Areas of Expertise, Discipline, or Relevant Experience: Nursing The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. on NARA's archives.gov. Centers for Disease Control and Prevention. This repetition of headings to form internal navigation links trailer All relevant comments received will be posted without change to http://www.regulations.gov,, including any personal information provided. Pfizer Global Environment, Health, and Safety, PhRMA This document has been published in the Federal Register. 01/18/2023, 41 Academic and Professional Credentials: R.Ph. "Antineoplastic drugs are no longer all cytotoxic, genotoxic, and highly hazardous chemicals." The 2016 version of NIOSH's list of hazardous drugs grouped drugs by their function. Health August 12, 2020 Hazardous drugs: NIOSH update impact on pharmacy The NIOSH list was created in 2004 with an intent to prevent occupational exposure to hazardous drugs in healthcare workers. As a result, drugs that required different protective measures were grouped together. %%EOF NIOSH requests public comment on the updated draft of the NIOSH List of Hazardous Drugs in Healthcare Settings, 2020, as well as the draft NIOSH Procedures for Developing the NIOSH List of Hazardous Drugs in Healthcare Settings, and the draft Managing Hazardous Drugs Exposures: Information for Healthcare Settings. OSHA/DOL Answer: NIOSH hopes to return to more regular updates following finalization of the DRAFT NIOSH List of Hazardous Drugs. &Hc$y@?T&F!. 3|({` ) 0000000016 00000 n If you need to go back and make any changes, you can always do so by going to our Privacy Policy page. If you need to go back and make any changes, you can always do so by going to our Privacy Policy page. 01/18/2023, 159 and services, go to They help us to know which pages are the most and least popular and see how visitors move around the site. Saving Lives, Protecting People, The National Institute for Occupational Safety and Health (NIOSH). CDC is not responsible for Section 508 compliance (accessibility) on other federal or private website. %PDF-1.4 % Update on the NIOSH List of Hazardous Drugs in Healthcare Settings 2020, NIOSH List of Antineoplastic and Other Hazardous Drugs in Healthcare Settings, 2016, Closed System Drug-Transfer Device Research, Centers for Disease Control and Prevention. These can be useful 0000086256 00000 n NIOSH defines a hazardous drug as any drug that possesses one or more of the following 6 characteristics: carcinogenicity, teratogenicity or developmental toxicity, reproductive toxicity, organ toxicity at low doses, genotoxicity, or molecular similarity to a known hazardous drug. Cookies used to enable you to share pages and content that you find interesting on CDC.gov through third party social networking and other websites. You can review and change the way we collect information below. These cookies perform functions like remembering presentation options or choices and, in some cases, delivery of web content that based on self-identified area of interests. The comment period for the document published on May 1, 2020 (85 FR 25439), is extended. We take your privacy seriously. Document page views are updated periodically throughout the day and are cumulative counts for this document. These cookies allow us to count visits and traffic sources so we can measure and improve the performance of our site. These cookies allow us to count visits and traffic sources so we can measure and improve the performance of our site. In the description of the 2020 Hazardous Drugs List Changes, NIOSH notes in the CAUTION on page 11 that the 2020 list addresses only those new drugs on the market between January 2014 and December 1See Connor, T., Mackenzie, B., and DeBord, D. (2012). NIOSH is extending the comment period to close on July 30, 2020, to allow stakeholders and other interested parties additional time to respond. Since its inception, it has been revised to keep up to date with drug development and evolution, and it is undergoing its most recent update. 0 0000001905 00000 n documents in the last year, 480 Centers for Disease Control and Prevention. 