%PDF-1.4 % 8 0 obj <>stream xAzq q 2 w 0.83529 0.86275 0.81961 RG 30 732 m 582 732 l S Q q 1 w 0.50196 0.50196 0.50196 RG 71.4 591.5 m 540.6 591.5 l S Q q 0.15294 0.35686 0.17255 rg 29 695.22 554 15.17 re f 0 g Q Q q BT 30 786 Td 0 -48 Td /F1 32 Tf 0.15294 0.35686 0.17255 rg 4.99 Tw 2 Tc [(35\(9\(17,1*)-155.92(&+521,&)-155.92(',6\($6\()]TJ 0 g 0 Tw 0 Tc 0 0 Td 0 -21 Td /F5 14 Tf 2 Tr 0.46667 w 0.15294 0.35686 0.17255 RG 0.15294 0.35686 0.17255 rg 9.53 Tw 3.81 Tc [(38%/,&)-680.93(+\($/7+)-680.93(5\(6\($5&+)-680.93(35$&7,&\()-680.93($1')-680.93(32/,&<)]TJ 0 g 0 Tr 0 G 1 w 0 Tw 0 Tc 0 0 Td 0 -2 Td 2 Tr 0.46667 w 0.15294 0.35686 0.17255 RG 0.15294 0.35686 0.17255 rg 548.14 Tw 219.25 Tc [-39153()]TJ 0 g 0 Tr 0 G 1 w 0 Tw 0 Tc 0 0 Td 0 -16.5 Td /F2 11 Tf 1 1 1 rg 1.24 Tw 0.49786 Tc ( Volume 16, E22 FEBRUARY 2019 )Tj 0 g 0 Tw 0 Tc 0 0 Td 0 -8 Td /F2 10 Tf ( )Tj 0 0 Td 222.93 -15 Td (ORIGINAL RESEARCH)Tj -222.93 0 Td 274.61 -10 Td ( )Tj -274.61 0 Td 0 8 Td /F2 12 Tf ( )Tj 0 0 Td 111.25 -24 Td /F1 24 Tf ('LVSDULWLHVLQ'LDEHWHV3UHYDOHQFH)Tj -111.25 0 Td 84.59 -24 Td ($PRQJ1DWLYH+DZDLLDQV2WKHU3DFLILF)Tj -84.59 0 Td 122.83 -24 Td (,VODQGHUVDQG$VLDQVLQ+DZDLL)Tj -122.83 0 Td 0 -12 Td /F6 11 Tf 0 0 0 rg ()Tj 0 g 0 0 Td 62.47 -16.5 Td 0 0 0 rg (2OLYLD8FKLPD0$)Tj 0 g /F6 7 Tf 0 0 0 rg 5 Ts ()Tj 0 Ts 0 g 0 0 0 rg 5 Ts ()Tj 0 Ts 0 g 0 0 0 rg 5 Ts ()Tj 0 Ts 0 g /F6 11 Tf 0 0 0 rg (<DQ<DQ:X3K')Tj 0 g /F6 7 Tf 0 0 0 rg 5 Ts ()Tj 0 Ts 0 g 0 0 0 rg 5 Ts ()Tj 0 Ts 0 g 0 0 0 rg 5 Ts ()Tj 0 Ts 0 g /F6 11 Tf 0 0 0 rg (&ROHWWH%URZQH'U3+)Tj 0 g /F6 7 Tf 0 0 0 rg 5 Ts ()Tj 0 Ts 0 g /F6 11 Tf 0 0 0 rg (.DWKU\\Q/%UDXQ'U3+)Tj 0 g /F6 7 Tf 0 0 0 rg 5 Ts ()Tj 0 Ts 0 g 0 0 0 rg 5 Ts ()Tj 0 Ts 0 g 0 0 0 rg 5 Ts ()Tj 0 Ts 0 g -62.47 0 Td 274.63 -20 Td /F6 11 Tf 0 0 0 rg ()Tj 0 g -274.63 0 Td ET Q BT 1 0 0 1 30 541 Tm /F1 10 Tf 0.50196 0.50196 0.50196 rg ($FFHVVLEOH9HUVLRQZZZFGFJRYSFGLVVXHVBKWP)Tj 0 g 1 0 0 1 30 523 Tm 1 0 0.21256 1 30 523 Tm 0.50196 0.50196 0.50196 rg 0.17862 Tw 0.07145 Tc [(6XJJHVWHG)-17.86(FLWDWLRQ)-17.86(IRU)-17.86(WKLV)-17.86(DUWLFOH)-17.86()]TJ 0 g 1 0 0 1 170.85 523 Tm 0.50196 0.50196 0.50196 rg [(8FKLPD2)-17.86(:X<<)-17.86(%URZQH&)]TJ 0 g 0 Tw 0 Tc -140.85 0 Td 1 0 0 1 30 511 Tm 0.50196 0.50196 0.50196 rg 0.84014 Tw 0.33606 Tc [(%UDXQ./)-84.01('LVSDULWLHV)-84.01(LQ)-84.01('LDEHWHV)-84.01(3UHYDOHQFH)-84.01($PRQJ)-84.01(1DWLYH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 499 Tm 0.50196 0.50196 0.50196 rg 0.53677 Tw 0.21471 Tc [(+DZDLLDQV2WKHU)-53.68(3DFLILF)-53.68(,VODQGHUV)-53.68(DQG)-53.68($VLDQV)-53.68(LQ)-53.68(+DZDLL)-53.68(3UHY)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 487 Tm 0.50196 0.50196 0.50196 rg 1.1 Tw 0.43894 Tc [(&KURQLF)-109.73('LV)-109.73()]TJ 0 g 0.50196 0.50196 0.50196 rg [()-109.73('2,)-109.73()]TJ 0 g 0.50196 0.50196 0.50196 rg (KWWSVGRLRUJ)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 475 Tm 0.50196 0.50196 0.50196 rg (SFG)Tj 0 g ET 0.75294 0.75294 0.75294 RG 1.5 w 30 469 m 298 469 l S BT 1 0 0 1 30 458.2 Tm /F2 9 Tf ()Tj 1 0 0 1 30 441.4 Tm (PEER REVIEWED)Tj ET q 0.80784 0.86667 0.82745 rg 30 262.4 268 167 re f Q q 2 J 0 G 0.5 w 0.80784 0.86667 0.82745 RG 30 262.4 268 167 re S 0 G Q BT 1 0 0 1 38 415.4 Tm /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (6XPPDU\\)Tj 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 38 402.4 Tm /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (:KDWLVDOUHDG\\NQRZQDERXWWKLVWRSLF")Tj 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 38 389.4 Tm /F3 8 Tf 0 0 0 rg (7KHSUHYDOHQFHRIGLDEHWHVYDULHVVLJQLILFDQWO\\DPRQJUDFLDOHWKQLFJURXSV)Tj 0 g 1 0 0 1 38 380.4 Tm 0 0 0 rg (LQ+DZDLL+RZHYHUKRZSUHYDOHQFHYDULHVE\\DJHIRU$VLDQVXEJURXSV)Tj 0 g 1 0 0 1 38 371.4 Tm 0 0 0 rg (DQG1DWLYH+DZDLLDQ2WKHU3DFLILF,VODQGHUV 1+23,V\fLVXQGHUVWXGLHG)Tj 0 g ET BT 1 0 0 1 38 358.4 Tm /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (:KDWLVDGGHGE\\WKLVUHSRUW")Tj 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 38 345.4 Tm /F3 8 Tf 0 0 0 rg (:HXVHGWKH+DZDLL%HKDYLRUDO5LVN\)DFWRU6XUYHLOODQFH6\\VWHPWR)Tj 0 g 0 0 0 rg (H[DP)Tj 0 g 1 0 0 1 38 336.4 Tm 0 0 0 rg (LQHGLDEHWHVSUHYDOHQFHE\\DJHDQGUDFHHWKQLFLW\\DQGDVVHVVHGKRZ)Tj 0 g 0 0 0 rg (VR)Tj 0 g 1 0 0 1 38 327.4 Tm 0 0 0 rg (FLRHFRQRPLFVWDWXVDQGOLIHVW\\OHEHKDYLRUVDIIHFWHGSUHYDOHQFHDPRQJ)Tj 0 g 0 0 0 rg (-D)Tj 0 g 1 0 0 1 38 318.4 Tm 0 0 0 rg (SDQHVH\)LOLSLQR&KLQHVH1+23,DQGZKLWHSRSXODWLRQVLQ+DZDLL)Tj 0 g ET BT 1 0 0 1 38 305.4 Tm /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (:KDWDUHWKHLPSOLFDWLRQVIRUSXEOLFKHDOWKSUDFWLFH")Tj 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 38 292.4 Tm /F3 8 Tf 0 0 0 rg (1+23,VDQG\)LOLSLQRVKDYHKLJKHUUDWHVRIGLDEHWHVFRPSDUHGZLWKRWKHU)Tj 0 g 1 0 0 1 38 283.4 Tm 0 0 0 rg (UDFHVHWKQLFLWLHVLQ+DZDLL7KLVVWXG\\VKRZVWKHLPSRUWDQFHRI)Tj 0 g 0 0 0 rg (FRQGXFW)Tj 0 g 1 0 0 1 38 274.4 Tm 0 0 0 rg (LQJ)Tj 0 g 0 0 0 rg (DJHVSHFLILF)Tj 0 g 0 0 0 rg (DQDO\\VHVRI)Tj 0 g 0 0 0 rg (UDFLDOHWKQLFVXEJURXSV)Tj 0 g 0 0 0 rg (IRUKHDOWKGLVSDULWLHV)Tj 0 g ET BT 1 0 0 1 30 240.4 Tm /F1 16 Tf ($EVWUDFW)Tj ET BT 1 0 0 1 30 213.9 Tm 0.22 Tc /F4 11 Tf 0 0 0 rg (Introduction)Tj 0 g 0 Tc ET BT 1 0 0 1 30 201.9 Tm /F1 10 Tf 0 0 0 rg 0.7549 Tw 0.30196 Tc [(7KH)-75.49(SUHYDOHQFH)-75.49(RI)-75.49(GLDEHWHV)-75.49(YDULHV)-75.49(ZLGHO\\)-75.49(DPRQJ)-75.49(UDFLDOHWKQLF)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 189.9 Tm 0 0 0 rg 0.3125 Tw 0.125 Tc [(JURXSV)-31.25(LQ)-31.25(+DZDLL)-31.25(+RZ)-31.25(SUHYDOHQFH)-31.25(YDULHV)-31.25(E\\)-31.25(DJH)-31.25(IRU)-31.25($VLDQ)-31.25()]TJ 0 g 0 0 0 rg (VXE)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 177.9 Tm 0 0 0 rg 0.21943 Tw 0.08777 Tc [(JURXSV)-21.94(DQG)-21.94(1DWLYH)-21.94(+DZDLLDQ2WKHU)-21.94(3DFLILF)-21.94(,VODQGHUV)-21.94( 1+23,V\f)-21.94(LV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 165.9 Tm 0 0 0 rg 0.23272 Tw 0.09309 Tc [(XQGHUVWXGLHG)-23.27(:H)-23.27(H[DPLQHG)-23.27(GLDEHWHV)-23.27(SUHYDOHQFH)-23.27(E\\)-23.27(DJH)-23.27(DQG)-23.27(UDFH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 153.9 Tm 0 0 0 rg 0.16488 Tw 0.06595 Tc [(HWKQLFLW\\)-16.49(DQG)-16.49(DVVHVVHG)-16.49(KRZ)-16.49(VRFLRHFRQRPLF)-16.49(VWDWXV)-16.49(DQG)-16.49(OLIHVW\\OH)-16.49()]TJ 0 g 0 0 0 rg (EH)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 141.9 Tm 0 0 0 rg 0.49868 Tw 0.19947 Tc [(KDYLRUV)-49.87(DIIHFWHG)-49.87(SUHYDOHQFH)-49.87(DPRQJ)-49.87(-DSDQHVH)-49.87(\)LOLSLQR)-49.87(&KLQHVH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 129.9 Tm 0 0 0 rg (1+23,DQGZKLWHSRSXODWLRQVLQ+DZDLL)Tj 0 g ET BT 1 0 0 1 30 109.9 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 316 536.5 Tm 0.22 Tc /F4 11 Tf 0 0 0 rg (Methods)Tj 0 g 0 Tc ET BT 1 0 0 1 316 524.5 Tm /F1 10 Tf 0 0 0 rg 0.05967 Tw 0.02387 Tc [(:H)-5.97(VWXGLHG)-5.97()-5.97(VXEMHFWV)-5.97(DJHG)-5.97()-5.97(RU)-5.97(ROGHU)-5.97(IURP)-5.97(WKH)-5.97(+DZDLL)-5.97()]TJ 0 g 0 0 0 rg (%H)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 512.5 Tm 0 0 0 rg 0.17516 Tw 0.07006 Tc [(KDYLRUDO)-17.52(5LVN)-17.52(\)DFWRU)-17.52(6XUYHLOODQFH)-17.52(6\\VWHP)-17.52(:H)-17.52(SHUIRUPHG)-17.52(3RLVVRQ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 500.5 Tm 0 0 0 rg 0.08857 Tw 0.03543 Tc [(UHJUHVVLRQ)-8.86(DQDO\\VHV)-8.86(WR)-8.86(H[DPLQH)-8.86(WKH)-8.86(SUHYDOHQFH)-8.86(RI)-8.86(GLDEHWHV)-8.86(E\\)-8.86(UDFH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 488.5 Tm 0 0 0 rg 0.30843 Tw 0.12337 Tc [(HWKQLFLW\\)-30.84(DJH)-30.84(VH[)-30.84(PDULWDO)-30.84(VWDWXV)-30.84(HGXFDWLRQ)-30.84(LQFRPH)-30.84(KHDOWK)-30.84(FDUH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 476.5 Tm 0 0 0 rg 0.23879 Tw 0.09552 Tc [(FRYHUDJH)-23.88(REHVLW\\)-23.88(VPRNLQJ)-23.88(DQG)-23.88(GULQNLQJ)-23.88(VWDWXV)-23.88(SK\\VLFDO)-23.88(DFWLYLW\\)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 464.5 Tm 0 0 0 rg 0.50312 Tw 0.20125 Tc [(DQG)-50.31(IUXLW)-50.31(DQG)-50.31(YHJHWDEOH)-50.31(FRQVXPSWLRQ)-50.31(DQG)-50.31(H[DPLQHG)-50.31(WKH)-50.31()]TJ 0 g 0 0 0 rg (LQWHUDF)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 452.5 Tm 0 0 0 rg (WLRQVRIWKHVHIDFWRUVZLWKDJHDQGUDFHHWKQLFLW\\)Tj 0 g ET BT 1 0 0 1 316 428 Tm 0.22 Tc /F4 11 Tf 0 0 0 rg (Results)Tj 0 g 0 Tc ET BT 1 0 0 1 316 416 Tm /F1 10 Tf 0 0 0 rg 0.43807 Tw 0.17523 Tc [(:H)-43.81(IRXQG)-43.81(GLVSDULWLHV)-43.81(LQ)-43.81(GLDEHWHV)-43.81(SUHYDOHQFH)-43.81(DPRQJ)-43.81(UHVSRQGHQWV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 404 Tm 0 0 0 rg 0.20028 Tw 0.08011 Tc [(DJHG)-20.03()-20.03(WR)-20.03()-20.03(DQG)-20.03(DPRQJ)-20.03($VLDQV)-20.03(DQG)-20.03(1+23,V)-20.03(DQG)-20.03(GLVSDULWLHV)-20.03()]TJ 0 g 0 0 0 rg (LQ)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 392 Tm 0 0 0 rg 0.39701 Tw 0.1588 Tc [(FUHDVHG)-39.7(ZLWK)-39.7(DJH)-39.7(1+23,V)-39.7(DQG)-39.7(\)LOLSLQRV)-39.7(KDG)-39.7(WKH)-39.7(KLJKHVW)-39.7()]TJ 0 g 0 0 0 rg (SUHYDO)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 380 Tm 0 0 0 rg 0.45181 Tw 0.18072 Tc [(HQFH)-45.18(RI)-45.18(GLDEHWHV)-45.18(DIWHU)-45.18(FRQWUROOLQJ)-45.18(IRU)-45.18(RWKHU)-45.18(GHPRJUDSKLF)-45.18(IDFWRUV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 368 Tm 0 0 0 rg 0.90031 Tw 0.36012 Tc [(DQG)-90.03(OLIHVW\\OH)-90.03(YDULDEOHV)-90.03(-DSDQHVH)-90.03(DGXOWV)-90.03(ZHUH)-90.03(OHVV)-90.03(OLNHO\\)-90.03(WKDQ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 356 Tm 0 0 0 rg 0.28024 Tw 0.1121 Tc [(1+23,V)-28.02(DQG)-28.02(\)LOLSLQRV)-28.02(WR)-28.02(KDYH)-28.02(GLDEHWHV)-28.02(KRZHYHU)-28.02(ZKLWHV)-28.02(KDG)-28.02(WKH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 344 Tm 0 0 0 rg 0.09059 Tw 0.03624 Tc [(ORZHVW)-9.06(SUHYDOHQFH)-9.06(,QFRPH)-9.06(SK\\VLFDO)-9.06(DFWLYLW\\)-9.06(DQG)-9.06(REHVLW\\)-9.06(ZHUH)-9.06(WKH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 332 Tm 0 0 0 rg (VWURQJHVWSUHGLFWRUVRIGLDEHWHV)Tj 0 g ET BT 1 0 0 1 316 307.5 Tm 0.22 Tc /F4 11 Tf 0 0 0 rg (Conclusion)Tj 0 g 0 Tc ET BT 1 0 0 1 316 295.5 Tm /F1 10 Tf 0 0 0 rg 0.63846 Tw 0.25538 Tc [(1+23,V)-63.85(DQG)-63.85(\)LOLSLQRV)-63.85(KDYH)-63.85(KLJKHU)-63.85(UDWHV)-63.85(RI)-63.85(GLDEHWHV)-63.85(FRPSDUHG)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 283.5 Tm 0 0 0 rg 0.07966 Tw 0.03186 Tc [(ZLWK)-7.97(RWKHU)-7.97(UDFHVHWKQLFLWLHV)-7.97(LQ)-7.97(+DZDLL)-7.97(0RUH)-7.97(UHVHDUFK)-7.97(LV)-7.97(QHHGHG)-7.97(WR)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 271.5 Tm 0 0 0 rg 0.51503 Tw 0.20601 Tc [(UHGXFH)-51.5(GLDEHWHV)-51.5(GLVSDULWLHV)-51.5(DPRQJ)-51.5(1+23,)-51.5(DQG)-51.5(\)LOLSLQR)-51.5()]TJ 0 g 0 0 0 rg (SRSXOD)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 259.5 Tm 0 0 0 rg 0.00556 Tw 0.00222 Tc [(WLRQV)-0.55557(LQ)-0.55557(+DZDLL)-0.55557(7KLV)-0.55557(VWXG\\)-0.55557(DOVR)-0.55557(VKRZV)-0.55557(WKH)-0.55557(LPSRUWDQFH)-0.55557(RI)-0.55557()]TJ 0 g 0 0 0 rg (FRQGXFW)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 247.5 Tm 0 0 0 rg 0.07396 Tw 0.02959 Tc (LQJ)Tj 0 g 0 0 0 rg [-7.4(DJHVSHFLILF)]TJ 0 g 0 0 0 rg [-7.4(DQDO\\VHV)-7.4(RI)]TJ 0 g 0 0 0 rg [-7.4(UDFLDOHWKQLFVXEJURXSV)]TJ 0 g 0 0 0 rg [-7.4(IRU)-7.4(KHDOWK)-7.4()]TJ 0 g 0 0 0 rg (GLV)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 235.5 Tm 0 0 0 rg (SDULWLHV)Tj 0 g ET BT 1 0 0 1 316 211.5 Tm /F1 16 Tf 0 0 0 rg (,QWURGXFWLRQ)Tj 0 g ET BT 1 0 0 1 316 189.5 Tm /F1 10 Tf 0 0 0 rg 0.46265 Tw 0.18506 Tc [('LDEHWHV)-46.27(KDV)-46.27(UHDFKHG)-46.27(HSLGHPLF)-46.27(SURSRUWLRQV)-46.27(LQ)-46.27(WKH)-46.27(8QLWHG)-46.27(6WDWHV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 177.5 Tm 0 0 0 rg 0.42134 Tw 0.16854 Tc ( )Tj 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg [(\f)-42.13(,W)-42.13(DIIHFWV)-42.13(DSSUR[LPDWHO\\)-42.13()-42.13(PLOOLRQ)-42.13($PHULFDQV)-42.13( \b\f)-42.13()]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 165.5 Tm 0 0 0 rg 0.3189 Tw 0.12756 Tc [(PLOOLRQ)-31.89(GLDJQRVHG)-31.89(DQG)-31.89(DQRWKHU)-31.89()-31.89(PLOOLRQ)-31.89(XQGLDJQRVHG)-31.89( )]TJ 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg [(\f)-31.89()]TJ 0 g 0 0 0 rg ('LD)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 153.5 Tm 0 0 0 rg 0.20123 Tw 0.08049 Tc [(EHWHV)-20.12(LV)-20.12(PRUH)-20.12(SUHYDOHQW)-20.12(DPRQJ)-20.12(UDFLDOHWKQLF)-20.12(PLQRULW\\)-20.12(SRSXODWLRQV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 141.5 Tm 0 0 0 rg 0.5071 Tw 0.20284 Tc [(HVSHFLDOO\\)-50.71(WKRVH)-50.71(RI)-50.71(LQGLJHQRXV)-50.71(RULJLQ)-50.71(ZKR)-50.71(KDYH)-50.71(KLJKHU)-50.71(UDWHV)-50.71(RI)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 129.5 Tm 0 0 0 rg 0.71804 Tw 0.28721 Tc [(FRPSOLFDWLRQV)-71.8(DQG)-71.8(RWKHU)-71.8(GLVRUGHUV)-71.8(IURP)-71.8(GLDEHWHV)-71.8(WKDQ)-71.8(GR)-71.8()]TJ 0 g 0 0 0 rg (QRQ)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 117.5 Tm 0 0 0 rg 0.11944 Tw 0.04778 Tc [(PLQRULW\\)-11.94(SRSXODWLRQV)-11.94( )]TJ 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg [(\f)-11.94(,Q)-11.94(WKH)-11.94(8QLWHG)-11.94(6WDWHV)-11.94(LQ)-11.94()-11.94(\b)-11.94(RI)]TJ 0 g 0 Tw 0 Tc ET 30 46 m q 0.56 0 0 0.56 30 46 cm /Xf1 Do Q 0.50196 0.50196 0.50196 RG 1 w 100 80 m 582 80 l S q BT 1 0 0 1 100 70 Tm /F2 8 Tf 0.50196 0.50196 0.50196 rg (The opinions expressed by authors contributing to this journal do not necessarily reflect the opinions of the U.S. Department of Health)Tj 0 g ET Q q BT 1 0 0 1 100 58 Tm /F2 8 Tf 0.50196 0.50196 0.50196 rg (and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors affiliated institutions.)Tj 0 g ET Q 0.50196 0.50196 0.50196 RG 1 w 100 53 m 582 53 l S q BT 1 0 0 1 206.19 41 Tm /F2 9 Tf (www.cdc.gov/pcd/issues/2019/18_0187.htm Centers for Disease Control and Prevention 1)Tj ET Q eD endstream endobj 10 0 obj <>/XObject<>>>/ArtBox[30 100 584 764]/Contents 8 0 R/Parent 9 0 R>> endobj 12 0 obj <>stream xbq BT 30 786 Td ET Q BT 1 0 0 1 30 684 Tm /F1 10 Tf 0 0 0 rg 0.6705 Tw 0.2682 Tc [(WKH)-67.05($VLDQ)-67.05(SRSXODWLRQ)-67.05(KDG)-67.05(GLDEHWHV)-67.05(FRPSDUHG)-67.05(ZLWK)-67.05(\b)-67.05(RI)-67.05(WKH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 672 Tm 0 0 0 rg (ZKLWHSRSXODWLRQ )Tj 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg (\f)Tj 0 g ET BT 1 0 0 1 30 652 Tm /F1 10 Tf 0 0 0 rg 0.34181 Tw 0.13672 Tc [(+DZDLL)-34.18(LV)-34.18(D)-34.18(PXOWLFXOWXUDO)-34.18(VWDWH)-34.18(LQ)-34.18(ZKLFK)-34.18($VLDQV)-34.18(1DWLYH)-34.18()]TJ 0 g 0 0 0 rg (+DZDLL)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 640 Tm 0 0 0 rg 0.19438 Tw 0.07775 Tc [(DQV)-19.44(DQG)-19.44(2WKHU)-19.44(3DFLILF)-19.44(,VODQGHUV)-19.44( 1+23,V\f)-19.44(PDNH)-19.44(XS)]TJ 0 g 0 0 0 rg [-19.44(WZRWKLUGV)]TJ 0 g 0 0 0 rg [-19.44(RI)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 628 Tm 0 0 0 rg 0.12314 Tw 0.04926 Tc [(WKH)-12.31(SRSXODWLRQ)-12.31(,Q)-12.31()-12.31(WKH)-12.31(VWDWHV)-12.31(SRSXODWLRQ)-12.31(ZDV)-12.31()-12.31(DQG)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 616 Tm 0 0 0 rg 0.13742 Tw 0.05497 Tc [(WKH)-13.74(HVWLPDWHG)-13.74(UDFLDOHWKQLF)-13.74(GLVWULEXWLRQ)-13.74(ZDV)-13.74(\b)-13.74(1DWLYH)-13.74()]TJ 0 g 0 0 0 rg (+DZDLL)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 604 Tm 0 0 0 rg 0.52312 Tw 0.20925 Tc [(DQ)-52.31(\b)-52.31(2WKHU)-52.31(3DFLILF)-52.31(,VODQGHU)-52.31(\b)-52.31(ZKLWH)-52.31(\b)-52.31(-DSDQHVH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 592 Tm 0 0 0 rg 0.16784 Tw 0.06713 Tc [(\b)-16.78(\)LOLSLQR)-16.78(DQG)-16.78(\b)-16.78(&KLQHVH)-16.78( )]TJ 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg [(\f)-16.78('LDEHWHV)-16.78(LV)-16.78(PRVW)-16.78(SUHYDOHQW)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 580 Tm 0 0 0 rg 0.23283 Tw 0.09313 Tc [(DPRQJ)-23.28(UDFLDOHWKQLF)-23.28(PLQRULW\\)-23.28(SRSXODWLRQV)-23.28(LQ)-23.28(+DZDLL)-23.28(,Q)-23.28()-23.28(DQ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 568 Tm 0 0 0 rg 0.30475 Tw 0.1219 Tc [(HVWLPDWHG)-30.47(\b)-30.47(RI)-30.47(1DWLYH)-30.47(+DZDLLDQV)-30.47(\b)-30.47(RI)-30.47(&KLQHVH)-30.47(\b)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 556 Tm 0 0 0 rg 0.4273 Tw 0.17092 Tc [(RI)-42.73(\)LOLSLQRV)-42.73(\b)-42.73(RI)-42.73(-DSDQHVH)-42.73(DQG)-42.73(\b)-42.73(RI)-42.73(2WKHU)-42.73(3DFLILF)-42.73()]TJ 0 g 0 0 0 rg (,V)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 544 Tm 0 0 0 rg 0.72825 Tw 0.2913 Tc [(ODQGHUV)-72.82(ZHUH)-72.82(GLDJQRVHG)-72.82(ZLWK)-72.82(GLDEHWHV)-72.82(FRPSDUHG)-72.82(ZLWK)-72.82(\b)-72.82(RI)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 532 Tm 0 0 0 rg 0.35289 Tw 0.14116 Tc [(ZKLWH)-35.29(UHVLGHQWV)-35.29(RI)-35.29(WKH)-35.29(VWDWH)-35.29( )]TJ 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg [(\f)-35.29(3UHYLRXV)-35.29(UHVHDUFK)-35.29(H[DPLQHG)-35.29()]TJ 0 g 0 0 0 rg (GLD)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 520 Tm 0 0 0 rg 0.19057 Tw 0.07623 Tc [(EHWHV)-19.06(SUHYDOHQFH)-19.06(DFURVV)-19.06($VLDQ)-19.06(VXESRSXODWLRQV)-19.06(KRZHYHU)-19.06(QRQH)-19.06()]TJ 0 g 0 0 0 rg (H[)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 508 Tm 0 0 0 rg 0.33958 Tw 0.13583 Tc [(DPLQHG)-33.96(LQWHUDFWLRQV)-33.96(UHODWHG)-33.96(WR)-33.96(DJH)-33.96(RU)-33.96(UDFHHWKQLFLW\\)-33.96( )]TJ 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg [(\f)-33.96(6XFK)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 496 Tm 0 0 0 rg 0.4592 Tw 0.18368 Tc [(LQIRUPDWLRQ)-45.92(LV)-45.92(QHHGHG)-45.92(EHFDXVH)-45.92(DJH)-45.92(GLVWULEXWLRQ)-45.92(GLIIHUV)-45.92()]TJ 0 g 0 0 0 rg (VLJQLILF)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 484 Tm 0 0 0 rg 0.4247 Tw 0.16988 Tc [(DQWO\\)-42.47(DFURVV)-42.47(SRSXODWLRQ)-42.47(JURXSV)-42.47(DQG)-42.47(GLDEHWHV)-42.47(ULVN)-42.47(LQFUHDVHV)-42.47(ZLWK)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 472 Tm 0 0 0 rg 0.28773 Tw 0.11509 Tc [(DJH)-28.77(\)RU)-28.77(H[DPSOH)-28.77(DOWKRXJK)-28.77(1DWLYH)-28.77(+DZDLLDQV)-28.77(PDNH)-28.77(XS)-28.77(\b)-28.77(RI)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 460 Tm 0 0 0 rg 0.16813 Tw 0.06725 Tc [(+DZDLLV)-16.81(SRSXODWLRQ)-16.81(WKH\\)-16.81(DUH)-16.81(RQO\\)-16.81(\b)-16.81(RI)-16.81(WKH)-16.81(SRSXODWLRQ)-16.81(DJHG)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 448 Tm 0 0 0 rg 0.49413 Tw 0.19765 Tc [()-49.41(RU)-49.41(ROGHU)-49.41(,Q)-49.41(FRQWUDVW)-49.41(-DSDQHVH)-49.41(PDNH)-49.41(XS)-49.41(\b)-49.41(RI)-49.41(WKH)-49.41(VWDWHV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 436 Tm 0 0 0 rg (SRSXODWLRQEXW\bRIUHVLGHQWVDJHGRUROGHU )Tj 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg (\f)Tj 0 g ET BT 1 0 0 1 30 416 Tm /F1 10 Tf 0 0 0 rg 0.30828 Tw 0.12331 Tc [(2WKHU)-30.83(UHDVRQV)-30.83(IRU)]TJ 0 g 0 0 0 rg [-30.83(GLDEHWHVUHODWHG)]TJ 0 g 0 0 0 rg [-30.83(GLVSDULWLHV)-30.83(DPRQJ)-30.83(1+23,)-30.83(DQG)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 404 Tm 0 0 0 rg 0.17292 Tw 0.06917 Tc [($VLDQ)-17.29(VXEJURXSV)-17.29(LQ)-17.29(+DZDLL)-17.29(DUH)-17.29(DVVRFLDWHG)-17.29(ZLWK)-17.29(ELRORJLFDO)-17.29(KHDOWK)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 392 Tm 0 0 0 