Monitoring criticized after ‘unnoticed’ disease spread.

Health-monitoring experts are coming under fire for their response to a mysterious and fatal outbreak of respiratory disease in northeastern Brazil in March. News of the outbreak, which began on 10 March, only reached the international community on 4 June, when a translation of a local news article was published on the international ProMED mailing list, a service for disseminating information about outbreaks. Four posts on ProMED’s Latin American list in Portuguese had appeared the week before.

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