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'+kYU~uYgѳMh6ل$"}ѪV%*Eh-RkM4^Uߌ80{ LGScPhI,p7l>%g;h ~dt>sIwg\ǮǮrxű7\/~湕pZ5[O>,XEc/c/oxQ)_FfhFT5BĻc?Ɛc 0QvQO%P=KN1\UvrZeZUvrJeJW3Z1mw}sJlX9|68O.i Xc,4HLZriQPRe҈aVU=[nI?u={XLy{Vilxn0Էnۛv4h};;hIGS&+ՑM HD(0n`LTt>ⱷԳ1" N2pl?`>i(0 ,0{`{.n!nai*;c ":q'J쏅;k1U'Mb 7Iƀ3:ub/ p:6NdNӔ؍R7{[o7Z[tY$Y:AmEb_-'k2G f7[fM,5Y )yY&)UzqƂfӵ?BvED~'qҞ=v"N("NZ"P͏gh0eإi4vi4_ۏ --رkztWj.R jԜyj^jf 5ԩD;&~OS5_f5#lf '$#k aGC8!|@YtMMŖ;# n(pb9#%.,*&!}/;((rIm-!_#הhT$+6C"^ptpQ-%5 ph'hA򢽟(2vWrݼmHw^o'J!%Xrтgd^Wo*շZK22oh% Y ҡ&QVPsW(0aҽamX=qUcy5Uخϼچ%DݥI1%zRy=ybݞG4z<;ewʕ,ed",7(qq8DcAyX_,;YkedKа@8E-dRVG4[[h |#7GY}DPD> stream q 0.8 0 0 0.8 61 79 cm 0 0 m 612 0 l 612 792 l 0 792 l 0 0 l W n /CS5 cs 0 0 0 sc 1 i /RelativeColorimetric ri /R3 gs 72.041 276 0.96 -113.52 re f 526.961 276 0.96 -113.52 re f 72.041 276 455.88 -0.96 re f 72.041 163.44 455.88 -0.96 re f 1.25 0 0 1.25 -76.2497 -98.7496 cm BT /TT2 1 Tf -0.0004 Tc 0.0004 Tw 0 Tr 9.6 0 0 9.6 118.6327 676.8903 Tm [(HETA 92-0361-2343 NI)22.6(OSH I)22.6(NVESTI)22.6(GATOR:)]TJ 1 TL T*[(AUGUST 1993 Thomas J)-11.1(.)-0.3( Van Gilder, M.D.)]TJ T*[(M-I)22.7( DRI)22.7(L)20.5(L)20.5(I)22.7(NG F)5.9(L)20.5(UI)22.7(DS )]TJ T*[(GREYB)6.6(U)1.8(L)20.4(L)20.4(,)-0.4( W)-6.6(YOMI)22.6(NG NCI)22.6(D)1.8( I)22.6(NVESTI)22.6(GATOR:)]TJ 0 Tc 0 Tw T*[( L)20.8(a)3.8(ura Robinson, D.V.M., M.S.)]TJ /TT4 1 Tf -0.00279 Tc 3.01 TL T*[(S)-6.6(U)-0.6(MMARY)]TJ ET 0.8 0 0 0.8 61 79 cm 72.041 662.16 63.84 -0.72 re f 1.25 0 0 1.25 -76.2497 -98.7496 cm BT /TT2 1 Tf -0.0007 Tc 0.0007 Tw 9.6 0 0 9.6 118.6327 590.4899 Tm [(I)22.3(n)-0.7( Aug)9.3(u)-0.7(st 1992, the National I)22.3(n)-0.7(stitute for Occupational Safety)29.3( and Health \(NI)22.3(O)1.5(SH\) received a)]TJ -0.00079 Tc 0.00079 Tw 1 TL T*[(request from the W)-7(y)29.2(oming)9.2( Department of Health to evaluate two cases of acute, febrile)]TJ 0.0006 Tc -0.0006 Tw T*[(he)4.4(pa)4.4(titis a)4.4(m)-1.6(ong)10.6( wor)3.6(k)0.6(e)4.4(r)3.6(s a)4.4(t)-1.6( a)4.4( be)4.4(ntonite)4.4( mine)4.4( ope)4.4(r)3.6(a)4.4(te)4.4(d by)30.6( M-)3.6(I)23.6( Dr)3.6(illing)10.6( F)6.8(l)-1.6(uids in Gr)3.6(e)4.4(y)30.6(bull,)]TJ -0.0002 Tc 0.0002 Tw T*[(W)-6.4(y)29.8(oming)9.8(.)-0.2( Subsequent blood tests indicated that the hepatitis was caused by)29.8( )]TJ /TT6 1 Tf 0.00031 Tc -0.00031 Tw 30.89 0 Td (Coxiella burnetii)Tj /TT2 1 Tf 0 Tc 0 Tw 6.81 0 Td (,)Tj -0.00079 Tc 0.00079 Tw -37.7 -1 Td [(the org)9.2(a)3(nism which causes Q fever. Q fever is a rickettsial disease, ty)29.2(pically)29.2( contracted by)]TJ -0.0004 Tc 0.0004 Tw T*[(humans throug)9.6(h the inhalation of dust or other materials contaminated by)29.6( infected animal)]TJ -0.0007 Tc 0.0007 Tw T*[(products. Q fever usually)29.3( is manifested by)29.3( fever, chills, muscle aches, and fatig)9.3(ue;)]TJ -0.0005 Tc 0.0005 Tw T*[(occasionally)29.5(, hepatitis, pneumonia, or other more serious disease results from infec\ tion by)29.5( )]TJ /TT6 1 Tf 0.00301 Tc 0 Tw 36.25 0 Td (C.)Tj 0.0005 Tc -36.25 -1 Td (burnetii)Tj /TT2 1 Tf -0.00121 Tc 0.00121 Tw 3.17 0 Td [(. F)5(o)-1.2(r further information on Q fever, see appendix)-11.2( A.)]TJ -0.0006 Tc 0.0006 Tw -3.17 -2 Td [(F)5.6(r)2.4(om October 12-14, 1992, NI)22.4(OSH representatives conducted a site visit to further)]TJ -0.002 Tc 0.002 Tw T*[(charact)-4.2(eri)-4.2(z)-8.2(e t)-4.2(h)-2(e cases of Q fever. NI)21(OS)-5.8(H i)-4.2(nvest)-4.2(i)-4.2(g)8(at)-4.2(ors survey)28(ed )]TJ -0.0006 Tc 0.0006 Tw T*[(39 workers using)9.4( a self-administered questionnaire and a blood test for antibodies to )]TJ /TT6 1 Tf 0.00301 Tc 0 Tw 33.97 0 Td (C.)Tj 0.0005 Tc -33.97 -1 Td (burnetii)Tj /TT2 1 Tf -0.0009 Tc 0.0009 Tw 3.17 0 Td [(. Seven workers had serolog)9.1(i)-3.1(c evidence of infection with )]TJ /TT6 1 Tf 0.0006 Tc -0.0006 Tw 23.19 0 Td (C. burnetii)Tj /TT2 1 Tf -0.0007 Tc 0.0007 Tw 4.34 0 Td [(, three display)29.3(i)-2.9(ng)]TJ -0.00079 Tc 0.00079 Tw -30.7 -1 Td [(evidence of recent infection and four display)29.2(i)-3(ng)9.2( evidence of past infection. Analy)29.2(s)-1.6(is of)]TJ -0.0009 Tc 0.0009 Tw T*[(questionnaire data showed that the major risk factor sig)9.1(n)-0.9(ificant for recent infection was sheep)]TJ -0.0014 Tc 0.0014 Tw T*[(ownershi)-3.6(p. R)-4.4(i)-3.6(sk fact)-3.6(ors sug)8.6(g)8.6(e)2.4(st)-3.6(i)-3.6(v)-1.4(e of ei)-3.6(t)-3.6(h)-1.4(er recent)-3.6( or past)-3.6( i)-3.6(n)-1.4(fect)-3.6(i)-3.6(on i)-3.6(n)-1.4(cl)-3.6(uded worki)-3.6(n)-1.4(g)]TJ -0.00031 Tc 0.00031 Tw T*[(outdoors, operating)9.7( heavy)29.7( equipment, and hunting)9.7(.)