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A pig in Oregon has tested positive for the H5N1 bird flu virus, the Agriculture Department said Wednesday. The update comes as the H5N1 virus continues to spread rapidly among dairy cows across the country. The bird flu outbreak in dairy cows has infected 387 herds across 14 states so far, according to the Centers for Disease Control and Prevention. Last week, the CDC released results of a monthslong investigation that found no evidence of bird flu spreading from human to human. It's unclear how the pig in Oregon was exposed to bird flu, although earlier this month state officials detected the virus in poultry on the farm.
Persons: It's Organizations: Agriculture Department, Centers for Disease Control, CDC Locations: Oregon, United States, Crook County , Oregon, California, Colorado
34 celebrities who became mothers after 40
  + stars: | 2024-10-30 | by ( Gabbi Shaw | ) www.businessinsider.com   time to read: +1 min
More and more women are choosing to become mothers later in life. Whether through IVF, adoption, surrogacy, or natural conception, these celebs became moms after 40. Go to newsletter preferences Thanks for signing up! AdvertisementMore children are being born to mothers over the age of 40. These celebrities have joined the increasing number of women who, whether by carrying their own child, adopting, or using a surrogate, became mothers over 40.
Persons: Gisele Bündchen, Organizations: Service, Centers for Disease Control
Self-harm: Why it happens and how to treat it
  + stars: | 2024-10-30 | by ( Kristen Rogers | ) edition.cnn.com   time to read: +13 min
Editor’s Note: This story contains details of self-harm that some readers may find upsetting or triggering. She had just recently learned about self-harm after asking a friend about her many bandages and long sleeves. In 2019 there were 363,000 emergency department visits for self-harm, according to the US Centers for Disease Control and Prevention. Self-harm can also be a form of self-punishment among those feeling guilt or shame and thus like they deserve physical pain. You should of course use common sense and not let someone have their self-harm toolkit in their bedroom, for example, Whitlock added.
Persons: Megan, ” Megan —, , , ” Megan, , Megan’s, Janis Whitlock, Whitlock, Jeremy Jamieson, There’s, Vibh Forsythe Cox, Marsha M, Linehan, Cox, ” Whitlock, DBT, suicidality, don’t, , ’ ” Whitlock, Whitlock doesn’t, Michele Berk, Benjamin Veness, Berk, ” “, Matt Villano Organizations: International Association for Suicide Prevention, Befrienders, CNN, Houston, Cornell Research, Cornell University, US Centers for Disease Control, University of Rochester, University of Washington, JED, Parents, Stanford University in Locations: New York, Seattle, Boston, Norway, Stanford University in California, Las Vegas, California
CNN —H5N1 bird flu has been identified in a pig in the United States for the first time, the US Department of Agriculture said Wednesday. The USDA and Oregon veterinary officials are investigating bird flu cases in a backyard farming operation that had a mix of poultry and livestock, including pigs, the agency said. After H5N1 was identified in other animals on the farm, five swine were euthanized for testing; two tested negative, and results are still pending for two others. Some previous flu infections in pigs have allowed influenza viruses to change rapidly and develop new capabilities. Across the United States, more than two dozen people have tested positive for H5N1 flu this year, and nearly all of them have reported exposure to infected dairy cows or chickens, according to the US Centers for Disease Control and Prevention.
Persons: Michael Osterholm, , Dr, Sanjay Gupta, Osterholm, it’s, Scott Weese, , Weese Organizations: CNN, US Department of Agriculture, Plant Health, Service, US Centers for Disease Control, Infectious Disease, University of Minnesota, CNN Health, University of Guelph Locations: United States, Oregon, Mexico, Ontario
Additional cases associated with the outbreak have also been reported, bringing the total number of illnesses to 90 and hospitalizations to 27. “It is not necessary to avoid eating onions or other foods made with onions,” the CDC said. Diced onions used at McDonald’s have also not been linked to this outbreak, according to the FDA. Beef patties used on Quarter Pounders were also part of the investigation, which started on October 22. McDonald’s announced on Sunday that they would resume selling Quarter Pounders in all restaurants this week, but the 900 restaurants that had previously received slivered onions from Taylor Farms would not include onions on these sandwiches.