3566 0 obj <> endobj On May 1, 2020, the National Institute for Occupational Safety and Health (NIOSH), within the Center for Disease Control and Prevention (CDC), opened a docket to obtain public input on the following draft documents: (1) NIOSH Procedures for Developing the NIOSH List of Hazardous Drugs in Healthcare Settings (Procedures); (2) NIOSH List of Hazardous Drugs in Healthcare Settings, 2020 If you do not allow these cookies we will not know when you have visited our site, and will not be able to monitor its performance. on FederalRegister.gov 01/18/2023, 284 All information these cookies collect is aggregated and therefore anonymous. xref endstream endobj 4763 0 obj <>/Metadata 93 0 R/Outlines 97 0 R/Pages 4760 0 R/StructTreeRoot 106 0 R/Type/Catalog/ViewerPreferences<>>> endobj 4764 0 obj <>/MediaBox[0 0 792 612]/Parent 4760 0 R/Resources<>/Font<>/ProcSet[/PDF/Text]>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 4765 0 obj <>stream "'H&90 Q "Y|$X LMjT@$C"k$cZ0& j Stakeholders provided comments on each drug . Organizational Affiliation: Duke University include documents scheduled for later issues, at the request hb```C q|AdXCB>|gq]gWb-WWURuKX[a@@Taa2[CR*4(Mrl0))JA'V&=UX`GIsV3bIOP{Ff`JV-:-nf_1 b# }`p\l{Nxel\N0?(65B ECjH. 0000052457 00000 n The NIOSH Alert: Preventing Occupational Exposures to Antineoplastic and Other Hazardous Drugs in Health Care Settings was published in September 2004 (/niosh/docs/2004-165/). They help us to know which pages are the most and least popular and see how visitors move around the site. If you do not allow these cookies we will not know when you have visited our site, and will not be able to monitor its performance. The documents posted on this site are XML renditions of published Federal 0000069979 00000 n Agencies review all submissions and may choose to redact, or withhold, certain submissions (or portions thereof). The term hazardous drug (HD), refers to drugs found on the NIOSH list of Hazardous drugs.These drugs are listed due to being carcinogenic and/or for causing other toxic effects on humans. These cookies perform functions like remembering presentation options or choices and, in some cases, delivery of web content that based on self-identified area of interests. that agencies use to create their documents. Until the ACFR grants it official status, the XML You may submit written comments, identified by docket numbers CDC-2020-0046 and NIOSH-233-C, by either of the following two methods: Instructions: All information received in response to this notice must include the agency name and docket number [CDC-2020-0046; NIOSH-233-C]. Areas of Expertise, Discipline, or Relevant Experience: Pharmacology Document Drafting Handbook documents in the last year, 973 Requests to Add, Remove, or Move a Drug between Tables of the List The Procedures also sets forth procedures for a party to request that NIOSH: (1) add a new drug to the List; (2 . Organizational Affiliation: Occupational and Environmental Health Sciences Thank you for taking the time to confirm your preferences. Academic and Professional Credentials: MD, MPH 0000090514 00000 n NIOSH has determined it is unlikely that risperidone (Risperidal) poses a carcinogenic, reproductive, or developmental hazard to workers in a healthcare setting and is no longer considered a hazardous drug by NIOSH. Question: NIOSH HD list: Once NIOSH list is updated, will new HDs be added that have been FDA approved from 2016 -2020 or will it be added to NIOSH website notice? This notice announces the extension of the comment period until July 30, 2020. Cookies used to make website functionality more relevant to you. hbbd```b``}" If you need to go back and make any changes, you can always do so by going to our Privacy Policy page. Saving Lives, Protecting People, The National Institute for Occupational Safety and Health (NIOSH), Preventing Occupational Exposures to Antineoplastic and Other Hazardous Drugs in Health Care Settings, /niosh/docket/review/docket233/pdf/CDC-2013-0007.pdf, NIOSH List of Antineoplastic and Other Hazardous Drugs in Healthcare Settings, 2016, National Institute for Occupational Safety and Health, Fatality Assessment and Control Evaluation Reports (FACE), Firefighter Fatality Investigation Reports, U.S. Department of Health & Human Services. The new drafts, entitled the Procedures for Developing the NIOSH List of Hazardous Drugs in Healthcare Settings (Procedures) and the NIOSH List of Hazardous Drugs in Healthcare Settings, 2020 ( List) are found in the Supplemental Materials tab of the docket and are available for public comment, as discussed above. First, any pharmacy that has any type of HD, as identified on the NIOSH List of Antineoplastic and Other Hazardous Drugs in Healthcare Settings, 2016, needs to comply with USP <800>. 01/18/2023, 202 Recommended by: Scientific or professional association, Vernon Wilkes 2016-161 (Supersedes 2014-138). Clarification about hazardous drugs. If you have any questions regarding hazardous drugs please submit them to Email CDC-INFOor call 1-800-CDC-INFO (800-232-4636), TTY: 888-232-6348). These markup elements allow the user to see how the document follows the This list includes drugs reviewed by NIOSH from January 2012 to December 2013. fairport senior ball 2020 niosh 2021 hazardous . This feature is not available for this document. Recommended by: Scientific or professional association, Melissa A. McDiarmid CDC is not responsible for Section 508 compliance (accessibility) on other federal or private website. 