tj
2.6078 0 Td
(not)Tj
1.5704 0 Td
(accompanied)Tj
5.5502 0 Td
(by)Tj
1.1792 0 Td
(a)Tj
0.652 0 Td
(guardian,)Tj
4.0251 0 Td
(patients)Tj
3.3676 0 Td
(presenting)Tj
4.4447 0 Td
(with)Tj
-34.7355 -1.2983 Td
(severe)Tj
2.6702 0 Td
(illness)Tj
2.6645 0 Td
(requiring)Tj
3.9572 0 Td
(hospitalisation,)Tj
6.2815 0 Td
(and)Tj
1.7178 0 Td
(those)Tj
2.33 0 Td
(patients)Tj
3.3619 0 Td
(with)Tj
1.9899 0 Td
(an)Tj
1.1906 0 Td
(already)Tj
3.1067 0 Td
(established)Tj
4.5864 0 Td
(diagnosis)Tj
-33.8567 -1.2983 Td
(explaining)Tj
4.3993 0 Td
(illness.)Tj
2.9027 0 Td
(Patients)Tj
3.4072 0 Td
(typically)Tj
3.5659 0 Td
(pay)Tj
1.6214 0 Td
(for)Tj
1.389 0 Td
(brucellosis)Tj
4.4617 0 Td
(diagnostics)Tj
4.6772 0 Td
(in)Tj
1.0374 0 Td
(government)Tj
5.0797 0 Td
(facilities)Tj
3.4979 0 Td
(in)Tj
-36.0394 -1.2982 Td
(Kenya)Tj
2.7552 0 Td
(\(1.503.00)Tj
4.3823 0 Td
(USD\),)Tj
2.7326 0 Td
(but)Tj
1.5534 0 Td
(testing)Tj
2.88 0 Td
(was)Tj
1.7008 0 Td
(provided)Tj
3.8154 0 Td
(free)Tj
1.7234 0 Td
(of)Tj
1.0148 0 Td
(charge)Tj
2.8687 0 Td
(to)Tj
1.0261 0 Td
(all)Tj
1.1452 0 Td
(participants)Tj
4.9549 0 Td
(enrolled)Tj
3.515 0 Td
(in)Tj
-36.0678 -1.3039 Td
(this)Tj
1.6724 0 Td
(study.)Tj
ET
Q
q
0.45 0.36 0.35 0.01 k
1 j
1 J
0 w
35.9997 404.7514 m
575.9997 404.7514 l
575.9997 404.2514 l
35.9997 404.2514 l
f*
151.6068 404.2514 m
151.6068 391.7514 l
151.1067 391.7514 l
151.1067 404.2514 l
f*
151.1067 391.7514 m
35.9997 391.7514 l
35.9997 392.2515 l
151.1067 392.2515 l
f*
264.2332 404.2514 m
264.2332 391.7514 l
263.7332 391.7514 l
263.7332 404.2514 l
f*
263.7332 391.7514 m
151.6068 391.7514 l
151.6068 392.2515 l
263.7332 392.2515 l
f*
463.8725 404.2514 m
463.8725 391.7514 l
463.3724 391.7514 l
463.3724 404.2514 l
f*
463.3724 391.7514 m
264.2332 391.7514 l
264.2332 392.2515 l
463.3724 392.2515 l
f*
575.9989 391.7514 m
463.8725 391.7514 l
463.8725 392.2515 l
575.9989 392.2515 l
f*
151.6068 391.7514 m
151.6068 379.2515 l
151.1067 379.2515 l
151.1067 391.7514 l
f*
151.1067 379.2515 m
35.9997 379.2515 l
35.9997 379.7515 l
151.1067 379.7515 l
f*
264.2332 391.7514 m
264.2332 379.2515 l
263.7332 379.2515 l
263.7332 391.7514 l
f*
263.7332 379.2515 m
151.6068 379.2515 l
151.6068 379.7515 l
263.7332 379.7515 l
f*
463.8725 391.7514 m
463.8725 379.2515 l
463.3724 379.2515 l
463.3724 391.7514 l
f*
463.3724 379.2515 m
264.2332 379.2515 l
264.2332 379.7515 l
463.3724 379.7515 l
f*
575.9989 379.2515 m
463.8725 379.2515 l
463.8725 379.7515 l
575.9989 379.7515 l
f*
151.6068 379.2515 m
151.6068 366.7516 l
151.1067 366.7516 l
151.1067 379.2515 l
f*
151.1067 366.7516 m
35.9997 366.7516 l
35.9997 367.2516 l
151.1067 367.2516 l
f*
264.2332 379.2515 m
264.2332 366.7516 l
263.7332 366.7516 l
263.7332 379.2515 l
f*
263.7332 366.7516 m
151.6068 366.7516 l
151.6068 367.2516 l
263.7332 367.2516 l
f*
463.8725 379.2515 m
463.8725 366.7516 l
463.3724 366.7516 l
463.3724 379.2515 l
f*
463.3724 366.7516 m
264.2332 366.7516 l
264.2332 367.2516 l
463.3724 367.2516 l
f*
575.9989 366.7516 m
463.8725 366.7516 l
463.8725 367.2516 l
575.9989 367.2516 l
f*
151.6068 366.7516 m
151.6068 354.2516 l
151.1067 354.2516 l
151.1067 366.7516 l
f*
151.1067 354.2516 m
35.9997 354.2516 l
35.9997 354.7517 l
151.1067 354.7517 l
f*
264.2332 366.7516 m
264.2332 354.2516 l
263.7332 354.2516 l
263.7332 366.7516 l
f*
263.7332 354.2516 m
151.6068 354.2516 l
151.6068 354.7517 l
263.7332 354.7517 l
f*
463.8725 366.7516 m
463.8725 354.2516 l
463.3724 354.2516 l
463.3724 366.7516 l
f*
463.3724 354.2516 m
264.2332 354.2516 l
264.2332 354.7517 l
463.3724 354.7517 l
f*
575.9989 354.2516 m
463.8725 354.2516 l
463.8725 354.7517 l
575.9989 354.7517 l
f*
151.6068 354.2516 m
151.6068 341.7517 l
151.1067 341.7517 l
151.1067 354.2516 l
f*
151.1067 341.7517 m
35.9997 341.7517 l
35.9997 342.2517 l
151.1067 342.2517 l
f*
264.2332 354.2516 m
264.2332 341.7517 l
263.7332 341.7517 l
263.7332 354.2516 l
f*
263.7332 341.7517 m
151.6068 341.7517 l
151.6068 342.2517 l
263.7332 342.2517 l
f*
463.8725 354.2516 m
463.8725 341.7517 l
463.3724 341.7517 l
463.3724 354.2516 l
f*
463.3724 341.7517 m
264.2332 341.7517 l
264.2332 342.2517 l
463.3724 342.2517 l
f*
575.9989 341.7517 m
463.8725 341.7517 l
463.8725 342.2517 l
575.9989 342.2517 l
f*
151.6068 341.7517 m
151.6068 329.2517 l
151.1067 329.2517 l
151.1067 341.7517 l
f*
151.1067 329.2517 m
35.9997 329.2517 l
35.9997 329.7518 l
151.1067 329.7518 l
f*
264.2332 341.7517 m
264.2332 329.2517 l
263.7332 329.2517 l
263.7332 341.7517 l
f*
263.7332 329.2517 m
151.6068 329.2517 l
151.6068 329.7518 l
263.7332 329.7518 l
f*
463.8725 341.7517 m
463.8725 329.2517 l
463.3724 329.2517 l
463.3724 341.7517 l
f*
463.3724 329.2517 m
264.2332 329.2517 l
264.2332 329.7518 l
463.3724 329.7518 l
f*
575.9989 329.2517 m
463.8725 329.2517 l
463.8725 329.7518 l
575.9989 329.7518 l
f*
151.6068 329.2517 m
151.6068 316.7518 l
151.1067 316.7518 l
151.1067 329.2517 l
f*
151.1067 316.7518 m
35.9997 316.7518 l
35.9997 317.2518 l
151.1067 317.2518 l
f*
264.2332 329.2517 m
264.2332 316.7518 l
263.7332 316.7518 l
263.7332 329.2517 l
f*
263.7332 316.7518 m
151.6068 316.7518 l
151.6068 317.2518 l
263.7332 317.2518 l
f*
463.8725 329.2517 m
463.8725 316.7518 l
463.3724 316.7518 l
463.3724 329.2517 l
f*
463.3724 316.7518 m
264.2332 316.7518 l
264.2332 317.2518 l
463.3724 317.2518 l
f*
575.9989 316.7518 m
463.8725 316.7518 l
463.8725 317.2518 l
575.9989 317.2518 l
f*
151.6068 316.7518 m
151.6068 304.2519 l
151.1067 304.2519 l
151.1067 316.7518 l
f*
151.1067 304.2519 m
35.9997 304.2519 l
35.9997 304.7519 l
151.1067 304.7519 l
f*
264.2332 316.7518 m
264.2332 304.2519 l
263.7332 304.2519 l
263.7332 316.7518 l
f*
263.7332 304.2519 m
151.6068 304.2519 l
151.6068 304.7519 l
263.7332 304.7519 l
f*
463.8725 316.7518 m
463.8725 304.2519 l
463.3724 304.2519 l
463.3724 316.7518 l
f*
463.3724 304.2519 m
264.2332 304.2519 l
264.2332 304.7519 l
463.3724 304.7519 l
f*
575.9989 304.2519 m
463.8725 304.2519 l
463.8725 304.7519 l
575.9989 304.7519 l
f*
151.6068 304.2519 m
151.6068 291.7519 l
151.1067 291.7519 l
151.1067 304.2519 l
f*
151.1067 291.7519 m
35.9997 291.7519 l
35.9997 292.252 l
151.1067 292.252 l
f*
264.2332 304.2519 m
264.2332 291.7519 l
263.7332 291.7519 l
263.7332 304.2519 l
f*
263.7332 291.7519 m
151.6068 291.7519 l
151.6068 292.252 l
263.7332 292.252 l
f*
463.8725 304.2519 m
463.8725 291.7519 l
463.3724 291.7519 l
463.3724 304.2519 l
f*
463.3724 291.7519 m
264.2332 291.7519 l
264.2332 292.252 l
463.3724 292.252 l
f*
575.9989 291.7519 m
463.8725 291.7519 l
463.8725 292.252 l
575.9989 292.252 l
f*
151.6068 291.7519 m
151.6068 279.252 l
151.1067 279.252 l
151.1067 291.7519 l
f*
151.1067 279.252 m
35.9997 279.252 l
35.9997 279.752 l
151.1067 279.752 l
f*
264.2332 291.7519 m
264.2332 279.252 l
263.7332 279.252 l
263.7332 291.7519 l
f*
263.7332 279.252 m
151.6068 279.252 l
151.6068 279.752 l
263.7332 279.752 l
f*
463.8725 291.7519 m
463.8725 279.252 l
463.3724 279.252 l
463.3724 291.7519 l
f*
463.3724 279.252 m
264.2332 279.252 l
264.2332 279.752 l
463.3724 279.752 l
f*
575.9989 279.252 m
463.8725 279.252 l
463.8725 279.752 l
575.9989 279.752 l
f*
151.6068 279.252 m
151.6068 266.7521 l
151.1067 266.7521 l
151.1067 279.252 l
f*
151.1067 266.7521 m
35.9997 266.7521 l
35.9997 267.2521 l
151.1067 267.2521 l
f*
264.2332 279.252 m
264.2332 266.7521 l
263.7332 266.7521 l
263.7332 279.252 l
f*
263.7332 266.7521 m
151.6068 266.7521 l
151.6068 267.2521 l
263.7332 267.2521 l
f*
463.8725 279.252 m
463.8725 266.7521 l
463.3724 266.7521 l
463.3724 279.252 l
f*
463.3724 266.7521 m
264.2332 266.7521 l
264.2332 267.2521 l
463.3724 267.2521 l
f*
575.9989 266.7521 m
463.8725 266.7521 l
463.8725 267.2521 l
575.9989 267.2521 l
f*
151.6068 266.7521 m
151.6068 254.2521 l
151.1067 254.2521 l
151.1067 266.7521 l
f*
151.1067 254.2521 m
35.9997 254.2521 l
35.9997 254.7522 l
151.1067 254.7522 l
f*
264.2332 266.7521 m
264.2332 254.2521 l
263.7332 254.2521 l
263.7332 266.7521 l
f*
263.7332 254.2521 m
151.6068 254.2521 l
151.6068 254.7522 l
263.7332 254.7522 l
f*
463.8725 266.7521 m
463.8725 254.2521 l
463.3724 254.2521 l
463.3724 266.7521 l
f*
463.3724 254.2521 m
264.2332 254.2521 l
264.2332 254.7522 l
463.3724 254.7522 l
f*
575.9989 254.2521 m
463.8725 254.2521 l
463.8725 254.7522 l
575.9989 254.7522 l
f*
151.6068 254.2521 m
151.6068 241.7522 l
151.1067 241.7522 l
151.1067 254.2521 l
f*
151.1067 241.7522 m
35.9997 241.7522 l
35.9997 242.2522 l
151.1067 242.2522 l
f*
264.2332 254.2521 m
264.2332 241.7522 l
263.7332 241.7522 l
263.7332 254.2521 l
f*
263.7332 241.7522 m
151.6068 241.7522 l
151.6068 242.2522 l
263.7332 242.2522 l
f*
463.8725 254.2521 m
463.8725 241.7522 l
463.3724 241.7522 l
463.3724 254.2521 l
f*
463.3724 241.7522 m
264.2332 241.7522 l
264.2332 242.2522 l
463.3724 242.2522 l
f*
575.9989 241.7522 m
463.8725 241.7522 l
463.8725 242.2522 l
575.9989 242.2522 l
f*
151.6068 241.7522 m
151.6068 229.2523 l
151.1067 229.2523 l
151.1067 241.7522 l
f*
151.1067 229.2523 m
35.9997 229.2523 l
35.9997 229.7523 l
151.1067 229.7523 l
f*
264.2332 241.7522 m
264.2332 229.2523 l
263.7332 229.2523 l
263.7332 241.7522 l
f*
263.7332 229.2523 m
151.6068 229.2523 l
151.6068 229.7523 l
263.7332 229.7523 l
f*
463.8725 241.7522 m
463.8725 229.2523 l
463.3724 229.2523 l
463.3724 241.7522 l
f*
463.3724 229.2523 m
264.2332 229.2523 l
264.2332 229.7523 l
463.3724 229.7523 l
f*
575.9989 229.2523 m
463.8725 229.2523 l
463.8725 229.7523 l
575.9989 229.7523 l
f*
151.6068 229.2523 m
151.6068 216.7523 l
151.1067 216.7523 l
151.1067 229.2523 l
f*
151.1067 216.7523 m
35.9997 216.7523 l
35.9997 217.2523 l
151.1067 217.2523 l
f*
264.2332 229.2523 m
264.2332 216.7523 l
263.7332 216.7523 l
263.7332 229.2523 l
f*
263.7332 216.7523 m
151.6068 216.7523 l
151.6068 217.2523 l
263.7332 217.2523 l
f*
463.8725 229.2523 m
463.8725 216.7523 l
463.3724 216.7523 l
463.3724 229.2523 l
f*
463.3724 216.7523 m
264.2332 216.7523 l
264.2332 217.2523 l
463.3724 217.2523 l
f*
575.9989 216.7523 m
463.8725 216.7523 l
463.8725 217.2523 l
575.9989 217.2523 l
f*
151.6068 216.7523 m
151.6068 204.2524 l
151.1067 204.2524 l
151.1067 216.7523 l
f*
151.1067 204.2524 m
35.9997 204.2524 l
35.9997 204.7524 l
151.1067 204.7524 l
f*
264.2332 216.7523 m
264.2332 204.2524 l
263.7332 204.2524 l
263.7332 216.7523 l
f*
263.7332 204.2524 m
151.6068 204.2524 l
151.6068 204.7524 l
263.7332 204.7524 l
f*
463.8725 216.7523 m
463.8725 204.2524 l
463.3724 204.2524 l
463.3724 216.7523 l
f*
463.3724 204.2524 m
264.2332 204.2524 l
264.2332 204.7524 l
463.3724 204.7524 l
f*
575.9989 204.2524 m
463.8725 204.2524 l
463.8725 204.7524 l
575.9989 204.7524 l
f*
151.6068 204.2524 m
151.6068 191.7524 l
151.1067 191.7524 l
151.1067 204.2524 l
f*
151.1067 191.7524 m
35.9997 191.7524 l
35.9997 192.2525 l
151.1067 192.2525 l
f*
264.2332 204.2524 m
264.2332 191.7524 l
263.7332 191.7524 l
263.7332 204.2524 l
f*
263.7332 191.7524 m
151.6068 191.7524 l
151.6068 192.2525 l
263.7332 192.2525 l
f*
463.8725 204.2524 m
463.8725 191.7524 l
463.3724 191.7524 l
463.3724 204.2524 l
f*
463.3724 191.7524 m
264.2332 191.7524 l
264.2332 192.2525 l
463.3724 192.2525 l
f*
575.9989 191.7524 m
463.8725 191.7524 l
463.8725 192.2525 l
575.9989 192.2525 l
f*
151.6068 191.7524 m
151.6068 179.2525 l
151.1067 179.2525 l
151.1067 191.7524 l
f*
151.1067 179.2525 m
35.9997 179.2525 l
35.9997 179.7525 l
151.1067 179.7525 l
f*
264.2332 191.7524 m
264.2332 179.2525 l
263.7332 179.2525 l
263.7332 191.7524 l
f*
263.7332 179.2525 m
151.6068 179.2525 l
151.6068 179.7525 l
263.7332 179.7525 l
f*
463.8725 191.7524 m
463.8725 179.2525 l
463.3724 179.2525 l
463.3724 191.7524 l
f*
463.3724 179.2525 m
264.2332 179.2525 l
264.2332 179.7525 l
463.3724 179.7525 l
f*
575.9989 179.2525 m
463.8725 179.2525 l
463.8725 179.7525 l
575.9989 179.7525 l
f*
151.6068 179.2525 m
151.6068 166.7526 l
151.1067 166.7526 l
151.1067 179.2525 l
f*
151.1067 166.7526 m
35.9997 166.7526 l
35.9997 167.2526 l
151.1067 167.2526 l
f*
264.2332 179.2525 m
264.2332 166.7526 l
263.7332 166.7526 l
263.7332 179.2525 l
f*
263.7332 166.7526 m
151.6068 166.7526 l
151.6068 167.2526 l
263.7332 167.2526 l
f*
463.8725 179.2525 m
463.8725 166.7526 l
463.3724 166.7526 l
463.3724 179.2525 l
f*
463.3724 166.7526 m
264.2332 166.7526 l
264.2332 167.2526 l
463.3724 167.2526 l
f*
575.9989 166.7526 m
463.8725 166.7526 l
463.8725 167.2526 l
575.9989 167.2526 l
f*
151.6068 166.7526 m
151.6068 154.2526 l
151.1067 154.2526 l
151.1067 166.7526 l
f*
151.1067 154.2526 m
35.9997 154.2526 l
35.9997 154.7527 l
151.1067 154.7527 l
f*
264.2332 166.7526 m
264.2332 154.2526 l
263.7332 154.2526 l
263.7332 166.7526 l
f*
263.7332 154.2526 m
151.6068 154.2526 l
151.6068 154.7527 l
263.7332 154.7527 l
f*
463.8725 166.7526 m
463.8725 154.2526 l
463.3724 154.2526 l
463.3724 166.7526 l
f*
463.3724 154.2526 m
264.2332 154.2526 l
264.2332 154.7527 l
463.3724 154.7527 l
f*
575.9989 154.2526 m
463.8725 154.2526 l
463.8725 154.7527 l
575.9989 154.7527 l
f*
151.6068 154.2526 m
151.6068 141.7527 l
151.1067 141.7527 l
151.1067 154.2526 l
f*
151.1067 141.7527 m
35.9997 141.7527 l
35.9997 142.2527 l
151.1067 142.2527 l
f*
264.2332 154.2526 m
264.2332 141.7527 l
263.7332 141.7527 l
263.7332 154.2526 l
f*
263.7332 141.7527 m
151.6068 141.7527 l
151.6068 142.2527 l
263.7332 142.2527 l
f*
463.8725 154.2526 m
463.8725 141.7527 l
463.3724 141.7527 l
463.3724 154.2526 l
f*
463.3724 141.7527 m
264.2332 141.7527 l
264.2332 142.2527 l
463.3724 142.2527 l
f*
575.9989 141.7527 m
463.8725 141.7527 l
463.8725 142.2527 l
575.9989 142.2527 l
f*
151.6068 141.7527 m
151.6068 129.2528 l
151.1067 129.2528 l
151.1067 141.7527 l
f*
151.1067 129.2528 m
35.9997 129.2528 l
35.9997 129.7528 l
151.1067 129.7528 l
f*
264.2332 141.7527 m
264.2332 129.2528 l
263.7332 129.2528 l
263.7332 141.7527 l
f*
263.7332 129.2528 m
151.6068 129.2528 l
151.6068 129.7528 l
263.7332 129.7528 l
f*
463.8725 141.7527 m
463.8725 129.2528 l
463.3724 129.2528 l
463.3724 141.7527 l
f*
463.3724 129.2528 m
264.2332 129.2528 l
264.2332 129.7528 l
463.3724 129.7528 l
f*
575.9989 129.2528 m
463.8725 129.2528 l
463.8725 129.7528 l
575.9989 129.7528 l
f*
151.6068 129.2528 m
151.6068 116.7528 l
151.1067 116.7528 l
151.1067 129.2528 l
f*
151.1067 116.7528 m
35.9997 116.7528 l
35.9997 117.2529 l
151.1067 117.2529 l
f*
264.2332 129.2528 m
264.2332 116.7528 l
263.7332 116.7528 l
263.7332 129.2528 l
f*
263.7332 116.7528 m
151.6068 116.7528 l
151.6068 117.2529 l
263.7332 117.2529 l
f*
463.8725 129.2528 m
463.8725 116.7528 l
463.3724 116.7528 l
463.3724 129.2528 l
f*
463.3724 116.7528 m
264.2332 116.7528 l
264.2332 117.2529 l
463.3724 117.2529 l
f*
575.9989 116.7528 m
463.8725 116.7528 l
463.8725 117.2529 l
575.9989 117.2529 l
f*
575.9989 95.0026 m
35.9997 95.0026 l
35.9997 95.5026 l
575.9989 95.5026 l
f*
0.83 0.64 0.02 0 k
36 81.9213 m
185.4425 81.9213 l
h
f*
0 g
7.9999 0 0 7.9999 36 409.6062 cm
BT
/F2 1 Tf
1 TL
-0.005 Tc
0 0 Td
(Table)Tj
2.7992 0 Td
(1.)Tj
1.2614 0 Td
(Presenting)Tj
5.3221 0 Td
(sympto)Tj
3.5079 0 Td
(ms)Tj
1.6441 0 Td
(and)Tj
1.9843 0 Td
(exposur)Tj
3.8339 0 Td
(e)Tj
0.7653 0 Td
(characterist)Tj
5.5701 0 Td
(ics)Tj
1.5875 0 Td
(of)Tj
1.1551 0 Td
(study)Tj
2.8488 0 Td
(participants)Tj
5.5914 0 Td
(.)Tj
0 Tc
-37.8711 -1.8567 Td
(Presentin)Tj
4.5354 0 Td
(g)Tj
0.8433 0 Td
(signs)Tj
9.319 0 Td
(%)Tj
1.1126 0 Td
(\(95%)Tj
2.5512 0 Td
(CI\))Tj
10.4174 0 Td
(Exposure)Tj
4.5355 0 Td
(s)Tj
/F4 1 Tf
( \r)Tj
/F2 1 Tf
20.4167 0 Td
(%)Tj
1.1126 0 Td
(\(95%)Tj
2.5512 0 Td
(CI\))Tj
/F0 1 Tf
-57.3949 -1.5661 Td
(Malaise)Tj
14.8253 0 Td
(88.5)Tj
2.1614 0 Td
(\(85.890)Tj
3.9118 0 Td
(.7\))Tj
8.008 0 Td
(Male)Tj
2.374 0 Td
(gender)Tj
22.5781 0 Td
(31.3)Tj
2.1615 0 Td
(\(27.934.9\))Tj
-56.0201 -1.5591 Td
(Headache)Tj
14.8253 0 Td
(79.2)Tj
2.1614 0 Td
(\(76.082)Tj
3.9118 0 Td
(.1\))Tj
8.008 0 Td
(Travel)Tj
2.9906 0 Td
(outside)Tj
3.4299 0 Td
(home)Tj
2.7071 0 Td
(county)Tj
15.8245 0 Td
(20.4)Tj
2.1615 0 Td
(\(17.523.6\))Tj
-56.0201 -1.559 Td
(Fever)Tj
14.8253 0 Td
(64.6)Tj
2.1614 0 Td
(\(60.968)Tj
3.9118 0 Td
(.1\))Tj
8.008 0 Td
(Previou)Tj
3.3591 0 Td
(s)Tj
0.7299 0 Td
(brucellosis)Tj
4.9181 0 Td
(diagnosis)Tj
15.945 0 Td
(11.6)Tj
2.1615 0 Td
(\(9.314.2\))Tj
-56.0201 -1.5662 Td
(Abdomin)Tj
3.9118 0 Td
(al)Tj
0.9992 0 Td
(pain)Tj
9.9143 0 Td
(60.5)Tj
2.1614 0 Td
(\(56.764)Tj
3.9118 0 Td
(.1\))Tj
8.008 0 Td
(Know)Tj
2.7071 0 Td
(someone)Tj
4.3158 0 Td
(with)Tj
1.9913 0 Td
(similar)Tj
3.0969 0 Td
(symptoms)Tj
12.841 0 Td
(7.3)Tj
1.6087 0 Td
(\(5.59.5\))Tj
-55.4673 -1.5591 Td
(Anorexia)Tj
14.8253 0 Td
(54.3)Tj
2.1614 0 Td
(\(50.658)Tj
3.9118 0 Td
(.1\))Tj
8.008 0 Td
(Know)Tj
2.7071 0 Td
(someone)Tj
4.3158 0 Td
(with)Tj
1.9913 0 Td
(brucellosis)Tj
4.9182 0 Td
(diagnosis)Tj
11.0197 0 Td
(20.3)Tj
2.1615 0 Td
(\(17.523.5\))Tj
-56.0201 -1.5661 Td
(Joint)Tj
2.3244 0 Td
(pain)Tj
12.5009 0 Td
(51.1)Tj
2.1614 0 Td
(\(47.354)Tj
3.9118 0 Td
(.8\))Tj
8.008 0 Td
(High)Tj
2.2606 0 Td
(risk)Tj
1.7788 0 Td
(milk)Tj
1.9984 0 Td
(consump)Tj
4.0252 0 Td
(tion)Tj
14.8891 0 Td
(7.6)Tj
1.6087 0 Td
(\(5.89.9\))Tj
-55.4673 -1.5591 Td
(Back)Tj
2.4449 0 Td
(pain)Tj
12.3804 0 Td
(43.2)Tj
2.1614 0 Td
(\(39.647)Tj
3.9118 0 Td
(.0\))Tj
8.008 0 Td
(High)Tj
2.2606 0 Td
(risk)Tj
1.7788 0 Td
(yoghurt)Tj
3.5433 0 Td
(consumpt)Tj
4.3087 0 Td
(ion)Tj
13.0607 0 Td
(15.1)Tj
2.1615 0 Td
(\(12.518.1\))Tj
-56.0201 -1.5661 Td
(Sweats)Tj
14.8253 0 Td
(42.2)Tj
2.1614 0 Td
(\(38.646)Tj
3.9118 0 Td
(.0\))Tj
8.008 0 Td
(High)Tj
2.2606 0 Td
(risk)Tj
1.7788 0 Td
(meat)Tj
2.4449 0 Td
(consump)Tj
4.0252 0 Td
(tion)Tj
14.4426 0 Td
(2.7)Tj
1.6087 0 Td
(\(1.64.3\))Tj
-55.4673 -1.5591 Td
(Chills)Tj
14.8253 0 Td
(37.6)Tj
2.1614 0 Td
(\(34.041)Tj
3.9118 0 Td
(.3\))Tj
8.008 0 Td
(Blood)Tj
2.7638 0 Td
(consump)Tj
4.0252 0 Td
(tion)Tj
18.1631 0 Td
(4.1)Tj
1.6087 0 Td
(\(2.85.9\))Tj
-55.4673 -1.5662 Td
(Chest)Tj
2.8275 0 Td
(pain)Tj
11.9978 0 Td
(34.4)Tj
2.1614 0 Td
(\(30.938)Tj
3.9118 0 Td
(.1\))Tj
8.008 0 Td
(Keep)Tj
2.5441 0 Td
(cattle)Tj
2.6079 0 Td
(at)Tj
1.063 0 Td
(home)Tj
18.7371 0 Td
(47.5)Tj
2.1615 0 Td
(\(43.751.3\))Tj
-56.0201 -1.559 Td
(Muscle)Tj
3.3732 0 Td
(aches)Tj
11.4521 0 Td
(34.2)Tj
2.1614 0 Td
(\(30.737)Tj
3.9118 0 Td
(.8\))Tj
8.008 0 Td
(Keep)Tj
2.5441 0 Td
(sheep)Tj
2.9268 0 Td
(or)Tj
1.1126 0 Td
(goats)Tj
2.6646 0 Td
(at)Tj
1.0559 0 Td
(home)Tj
14.6481 0 Td
(31.5)Tj
2.1615 0 Td
(\(28.135.1\))Tj
-56.0201 -1.5662 Td
(Cough)Tj
14.8253 0 Td
(27.3)Tj
2.1614 0 Td
(\(24.130)Tj
3.9118 0 Td
(.8\))Tj
8.008 0 Td
(Keep)Tj
2.5441 0 Td
(pigs)Tj
2.048 0 Td
(at)Tj
1.056 0 Td
(home)Tj
19.304 0 Td
(20.6)Tj
2.1615 0 Td
(\(17.723.8\))Tj
-56.0201 -1.5591 Td
(Constipa)Tj
3.9118 0 Td
(tion)Tj
10.9135 0 Td
(25.3)Tj
2.1614 0 Td
(\(22.228)Tj
3.9118 0 Td
(.7\))Tj
8.008 0 Td
(Cattle)Tj
2.8205 0 Td
(born)Tj
2.2181 0 Td
(in)Tj
0.9992 0 Td
(compound)Tj
18.9143 0 Td
(13.6)Tj
2.1615 0 Td
(\(11.216.4\))Tj
-56.0201 -1.5661 Td
(Neck)Tj
2.4945 0 Td
(pain)Tj
12.3308 0 Td
(17.2)Tj
2.1614 0 Td
(\(14.520)Tj
3.9118 0 Td
(.3\))Tj
8.008 0 Td
(Sheep/g)Tj
3.6921 0 Td
(oats)Tj
2.1119 0 Td
(born)Tj
2.211 0 Td
(in)Tj
0.9992 0 Td
(compound)Tj
15.9379 0 Td
(7.0)Tj
1.6087 0 Td
(\(5.39.2\))Tj
-55.4673 -1.5591 Td
(Diarrhoea)Tj
14.8253 0 Td
(12.4)Tj
2.1614 0 Td
(\(10.115)Tj
3.9118 0 Td
(.1\))Tj
8.008 0 Td
(Direct)Tj
2.8205 0 Td
(contact)Tj
3.4441 0 Td
(with)Tj
1.9913 0 Td
(animal)Tj
3.1465 0 Td
(birth)Tj
2.1615 0 Td
(products)Tj
11.3882 0 Td
(2.7)Tj
1.6087 0 Td
(\(1.64.3\))Tj
-55.4673 -1.5661 Td
(Vomiting)Tj
14.8253 0 Td
(11.1)Tj
2.1614 0 Td
(\(8.913.7\))Tj
11.9198 0 Td
(Abortion)Tj
3.926 0 Td
(in)Tj
0.9992 0 Td
(compound)Tj
20.0269 0 Td
(1.9)Tj
1.6087 0 Td
(\(1.03.2\))Tj
-55.4673 -1.5591 Td
(Sore)Tj
2.3244 0 Td
(throat)Tj
12.5009 0 Td
(9.2)Tj
1.6086 0 Td
(\(7.311.7\))Tj
12.4726 0 Td
(Involvemen)Tj
5.074 0 Td
(t)Tj
0.5103 0 Td
(in)Tj
0.9992 0 Td
(animal)Tj
3.1465 0 Td
(slaughter)Tj
15.2221 0 Td
(1.0)Tj
1.6087 0 Td
(\(0.442.1\))Tj
-55.4673 -1.5662 Td
(Breathless)Tj
4.6913 0 Td
(ness)Tj
10.134 0 Td
(6.8)Tj
1.6086 0 Td
(\(5.19.0\))Tj
-16.4339 -1.559 Td
(Weight)Tj
3.3236 0 Td
(loss)Tj
11.5017 0 Td
(3.2)Tj
1.6086 0 Td
(\(2.04.8\))Tj
12.4726 0 Td
(Any)Tj
1.9417 0 Td
(high)Tj
2.0977 0 Td
(risk)Tj
1.7787 0 Td
(food)Tj
2.1615 0 Td
(consump)Tj
4.0252 0 Td
(tion)Tj
12.9473 0 Td
(21.4)Tj
2.1615 0 Td
(\(18.424.6\))Tj
-56.0201 -1.5662 Td
(Joint)Tj
2.3244 0 Td
(swelling)Tj
12.5009 0 Td
(3.0)Tj
1.6086 0 Td
(\(1.94.6\))Tj
12.4726 0 Td
(Any)Tj
1.9417 0 Td
(high)Tj
2.0977 0 Td
(risk)Tj
1.7787 0 Td
(animal)Tj
3.1465 0 Td
(contact)Tj
15.9875 0 Td
(5.5)Tj
1.6087 0 Td
(\(3.97.6\))Tj
-55.4673 -1.559 Td
(Rash)Tj
14.8253 0 Td
(2.3)Tj
1.6086 0 Td
(\(1.43.8\))Tj
12.4726 0 Td
(Any)Tj
1.9417 0 Td
(high)Tj
2.0977 0 Td
(risk)Tj
1.7787 0 Td
(activity)Tj
3.2741 0 Td
(\(food)Tj
2.4945 0 Td
(or)Tj
1.1126 0 Td
(animal)Tj
2.9126 0 Td
(\))Tj
9.3402 0 Td
(25.8)Tj
2.1615 0 Td
(\(22.629.4\))Tj
-56.0201 -1.5662 Td
(Orchitis)Tj
3.6071 0 Td
(\(in)Tj
1.3252 0 Td
(males\))Tj
9.893 0 Td
(0.9)Tj
1.6086 0 Td
(\(0.23.5\))Tj
/F6 1 Tf
-16.4339 -2.3386 Td
[()]TJ
/F0 1 Tf
0.7795 0 Td
(In)Tj
1.063 0 Td
(the)Tj
1.6087 0 Td
(180)Tj
1.885 0 Td
(days)Tj
2.3244 0 Td
(prior)Tj
2.2111 0 Td
(to)Tj
1.063 0 Td
(onset)Tj
2.6575 0 Td
(of)Tj
1.063 0 Td
(clinical)Tj
3.2032 0 Td
(sympto)Tj
3.2031 0 Td
(ms.)Tj
0.83 0.64 0.02 0 k
/F10 1 Tf
-0.025 Tc
-21.0615 -2.2536 Td
(https://do)Tj
3.5575 0 Td
(i.org/10.1371/j)Tj
5.4425 0 Td
(ournal.pntd.)Tj
4.4646 0 Td
(0005508.t0)Tj
4.2662 0 Td
(01)Tj
ET
Q
q
1 j
1 J
0 w
576 737.1 m
36 737.1 l
36 737.6 l
576 737.6 l
f*
36 741.2598 183.2882 23.6976 re
W* n
q
183.2315 0 0 23.6409 36 741.3165 cm
q
/I0 Do
Q
Q
Q
q
0 0 612 792 re
W* n
1 j
1 J
0 w
7.9999 0 0 7.9999 460.1763 745.7952 cm
BT
/F0 1 Tf
1 TL
-0.005 Tc
0 0 Td
(Poor)Tj
2.296 0 Td
(brucello)Tj
3.4229 0 Td
(sis)Tj
1.4244 0 Td
(test)Tj
1.8071 0 Td
(performanc)Tj
4.9749 0 Td
(e)Tj
ET
Q
q
1 j
1 J
0 w
36 48.0002 m
576 48.0002 l
576 47.5002 l
36 47.5002 l
f*
0.83 0.64 0.02 0 k
163.5591 34.9228 m
317.7071 34.9228 l
h
f*
0 g
7.9999 0 0 7.9999 36 36 cm
BT
/F0 1 Tf
1 TL
-0.005 Tc
0 0 Td
(PLOS)Tj
2.8559 0 Td
(Neglected)Tj
4.6417 0 Td
(Tropical)Tj
3.7135 0 Td
(Disease)Tj
3.5433 0 Td
(s)Tj
0.7158 0 Td
(|)Tj
0.83 0.64 0.02 0 k
0.4748 0 Td
(https://doi.or)Tj
5.4142 0 Td
(g/10.137)Tj
3.8197 0 Td
(1/journal.pn)Tj
5.1237 0 Td
(td.00055)Tj
3.8197 0 Td
(08)Tj
0 g
2.0905 0 Td
(April)Tj
2.1827 0 Td
(7,)Tj
1.0418 0 Td
(2017)Tj
25.7033 0 Td
(4)Tj
0.7654 0 Td
(/)Tj
ET
endstream
endobj
113 0 obj
<>stream
endstream
endobj
114 0 obj
<>stream
endstream
endobj
115 0 obj
<>stream
endstream
endobj
116 0 obj
<>stream
endstream
endobj
117 0 obj
<>stream
BT
66.402 0 Td
(15)Tj
ET
Q
endstream
endobj
118 0 obj
<>/XObject<>>>/CropBox[0 0 612 792]/MediaBox[0 0 612 792]/Parent 12 0 R/Annots 120 0 R/Contents 121 0 R/TrimBox[0 0 612 792]>>
endobj
120 0 obj
[122 0 R 123 0 R 124 0 R 125 0 R 126 0 R 127 0 R 128 0 R 129 0 R 130 0 R 131 0 R]
endobj
122 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref036)>>
endobj
123 0 obj
<>/Border[0 0 0]/A 132 0 R>>
endobj
132 0 obj
<>
endobj
124 0 obj
<>/Border[0 0 0]/A 133 0 R>>
endobj
133 0 obj
<>
endobj
125 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref025)>>
endobj
126 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref037)>>
endobj
127 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref038)>>
endobj
128 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref025)>>
endobj
129 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref030)>>
endobj
130 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref025)>>
endobj
131 0 obj
<>/Border[0 0 0]/A 134 0 R>>
endobj
134 0 obj
<>
endobj
121 0 obj
[135 0 R 136 0 R 137 0 R 138 0 R 139 0 R 140 0 R 141 0 R 142 0 R 143 0 R]
endobj
135 0 obj
<>stream
q
0.83 0.64 0.02 0 k
236.2394 610.8661 m
245.7638 610.8661 l
h
f*
521.5181 528.378 m
569.5937 528.378 l
h
f*
200.0126 515.3953 m
294.1795 515.3953 l
h
f*
503.2063 346.3937 m
512.7307 346.3937 l
h
f*
353.3102 294.4063 m
362.778 294.4063 l
h
f*
362.3811 281.3669 m
371.8488 281.3669 l
h
f*
503.6031 268.3843 m
513.1276 268.3843 l
