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178 coxsackievirus A16 strains associated with hand, foot, and mouth disease epidemics
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CV-A16 genetic shifts may underlie repeated HFMD outbreaks; leaves open whether phylogenetic monitoring improves epidemic prediction.
Repeated outbreaks of CV-A16-related HFMD in Japan were caused in part by the introduction of genetically changed strains.
Hosoya et al. (2006) studied this question.
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