Persons: Burger, Taco, patties, Dr, Sanjay Gupta, McDonald’s Organizations: CNN, US Centers for Disease Control, Food and Drug Administration, CDC, Taylor, Taco Bell, KFC, FDA, Colorado Department of Agriculture, US Department of Agriculture’s, Inspection, CNN Health
Ninety people in 13 states have been infected in a deadly E. coli outbreak linked to McDonald's Quarter Pounders, the Centers for Disease Control and Prevention said Wednesday, as it continues to investigate the source of the spread. Before Wednesday, the CDC last gave an update on the outbreak on Friday, when the agency said it had 75 cases in 13 states. Fresh slivered onions served on Quarter Pounders and other menu items at McDonald's are "the likely source of this outbreak," the CDC said on its website on Wednesday. The CDC believes the risk to the public is "very low" due to the efforts from McDonald's and Taylor Farms. Quarter Pounder hamburgers are a core menu item for McDonald's, raking in billions of dollars each year.
Organizations: Centers for Disease Control, Prevention, CDC, U.S Locations: Colorado, McDonald's, Colorado , Kansas, Wyoming, Idaho , Iowa , Missouri, Montana , Nebraska , Nevada , New Mexico , Oklahoma, Utah
‘Go wild’ with RFK Jr.Trump has promised to give Kennedy leeway to remake the way the government health apparatus protects Americans. Robert F. Kennedy Jr. and former President Donald Trump shake hands during a campaign rally at Desert Diamond Arena on August 23, 2024, in Glendale, Arizona. Both Trump and Kennedy have expressed vaccine skepticism, and Kennedy has been a longtime activist pushing debunked theories about vaccines. In a potential new Trump administration, Musk promises a reinvention of the federal bureaucracy. “Let’s start from scratch,” Musk said at an event in October in Pittsburgh, suggesting a drastic remaking of the federal bureacracy.
Persons: Donald Trump, Robert F, Kennedy Jr, , Trump, Kennedy, “ I’m, ” Trump, Anne Frank, Rebecca Noble, we’ve, ” Kennedy, Aaron Pellish, Trump’s, “ Trump’s, CNN’s Meg Tirell, Musk, It’s, Musk’s, ” Musk, Elon Musk, Dave McCormick, Michael Swensen, CNN’s David Goldman, “ Musk, ” Goldman, Larry Summer, ” Summers, Summers, Mike Johnson, , ” Johnson, Kamala Harris, Johnson Organizations: CNN, Trump, Elon, RFK Jr, Madison, PAC, New York Times, Desert Diamond Arena, HHS, Department of Health, Human Services, CDC, Centers, Disease Control, FDA, Food, Drug Administration, National Institutes of Health, USDA, Department of Agriculture, SpaceX, Tesla, “ Department, Government, Fox News, Congressional, Social Security, Republicans, Health Locations: Nazi Germany, Glendale , Arizona, Pittsburgh, Pennsylvania, White
Kamberlyn Bowler, 15, said she ate McDonald's Quarter Pounders in the days before she became ill.At least 75 people have been infected with E. coli in an outbreak that McDonald's has said is likely linked to slivered onions served on Quarter Pounders. The previously healthy, active 15-year-old is now hospitalized and battling kidney failure — a rare and potentially life-threatening complication of E. coli poisoning. Kamberlyn, of Grand Junction, Colorado, is one of dozens of people who say they became sick after having eaten McDonald’s Quarter Pounders. McDonald’s says the most likely source of the contamination was slivered onions served on its Quarter Pounders. On Oct. 18, she was airlifted to Children’s Hospital Colorado outside Denver, where she has remained ever since.
Persons: Kamberlyn Bowler, McDonald's, McDonald’s, Taylor, preemptively, , Brittany Randall, Randall, ” Kamberlyn, ” Randall, Kamberlyn, Kamberlyn didn’t, ‘ Something’s, ’ ” Randall, “ It’s, we’ve, Brittany Randall Kamberlyn, “ We’re, HUS, Nicole Iovine, , Iovine, ” McDonald’s, Joe Erlinger, ” Ron Simon, ” Simon Organizations: Centers for Disease Control, Children’s Hospital, CDC, HUS, UF Health Shands Hospital, USA, Locations: Colorado, Junction , Colorado, California, Children’s Hospital Colorado, Denver, Florida, HUS, Kamberlyn
Two shootings at separate homeless encampments in Minneapolis that killed three people and wounded three others over the weekend are possibly connected, police said. “This is the second triple shooting at two separate homeless encampments in two days,” police said. Police on Monday afternoon said there have been no arrests in the encampment shootings. Minneapolis Mayor Jacob Frey told the media that, while violent crime is going down in areas of the city, violence in and near homeless encampments has escalated. "MPD continues to address crime related issues associated with homeless encampments and the city continues to offer resources.," O'Hara said.
