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Cases have grown to 66 on the French side of St. Martin, which may elevate the US risk.
US flu activity showed a modest jump last week, with the clinic visits for flu-like illness rising above baseline for the first time this season.
Influenza activity in the United States edged slightly higher during Thanksgiving week.
The US flu season is picking up, and 2009 H1N1 is the dominant strain so far.
US flu activity stays steady overall, but reports of flulike illness in the South grow.
Updated guidelines for the judicious use of antibiotics in treating common infections in children were released today.
Worrisome findings on resistance to some last-line antibiotics for healthcare-related infections.
The outbreak has spurred plans to vaccinate 20 million children in seven countries.
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