h
f*
348.1512 229.3795 m
357.6756 229.3795 l
h
f*
531.1559 81.9213 m
540.6236 81.9213 l
h
f*
0 g
1 j
1 J
0 w
10 0 0 10 211.9748 707.4141 cm
BT
/F8 1 Tf
1 TL
-0.004 Tc
0 0 Td
(A)Tj
0.907 0 Td
(study)Tj
2.3868 0 Td
(technician)Tj
4.3823 0 Td
(collected)Tj
3.7417 0 Td
(6)Tj
0.6973 0 Td
(ml)Tj
1.2813 0 Td
(of)Tj
1.0148 0 Td
(blood)Tj
2.5171 0 Td
(from)Tj
2.2054 0 Td
(study)Tj
2.3924 0 Td
(participants)Tj
4.9549 0 Td
(into)Tj
1.8426 0 Td
(a)Tj
0.6519 0 Td
(plain)Tj
2.2337 0 Td
(tube.)Tj
2.2053 0 Td
(Clotted)Tj
-34.6107 -1.3039 Td
(blood)Tj
2.5114 0 Td
(was)Tj
1.7008 0 Td
(spun)Tj
2.177 0 Td
(at)Tj
0.9524 0 Td
(3000)Tj
2.1203 0 Td
(rpm)Tj
1.9276 0 Td
(for)Tj
1.3889 0 Td
(5)Tj
0.6917 0 Td
(to)Tj
1.0261 0 Td
(10)Tj
1.1736 0 Td
(minutes)Tj
3.4639 0 Td
(and)Tj
1.7291 0 Td
(serum)Tj
2.7269 0 Td
(extracted.)Tj
ET
Q
q
1 j
1 J
0 w
11.9999 0 0 11.9999 200.0125 667.9559 cm
BT
/F0 1 Tf
1 TL
-0.0033 Tc
0 0 Td
(Patient)Tj
3.2976 0 Td
(interviews)Tj
ET
Q
q
1 j
1 J
0 w
10 0 0 10 200.0125 650.948 cm
BT
/F8 1 Tf
1 TL
-0.004 Tc
0 0 Td
(Each)Tj
2.1713 0 Td
(consenting)Tj
4.6091 0 Td
(or)Tj
1.0941 0 Td
(assenting)Tj
3.9232 0 Td
(participant)Tj
4.5977 0 Td
(underwent)Tj
4.5695 0 Td
(a)Tj
0.6519 0 Td
(questionnaire)Tj
5.7033 0 Td
(interview)Tj
3.9515 0 Td
(with)Tj
1.9955 0 Td
(a)Tj
0.652 0 Td
(study)Tj
2.3868 0 Td
(cli-)Tj
-36.3059 -1.3039 Td
(nician)Tj
2.7099 0 Td
(who)Tj
1.9388 0 Td
(collected)Tj
3.7361 0 Td
(information)Tj
5.0796 0 Td
(on)Tj
1.2756 0 Td
(clinical)Tj
3.0728 0 Td
(history,)Tj
3.2314 0 Td
(presenting)Tj
4.4447 0 Td
(clinical)Tj
3.0784 0 Td
(symptoms,)Tj
4.5865 0 Td
(and)Tj
1.7291 0 Td
(health)Tj
-34.8829 -1.2982 Td
(seeking)Tj
3.2031 0 Td
(behaviour.)Tj
4.4674 0 Td
(On)Tj
1.5136 0 Td
(the)Tj
1.4684 0 Td
(basis)Tj
2.1486 0 Td
(of)Tj
1.0148 0 Td
(a)Tj
0.6577 0 Td
(maximum)Tj
4.371 0 Td
(expected)Tj
3.7247 0 Td
(brucellosis)Tj
4.4617 0 Td
(incubation)Tj
4.5467 0 Td
(period)Tj
2.8346 0 Td
(of)Tj
1.0148 0 Td
(6)Tj
-35.4271 -1.2983 Td
(months)Tj
3.2824 0 Td
([)Tj
0.83 0.64 0.02 0 k
(36)Tj
0 g
(],)Tj
2.075 0 Td
(participants)Tj
4.9606 0 Td
(were)Tj
2.1203 0 Td
(given)Tj
2.3811 0 Td
(a)Tj
0.6519 0 Td
(structured)Tj
4.3484 0 Td
(questionnaire)Tj
5.7089 0 Td
(in)Tj
1.0318 0 Td
(which)Tj
2.6532 0 Td
(they)Tj
1.9219 0 Td
(were)Tj
2.126 0 Td
(asked)Tj
2.4604 0 Td
(to)Tj
-35.7219 -1.2983 Td
(recall)Tj
2.364 0 Td
(high-risk)Tj
3.8551 0 Td
(exposures)Tj
4.1783 0 Td
(\(i.e.)Tj
1.7007 0 Td
(to)Tj
1.0262 0 Td
(food)Tj
2.0466 0 Td
(products)Tj
3.753 0 Td
(or)Tj
1.0999 0 Td
(livestock\))Tj
4.0365 0 Td
(in)Tj
1.0374 0 Td
(the)Tj
1.4684 0 Td
(180)Tj
1.6497 0 Td
(days)Tj
1.9956 0 Td
(prior)Tj
2.2507 0 Td
(to)Tj
1.0261 0 Td
(the)Tj
1.4684 0 Td
(onset)Tj
-34.9566 -1.3039 Td
(of)Tj
1.0147 0 Td
(symptoms.)Tj
ET
Q
q
1 j
1 J
0 w
11.9999 0 0 11.9999 200.0125 559.4456 cm
BT
/F0 1 Tf
1 TL
-0.0033 Tc
0 0 Td
(Serological)Tj
5.0929 0 Td
(assays)Tj
3.3024 0 Td
(in)Tj
0.9827 0 Td
(hospital)Tj
ET
Q
q
1 j
1 J
0 w
10 0 0 10 200.0125 542.4377 cm
BT
/F8 1 Tf
1 TL
-0.004 Tc
0 0 Td
(Serum)Tj
2.8346 0 Td
(was)Tj
1.7008 0 Td
(used)Tj
2.0579 0 Td
(to)Tj
1.0261 0 Td
(perform)Tj
3.5206 0 Td
(the)Tj
1.4684 0 Td
(FBAT)Tj
2.6248 0 Td
(and)Tj
1.7292 0 Td
(RBT)Tj
2.0296 0 Td
(at)Tj
0.9524 0 Td
(BCH)Tj
2.2337 0 Td
(and)Tj
1.7291 0 Td
(the)Tj
1.4683 0 Td
(KEMRI)Tj
3.3166 0 Td
(clinic.)Tj
2.6248 0 Td
(Antigens)Tj
3.8154 0 Td
(for)Tj
-35.1323 -1.2982 Td
(the)Tj
1.4683 0 Td
(FBAT)Tj
2.6249 0 Td
(used)Tj
2.0579 0 Td
(in)Tj
1.0375 0 Td
(these)Tj
2.2507 0 Td
(settings)Tj
3.2428 0 Td
(were)Tj
2.1259 0 Td
(manufactured)Tj
5.845 0 Td
(by)Tj
1.1793 0 Td
(Fortress)Tj
3.4412 0 Td
(diagnostics,)Tj
4.9039 0 Td
(UK)Tj
1.6327 0 Td
(\()Tj
0.83 0.64 0.02 0 k
(http://www.)Tj
-31.8101 -1.2983 Td
(fortressdiagnostics.com)Tj
0 g
(,)Tj
9.8588 0 Td
("Febrile)Tj
3.3052 0 Td
(Antigen)Tj
3.4582 0 Td
(Kit"\))Tj
2.1203 0 Td
(and)Tj
1.7291 0 Td
(purchased)Tj
4.3313 0 Td
(locally.)Tj
3.0047 0 Td
(Standard)Tj
3.8381 0 Td
(hospital)Tj
3.3789 0 Td
(oper-)Tj
-35.0246 -1.2982 Td
(ating)Tj
2.2336 0 Td
(procedures)Tj
4.6715 0 Td
(were)Tj
2.1203 0 Td
(used)Tj
2.0636 0 Td
(for)Tj
1.3833 0 Td
(the)Tj
1.474 0 Td
(FBAT.)Tj
2.846 0 Td
(These)Tj
2.5682 0 Td
(were)Tj
2.1203 0 Td
(the)Tj
1.4683 0 Td
(same)Tj
2.262 0 Td
(in)Tj
1.0318 0 Td
(both)Tj
2.0636 0 Td
(health)Tj
2.6759 0 Td
(centres)Tj
3.0671 0 Td
(and)Tj
-34.0495 -1.304 Td
(i)Tj
0.01 Tc
(nvolved)Tj
3.7473 0 Td
(mixing)Tj
3.1351 0 Td
(a)Tj
0.669 0 Td
(50)Tj
/F13 1 Tf
[()]TJ
/F8 1 Tf
(l)Tj
1.9786 0 Td
(drop)Tj
2.1996 0 Td
(of)Tj
1.0432 0 Td
(serum)Tj
2.7949 0 Td
(with)Tj
2.0523 0 Td
(a)Tj
0.669 0 Td
(drop)Tj
2.1996 0 Td
(\(approximately)Tj
6.5083 0 Td
(50)Tj
/F13 1 Tf
[()]TJ
/F8 1 Tf
(l\))Tj
2.3358 0 Td
(of)Tj
1.0431 0 Td
(`)Tj
/F12 1 Tf
[()22()4( )11()-19(\n)7()-4()]TJ
/F8 1 Tf
(')Tj
3.7304 0 Td
(antigen)Tj
-34.1062 -1.2982 Td
(and)Tj
1.7688 0 Td
(drop)Tj
2.1996 0 Td
(of)Tj
1.0432 0 Td
(`)Tj
/F12 1 Tf
[()6()15()12(\r)14(\n)11()2()10(\r)-4()]TJ
/F8 1 Tf
(')Tj
4.6488 0 Td
(antigen)Tj
3.2995 0 Td
(on)Tj
1.3039 0 Td
(a)Tj
0.669 0 Td
(dedicated)Tj
4.2009 0 Td
(agglutination)Tj
5.7089 0 Td
(slide.)Tj
2.3528 0 Td
(Serum)Tj
2.9083 0 Td
(and)Tj
1.7745 0 Td
(antigen)Tj
3.2995 0 Td
(solu-)Tj
-35.1777 -1.2983 Td
(tion)Tj
1.8935 0 Td
(were)Tj
2.1826 0 Td
(rotated)Tj
3.1748 0 Td
(on)Tj
1.304 0 Td
(a)Tj
0.6689 0 Td
(mechanical)Tj
4.9096 0 Td
(rotator)Tj
3.1011 0 Td
(for)Tj
1.4286 0 Td
(2)Tj
0.7087 0 Td
(minutes.)Tj
3.8041 0 Td
(As)Tj
1.2926 0 Td
(per)Tj
1.576 0 Td
(standard)Tj
3.8324 0 Td
(procedures)Tj
4.8132 0 Td
(in)Tj
-34.6901 -1.3039 Td
(both)Tj
2.1146 0 Td
(health)Tj
2.7609 0 Td
(facilities,)Tj
3.8778 0 Td
(tests)Tj
2.0296 0 Td
(were)Tj
2.177 0 Td
(reported)Tj
3.7757 0 Td
(as)Tj
1.0375 0 Td
(`reactive')Tj
3.9004 0 Td
(if)Tj
0.7994 0 Td
(any)Tj
1.7008 0 Td
(evidence)Tj
3.8267 0 Td
(of)Tj
1.0375 0 Td
(agglutination)Tj
5.7089 0 Td
(was)Tj
-34.7468 -1.2983 Td
(observed)Tj
3.9061 0 Td
(on)Tj
1.3039 0 Td
(naked)Tj
2.7212 0 Td
(eye)Tj
1.5648 0 Td
(examination.)Tj
5.6239 0 Td
(While)Tj
2.7212 0 Td
(the)Tj
1.508 0 Td
(study)Tj
2.4605 0 Td
(health)Tj
2.7609 0 Td
(centres)Tj
3.1691 0 Td
(did)Tj
1.5817 0 Td
(not)Tj
1.6158 0 Td
(routinely)Tj
3.9911 0 Td
(mea-)Tj
-34.9282 -1.2982 Td
(sure)Tj
1.9558 0 Td
(antibody)Tj
3.8778 0 Td
(titres)Tj
2.3244 0 Td
(in)Tj
1.0658 0 Td
(reactive)Tj
3.4243 0 Td
(samples,)Tj
3.719 0 Td
(these)Tj
2.3244 0 Td
(were)Tj
2.177 0 Td
(semi-quantitative)Tj
7.2226 0 Td
(ly)Tj
0.9468 0 Td
(assessed)Tj
3.5829 0 Td
(as)Tj
1.0432 0 Td
(part)Tj
1.8992 0 Td
(of)Tj
-35.5632 -1.304 Td
(this)Tj
1.7291 0 Td
(study)Tj
2.4604 0 Td
(using)Tj
2.4605 0 Td
(a)Tj
0.6633 0 Td
(serial)Tj
2.4094 0 Td
(dilution)Tj
3.5206 0 Td
(approach)Tj
4.0649 0 Td
(as)Tj
1.0431 0 Td
(described)Tj
4.1783 0 Td
(by)Tj
1.2075 0 Td
(the)Tj
1.5137 0 Td
(manufacturers.)Tj
6.4686 0 Td
(For)Tj
1.6668 0 Td
(this,)Tj
1.9729 0 Td
(80,)Tj
-35.3591 -1.2982 Td
(40,)Tj
1.4399 0 Td
(20,)Tj
1.4344 0 Td
(10)Tj
1.2018 0 Td
(and)Tj
1.7689 0 Td
(5)Tj
/F13 1 Tf
0.7143 0 Td
[()]TJ
/F8 1 Tf
(l)Tj
0.9978 0 Td
(drops)Tj
2.5738 0 Td
(of)Tj
1.0432 0 Td
(serum)Tj
2.7949 0 Td
(were)Tj
2.177 0 Td
(placed)Tj
2.8743 0 Td
(on)Tj
1.3039 0 Td
(agglutination)Tj
5.709 0 Td
(tiles)Tj
1.8878 0 Td
(and)Tj
1.7745 0 Td
(a)Tj
0.6633 0 Td
(50)Tj
/F13 1 Tf
1.2019 0 Td
[()]TJ
/F8 1 Tf
(l)Tj
0.9978 0 Td
(drop)Tj
2.1997 0 Td
(of)Tj
-34.7582 -1.2983 Td
(reagent)Tj
3.2824 0 Td
(was)Tj
1.7405 0 Td
(added)Tj
2.7269 0 Td
(to)Tj
1.0545 0 Td
(each,)Tj
2.3244 0 Td
(followed)Tj
3.7644 0 Td
(by)Tj
1.2075 0 Td
(mixing)Tj
3.1351 0 Td
(and)Tj
1.7745 0 Td
(rotation)Tj
3.5603 0 Td
(for)Tj
1.4287 0 Td
(2)Tj
0.7086 0 Td
(minutes.)Tj
3.8041 0 Td
(Agglutination)Tj
5.9584 0 Td
(in)Tj
-36.4703 -1.2982 Td
(the)Tj
1.508 0 Td
(first,)Tj
2.1146 0 Td
(second,)Tj
3.3392 0 Td
(third,)Tj
2.5171 0 Td
(fourth)Tj
2.8233 0 Td
(or)Tj
1.1282 0 Td
(fifth)Tj
1.9616 0 Td
(well)Tj
1.8765 0 Td
(was)Tj
1.7405 0 Td
(considered)Tj
4.7395 0 Td
(suggestive)Tj
4.405 0 Td
(of)Tj
1.0431 0 Td
(a)Tj
0.669 0 Td
(1:20,)Tj
2.1656 0 Td
(1:40,)Tj
2.1714 0 Td
(1:80,)Tj
-34.2026 -1.304 Td
(1:160)Tj
2.4151 0 Td
(or)Tj
1.1281 0 Td
(1:320)Tj
2.4151 0 Td
(titre,)Tj
2.1884 0 Td
(respectively.)Tj
-0.004 Tc
-6.9505 -1.2982 Td
(The)Tj
1.7858 0 Td
(RBT)Tj
2.0296 0 Td
(performed)Tj
4.473 0 Td
(in)Tj
1.0318 0 Td
(each)Tj
2.0296 0 Td
(health)Tj
2.6816 0 Td
(centre)Tj
2.7042 0 Td
(followed)Tj
3.651 0 Td
(standard)Tj
3.7247 0 Td
(procedures)Tj
4.6715 0 Td
([)Tj
0.83 0.64 0.02 0 k
(25)Tj
0 g
(])Tj
1.8538 0 Td
(and)Tj
1.7291 0 Td
(involved)Tj
-33.5619 -1.2983 Td
(mixing)Tj
3.05 0 Td
(25)Tj
/F13 1 Tf
[()]TJ
/F8 1 Tf
(l)Tj
1.9276 0 Td
(of)Tj
1.0148 0 Td
(serum)Tj
2.7212 0 Td
(with)Tj
1.9956 0 Td
(25)Tj
/F13 1 Tf
[()]TJ
/F8 1 Tf
(l)Tj
1.9275 0 Td
(of)Tj
1.0148 0 Td
(antigen)Tj
3.2031 0 Td
(on)Tj
1.2756 0 Td
(a)Tj
0.6577 0 Td
(white)Tj
2.4207 0 Td
(glossy)Tj
2.6136 0 Td
(ceramic)Tj
3.3788 0 Td
(tile)Tj
1.457 0 Td
(with)Tj
1.9956 0 Td
(a)Tj
0.6576 0 Td
(wooden)Tj
3.4186 0 Td
(tooth-)Tj
-34.7298 -1.3039 Td
(pick)Tj
1.9218 0 Td
(and)Tj
1.7292 0 Td
(rotation)Tj
3.4525 0 Td
(on)Tj
1.2756 0 Td
(a)Tj
0.6576 0 Td
(mechanical)Tj
4.7679 0 Td
(rotator)Tj
3.0047 0 Td
(for)Tj
1.3833 0 Td
(4)Tj
0.6973 0 Td
(minutes.)Tj
3.6907 0 Td
(The)Tj
1.7858 0 Td
(antigen,)Tj
3.4299 0 Td
(produced)Tj
4.0422 0 Td
(at)Tj
0.9524 0 Td
(the)Tj
1.474 0 Td
(Univer-)Tj
-34.2649 -1.2983 Td
(sity)Tj
1.5987 0 Td
(of)Tj
1.0148 0 Td
(Navarra,)Tj
3.6793 0 Td
(was)Tj
1.7008 0 Td
(a)Tj
0.6576 0 Td
(suspension)Tj
4.6375 0 Td
(of)Tj
1.0148 0 Td
(fully)Tj
1.9842 0 Td
(smooth)Tj
/F12 1 Tf
3.2428 0 Td
[()]TJ
/F8 1 Tf
(.)Tj
/F12 1 Tf
1.0148 0 Td
[()22()4( )11()-19(\n)7()-4()]TJ
/F8 1 Tf
3.1635 0 Td
(1119)Tj
2.1203 0 Td
(standardized)Tj
5.3574 0 Td
(according)Tj
4.1839 0 Td
(to)Tj
-35.3704 -1.2982 Td
(internationally)Tj
6.1114 0 Td
(established)Tj
4.5978 0 Td
(guidelines)Tj
4.2803 0 Td
([)Tj
0.83 0.64 0.02 0 k
(37)Tj
0 g
(])Tj
1.8481 0 Td
(and)Tj
1.7292 0 Td
(controlled)Tj
4.3199 0 Td
(for)Tj
1.389 0 Td
(quality)Tj
2.9537 0 Td
(using)Tj
2.3867 0 Td
(a)Tj
0.6577 0 Td
(panel)Tj
2.3867 0 Td
(of)Tj
1.0148 0 Td
(brucello-)Tj
-33.6753 -1.304 Td
(sis)Tj
1.2075 0 Td
(positive)Tj
3.3165 0 Td
(and)Tj
1.7291 0 Td
(negative)Tj
3.5377 0 Td
(serum)Tj
2.7212 0 Td
(samples)Tj
3.3845 0 Td
([)Tj
0.83 0.64 0.02 0 k
(38)Tj
0 g
(].)Tj
2.075 0 Td
(Samples)Tj
3.4979 0 Td
(were)Tj
2.1203 0 Td
(confirmed)Tj
4.3994 0 Td
(as)Tj
1.0148 0 Td
(reactive)Tj
3.3165 0 Td
(if)Tj
0.771 0 Td
(any)Tj
1.6611 0 Td
(per-)Tj
-34.7525 -1.2982 Td
(ceptible)Tj
3.3278 0 Td
(agglutination,)Tj
5.7486 0 Td
(including)Tj
4.0422 0 Td
(the)Tj
1.4683 0 Td
(formation)Tj
4.2633 0 Td
(of)Tj
1.0148 0 Td
(a)Tj
0.652 0 Td
(ring)Tj
1.8765 0 Td
(around)Tj
3.1351 0 Td
(the)Tj
1.4683 0 Td
(sample)Tj
3.0218 0 Td
([)Tj
0.83 0.64 0.02 0 k
(25)Tj
0 g
(],)Tj
2.0749 0 Td
(was)Tj
1.7008 0 Td
(observed)Tj
-33.7944 -1.2983 Td
(on)Tj
1.2755 0 Td
(naked)Tj
2.6476 0 Td
(eye)Tj
1.525 0 Td
(examination.)Tj
-4.2519 -1.3039 Td
(Sera)Tj
1.9275 0 Td
(that)Tj
1.7802 0 Td
(were)Tj
2.1203 0 Td
(reactive)Tj
3.3165 0 Td
(using)Tj
2.3867 0 Td
(either)Tj
2.5342 0 Td
(the)Tj
1.4683 0 Td
(RBT)Tj
2.0353 0 Td
(or)Tj
1.0942 0 Td
(FBAT)Tj
2.6248 0 Td
(was)Tj
1.7008 0 Td
(subjected)Tj
3.9685 0 Td
(to)Tj
1.0261 0 Td
(the)Tj
1.4683 0 Td
(rapid)Tj
2.3358 0 Td
(LFA)Tj
1.9729 0 Td
(for)Tj
1.3833 0 Td
(the)Tj
-36.3399 -1.2983 Td
(presence)Tj
3.7133 0 Td
(of)Tj
1.0148 0 Td
(IgG)Tj
1.7405 0 Td
(and)Tj
1.7291 0 Td
(IgM)Tj
1.9162 0 Td
(antibodies)Tj
4.3597 0 Td
([)Tj
0.83 0.64 0.02 0 k
(30)Tj
0 g
(].)Tj
2.0806 0 Td
(This)Tj
1.9842 0 Td
(test)Tj
1.6044 0 Td
(was)Tj
1.6951 0 Td
(marketed)Tj
4.0139 0 Td
(by)Tj
1.1848 0 Td
(Life)Tj
1.7348 0 Td
(Assay)Tj
2.5172 0 Td
(\(South)Tj
2.897 0 Td
(Africa\))Tj
-34.1856 -1.2982 Td
(and)Tj
1.7291 0 Td
(was)Tj
1.7007 0 Td
(performed)Tj
4.4674 0 Td
(according)Tj
4.1896 0 Td
(to)Tj
1.0261 0 Td
(the)Tj
1.4684 0 Td
(manufacturer's)Tj
6.2645 0 Td
(instructions.)Tj
-19.6496 -1.2983 Td
(Remaining)Tj
4.6204 0 Td
(serum)Tj
2.7212 0 Td
(was)Tj
1.7008 0 Td
(stored)Tj
2.7043 0 Td
(at)Tj
0.9524 0 Td
(-40C)Tj
2.5795 0 Td
(on)Tj
1.2756 0 Td
(the)Tj
1.4683 0 Td
(day)Tj
1.6384 0 Td
(of)Tj
1.0148 0 Td
(collection)Tj
4.1102 0 Td
(before)Tj
2.7383 0 Td
(being)Tj
2.4321 0 Td
(shipped)Tj
3.3619 0 Td
(on)Tj
1.2756 0 Td
(ice)Tj
-35.79 -1.3039 Td
(to)Tj
1.0261 0 Td
(the)Tj
1.4683 0 Td
(University)Tj
4.3994 0 Td
(of)Tj
1.0148 0 Td
(Navarra,)Tj
3.685 0 Td
(Spain,)Tj
2.6872 0 Td
(for)Tj
1.3833 0 Td
(confirmatory)Tj
5.5105 0 Td
(serological)Tj
4.4731 0 Td
(testing.)Tj
3.1067 0 Td
(All)Tj
1.4003 0 Td
(samples)Tj
3.3789 0 Td
(were)Tj
-33.5336 -1.2983 Td
(shipped)Tj
3.3618 0 Td
(at)Tj
0.9525 0 Td
(the)Tj
1.4683 0 Td
(end)Tj
1.7178 0 Td
(of)Tj
1.0148 0 Td
(the)Tj
1.474 0 Td
(sampling)Tj
3.8777 0 Td
(period.)Tj
ET
Q
q
1 j
1 J
0 w
11.9999 0 0 11.9999 200.0125 151.9937 cm
BT
/F0 1 Tf
1 TL
-0.0033 Tc
0 0 Td
(Confirmatory)Tj
5.8819 0 Td
(testing)Tj
ET
Q
q
1 j
1 J
0 w
10 0 0 10 200.0125 134.9858 cm
BT
/F8 1 Tf
1 TL
-0.004 Tc
0 0 Td
(At)Tj
1.2018 0 Td
(the)Tj
1.4684 0 Td
(University)Tj
4.405 0 Td
(of)Tj
1.0148 0 Td
(Navarra,)Tj
3.6793 0 Td
(samples)Tj
3.3846 0 Td
(from)Tj
2.2053 0 Td
(the)Tj
1.4683 0 Td
(825)Tj
1.6441 0 Td
(individuals)Tj
4.6488 0 Td
(were)Tj
2.126 0 Td
(subjected)Tj
3.9685 0 Td
(to)Tj
1.0261 0 Td
(a)Tj
0.652 0 Td
(repeat)Tj
2.6872 0 Td
(of)Tj
-35.5802 -1.2982 Td
(the)Tj
1.4683 0 Td
(RBT.)Tj
2.2564 0 Td
(The)Tj
1.7858 0 Td
(second)Tj
3.0103 0 Td
(RBT)Tj
2.0296 0 Td
(was)Tj
1.7008 0 Td
(performed)Tj
4.4674 0 Td
(by)Tj
1.1849 0 Td
(mixing)Tj
3.05 0 Td
(30)Tj
/F13 1 Tf
[()]TJ
/F8 1 Tf
(l)Tj
1.9276 0 Td
(of)Tj
1.0148 0 Td
(serum)Tj
2.7212 0 Td
(with)Tj
1.9956 0 Td
(30)Tj
/F13 1 Tf
[()]TJ
/F8 1 Tf
(l)Tj
1.9275 0 Td
(of)Tj
1.0148 0 Td
(the)Tj
1.4684 0 Td
(aforemen-)Tj
-33.0234 -1.2983 Td
(tioned)Tj
2.7892 0 Td
(antigen)Tj
3.2088 0 Td
(on)Tj
1.2756 0 Td
(a)Tj
0.652 0 Td
(white)Tj
2.4207 0 Td
(glossy)Tj
2.6136 0 Td
(tile,)Tj
1.6837 0 Td
(followed)Tj
3.6454 0 Td
(by)Tj
1.1848 0 Td
(gentle)Tj
2.6249 0 Td
(rotation)Tj
3.4526 0 Td
(by)Tj
1.1792 0 Td
(hand)Tj
2.262 0 Td
(for)Tj
1.3833 0 Td
(4)Tj
0.6973 0 Td
(minutes,)Tj
3.6907 0 Td
(and)Tj
-34.7638 -1.3039 Td
(sera)Tj
1.8084 0 Td
(yielding)Tj
3.4186 0 Td
(doubtful)Tj
3.651 0 Td
(results)Tj
2.812 0 Td
(rotated)Tj
3.0784 0 Td
(for)Tj
1.3833 0 Td
(an)Tj
1.2018 0 Td
(additional)Tj
4.2803 0 Td
(period)Tj
2.8347 0 Td
(of)Tj
1.0148 0 Td
(4)Tj
0.6973 0 Td
(minutes.)Tj
3.6907 0 Td
(Positive)Tj
3.3562 0 Td
(samples)Tj
-33.2275 -1.2983 Td
(were)Tj
2.1203 0 Td
(subjected)Tj
3.9684 0 Td
(to)Tj
1.0262 0 Td
(semi-quantitative)Tj
7.1999 0 Td
(titration)Tj
3.5093 0 Td
(using)Tj
2.3924 0 Td
(the)Tj
1.4684 0 Td
(modified)Tj
3.8494 0 Td
(version)Tj
3.1521 0 Td
(of)Tj
1.0148 0 Td
(the)Tj
1.4683 0 Td
(test)Tj
1.6044 0 Td
([)Tj
0.83 0.64 0.02 0 k
(25)Tj
0 g
(].)Tj
2.075 0 Td
(For)Tj
ET
Q
q
1 j
1 J
0 w
576 737.1 m
36 737.1 l
36 737.6 l
576 737.6 l
f*
36 741.2598 183.2882 23.6976 re
W* n
q
183.2315 0 0 23.6409 36 741.3165 cm
q
/I0 Do
Q
Q
Q
q
0 0 612 792 re
W* n
1 j
1 J
0 w
7.9999 0 0 7.9999 460.1763 745.7952 cm
BT
/F0 1 Tf
1 TL
-0.005 Tc
0 0 Td
(Poor)Tj
2.296 0 Td
(brucello)Tj
3.4229 0 Td
(sis)Tj
1.4244 0 Td
(test)Tj
1.8071 0 Td
(performanc)Tj
4.9749 0 Td
(e)Tj
ET
Q
q
1 j
1 J
0 w
36 48.0002 m
576 48.0002 l
576 47.5002 l
36 47.5002 l
f*
0.83 0.64 0.02 0 k
163.5591 34.9228 m
317.7071 34.9228 l
h
f*
0 g
7.9999 0 0 7.9999 36 36 cm
BT
/F0 1 Tf
1 TL
-0.005 Tc
0 0 Td
(PLOS)Tj
2.8559 0 Td
(Neglected)Tj
4.6417 0 Td
(Tropical)Tj
3.7135 0 Td
(Disease)Tj
3.5433 0 Td
(s)Tj
0.7158 0 Td
(|)Tj
0.83 0.64 0.02 0 k
0.4748 0 Td
(https://doi.or)Tj
5.4142 0 Td
(g/10.137)Tj
3.8197 0 Td
(1/journal.pn)Tj
5.1237 0 Td
(td.00055)Tj
3.8197 0 Td
(08)Tj
0 g
2.0905 0 Td
(April)Tj
2.1827 0 Td
(7,)Tj
1.0418 0 Td
(2017)Tj
25.7033 0 Td
(5)Tj
0.7654 0 Td
(/)Tj
ET
endstream
endobj
136 0 obj
<>stream
endstream
endobj
137 0 obj
<>stream
endstream
endobj
138 0 obj
<>stream
endstream
endobj
139 0 obj
<>stream
endstream
endobj
140 0 obj
<>stream
endstream
endobj
141 0 obj
<>stream
endstream
endobj
142 0 obj
<>stream
endstream
endobj
143 0 obj
<>stream
BT
66.402 0 Td
(15)Tj
ET
Q
endstream
endobj
144 0 obj
<>/XObject<>>>/CropBox[0 0 612 792]/MediaBox[0 0 612 792]/Parent 12 0 R/Annots 146 0 R/Contents 147 0 R/TrimBox[0 0 612 792]>>
endobj
146 0 obj
[148 0 R 149 0 R 150 0 R 151 0 R 152 0 R 153 0 R 154 0 R 155 0 R]
endobj
148 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref039)>>
endobj
149 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref040)>>
endobj
150 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref024)>>
endobj
151 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref041)>>
endobj
152 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref041)>>
endobj
153 0 obj
<>/Border[0 0 0]/A 156 0 R>>
endobj
156 0 obj
<>
endobj
154 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.t001)>>
endobj
155 0 obj
<>/Border[0 0 0]/A 157 0 R>>
endobj
157 0 obj
<>
endobj
147 0 obj
[158 0 R 159 0 R 160 0 R 161 0 R 162 0 R 163 0 R 164 0 R 165 0 R 166 0 R]
endobj
158 0 obj
<>stream
q
0.83 0.64 0.02 0 k
328.7055 628.3276 m
338.2299 628.3276 l
h
f*
527.5843 615.3449 m
537.1087 615.3449 l
h
f*
405.9213 589.3228 m
415.389 589.3228 l
h
f*
550.3181 364.1386 m
559.8425 364.1386 l
h
f*
354.274 299.1118 m
363.7984 299.1118 l
h
f*
448.611 299.1118 m
548.0504 299.1118 l
h
f*
502.7528 198.9354 m
531.9496 198.9354 l
h
f*
0 g
1 j
1 J
0 w
10 0 0 10 200.0125 707.4141 cm
BT
/F8 1 Tf
1 TL
-0.004 Tc
0 0 Td
(this,)Tj
1.8992 0 Td
(eight)Tj
2.1996 0 Td
(30)Tj
/F13 1 Tf
[()]TJ
/F8 1 Tf
(l)Tj
1.9276 0 Td
(drops)Tj
2.5001 0 Td
(of)Tj
1.0148 0 Td
(saline)Tj
2.5001 0 Td
(were)Tj
2.126 0 Td
(dispensed)Tj
4.1783 0 Td
(on)Tj
1.2755 0 Td
(the)Tj
1.4684 0 Td
(tile)Tj
1.457 0 Td
(and)Tj
1.7291 0 Td
(the)Tj
1.4683 0 Td
(first)Tj
1.8029 0 Td
(mixed)Tj
2.7269 0 Td
(with)Tj
1.9956 0 Td
(30)Tj
/F13 1 Tf
1.1735 0 Td
[()]TJ
/F8 1 Tf
(l)Tj
0.9694 0 Td
(serum.)Tj
-34.4123 -1.3039 Td
(From)Tj
2.4434 0 Td
(this,)Tj
1.8992 0 Td
(30)Tj
/F13 1 Tf
[()]TJ
/F8 1 Tf
(l)Tj
1.9275 0 Td
(was)Tj
1.6952 0 Td
(transferred)Tj
4.6431 0 Td
(to)Tj
1.0204 0 Td
(the)Tj
1.474 0 Td
(second)Tj
3.0104 0 Td
(drop)Tj
2.143 0 Td
(using)Tj
2.3868 0 Td
(a)Tj
0.6576 0 Td
(micropipette.)Tj
5.5785 0 Td
(This)Tj
1.9843 0 Td
(was)Tj
1.7008 0 Td
(repeated)Tj
3.6396 0 Td
(for)Tj
-36.2038 -1.2982 Td
(each)Tj
2.0295 0 Td
(drop)Tj
2.143 0 Td
(to)Tj
1.0262 0 Td
(derive)Tj
2.6872 0 Td
(dilutions)Tj
3.77 0 Td
(ranging)Tj
3.3166 0 Td
(from)Tj
2.2053 0 Td
(1:2)Tj
1.4003 0 Td
(to)Tj
1.0261 0 Td
(1:64.)Tj
2.0977 0 Td
(Each)Tj
2.1713 0 Td
(drop)Tj
2.143 0 Td
(was)Tj
1.7007 0 Td
(tested)Tj
2.5512 0 Td
(with)Tj
2.0013 0 Td
(an)Tj
1.2018 0 Td
(equal)Tj
2.3584 0 Td
(vol-)Tj
-35.8296 -1.2983 Td
(ume)Tj
1.9785 0 Td
(\(30)Tj
/F13 1 Tf
1.5024 0 Td
[()]TJ
/F8 1 Tf
(l\))Tj
1.3096 0 Td
(of)Tj
1.0034 0 Td
(the)Tj
1.4627 0 Td
(RBT)Tj
2.0239 0 Td
(reagent,)Tj
3.4016 0 Td
(resulting)Tj
3.719 0 Td
(in)Tj
1.0261 0 Td
(a)Tj
0.6463 0 Td
(range)Tj
2.4548 0 Td
(of)Tj
1.0035 0 Td
(final)Tj
1.9956 0 Td
(dilutions)Tj
3.7643 0 Td
(from)Tj
2.194 0 Td
(1:2)Tj
1.389 0 Td
(to)Tj
1.0205 0 Td
(1:128.)Tj
2.5625 0 Td
(Positive)Tj
-34.4577 -1.2983 Td
(samples)Tj
3.3788 0 Td
(on)Tj
1.2756 0 Td
(the)Tj
1.474 0 Td
(FBAT)Tj
2.6192 0 Td
(or)Tj
1.0998 0 Td
(RBT)Tj
2.0353 0 Td
(were)Tj
2.1203 0 Td
(also)Tj
1.7688 0 Td
(subjected)Tj
3.9685 0 Td
(to)Tj
1.0261 0 Td
(the)Tj
1.4684 0 Td
(SAT)Tj
1.9899 0 Td
(and)Tj
1.7291 0 Td
(Coombs)Tj
3.5886 0 Td
(test.)Tj
1.8255 0 Td
(The)Tj
1.7802 0 Td
(SAT)Tj
1.9899 0 Td
(was)Tj
-35.138 -1.3039 Td
(performed)Tj
4.4673 0 Td
(in)Tj
1.0375 0 Td
(a)Tj
0.652 0 Td
(microplate)Tj
4.5297 0 Td
(format)Tj
2.9367 0 Td
(using)Tj
2.3924 0 Td
(a)Tj
0.652 0 Td
(standardised)Tj
5.3007 0 Td
(antigenic)Tj
3.8948 0 Td
(suspension)Tj
4.6431 0 Td
(of)Tj
/F12 1 Tf
1.0148 0 Td
[()]TJ
/F8 1 Tf
(.)Tj
/F12 1 Tf
1.0148 0 Td
[()22()4( )11()-19(\n)7()-4()]TJ
/F8 1 Tf
-32.5358 -1.2982 Td
(11193)Tj
3.1124 0 Td
(as)Tj
1.0148 0 Td
(previously)Tj
4.354 0 Td
(described)Tj
4.0478 0 Td
([)Tj
0.83 0.64 0.02 0 k
(39)Tj
0 g
(])Tj
1.8539 0 Td
(and)Tj
1.7291 0 Td
(serum)Tj
2.7269 0 Td
(dilutions)Tj
3.77 0 Td
(from)Tj
2.2054 0 Td
(1:20)Tj
1.8708 0 Td
(to)Tj
1.0262 0 Td
(1:2,560.)Tj
3.2711 0 Td
(The)Tj
1.7858 0 Td
(Coombs)Tj
-32.7682 -1.2983 Td
(test)Tj
1.5987 0 Td
(was)Tj
1.7008 0 Td
(performed)Tj
4.4673 0 Td
(with)Tj
2.0013 0 Td
(anti-total)Tj
3.9004 0 Td
(human)Tj
3.0784 0 Td
(immunoglobulin)Tj
7.0242 0 Td
(serum)Tj
2.7213 0 Td
(in)Tj
1.0375 0 Td
(microplates)Tj
4.8869 0 Td
([)Tj
0.83 0.64 0.02 0 k
(40)Tj
0 g
(].)Tj
2.0806 0 Td
(A)Tj
0.9014 0 Td
(titre)Tj
/F14 1 Tf
0 Tc
-35.3988 -1.3039 Td
()Tj
/F8 1 Tf
-0.004 Tc
(1:160)Tj
3.118 0 Td
(was)Tj
1.7008 0 Td
(considered)Tj
4.5978 0 Td
(suspicious)Tj
4.3426 0 Td
(for)Tj
1.3833 0 Td
(the)Tj
1.474 0 Td
(SAT.)Tj
2.211 0 Td
(The)Tj
1.7859 0 Td
(Coombs)Tj
3.5829 0 Td
(test)Tj
1.6044 0 Td
(was)Tj
1.6951 0 Td
(considered)Tj
4.6035 0 Td
(positive)Tj
3.3165 0 Td
(for)Tj
1.3833 0 Td
(a)Tj
-36.7991 -1.2983 Td
(titre)Tj
/F14 1 Tf
0 Tc
1.8765 0 Td
()Tj
/F8 1 Tf
-0.004 Tc
0.9921 0 Td
(2)Tj
0.6973 0 Td
(times)Tj
2.3868 0 Td
(the)Tj
1.4683 0 Td
(SAT)Tj
1.9956 0 Td
(titre)Tj
1.8765 0 Td
(from)Tj
2.2053 0 Td
(the)Tj
1.4684 0 Td
(same)Tj
2.262 0 Td
(sample)Tj
3.0217 0 Td
([)Tj
0.83 0.64 0.02 0 k
(24)Tj
0 g
(].)Tj
-19.0543 -1.2983 Td
(A)Tj
0.907 0 Td
(random)Tj
3.4299 0 Td
(selection)Tj
3.7191 0 Td
(of)Tj
1.0148 0 Td
(FBAT)Tj
2.6192 0 Td
(positive)Tj
3.3165 0 Td
(samples)Tj
3.3845 0 Td
(\(n)Tj
1.1055 0 Td
(=)Tj
0.7994 0 Td
(24\))Tj
1.5137 0 Td
(were)Tj
2.1203 0 Td
(retested)Tj
3.3505 0 Td
(by)Tj
1.1792 0 Td
(technicians)Tj
4.7452 0 Td
(at)Tj
0.9524 0 Td
(the)Tj
-35.3534 -1.3039 Td
(University)Tj
4.3993 0 Td
(of)Tj
1.0148 0 Td
(Navarra)Tj
3.4582 0 Td
(using)Tj
2.3868 0 Td
(the)Tj
1.474 0 Td
(same)Tj
2.2564 0 Td
(FBAT)Tj
2.6248 0 Td
(test)Tj
1.5988 0 Td
(procedure)Tj
4.3143 0 Td
(performed)Tj
4.4673 0 Td
(in)Tj
1.0375 0 Td
(participating)Tj
5.3291 0 Td
(health)Tj
-34.3613 -1.2982 Td
(centres,)Tj
3.2938 0 Td
(but)Tj
1.5534 0 Td
(with)Tj
1.9955 0 Td
(a)Tj
0.6577 0 Td
(different)Tj
3.651 0 Td
(kit)Tj
1.2869 0 Td
(\(Febrile)Tj
3.3222 0 Td
(Serodiagnostics,)Tj
6.684 0 Td
(Biosystems\).)Tj
ET
Q
q
1 j
1 J
0 w
11.9999 0 0 11.9999 200.0125 525.2031 cm
BT
/F0 1 Tf
1 TL
-0.0033 Tc
0 0 Td
(Data)Tj
2.3102 0 Td
(analysis)Tj
ET
Q
q
1 j
1 J
0 w
10 0 0 10 200.0125 508.1952 cm
BT
/F8 1 Tf
1 TL
-0.004 Tc
0 0 Td
(Multivariable)Tj
5.5842 0 Td
(logistic)Tj
3.05 0 Td
(regression)Tj
4.3143 0 Td
(was)Tj
1.6895 0 Td
(used)Tj
2.0579 0 Td
(to)Tj
1.0205 0 Td
(assess)Tj
2.5171 0 Td
(the)Tj
1.4627 0 Td
(relationship)Tj
4.9833 0 Td
(between)Tj
3.5206 0 Td
(known)Tj
2.999 0 Td
(risk)Tj
1.7121 0 Td
(factors)Tj
-34.9112 -1.2982 Td
(for)Tj
1.3832 0 Td
(brucellosis)Tj
4.4618 0 Td
(and)Tj
1.7291 0 Td
(the)Tj
1.474 0 Td
(log)Tj
1.4343 0 Td
(odds)Tj
2.143 0 Td
(of)Tj
1.0148 0 Td
(seropositivity)Tj
5.5785 0 Td
(to)Tj
1.0262 0 Td
(the)Tj
1.4683 0 Td
(FBAT)Tj
2.6249 0 Td
(based)Tj
2.4718 0 Td
(on)Tj
1.2755 0 Td
(a)Tj
0.652 0 Td
(1:2)Tj
1.3946 0 Td
(dilution)Tj
3.4129 0 Td
(\(i.e.)Tj
1.7008 0 Td
(equal)Tj
-35.2457 -1.3039 Td
(volumes)Tj
3.5602 0 Td
(of)Tj
1.0148 0 Td
(serum)Tj
2.7213 0 Td
(and)Tj
1.7291 0 Td
(each)Tj
2.0296 0 Td
(antigen\).)Tj
3.7701 0 Td
(Risk)Tj
1.9672 0 Td
(factors)Tj
2.9026 0 Td
(were)Tj
2.1203 0 Td
(extracted)Tj
3.8892 0 Td
(from)Tj
2.2053 0 Td
(the)Tj
1.4683 0 Td
(patient)Tj
3.0104 0 Td
(interview)Tj
-32.3884 -1.2983 Td
(and)Tj
1.7291 0 Td
(were)Tj
2.1203 0 Td
(age)Tj
1.542 0 Td
(in)Tj
1.0375 0 Td
(years,)Tj
2.4888 0 Td
(sex,)Tj
1.6951 0 Td
(consumption)Tj
5.5502 0 Td
(of)Tj
1.0148 0 Td
(high)Tj
2.0069 0 Td
(risk)Tj
1.7121 0 Td
(milk)Tj
2.0523 0 Td
(and)Tj
1.7291 0 Td
(yoghurt)Tj
3.3732 0 Td
(products,)Tj
3.9798 0 Td
(consumption)Tj
-32.0312 -1.2983 Td
(of)Tj
1.0147 0 Td
(high)Tj
2.007 0 Td
(risk)Tj
1.7177 0 Td
(meat)Tj
2.194 0 Td
(or)Tj
1.0999 0 Td
(blood)Tj
2.5115 0 Td
(products,)Tj
3.9798 0 Td
(direct)Tj
2.5341 0 Td
(contact)Tj
3.1521 0 Td
(with)Tj
1.9956 0 Td
(the)Tj
1.4684 0 Td
(birth)Tj
2.194 0 Td
(products)Tj
3.753 0 Td