Persons: Jacob Frey, ” Frey, Deven Leonard Caston, Caston, Brian O’Hara, , O'Hara Organizations: Minneapolis Police Department, MPD, Police, Minneapolis, Centers for Disease Control, Hennepin County Medical, Minneapolis Police Locations: Minneapolis, Hiawatha, Snelling, Hennepin County
No E. coli was detected in samples of beef patties used in McDonald's Quarter Pounders that have been linked to a deadly outbreak, a company spokesperson said Sunday, citing tests by the Colorado Agriculture Department. The department has no further plans to test the beef patties, the company spokesperson said, and the patties have been ruled out as the source of the outbreak. The most likely source of contamination was slivered onions from a single source, the company spokesperson said, citing the Food and Drug Administration. McDonald’s stopped sourcing slivered onions from that source — Taylor Farms Colorado Springs — indefinitely on Sunday, the company spokesperson said, days after it removed the Taylor Farms onions from its supply chain. The McDonald's spokesperson said the company is confident asking beef suppliers to provide a fresh supply of patties for distribution.
Persons: McDonald’s, Matt Wise, McDonald's, Taylor, Taco Bell Organizations: Colorado Agriculture Department, Food and Drug Administration, Farms, Centers for Disease Control, Prevention, CDC, NBC News, . Foods, Taco, ! Brands, KFC, FDA Locations: Colorado, Colorado , Kansas , Wyoming, Taylor Farms Colorado, Taylor Farms, Taco Bell's
A double quarter pounder with cheese and fries arranged at a McDonald's restaurant in El Sobrante, California, US, on Wednesday, Oct. 23, 2024. McDonald's Quarter Pounder burgers will return to roughly 900 restaurants this week after the fast-food giant pulled the menu item linked to a deadly E. coli outbreak . Instead, health authorities have honed in on slivered onions used in the Quarter Pounders as the likely suspect for the outbreak. Over a two-week period, McDonald's typically sells roughly one million Quarter Pounders in the affected region, according to company spokespeople. Shares of the company have fallen 7% since the CDC linked the E. coli outbreak to its restaurants.
Persons: Pina, Cesar Pina, Taylor, McDonald's, Joe Erlinger Organizations: The Colorado Department of, McDonald's, Drug Administration, Disease Control, Prevention Locations: El Sobrante , California, U.S, Colorado , Kansas, Wyoming, Idaho , Iowa , Missouri, Montana , Nebraska , Nevada , New Mexico , Oklahoma, Utah, Colorado
CNN —McDonald’s will resume selling Quarter Pounders in all restaurants in the coming week after considering new data regarding an E. coli outbreak linked to its famed burgers, the company announced Sunday. The US Centers for Disease Control and Prevention issued a food safety alert Tuesday warning dozens of people reported eating the Quarter Pounder sandwich at McDonald’s before becoming sick. On Sunday, the Colorado Department of Agriculture said McDonald’s beef patties used for the Quarter Pounder tested negative for E. coli. The 900 restaurants that received slivered onions from McDonald’s supplier Taylor Farms’ Colorado Springs facility will resume sales of Quarter Pounders without slivered onions, the release added. CNN has reached out to the FDA to see if it has ruled out beef patties as the source of the E. coli outbreak.
Persons: CNN —, ” Taylor, , Joe Erlinger, , Erlinger Organizations: CNN, US Centers for Disease Control, Food and Drug Administration, Colorado Department of Agriculture, FDA, CDC, Foods Locations: Colorado, Colorado , Kansas, Wyoming, Idaho , Iowa , Missouri, Montana , Nebraska , Nevada , New Mexico , Oklahoma, Utah
The Summary Amid the E. coli outbreak believed to be linked to onions served at McDonald’s, food safety experts say some types of fresh produce carry extra risk. An E. coli outbreak that has sickened at least 75, killing one, is a reminder of the contamination risk that can plague certain types of fresh produce, according to food safety experts. Though the investigation is ongoing, federal officials suspect prewashed, slivered onions that were served raw on McDonald’s Quarter Pounders are the likely source of the E. coli outbreak. So it can take only a few cells to get someone very sick,” said Kali Kniel, professor of microbial food safety at the University of Delaware. The food safety experts interviewed also said they steer clear of rare or undercooked meat, poultry, fish and eggs, and don’t drink unpasteurized milk.
