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(12) Sheep disease. The primary risk factor for developing sheep disease is an inactivated or weakened sheep virus, usually an E-Virus. Sheep disease is caused by a different virus which is the pathogen of other sheep species. Although many sheep have been infected by other strains of sheep disease (E-virus), the primary source of infections in the United States is E-virus. However, the sheep virus of the United States is not the same as that of other sheep species or of human infection. For example, a strain of E-virus which is also responsible for the severe febrile illness in cows of Brazil is not transmitted by sheep. The E-virus of the United States is an inactivated virus.

A number of animals of different breeds of sheep are sometimes infected with disease. This is known as recombinant and wildtype disease (RCWD) when they are infected by recombinant virus. There are several types of E-virus. E-vi (a strain which causes tuberculosis in sheep) is known to cause this type of infection. E-vi in sheep can cause the following symptoms: fever, chills, abdominal pain, headache, and fever followed by headache followed by fever. E-vi can infect both sheep and human beings and can be spread by any source. The E-virus of the United States is a recombinant strain and does not infect humans. However, there is evidence that this strain is transmitted to people by sheep.

A number of other animals of different breeds of sheep are occasionally infected with E-vi. This is known as wildtype disease and can affect sheep, goats, poultry, hogs, bison, buffalo, pronghorn antelope, bison and some of the domestic cattle. The only documented case of E-vi in sheep has been found in the California State Stockyard in 1962. Other domestic herds are known to have the E-vi strain in their blood, as are other populations in the United States, Canada and Japan.

There have been many attempts to control E-vi transmission from sheep to humans. These include:


1) the use of Bovine Spongiform Encephalopathy (BSE) vaccine

2) use of a variety of antibiotics used to kill E-virus on sheep

3) the use of bovine spongiform encephalopathy vaccine (BSEV) in sheep (purchased in Europe)

4) use of bovine virus vaccines as vaccines for sheep

5) vaccine-associated infections in people with human immunodeficiency virus infection

6) introduction of E-virus into livestock, including e.g.
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Desal plans under scrutiny by federal regulators will require more transparency to determine how it will be implemented, officials said. Officials from the Health and Human Services Department are holding a news conference Wednesday morning to review plans for the federal healthcare.gov website.

The Department of Health and Human Services, and its chief executive, Kathleen Sebelius, have said that health plans should be able to choose between offering a federal option or having their policies provided by the state.

The plan released last week is a departure from a 2013 effort by the Office of the Actuary of the Centers for Medicare and Medicaid Services, known as CMS, to mandate that people who use the health care exchange get their own insurance.

As part of that effort, CMS instructed states to establish individual health care exchange markets. Under the current law, those markets are largely unregulated and in many states, the Department of Health and Human Services has no authority to establish an exchange.

In October, officials from CMS released proposed rules that would require that states set up their own exchanges. If approved, the rules could go into effect Jan. 1. They also would require that states set up their own exchange to take advantage of federal subsidies offered through the health care law that encourage them to create more insurance exchanges.

Administration officials are now reviewing the impact that changing the plans will have on enrollment.

The health department is now also working to create a national plan exchange to take up to seven years to complete, officials said.

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