-0.3( )]TJ -0.0006 Tc 0.0006 Tw 2 TL T*[(As a comparison g)9.4(r)2.4(oup, employ)29.4(ees with similar demog)9.4(r)2.4(aphic characteristics at a non-mining)]TJ -0.00101 Tc 0.00101 Tw 1 TL T*(worksite were also tested and found to have fewer cases of infection; on\ e case of past infection)Tj 0.0006 Tc 0 Tw T*(with )Tj /TT6 1 Tf -0.0006 Tw 2.03 0 Td (C. burnetii)Tj /TT2 1 Tf -0.0009 Tc 0.0009 Tw 4.34 0 Td ( was discovered. )Tj -0.0005 Tc 0.0005 Tw -6.37 -2 Td [(Recommendations included maintaining)9.5( a hig)9.5(h)-0.5( index)-10.5( of suspicion for Q fever in persons with)]TJ 0.0007 Tc -0.0007 Tw T*[(une)4.5(x)-9.3(p)0.7(la)4.5(ine)4.5(d)0.7( f)3.7(e)4.5(ve)4.5(r)3.7( a)4.5(nd inf)3.7(l)-1.5(ue)4.5(nza)4.5(-)3.7(like)4.5( sy)30.7(mptoms, he)4.5(pa)4.5(titis, or)3.7( pne)4.5(umonia)4.5(;)-1.5( a)4.5(nd r)3.7(e)4.5(por)3.7(ting)10.7( c)4.6(a)4.5(se)4.5(s)]TJ -0.0007 Tc 0.0007 Tw T*[(of Q fever to the state epidemiolog)9.3(i)-2.9(st by)29.3( phy)29.3(sicians. Other recommendations, based on)]TJ -0.0004 Tc 0.0004 Tw T*[(previous Q fever research, included avoiding)9.6( contact with soil obviously)29.6( contaminated with)]TJ -0.0006 Tc 0.0006 Tw T*[(animal urine, feces, or birth products, as well as animals, particularly\ )29.4( sheep and cats, who are)]TJ T*[(g)9.4(i)-2.8(ving)9.4( birth. The last recommendation is directed in particular at preg)9.4(nant women and persons)]TJ -0.00079 Tc 0.00079 Tw T*(with valvular heart disease.)Tj -0.0002 Tc 0.0002 Tw 0.58 -2.38 Td [(On the basis of data obtained in this investig)9.8(ation, NI)22.8(OSH investig)9.8(ators determined that a)]TJ -0.00031 Tc 0.00031 Tw T*[(potential health haz)-6.5(a)3.5(rd ex)-10.3(isted among)9.7( employ)29.7(ees working)9.7( outdoors at the bentonite mining)]TJ -0.0005 Tc 0.0005 Tw T*[(facility)29.5(. A non-occupational risk factor, sheep ownership, was found to be impo\ rtant. The)]TJ T*(relative contribution of occupational and non-occupational risk factors \ could not be)Tj 0.0009 Tc -0.0009 Tw T*[(a)4.7(sse)4.7(sse)4.7(d. Re)4.7(c)4.7(o)0.9(mme)4.7(nda)4.7(tions f)3.9(o)0.9(r)3.9( r)3.9(e)4.7(duc)4.7(ing)10.9( mor)3.9(b)0.9(idity)30.9( a)4.7(nd mor)3.9(t)-1.3(a)4.7(lity)30.9( a)4.7(ssoc)4.7(i)-1.3(a)4.7(t)-1.3(e)4.7(d)0.9( with )]TJ /TT6 1 Tf -0.0038 Tc 0 Tw 33.09 0 Td [(C)-6.8(o)-3.8(xi)-6(el)-6(l)-6(a)]TJ 0.0005 Tc -33.09 -1 Td (burnetii)Tj /TT2 1 Tf -0.0006 Tc 0.0006 Tw 3.17 0 Td [( infection include maintaining)9.4( a hig)9.4(h)-0.6( index)-10.6( of suspicion for Q fever in persons)]TJ 0.0006 Tc -0.0006 Tw -3.17 -1 Td [(pr)3.6(e)4.4(s)-0.2(e)4.4(n)0.6(ting)10.6( with pne)4.4(umonia)4.4(,)0.6( he)4.4(pa)4.4(titis, or)3.6( une)4.4(x)-9.4(p)0.6(la)4.4(ine)4.4(d)0.6( f)3.6(e)4.4(ve)4.4(r)3.6(;)-1.6( a)4.4(nd a)4.4(voiding)10.6( c)4.4(onta)4.4(c)4.4(t)-1.6( with soil)]TJ -0.00031 Tc 0.00031 Tw T*[(obviously)29.7( contaminated with animal urine, feces, or birth products, as well as an\ imals)]TJ 0.00031 Tc -0.00031 Tw T*[(g)10.3(i)-1.9(ving)10.3( birth.)]TJ -0.00011 Tc 0.00011 Tw -0.58 -3.08 Td [(KEYW)-6.3(ORDS:)-1092.3(S)-3.9(I)22.9(C)-3.1( 1459 \(bentonite mining)9.9(\))2.9(; W)-6.3(y)29.9(oming)9.9( bentonite; Q fever; )]TJ /TT6 1 Tf -0.0038 Tc 0 Tw 31.08 0 Td [(C)-6.8(o)-3.8(xi)-6(el)-6(l)-6(a)]TJ 0.0005 Tc -24.04 -1 Td (burnetii)Tj /TT2 1 Tf 0.0006 Tc -0.0006 Tw 3.17 0 Td [(; he)4.4(pa)4.4(titis, oc)4.4(c)4.4(upa)4.4(tiona)4.4(l, ve)4.4(c)4.4(t)-1.6(or)3.6(-)3.6(bor)3.6(ne)]TJ ET Q q 0 0 m 612 0 l 612 792 l 0 792 l h 39 670 m 39 705 l 575 705 l 575 670 l W n q 1 0 0 1 0 0.8 cm 0 0 m 612 0 l 612 792 l 0 792 l h 39 691 m 39 714 l 568 714 l 568 691 l W n q 0 0 m 612 0 l 612 792 l 0 792 l h 43 738 m 43 750 l 540 750 l 540 738 l W n q 0 0 m 612 0 l 612 792 l 0 792 l h 43 740 m 43 750 l 540 750 l 540 740 l W n 1 0 0 1 0 -0.8 cm BT 0.801 0 0 rg 1 i /RelativeColorimetric ri /R15 gs /F8 1 Tf -0.0029 Tc 0.00861 Tw 0 Tr 8.04 0 0 8.04 45.941 761.8993 Tm (This)Tj 0.00401 Tw 1.8774 0 Td ( )Tj 0.00861 Tw 0.2791 0 Td (Heal)Tj 0.0058 Tc 2.0444 0 Td (t)Tj -0.0029 Tc 0.2838 0 Td [(h)1( Ha)]TJ -0.00748 Tc 2.108 0 Td (z)Tj -0.0029 Tc 0.4925 0 Td [(a)1(rd )]TJ 0.00468 Tc 1.719 0 Td (E)Tj -0.00748 