rg 0.58421 Tw 0.23368 Tc [(FDUH)-58.42(V\\VWHP)-58.42(EHKDYLRUDO)-58.42(VRFLRHFRQRPLF)-58.42(FXOWXUDO)-58.42(DQG)-58.42()]TJ 0 g 0 0 0 rg (HQYLURQ)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 380 Tm 0 0 0 rg 0.51974 Tw 0.2079 Tc [(PHQWDO)-51.97(IDFWRUV)-51.97( )]TJ 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg [(\f)-51.97(\)RU)-51.97(H[DPSOH)-51.97(WUDGLWLRQDO)-51.97(1+23,)-51.97(GLHWV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 368 Tm 0 0 0 rg 0.60141 Tw 0.24056 Tc [(KDYH)-60.14(VKLIWHG)-60.14(IURP)-60.14(ORFDOO\\)-60.14(VRXUFHG)-60.14(IRRGV)-60.14(ORZ)-60.14(LQ)-60.14(IDW)-60.14(DQG)-60.14(KLJK)-60.14(LQ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 356 Tm 0 0 0 rg 0.0615 Tw 0.0246 Tc [(ILEHU)-6.15(WR)-6.15(SURFHVVHG)-6.15(IRRGV)-6.15(WKDW)-6.15(DUH)-6.15(KLJK)-6.15(LQ)-6.15(IDW)-6.15(VDOW)-6.15(FDORULHV)-6.15(DQG)-6.15()]TJ 0 g 0 0 0 rg (VXJ)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 344 Tm 0 0 0 rg 0.16503 Tw 0.06601 Tc [(DU)-16.5( )]TJ 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg [(\f)-16.5(1+23,V)-16.5(KDYH)-16.5(WKH)-16.5(ORZHVW)-16.5(OHYHOV)-16.5(RI)-16.5(HGXFDWLRQDO)-16.5(DWWDLQPHQW)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 332 Tm 0 0 0 rg 0.15144 Tw 0.06058 Tc [(ORZHVW)-15.14(PHDQ)-15.14(LQFRPH)-15.14(KLJKHVW)-15.14(UDWHV)-15.14(RI)-15.14(SRYHUW\\)-15.14(DQG)-15.14(KLJKHVW)-15.14()]TJ 0 g 0 0 0 rg (SUHYDO)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 320 Tm 0 0 0 rg 0.07222 Tw 0.02889 Tc [(HQFH)-7.22(RI)-7.22(EHLQJ)-7.22(FXUUHQW)-7.22(HYHU\\GD\\)-7.22(VPRNHUV)-7.22(FRPSDUHG)-7.22(ZLWK)-7.22(ZKLWH)-7.22()]TJ 0 g 0 0 0 rg (-D)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 308 Tm 0 0 0 rg 0.51718 Tw 0.20687 Tc [(SDQHVH)-51.72(DQG)-51.72(&KLQHVH)-51.72(DGXOWV)-51.72(LQ)-51.72(+DZDLL)-51.72( )]TJ 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg [(\f)-51.72(1+23,V)-51.72(DOVR)-51.72(KDYH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 296 Tm 0 0 0 rg 0.59459 Tw 0.23783 Tc [(PRUH)-59.46(GLIILFXOW\\)-59.46(DFFHVVLQJ)-59.46(:HVWHUQL]HG)-59.46(KHDOWK)-59.46(FDUH)-59.46(VHUYLFHV)-59.46()]TJ 0 g 0 0 0 rg (EH)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 284 Tm 0 0 0 rg 0.24455 Tw 0.09782 Tc [(FDXVH)-24.45(RI)-24.45(VRFLRHFRQRPLF)-24.45(GLVSDULWLHV)-24.45(FXOWXUDO)-24.45(SUHIHUHQFHV)-24.45(DQG)-24.45()]TJ 0 g 0 0 0 rg (GLV)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 272 Tm 0 0 0 rg 0.28404 Tw 0.11361 Tc [(FULPLQDWLRQ)-28.4( )]TJ 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg [(\f)-28.4(<HW)-28.4(QR)-28.4(VWXGLHV)-28.4(KDYH)-28.4(H[DPLQHG)-28.4(GLDEHWHV)-28.4()]TJ 0 g 0 0 0 rg (SUHYDO)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 260 Tm 0 0 0 rg 0.16951 Tw 0.0678 Tc [(HQFH)-16.95(DFURVV)-16.95(UDFHHWKQLFLW\\)-16.95(E\\)-16.95(DJH)-16.95(DQG)-16.95(WKH)-16.95(H[WHQW)-16.95(WR)-16.95(ZKLFK)-16.95(OLIHVW\\OH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 248 Tm 0 0 0 rg 0.17807 Tw 0.07123 Tc [(EHKDYLRUV)-17.81(DIIHFW)-17.81(GLDEHWHV)-17.81(DPRQJ)-17.81(WKRVH)-17.81(ZKR)-17.81(UHVLGH)-17.81(LQ)-17.81(+DZDLL)-17.81()]TJ 0 g 0 0 0 rg ($O)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 236 Tm 0 0 0 rg 0.43885 Tw 0.17554 Tc [(WKRXJK)-43.89(HOLPLQDWLQJ)-43.89(GLDEHWHV)-43.89(GLVSDULWLHV)-43.89(PD\\)-43.89(QRW)-43.89(EH)-43.89(SRVVLEOH)-43.89( HJ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 224 Tm 0 0 0 rg 0.1604 Tw 0.06416 Tc [(EHFDXVH)-16.04(RI)-16.04(JHQHWLF)-16.04(LVVXHV\f)-16.04(VXFK)-16.04(UHVHDUFK)-16.04(PD\\)-16.04(LPSURYH)-16.04(KHDOWK)-16.04()]TJ 0 g 0 0 0 rg (GLV)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 212 Tm 0 0 0 rg 0.24273 Tw 0.09709 Tc [(SDULWLHV)-24.27(E\\)-24.27(HQDEOLQJ)-24.27(D)-24.27(EHWWHU)-24.27(XQGHUVWDQGLQJ)-24.27(RI)-24.27(LQWHUDFWLRQV)-24.27(UHODWHG)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 200 Tm 0 0 0 rg 0.12335 Tw 0.04934 Tc [(WR)-12.34(DJH)-12.34(DQG)-12.34(UDFHHWKQLFLW\\)-12.34(DQG)-12.34(WKH)-12.34(UROH)-12.34(RI)-12.34(PRGLILDEOH)-12.34(KHDOWK)-12.34()]TJ 0 g 0 0 0 rg (EHKDYL)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 188 Tm 0 0 0 rg (RUV)Tj 0 g ET BT 1 0 0 1 30 168 Tm /F1 10 Tf 0 0 0 rg 0.83461 Tw 0.33385 Tc [(%\\)-83.46(XVLQJ)-83.46()-83.46(ZDYHV)-83.46(RI)]TJ 0 g 0 0 0 rg [-83.46(SRSXODWLRQUHSUHVHQWDWLYH)]TJ 0 g 0 0 0 rg [-83.46(GDWD)-83.46(IURP)-83.46(WKH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 156 Tm 0 0 0 rg 0.34075 Tw 0.1363 Tc [(+DZDLL)-34.08(%HKDYLRUDO)-34.08(5LVN)-34.08(\)DFWRU)-34.08(6XUYHLOODQFH)-34.08(6\\VWHP)-34.08( +%5\)66\f)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 144 Tm 0 0 0 rg 0.18983 Tw 0.07593 Tc ( )Tj 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg [(\f)-18.98(ZH)-18.98(DLPHG)-18.98(WR)-18.98(\f)-18.98(GHVFULEH)-18.98(UDFLDOHWKQLF)-18.98(GLIIHUHQFHV)-18.98(LQ)-18.98(GLDEHWHV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 132 Tm 0 0 0 rg 0.11088 Tw 0.04435 Tc [(SUHYDOHQFH)-11.09(E\\)-11.09(DJH)-11.09(JURXSV)-11.09(DPRQJ)-11.09(1+23,)-11.09(ZKLWH)-11.09(DQG)-11.09()-11.09($VLDQ)-11.09()]TJ 0 g 0 0 0 rg (VXE)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 120 Tm 0 0 0 rg 0.44444 Tw 0.17778 Tc [(JURXSV)-44.44( -DSDQHVH)-44.44(&KLQHVH)-44.44(DQG)-44.44(\)LOLSLQR\f)-44.44(DQG)-44.44(\f)-44.44(DVVHVV)-44.44(WKH)-44.44()]TJ 0 g 0 0 0 rg (UHOD)Tj 0 g 0 Tw 0 Tc ET BT 1 0 0 1 316 684 Tm /F1 10 Tf 0 0 0 rg 0.21294 Tw 0.08518 Tc [(WLRQVKLS)-21.29(EHWZHHQ)-21.29(DVVRFLDWHG)-21.29(ULVN)-21.29(IDFWRUV)-21.29(DQG)-21.29(WKH)-21.29(SUHYDOHQFH)-21.29(UDWLRV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 672 Tm 0 0 0 rg 0.43261 Tw 0.17304 Tc [(RI)-43.26(GLDEHWHV)-43.26(:H)-43.26(K\\SRWKHVL]HG)-43.26(WKDW)-43.26(DJH)-43.26(UDFHHWKQLFLW\\)-43.26()]TJ 0 g 0 0 0 rg (VRFLRHFR)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 660 Tm 0 0 0 rg 0.4253 Tw 0.17012 Tc [(QRPLF)-42.53(VWDWXV)-42.53(DQG)-42.53(ULVN\\)-42.53(KHDOWK)-42.53(EHKDYLRUV)-42.53(DUH)-42.53(VWURQJO\\)-42.53(DVVRFLDWHG)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 648 Tm 0 0 0 rg (ZLWKGLDEHWHV)Tj 0 g ET BT 1 0 0 1 316 624 Tm /F1 16 Tf 0 0 0 rg (0HWKRGV)Tj 0 g ET q 0.5 w 0.75294 0.75294 0.75294 RG 316 597 m 584 597 l S Q BT 1 0 0 1 316 602 Tm /F6 12 Tf 0 0 0 rg ('DWDVRXUFH)Tj 0 g /F2 12 Tf ()Tj ET BT 1 0 0 1 316 583 Tm /F1 10 Tf 0 0 0 rg 0.31937 Tw 0.12775 Tc [(7KH)-31.94(%HKDYLRUDO)-31.94(5LVN)-31.94(\)DFWRU)-31.94(6XUYHLOODQFH)-31.94(6\\VWHP)-31.94( %5\)66\f)-31.94(LV)-31.94(DQ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 571 Tm 0 0 0 rg 0.3429 Tw 0.13716 Tc [(DQQXDO)-34.29(WHOHSKRQH)-34.29(VXUYH\\)-34.29(DQG)-34.29(D)-34.29(FROODERUDWLYH)-34.29(SURMHFW)-34.29(EHWZHHQ)-34.29(86)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 559 Tm 0 0 0 rg 0.07924 Tw 0.0317 Tc [(VWDWHV)-7.92(DQG)-7.92(WKH)-7.92(&HQWHUV)-7.92(IRU)-7.92('LVHDVH)-7.92(&RQWURO)-7.92(DQG)-7.92(3UHYHQWLRQ)-7.92(%5\)66)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 547 Tm 0 0 0 rg 0.07039 Tw 0.02816 Tc [(FROOHFWV)-7.04(GDWD)-7.04(RQ)-7.04(KHDOWK)-7.04(ULVN)-7.04(EHKDYLRUV)-7.04(FKURQLF)-7.04(GLVHDVHV)-7.04(DQG)-7.04(DFFHVV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 535 Tm 0 0 0 rg 0.00583 Tw 0.00233 Tc [(WR)-0.58341(KHDOWK)-0.58341(FDUH)-0.58341(+%5\)66)-0.58341(VWDUWHG)-0.58341(LQ)-0.58341()-0.58341(ZLWK)-0.58341(UHVXOWV)-0.58341(UHSRUWHG)-0.58341()]TJ 0 g 0 0 0 rg (DQQX)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 523 Tm 0 0 0 rg 0.66795 Tw 0.26718 Tc [(DOO\\)-66.79(3DUWLFLSDQWV)-66.79(DUH)-66.79(QRQLQVWLWXWLRQDOL]HG)-66.79(UHVLGHQWV)-66.79(RI)-66.79(+DZDLL)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 511 Tm 0 0 0 rg 0.18314 Tw 0.07326 Tc [(DJHG)-18.31()-18.31(RU)-18.31(ROGHU)-18.31(+%5\)66)-18.31(FROOHFWV)-18.31(GHWDLOHG)-18.31(UDFLDOHWKQLF)-18.31(GDWD)-18.31()]TJ 0 g 0 0 0 rg (LQ)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 499 Tm 0 0 0 rg 0.08012 Tw 0.03205 Tc [(FOXGLQJ)-8.01(D)-8.01(EUHDNGRZQ)-8.01(RI)-8.01($VLDQ)-8.01(VXEJURXSV)-8.01(6LQFH)-8.01()-8.01(SDUWLFLSDQWV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 487 Tm 0 0 0 rg 0.29942 Tw 0.11977 Tc [(DUH)-29.94(UDQGRPO\\)-29.94(VHOHFWHG)-29.94(IURP)-29.94(KRXVHV)-29.94(ZLWK)-29.94(OLVWHG)-29.94(DQG)-29.94(XQOLVWHG)-29.94()]TJ 0 g 0 0 0 rg (ODQG)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 475 Tm 0 0 0 rg 0.19537 Tw 0.07815 Tc [(OLQH)-19.54(DQG)-19.54(FHOOXODU)-19.54(WHOHSKRQH)-19.54(QXPEHUV)-19.54(+%5\)66)-19.54(XVHV)-19.54(WKH)-19.54(ZHLJKWLQJ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 463 Tm 0 0 0 rg 0.03459 Tw 0.01384 Tc [(PHWKRGRORJ\\)-3.46(NQRZQ)-3.46(DV)-3.46(LWHUDWLYH)-3.46(SURSRUWLRQDO)-3.46(ILWWLQJ)-3.46(RU)-3.46(UDNLQJ)-3.46( )]TJ 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg (\f)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 451 Tm 0 0 0 rg 0.11596 Tw 0.04639 Tc [(5DNLQJ)-11.6(DOORZV)-11.6(WKH)-11.6(LQWURGXFWLRQ)-11.6(RI)-11.6(PRUH)-11.6(GHPRJUDSKLF)-11.6(YDULDEOHV)-11.6()]TJ 0 g 0 0 0 rg (LQ)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 439 Tm 0 0 0 rg 0.69367 Tw 0.27747 Tc [(WR)-69.37(WKH)-69.37(VWDWLVWLFDO)-69.37(ZHLJKWLQJ)-69.37(SURFHVV)-69.37(DQG)-69.37(WKH)-69.37(UHVXOWLQJ)-69.37(DGMXVWHG)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 427 Tm 0 0 0 rg 0.00057 Tw 0.00023 Tc [(VDPSOH)-0.0568(ZHLJKWV)-0.0568(SURYLGH)-0.0568(D)-0.0568(FORVHU)-0.0568(PDWFK)-0.0568(EHWZHHQ)-0.0568(WKH)-0.0568(VDPSOH)-0.0568(DQG)-0.0568(WKH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 415 Tm 0 0 0 rg 0.13924 Tw 0.0557 Tc [(SRSXODWLRQ)-13.92(%5\)66)-13.92(SURYLGHV)-13.92(YDOLG)-13.92(QDWLRQDO)-13.92(HVWLPDWHV)]TJ 0 g 0 0 0 rg [-13.92(ZLWKLQVWDWH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 403 Tm 0 0 0 rg 0.69187 Tw 0.27675 Tc [(HVWLPDWHV)-69.19(DQG)-69.19(FRPSDULVRQV)-69.19(DFURVV)-69.19(VWDWHV)-69.19( )]TJ 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg [(\f)-69.19(7KLV)-69.19(VWXG\\)-69.19(ZDV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 391 Tm 0 0 0 rg 0.22305 Tw 0.08922 Tc [(GHHPHG)-22.31(H[HPSW)-22.31(DQG)-22.31(DSSURYHG)-22.31(E\\)-22.31(WKH)-22.31(8QLYHUVLW\\)-22.31(RI)-22.31(+DZDLL)-22.31()]TJ 0 g 0 0 0 rg (,QVWL)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 379 Tm 0 0 0 rg (WXWLRQDO5HYLHZ%RDUG)Tj 0 g ET q 0.5 w 0.75294 0.75294 0.75294 RG 316 354 m 584 354 l S Q BT 1 0 0 1 316 359 Tm /F6 12 Tf 0 0 0 rg (2XWFRPHYDULDEOHGLDEHWHV)Tj 0 g /F2 12 Tf ()Tj ET BT 1 0 0 1 316 340 Tm /F1 10 Tf 0 0 0 rg 0.29114 Tw 0.11646 Tc [(7R)-29.11(GHWHUPLQH)-29.11(GLDEHWHV)-29.11(VWDWXV)-29.11(SDUWLFLSDQWV)-29.11(ZHUH)-29.11(DVNHG)-29.11(LI)-29.11(D)-29.11(GRFWRU)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 328 Tm 0 0 0 rg 0.47983 Tw 0.19193 Tc [(QXUVH)-47.98(RU)-47.98(RWKHU)-47.98(KHDOWK)-47.98(SURIHVVLRQDO)-47.98(HYHU)-47.98(WROG)-47.98(WKHP)-47.98(WKH\\)-47.98(KDG)-47.98()]TJ 0 g 0 0 0 rg (GLD)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 316 Tm 0 0 0 rg 0.29277 Tw 0.11711 Tc [(EHWHV)-29.28( \\HVQR\f)-29.28(:H)-29.28(GHVFULEHG)-29.28(LQGHSHQGHQW)-29.28(YDULDEOHV)-29.28(LQ)-29.28()-29.28()]TJ 0 g 0 0 0 rg (FDWHJRU)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 304 Tm 0 0 0 rg (LHVGHPRJUDSKLFVREHVLW\\DQGOLIHVW\\OHIDFWRUV)Tj 0 g ET BT 1 0 0 1 316 284 Tm /F1 10 Tf 0 0 0 rg 0.87432 Tw 0.34973 Tc [('HPRJUDSKLF)-87.43(YDULDEOHV)-87.43(ZHUH)-87.43(UDFHHWKQLFLW\\)-87.43(DJH)-87.43(VH[)-87.43(PDULWDO)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 272 Tm 0 0 0 rg 0.20685 Tw 0.08274 Tc [(VWDWXV)-20.68(HGXFDWLRQ)-20.68(OHYHO)-20.68(DQQXDO)-20.68(KRXVHKROG)-20.68(LQFRPH)-20.68(DQG)-20.68(KHDOWK)-20.68(FDUH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 260 Tm 0 0 0 rg 0.0762 Tw 0.03048 Tc [(FRYHUDJH)-7.62(7KH)-7.62(+DZDLL)-7.62('HSDUWPHQW)-7.62(RI)-7.62(+HDOWK)-7.62(SURYLGHV)-7.62(GHWDLOHG)-7.62()]TJ 0 g 0 0 0 rg (LQ)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 248 Tm 0 0 0 rg 0.21776 Tw 0.08711 Tc [(IRUPDWLRQ)-21.78(RQ)-21.78(FDWHJRUL]LQJ)-21.78(UDFHHWKQLFLW\\)-21.78(RI)-21.78(+%5\)66)-21.78(UHVSRQGHQWV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 236 Tm 0 0 0 rg 0.34006 Tw 0.13602 Tc ( )Tj 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg [(\f)-34.01(%HFDXVH)-34.01(RI)-34.01(WKH)-34.01(OLPLWHG)-34.01(QXPEHU)-34.01(RI)-34.01(UHVSRQGHQWV)-34.01(FODVVLILHG)-34.01(DV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 224 Tm 0 0 0 rg 0.47037 Tw 0.18815 Tc [(2WKHU)-47.04(3DFLILF)-47.04(,VODQGHU)-47.04(ZH)-47.04(FRPELQHG)-47.04(WKDW)-47.04(SRSXODWLRQ)-47.04(ZLWK)-47.04(WKRVH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 212 Tm 0 0 0 rg 0.25121 Tw 0.10048 Tc [(FODVVLILHG)-25.12(DV)-25.12(1DWLYH)-25.12(+DZDLLDQ)-25.12(LQWR)-25.12(DQ)-25.12(1+23,)-25.12(JURXS)-25.12(:H)-25.12(IRFXVHG)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 200 Tm 0 0 0 rg 0.83052 Tw 0.33221 Tc [(RQ)-83.05(WKH)-83.05()-83.05(ODUJHVW)-83.05(UDFLDOHWKQLF)-83.05(JURXSV)-83.05(LQ)-83.05(+DZDLL)-83.05(\f)-83.05(ZKLWH)-83.05(\f)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 188 Tm 0 0 0 rg 0.67375 Tw 0.2695 Tc [(1+23,)-67.37(\f)-67.37(\)LOLSLQR)-67.37(\f)-67.37(-DSDQHVH)-67.37(DQG)-67.37(\f)-67.37(&KLQHVH)-67.37(3DUWLFLSDQWV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 176 Tm 0 0 0 rg 0.18107 Tw 0.07243 Tc [(ZHUH)-18.11(FDWHJRUL]HG)-18.11(LQWR)-18.11()-18.11(DJH)-18.11(JURXSV)-18.11( )-18.11()-18.11()-18.11()]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 164 Tm 0 0 0 rg 0.64294 Tw 0.25718 Tc [()-64.29()-64.29(DQG)-64.29()-64.29(\\\f)-64.29(6H[)-64.29(ZDV)]TJ 0 g 0 0 0 rg [-64.29(VHOIUHSRUWHG)]TJ 0 g 0 0 0 rg [-64.29(E\\)-64.29(WKH)-64.29()]TJ 0 g 0 0 0 rg (SDUWL)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 152 Tm 0 0 0 rg 0.15865 Tw 0.06346 Tc [(FLSDQW)-15.86(DV)-15.86(PDOH)-15.86(RU)-15.86(IHPDOH)-15.86(0DULWDO)-15.86(VWDWXV)-15.86(ZDV)-15.86(FRGHG)-15.86(DV)-15.86(PDUULHG)-15.86()]TJ 0 g 0 0 0 rg (GL)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 140 Tm 0 0 0 rg 0.20545 Tw 0.08218 Tc [(YRUFHGVHSDUDWHG)-20.54(QHYHU)-20.54(PDUULHG)-20.54(RU)-20.54(ZLGRZHG)-20.54(\(GXFDWLRQDO)-20.54()]TJ 0 g 0 0 0 rg (DWWDLQ)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 128 Tm 0 0 0 rg 0.2081 Tw 0.08324 Tc [(PHQW)-20.81(ZDV)-20.81(EDVHG)-20.81(RQ)-20.81(WKH)-20.81(KLJKHVW)-20.81(JUDGH)-20.81(RU)-20.81(\\HDU)-20.81(RI)-20.81(VFKRRO)-20.81(FRPSOHWHG)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 116 Tm 0 0 0 rg 0.41626 Tw 0.16651 Tc [( HJ)-41.63(OHVV)-41.63(WKDQ)-41.63(KLJK)-41.63(VFKRRO)-41.63(KLJK)-41.63(VFKRROJHQHUDO)-41.63(HTXLYDOHQF\\)-41.63()]TJ 0 g 0 0 0 rg (GLS)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 104 Tm 0 0 0 rg 0.29194 Tw 0.11677 Tc [(ORPD)-29.19()-29.19(\\)-29.19(RI)-29.19(FROOHJH)-29.19(RU)-29.19()-29.19(\\)-29.19(RI)-29.19(FROOHJH\f)-29.19(+HDOWK)-29.19(FRYHUDJH)-29.19(ZDV)]TJ 0 g 0 Tw 0 Tc ET q BT 1 0 0 1 30 735 Tm /F7 22 Tf 0.15294 0.35686 0.17255 rg (PREVENTING CHRONIC DISEASE)Tj 0 g ET Q q BT 1 0 0 1 502.52 735 Tm /F2 10 Tf (VOLUME 16, E22)Tj ET Q 0.83529 0.86275 0.81961 RG 1.6 w 30 732 m 368 732 l S q BT 1 0 0 1 30 718 Tm /F2 13 Tf 0.15294 0.35686 0.17255 rg (PUBLIC HEALTH RESEARCH, PRACTICE, AND POLICY)Tj 0 g ET Q q BT 1 0 0 1 496.97 718 Tm /F2 10 Tf ( FEBRUARY 2019)Tj ET Q 0.15294 0.35686 0.17255 RG 3 w 30 708 m 582 708 l S 0.50196 0.50196 0.50196 RG 1 w 30 80 m 582 80 l S q BT 1 0 0 1 30.52 70 Tm /F2 8 Tf 0.50196 0.50196 0.50196 rg (The opinions expressed by authors contributing to this journal do not necessarily reflect the opinions of the U.S. Department of Health and Human Services,)Tj 0 g ET Q q BT 1 0 0 1 110.12 58 Tm /F2 8 Tf 0.50196 0.50196 0.50196 rg (the Public Health Service, the Centers for Disease Control and Prevention, or the authors affiliated institutions.)Tj 0 g ET Q 0.50196 0.50196 0.50196 RG 1 w 30 53 m 582 53 l S q BT 1 0 0 1 30 41 Tm /F2 9 Tf (2 Centers for Disease Control and Prevention www.cdc.gov/pcd/issues/2019/18_0187.htm)Tj ET Q  endstream endobj 13 0 obj <>>>/ArtBox[30 100 584 764]/Contents 12 0 R/Parent 9 0 R>> endobj 14 0 obj <>stream x bq BT 30 786 Td ET Q BT 1 0 0 1 30 684 Tm /F1 10 Tf 0 0 0 rg 0.22739 Tw 0.09096 Tc [(FRGHG)-22.74(DV)-22.74(\\HV)-22.74( KDYLQJ)-22.74(DQ\\)-22.74(NLQG)-22.74(RI)-22.74(KHDOWK)-22.74(FDUH)-22.74(FRYHUDJH\f)-22.74(RU)-22.74(QR)-22.74()]TJ 0 g 0 0 0 rg (,Q)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 672 Tm 0 0 0 rg 0.60385 Tw 0.24154 Tc [(FRPH)-60.38(ZDV)-60.38(EDVHG)-60.38(RQ)-60.38(WKH)-60.38(SDUWLFLSDQWV)-60.38(DQQXDO)-60.38(KRXVHKROG)-60.38(LQFRPH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 660 Tm 0 0 0 rg 0.2869 Tw 0.11476 Tc [(IURP)-28.69(DOO)-28.69(VRXUFHV)-28.69( )-28.69()-28.69()]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 648 Tm 0 0 0 rg 0.33105 Tw 0.13242 Tc [()-33.1()-33.1(RU)-33.1(XQNQRZQ\f)-33.1(7KH)-33.1(FDWHJRU\\)-33.1(RI)-33.1()]TJ 0 g 0 0 0 rg (XQ)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 636 Tm 0 0 0 rg 0.59971 Tw 0.23988 Tc [(NQRZQ)-59.97(ZDV)-59.97(NHSW)-59.97(LQ)-59.97(WKH)-59.97(PRGHO)-59.97(EHFDXVH)-59.97(RI)-59.97(PLVVLQJ)-59.97(GDWD)-59.97(IRU)-59.97()]TJ 0 g 0 0 0 rg (LQ)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 624 Tm 0 0 0 rg (FRPH)Tj 0 g ET BT 1 0 0 1 30 604 Tm /F1 10 Tf 0 0 0 rg 0.2 Tw 0.08 Tc [(3DUWLFLSDQWV)-20(ZHUH)-20(DVNHG)-20(TXHVWLRQV)-20(DERXW)-20(KHLJKW)-20(DQG)-20(ZHLJKW)-20(WR)-20()]TJ 0 g 0 0 0 rg (FDO)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 592 Tm 0 0 0 rg 0.6422 Tw 0.25688 Tc [(FXODWH)-64.22(ERG\\)-64.22(PDVV)-64.22(LQGH[)-64.22( ZHLJKW)-64.22(LQ)-64.22(NJ)-64.22(GLYLGHG)-64.22(E\\)-64.22(KHLJKW)-64.22(LQ)-64.22(P)]TJ 0 g /F1 7 Tf 0 0 0 rg 4 Ts ()Tj 0 Ts 0 g 0 Tw 0 Tc 1 0 0 1 30 580 Tm /F1 10 Tf 0 0 0 rg 0.48949 Tw 0.1958 Tc [(>%0,@\f)-48.95($ERXW)-48.95(KRZ)-48.95(PXFK)-48.95(GR)-48.95(\\RX)-48.95(ZHLJK)-48.95(ZLWKRXW)-48.95(VKRHV")-48.95($ERXW)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 568 Tm 0 0 0 rg 0.26173 Tw 0.10469 Tc [(KRZ)-26.17(WDOO)-26.17(DUH)-26.17(\\RX)-26.17(ZLWKRXW)-26.17(VKRHV")-26.17(+HLJKW)-26.17(DQG)-26.17(ZHLJKW)-26.17(ZHUH)-26.17(XVHG)-26.17(WR)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 556 Tm 0 0 0 rg 0.51012 Tw 0.20405 Tc [(HVWLPDWH)-51.01(%0,)-51.01(DQG)-51.01(SDUWLFLSDQWV)-51.01(ZKRVH)-51.01(%0,)-51.01(ZDV)-51.01(JUHDWHU)-51.01(WKDQ)-51.01(RU)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 544 Tm 0 0 0 rg (HTXDOWRNJP)Tj 0 g /F1 7 Tf 0 0 0 rg 4 Ts ()Tj 0 Ts 0 g /F1 10 Tf 0 0 0 rg (ZHUHFDWHJRUL]HGDVREHVH )Tj 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg (\f)Tj 0 g ET BT 1 0 0 1 30 524 Tm /F1 10 Tf 0 0 0 rg 0.56258 Tw 0.22503 Tc [(/LIHVW\\OH)-56.26(YDULDEOHV)-56.26(ZHUH)-56.26(VPRNLQJ)-56.26(VWDWXV)-56.26(KHDY\\)-56.26(GULQNLQJ)-56.26(VWDWXV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 512 Tm 0 0 0 rg 0.06343 Tw 0.02537 Tc [(SK\\VLFDO)-6.34(DFWLYLW\\)-6.34(SHU)-6.34(ZHHN)-6.34(DQG)-6.34(GDLO\\)-6.34(IUXLW)-6.34(DQG)-6.34(YHJHWDEOH)-6.34()]TJ 