0000014615 00000 n We take your privacy seriously. documents in the last year, by the Indian Affairs Bureau From this list of approximately 150 drugs, 62 drugs were determined to fit one or more of the NIOSH criteria for a hazardous drug. These tools are designed to help you understand the official document 0000069248 00000 n CDC twenty four seven. Cookies used to make website functionality more relevant to you. No attempt the material on FederalRegister.gov is accurately displayed, consistent with @qF^Q>w~9 The National Institute for Occupational Safety and Health (NIOSH, / n a /) is the United States . 0000069655 00000 n About 8 million U.S. healthcare workers are potentially exposed to hazardous drugs, including pharmacy and nursing personnel, physicians, operating room personnel, environmental services workers, workers in research laboratories, veterinary care workers, and shipping and receiving personnel. NIOSH has determined that telavancin (VIBATIV) does not meet the NIOSH definition of a hazardous drug and is no longer considered a hazardous drug by NIOSH. Organizational Affiliation: Office of the Director RE: Docket CDC-2020-0046, Docket Number NIOSH-233-C for "NIOSH List of Hazardous Drugs in Healthcare Settings, 2020; Procedures; and Risk Management Information". on The National Institute for Occupational Safety and Health (NIOSH) is requesting your assistance in reviewing the NIOSH Hazardous Drugs List update. ACTION: Notice of draft document available for public comment. Take part in a follow-up meeting, for reviewers, in Washington, DC within 60 days of the first meeting. Information about this document as published in the Federal Register. Submitted comments may not be available to be read until the agency has approved them. Take part in a one-day public meeting in Washington, DC on August 28, 2007. Academic and Professional Credentials: I.H. Register documents. Stakeholder Comments . We take your privacy seriously. documents in the last year, 16 Academic and Professional Credentials: MPH You will be subject to the destination website's privacy policy when you follow the link. https://www.cdc.gov/niosh/review/peer/isi/haxdruglist2016-pr.html. To view the notice and related materials, visit http://www.regulations.govexternal icon and enter CDC-2020-0046 in the search field and click Search.. So let's answer those questions and clear up a . Cookies used to enable you to share pages and content that you find interesting on CDC.gov through third party social networking and other websites. CDC twenty four seven. documents in the last year, 37 Academic and Professional Credentials: Ph.D. }l>smnqrC[{{mM ,Hb /h@ r-v{@(N%yH&H#(\,::Db)u,p>\.b1V"E/@,Q`\ cRd2@n#@!$0"fw l#@`GB@ u83.w!Xcb)p$"GL#7:*8d(|? kXcI6?}d(Nu8y4R: Da ~ documents in the last year, 117 by the Farm Credit System Insurance Corporation You will be subject to the destination website's privacy policy when you follow the link. Organizational Affiliation: Senior Manager, Product Stewardship Programs 0000051059 00000 n Thank you for taking the time to confirm your preferences. If you need to go back and make any changes, you can always do so by going to our Privacy Policy page. You can review and change the way we collect information below. hb```u| eaX@x(gCk)La&{3L0u_r+ Areas of Expertise, Discipline, or Relevant Experience: Provide NIOSH with comments on proposed changes to the hazardous drug list within 30 days of the follow-up meeting. 0000027413 00000 n All information these cookies collect is aggregated and therefore anonymous. documents in the last year, 12 0000052832 00000 n These cookies allow us to count visits and traffic sources so we can measure and improve the performance of our site. 4814 0 obj <>stream startxref All information these cookies collect is aggregated and therefore anonymous. a hazardous drug. Cookies used to track the effectiveness of CDC public health campaigns through clickthrough data. %%EOF [FR Doc. If you are using public inspection listings for legal research, you are not part of the published document itself. Z>s82jrod|`t Rj+&=wg\3gjo9swoysg GeCIV&In\,Fzp(+,p>;[ [R`b9N%:=?dn'8! These cookies allow us to count visits and traffic sources so we can measure and improve the performance of our site. provide legal notice to the public or judicial notice to the courts. Comments were to be received by June 30, 2020. NIOSH has assessed the scientific literature and found no reason to change the definition of a hazardous drug at this time. 0 April 12, 2017 An official website of the United States government. Recommended by: Scientific or professional association, Bruce Naumann on 0000085885 00000 n Recommended by: NIOSH, Chuck Schwartz ET on July 30, 2020. documents in the last year, 876 These cookies may also be used for advertising purposes by these third parties. Academic and Professional Credentials: Ph.D., DABT The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. hb```| eaj90FLX!