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The pace of pathogen discovery is increasing dramatically. This reflects not only factors that enable the appearance and globalization of new microbial infections but also improvements in methods for ascertainment. New molecular diagnostic platforms; investments in pathogen surveillance in wildlife, domestic animals and humans; and the advent of social media tools that mine the world wide web for clues to outbreaks of infectious disease are proving invaluable in early recognition of threats to public health. Additionally, models of microbial pathogenesis are becoming more complex, providing insights into the mechanisms by which microorganisms can contribute to chronic illnesses like cancer, peptic ulcer disease and mental illness. Here we review the contributions of each of these elements to infectious disease emergence and strategies for addressing the challenges of pathogen surveillance and discovery.
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