The Division of Commissions, Legislation and Notaries of the Bureau of Commissions, Elections and Legislation administers the duties imposed on the Secretary of the Commonwealth by Pennsylvania's Notary Public Law.
The initial symptoms of strongyloides hyperinfection syndrome may include fever, haemoptysis, and wheeze. A chest radiograph may reveal pulmonary infiltrates, which can represent a combination of oedema, haemorrhage, and pneumonitis.
Strongyloides is more commonly found in areas that are relatively warm and moist, in rural areas, and areas associated with agricultural activity, but it can occur anywhere. It is found more frequently in socio-economically disadvantaged persons and in institutionalized populations.