However, the last documented outbreak in the United States was in 1911 (Mayo Clinic, 2011). Before then, there were a number of outbreaks, but none worse than the Second Cholera Pandemic of the mid-1800s. The pandemic began in India, and then swiftly spread across the globe via trade routes.
1 Retrieved October 7 2015 from http://www.acronymfinder.com/Not-Elsewhere-Specified-Or-Included-(trade-exports%2c-customs)-(NESOI).html. 2  APA style: NESOI.
Ecchi (ã¨ãã, etchi, pronounced [et.tÉi]) is an often used slang term in the Japanese language for playfully sexual actions. As an adjective, it is used with the meaning of sexy, dirty or naughty; as a verb, ecchi suru (ã¨ãããã), with the meaning to have sex; or as a noun, to describe someone of lascivious behavior. It is perhaps softer than the Japanese word ero (ã¨ã­ from Eros), and does not imply perversion in the way hentai does.