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Cases now total 51, and vaccine uptake has been high among more than 900 case contacts identified.
Vaccination is under way in two remote areas as officials get closer to testing as many as five treatments.
A report from the Kaiser Family Foundation says the US role in outbreak response is key but less prominent in the face of stronger international capacity.
Almost 80% of premature infants get early antibiotic treatment, with little change in recent years.
One-minute permethrin exposure led to a loss of normal movement for all three tick species.
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