Clarification

I don't get this statement. "Most cases (of typhoid fever) in developed countries are imported from endemic countries."

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  1. Most cases come from countries where typhoid fever occurs a lot.

    http://dictionary.reference.com/browse/endemic

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  2. How can I put this sentence into my own words?

    "Use scupuluous cleanliness in food preparation and handling."

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  3. Use a synonym for "scrupulous."

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