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The WHO confirms four cases as scientists assess risks based on genetic monitoring and lab tests.
Officials detail poultry exposures for recent cases and reveal a family connection in two of them.
Hong Kong detects a second imported H7N9 case, while mainland China reports another.
Influenza activity in the United States edged slightly higher during Thanksgiving week.
An exhaustive 2-year effort gives the US an overall score of 7.2 out of 10.
Recent cases don't change the nation's status but can threaten health security, the CDC said.
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