(of)Tj
1.0148 0 Td
(livestock)Tj
3.6964 0 Td
(\(cattle,)Tj
-34.333 -1.2982 Td
(sheep,)Tj
2.6985 0 Td
(goats)Tj
2.2847 0 Td
(or)Tj
1.0999 0 Td
(pigs\),)Tj
2.3924 0 Td
(abortion)Tj
3.6623 0 Td
(of)Tj
1.0148 0 Td
(livestock)Tj
3.6964 0 Td
(in)Tj
1.0375 0 Td
(the)Tj
1.4683 0 Td
(participant's)Tj
5.1703 0 Td
(compound,)Tj
4.8246 0 Td
(involvement)Tj
5.2157 0 Td
(in)Tj
1.0318 0 Td
(live-)Tj
-35.5972 -1.3039 Td
(stock)Tj
2.3073 0 Td
(slaughter,)Tj
4.0989 0 Td
(and)Tj
1.7291 0 Td
(knowing)Tj
3.7361 0 Td
(someone)Tj
3.8097 0 Td
(with)Tj
2.0013 0 Td
(a)Tj
0.6519 0 Td
(brucellosis)Tj
4.4617 0 Td
(diagnosis)Tj
3.9572 0 Td
(in)Tj
1.0374 0 Td
(the)Tj
1.4684 0 Td
(6)Tj
0.6973 0 Td
(months)Tj
3.2825 0 Td
(prior)Tj
2.2507 0 Td
(to)Tj
-35.4895 -1.2983 Td
(the)Tj
1.4683 0 Td
(onset)Tj
2.3584 0 Td
(of)Tj
1.0148 0 Td
(symptoms.)Tj
4.5864 0 Td
(Food)Tj
2.2847 0 Td
(exposures)Tj
4.1783 0 Td
(were)Tj
2.1259 0 Td
(considered)Tj
4.5978 0 Td
(`high)Tj
2.2337 0 Td
(risk')Tj
1.9332 0 Td
(when)Tj
2.4038 0 Td
(products)Tj
3.753 0 Td
(were)Tj
2.1203 0 Td
(con-)Tj
-35.0586 -1.2983 Td
(sumed)Tj
2.8799 0 Td
(without)Tj
3.3279 0 Td
(prior)Tj
2.2563 0 Td
(heat)Tj
1.9049 0 Td
(treatment,)Tj
4.3597 0 Td
(or)Tj
1.0941 0 Td
(without)Tj
3.3336 0 Td
(adequate)Tj
3.7927 0 Td
(heat)Tj
1.9049 0 Td
(treatment)Tj
4.1385 0 Td
(in)Tj
1.0318 0 Td
(the)Tj
1.474 0 Td
(case)Tj
1.8596 0 Td
(of)Tj
1.0147 0 Td
(blood)Tj
-34.3726 -1.3039 Td
(and)Tj
1.7291 0 Td
(meat.)Tj
2.4207 0 Td
(The)Tj
1.7802 0 Td
(number)Tj
3.4186 0 Td
(of)Tj
1.0147 0 Td
(variables)Tj
3.7191 0 Td
(included)Tj
3.7133 0 Td
(in)Tj
1.0375 0 Td
(the)Tj
1.4684 0 Td
(final)Tj
2.0012 0 Td
(model)Tj
2.7439 0 Td
(was)Tj
1.7008 0 Td
(determined)Tj
4.8529 0 Td
(based)Tj
2.4718 0 Td
(on)Tj
1.2756 0 Td
(the)Tj
-35.3478 -1.2983 Td
(number)Tj
3.4185 0 Td
(of)Tj
1.0148 0 Td
(FBAT)Tj
2.6192 0 Td
(positive)Tj
3.3165 0 Td
(results.)Tj
3.0331 0 Td
(One)Tj
1.9389 0 Td
(variable)Tj
3.3618 0 Td
(was)Tj
1.6951 0 Td
(selected)Tj
3.3506 0 Td
(for)Tj
1.3833 0 Td
(every)Tj
2.347 0 Td
(10)Tj
1.1736 0 Td
(positive)Tj
3.3165 0 Td
(cases)Tj
2.2223 0 Td
(in)Tj
1.0375 0 Td
(order)Tj
-35.2287 -1.2982 Td
(to)Tj
1.0261 0 Td
(ensure)Tj
2.8743 0 Td
(model)Tj
2.7439 0 Td
(complexity)Tj
4.6431 0 Td
(did)Tj
1.5421 0 Td
(not)Tj
1.5704 0 Td
(exceed)Tj
2.9083 0 Td
(the)Tj
1.4683 0 Td
(available)Tj
3.668 0 Td
(number)Tj
3.4186 0 Td
(of)Tj
1.0148 0 Td
(degrees)Tj
3.2145 0 Td
(of)Tj
1.0148 0 Td
(freedom)Tj
3.5829 0 Td
([)Tj
0.83 0.64 0.02 0 k
(41)Tj
0 g
(].)Tj
-34.6901 -1.3039 Td
(To)Tj
1.3379 0 Td
(meet)Tj
2.1827 0 Td
(this)Tj
1.6781 0 Td
(criterion,)Tj
3.9231 0 Td
(variables)Tj
3.7133 0 Td
(for)Tj
1.389 0 Td
(inclusion)Tj
3.9175 0 Td
(were)Tj
2.1203 0 Td
(either)Tj
2.5341 0 Td
(a)Tj
0.652 0 Td
(summarised)Tj
5.1307 0 Td
(`high)Tj
2.2337 0 Td
(risk')Tj
1.9332 0 Td
(exposure)Tj
3.8154 0 Td
(to)Tj
-36.561 -1.2983 Td
(any)Tj
1.6554 0 Td
(food)Tj
2.0522 0 Td
(or)Tj
1.0942 0 Td
(livestock,)Tj
3.9231 0 Td
(or)Tj
1.0999 0 Td
(the)Tj
1.4683 0 Td
(component)Tj
4.8132 0 Td
(parts)Tj
2.2053 0 Td
(\(i.e.)Tj
1.7008 0 Td
(different)Tj
3.6567 0 Td
(food)Tj
2.0466 0 Td
(types)Tj
2.2734 0 Td
(or)Tj
1.0998 0 Td
(different)Tj
3.6567 0 Td
(livestock)Tj
-32.7456 -1.2983 Td
(exposure)Tj
3.8154 0 Td
(types\))Tj
2.6135 0 Td
(where)Tj
2.6532 0 Td
(the)Tj
1.4683 0 Td
(sample)Tj
3.0217 0 Td
(size)Tj
1.6838 0 Td
(of)Tj
1.0148 0 Td
(FBAT)Tj
2.6249 0 Td
(cases)Tj
2.2223 0 Td
(allowed.)Tj
3.515 0 Td
(No)Tj
1.4626 0 Td
(further)Tj
3.0274 0 Td
(model)Tj
2.7439 0 Td
(selection)Tj
3.7191 0 Td
(was)Tj
-35.5859 -1.2982 Td
(performed.)Tj
4.6941 0 Td
(Model)Tj
2.8176 0 Td
(fit)Tj
1.0715 0 Td
(was)Tj
1.7008 0 Td
(assessed)Tj
3.4696 0 Td
(using)Tj
2.3924 0 Td
(the)Tj
1.4683 0 Td
(le)Tj
0.8901 0 Td
(Cessie-van)Tj
4.5071 0 Td
(Houwelingen)Tj
5.6295 0 Td
(normal)Tj
3.1465 0 Td
(test.)Tj
1.8255 0 Td
(Analysis)Tj
-33.613 -1.3039 Td
(was)Tj
1.6951 0 Td
(conducted)Tj
4.4276 0 Td
(using)Tj
2.3925 0 Td
(the)Tj
/F12 1 Tf
1.4683 0 Td
[()-9()]TJ
/F8 1 Tf
1.6894 0 Td
(package)Tj
3.4129 0 Td
([)Tj
0.83 0.64 0.02 0 k
(41)Tj
0 g
(])Tj
1.8539 0 Td
(in)Tj
1.0318 0 Td
(R,)Tj
1.0715 0 Td
(version)Tj
3.1521 0 Td
(3.1.1.)Tj
2.3244 0 Td
(\()Tj
0.83 0.64 0.02 0 k
(http://cran.r-project.org/)Tj
0 g
(\).)Tj
ET
Q
q
1 j
1 J
0 w
11.9999 0 0 11.9999 200.0125 273.9968 cm
BT
/F2 1 Tf
1 TL
-0.0033 Tc
0 0 Td
(Results)Tj
/F0 1 Tf
0 -1.4976 Td
(Participant)Tj
4.885 0 Td
(enrolment)Tj
4.6158 0 Td
(and)Tj
1.8614 0 Td
(demographics)Tj
ET
Q
q
1 j
1 J
0 w
10 0 0 10 200.0125 239.0173 cm
BT
/F8 1 Tf
1 TL
-0.004 Tc
0 0 Td
(A)Tj
0.9014 0 Td
(total)Tj
2.0069 0 Td
(of)Tj
1.0148 0 Td
(825)Tj
1.6441 0 Td
(individuals)Tj
4.6487 0 Td
(attending)Tj
4.0309 0 Td
(our)Tj
1.6271 0 Td
(study)Tj
2.3924 0 Td
(sites)Tj
1.9275 0 Td
(for)Tj
1.389 0 Td
(care)Tj
1.8709 0 Td
(were)Tj
2.1203 0 Td
(recruited)Tj
3.8551 0 Td
(into)Tj
1.8425 0 Td
(the)Tj
1.4683 0 Td
(study,)Tj
2.6135 0 Td
(with)Tj
-35.3534 -1.3039 Td
(691)Tj
1.644 0 Td
(\(84%\))Tj
2.6079 0 Td
(coming)Tj
3.2541 0 Td
(from)Tj
2.2054 0 Td
(BCH)Tj
2.228 0 Td
(and)Tj
1.7348 0 Td
(134)Tj
1.6441 0 Td
(\(16%\))Tj
2.6078 0 Td
(from)Tj
2.2054 0 Td
(the)Tj
1.474 0 Td
(KEMRI)Tj
3.3165 0 Td
(clinic.)Tj
2.6192 0 Td
(It)Tj
0.8561 0 Td
(was)Tj
1.7007 0 Td
(possible)Tj
3.4129 0 Td
(to)Tj
1.0205 0 Td
(con-)Tj
-34.5314 -1.2982 Td
(duct)Tj
1.9955 0 Td
(the)Tj
1.4684 0 Td
(patient)Tj
3.0103 0 Td
(survey)Tj
2.812 0 Td
(and)Tj
1.7291 0 Td
(collect)Tj
2.7893 0 Td
(clinical)Tj
3.0784 0 Td
(data)Tj
1.9105 0 Td
(from)Tj
2.2054 0 Td
(703)Tj
1.6497 0 Td
(\(85%\))Tj
2.6079 0 Td
(of)Tj
1.0148 0 Td
(these.)Tj
2.4774 0 Td
(The)Tj
1.7859 0 Td
(presenting)Tj
4.4447 0 Td
(symp-)Tj
-34.9793 -1.2983 Td
(toms)Tj
2.2053 0 Td
(and)Tj
1.7291 0 Td
(potential)Tj
/F12 1 Tf
3.7587 0 Td
[()17()-9()4()7()15()4()4()]TJ
/F8 1 Tf
3.4016 0 Td
(spp.)Tj
1.8425 0 Td
(exposure)Tj
3.8154 0 Td
(characteristics)Tj
5.9017 0 Td
(are)Tj
1.4513 0 Td
(summarised)Tj
5.1307 0 Td
(in)Tj
0.83 0.64 0.02 0 k
1.0375 0 Td
(Table)Tj
2.4434 0 Td
(1)Tj
0 g
(.)Tj
0.9184 0 Td
(The)Tj
-33.6356 -1.3039 Td
(average)Tj
3.2258 0 Td
(age)Tj
1.542 0 Td
(of)Tj
1.0148 0 Td
(participants)Tj
4.9549 0 Td
(was)Tj
1.7008 0 Td
(37.6)Tj
1.8709 0 Td
(years,)Tj
2.4944 0 Td
(with)Tj
1.9956 0 Td
(a)Tj
0.652 0 Td
(median)Tj
3.2428 0 Td
(of)Tj
1.0148 0 Td
(35)Tj
1.1678 0 Td
(and)Tj
1.7348 0 Td
(a)Tj
0.652 0 Td
(range)Tj
2.4605 0 Td
(between)Tj
3.5319 0 Td
(5)Tj
0.6917 0 Td
(and)Tj
1.7347 0 Td
(98)Tj
-35.6822 -1.2983 Td
(years.)Tj
2.4888 0 Td
(The)Tj
1.7801 0 Td
(mean)Tj
2.4491 0 Td
(duration)Tj
3.702 0 Td
(of)Tj
1.0148 0 Td
(symptoms)Tj
4.3597 0 Td
(was)Tj
1.6951 0 Td
(118)Tj
1.6498 0 Td
(days,)Tj
2.2223 0 Td
(but)Tj
1.5534 0 Td
(this)Tj
1.6724 0 Td
(was)Tj
1.7008 0 Td
(skewed)Tj
3.1351 0 Td
(by)Tj
1.1792 0 Td
(a)Tj
0.6576 0 Td
(small)Tj
2.3244 0 Td
(number)Tj
-33.5846 -1.2982 Td
(of)Tj
1.0147 0 Td
(individuals)Tj
4.6488 0 Td
(\(n)Tj
1.1055 0 Td
(=)Tj
0.7994 0 Td
(8\))Tj
1.0375 0 Td
(who)Tj
1.9389 0 Td
(reported)Tj
3.6623 0 Td
(the)Tj
1.4683 0 Td
(duration)Tj
3.7021 0 Td
(of)Tj
1.0148 0 Td
(current)Tj
3.1861 0 Td
(illness)Tj
2.6702 0 Td
(as)Tj
1.0148 0 Td
(more)Tj
2.3414 0 Td
(than)Tj
2.0296 0 Td
(3)Tj
0.6973 0 Td
(years.)Tj
2.4888 0 Td
(The)Tj
-34.8205 -1.2983 Td
(median)Tj
3.2371 0 Td
(value)Tj
2.3074 0 Td
(was)Tj
1.7008 0 Td
(14)Tj
1.1678 0 Td
(days.)Tj
2.228 0 Td
(The)Tj
1.7802 0 Td
(majority)Tj
3.6283 0 Td
(of)Tj
1.0148 0 Td
(individuals)Tj
4.6488 0 Td
(\(426,)Tj
2.211 0 Td
(60.6%\))Tj
2.9707 0 Td
(reported)Tj
3.6623 0 Td
(that)Tj
1.7745 0 Td
(this)Tj
1.6781 0 Td
(was)Tj
-34.0098 -1.3039 Td
(their)Tj
2.1089 0 Td
(first)Tj
1.8028 0 Td
(visit)Tj
1.8709 0 Td
(to)Tj
1.0261 0 Td
(a)Tj
0.652 0 Td
(health)Tj
2.6759 0 Td
(care)Tj
1.8708 0 Td
(provider)Tj
3.6624 0 Td
(for)Tj
1.3833 0 Td
(their)Tj
2.1089 0 Td
(current)Tj
3.1862 0 Td
(illness.)Tj
2.8969 0 Td
(Of)Tj
1.2586 0 Td
(the)Tj
1.4684 0 Td
(remaining)Tj
4.3653 0 Td
(277,)Tj
1.8708 0 Td
(177)Tj
-34.2082 -1.2983 Td
(\(64%\))Tj
2.6078 0 Td
(had)Tj
1.7065 0 Td
(already)Tj
3.1124 0 Td
(visited)Tj
2.8233 0 Td
(one)Tj
1.6951 0 Td
(health)Tj
2.6815 0 Td
(facility)Tj
2.897 0 Td
(without)Tj
3.3279 0 Td
(resolution,)Tj
4.507 0 Td
(61)Tj
1.1679 0 Td
(\(22.2%\))Tj
3.3108 0 Td
(had)Tj
1.7065 0 Td
(visited)Tj
2.8233 0 Td
(two,)Tj
1.9332 0 Td
(20)Tj
-36.3002 -1.2983 Td
(\(7.2%\))Tj
2.8346 0 Td
(had)Tj
1.7064 0 Td
(visited)Tj
2.8176 0 Td
(three,)Tj
2.4945 0 Td
(11)Tj
1.1679 0 Td
(\(3.9%\))Tj
2.8346 0 Td
(had)Tj
1.7121 0 Td
(visited)Tj
2.8176 0 Td
(four)Tj
1.9163 0 Td
(and)Tj
1.7291 0 Td
(eight)Tj
2.1996 0 Td
(\(2.9%\))Tj
2.8347 0 Td
(had)Tj
1.7121 0 Td
(visited)Tj
2.8176 0 Td
(five)Tj
1.6554 0 Td
(or)Tj
1.0942 0 Td
(more.)Tj
-34.3443 -1.3039 Td
(The)Tj
1.7801 0 Td
(median)Tj
3.2428 0 Td
(duration)Tj
3.702 0 Td
(of)Tj
1.0148 0 Td
(symptoms)Tj
4.3597 0 Td
(in)Tj
1.0318 0 Td
(those)Tj
2.3414 0 Td
(presenting)Tj
4.439 0 Td
(for)Tj
1.389 0 Td
(the)Tj
1.4683 0 Td
(first)Tj
1.8085 0 Td
(time)Tj
2.0296 0 Td
(was)Tj
1.6951 0 Td
(seven)Tj
2.4321 0 Td
(days)Tj
1.9956 0 Td
(com-)Tj
-34.7298 -1.2982 Td
(pared)Tj
2.4944 0 Td
(to)Tj
1.0262 0 Td
(61)Tj
1.1678 0 Td
(days)Tj
1.9956 0 Td
(in)Tj
1.0375 0 Td
(those)Tj
2.3357 0 Td
(who)Tj
1.9389 0 Td
(had)Tj
1.7121 0 Td
(previously)Tj
4.3483 0 Td
(sought)Tj
2.9084 0 Td
(health)Tj
2.6758 0 Td
(care)Tj
1.8766 0 Td
(for)Tj
1.3833 0 Td
(their)Tj
2.1089 0 Td
(current)Tj
3.1862 0 Td
(condition)Tj
ET
Q
q
1 j
1 J
0 w
576 737.1 m
36 737.1 l
36 737.6 l
576 737.6 l
f*
36 741.2598 183.2882 23.6976 re
W* n
q
183.2315 0 0 23.6409 36 741.3165 cm
q
/I0 Do
Q
Q
Q
q
0 0 612 792 re
W* n
1 j
1 J
0 w
7.9999 0 0 7.9999 460.1763 745.7952 cm
BT
/F0 1 Tf
1 TL
-0.005 Tc
0 0 Td
(Poor)Tj
2.296 0 Td
(brucello)Tj
3.4229 0 Td
(sis)Tj
1.4244 0 Td
(test)Tj
1.8071 0 Td
(performanc)Tj
4.9749 0 Td
(e)Tj
ET
Q
q
1 j
1 J
0 w
36 48.0002 m
576 48.0002 l
576 47.5002 l
36 47.5002 l
f*
0.83 0.64 0.02 0 k
163.5591 34.9228 m
317.7071 34.9228 l
h
f*
0 g
7.9999 0 0 7.9999 36 36 cm
BT
/F0 1 Tf
1 TL
-0.005 Tc
0 0 Td
(PLOS)Tj
2.8559 0 Td
(Neglected)Tj
4.6417 0 Td
(Tropical)Tj
3.7135 0 Td
(Disease)Tj
3.5433 0 Td
(s)Tj
0.7158 0 Td
(|)Tj
0.83 0.64 0.02 0 k
0.4748 0 Td
(https://doi.or)Tj
5.4142 0 Td
(g/10.137)Tj
3.8197 0 Td
(1/journal.pn)Tj
5.1237 0 Td
(td.00055)Tj
3.8197 0 Td
(08)Tj
0 g
2.0905 0 Td
(April)Tj
2.1827 0 Td
(7,)Tj
1.0418 0 Td
(2017)Tj
25.7033 0 Td
(6)Tj
0.7654 0 Td
(/)Tj
ET
endstream
endobj
159 0 obj
<>stream
endstream
endobj
160 0 obj
<>stream
endstream
endobj
161 0 obj
<>stream
endstream
endobj
162 0 obj
<>stream
endstream
endobj
163 0 obj
<>stream
endstream
endobj
164 0 obj
<>stream
endstream
endobj
165 0 obj
<>stream
endstream
endobj
166 0 obj
<>stream
BT
66.402 0 Td
(15)Tj
ET
Q
endstream
endobj
167 0 obj
<>/XObject<>>>/CropBox[0 0 612 792]/MediaBox[0 0 612 792]/Parent 12 0 R/Annots 170 0 R/Contents 171 0 R/TrimBox[0 0 612 792]>>
endobj
170 0 obj
[172 0 R 173 0 R 174 0 R 175 0 R 176 0 R 177 0 R 178 0 R 179 0 R 180 0 R 181 0 R 182 0 R]
endobj
172 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.t001)>>
endobj
173 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.t002)>>
endobj
174 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.t002)>>
endobj
175 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.t003)>>
endobj
176 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.t002)>>
endobj
177 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.t002)>>
endobj
178 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.t002)>>
endobj
179 0 obj
<>/Border[0 0 0]/Dest(Lpntd.0005508.t002)>>
endobj
180 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.t003)>>
endobj
181 0 obj
<>/Border[0 0 0]/A 183 0 R>>
endobj
183 0 obj
<>
endobj
182 0 obj
<>/Border[0 0 0]/A 184 0 R>>
endobj
184 0 obj
<>
endobj
171 0 obj
[185 0 R 186 0 R 187 0 R 188 0 R 189 0 R 190 0 R]
endobj
185 0 obj
<>stream
q
0.83 0.64 0.02 0 k
221.2724 456.9449 m
250.4693 456.9449 l
h
f*
421.3417 393.9024 m
450.4819 393.9024 l
h
f*
223.7102 224.9008 m
252.9071 224.9008 l
h
f*
264.5291 159.9307 m
293.6693 159.9307 l
h
f*
300.2457 146.948 m
329.4425 146.948 l
h
f*
450.3685 120.926 m
479.5654 120.926 l
h
f*
245.6504 81.9213 m
274.8472 81.9213 l
h
f*
0 g
1 j
1 J
0 w
10 0 0 10 200.0125 497.0267 cm
BT
/F8 1 Tf
1 TL
-0.004 Tc
0 0 Td
(\(p)Tj
/F15 1 Tf
0 Tc
(<)Tj
/F8 1 Tf
-0.004 Tc
(0.001\).)Tj
4.541 0 Td
(High-risk)Tj
4.0932 0 Td
(food)Tj
2.0523 0 Td
(consumption)Tj
5.5445 0 Td
(was)Tj
1.7008 0 Td
(reported)Tj
3.6567 0 Td
(in)Tj
1.0374 0 Td
(150)Tj
1.6441 0 Td
(\(21.4%\))Tj
3.3109 0 Td
(participants,)Tj
5.1817 0 Td
(and)Tj
1.7348 0 Td
(high-)Tj
-34.4974 -1.2982 Td
(risk)Tj
1.7121 0 Td
(animal)Tj
2.9707 0 Td
(contact)Tj
3.1521 0 Td
(\(defined)Tj
3.5659 0 Td
(as)Tj
1.0148 0 Td
(direct)Tj
2.5342 0 Td
(contact)Tj
3.1521 0 Td
(with)Tj
1.9956 0 Td
(animal)Tj
2.9707 0 Td
(birth)Tj
2.194 0 Td
(products,)Tj
3.9798 0 Td
(animal)Tj
2.9707 0 Td
(abortion)Tj
3.6566 0 Td
(in)Tj
-35.8693 -1.2983 Td
(the)Tj
1.4683 0 Td
(participant's)Tj
5.1703 0 Td
(home)Tj
2.5002 0 Td
(compound)Tj
4.5978 0 Td
(or)Tj
1.0998 0 Td
(involvement)Tj
5.21 0 Td
(in)Tj
1.0375 0 Td
(livestock)Tj
3.6964 0 Td
(slaughter\))Tj
4.2179 0 Td
(in)Tj
1.0318 0 Td
(37)Tj
1.1735 0 Td
(\(5.5%\))Tj
2.8347 0 Td
(individ-)Tj
-34.0382 -1.3039 Td
(uals)Tj
1.7858 0 Td
(\()Tj
0.83 0.64 0.02 0 k
(Table)Tj
2.7836 0 Td
(1)Tj
0 g
(\).)Tj
ET
Q
q
1 j
1 J
0 w
11.9999 0 0 11.9999 200.0125 425.0267 cm
BT
/F0 1 Tf
1 TL
-0.0033 Tc
0 0 Td
(Brucellosis)Tj
4.989 0 Td
(sero-diagnostics)Tj
ET
Q
q
1 j
1 J
0 w
10 0 0 10 200.0125 408.0188 cm
BT
/F8 1 Tf
1 TL
-0.004 Tc
0 0 Td
(On)Tj
1.5136 0 Td
(the)Tj
1.4684 0 Td
(basis)Tj
2.1486 0 Td
(of)Tj
1.0148 0 Td
(tests)Tj
1.9673 0 Td
(performed)Tj
4.4673 0 Td
(within)Tj
2.812 0 Td
(study)Tj
2.3924 0 Td
(health)Tj
2.6759 0 Td
(facilities,)Tj
3.719 0 Td
(a)Tj
0.6577 0 Td
(total)Tj
2.0012 0 Td
(of)Tj
1.0148 0 Td
(162)Tj
1.6498 0 Td
(out)Tj
1.5477 0 Td
(of)Tj
1.0148 0 Td
(825)Tj
1.6497 0 Td
(\(19.6%,)Tj
-33.715 -1.3039 Td
(95%)Tj
1.9275 0 Td
(CI)Tj
1.2246 0 Td
(17.022.5\))Tj
4.3823 0 Td
(individuals)Tj
4.6488 0 Td
(had)Tj
1.7064 0 Td
(reactive)Tj
3.3165 0 Td
(FBAT)Tj
2.6249 0 Td
(tests)Tj
1.9616 0 Td
(\()Tj
0.83 0.64 0.02 0 k
(Table)Tj
2.7836 0 Td
(2)Tj
0 g
(\).)Tj
1.2585 0 Td
(At)Tj
1.2019 0 Td
(BCH,)Tj
2.4548 0 Td
(147)Tj
1.6498 0 Td
(\(21.3%,)Tj
3.1918 0 Td
(95%)Tj
1.9275 0 Td
(CI)Tj
-36.2605 -1.2982 Td
(18.324.6\))Tj
4.3823 0 Td
(FBAT)Tj
2.6192 0 Td
(tests)Tj
1.9615 0 Td
(were)Tj
2.126 0 Td
(reactive,)Tj
3.5376 0 Td
(while)Tj
2.3698 0 Td
(at)Tj
0.9524 0 Td
(the)Tj
1.474 0 Td
(KEMRI)Tj
3.3165 0 Td
(clinic,)Tj
2.6192 0 Td
(15)Tj
1.1736 0 Td
(\(11.2%,)Tj
3.1918 0 Td
(95%)Tj
1.9275 0 Td
(CI)Tj
1.2246 0 Td
(6.618.0\)\))Tj
-32.876 -1.2983 Td
(were)Tj
2.1203 0 Td
(reactive.)Tj
3.5432 0 Td
(When)Tj
2.6873 0 Td
(the)Tj
1.4683 0 Td
(test)Tj
1.5987 0 Td
(was)Tj
1.7008 0 Td
(performed)Tj
4.4674 0 Td
(on)Tj
1.2756 0 Td
(serum)Tj
2.7269 0 Td
(dilutions,)Tj
3.9911 0 Td
(fifteen)Tj
2.761 0 Td
(out)Tj
1.5533 0 Td
(of)Tj
1.0148 0 Td
(162)Tj
1.6441 0 Td
(\(1.8%,)Tj
2.7213 0 Td
(95%)Tj
-35.2741 -1.3039 Td
(CI)Tj
1.2245 0 Td
(1.13.1\)\))Tj
3.7701 0 Td
(were)Tj
2.1203 0 Td
(seropositive)Tj
4.9776 0 Td
(at)Tj
0.9524 0 Td
(titres)Tj
/F14 1 Tf
0 Tc
2.2394 0 Td
()Tj
/F8 1 Tf
-0.004 Tc
(1:160)Tj
3.1181 0 Td
(while)Tj
2.3697 0 Td
(2)Tj
0.6973 0 Td
(\(0.2%,)Tj
2.7213 0 Td
(95%)Tj
1.9275 0 Td
(CI)Tj
1.2246 0 Td
(0.040.9\))Tj
3.9061 0 Td
(were)Tj
2.1203 0 Td
(seroposi-)Tj
-33.3692 -1.2983 Td
(tive)Tj
1.661 0 Td
(at)Tj
0.9525 0 Td
(titres)Tj
/F14 1 Tf
0 Tc
2.2393 0 Td
()Tj
/F8 1 Tf
-0.004 Tc
(1:320,)Tj
3.3449 0 Td
(representing)Tj
5.2384 0 Td
(9.3%)Tj
2.1543 0 Td
(and)Tj
1.7348 0 Td
(1.2%)Tj
2.1486 0 Td
(of)Tj
1.0148 0 Td
(all)Tj
1.1509 0 Td
(FBAT)Tj
2.6192 0 Td
(positive)Tj
3.3165 0 Td
(tests,)Tj
2.1883 0 Td
(respectively.)Tj
5.108 0 Td
(Of)Tj
1.2586 0 Td
(all)Tj
-36.1301 -1.2982 Td
(162)Tj
1.644 0 Td
(FBAT)Tj
2.6249 0 Td
(positives,)Tj
3.9004 0 Td
(104)Tj
1.6498 0 Td
(\(62.4%\))Tj
3.3052 0 Td
(were)Tj
2.1259 0 Td
(reactive)Tj
3.3166 0 Td
(to)Tj
1.0261 0 Td
(both)Tj
2.0579 0 Td
(the)Tj
1.4684 0 Td
(`)Tj
/F12 1 Tf
[()22()4( )11()-19(\n)7()-4()]TJ
/F8 1 Tf
(')Tj
3.6056 0 Td
(and)Tj
1.7291 0 Td
(`)Tj
/F12 1 Tf
[()6()15()12(\r)14(\n)11()2()10(\r)-4()]TJ
/F8 1 Tf
(')Tj
4.4788 0 Td
(antigen,)Tj
-32.9327 -1.2983 Td
(while)Tj
2.3697 0 Td
(44)Tj
1.1679 0 Td
(\(27.2%\))Tj
3.3108 0 Td
(were)Tj
2.1203 0 Td
(reactive)Tj
3.3165 0 Td
(to)Tj
1.0262 0 Td
(the)Tj
1.4683 0 Td
(`)Tj
/F12 1 Tf
[()22()4( )11()-19(\n)7()-4()47()]TJ
/F8 1 Tf
3.5943 0 Td
(antigen)Tj
3.2088 0 Td
(only)Tj
1.9729 0 Td
(and)Tj
1.7291 0 Td
(14)Tj
1.1736 0 Td
(\(8.6%\))Tj
2.8346 0 Td
(reactive)Tj
3.3165 0 Td
(to)Tj
1.0261 0 Td
(the)Tj
1.4684 0 Td
(`)Tj
/F12 1 Tf
[()6()15()12(\r)]TJ
-35.104 -1.3039 Td
[(\n)11()2()10(\r)-4()47()]TJ
/F8 1 Tf
2.5681 0 Td
(antigen)Tj
3.2032 0 Td
(only.)Tj
2.2053 0 Td
(Of)Tj
1.2529 0 Td
(the)Tj
1.4683 0 Td
(15)Tj
1.1736 0 Td
(FBAT)Tj
2.6248 0 Td
(tests)Tj
1.9616 0 Td
(seropositive)Tj
4.9776 0 Td
(at)Tj
0.9524 0 Td
(titres)Tj
/F14 1 Tf
0 Tc
2.2394 0 Td
()Tj
/F8 1 Tf
-0.004 Tc
(1:160,)Tj
3.3449 0 Td
(all)Tj
1.1451 0 Td
(but)Tj
1.5534 0 Td
(1)Tj
0.6973 0 Td
(were)Tj
2.1203 0 Td
(reactive)Tj
-33.4882 -1.2983 Td
(to)Tj
1.0261 0 Td
(both)Tj
/F12 1 Tf
2.0579 0 Td
[()22()4( )11()-19(\n)7()-4()]TJ
/F8 1 Tf
3.1635 0 Td
(and)Tj
/F12 1 Tf
1.7291 0 Td
[()6()15()12(\r)14(\n)11()2()10(\r)-4()]TJ
/F8 1 Tf
4.0365 0 Td
(antigen,)Tj
3.4356 0 Td
(while)Tj
2.3641 0 Td
(both)Tj
2.0636 0 Td
(of)Tj
1.0148 0 Td
(the)Tj
1.4683 0 Td
(FBAT)Tj
2.6249 0 Td
(tests)Tj
1.9615 0 Td
(seropositive)Tj
4.9776 0 Td
(at)Tj
0.9525 0 Td
(titres)Tj
/F14 1 Tf
0 Tc
-32.876 -1.2983 Td
()Tj
/F8 1 Tf
-0.004 Tc
(1:320)Tj
3.118 0 Td
(were)Tj
2.1203 0 Td
(reactive)Tj
3.3166 0 Td
(to)Tj
1.0261 0 Td
(both)Tj
2.0579 0 Td
(antigens.)Tj
3.7928 0 Td
(Individuals)Tj
4.7225 0 Td
(with)Tj
2.0012 0 Td
(FBAT)Tj
2.6192 0 Td
(titres)Tj
/F14 1 Tf
0 Tc
2.2394 0 Td
()Tj
/F8 1 Tf
-0.004 Tc
(1:160)Tj
3.118 0 Td
(were)Tj
2.126 0 Td
(more)Tj
2.3414 0 Td
(likely)Tj
-34.5994 -1.3039 Td
(to)Tj
1.0261 0 Td
(be)Tj
1.1508 0 Td
(reactive)Tj
3.3109 0 Td
(to)Tj
1.0261 0 Td
(both)Tj
2.0636 0 Td
(antigens)Tj
3.566 0 Td
(compared)Tj
4.2406 0 Td
(to)Tj
1.0261 0 Td
(individuals)Tj
4.6488 0 Td
(with)Tj
1.9956 0 Td
(FBAT)Tj
2.6249 0 Td
(titres)Tj
/F15 1 Tf
0 Tc
2.2393 0 Td
(<)Tj
/F8 1 Tf
-0.004 Tc
(1:160)Tj
3.1181 0 Td
(\(OR)Tj
1.9332 0 Td
(=)Tj
0.7994 0 Td
(8.9,)Tj
-34.7695 -1.2982 Td
(95%)Tj
1.9275 0 Td
(CI)Tj
1.2246 0 Td
(1.3387,)Tj
3.5659 0 Td
(p)Tj
0.737 0 Td
(=)Tj
0.7994 0 Td
(0.01\).)Tj
-7.0582 -1.2983 Td
(Eight)Tj
2.3527 0 Td
(out)Tj
1.5534 0 Td
(of)Tj
1.0148 0 Td
(all)Tj
1.1452 0 Td
(825)Tj
1.6441 0 Td
(individuals)Tj
4.6487 0 Td
(\(1.0%,)Tj
2.7213 0 Td
(95%)Tj
1.9275 0 Td
(CI)Tj
1.2246 0 Td
(0.42.0\))Tj
3.4299 0 Td
(were)Tj
2.1203 0 Td
(found)Tj
2.6192 0 Td
(to)Tj
1.0261 0 Td
(be)Tj
1.1509 0 Td
(positive)Tj
3.3165 0 Td
(using)Tj
2.3868 0 Td
(the)Tj
-35.4782 -1.3039 Td
(RBT)Tj
2.0295 0 Td
(\()Tj
0.83 0.64 0.02 0 k
(Table)Tj
2.7836 0 Td
(2)Tj
0 g
(\).)Tj
1.2586 0 Td
(Of)Tj
1.2586 0 Td
(these,)Tj
2.4775 0 Td
(6)Tj
0.6973 0 Td
(were)Tj
2.1203 0 Td
(positive)Tj
3.3165 0 Td
(in)Tj
1.0375 0 Td
(the)Tj
1.4683 0 Td
(RBT)Tj
2.0353 0 Td
(performed)Tj
4.4673 0 Td
(in)Tj
1.0375 0 Td
(the)Tj
1.4684 0 Td
(study)Tj
2.3867 0 Td
(health)Tj
2.6816 0 Td
(facilities)Tj
3.4922 0 Td
(and)Tj
-36.0167 -1.2983 Td
(four)Tj
1.9105 0 Td
(had)Tj
1.7121 0 Td
(titres)Tj
/F14 1 Tf
0 Tc
2.2394 0 Td
()Tj
/F8 1 Tf
-0.004 Tc
(1:160)Tj
3.1181 0 Td
(and)Tj
1.7291 0 Td
(1)Tj
0.6973 0 Td
(had)Tj
1.7121 0 Td
(a)Tj
0.652 0 Td
(titre)Tj
/F14 1 Tf
0 Tc
1.8765 0 Td
()Tj
/F8 1 Tf
-0.004 Tc
(1:320)Tj
3.1238 0 Td
(when)Tj
2.4037 0 Td
(FBAT)Tj
2.6192 0 Td
(was)Tj
1.7008 0 Td
(performed)Tj
4.4674 0 Td
(on)Tj
1.2755 0 Td
(serum)Tj
2.727 0 Td
(dilution.)Tj
-33.9645 -1.2982 Td
(Similarly,)Tj
4.0251 0 Td
(6)Tj
0.6973 0 Td
(individuals)Tj
4.6488 0 Td
(were)Tj
2.1203 0 Td
(weakly)Tj
2.9594 0 Td
(positive)Tj
3.3165 0 Td
(on)Tj
1.2756 0 Td
(the)Tj
1.4683 0 Td
(basis)Tj
2.1543 0 Td
(of)Tj
1.0148 0 Td
(the)Tj
1.4684 0 Td
(repeat)Tj
2.6872 0 Td
(RBT)Tj
2.0296 0 Td
(at)Tj
0.9524 0 Td
(the)Tj
1.474 0 Td
(University)Tj
4.3994 0 Td
(of)Tj
-36.6914 -1.304 Td
(Navarra.)Tj
3.6793 0 Td
(There)Tj
2.5795 0 Td
(was)Tj
1.6951 0 Td
(some)Tj
2.3357 0 Td
(discrepancy)Tj
4.972 0 Td
(between)Tj
3.5263 0 Td
(the)Tj
1.4683 0 Td
(results)Tj
2.812 0 Td
(of)Tj
1.0147 0 Td
(the)Tj
1.4684 0 Td
(repeat)Tj
2.6872 0 Td
(RBT)Tj
2.0353 0 Td
(at)Tj
0.9524 0 Td
(the)Tj
1.4683 0 Td
(University)Tj
-32.6945 -1.2982 Td
(of)Tj
1.0147 0 Td
(Navarra)Tj
3.4526 0 Td
(and)Tj
1.7348 0 Td
(those)Tj
2.3357 0 Td
(performed)Tj
4.4674 0 Td
(in)Tj
1.0375 0 Td
(study)Tj
2.3868 0 Td
(health)Tj
2.6815 0 Td
(facilities,)Tj
3.719 0 Td
(with)Tj
1.9956 0 Td
(4)Tj
0.6973 0 Td
(out)Tj
1.5534 0 Td
(of)Tj
1.0148 0 Td
(6)Tj
0.6973 0 Td
(results)Tj
2.8063 0 Td
(matching)Tj
4.0025 0 Td
(on)Tj
-35.5972 -1.2983 Td
(both)Tj
2.0579 0 Td
(occasions)Tj
4.0535 0 Td
(\()Tj
0.83 0.64 0.02 0 k
(Table)Tj
2.7836 0 Td
(3)Tj
0 g
(\).)Tj
1.2586 0 Td
(None)Tj
2.4378 0 Td
(of)Tj
1.0148 0 Td
(the)Tj
1.4683 0 Td
(8)Tj
0.6973 0 Td
(RBT)Tj
2.0296 0 Td
(positive)Tj
3.3165 0 Td
(individuals)Tj
4.6488 0 Td
(was)Tj
1.7008 0 Td
(positive)Tj
3.3165 0 Td
(at)Tj
0.9524 0 Td
(dilutions)Tj
-31.7364 -1.2983 Td
(equal)Tj
2.3584 0 Td
(or)Tj
1.0941 0 Td
(higher)Tj
2.8063 0 Td
(than)Tj
2.0296 0 Td
(1:4)Tj
1.3946 0 Td
(\()Tj
0.83 0.64 0.02 0 k
(Table)Tj
2.7836 0 Td
(2)Tj
0 g
(\).)Tj
1.2586 0 Td
(Positive)Tj
3.3562 0 Td
(sera)Tj
1.8142 0 Td
(with)Tj
1.9956 0 Td
(FBAT)Tj
2.6248 0 Td
(titres)Tj
/F14 1 Tf
0 Tc
2.2394 0 Td
()Tj
/F8 1 Tf
-0.004 Tc
0.9921 0 Td
(1:160)Tj
2.3471 0 Td
(were)Tj
2.1203 0 Td
(much)Tj
2.5171 0 Td
(more)Tj
-33.732 -1.3039 Td
(likely)Tj
2.3527 0 Td
(to)Tj
1.0261 0 Td
(be)Tj
1.1509 0 Td
(also)Tj
1.7688 0 Td
(RBT)Tj
2.0296 0 Td
(positive)Tj
3.3165 0 Td
(than)Tj
2.0296 0 Td
(sera)Tj
1.8085 0 Td
(with)Tj
1.9956 0 Td
(FBAT)Tj
2.6248 0 Td
(titres)Tj
/F14 1 Tf
0 Tc
2.2394 0 Td
()Tj
/F8 1 Tf
-0.004 Tc
0.9921 0 Td
(1:160)Tj
2.3471 0 Td
(\(OR)Tj
1.9275 0 Td
(=)Tj
0.7994 0 Td
(22.8,)Tj
2.0976 0 Td
(95%)Tj
1.9332 0 Td
(CI)Tj
1.2189 0 Td
(=)Tj
0.7994 0 Td
(3.8)Tj
-34.4577 -1.2982 Td
(168.9,)Tj
2.5738 0 Td
(p)Tj
0.737 0 Td
(=)Tj
/F15 1 Tf
0 Tc
0.7994 0 Td
(<)Tj
/F8 1 Tf
-0.004 Tc
(0.001\).)Tj
3.685 0 Td
(No)Tj
1.4626 0 Td
(FBAT)Tj
2.6249 0 Td
(negative)Tj
3.532 0 Td
(sera)Tj
1.8084 0 Td
(were)Tj
2.126 0 Td
(RBT)Tj
2.0296 0 Td
(positive)Tj
3.3165 0 Td
(\()Tj
0.83 0.64 0.02 0 k
(Table)Tj
2.7836 0 Td
(2)Tj
0 g
(\).)Tj
-26.2826 -1.2983 Td
(Out)Tj
1.7971 0 Td
(of)Tj
1.0148 0 Td
(the)Tj
1.4684 0 Td
(162)Tj
1.644 0 Td
(FBAT)Tj
2.6249 0 Td
(positive)Tj
3.3165 0 Td
(sera)Tj
1.8085 0 Td
(tested)Tj
2.5512 0 Td
(using)Tj
2.3924 0 Td
(the)Tj
1.4683 0 Td
(SAT)Tj
1.9899 0 Td
(at)Tj
0.9525 0 Td
(the)Tj
1.4683 0 Td
(University)Tj
4.405 0 Td
(of)Tj
1.0148 0 Td
(Navarra,)Tj
3.6794 0 Td
(161)Tj
-34.7922 -1.3039 Td
(were)Tj
2.1203 0 Td
(clearly)Tj
2.8176 0 Td
(negative)Tj
3.5376 0 Td
(with)Tj
1.9956 0 Td
(titres)Tj
2.2393 0 Td
(below)Tj
2.5909 0 Td
(1:40.)Tj
2.0976 0 Td
(The)Tj
1.7801 0 Td
(remaining)Tj
4.3654 0 Td
(serum)Tj
2.7269 0 Td
(\(0.62%\))Tj
3.3052 0 Td
(showed)Tj
3.2541 0 Td
(a)Tj
0.652 0 Td
(1:80)Tj
-33.4826 -1.2983 Td
(1:160)Tj
2.347 0 Td
(titre)Tj
1.8765 0 Td
(\()Tj
0.83 0.64 0.02 0 k
(Table)Tj
2.7836 0 Td
(2)Tj
0 g
(\))Tj
1.0375 0 Td
(which)Tj
2.6476 0 Td
(could)Tj
2.4548 0 Td
(be)Tj
1.1508 0 Td
(considered)Tj
4.5978 0 Td
(as)Tj
1.0148 0 Td
(suspicious.)Tj
4.5637 0 Td
(However,)Tj
4.0819 0 Td
(agglutination)Tj
5.5275 0 Td
(was)Tj
ET
Q
q
0.45 0.36 0.35 0.01 k
1 j
1 J
0 w
36 703.8893 m
576 703.8893 l
576 703.3893 l
36 703.3893 l
f*
120.1513 703.3893 m
120.1513 665.8894 l
119.6512 665.8894 l
119.6512 703.3893 l
f*
119.6512 665.8894 m
36 665.8894 l
36 666.3895 l
119.6512 666.3895 l
f*
181.7453 703.3893 m
181.7453 690.8893 l
181.2453 690.8893 l
181.2453 703.3893 l
f*
181.2453 690.8893 m
120.1513 690.8893 l
120.1513 691.3894 l
181.2453 691.3894 l
f*
575.9991 690.8893 m
181.7453 690.8893 l
181.7453 691.3894 l
575.9991 691.3894 l
f*
