The problem with using NIS data is that it's not always possible to get granular detail on pockets of vaccine-refusal, and these are the biggest issues in terms of disease outbreaks
It does, of course, depend on what we're talking about - chronic diseases don't always have specific definitions in the same way infectious diseases do - but a 'case' of infectious disease is almost always characterized as an infection by the pathogen
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Exceptions are where there are multiple sites of infection, for example legionella, but if you have an asymptomatic but lab-confirmed case of, say, hepatitis B, it's still a case
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In the case of pertussis vaccination, people can unknowingly be infected with the disease post-vaccine and be contagious, but never experience significant symptoms. They still have an infection, they just don't know it. They also are unlikely to be caught by monitoring systems
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No. A case generally requires clinically significant symptoms.
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Lovely semantic argument yall are having
End of conversation
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