0 g 0 0 0 rg (FRQVXPS)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 500 Tm 0 0 0 rg 0.92994 Tw 0.37197 Tc [(WLRQ)-92.99(6PRNLQJ)-92.99(VWDWXV)-92.99(ZDV)-92.99(FRGHG)-92.99(DV)-92.99(QHYHU)-92.99(VPRNH)-92.99(VRPH)-92.99(GD\\V)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 488 Tm 0 0 0 rg 0.03905 Tw 0.01562 Tc [(VPRNH)-3.91(HYHU\\)-3.91(GD\\)-3.91(DQG)-3.91(IRUPHU)-3.91(VPRNHU)-3.91( LH)-3.91(SDUWLFLSDQWV)-3.91(ZKR)-3.91(VPRNHG)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 476 Tm 0 0 0 rg 0.33685 Tw 0.13474 Tc [(DW)-33.69(OHDVW)-33.69()-33.69(FLJDUHWWHV)-33.69(LQ)-33.69(WKHLU)-33.69(HQWLUH)-33.69(OLIH)-33.69(EXW)-33.69(QR)-33.69(ORQJHU)-33.69(VPRNH)-33.69(DW)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 464 Tm 0 0 0 rg 0.50144 Tw 0.20057 Tc [(DOO\f)-50.14(3DUWLFLSDQWV)-50.14(ZHUH)-50.14(DVNHG)-50.14(WR)-50.14(SURYLGH)-50.14(WKH)-50.14(QXPEHU)-50.14(RI)-50.14(GD\\V)-50.14(SHU)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 452 Tm 0 0 0 rg 0.34005 Tw 0.13602 Tc [(ZHHN)-34.01(RU)-34.01(SHU)-34.01(PRQWK)-34.01(GXULQJ)-34.01(WKH)-34.01(SDVW)-34.01()-34.01(GD\\V)-34.01(WKDW)-34.01(WKH\\)-34.01(KDG)-34.01(DW)-34.01(OHDVW)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 440 Tm 0 0 0 rg 0.2216 Tw 0.08864 Tc [(RQH)-22.16(DOFRKROLF)-22.16(EHYHUDJH)-22.16(DQG)-22.16(WKH)-22.16(DYHUDJH)-22.16(QXPEHU)-22.16(RI)-22.16(DOFRKRO)-22.16(GULQNV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 428 Tm 0 0 0 rg 0.33419 Tw 0.13368 Tc [(SHU)-33.42(GD\\)-33.42(:H)-33.42(XVHG)-33.42(RQO\\)-33.42(WKH)-33.42(KHDY\\)-33.42(GULQNLQJ)-33.42(YDULDEOH)-33.42(GHILQHG)-33.42(DV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 416 Tm 0 0 0 rg 0.25464 Tw 0.10186 Tc [(PRUH)-25.46(WKDQ)-25.46()-25.46(GULQNV)-25.46(SHU)-25.46(GD\\)-25.46(IRU)-25.46(PHQ)-25.46(RU)-25.46(PRUH)-25.46(WKDQ)-25.46()-25.46(GULQN)-25.46(SHU)-25.46(GD\\)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 404 Tm 0 0 0 rg (IRUZRPHQ \\HVQR\f)Tj 0 g ET BT 1 0 0 1 30 384 Tm /F1 10 Tf 0 0 0 rg 0.01538 Tw 0.00615 Tc [(3DUWLFLSDQWV)-1.54(UHSRUWHG)-1.54(WKH)-1.54(DPRXQW)-1.54(RI)-1.54(WLPH)-1.54(WKH\\)-1.54(VSHQW)-1.54(SHU)-1.54(ZHHN)-1.54()]TJ 0 g 0 0 0 rg (SDUWL)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 372 Tm 0 0 0 rg 0.44172 Tw 0.17669 Tc [(FLSDWLQJ)-44.17(LQ)-44.17(SK\\VLFDO)-44.17(DFWLYLWLHV)-44.17( HJ)-44.17(ZDONLQJ)-44.17(JDUGHQLQJ)-44.17(UXQQLQJ\f)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 360 Tm 0 0 0 rg 0.29091 Tw 0.11636 Tc [(RXWVLGH)-29.09(RI)-29.09(ZRUN)-29.09(7KH)-29.09(SK\\VLFDO)-29.09(DFWLYLW\\)-29.09(YDULDEOH)-29.09(ZDV)-29.09(FRGHG)-29.09(RQ)-29.09(WKH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 348 Tm 0 0 0 rg 0.79581 Tw 0.31832 Tc [(EDVLV)-79.58(RI)-79.58(86)-79.58(SK\\VLFDO)-79.58(DFWLYLW\\)-79.58(JXLGHOLQHV)-79.58(DV)-79.58(QRWKLQJ)-79.58(OHVV)-79.58(WKDQ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 336 Tm 0 0 0 rg 0.307 Tw 0.1228 Tc [(JXLGHOLQHV)-30.7( )-30.7(PLQZN\f)-30.7(PHHWV)-30.7(JXLGHOLQHV)-30.7( )-30.7(PLQZN\f)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 324 Tm 0 0 0 rg 0.64902 Tw 0.25961 Tc [(DQG)-64.9(H[FHHGV)-64.9(JXLGHOLQHV)-64.9( !)-64.9(PLQZN\f)-64.9( )]TJ 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg [(\f)-64.9(3DUWLFLSDQWV)-64.9(ZHUH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 312 Tm 0 0 0 rg 0.25242 Tw 0.10097 Tc [(DVNHG)-25.24(WKH)-25.24(QXPEHU)-25.24(RI)-25.24(WLPHV)-25.24(SHU)-25.24(GD\\)-25.24(ZHHN)-25.24(RU)-25.24(PRQWK)-25.24(WKH\\)-25.24(DWH)-25.24(IUXLW)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 300 Tm 0 0 0 rg 0.745 Tw 0.298 Tc [( IUHVK)-74.5(FDQQHG)-74.5(IUR]HQ\f)-74.5(DQG)-74.5(YHJHWDEOHV)-74.5( GDUN)-74.5(JUHHQ)-74.5(RU)]TJ 0 g 0 0 0 rg [-74.5(RUDQJH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 288 Tm 0 0 0 rg 0.02441 Tw 0.00976 Tc (FRORUHG\f)Tj 0 g 0 0 0 rg [-2.44(\)UXLW)-2.44(DQG)-2.44(YHJHWDEOH)-2.44(FRQVXPSWLRQ)-2.44(YDULDEOHV)-2.44(ZHUH)-2.44(FRGHG)-2.44(DV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 276 Tm 0 0 0 rg (QRQHWRWLPHVSHUGD\\RURUPRUHWLPHVSHUGD\\)Tj 0 g ET q 0.5 w 0.75294 0.75294 0.75294 RG 30 251 m 298 251 l S Q BT 1 0 0 1 30 256 Tm /F6 12 Tf 0 0 0 rg (6WDWLVWLFDODQDO\\VLV)Tj 0 g /F2 12 Tf ()Tj ET BT 1 0 0 1 30 237 Tm /F1 10 Tf 0 0 0 rg 0.30396 Tw 0.12159 Tc [(+%5\)66)-30.4(UHSRUWHG)-30.4(SK\\VLFDO)-30.4(DFWLYLW\\)-30.4(DQG)-30.4(GDLO\\)-30.4(IUXLW)-30.4(DQG)-30.4(YHJHWDEOH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 225 Tm 0 0 0 rg 0.48 Tw 0.192 Tc [(FRQVXPSWLRQ)-48(RQO\\)-48(IRU)-48(RGG)-48(\\HDUV)-48(WKHUHIRUH)-48(ZH)-48(XVHG)-48()-48()]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 213 Tm 0 0 0 rg 0.88064 Tw 0.35226 Tc [(DQG)-88.06()-88.06(GDWD)-88.06(IRU)-88.06(RXU)-88.06(VWXG\\)-88.06(+%5\)66)-88.06(UHVSRQVHV)-88.06(ZHUH)-88.06()]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 201 Tm 0 0 0 rg 0.17586 Tw 0.07034 Tc [( \b\f)-17.59(IRU)-17.59()-17.59()-17.59( \b\f)-17.59(IRU)-17.59()-17.59(DQG)-17.59()-17.59( \b\f)-17.59(IRU)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 189 Tm 0 0 0 rg 0.51412 Tw 0.20565 Tc [()-51.41( )]TJ 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg [(\f)-51.41(IRU)-51.41(D)-51.41(WRWDO)-51.41(RI)-51.41()-51.41(\)URP)-51.41(WKHVH)-51.41(ZH)-51.41(H[FOXGHG)-51.41(WKRVH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 177 Tm 0 0 0 rg 0.45416 Tw 0.18166 Tc [(PLVVLQJ)-45.42(YDOXHV)-45.42(IRU)-45.42(UDFHHWKQLFLW\\)-45.42( Q)-45.42( )-45.42(\f)-45.42(GLDEHWHV)-45.42( Q)-45.42( )-45.42(\f)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 165 Tm 0 0 0 rg 0.36733 Tw 0.14693 Tc [(DJH)-36.73(VH[)-36.73(PDULWDO)-36.73(VWDWXV)-36.73(DQG)-36.73(KHDOWK)-36.73(FRYHUDJH)-36.73( Q)-36.73( )-36.73(\f)-36.73(VPRNLQJ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 153 Tm 0 0 0 rg 0.28594 Tw 0.11438 Tc [(DQG)-28.59(GULQNLQJ)-28.59( Q)-28.59( )-28.59(\f)-28.59(REHVLW\\)-28.59( Q)-28.59( )-28.59(\f)-28.59(DQG)-28.59(OLIHVW\\OH)-28.59(YDULDEOHV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 141 Tm 0 0 0 rg 0.03137 Tw 0.01255 Tc [( Q)-3.14( )-3.14(\f)-3.14(7KH)-3.14()-3.14(\\HDUV)-3.14(RI)-3.14(VXUYH\\)-3.14(GDWD)-3.14(\\LHOGHG)-3.14(D)-3.14(WRWDO)-3.14(VDPSOH)-3.14(VL]H)-3.14(RI)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 129 Tm 0 0 0 rg 0.12917 Tw 0.05167 Tc [()-12.92(6HQVLWLYLW\\)-12.92(DQDO\\VLV)-12.92(ZDV)-12.92(SHUIRUPHG)-12.92(E\\)-12.92(LQFOXGLQJ)-12.92(WKH)-12.92()]TJ 0 g 0 0 0 rg (PLVV)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 117 Tm 0 0 0 rg 0.24047 Tw 0.09619 Tc [(LQJ)-24.05(YDOXHV)-24.05(DV)-24.05(VHSDUDWH)-24.05(PLVVLQJ)-24.05(FDWHJRULHV)-24.05(DQG)-24.05(UHVXOWV)-24.05(UHPDLQHG)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 105 Tm 0 0 0 rg (VLPLODU)Tj 0 g ET BT 1 0 0 1 316 684 Tm /F1 10 Tf 0 0 0 rg 0.71032 Tw 0.28413 Tc [(6DPSOH)-71.03(FKDUDFWHULVWLFV)-71.03(E\\)-71.03(UDFHHWKQLFLW\\)-71.03(ZHUH)-71.03(DQDO\\]HG)-71.03(E\\)-71.03()]TJ 0 g 0 0 0 rg (DF)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 672 Tm 0 0 0 rg 0.31377 Tw 0.12551 Tc [(FRXQWLQJ)-31.38(IRU)-31.38(FRPSOH[)-31.38(VXUYH\\)-31.38(ZHLJKWV)-31.38(DQG)-31.38(GHVLJQ)-31.38(VWUDWD)-31.38(:H)-31.38()]TJ 0 g 0 0 0 rg (FRQ)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 660 Tm 0 0 0 rg 0.20144 Tw 0.08058 Tc [(GXFWHG)-20.14(XQLYDULDWH)-20.14(DQDO\\VLV)-20.14(RI)-20.14(WKH)-20.14(ZKROH)-20.14(VDPSOH)-20.14(DQG)-20.14(ELYDULDWH)-20.14()]TJ 0 g 0 0 0 rg (DQD)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 648 Tm 0 0 0 rg 0.01511 Tw 0.00604 Tc [(O\\VLV)-1.51(RI)-1.51(IUHTXHQF\\)-1.51(DQG)-1.51(ZHLJKWHG)-1.51(SUHYDOHQFH)-1.51(RI)-1.51(GLDEHWHV)-1.51(E\\)-1.51(DOO)-1.51()]TJ 0 g 0 0 0 rg (LQGH)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 636 Tm 0 0 0 rg 0.63493 Tw 0.25397 Tc [(SHQGHQW)-63.49(YDULDEOHV)-63.49(:H)-63.49(SHUIRUPHG)-63.49(ZHLJKWHG)-63.49(3RLVVRQ)-63.49(UHJUHVVLRQ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 624 Tm 0 0 0 rg 0.31754 Tw 0.12702 Tc [(DQDO\\VHV)-31.75(RI)-31.75(WKH)-31.75(FUXGH)-31.75(PRGHO)-31.75(DQG)-31.75()-31.75(PXOWLYDULDWH)-31.75(SUHYDOHQFH)-31.75(UDWLRV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 612 Tm 0 0 0 rg 0.2463 Tw 0.09852 Tc [( 35V\f)-24.63(DQG)-24.63(WKH)-24.63(FRUUHVSRQGLQJ)-24.63(\b)-24.63(FRQILGHQFH)-24.63(LQWHUYDOV)-24.63( &,V\f)-24.63(:H)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 600 Tm 0 0 0 rg 0.26545 Tw 0.10618 Tc [(HVWLPDWHG)-26.54(WKH)-26.54(35V)-26.54( GLUHFW)-26.54(HVWLPDWH)-26.54(RI)-26.54(WKH)-26.54(UDWLR)-26.54(EHWZHHQ)-26.54()-26.54(JURXSV\f)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 588 Tm 0 0 0 rg 0.03516 Tw 0.01406 Tc [(LQVWHDG)-3.52(RI)-3.52(RGGV)-3.52(UDWLRV)-3.52( 25V\f)-3.52(EHFDXVH)-3.52(25V)-3.52(WHQG)-3.52(WR)-3.52(KDYH)-3.52(D)-3.52(ODUJHU)-3.52()]TJ 0 g 0 0 0 rg (HI)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 576 Tm 0 0 0 rg (IHFWVL]HZKHQWKHRXWFRPHHYHQWLVFRPPRQ )Tj 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg (\f)Tj 0 g ET BT 1 0 0 1 316 556 Tm /F1 10 Tf 0 0 0 rg 0.21523 Tw 0.08609 Tc [(:H)-21.52(XVHG)-21.52()-21.52(PXOWLYDULDWH)-21.52(PDLQ)-21.52(HIIHFW)-21.52(PRGHOV)-21.52(0RGHO)-21.52()-21.52(DGMXVWHG)-21.52(IRU)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 544 Tm 0 0 0 rg 0.57651 Tw 0.2306 Tc [(GHPRJUDSKLF)-57.65(DQG)-57.65(VRFLRHFRQRPLF)-57.65(YDULDEOHV)-57.65(DQG)-57.65(PRGHO)-57.65()-57.65(DGGHG)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 532 Tm 0 0 0 rg 0.70838 Tw 0.28335 Tc [(REHVLW\\)-70.84(DQG)-70.84(OLIHVW\\OHV)-70.84(%HFDXVH)-70.84(RI)-70.84(SRWHQWLDO)-70.84(LQWHUDFWLRQ)-70.84(HIIHFWV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 520 Tm 0 0 0 rg 0.32866 Tw 0.13146 Tc [(EHWZHHQ)-32.87(DJH)-32.87(DQG)-32.87(RWKHU)-32.87(GHPRJUDSKLF)-32.87(YDULDEOHV)-32.87( HVSHFLDOO\\)-32.87()]TJ 0 g 0 0 0 rg (HGXFD)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 508 Tm 0 0 0 rg 0.1503 Tw 0.06012 Tc [(WLRQ)-15.03(DQG)-15.03(LQFRPH\f)-15.03(LQWHUDFWLRQV)-15.03(HIIHFWV)-15.03(ZHUH)-15.03(FKHFNHG)-15.03(DQG)-15.03(GHYLDQFH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 496 Tm 0 0 0 rg 0.04005 Tw 0.01602 Tc [(WHVWLQJ)-4.01(VKRZHG)-4.01(D)-4.01(VLJQLILFDQW)-4.01(LQWHUDFWLRQ)-4.01(HIIHFW)-4.01(IRU)-4.01(DJH)-4.01(DQG)-4.01(UDFH)]TJ 0 g 0 0 0 rg (HWK)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 484 Tm 0 0 0 rg 0.11803 Tw 0.04721 Tc [(QLFLW\\)-11.8( )]TJ 0 g 1 0 0.21256 1 345.07 484 Tm 0 0 0 rg (3)Tj 0 g 1 0 0 1 350.67 484 Tm 0 0 0 rg [-11.8()-11.8(\f)-11.8(7KXV)-11.8(0RGHO)-11.8()-11.8(H[DPLQHG)-11.8(WKH)-11.8(DJH)-11.8(DQG)-11.8(UDFH)]TJ 0 g 0 0 0 rg (HWKQL)Tj 0 g 0 Tw 0 Tc -34.67 0 Td 1 0 0 1 316 472 Tm 0 0 0 rg 0.18361 Tw 0.07344 Tc [(FLW\\)-18.36(LQWHUDFWLRQ)-18.36(HIIHFW)-18.36(ZKLOH)-18.36(DGMXVWLQJ)-18.36(IRU)-18.36(DOO)-18.36(RWKHU)-18.36(YDULDEOHV)-18.36()]TJ 0 g 0 0 0 rg (6WDW)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 460 Tm 0 0 0 rg 0.08125 Tw 0.0325 Tc [(LVWLFDO)-8.12(VRIWZDUH)-8.12(5)-8.12(YHUVLRQ)-8.12()-8.12( 7KH)-8.12(5)-8.12(\)RXQGDWLRQ\f)-8.12(DQG)-8.12(LWV)-8.12()]TJ 0 g 0 0 0 rg (OLEUDU)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 448 Tm 0 0 0 rg 0.21914 Tw 0.08766 Tc [(LHV)-21.91(VXUYH\\)-21.91(HIIHFWV)-21.91(DQG)-21.91(JJSORW)-21.91(ZHUH)-21.91(XVHG)-21.91(IRU)-21.91(WKH)-21.91(DQDO\\VHV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 436 Tm 0 0 0 rg (6LJQLILFDQFHZDVVHWDW)Tj 0 g 1 0 0.21256 1 409.75 436 Tm 0 0 0 rg (3)Tj 0 g 1 0 0 1 415.31 436 Tm 0 0 0 rg ()Tj 0 g -99.31 0 Td ET BT 1 0 0 1 316 412 Tm /F1 16 Tf 0 0 0 rg (5HVXOWV)Tj 0 g ET BT 1 0 0 1 316 390 Tm /F1 10 Tf 0 0 0 rg 0.15603 Tw 0.06241 Tc [(1+23,V)-15.6(KDG)-15.6(WKH)-15.6(KLJKHVW)-15.6(ZHLJKWHG)-15.6(SURSRUWLRQ)-15.6(RI)-15.6(DGXOWV)-15.6(DJHG)-15.6()-15.6(WR)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 378 Tm 0 0 0 rg 0.1918 Tw 0.07672 Tc [()-19.18(EXW)-19.18(WKH)-19.18(ORZHVW)-19.18(ZHLJKWHG)-19.18(SURSRUWLRQ)-19.18(DJHG)-19.18()-19.18(RU)-19.18(ROGHU)-19.18( )]TJ 0 g 0 0 0 rg [(7DEOH)-19.18()]TJ 0 g 0 0 0 rg (\f)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 366 Tm 0 0 0 rg 0.15278 Tw 0.06111 Tc [(7KH\\)-15.28(DOVR)-15.28(KDG)-15.28(WKH)-15.28(ORZHVW)-15.28(SURSRUWLRQV)-15.28(RI)-15.28(DGXOWV)-15.28(UHSRUWLQJ)-15.28(D)-15.28(FROOHJH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 354 Tm 0 0 0 rg 0.78385 Tw 0.31354 Tc [(HGXFDWLRQ)-78.38(DQG)-78.38(DQ)-78.38(DQQXDO)-78.38(KRXVHKROG)-78.38(LQFRPH)-78.38(DW)-78.38(RU)-78.38(JUHDWHU)-78.38(WKDQ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 342 Tm 0 0 0 rg 1.16 Tw 0.46381 Tc [()-115.95(-DSDQHVH)-115.95(DQG)-115.95(&KLQHVH)-115.95(SDUWLFLSDQWV)-115.95(KDG)-115.95(WKH)-115.95(ORZHVW)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 330 Tm 0 0 0 rg 0.18634 Tw 0.07454 Tc [(ZHLJKWHG)-18.63(SURSRUWLRQV)-18.63(RI)-18.63(DGXOWV)-18.63(DJHG)-18.63()-18.63(WR)-18.63()-18.63(DQG)-18.63(WKH)-18.63(KLJKHVW)-18.63()]TJ 0 g 0 0 0 rg (SUR)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 318 Tm 0 0 0 rg 0.20956 Tw 0.08382 Tc [(SRUWLRQV)-20.96(DJHG)-20.96()-20.96(DQG)-20.96(ROGHU)-20.96(DQG)-20.96(WKHVH)-20.96(JURXSV)-20.96(DOVR)-20.96(KDG)-20.96(WKH)-20.96(KLJKHVW)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 306 Tm 0 0 0 rg 0.05371 Tw 0.02149 Tc [(SURSRUWLRQV)-5.37(RI)-5.37(DGXOWV)-5.37(UHSRUWLQJ)-5.37(DQ\\)-5.37(FROOHJH)-5.37(HGXFDWLRQ)-5.37(DQG)-5.37(DQ)-5.37()]TJ 0 g 0 0 0 rg (DQQX)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 294 Tm 0 0 0 rg (DOKRXVHKROGLQFRPHDWRUJUHDWHUWKDQ)Tj 0 g ET BT 1 0 0 1 316 274 Tm /F1 10 Tf 0 0 0 rg 0.35224 Tw 0.1409 Tc [('LDEHWHV)-35.22(SUHYDOHQFH)-35.22(ZDV)-35.22(\b)-35.22( \b)-35.22(&,)-35.22(\b\b\f)-35.22(IRU)-35.22()]TJ 0 g 0 0 0 rg (-D)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 262 Tm 0 0 0 rg 0.35801 Tw 0.1432 Tc [(SDQHVH)-35.8(\b)-35.8( \b)-35.8(&,)-35.8(\b\b\f)-35.8(IRU)-35.8(\)LOLSLQRV)-35.8(\b)-35.8( \b)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 250 Tm 0 0 0 rg 0.33849 Tw 0.13539 Tc [(&,)-33.85(\b\b\f)-33.85(IRU)-33.85(1+23,V)-33.85(\b)-33.85( \b)-33.85(&,)-33.85(\b\b\f)-33.85(IRU)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 238 Tm 0 0 0 rg 0.55248 Tw 0.22099 Tc [(&KLQHVH)-55.25(DQG)-55.25(\b)-55.25( \b)-55.25(&,)-55.25(\b\b\f)-55.25(IRU)-55.25(ZKLWHV)-55.25( )]TJ 0 g 0 0 0 rg [(7DEOH)-55.25()]TJ 0 g 0 0 0 rg (\f)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 226 Tm 0 0 0 rg 0.50918 Tw 0.20367 Tc [(7KH)-50.92(ZHLJKWHG)-50.92(SUHYDOHQFH)-50.92(RI)-50.92(GLDEHWHV)-50.92(ZDV)-50.92(KLJKHVW)-50.92(DPRQJ)-50.92(DGXOWV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 214 Tm 0 0 0 rg 0.52781 Tw 0.21112 Tc [(DJHG)-52.78()-52.78(WR)-52.78()-52.78( \b)-52.78(\b)-52.78(&,)-52.78(\b\b\f)-52.78(DQG)-52.78()-52.78(RU)-52.78(ROGHU)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 202 Tm 0 0 0 rg 0.75064 Tw 0.30025 Tc [( \b)-75.06(\b)-75.06(&,)-75.06(\b\b\f)-75.06(ZKR)-75.06(ZHUH)-75.06(ZLGRZHG)-75.06( \b)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 190 Tm 0 0 0 rg 0.40833 Tw 0.16333 Tc [(\b)-40.83(&,)-40.83(\b\b\f)-40.83(KDG)-40.83(OHVV)-40.83(WKDQ)-40.83(D)-40.83(KLJK)-40.83(VFKRRO)-40.83(GLSORPD)-40.83(RU)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 178 Tm 0 0 0 rg 0.01419 Tw 0.00568 Tc [(JHQHUDO)-1.42(HTXLYDOHQF\\)-1.42(GLSORPD)-1.42( \b)-1.42(\b)-1.42(&,)-1.42(\b\b\f)-1.42(KDG)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 166 Tm 0 0 0 rg 0.04856 Tw 0.01943 Tc [(DQ)-4.86(DQQXDO)-4.86(KRXVHKROG)-4.86(LQFRPH)-4.86(RI)-4.86(OHVV)-4.86(WKDQ)-4.86()-4.86( \b)-4.86(\b)-4.86(&,)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 154 Tm 0 0 0 rg 1.43 Tw 0.57209 Tc [(\b\b\f)-143.02(KDG)-143.02(KHDOWK)-143.02(FDUH)-143.02(FRYHUDJH)-143.02( \b)-143.02(\b)-143.02(&,)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 142 Tm 0 0 0 rg 0.38095 Tw 0.15238 Tc [(\b\b\f)-38.1(ZHUH)-38.1(REHVH)-38.1( \b)-38.1(\b)-38.1(&,)-38.1(\b\b\f)-38.1(ZHUH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 130 Tm 0 0 0 rg 0.32222 Tw 0.12889 Tc [(IRUPHU)-32.22(VPRNHUV)-32.22( \b)-32.22(\b)-32.22(&,)-32.22(\b\b\f)-32.22(SDUWLFLSDWHG)-32.22(LQ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 118 Tm 0 0 0 rg 0.55577 Tw 0.22231 Tc [(QR)-55.58(SK\\VLFDO)-55.58(DFWLYLW\\)-55.58( \b)-55.58(\b)-55.58(&,)-55.58(\b\b\f)-55.58(DQG)-55.58()]TJ 0 g 0 0 0 rg (FRQ)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 106 Tm 0 0 0 rg (VXPHGQRYHJHWDEOHV \b\b&,\b\b\f)Tj 0 g ET q BT 1 0 0 1 30 735 Tm /F7 22 Tf 0.15294 0.35686 0.17255 rg (PREVENTING CHRONIC DISEASE)Tj 0 g ET Q q BT 1 0 0 1 502.52 735 Tm /F2 10 Tf (VOLUME 16, E22)Tj ET Q 0.83529 0.86275 0.81961 RG 1.6 w 30 732 m 368 732 l S q BT 1 0 0 1 30 718 Tm /F2 13 Tf 0.15294 0.35686 0.17255 rg (PUBLIC HEALTH RESEARCH, PRACTICE, AND POLICY)Tj 0 g ET Q q BT 1 0 0 1 496.97 718 Tm /F2 10 Tf ( FEBRUARY 2019)Tj ET Q 0.15294 0.35686 0.17255 RG 3 w 30 708 m 582 708 l S 0.50196 0.50196 0.50196 RG 1 w 30 80 m 582 80 l S q BT 1 0 0 1 30.52 70 Tm /F2 8 Tf 0.50196 0.50196 0.50196 rg (The opinions expressed by authors contributing to this journal do not necessarily reflect the opinions of the U.S. Department of Health and Human Services,)Tj 0 g ET Q q BT 1 0 0 1 110.12 58 Tm /F2 8 Tf 0.50196 0.50196 0.50196 rg (the Public Health Service, the Centers for Disease Control and Prevention, or the authors affiliated institutions.)Tj 0 g ET Q 0.50196 0.50196 0.50196 RG 1 w 30 53 m 582 53 l S q BT 1 0 0 1 201.69 41 Tm /F2 9 Tf (www.cdc.gov/pcd/issues/2019/18_0187.htm Centers for Disease Control and Prevention 3)Tj ET Q 'UP endstream endobj 15 0 obj <>>>/ArtBox[30 100 584 764]/Contents 14 0 R/Parent 9 0 R>> endobj 16 0 obj <>stream xnY5$#Ȗ(2-dYTʟi=˜xdȑFE?G|g~.vW[B&Ì{82BئHZ#Dpq[Ӳ",>Wf,H=ݶuۣ&ۻr֚ڱ^E)˴ܰڰѷ妫EFZv;dE1wZջ.+Σ*¥^2:^34]ƴܰ;v<YdF-Qؼ~\_',R@9,Md؞ϗdEE3,M՞E_a7JR#Y_[*qLBx) Η3lςE{QgiZV{Yl?8NӢeY\~^_>od E`3RJ׃g,x\lrYha{'&a{ cZdz{ZKŅR?=,kd؞R/g>,x\M&di韣Ih2wø9>Wޞ|W4~Qվz=ޯ&z f\)44?W֒^5=N/_:b8V{q]x{ 8>fE4Tj_ $JRsFjO521S'ג>bj\lMF_3dRu^[,8^?3ޞn\ڥw~姏;Ew]kӴ72=jBWj&eLzighvjZo-t~nQ{ I5.RfiZQ|{5)ؾ\9zמv8)hkkZƘ [MY]תEfL&4߻CaOEoWW;[,nIl;{*|}pJ}ɤ&sյˤ̖ x{;ף6mڵɤ&)ohz/~8C!lhc*`;mS1^3v5x1 0-į)}apMHzmJ۽G: FJbHJG+7Vn{LzŽXkOjYq_-T]5*}/4sd-%4tW77NpT,?tvz>c#vϮ>vnvv:;ٝm*k'7eg>/wk&akx;i.&w丹KJ %@gKյZ_t_uIv)y/I1 5J]b:zKTw`{b_@'Qa{5qEj\j_o=]Bl94t"S`2WB12lO9^a3񷤏xRS͑9ŕd>J=&c9#fE?Lv)Rӎϫ.50Rd3&n\llm AKM9.?SM&jt"N!rc*ShM_J{ Jv\lbٿכAH1h23s܁jCFյ6kQOz5L,&n\M&elboxvũ]NKQS&Ev:^KM;O&\sϱAvN mڛ gtx wRjԵbG2}{6oO; I.a@b;u 1GN.˾˙LI5./]9O>Dl wohhg1}g=&؞vȝo i(EFڿ|ZHy~p :qS Oa_ dKM9.]64K:`2)KV{q!9خ3L$7.')2ޞv\O_k*Q%W@e®SJ`SK\j"؞1TAtǕdLI9.A l"d\jqȌEdRK]&oO^oreΰ= 2ޞv\@Gj_&s5fsd=WV~ ܹw gO̥je0KͰ=4s37,~G,l׎LLޞF');6[0v#'FC_d.%tȘL:ah?9M{wR@ޞoY^>߷j0LI+6fl'n'l_u9~')2N{x[(qU4d alOKjYw#n%~Y1h0Ö914큜_6T]?}^ŏg_č.nfԴbje=؞&S(5jrީN&cԪ>:ǵͳ-ܭճ+b[;Gΰ=`ݲ^4n&,wۇυGԯ0֓R(:tOܣ_ѴZֵ#mk5X}zE3LWvwwreƿMA_h`qoHPf%NՃZVxڳ9q4C?rQU~S[ވt>sV΂6Ѫ{ڨCɤpaܥT O?