Tc 0.6717 0 Td (v)Tj -0.0029 Tc 0.4925 0 Td (alua)Tj -0.00917 Tc 1.8784 0 Td (t)Tj -0.0029 Tc 0.2688 0 Td (ion \()Tj -0.02069 Tc 1.9391 0 Td (H)Tj -0.0029 Tc 0.7013 0 Td (H)Tj 0.00468 Tc 0.7191 0 Td (E)Tj -0.0029 Tc 0.6717 0 Td (\) report)Tj 0.0173 Tw 3.2084 0 Td ( )Tj 0.00861 Tw 0.2924 0 Td (and any)Tj 0.004 Tw 3.5463 0 Td ( )Tj 0.00861 Tw 0.2791 0 Td (r)Tj -0.01878 Tc 0.3301 0 Td (e)Tj 0.00749 Tc 0.5372 0 Td (c)Tj -0.0188 Tc 0.5075 0 Td (o)Tj -0.0029 Tc 0.5372 0 Td (m)Tj 0.01768 Tc 0.8301 0 Td (m)Tj -0.0029 Tc 0.8507 0 Td (end)Tj -0.01878 Tc 1.6593 0 Td (a)Tj 0.00568 Tc 0.5372 0 Td (t)Tj -0.0132 Tc 0.2837 0 Td (i)Tj -0.0029 Tc 0.2088 0 Td (ons)Tj 0.0041 Tw 1.6033 0 Td ( )Tj 0.0177 Tc 0.00861 Tw 0.2792 0 Td (m)Tj -0.0029 Tc 0.8507 0 Td (ade)Tj -0.00731 Tw 1.6593 0 Td ( )Tj 0.00861 Tw 0.2678 0 Td (herein are )Tj 0.00569 Tc 4.7653 0 Td (f)Tj -0.0029 Tc 0.2837 0 Td [(o)1(r)]TJ -0.0081 Tw 0.8822 0 Td ( )Tj 0.00568 Tc 0.00861 Tw 0.267 0 Td (t)Tj -0.0029 Tc -0.00627 Tw 0.2837 0 Td (he )Tj 0.00749 Tc 0.00861 Tw 1.375 0 Td (s)Tj -0.0029 Tc 0.5075 0 Td (p)Tj -0.01878 Tc 0.5521 0 Td (e)Tj 0.00749 Tc 0.5372 0 Td (c)Tj -0.0029 Tc 0.5075 0 Td (i)Tj -0.00919 Tc 0.2191 0 Td (f)Tj -0.0029 Tc 0.2688 0 Td (ic)Tj 0.0041 Tw 0.7162 0 Td ( )Tj 0.00569 Tc 0.00861 Tw 0.2792 0 Td (f)Tj -0.0029 Tc 0.2837 0 Td (a)Tj -0.00748 Tc 0.5521 0 Td (c)Tj -0.0029 Tc 0.4925 0 Td (ili)Tj 0.0058 Tc 0.6573 0 Td (t)Tj -0.0029 Tc 0.2838 0 Td (y)Tj -0.01089 Tw 0.4971 0 Td ( )Tj 0.00861 Tw 0.2642 0 Td (e)Tj -0.00748 Tc 0.5531 0 Td (v)Tj -0.0029 Tc 0.4925 0 Td (alua)Tj 0.00569 Tc 1.8784 0 Td (t)Tj -0.0029 Tc 0.2837 0 Td (ed and)Tj -0.00627 Tw 3.0492 0 Td ( )Tj 0.00861 Tw 0.2688 0 Td (may)Tj -0.00439 Tc 0.0143 Tw 1.8803 0 Td ( )Tj 0.01019 Tw 0.2879 0 Td (not)Tj 0.02029 Tw 1.3768 0 Td ( )Tj -0.01877 Tc 0.01019 Tw 0.2939 0 Td (b)Tj -0.00439 Tc 0.5372 0 Td [(e)-0.5( un)]TJ 0.00168 Tc 1.9391 0 Td (i)Tj -0.00439 Tc 0.2237 0 Td (ver)Tj 0.00749 Tc 1.3758 0 Td (s)Tj -0.00439 Tc 0.5075 0 Td (a)Tj 0.00168 Tc 0.5516 0 Td (l)Tj 0.00169 Tc 0.2237 0 Td (l)Tj -0.00439 Tc 0.2237 0 Td (y)Tj 0.00711 Tw 0.4956 0 Td ( )Tj 0.01019 Tw -65.3204 -1.0871 Td (app)Tj 0.00179 Tc 1.6548 0 Td [(l)(i)]TJ 0.0076 Tc 0.4476 0 Td (c)Tj -0.00439 Tc 0.5076 0 Td (ab)Tj 0.0018 Tc 1.1032 0 Td (l)Tj -0.00439 Tc 0.2238 0 Td (e.)Tj 0.00546 Tw 0.8252 0 Td ( )Tj -0.00468 Tw 0.2791 0 Td ( )Tj 0.0047 Tc 0.01019 Tw 0.2689 0 Td (A)Tj -0.00439 Tc 0.6717 0 Td [(n)-0.6(y re)]TJ 0.0076 Tc 2.2118 0 Td (c)Tj -0.01868 Tc 0.5076 0 Td (o)Tj 0.0029 Tc 0.5373 0 Td (m)Tj 0.00288 Tc 0.8359 0 Td (m)Tj -0.00439 Tc 0.8359 0 Td (enda)Tj 0.00589 Tc 2.2064 0 Td (t)Tj 0.0018 Tc 0.2839 0 Td (i)Tj -0.00439 Tc 0.2238 0 Td (o)Tj -0.01868 Tc 0.5522 0 Td (n)Tj -0.00439 Tc 0.5373 0 Td (s)Tj -0.00769 Tw 0.4956 0 Td ( )Tj 0.01779 Tc 0.01019 Tw 0.2659 0 Td (m)Tj -0.00439 Tc 0.8508 0 Td (ade are n)Tj -0.01869 Tc 4.2058 0 Td (o)Tj -0.00439 Tc 0.5373 0 Td (t)Tj 0.0056 Tw 0.2736 0 Td ( )Tj 0.0058 Tc 0.01019 Tw 0.2792 0 Td (t)Tj -0.00439 Tc 0.2838 0 Td [(o)-0.6( be)]TJ -0.0047 Tw 1.9392 0 Td ( )Tj 0.0076 Tc 0.01019 Tw 0.2689 0 Td (c)Tj -0.00439 Tc 0.5076 0 Td (ons)Tj 0.0018 Tc 1.5988 0 Td (i)Tj -0.00439 Tc 0.2238 0 Td (dered as )Tj 0.0058 Tc 4.1498 0 Td (f)Tj 0.0018 Tc 0.2838 0 Td (i)Tj -0.00439 Tc 0.2238 0 Td (nal)Tj 0.00148 Tw 1.3208 0 Td ( )Tj 0.01019 Tw 0.2751 0 Td (s)Tj 0.0058 Tc 0.4956 0 Td (t)Tj -0.00439 Tc 0.2838 0 Td (a)Tj 0.00591 Tc 0.5516 0 Td (t)Tj -0.01868 Tc 0.2839 0 Td (e)Tj 0.01779 Tc 0.5373 0 Td (m)Tj -0.00439 Tc 0.8508 0 Td (e)Tj -0.01869 Tc 0.5516 0 Td (n)Tj -0.00909 Tc 0.5373 0 Td (t)Tj -0.00439 Tc 0.2689 0 Td (s)Tj 0.0222 Tw 0.4956 0 Td ( )Tj 0.01019 Tw 0.2958 0 Td (of)Tj 0.00546 Tw 0.8252 0 Td ( )Tj 0.01019 Tw 0.2791 0 Td (N)Tj 0.00591 Tc 0.7176 0 Td (I)Tj -0.01646 Tc 0.2839 0 Td (O)Tj 0.00478 Tc 0.7615 0 Td (S)Tj -0.00439 Tc 0.6718 0 Td (H po)Tj 0.00179 Tc 2.1046 0 Td (l)Tj -0.01309 Tc 0.2238 0 Td (i)Tj 0.0076 Tc 0.2089 0 Td (c)Tj -0.00439 Tc -0.00468 Tw 0.5076 0 Td (y )Tj 0.01019 Tw 0.7645 0 Td (or of)Tj 0.02048 Tw 1.9892 0 Td ( )Tj 0.01019 Tw 0.2941 0 Td (any agen)Tj 0.0076 Tc 4.089 0 Td (c)Tj -0.00439 Tc 0.5076 0 Td (y)Tj -0.00771 Tw 0.4956 0 Td ( )Tj 0.01019 Tw 0.2659 0 Td (or )Tj 0.0018 Tc 1.164 0 Td (i)Tj -0.00439 Tc 0.2238 0 Td (nd)Tj 0.0018 Tc 1.1032 0 Td (i)Tj -0.00439 Tc 0.2238 0 Td (v)Tj 0.00179 Tc 0.4956 0 Td (i)Tj -0.00439 