181.7453 690.8893 m
181.7453 665.8894 l
181.2453 665.8894 l
181.2453 690.8893 l
f*
181.2453 665.8894 m
120.1513 665.8894 l
120.1513 666.3895 l
181.2453 666.3895 l
f*
230.4221 690.8893 m
230.4221 665.8894 l
229.9221 665.8894 l
229.9221 690.8893 l
f*
229.9221 665.8894 m
181.7453 665.8894 l
181.7453 666.3895 l
229.9221 666.3895 l
f*
575.9991 678.3894 m
230.4221 678.3894 l
230.4221 678.8894 l
575.9991 678.8894 l
f*
301.6358 678.3894 m
301.6358 665.8894 l
301.1357 665.8894 l
301.1357 678.3894 l
f*
301.1357 665.8894 m
230.4221 665.8894 l
230.4221 666.3895 l
301.1357 666.3895 l
f*
355.9195 678.3894 m
355.9195 665.8894 l
355.4195 665.8894 l
355.4195 678.3894 l
f*
355.4195 665.8894 m
301.6358 665.8894 l
301.6358 666.3895 l
355.4195 666.3895 l
f*
443.6504 678.3894 m
443.6504 665.8894 l
443.1504 665.8894 l
443.1504 678.3894 l
f*
443.1504 665.8894 m
355.9195 665.8894 l
355.9195 666.3895 l
443.1504 666.3895 l
f*
510.2824 678.3894 m
510.2824 665.8894 l
509.7824 665.8894 l
509.7824 678.3894 l
f*
509.7824 665.8894 m
443.6504 665.8894 l
443.6504 666.3895 l
509.7824 666.3895 l
f*
575.9991 665.8894 m
510.2824 665.8894 l
510.2824 666.3895 l
575.9991 666.3895 l
f*
120.1513 665.8894 m
120.1513 653.3895 l
119.6512 653.3895 l
119.6512 665.8894 l
f*
119.6512 653.3895 m
36 653.3895 l
36 653.8895 l
119.6512 653.8895 l
f*
181.7453 665.8894 m
181.7453 653.3895 l
181.2453 653.3895 l
181.2453 665.8894 l
f*
181.2453 653.3895 m
120.1513 653.3895 l
120.1513 653.8895 l
181.2453 653.8895 l
f*
230.4221 665.8894 m
230.4221 653.3895 l
229.9221 653.3895 l
229.9221 665.8894 l
f*
229.9221 653.3895 m
181.7453 653.3895 l
181.7453 653.8895 l
229.9221 653.8895 l
f*
301.6358 665.8894 m
301.6358 653.3895 l
301.1357 653.3895 l
301.1357 665.8894 l
f*
301.1357 653.3895 m
230.4221 653.3895 l
230.4221 653.8895 l
301.1357 653.8895 l
f*
355.9195 665.8894 m
355.9195 653.3895 l
355.4195 653.3895 l
355.4195 665.8894 l
f*
355.4195 653.3895 m
301.6358 653.3895 l
301.6358 653.8895 l
355.4195 653.8895 l
f*
443.6504 665.8894 m
443.6504 653.3895 l
443.1504 653.3895 l
443.1504 665.8894 l
f*
443.1504 653.3895 m
355.9195 653.3895 l
355.9195 653.8895 l
443.1504 653.8895 l
f*
510.2824 665.8894 m
510.2824 653.3895 l
509.7824 653.3895 l
509.7824 665.8894 l
f*
509.7824 653.3895 m
443.6504 653.3895 l
443.6504 653.8895 l
509.7824 653.8895 l
f*
575.9991 653.3895 m
510.2824 653.3895 l
510.2824 653.8895 l
575.9991 653.8895 l
f*
120.1513 653.3895 m
120.1513 640.8896 l
119.6512 640.8896 l
119.6512 653.3895 l
f*
119.6512 640.8896 m
36 640.8896 l
36 641.3896 l
119.6512 641.3896 l
f*
181.7453 653.3895 m
181.7453 640.8896 l
181.2453 640.8896 l
181.2453 653.3895 l
f*
181.2453 640.8896 m
120.1513 640.8896 l
120.1513 641.3896 l
181.2453 641.3896 l
f*
230.4221 653.3895 m
230.4221 640.8896 l
229.9221 640.8896 l
229.9221 653.3895 l
f*
229.9221 640.8896 m
181.7453 640.8896 l
181.7453 641.3896 l
229.9221 641.3896 l
f*
301.6358 653.3895 m
301.6358 640.8896 l
301.1357 640.8896 l
301.1357 653.3895 l
f*
301.1357 640.8896 m
230.4221 640.8896 l
230.4221 641.3896 l
301.1357 641.3896 l
f*
355.9195 653.3895 m
355.9195 640.8896 l
355.4195 640.8896 l
355.4195 653.3895 l
f*
355.4195 640.8896 m
301.6358 640.8896 l
301.6358 641.3896 l
355.4195 641.3896 l
f*
443.6504 653.3895 m
443.6504 640.8896 l
443.1504 640.8896 l
443.1504 653.3895 l
f*
443.1504 640.8896 m
355.9195 640.8896 l
355.9195 641.3896 l
443.1504 641.3896 l
f*
510.2824 653.3895 m
510.2824 640.8896 l
509.7824 640.8896 l
509.7824 653.3895 l
f*
509.7824 640.8896 m
443.6504 640.8896 l
443.6504 641.3896 l
509.7824 641.3896 l
f*
575.9991 640.8896 m
510.2824 640.8896 l
510.2824 641.3896 l
575.9991 641.3896 l
f*
120.1513 640.8896 m
120.1513 628.3896 l
119.6512 628.3896 l
119.6512 640.8896 l
f*
119.6512 628.3896 m
36 628.3896 l
36 628.8897 l
119.6512 628.8897 l
f*
181.7453 640.8896 m
181.7453 628.3896 l
181.2453 628.3896 l
181.2453 640.8896 l
f*
181.2453 628.3896 m
120.1513 628.3896 l
120.1513 628.8897 l
181.2453 628.8897 l
f*
230.4221 640.8896 m
230.4221 628.3896 l
229.9221 628.3896 l
229.9221 640.8896 l
f*
229.9221 628.3896 m
181.7453 628.3896 l
181.7453 628.8897 l
229.9221 628.8897 l
f*
301.6358 640.8896 m
301.6358 628.3896 l
301.1357 628.3896 l
301.1357 640.8896 l
f*
301.1357 628.3896 m
230.4221 628.3896 l
230.4221 628.8897 l
301.1357 628.8897 l
f*
355.9195 640.8896 m
355.9195 628.3896 l
355.4195 628.3896 l
355.4195 640.8896 l
f*
355.4195 628.3896 m
301.6358 628.3896 l
301.6358 628.8897 l
355.4195 628.8897 l
f*
443.6504 640.8896 m
443.6504 628.3896 l
443.1504 628.3896 l
443.1504 640.8896 l
f*
443.1504 628.3896 m
355.9195 628.3896 l
355.9195 628.8897 l
443.1504 628.8897 l
f*
510.2824 640.8896 m
510.2824 628.3896 l
509.7824 628.3896 l
509.7824 640.8896 l
f*
509.7824 628.3896 m
443.6504 628.3896 l
443.6504 628.8897 l
509.7824 628.8897 l
f*
575.9991 628.3896 m
510.2824 628.3896 l
510.2824 628.8897 l
575.9991 628.8897 l
f*
120.1513 628.3896 m
120.1513 615.8897 l
119.6512 615.8897 l
119.6512 628.3896 l
f*
119.6512 615.8897 m
36 615.8897 l
36 616.3897 l
119.6512 616.3897 l
f*
181.7453 628.3896 m
181.7453 615.8897 l
181.2453 615.8897 l
181.2453 628.3896 l
f*
181.2453 615.8897 m
120.1513 615.8897 l
120.1513 616.3897 l
181.2453 616.3897 l
f*
230.4221 628.3896 m
230.4221 615.8897 l
229.9221 615.8897 l
229.9221 628.3896 l
f*
229.9221 615.8897 m
181.7453 615.8897 l
181.7453 616.3897 l
229.9221 616.3897 l
f*
301.6358 628.3896 m
301.6358 615.8897 l
301.1357 615.8897 l
301.1357 628.3896 l
f*
301.1357 615.8897 m
230.4221 615.8897 l
230.4221 616.3897 l
301.1357 616.3897 l
f*
355.9195 628.3896 m
355.9195 615.8897 l
355.4195 615.8897 l
355.4195 628.3896 l
f*
355.4195 615.8897 m
301.6358 615.8897 l
301.6358 616.3897 l
355.4195 616.3897 l
f*
443.6504 628.3896 m
443.6504 615.8897 l
443.1504 615.8897 l
443.1504 628.3896 l
f*
443.1504 615.8897 m
355.9195 615.8897 l
355.9195 616.3897 l
443.1504 616.3897 l
f*
510.2824 628.3896 m
510.2824 615.8897 l
509.7824 615.8897 l
509.7824 628.3896 l
f*
509.7824 615.8897 m
443.6504 615.8897 l
443.6504 616.3897 l
509.7824 616.3897 l
f*
575.9991 615.8897 m
510.2824 615.8897 l
510.2824 616.3897 l
575.9991 616.3897 l
f*
120.1513 615.8897 m
120.1513 603.3898 l
119.6512 603.3898 l
119.6512 615.8897 l
f*
119.6512 603.3898 m
36 603.3898 l
36 603.8898 l
119.6512 603.8898 l
f*
181.7453 615.8897 m
181.7453 603.3898 l
181.2453 603.3898 l
181.2453 615.8897 l
f*
181.2453 603.3898 m
120.1513 603.3898 l
120.1513 603.8898 l
181.2453 603.8898 l
f*
230.4221 615.8897 m
230.4221 603.3898 l
229.9221 603.3898 l
229.9221 615.8897 l
f*
229.9221 603.3898 m
181.7453 603.3898 l
181.7453 603.8898 l
229.9221 603.8898 l
f*
301.6358 615.8897 m
301.6358 603.3898 l
301.1357 603.3898 l
301.1357 615.8897 l
f*
301.1357 603.3898 m
230.4221 603.3898 l
230.4221 603.8898 l
301.1357 603.8898 l
f*
355.9195 615.8897 m
355.9195 603.3898 l
355.4195 603.3898 l
355.4195 615.8897 l
f*
355.4195 603.3898 m
301.6358 603.3898 l
301.6358 603.8898 l
355.4195 603.8898 l
f*
443.6504 615.8897 m
443.6504 603.3898 l
443.1504 603.3898 l
443.1504 615.8897 l
f*
443.1504 603.3898 m
355.9195 603.3898 l
355.9195 603.8898 l
443.1504 603.8898 l
f*
510.2824 615.8897 m
510.2824 603.3898 l
509.7824 603.3898 l
509.7824 615.8897 l
f*
509.7824 603.3898 m
443.6504 603.3898 l
443.6504 603.8898 l
509.7824 603.8898 l
f*
575.9991 603.3898 m
510.2824 603.3898 l
510.2824 603.8898 l
575.9991 603.8898 l
f*
575.9991 533.6399 m
36 533.6399 l
36 534.1399 l
575.9991 534.1399 l
f*
0.83 0.64 0.02 0 k
292.9323 574.5827 m
319.0677 574.5827 l
h
f*
36 520.5543 m
185.4425 520.5543 l
h
f*
0 g
7.9999 0 0 7.9999 36 708.7181 cm
BT
/F2 1 Tf
1 TL
-0.005 Tc
0 0 Td
(Table)Tj
2.7992 0 Td
(2.)Tj
1.2614 0 Td
(Comparis)Tj
4.5497 0 Td
(on)Tj
1.4385 0 Td
(of)Tj
1.1552 0 Td
(FBAT,)Tj
3.1323 0 Td
(RBT,)Tj
2.5228 0 Td
(SAT)Tj
2.204 0 Td
(Coomb)Tj
3.4087 0 Td
(s)Tj
0.7653 0 Td
(IgG)Tj
1.878 0 Td
(and)Tj
1.9772 0 Td
(LFA)Tj
2.1473 0 Td
(in)Tj
1.1055 0 Td
(the)Tj
1.7008 0 Td
(825)Tj
1.8567 0 Td
(sera.)Tj
0 Tc
-30.9475 -1.8567 Td
(FBAT)Tj
2.8914 0 Td
(\(n\))Tj
33.4136 0 Td
(Number)Tj
3.9898 0 Td
(of)Tj
1.1764 0 Td
(sera)Tj
-19.871 -1.559 Td
(Positiv)Tj
3.2669 0 Td
(e)Tj
0.7796 0 Td
(in:)Tj
-2.1119 -1.5662 Td
(RBT)Tj
/F3 1 Tf
2.2748 0 Td
[( !)]TJ
/F2 1 Tf
0.8079 0 Td
(1/4)Tj
5.9953 0 Td
(SAT)Tj
6.6048 0 Td
(Coombs)Tj
4.2237 0 Td
(IgG)Tj
ET
Q
q
1 j
1 J
0 w
5.9998 0 0 5.3325 422.3622 672.4346 cm
BT
/F2 1 Tf
1 TL
0 0 Td
(a)Tj
ET
Q
q
1 j
1 J
0 w
7.9999 0 0 7.9999 461.1401 668.8629 cm
BT
/F2 1 Tf
1 TL
0 0 Td
(LFA)Tj
2.1685 0 Td
(IgM)Tj
6.1583 0 Td
(LFA)Tj
2.1756 0 Td
(IgG)Tj
/F0 1 Tf
-63.6453 -1.559 Td
(Positive)Tj
3.7063 0 Td
(\(162\))Tj
9.0001 0 Td
(RBT+)Tj
ET
Q
q
1 j
1 J
0 w
5.9998 0 0 5.3325 160.1007 659.9622 cm
BT
/F2 1 Tf
1 TL
0 0 Td
(b)Tj
ET
Q
q
1 j
1 J
0 w
7.9999 0 0 7.9999 222.5196 656.3905 cm
BT
/F0 1 Tf
1 TL
0 0 Td
(8)Tj
5.1307 0 Td
(0)Tj
7.526 0 Td
(1)Tj
ET
Q
q
1 j
1 J
0 w
5.9998 0 0 5.3325 330.0094 659.9622 cm
BT
/F2 1 Tf
1 TL
0 0 Td
(c)Tj
ET
Q
q
1 j
1 J
0 w
7.9999 0 0 7.9999 397.3606 656.3905 cm
BT
/F0 1 Tf
1 TL
0 0 Td
(2)Tj
9.326 0 Td
(2)Tj
ET
Q
q
1 j
1 J
0 w
5.9998 0 0 5.3325 478.2047 659.9622 cm
BT
/F0 1 Tf
1 TL
0 0 Td
(e)Tj
ET
Q
q
1 j
1 J
0 w
7.9999 0 0 7.9999 538.3559 656.3905 cm
BT
/F0 1 Tf
1 TL
0 0 Td
(0)Tj
ET
Q
q
1 j
1 J
0 w
5.9998 0 0 5.3325 544.5921 659.9622 cm
BT
/F0 1 Tf
1 TL
0 0 Td
(e)Tj
ET
Q
q
1 j
1 J
0 w
7.9999 0 0 7.9999 141.3921 643.8614 cm
BT
/F0 1 Tf
1 TL
0 0 Td
(RBT-)Tj
9.0425 0 Td
(154)Tj
6.2292 0 Td
(0)Tj
7.845 0 Td
(0)Tj
8.8796 0 Td
(1)Tj
9.326 0 Td
(3)Tj
ET
Q
q
1 j
1 J
0 w
5.9998 0 0 5.3325 478.2047 647.433 cm
BT
/F0 1 Tf
1 TL
0 0 Td
(e)Tj
ET
Q
q
1 j
1 J
0 w
7.9999 0 0 7.9999 538.3559 643.8614 cm
BT
/F0 1 Tf
1 TL
0 0 Td
(0)Tj
ET
Q
q
1 j
1 J
0 w
5.9998 0 0 5.3325 544.5921 647.433 cm
BT
/F0 1 Tf
1 TL
0 0 Td
(e)Tj
ET
Q
q
1 j
1 J
0 w
7.9999 0 0 7.9999 36 631.3889 cm
BT
/F0 1 Tf
1 TL
0 0 Td
(Negative)Tj
4.1457 0 Td
(\(663\))Tj
8.9008 0 Td
(RBT+)Tj
10.2686 0 Td
(0)Tj
5.1307 0 Td
(0)Tj
7.845 0 Td
(0)Tj
8.8796 0 Td
(0)Tj
8.7449 0 Td
(n.d.)Tj
ET
Q
q
1 j
1 J
0 w
5.9998 0 0 5.3325 482.4566 634.9606 cm
BT
/F2 1 Tf
1 TL
0 0 Td
(d)Tj
ET
Q
q
1 j
1 J
0 w
7.9999 0 0 7.9999 533.707 631.3889 cm
BT
/F0 1 Tf
1 TL
0 0 Td
(n.d.)Tj
ET
Q
q
1 j
1 J
0 w
5.9998 0 0 5.3325 548.844 634.9606 cm
BT
/F2 1 Tf
1 TL
0 0 Td
(d)Tj
ET
Q
q
1 j
1 J
0 w
7.9999 0 0 7.9999 141.3921 618.9165 cm
BT
/F0 1 Tf
1 TL
0 0 Td
(RBT-)Tj
9.0425 0 Td
(663)Tj
6.2292 0 Td
(0)Tj
6.945 0 Td
(n.d.)Tj
ET
Q
q
1 j
1 J
0 w
5.9998 0 0 5.3325 334.2614 622.4314 cm
BT
/F2 1 Tf
1 TL
0 0 Td
(d)Tj
ET
Q
q
1 j
1 J
0 w
7.9999 0 0 7.9999 390.1039 618.9165 cm
BT
/F0 1 Tf
1 TL
0 0 Td
(n.d.)Tj
ET
Q
q
1 j
1 J
0 w
5.9998 0 0 5.3325 405.2409 622.4314 cm
BT
/F2 1 Tf
1 TL
0 0 Td
(d)Tj
ET
Q
q
1 j
1 J
0 w
7.9999 0 0 7.9999 467.3196 618.9165 cm
BT
/F0 1 Tf
1 TL
0 0 Td
(n.d.)Tj
ET
Q
q
1 j
1 J
0 w
5.9998 0 0 5.3325 482.4566 622.4314 cm
BT
/F2 1 Tf
1 TL
0 0 Td
(d)Tj
ET
Q
q
1 j
1 J
0 w
7.9999 0 0 7.9999 533.707 618.9165 cm
BT
/F0 1 Tf
1 TL
0 0 Td
(n.d.)Tj
ET
Q
q
1 j
1 J
0 w
5.9998 0 0 5.3325 548.844 622.4314 cm
BT
/F2 1 Tf
1 TL
0 0 Td
(d)Tj
ET
Q
q
1 j
1 J
0 w
7.9999 0 0 7.9999 36 606.3874 cm
BT
/F0 1 Tf
1 TL
0 0 Td
(Total)Tj
22.2167 0 Td
(825)Tj
6.2291 0 Td
(0)Tj
7.845 0 Td
(1)Tj
8.8796 0 Td
(3)Tj
9.6449 0 Td
(5)Tj
8.3056 0 Td
(0)Tj
ET
Q
q
1 j
1 J
0 w
5.9998 0 0 5.3325 36 591.1937 cm
BT
/F0 1 Tf
1 TL
0 0 Td
(a)Tj
ET
Q
q
1 j
1 J
0 w
7.9999 0 0 7.9999 41.159 587.622 cm
BT
/F0 1 Tf
1 TL
0 0 Td
(A)Tj
0.8929 0 Td
(titre)Tj
/F14 1 Tf
1.8921 0 Td
()Tj
/F0 1 Tf
0.9992 0 Td
(2)Tj
0.7796 0 Td
(times)Tj
2.6079 0 Td
(the)Tj
1.6086 0 Td
(SAT)Tj
2.1756 0 Td
(titre)Tj
1.8922 0 Td
(was)Tj
1.9913 0 Td
(considered)Tj
5.0812 0 Td
(as)Tj
1.2756 0 Td
(positive.)Tj
ET
Q
q
1 j
1 J
0 w
5.9998 0 0 5.3325 36 579.1748 cm
BT
/F0 1 Tf
1 TL
0 0 Td
(b)Tj
ET
Q
q
1 j
1 J
0 w
7.9999 0 0 7.9999 41.159 575.6598 cm
BT
/F0 1 Tf
1 TL
0 0 Td
(RBT)Tj
2.2252 0 Td
(in)Tj
0.9992 0 Td
(health)Tj
2.9268 0 Td
(facilities)Tj
3.763 0 Td
(in)Tj
0.9921 0 Td
(Kenya)Tj
3.0473 0 Td
(and)Tj
1.878 0 Td
(/or)Tj
1.396 0 Td
(at)Tj
1.063 0 Td
(the)Tj
1.6087 0 Td
(University)Tj
4.5922 0 Td
(of)Tj
1.063 0 Td
(Navarra)Tj
3.7559 0 Td
(\(see)Tj
0.83 0.64 0.02 0 k
2.1615 0 Td
(Table)Tj
2.7141 0 Td
(3)Tj
0 g
(\).)Tj
ET
Q
q
1 j
1 J
0 w
5.9998 0 0 5.3325 36 567.2125 cm
BT
/F0 1 Tf
1 TL
0 0 Td
(c)Tj
ET
Q
q
1 j
1 J
0 w
7.9999 0 0 7.9999 40.8188 563.6409 cm
BT
/F0 1 Tf
1 TL
0 0 Td
(This)Tj
2.1118 0 Td
(serum)Tj
2.9906 0 Td
(developed)Tj
4.7976 0 Td
(an)Tj
1.3323 0 Td
(atypical)Tj
3.593 0 Td
(agglutinatio)Tj
5.0669 0 Td
(n)Tj
0.7867 0 Td
(and)Tj
1.8779 0 Td
(only)Tj
2.0481 0 Td
(at)Tj
1.063 0 Td
(a)Tj
0.7795 0 Td
(1:801:16)Tj
4.4079 0 Td
(0)Tj
0.7866 0 Td
(titre.)Tj
ET
Q
q
1 j
1 J
0 w
5.9998 0 0 5.3325 36 555.1937 cm
BT
/F0 1 Tf
1 TL
0 0 Td
(d)Tj
ET
Q
q
1 j
1 J
0 w
7.9999 0 0 7.9999 41.159 551.622 cm
BT
/F0 1 Tf
1 TL
0 0 Td
(n.d.,)Tj
2.1685 0 Td
(not)Tj
1.6157 0 Td
(done.)Tj
ET
Q
q
1 j
1 J
0 w
5.9998 0 0 5.3325 36 543.1748 cm
BT
/F0 1 Tf
1 TL
0 0 Td
(e)Tj
ET
Q
q
1 j
1 J
0 w
7.9999 0 0 7.9999 41.159 539.6598 cm
BT
/F0 1 Tf
1 TL
0 0 Td
(Out)Tj
1.8354 0 Td
(of)Tj
1.063 0 Td
(148)Tj
1.8851 0 Td
(positive)Tj
3.359 0 Td
(s)Tj
0.73 0 Td
(tested.)Tj
0.83 0.64 0.02 0 k
/F10 1 Tf
-0.025 Tc
-9.5173 -2.2535 Td
(https://do)Tj
3.5574 0 Td
(i.org/10.1371/j)Tj
5.4425 0 Td
(ournal.pntd.)Tj
4.4646 0 Td
(0005508.t0)Tj
4.2662 0 Td
(02)Tj
ET
Q
q
1 j
1 J
0 w
576 737.1 m
36 737.1 l
36 737.6 l
576 737.6 l
f*
36 741.2598 183.2882 23.6976 re
W* n
q
183.2315 0 0 23.6409 36 741.3165 cm
q
/I0 Do
Q
Q
Q
q
0 0 612 792 re
W* n
1 j
1 J
0 w
7.9999 0 0 7.9999 460.1763 745.7952 cm
BT
/F0 1 Tf
1 TL
-0.005 Tc
0 0 Td
(Poor)Tj
2.296 0 Td
(brucello)Tj
3.4229 0 Td
(sis)Tj
1.4244 0 Td
(test)Tj
1.8071 0 Td
(performanc)Tj
4.9749 0 Td
(e)Tj
ET
Q
q
1 j
1 J
0 w
36 48.0002 m
576 48.0002 l
576 47.5002 l
36 47.5002 l
f*
0.83 0.64 0.02 0 k
163.5591 34.9228 m
317.7071 34.9228 l
h
f*
0 g
7.9999 0 0 7.9999 36 36 cm
BT
/F0 1 Tf
1 TL
-0.005 Tc
0 0 Td
(PLOS)Tj
2.8559 0 Td
(Neglected)Tj
4.6417 0 Td
(Tropical)Tj
3.7135 0 Td
(Disease)Tj
3.5433 0 Td
(s)Tj
0.7158 0 Td
(|)Tj
0.83 0.64 0.02 0 k
0.4748 0 Td
(https://doi.or)Tj
5.4142 0 Td
(g/10.137)Tj
3.8197 0 Td
(1/journal.pn)Tj
5.1237 0 Td
(td.00055)Tj
3.8197 0 Td
(08)Tj
0 g
2.0905 0 Td
(April)Tj
2.1827 0 Td
(7,)Tj
1.0418 0 Td
(2017)Tj
25.7033 0 Td
(7)Tj
0.7654 0 Td
(/)Tj
ET
endstream
endobj
186 0 obj
<>stream
endstream
endobj
187 0 obj
<>stream
endstream
endobj
188 0 obj
<>stream
endstream
endobj
189 0 obj
<>stream
endstream
endobj
190 0 obj
<>stream
BT
66.402 0 Td
(15)Tj
ET
Q
endstream
endobj
191 0 obj
<>/XObject<>>>/CropBox[0 0 612 792]/MediaBox[0 0 612 792]/Parent 12 0 R/Annots 193 0 R/Contents 194 0 R/TrimBox[0 0 612 792]>>
endobj
193 0 obj
[195 0 R 196 0 R 197 0 R 198 0 R 199 0 R 200 0 R 201 0 R 202 0 R 203 0 R 204 0 R 205 0 R 206 0 R]
endobj
195 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.t003)>>
endobj
196 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.t002)>>
endobj
197 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.t003)>>
endobj
198 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.t002)>>
endobj
199 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.t003)>>
endobj
200 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.t003)>>
endobj
201 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.t004)>>
endobj
202 0 obj
<>/Border[0 0 0]/Dest(Lpntd.0005508.t003)>>
endobj
203 0 obj
<>/Border[0 0 0]/A 207 0 R>>
endobj
207 0 obj
<>
endobj
204 0 obj
<>/Border[0 0 0]/Dest(Lpntd.0005508.t004)>>
endobj
205 0 obj
<>/Border[0 0 0]/A 208 0 R>>
endobj
208 0 obj
<>
endobj
206 0 obj
<>/Border[0 0 0]/A 209 0 R>>
endobj
209 0 obj
<>
endobj
194 0 obj
[210 0 R 211 0 R 212 0 R 213 0 R 214 0 R 215 0 R 216 0 R]
endobj
210 0 obj
<>stream
q
0.83 0.64 0.02 0 k
493.1717 442.4882 m
522.3685 442.4882 l
522.3685 442.4315 l
493.1717 442.4315 l
f*
400.252 429.4488 m
405.0709 429.4488 l
h
f*
424.5165 429.4488 m
429.2787 429.4488 l
h
f*
364.1953 403.4835 m
368.9575 403.4835 l
h
f*
388.4031 403.4835 m
393.1654 403.4835 l
h
f*
256.989 390.4441 m
286.1858 390.4441 l
h
f*
359.8299 288.6236 m
389.0268 288.6236 l
h
f*
0 g
1 j
1 J
0 w
10 0 0 10 200.0125 482.5133 cm
BT
/F8 1 Tf
1 TL
-0.004 Tc
0 0 Td
(atypical)Tj
3.2938 0 Td
(and)Tj
1.7291 0 Td
(consisted)Tj
3.9401 0 Td
(of)Tj
1.0148 0 Td
(mucoid)Tj
3.2939 0 Td
(filamentous)Tj
4.9379 0 Td
(aggregates)Tj
4.3597 0 Td
(rather)Tj
2.6475 0 Td
(than)Tj
2.0296 0 Td
(the)Tj
1.4683 0 Td
(typical)Tj
2.863 0 Td
(clumps.)Tj
3.3392 0 Td
(This)Tj
-34.9169 -1.2982 Td
(same)Tj
2.2563 0 Td
(serum)Tj
2.7213 0 Td
(was)Tj
1.7007 0 Td
(RBT)Tj
2.0353 0 Td
(negative)Tj
3.5319 0 Td
(and)Tj
1.7292 0 Td
(Coombs)Tj
3.5886 0 Td
(negative)Tj
3.532 0 Td
(when)Tj
2.4037 0 Td
(tested)Tj
2.5512 0 Td
(at)Tj
0.9524 0 Td
(the)Tj
1.474 0 Td
(University)Tj
4.3994 0 Td
(of)Tj
1.0148 0 Td
(Navarra,)Tj
-33.8908 -1.2983 Td
(but)Tj
1.5533 0 Td
(was)Tj
1.6951 0 Td
(RBT)Tj
2.0353 0 Td
(positive)Tj
3.3165 0 Td
(when)Tj
2.4038 0 Td
(tested)Tj
2.5511 0 Td
(in)Tj
1.0375 0 Td
(study)Tj
2.3868 0 Td
(health)Tj
2.6815 0 Td
(facilities.)Tj
3.7191 0 Td
(Three)Tj
2.5795 0 Td
(\(1.4%\))Tj
2.8289 0 Td
(sera,)Tj
2.0353 0 Td
(all)Tj
1.1509 0 Td
(with)Tj
1.9955 0 Td
(clearly)Tj
-33.9701 -1.2982 Td
(negative)Tj
3.5319 0 Td
(SAT)Tj
1.9899 0 Td
(titres)Tj
2.245 0 Td
(\()Tj
/F14 1 Tf
0 Tc
()Tj
/F8 1 Tf
-0.004 Tc
1.3266 0 Td
(1:40\),)Tj
2.4378 0 Td
(were)Tj
2.126 0 Td
(weakly)Tj
2.9593 0 Td
(positive)Tj
3.3166 0 Td
(using)Tj
2.3867 0 Td
(the)Tj
1.4683 0 Td
(Coombs)Tj
3.5887 0 Td
(test)Tj
1.5987 0 Td
(\()Tj
0.83 0.64 0.02 0 k
(Table)Tj
2.7836 0 Td
(3)Tj
0 g
(\),)Tj
1.2586 0 Td
(and)Tj
1.7291 0 Td
(of)Tj
-34.7468 -1.304 Td
(these)Tj
2.2506 0 Td
(three,)Tj
2.4945 0 Td
(two)Tj
1.7065 0 Td
(were)Tj
2.1203 0 Td
(weakly)Tj
2.9593 0 Td
(RBT)Tj
2.0353 0 Td
(positive)Tj
3.3165 0 Td
(\(Tables)Tj
0.83 0.64 0.02 0 k
3.1408 0 Td
(2)Tj
0 g
0.6973 0 Td
(and)Tj
0.83 0.64 0.02 0 k
1.7291 0 Td
(3)Tj
0 g
(\).)Tj
1.2642 0 Td
(A)Tj
0.9015 0 Td
(total)Tj
2.0012 0 Td
(of)Tj
1.0148 0 Td
(148)Tj
1.6498 0 Td
(of)Tj
1.0148 0 Td
(the)Tj
1.4683 0 Td
(162)Tj
1.6497 0 Td
(FBAT)Tj
-33.4145 -1.2982 Td
(reactive)Tj
3.3165 0 Td
(sera)Tj
1.8085 0 Td
(were)Tj
2.1203 0 Td
(tested)Tj
2.5568 0 Td
(using)Tj
2.3867 0 Td
(the)Tj
1.4684 0 Td
(LFA,)Tj
2.194 0 Td
(of)Tj
1.0148 0 Td
(which)Tj
2.6532 0 Td
(five)Tj
1.6554 0 Td
(\(3.4%\))Tj
2.829 0 Td
(were)Tj
2.1259 0 Td
(also)Tj
1.7689 0 Td
(positive)Tj
3.3165 0 Td
(using)Tj
2.3867 0 Td
(the)Tj
1.4684 0 Td
(IgM)Tj
-35.07 -1.2983 Td
(LFA)Tj
1.9672 0 Td
(but)Tj
1.5534 0 Td
(negative)Tj
3.5376 0 Td
(in)Tj
1.0318 0 Td
(the)Tj
1.474 0 Td
(IgG)Tj
1.7404 0 Td
(LFA)Tj
1.9673 0 Td
(\(Tables)Tj
0.83 0.64 0.02 0 k
3.1464 0 Td
(2)Tj
0 g
0.6917 0 Td
(and)Tj
0.83 0.64 0.02 0 k
1.7291 0 Td
(3)Tj
0 g
(\).)Tj
1.2642 0 Td
(Three)Tj
2.5739 0 Td
(of)Tj
1.0148 0 Td
(these)Tj
2.2563 0 Td
(five)Tj
1.6555 0 Td
(were)Tj
2.1203 0 Td
(positive)Tj
3.3165 0 Td
(at)Tj
0.9524 0 Td
(FBAT)Tj
-33.9928 -1.3039 Td
(titres)Tj
/F14 1 Tf
0 Tc
2.2393 0 Td
()Tj
/F8 1 Tf
-0.004 Tc
(1:160)Tj
3.1181 0 Td
(\()Tj
0.83 0.64 0.02 0 k
(Table)Tj
2.7836 0 Td
(3)Tj
0 g
(\).)Tj
-6.9448 -1.2983 Td
(Of)Tj
1.2585 0 Td
(the)Tj
1.4684 0 Td
(24)Tj
1.1735 0 Td
(randomly)Tj
4.1272 0 Td
(selected)Tj
3.3449 0 Td
(FBAT)Tj
2.6249 0 Td
(positive)Tj
3.3165 0 Td
(results)Tj
2.8063 0 Td
(that)Tj
1.7801 0 Td
(were)Tj
2.1203 0 Td
(retested)Tj
3.3505 0 Td
(at)Tj
0.9525 0 Td
(the)Tj
1.4683 0 Td
(University)Tj
4.405 0 Td
(of)Tj
-35.3931 -1.2982 Td
(Navarra)Tj
3.4525 0 Td
(using)Tj
2.3925 0 Td
(a)Tj
0.6519 0 Td
(different)Tj
3.6567 0 Td
(febrile)Tj
2.7439 0 Td
(antigen)Tj
3.2088 0 Td
(kit,)Tj
1.508 0 Td
(23)Tj
1.1679 0 Td
(\(96%\))Tj
2.6079 0 Td
(were)Tj
2.1259 0 Td
(positive.)Tj
ET
Q
q
1 j
1 J
0 w
11.9999 0 0 11.9999 200.0125 332.7307 cm
BT
/F0 1 Tf
1 TL
-0.0033 Tc
0 0 Td
(Risk)Tj
2.1401 0 Td
(factors)Tj
3.1938 0 Td
(for)Tj
1.3795 0 Td
(FBAT)Tj
2.7638 0 Td
(seropositivity)Tj
ET
Q
q
1 j
1 J
0 w
10 0 0 10 200.0125 315.7228 cm
BT
/F8 1 Tf
1 TL
-0.004 Tc
0 0 Td
(The)Tj
1.7801 0 Td
(large)Tj
2.16 0 Td
(number)Tj
3.4185 0 Td
(of)Tj
1.0148 0 Td
(FBAT)Tj
2.6249 0 Td
(seropositives)Tj
5.3404 0 Td
(\(138)Tj
1.9843 0 Td
(with)Tj
1.9956 0 Td
(linked)Tj
2.7325 0 Td
(questionnaire)Tj
5.7033 0 Td
(data\))Tj
2.2564 0 Td
(provided)Tj
3.8154 0 Td
(suffi-)Tj
-34.8262 -1.2982 Td
(cient)Tj
2.1769 0 Td
(sample)Tj
3.0218 0 Td
(size)Tj
1.6894 0 Td
(to)Tj
1.0205 0 Td
(allow)Tj
2.3414 0 Td
(us)Tj
1.1055 0 Td
(to)Tj
1.0261 0 Td
(explore)Tj
3.1748 0 Td
(the)Tj
1.4683 0 Td
(full)Tj
1.5307 0 Td
(range)Tj
2.4605 0 Td
(of)Tj
1.0148 0 Td
(potential)Tj
3.7587 0 Td
(predictors)Tj
4.2916 0 Td
(of)Tj
1.0148 0 Td
(seropositivity.)Tj
-31.0958 -1.3039 Td
(Observed)Tj
4.0365 0 Td
(relationships)Tj
5.3461 0 Td
(are)Tj
1.4513 0 Td
(presented)Tj
4.1159 0 Td
(in)Tj
0.83 0.64 0.02 0 k
1.0318 0 Td
(Table)Tj
2.4434 0 Td
(4)Tj
0 g
(.)Tj
0.9185 0 Td
(Knowing)Tj
3.9174 0 Td
(someone)Tj
3.8097 0 Td
(with)Tj
1.9956 0 Td
(a)Tj
0.6577 0 Td
(brucellosis)Tj
4.4617 0 Td
(diagno-)Tj
-34.1856 -1.2983 Td
(sis)Tj
1.2075 0 Td
(increased)Tj
4.0025 0 Td
(the)Tj
1.4683 0 Td
(odds)Tj
2.143 0 Td
(of)Tj
1.0148 0 Td
(FBAT)Tj
2.6249 0 Td
(seropositivity,)Tj
5.7996 0 Td
(as)Tj
1.0148 0 Td
(did)Tj
1.5421 0 Td
(involvement)Tj
5.21 0 Td
(in)Tj
1.0375 0 Td
(animal)Tj
2.9707 0 Td
(slaughter.)Tj
4.0988 0 Td
(Males)Tj
-34.1345 -1.2983 Td
(were)Tj
2.1203 0 Td
(at)Tj
0.9524 0 Td
(lower)Tj
2.4548 0 Td
(risk)Tj
1.7121 0 Td
(of)Tj
1.0148 0 Td
(FBAT)Tj
2.6249 0 Td
(positivity.)Tj
4.1385 0 Td
(The)Tj
1.7802 0 Td
(goodness-of-fit)Tj
6.2702 0 Td
(test)Tj
1.6044 0 Td
(indicated)Tj
3.9344 0 Td
(no)Tj
1.2756 0 Td
(evidence)Tj
3.7134 0 Td
(of)Tj
1.0148 0 Td
(any)Tj
-34.6108 -1.3039 Td
(lack)Tj
1.8198 0 Td
(of)Tj
1.0148 0 Td
(model)Tj
2.7439 0 Td
(fit)Tj
1.0715 0 Td
(\(p)Tj
1.0771 0 Td
(=)Tj
0.7994 0 Td
(0.2\).)Tj
ET
Q
q
0.45 0.36 0.35 0.01 k
1 j
1 J
0 w
35.9997 703.8893 m
575.9997 703.8893 l
575.9997 703.3893 l
35.9997 703.3893 l
f*
85.8124 703.3893 m
85.8124 690.8893 l
85.3123 690.8893 l
85.3123 703.3893 l
f*
85.3123 690.8893 m
35.9997 690.8893 l
35.9997 691.3894 l
85.3123 691.3894 l
f*
147.3466 703.3893 m
147.3466 690.8893 l
146.8466 690.8893 l
146.8466 703.3893 l
f*
146.8466 690.8893 m
85.8124 690.8893 l
85.8124 691.3894 l
146.8466 691.3894 l
f*
208.8808 703.3893 m
208.8808 690.8893 l
208.3808 690.8893 l
208.3808 703.3893 l
f*
208.3808 690.8893 m
147.3466 690.8893 l
147.3466 691.3894 l
208.3808 691.3894 l
f*
280.978 703.3893 m
280.978 690.8893 l
280.478 690.8893 l
280.478 703.3893 l
f*
280.478 690.8893 m
208.8808 690.8893 l
208.8808 691.3894 l
280.478 691.3894 l
f*
349.6572 703.3893 m
349.6572 690.8893 l
349.1572 690.8893 l
349.1572 703.3893 l
f*
349.1572 690.8893 m
280.978 690.8893 l
280.978 691.3894 l
349.1572 691.3894 l
f*
437.7039 703.3893 m
437.7039 690.8893 l
437.2038 690.8893 l
437.2038 703.3893 l
f*
437.2038 690.8893 m
349.6572 690.8893 l
349.6572 691.3894 l
437.2038 691.3894 l
f*
506.6444 703.3893 m
506.6444 690.8893 l
506.1444 690.8893 l
506.1444 703.3893 l
f*
506.1444 690.8893 m
437.7039 690.8893 l
437.7039 691.3894 l
506.1444 691.3894 l
f*
575.9986 690.8893 m
506.6444 690.8893 l
506.6444 691.3894 l
575.9986 691.3894 l
f*
85.8124 690.8893 m
85.8124 678.3894 l
85.3123 678.3894 l
85.3123 690.8893 l
f*
85.3123 678.3894 m
35.9997 678.3894 l
35.9997 678.8894 l
85.3123 678.8894 l
f*
147.3466 690.8893 m
147.3466 678.3894 l
146.8466 678.3894 l
146.8466 690.8893 l
f*
146.8466 678.3894 m
85.8124 678.3894 l
85.8124 678.8894 l
146.8466 678.8894 l
f*
208.8808 690.8893 m
208.8808 678.3894 l
208.3808 678.3894 l
208.3808 690.8893 l
f*
208.3808 678.3894 m
147.3466 678.3894 l
147.3466 678.8894 l
208.3808 678.8894 l
f*
280.978 690.8893 m
280.978 678.3894 l
280.478 678.3894 l
280.478 690.8893 l
f*
280.478 678.3894 m
208.8808 678.3894 l
208.8808 678.8894 l
280.478 678.8894 l
f*
349.6572 690.8893 m
349.6572 678.3894 l
349.1572 678.3894 l
349.1572 690.8893 l
f*
349.1572 678.3894 m
280.978 678.3894 l
280.978 678.8894 l
349.1572 678.8894 l
f*
437.7039 690.8893 m
437.7039 678.3894 l
437.2038 678.3894 l
