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Some Internet vendors also attempt to skirt US regulations by operating in countries outside the United States but marketing to US consumers. Recent evidence in ethnic communities in the United States indicates a high level of self-medication with antibiotics either obtained without a prescription in a foreign country and imported into the United States or acquired in the United States without a prescription at stores in ethnic communities. Some prescription medication is sold without a valid prescription, which is a violation of the Federal Food, Drug, and Cosmetic Act. Fourth, we have limited our count to English language websites. This study was not meant to be an exhaustive census of these sites, primarily because with the questionable legality of some of these practices, these sites rapidly come and go. Thus, as soon as patients receive over-the-counter antibiotics and self-treating self-limiting illnesses with drugs, such as upper-respiratory tract infections without complications, they are likely to suggest that the antibiotic was effective, and self-medicate in the future. This decrease was interpreted as evidence that the full use of antibiotics was also reduced. This phenomenon has not been the focus of initiatives to control antibiotic resistance. As part of this study, we bought over-the-counter antibiotics over the counter. Reducing inappropriate use of antibiotics is key to many antibiotic resistance initiatives. For this second group, no prescription from a doctor or clinical physician was necessary before gaining access to the site. As websites appear and disappear at a relative frequency, searches and classifications were performed during the first week of September 2008. Although excessive consumption of antibiotics has contributed to the spread of antibiotic resistance, 4-6 most initiatives regarding inappropriate direct human consumption of the antibiotic therapy center are almost exclusively controlled by prescribing by healthcare clinicians. Specifically, we classified a single course of azithromycin as 6 pills, 250 mg each. In the case of online histories to justify a prescription, we assumed that individuals are primarily purchasing antibiotics for an acute problem.