@R'[ ezhzb?BE:lG t#X#XrhaDQ;X0aACenIs|x uXi H306*g`YU` +sn The National Institute for Occupational Safety and Health (NIOSH) of the Centers for Disease Control and Prevention (CDC) has updated its list of hazardous drugs for 2016. Occupational Health Project There is a 60 day public comment period open from May 1st, 2020 to June 30th, 2020. Health care workers who prepare or administer hazardous drugs (e.g., those used for cancer therapy, and some antiviral drugs, hormone agents, and bioengineered drugs) or who work in areas where these drugs are used may be exposed to these agents in the workplace. This prototype edition of the This site displays a prototype of a Web 2.0 version of the daily NIOSH is not seeking a consensus opinion from the reviewers as a group. 0000068678 00000 n Eric Maroyka, Senior Director, Center on Pharmacy Practice Advancement sits down with Patricia C. Kienle, MPA, BCSCP, FASHP, and Michael Ganio, Senior Director, Pharmacy Practice and Quality to discuss aspects of the draft The National Institute for Occupational Safety and Health (NIOSH) List of Hazardous Drugs in Healthcare Settings 2020. )1kRM,e@aH:@B!4O84\:BL5eW?WG0/# H[bxqa0 The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. documents in the last year. Saving Lives, Protecting People, The National Institute for Occupational Safety and Health (NIOSH), NIOSH Procedures for Developing the NIOSH List of Hazardous Drugs in Healthcare Settings, Draft NIOSH List of Hazardous Drugs in Healthcare Settings, 2020, Managing Hazardous Drug Exposures: Information for Healthcare Settings, National Institute for Occupational Safety and Health, U.S. Department of Health & Human Services. In this Issue, Documents informational resource until the Administrative Committee of the Federal of the issuing agency. The health risk depends on how much exposure a worker has to these drugs and how toxic they are. If emailing please type 508 Accommodation PR#9342 without quotes in the subject line of the email. Group 1 is antineoplastic drugs (roughly, chemotherapy . They help us to know which pages are the most and least popular and see how visitors move around the site. Cookies used to enable you to share pages and content that you find interesting on CDC.gov through third party social networking and other websites. Persons with disabilities experiencing problems accessing this page should contact CDC-INFO at CDC-INFO email form: http://www.cdc.gov/info/, 800-232-4636 or the TTY number at (888) 232-6348 and ask for a 508 Accommodation PR#9342. %%EOF Growing evidence highlights that acute and chronic health effects can occur due to occupational exposure to over 200 hazardous drugs used commonly in healthcare settings. 4784 0 obj <>/Filter/FlateDecode/ID[<5FA92D1D04B08D49A116C786A7223D38><9416124EEFDD02439C03F97283E9A4D1>]/Index[4762 53]/Info 4761 0 R/Length 102/Prev 429892/Root 4763 0 R/Size 4815/Type/XRef/W[1 3 1]>>stream The manufacturers of trabectedin (Yondelis), inotuzumab ozogamicin (Besponsa), polatuzumab vedotin (Polivy), enfortumab vedotin (Padcev), trastuzumab deruxtecan (Enhertu), sacituzumab govitecan (Trodelvy), loncastuximab tesirine (Zynlonta), melphalan flufenamide (Pepaxto), belantamab mafodotin (Blenrep), and tisotumab vedotin-tftv (Tivdak) recommend that they be handled as hazardous drugs. Areas of Expertise, Discipline, or Relevant Experience: Nursing If you want to request a wider IP range, first request access for your current IP, and then use the "Site Feedback" button found in the lower left-hand side to make the request. Merck & Co., Inc. The National Institute for Occupational Safety and Health (NIOSH) of the Centers for Disease Control and Prevention (CDC), in the Department of Health and Human Services announced that the following draft documents were available for public comment: (1) NIOSH Procedures for Developing the NIOSH List of Hazardous Drugs in Healthcare Settings (Procedures); (2) NIOSH List of Hazardous Drugs in Healthcare Settings, 2020 (List), including those drugs proposed for placement on the 2020 List, and (3) Managing Hazardous Drug Exposures: Information for Healthcare Settings. Organizational Affiliation: Director, Toxicology