437.2038 690.8893 l
f*
437.2038 678.3894 m
349.6572 678.3894 l
349.6572 678.8894 l
437.2038 678.8894 l
f*
506.6444 690.8893 m
506.6444 678.3894 l
506.1444 678.3894 l
506.1444 690.8893 l
f*
506.1444 678.3894 m
437.7039 678.3894 l
437.7039 678.8894 l
506.1444 678.8894 l
f*
575.9986 678.3894 m
506.6444 678.3894 l
506.6444 678.8894 l
575.9986 678.8894 l
f*
85.8124 678.3894 m
85.8124 665.8894 l
85.3123 665.8894 l
85.3123 678.3894 l
f*
85.3123 665.8894 m
35.9997 665.8894 l
35.9997 666.3895 l
85.3123 666.3895 l
f*
147.3466 678.3894 m
147.3466 665.8894 l
146.8466 665.8894 l
146.8466 678.3894 l
f*
146.8466 665.8894 m
85.8124 665.8894 l
85.8124 666.3895 l
146.8466 666.3895 l
f*
208.8808 678.3894 m
208.8808 665.8894 l
208.3808 665.8894 l
208.3808 678.3894 l
f*
208.3808 665.8894 m
147.3466 665.8894 l
147.3466 666.3895 l
208.3808 666.3895 l
f*
280.978 678.3894 m
280.978 665.8894 l
280.478 665.8894 l
280.478 678.3894 l
f*
280.478 665.8894 m
208.8808 665.8894 l
208.8808 666.3895 l
280.478 666.3895 l
f*
349.6572 678.3894 m
349.6572 665.8894 l
349.1572 665.8894 l
349.1572 678.3894 l
f*
349.1572 665.8894 m
280.978 665.8894 l
280.978 666.3895 l
349.1572 666.3895 l
f*
437.7039 678.3894 m
437.7039 665.8894 l
437.2038 665.8894 l
437.2038 678.3894 l
f*
437.2038 665.8894 m
349.6572 665.8894 l
349.6572 666.3895 l
437.2038 666.3895 l
f*
506.6444 678.3894 m
506.6444 665.8894 l
506.1444 665.8894 l
506.1444 678.3894 l
f*
506.1444 665.8894 m
437.7039 665.8894 l
437.7039 666.3895 l
506.1444 666.3895 l
f*
575.9986 665.8894 m
506.6444 665.8894 l
506.6444 666.3895 l
575.9986 666.3895 l
f*
85.8124 665.8894 m
85.8124 653.3895 l
85.3123 653.3895 l
85.3123 665.8894 l
f*
85.3123 653.3895 m
35.9997 653.3895 l
35.9997 653.8895 l
85.3123 653.8895 l
f*
147.3466 665.8894 m
147.3466 653.3895 l
146.8466 653.3895 l
146.8466 665.8894 l
f*
146.8466 653.3895 m
85.8124 653.3895 l
85.8124 653.8895 l
146.8466 653.8895 l
f*
208.8808 665.8894 m
208.8808 653.3895 l
208.3808 653.3895 l
208.3808 665.8894 l
f*
208.3808 653.3895 m
147.3466 653.3895 l
147.3466 653.8895 l
208.3808 653.8895 l
f*
280.978 665.8894 m
280.978 653.3895 l
280.478 653.3895 l
280.478 665.8894 l
f*
280.478 653.3895 m
208.8808 653.3895 l
208.8808 653.8895 l
280.478 653.8895 l
f*
349.6572 665.8894 m
349.6572 653.3895 l
349.1572 653.3895 l
349.1572 665.8894 l
f*
349.1572 653.3895 m
280.978 653.3895 l
280.978 653.8895 l
349.1572 653.8895 l
f*
437.7039 665.8894 m
437.7039 653.3895 l
437.2038 653.3895 l
437.2038 665.8894 l
f*
437.2038 653.3895 m
349.6572 653.3895 l
349.6572 653.8895 l
437.2038 653.8895 l
f*
506.6444 665.8894 m
506.6444 653.3895 l
506.1444 653.3895 l
506.1444 665.8894 l
f*
506.1444 653.3895 m
437.7039 653.3895 l
437.7039 653.8895 l
506.1444 653.8895 l
f*
575.9986 653.3895 m
506.6444 653.3895 l
506.6444 653.8895 l
575.9986 653.8895 l
f*
85.8124 653.3895 m
85.8124 640.8896 l
85.3123 640.8896 l
85.3123 653.3895 l
f*
85.3123 640.8896 m
35.9997 640.8896 l
35.9997 641.3896 l
85.3123 641.3896 l
f*
147.3466 653.3895 m
147.3466 640.8896 l
146.8466 640.8896 l
146.8466 653.3895 l
f*
146.8466 640.8896 m
85.8124 640.8896 l
85.8124 641.3896 l
146.8466 641.3896 l
f*
208.8808 653.3895 m
208.8808 640.8896 l
208.3808 640.8896 l
208.3808 653.3895 l
f*
208.3808 640.8896 m
147.3466 640.8896 l
147.3466 641.3896 l
208.3808 641.3896 l
f*
280.978 653.3895 m
280.978 640.8896 l
280.478 640.8896 l
280.478 653.3895 l
f*
280.478 640.8896 m
208.8808 640.8896 l
208.8808 641.3896 l
280.478 641.3896 l
f*
349.6572 653.3895 m
349.6572 640.8896 l
349.1572 640.8896 l
349.1572 653.3895 l
f*
349.1572 640.8896 m
280.978 640.8896 l
280.978 641.3896 l
349.1572 641.3896 l
f*
437.7039 653.3895 m
437.7039 640.8896 l
437.2038 640.8896 l
437.2038 653.3895 l
f*
437.2038 640.8896 m
349.6572 640.8896 l
349.6572 641.3896 l
437.2038 641.3896 l
f*
506.6444 653.3895 m
506.6444 640.8896 l
506.1444 640.8896 l
506.1444 653.3895 l
f*
506.1444 640.8896 m
437.7039 640.8896 l
437.7039 641.3896 l
506.1444 641.3896 l
f*
575.9986 640.8896 m
506.6444 640.8896 l
506.6444 641.3896 l
575.9986 641.3896 l
f*
85.8124 640.8896 m
85.8124 628.3896 l
85.3123 628.3896 l
85.3123 640.8896 l
f*
85.3123 628.3896 m
35.9997 628.3896 l
35.9997 628.8897 l
85.3123 628.8897 l
f*
147.3466 640.8896 m
147.3466 628.3896 l
146.8466 628.3896 l
146.8466 640.8896 l
f*
146.8466 628.3896 m
85.8124 628.3896 l
85.8124 628.8897 l
146.8466 628.8897 l
f*
208.8808 640.8896 m
208.8808 628.3896 l
208.3808 628.3896 l
208.3808 640.8896 l
f*
208.3808 628.3896 m
147.3466 628.3896 l
147.3466 628.8897 l
208.3808 628.8897 l
f*
280.978 640.8896 m
280.978 628.3896 l
280.478 628.3896 l
280.478 640.8896 l
f*
280.478 628.3896 m
208.8808 628.3896 l
208.8808 628.8897 l
280.478 628.8897 l
f*
349.6572 640.8896 m
349.6572 628.3896 l
349.1572 628.3896 l
349.1572 640.8896 l
f*
349.1572 628.3896 m
280.978 628.3896 l
280.978 628.8897 l
349.1572 628.8897 l
f*
437.7039 640.8896 m
437.7039 628.3896 l
437.2038 628.3896 l
437.2038 640.8896 l
f*
437.2038 628.3896 m
349.6572 628.3896 l
349.6572 628.8897 l
437.2038 628.8897 l
f*
506.6444 640.8896 m
506.6444 628.3896 l
506.1444 628.3896 l
506.1444 640.8896 l
f*
506.1444 628.3896 m
437.7039 628.3896 l
437.7039 628.8897 l
506.1444 628.8897 l
f*
575.9986 628.3896 m
506.6444 628.3896 l
506.6444 628.8897 l
575.9986 628.8897 l
f*
85.8124 628.3896 m
85.8124 615.8897 l
85.3123 615.8897 l
85.3123 628.3896 l
f*
85.3123 615.8897 m
35.9997 615.8897 l
35.9997 616.3897 l
85.3123 616.3897 l
f*
147.3466 628.3896 m
147.3466 615.8897 l
146.8466 615.8897 l
146.8466 628.3896 l
f*
146.8466 615.8897 m
85.8124 615.8897 l
85.8124 616.3897 l
146.8466 616.3897 l
f*
208.8808 628.3896 m
208.8808 615.8897 l
208.3808 615.8897 l
208.3808 628.3896 l
f*
208.3808 615.8897 m
147.3466 615.8897 l
147.3466 616.3897 l
208.3808 616.3897 l
f*
280.978 628.3896 m
280.978 615.8897 l
280.478 615.8897 l
280.478 628.3896 l
f*
280.478 615.8897 m
208.8808 615.8897 l
208.8808 616.3897 l
280.478 616.3897 l
f*
349.6572 628.3896 m
349.6572 615.8897 l
349.1572 615.8897 l
349.1572 628.3896 l
f*
349.1572 615.8897 m
280.978 615.8897 l
280.978 616.3897 l
349.1572 616.3897 l
f*
437.7039 628.3896 m
437.7039 615.8897 l
437.2038 615.8897 l
437.2038 628.3896 l
f*
437.2038 615.8897 m
349.6572 615.8897 l
349.6572 616.3897 l
437.2038 616.3897 l
f*
506.6444 628.3896 m
506.6444 615.8897 l
506.1444 615.8897 l
506.1444 628.3896 l
f*
506.1444 615.8897 m
437.7039 615.8897 l
437.7039 616.3897 l
506.1444 616.3897 l
f*
575.9986 615.8897 m
506.6444 615.8897 l
506.6444 616.3897 l
575.9986 616.3897 l
f*
85.8124 615.8897 m
85.8124 603.3898 l
85.3123 603.3898 l
85.3123 615.8897 l
f*
85.3123 603.3898 m
35.9997 603.3898 l
35.9997 603.8898 l
85.3123 603.8898 l
f*
147.3466 615.8897 m
147.3466 603.3898 l
146.8466 603.3898 l
146.8466 615.8897 l
f*
146.8466 603.3898 m
85.8124 603.3898 l
85.8124 603.8898 l
146.8466 603.8898 l
f*
208.8808 615.8897 m
208.8808 603.3898 l
208.3808 603.3898 l
208.3808 615.8897 l
f*
208.3808 603.3898 m
147.3466 603.3898 l
147.3466 603.8898 l
208.3808 603.8898 l
f*
280.978 615.8897 m
280.978 603.3898 l
280.478 603.3898 l
280.478 615.8897 l
f*
280.478 603.3898 m
208.8808 603.3898 l
208.8808 603.8898 l
280.478 603.8898 l
f*
349.6572 615.8897 m
349.6572 603.3898 l
349.1572 603.3898 l
349.1572 615.8897 l
f*
349.1572 603.3898 m
280.978 603.3898 l
280.978 603.8898 l
349.1572 603.8898 l
f*
437.7039 615.8897 m
437.7039 603.3898 l
437.2038 603.3898 l
437.2038 615.8897 l
f*
437.2038 603.3898 m
349.6572 603.3898 l
349.6572 603.8898 l
437.2038 603.8898 l
f*
506.6444 615.8897 m
506.6444 603.3898 l
506.1444 603.3898 l
506.1444 615.8897 l
f*
506.1444 603.3898 m
437.7039 603.3898 l
437.7039 603.8898 l
506.1444 603.8898 l
f*
575.9986 603.3898 m
506.6444 603.3898 l
506.6444 603.8898 l
575.9986 603.8898 l
f*
85.8124 603.3898 m
85.8124 590.8898 l
85.3123 590.8898 l
85.3123 603.3898 l
f*
85.3123 590.8898 m
35.9997 590.8898 l
35.9997 591.3899 l
85.3123 591.3899 l
f*
147.3466 603.3898 m
147.3466 590.8898 l
146.8466 590.8898 l
146.8466 603.3898 l
f*
146.8466 590.8898 m
85.8124 590.8898 l
85.8124 591.3899 l
146.8466 591.3899 l
f*
208.8808 603.3898 m
208.8808 590.8898 l
208.3808 590.8898 l
208.3808 603.3898 l
f*
208.3808 590.8898 m
147.3466 590.8898 l
147.3466 591.3899 l
208.3808 591.3899 l
f*
280.978 603.3898 m
280.978 590.8898 l
280.478 590.8898 l
280.478 603.3898 l
f*
280.478 590.8898 m
208.8808 590.8898 l
208.8808 591.3899 l
280.478 591.3899 l
f*
349.6572 603.3898 m
349.6572 590.8898 l
349.1572 590.8898 l
349.1572 603.3898 l
f*
349.1572 590.8898 m
280.978 590.8898 l
280.978 591.3899 l
349.1572 591.3899 l
f*
437.7039 603.3898 m
437.7039 590.8898 l
437.2038 590.8898 l
437.2038 603.3898 l
f*
437.2038 590.8898 m
349.6572 590.8898 l
349.6572 591.3899 l
437.2038 591.3899 l
f*
506.6444 603.3898 m
506.6444 590.8898 l
506.1444 590.8898 l
506.1444 603.3898 l
f*
506.1444 590.8898 m
437.7039 590.8898 l
437.7039 591.3899 l
506.1444 591.3899 l
f*
575.9986 590.8898 m
506.6444 590.8898 l
506.6444 591.3899 l
575.9986 591.3899 l
f*
85.8124 590.8898 m
85.8124 578.3899 l
85.3123 578.3899 l
85.3123 590.8898 l
f*
85.3123 578.3899 m
35.9997 578.3899 l
35.9997 578.8899 l
85.3123 578.8899 l
f*
147.3466 590.8898 m
147.3466 578.3899 l
146.8466 578.3899 l
146.8466 590.8898 l
f*
146.8466 578.3899 m
85.8124 578.3899 l
85.8124 578.8899 l
146.8466 578.8899 l
f*
208.8808 590.8898 m
208.8808 578.3899 l
208.3808 578.3899 l
208.3808 590.8898 l
f*
208.3808 578.3899 m
147.3466 578.3899 l
147.3466 578.8899 l
208.3808 578.8899 l
f*
280.978 590.8898 m
280.978 578.3899 l
280.478 578.3899 l
280.478 590.8898 l
f*
280.478 578.3899 m
208.8808 578.3899 l
208.8808 578.8899 l
280.478 578.8899 l
f*
349.6572 590.8898 m
349.6572 578.3899 l
349.1572 578.3899 l
349.1572 590.8898 l
f*
349.1572 578.3899 m
280.978 578.3899 l
280.978 578.8899 l
349.1572 578.8899 l
f*
437.7039 590.8898 m
437.7039 578.3899 l
437.2038 578.3899 l
437.2038 590.8898 l
f*
437.2038 578.3899 m
349.6572 578.3899 l
349.6572 578.8899 l
437.2038 578.8899 l
f*
506.6444 590.8898 m
506.6444 578.3899 l
506.1444 578.3899 l
506.1444 590.8898 l
f*
506.1444 578.3899 m
437.7039 578.3899 l
437.7039 578.8899 l
506.1444 578.8899 l
f*
575.9986 578.3899 m
506.6444 578.3899 l
506.6444 578.8899 l
575.9986 578.8899 l
f*
85.8124 578.3899 m
85.8124 565.89 l
85.3123 565.89 l
85.3123 578.3899 l
f*
85.3123 565.89 m
35.9997 565.89 l
35.9997 566.39 l
85.3123 566.39 l
f*
147.3466 578.3899 m
147.3466 565.89 l
146.8466 565.89 l
146.8466 578.3899 l
f*
146.8466 565.89 m
85.8124 565.89 l
85.8124 566.39 l
146.8466 566.39 l
f*
208.8808 578.3899 m
208.8808 565.89 l
208.3808 565.89 l
208.3808 578.3899 l
f*
208.3808 565.89 m
147.3466 565.89 l
147.3466 566.39 l
208.3808 566.39 l
f*
280.978 578.3899 m
280.978 565.89 l
280.478 565.89 l
280.478 578.3899 l
f*
280.478 565.89 m
208.8808 565.89 l
208.8808 566.39 l
280.478 566.39 l
f*
349.6572 578.3899 m
349.6572 565.89 l
349.1572 565.89 l
349.1572 578.3899 l
f*
349.1572 565.89 m
280.978 565.89 l
280.978 566.39 l
349.1572 566.39 l
f*
437.7039 578.3899 m
437.7039 565.89 l
437.2038 565.89 l
437.2038 578.3899 l
f*
437.2038 565.89 m
349.6572 565.89 l
349.6572 566.39 l
437.2038 566.39 l
f*
506.6444 578.3899 m
506.6444 565.89 l
506.1444 565.89 l
506.1444 578.3899 l
f*
506.1444 565.89 m
437.7039 565.89 l
437.7039 566.39 l
506.1444 566.39 l
f*
575.9986 565.89 m
506.6444 565.89 l
506.6444 566.39 l
575.9986 566.39 l
f*
85.8124 565.89 m
85.8124 553.39 l
85.3123 553.39 l
85.3123 565.89 l
f*
85.3123 553.39 m
35.9997 553.39 l
35.9997 553.89 l
85.3123 553.89 l
f*
147.3466 565.89 m
147.3466 553.39 l
146.8466 553.39 l
146.8466 565.89 l
f*
146.8466 553.39 m
85.8124 553.39 l
85.8124 553.89 l
146.8466 553.89 l
f*
208.8808 565.89 m
208.8808 553.39 l
208.3808 553.39 l
208.3808 565.89 l
f*
208.3808 553.39 m
147.3466 553.39 l
147.3466 553.89 l
208.3808 553.89 l
f*
280.978 565.89 m
280.978 553.39 l
280.478 553.39 l
280.478 565.89 l
f*
280.478 553.39 m
208.8808 553.39 l
208.8808 553.89 l
280.478 553.89 l
f*
349.6572 565.89 m
349.6572 553.39 l
349.1572 553.39 l
349.1572 565.89 l
f*
349.1572 553.39 m
280.978 553.39 l
280.978 553.89 l
349.1572 553.89 l
f*
437.7039 565.89 m
437.7039 553.39 l
437.2038 553.39 l
437.2038 565.89 l
f*
437.2038 553.39 m
349.6572 553.39 l
349.6572 553.89 l
437.2038 553.89 l
f*
506.6444 565.89 m
506.6444 553.39 l
506.1444 553.39 l
506.1444 565.89 l
f*
506.1444 553.39 m
437.7039 553.39 l
437.7039 553.89 l
506.1444 553.89 l
f*
575.9986 553.39 m
506.6444 553.39 l
506.6444 553.89 l
575.9986 553.89 l
f*
85.8124 553.39 m
85.8124 540.8901 l
85.3123 540.8901 l
85.3123 553.39 l
f*
85.3123 540.8901 m
35.9997 540.8901 l
35.9997 541.3901 l
85.3123 541.3901 l
f*
147.3466 553.39 m
147.3466 540.8901 l
146.8466 540.8901 l
146.8466 553.39 l
f*
146.8466 540.8901 m
85.8124 540.8901 l
85.8124 541.3901 l
146.8466 541.3901 l
f*
208.8808 553.39 m
208.8808 540.8901 l
208.3808 540.8901 l
208.3808 553.39 l
f*
208.3808 540.8901 m
147.3466 540.8901 l
147.3466 541.3901 l
208.3808 541.3901 l
f*
280.978 553.39 m
280.978 540.8901 l
280.478 540.8901 l
280.478 553.39 l
f*
280.478 540.8901 m
208.8808 540.8901 l
208.8808 541.3901 l
280.478 541.3901 l
f*
349.6572 553.39 m
349.6572 540.8901 l
349.1572 540.8901 l
349.1572 553.39 l
f*
349.1572 540.8901 m
280.978 540.8901 l
280.978 541.3901 l
349.1572 541.3901 l
f*
437.7039 553.39 m
437.7039 540.8901 l
437.2038 540.8901 l
437.2038 553.39 l
f*
437.2038 540.8901 m
349.6572 540.8901 l
349.6572 541.3901 l
437.2038 541.3901 l
f*
506.6444 553.39 m
506.6444 540.8901 l
506.1444 540.8901 l
506.1444 553.39 l
f*
506.1444 540.8901 m
437.7039 540.8901 l
437.7039 541.3901 l
506.1444 541.3901 l
f*
575.9986 540.8901 m
506.6444 540.8901 l
506.6444 541.3901 l
575.9986 541.3901 l
f*
575.9986 519.1398 m
35.9997 519.1398 l
35.9997 519.6399 l
575.9986 519.6399 l
f*
0.83 0.64 0.02 0 k
36 506.0409 m
185.4425 506.0409 l
h
f*
0 g
7.9999 0 0 7.9999 36 708.7181 cm
BT
/F2 1 Tf
1 TL
-0.005 Tc
0 0 Td
(Table)Tj
2.7992 0 Td
(3.)Tj
1.2614 0 Td
(Compara)Tj
4.2733 0 Td
(tive)Tj
1.9134 0 Td
(results)Tj
3.4512 0 Td
(for)Tj
1.5307 0 Td
(test)Tj
1.963 0 Td
(positive)Tj
3.9544 0 Td
(on)Tj
1.4315 0 Td
(RBT,)Tj
2.5299 0 Td
(LFA,)Tj
2.4166 0 Td
(SAT)Tj
2.2039 0 Td
(and)Tj
1.9772 0 Td
(Coombs.)Tj
0 Tc
-29.8845 -1.8567 Td
(Sera)Tj
6.5977 0 Td
(RBT)Tj
2.2748 0 Td
(1)Tj
ET
Q
q
1 j
1 J
0 w
5.9998 0 0 5.3325 125.9716 697.4362 cm
BT
/F2 1 Tf
1 TL
0 0 Td
(a)Tj
ET
Q
q
1 j
1 J
0 w
7.9999 0 0 7.9999 164.9196 693.8645 cm
BT
/F2 1 Tf
1 TL
0 0 Td
(RBT)Tj
2.2748 0 Td
(2)Tj
ET
Q
q
1 j
1 J
0 w
5.9998 0 0 5.3325 187.5401 697.4362 cm
BT
/F2 1 Tf
1 TL
0 0 Td
(a)Tj
ET
Q
q
1 j
1 J
0 w
7.9999 0 0 7.9999 226.4314 693.8645 cm
BT
/F2 1 Tf
1 TL
0 0 Td
(LFA)Tj
2.1756 0 Td
(\(IgM\))Tj
7.9087 0 Td
(SAT)Tj
7.5119 0 Td
(Coombs)Tj
4.2165 0 Td
(\(IgG\))Tj
6.7891 0 Td
(FBAT)Tj
2.8913 0 Td
(`A')Tj
5.726 0 Td
(FBAT)Tj
2.8914 0 Td
(`M')Tj
/F0 1 Tf
-61.2925 -1.559 Td
(1)Tj
7.1292 0 Td
(+)Tj
7.689 0 Td
(+)Tj
8.4756 0 Td
(-)Tj
8.0008 0 Td
(1:40)Tj
9.5245 0 Td
(1:160)Tj
9.808 0 Td
(1:160)Tj
8.674 0 Td
(1:160)Tj
-59.3011 -1.5662 Td
(2)Tj
7.1292 0 Td
(+)Tj
7.689 0 Td
(+)Tj
8.3551 0 Td
(+)Tj
8.1213 0 Td
(1:20)Tj
9.7938 0 Td
(1:20)Tj
9.5387 0 Td
(1:160)Tj
8.674 0 Td
(1:160)Tj
-59.3011 -1.559 Td
(3)Tj
7.1292 0 Td
(+)Tj
7.8166 0 Td
(-)Tj
8.348 0 Td
(-)Tj
5.0811 0 Td
(1:80160)Tj
12.4442 0 Td
(1:160)Tj
9.808 0 Td
(1:320)Tj
8.674 0 Td
(1:160)Tj
-59.3011 -1.5662 Td
(4)Tj
7.1292 0 Td
(+)Tj
7.689 0 Td
(+)Tj
8.4756 0 Td
(-)Tj
8.0008 0 Td
(1:20)Tj
9.7938 0 Td
(1:20)Tj
9.5387 0 Td
(1:160)Tj
8.9504 0 Td
(1:80)Tj
-59.5775 -1.5591 Td
(5)Tj
7.1292 0 Td
(+)Tj
7.8166 0 Td
(-)Tj
8.2275 0 Td
(+)Tj
/F5 1 Tf
7.8308 0 Td
[( )]TJ
/F0 1 Tf
(1:20)Tj
/F5 1 Tf
9.7938 0 Td
[( )]TJ
/F0 1 Tf
(1:20)Tj
10.1055 0 Td
(1:20)Tj
/F5 1 Tf
8.3836 0 Td
[( )]TJ
/F0 1 Tf
(1:20)Tj
-59.287 -1.559 Td
(6)Tj
7.1292 0 Td
(+)Tj
7.689 0 Td
(+)Tj
8.4756 0 Td
(-)Tj
8.0008 0 Td
(1:20)Tj
9.7938 0 Td
(1:40)Tj
9.815 0 Td
(1:40)Tj
8.6741 0 Td
(1:80)Tj
-59.5775 -1.5662 Td
(7)Tj
7.2497 0 Td
(-)Tj
7.5685 0 Td
(+)Tj
8.4756 0 Td
(-)Tj
/F5 1 Tf
7.7103 0 Td
[( )]TJ
/F0 1 Tf
(1:20)Tj
9.815 0 Td
(1:640)Tj
9.808 0 Td
(1:160)Tj
8.674 0 Td
(1:160)Tj
-59.3011 -1.559 Td
(8)Tj
7.2497 0 Td
(-)Tj
7.5685 0 Td
(+)Tj
8.4756 0 Td
(-)Tj
8.0008 0 Td
(1:20)Tj
9.7938 0 Td
(1:20)Tj
9.815 0 Td
(1:80)Tj
/F5 1 Tf
8.3836 0 Td
[( )]TJ
/F0 1 Tf
(1:20)Tj
-59.287 -1.5662 Td
(9)Tj
7.2497 0 Td
(-)Tj
7.6961 0 Td
(-)Tj
8.2275 0 Td
(+)Tj
8.5394 0 Td
(nd)Tj
9.7938 0 Td
(nd)Tj
9.1206 0 Td
(1:160)Tj
8.9504 0 Td
(1:80)Tj
-59.8539 -1.5591 Td
(10)Tj
7.5261 0 Td
(-)Tj
7.6961 0 Td
(-)Tj
8.2275 0 Td
(+)Tj
8.5394 0 Td
(nd)Tj
9.7938 0 Td
(nd)Tj
9.3969 0 Td
(1:80)Tj
8.3977 0 Td
(1:160)Tj
-59.5775 -1.5661 Td
(11)Tj
7.5261 0 Td
(-)Tj
7.6961 0 Td
(-)Tj
8.2275 0 Td
(+)Tj
8.5394 0 Td
(nd)Tj
9.7938 0 Td
(nd)Tj
9.3969 0 Td
(1:40)Tj
8.6741 0 Td
(1:20)Tj
-59.8539 -1.5591 Td
(12)Tj
7.5261 0 Td
(-)Tj
7.6961 0 Td
(-)Tj
8.348 0 Td
(-)Tj
8.0008 0 Td
(1:20)Tj
9.5245 0 Td
(1:320)Tj
10.0843 0 Td
(1:40)Tj
8.6741 0 Td
(1:40)Tj
ET
Q
q
1 j
1 J
0 w
5.9998 0 0 5.3325 36 528.7181 cm
BT
/F0 1 Tf
1 TL
0 0 Td
(a)Tj
ET
Q
q
1 j
1 J
0 w
7.9999 0 0 7.9999 41.159 525.1464 cm
BT
/F0 1 Tf
1 TL
0 0 Td
(RBT)Tj
2.2252 0 Td
(1)Tj
0.7795 0 Td
(was)Tj
1.9914 0 Td
(performed)Tj
4.7622 0 Td
(in)Tj
0.9921 0 Td
(health)Tj
2.9339 0 Td
(facilities)Tj
3.763 0 Td
(in)Tj
0.9922 0 Td
(Kenya;)Tj
3.3307 0 Td
(RBT)Tj
2.2181 0 Td
(2)Tj
0.7796 0 Td
(was)Tj
1.9984 0 Td
(performed)Tj
4.7552 0 Td
(at)Tj
1.063 0 Td
(the)Tj
1.6086 0 Td
(University)Tj
4.5922 0 Td
(of)Tj
1.063 0 Td
(Navarra.)Tj
0.83 0.64 0.02 0 k
/F10 1 Tf
-0.025 Tc
-40.4931 -2.2535 Td
(https://do)Tj
3.5574 0 Td
(i.org/10.1371/j)Tj
5.4425 0 Td
(ournal.pntd.)Tj
4.4646 0 Td
(0005508.t0)Tj
4.2662 0 Td
(03)Tj
ET
Q
q
0.45 0.36 0.35 0.01 k
1 j
1 J
0 w
199.9998 222.6138 m
575.9997 222.6138 l
575.9997 222.1138 l
199.9998 222.1138 l
f*
397.0743 222.1138 m
397.0743 209.6138 l
396.5743 209.6138 l
396.5743 222.1138 l
f*
396.5743 209.6138 m
199.9998 209.6138 l
199.9998 210.1139 l
396.5743 210.1139 l
f*
503.9887 222.1138 m
503.9887 209.6138 l
503.4886 209.6138 l
503.4886 222.1138 l
f*
503.4886 209.6138 m
397.0743 209.6138 l
397.0743 210.1139 l
503.4886 210.1139 l
f*
575.9991 209.6138 m
503.9887 209.6138 l
503.9887 210.1139 l
575.9991 210.1139 l
f*
397.0743 209.6138 m
397.0743 197.1139 l
396.5743 197.1139 l
396.5743 209.6138 l
f*
396.5743 197.1139 m
199.9998 197.1139 l
199.9998 197.6139 l
396.5743 197.6139 l
f*
503.9887 209.6138 m
503.9887 197.1139 l
503.4886 197.1139 l
503.4886 209.6138 l
f*
503.4886 197.1139 m
397.0743 197.1139 l
397.0743 197.6139 l
503.4886 197.6139 l
f*
575.9991 197.1139 m
503.9887 197.1139 l
503.9887 197.6139 l
575.9991 197.6139 l
f*
397.0743 197.1139 m
397.0743 184.614 l
396.5743 184.614 l
396.5743 197.1139 l
f*
396.5743 184.614 m
199.9998 184.614 l
199.9998 185.114 l
396.5743 185.114 l
f*
503.9887 197.1139 m
503.9887 184.614 l
503.4886 184.614 l
503.4886 197.1139 l
f*
503.4886 184.614 m
397.0743 184.614 l
397.0743 185.114 l
503.4886 185.114 l
f*
575.9991 184.614 m
503.9887 184.614 l
503.9887 185.114 l
575.9991 185.114 l
f*
397.0743 184.614 m
397.0743 172.114 l
396.5743 172.114 l
396.5743 184.614 l
f*
396.5743 172.114 m
199.9998 172.114 l
199.9998 172.614 l
396.5743 172.614 l
f*
503.9887 184.614 m
503.9887 172.114 l
503.4886 172.114 l
503.4886 184.614 l
f*
503.4886 172.114 m
397.0743 172.114 l
397.0743 172.614 l
503.4886 172.614 l
f*
575.9991 172.114 m
503.9887 172.114 l
503.9887 172.614 l
575.9991 172.614 l
f*
397.0743 172.114 m
397.0743 159.6141 l
396.5743 159.6141 l
396.5743 172.114 l
f*
396.5743 159.6141 m
199.9998 159.6141 l
199.9998 160.1141 l
396.5743 160.1141 l
f*
503.9887 172.114 m
503.9887 159.6141 l
503.4886 159.6141 l
503.4886 172.114 l
f*
503.4886 159.6141 m
397.0743 159.6141 l
397.0743 160.1141 l
503.4886 160.1141 l
f*
575.9991 159.6141 m
503.9887 159.6141 l
503.9887 160.1141 l
575.9991 160.1141 l
f*
397.0743 159.6141 m
397.0743 147.1141 l
396.5743 147.1141 l
396.5743 159.6141 l
f*
396.5743 147.1141 m
199.9998 147.1141 l
199.9998 147.6142 l
396.5743 147.6142 l
f*
503.9887 159.6141 m
503.9887 147.1141 l
503.4886 147.1141 l
503.4886 159.6141 l
f*
503.4886 147.1141 m
397.0743 147.1141 l
397.0743 147.6142 l
503.4886 147.6142 l
f*
575.9991 147.1141 m
503.9887 147.1141 l
503.9887 147.6142 l
575.9991 147.6142 l
f*
397.0743 147.1141 m
397.0743 134.6142 l
396.5743 134.6142 l
396.5743 147.1141 l
f*
396.5743 134.6142 m
199.9998 134.6142 l
199.9998 135.1142 l
396.5743 135.1142 l
f*
503.9887 147.1141 m
503.9887 134.6142 l
503.4886 134.6142 l
503.4886 147.1141 l
f*
503.4886 134.6142 m
397.0743 134.6142 l
397.0743 135.1142 l
503.4886 135.1142 l
f*
575.9991 134.6142 m
503.9887 134.6142 l
503.9887 135.1142 l
575.9991 135.1142 l
f*
397.0743 134.6142 m
397.0743 122.1143 l
396.5743 122.1143 l
396.5743 134.6142 l
f*
396.5743 122.1143 m
199.9998 122.1143 l
199.9998 122.6143 l
396.5743 122.6143 l
f*
503.9887 134.6142 m
503.9887 122.1143 l
503.4886 122.1143 l
503.4886 134.6142 l
f*
503.4886 122.1143 m
397.0743 122.1143 l
397.0743 122.6143 l
503.4886 122.6143 l
f*
575.9991 122.1143 m
503.9887 122.1143 l
503.9887 122.6143 l
575.9991 122.6143 l
f*
397.0743 122.1143 m
397.0743 109.6143 l
396.5743 109.6143 l
396.5743 122.1143 l
f*
396.5743 109.6143 m
199.9998 109.6143 l
199.9998 110.1144 l
396.5743 110.1144 l
f*
503.9887 122.1143 m
503.9887 109.6143 l
503.4886 109.6143 l
503.4886 122.1143 l
f*
503.4886 109.6143 m
397.0743 109.6143 l
397.0743 110.1144 l
503.4886 110.1144 l
f*
575.9991 109.6143 m
503.9887 109.6143 l
503.9887 110.1144 l
575.9991 110.1144 l
f*
397.0743 109.6143 m
397.0743 97.1144 l
396.5743 97.1144 l
396.5743 109.6143 l
f*
396.5743 97.1144 m
199.9998 97.1144 l
199.9998 97.6144 l
396.5743 97.6144 l
f*
503.9887 109.6143 m
503.9887 97.1144 l
503.4886 97.1144 l
503.4886 109.6143 l
f*
503.4886 97.1144 m
397.0743 97.1144 l
397.0743 97.6144 l
503.4886 97.6144 l
f*
575.9991 97.1144 m
503.9887 97.1144 l
503.9887 97.6144 l
575.9991 97.6144 l
f*
397.0743 97.1144 m
397.0743 84.6145 l
396.5743 84.6145 l
396.5743 97.1144 l
f*
396.5743 84.6145 m
199.9998 84.6145 l
199.9998 85.1145 l
396.5743 85.1145 l
f*
503.9887 97.1144 m
503.9887 84.6145 l
503.4886 84.6145 l
503.4886 97.1144 l
f*
503.4886 84.6145 m
397.0743 84.6145 l
397.0743 85.1145 l
503.4886 85.1145 l
f*
575.9991 84.6145 m
503.9887 84.6145 l
503.9887 85.1145 l
575.9991 85.1145 l
f*
0.83 0.64 0.02 0 k
200.0126 71.5465 m
349.4551 71.5465 l
h
f*
0 g
7.9999 0 0 7.9999 200.0125 227.4519 cm
BT
/F2 1 Tf
1 TL
-0.005 Tc
0 0 Td
(Table)Tj
2.7992 0 Td
(4.)Tj
1.2614 0 Td
(Results)Tj
3.7772 0 Td
(of)Tj
1.1551 0 Td
(the)Tj
1.7008 0 Td
(multivariab)Tj
5.2583 0 Td
(le)Tj
1.0418 0 Td
(analysis)Tj
4.1103 0 Td
(using)Tj
2.863 0 Td
(FBAT)Tj
2.8559 0 Td
(seroposi)Tj
4.1103 0 Td
(tivity)Tj
2.5157 0 Td
(as)Tj
1.3111 0 Td
(the)Tj
1.7008 0 Td
(outcome)Tj
4.1173 0 Td
(.)Tj
0 Tc
-40.5782 -1.8567 Td
(Predicto)Tj
3.9827 0 Td
(r)Tj
20.8985 0 Td
(OR)Tj
1.7292 0 Td
(\(95%)Tj
2.5441 0 Td
(CI\))Tj
9.0922 0 Td
(p-value)Tj
/F0 1 Tf
-38.2467 -1.559 Td
(Age)Tj
1.9913 0 Td
(\(in)Tj
1.3323 0 Td
(years\))Tj
21.6852 0 Td
(1.01)Tj
2.1614 0 Td
(\(0.9981)Tj
3.9119 0 Td
(.02\))Tj
7.2922 0 Td
(0.11)Tj
-38.3743 -1.5662 Td
(Male)Tj
2.3811 0 Td
(gender)Tj
22.6277 0 Td
(0.58)Tj
2.1614 0 Td
(\(0.360.92)Tj
4.741 0 Td
(\))Tj
6.4631 0 Td
(0.02)Tj
-38.3743 -1.559 Td
(High)Tj
2.2606 0 Td
(risk)Tj
1.7788 0 Td
(milk)Tj
1.9984 0 Td
(consump)Tj
4.0252 0 Td
(tion)Tj
14.9458 0 Td
(0.46)Tj
2.1614 0 Td
(\(0.171.21)Tj
4.741 0 Td
(\))Tj
6.4631 0 Td
(0.12)Tj
-38.3743 -1.5662 Td
(High)Tj
2.2606 0 Td
(risk)Tj
1.7788 0 Td
(yoghurt)Tj
3.5433 0 Td
(consumpt)Tj
4.3087 0 Td
(ion)Tj
13.1174 0 Td
(1.00)Tj
2.1614 0 Td
(\(0.561.80)Tj
4.741 0 Td
(\))Tj
6.4631 0 Td
(0.99)Tj
-38.3743 -1.5591 Td
(High)Tj
2.2606 0 Td
(risk)Tj
1.7788 0 Td
(meat)Tj
2.4449 0 Td
(consump)Tj
4.0252 0 Td
(tion)Tj
14.4993 0 Td
(1.64)Tj
2.1614 0 Td
(\(0.554.88)Tj
4.741 0 Td
(\))Tj
6.4631 0 Td
(0.38)Tj
-38.3743 -1.5661 Td
(High)Tj
2.2606 0 Td
(risk)Tj
1.7788 0 Td
(blood)Tj
2.6504 0 Td