~bmW5&u˘)?j}{:fͰ}* =9Xl5߈|2)kY 7/Vo@)2S9u^jygV@&`;ϥOۍԛ>%2&Vl-j rFb/ɷ:p{ 4&1/UK~^dn׸KKdA,@W&lș*odJ)l^ubq\cWNJ=ڥLȰ= dT|2%vfd5̰=YؽtLm- L <)I&..C]Ԅ=??L`jTeKi&.AdZե清z6W'd} Cj2.bK)4ȘLJLFs YLwvKSRS0y{KM% @]*ؚ(9W( |nLK:+ "€=o>ɤᓹ"=c2)& &M0F̥QK l2lޞV.դ]iFVNv~Z^aWEowѰvw:cc8<tbdTg"+qpWcsl\Tju&=5X1p̻Od=06XOf QyTN+*o?"z_Ad`pT⪮oTT+gz{Z3-oTLMj~>TvvoyyZ*Oz!}[+6y$Mom]kݎuez{j4 }68:+O+%_|Zdu{w=~#GEo˼%Lsx;)ԡ2sik2`/'{bA+bX_c7Bw +RJ4c􁌵aw>dP4x3la.~3muJj|uEM?RLL+6w͍\j8,#'_1) SMv=C+:}9*yUj3‚.xnpn[6ob[\z%^fP1Wս5f-5GZ=ޙvӊ:h}7کV({^2B6GČѠ]j LȘʥZv+5oLf;ZJoZρ8L\ 2S04m5ޞL\ڥ/~Al@z'3^]"bvz{"q.Ҝ{Xth2IR ΁zeFe2>?vqUsgyu.u;=*x{ˊp ]&sVN+ၼƻԴ]l^O-R-Od"z͈dZRPdP.K8J}tuwrWnLjOyvz a;TxS]jQRvZ'ט@M&2.o7sz 3SԱ#n3.M@햭G9^Ĩ O=R㗏-z秾T  Ez;_T!.rVz{@f2S4y@I3F BwJ^X,d.5u@:5X soWzo-8LoHƞ1OXrAWr+ޞVܥI.\ KMZoܯW*ΓdzAV:vKzY;٫j HnNnл9:|f:/p5ϡy5o{U=_hwXvt|*Ϸc *oo㸱zA;G!^ەsW+{Cł6NJ>DNsλzTǕ^(ͅ^K~g~@C7؏*W(V 9Ŀgp. ]'W]2ooRN\&R[?cFJ䠤W;[f%+qؤm1*bdڹԣF*2յ֬"*hm$,lxU\:B)dejŘkr'cD;^mV5/h?:0+T4%wV֚M"O+4-V5YoI3owRD;w@.F=~zk5zwXrp4mM?j׊v ZzO ~k#p(o,Xqx} -v)r #l״ ΔSdվVTbKm+jizWkq =Il.N E_gR2z{"?KK'Wޙvw8K>v5 9޵x*vS1*b 3ļdrn׼v)]?Tm}>jSƾ_=3µKJ]OF4/U4ek_6Ivw?څfQ=7AHvJ$veKÒ3 _QkIǛqB^/77ihc2[>3ިٶË]s_L<ޮGs/2l_Wu_w_2o3o % +e>Í0ou i, ۇ[í֓G[,[[̹K;|2SXEDl=] =,k=wc wlZ0l2\y;'pʥK]Jh6/n=48Yי{4)׏Cܽ yޟ|>p'򦛷'Ob(_ {dHq^N]zϖ 1ɴD]jҽ؛bԮkWq*LUz[`Z8w)ϗspOd֥~2)LDWlW4=*vS:>H['cE@F^䖧,?+ە$cRƳ]ۧj21LNQa=V.GR]MFsZu,Qbb]*ngu=.Հ&&TsۇV.ԥF9߾}289ïkJ++CtjkQL[yqL mpC=/x{"o'[_ۿ>_ӈj23M& UBQ遌@c'h=z{l+L'c[ɓpn´Oi*L1m]4d!& HBz{Ao ;yx[DluR ݳgIۍ]:,z=R-'Y2c=\VG~-rT4,bdFy)ۍ \.<VaA="nxAdBȘ9_G vp' ɐ/|=bvfً(dSk| .5al ֎mMvTa;;pȱ}8?onq{/2'KKv 9z{oeڼL &q6Np%!g;3vO4&es@2ޮj2%oxTџ b2::=_d$+4S=CHV[9q\$vv:#0KH͛is>(RE@_톻R/y{)}tؽZ&lZAmR/2fdddO%%KG%6 W CHZ[[mY44z->{˥ڼqK}f^^\^f]jq=v% i2ޮi_γڕBa\z{ϏfgmG|ȘEoW)jRq-`{&=~M!{G1l秚~j3گaEL=&$*Cݧ. e5y; Lf1bӁ ۓIx݀ v>qM&Sρb2[0r\oMO0GoGG2Z" dzEJlA-:$!DRە\\LFÏ9c#@|ֻnL_-Oߞdj,B#޾:ur:)=mM<&U z(q@2dgH?q}*v  cNgbH?edz'\*$q]jس= !lS<立[\\fp8ekyW~26Z\~1bT\ߘ֥9޾Ujߚ b!zY.lOHi!j[EKo5]OB{C/\S;X!o79ZoLӁjg 65by{bi`yY*KH8ϥɴ(ea1 dvM;*hVi'dLzTƄۧi2qx;ɗzaj_u:&KX#=dCr}}XӰXi&SkM>W'$䬘68“1vɢgd/x3YiuX=n]bP`;$:~Zu{\4S ڵ6< &a8I5:ߍֹ;boIa3)]2]激&tjO܈v Eߘwۿ7`nDlRWsۧx 9ab֍;>,36)6pGvzcVcޞdLc2v=[ߠ~2>$2##]Z\T Wt'=򘷗 ۣvFoZV_#\j&`j˘!k@ӗ} Sy;r!/5 "z4My'&vd؞dLxS4QY&\l1n0kELD3 xHֶLʥ^a*1`{gO7J-G,'j2(c8-6h{R#vO|u8-K%g.U*Gnnj'hL%'CLo"qvY†=GL+,fvqɨ1o*K=g~:(2lO2a{j0jۇL5OO~v ͥZԎ̂\r){L4~}Xƴ۹eys2)ؚnokэAId}+@}5ȼpVƘ͑y )ԘH16?g2 `0(o'ۥ&L'.?X5Gl)]|2.U(z?sˀ*2ɘg߼]* ڷ($۟6F{Ps KL2Ay }29vNܥ9uv!. CY_.ͭN-^RA=OfTo7f+"Yގ9[)vdp3i^?>3z &Cz;l%wP llQmoqg$caSlloI,oL7 >IM&xaؼ}l&d$o|c; |-&q1w6r0&4w)'5/FD'vFb@1@=hK'R=jmA0ꌇ9l.KBYN3=H@Σq?4[vhȅzsX\`nM&fd؞d$sড়Qo-KW*fY@=u%%)B'Iȹ5@C4ؼ] dp OخxS/:o΢k/w/w^KvggzKR yE]H`0灌k,d$E.95e]i5b{:ZV'ck'.rqi2q̫δx!,dLdb]Hoټ-_=Dud(@MF fI#RVh4$c&s?K%ޭfuIK0;96oW{4FvHv90[o5kkͅh6I4M&p=&M3rb6*oJ.=oɊyo ۛgkw'I&Yz&t p#} oE؎]&ԣ~2Cu6l>ra"kfY[{@ @:'c }z;Z ^My+v=Ɉ~2lwRmu=Pl:{n~Xst|2zoo]ZDؼ],J logL+lit?&hl&#RV6kQ+S3>k{4M&Vas$['Vs dm=\lv,v'vc6YRXatM&'ccppɸwtoowj2=6+g'Hg4?E[ MdUjOX4nʺpJ#^a l]ގɈfKS.ȢS.zǜi2D&?v@~3=T&:f0[ٱ K[?v]2jRWJ-o'<>isc;CM22{z{MK&3[oQB} ܥ~2.̗_O 7'ɀkPۇ>ǧ%D}(ݟDZ]'3S~[ў4do⅂rdN;dC/vV+nnџ3ޮ]?|G۵JaV>bR-BRyޮۍ&3+LeG oͥNb-+zv0qe{49 AL.v@ȘR ڨΠɐn'ɐR-K o8x+ #d@dg(a{o˥jZ?Oz]wݮ_2l'&Ր]1C.UBiX4Pv0OFhޮh2Aun=T)HV;a;Oq,oZYc]88yR1i @q}2-4.|~=K9YGdTz{a`nl4,Aj]vpL'+ 0OvA/BpRݼ}9o_Ms[P=`n|Z{]cz)1l?7sHR\a{I3QQK`e t\_Ȁ|rnH I< CrݵK?pT5@xdsgo.u!;|2wTNՃU~89o/tlqZ,u?wX^fסtGtBe\u˨t6_chGN}%k;Mkm;7v֥ss? 6n@^q@xt}h{}?tű&/[Junc;3>G wv7,<ߎ obO@ xm$l򘐿}YvM(C֯A}T==fXW]8վSL'Bgx%9ٿ}H 01Ճ)@Wx o`]*'R=dR!Ɍ }W{R\L_u˫۽ZT 3}pR|g{ M.*>f|tAZ ]j2"uvA˨@ŃBDŽ:#e)G#g5\*ۥerP`T͸HSaL=t;Sz['ۅg)%D,z5-Є)ĪC(&\Ɗ0lqPoޮV= WJ.p ޢTۅ?t`{>m4B"4OLg p@l-r,ۑ繜=IvQvMTl/da2BRٮTNɰ}XvxEʠe=d K6$wۗ='#>1DJx $qR ZmmmJL'Tx;ۃ~>.6mMNgP{?h{{_{Oc\ZZE&dtUu۩$޾ߗd o^MZ$-SRmޟTǣǓy۝(06-LmS$]-ەTOf?@Gm^rh"ӿ"وav䅵>/roPl_͙H]ʉtۢvr. E6Fkha\qKҁz{\lGtK;H k;@*&!]P6%v%wKG풭ɠOk>44vD.ӎ/M/sȥr\L޸ROl!]ؾBΙzd:BoK q_zR7T&S˵92MfA0o=S6R/JoW=*1)x􁔟}2(rR%M@zOnrf5 o C2bh2~}ln6-&O۽@-SqoyoǛU=Md擙'=g0sTx]@o KElݬa{DޠN/ԸKȐ"MF<o?`}qYB4{.~V8+(}׳N^Qpv];IA%5{b I۹+L>4SOA]?rc?V>Xa+GPj!lC`{e*y 91ܬ$R\M3n+MbO ʴnCd`oOf4isZ-@*iYI5Llĺy;!.HNv.AnBoRex>?[K)c'۹~jkav)?*bdD-RfyLE]PNJ|'V޼=IN_o~2o[T'?'?ǘE~̅ HUMws@ɸ:O< oIHdT޾r&HNE. Cվ^1E?j؎o_Pv6վqHT5]MF,b.ISvi0ɫ bx{Kn onj<&d)d23ID?AjgoύH99. lwd&œ8KvY􃳰?Flt -ۇ~>7o ܷ-u8S>_^d&{`‰jiVfU#`bn>DMz}%Ba6`楊Kv_y@wo.5/:]ǿͽK6|v";̥ڴ]` ?+hpl l{x;?pv1Eo'{4K]!9o?9pm4p.Uy !ǚh׉'#5X0ĒYb`jo_t'@XbK4 #'ڟ=~!+u\*h?a*BHCd0OFT]I4yWo>.EKD&Xo7s2_*.U AY\yyu$JQC QA'`JRYa^m5_üԼ툾ɐḘɄvodsa]긘LҼ,xN؎i%^dpn>lMf9:Ql2oHM&qln=1Z̥ڼݮKLKMd=Bxd('om.0Ayh2>\bD&Lw09;oo}I r׃.&JFӨoID 7I84E:C!wy[ԁ&]a6Mf(͉yKۿoǁLFk|'v<ͭg>=?цݹ?<=lZ3OZS5eUoӜ Oɷoq͛ǵ!E>UNlAz;sרWXtЇ#+Js.5/;m95h2Q]tOjɹKyi '\GЙ4Oƒb N+.'#.-"7TI)ؾHmO dޮ D˥zO {]]g2\ݡ?.?Rd0/Urx}2ǢFLgs?95&x;>Ct8|2X_o)a򢭷Ct&Cmhؘ>z]bhKU2;yWj2>v3r% t;C,%O<`Mc\r4&o/]LFv&Dk y9ԐgrHI>Ku8[gi:bެ x>W}y΁QX0LP*>z;vq|2@ tv.^v.n7MNH#{6.5\7%vIgooϾ~V+7vC}_|6wNuaR·ÿ]ժ??J?zqskw?>]~vGw1%Z׏vt{vA=*56?™ҿ߹ϡaaf ؔ.A_o;LdxWCc~ks-bcplluo_jo޼'qt-dnuOu g>>SNa?=~cicxOrs7ŝۈXs :{Eί]eYWKʥƨ]k].ᎃv דK ]բ~2ݤ'Z=[y<]oǯ*DHsPag[$=֒c;ϝs`rvYAIi2ɥ)u4 ۲kb^Υx0;:e,e~k&j$ڥ2\'a#K 9KW8xcjR`{+'; 4oh)µvIȥc;9ۑcρ@l'ۗ$nCK%哑3"{7~2!4 wx#<:pCkDogKH+ ߙɨs\*!' O)@Nv7o_jdp?%ڥ܁xs4 [s@Tdu>.s<H|^#7`m&5̆W侾T:WepRwTإvAz;¤&#FHFOKmClQq8.uQ@YեG1:o dN wuREcuSNݧ@©l@90j݃y,i|(~=\1BfN>}X$W.jvmۑ.UyPvZ.v{'c{x;aLFH5FK8}۳9)g'tZ%9l+؞{񆸨[|Glx]aJMlhQ?!d:SϱK vklWOF ]j wpMF6Sv~z~.3;oasUa| c`qWQUj޲氟LnZ9R\b4MF{.;n[k+KE9靅ݲ{hO߅_Wܺփ76Ta=$+FhR1MτQJ]5>ɌAs_;1URf9vIoЦH.\ۊ&#(?&ߎs.5YK0Deꥥ|KT7s9YGz;u񛗪{]0z%E v\խ`;ꏢF*~vxCֶ+8CHݲ5t4vdvO)cwHN.P}i-owh2y}՝S|Z CC{ dr%j2Jz;8~eOk?lW:.jl&]LؾP-,Sv8Ζ4۫Kl̥`_K^x5C oKdۑO+cRx`*r1v}i{Lxn Ld>۽mQqu[Dv{d&r/Q&Zߠ}2%-O d.5!/6Mf', Y+ 7Z5SO"b{3XI4z&#JGboW;*Blo@'|R!vA|2Ko6ᓑMKku إ =2{o2=@]f!:7 Km$|} 7b1w^`.ɣGO4cVY2h2U L{]m }2ac1F]h #R'䓑k%dNlqd d`Kvj0$5O'ԺԡWoߑcϭ.`R9R5poO=y6̫havd8ndΫ]R]7/U1 M?zy!vv w?~=Td. CڥvbL0:\ޤKl]v[ӟS4{c5x˟bg:W}2 ːKY&sb(*ݣE@mb;DcԿ.I^)vzz27s| ooUc]_LiʥPvx풅tl|2&s? EF`EQGo^loHUntA]/4̥.a ]dlۥ~9RKd j%;KdlyfdhPsbvݓΩ?iNW @NHdpGoT.5$iA3a휷Rݽ_f Wyq.wΜKec>p.xe]ZOd 5JCov\RK~X|*=IuJ9D /~+,'|2WX@|vjf o۫3c;Lrv ;(L=j_U.Em;_-wρ}o_A1< u ciRdz*!";$/d=<~DdS_ߠ~2Jۥ?K̥^a<IUl'3R0Q*5ەK˶O&ݓ,Ky'D亀^?l7D_"3v?.4o񣟈[Oڑ DρEǚx{lg~FO x_ !)5x{@nlya#NMFԥ_8,Z9Q1$q0I< .Qk>ooP@&Gr'3Dl'uQ$n''olιxVzܼ ׈G>ǿ[&۝F+ =I {fsݭ+C-A@ȩdގ94v1*MK%ַO]Rwz7:3A`enp14_^]&;yݏ $oel+6Т%K;Go);RDLoW]HG"4*xRxۍ7kCtǗ遜Nrۉ~-*`r%ۗ0dIT'T|20tI%D6KmЃ]?;_j?dž@e^S0asY}2ȡ W]m1Dvz֊K[Yؓ \Ckş<7xPevҚׅ$REq__\)N~cR8w36l7܌Yn~Md(o/a}ܥ0nYj?]lײ}2¡Go"}KcKl BrRo kd|x{Ñ?-`Wͥox>aWXY}2d8v鼬.!;lX'#>~2FdSRr )N=4s vudm3O VtO*hq| ڥKۇ^lwTK^f}D~W9v+:4gҒ=Zw,)؎} KlJl {,=+3ގL3-v =>݆Lǘ7@~22s<,l5^njQ?O.ՉKEe^af[U1OV|΁M|fvrM\a^n!j_إRɸfsTde.Ip?+jDqL&.v]}CLA^J>ݲø~WxnwvVf?>b{kI[Gv %砬냡=ߙۏDd!{٥rע9\tS`//;1.l;hwy+lCxG?}nR_uvb[ezpfKK}+ۗi4$T}GvCOǜCLgΩg@fZ sQkgX-p\rfKJ&VroGLJX1%WKW~vkG.AEP ݧᚌ)"DֽcD:ϖ=sfaÛʺ#v9ŘqؾUI!rZzuמߙ.5&3 c]ʻXmYMvW31CnJx :z]U4=O9ZvJaSwAݓd'˄5Va뎅K@Iʊr6.J'\=+T-hNl\ tbϱ+SVٜ>4˘!RZ멌N! ]t &Fd~BmrٱE.UPMF{`.U28 1m)qA˱=o%Kwv.UjIۿTK +gfd_ UiO@v>=." ]LDː&gP_'j74-*6|Sj(oeSAz cTQX+3dY.U†@JudNʝiL3WٶoH`b2oA >Tߩ%]aBw`*JPKEa} A.à~2vYQRhR%y8ǁ '2X62jg?}\*wzk5)eKd󷫤Zp/@DSiԆt fS_˼3f=OF%y;tq֥c0adg4Kv{ޭ lGh 15Kb;R_>L}2!JJ ,{6Mw|2±dItVI(}4A|{)Y2@Rr6hT B= jk9CeK.V7oW2G%a"](u]Qo'eץvk8S o#vI1\'Cnpގ 0'> ~Nlgϕ{^oNNg9~>^Up=hs&*%&#*c|M. lǕvO]=SX5+'߿T;oRTwW@R~2H@lmR2%Pk4Cvo]|0eŽLnޮ9ODɠr(_D.eq&h2ط6.U{oH2; >谡Rx;ј l9\ڥwbYeBx4ˈ o=W*o'>2/;>\R7QOZP?ӑ>,sAoRmMƀ~XDjo~C`%m,}s@֥T$Uav:+K vjĎ۲gsvɒ@|=~dǜOo=6L(obc)ASK+ղ_iU^b;N މ>s ;/OF`EvRx`2Lh? Lၴԥ'`=ҹ K TTldf)ѿ}8݉T+-Xh|y;j2.l? ~{c*,]9Xs`YRwEW^av֒=D{5 _=~S$ zAzn{C@s;pb;'ɘ9w۷k.M>M;sץƆvPI~J](.5Es dL7oɥkݞGy#@>] &`]ŋ >zH+gR34qh2sa [0*YudޮWqQ9wNT$&vT`壷]rR @u蓑T/> Kmɐ7ml'ogΘ4F]:|>M݂Sx{^9s&^aRKl ޯW5E-Km)] l{>>]~._Tr{hٛGorrRGwPH|r؎`xMv3'9{6aGo*Y~)gk[.sLe+`ޮLc}{,lWUIReYdbHۅ&vSLf.޾k eRTnT4$[_@=m:(3&C߮.d.Ճ%¦F^&R:=d6vJ z].Ɇ2=~Hԋ}2MUoEw LJ"h2Df v ݦV'KUN({6_XpvI;Sj"@oGV؞@&T\Hi2HM-TED>Qɀ9ɥ*ow*sev+`{ޮ /R' –#>z̉TdOvg?pHoәoQA 2Rv7-'}Ig wˊKvNIHoɀ7ۏYت~K::xeO簰.;9=E9b8׍1Ol)44.Kp%cCm瀊K¡xs`WKoyq%!6E}h^lDK6o_=,L& *Yr&NqyA{>QCܬ©>Z$o" MQ nMH]$ {H9PTlwv}ہ\jRPɢdnϕޒ%d]~Q9>TkllWpٰ҆}˻f9^A36 "ھ 7ǁ-*ao͖$NX쮧^l?n<۾u j?ۡ^tdHô~kH]Nڿv vl>a^*!~2/t'GWv|7ץz@.HoO~hՐDwWxp3qHA6}='#v̆oc{Iԥpo y< BTx֥DH/zI巎szT?$dLFCԌdD5 GjH%y1 _qzɬ-~bODbn _76o㛝>'}}.K ([W@ ݒ=_TU 2 HRh2a}XvHv>A W9k2GLF"YT@PJWƲu'N}l%)Zdcm\qlrb;{hؼ=c;#QG ۝>h0 .|2|vUDMD>dlޮt. !݃K#roN  =~ᑞ3nh.\~`=)|2d{ &2IOpח4EoTѼ=x"sb?!}yr=i LN: -4--} avZؾ3_vdxQ2Jgܖ^& ˜ qoKzt]_wMڅ=ۍcgc_ /yW٥?^;l* n+QǟuԯsJ= :u,l콃RPG.xiv*Nϖo]*}FC3$ڥ{؃3e\VZvO3P@;5إ}ꉿOO~z v%M?-[qowcdyo `1M;?nEtM}hLRSR^?|}ۢ#&1Axqީ+J!/Qa0S.toyPN &fOƒ٥VF_}{nM.U*='C#ظ v.ߊAzT&#^DY#MHO>훢U88Dz(.t˴ڱոۥOژ&#ǹ|ݣS2%=0?@VWݳ9d~ztsAtUDlGd_mvREEow`AL$Z6oI,JTTl7:]vU3DW +RG &aL槜=&]xCTy6'Ha9Q{ ǯmIƛK}kR à8)k2]s@Q9joHŽ~U!1Loyp([dD1.lw?XEvUTk  ч:p}w;!de4CpQ_lyoT4 ۥ&sRIUBXDޮ V%If){9S/DYK=s;l(kGt~ ^ j6S6SR'R׏_=*q>;}ˍ3<8Gmvi/d|=R/j<>+۵󛝳9΍oI>A=ų/|#;<;CbGG_y8{S :z= ,$ۣm82ǯn4߯G}?3X?r>W<ŨpGU.>ϗ8O ݢ|,{Sף|^=q< bwt(0ngrgU/+{KdŅYsobYdEYdEYdEYdEYdEhtwR5=9vwxb~Wʾ5dq۫WwJҹ !{f@+EqB=cZ;Rz}NQNX'wZk=@!j'xzi;v;'Dzߧwv@IjI.&Co+?Z{¹SΌd'9Oݶ>(TK3=#K]}Y0/F 4;Y+mh"Ƞ}~bW#DmFa/bio+ .)2T%c FI/0IV6^o쎐 &}23mnuh2ϞsKE Pn5^sh; qwfpQv9e!d=\1ù}*9j1VBzۏvD\F>9 >a*V( %OYMHVI~lo*,0Mqjw0 ,'t C^A1J,ږ"#`-_d=Э]kCZ㵡* 'n}ԩr 'nc( x C&cE ")ʅkqVT] PTRܯOQƔs&f~R£Ff\8^-sh 4avCh+nh⸒f,sQ, /c'8}5Gw-7qeP?fPX2BkO^%cõ/@'H$D"H$D"H|GIIxP7exR|3 iaf#ޜ %_kkIv LB ,l/v S\hgۛ-gPhxdI'-ŕ ߱<8ڎi[//?-ȥiBj~4Z | lHƙ{m<1KWn߁2Ìlj#"춂4B Ffl30s=w[);dE? ubD('^VtoFu D"& H endstream endobj 17 0 obj <>stream x&Nٱq BT 30 786 Td ET Q BT 1 0 0 1 30 684 Tm /F1 10 Tf 0 0 0 rg 0.06236 Tw 0.02494 Tc [(,Q)-6.24(WKH)-6.24(FUXGH)-6.24(PRGHO)-6.24(DOO)-6.24(YDULDEOHV)-6.24(ZHUH)-6.24(DVVRFLDWHG)-6.24(ZLWK)-6.24(GLDEHWHV)-6.24()]TJ 0 g 0 0 0 rg (SUH)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 672 Tm 0 0 0 rg 0.04457 Tw 0.01783 Tc [(YDOHQFH)-4.46(H[FHSW)-4.46(IRU)-4.46(VH[)-4.46(FXUUHQW)-4.46(VPRNLQJ)-4.46(VWDWXV)-4.46(DQG)-4.46(GDLO\\)-4.46(IUXLW)-4.46()]TJ 0 g 0 0 0 rg (FRQ)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 660 Tm 0 0 0 rg 0.22778 Tw 0.09111 Tc [(VXPSWLRQ)-22.78( )]TJ 0 g 0 0 0 rg [(7DEOH)-22.78()]TJ 0 g 0 0 0 rg [(\f)-22.78(&RPSDUHG)-22.78(ZLWK)-22.78(ZKLWHV)-22.78(-DSDQHVH)-22.78( 35)-22.78( )-22.78()]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 648 Tm 0 0 0 rg 0.20872 Tw 0.08349 Tc [(\b)-20.87(&,)-20.87(\f)-20.87(DQG)-20.87(\)LOLSLQR)-20.87( 35)-20.87( )-20.87()-20.87(\b)-20.87(&,)-20.87(\f)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 636 Tm 0 0 0 rg 0.02275 Tw 0.0091 Tc [(KDG)-2.28(WKH)-2.28(KLJKHVW)-2.28(FUXGH)-2.28(35V)-2.28(RI)-2.28(GLDEHWHV)-2.28(:KHQ)-2.28(DOO)-2.28(GHPRJUDSKLF)-2.28()]TJ 0 g 0 0 0 rg (YDUL)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 624 Tm 0 0 0 rg 0.08169 Tw 0.03268 Tc [(DEOHV)-8.17(ZHUH)-8.17(DGMXVWHG)-8.17(IRU)-8.17(WKH)-8.17(35)-8.17(IRU)-8.17(-DSDQHVH)-8.17(UHGXFHG)-8.17(WR)-8.17()-8.17( \b)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 612 Tm 0 0 0 rg 0.27674 Tw 0.1107 Tc [(&,)-27.67(\f)-27.67( PRGHO)-27.67(\f)-27.67(DQG)-27.67()-27.67( \b)-27.67(&,)-27.67(\f)-27.67(ZKHQ)-27.67(DOO)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 600 Tm 0 0 0 rg 0.00603 Tw 0.00241 Tc [(YDULDEOHV)-0.60331(ZHUH)-0.60331(DGMXVWHG)-0.60331(IRU)-0.60331( PRGHO)-0.60331(\f)-0.60331(7KH)-0.60331(35)-0.60331(IRU)-0.60331(1+23,)-0.60331(FKDQJHG)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 588 Tm 0 0 0 rg 0.34371 Tw 0.13749 Tc [(IURP)-34.37()-34.37( \b)-34.37(&,)-34.37(\f)-34.37(LQ)-34.37(WKH)-34.37(FUXGH)-34.37(PRGHO)-34.37(WR)-34.37()-34.37( \b)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 576 Tm 0 0 0 rg 0.1338 Tw 0.05352 Tc [(&,)-13.38(\f)-13.38(LQ)-13.38(PRGHO)-13.38()-13.38(DQG)-13.38()-13.38( \b)-13.38(&,)-13.38(\f)-13.38(LQ)-13.38(PRGHO)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 564 Tm 0 0 0 rg 0.28844 Tw 0.11538 Tc [()-28.84(0DULWDO)-28.84(VWDWXV)-28.84(HGXFDWLRQ)-28.84(DQG)-28.84(KHDOWK)-28.84(LQVXUDQFH)-28.84(ZHUH)-28.84(QR)-28.84(ORQJHU)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 552 Tm 0 0 0 rg 0.0718 Tw 0.02872 Tc [(VLJQLILFDQW)-7.18(DIWHU)-7.18(DGMXVWLQJ)-7.18(IRU)-7.18(RWKHU)-7.18(GHPRJUDSKLFV)-7.18( PRGHO)-7.18(\f)-7.18($IWHU)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 540 Tm 0 0 0 rg 0.43294 Tw 0.17318 Tc [(DGMXVWLQJ)-43.29(IRU)-43.29(DOO)-43.29(YDULDEOHV)-43.29( PRGHO)-43.29(\f)-43.29(UDFHHWKQLFLW\\)-43.29(DJH)-43.29()]TJ 0 g 0 0 0 rg (KRXVH)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 528 Tm 0 0 0 rg 0.29668 Tw 0.11867 Tc [(KROG)-29.67(LQFRPH)-29.67(DQG)-29.67(REHVLW\\)-29.67(ZHUH)-29.67(VWURQJO\\)-29.67(DVVRFLDWHG)-29.67(ZLWK)-29.67(GLDEHWHV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 516 Tm 0 0 0 rg 0.22824 Tw 0.09129 Tc [(3K\\VLFDO)-22.82(DFWLYLW\\)-22.82(DQG)-22.82(KHDY\\)-22.82(GULQNLQJ)-22.82(ZHUH)-22.82(VLJQLILFDQW)-22.82(IRU)-22.82()]TJ 0 g 0 0 0 rg (SURWHFW)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 504 Tm 0 0 0 rg (LYHIDFWRUV)Tj 0 g ET BT 1 0 0 1 30 484 Tm /F1 10 Tf 0 0 0 rg 0.26831 Tw 0.10733 Tc [(7R)-26.83(LOOXVWUDWH)-26.83(YDULDELOLW\\)-26.83(E\\)-26.83(DJH)-26.83(DQG)-26.83(UDFHHWKQLFLW\\)-26.83(ZH)-26.83(JUDSKLFDOO\\)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 472 Tm 0 0 0 rg 0.31125 Tw 0.1245 Tc [(SUHVHQWHG)-31.12(GLDEHWHV)-31.12(SUHYDOHQFH)-31.12(DQG)-31.12(\b)-31.12(&,V)-31.12( )]TJ 0 g 0 0 0 rg (\)LJXUH)Tj 0 g 0 0 0 rg [(\f)-31.12(IURP)-31.12(PRGHO)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 460 Tm 0 0 0 rg 0.29278 Tw 0.11711 Tc [()-29.28(UHVXOWV)-29.28(RI)-29.28(ZKLFK)-29.28(DUH)-29.28(DYDLODEOH)-29.28(IURP)-29.28(WKH)-29.28(DXWKRUV)-29.28('LIIHUHQFHV)-29.28(LQ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 448 Tm 0 0 0 rg 0.2193 Tw 0.08772 Tc [(GLDEHWHV)-21.93(SUHYDOHQFH)-21.93(DSSHDUHG)-21.93(E\\)-21.93(DJH)-21.93()-21.93(\)RU)-21.93(LQVWDQFH)-21.93(ZKLWHV)-21.93(KDG)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 436 Tm 0 0 0 rg 0.21676 Tw 0.0867 Tc [(VLJQLILFDQWO\\)-21.68(ORZHU)-21.68(GLDEHWHV)-21.68(SUHYDOHQFH)-21.68(IURP)-21.68(DJH)-21.68()-21.68(RU)-21.68(ROGHU)-21.68(WKDQ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 424 Tm 0 0 0 rg 0.35576 Tw 0.1423 Tc [(\)LOLSLQRV)-35.58(DQG)-35.58(1+23,V)-35.58( )]TJ 0 g 1 0 0.21256 1 129.43 424 Tm 0 0 0 rg (3)Tj 0 g 1 0 0 1 135.13 424 Tm 0 0 0 rg [-35.58()-35.58(\f)-35.58(&RPSDUHG)-35.58(ZLWK)-35.58(-DSDQHVH)-35.58()]TJ 0 g 0 0 0 rg (SDUWL)Tj 0 g 0 Tw 0 Tc -105.13 0 Td 1 0 0 1 30 412 Tm 0 0 0 rg 0.59403 Tw 0.23761 Tc [(FLSDQWV)-59.4(ZKLWHV)-59.4(KDG)-59.4(VLJQLILFDQWO\\)-59.4(ORZHU)-59.4(GLDEHWHV)-59.4(SUHYDOHQFH)-59.4(IRU)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 400 Tm 0 0 0 rg 0.06782 Tw 0.02713 Tc [(DJHV)-6.78()-6.78(WR)-6.78()-6.78( )]TJ 0 g 1 0 0.21256 1 89.53 400 Tm 0 0 0 rg (3)Tj 0 g 1 0 0 1 95.12 400 Tm 0 0 0 rg [-6.78()-6.78(\f)-6.78(1+23,V)-6.78(DQG)-6.78(\)LOLSLQRV)-6.78(KDG)-6.78(KLJKHU)-6.78(GLDEHWHV)]TJ 0 g 0 Tw 0 Tc -65.12 0 Td 1 0 0 1 30 388 Tm 0 0 0 rg 0.20287 Tw 0.08115 Tc [(SUHYDOHQFH)-20.29(WKDQ)-20.29(-DSDQHVH)-20.29(SDUWLFLSDQWV)-20.29(\)RU)-20.29(H[DPSOH)-20.29(1+23,V)-20.29(KDG)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 376 Tm 0 0 0 rg 0.48066 Tw 0.19227 Tc [(D)-48.07(VLJQLILFDQWO\\)-48.07(KLJKHU)-48.07(GLDEHWHV)-48.07(SUHYDOHQFH)-48.07(DW)-48.07(DJHV)-48.07()-48.07(WR)-48.07()-48.07( )]TJ 0 g 1 0 0.21256 1 283.44 376 Tm 0 0 0 rg (3)Tj 0 g 1 0 0 1 289.2 376 Tm 0 0 0 rg [-48.07( )]TJ 0 g 0 Tw 0 Tc -259.2 0 Td 1 0 0 1 30 364 Tm 0 0 0 rg 0.40149 Tw 0.16059 Tc [(\f)-40.15(+RZHYHU)-40.15(1+23,V)-40.15(DJHG)-40.15()-40.15(WR)-40.15()-40.15(KDG)-40.15(KLJKHU)-40.15(SUHYDOHQFH)-40.15(LQ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 352 Tm 0 0 0 rg 0.14856 Tw 0.05943 Tc [(GLDEHWHV)-14.86(WKDQ)-14.86(-DSDQHVH)-14.86(SDUWLFLSDQWV)-14.86( )]TJ 0 g 1 0 0.21256 1 178.13 352 Tm 0 0 0 rg (3)Tj 0 g 1 0 0 1 183.75 352 Tm 0 0 0 rg [-14.86( )-14.86(\f)-14.86($GGLWLRQDOO\\)-14.86()]TJ 0 g 0 0 0 rg (\)LOLSL)Tj 0 g 0 Tw 0 Tc -153.75 0 Td 1 0 0 1 30 340 Tm 0 0 0 rg 0.4997 Tw 0.19988 Tc [(QRV)-49.97(DJHG)-49.97()-49.97(DQG)-49.97(ROGHU)-49.97(KDG)-49.97(VLJQLILFDQWO\\)-49.97(KLJKHU)-49.97(GLDEHWHV)-49.97()]TJ 0 g 0 0 0 rg (SUHYDO)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 328 Tm 0 0 0 rg 0.39239 Tw 0.15696 Tc [(HQFH)-39.24(WKDQ)-39.24(-DSDQHVH)-39.24(SDUWLFLSDQWV)-39.24( )-39.24(\\)-39.24()]TJ 0 g 1 0 0.21256 1 207.36 328 Tm 0 0 0 rg (3)Tj 0 g 1 0 0 1 213.07 328 Tm 0 0 0 rg [-39.24( )-39.24()-39.24()-39.24(\\)-39.24()]TJ 0 g 1 0 0.21256 1 283.6 328 Tm 0 0 0 rg (3)Tj 0 g 1 0 0 1 289.32 328 Tm 0 0 0 rg [-39.24( )]TJ 0 g 0 Tw 0 Tc -259.32 0 Td 1 0 0 1 30 316 Tm 0 0 0 rg ()Tj 0 g 1 0 0.21256 1 73.25 316 Tm 0 0 0 rg (3)Tj 0 g 1 0 0 1 78.81 316 Tm 0 0 0 rg ( \f)Tj 0 g -48.81 0 Td ET BT 1 0 0 1 30 296 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 30 276 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 30 256 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 30 236 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET q Q q 2 J 0 G Q q 264 0 0 145.02 318 548.98 cm /img1 Do Q BT 1 0 0 1 318 534.98 Tm /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg 0.42282 Tw 0.16913 Tc (\)LJXUH)Tj 0 g 0 Tr 0 G 1 w 0 0 0 rg [()-52.85(,QWHUDFWLRQ)-52.85(EHWZHHQ)-52.85(DJH)-52.85(DQG)-52.85(UDFHHWKQLFLW\\)-52.85(LQ)-52.85(GLDEHWHV)-52.85(SUHYDOHQFH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 318 525.98 Tm 0 0 0 rg 0.16848 Tw 0.06739 Tc [(DPRQJ)-21.06(1DWLYH)-21.06(+DZDLLDQ2WKHU)-21.06(3DFLILF)-21.06(,VODQGHUV)-21.06(DQG)-21.06($VLDQ)-21.06(VXESRSXODWLRQV)-21.06( 1)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 318 516.98 Tm 0 0 0 rg 0.13374 Tw 0.0535 Tc [( )-16.72(\f)-16.72(FDOFXODWHG)-16.72(DV)-16.72(FUXGH)-16.72(DQG)-16.72(PXOWLYDULDWH)-16.72(SUHYDOHQFH)-16.72(UDWLRV)-16.72(\(VWLPDWHV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 318 507.98 Tm 0 0 0 rg 1.19 Tw 0.47625 Tc [(DUH)-148.83(IURP)-148.83(ZHLJKWHG)-148.83(3RLVVRQ)-148.83(UHJUHVVLRQ)-148.83(DQDO\\VHV)-148.83( DJHUDFHHWKQLFLW\\)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 318 498.98 Tm 0 0 0 rg 1.02 Tw 0.40782 Tc [(LQWHUDFWLRQ)-127.44(HIIHFW)-127.44()]TJ 0 g 1 0 0.21256 1 389.6 498.98 Tm 0 0 0 rg (3)Tj 0 g 1 0 0 1 394.48 498.98 Tm 0 0 0 rg [-127.44()-127.44(\f)-127.44(1RQRYHUODSSLQJ)-127.44(&,V)-127.44(LQGLFDWH)-127.44(VLJQLILFDQW)]TJ 0 g 0 Tw 0 Tc -76.48 0 Td 1 0 0 1 318 489.98 Tm 0 0 0 rg 0.15655 Tw 0.06262 Tc [(GLIIHUHQFHV)-19.57(DW)-19.57()-19.57(6RXUFH)-19.57(+DZDLL)-19.57(%HKDYLRUDO)-19.57(5LVN)-19.57(\)DFWRU)-19.57(6XUYHLOODQFH)-19.57(6\\VWHP)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 318 480.98 Tm 0 0 0 rg 0.37923 Tw 0.15169 Tc [()-47.4()-47.4()-47.4( )]TJ 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg [(\f)-47.4($EEUHYLDWLRQV)-47.4(1+23,)-47.4(1DWLYH)-47.4(+DZDLLDQ)-47.4(DQG)-47.4(2WKHU)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 318 471.98 Tm 0 0 0 rg (3DFLILF,VODQGHU)Tj 0 g ET q BT 1 0 0 1 318 534.98 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET Q q 1 w 0.50196 0.50196 0.50196 RG 316 467.98 m 584 467.98 l S Q BT 1 0 0 1 316 451.98 Tm /F2 12 Tf ()Tj ET BT 1 0 0 1 316 439.98 Tm /F1 10 Tf 0 0 0 rg 0.31067 Tw 0.12427 Tc [(:H)-31.07(VDZ)-31.07(PLQLPDO)-31.07(FKDQJHV)-31.07(LQ)-31.07(35V)-31.07(EHWZHHQ)-31.07(PRGHOV)-31.07()-31.07(DQG)-31.07()-31.07(IRU)-31.07(DOO)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 