Tc 0.2238 0 Td (d)Tj -0.00862 Tc 0.5516 0 Td (u)Tj -0.0042 Tc 0.0099 Tw 0.5474 0 Td (al)Tj 0.01579 Tw 0.7696 0 Td ( )Tj 0.00171 Tc 0.0099 Tw 0.2896 0 Td (i)Tj -0.0042 Tc 0.2237 0 Td [(n)-0.3(vo)]TJ -0.01317 Tc 1.5997 0 Td (l)Tj -0.00749 Tc 0.2088 0 Td (v)Tj -0.0042 Tc 0.4925 0 Td (ed.)Tj /F3 1 Tf 1.3774 0 Td ( )Tj /F8 1 Tf 0.01979 Tw 0.2837 0 Td ( )Tj 0.0099 Tw 0.2936 0 Td ( )Tj /F14 1 Tf -0.00439 Tc 0.0101 Tw -62.7011 -1.408 Td (Additional )Tj /F8 1 Tf 4.6307 0 Td (HHE)Tj 0.01909 Tw 2.0978 0 Td ( )Tj 0.0101 Tw 0.2927 0 Td (repor)Tj 0.00569 Tc 2.312 0 Td (t)Tj -0.00439 Tc 0.2837 0 Td (s)Tj 0.00697 Tw 0.4956 0 Td ( )Tj 0.0101 Tw 0.2806 0 Td (are ava)Tj 0.00169 Tc 3.3143 0 Td [(i)(l)]TJ -0.00439 Tc 0.4474 0 Td (ab)Tj 0.00169 Tc 1.1032 0 Td (l)Tj -0.00439 Tc 0.2237 0 Td (e at)Tj 0.00533 Tw 1.6605 0 Td ( )Tj 0.199 0.199 0.801 rg 0 Tw 0.2794 0 Td (h)Tj -0.00909 Tc 0.5516 0 Td (t)Tj 0.00589 Tc 0.2689 0 Td (t)Tj -0.00439 Tc 0.2839 0 Td (p)Tj -0.00909 Tc 0.5522 0 Td (:)Tj 0.00589 Tc 0.2689 0 Td (/)Tj -0.00908 Tc 0.2839 0 Td (/)Tj -0.00439 Tc 0.2689 0 Td (ww)Tj -0.02057 Tc 1.4352 0 Td (w)Tj 0.00589 Tc 0.7014 0 Td (.)Tj 0.0076 Tc 0.2839 0 Td (c)Tj -0.00439 Tc 0.5076 0 Td (d)Tj 0.0076 Tc 0.5516 0 Td (c)Tj 0.00578 Tc 0.5076 0 Td (.)Tj -0.00439 Tc 0.2838 0 Td (gov)Tj 0.00591 Tc 1.5988 0 Td (/)Tj -0.00439 Tc 0.2839 0 Td (n)Tj 0.00179 Tc 0.5522 0 Td (i)Tj -0.00439 Tc 0.2238 0 Td (o)Tj 0.0076 Tc 0.5522 0 Td (s)Tj -0.01868 Tc 0.5076 0 Td (h)Tj 0.00578 Tc 0.5373 0 Td (/)Tj -0.00439 Tc 0.2838 0 Td (hhe)Tj 0.00591 Tc 1.6548 0 Td (/)Tj -0.00439 Tc 0.2839 0 Td (repor)Tj -0.00908 Tc 2.312 0 Td (t)Tj -0.00439 Tc 0.2689 0 Td (s)Tj 0 0 0 rg /F19 1 Tf 0 Tc 0.0092 Tw 12 0 0 12 318.8893 741.8391 Tm ( )Tj 0.648 0 0.129 rg /F8 1 Tf 0 Tw 8.04 0 0 8.04 103.0912 732.5991 Tm ( )Tj 0.801 0 0 rg -0.0029 Tc 0.00861 Tw -7.6057 -3.5199 Td (This)Tj 0.00401 Tw 1.8728 0 Td ( )Tj 0.00861 Tw 0.2837 0 Td (Heal)Tj 0.0058 Tc 2.0444 0 Td (t)Tj -0.0029 Tc 0.2838 0 Td [(h)1( Ha)]TJ -0.00748 Tc 2.108 0 Td (z)Tj -0.0029 Tc 0.4925 0 Td [(a)1(rd )]TJ 0.00468 Tc 1.719 0 Td (E)Tj -0.00748 Tc 0.6717 0 Td (v)Tj -0.0029 Tc 0.4925 0 Td (alua)Tj -0.00917 Tc 1.8784 0 Td (t)Tj -0.0029 Tc 0.2688 0 Td (ion \()Tj -0.02069 Tc 1.9391 0 Td (H)Tj -0.0029 Tc 0.7013 0 Td (H)Tj 0.00468 Tc 0.7191 0 Td (E)Tj -0.0029 Tc 0.6717 0 Td (\) report)Tj 0.0173 Tw 3.2171 0 Td ( )Tj 0.00861 Tw 0.2837 0 Td (and any)Tj 0.00403 Tw 3.5417 0 Td ( )Tj 0.00861 Tw 0.2837 0 Td (r)Tj -0.01878 Tc 0.3301 0 Td (e)Tj 0.00749 Tc 0.5372 0 Td (c)Tj -0.0188 Tc 0.5075 0 Td (o)Tj -0.0029 Tc 0.5372 0 Td (m)Tj 0.01768 Tc 0.8301 0 Td (m)Tj -0.0029 Tc 0.8507 0 Td (end)Tj -0.01878 Tc 1.6593 0 Td (a)Tj 0.00568 Tc 0.5372 0 Td (t)Tj -0.0132 Tc 0.2837 0 Td (i)Tj -0.0029 Tc 0.2088 0 Td (ons)Tj 0.0041 Tw 1.6033 0 Td ( )Tj 0.0177 Tc 0.00861 Tw 0.2792 0 Td (m)Tj -0.0029 Tc 0.8507 0 Td (ade)Tj -0.00728 Tw 1.6434 0 Td ( )Tj 0.00861 Tw 0.2837 0 Td (herein are )Tj 0.00569 Tc 4.7653 0 Td (f)Tj -0.0029 Tc 0.2837 0 Td [(o)1(r)]TJ -0.00809 Tw 0.8655 0 Td ( )Tj 0.00568 Tc 0.00861 Tw 0.2837 0 Td (t)Tj -0.0029 Tc -0.00627 Tw 0.2837 0 Td (he )Tj 0.00749 Tc 0.00861 Tw 1.375 0 Td (s)Tj -0.0029 Tc 0.5075 0 Td (p)Tj -0.01878 Tc 0.5521 0 Td (e)Tj 0.00749 Tc 0.5372 0 Td (c)Tj -0.0029 Tc 0.5075 0 Td (i)Tj -0.00919 Tc 0.2191 0 Td (f)Tj -0.0029 Tc 0.2688 0 Td (ic)Tj 0.0041 Tw 0.7162 0 Td ( )Tj 0.00569 Tc 0.00861 Tw 0.2792 0 Td (f)Tj -0.0029 Tc 0.2837 0 Td (a)Tj -0.00748 Tc 0.5521 0 Td (c)Tj -0.0029 Tc 0.4925 0 Td (ili)Tj 0.0058 Tc 0.6573 0 Td (t)Tj -0.0029 Tc 0.2838 0 Td (y)Tj -0.01086 Tw 0.4776 0 Td ( )Tj 0.00861 Tw 0.2837 0 Td (e)Tj -0.00748 Tc 0.5531 0 Td (v)Tj -0.0029 Tc 0.4925 0 Td (alua)Tj 0.00569 Tc 1.8784 0 Td (t)Tj -0.0029 Tc 0.2837 0 Td (ed and)Tj -0.00627 Tw 3.0492 0 Td ( )Tj 0.00861 Tw 0.2688 0 Td (may)Tj -0.00439 Tc 0.01427 Tw 1.8844 0 Td ( )Tj 0.01019 Tw 0.2838 0 Td (not)Tj 0.02028 Tw 1.3869 0 Td ( )Tj -0.01877 Tc 0.01019 Tw 0.2838 0 Td (b)Tj -0.00439 Tc 0.5372 0 Td [(e)-0.5( un)]TJ 0.00168 Tc 1.9391 0 Td (i)Tj -0.00439 Tc 0.2237 0 Td (ver)Tj 0.00749 Tc 1.3758 0 Td (s)Tj -0.00439 Tc 0.5075 0 Td (a)Tj 0.00168 Tc 0.5516 0 Td (l)Tj 0.00169 Tc 0.2237 0 Td (l)Tj -0.00439 Tc 0.2237 0 Td (y)Tj 0.00711 Tw 0.4956 0 Td ( )Tj 0.01019 Tw -65.3204 -1.0871 Td (app)Tj 0.00179 Tc 1.6548 0 Td [(l)(i)]TJ 0.0076 Tc 0.4476 0 Td (c)Tj -0.00439 Tc 0.5076 0 Td (ab)Tj 0.0018 Tc 1.1032 