(consumpt)Tj
4.3087 0 Td
(ion)Tj
14.0103 0 Td
(1.21)Tj
2.1614 0 Td
(\(0.463.18)Tj
4.741 0 Td
(\))Tj
6.4631 0 Td
(0.70)Tj
-38.3743 -1.5591 Td
(Contact)Tj
3.6567 0 Td
(with)Tj
1.9913 0 Td
(livestock)Tj
4.0465 0 Td
(birth)Tj
2.1614 0 Td
(produc)Tj
3.0261 0 Td
(ts)Tj
10.1268 0 Td
(0.93)Tj
2.1614 0 Td
(\(0.253.45)Tj
4.741 0 Td
(\))Tj
6.4631 0 Td
(0.92)Tj
-38.3743 -1.5661 Td
(Contact)Tj
3.6567 0 Td
(with)Tj
1.9913 0 Td
(abortion)Tj
3.8127 0 Td
(materials)Tj
15.5481 0 Td
(1.10)Tj
2.1614 0 Td
(\(0.294.21)Tj
4.741 0 Td
(\))Tj
6.4631 0 Td
(0.89)Tj
-38.3743 -1.5591 Td
(Involvemen)Tj
5.074 0 Td
(t)Tj
0.5102 0 Td
(in)Tj
0.9993 0 Td
(animal)Tj
3.1464 0 Td
(slaughter)Tj
15.2789 0 Td
(5.02)Tj
2.1614 0 Td
(\(1.0424)Tj
3.9119 0 Td
(.26\))Tj
7.2922 0 Td
(0.04)Tj
-38.3743 -1.5662 Td
(Knowin)Tj
3.2456 0 Td
(g)Tj
0.7867 0 Td
(someone)Tj
4.3087 0 Td
(with)Tj
1.9913 0 Td
(brucellosis)Tj
4.9182 0 Td
(diagnosis)Tj
9.7583 0 Td
(1.59)Tj
2.1614 0 Td
(\(1.012.5\))Tj
11.2041 0 Td
(0.04)Tj
0.83 0.64 0.02 0 k
/F10 1 Tf
-0.025 Tc
-38.3743 -1.8708 Td
(https://d)Tj
3.0827 0 Td
(oi.org/10.1371/j)Tj
5.9173 0 Td
(ournal.pntd)Tj
4.2378 0 Td
(.0005508.t004)Tj
ET
Q
q
1 j
1 J
0 w
576 737.1 m
36 737.1 l
36 737.6 l
576 737.6 l
f*
36 741.2598 183.2882 23.6976 re
W* n
q
183.2315 0 0 23.6409 36 741.3165 cm
q
/I0 Do
Q
Q
Q
q
0 0 612 792 re
W* n
1 j
1 J
0 w
7.9999 0 0 7.9999 460.1763 745.7952 cm
BT
/F0 1 Tf
1 TL
-0.005 Tc
0 0 Td
(Poor)Tj
2.296 0 Td
(brucello)Tj
3.4229 0 Td
(sis)Tj
1.4244 0 Td
(test)Tj
1.8071 0 Td
(performanc)Tj
4.9749 0 Td
(e)Tj
ET
Q
q
1 j
1 J
0 w
36 48.0002 m
576 48.0002 l
576 47.5002 l
36 47.5002 l
f*
0.83 0.64 0.02 0 k
163.5591 34.9228 m
317.7071 34.9228 l
h
f*
0 g
7.9999 0 0 7.9999 36 36 cm
BT
/F0 1 Tf
1 TL
-0.005 Tc
0 0 Td
(PLOS)Tj
2.8559 0 Td
(Neglected)Tj
4.6417 0 Td
(Tropical)Tj
3.7135 0 Td
(Disease)Tj
3.5433 0 Td
(s)Tj
0.7158 0 Td
(|)Tj
0.83 0.64 0.02 0 k
0.4748 0 Td
(https://doi.or)Tj
5.4142 0 Td
(g/10.137)Tj
3.8197 0 Td
(1/journal.pn)Tj
5.1237 0 Td
(td.00055)Tj
3.8197 0 Td
(08)Tj
0 g
2.0905 0 Td
(April)Tj
2.1827 0 Td
(7,)Tj
1.0418 0 Td
(2017)Tj
25.7033 0 Td
(8)Tj
0.7654 0 Td
(/)Tj
ET
endstream
endobj
211 0 obj
<>stream
endstream
endobj
212 0 obj
<>stream
endstream
endobj
213 0 obj
<>stream
endstream
endobj
214 0 obj
<>stream
endstream
endobj
215 0 obj
<>stream
endstream
endobj
216 0 obj
<>stream
BT
66.402 0 Td
(15)Tj
ET
Q
endstream
endobj
217 0 obj
<>/XObject<>>>/CropBox[0 0 612 792]/MediaBox[0 0 612 792]/Parent 12 0 R/Annots 218 0 R/Contents 219 0 R/TrimBox[0 0 612 792]>>
endobj
218 0 obj
[220 0 R 221 0 R 222 0 R 223 0 R 224 0 R 225 0 R 226 0 R 227 0 R 228 0 R 229 0 R 230 0 R 231 0 R 232 0 R]
endobj
220 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref011)>>
endobj
221 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref024)>>
endobj
222 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref025)>>
endobj
223 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref027)>>
endobj
224 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref030)>>
endobj
225 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref042)>>
endobj
226 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref024)>>
endobj
227 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref025)>>
endobj
228 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref043)>>
endobj
229 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref042)>>
endobj
230 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref024)>>
endobj
231 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref044)>>
endobj
232 0 obj
<>/Border[0 0 0]/A 233 0 R>>
endobj
233 0 obj
<>
endobj
219 0 obj
[234 0 R 235 0 R 236 0 R 237 0 R 238 0 R 239 0 R 240 0 R 241 0 R 242 0 R 243 0 R]
endobj
234 0 obj
<>stream
q
0.83 0.64 0.02 0 k
311.6976 662.0031 m
321.222 662.0031 l
h
f*
323.4331 662.0031 m
332.9575 662.0031 l
h
f*
335.2252 662.0031 m
344.7496 662.0031 l
h
f*
346.9606 662.0031 m
356.485 662.0031 l
h
f*
358.7528 662.0031 m
368.2772 662.0031 l
h
f*
370.5449 662.0031 m
380.0126 662.0031 l
h
f*
284.0315 583.9937 m
293.5559 583.9937 l
h
f*
558.1417 544.989 m
567.6661 544.989 l
h
f*
443.6787 519.0236 m
453.2031 519.0236 l
h
f*
283.2945 505.9843 m
292.8189 505.9843 l
h
f*
478.885 505.9843 m
488.4094 505.9843 l
h
f*
492.378 375.9874 m
501.8457 375.9874 l
h
f*
0 g
1 j
1 J
0 w
11.9999 0 0 11.9999 200.0125 706.0535 cm
BT
/F2 1 Tf
1 TL
-0.0033 Tc
0 0 Td
(Discussion)Tj
ET
Q
q
1 j
1 J
0 w
10 0 0 10 200.0125 689.1023 cm
BT
/F8 1 Tf
1 TL
-0.004 Tc
0 0 Td
(We)Tj
1.61 0 Td
(have)Tj
2.058 0 Td
(demonstrated)Tj
5.7599 0 Td
(substantial)Tj
4.5014 0 Td
(disagreement)Tj
5.5842 0 Td
(between)Tj
3.532 0 Td
(results)Tj
2.8063 0 Td
(from)Tj
2.2053 0 Td
(the)Tj
1.4683 0 Td
(FBAT)Tj
2.6249 0 Td
(and)Tj
1.7291 0 Td
(results)Tj
-33.8794 -1.3039 Td
(from)Tj
2.2053 0 Td
(a)Tj
0.652 0 Td
(range)Tj
2.4661 0 Td
(of)Tj
1.0148 0 Td
(serological)Tj
4.4674 0 Td
(tests)Tj
1.9615 0 Td
(that)Tj
1.7802 0 Td
(have)Tj
2.0636 0 Td
(been)Tj
2.1203 0 Td
(repeatedly)Tj
4.337 0 Td
(shown)Tj
2.8516 0 Td
(to)Tj
1.0261 0 Td
(have)Tj
2.058 0 Td
(high)Tj
2.0069 0 Td
(diagnostic)Tj
4.32 0 Td
(accu-)Tj
-35.3308 -1.2982 Td
(racy)Tj
1.9048 0 Td
(for)Tj
1.3833 0 Td
(human)Tj
3.0784 0 Td
(brucellosis)Tj
4.4617 0 Td
([)Tj
0.83 0.64 0.02 0 k
(11)Tj
0 g
(,)Tj
0.83 0.64 0.02 0 k
(24)Tj
0 g
(,)Tj
0.83 0.64 0.02 0 k
(25)Tj
0 g
(,)Tj
0.83 0.64 0.02 0 k
(27)Tj
0 g
(,)Tj
0.83 0.64 0.02 0 k
(30)Tj
0 g
(,)Tj
0.83 0.64 0.02 0 k
(42)Tj
0 g
(].)Tj
7.9597 0 Td
(Whilst)Tj
2.8856 0 Td
(brucellosis)Tj
4.4617 0 Td
(should)Tj
2.914 0 Td
(not)Tj
1.5761 0 Td
(be)Tj
1.1508 0 Td
(excluded)Tj
3.7871 0 Td
(as)Tj
1.0148 0 Td
(a)Tj
-36.578 -1.2983 Td
(possible)Tj
3.4072 0 Td
(cause)Tj
2.3924 0 Td
(of)Tj
1.0148 0 Td
(febrile)Tj
2.7439 0 Td
(illness)Tj
2.6759 0 Td
(in)Tj
1.0318 0 Td
(the)Tj
1.474 0 Td
(population)Tj
4.5864 0 Td
(under)Tj
2.6192 0 Td
(study,)Tj
2.6192 0 Td
(our)Tj
1.6214 0 Td
(results)Tj
2.812 0 Td
(suggest)Tj
3.1238 0 Td
(it)Tj
0.7823 0 Td
(is)Tj
0.8504 0 Td
(an)Tj
-33.7547 -1.3039 Td
(uncommon)Tj
4.9209 0 Td
(cause,)Tj
2.6135 0 Td
(and)Tj
1.7291 0 Td
(certainly)Tj
3.6907 0 Td
(much)Tj
2.5171 0 Td
(rarer)Tj
2.1941 0 Td
(than)Tj
2.0239 0 Td
(results)Tj
2.8119 0 Td
(from)Tj
2.2054 0 Td
(the)Tj
1.4683 0 Td
(FBAT)Tj
2.6249 0 Td
(would)Tj
2.7099 0 Td
(suggest.)Tj
3.3505 0 Td
(It)Tj
0.8561 0 Td
(is)Tj
-35.7163 -1.2983 Td
(important)Tj
4.2802 0 Td
(to)Tj
1.0262 0 Td
(stress)Tj
2.3924 0 Td
(that)Tj
1.7801 0 Td
(the)Tj
1.4684 0 Td
(small)Tj
2.33 0 Td
(number)Tj
3.4186 0 Td
(of)Tj
1.0148 0 Td
(positive)Tj
3.3165 0 Td
(results)Tj
2.8063 0 Td
(obtained)Tj
3.736 0 Td
(using)Tj
2.3868 0 Td
(the)Tj
1.4683 0 Td
(RBT,)Tj
2.2621 0 Td
(SAT--)Tj
-33.6867 -1.2982 Td
(Coombs)Tj
3.5829 0 Td
(combination)Tj
5.3461 0 Td
(and)Tj
1.7348 0 Td
(LFA)Tj
1.9673 0 Td
(are)Tj
1.4513 0 Td
(not)Tj
1.5704 0 Td
(by)Tj
1.1848 0 Td
(themselves)Tj
4.5581 0 Td
(indicative)Tj
4.1329 0 Td
(of)Tj
1.0148 0 Td
(active)Tj
2.5172 0 Td
(brucellosis.)Tj
4.6884 0 Td
(There)Tj
2.5795 0 Td
(is)Tj
-36.3285 -1.304 Td
(no)Tj
1.2755 0 Td
(established)Tj
4.5978 0 Td
(diagnostic)Tj
4.3143 0 Td
(titre)Tj
1.8822 0 Td
(for)Tj
1.3833 0 Td
(a)Tj
0.6576 0 Td
(single)Tj
2.5285 0 Td
(SAT,)Tj
2.2167 0 Td
(which)Tj
2.6532 0 Td
(varies)Tj
2.5285 0 Td
(from)Tj
2.2053 0 Td
(1:80)Tj
1.8766 0 Td
(to)Tj
1.0204 0 Td
(320)Tj
1.6498 0 Td
(depending)Tj
4.4674 0 Td
(on)Tj
-35.2571 -1.2982 Td
(levels)Tj
2.3754 0 Td
(of)Tj
1.0148 0 Td
(endemicity)Tj
4.6714 0 Td
([)Tj
0.83 0.64 0.02 0 k
(24)Tj
0 g
(],)Tj
2.075 0 Td
(and)Tj
1.7348 0 Td
(any)Tj
1.6554 0 Td
(SAT)Tj
1.9899 0 Td
(result)Tj
2.4491 0 Td
(should)Tj
2.9197 0 Td
(be)Tj
1.1508 0 Td
(considered)Tj
4.5978 0 Td
(along)Tj
2.4208 0 Td
(with)Tj
1.9956 0 Td
(the)Tj
1.474 0 Td
(Coomb's)Tj
-32.5245 -1.2983 Td
(result.)Tj
2.6702 0 Td
(In)Tj
1.1111 0 Td
(this)Tj
1.6725 0 Td
(study,)Tj
2.6135 0 Td
(all)Tj
1.1509 0 Td
(but)Tj
1.5533 0 Td
(one)Tj
1.6951 0 Td
(FBAT)Tj
2.6249 0 Td
(positive)Tj
3.3165 0 Td
(individual)Tj
4.286 0 Td
(had)Tj
1.7121 0 Td
(SAT)Tj
1.9899 0 Td
(titres)Tj
/F15 1 Tf
0 Tc
2.2394 0 Td
(<)Tj
/F8 1 Tf
-0.004 Tc
0.9921 0 Td
(1:160,)Tj
2.5738 0 Td
(and)Tj
1.7291 0 Td
(only)Tj
-33.9304 -1.2983 Td
(three)Tj
2.262 0 Td
(had)Tj
1.7121 0 Td
(weak)Tj
2.2564 0 Td
(Coombs)Tj
3.5829 0 Td
(titres.)Tj
2.4662 0 Td
(In)Tj
1.1111 0 Td
(addition,)Tj
3.8211 0 Td
(none)Tj
2.245 0 Td
(of)Tj
1.0148 0 Td
(the)Tj
1.474 0 Td
(sera)Tj
1.8085 0 Td
(were)Tj
2.1203 0 Td
(positive)Tj
3.3165 0 Td
(on)Tj
1.2756 0 Td
(the)Tj
1.4684 0 Td
(RBT)Tj
2.0352 0 Td
(at)Tj
0.9525 0 Td
(dilu-)Tj
-34.9226 -1.3039 Td
(tions)Tj
2.1996 0 Td
(higher)Tj
2.8063 0 Td
(than)Tj
2.0239 0 Td
(1:2,)Tj
1.6214 0 Td
(which)Tj
2.6532 0 Td
(may)Tj
1.9276 0 Td
(suggest)Tj
3.1238 0 Td
(previous)Tj
3.6453 0 Td
(exposure)Tj
3.8211 0 Td
(rather)Tj
2.6418 0 Td
(than)Tj
2.0296 0 Td
(current)Tj
3.1862 0 Td
(infection)Tj
3.7927 0 Td
([)Tj
0.83 0.64 0.02 0 k
(25)Tj
0 g
(].)Tj
-35.4725 -1.2982 Td
(Five)Tj
1.8935 0 Td
(FBAT)Tj
2.6192 0 Td
(positive)Tj
3.3165 0 Td
(sera)Tj
1.8085 0 Td
(were)Tj
2.126 0 Td
(IgM)Tj
1.9162 0 Td
(positive)Tj
3.3165 0 Td
(in)Tj
1.0375 0 Td
(the)Tj
1.4683 0 Td
(LFA.)Tj
2.194 0 Td
(The)Tj
1.7858 0 Td
(presence)Tj
3.7077 0 Td
(of)Tj
1.0148 0 Td
(the)Tj
1.474 0 Td
(rheumatoid)Tj
4.9209 0 Td
(factor)Tj
-34.5994 -1.2983 Td
(\(a)Tj
0.9921 0 Td
(group)Tj
2.6078 0 Td
(of)Tj
1.0148 0 Td
(auto-antibodies)Tj
6.48 0 Td
(that)Tj
1.7801 0 Td
(recognize)Tj
4.0592 0 Td
(Fc)Tj
1.1736 0 Td
(regions)Tj
3.1634 0 Td
(of)Tj
1.0148 0 Td
(IgG)Tj
1.7405 0 Td
([)Tj
0.83 0.64 0.02 0 k
(43)Tj
0 g
(]\))Tj
2.1883 0 Td
(is)Tj
0.8504 0 Td
(a)Tj
0.6519 0 Td
(known)Tj
3.0047 0 Td
(cause)Tj
2.3925 0 Td
(of)Tj
1.0148 0 Td
(false)Tj
-34.1289 -1.3039 Td
(positives)Tj
3.6736 0 Td
(in)Tj
1.0375 0 Td
(this)Tj
1.6724 0 Td
(test)Tj
1.6044 0 Td
([)Tj
0.83 0.64 0.02 0 k
(42)Tj
0 g
(].)Tj
2.075 0 Td
(Since)Tj
2.3584 0 Td
(IgM)Tj
1.9162 0 Td
(is)Tj
0.8504 0 Td
(readily)Tj
2.9423 0 Td
(detected)Tj
3.566 0 Td
(using)Tj
2.3924 0 Td
(the)Tj
1.4684 0 Td
(SAT)Tj
1.9899 0 Td
([)Tj
0.83 0.64 0.02 0 k
(24)Tj
0 g
(],)Tj
2.0806 0 Td
(this)Tj
1.6724 0 Td
(is)Tj
0.8447 0 Td
(a)Tj
0.6577 0 Td
(possible)Tj
-32.8023 -1.2983 Td
(explanation)Tj
4.9095 0 Td
(for)Tj
1.3833 0 Td
(the)Tj
1.474 0 Td
(observed)Tj
3.7928 0 Td
(discord)Tj
3.2031 0 Td
(between)Tj
3.5319 0 Td
(LFA)Tj
1.9673 0 Td
(and)Tj
1.7291 0 Td
(SAT)Tj
1.9956 0 Td
(results.)Tj
3.033 0 Td
(In)Tj
1.1055 0 Td
(the)Tj
1.474 0 Td
(absence)Tj
3.3392 0 Td
(of)Tj
1.0148 0 Td
(bacterio-)Tj
-33.9531 -1.2982 Td
(logical)Tj
2.8062 0 Td
(evidence)Tj
3.7134 0 Td
(or)Tj
1.0998 0 Td
(the)Tj
1.4684 0 Td
(availability)Tj
4.5297 0 Td
(of)Tj
1.0148 0 Td
(convalescent)Tj
5.3121 0 Td
(antibody)Tj
3.7644 0 Td
(titres,)Tj
2.4661 0 Td
(the)Tj
1.4683 0 Td
(few)Tj
1.6158 0 Td
(positive)Tj
3.3165 0 Td
(sera)Tj
1.8085 0 Td
(identi-)Tj
-34.384 -1.304 Td
(fied)Tj
1.7234 0 Td
(using)Tj
2.3924 0 Td
(SAT-Coombs,)Tj
5.9301 0 Td
(RBT)Tj
2.0352 0 Td
(and)Tj
1.7292 0 Td
(LFA)Tj
1.9672 0 Td
(can)Tj
1.6271 0 Td
(therefore)Tj
3.8551 0 Td
(only)Tj
1.9785 0 Td
(be)Tj
1.1452 0 Td
(considered)Tj
4.6035 0 Td
(as)Tj
1.0148 0 Td
("suspicious")Tj
4.9776 0 Td
(for)Tj
-34.9793 -1.2982 Td
(brucellosis.)Tj
4.6828 0 Td
(This)Tj
1.9899 0 Td
(fact,)Tj
1.8878 0 Td
(combined)Tj
4.2463 0 Td
(with)Tj
1.9956 0 Td
(the)Tj
1.4683 0 Td
(low)Tj
1.6611 0 Td
(number)Tj
3.4129 0 Td
(of)Tj
1.0148 0 Td
(suspicious)Tj
5.125 0 Td
(cases)Tj
2.2223 0 Td
(identified,)Tj
4.286 0 Td
(limits)Tj
-33.9928 -1.2983 Td
(our)Tj
1.627 0 Td
(ability)Tj
2.6929 0 Td
(to)Tj
1.0262 0 Td
(derive)Tj
2.6872 0 Td
(formal)Tj
2.8856 0 Td
(estimates)Tj
3.9062 0 Td
(of)Tj
1.0148 0 Td
(test)Tj
1.5987 0 Td
(performance)Tj
5.3518 0 Td
(for)Tj
1.3833 0 Td
(the)Tj
1.4683 0 Td
(FBAT.)Tj
2.8516 0 Td
(However,)Tj
4.0762 0 Td
(results)Tj
2.8063 0 Td
(from)Tj
-35.3761 -1.2983 Td
(this)Tj
1.6724 0 Td
(study)Tj
2.3924 0 Td
(strongly)Tj
3.4696 0 Td
(suggest)Tj
3.1238 0 Td
(that)Tj
1.7744 0 Td
(this)Tj
1.6781 0 Td
(test)Tj
1.5988 0 Td
(generates)Tj
3.9684 0 Td
(large)Tj
2.16 0 Td
(numbers)Tj
3.7814 0 Td
(of)Tj
1.0148 0 Td
(false)Tj
1.9729 0 Td
(positives)Tj
3.6737 0 Td
(and)Tj
1.7291 0 Td
(has)Tj
1.5477 0 Td
(poor)Tj
-35.5575 -1.3039 Td
(diagnostic)Tj
4.3199 0 Td
(specificity.)Tj
4.4334 0 Td
(This)Tj
1.9899 0 Td
(interpretation)Tj
5.794 0 Td
(is)Tj
0.8447 0 Td
(further)Tj
3.0274 0 Td
(supported)Tj
4.2746 0 Td
(by)Tj
1.1792 0 Td
(the)Tj
1.4683 0 Td
(fact)Tj
1.6668 0 Td
(that)Tj
1.7801 0 Td
(we)Tj
1.3266 0 Td
(found)Tj
2.6192 0 Td
(no)Tj
1.2756 0 Td
(evi-)Tj
-35.9997 -1.2982 Td
(dence)Tj
2.5681 0 Td
(of)Tj
1.0148 0 Td
(an)Tj
1.2019 0 Td
(association)Tj
4.6261 0 Td
(between)Tj
3.5263 0 Td
(FBAT)Tj
2.6249 0 Td
(seropositivity)Tj
5.5728 0 Td
(and)Tj
1.7348 0 Td
(most)Tj
2.2054 0 Td
(of)Tj
1.0148 0 Td
(the)Tj
1.4683 0 Td
(anticipated)Tj
4.6601 0 Td
(high-risk)Tj
-32.2183 -1.2983 Td
(food)Tj
2.0466 0 Td
(or)Tj
1.0998 0 Td
(animal)Tj
2.9707 0 Td
(exposures.)Tj
4.3993 0 Td
(The)Tj
1.7858 0 Td
(only)Tj
1.9729 0 Td
(exception)Tj
4.0989 0 Td
(was)Tj
1.6951 0 Td
(involvement)Tj
5.2157 0 Td
(with)Tj
1.9956 0 Td
(animal)Tj
2.9707 0 Td
(slaughter,)Tj
4.0989 0 Td
(which)Tj
-34.35 -1.3039 Td
(has)Tj
1.542 0 Td
(been)Tj
2.1203 0 Td
(shown)Tj
2.8516 0 Td
(to)Tj
1.0262 0 Td
(be)Tj
1.1451 0 Td
(a)Tj
0.6577 0 Td
(risk)Tj
1.7121 0 Td
(factor)Tj
2.5455 0 Td
(for)Tj
1.3833 0 Td
(human)Tj
3.0784 0 Td
(brucellosis)Tj
4.4617 0 Td
(in)Tj
1.0375 0 Td
(other)Tj
2.347 0 Td
(studies)Tj
2.9877 0 Td
([)Tj
0.83 0.64 0.02 0 k
(44)Tj
0 g
(].)Tj
-27.6999 -1.2983 Td
(The)Tj
1.7858 0 Td
(poor)Tj
2.1203 0 Td
(performance)Tj
5.3461 0 Td
(of)Tj
1.0148 0 Td
(the)Tj
1.474 0 Td
(FBAT)Tj
2.6192 0 Td
(cannot)Tj
2.982 0 Td
(be)Tj
1.1509 0 Td
(attributed)Tj
4.1725 0 Td
(to)Tj
1.0262 0 Td
(the)Tj
1.4683 0 Td
(particular)Tj
4.1102 0 Td
(kit)Tj
1.2813 0 Td
(used)Tj
2.0636 0 Td
(in)Tj
1.0318 0 Td
(health)Tj
-34.8432 -1.2983 Td
(facilities)Tj
3.4922 0 Td
(involved)Tj
3.651 0 Td
(in)Tj
1.0375 0 Td
(this)Tj
1.6724 0 Td
(study,)Tj
2.6135 0 Td
(since)Tj
2.2451 0 Td
(a)Tj
0.6519 0 Td
(high)Tj
2.0126 0 Td
(rate)Tj
1.7461 0 Td
(of)Tj
1.0148 0 Td
(false)Tj
1.9729 0 Td
(positive)Tj
3.3166 0 Td
(results)Tj
2.8062 0 Td
(were)Tj
2.1203 0 Td
(also)Tj
1.7689 0 Td
(observed)Tj
3.7984 0 Td
(at)Tj
-35.9204 -1.3039 Td
(the)Tj
1.4683 0 Td
(University)Tj
4.405 0 Td
(of)Tj
1.0148 0 Td
(Navarra)Tj
3.4526 0 Td
(with)Tj
1.9956 0 Td
(a)Tj
0.6576 0 Td
(different)Tj
3.6567 0 Td
(kit.)Tj
1.508 0 Td
(Neither)Tj
3.2655 0 Td
(health)Tj
2.6759 0 Td
(facility)Tj
2.9026 0 Td
(involved)Tj
3.6453 0 Td
(in)Tj
1.0375 0 Td
(this)Tj
1.6725 0 Td
(study)Tj
2.3924 0 Td
(rou-)Tj
-35.7503 -1.2982 Td
(tinely)Tj
2.4547 0 Td
(performed)Tj
4.4731 0 Td
(serial)Tj
2.3244 0 Td
(dilutions)Tj
3.77 0 Td
(for)Tj
1.3833 0 Td
(positive)Tj
3.3165 0 Td
(cases)Tj
2.2224 0 Td
(and,)Tj
1.9559 0 Td
(based)Tj
2.4718 0 Td
(on)Tj
1.2756 0 Td
(discussion)Tj
4.371 0 Td
(with)Tj
2.0012 0 Td
(laboratory)Tj
-32.0199 -1.2983 Td
(managers)Tj
4.0761 0 Td
(at)Tj
0.9525 0 Td
(other)Tj
2.3471 0 Td
(health)Tj
2.6758 0 Td
(facilities)Tj
3.498 0 Td
(in)Tj
1.0374 0 Td
(western)Tj
3.3279 0 Td
(Kenya,)Tj
2.982 0 Td
(the)Tj
1.4684 0 Td
(semi-quantitative)Tj
7.1999 0 Td
(estimation)Tj
4.4447 0 Td
(of)Tj
1.0148 0 Td
(anti-)Tj
-35.0246 -1.3039 Td
(body)Tj
2.2166 0 Td
(titres)Tj
2.2394 0 Td
(using)Tj
2.3867 0 Td
(the)Tj
1.4684 0 Td
(FBAT)Tj
2.6248 0 Td
(appears)Tj
3.2769 0 Td
(to)Tj
1.0261 0 Td
(be)Tj
1.1509 0 Td
(rare)Tj
1.8198 0 Td
(practice)Tj
3.3789 0 Td
(in)Tj
1.0374 0 Td
(the)Tj
1.4684 0 Td
(region.)Tj
3.0274 0 Td
(Our)Tj
1.8652 0 Td
(ability)Tj
2.6985 0 Td
(to)Tj
1.0205 0 Td
(evaluate)Tj
-32.7059 -1.2983 Td
(appropriate)Tj
4.8755 0 Td
(cut-offs)Tj
3.2655 0 Td
(is)Tj
0.8504 0 Td
(limited)Tj
3.0671 0 Td
(in)Tj
1.0374 0 Td
(this)Tj
1.6725 0 Td
(study)Tj
2.3924 0 Td
(by)Tj
1.1792 0 Td
(the)Tj
1.4683 0 Td
(absence)Tj
3.3392 0 Td
(of)Tj
1.0148 0 Td
(confirmed)Tj
4.3994 0 Td
(cases)Tj
2.2223 0 Td
(and)Tj
1.7291 0 Td
(small)Tj
2.3301 0 Td
(num-)Tj
-34.8432 -1.2982 Td
(ber)Tj
1.5193 0 Td
(of)Tj
1.0148 0 Td
(suspicious)Tj
4.3427 0 Td
(cases,)Tj
2.4491 0 Td
(but)Tj
1.5534 0 Td
(there)Tj
2.262 0 Td
(was)Tj
1.7008 0 Td
(evidence)Tj
3.7077 0 Td
(of)Tj
1.0148 0 Td
(a)Tj
0.6576 0 Td
(strong)Tj
2.7723 0 Td
(association)Tj
4.6261 0 Td
(between)Tj
3.5262 0 Td
(RBT)Tj
2.0353 0 Td
(positivity)Tj
-33.1821 -1.2983 Td
(and)Tj
1.7291 0 Td
(titres)Tj
/F14 1 Tf
0 Tc
2.2393 0 Td
()Tj
/F8 1 Tf
-0.004 Tc
(1:160)Tj
3.1181 0 Td
(on)Tj
1.2756 0 Td
(the)Tj
1.4683 0 Td
(FBAT,)Tj
2.8517 0 Td
(suggesting)Tj
4.3993 0 Td
(the)Tj
1.474 0 Td
(use)Tj
1.5307 0 Td
(of)Tj
1.0148 0 Td
(a)Tj
0.652 0 Td
(higher)Tj
2.8063 0 Td
(cut-off)Tj
2.9026 0 Td
(may)Tj
1.9276 0 Td
(improve)Tj
3.5773 0 Td
(the)Tj
1.474 0 Td
(diag-)Tj
-34.4407 -1.3039 Td
(nostic)Tj
2.6248 0 Td
(specificity)Tj
4.2123 0 Td
(of)Tj
1.0148 0 Td
(the)Tj
1.4683 0 Td
(test.)Tj
-8.124 -1.2983 Td
(The)Tj
1.7858 0 Td
(low)Tj
1.6554 0 Td
(prevalence)Tj
4.4844 0 Td
(of)Tj
1.0148 0 Td
(brucellosis)Tj
4.4617 0 Td
(in)Tj
1.0375 0 Td
(the)Tj
1.4683 0 Td
(study)Tj
2.3924 0 Td
(population)Tj
4.5921 0 Td
(combined)Tj
4.2406 0 Td
(with)Tj
1.9956 0 Td
(the)Tj
1.474 0 Td
(apparently)Tj
-31.7988 -1.2983 Td
(poor)Tj
2.1203 0 Td
(specificity)Tj
4.2122 0 Td
(of)Tj
1.0148 0 Td
(FBAT)Tj
2.6249 0 Td
(suggests)Tj
3.4809 0 Td
(considerable)Tj
5.2611 0 Td
(overdiagnosis)Tj
5.7146 0 Td
(of)Tj
1.0148 0 Td
(human)Tj
3.0784 0 Td
(brucellosis.)Tj
4.6828 0 Td
(An)Tj
1.457 0 Td
(impor-)Tj
-34.6618 -1.3039 Td
(tant)Tj
1.7971 0 Td
(consideration,)Tj
5.93 0 Td
(however,)Tj
3.8381 0 Td
(is)Tj
0.8504 0 Td
(that)Tj
1.7745 0 Td
(the)Tj
1.4683 0 Td
(provision)Tj
4.0252 0 Td
(of)Tj
1.0148 0 Td
(free)Tj
1.7235 0 Td
(brucellosis)Tj
4.4617 0 Td
(testing)Tj
2.8856 0 Td
(to)Tj
1.0205 0 Td
(participants)Tj
4.9606 0 Td
(may)Tj
-35.7503 -1.2982 Td
(have)Tj
2.0579 0 Td
(contributed)Tj
4.9209 0 Td
(to)Tj
1.0261 0 Td
(the)Tj
1.4684 0 Td
(capture)Tj
3.2144 0 Td
(of)Tj
1.0148 0 Td
(more)Tj
2.3414 0 Td
(patients)Tj
3.3676 0 Td
(than)Tj
2.0296 0 Td
(would)Tj
2.7155 0 Td
(typically)Tj
3.5603 0 Td
(be)Tj
1.1509 0 Td
(tested)Tj
2.5512 0 Td
(for)Tj
1.3889 0 Td
(the)Tj
1.4684 0 Td
(disease)Tj
-34.2763 -1.2983 Td
(in)Tj
1.0318 0 Td
(the)Tj
1.474 0 Td
(study)Tj
2.3867 0 Td
(health)Tj
2.6759 0 Td
(facilities.)Tj
3.7247 0 Td
(It)Tj
0.8561 0 Td
(is)Tj
0.8504 0 Td
(therefore)Tj
3.855 0 Td
(possible)Tj
3.4073 0 Td
(that)Tj
1.7801 0 Td
(levels)Tj
2.3754 0 Td
(of)Tj
1.0148 0 Td
(overdiagnosis)Tj
5.7146 0 Td
(indicated)Tj
3.9345 0 Td
(by)Tj
-35.0813 -1.3039 Td
(this)Tj
1.6724 0 Td
(study)Tj
2.3924 0 Td
(are)Tj
1.4457 0 Td
(exaggerated.)Tj
5.176 0 Td
(In)Tj
1.1112 0 Td
(the)Tj
1.4683 0 Td
(period)Tj
2.8346 0 Td
(from)Tj
2.2054 0 Td
(June)Tj
2.0522 0 Td
(2010)Tj
2.1203 0 Td
(to)Tj
1.0262 0 Td
(June)Tj
2.0466 0 Td
(2011,)Tj
2.3471 0 Td
(BCH)Tj
2.2336 0 Td
(\(then)Tj
2.3585 0 Td
(named)Tj
-32.4905 -1.2983 Td
(Busia)Tj
2.3867 0 Td
(District)Tj
3.2428 0 Td
(Hospital\))Tj
3.9628 0 Td
(recorded)Tj
3.7928 0 Td
(129)Tj
1.6497 0 Td
(cases)Tj
2.2224 0 Td
(of)Tj
1.0148 0 Td
(brucellosis,)Tj
4.6828 0 Td
(whilst)Tj
2.6078 0 Td
(we)Tj
1.3266 0 Td
(identified)Tj
4.0592 0 Td
(162)Tj
1.6441 0 Td
(individuals)Tj
-32.5925 -1.2983 Td
(as)Tj
1.0147 0 Td
(reactive)Tj
3.3166 0 Td
(on)Tj
1.2755 0 Td
(the)Tj
1.4684 0 Td
(FBAT)Tj
2.6248 0 Td
(over)Tj
1.9729 0 Td
(an)Tj
1.2019 0 Td
(approximately)Tj
5.9754 0 Td
(6)Tj
0.6973 0 Td
(month)Tj
2.9197 0 Td
(period)Tj
2.8346 0 Td
(between)Tj
3.532 0 Td
(June)Tj
2.0466 0 Td
(and)Tj
1.7291 0 Td
(December)Tj
-32.6095 -1.3039 Td
(2012.)Tj
2.347 0 Td
(However,)Tj
4.0762 0 Td
(given)Tj
2.3811 0 Td
(the)Tj
1.4683 0 Td
(small)Tj
2.3244 0 Td
(number)Tj
3.4186 0 Td
(of)Tj
1.0148 0 Td
(suspicious)Tj
4.3426 0 Td
(cases)Tj
2.2224 0 Td
(we)Tj
1.3266 0 Td
(observed)Tj
3.7984 0 Td
(over)Tj
1.9729 0 Td
(the)Tj
1.4683 0 Td
(six)Tj
1.3153 0 Td
(months)Tj
3.2825 0 Td
(of)Tj
-36.7594 -1.2982 Td
(data)Tj
1.9105 0 Td
(collection,)Tj
4.337 0 Td
(the)Tj
1.4683 0 Td
(number)Tj
3.4186 0 Td
(of)Tj
1.0148 0 Td
(cases)Tj
2.2223 0 Td
(detected)Tj
3.566 0 Td
(in)Tj
1.0318 0 Td
(2010)Tj
2.1203 0 Td
(and)Tj
1.7291 0 Td
(2011)Tj
2.126 0 Td
(also)Tj
1.7631 0 Td
(point)Tj
2.3584 0 Td
(to)Tj
1.0262 0 Td
(high)Tj
2.0069 0 Td
(levels)Tj
2.3754 0 Td
(of)Tj
1.0148 0 Td
(over-)Tj
-35.4895 -1.2983 Td
(diagnosis)Tj
3.9571 0 Td
(for)Tj
1.389 0 Td
(this)Tj
1.6724 0 Td
(disease.)Tj
3.2428 0 Td
(Typical)Tj
3.1748 0 Td
(treatment)Tj
4.1329 0 Td
(for)Tj
1.3889 0 Td
(brucellosis)Tj
4.4617 0 Td
(in)Tj
1.0318 0 Td
(health)Tj
2.6816 0 Td
(facilities)Tj
3.4923 0 Td
(in)Tj
1.0374 0 Td
(the)Tj
1.4684 0 Td
(study)Tj
2.3924 0 Td
(area)Tj
-35.5235 -1.2983 Td
(is)Tj
0.8447 0 Td
(6)Tj
0.6973 0 Td
(weeks)Tj
2.6078 0 Td
(of)Tj
1.0148 0 Td
(oral)Tj
1.7802 0 Td
(doxycycline)Tj
4.9606 0 Td
(combined)Tj
4.2463 0 Td
(with)Tj
1.9955 0 Td
(either)Tj
2.5342 0 Td
(2)Tj
0.6916 0 Td
(weeks)Tj
2.6079 0 Td
(of)Tj
1.0148 0 Td
(intramuscular)Tj
5.8507 0 Td
(streptomycin)Tj
5.5105 0 Td
(or)Tj
ET
Q
q
1 j
1 J
0 w
576 737.1 m
36 737.1 l
36 737.6 l
576 737.6 l
f*
36 741.2598 183.2882 23.6976 re
W* n
q
183.2315 0 0 23.6409 36 741.3165 cm
q
/I0 Do
Q
Q
Q
q
0 0 612 792 re
W* n
1 j
1 J
0 w
7.9999 0 0 7.9999 460.1763 745.7952 cm
BT
/F0 1 Tf
1 TL
-0.005 Tc
0 0 Td
(Poor)Tj
2.296 0 Td
(brucello)Tj
3.4229 0 Td
(sis)Tj
1.4244 0 Td
(test)Tj
1.8071 0 Td
(performanc)Tj
4.9749 0 Td
(e)Tj
ET
Q
q
1 j
1 J
0 w
36 48.0002 m
576 48.0002 l
576 47.5002 l
36 47.5002 l
f*
0.83 0.64 0.02 0 k
163.5591 34.9228 m
317.7071 34.9228 l
h
f*
0 g
7.9999 0 0 7.9999 36 36 cm
BT
/F0 1 Tf
1 TL
-0.005 Tc
0 0 Td
(PLOS)Tj
2.8559 0 Td
(Neglected)Tj
4.6417 0 Td
(Tropical)Tj
3.7135 0 Td
(Disease)Tj
3.5433 0 Td
(s)Tj
0.7158 0 Td
(|)Tj
0.83 0.64 0.02 0 k
0.4748 0 Td
(https://doi.or)Tj
5.4142 0 Td
(g/10.137)Tj
3.8197 0 Td
(1/journal.pn)Tj
5.1237 0 Td
(td.00055)Tj
3.8197 0 Td
(08)Tj
0 g
2.0905 0 Td
(April)Tj
2.1827 0 Td
(7,)Tj
1.0418 0 Td
(2017)Tj
25.7033 0 Td
(9)Tj
0.7654 0 Td
(/)Tj
ET
endstream
endobj
235 0 obj
<>stream
endstream
endobj
236 0 obj
<>stream
endstream
endobj
237 0 obj
<>stream
endstream
endobj
238 0 obj
<>stream
endstream
endobj
239 0 obj
<>stream
endstream
endobj
240 0 obj
<>stream
endstream
endobj
241 0 obj
<>stream
endstream
endobj
242 0 obj
<>stream
endstream
endobj
243 0 obj
<>stream
BT
66.402 0 Td
(15)Tj
ET
Q
endstream
endobj
244 0 obj
<>/XObject<>>>/CropBox[0 0 612 792]/MediaBox[0 0 612 792]/Parent 12 0 R/Annots 245 0 R/Contents 246 0 R/TrimBox[0 0 612 792]>>
endobj
245 0 obj
[247 0 R 248 0 R 249 0 R 250 0 R 251 0 R 252 0 R 253 0 R 254 0 R 255 0 R 256 0 R 257 0 R 258 0 R 259 0 R 260 0 R 261 0 R 262 0 R 263 0 R 264 0 R 265 0 R 266 0 R 267 0 R 268 0 R 269 0 R]
endobj
247 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref045)>>
endobj
248 0 obj
<>/Border[0 0 0]/A 270 0 R>>
endobj
270 0 obj
<>
endobj
249 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref046)>>
endobj
250 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref005)>>
endobj
251 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref047)>>
endobj
252 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref018)>>
endobj
253 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref048)>>
endobj
254 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref049)>>
endobj
255 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref011)>>
endobj
256 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref018)>>
endobj
257 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref024)>>
endobj
258 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref048)>>
endobj
259 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref050)>>
endobj
260 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref011)>>
endobj
261 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref018)>>
endobj
262 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref024)>>
endobj
263 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref051)>>
endobj
264 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref048)>>
endobj
265 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref031)>>