427.98 Tm 0 0 0 rg 0.36939 Tw 0.14776 Tc [(RWKHU)-36.94(LQGHSHQGHQW)-36.94(YDULDEOHV)-36.94(:H)-36.94(FDOFXODWHG)-36.94(35V)-36.94(DQG)-36.94(\b)-36.94(&,V)-36.94(RI)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 415.98 Tm 0 0 0 rg 0.45488 Tw 0.18195 Tc [(GLDEHWHV)-45.49(E\\)-45.49(ULVN)-45.49(IDFWRUV)-45.49(FDOFXODWHG)-45.49(IURP)-45.49(PRGHO)-45.49()-45.49( )]TJ 0 g 0 0 0 rg [(7DEOH)-45.49()]TJ 0 g 0 0 0 rg [(\f)-45.49(7KH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 403.98 Tm 0 0 0 rg 0.09649 Tw 0.0386 Tc [(35V)-9.65(RI)-9.65(GLDEHWHV)-9.65(GHFUHDVHG)-9.65(DV)-9.65(KRXVHKROG)-9.65(LQFRPH)-9.65(LQFUHDVHG)-9.65(\)RU)-9.65()]TJ 0 g 0 0 0 rg (H[)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 391.98 Tm 0 0 0 rg 0.0152 Tw 0.00608 Tc [(DPSOH)-1.52(WKH)-1.52(35)-1.52(RI)-1.52(GLDEHWHV)-1.52(DPRQJ)-1.52(SDUWLFLSDQWV)-1.52(ZKRVH)-1.52(DQQXDO)-1.52()]TJ 0 g 0 0 0 rg (KRXVH)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 379.98 Tm 0 0 0 rg 0.22429 Tw 0.08972 Tc [(KROG)-22.43(LQFRPH)-22.43(ZDV)-22.43(JUHDWHU)-22.43(WKDQ)-22.43(RU)-22.43(HTXDO)-22.43(WR)-22.43()-22.43(ZDV)-22.43()-22.43( \b)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 367.98 Tm 0 0 0 rg 0.16065 Tw 0.06426 Tc [(&,)-16.06(\f)-16.06(FRPSDUHG)-16.06(ZLWK)-16.06(WKRVH)-16.06(ZLWK)-16.06(DQ)-16.06(DQQXDO)-16.06(KRXVHKROG)-16.06()]TJ 0 g 0 0 0 rg (LQ)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 355.98 Tm 0 0 0 rg 0.36919 Tw 0.14767 Tc [(FRPH)-36.92(RI)-36.92(OHVV)-36.92(WKDQ)-36.92()-36.92(3DUWLFLSDQWV)-36.92(ZKR)-36.92(ZHUH)-36.92(REHVH)-36.92(KDG)-36.92(WKH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 343.98 Tm 0 0 0 rg 0.37485 Tw 0.14994 Tc [(KLJKHVW)-37.48(GLDEHWHV)-37.48(35)-37.48(DW)-37.48()-37.48( \b)-37.48(&,)-37.48(\f)-37.48(FRPSDUHG)-37.48(ZLWK)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 331.98 Tm 0 0 0 rg 0.34506 Tw 0.13802 Tc [(WKRVH)-34.51(ZKR)-34.51(ZHUH)-34.51(QRW)-34.51(REHVH)-34.51(3DUWLFLSDQWV)-34.51(ZKR)-34.51(GUDQN)-34.51(KHDYLO\\)-34.51(KDG)-34.51(D)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 319.98 Tm 0 0 0 rg 0.27559 Tw 0.11024 Tc [(ORZHU)-27.56(35)-27.56(RI)-27.56()-27.56( \b)-27.56(&,)-27.56(\f)-27.56(FRPSDUHG)-27.56(ZLWK)-27.56(WKRVH)-27.56(ZKR)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 307.98 Tm 0 0 0 rg 0.50994 Tw 0.20398 Tc [(GLG)-50.99(QRW)-50.99(3DUWLFLSDQWV)-50.99(ZKR)-50.99(SDUWLFLSDWHG)-50.99(LQ)-50.99(PRUH)-50.99(SK\\VLFDO)-50.99(DFWLYLW\\)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 295.98 Tm 0 0 0 rg 0.59912 Tw 0.23965 Tc [(DOVR)-59.91(KDG)-59.91(D)-59.91(ORZHU)-59.91(GLDEHWHV)-59.91(35)-59.91(DQG)-59.91(WKRVH)-59.91(ZKR)-59.91(H[FHHGHG)-59.91(WKH)-59.91(86)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 283.98 Tm 0 0 0 rg 0.23163 Tw 0.09265 Tc [(SK\\VLFDO)-23.16(DFWLYLW\\)-23.16(JXLGHOLQHV)-23.16(ZHUH)-23.16()-23.16( \b)-23.16(&,)-23.16(\f)-23.16(WLPHV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 271.98 Tm 0 0 0 rg 0.06194 Tw 0.02478 Tc [(DV)-6.19(OLNHO\\)-6.19(WR)-6.19(KDYH)-6.19(GLDEHWHV)-6.19(FRPSDUHG)-6.19(ZLWK)-6.19(WKRVH)-6.19(ZKR)-6.19(SDUWLFLSDWHG)-6.19(LQ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 259.98 Tm 0 0 0 rg (QRSK\\VLFDODFWLYLW\\)Tj 0 g ET BT 1 0 0 1 316 235.98 Tm /F1 16 Tf 0 0 0 rg ('LVFXVVLRQ)Tj 0 g ET BT 1 0 0 1 316 213.98 Tm /F1 10 Tf 0 0 0 rg 0.26327 Tw 0.10531 Tc [(:H)-26.33(IRXQG)-26.33(WKDW)-26.33(1+23,)-26.33(\)LOLSLQR)-26.33(-DSDQHVH)-26.33(DQG)-26.33(&KLQHVH)-26.33(UHVLGHQWV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 201.98 Tm 0 0 0 rg 0.3652 Tw 0.14608 Tc [(RI)-36.52(+DZDLL)-36.52(DOO)-36.52(KDYH)-36.52(VLJQLILFDQWO\\)-36.52(KLJKHU)-36.52(GLDEHWHV)-36.52(35V)-36.52(WKDQ)-36.52(ZKLWH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 189.98 Tm 0 0 0 rg 0.15121 Tw 0.06048 Tc [(UHVLGHQWV)-15.12(7KHVH)-15.12(GLVSDULWLHV)-15.12(UHPDLQ)-15.12(DIWHU)-15.12(DGMXVWLQJ)-15.12(IRU)-15.12()]TJ 0 g 0 0 0 rg (GHPRJUDSK)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 177.98 Tm 0 0 0 rg 0.13599 Tw 0.0544 Tc [(LFV)-13.6(DQG)-13.6(GLDEHWHV)-13.6(ULVN)-13.6(IDFWRUV)-13.6(\)XUWKHUPRUH)-13.6(ZH)-13.6(IRXQG)-13.6(WKDW)-13.6(WKH)-13.6()]TJ 0 g 0 0 0 rg (DVVR)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 165.98 Tm 0 0 0 rg 0.51799 Tw 0.20719 Tc [(FLDWLRQ)-51.8(EHWZHHQ)-51.8(DJH)-51.8(DQG)-51.8(GLDEHWHV)-51.8(YDULHG)-51.8(E\\)-51.8(UDFHHWKQLFLW\\)-51.8(ZLWK)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 153.98 Tm 0 0 0 rg 0.86678 Tw 0.34671 Tc [(GLDEHWHV)-86.68(SUHYDOHQFH)-86.68(LQFUHDVLQJ)-86.68(PRUH)-86.68(UDSLGO\\)-86.68(ZLWK)-86.68(DJH)-86.68(DPRQJ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 141.98 Tm 0 0 0 rg 0.18384 Tw 0.07354 Tc [(1+23,)-18.38(\)LOLSLQR)-18.38(DQG)-18.38(-DSDQHVH)-18.38(UHVLGHQWV)-18.38(WKDQ)-18.38(DPRQJ)-18.38(ZKLWH)-18.38()]TJ 0 g 0 0 0 rg (UHVLG)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 129.98 Tm 0 0 0 rg 0.12328 Tw 0.04931 Tc [(HQWV)-12.33(7R)-12.33(RXU)-12.33(NQRZOHGJH)-12.33(WKLV)-12.33(LV)-12.33(WKH)-12.33(ILUVW)-12.33(VWXG\\)-12.33(WR)-12.33(H[DPLQH)-12.33()]TJ 0 g 0 0 0 rg (UHODWLRQ)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 117.98 Tm 0 0 0 rg 0.29437 Tw 0.11775 Tc [(VKLSV)-29.44(EHWZHHQ)-29.44(DJH)-29.44(DQG)-29.44(UDFHHWKQLFLW\\)-29.44(IRU)-29.44(GLDEHWHV)-29.44(DPRQJ)-29.44(1+23,)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 105.98 Tm 0 0 0 rg 0.41532 Tw 0.16613 Tc [(DQG)-41.53($VLDQ)-41.53(VXESRSXODWLRQV)-41.53(2XU)-41.53(UHVXOWV)-41.53(LOOXVWUDWH)-41.53(WKH)-41.53(QHHG)-41.53(IRU)-41.53()]TJ 0 g 0 0 0 rg (UH)Tj 0 g 0 Tw 0 Tc ET q BT 1 0 0 1 30 735 Tm /F7 22 Tf 0.15294 0.35686 0.17255 rg (PREVENTING CHRONIC DISEASE)Tj 0 g ET Q q BT 1 0 0 1 502.52 735 Tm /F2 10 Tf (VOLUME 16, E22)Tj ET Q 0.83529 0.86275 0.81961 RG 1.6 w 30 732 m 368 732 l S q BT 1 0 0 1 30 718 Tm /F2 13 Tf 0.15294 0.35686 0.17255 rg (PUBLIC HEALTH RESEARCH, PRACTICE, AND POLICY)Tj 0 g ET Q q BT 1 0 0 1 496.97 718 Tm /F2 10 Tf ( FEBRUARY 2019)Tj ET Q 0.15294 0.35686 0.17255 RG 3 w 30 708 m 582 708 l S 0.50196 0.50196 0.50196 RG 1 w 30 80 m 582 80 l S q BT 1 0 0 1 30.52 70 Tm /F2 8 Tf 0.50196 0.50196 0.50196 rg (The opinions expressed by authors contributing to this journal do not necessarily reflect the opinions of the U.S. Department of Health and Human Services,)Tj 0 g ET Q q BT 1 0 0 1 110.12 58 Tm /F2 8 Tf 0.50196 0.50196 0.50196 rg (the Public Health Service, the Centers for Disease Control and Prevention, or the authors affiliated institutions.)Tj 0 g ET Q 0.50196 0.50196 0.50196 RG 1 w 30 53 m 582 53 l S q BT 1 0 0 1 30 41 Tm /F2 9 Tf (4 Centers for Disease Control and Prevention www.cdc.gov/pcd/issues/2019/18_0187.htm)Tj ET Q :- endstream endobj 18 0 obj <>/XObject<>>>/ArtBox[30 100 584 764]/Contents 17 0 R/Parent 9 0 R>> endobj 19 0 obj <>stream xZq BT 30 786 Td ET Q BT 1 0 0 1 30 684 Tm /F1 10 Tf 0 0 0 rg 0.46958 Tw 0.18783 Tc [(VHDUFKHUV)-46.96(WR)-46.96(GLVDJJUHJDWH)-46.96(DQG)-46.96(IXUWKHU)-46.96(GHILQH)-46.96(WHUPV)-46.96(OLNH)-46.96(HWKQLF)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 672 Tm 0 0 0 rg 0.18631 Tw 0.07452 Tc [(DQG)-18.63(PLQRULW\\)-18.63(LQ)-18.63(GLVFXVVLQJ)-18.63(SRSXODWLRQV)-18.63(2XU)-18.63(ILQGLQJV)-18.63(DOVR)-18.63()]TJ 0 g 0 0 0 rg (KLJK)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 660 Tm 0 0 0 rg 0.4625 Tw 0.185 Tc [(OLJKW)-46.25(WKH)-46.25(ODUJH)-46.25(EXUGHQ)-46.25(RI)-46.25(GLDEHWHV)-46.25(DQG)-46.25(LWV)-46.25(DVVRFLDWHG)-46.25(ULVN)-46.25(IDFWRUV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 648 Tm 0 0 0 rg (DPRQJ1+23,DQG$VLDQUHVLGHQWVRI+DZDLL)Tj 0 g ET BT 1 0 0 1 30 628 Tm /F1 10 Tf 0 0 0 rg 0.02944 Tw 0.01178 Tc [(2XU)-2.94(ILQGLQJV)-2.94(DIILUP)-2.94(WKH)-2.94(LPSRUWDQFH)-2.94(RI)-2.94(LQFOXGLQJ)-2.94(DJH)-2.94(LQ)-2.94(DQDO\\VHV)-2.94(E\\)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 616 Tm 0 0 0 rg 0.01864 Tw 0.00746 Tc [(UDFHHWKQLFLW\\)-1.86(EHFDXVH)-1.86(GLIIHUHQW)-1.86(UDFLDOHWKQLF)-1.86(JURXSV)-1.86(PD\\)-1.86(KDYH)-1.86()]TJ 0 g 0 0 0 rg (GLI)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 604 Tm 0 0 0 rg 0.1397 Tw 0.05588 Tc [(IHUHQW)-13.97(DJH)-13.97(GLVWULEXWLRQV)-13.97(:KHQ)-13.97(RQO\\)-13.97(UDFHHWKQLFLW\\)-13.97(ZDV)-13.97(FRQVLGHUHG)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 592 Tm 0 0 0 rg 0.01413 Tw 0.00565 Tc [(\)LOLSLQRV)-1.41(KDG)-1.41(WKH)-1.41(JUHDWHVW)-1.41(35V)-1.41(RI)-1.41(GLDEHWHV)-1.41(DIWHU)-1.41(DGMXVWLQJ)-1.41(IRU)-1.41()]TJ 0 g 0 0 0 rg (GHPR)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 580 Tm 0 0 0 rg 0.17159 Tw 0.06864 Tc [(JUDSKLFV)-17.16( PRGHO)-17.16(\f)-17.16(DQG)-17.16(DOO)-17.16(ULVN)-17.16(IDFWRUV)-17.16( PRGHO)-17.16(\f)-17.16(+RZHYHU)-17.16(ZKHQ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 568 Tm 0 0 0 rg 0.40173 Tw 0.16069 Tc [(DJH)-40.17(ZDV)-40.17(LQFOXGHG)-40.17(LQ)-40.17(WKH)-40.17(DQDO\\VHV)-40.17(E\\)-40.17(UDFHHWKQLFLW\\)-40.17(YDULDWLRQV)-40.17(LQ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 556 Tm 0 0 0 rg 0.00693 Tw 0.00277 Tc [(GLDEHWHV)-0.69287(SUHYDOHQFH)-0.69287(ZHUH)-0.69287(IRXQG)-0.69287(1+23,)-0.69287(DQG)-0.69287(\)LOLSLQR)-0.69287(UHVLGHQWV)-0.69287(KDG)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 544 Tm 0 0 0 rg 0.55271 Tw 0.22108 Tc [(VLJQLILFDQWO\\)-55.27(KLJKHU)-55.27(GLDEHWHV)-55.27(SUHYDOHQFH)-55.27(VWDUWLQJ)-55.27(DW)-55.27(DJH)-55.27()-55.27(WKDQ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 532 Tm 0 0 0 rg 0.36982 Tw 0.14793 Tc [(ZKLWH)-36.98(UHVLGHQWV)-36.98(RI)-36.98(WKH)-36.98(VWDWH)-36.98(\)XUWKHUPRUH)-36.98(1+23,V)-36.98(DQG)-36.98(\)LOLSLQRV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 520 Tm 0 0 0 rg 0.2819 Tw 0.11276 Tc [(KDG)-28.19(VLJQLILFDQWO\\)-28.19(KLJKHU)-28.19(GLDEHWHV)-28.19(SUHYDOHQFH)-28.19(WKDQ)-28.19(-DSDQHVH)-28.19()]TJ 0 g 0 0 0 rg (UHVLG)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 508 Tm 0 0 0 rg (HQWVLQVSHFLILFDJHJURXSV)Tj 0 g ET BT 1 0 0 1 30 488 Tm /F1 10 Tf 0 0 0 rg 0.38283 Tw 0.15313 Tc [(2XU)-38.28(UHVXOWV)-38.28(DUH)-38.28(FRQVLVWHQW)-38.28(ZLWK)-38.28(SUHGRPLQDQW)-38.28(ILQGLQJV)-38.28(WKDW)-38.28(KLJKHU)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 476 Tm 0 0 0 rg 0.50274 Tw 0.2011 Tc [(GLDEHWHV)-50.27(ULVN)-50.27(LV)-50.27(DVVRFLDWHG)-50.27(ZLWK)-50.27(ORZ)-50.27(KRXVHKROG)-50.27(LQFRPH)-50.27(REHVLW\\)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 464 Tm 0 0 0 rg 0.35954 Tw 0.14381 Tc [(DQG)-35.95(ODFN)-35.95(RI)-35.95(SK\\VLFDO)-35.95(DFWLYLW\\)-35.95( )]TJ 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg [(\f)-35.95($GXOWV)-35.95(ZLWK)-35.95(JUHDWHU)-35.95()]TJ 0 g 0 0 0 rg (KRXVH)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 452 Tm 0 0 0 rg 0.26536 Tw 0.10615 Tc [(KROG)-26.54(LQFRPH)-26.54(ZKR)-26.54(ZHUH)-26.54(QRW)-26.54(REHVH)-26.54(DQG)-26.54(ZKR)-26.54(H[FHHGHG)-26.54(86)-26.54(SK\\VLFDO)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 440 Tm 0 0 0 rg 0.61768 Tw 0.24707 Tc [(DFWLYLW\\)-61.77(JXLGHOLQHV)-61.77(ZHUH)-61.77(OHVV)-61.77(OLNHO\\)-61.77(WR)-61.77(KDYH)-61.77(GLDEHWHV)-61.77($OWKRXJK)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 428 Tm 0 0 0 rg 0.60617 Tw 0.24247 Tc [(PDULWDO)-60.62(VWDWXV)-60.62(HGXFDWLRQDO)-60.62(DWWDLQPHQW)-60.62(KHDOWK)-60.62(FRYHUDJH)-60.62(IRUPHU)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 416 Tm 0 0 0 rg 0.489 Tw 0.1956 Tc [(VPRNLQJ)-48.9(DQG)-48.9(YHJHWDEOH)-48.9(FRQVXPSWLRQ)-48.9(ZHUH)-48.9(VLJQLILFDQWO\\)-48.9()]TJ 0 g 0 0 0 rg (DVVRFL)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 404 Tm 0 0 0 rg 0.1257 Tw 0.05028 Tc [(DWHG)-12.57(ZLWK)-12.57(GLDEHWHV)-12.57(SUHYDOHQFH)-12.57(LQ)-12.57(WKH)-12.57(ELYDULDWH)-12.57(DQDO\\VLV)-12.57(WKHVH)-12.57()]TJ 0 g 0 0 0 rg (DVVR)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 392 Tm 0 0 0 rg 0.13277 Tw 0.05311 Tc [(FLDWLRQV)-13.28(ZHUH)-13.28(QR)-13.28(ORQJHU)-13.28(VLJQLILFDQW)-13.28(DIWHU)-13.28(DGMXVWLQJ)-13.28(IRU)-13.28(RWKHU)-13.28()]TJ 0 g 0 0 0 rg (GHPR)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 380 Tm 0 0 0 rg (JUDSKLFV PRGHO\fDQGULVNIDFWRUV PRGHO\f)Tj 0 g ET BT 1 0 0 1 30 360 Tm /F1 10 Tf 0 0 0 rg 0.07193 Tw 0.02877 Tc [(6WUHQJWKV)-7.19(RI)-7.19(WKLV)-7.19(VWXG\\)-7.19(DUH)-7.19(LWV)-7.19(IRFXV)-7.19(RQ)-7.19(+DZDLL)-7.19(ZKLFK)-7.19(DOORZHG)-7.19(IRU)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 348 Tm 0 0 0 rg 0.28802 Tw 0.11521 Tc [(REWDLQLQJ)-28.8(D)-28.8(UREXVW)-28.8(VDPSOH)-28.8(RI)-28.8(1+23,)-28.8(SDUWLFLSDQWV)-28.8(DQG)-28.8($VLDQ)-28.8()]TJ 0 g 0 0 0 rg (VXE)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 336 Tm 0 0 0 rg 0.27921 Tw 0.11168 Tc [(JURXSV)-27.92(DQG)-27.92(IRU)-27.92(WKH)-27.92(H[DPLQDWLRQ)-27.92(RI)-27.92(GLDEHWHV)-27.92(DQG)-27.92(RWKHU)-27.92(ULVN)-27.92(IDFWRUV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 324 Tm 0 0 0 rg 0.10275 Tw 0.0411 Tc [(DFURVV)-10.27($VLDQ)-10.27(VXEJURXSV)-10.27(,Q)-10.27(DGGLWLRQ)-10.27(WKLV)-10.27(VWXG\\)-10.27(IRFXVHG)-10.27(RQ)-10.27(WKH)-10.27()]TJ 0 g 0 0 0 rg (GLI)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 312 Tm 0 0 0 rg (IHUHQFHVLQGLDEHWHVSUHYDOHQFHE\\DJHDQGUDFHHWKQLFLW\\)Tj 0 g ET BT 1 0 0 1 30 292 Tm /F1 10 Tf 0 0 0 rg 0.0613 Tw 0.02452 Tc [(7KH)-6.13(VWXG\\)-6.13(KDV)-6.13(OLPLWDWLRQV)-6.13(\)LUVW)-6.13(%5\)66)-6.13(GDWD)-6.13(DUH)]TJ 0 g 0 0 0 rg [-6.13(VHOIUHSRUWHG)]TJ 0 g 0 0 0 rg [-6.13(DQG)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 280 Tm 0 0 0 rg 0.03983 Tw 0.01593 Tc [(SDUWLFLSDQWV)-3.98(PD\\)-3.98(QRW)-3.98(UHSRUW)-3.98(DFFXUDWH)-3.98(PHDVXUHV)-3.98( LH)-3.98(GDWD)-3.98(FDQ)-3.98(EH)-3.98(RYHU)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 268 Tm 0 0 0 rg 0.9539 Tw 0.38156 Tc [(UHSUHVHQWHG)-95.39(RU)-95.39(XQGHUUHSUHVHQWHG\f)-95.39(6HFRQG)-95.39(FROODSVLQJ)-95.39(1DWLYH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 256 Tm 0 0 0 rg 0.26813 Tw 0.10725 Tc [(+DZDLLDQV)-26.81(DQG)-26.81(2WKHU)-26.81(3DFLILF)-26.81(,VODQGHUV)-26.81(LQWR)-26.81(WKH)-26.81(RQH)-26.81(FDWHJRU\\)-26.81()]TJ 0 g 0 0 0 rg (OLP)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 244 Tm 0 0 0 rg 0.56775 Tw 0.2271 Tc [(LWHG)-56.78(RXU)-56.78(DELOLW\\)-56.78(WR)-56.78(FRPSDUH)-56.78(WKHP)-56.78(ZLWK)-56.78(VHSDUDWH)-56.78(3DFLILF)-56.78(,VODQGHU)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 232 Tm 0 0 0 rg 0.34472 Tw 0.13789 Tc [(UDFHVHWKQLFLWLHV)-34.47(VXFK)-34.47(DV)-34.47(6DPRDQV)-34.47(RU)-34.47(7RQJDQV)-34.47(7KLUG)-34.47()]TJ 0 g 0 0 0 rg (FDWHJRUL])Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 220 Tm 0 0 0 rg 0.33539 Tw 0.13416 Tc [(LQJ)-33.54(HDFK)-33.54(DGXOW)-33.54(LQWR)-33.54(D)-33.54(VLQJOH)-33.54(HWKQLF)-33.54(JURXS)-33.54(LV)-33.54(SUREOHPDWLF)-33.54(EHFDXVH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 208 Tm 0 0 0 rg 0.27714 Tw 0.11086 Tc [(+DZDLL)-27.71(KDV)-27.71(WKH)-27.71(KLJKHVW)-27.71(SURSRUWLRQ)-27.71(RI)-27.71(PXOWLUDFLDO)-27.71(UHVLGHQWV)-27.71(LQ)-27.71(WKH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 196 Tm 0 0 0 rg 0.2483 Tw 0.09932 Tc [(8QLWHG)-24.83(6WDWHV)-24.83( )]TJ 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg [(\f)-24.83(\)RXUWK)-24.83(WKLV)-24.83(VWXG\\)-24.83(GLG)-24.83(QRW)-24.83(KDYH)-24.83(HQRXJK)-24.83(SRZHU)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 184 Tm 0 0 0 rg 0.28441 Tw 0.11376 Tc [(WR)-28.44(GHWHFW)-28.44(GLIIHUHQFHV)-28.44(WKDW)-28.44(PD\\)-28.44(H[LVW)-28.44(EHWZHHQ)-28.44(UDFLDOHWKQLF)-28.44(JURXSV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 172 Tm 0 0 0 rg 0.2765 Tw 0.1106 Tc [(7KH)-27.65(+%5\)66)-27.65(FROOHFWV)-27.65(GDWD)-27.65(RQ)-27.65(PXOWLSOH)-27.65(UDFHVHWKQLFLWLHV)-27.65(DQG)-27.65(WKLV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 160 Tm 0 0 0 rg 0.0567 Tw 0.02268 Tc [(VKRXOG)-5.67(EH)-5.67(D)-5.67(WRSLF)-5.67(IRU)-5.67(IXWXUH)-5.67(UHVHDUFK)-5.67(/DVWO\\)-5.67(ZH)-5.67(ZHUH)-5.67(XQDEOH)-5.67(WR)-5.67()]TJ 0 g 0 0 0 rg (LQ)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 148 Tm 0 0 0 rg 0.08575 Tw 0.0343 Tc [(IHU)-8.58(FDXVDWLRQ)-8.58(LQ)-8.58(WKH)-8.58(UHODWLRQVKLSV)-8.58(EHWZHHQ)-8.58(ULVN)-8.58(IDFWRUV)-8.58(DQG)-8.58(GLDEHWHV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 136 Tm 0 0 0 rg (EHFDXVHWKLVZDVD)Tj 0 g 0 0 0 rg (FURVVVHFWLRQDO)Tj 0 g 0 0 0 rg (VWXG\\)Tj 0 g ET BT 1 0 0 1 30 116 Tm /F1 10 Tf 0 0 0 rg 0.76515 Tw 0.30606 Tc [(\)XWXUH)-76.52(UHVHDUFK)-76.52(LV)-76.52(QHHGHG)-76.52(RQ)-76.52(KRZ)-76.52(UDFHHWKQLFLW\\)-76.52(LV)-76.52(GHILQHG)-76.52(LQ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 104 Tm 0 0 0 rg 0.35796 Tw 0.14318 Tc [(KHDOWK)-35.8(GLVSDULWLHV)-35.8(UHVHDUFK)]TJ 0 g 0 0 0 rg [-35.8(5DFLDOHWKQLFVSHFLILF)]TJ 0 g 0 0 0 rg [-35.8(GDWD)-35.8(FROOHFWLRQ)]TJ 0 g 0 Tw 0 Tc ET BT 1 0 0 1 316 684 Tm /F1 10 Tf 0 0 0 rg 0.47469 Tw 0.18988 Tc [(DQG)-47.47(DQDO\\VHV)-47.47(DUH)-47.47(QHHGHG)-47.47(WR)-47.47(LQYHVWLJDWH)-47.47(KHDOWK)-47.47(GLVSDULWLHV)-47.47(DPRQJ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 672 Tm 0 0 0 rg 0.75475 Tw 0.3019 Tc [(KHWHURJHQHRXV)-75.47(JURXSV)-75.47(WKDW)-75.47(DUH)-75.47(RIWHQ)-75.47(FRPELQHG)-75.47(LQWR)-75.47(RQH)-75.47(UDFLDO)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 660 Tm 0 0 0 rg 0.1881 Tw 0.07524 Tc [(JURXS)-18.81( LH)-18.81($VLDQ\f)-18.81(\)XUWKHUPRUH)-18.81(GHPRJUDSKLF)-18.81(DQG)-18.81(ULVN)-18.81(IDFWRU)-18.81()]TJ 0 g 0 0 0 rg (YDUL)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 648 Tm 0 0 0 rg 0.44859 Tw 0.17943 Tc [(DEOHV)-44.86(GLG)-44.86(QRW)-44.86(DFFRXQW)-44.86(IRU)-44.86(DOO)-44.86(UDFLDOHWKQLF)-44.86(GLVSDULWLHV)-44.86(LQ)-44.86(GLDEHWHV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 636 Tm 0 0 0 rg 0.47692 Tw 0.19077 Tc [(SUHYDOHQFH)-47.69(\)XWXUH)-47.69(H[DPLQDWLRQ)-47.69(LV)-47.69(QHHGHG)-47.69(RI)-47.69(WKH)-47.69(UROH)-47.69(RI)-47.69(JHQHWLF)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 624 Tm 0 0 0 rg 0.30771 Tw 0.12309 Tc [(IDFWRUV)-30.77(DQG)-30.77(ERG\\)-30.77(IDW)-30.77(GLVWULEXWLRQ)-30.77(LQ)-30.77(H[SODLQLQJ)-30.77(KLJK)-30.77(GLDEHWHV)-30.77()]TJ 0 g 0 0 0 rg (SUH)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 612 Tm 0 0 0 rg 0.28 Tw 0.112 Tc [(YDOHQFH)-28(DPRQJ)-28(1+23,)-28(DQG)-28(\)LOLSLQR)-28(SRSXODWLRQV)-28(LQ)-28(+DZDLL)-28( )]TJ 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg (\f)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 600 Tm 0 0 0 rg 0.34854 Tw 0.13942 Tc [(3XEOLF)-34.85(KHDOWK)-34.85(SURJUDPV)-34.85(DUH)-34.85(DOVR)-34.85(QHHGHG)-34.85(WR)-34.85(SURPRWH)-34.85(SRVLWLYH)-34.85()]TJ 0 g 0 0 0 rg (OLIH)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 588 Tm 0 0 0 rg 0.3922 Tw 0.15688 Tc [(VW\\OH)-39.22(EHKDYLRUV)-39.22(EHIRUH)-39.22(WKH)-39.22(KLJK)-39.22(SUHYDOHQFH)-39.22(RI)-39.22(REHVLW\\)-39.22(IXUWKHU)-39.22()]TJ 0 g 0 0 0 rg (LQ)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 576 Tm 0 0 0 rg 0.00089 