0 Td (l)Tj -0.00439 Tc 0.2238 0 Td (e.)Tj 0.00551 Tw 0.8205 0 Td ( )Tj -0.00468 Tw 0.2838 0 Td ( )Tj 0.0047 Tc 0.01019 Tw 0.2689 0 Td (A)Tj -0.00439 Tc 0.6717 0 Td [(n)-0.6(y re)]TJ 0.0076 Tc 2.2118 0 Td (c)Tj -0.01868 Tc 0.5076 0 Td (o)Tj 0.0029 Tc 0.5373 0 Td (m)Tj 0.00288 Tc 0.8359 0 Td (m)Tj -0.00439 Tc 0.8359 0 Td (enda)Tj 0.00589 Tc 2.2064 0 Td (t)Tj 0.0018 Tc 0.2839 0 Td (i)Tj -0.00439 Tc 0.2238 0 Td (o)Tj -0.01868 Tc 0.5522 0 Td (n)Tj -0.00439 Tc 0.5373 0 Td (s)Tj -0.00769 Tw 0.4956 0 Td ( )Tj 0.01779 Tc 0.01019 Tw 0.2659 0 Td (m)Tj -0.00439 Tc 0.8508 0 Td (ade are n)Tj -0.01869 Tc 4.2058 0 Td (o)Tj -0.00439 Tc 0.5373 0 Td (t)Tj 0.0056 Tw 0.2736 0 Td ( )Tj 0.0058 Tc 0.01019 Tw 0.2792 0 Td (t)Tj -0.00439 Tc 0.2838 0 Td [(o)-0.6( be)]TJ -0.0047 Tw 1.9392 0 Td ( )Tj 0.0076 Tc 0.01019 Tw 0.2689 0 Td (c)Tj -0.00439 Tc 0.5076 0 Td (ons)Tj 0.0018 Tc 1.5988 0 Td (i)Tj -0.00439 Tc 0.2238 0 Td (dered as )Tj 0.0058 Tc 4.1498 0 Td (f)Tj 0.0018 Tc 0.2838 0 Td (i)Tj -0.00439 Tc 0.2238 0 Td (nal)Tj 0.00151 Tw 1.3121 0 Td ( )Tj 0.01019 Tw 0.2838 0 Td (s)Tj 0.0058 Tc 0.4956 0 Td (t)Tj -0.00439 Tc 0.2838 0 Td (a)Tj 0.00591 Tc 0.5516 0 Td (t)Tj -0.01868 Tc 0.2839 0 Td (e)Tj 0.01779 Tc 0.5373 0 Td (m)Tj -0.00439 Tc 0.8508 0 Td (e)Tj -0.01869 Tc 0.5516 0 Td (n)Tj -0.00909 Tc 0.5373 0 Td (t)Tj -0.00439 Tc 0.2689 0 Td (s)Tj 0.02219 Tw 0.5076 0 Td ( )Tj 0.01019 Tw 0.2838 0 Td (of)Tj 0.00551 Tw 0.8205 0 Td ( )Tj 0.01019 Tw 0.2838 0 Td (N)Tj 0.00591 Tc 0.7176 0 Td (I)Tj -0.01646 Tc 0.2839 0 Td (O)Tj 0.00478 Tc 0.7615 0 Td (S)Tj -0.00439 Tc 0.6718 0 Td (H po)Tj 0.00179 Tc 2.1046 0 Td (l)Tj -0.01309 Tc 0.2238 0 Td (i)Tj 0.0076 Tc 0.2089 0 Td (c)Tj -0.00439 Tc -0.00468 Tw 0.5076 0 Td (y )Tj 0.01019 Tw 0.7645 0 Td (or of)Tj 0.02049 Tw 1.9995 0 Td ( )Tj 0.01019 Tw 0.2838 0 Td (any agen)Tj 0.0076 Tc 4.089 0 Td (c)Tj -0.00439 Tc 0.5076 0 Td (y)Tj -0.00769 Tw 0.4777 0 Td ( )Tj 0.01019 Tw 0.2838 0 Td (or )Tj 0.0018 Tc 1.164 0 Td (i)Tj -0.00439 Tc 0.2238 0 Td (nd)Tj 0.0018 Tc 1.1032 0 Td (i)Tj -0.00439 Tc 0.2238 0 Td (v)Tj 0.00179 Tc 0.4956 0 Td (i)Tj -0.00439 Tc 0.2238 0 Td (d)Tj -0.00862 Tc 0.5516 0 Td (u)Tj -0.0042 Tc 0.0099 Tw 0.5474 0 Td (al)Tj 0.01578 Tw 0.7755 0 Td ( )Tj 0.00171 Tc 0.0099 Tw 0.2837 0 Td (i)Tj -0.0042 Tc 0.2237 0 Td [(n)-0.3(vo)]TJ -0.01317 Tc 1.5997 0 Td (l)Tj -0.00749 Tc 0.2088 0 Td (v)Tj -0.0042 Tc 0.4925 0 Td (ed.)Tj 0.01978 Tw 1.3873 0 Td ( )Tj 0.0099 Tw 0.2837 0 Td ( )Tj /F14 1 Tf -0.00439 Tc 0.0101 Tw -62.4971 -1.408 Td (Additional )Tj /F8 1 Tf 4.6307 0 Td (HHE)Tj 0.01909 Tw 2.0978 0 Td ( )Tj 0.0101 Tw 0.2927 0 Td (repor)Tj 0.00569 Tc 2.312 0 Td (t)Tj -0.00439 Tc 0.2837 0 Td (s)Tj 0.00697 Tw 0.4956 0 Td ( )Tj 0.0101 Tw 0.2806 0 Td (are ava)Tj 0.00169 Tc 3.3143 0 Td [(i)(l)]TJ -0.00439 Tc 0.4474 0 Td (ab)Tj 0.00169 Tc 1.1032 0 Td (l)Tj -0.00439 Tc 0.2237 0 Td (e at)Tj 0.00533 Tw 1.6605 0 Td ( )Tj 0.199 0.199 0.801 rg 0 Tw 0.2794 0 Td (h)Tj -0.00909 Tc 0.5516 0 Td (t)Tj 0.00589 Tc 0.2689 0 Td (t)Tj -0.00439 Tc 0.2839 0 Td (p)Tj -0.00909 Tc 0.5522 0 Td (:)Tj 0.00589 Tc 0.2689 0 Td (/)Tj -0.00908 Tc 0.2839 0 Td (/)Tj -0.00439 Tc 0.2689 0 Td (ww)Tj -0.02057 Tc 1.4352 0 Td (w)Tj 0.00589 Tc 0.7014 0 Td (.)Tj 0.0076 Tc 0.2839 0 Td (c)Tj -0.00439 Tc 0.5076 0 Td (d)Tj 0.0076 Tc 0.5516 0 Td (c)Tj 0.00578 Tc 0.5076 0 Td (.)Tj -0.00439 Tc 0.2838 0 Td (gov)Tj 0.00591 Tc 1.5988 0 Td (/)Tj -0.00439 Tc 0.2839 0 Td (n)Tj 0.00179 Tc 0.5522 0 Td (i)Tj -0.00439 Tc 0.2238 0 Td (o)Tj 0.0076 Tc 0.5522 0 Td (s)Tj -0.01868 Tc 0.5076 0 Td (h)Tj 0.00578 Tc 0.5373 0 Td (/)Tj -0.00439 Tc 0.2838 0 Td (hhe)Tj 0.00591 Tc 1.6548 0 Td (/)Tj -0.00439 Tc 0.2839 0 Td (repor)Tj -0.00908 Tc 2.312 0 Td (t)Tj -0.00439 Tc 0.2689 0 Td (s)Tj 0 0 0 rg /F19 1 Tf 0 Tc 0.0092 Tw 12 0 0 12 314.2483 684.2388 Tm ( )Tj 0.648 0 0.129 rg /F8 1 Tf 0 Tw 8.04 0 0 8.04 99.0912 674.9989 Tm ( )Tj ET Q Q Q Q q 1 0 0 1 4.25 261.901 cm 0 0 m 612 0 l 612 792 l 0 792 l h 39 670 m 39 705 l 575 705 l 575 670 l W n q 1 0 0 1 -1.6 -202.4008 cm 0 0 m 612 0 l 612 792 l 0 792 l h 39 746 m 39 773 l 575 773 l 575 746 l W n q 1 0 0 1 0 0.8 cm 0 0 m 612 0 l 612 792 l 0 792 l h 39 691 m 39 714 l 568 714 l 568 691 l W n q 0 0 m 612 0 l 612 792 l 0 792 l h 43 738 m 43 750 l 540 750 l 540 738 l W n q 0 0 m 612 0 l 612 792 l 0 792 l h 43 740 m 43 750 l 540 750 l 540 740 l W n 1 0 0 1 -2.65 -60.3002 cm BT 0.801 