The annual incidence of laboratory-confirmed Salmonella infections in Trinidad and Tobago is approximately 9 per 100,000 population. Assume that 1) approximately one in every 10 people with diarrhea go to the doctor, 2) doctors request submission of a stool specimen from approximately one in every 10 patients with diarrhea that they see, and 3) approximately two in every three stool specimens are properly tested for Salmonella and are reported through the surveillance system. Given these assumptions, what is the true burden of Salmonella in Trinidad and Tobago?

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