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https://www.selleckchem.com/products/pf-06650833.html 2%). Six of 13 cardiac arrests and eight of 63 of multiple trauma cases were coded as 'Referral for investigation'. With the addition of two new terms to the New Zealand reference set ('Abnormal blood test' and 'Radiology request'), each of the remaining 30 presentations would have an alternative and more accurate CPC. 'Referral for investigation' should be removed from the New Zealand emergency department reference set for chief presenting complaints to improve data quality. 'Referral for investigation' should be removed from the New Zealand emergency department reference set for chief presenting complaints to improve data quality. We aimed to estimate the risk of COVID-19 outbreaks in a COVID-19-free destination country (New Zealand) associated with shore leave by merchant ship crews who were infected prior to their departure or on their ship. We used a stochastic version of the SEIR model CovidSIM v1.1 designed specifically for COVID-19. It was populated with parameters for SARS-CoV-2 transmission, shipping characteristics and plausible control measures. When no control interventions were in place, we estimated that an outbreak of COVID-19 in New Zealand would occur after a median time of 23 days (assuming a global average for source country incidence of 2.66 new infections per 1,000 population per week, crews of 20 with a voyage length of 10 days and 1 day of shore leave per crew member both in New Zealand and abroad, and 108 port visits by international merchant ships per week). For this example, the uncertainty around when outbreaks occur is wide (an outbreak occurs with 95% probability between 1 and 124 days). The combination of PCR testing on arrival, self-reporting of symptoms with contact tracing and mask use during shore leave increased this median time to 1.0 year (14 days to 5.4 years, or a 49% probability within a year). Scenario analyses found that onboard infection chains could persist for well ov

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