0 0 rg 1 i /RelativeColorimetric ri /R19 gs /F6 1 Tf -0.0029 Tc 0.00861 Tw 0 Tr 8.04 0 0 8.04 48.591 821.3995 Tm (This)Tj 0.00401 Tw 1.8728 0 Td ( )Tj 0.00861 Tw 0.2837 0 Td (Heal)Tj 0.0058 Tc 2.0444 0 Td (t)Tj -0.0029 Tc 0.2838 0 Td [(h)1( Ha)]TJ -0.00748 Tc 2.108 0 Td (z)Tj -0.0029 Tc 0.4925 0 Td [(a)1(rd )]TJ 0.00468 Tc 1.719 0 Td (E)Tj -0.00748 Tc 0.6717 0 Td (v)Tj -0.0029 Tc 0.4925 0 Td (alua)Tj -0.00917 Tc 1.8784 0 Td (t)Tj -0.0029 Tc 0.2688 0 Td (ion \()Tj -0.02069 Tc 1.9391 0 Td (H)Tj -0.0029 Tc 0.7013 0 Td (H)Tj 0.00468 Tc 0.7191 0 Td (E)Tj -0.0029 Tc 0.6717 0 Td (\) report)Tj 0.0173 Tw 3.2171 0 Td ( )Tj 0.00861 Tw 0.2837 0 Td (and any)Tj 0.00403 Tw 3.5417 0 Td ( )Tj 0.00861 Tw 0.2837 0 Td (r)Tj -0.01878 Tc 0.3301 0 Td (e)Tj 0.00749 Tc 0.5372 0 Td (c)Tj -0.0188 Tc 0.5075 0 Td (o)Tj -0.0029 Tc 0.5372 0 Td (m)Tj 0.01768 Tc 0.8301 0 Td (m)Tj -0.0029 Tc 0.8507 0 Td (end)Tj -0.01878 Tc 1.6593 0 Td (a)Tj 0.00568 Tc 0.5372 0 Td (t)Tj -0.0132 Tc 0.2837 0 Td (i)Tj -0.0029 Tc 0.2088 0 Td (ons)Tj 0.0041 Tw 1.6033 0 Td ( )Tj 0.0177 Tc 0.00861 Tw 0.2792 0 Td (m)Tj -0.0029 Tc 0.8507 0 Td (ade)Tj -0.00728 Tw 1.6434 0 Td ( )Tj 0.00861 Tw 0.2837 0 Td (herein are )Tj 0.00569 Tc 4.7653 0 Td (f)Tj -0.0029 Tc 0.2837 0 Td [(o)1(r)]TJ -0.00809 Tw 0.8655 0 Td ( )Tj 0.00568 Tc 0.00861 Tw 0.2837 0 Td (t)Tj -0.0029 Tc -0.00627 Tw 0.2837 0 Td (he )Tj 0.00749 Tc 0.00861 Tw 1.375 0 Td (s)Tj -0.0029 Tc 0.5075 0 Td (p)Tj -0.01878 Tc 0.5521 0 Td (e)Tj 0.00749 Tc 0.5372 0 Td (c)Tj -0.0029 Tc 0.5075 0 Td (i)Tj -0.00919 Tc 0.2191 0 Td (f)Tj -0.0029 Tc 0.2688 0 Td (ic)Tj 0.0041 Tw 0.7162 0 Td ( )Tj 0.00569 Tc 0.00861 Tw 0.2792 0 Td (f)Tj -0.0029 Tc 0.2837 0 Td (a)Tj -0.00748 Tc 0.5521 0 Td (c)Tj -0.0029 Tc 0.4925 0 Td (ili)Tj 0.0058 Tc 0.6573 0 Td (t)Tj -0.0029 Tc 0.2838 0 Td (y)Tj -0.01086 Tw 0.4776 0 Td ( )Tj 0.00861 Tw 0.2837 0 Td (e)Tj -0.00748 Tc 0.5531 0 Td (v)Tj -0.0029 Tc 0.4925 0 Td (alua)Tj 0.00569 Tc 1.8784 0 Td (t)Tj -0.0029 Tc 0.2837 0 Td (ed and)Tj -0.00627 Tw 3.0492 0 Td ( )Tj 0.00861 Tw 0.2688 0 Td (may)Tj -0.00439 Tc 0.01427 Tw 1.8844 0 Td ( )Tj 0.01019 Tw 0.2838 0 Td (not)Tj 0.02028 Tw 1.3869 0 Td ( )Tj -0.01877 Tc 0.01019 Tw 0.2838 0 Td (b)Tj -0.00439 Tc 0.5372 0 Td [(e)-0.5( un)]TJ 0.00168 Tc 1.9391 0 Td (i)Tj -0.00439 Tc 0.2237 0 Td (ver)Tj 0.00749 Tc 1.3758 0 Td (s)Tj -0.00439 Tc 0.5075 0 Td (a)Tj 0.00168 Tc 0.5516 0 Td (l)Tj 0.00169 Tc 0.2237 0 Td (l)Tj -0.00439 Tc 0.2237 0 Td (y)Tj 0.00711 Tw 0.4956 0 Td ( )Tj 0.01019 Tw -65.3204 -1.0871 Td (app)Tj 0.00179 Tc 1.6548 0 Td [(l)(i)]TJ 0.0076 Tc 0.4476 0 Td (c)Tj -0.00439 Tc 0.5076 0 Td (ab)Tj 0.0018 Tc 1.1032 0 Td (l)Tj -0.00439 Tc 0.2238 0 Td (e.)Tj 0.00551 Tw 0.8205 0 Td ( )Tj -0.00468 Tw 0.2838 0 Td ( )Tj 0.0047 Tc 0.01019 Tw 0.2689 0 Td (A)Tj -0.00439 Tc 0.6717 0 Td [(n)-0.6(y re)]TJ 0.0076 Tc 2.2118 0 Td (c)Tj -0.01868 Tc 0.5076 0 Td (o)Tj 0.0029 Tc 0.5373 0 Td (m)Tj 0.00288 Tc 0.8359 0 Td (m)Tj -0.00439 Tc 0.8359 0 Td (enda)Tj 0.00589 Tc 2.2064 0 Td (t)Tj 0.0018 Tc 0.2839 0 Td (i)Tj -0.00439 Tc 0.2238 0 Td (o)Tj -0.01868 Tc 0.5522 0 Td (n)Tj -0.00439 Tc 0.5373 0 Td (s)Tj -0.00769 Tw 0.4956 0 Td ( )Tj 0.01779 Tc 0.01019 Tw 0.2659 0 Td (m)Tj -0.00439 Tc 0.8508 0 Td (ade are n)Tj -0.01869 Tc 4.2058 0 Td (o)Tj -0.00439 Tc 0.5373 0 Td (t)Tj 0.0056 Tw 0.2736 0 Td ( )Tj 0.0058 Tc 0.01019 Tw 0.2792 0 Td (t)Tj -0.00439 Tc 0.2838 0 Td [(o)-0.6( be)]TJ -0.0047 Tw 1.9392 0 Td ( )Tj 0.0076 Tc 0.01019 Tw 0.2689 0 Td (c)Tj -0.00439 Tc 0.5076 0 Td (ons)Tj 0.0018 Tc 1.5988 0 Td (i)Tj -0.00439 Tc 0.2238 0 Td (dered as )Tj 0.0058 Tc 4.1498 0 Td (f)Tj 0.0018 Tc 0.2838 0 Td (i)Tj -0.00439 Tc 0.2238 0 Td (nal)Tj 0.00151 Tw 1.3121 0 Td ( )Tj 0.01019 Tw 0.2838 0 Td (s)Tj 0.0058 Tc 0.4956 0 Td (t)Tj -0.00439 Tc 0.2838 0 Td (a)Tj 0.00591 Tc 0.5516 0 Td (t)Tj -0.01868 Tc 0.2839 0 Td (e)Tj 0.01779 Tc 0.5373 0 Td (m)Tj -0.00439 Tc 0.8508 0 Td (e)Tj -0.01869 Tc 0.5516 0 Td (n)Tj -0.00909 Tc 0.5373 0 Td (t)Tj -0.00439 Tc 0.2689 0 Td (s)Tj 0.02219 Tw 0.5076 0 Td ( )Tj 0.01019 Tw 0.2838 0 Td (of)Tj 0.00551 Tw 0.8205 0 Td ( )Tj 0.01019 Tw 0.2838 0 Td (N)Tj 0.00591 Tc 0.7176 0 Td (I)Tj -0.01646 Tc 0.2839 0 Td (O)Tj 0.00478 Tc 0.7615 0 Td (S)Tj -0.00439 Tc 0.6718 0 Td (H po)Tj 0.00179 Tc 2.1046 0 Td (l)Tj -0.01309 Tc 0.2238 0 Td (i)Tj 0.0076 Tc 0.2089 0 Td (c)Tj -0.00439 Tc -0.00468 Tw 0.5076 0 Td (y )Tj 0.01019 Tw 0.7645 