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People at risk include those with a history of aortic aneurysm or blockages of other blood vessels and patients with high blood pressure.
Sales and distribution of medically important antibiotics for livestock decreased by 33% last year and 43% since their peak.
A cell-based vaccine protected about 10% better than a standard vaccine but not a high-dose version.
As the outbreak grows to 59 cases, officials puzzle over why romaine and not other lettuce was tainted.
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