它是该国东部地区的本地流行病，当地人口和卫生服务提供者已经就霍乱的存在、危险和应对行动得到了预警。
It is endemic in the eastern part of the country and that has alerted the population and health providers of cholera's presence, risks and response.
由于这些疾病常常以流行病形式出现，虽然流行期之间的持续免疫接种很有挑战性，但他们通常比国家本地流行更加重要。
Because these diseases can present as epidemics, they are often a priority for endemic countries, although sustaining immunization in between epidemics can be challenging.
然而，我在上海呆了一个夏天后，也象许多中国人一样，开始躲避强烈的阳光，实际上，我感觉自己的面色有点儿“本地流行”的那种惨白。
Nevertheless, after my first summer in Shanghai in which I, like many Chinese, had avoided the harsh rays of sun, I actual felt a tad "locally fashionable" with the extra paleness.
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