0 Td (or of)Tj 0.02049 Tw 1.9995 0 Td ( )Tj 0.01019 Tw 0.2838 0 Td (any agen)Tj 0.0076 Tc 4.089 0 Td (c)Tj -0.00439 Tc 0.5076 0 Td (y)Tj -0.00769 Tw 0.4777 0 Td ( )Tj 0.01019 Tw 0.2838 0 Td (or )Tj 0.0018 Tc 1.164 0 Td (i)Tj -0.00439 Tc 0.2238 0 Td (nd)Tj 0.0018 Tc 1.1032 0 Td (i)Tj -0.00439 Tc 0.2238 0 Td (v)Tj 0.00179 Tc 0.4956 0 Td (i)Tj -0.00439 Tc 0.2238 0 Td (d)Tj -0.00862 Tc 0.5516 0 Td (u)Tj -0.0042 Tc 0.0099 Tw 0.5474 0 Td (al)Tj 0.01578 Tw 0.7755 0 Td ( )Tj 0.00171 Tc 0.0099 Tw 0.2837 0 Td (i)Tj -0.0042 Tc 0.2237 0 Td [(n)-0.3(vo)]TJ -0.01317 Tc 1.5997 0 Td (l)Tj -0.00749 Tc 0.2088 0 Td (v)Tj -0.0042 Tc 0.4925 0 Td (ed.)Tj 0.01978 Tw 1.3873 0 Td ( )Tj 0.0099 Tw 0.2837 0 Td ( )Tj /F13 1 Tf -0.00439 Tc 0.0101 Tw -62.4971 -1.408 Td (Additional )Tj /F6 1 Tf 4.6307 0 Td (HHE)Tj 0.01909 Tw 2.0978 0 Td ( )Tj 0.0101 Tw 0.2927 0 Td (repor)Tj 0.00569 Tc 2.312 0 Td (t)Tj -0.00439 Tc 0.2837 0 Td (s)Tj 0.00697 Tw 0.4956 0 Td ( )Tj 0.0101 Tw 0.2806 0 Td (are ava)Tj 0.00169 Tc 3.3143 0 Td [(i)(l)]TJ -0.00439 Tc 0.4474 0 Td (ab)Tj 0.00169 Tc 1.1032 0 Td (l)Tj -0.00439 Tc 0.2237 0 Td (e at)Tj 0.00533 Tw 1.6605 0 Td ( )Tj 0.199 0.199 0.801 rg 0 Tw 0.2794 0 Td (h)Tj -0.00909 Tc 0.5516 0 Td (t)Tj 0.00589 Tc 0.2689 0 Td (t)Tj -0.00439 Tc 0.2839 0 Td (p)Tj -0.00909 Tc 0.5522 0 Td (:)Tj 0.00589 Tc 0.2689 0 Td (/)Tj -0.00908 Tc 0.2839 0 Td (/)Tj -0.00439 Tc 0.2689 0 Td (ww)Tj -0.02057 Tc 1.4352 0 Td (w)Tj 0.00589 Tc 0.7014 0 Td (.)Tj 0.0076 Tc 0.2839 0 Td (c)Tj -0.00439 Tc 0.5076 0 Td (d)Tj 0.0076 Tc 0.5516 0 Td (c)Tj 0.00578 Tc 0.5076 0 Td (.)Tj -0.00439 Tc 0.2838 0 Td (gov)Tj 0.00591 Tc 1.5988 0 Td (/)Tj -0.00439 Tc 0.2839 0 Td (n)Tj 0.00179 Tc 0.5522 0 Td (i)Tj -0.00439 Tc 0.2238 0 Td (o)Tj 0.0076 Tc 0.5522 0 Td (s)Tj -0.01868 Tc 0.5076 0 Td (h)Tj 0.00578 Tc 0.5373 0 Td (/)Tj -0.00439 Tc 0.2838 0 Td (hhe)Tj 0.00591 Tc 1.6548 0 Td (/)Tj -0.00439 Tc 0.2839 0 Td (repor)Tj -0.00908 Tc 2.312 0 Td (t)Tj -0.00439 Tc 0.2689 0 Td (s)Tj 0 0 0 rg /F12 1 Tf 0 Tc 0.0092 Tw 12 0 0 12 320.8983 801.3394 Tm ( )Tj 0.648 0 0.129 rg /F6 1 Tf 0 Tw 8.04 0 0 8.04 105.7412 792.0994 Tm ( )Tj 0.801 0 0 rg -0.0029 Tc 0.00861 Tw -7.6057 -3.5199 Td (This)Tj 0.00401 Tw 1.8728 0 Td ( )Tj 0.00861 Tw 0.2837 0 Td (Heal)Tj 0.0058 Tc 2.0444 0 Td (t)Tj -0.0029 Tc 0.2838 0 Td [(h)1( Ha)]TJ -0.00748 Tc 2.108 0 Td (z)Tj -0.0029 Tc 0.4925 0 Td [(a)1(rd )]TJ 0.00468 Tc 1.719 0 Td (E)Tj -0.00748 Tc 0.6717 0 Td (v)Tj -0.0029 Tc 0.4925 0 Td (alua)Tj -0.00917 Tc 1.8784 0 Td (t)Tj -0.0029 Tc 0.2688 0 Td (ion \()Tj -0.02069 Tc 1.9391 0 Td (H)Tj -0.0029 Tc 0.7013 0 Td (H)Tj 0.00468 Tc 0.7191 0 Td (E)Tj -0.0029 Tc 0.6717 0 Td (\) report)Tj 0.0173 Tw 3.2171 0 Td ( )Tj 0.00861 Tw 0.2837 0 Td (and any)Tj 0.00403 Tw 3.5417 0 Td ( )Tj 0.00861 Tw 0.2837 0 Td (r)Tj -0.01878 Tc 0.3301 0 Td (e)Tj 0.00749 Tc 0.5372 0 Td (c)Tj -0.0188 Tc 0.5075 0 Td (o)Tj -0.0029 Tc 0.5372 0 Td (m)Tj 0.01768 Tc 0.8301 0 Td (m)Tj -0.0029 Tc 0.8507 0 Td (end)Tj -0.01878 Tc 1.6593 0 Td (a)Tj 0.00568 Tc 0.5372 0 Td (t)Tj -0.0132 Tc 0.2837 0 Td (i)Tj -0.0029 Tc 0.2088 0 Td (ons)Tj 0.0041 Tw 1.6033 0 Td ( )Tj 0.0177 Tc 0.00861 Tw 0.2792 0 Td (m)Tj -0.0029 Tc 0.8507 0 Td (ade)Tj -0.00728 Tw 1.6434 0 Td ( )Tj 0.00861 Tw 0.2837 0 Td (herein are )Tj 0.00569 Tc 4.7653 0 Td (f)Tj -0.0029 Tc 0.2837 0 Td [(o)1(r)]TJ -0.00809 Tw 0.8655 0 Td ( )Tj 0.00568 Tc 0.00861 Tw 0.2837 0 Td (t)Tj -0.0029 Tc -0.00627 Tw 0.2837 0 Td (he )Tj 0.00749 Tc 0.00861 Tw 1.375 0 Td (s)Tj -0.0029 Tc 0.5075 0 Td (p)Tj -0.01878 Tc 0.5521 0 Td (e)Tj 0.00749 Tc 0.5372 0 Td (c)Tj -0.0029 Tc 0.5075 0 Td (i)Tj -0.00919 Tc 0.2191 0 Td (f)Tj -0.0029 Tc 0.2688 0 Td (ic)Tj 0.0041 Tw 0.7162 0 Td ( )Tj 0.00569 Tc 0.00861 Tw 0.2792 0 Td (f)Tj -0.0029 Tc 0.2837 0 Td (a)Tj -0.00748 Tc 0.5521 0 Td (c)Tj -0.0029 Tc 0.4925 0 Td (ili)Tj 0.0058 Tc 0.6573 0 Td (t)Tj -0.0029 Tc 0.2838 0 Td (y)Tj -0.01086 Tw 0.4776 0 Td ( )Tj 0.00861 Tw 0.2837 0 Td (e)Tj -0.00748 Tc 0.5531 0 Td (v)Tj -0.0029 Tc 0.4925 0 Td (alua)Tj 0.00569 Tc 1.8784 0 Td (t)Tj -0.0029 Tc 0.2837 0 Td (ed and)Tj -0.00627 Tw 3.0492 0 Td ( )Tj 0.00861 Tw 0.2688 0 Td (may)Tj -0.00439 Tc 0.01427 Tw 1.8844 0 Td ( )Tj 0.01019 Tw 0.2838 0 Td (not)Tj 0.02028 Tw 1.3869 0 Td ( )Tj -0.01877 Tc 0.01019 Tw 0.2838 0 Td (b)Tj -0.00439 Tc 0.5372 0 Td [(e)-0.5( un)]TJ 0.00168 Tc 1.9391 0 Td (i)Tj -0.00439 Tc 0.2237 0 Td (ver)Tj 