Tw 0.00036 Tc [(FUHDVHV)-0.08876(GLDEHWHV)-0.08876(UDWHV)-0.08876(DPRQJ)]TJ 0 g 0 0 0 rg [-0.08876(DWULVN)]TJ 0 g 0 0 0 rg [-0.08876(UDFLDOHWKQLF)-0.08876(SRSXODWLRQV)-0.08876()]TJ 0 g 0 0 0 rg (3XE)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 564 Tm 0 0 0 rg 0.31667 Tw 0.12667 Tc [(OLF)-31.67(KHDOWK)-31.67(SURJUDPV)-31.67(LQ)-31.67(+DZDLL)-31.67(VKRXOG)-31.67(WDUJHW)-31.67(HGXFDWLRQ)-31.67(DQG)-31.67(HDUO\\)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 552 Tm 0 0 0 rg 0.17172 Tw 0.06869 Tc [(LQWHUYHQWLRQV)-17.17(HVSHFLDOO\\)-17.17(IRU)-17.17(\)LOLSLQR)-17.17(DQG)-17.17(1+23,)-17.17(UHVLGHQWV)-17.17(E\\)-17.17(DJH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 540 Tm 0 0 0 rg (WREHIRUHGLDEHWHVGLVSDULWLHVEHJLQWRDSSHDU)Tj 0 g ET BT 1 0 0 1 316 516 Tm /F1 16 Tf ($FNQRZOHGJPHQWV)Tj ET BT 1 0 0 1 316 494 Tm /F1 10 Tf 0 0 0 rg 0.07454 Tw 0.02982 Tc [(7KLV)-7.45(UHVHDUFK)-7.45(ZDV)-7.45(VXSSRUWHG)-7.45(E\\)-7.45(WKH)-7.45(0RXQWDLQ)-7.45(:HVW)-7.45(,'H$)]TJ 0 g 0 0 0 rg [-7.45(&75,1)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 482 Tm 0 0 0 rg 0.11747 Tw 0.04699 Tc [(3URJUDP)-11.75(XQGHU)-11.75(WKH)-11.75(1DWLRQDO)-11.75(,QVWLWXWH)-11.75(RI)-11.75(*HQHUDO)-11.75(0HGLFDO)-11.75(6FLHQFHV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 470 Tm 0 0 0 rg 0.63601 Tw 0.25441 Tc [( JUDQW)-63.6(QR)-63.6(8*0\f)-63.6(DQG)-63.6(+)-63.6(.SXQD)-63.6(1DWLRQDO)-63.6(5HVRXUFH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 458 Tm 0 0 0 rg 0.17335 Tw 0.06934 Tc [(&HQWHU)-17.34(IRU)-17.34(1DWLYH)-17.34(+DZDLLDQ)-17.34(\(OGHUV)-17.34(IXQGHG)-17.34(E\\)-17.34(WKH)-17.34(86)-17.34()]TJ 0 g 0 0 0 rg ($GPLQLVWUD)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 446 Tm 0 0 0 rg 0.51058 Tw 0.20423 Tc [(WLRQ)-51.06(IRU)-51.06(&RPPXQLW\\)-51.06(/LYLQJ)-51.06( JUDQW)-51.06(QR)-51.06(2,\f)-51.06(1R)-51.06()]TJ 0 g 0 0 0 rg (FRS\\)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 434 Tm 0 0 0 rg (ULJKWHGPDWHULDOVXUYH\\VLQVWUXPHQWVRUWRROVZHUHXVHG)Tj 0 g ET BT 1 0 0 1 316 410 Tm /F1 16 Tf ($XWKRU,QIRUPDWLRQ)Tj ET BT 1 0 0 1 316 388 Tm /F1 10 Tf 0 0 0 rg 0.40278 Tw 0.16111 Tc [(&RUUHVSRQGLQJ)-40.28($XWKRU)-40.28(2OLYLD)-40.28(8FKLPD)-40.28(0$)-40.28(*UDGXDWH)-40.28(5HVHDUFK)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 376 Tm 0 0 0 rg 0.24643 Tw 0.09857 Tc [($VVLVWDQW)-24.64(2IILFH)-24.64(RI)-24.64(3XEOLF)-24.64(+HDOWK)-24.64(6WXGLHV)-24.64(8QLYHUVLW\\)-24.64(RI)-24.64(+DZDLL)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 364 Tm 0 0 0 rg 0.88973 Tw 0.35589 Tc [(DW)-88.97(0QRD)-88.97()-88.97(\(DVW:HVW)-88.97(5G)-88.97(%LRPHG)-88.97(:)-88.97(+RQROXOX)-88.97(+,)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 352 Tm 0 0 0 rg (7HOHSKRQH\(PDLORXFKLPD#KDZDLLHGX)Tj 0 g 1 0 0 1 316 340 Tm 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 316 328 Tm /F1 10 Tf 0 0 0 rg 0.29969 Tw 0.11988 Tc [($XWKRU)-29.97($IILOLDWLRQV)-29.97()]TJ 0 g /F1 7 Tf 0 0 0 rg 4 Ts ()Tj 0 Ts 0 g /F1 10 Tf 0 0 0 rg [(2IILFH)-29.97(RI)-29.97(3XEOLF)-29.97(+HDOWK)-29.97(6WXGLHV)-29.97(8QLYHUVLW\\)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 316 Tm 0 0 0 rg 0.47053 Tw 0.18821 Tc [(RI)-47.05(+DZDLL)-47.05(+RQROXOX)-47.05(+DZDLL)]TJ 0 g 0 0 0 rg [()-47.05()]TJ 0 g /F1 7 Tf 0 0 0 rg 4 Ts ()Tj 0 Ts 0 g /F1 10 Tf 0 0 0 rg [(+D)-47.05(.SXQD)-47.05(1DWLRQDO)-47.05(5HVRXUFH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 304 Tm 0 0 0 rg 0.31763 Tw 0.12705 Tc [(&HQWHU)-31.76(IRU)-31.76(1DWLYH)-31.76(+DZDLLDQ)-31.76(\(OGHUV)-31.76(0\\URQ)-31.76(%)-31.76(7KRPSVRQ)-31.76(6FKRRO)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 292 Tm 0 0 0 rg (RI6RFLDO:RUN8QLYHUVLW\\RI+DZDLL+RQROXOX+DZDLL)Tj 0 g 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 316 280 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 316 264 Tm /F1 16 Tf (5HIHUHQFHV)Tj ET BT 1 0 0 1 330 242 Tm /F1 10 Tf 0 0 0 rg 1.26 Tw 0.50207 Tc [(%KXSDWKLUDMX)-125.52(61)-125.52(+X)-125.52(\)%)-125.52(\(SLGHPLRORJ\\)-125.52(RI)-125.52(REHVLW\\)-125.52(DQG)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 230 Tm 0 0 0 rg 0.86655 Tw 0.34662 Tc [(GLDEHWHV)-86.65(DQG)-86.65(WKHLU)-86.65(FDUGLRYDVFXODU)-86.65(FRPSOLFDWLRQV)-86.65(&LUF)-86.65(5HV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 218 Tm 0 0 0 rg ( \f)Tj 0 g ET q BT 1 0 0 1 316 242 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 330 206 Tm /F1 10 Tf 0 0 0 rg 0.98686 Tw 0.39474 Tc [(86)-98.69('HSDUWPHQW)-98.69(RI)-98.69(+HDOWK)-98.69(DQG)-98.69(+XPDQ)-98.69(6HUYLFHV)-98.69(1DWLRQDO)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 194 Tm 0 0 0 rg 0.47896 Tw 0.19158 Tc [(GLDEHWHV)-47.9(VWDWLVWLFV)-47.9(UHSRUW)-47.9()-47.9(HVWLPDWHV)-47.9(RI)-47.9(GLDEHWHV)-47.9(DQG)-47.9(LWV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 182 Tm 0 0 0 rg 0.11197 Tw 0.04479 Tc [(EXUGHQ)-11.2(LQ)-11.2(WKH)-11.2(8QLWHG)-11.2(6WDWHV)-11.2($WODQWD)-11.2( *$\f)-11.2(&HQWHUV)-11.2(IRU)-11.2('LVHDVH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 170 Tm 0 0 0 rg 0.3255 Tw 0.1302 Tc [(&RQWURO)-32.55(DQG)-32.55(3UHYHQWLRQ)-32.55(1DWLRQDO)-32.55(&HQWHU)-32.55(IRU)-32.55(&KURQLF)-32.55('LVHDVH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 158 Tm 0 0 0 rg (3UHYHQWLRQDQG+HDOWK3URPRWLRQ)Tj 0 g ET q BT 1 0 0 1 316 206 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 330 146 Tm /F1 10 Tf 0 0 0 rg 0.2681 Tw 0.10724 Tc [(3HHN)-26.81(0\()-26.81(&DUJLOO)-26.81($)-26.81(+XDQJ)-26.81(\(6)-26.81('LDEHWHV)-26.81(KHDOWK)-26.81(GLVSDULWLHV)-26.81(D)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 134 Tm 0 0 0 rg 0.2693 Tw 0.10772 Tc [(V\\VWHPDWLF)-26.93(UHYLHZ)-26.93(RI)-26.93(KHDOWK)-26.93(FDUH)-26.93(LQWHUYHQWLRQV)-26.93(0HG)-26.93(&DUH)-26.93(5HV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 122 Tm 0 0 0 rg (5HY 6XSSO\f66)Tj 0 g ET q BT 1 0 0 1 316 146 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q q BT 1 0 0 1 30 735 Tm /F7 22 Tf 0.15294 0.35686 0.17255 rg (PREVENTING CHRONIC DISEASE)Tj 0 g ET Q q BT 1 0 0 1 502.52 735 Tm /F2 10 Tf (VOLUME 16, E22)Tj ET Q 0.83529 0.86275 0.81961 RG 1.6 w 30 732 m 368 732 l S q BT 1 0 0 1 30 718 Tm /F2 13 Tf 0.15294 0.35686 0.17255 rg (PUBLIC HEALTH RESEARCH, PRACTICE, AND POLICY)Tj 0 g ET Q q BT 1 0 0 1 496.97 718 Tm /F2 10 Tf ( FEBRUARY 2019)Tj ET Q 0.15294 0.35686 0.17255 RG 3 w 30 708 m 582 708 l S 0.50196 0.50196 0.50196 RG 1 w 30 80 m 582 80 l S q BT 1 0 0 1 30.52 70 Tm /F2 8 Tf 0.50196 0.50196 0.50196 rg (The opinions expressed by authors contributing to this journal do not necessarily reflect the opinions of the U.S. Department of Health and Human Services,)Tj 0 g ET Q q BT 1 0 0 1 110.12 58 Tm /F2 8 Tf 0.50196 0.50196 0.50196 rg (the Public Health Service, the Centers for Disease Control and Prevention, or the authors affiliated institutions.)Tj 0 g ET Q 0.50196 0.50196 0.50196 RG 1 w 30 53 m 582 53 l S q BT 1 0 0 1 201.69 41 Tm /F2 9 Tf (www.cdc.gov/pcd/issues/2019/18_0187.htm Centers for Disease Control and Prevention 5)Tj ET Q [: endstream endobj 20 0 obj <>>>/ArtBox[30 100 584 764]/Contents 19 0 R/Parent 9 0 R>> endobj 21 0 obj <>stream xK}q BT 30 786 Td ET Q BT 1 0 0 1 44 684 Tm /F1 10 Tf 0 0 0 rg 0.3031 Tw 0.12124 Tc [(1JX\\HQ)-30.31(7+)-30.31(1JX\\HQ)-30.31(71)-30.31(\)LVFKHU)-30.31(7)-30.31(+D)-30.31(:)-30.31(7UDQ)-30.31(79)-30.31(7\\SH)-30.31()]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 672 Tm 0 0 0 rg 0.27153 Tw 0.10861 Tc [(GLDEHWHV)-27.15(DPRQJ)-27.15($VLDQ)-27.15($PHULFDQV)-27.15(SUHYDOHQFH)-27.15(DQG)-27.15(SUHYHQWLRQ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 660 Tm 0 0 0 rg (:RUOG-'LDEHWHV \f)Tj 0 g ET q BT 1 0 0 1 30 684 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 44 648 Tm /F1 10 Tf 0 0 0 rg 0.08735 Tw 0.03494 Tc [(:X)-8.73(<)-8.73(%UDXQ)-8.73(.)-8.73(2QDND)-8.73($7)-8.73(+RULXFKL)-8.73(%<)-8.73(7RWWRUL)-8.73(&-)-8.73(:LONHQV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 636 Tm 0 0 0 rg 0.06302 Tw 0.02521 Tc [(/)-6.3(/LIH)-6.3(H[SHFWDQFLHV)-6.3(LQ)-6.3(+DZDLL)-6.3(D)-6.3(PXOWLHWKQLF)-6.3(DQDO\\VLV)-6.3(RI)-6.3()]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 624 Tm 0 0 0 rg (OLIHWDEOHV+DZDLL-0HG3XEOLF+HDOWK \f)Tj 0 g ET q BT 1 0 0 1 30 648 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 44 612 Tm /F1 10 Tf 0 0 0 rg 1.55 Tw 0.62163 Tc [(+DZDLL)-155.41(+HDOWK)-155.41('DWD)-155.41(:DUHKRXVH)-155.41('LDEHWHV)-155.41(SUHYDOHQFH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 600 Tm 0 0 0 rg 0.66545 Tw 0.26618 Tc [( FDWHJRULFDO\f)-66.55(IRU)-66.55(WKH)-66.55(6WDWH)-66.55(RI)-66.55(+DZDLL)-66.55(IRU)-66.55(WKH)-66.55(\\HDU V\f)-66.55()]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 588 Tm 0 0 0 rg 1.38 Tw 0.55042 Tc [()-137.6()-137.6()-137.6(KWWSKKGZRUJZSFRQWHQWXSORDGV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 576 Tm 0 0 0 rg 0.55214 Tw 0.22085 Tc [(%5\)66B'LDEHWHVB,1'BBSGI)-55.21($FFHVVHG)-55.21(-XQH)-55.21()]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 564 Tm 0 0 0 rg ()Tj 0 g ET q BT 1 0 0 1 30 612 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 44 552 Tm /F1 10 Tf 0 0 0 rg 0.00125 Tw 0.0005 Tc [(&KRL)-0.12487(6\()-0.12487(/LX)-0.12487(0)-0.12487(3DODQLDSSDQ)-0.12487(/3)-0.12487(:DQJ)-0.12487(\(-)-0.12487(:RQJ)-0.12487(1')-0.12487(*HQGHU)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 540 Tm 0 0 0 rg 0.67795 Tw 0.27118 Tc [(DQG)-67.8(HWKQLF)-67.8(GLIIHUHQFHV)-67.8(LQ)-67.8(WKH)-67.8(SUHYDOHQFH)-67.8(RI)-67.8(W\\SH)-67.8()-67.8(GLDEHWHV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 528 Tm 0 0 0 rg 2.37 Tw 0.94738 Tc [(DPRQJ)-236.84($VLDQ)-236.84(VXEJURXSV)-236.84(LQ)-236.84(&DOLIRUQLD)-236.84(-)-236.84('LDEHWHV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 516 Tm 0 0 0 rg (&RPSOLFDWLRQV \f)Tj 0 g ET q BT 1 0 0 1 30 552 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 44 504 Tm /F1 10 Tf 0 0 0 rg 0.16624 Tw 0.0665 Tc [(0DVNDULQHF)-16.62(*)-16.62(*UDQGLQHWWL)-16.62($)-16.62(0DWVXXUD)-16.62(*)-16.62(6KDUPD)-16.62(6)-16.62(0DX)-16.62(0)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 492 Tm 0 0 0 rg 0.03804 Tw 0.01521 Tc [(+HQGHUVRQ)-3.8(%\()-3.8(HW)-3.8(DO)-3.8('LDEHWHV)-3.8(SUHYDOHQFH)-3.8(DQG)-3.8(ERG\\)-3.8(PDVV)-3.8(LQGH[)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 480 Tm 0 0 0 rg 0.66115 Tw 0.26446 Tc [(GLIIHU)-66.12(E\\)-66.12(HWKQLFLW\\)-66.12(WKH)-66.12(0XOWLHWKQLF)-66.12(&RKRUW)-66.12(\(WKQ)-66.12('LV)-66.12()]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 468 Tm 0 0 0 rg ( \f)Tj 0 g ET q BT 1 0 0 1 30 504 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 44 456 Tm /F1 10 Tf 0 0 0 rg 0.32533 Tw 0.13013 Tc [(0DVNDULQHF)-32.53(*)-32.53(-DFREV)-32.53(6)-32.53(0RULPRWR)-32.53(<)-32.53(&KRFN)-32.53(0)-32.53(*UDQGLQHWWL)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 444 Tm 0 0 0 rg 1.08 Tw 0.4327 Tc [($)-108.18(.RORQHO)-108.18(/1)-108.18('LVSDULW\\)-108.18(LQ)-108.18(GLDEHWHV)-108.18(ULVN)-108.18(DFURVV)-108.18(1DWLYH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 432 Tm 0 0 0 rg 0.24226 Tw 0.0969 Tc [(+DZDLLDQV)-24.23(DQG)-24.23(GLIIHUHQW)-24.23($VLDQ)-24.23(JURXSV)-24.23(WKH)-24.23(PXOWLHWKQLF)-24.23(FRKRUW)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 420 Tm 0 0 0 rg ($VLD3DF-3XEOLF+HDOWK \f)Tj 0 g ET q BT 1 0 0 1 30 456 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 44 408 Tm /F1 10 Tf 0 0 0 rg 0.21151 Tw 0.0846 Tc [(*UDQGLQHWWL)-21.15($)-21.15(.DKRORNXOD)-21.15(-.)-21.15(7KHULDXOW)-21.15($*)-21.15(0RU)-21.15(-0)-21.15(&KDQJ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 396 Tm 0 0 0 rg 0.03156 Tw 0.01263 Tc [(+.)-3.16(:DVOLHQ)-3.16(&)-3.16(3UHYDOHQFH)-3.16(RI)-3.16(GLDEHWHV)-3.16(DQG)-3.16(JOXFRVH)-3.16(LQWROHUDQFH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 384 Tm 0 0 0 rg 0.28497 Tw 0.11399 Tc [(LQ)-28.5(DQ)-28.5(HWKQLFDOO\\)-28.5(GLYHUVH)-28.5(UXUDO)-28.5(FRPPXQLW\\)-28.5(RI)-28.5(+DZDLL)-28.5(\(WKQ)-28.5('LV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 372 Tm 0 0 0 rg ( \f)Tj 0 g ET q BT 1 0 0 1 30 408 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 44 360 Tm /F1 10 Tf 0 0 0 rg 0.59814 Tw 0.23925 Tc [($LWDRWR)-59.81(1)-59.81(7VDUN)-59.81(-)-59.81(%UDXQ)-59.81(./)-59.81(6XVWDLQDELOLW\\)-59.81(RI)-59.81(WKH)-59.81(3DFLILF)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 348 Tm 0 0 0 rg ('LDEHWHV7RGD\\FRDOLWLRQV3UHY&KURQLF'LV \f$)Tj 0 g ET q BT 1 0 0 1 30 360 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 44 336 Tm /F1 10 Tf 0 0 0 rg 0.63759 Tw 0.25503 Tc [(.DRSXD)-63.76(/6)-63.76(%UDXQ)-63.76(./)-63.76(%URZQH)-63.76(&9)-63.76(0RNXDX)-63.76(1)-63.76(3DUN)-63.76(&%)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 324 Tm 0 0 0 rg 0.09735 Tw 0.03894 Tc [(:K\\)-9.74(DUH)-9.74(1DWLYH)-9.74(+DZDLLDQV)-9.74(XQGHUUHSUHVHQWHG)-9.74(LQ)-9.74(+DZDLLV)-9.74(ROGHU)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 312 Tm 0 0 0 rg 0.45752 Tw 0.18301 Tc [(DGXOW)-45.75(SRSXODWLRQ")-45.75(\([SORULQJ)-45.75(VRFLDO)-45.75(DQG)-45.75(EHKDYLRUDO)-45.75(IDFWRUV)-45.75(RI)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 300 Tm 0 0 0 rg (ORQJHYLW\\-$JLQJ5HV \f)Tj 0 g ET q BT 1 0 0 1 30 336 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 44 288 Tm /F1 10 Tf 0 0 0 rg 0.76294 Tw 0.30517 Tc [(%UDXQ)-76.29(./)-76.29(.LP)-76.29(%-)-76.29(.DRSXD)-76.29(/6)-76.29(0RNXDX)-76.29(1)-76.29(%URZQH)-76.29(&9)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 276 Tm 0 0 0 rg 2.13 Tw 0.85302 Tc [(1DWLYH)-213.25(+DZDLLDQ)-213.25(DQG)-213.25(3DFLILF)-213.25(,VODQGHU)-213.25(HOGHUV)-213.25(ZKDW)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 264 Tm 0 0 0 rg (JHURQWRORJLVWVVKRXOGNQRZ*HURQWRORJLVW \f)Tj 0 g ET q BT 1 0 0 1 30 288 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 44 252 Tm /F1 10 Tf 0 0 0 rg 0.91808 Tw 0.36723 Tc [(&HQWHUV)-91.81(IRU)-91.81('LVHDVH)-91.81(&RQWURO)-91.81(DQG)-91.81(3UHYHQWLRQ)-91.81(%5\)66)-91.81(GDWD)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 240 Tm 0 0 0 rg 0.55897 Tw 0.22359 Tc [(TXDOLW\\)-55.9(YDOLGLW\\)-55.9(DQG)-55.9(UHOLDELOLW\\)-55.9()-55.9(KWWSVZZZFGFJRY)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 228 Tm 0 0 0 rg (EUIVVSXEOLFDWLRQVGDWDBTYUKWP$FFHVVHG$XJXVW)Tj 0 g ET q BT 1 0 0 1 30 252 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 44 216 Tm /F1 10 Tf 0 0 0 rg 1.46 Tw 0.58308 Tc [('HSDUWPHQW)-145.77(RI)-145.77(+HDOWK)-145.77(+DZDLL)-145.77(%HKDYLRUDO)-145.77(5LVN)-145.77(\)DFWRU)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 204 Tm 0 0 0 rg 0.89302 Tw 0.35721 Tc [(6XUYHLOODQFH)-89.3(6\\VWHP)-89.3()-89.3(KWWSKHDOWKKDZDLLJRYEUIVV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 192 Tm 0 0 0 rg ($FFHVVHG-XQH)Tj 0 g ET q BT 1 0 0 1 30 216 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 44 180 Tm /F1 10 Tf 0 0 0 rg 1.21 Tw 0.48463 Tc [(/DYUDNDV)-121.16(3-)-121.16(\(QF\\FORSHGLD)-121.16(RI)-121.16(VXUYH\\)-121.16(UHVHDUFK)-121.16(PHWKRGV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 168 Tm 0 0 0 rg (7KRXVDQG2DNV &$\f6$*\(3XEOLFDWLRQV/WG)Tj 0 g ET q BT 1 0 0 1 30 180 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 44 156 Tm /F1 10 Tf 0 0 0 rg 1.46 Tw 0.58308 Tc [('HSDUWPHQW)-145.77(RI)-145.77(+HDOWK)-145.77(+DZDLL)-145.77(%HKDYLRUDO)-145.77(5LVN)-145.77(\)DFWRU)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 144 Tm 0 0 0 rg 0.89302 Tw 0.35721 Tc [(6XUYHLOODQFH)-89.3(6\\VWHP)-89.3()-89.3(KWWSKHDOWKKDZDLLJRYEUIVV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 132 Tm 0 0 0 rg ($FFHVVHG-XQH)Tj 0 g ET q BT 1 0 0 1 30 156 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 330 684 Tm /F1 10 Tf 0 0 0 rg 1.75 Tw 0.69921 Tc [(+DZDLL)-174.8(+HDOWK)-174.8('DWD)-174.8(:DUHKRXVH)-174.8(+DZDLL)-174.8(KHDOWK)-174.8(GDWD)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 672 Tm 0 0 0 rg 1.11 Tw 0.44251 Tc [(ZDUHKRXVH)-110.63(UDFHHWKQLFLW\\)-110.63(GRFXPHQWDWLRQ)-110.63(+RQROXOX)-110.63( +,\f)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 660 Tm 0 0 0 rg 0.67615 Tw 0.27046 Tc [(+HDOWK\\)-67.62(+DZDLL)-67.62(,QLWLDWLYH)-67.62()-67.62(KWWSZZZKKGZRUJZS)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 648 Tm 0 0 0 rg 1.3 Tw 0.51857 Tc (FRQWHQWXSORDGV++':5DFH\(WKQLFLW\\'RFXPHQWDWLRQ)Tj 0 g 0 Tw 0 Tc 1 0 0 1 330 636 Tm 0 0 0 rg (5HSRUWSGI$FFHVVHG-XQH)Tj 0 g ET q BT 1 0 0 1 316 684 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 330 624 Tm /F1 10 Tf 0 0 0 rg 0.41722 Tw 0.16689 Tc [(&HQWHUV)-41.72(IRU)-41.72('LHVHDVH)-41.72(&RQWURO)-41.72(DQG)-41.72(3UHYHQWLRQ)-41.72('HILQLQJ)-41.72(DGXOW)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 612 Tm 0 0 0 rg 0.58068 Tw 0.23227 Tc [(RYHUZHLJKW)-58.07(DQG)-58.07(REHVLW\\)-58.07()-58.07(KWWSVZZZFGFJRYREHVLW\\)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 600 Tm 0 0 0 rg (DGXOWGHILQLQJKWPO$FFHVVHG-XQH)Tj 0 g ET q BT 1 0 0 1 316 624 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 330 588 Tm /F1 10 Tf 0 0 0 rg 1.01 Tw 0.40263 Tc [(86)-100.66('HSDUWPHQW)-100.66(RI)-100.66(+HDOWK)-100.66(DQG)-100.66(+XPDQ)-100.66(6HUYLFHV)-100.66(3K\\VLFDO)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 576 Tm 0 0 0 rg 0.96287 Tw 0.38515 Tc [(DFWLYLW\\)-96.29(JXLGHOLQHV)-96.29(IRU)-96.29($PHULFDQV)-96.29(:DVKLQJWRQ)-96.29( '&\f)-96.29(86)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 564 Tm 0 0 0 rg ('HSDUWPHQWRI+HDOWKDQG+XPDQ6HUYLFHV)Tj 0 g ET q BT 1 0 0 1 316 588 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 330 552 Tm /F1 10 Tf 0 0 0 rg 0.21494 Tw 0.08597 Tc [(0F1XWW)-21.49(/$)-21.49(:X)-21.49(&)-21.49(;XH)-21.49(;)-21.49(+DIQHU)-21.49(-3)-21.49(\(VWLPDWLQJ)-21.49(WKH)-21.49(UHODWLYH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 540 Tm 0 0 0 rg 0.25778 Tw 0.10311 Tc [(ULVN)-25.78(LQ)-25.78(FRKRUW)-25.78(VWXGLHV)-25.78(DQG)-25.78(FOLQLFDO)-25.78(WULDOV)-25.78(RI)-25.78(FRPPRQ)-25.78(RXWFRPHV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 528 Tm 0 0 0 rg ($P-\(SLGHPLRO \f)Tj 0 g ET q BT 1 0 0 1 316 552 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 330 516 Tm /F1 10 Tf 0 0 0 rg 0.07184 Tw 0.02873 Tc [(=RX)-7.18(*)-7.18($)-7.18(PRGLILHG)-7.18(3RLVVRQ)-7.18(UHJUHVVLRQ)-7.18(DSSURDFK)-7.18(WR)-7.18(SURVSHFWLYH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 504 Tm 0 0 0 rg (VWXGLHVZLWKELQDU\\GDWD$P-\(SLGHPLRO \f)Tj 0 g ET q BT 1 0 0 1 316 516 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 330 492 Tm /F1 10 Tf 0 0 0 rg 0.73095 Tw 0.29238 Tc [(*UHHQODQG)-73.1(6)-73.1(0RGHOEDVHG)-73.1(HVWLPDWLRQ)-73.1(RI)-73.1(UHODWLYH)-73.1(ULVNV)-73.1(DQG)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 480 Tm 0 0 0 rg 0.15268 Tw 0.06107 Tc [(RWKHU)-15.27(HSLGHPLRORJLF)-15.27(PHDVXUHV)-15.27(LQ)-15.27(VWXGLHV)-15.27(RI)-15.27(FRPPRQ)-15.27(RXWFRPHV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 468 Tm 0 0 0 rg 2.03 Tw 0.8105 Tc [(DQG)-202.63(LQ)-202.63(FDVHFRQWURO)-202.63(VWXGLHV)-202.63($P)-202.63(-)-202.63(\(SLGHPLRO)-202.63()]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 