Persons: prewashed, Don Schaffner, ” Schaffner, coli, , Darin Detwiler, Jack, Barbara Kowalcyk, they’re, , “ Cantaloupe, it’s, Kali Kniel, ” Detwiler, Detwiler, McDonald’s, Kowalcyk, Kniel, Schaffner Organizations: Rutgers University, Northeastern University, Institute for Food Safety, Nutrition Security, George Washington University Milken Institute School of Public Health, University of Delaware, Centers for Disease Control
At least 75 people have gotten sick after eating McDonald's Quarter Pounders linked to a deadly E. coli strain, the Centers for Disease Control and Prevention reported Friday. On Thursday, McDonald's confirmed that Taylor Farms, a California-based food producer, supplied the onions used on the contaminated Quarter Pounders. Taylor Farms on Wednesday issued a recall on four raw onion products because of "potential E. Coli contamination." It remains unclear whether Taylor Farms transported the slivered onions directly to McDonald's locations or if they arrived through a distributor. Taylor Farms has not responded to multiple requests for comment.
Persons: what's, haven't, McDonald's, Taylor, Taco, Burger, , Ron Simon, Simon Organizations: Centers for Disease Control, CDC, Drug Administration, Taco Bell, Burger King, KFC, FDA, Taylor, Associates, NBC Locations: California, Colorado, Colorado , Kansas , Utah , Wyoming , Idaho , Iowa , Missouri, Montana , Nebraska , Nevada , New Mexico, Oklahoma
She had gone to lunch five days earlier with her fiancé at their local McDonald’s in North Platte, Nebraska. A McDonald’s spokesperson said Wednesday that slivered onions served on the Quarter Pounders were likely to have been responsible for the outbreak. On Thursday, the company said one of its suppliers, Taylor Farms, had provided slivered onions to locations associated with the outbreak. “When you go to a restaurant, you are trusting that the restaurant did everything they could do to make you safe, but in this case, McDonald’s breached that trust,” Simon said. McDonald’s has paused the distribution of slivered onions in the affected areas and temporarily removed the Quarter Pounder from affected restaurants.
Persons: Clarissa DeBock, , , DeBock, ” DeBock, McDonald’s, Taylor, Ron Simon, Simon, he’s, ” Simon, Joe Erlinger, NBC’s, ” Darin Detwiler, ” Detwiler, Kai, didn’t Organizations: for Disease Control, Prevention, NBC, Associates, McDonald’s, Northeastern University Locations: North Platte , Nebraska, Colorado, McDonald’s USA
Burger King, Taco Bell, KFC and Pizza Hut have all pulled onions from a portion of their restaurants following reports of a “severe” E. coli outbreak linked to McDonald’s Quarter Pounders. The removal comes two days after the Centers for Disease Control and Prevention first announced in a food safety alert on its website that there was an E. coli outbreak across multiple states linked to McDonald’s Quarter Pounders. Brands spokesperson also confirmed onions were removed from some of its Taco Bell, Pizza Hut and KFC locations. “As we continue to monitor the recently reported E. coli outbreak, and out of an abundance of caution, we have proactively removed fresh onions from select Taco Bell, Pizza Hut and KFC restaurants,” the spokesperson said. The CDC has reported 49 cases and 10 hospitalizations due the McDonald's E. Coli outbreak.
