“…Other cases have also been reported separately in many regions and countries far away from the endemic areas, including the northeastern states of USA (Desai et al, 2001), the Netherlands (Indhirajanti et al, 2009), Poland (Batura-Gabryel andBrajer, 2008), India (Verghese et al, 2002), Japan (Futsuki et al, 2000;Kishi et al, 2008), and Hong Kong of China (Kwok et al, 2009). All these cases were clearly connected with past traveling activities or residential history in the disease-epidemic region, which is supposed to be an important factor for diagnosis (Indhirajanti et al, 2009).…”