Iowa, Illinois and other midwestern states appear to be in the grip of a mumps break out. The CDC reports that more than 600 people have been contaminated by simply two carriers of the infection. Two contaminated people on two different planes. That fact alone demonstrates how simple it is nowadays for an infection to travel from one country to another, from one state to another, in hours. The majority of travelers who are contaminated with an infection do not even understand it up until it's too late.
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