Persons: Burger, Taco, , Burger King, TODAY.com, McDonald’s “, Joe Erlinger, Organizations: Taco Bell, KFC, Centers for Disease Control, U.S . Foods, FDA, NBC, Burger King, Taylor Farms, Brands, Bell, CDC, McDonald’s Locations: Taylor Farms Colorado, Colorado , Kansas , Utah , Wyoming , Iowa , Missouri, Montana , Nebraska , Nevada , New Mexico , Oklahoma, Idaho, McDonald’s USA, McDonald’s
A deadly E. coli outbreak linked to McDonald 's Quarter Pounders has led to 75 cases in 13 states, the Centers for Disease Control and Prevention said Friday, as it investigates the source of the spread. All of the 42 people who were interviewed by the CDC reported eating at McDonald's, while 39 people reported eating a beef hamburger, the agency said. Quarter Pounder hamburgers are a core menu item for McDonald's, raking in billions of dollars annually. As the CDC and other federal agencies trace cases and work to contain the outbreak, McDonald's has pulled Quarter Pounders from restaurants in the affected areas. Experts told CNBC that barring a more serious crisis, the damage to its brand may be minimal, as with an E. coli outbreak linked to Wendy's two years ago.
Persons: McDonald, McDonald's, Burger, Taco Bell, McDonald's spokespeople, Price Organizations: Centers for Disease Control, Prevention, CDC, Health, KFC, Taco, McDonald's, Wall Street, CNBC Locations: Colorado, McDonald's, Colorado , Kansas , Utah , Wyoming, Idaho , Iowa , Missouri, Montana , Nebraska , Nevada , New Mexico, Oklahoma, California, McDonald's U.S
Now, the girl’s account, detailed in court documents, is giving a first glimpse into what unfolded. Despite the pain she felt from the bullet’s impact, the 11-year-old told authorities she recognized the weapon. It was her father’s silver Glock handgun, court documents say. It was her 15-year-old brother, she said. On Thursday, he was charged in juvenile court with five counts of aggravated murder and one count of attempted murder with a firearm enhancement, according to court documents.
Persons: Mark Humiston, Sarah Huminston, , ” Amy Parker, , Sarah Perry, Lake, ” Perry, Casey McNerthney, Sarah Humiston, Mark Organizations: CNN, King, Attorney’s Office, ” Investigators, Harborview Medical, , US Centers for Disease Control, Attorney’s, KING, Hargis Engineers Locations: Washington, Fall City , Washington, King County, Seattle, King, Fall, United States
Two of the hospitalized patients had hemolytic uremic syndrome, a serious complication that can develop from an E. coli infection. The CDC opened the investigation on Tuesday, initially reporting 49 cases in 10 states – including 10 hospitalizations and one death. It can take weeks to determine whether an illness is part of an outbreak and these numbers were expected to grow. “The FDA is using all available tools to confirm if onions are the source of this outbreak,” an agency spokesperson said in a statement. McDonald’s has taken Quarter Pounders off the menu in about a fifth of its stores.
Persons: , Dr, Sanjay Gupta, McDonald’s, Burger, Taco Organizations: CNN, US Centers for Disease Control, US Food and Drug Administration, CDC, Food and Drug Administration, FDA, CNN Health, Taylor, Foods, Farms, Taco Bell, KFC Locations: Colorado, Michigan, New Mexico, Washington, Iowa , Kansas , Missouri, Montana , Nebraska , Oregon , Utah , Wisconsin, Wyoming, – Colorado , Kansas , Utah, Idaho , Iowa , Missouri, Montana , Nebraska , Nevada , New Mexico, Oklahoma
With massive corporations including Alphabet , Meta , Apple , Microsoft and Amazon set to report earnings next week, CNBC's Jim Cramer on Friday urged investors to keep a level head. "Just please remember, the first move's been the wrong move almost half the time since this earnings season began. Monday starts off the week with earnings from Ford . Tuesday brings McDonald's earnings report, and Cramer said to expect "a full airing of the e-coli situation," but that it is too early to tell how much damage it will do to the fast food chain. The monster week for earnings will continue into Thursday, as both Apple and Amazon will report after the bell.
Persons: CNBC's Jim Cramer, Cramer, Chipotle, Brian Niccol's, Eli Lilly, Meta, Chevron's, Hess, Exxon doesn't Organizations: Apple, Microsoft, Federal Reserve, Ford, Disease Control, Prevention, Royal, PayPal, Caterpillar, Meta, Merck, Bristol, Oil titans Chevron, Exxon, Chevron Locations: Gulf of Mexico, Myers
Fast-food chains are pulling onions from their restaurants due to E. coli risks. The outbreak linked to McDonald's involves 49 E. coli cases and one death in 10 states. AdvertisementA string of American fast-food chains and restaurants are pulling fresh onions from some of their locations because of E. Coli food poisoning risks. On Thursday, Burger King said that it gets some of its onions from Taylor Farms, a supplier to the McDonald's restaurants that have been linked to the E. Coli outbreak. In 2022, Wendy's restaurants were linked to an E. coli outbreak in six states.
