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In 2013, just 57% of girls and 35% of boys had received 1 of 3 doses of HPV vaccine.
Past Cyclospora outbreaks involved imported produce, but so far no common source has been found.
A 67-year-old Iranian woman died of MERS on Jun 25, , the WHO said, marking the country's second fatal case.
The 45 new cases and 28 deaths raise the outbreak total to 1,093 infections, 660 of them fatal.
Texas health officials have received 61 illness reports over the past month and are looking for a common source.
The findings raise the possibility of airborne spread, but an expert called them preliminary.
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