endobj
266 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref016)>>
endobj
267 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref052)>>
endobj
268 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref053)>>
endobj
269 0 obj
<>/Border[0 0 0]/A 271 0 R>>
endobj
271 0 obj
<>
endobj
246 0 obj
[272 0 R 273 0 R 274 0 R 275 0 R 276 0 R 277 0 R 278 0 R 279 0 R 280 0 R 281 0 R 282 0 R 283 0 R 284 0 R 285 0 R 286 0 R 287 0 R]
endobj
272 0 obj
<>stream
q
0.83 0.64 0.02 0 k
535.6913 641.3102 m
545.2157 641.3102 l
h
f*
342.1417 615.3449 m
415.7291 615.3449 l
h
f*
264.926 602.3055 m
274.4504 602.3055 l
h
f*
353.6504 576.3402 m
358.4126 576.3402 l
h
f*
360.6803 576.3402 m
370.2047 576.3402 l
h
f*
394.526 498.3307 m
404.0504 498.3307 l
h
f*
241.6252 459.326 m
251.1496 459.326 l
h
f*
464.5984 459.326 m
474.1228 459.326 l
h
f*
521.9717 446.3433 m
531.4394 446.3433 l
h
f*
533.7071 446.3433 m
543.2315 446.3433 l
h
f*
545.4992 446.3433 m
555.0236 446.3433 l
h
f*
557.2346 446.3433 m
566.7591 446.3433 l
h
f*
313.0583 368.3339 m
322.5827 368.3339 l
h
f*
455.4142 368.3339 m
464.9386 368.3339 l
h
f*
467.1496 368.3339 m
476.674 368.3339 l
h
f*
478.9417 368.3339 m
488.4661 368.3339 l
h
f*
490.7339 368.3339 m
500.2016 368.3339 l
h
f*
203.3008 303.3071 m
212.5984 303.3071 l
h
f*
445.7764 212.315 m
455.074 212.315 l
h
f*
544.3654 160.3276 m
553.663 160.3276 l
h
f*
525.3732 95.3008 m
534.8976 95.3008 l
h
f*
550.3748 82.3181 m
559.8992 82.3181 l
h
f*
0 g
1 j
1 J
0 w
10 0 0 10 200.0125 707.4141 cm
BT
/F8 1 Tf
1 TL
-0.004 Tc
0 0 Td
(6)Tj
0.6916 0 Td
(weeks)Tj
2.6135 0 Td
(of)Tj
1.0148 0 Td
(oral)Tj
1.7745 0 Td
(rifampicin.)Tj
4.6488 0 Td
(Whilst)Tj
2.8856 0 Td
(the)Tj
1.474 0 Td
(clinical)Tj
3.0728 0 Td
(management)Tj
5.4368 0 Td
(of)Tj
1.0148 0 Td
(recruited)Tj
3.8551 0 Td
(patients)Tj
3.3675 0 Td
(was)Tj
1.7008 0 Td
(not)Tj
-33.5506 -1.3039 Td
(recorded)Tj
3.7927 0 Td
(as)Tj
1.0148 0 Td
(part)Tj
1.8425 0 Td
(of)Tj
1.0148 0 Td
(this)Tj
1.6724 0 Td
(study,)Tj
2.6192 0 Td
(treatment)Tj
4.1329 0 Td
(is)Tj
0.8504 0 Td
(routinely)Tj
3.8607 0 Td
(recommended)Tj
6.0378 0 Td
(in)Tj
1.0375 0 Td
(both)Tj
2.0579 0 Td
(health)Tj
2.6759 0 Td
(facilities)Tj
3.4979 0 Td
(to)Tj
-36.1074 -1.2982 Td
(any)Tj
1.6554 0 Td
(individual)Tj
4.2859 0 Td
(with)Tj
2.0013 0 Td
(a)Tj
0.6519 0 Td
(reactive)Tj
3.3166 0 Td
(FBAT)Tj
2.6248 0 Td
(test.)Tj
1.8255 0 Td
(We)Tj
1.6101 0 Td
(therefore)Tj
3.8551 0 Td
(expect)Tj
2.7666 0 Td
(that)Tj
1.7801 0 Td
(a)Tj
0.652 0 Td
(substantial)Tj
4.507 0 Td
(proportion)Tj
4.6318 0 Td
(of)Tj
-36.1641 -1.2983 Td
(brucellosis)Tj
4.4617 0 Td
(treatments)Tj
4.4957 0 Td
(in)Tj
1.0374 0 Td
(western)Tj
3.3279 0 Td
(Kenya)Tj
2.7553 0 Td
(are)Tj
1.4456 0 Td
(inappropriate.)Tj
5.9244 0 Td
(This)Tj
1.9842 0 Td
(will)Tj
1.6611 0 Td
(result)Tj
2.4491 0 Td
(in)Tj
1.0375 0 Td
(unnecessary)Tj
5.0967 0 Td
(eco-)Tj
-35.6766 -1.2983 Td
(nomic)Tj
2.7836 0 Td
(costs)Tj
2.1713 0 Td
(for)Tj
1.3889 0 Td
(patients,)Tj
3.5887 0 Td
(and)Tj
1.7348 0 Td
(may)Tj
1.9275 0 Td
(represent)Tj
3.9572 0 Td
(important)Tj
4.2803 0 Td
(misuse)Tj
2.982 0 Td
(of)Tj
1.0148 0 Td
(antibiotics.)Tj
4.6204 0 Td
(This)Tj
1.9899 0 Td
(is)Tj
0.8504 0 Td
(of)Tj
1.0148 0 Td
(particu-)Tj
-34.3046 -1.3039 Td
(lar)Tj
1.2699 0 Td
(concern)Tj
3.4639 0 Td
(for)Tj
1.3889 0 Td
(the)Tj
1.4684 0 Td
(selection)Tj
3.719 0 Td
(of)Tj
1.0148 0 Td
(resistance)Tj
4.1329 0 Td
(to)Tj
1.0261 0 Td
(rifampicin,)Tj
4.6488 0 Td
(a)Tj
0.652 0 Td
(first)Tj
1.8085 0 Td
(line)Tj
1.7008 0 Td
(treatment)Tj
4.1385 0 Td
(for)Tj
1.3833 0 Td
(TB)Tj
1.4117 0 Td
([)Tj
0.83 0.64 0.02 0 k
(45)Tj
0 g
(].)Tj
-32.0313 -1.2982 Td
(In)Tj
1.1111 0 Td
(2012,)Tj
2.3471 0 Td
(75,256)Tj
2.8233 0 Td
(brucellosis)Tj
4.4617 0 Td
(cases)Tj
2.2224 0 Td
(in)Tj
1.0374 0 Td
(individuals)Tj
4.6488 0 Td
(over)Tj
1.9786 0 Td
(five)Tj
1.6497 0 Td
(years)Tj
2.2677 0 Td
(of)Tj
1.0148 0 Td
(age)Tj
1.5421 0 Td
(were)Tj
2.1203 0 Td
(reported)Tj
3.6623 0 Td
(to)Tj
1.0262 0 Td
(the)Tj
-35.1097 -1.2983 Td
(Kenya)Tj
2.7552 0 Td
(Health)Tj
2.914 0 Td
(Information)Tj
5.1534 0 Td
(System)Tj
3.05 0 Td
(\()Tj
0.83 0.64 0.02 0 k
(www.hiskenya.org)Tj
0 g
(\),)Tj
8.4869 0 Td
(giving)Tj
2.6872 0 Td
(an)Tj
1.2019 0 Td
(annual)Tj
2.9594 0 Td
(incidence)Tj
4.0705 0 Td
(of)Tj
1.0148 0 Td
(230)Tj
1.6497 0 Td
(per)Tj
-35.943 -1.3039 Td
(100,000)Tj
3.2995 0 Td
(people)Tj
2.8516 0 Td
([)Tj
0.83 0.64 0.02 0 k
(46)Tj
0 g
(].)Tj
2.0806 0 Td
(We)Tj
1.6044 0 Td
(suspect)Tj
3.1351 0 Td
(that)Tj
1.7802 0 Td
(the)Tj
1.4683 0 Td
(vast)Tj
1.7688 0 Td
(majority)Tj
3.6283 0 Td
(of)Tj
1.0148 0 Td
(these)Tj
2.2507 0 Td
(cases)Tj
2.2224 0 Td
(were)Tj
2.1259 0 Td
(diagnosed)Tj
4.2803 0 Td
(on)Tj
1.2756 0 Td
(the)Tj
-34.7865 -1.2983 Td
(basis)Tj
2.1486 0 Td
(of)Tj
1.0148 0 Td
(the)Tj
1.4683 0 Td
(FBAT.)Tj
2.8517 0 Td
(Whilst)Tj
2.8856 0 Td
(brucellosis)Tj
4.4617 0 Td
(is)Tj
0.8447 0 Td
(very)Tj
1.9276 0 Td
(likely)Tj
2.3527 0 Td
(to)Tj
1.0262 0 Td
(be)Tj
1.1508 0 Td
(an)Tj
1.2019 0 Td
(important)Tj
4.2803 0 Td
(disease)Tj
3.016 0 Td
(in)Tj
1.0375 0 Td
(Kenya,)Tj
2.982 0 Td
(partic-)Tj
-34.6504 -1.2983 Td
(ularly)Tj
2.5001 0 Td
(amongst)Tj
3.651 0 Td
(pastoral)Tj
3.3902 0 Td
(communities)Tj
5.4822 0 Td
([)Tj
0.83 0.64 0.02 0 k
(5)Tj
0 g
(,)Tj
0.83 0.64 0.02 0 k
(47)Tj
0 g
(],)Tj
2.7779 0 Td
(poor)Tj
2.126 0 Td
(performance)Tj
5.3461 0 Td
(of)Tj
1.0148 0 Td
(the)Tj
1.4683 0 Td
(diagnostic)Tj
4.32 0 Td
(test)Tj
1.5987 0 Td
(used)Tj
2.0636 0 Td
(to)Tj
-35.7389 -1.3039 Td
(derive)Tj
2.6872 0 Td
(surveillance)Tj
4.9492 0 Td
(data)Tj
1.9106 0 Td
(means)Tj
2.8063 0 Td
(there)Tj
2.2677 0 Td
(is)Tj
0.8447 0 Td
(considerable)Tj
5.261 0 Td
(uncertainty)Tj
4.8189 0 Td
(regarding)Tj
4.0932 0 Td
(the)Tj
1.4684 0 Td
(true)Tj
1.8425 0 Td
(burden)Tj
3.1237 0 Td
(of)Tj
-36.0734 -1.2982 Td
(human)Tj
3.0784 0 Td
(brucellosis)Tj
4.4617 0 Td
(in)Tj
1.0318 0 Td
(the)Tj
1.4683 0 Td
(country.)Tj
-8.844 -1.2983 Td
(An)Tj
1.457 0 Td
(internet)Tj
3.3958 0 Td
(search)Tj
2.761 0 Td
(revealed)Tj
3.5263 0 Td
(that)Tj
1.7801 0 Td
(all)Tj
1.1452 0 Td
(twelve)Tj
2.7496 0 Td
(of)Tj
1.0148 0 Td
(the)Tj
1.4683 0 Td
(FBAT)Tj
2.6249 0 Td
(providers)Tj
4.0195 0 Td
(identified)Tj
4.0592 0 Td
(include)Tj
3.1861 0 Td
(both)Tj
/F12 1 Tf
2.0579 0 Td
[()]TJ
/F8 1 Tf
(.)Tj
/F12 1 Tf
-36.4419 -1.3039 Td
[()22()4( )11()-19(\n)7()-4()]TJ
/F8 1 Tf
3.1634 0 Td
(and)Tj
/F12 1 Tf
1.7291 0 Td
[()]TJ
/F8 1 Tf
(.)Tj
/F12 1 Tf
1.0148 0 Td
[()6()15()12(\r)14(\n)11()2()10(\r)-4()]TJ
/F8 1 Tf
4.0365 0 Td
(suspensions)Tj
5.006 0 Td
(in)Tj
1.0318 0 Td
(their)Tj
2.1089 0 Td
(kits.)Tj
1.8709 0 Td
(The)Tj
1.7801 0 Td
(purpose)Tj
3.447 0 Td
(of)Tj
1.0147 0 Td
(this)Tj
1.6725 0 Td
(is)Tj
0.8504 0 Td
(unclear)Tj
3.1918 0 Td
(since)Tj
2.245 0 Td
(it)Tj
0.788 0 Td
(was)Tj
-34.9509 -1.2983 Td
(well)Tj
1.8198 0 Td
(established)Tj
4.5977 0 Td
(in)Tj
1.0319 0 Td
(the)Tj
1.474 0 Td
(first)Tj
1.8028 0 Td
(half)Tj
1.7178 0 Td
(of)Tj
1.0148 0 Td
(the)Tj
1.4683 0 Td
(20)Tj
ET
Q
q
1 j
1 J
0 w
7.4999 0 0 6.6659 358.8094 516.8692 cm
BT
/F8 1 Tf
1 TL
-0.0053 Tc
0 0 Td
(th)Tj
ET
Q
q
1 j
1 J
0 w
10 0 0 10 367.2 512.3905 cm
BT
/F8 1 Tf
1 TL
-0.004 Tc
0 0 Td
(century)Tj
3.2654 0 Td
(that)Tj
1.7802 0 Td
(suspensions)Tj
5.0003 0 Td
(of)Tj
/F12 1 Tf
1.0148 0 Td
[()]TJ
/F8 1 Tf
(.)Tj
/F12 1 Tf
1.0148 0 Td
[()22()4( )11()-19(\n)7()-4()]TJ
/F8 1 Tf
3.1634 0 Td
(and)Tj
/F12 1 Tf
1.7291 0 Td
[()]TJ
/F8 1 Tf
(.)Tj
/F12 1 Tf
1.0148 0 Td
[()6()15()12(\r)]TJ
-34.7014 -1.2982 Td
[(\n)11()2()10(\r)-4()]TJ
/F8 1 Tf
2.3641 0 Td
(can)Tj
1.6271 0 Td
(be)Tj
1.1508 0 Td
(exchanged)Tj
4.4561 0 Td
(for)Tj
1.3889 0 Td
(diagnostic)Tj
4.32 0 Td
(purposes)Tj
3.804 0 Td
([)Tj
0.83 0.64 0.02 0 k
(18)Tj
0 g
(].)Tj
2.0749 0 Td
(The)Tj
1.7858 0 Td
(target)Tj
2.5058 0 Td
(for)Tj
/F12 1 Tf
1.389 0 Td
[()17()-9()4()7()15()4()4()]TJ
/F8 1 Tf
3.4016 0 Td
(agglutination)Tj
5.5275 0 Td
(tests)Tj
-35.7956 -1.2983 Td
(is)Tj
0.8447 0 Td
(the)Tj
1.474 0 Td
(O-polysaccharide)Tj
7.234 0 Td
(of)Tj
1.0148 0 Td
(the)Tj
1.4683 0 Td
(smooth)Tj
3.2429 0 Td
(lipopolysaccharide)Tj
7.676 0 Td
(of)Tj
1.0148 0 Td
(the)Tj
1.4684 0 Td
(cell)Tj
1.559 0 Td
(surface)Tj
3.0501 0 Td
(of)Tj
1.0148 0 Td
(smooth)Tj
/F12 1 Tf
3.2371 0 Td
[()17()-9()4()7()15()4()4()]TJ
/F8 1 Tf
-34.2989 -1.3039 Td
(species,)Tj
3.2088 0 Td
(which)Tj
2.6419 0 Td
(has)Tj
1.5307 0 Td
(a)Tj
0.6463 0 Td
(structure)Tj
3.8154 0 Td
(dominated)Tj
4.5637 0 Td
(by)Tj
1.1678 0 Td
(a)Tj
0.6463 0 Td
(highly)Tj
2.6986 0 Td
(repeated)Tj
3.6283 0 Td
(C)Tj
0.8731 0 Td
(epitope)Tj
3.1634 0 Td
(common)Tj
3.8381 0 Td
(to)Tj
1.0148 0 Td
(all)Tj
1.1395 0 Td
(smooth)Tj
-34.5767 -1.2983 Td
(brucellae)Tj
3.8211 0 Td
([)Tj
0.83 0.64 0.02 0 k
(48)Tj
0 g
(])Tj
1.8538 0 Td
(\(excluding)Tj
4.4504 0 Td
(the)Tj
1.474 0 Td
(recently)Tj
3.4072 0 Td
(described)Tj
/F12 1 Tf
4.0535 0 Td
[()]TJ
/F8 1 Tf
(.)Tj
/F12 1 Tf
1.0147 0 Td
[(\r)12()6( )11()11(\r)12()6()22(\n)11()]TJ
/F8 1 Tf
4.0196 0 Td
(BO1)Tj
2.0239 0 Td
([)Tj
0.83 0.64 0.02 0 k
(49)Tj
0 g
(]\).)Tj
2.4151 0 Td
(Hence,)Tj
3.033 0 Td
(there)Tj
2.2621 0 Td
(is)Tj
0.8504 0 Td
(no)Tj
-34.6788 -1.2982 Td
(serological)Tj
4.4731 0 Td
(test)Tj
1.5987 0 Td
(that)Tj
1.7801 0 Td
(can)Tj
1.6214 0 Td
(distinguish)Tj
4.6432 0 Td
(infection)Tj
3.7869 0 Td
(with)Tj
/F12 1 Tf
2.0013 0 Td
[()]TJ
/F8 1 Tf
(.)Tj
/F12 1 Tf
1.0148 0 Td
[()22()4( )11()-19(\n)7()-4()]TJ
/F8 1 Tf
3.1634 0 Td
(versus)Tj
/F12 1 Tf
2.7156 0 Td
[()]TJ
/F8 1 Tf
(.)Tj
/F12 1 Tf
1.0148 0 Td
[()6()15()12(\r)14(\n)11()2()10(\r)-4()]TJ
/F8 1 Tf
4.0422 0 Td
([)Tj
0.83 0.64 0.02 0 k
(11)Tj
0 g
(,)Tj
0.83 0.64 0.02 0 k
(18)Tj
0 g
(,)Tj
0.83 0.64 0.02 0 k
(24)Tj
0 g
(,)Tj
0.83 0.64 0.02 0 k
(48)Tj
0 g
(].)Tj
-31.8555 -1.3039 Td
(Despite)Tj
3.2485 0 Td
(this,)Tj
1.8992 0 Td
(we)Tj
1.3266 0 Td
(noted)Tj
2.5228 0 Td
(a)Tj
0.652 0 Td
(not)Tj
1.576 0 Td
(unsurprising)Tj
5.3518 0 Td
(belief)Tj
2.3753 0 Td
(amongst)Tj
3.6567 0 Td
(laboratory)Tj
4.3483 0 Td
(technicians)Tj
4.7452 0 Td
(and)Tj
1.7291 0 Td
(clinicians)Tj
-33.4315 -1.2983 Td
(working)Tj
3.5603 0 Td
(in)Tj
1.0318 0 Td
(both)Tj
2.0636 0 Td
(study)Tj
2.3868 0 Td
(health)Tj
2.6759 0 Td
(facilities)Tj
3.4979 0 Td
(that)Tj
1.78 0 Td
(the)Tj
1.4684 0 Td
(FBAT,)Tj
2.8459 0 Td
(marketed)Tj
4.0195 0 Td
(with)Tj
1.9956 0 Td
(separate)Tj
/F12 1 Tf
3.481 0 Td
[()80()22()4( )11()-19(\n)7()-4()47()]TJ
/F8 1 Tf
3.5716 0 Td
(and)Tj
/F12 1 Tf
-34.3783 -1.2983 Td
[()36()6()15()12(\r)14(\n)11()2()10(\r)-4()47()]TJ
/F8 1 Tf
4.4447 0 Td
(antigens,)Tj
3.7927 0 Td
(can)Tj
1.6271 0 Td
(distinguish)Tj
4.6375 0 Td
(between)Tj
3.5261 0 Td
(infections)Tj
4.1556 0 Td
(with)Tj
1.9956 0 Td
(these)Tj
2.2564 0 Td
(different)Tj
/F12 1 Tf
3.6566 0 Td
[()17()-9()4()7()15()4()4()]TJ
/F8 1 Tf
3.3959 0 Td
(species.)Tj
-33.4882 -1.3039 Td
(This)Tj
1.9843 0 Td
(misconception)Tj
6.1341 0 Td
(is)Tj
0.8447 0 Td
(likely)Tj
2.3584 0 Td
(to)Tj
1.0262 0 Td
(be)Tj
1.1451 0 Td
(strengthened)Tj
5.4424 0 Td
(by)Tj
1.1792 0 Td
(the)Tj
1.4684 0 Td
(inconsistent)Tj
5.074 0 Td
(results)Tj
2.8062 0 Td
(obtained)Tj
3.7361 0 Td
(with)Tj
1.9956 0 Td
(the)Tj
/F12 1 Tf
-35.1947 -1.2983 Td
[()80()22()4( )11()-19(\n)7()-4()47()]TJ
/F8 1 Tf
3.5716 0 Td
(and)Tj
/F12 1 Tf
1.7292 0 Td
[()36()6()15()12(\r)14(\n)11()2()10(\r)-4()47()]TJ
/F8 1 Tf
4.4503 0 Td
(suspensions)Tj
5.0003 0 Td
(of)Tj
1.0148 0 Td
(FBAT,)Tj
2.8516 0 Td
(as)Tj
1.0147 0 Td
(illustrated)Tj
4.218 0 Td
(by)Tj
1.1848 0 Td
(our)Tj
1.6215 0 Td
(work)Tj
2.279 0 Td
(and)Tj
1.7348 0 Td
(recently)Tj
3.4072 0 Td
(pub-)Tj
-34.0778 -1.2982 Td
(lished)Tj
2.5739 0 Td
(work)Tj
2.279 0 Td
(from)Tj
2.2053 0 Td
(Tanzania)Tj
3.9062 0 Td
([)Tj
0.83 0.64 0.02 0 k
(50)Tj
0 g
(].)Tj
2.0806 0 Td
(Long)Tj
2.279 0 Td
(and)Tj
1.729 0 Td
(repeated)Tj
3.6397 0 Td
(experience)Tj
4.5071 0 Td
([)Tj
0.83 0.64 0.02 0 k
(11)Tj
0 g
(,)Tj
0.83 0.64 0.02 0 k
(18)Tj
0 g
(,)Tj
0.83 0.64 0.02 0 k
(24)Tj
0 g
(,)Tj
0.83 0.64 0.02 0 k
(51)Tj
0 g
(])Tj
5.3801 0 Td
(shows)Tj
2.6589 0 Td
(that)Tj
1.7801 0 Td
(the)Tj
-35.0189 -1.2983 Td
(most)Tj
2.2054 0 Td
(plausible)Tj
3.7473 0 Td
(reasons)Tj
3.2258 0 Td
(for)Tj
1.389 0 Td
(these)Tj
2.2507 0 Td
(inconsistencies)Tj
6.2531 0 Td
(are)Tj
1.4457 0 Td
(deficient)Tj
3.6906 0 Td
(standardisation)Tj
6.4063 0 Td
(of)Tj
1.0148 0 Td
(antigen)Tj
3.2031 0 Td
(sus-)Tj
-34.8318 -1.3039 Td
(pensions)Tj
3.7531 0 Td
(and)Tj
1.7291 0 Td
(poor)Tj
2.126 0 Td
(antigen)Tj
3.2031 0 Td
(quality.)Tj
3.1804 0 Td
(Smooth)Tj
3.3561 0 Td
(brucellae)Tj
3.8211 0 Td
(are)Tj
1.4513 0 Td
(notorious)Tj
4.1103 0 Td
(for)Tj
1.3889 0 Td
(their)Tj
2.109 0 Td
(ability)Tj
2.6929 0 Td
(to)Tj
1.0261 0 Td
(dissoci-)Tj
-33.9474 -1.2983 Td
(ate)Tj
1.372 0 Td
(in)Tj
1.0374 0 Td
(vitro,)Tj
2.3471 0 Td
(a)Tj
0.652 0 Td
(genetic)Tj
3.0671 0 Td
(drift)Tj
1.9729 0 Td
(that)Tj
1.7801 0 Td
(results)Tj
2.812 0 Td
(in)Tj
1.0318 0 Td
(large)Tj
2.1598 0 Td
(proportions)Tj
4.9947 0 Td
(of)Tj
1.0148 0 Td
(rough)Tj
2.6191 0 Td
(mutants)Tj
3.5093 0 Td
(that)Tj
1.7745 0 Td
(lack)Tj
1.8198 0 Td
(the)Tj
1.474 0 Td
(O-)Tj
-35.4384 -1.2982 Td
(polysaccharide)Tj
6.1398 0 Td
(of)Tj
1.0148 0 Td
(the)Tj
1.4684 0 Td
(lipopolysaccharide)Tj
7.6761 0 Td
(and)Tj
1.729 0 Td
(have)Tj
2.058 0 Td
(profoundly)Tj
4.7168 0 Td
(altered)Tj
2.9424 0 Td
(cell)Tj
1.5647 0 Td
(surface)Tj
3.0444 0 Td
(properties)Tj
-0.014 Tc
-32.3544 -1.3039 Td
([)Tj
0.83 0.64 0.02 0 k
(48)Tj
0 g
(].)Tj
2.0239 0 Td
(The)Tj
1.7518 0 Td
(consequence)Tj
5.2271 0 Td
(of)Tj
0.9978 0 Td
(this)Tj
1.6327 0 Td
(drift)Tj
1.9219 0 Td
(is)Tj
0.8277 0 Td
(an)Tj
1.1849 0 Td
(absence)Tj
3.2711 0 Td
(of)Tj
0.9921 0 Td
(diagnostically)Tj
5.5615 0 Td
(valid)Tj
2.1033 0 Td
(epitopes)Tj
3.4526 0 Td
(and)Tj
1.7008 0 Td
(a)Tj
0.6406 0 Td
(strong)Tj
2.7156 0 Td
(ten-)Tj
-36.0054 -1.2983 Td
(dency)Tj
2.5455 0 Td
(to)Tj
1.0091 0 Td
(autoagglutinate.)Tj
6.4573 0 Td
(Such)Tj
2.1373 0 Td
(deficient)Tj
3.5943 0 Td
(antigenic)Tj
3.8097 0 Td
(suspensions)Tj
4.8925 0 Td
(are)Tj
1.4174 0 Td
(an)Tj
1.1848 0 Td
(important)Tj
4.1896 0 Td
(cause)Tj
2.3414 0 Td
(of)Tj
0.9921 0 Td
(false)Tj
-34.571 -1.2983 Td
(positivity)Tj
3.8098 0 Td
(and)Tj
1.7007 0 Td
(the)Tj
1.44 0 Td
(likely)Tj
2.2961 0 Td
(explanation)Tj
4.8018 0 Td
(for)Tj
1.355 0 Td
(the)Tj
1.4399 0 Td
(high)Tj
1.9672 0 Td
(numbers)Tj
3.7077 0 Td
(of)Tj
0.9978 0 Td
(false)Tj
1.9219 0 Td
(positives)Tj
3.5829 0 Td
(obtained)Tj
3.6567 0 Td
(with)Tj
1.9559 0 Td
(FBAT)Tj
-34.6334 -1.3039 Td
(in)Tj
1.0148 0 Td
(this)Tj
1.6328 0 Td
(study,)Tj
2.5568 0 Td
(as)Tj
0.9921 0 Td
(well)Tj
1.7802 0 Td
(as)Tj
0.9977 0 Td
(for)Tj
1.355 0 Td
(the)Tj
1.44 0 Td
(inconsistency)Tj
5.5217 0 Td
(between)Tj
3.4583 0 Td
(reactions)Tj
3.7644 0 Td
(to)Tj
1.0091 0 Td
(`)Tj
/F12 1 Tf
[()22()4( )11()-19(\n)7()-4()]TJ
/F8 1 Tf
(')Tj
3.5093 0 Td
(and)Tj
1.7007 0 Td
(`)Tj
/F12 1 Tf
[()6()15()12(\r)14(\n)11()2()10(\r)-4()]TJ
/F8 1 Tf
(')Tj
4.3597 0 Td
(anti-)Tj
-35.0926 -1.2983 Td
(gens.)Tj
2.194 0 Td
(We)Tj
1.5874 0 Td
(consider)Tj
3.5716 0 Td
(antigen)Tj
3.1351 0 Td
(quality)Tj
2.8857 0 Td
(to)Tj
1.0034 0 Td
(be)Tj
1.1282 0 Td
(a)Tj
0.6463 0 Td
(more)Tj
2.3016 0 Td
(likely)Tj
2.2961 0 Td
(explanation)Tj
4.7962 0 Td
(for)Tj
1.3606 0 Td
(poor)Tj
2.0806 0 Td
(FBAT)Tj
2.5852 0 Td
(specificity)Tj
4.0989 0 Td
(than)Tj
-35.6709 -1.2982 Td
(cross-reaction)Tj
5.726 0 Td
(with)Tj
1.9559 0 Td
(antibodies)Tj
4.2632 0 Td
(to)Tj
1.0035 0 Td
(other)Tj
2.3017 0 Td
(gram)Tj
2.2676 0 Td
(negative)Tj
3.4583 0 Td
(bacteria,)Tj
3.5092 0 Td
(since)Tj
2.194 0 Td
(such)Tj
2.024 0 Td
(cross-reactions)Tj
6.0774 0 Td
(are)Tj
-34.7808 -1.3039 Td
(well)Tj
1.7802 0 Td
(known)Tj
2.9536 0 Td
(to)Tj
1.0035 0 Td
(occur)Tj
2.4264 0 Td
(for)Tj
1.355 0 Td
(all)Tj
1.1168 0 Td
(serological)Tj
4.3597 0 Td
(assays)Tj
2.5681 0 Td
(that)Tj
1.7348 0 Td
(rely)Tj
1.6781 0 Td
(on)Tj
1.2585 0 Td
(detection)Tj
3.8438 0 Td
(of)Tj
0.9978 0 Td
(antibodies)Tj
4.2576 0 Td
(to)Tj
1.0091 0 Td
(the)Tj
/F12 1 Tf
1.44 0 Td
[()17()-9()4()7()15()4()4()]TJ
/F8 1 Tf
-33.783 -1.2983 Td
(smooth)Tj
3.1805 0 Td
(lipopolysaccharide,)Tj
7.7102 0 Td
(including)Tj
3.9514 0 Td
(RBT,)Tj
2.2166 0 Td
(SAT)Tj
1.9616 0 Td
(and)Tj
1.7007 0 Td
(Coombs)Tj
3.5263 0 Td
([)Tj
0.83 0.64 0.02 0 k
(31)Tj
0 g
(],)Tj
2.0296 0 Td
(and)Tj
1.6951 0 Td
(are)Tj
1.423 0 Td
(likely)Tj
2.2904 0 Td
(also)Tj
1.7291 0 Td
(with)Tj
1.9559 0 Td
(the)Tj
-35.3704 -1.2983 Td
(LFA.)Tj
2.1543 0 Td
(Whilst)Tj
2.829 0 Td
(the)Tj
1.4343 0 Td
(clinical)Tj
2.999 0 Td
(management)Tj
5.3348 0 Td
(of)Tj
0.9978 0 Td
(infection)Tj
3.6963 0 Td
(with)Tj
/F12 1 Tf
1.9615 0 Td
[()]TJ
/F8 1 Tf
(.)Tj
/F12 1 Tf
0.9921 0 Td
[()6()15()12(\r)14(\n)11()2()10(\r)-4()]TJ
3.9402 0 Td
[( )11()]TJ
1.0261 0 Td
[()]TJ
/F8 1 Tf
(.)Tj
/F12 1 Tf
0.9921 0 Td
[()22()4( )11()-19(\n)7()-4()]TJ
/F8 1 Tf
3.0954 0 Td
(is)Tj
0.8278 0 Td
(the)Tj
1.4399 0 Td
(same,)Tj
2.4322 0 Td
(an)Tj
-36.1528 -1.2982 Td
(indirect)Tj
3.2655 0 Td
(consequence)Tj
5.2271 0 Td
(of)Tj
0.9977 0 Td
(the)Tj
1.44 0 Td
(inconsistency)Tj
5.5219 0 Td
(between)Tj
3.4581 0 Td
(reactions)Tj
3.7644 0 Td
(to)Tj
1.0035 0 Td
(different)Tj
3.5659 0 Td
(FBAT)Tj
2.5852 0 Td
(antigens)Tj
3.4866 0 Td
(is)Tj
0.8277 0 Td
(that)Tj
-35.1436 -1.304 Td
(results)Tj
2.7383 0 Td
(may)Tj
1.8992 0 Td
(be)Tj
1.1281 0 Td
(misleading)Tj
4.4788 0 Td
(with)Tj
1.9615 0 Td
(respect)Tj
2.965 0 Td
(to)Tj
1.0092 0 Td
(the)Tj
1.4399 0 Td
(source)Tj
2.7722 0 Td
(of)Tj
0.9921 0 Td
(infection,)Tj
3.9175 0 Td
(since)Tj
/F12 1 Tf
2.194 0 Td
[()]TJ
/F8 1 Tf
(.)Tj
/F12 1 Tf
0.9978 0 Td
[()6()15()12(\r)14(\n)11()2()10(\r)-4()]TJ
/F8 1 Tf
3.9345 0 Td
(is)Tj
0.8333 0 Td
(typically)Tj
-33.2614 -1.2982 Td
(associated)Tj
4.1556 0 Td
(with)Tj
1.9559 0 Td
(small)Tj
2.279 0 Td
(ruminants)Tj
4.3086 0 Td
(while)Tj
/F12 1 Tf
2.3188 0 Td
[()]TJ
/F8 1 Tf
(.)Tj
/F12 1 Tf
0.9921 0 Td
[()22()4( )11()-19(\n)7()-4()]TJ
/F8 1 Tf
3.0953 0 Td
(is)Tj
0.8277 0 Td
(more)Tj
2.3017 0 Td
(typically)Tj
3.4696 0 Td
(associated)Tj
4.1613 0 Td
(with)Tj
1.9558 0 Td
(cattle)Tj
2.2848 0 Td
([)Tj
0.83 0.64 0.02 0 k
(16)Tj
0 g
(].)Tj
-0.004 Tc
-32.91 -1.2983 Td
(The)Tj
1.7858 0 Td
(catchment)Tj
4.4164 0 Td
(area)Tj
1.8822 0 Td
(of)Tj
1.0148 0 Td
(study)Tj
2.3924 0 Td
(health)Tj
2.6759 0 Td
(facilities)Tj
3.4922 0 Td
(incorporate)Tj
4.8925 0 Td
(a)Tj
0.652 0 Td
(mixed)Tj
2.7212 0 Td
(farming)Tj
3.4186 0 Td
(area)Tj
1.8822 0 Td
(with)Tj
1.9956 0 Td
(a)Tj
0.6519 0 Td
(very)Tj
-35.0699 -1.3039 Td
(high)Tj
2.0069 0 Td
(livestock)Tj
3.6964 0 Td
(density.)Tj
3.3278 0 Td
(Despite)Tj
3.2485 0 Td
(this,)Tj
1.8992 0 Td
(a)Tj
0.652 0 Td
(substantial)Tj
4.5013 0 Td
(proportion)Tj
4.6318 0 Td
(of)Tj
1.0148 0 Td
(patients)Tj
3.3675 0 Td
(presenting)Tj
4.4447 0 Td
(for)Tj
1.389 0 Td
(brucel-)Tj
-34.1799 -1.2983 Td
(losis)Tj
1.9616 0 Td
(diagnostic)Tj
4.32 0 Td
(testing)Tj
2.8799 0 Td
(did)Tj
1.5421 0 Td
(not)Tj
1.576 0 Td
(report)Tj
2.7099 0 Td
(what)Tj
2.1599 0 Td
(we)Tj
1.3323 0 Td
(considered)Tj
4.5978 0 Td
(high)Tj
2.0069 0 Td
(risk)Tj
1.7178 0 Td
(contacts)Tj
3.5149 0 Td
(with)Tj
1.9956 0 Td
(livestock)Tj
3.6963 0 Td
(or)Tj
-36.011 -1.2982 Td
(their)Tj
2.109 0 Td
(products)Tj
3.753 0 Td
(over)Tj
1.9729 0 Td
(the)Tj
1.474 0 Td
(six)Tj
1.3096 0 Td
(months)Tj
3.2825 0 Td
(prior)Tj
2.2564 0 Td
(to)Tj
1.026 0 Td
(the)Tj
1.4684 0 Td
(onset)Tj
2.3584 0 Td
(of)Tj
1.0148 0 Td
(clinical)Tj
3.0727 0 Td
(symptoms.)Tj
4.5864 0 Td
(Studies)Tj
3.1011 0 Td
(from)Tj
2.2054 0 Td
(Tan-)Tj
-34.9906 -1.3039 Td
(zania)Tj
2.3131 0 Td
(have)Tj
2.0636 0 Td
(reported)Tj
3.6567 0 Td
(limited)Tj
3.0727 0 Td
(awareness)Tj
4.2576 0 Td
(of)Tj
1.0148 0 Td
(zoonotic)Tj
3.6906 0 Td
(disease)Tj
3.0217 0 Td
(among)Tj
2.9934 0 Td
(health)Tj
2.6758 0 Td
(workers)Tj
3.4356 0 Td
([)Tj
0.83 0.64 0.02 0 k
(52)Tj
0 g
(],)Tj
2.075 0 Td
(includ-)Tj
-34.2706 -1.2983 Td
(ing)Tj
1.5024 0 Td
(the)Tj
1.4683 0 Td
(range)Tj
2.4605 0 Td
(of)Tj
1.0148 0 Td
(pathways)Tj
3.9344 0 Td
(through)Tj
3.4413 0 Td
(which)Tj
/F12 1 Tf
2.6532 0 Td
[()17()-9()4()7()15()4()4()]TJ
/F8 1 Tf
3.3958 0 Td
(species)Tj
2.999 0 Td
(may)Tj
1.9275 0 Td
(be)Tj
1.1509 0 Td
(transmitted)Tj
4.8699 0 Td
(to)Tj
1.0205 0 Td
(people)Tj
2.8573 0 Td
([)Tj
0.83 0.64 0.02 0 k
(53)Tj
0 g
(].)Tj
ET
Q
q
1 j
1 J
0 w
576 737.1 m
36 737.1 l
36 737.6 l
576 737.6 l
f*
36 741.2598 183.2882 23.6976 re
W* n
q
183.2315 0 0 23.6409 36 741.3165 cm
q
/I0 Do
Q
Q
Q
q
0 0 612 792 re
W* n
1 j
1 J
0 w
7.9999 0 0 7.9999 460.1763 745.7952 cm
BT
/F0 1 Tf
1 TL
-0.005 Tc
0 0 Td
(Poor)Tj
2.296 0 Td
(brucello)Tj
3.4229 0 Td
(sis)Tj
1.4244 0 Td
(test)Tj
1.8071 0 Td
(performanc)Tj
4.9749 0 Td
(e)Tj
ET
Q
q
1 j
1 J
0 w
36 48.0002 m
576 48.0002 l
576 47.5002 l
36 47.5002 l
f*
0.83 0.64 0.02 0 k
163.5591 34.9228 m
317.7071 34.9228 l
h
f*
0 g
7.9999 0 0 7.9999 36 36 cm
BT
/F0 1 Tf
1 TL
-0.005 Tc
0 0 Td
(PLOS)Tj
2.8559 0 Td
(Neglected)Tj
4.6417 0 Td
(Tropical)Tj
3.7135 0 Td
(Disease)Tj
3.5433 0 Td
(s)Tj
0.7158 0 Td
(|)Tj
0.83 0.64 0.02 0 k
0.4748 0 Td
(https://doi.or)Tj
5.4142 0 Td
(g/10.137)Tj
3.8197 0 Td
(1/journal.pn)Tj
5.1237 0 Td
(td.00055)Tj
3.8197 0 Td
(08)Tj
0 g
2.0905 0 Td
(April)Tj
2.1827 0 Td
(7,)Tj
1.0418 0 Td
(2017)Tj
25.1647 0 Td
(10)Tj
1.304 0 Td
(/)Tj
ET
endstream
endobj
273 0 obj
<>stream
endstream
endobj
274 0 obj
<>stream
endstream
endobj
275 0 obj
<>stream
endstream
endobj
276 0 obj
<>stream
endstream
endobj
277 0 obj
<>stream
endstream
endobj
278 0 obj
<>stream
endstream
endobj
279 0 obj
<>stream
endstream
endobj
280 0 obj
<>stream
endstream
endobj
281 0 obj
<>stream
endstream
endobj
282 0 obj
<>stream
endstream
endobj
283 0 obj
<>stream
endstream
endobj
284 0 obj
<>stream
endstream
endobj
285 0 obj
<>stream
endstream
endobj
286 0 obj
<>stream
endstream
endobj
287 0 obj
<>stream
BT
66.402 0 Td
(15)Tj
ET
Q
endstream
endobj
288 0 obj
<>/XObject<>>>/CropBox[0 0 612 792]/MediaBox[0 0 612 792]/Parent 289 0 R/Annots 290 0 R/Contents 291 0 R/TrimBox[0 0 612 792]>>
endobj
290 0 obj
[292 0 R 293 0 R 294 0 R 295 0 R 296 0 R 297 0 R 298 0 R 299 0 R 300 0 R 301 0 R 302 0 R 303 0 R 304 0 R 305 0 R 306 0 R 307 0 R 308 0 R 309 0 R 310 0 R 311 0 R 312 0 R 313 0 R 314 0 R 315 0 R]
endobj
292 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref001)>>
endobj
293 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref017)>>
endobj
294 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref054)>>
endobj
295 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref055)>>
endobj
296 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref025)>>
endobj
297 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref056)>>
endobj
298 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref057)>>
endobj
299 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref058)>>
endobj
300 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref025)>>
endobj
301 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref025)>>
endobj
302 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref057)>>
endobj
303 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref030)>>
endobj
304 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref059)>>
endobj
305 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref060)>>
endobj
306 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref061)>>
endobj
307 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref062)>>
endobj
308 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref063)>>
endobj
309 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref064)>>
endobj
310 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref065)>>
endobj
311 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref066)>>
endobj
312 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref067)>>
endobj
313 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref019)>>
endobj
314 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0005508.ref054)>>
endobj
315 0 obj
<>/Border[0 0 0]/A 316 0 R>>
endobj
316 0 obj
<>
endobj
291 0 obj
[317 0 R 318 0 R 319 0 R 320 0 R 321 0 R 322 0 R 323 0 R 324 0 R 325 0 R 326 0 R 327 0 R 328 0 R 329 0 R 330 0 R 331 0 R 332 0 R 333 0 R 334 0 R 335 0 R 336 0 R]
endobj
317 0 obj
<>stream
q
0.83 0.64 0.02 0 k
542.0976 667.3323 m
546.8598 667.3323 l
h
f*
549.1276 667.3323 m
558.652 667.3323 l