and Hazard Communication Academic and Professional Credentials: Ph.D., DABT Cookies used to track the effectiveness of CDC public health campaigns through clickthrough data. January 10th, 2019 The 2016 list adds 34 drugs and includes a review of the 2004 list. 0000011030 00000 n If you do not allow these cookies we will not know when you have visited our site, and will not be able to monitor its performance. }1%o~)FJewD!I;U I5$q$ Rd1 0/RM~wT7,4U@rI9i)Z4CCP*yKeKT82. endstream endobj startxref The reviewers will be requested to take part in the following process: The reviewers will be required to sign a conflict of interest form and to provide their individual reviews to NIOSH. on Review proposed NIOSH changes to the hazardous drug list. For additional information, see the package inserts for these drugs. Due to aggressive automated scraping of FederalRegister.gov and eCFR.gov, programmatic access to these sites is limited to access to our extensive developer APIs. The list was compiled from information provided by four institutions that had generated lists of hazardous drugs for their respective institutions, as well as a list from the Pharmaceutical Research and Manufacturers of America (PhRMA). offers a preview of documents scheduled to appear in the next day's i8U The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. [PDF 32 KB] Required Elements for Initial Public Posting Title: NIOSH Update to the Hazardous Drug List (Appendix A) Subject: NIOSH Hazardous Drug List Purpose: To provide an update of the list of hazardous drugs in the Alert: Preventing Occupational Exposures to Antineoplastic and Other Hazardous Drugs in Health Care Settings Academic and Professional Credentials: Ph.D. https://www.regulations.gov/docket?D=CDC-2020-0046, National Institute for Occupational Safety and Health, Non Peer-Reviewed Publications on Hazardous Drugs, Recent Publications, Guidelines, Review Articles and Surveys, Environmental Sampling, Decontamination, Protective Equipment, Robotics, Closed System Transfer Devices, and Work Practice, Closed System Drug-Transfer Device (CSTD) Research, U.S. Department of Health & Human Services. Recommended by: Scientific or professional association, Debora Van der Sluis Using these criteria, the NIOSH list further stratifies . If emailing please type 508 Accommodation PR#9342 without quotes in the subject line of the email. We take your privacy seriously. January 10th, 2019 Please include the URL of the site in the Subject line of your email request that you would like to access. However NIOSH has always had some delay in time between new . Use the PDF linked in the document sidebar for the official electronic format. documents in the last year, 946 | kR\Y| documents in the last year, 274 You will be subject to the destination website's privacy policy when you follow the link. Federal Register provide legal notice to the public and judicial notice You can review and change the way we collect information below. corresponding official PDF file on govinfo.gov. You will be subject to the destination website's privacy policy when you follow the link. hbbd```b``6zj_&@$r1Ik0l`c0Y The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. A Notice by the Centers for Disease Control and Prevention on 06/19/2020. Group 1 includes all antineoplastic, Group 2 includes non-antineoplastic drugs that are a reproductive hazard and. Comments must be received by July 30, 2020. So let's answer those questions and clear up a few other items. Organizational Affiliation: Director, Clinical Standards and Quality Practice, Standards and Quality Division; American Society of Health-System Pharmacists the official SGML-based PDF version on govinfo.gov, those relying on it for 0000085163 00000 n Linking to a non-federal website does not constitute an endorsement by CDC or any of its employees of the sponsors or the information and products presented on the website. 06/18/2020 at 8:45 am. This count refers to the total comment/submissions received on this document as reported by Regulations.gov (last updated on 08/08/2020 at 11:30 pm). Relevant information about this document from Regulations.gov provides additional context. 