title: Reply.
authors.affiliation: Alaska Native Medical Center, CDC Arctic Investigations Program, Anchorage, AK.
authors.forename: Jospehine
authors.initials: J
authors.lastname: Simonetti
authors.affiliation: Arctic Investigations Program, National Center for Preparedness, Detection and Control of Infectious Diseases, Centers for Disease Control and Prevention, Anchorage, AK.
authors.forename: Lisa
authors.initials: L
authors.lastname: Bulkow
authors.affiliation: Alaska Native Medical Center, CDC Arctic Investigations Program, Anchorage, AK.|Arctic Investigations Program, National Center for Preparedness, Detection and Control of Infectious Diseases, Centers for Disease Control and Prevention, Anchorage, AK.
authors.forename: Brian J
authors.initials: BJ
authors.lastname: McMahon
authors.affiliation: Alaska Native Medical Center, CDC Arctic Investigations Program, Anchorage, AK.
authors.forename: Chriss
authors.initials: C
authors.lastname: Homan
authors.affiliation: Alaska Native Medical Center, CDC Arctic Investigations Program, Anchorage, AK.
authors.forename: Mary
authors.initials: M
authors.lastname: Snowball
authors.affiliation: Alaska Native Medical Center, CDC Arctic Investigations Program, Anchorage, AK.
authors.forename: Susan
authors.initials: S
authors.lastname: Negus
authors.affiliation: Alaska Native Medical Center, CDC Arctic Investigations Program, Anchorage, AK.
authors.forename: James
authors.initials: J
authors.lastname: Williams
authors.affiliation: Alaska Native Medical Center, CDC Arctic Investigations Program, Anchorage, AK.
authors.forename: Stephen E
authors.initials: SE
authors.lastname: Livingston