Persons: Taco, , Yum, Burger King, Burger, McDonald's Organizations: Taco Bell, KFC, Johnny Rockets, McDonald's, Service, Yum Brands, Bloomberg, Brands, Disease Control, Public, FDA Locations: Taylor, Colorado , Kansas , Utah, Wyoming
One of the patients in the McDonald's outbreak suffered from that condition, known as hemolytic uremic syndrome. Hedberg is also a member of the McDonald's Food Safety Advisory Council, but said he has not worked with the company on its response to the outbreak. The size of the outbreak "would imply widespread undercooking by many different individual McDonald's restaurants" if beef was the culprit, according to Hedberg. For example, rival Wendy's dealt with its own link to an E. coli outbreak two years ago. However, that transparency means more media coverage, which reminds consumers about the crisis and risks scaring them away from McDonald's restaurants.
Persons: Michael M, Taylor, it's, spokespeople, McDonald's, Thomas Jaenisch, There's, Xiang Yang, Yang, Craig Hedberg, Hedberg, Jaenisch, Wendy's, Eric Gonzalez, Jack, Chipotle, Gonzalez, Joe Erlinger, Erlinger, Jo, Ellen Pozner, Darin Detwiler, Detwiler, Bill Marler, Marler, Clarissa DeBock, Eric Stelly Organizations: Santiago, Getty, for Disease Control, Taylor, Foods, . Foods, McDonald's, CDC, Colorado School of Public Health, University of California, Food Safety Center of Excellence, Food Safety Advisory, Food and Drug Administration, U.S . Department of Agriculture's, Inspection Service, CNBC, Media, USA, Santa Clara University Leavey School of Business, Northeastern University Locations: Flatbush, Brooklyn, New York City, California, Davis, Colorado, U.S, Minnesota, McDonald's U.S, Nebraska, Greeley , Colorado
The E. coli outbreak cases linked to McDonald's have widened to include 75 people in 13 states. Slivered onions from a McDonald's supplier are under investigation, leading to recalls at other brands. AdvertisementThe McDonald's E. coli outbreak cases have increased to 75 people in 13 states as of Thursday, the US Centers for Disease Control said in a Friday update. AdvertisementThe CDC reiterated that slivered onions and beef patties used in McDonald's Quarter Pounder burgers are under investigation. Taylor Farms, McDonald's regional supplier of slivered onions, has issued a recall of its product, which has affected several other restaurant brands.
Persons: , McDonald's, Dominick Organizations: CDC, Service, US Centers for Disease Control, Business Locations: Colorado, Michigan, New Mexico, Washington
I wanted to know about foodborne illnesses and what can be done to improve food safety practices. And what should people do to reduce their chances of contracting foodborne illnesses? Dr. Leana Wen: There are several bacteria, viruses and parasites that can cause foodborne infections. The most common foodborne infection is caused by norovirus, which causes about half of all outbreaks of food-related illnesses in the US. Local health departments will keep you updated on possible foodborne illnesses associated with local stores and restaurants.
Persons: Leana Wen, Wen Organizations: CNN, US Centers for Disease Control, Food and Drug Administration, Eye Foundation, Nat, George Washington University Locations: United States
The bird flu virus hasn’t yet spread from person to person, the Centers for Disease Control and Prevention said Thursday, releasing findings from a monthslong probe into a patient in Missouri who was hospitalized with H5N1. The patient, who tested positive for bird flu in August, had no known contact with dairy cows or poultry. One blood test on a household member of the patient who became ill suggested the person did have H5 antibodies. The bird flu outbreak in dairy cows has infected 333 herds across 14 states so far. “This is a fast-moving situation.”California, which has reported the largest number of bird flu cases, 15, has also asked for federal help, the CDC said.
Persons: Demetre Daskalakis, we’ve, ” Daskalakis, , , Nirav Shah, ” Shah, Erica Pan, ” Pan Organizations: Centers for Disease Control, Prevention, National Center, CDC, California Department, Public Health’s, Infectious Diseases Locations: Missouri, U.S, West, Washington, ” California, Colorado , Michigan, Texas
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