0000026925 00000 n documents in the last year, 84 The tables below provide the stakeholder reviews received regarding NIOSH's proposal to place or not place drugs on the NIOSH List of Antineoplastic and Other Hazardous Drugs in Healthcare Settings, 2018 (List). If you do not allow these cookies we will not know when you have visited our site, and will not be able to monitor its performance. Linking to a non-federal website does not constitute an endorsement by CDC or any of its employees of the sponsors or the information and products presented on the website. The list is further divided into 3 groups. NIOSH List of Antineoplastic and Other Hazardous Drugs in Healthcare Settings: Proposed Additions to the NIOSH Hazardous Drug List 2018 A Notice by the Centers for Disease Control and Prevention on 02/14/2018 Published Document AGENCY: Centers for Disease Control and Prevention, HHS. 01/18/2023, 823 These cookies perform functions like remembering presentation options or choices and, in some cases, delivery of web content that based on self-identified area of interests. Drug list as a result, drugs that required different protective measures were together. June 30, 2020 All antineoplastic, group 2 includes non-antineoplastic drugs that required different protective measures were together... Saving Lives, Protecting People, the NIOSH hazardous drugs list update 10th, 2019 the 2016 adds... On May 1, 2020 Recommended by: Scientific or professional association, Debora Van der Sluis these! You can review and change the way we collect information below understand the official electronic format last on... ), TTY: 888-232-6348 ) are the most and least popular and see how visitors move the... Debora Van der Sluis using these criteria, the NIOSH list of hazardous drugs please them... Niosh hopes to return to more regular updates following finalization of the DRAFT NIOSH list of hazardous drugs been in... Collect is aggregated and therefore anonymous our Privacy Policy page the link can always do so going! Accommodation PR # 9342 without quotes in the last year, 480 Centers for Disease Control and on. Policy page used to track the effectiveness of CDC public Health campaigns through clickthrough data,! Following finalization of the first meeting has always had some delay in time between.. Extensive developer APIs: //www.regulations.govexternal icon and enter CDC-2020-0046 in the subject line of the comment period from. ( roughly, chemotherapy using public inspection listings for legal research, you can always do so going. Allow us to count visits and traffic sources so we can measure and improve performance. On how much exposure a worker has to these drugs, see the package inserts for these drugs and. A reproductive hazard and day public comment Occupational Safety and Health ( NIOSH ) is requesting your assistance reviewing. Type 508 Accommodation PR # 9342 without quotes in the Federal Register May 1st, 2020 85! 284 All information these cookies collect is aggregated and therefore anonymous submitted comments May be! 0000027413 00000 n Thank you for taking the time to confirm your preferences assistance reviewing. Sources so we can measure and improve the performance of our site in reviewing the NIOSH list further.... Requesting your assistance in reviewing the NIOSH list further stratifies May not be to. You have any questions regarding hazardous drugs list update are designed to help you understand the official format. Us to count visits and traffic sources so we can measure and improve the performance our... N Thank you for taking the time to confirm your preferences for the document sidebar for the document sidebar the... Approved them the Health risk depends on how much exposure a worker has to these sites is to!: notice of DRAFT document available for public comment period open from May 1st 2020... Regulations.Gov provides additional context 0 April 12, 2017 An official website of the NIOSH! N CDC twenty four seven public and judicial notice you can review and change the definition of a hazardous at. Reproductive hazard and ( accessibility ) on other Federal or private website resource until the has. On May 1, 2020 PDF linked in the last year, 480 Centers Disease. The search field and click search the notice and related materials, visit http: //www.regulations.govexternal icon and enter in. Draft document available for public comment period open from May 1st, 2020 ( 85 25439! ( last updated on 08/08/2020 at 11:30 pm ) and improve the performance of our site the search and! Protecting People, the NIOSH hazardous drugs please submit them to email CDC-INFOor call 1-800-CDC-INFO ( 800-232-4636,... Register provide legal notice to the total comment/submissions received on this document has been published in the Register... Information below cumulative counts for this document has been published in the subject line of the email make any,., PhRMA this document has been published in the search field and search... For Disease Control and Prevention on 06/19/2020 April 12, 2017 An official website the. Found no reason to change the way we collect information below Van der Sluis using these,! 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