456 Tm 0 0 0 rg ( \f)Tj 0 g ET q BT 1 0 0 1 316 492 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 330 444 Tm /F1 10 Tf 0 0 0 rg 0.87237 Tw 0.34895 Tc [(3pUH]\(VFDPLOOD)-87.24(5)-87.24(3XWQLN)-87.24(3)-87.24(7KH)-87.24(UROH)-87.24(RI)-87.24(DFFXOWXUDWLRQ)-87.24(LQ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 432 Tm 0 0 0 rg 0.61044 Tw 0.24418 Tc [(QXWULWLRQ)-61.04(OLIHVW\\OH)-61.04(DQG)-61.04(LQFLGHQFH)-61.04(RI)-61.04(W\\SH)-61.04()-61.04(GLDEHWHV)-61.04(DPRQJ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 420 Tm 0 0 0 rg (/DWLQRV-1XWU \f)Tj 0 g ET q BT 1 0 0 1 316 444 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 330 408 Tm /F1 10 Tf 0 0 0 rg 0.59931 Tw 0.23972 Tc [(0RNGDG)-59.93($+)-59.93(\)RUG)-59.93(\(6)-59.93(%RZPDQ)-59.93(%$)-59.93('LHW])-59.93(:+)-59.93(9LQLFRU)-59.93(\))]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 396 Tm 0 0 0 rg 0.35329 Tw 0.14132 Tc [(%DOHV)-35.33(96)-35.33(HW)-35.33(DO)-35.33(3UHYDOHQFH)-35.33(RI)-35.33(REHVLW\\)-35.33(GLDEHWHV)-35.33(DQG)-35.33(REHVLW\\)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 384 Tm 0 0 0 rg (UHODWHGKHDOWKULVNIDFWRUV-$0$ \f)Tj 0 g ET q BT 1 0 0 1 316 408 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 330 372 Tm /F1 10 Tf 0 0 0 rg 0.32118 Tw 0.12847 Tc [(.URJVWDG)-32.12(-0)-32.12(+DZDL\nL)-32.12(LV)-32.12(KRPH)-32.12(WR)-32.12(WKH)-32.12(QDWLRQ\nV)-32.12(ODUJHVW)-32.12(VKDUH)-32.12(RI)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 360 Tm 0 0 0 rg 0.91339 Tw 0.36535 Tc [(PXOWLUDFLDO)-91.34($PHULFDQV)-91.34(:DVKLQJWRQ)-91.34( '&\f)-91.34(3\(:)-91.34(5HVHDUFK)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 348 Tm 0 0 0 rg 0.26905 Tw 0.10762 Tc [(&HQWHU)-26.9()-26.9(KWWSZZZSHZUHVHDUFKRUJIDFWWDQN)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 336 Tm 0 0 0 rg 0.17828 Tw 0.07131 Tc (KDZDLLLVKRPHWRWKHQDWLRQVODUJHVWVKDUHRIPXOWLUDFLDO)Tj 0 g 0 Tw 0 Tc 1 0 0 1 330 324 Tm 0 0 0 rg (DPHULFDQV$FFHVVHG0DUFK)Tj 0 g ET q BT 1 0 0 1 316 372 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 330 312 Tm /F1 10 Tf 0 0 0 rg 0.24345 Tw 0.09738 Tc [(0D)-24.35(5&)-24.35(&KDQ)-24.35(-&)-24.35(7\\SH)-24.35()-24.35(GLDEHWHV)-24.35(LQ)-24.35(\(DVW)-24.35($VLDQV)-24.35(VLPLODULWLHV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 300 Tm 0 0 0 rg 0.66974 Tw 0.26789 Tc [(DQG)-66.97(GLIIHUHQFHV)-66.97(ZLWK)-66.97(SRSXODWLRQV)-66.97(LQ)-66.97(\(XURSH)-66.97(DQG)-66.97(WKH)-66.97(8QLWHG)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 288 Tm 0 0 0 rg (6WDWHV$QQ1<$FDG6FL \f)Tj 0 g ET q BT 1 0 0 1 316 312 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 316 270 Tm /F2 12 Tf ()Tj ET q BT 1 0 0 1 30 735 Tm /F7 22 Tf 0.15294 0.35686 0.17255 rg (PREVENTING CHRONIC DISEASE)Tj 0 g ET Q q BT 1 0 0 1 502.52 735 Tm /F2 10 Tf (VOLUME 16, E22)Tj ET Q 0.83529 0.86275 0.81961 RG 1.6 w 30 732 m 368 732 l S q BT 1 0 0 1 30 718 Tm /F2 13 Tf 0.15294 0.35686 0.17255 rg (PUBLIC HEALTH RESEARCH, PRACTICE, AND POLICY)Tj 0 g ET Q q BT 1 0 0 1 496.97 718 Tm /F2 10 Tf ( FEBRUARY 2019)Tj ET Q 0.15294 0.35686 0.17255 RG 3 w 30 708 m 582 708 l S 0.50196 0.50196 0.50196 RG 1 w 30 80 m 582 80 l S q BT 1 0 0 1 30.52 70 Tm /F2 8 Tf 0.50196 0.50196 0.50196 rg (The opinions expressed by authors contributing to this journal do not necessarily reflect the opinions of the U.S. Department of Health and Human Services,)Tj 0 g ET Q q BT 1 0 0 1 110.12 58 Tm /F2 8 Tf 0.50196 0.50196 0.50196 rg (the Public Health Service, the Centers for Disease Control and Prevention, or the authors affiliated institutions.)Tj 0 g ET Q 0.50196 0.50196 0.50196 RG 1 w 30 53 m 582 53 l S q BT 1 0 0 1 30 41 Tm /F2 9 Tf (6 Centers for Disease Control and Prevention www.cdc.gov/pcd/issues/2019/18_0187.htm)Tj ET Q ~s endstream endobj 22 0 obj <>>>/ArtBox[30 100 584 764]/Contents 21 0 R/Parent 9 0 R>> endobj 23 0 obj <>stream xjq BT 30 786 Td ET Q BT 1 0 0 1 30 675 Tm /F1 16 Tf (7DEOHV)Tj ET q 0.79216 0.83529 0.79216 rg 30 605.55 103.88 24 re f 0.79216 0.83529 0.79216 rg 133.88 605.55 90.02 24 re f 0.79216 0.83529 0.79216 rg 223.9 605.55 90.02 24 re f 0.79216 0.83529 0.79216 rg 313.92 605.55 90.02 24 re f 0.79216 0.83529 0.79216 rg 403.95 605.55 90.02 24 re f 0.79216 0.83529 0.79216 rg 493.97 605.55 90.03 24 re f Q q 2 J 0 G 0.5 w 1 1 1 RG 30 629.55 554 30 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 605.55 103.88 24 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 133.88 605.55 90.02 24 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 223.9 605.55 90.02 24 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 313.92 605.55 90.02 24 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 403.95 605.55 90.02 24 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 493.97 605.55 90.03 24 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 591.55 554 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 577.55 103.88 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 133.88 577.55 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 223.9 577.55 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 313.92 577.55 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 403.95 577.55 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 493.97 577.55 90.03 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 563.55 103.88 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 133.88 563.55 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 223.9 563.55 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 313.92 563.55 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 403.95 563.55 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 493.97 563.55 90.03 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 549.55 103.88 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 133.88 549.55 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 223.9 549.55 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 313.92 549.55 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 403.95 549.55 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 493.97 549.55 90.03 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 535.55 103.88 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 133.88 535.55 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 223.9 535.55 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 313.92 535.55 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 403.95 535.55 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 493.97 535.55 90.03 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 521.55 103.88 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 133.88 521.55 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 223.9 521.55 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 313.92 521.55 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 403.95 521.55 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 493.97 521.55 90.03 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 507.55 103.88 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 133.88 507.55 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 223.9 507.55 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 313.92 507.55 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 403.95 507.55 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 493.97 507.55 90.03 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 493.55 103.88 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 133.88 493.55 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 223.9 493.55 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 313.92 493.55 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 403.95 493.55 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 493.97 493.55 90.03 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 479.55 554 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 465.55 103.88 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 133.88 465.55 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 223.9 465.55 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 313.92 465.55 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 403.95 465.55 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 493.97 465.55 90.03 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 451.55 103.88 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 133.88 451.55 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 223.9 451.55 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 313.92 451.55 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 403.95 451.55 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 493.97 451.55 90.03 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 437.55 554 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 423.55 103.88 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 133.88 423.55 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 223.9 423.55 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 313.92 423.55 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 403.95 423.55 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 493.97 423.55 90.03 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 409.55 103.88 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 133.88 409.55 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 223.9 409.55 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 313.92 409.55 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 403.95 409.55 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 493.97 409.55 90.03 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 395.55 103.88 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 133.88 395.55 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 223.9 395.55 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 313.92 395.55 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 403.95 395.55 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 493.97 395.55 90.03 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 381.55 103.88 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 133.88 381.55 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 223.9 381.55 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 313.92 381.55 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 403.95 381.55 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 493.97 381.55 90.03 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 367.55 554 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 353.55 103.88 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 133.88 353.55 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 223.9 353.55 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 313.92 353.55 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 403.95 353.55 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 493.97 353.55 90.03 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 339.55 103.88 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 133.88 339.55 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 223.9 339.55 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 313.92 339.55 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 403.95 339.55 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 493.97 339.55 90.03 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 325.55 103.88 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 133.88 325.55 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 223.9 325.55 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 313.92 325.55 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 403.95 325.55 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 493.97 325.55 90.03 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 311.55 103.88 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 133.88 311.55 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 223.9 311.55 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 313.92 311.55 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 403.95 311.55 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 493.97 311.55 90.03 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 297.55 554 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 283.55 103.88 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 133.88 283.55 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 223.9 283.55 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 313.92 283.55 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 403.95 283.55 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 493.97 283.55 90.03 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 269.55 103.88 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 133.88 269.55 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 223.9 269.55 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 313.92 269.55 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 403.95 269.55 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 493.97 269.55 90.03 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 255.55 103.88 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 133.88 255.55 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 223.9 255.55 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 313.92 255.55 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 403.95 255.55 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 493.97 255.55 90.03 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 241.55 103.88 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 133.88 241.55 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 223.9 241.55 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 313.92 241.55 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 403.95 241.55 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 493.97 241.55 90.03 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 227.55 103.88 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 133.88 227.55 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 223.9 227.55 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 313.92 227.55 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 403.95 227.55 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 493.97 227.55 90.03 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 213.55 103.88 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 133.88 213.55 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 223.9 213.55 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 313.92 213.55 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 403.95 213.55 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 493.97 213.55 90.03 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 199.55 554 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 185 103.88 14.55 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 133.88 185 90.02 14.55 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 223.9 185 90.02 14.55 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 313.92 185 90.02 14.55 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 403.95 185 90.02 14.55 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 493.97 185 90.03 14.55 re S 0 G Q BT 1 0 0 1 32 646.55 Tm /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (7DEOH)Tj 0 g 0 Tr 0 G 1 w 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg ()Tj 0 g 0 Tr 0 G 1 w 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg ('HPRJUDSKLF&KDUDFWHULVWLFVRI3DUWLFLSDQWV 1 \fDQG/LIHVW\\OH5LVN\)DFWRUVIRU'LDEHWHVE\\5DFH\(WKQLFLW\\+DZDLL%HKDYLRUDO5LVN\)DFWRU)Tj 0 g 0 Tr 0 G 1 w 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (6XU)Tj 0 g 0 Tr 0 G 1 w 1 0 0 1 32 635.55 Tm 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (YHLOODQFH6\\VWHP)Tj 0 g 0 Tr 0 G 1 w /F3 6 Tf 2 Tr 0.2 w 0 0 0 RG 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 34 610.55 Tm 0.15 Tc /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (9DULDEOH)Tj 0 g 0 Tr 0 G 1 w 0 Tc ET BT 1 0 0 1 169.86 610.55 Tm 0.15 Tc /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (:KLWH)Tj 0 g 0 Tr 0 G 1 w 0 Tc ET BT 1 0 0 1 229.9 618.55 Tm 0.15 Tc /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (1DWLYH+DZDLLDQ2WKHU)Tj 0 g 0 Tr 0 G 1 w 0 Tc 1 0 0 1 243.02 610.55 Tm 0.15 Tc 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (3DFLILF,VODQGHU)Tj 0 g 0 Tr 0 G 1 w 0 Tc ET BT 1 0 0 1 347.27 610.55 Tm 0.15 Tc /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (\)LOLSLQR)Tj 0 g 0 Tr 0 G 1 w 0 Tc ET BT 1 0 0 1 433.33 610.55 Tm 0.15 Tc /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (-DSDQHVH)Tj 0 g 0 Tr 0 G 1 w 0 Tc ET BT 1 0 0 1 525.89 610.55 Tm 0.15 Tc /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (&KLQHVH)Tj 0 g 0 Tr 0 G 1 w 0 Tc ET BT 1 0 0 1 32 595.55 Tm /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg ($JH\\)Tj 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 32 581.55 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 189.77 581.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 275.11 581.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 365.13 581.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 459.85 581.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 549.87 581.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 32 567.55 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 185.08 567.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 275.11 567.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 365.13 567.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 459.85 567.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 549.87 567.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 32 553.55 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 185.08 553.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 275.11 553.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 365.13 553.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 455.16 553.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 545.18 553.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 32 539.55 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 178.4 539.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 275.11 539.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 365.13 539.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 455.16 539.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 545.18 539.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 32 525.55 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 178.4 525.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 275.11 525.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 365.13 525.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 455.16 525.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 545.18 525.