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While many jurisdictions were able to demonstrate the advantages of capabilities such as electronic laboratory reporting for reportable conditions, surveillance systems to support case investigations, immunization registries to track COVID-19 immunizations, and syndromic surveillance data for situational awareness, exchange across jurisdictions remains inconsistent and, in some cases, burdensome

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It had become more than a smoking cessation aid and was an enjoyable pastime in its own right

================================================== = Summary so far: 1996-1998: Basic, tried and true 4runner

Feelings of anxiety, sadness, and trouble concentrating can appear within the first 3 hours