0.00749 Tc 1.3758 0 Td (s)Tj -0.00439 Tc 0.5075 0 Td (a)Tj 0.00168 Tc 0.5516 0 Td (l)Tj 0.00169 Tc 0.2237 0 Td (l)Tj -0.00439 Tc 0.2237 0 Td (y)Tj 0.00711 Tw 0.4956 0 Td ( )Tj 0.01019 Tw -65.3204 -1.0871 Td (app)Tj 0.00179 Tc 1.6548 0 Td [(l)(i)]TJ 0.0076 Tc 0.4476 0 Td (c)Tj -0.00439 Tc 0.5076 0 Td (ab)Tj 0.0018 Tc 1.1032 0 Td (l)Tj -0.00439 Tc 0.2238 0 Td (e.)Tj 0.00551 Tw 0.8205 0 Td ( )Tj -0.00468 Tw 0.2838 0 Td ( )Tj 0.0047 Tc 0.01019 Tw 0.2689 0 Td (A)Tj -0.00439 Tc 0.6717 0 Td [(n)-0.6(y re)]TJ 0.0076 Tc 2.2118 0 Td (c)Tj -0.01868 Tc 0.5076 0 Td (o)Tj 0.0029 Tc 0.5373 0 Td (m)Tj 0.00288 Tc 0.8359 0 Td (m)Tj -0.00439 Tc 0.8359 0 Td (enda)Tj 0.00589 Tc 2.2064 0 Td (t)Tj 0.0018 Tc 0.2839 0 Td (i)Tj -0.00439 Tc 0.2238 0 Td (o)Tj -0.01868 Tc 0.5522 0 Td (n)Tj -0.00439 Tc 0.5373 0 Td (s)Tj -0.00769 Tw 0.4956 0 Td ( )Tj 0.01779 Tc 0.01019 Tw 0.2659 0 Td (m)Tj -0.00439 Tc 0.8508 0 Td (ade are n)Tj -0.01869 Tc 4.2058 0 Td (o)Tj -0.00439 Tc 0.5373 0 Td (t)Tj 0.0056 Tw 0.2736 0 Td ( )Tj 0.0058 Tc 0.01019 Tw 0.2792 0 Td (t)Tj -0.00439 Tc 0.2838 0 Td [(o)-0.6( be)]TJ -0.0047 Tw 1.9392 0 Td ( )Tj 0.0076 Tc 0.01019 Tw 0.2689 0 Td (c)Tj -0.00439 Tc 0.5076 0 Td (ons)Tj 0.0018 Tc 1.5988 0 Td (i)Tj -0.00439 Tc 0.2238 0 Td (dered as )Tj 0.0058 Tc 4.1498 0 Td (f)Tj 0.0018 Tc 0.2838 0 Td (i)Tj -0.00439 Tc 0.2238 0 Td (nal)Tj 0.00151 Tw 1.3121 0 Td ( )Tj 0.01019 Tw 0.2838 0 Td (s)Tj 0.0058 Tc 0.4956 0 Td (t)Tj -0.00439 Tc 0.2838 0 Td (a)Tj 0.00591 Tc 0.5516 0 Td (t)Tj -0.01868 Tc 0.2839 0 Td (e)Tj 0.01779 Tc 0.5373 0 Td (m)Tj -0.00439 Tc 0.8508 0 Td (e)Tj -0.01869 Tc 0.5516 0 Td (n)Tj -0.00909 Tc 0.5373 0 Td (t)Tj -0.00439 Tc 0.2689 0 Td (s)Tj 0.02219 Tw 0.5076 0 Td ( )Tj 0.01019 Tw 0.2838 0 Td (of)Tj 0.00551 Tw 0.8205 0 Td ( )Tj 0.01019 Tw 0.2838 0 Td (N)Tj 0.00591 Tc 0.7176 0 Td (I)Tj -0.01646 Tc 0.2839 0 Td (O)Tj 0.00478 Tc 0.7615 0 Td (S)Tj -0.00439 Tc 0.6718 0 Td (H po)Tj 0.00179 Tc 2.1046 0 Td (l)Tj -0.01309 Tc 0.2238 0 Td (i)Tj 0.0076 Tc 0.2089 0 Td (c)Tj -0.00439 Tc -0.00468 Tw 0.5076 0 Td (y )Tj 0.01019 Tw 0.7645 0 Td (or of)Tj 0.02049 Tw 1.9995 0 Td ( )Tj 0.01019 Tw 0.2838 0 Td (any agen)Tj 0.0076 Tc 4.089 0 Td (c)Tj -0.00439 Tc 0.5076 0 Td (y)Tj -0.00769 Tw 0.4777 0 Td ( )Tj 0.01019 Tw 0.2838 0 Td (or )Tj 0.0018 Tc 1.164 0 Td (i)Tj -0.00439 Tc 0.2238 0 Td (nd)Tj 0.0018 Tc 1.1032 0 Td (i)Tj -0.00439 Tc 0.2238 0 Td (v)Tj 0.00179 Tc 0.4956 0 Td (i)Tj -0.00439 Tc 0.2238 0 Td (d)Tj -0.00862 Tc 0.5516 0 Td (u)Tj -0.0042 Tc 0.0099 Tw 0.5474 0 Td (al)Tj 0.01578 Tw 0.7755 0 Td ( )Tj 0.00171 Tc 0.0099 Tw 0.2837 0 Td (i)Tj -0.0042 Tc 0.2237 0 Td [(n)-0.3(vo)]TJ -0.01317 Tc 1.5997 0 Td (l)Tj -0.00749 Tc 0.2088 0 Td (v)Tj -0.0042 Tc 0.4925 0 Td (ed.)Tj 0.01978 Tw 1.3873 0 Td ( )Tj 0.0099 Tw 0.2837 0 Td ( )Tj 0.648 0 0.129 rg 0 Tc 0 Tw -55.5319 -2.5572 Td ( )Tj ET Q Q Q Q Q q 1 0 0 1 7.4167 261.9843 cm 0 0 m 612 0 l 612 792 l 0 792 l h 39 670 m 39 705 l 575 705 l 575 670 l W n q 1 0 0 1 -1.6 -202.4008 cm 0 0 m 612 0 l 612 792 l 0 792 l h 39 746 m 39 773 l 575 773 l 575 746 l W n q 1 0 0 1 0 0.8 cm 0 0 m 612 0 l 612 792 l 0 792 l h 39 691 m 39 714 l 568 714 l 568 691 l W n q 0 0 m 612 0 l 612 792 l 0 792 l h 43 738 m 43 750 l 540 750 l 540 738 l W n q 0 0 m 612 0 l 612 792 l 0 792 l h 43 740 m 43 750 l 540 750 l 540 740 l W n 1 0 0 1 -5.8167 -60.3835 cm BT 0.801 0 0 rg 1 i /RelativeColorimetric ri /R8 gs /F8 1 Tf -0.0029 Tc 0.00861 Tw 0 Tr 8.04 0 0 8.04 51.7577 821.4828 Tm (This)Tj 0.00401 Tw 1.8728 0 Td ( )Tj 0.00861 Tw 0.2837 0 Td (Heal)Tj 0.0058 Tc 2.0444 0 Td (t)Tj -0.0029 Tc 0.2838 0 Td [(h)1( Ha)]TJ -0.00748 Tc 2.108 0 Td (z)Tj -0.0029 Tc 0.4925 0 Td [(a)1(rd )]TJ 0.00468 Tc 1.719 0 Td (E)Tj -0.00748 Tc 0.6717 0 Td (v)Tj -0.0029 Tc 0.4925 0 Td (alua)Tj -0.00917 Tc 1.8784 0 Td (t)Tj -0.0029 Tc 0.2688 0 Td (ion \()Tj -0.02069 Tc 1.9391 0 Td (H)Tj -0.0029 Tc 0.7013 0 Td (H)Tj 0.00468 Tc 0.7191 0 Td (E)Tj -0.0029 Tc 0.6717 0 Td (\) report)Tj 0.0173 Tw 3.2171 0 Td ( )Tj 0.00861 Tw 0.2837 0 Td (and any)Tj 0.00403 Tw 3.5417 0 Td ( )Tj 0.00861 Tw 0.2837 0 Td (r)Tj -0.01878 Tc 0.3301 0 Td (e)Tj 0.00749 Tc 0.5372 0 Td (c)Tj -0.0188 Tc 0.5075 0 Td (o)Tj -0.0029 Tc 0.5372 0 Td (m)Tj 0.01768 Tc 0.8301 0 Td (m)Tj -0.0029 Tc 0.8507 0 Td (end)Tj -0.01878 Tc 1.6593 0 Td (a)Tj 0.00568 Tc 0.5372 0 Td (t)Tj -0.0132 Tc 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