h
f*
384.0945 589.3228 m
393.6189 589.3228 l
h
f*
395.8866 589.3228 m
405.411 589.3228 l
h
f*
530.8724 485.348 m
540.2835 485.348 l
h
f*
542.4945 485.348 m
551.8488 485.348 l
h
f*
554.0598 485.348 m
563.4709 485.348 l
h
f*
485.4614 433.3039 m
494.8157 433.3039 l
h
f*
415.5024 355.3512 m
424.9134 355.3512 l
h
f*
203.3575 316.3465 m
212.7118 316.3465 l
h
f*
214.9228 316.3465 m
224.3339 316.3465 l
h
f*
291.3449 277.3417 m
300.7559 277.3417 l
h
f*
512.3339 264.3024 m
521.6882 264.3024 l
h
f*
523.8992 264.3024 m
533.3102 264.3024 l
h
f*
302.5134 186.3496 m
312.0378 186.3496 l
h
f*
314.2488 186.3496 m
323.7732 186.3496 l
h
f*
396.4535 186.3496 m
405.9213 186.3496 l
h
f*
475.4835 186.3496 m
484.9512 186.3496 l
h
f*
225.411 173.3102 m
234.9354 173.3102 l
h
f*
283.1244 147.3449 m
292.6488 147.3449 l
h
f*
439.3134 147.3449 m
448.8378 147.3449 l
h
f*
359.9433 82.3181 m
369.411 82.3181 l
h
f*
371.6787 82.3181 m
381.2031 82.3181 l
h
f*
0 g
1 j
1 J
0 w
10 0 0 10 200.0125 707.4141 cm
BT
/F8 1 Tf
1 TL
-0.004 Tc
0 0 Td
(Detailed)Tj
3.5773 0 Td
(clinical)Tj
3.0727 0 Td
(history)Tj
3.0104 0 Td
(taking)Tj
2.7269 0 Td
(and)Tj
1.7291 0 Td
(the)Tj
1.474 0 Td
(targeting)Tj
3.7871 0 Td
(of)Tj
1.0148 0 Td
(testing)Tj
2.8856 0 Td
(to)Tj
1.0261 0 Td
(individuals)Tj
4.6488 0 Td
(considered)Tj
4.5978 0 Td
(to)Tj
1.0261 0 Td
(be)Tj
1.1509 0 Td
(at)Tj
-35.7276 -1.3039 Td
(higher)Tj
2.8006 0 Td
(risk)Tj
1.7177 0 Td
(of)Tj
1.0148 0 Td
(brucellosis,)Tj
4.6828 0 Td
(is)Tj
0.8504 0 Td
(likely)Tj
2.3528 0 Td
(to)Tj
1.0261 0 Td
(improve)Tj
3.583 0 Td
(the)Tj
1.4683 0 Td
(predictive)Tj
4.1953 0 Td
(value)Tj
2.3074 0 Td
(of)Tj
1.0148 0 Td
(serological)Tj
4.4673 0 Td
(testing,)Tj
3.1068 0 Td
(partic-)Tj
-34.5881 -1.2982 Td
(ularly)Tj
2.5001 0 Td
(in)Tj
1.0318 0 Td
(low)Tj
1.6611 0 Td
(prevalence)Tj
4.4844 0 Td
(populations.)Tj
5.176 0 Td
(An)Tj
1.457 0 Td
(important)Tj
4.2803 0 Td
(consideration,)Tj
5.93 0 Td
(however,)Tj
3.8381 0 Td
(is)Tj
0.8447 0 Td
(that)Tj
1.7802 0 Td
(whilst)Tj
2.6022 0 Td
(we)Tj
-35.5859 -1.2983 Td
(have)Tj
2.0579 0 Td
(a)Tj
0.652 0 Td
(broad)Tj
2.5681 0 Td
(understanding)Tj
6.0718 0 Td
(of)Tj
1.0148 0 Td
(the)Tj
1.4683 0 Td
(epidemiology)Tj
5.6466 0 Td
(of)Tj
1.0148 0 Td
(brucellosis)Tj
4.4617 0 Td
(in)Tj
1.0375 0 Td
(sub-Saharan)Tj
5.1874 0 Td
(Africa)Tj
2.6872 0 Td
([)Tj
0.83 0.64 0.02 0 k
(1)Tj
0 g
(,)Tj
0.83 0.64 0.02 0 k
(17)Tj
0 g
(],)Tj
-33.8681 -1.2983 Td
(there)Tj
2.262 0 Td
(is)Tj
0.8504 0 Td
(generally)Tj
3.8324 0 Td
(a)Tj
0.652 0 Td
(lack)Tj
1.8198 0 Td
(of)Tj
1.0148 0 Td
(information)Tj
5.0796 0 Td
(on)Tj
1.2756 0 Td
(the)Tj
1.4684 0 Td
(specific)Tj
3.1917 0 Td
(transmission)Tj
5.3632 0 Td
(routes)Tj
2.7099 0 Td
(by)Tj
1.1792 0 Td
(which)Tj
2.6532 0 Td
(people)Tj
2.8516 0 Td
(in)Tj
-36.2038 -1.3039 Td
(specific)Tj
3.1917 0 Td
(settings)Tj
3.2429 0 Td
(acquire)Tj
3.1691 0 Td
(their)Tj
2.1089 0 Td
(infections.)Tj
4.3824 0 Td
(Population-based)Tj
7.2339 0 Td
(studies)Tj
2.9877 0 Td
(in)Tj
1.0318 0 Td
(endemic)Tj
3.6567 0 Td
(areas)Tj
2.2394 0 Td
(should)Tj
-33.2445 -1.2982 Td
(seek)Tj
1.9218 0 Td
(to)Tj
1.0262 0 Td
(fill)Tj
1.2699 0 Td
(this)Tj
1.6724 0 Td
(information)Tj
5.074 0 Td
(gap.)Tj
1.8652 0 Td
(Further)Tj
3.2655 0 Td
(studies)Tj
2.9877 0 Td
(could)Tj
2.4491 0 Td
(also)Tj
1.7688 0 Td
(seek)Tj
1.9275 0 Td
(to)Tj
1.0262 0 Td
(derive)Tj
2.6872 0 Td
(diagnostic)Tj
4.32 0 Td
(algorithms)Tj
-33.2615 -1.2983 Td
(for)Tj
1.3832 0 Td
(human)Tj
3.0785 0 Td
(brucellosis)Tj
4.4617 0 Td
(that)Tj
1.7801 0 Td
(allow)Tj
2.3357 0 Td
(for)Tj
1.389 0 Td
(the)Tj
1.4683 0 Td
(formalisation)Tj
5.5673 0 Td
(of)Tj
1.0147 0 Td
(who)Tj
1.9389 0 Td
(to)Tj
1.0262 0 Td
(test,)Tj
1.8255 0 Td
(and)Tj
1.7291 0 Td
(who)Tj
1.9389 0 Td
(should)Tj
2.9196 0 Td
(be)Tj
1.1509 0 Td
(con-)Tj
-35.0076 -1.3039 Td
(sidered)Tj
3.118 0 Td
(positive)Tj
3.3166 0 Td
(based)Tj
2.4774 0 Td
(on)Tj
1.2756 0 Td
(a)Tj
0.652 0 Td
(range)Tj
2.4604 0 Td
(of)Tj
1.0148 0 Td
(criteria,)Tj
3.3052 0 Td
(including)Tj
4.0422 0 Td
(the)Tj
1.4683 0 Td
(results)Tj
2.8063 0 Td
(of)Tj
1.0148 0 Td
(imperfect)Tj
4.0535 0 Td
(serological)Tj
-31.0051 -1.2983 Td
(assays,)Tj
2.8516 0 Td
(exposure)Tj
3.8154 0 Td
(history)Tj
3.0047 0 Td
(and)Tj
1.7291 0 Td
(presenting)Tj
4.4447 0 Td
(signs)Tj
2.2224 0 Td
([)Tj
0.83 0.64 0.02 0 k
(54)Tj
0 g
(,)Tj
0.83 0.64 0.02 0 k
(55)Tj
0 g
(].)Tj
-0.01 Tc
-16.8717 -1.2983 Td
(Future)Tj
2.8629 0 Td
(studies)Tj
2.9424 0 Td
(should)Tj
2.8856 0 Td
(seek)Tj
1.8992 0 Td
(to)Tj
1.0148 0 Td
(derive)Tj
2.6476 0 Td
(estimates)Tj
3.8551 0 Td
(of)Tj
1.0034 0 Td
(sensitivity)Tj
4.1556 0 Td
(and)Tj
1.7121 0 Td
(specificity)Tj
4.1442 0 Td
(for)Tj
1.3663 0 Td
(the)Tj
1.4513 0 Td
(FBAT,)Tj
-33.1367 -1.3039 Td
(including)Tj
3.9854 0 Td
(assessment)Tj
4.5524 0 Td
(of)Tj
1.0035 0 Td
(the)Tj
1.4513 0 Td
(value)Tj
2.2791 0 Td
(of)Tj
0.9978 0 Td
(deriving)Tj
3.4979 0 Td
(semi-quantitative)Tj
7.0979 0 Td
(estimates)Tj
3.8551 0 Td
(of)Tj
1.0035 0 Td
(antibody)Tj
3.7133 0 Td
(titres.)Tj
-33.4372 -1.2982 Td
(However,)Tj
4.0251 0 Td
(given)Tj
2.3471 0 Td
(the)Tj
1.4513 0 Td
(likely)Tj
2.3131 0 Td
(poor)Tj
2.0976 0 Td
(specificity)Tj
4.1442 0 Td
(we)Tj
1.3153 0 Td
(have)Tj
2.0353 0 Td
(demonstrated,)Tj
5.9017 0 Td
(future)Tj
2.6192 0 Td
(work)Tj
2.2563 0 Td
(should)Tj
2.88 0 Td
(also)Tj
1.7405 0 Td
(exam-)Tj
-35.1267 -1.2983 Td
(ine)Tj
1.4399 0 Td
(alternative)Tj
4.354 0 Td
(diagnostic)Tj
4.2576 0 Td
(tests)Tj
1.9333 0 Td
(that)Tj
1.7574 0 Td
(can)Tj
1.6044 0 Td
(be)Tj
1.1395 0 Td
(used)Tj
2.0353 0 Td
(to)Tj
1.0148 0 Td
(replace)Tj
3.016 0 Td
(the)Tj
1.4514 0 Td
(FBAT)Tj
2.6022 0 Td
(in)Tj
1.0204 0 Td
(health)Tj
2.6419 0 Td
(facilities)Tj
3.4356 0 Td
(in)Tj
1.0261 0 Td
(west-)Tj
-34.7298 -1.3039 Td
(ern)Tj
1.542 0 Td
(Kenya)Tj
2.7269 0 Td
(and)Tj
1.7121 0 Td
(the)Tj
1.4513 0 Td
(region)Tj
2.7666 0 Td
(more)Tj
2.3188 0 Td
(widely.)Tj
3.0047 0 Td
(The)Tj
1.7688 0 Td
(standard)Tj
3.6737 0 Td
(RBT)Tj
2.0125 0 Td
(is)Tj
0.8391 0 Td
(inexpensive)Tj
4.8529 0 Td
(and)Tj
1.7121 0 Td
(straightforward)Tj
6.3382 0 Td
(to)Tj
-36.7197 -1.2983 Td
(perform,)Tj
3.685 0 Td
(follows)Tj
3.0103 0 Td
(the)Tj
1.44 0 Td
(same)Tj
2.2224 0 Td
(general)Tj
3.0841 0 Td
(procedure)Tj
4.2462 0 Td
(as)Tj
0.9978 0 Td
(the)Tj
1.44 0 Td
(FBAT)Tj
2.5909 0 Td
(and)Tj
1.7007 0 Td
(thus)Tj
1.8992 0 Td
(requires)Tj
3.4186 0 Td
(the)Tj
1.44 0 Td
(same)Tj
2.228 0 Td
(basic)Tj
2.1713 0 Td
(labo-)Tj
-35.5745 -1.2982 Td
(ratory)Tj
2.6191 0 Td
(equipment)Tj
4.5014 0 Td
(and)Tj
1.7122 0 Td
(expertise.)Tj
3.9344 0 Td
(Several)Tj
3.0047 0 Td
(authors)Tj
3.2088 0 Td
(have)Tj
2.0353 0 Td
(advocated)Tj
4.1952 0 Td
(for)Tj
1.3663 0 Td
(the)Tj
1.4513 0 Td
(routine)Tj
3.1238 0 Td
(use)Tj
1.5137 0 Td
(of)Tj
1.0035 0 Td
(this)Tj
1.6497 0 Td
(test)Tj
-35.3194 -1.2983 Td
(in)Tj
1.0204 0 Td
(the)Tj
1.4513 0 Td
(diagnosis)Tj
3.9062 0 Td
(of)Tj
1.0034 0 Td
(human)Tj
3.0501 0 Td
(brucellosis)Tj
4.3937 0 Td
(in)Tj
1.0261 0 Td
(health)Tj
2.6362 0 Td
(facilities)Tj
3.4412 0 Td
(in)Tj
1.0205 0 Td
(resource)Tj
3.583 0 Td
(limited)Tj
3.0273 0 Td
(settings)Tj
3.1918 0 Td
([)Tj
0.83 0.64 0.02 0 k
(25)Tj
0 g
(,)Tj
0.83 0.64 0.02 0 k
(56)Tj
0 g
(,)Tj
0.83 0.64 0.02 0 k
(57)Tj
0 g
(].)Tj
-32.7512 -1.3039 Td
(This)Tj
1.9615 0 Td
(test)Tj
1.5761 0 Td
(showed)Tj
3.2144 0 Td
(considerably)Tj
5.2214 0 Td
(better)Tj
2.5058 0 Td
(agreement)Tj
4.3767 0 Td
(with)Tj
1.9729 0 Td
(the)Tj
1.4513 0 Td
(results)Tj
2.7666 0 Td
(of)Tj
1.0035 0 Td
(the)Tj
1.4513 0 Td
(SAT-Coombs)Tj
5.6466 0 Td
(and)Tj
1.7121 0 Td
(LFA)Tj
-34.8602 -1.2983 Td
(than)Tj
2.0012 0 Td
(the)Tj
1.4513 0 Td
(FBAT)Tj
2.6022 0 Td
(in)Tj
1.0205 0 Td
(this)Tj
1.6554 0 Td
(setting,)Tj
3.0557 0 Td
(and)Tj
1.7121 0 Td
(is)Tj
0.8391 0 Td
(likely)Tj
2.3187 0 Td
(to)Tj
1.0092 0 Td
(represent)Tj
3.9061 0 Td
(a)Tj
0.6463 0 Td
(better)Tj
2.5058 0 Td
(alternative.)Tj
4.5751 0 Td
(A)Tj
0.9014 0 Td
(potential)Tj
3.702 0 Td
(limita-)Tj
-33.9021 -1.2983 Td
(tion)Tj
1.8141 0 Td
(of)Tj
1.0035 0 Td
(the)Tj
1.4513 0 Td
(RBT,)Tj
2.2337 0 Td
(although)Tj
3.7077 0 Td
(one)Tj
1.6837 0 Td
(that)Tj
1.7518 0 Td
(applies)Tj
2.9424 0 Td
(to)Tj
1.0148 0 Td
(all)Tj
1.1282 0 Td
(rapid)Tj
2.3074 0 Td
(agglutination)Tj
5.4481 0 Td
(tests,)Tj
2.1543 0 Td
(including)Tj
3.9855 0 Td
(the)Tj
1.4513 0 Td
(FBAT,)Tj
-34.0778 -1.3039 Td
(are)Tj
1.4286 0 Td
(inconsistencies)Tj
6.1625 0 Td
(between)Tj
3.4866 0 Td
(technicians)Tj
4.6771 0 Td
(in)Tj
1.0205 0 Td
(reading)Tj
3.2144 0 Td
(agglutination)Tj
5.4539 0 Td
(results)Tj
2.7666 0 Td
([)Tj
0.83 0.64 0.02 0 k
(58)Tj
0 g
(].)Tj
2.0466 0 Td
(In)Tj
1.0941 0 Td
(our)Tj
1.6101 0 Td
(study,)Tj
2.5795 0 Td
(there)Tj
-35.5405 -1.2982 Td
(was)Tj
1.678 0 Td
(some)Tj
2.3074 0 Td
(discrepancy)Tj
4.9096 0 Td
(between)Tj
3.4866 0 Td
(results)Tj
2.7666 0 Td
(of)Tj
1.0035 0 Td
(the)Tj
1.4513 0 Td
(RBTs)Tj
2.3697 0 Td
(performed)Tj
4.4164 0 Td
(in)Tj
1.0205 0 Td
(Kenya)Tj
2.7269 0 Td
(and)Tj
1.7121 0 Td
(those)Tj
2.3074 0 Td
(performed)Tj
4.4163 0 Td
(by)Tj
-36.5723 -1.2983 Td
(different)Tj
3.5999 0 Td
(operators)Tj
3.9572 0 Td
(in)Tj
1.0261 0 Td
(Spain.)Tj
2.6475 0 Td
(One)Tj
1.9219 0 Td
(of)Tj
1.0035 0 Td
(the)Tj
1.4513 0 Td
(two)Tj
1.6951 0 Td
(weak)Tj
2.2337 0 Td
(RBT)Tj
2.0126 0 Td
(positives)Tj
3.6226 0 Td
(that)Tj
1.7575 0 Td
(were)Tj
2.0976 0 Td
(missed)Tj
2.9424 0 Td
(in)Tj
1.0261 0 Td
(Kenya)Tj
2.7213 0 Td
(was)Tj
-35.7163 -1.3039 Td
(Coombs)Tj
3.5489 0 Td
(positive,)Tj
3.4866 0 Td
(whilst)Tj
2.5682 0 Td
(one)Tj
1.6781 0 Td
(of)Tj
1.0034 0 Td
(the)Tj
1.4514 0 Td
(two)Tj
1.6951 0 Td
(that)Tj
1.7518 0 Td
(was)Tj
1.6837 0 Td
(missed)Tj
2.9424 0 Td
(in)Tj
1.0261 0 Td
(Spain)Tj
2.4321 0 Td
(was)Tj
1.6781 0 Td
(SAT)Tj
1.9729 0 Td
(positive.)Tj
3.4866 0 Td
(Problems)Tj
-32.4054 -1.2983 Td
(around)Tj
3.101 0 Td
(repeatability)Tj
5.0854 0 Td
(are)Tj
1.4286 0 Td
(likely)Tj
2.3187 0 Td
(to)Tj
1.0148 0 Td
(be)Tj
1.1339 0 Td
(minimised)Tj
4.4674 0 Td
(through)Tj
3.4072 0 Td
(the)Tj
1.4513 0 Td
(use)Tj
1.5137 0 Td
(of)Tj
1.0035 0 Td
(a)Tj
0.6463 0 Td
(glossy)Tj
2.5795 0 Td
(white)Tj
2.3924 0 Td
(tile,)Tj
1.6497 0 Td
(testing)Tj
-33.1934 -1.2983 Td
(only)Tj
1.9502 0 Td
(a)Tj
0.6463 0 Td
(limited)Tj
3.033 0 Td
(number)Tj
3.3789 0 Td
(of)Tj
1.0035 0 Td
(sera)Tj
1.7858 0 Td
(each)Tj
2.0069 0 Td
(time,)Tj
2.2223 0 Td
(adequate)Tj
3.7474 0 Td
(training)Tj
3.3732 0 Td
(of)Tj
1.0035 0 Td
(technicians)Tj
4.6771 0 Td
(to)Tj
1.0091 0 Td
(recognise)Tj
3.9572 0 Td
(all)Tj
1.1282 0 Td
(agglu-)Tj
-34.9226 -1.2982 Td
(tination)Tj
3.3391 0 Td
(patterns,)Tj
3.6454 0 Td
(and)Tj
1.7121 0 Td
(the)Tj
1.4513 0 Td
(use)Tj
1.5137 0 Td
(of)Tj
1.0035 0 Td
(good)Tj
2.2053 0 Td
(quality)Tj
2.9083 0 Td
(controls)Tj
3.4356 0 Td
([)Tj
0.83 0.64 0.02 0 k
(25)Tj
0 g
(].)Tj
2.0466 0 Td
(The)Tj
1.7688 0 Td
(measurement)Tj
5.6012 0 Td
(of)Tj
1.0035 0 Td
(RBT)Tj
2.0126 0 Td
(titres)Tj
-33.647 -1.3039 Td
(using)Tj
2.3584 0 Td
(serial)Tj
2.2847 0 Td
(dilution,)Tj
3.5829 0 Td
(and)Tj
1.7122 0 Td
(particularly)Tj
4.7395 0 Td
(evidence)Tj
3.668 0 Td
(of)Tj
1.0034 0 Td
(rising)Tj
2.4605 0 Td
(titres)Tj
2.2053 0 Td
(on)Tj
1.2643 0 Td
(repeat)Tj
2.6532 0 Td
(testing,)Tj
3.0557 0 Td
(can)Tj
1.6101 0 Td
(provide)Tj
3.2485 0 Td
(bet-)Tj
-35.8467 -1.2983 Td
(ter)Tj
1.2925 0 Td
(evidence)Tj
3.668 0 Td
(of)Tj
0.9978 0 Td
(infection)Tj
3.7417 0 Td
(when)Tj
2.3811 0 Td
(combined)Tj
4.1953 0 Td
(with)Tj
1.9729 0 Td
(clinical)Tj
3.0274 0 Td
(presentation)Tj
5.1477 0 Td
(and)Tj
1.7121 0 Td
(adequate)Tj
3.7473 0 Td
(history)Tj
2.9651 0 Td
(taking)Tj
-34.8489 -1.2983 Td
([)Tj
0.83 0.64 0.02 0 k
(25)Tj
0 g
(,)Tj
0.83 0.64 0.02 0 k
(57)Tj
0 g
(].)Tj
3.2031 0 Td
(Confirmation)Tj
5.6692 0 Td
(of)Tj
1.0035 0 Td
(agglutination)Tj
5.4481 0 Td
(results)Tj
2.7666 0 Td
(with)Tj
1.9729 0 Td
(a)Tj
0.652 0 Td
(second)Tj
2.9707 0 Td
(test)Tj
1.5817 0 Td
(would)Tj
2.6816 0 Td
(also)Tj
1.7404 0 Td
(contribute)Tj
4.337 0 Td
(to)Tj
-34.0268 -1.3039 Td
(improved)Tj
4.0591 0 Td
(diagnostic)Tj
4.2576 0 Td
(accuracy.)Tj
3.8835 0 Td
(The)Tj
1.7688 0 Td
(LFA)Tj
1.9502 0 Td
(used)Tj
2.0353 0 Td
(in)Tj
1.0261 0 Td
(this)Tj
1.6498 0 Td
(study)Tj
2.3584 0 Td
(provides)Tj
3.6 0 Td
(a)Tj
0.6519 0 Td
(simple)Tj
2.8176 0 Td
(and)Tj
1.7122 0 Td
(inexpensive)Tj
-31.7705 -1.2982 Td
(option,)Tj
3.0387 0 Td
(and)Tj
1.7064 0 Td
(was)Tj
1.6724 0 Td
(found)Tj
2.5796 0 Td
(to)Tj
1.0091 0 Td
(have)Tj
2.0239 0 Td
(good)Tj
2.1997 0 Td
(test)Tj
1.5647 0 Td
(performance)Tj
5.2781 0 Td
(when)Tj
2.3697 0 Td
(manufactured)Tj
5.7657 0 Td
(by)Tj
1.1622 0 Td
(the)Tj
1.4456 0 Td
(Royal)Tj
2.4435 0 Td
(Tropical)Tj
-34.2593 -1.2983 Td
(Institute,)Tj
3.7473 0 Td
(Netherlands)Tj
5.0513 0 Td
([)Tj
0.83 0.64 0.02 0 k
(30)Tj
0 g
(].)Tj
2.0466 0 Td
(These)Tj
2.5399 0 Td
(tests)Tj
1.9332 0 Td
(can)Tj
1.6044 0 Td
(distinguish)Tj
4.5751 0 Td
(between)Tj
3.4866 0 Td
(IgM)Tj
1.8992 0 Td
(and)Tj
1.7121 0 Td
(IgG)Tj
1.7234 0 Td
(antibodies,)Tj
4.5184 0 Td
(and)Tj
-34.8375 -1.3039 Td
(can)Tj
1.6043 0 Td
(therefore)Tj
3.8041 0 Td
(also)Tj
1.7405 0 Td
(contribute)Tj
4.337 0 Td
(to)Tj
1.0091 0 Td
(the)Tj
1.4513 0 Td
(clinical)Tj
3.0331 0 Td
(assessment)Tj
4.5467 0 Td
(of)Tj
1.0035 0 Td
(the)Tj
1.4513 0 Td
(stage)Tj
2.1713 0 Td
(of)Tj
1.0035 0 Td
(infection)Tj
3.7417 0 Td
([)Tj
0.83 0.64 0.02 0 k
(59)Tj
0 g
(,)Tj
0.83 0.64 0.02 0 k
(60)Tj
0 g
(].)Tj
-0.004 Tc
-29.7012 -1.2983 Td
(We)Tj
1.61 0 Td
(do)Tj
1.2586 0 Td
(not)Tj
1.5704 0 Td
(have)Tj
2.0636 0 Td
(additional)Tj
4.2746 0 Td
(aetiological)Tj
4.7395 0 Td
(information)Tj
5.074 0 Td
(for)Tj
1.389 0 Td
(those)Tj
2.3357 0 Td
(patients)Tj
3.3675 0 Td
(enrolled)Tj
3.515 0 Td
(in)Tj
1.0375 0 Td
(this)Tj
1.6724 0 Td
(study)Tj
-35.104 -1.2983 Td
(who)Tj
1.9388 0 Td
(appear)Tj
2.914 0 Td
(to)Tj
1.0262 0 Td
(have)Tj
2.0636 0 Td
(had)Tj
1.7064 0 Td
(false)Tj
1.9729 0 Td
(positive)Tj
3.3165 0 Td
(brucellosis)Tj
4.4617 0 Td
(diagnoses,)Tj
4.337 0 Td
(and)Tj
1.7348 0 Td
(an)Tj
1.2019 0 Td
(important)Tj
4.2803 0 Td
(question)Tj
-30.9541 -1.3039 Td
(remains)Tj
3.4412 0 Td
(regarding)Tj
4.0989 0 Td
(the)Tj
1.4683 0 Td
(cause)Tj
2.3868 0 Td
(of)Tj
1.0148 0 Td
(their)Tj
2.1089 0 Td
(illnesses.)Tj
3.685 0 Td
(In)Tj
1.1055 0 Td
(addition)Tj
3.6 0 Td
(to)Tj
1.0261 0 Td
(HIV,)Tj
2.2451 0 Td
(malaria)Tj
3.2258 0 Td
(and)Tj
1.7348 0 Td
(typhoid,)Tj
3.5433 0 Td
(for)Tj
-34.6845 -1.2982 Td
(which)Tj
2.6475 0 Td
(many)Tj
2.4775 0 Td
(recruited)Tj
3.8551 0 Td
(participants)Tj
4.9605 0 Td
(were)Tj
2.1204 0 Td
(also)Tj
1.7688 0 Td
(tested)Tj
2.5511 0 Td
(by)Tj
1.1792 0 Td
(participating)Tj
5.3291 0 Td
(health)Tj
2.6816 0 Td
(centres,)Tj
3.2938 0 Td
(a)Tj
0.652 0 Td
(wide)Tj
-33.5166 -1.2983 Td
(range)Tj
2.4604 0 Td
(of)Tj
1.0148 0 Td
(infectious)Tj
4.1329 0 Td
(causes)Tj
2.7496 0 Td
(of)Tj
1.0148 0 Td
(febrile)Tj
2.7496 0 Td
(illness)Tj
2.6702 0 Td
(are)Tj
1.4513 0 Td
(known)Tj
3.0047 0 Td
(to)Tj
1.0262 0 Td
(be)Tj
1.1451 0 Td
(prevalent)Tj
3.9402 0 Td
(in)Tj
1.0375 0 Td
(the)Tj
1.4683 0 Td
(study)Tj
2.3867 0 Td
(area.)Tj
2.109 0 Td
(These)Tj
-34.3613 -1.2983 Td
(include)Tj
/F12 1 Tf
3.1804 0 Td
[()-2( )19(\r)4()15()4()4()]TJ
3.3902 0 Td
[()11()12()-9()6()8(\n)7(\r)12(\r)]TJ
/F8 1 Tf
3.3392 0 Td
([)Tj
0.83 0.64 0.02 0 k
(61)Tj
0 g
(,)Tj
0.83 0.64 0.02 0 k
(62)Tj
0 g
(],)Tj
/F12 1 Tf
3.2542 0 Td
[()-3()2()12(\n)11( )7()10()11(\r)12()20()]TJ
/F8 1 Tf
4.2973 0 Td
(spp.)Tj
1.8425 0 Td
([)Tj
0.83 0.64 0.02 0 k
(63)Tj
0 g
(],)Tj
/F12 1 Tf
2.0749 0 Td
[()13(\r)4()13()8()8(\n\n)10(\r)4()]TJ
/F8 1 Tf
3.9855 0 Td
(spp.)Tj
1.8425 0 Td
([)Tj
0.83 0.64 0.02 0 k
(64)Tj
0 g
(],)Tj
2.075 0 Td
(and)Tj
1.7291 0 Td
(Chikungunya)Tj
-31.0108 -1.3039 Td
(virus)Tj
2.1996 0 Td
([)Tj
0.83 0.64 0.02 0 k
(65)Tj
0 g
(].)Tj
2.075 0 Td
(To)Tj
1.3436 0 Td
(our)Tj
1.6214 0 Td
(knowledge,)Tj
4.7678 0 Td
(neither)Tj
3.0841 0 Td
(health)Tj
2.6759 0 Td
(facility)Tj
2.897 0 Td
(routinely)Tj
3.8664 0 Td
(tested)Tj
2.5512 0 Td
(for)Tj
1.389 0 Td
(any)Tj
1.6554 0 Td
(of)Tj
1.0148 0 Td
(these)Tj
2.2563 0 Td
(pathogens)Tj
-33.3975 -1.2983 Td
(at)Tj
0.941 0 Td
(the)Tj
1.4627 0 Td
(time)Tj
2.0183 0 Td
(of)Tj
1.0034 0 Td
(the)Tj
1.457 0 Td
(study,)Tj
2.6079 0 Td
(and)Tj
1.7178 0 Td
(while)Tj
2.3584 0 Td
(rapid)Tj
2.33 0 Td
(tests)Tj
1.9503 0 Td
(are)Tj
1.44 0 Td
(available)Tj
3.6566 0 Td
(for)Tj
1.3777 0 Td
(some,)Tj
2.5455 0 Td
(these)Tj
2.245 0 Td
(often)Tj
2.2733 0 Td
(have)Tj
2.0523 0 Td
(poor)Tj
2.1147 0 Td
(diag-)Tj
-35.5519 -1.2982 Td
(nostic)Tj
2.6248 0 Td
(performance)Tj
5.3461 0 Td
([)Tj
0.83 0.64 0.02 0 k
(66)Tj
0 g
(])Tj
1.8539 0 Td
(and)Tj
1.7291 0 Td
(have)Tj
2.0579 0 Td
(not)Tj
1.5761 0 Td
(been)Tj
2.1203 0 Td
(widely)Tj
2.8233 0 Td
(adopted)Tj
3.4582 0 Td
([)Tj
0.83 0.64 0.02 0 k
(67)Tj
0 g
(].)Tj
2.075 0 Td
(The)Tj
1.7858 0 Td
(demonstration)Tj
6.1285 0 Td
(that)Tj
/F12 1 Tf
1.7801 0 Td
[()17()-9()]TJ
-35.3591 -1.3039 Td
[()7()15()4()4()]TJ
/F8 1 Tf
1.9388 0 Td
(may)Tj
1.9276 0 Td
(be)Tj
1.1508 0 Td
(less)Tj
1.6158 0 Td
(common)Tj
3.8437 0 Td
(than)Tj
2.0296 0 Td
(anticipated)Tj
4.6545 0 Td
(in)Tj
1.0375 0 Td
(this)Tj
1.6724 0 Td
(setting)Tj
2.8856 0 Td
(therefore)Tj
3.8551 0 Td
(increases)Tj
3.8325 0 Td
(the)Tj
1.4683 0 Td
(diagnostic)Tj
-31.9122 -1.2983 Td
(challenge)Tj
3.9571 0 Td
(for)Tj
1.389 0 Td
(clinicians.)Tj
4.2292 0 Td
(Improved)Tj
4.1839 0 Td
(diagnostic)Tj
4.3143 0 Td
(services,)Tj
3.532 0 Td
(including)Tj
4.0422 0 Td
(the)Tj
1.4683 0 Td
(development)Tj
5.4141 0 Td
(and)Tj
1.7292 0 Td
(valida-)Tj
-34.2593 -1.2983 Td
(tion)Tj
1.8425 0 Td
(of)Tj
1.0148 0 Td
(point)Tj
2.3527 0 Td
(of)Tj
1.0148 0 Td
(care)Tj
1.8765 0 Td
(tests)Tj
1.9616 0 Td
(and)Tj
1.7291 0 Td
(testing)Tj
2.88 0 Td
(strategies,)Tj
4.1499 0 Td
(and)Tj
1.7291 0 Td
(the)Tj
1.474 0 Td
(development)Tj
5.4085 0 Td
(of)Tj
1.0148 0 Td
(diagnostic)Tj
4.3199 0 Td
(and)Tj
1.7292 0 Td
(man-)Tj
-34.4974 -1.3039 Td
(agement)Tj
3.6339 0 Td
(algorithms)Tj
4.5128 0 Td
(for)Tj
1.3889 0 Td
(patients)Tj
3.3676 0 Td
(presenting)Tj
4.4447 0 Td
(with)Tj
1.9956 0 Td
(febrile)Tj
2.7495 0 Td
(illness,)Tj
2.897 0 Td
(are)Tj
1.4514 0 Td
(urgently)Tj
3.5546 0 Td
(needed)Tj
3.0954 0 Td
(in)Tj
1.0318 0 Td
(this)Tj
-34.1232 -1.2982 Td
(setting,)Tj
3.1067 0 Td
(as)Tj
1.0148 0 Td
(in)Tj
1.0375 0 Td
(many)Tj
2.4774 0 Td
(others)Tj
2.7043 0 Td
(in)Tj
1.0374 0 Td
(the)Tj
1.4684 0 Td
(region)Tj
2.8063 0 Td
([)Tj
0.83 0.64 0.02 0 k
(19)Tj
0 g
(,)Tj
0.83 0.64 0.02 0 k
(54)Tj
0 g
(].)Tj
ET
Q
q
1 j
1 J
0 w
576 737.1 m
36 737.1 l
36 737.6 l
576 737.6 l
f*
36 741.2598 183.2882 23.6976 re
W* n
q
183.2315 0 0 23.6409 36 741.3165 cm
q
/I0 Do
Q
Q
Q
q
0 0 612 792 re
W* n
1 j
1 J
0 w
7.9999 0 0 7.9999 460.1763 745.7952 cm
BT
/F0 1 Tf
1 TL
-0.005 Tc
0 0 Td
(Poor)Tj
2.296 0 Td
(brucello)Tj
3.4229 0 Td
(sis)Tj
1.4244 0 Td
(test)Tj
1.8071 0 Td
(performanc)Tj
4.9749 0 Td
(e)Tj
ET
Q
q
1 j
1 J
0 w
36 48.0002 m
576 48.0002 l
576 47.5002 l
36 47.5002 l
f*
0.83 0.64 0.02 0 k
163.5591 34.9228 m
317.7071 34.9228 l
h
f*
0 g
7.9999 0 0 7.9999 36 36 cm
BT
/F0 1 Tf
1 TL
-0.005 Tc
0 0 Td
(PLOS)Tj
2.8559 0 Td
(Neglected)Tj
4.6417 0 Td
(Tropical)Tj
3.7135 0 Td
(Disease)Tj
3.5433 0 Td
(s)Tj
0.7158 0 Td
(|)Tj
0.83 0.64 0.02 0 k
0.4748 0 Td
(https://doi.or)Tj
5.4142 0 Td
(g/10.137)Tj
3.8197 0 Td
(1/journal.pn)Tj
5.1237 0 Td
(td.00055)Tj
3.8197 0 Td
(08)Tj
0 g
2.0905 0 Td
(April)Tj
2.1827 0 Td
(7,)Tj
1.0418 0 Td
(2017)Tj
25.1647 0 Td
(11)Tj
1.304 0 Td
(/)Tj
ET
endstream
endobj
318 0 obj
<>stream
endstream
endobj
319 0 obj
<>stream
endstream
endobj
320 0 obj
<>stream
endstream
endobj
321 0 obj
<>stream
endstream
endobj
322 0 obj
<>stream
endstream
endobj
323 0 obj
<>stream
endstream
endobj
324 0 obj
<>stream
endstream
endobj
325 0 obj
<>stream
endstream
endobj
326 0 obj
<>stream
endstream
endobj
327 0 obj
<>stream
endstream
endobj
328 0 obj
<>stream
endstream
endobj
329 0 obj
<>stream
endstream
endobj
330 0 obj
<>stream
endstream
endobj
331 0 obj
<>stream
endstream
endobj
332 0 obj
<>stream
endstream
endobj
333 0 obj
<>stream
endstream
endobj
334 0 obj
<>stream
endstream
endobj
335 0 obj
<>stream
endstream
endobj
336 0 obj
<>stream
BT
66.402 0 Td
(15)Tj
ET
Q
endstream
endobj
337 0 obj
<>/XObject<>>>/CropBox[0 0 612 792]/MediaBox[0 0 612 792]/Parent 289 0 R/Annots 339 0 R/Contents 340 0 R/TrimBox[0 0 612 792]>>
endobj
338 0 obj
<>
endobj
341 0 obj
<>
endobj
342 0 obj
<>stream
%!PS-AdobeFont-1.0
%%This font is a conversion from MinionPro-Bold with the following copyright notice:
%\050c\051 2000, 2002 Adobe Systems Incorporated. All Rights Reserved. U.S. Patent Des. 337,604. Other patents pending.
11 dict begin
/FontName /MinionPro-Bold def
/FontType 1 def
/FontBBox {-125 -239 1052 750} readonly def
/FontMatrix [0.001 0 0 0.001 0 0] readonly def
/PaintType 0 def
/FontInfo 8 dict dup begin
/FullName (MinionPro-Bold) readonly def
/BaseFontName (MinionPro-Bold) def
/Notice (\\050c\\051 2000, 2002 Adobe Systems Incorporated. All Rights Reserved. U.S. Patent Des. 337,604. Other patents pending.) readonly def
end def
/Encoding 256 array
0 1 255 {1 index exch /.notdef put} for
dup 32 /space put
dup 33 /exclam put
dup 34 /quotedbl put
dup 35 /numbersign put
dup 36 /dollar put
dup 37 /percent put
dup 38 /ampersand put
dup 39 /quoteright put
dup 40 /parenleft put
dup 41 /parenright put
dup 42 /asterisk put
dup 43 /plus put
dup 44 /comma put
dup 45 /hyphen put
dup 46 /period put
dup 47 /slash put
dup 48 /zero put
dup 49 /one put
dup 50 /two put
dup 51 /three put
dup 52 /four put
dup 53 /five put
dup 54 /six put
dup 55 /seven put
dup 56 /eight put
dup 57 /nine put
dup 58 /colon put
dup 59 /semicolon put
dup 60 /less put
dup 61 /equal put
dup 62 /greater put
dup 63 /question put
dup 64 /at put
dup 65 /A put
dup 66 /B put
dup 67 /C put
dup 68 /D put
dup 69 /E put
dup 70 /F put
dup 71 /G put
dup 72 /H put
dup 73 /I put
dup 74 /J put
dup 75 /K put
dup 76 /L put
dup 77 /M put
dup 78 /N put
dup 79 /O put
dup 80 /P put
dup 81 /Q put
dup 82 /R put
dup 83 /S put
dup 84 /T put
dup 85 /U put
dup 86 /V put
dup 87 /W put
dup 88 /X put
dup 89 /Y put
dup 90 /Z put
dup 91 /bracketleft put
dup 92 /backslash put
dup 93 /bracketright put
dup 94 /asciicircum put
dup 95 /underscore put
dup 96 /quoteleft put
dup 97 /a put
dup 98 /b put
dup 99 /c put
dup 100 /d put
dup 101 /e put
dup 102 /f put
dup 103 /g put
dup 104 /h put
dup 105 /i put
dup 106 /j put
dup 107 /k put
dup 108 /l put
dup 109 /m put
dup 110 /n put
dup 111 /o put
dup 112 /p put
dup 113 /q put
dup 114 /r put
dup 115 /s put
dup 116 /t put
dup 117 /u put
dup 118 /v put
dup 119 /w put
dup 120 /x put
dup 121 /y put
dup 122 /z put
dup 123 /braceleft put
dup 124 /bar put
dup 125 /braceright put
dup 126 /asciitilde put
dup 127 /Euro put
dup 132 /Eth put
dup 133 /eth put
dup 134 /Thorn put
dup 135 /thorn put
dup 136 /onequarter put
dup 137 /onehalf put
dup 139 /plusminus put
dup 161 /exclamdown put
dup 162 /cent put
dup 163 /sterling put
dup 164 /fraction put
dup 165 /yen put
dup 166 /florin put
dup 167 /section put
dup 168 /currency put
dup 169 /quotesingle put
dup 170 /quotedblleft put
dup 171 /guillemotleft put
dup 172 /guilsinglleft put
dup 173 /guilsinglright put
dup 177 /endash put
dup 178 /dagger put
dup 179 /daggerdbl put
dup 180 /periodcentered put
dup 182 /paragraph put
dup 183 /bullet put
dup 184 /quotesinglbase put
dup 185 /quotedblbase put
dup 186 /quotedblright put
dup 187 /guillemotright put
dup 188 /ellipsis put
dup 189 /perthousand put
dup 191 /questiondown put
dup 193 /grave put
dup 194 /acute put
dup 195 /circumflex put
dup 196 /tilde put
dup 197 /macron put
dup 198 /breve put
dup 199 /dotaccent put
dup 200 /dieresis put
dup 202 /ring put
dup 203 /cedilla put
dup 205 /hungarumlaut put
dup 206 /ogonek put
dup 207 /caron put
dup 208 /emdash put
dup 225 /AE put
dup 227 /ordfeminine put
dup 232 /Lslash put
dup 233 /Oslash put
dup 234 /OE put
dup 235 /ordmasculine put
dup 241 /ae put
dup 245 /dotlessi put
dup 248 /lslash put
dup 249 /oslash put
dup 250 /oe put
dup 251 /germandbls put
readonly def
currentdict end
currentfile eexec
M#1H5 J6o\&rtS(#v\0\V7Fe༙OYx5-cY9^%Y6
(efIOldN"wȰ;)UƽoFg/rvV$JS8_oc@
o9-eGJp}[Do]mN=4*{ܯq=eU^t6¤)quu͟:LW=1UB̵X>
Dɮ"\ :띥W 5'xUz{:Vé 'zlA" InJn]7e
AuAͼs]j
;l/> 8TRE#AC*+up\`$o_6;]]=6'ʙ0JEE .J