A nurse working in a community clinic noticed an unusually large number of patients with a specific type of influenza. The nurse knew that this was occurring in other states as well, making it:

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An epidemic refers to a widespread occurrence of an infectious disease in a community or region at a particular time. Since the nurse noticed the influenza cases in multiple states, it is considered an epidemic. A pandemic would involve a global spread, and endemic refers to a disease regularly found among particular people or in a certain area.

A Nurse Working in a Community Clinic Noticed an Unusually