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Anna Bryan, program director for CARE International in PNG, said the impact of the earthquake could not be understood by the initial death toll of 31 people as tens of thousands of people uninjured by the actual quake have been cut off from food, drinking water, communications and medical help for a week.

Another welcome sign of change reflected in the PMI is further improvement in the index for small and medium-sized enterprises, indicating the improving internal strength of the economy.

Apart from the tangibles, the project has increasingly drawn public attention for its facilitation of economic growth, industrial upgrading and ecological improvement in regions along the routes.

Anne Schuchat, principal deputy director of the CDC, described the outbreak as "continuing at a brisk pace", and emphasized that the illnesses were serious and life-threatening.

Another driver is an ever-expanding demographic that is defined as three-generation travel. This refers to travelers seeking more spacious hotels, with an increasing variety of needs, and more leisure time, unplugging from stressful urban life and relaxing with family and friends, Schroeder said.