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Patients with fever without leptospirosis and healthy volunteers were used as a control group. NOx levels were measured using a modified Griess reaction. Inspection and palpation performed by a specialist doctor is the best way to identify the presence of one or more thyroid nodules. The choice of February 29 makes European Rare Disease Day a special day since it would only take place every four years. In reality, this day is celebrated on February 28 three years out of four. Aissami Abdou, a Nigerien epidemiologist, has been coordinating the MSF project in Ansongo, in northern Mali, for six months.

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