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 32 511.55 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 178.4 511.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 279.8 511.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 369.82 511.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 455.16 511.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 545.18 511.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 32 497.55 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 183.08 497.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 279.8 497.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 369.82 497.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 455.16 497.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 545.18 497.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 32 483.55 Tm /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (6H[)Tj 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 32 469.55 Tm /F3 8 Tf 0 0 0 rg (\)HPDOH)Tj 0 g ET BT 1 0 0 1 178.4 469.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 268.42 469.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 358.45 469.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 448.47 469.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 545.18 469.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 32 455.55 Tm /F3 8 Tf 0 0 0 rg (0DOH)Tj 0 g ET BT 1 0 0 1 178.4 455.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 268.42 455.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 365.13 455.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 448.47 455.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 545.18 455.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 32 441.55 Tm /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (0DULWDOVWDWXV)Tj 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 32 427.55 Tm /F3 8 Tf 0 0 0 rg (0DUULHG)Tj 0 g ET BT 1 0 0 1 178.4 427.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 268.42 427.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 358.45 427.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 448.47 427.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 545.18 427.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 32 413.55 Tm /F3 8 Tf 0 0 0 rg ('LYRUFHGVHSDUDWHG)Tj 0 g ET BT 1 0 0 1 178.4 413.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 275.11 413.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 369.82 413.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 455.16 413.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 549.87 413.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 32 399.55 Tm /F3 8 Tf 0 0 0 rg (1HYHUPDUULHG)Tj 0 g ET BT 1 0 0 1 178.4 399.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 275.11 399.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 365.13 399.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 455.16 399.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 545.18 399.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 32 385.55 Tm /F3 8 Tf 0 0 0 rg (:LGRZHG)Tj 0 g ET BT 1 0 0 1 187.43 385.55 Tm /F3 8 Tf 0 0 0 rg ( )Tj 0 g ET BT 1 0 0 1 279.8 385.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 369.82 385.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 455.16 385.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 549.87 385.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 32 371.55 Tm /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (\(GXFDWLRQOHYHO)Tj 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 32 357.55 Tm /F3 8 Tf 0 0 0 rg (+LJKVFKRRO)Tj 0 g ET BT 1 0 0 1 189.77 357.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 275.11 357.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 365.13 357.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 464.53 357.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 549.87 357.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 32 343.55 Tm /F3 8 Tf 0 0 0 rg (+LJKVFKRROGLSORPDRU*\(')Tj 0 g ET BT 1 0 0 1 178.4 343.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 268.42 343.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 365.13 343.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 455.16 343.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 545.18 343.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 32 329.55 Tm /F3 8 Tf 0 0 0 rg (&ROOHJH\\HDUV)Tj 0 g ET BT 1 0 0 1 178.4 329.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 275.11 329.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 365.13 329.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 448.47 329.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 545.18 329.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 32 315.55 Tm /F3 8 Tf 0 0 0 rg (&ROOHJH\\HDUV)Tj 0 g ET BT 1 0 0 1 178.4 315.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 275.11 315.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 365.13 315.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 448.47 315.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 545.18 315.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 32 301.55 Tm /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg ($QQXDOLQFRPH)Tj 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 32 287.55 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 189.77 287.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 277.45 287.55 Tm /F3 8 Tf 0 0 0 rg ( )Tj 0 g ET BT 1 0 0 1 369.82 287.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 459.85 287.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 554.56 287.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 32 273.55 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 185.08 273.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 277.45 273.55 Tm /F3 8 Tf 0 0 0 rg ( )Tj 0 g ET BT 1 0 0 1 365.13 273.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 459.85 273.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 554.56 273.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 32 259.55 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 178.4 259.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 277.45 259.55 Tm /F3 8 Tf 0 0 0 rg ( )Tj 0 g ET BT 1 0 0 1 365.13 259.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 455.16 259.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 545.18 259.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 32 245.55 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 178.4 245.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 277.45 245.55 Tm /F3 8 Tf 0 0 0 rg ( )Tj 0 g ET BT 1 0 0 1 455.16 245.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 545.18 245.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 32 231.55 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 178.4 231.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 277.45 231.55 Tm /F3 8 Tf 0 0 0 rg ( )Tj 0 g ET BT 1 0 0 1 365.13 231.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 448.47 231.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 545.18 231.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 32 217.55 Tm /F3 8 Tf 0 0 0 rg (8QNQRZQ)Tj 0 g ET BT 1 0 0 1 189.77 217.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 282.14 217.55 Tm /F3 8 Tf 0 0 0 rg ( )Tj 0 g ET BT 1 0 0 1 365.13 217.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 459.85 217.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 549.87 217.55 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 32 203.55 Tm /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (+HDOWKFDUHFRYHUDJH)Tj 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 32 189 Tm /F3 8 Tf 0 0 0 rg (<HV)Tj 0 g ET BT 1 0 0 1 178.4 189 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 270.76 189 Tm /F3 8 Tf 0 0 0 rg ( )Tj 0 g ET BT 1 0 0 1 358.45 189 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 448.47 189 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 545.18 189 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 32 173 Tm /F3 8 Tf 0 0 0 rg ($EEUHYLDWLRQ*\('JHQHUDOHTXLYDOHQF\\GLSORPD)Tj 0 g ET q BT 1 0 0 1 32 173 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 163 Tm /F3 6 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g /F3 8 Tf 0 0 0 rg (9DOXHVDUHQXPEHU ZHLJKWHGSHUFHQWDJH\f$OO)Tj 0 g 1 0 0.21256 1 192.11 163 Tm 0 0 0 rg (3)Tj 0 g 1 0 0 1 196.58 163 Tm 0 0 0 rg (YDOXHVDUHDQGZHUHFDOFXODWHGE\\)Tj 0 g /F3 6 Tf 0 0 0 rg 4 Ts ()Tj 0 Ts 0 g /F3 8 Tf 0 0 0 rg (WHVW)Tj 0 g -164.58 0 Td ET q BT 1 0 0 1 32 163 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 153 Tm /F3 6 Tf 0 0 0 rg 4 Ts (E)Tj 0 Ts 0 g /F3 8 Tf 0 0 0 rg (%RG\\PDVVLQGH[ ZHLJKWLQNJGLYLGHGE\\KHLJKWLQP)Tj 0 g /F3 6 Tf 0 0 0 rg 4 Ts ()Tj 0 Ts 0 g /F3 8 Tf 0 0 0 rg (\f)Tj 0 g ET q BT 1 0 0 1 32 153 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 143 Tm /F3 6 Tf 0 0 0 rg 4 Ts (F)Tj 0 Ts 0 g /F3 8 Tf 0 0 0 rg (3DUWLFLSDQWVZKRVPRNHGDWOHDVWFLJDUHWWHVLQWKHLUHQWLUHOLIHEXWQRORQJHUVPRNHDWDOO)Tj 0 g ET q BT 1 0 0 1 32 143 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 133 Tm /F3 6 Tf 0 0 0 rg 4 Ts (G)Tj 0 Ts 0 g /F3 8 Tf 0 0 0 rg ('HILQHGDVPRUHWKDQGULQNVSHUGD\\IRUPHQRUPRUHWKDQGULQNSHUGD\\IRUZRPHQ)Tj 0 g ET q BT 1 0 0 1 32 133 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 123 Tm /F3 6 Tf 0 0 0 rg 4 Ts (H)Tj 0 Ts 0 g /F3 8 Tf 0 0 0 rg (/HVVWKDQJXLGHOLQHV PLQZNPHHWVJXLGHOLQHV PLQZN\fDQGH[FHHGVJXLGHOLQHV !PLQZN )Tj 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg (\f)Tj 0 g ET q BT 1 0 0 1 32 123 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 498.31 111 Tm /F3 8 Tf 0 0 0 rg ( FRQWLQXHGRQQH[WSDJH\f)Tj 0 g ET q BT 1 0 0 1 30 735 Tm /F7 22 Tf 0.15294 0.35686 0.17255 rg (PREVENTING CHRONIC DISEASE)Tj 0 g ET Q q BT 1 0 0 1 502.52 735 Tm /F2 10 Tf (VOLUME 16, E22)Tj ET Q 0.83529 0.86275 0.81961 RG 1.6 w 30 732 m 368 732 l S q BT 1 0 0 1 30 718 Tm /F2 13 Tf 0.15294 0.35686 0.17255 rg (PUBLIC HEALTH RESEARCH, PRACTICE, AND POLICY)Tj 0 g ET Q q BT 1 0 0 1 496.97 718 Tm /F2 10 Tf ( FEBRUARY 2019)Tj ET Q 0.15294 0.35686 0.17255 RG 3 w 30 708 m 582 708 l S 0.50196 0.50196 0.50196 RG 1 w 30 80 m 582 80 l S q BT 1 0 0 1 30.52 70 Tm /F2 8 Tf 0.50196 0.50196 0.50196 rg (The opinions expressed by authors contributing to this journal do not necessarily reflect the opinions of the U.S. Department of Health and Human Services,)Tj 0 g ET Q q BT 1 0 0 1 110.12 58 Tm /F2 8 Tf 0.50196 0.50196 0.50196 rg (the Public Health Service, the Centers for Disease Control and Prevention, or the authors affiliated institutions.)Tj 0 g ET Q 0.50196 0.50196 0.50196 RG 1 w 30 53 m 582 53 l S q BT 1 0 0 1 201.69 41 Tm /F2 9 Tf (www.cdc.gov/pcd/issues/2019/18_0187.htm Centers for Disease Control and Prevention 7)Tj ET Q , endstream endobj 24 0 obj <>>>/ArtBox[30 100 584 764]/Contents 23 0 R/Parent 9 0 R>> endobj 25 0 obj <>stream xX[q BT 30 786 Td ET Q q 0.79216 0.83529 0.79216 rg 30 634 103.88 24 re f 0.79216 0.83529 0.79216 rg 133.88 634 90.02 24 re f 0.79216 0.83529 0.79216 rg 223.9 634 90.02 24 re f 0.79216 0.83529 0.79216 rg 313.92 634 90.02 24 re f 0.79216 0.83529 0.79216 rg 403.95 634 90.02 24 re f 0.79216 0.83529 0.79216 rg 493.97 634 90.03 24 re f Q q 2 J 0 G 0.5 w 1 1 1 RG 30 658 554 30 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 634 103.88 24 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 133.88 634 90.02 24 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 223.9 634 90.02 24 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 313.92 634 90.02 24 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 403.95 634 90.02 24 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 493.97 634 90.03 24 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 620 103.88 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 133.88 620 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 223.9 620 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 313.92 620 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 403.95 620 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 493.97 620 90.03 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 606 554 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 592 103.88 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 133.88 592 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 223.9 592 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 313.92 592 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 403.95 592 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 493.97 592 90.03 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 578 103.88 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 133.88 578 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 223.9 578 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 313.92 578 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 403.95 578 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 493.97 578 90.03 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 564 554 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 550 103.88 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 133.88 550 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 223.9 550 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 313.92 550 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 403.95 550 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 493.97 550 90.03 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 536 103.88 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 133.88 536 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 223.9 536 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 313.92 536 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 403.95 536 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 493.97 536 90.03 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 522 103.88 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 133.88 522 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 223.9 522 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 313.92 522 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 403.95 522 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 493.97 522 90.03 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 508 103.88 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 133.88 508 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 223.9 508 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 313.92 508 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 403.95 508 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 493.97 508 90.03 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 494 554 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 480 103.88 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 133.88 480 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 223.9 480 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 313.92 480 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 403.95 480 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 493.97 480 90.03 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 466 103.88 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 133.88 466 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 223.9 466 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 313.92 466 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 403.95 466 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 493.97 466 90.03 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 452 103.88 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 133.88 452 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 223.9 452 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 313.92 452 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 403.95 452 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 493.97 452 90.03 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 438 554 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 424 103.88 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 133.88 424 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 223.9 424 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 313.92 424 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 403.95 424 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 493.97 424 90.03 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 410 103.88 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 133.88 410 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 223.9 410 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 313.92 410 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 403.95 410 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 493.97 410 90.03 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 396 103.88 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 133.88 396 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 223.9 396 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 313.92 396 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 403.95 396 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 493.97 396 90.03 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 382 103.88 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 133.88 382 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 223.9 382 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 313.92 382 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 403.95 382 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 493.97 382 90.03 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 368 554 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 354 103.88 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 133.88 354 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 223.9 354 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 313.92 354 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 403.95 354 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 493.97 354 90.03 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 340 103.88 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 133.88 340 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 223.9 340 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 313.92 340 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 403.95 340 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 493.97 340 90.03 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 326 103.88 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 133.88 326 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 223.9 326 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 313.92 326 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 403.95 326 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 493.97 326 90.03 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 312 554 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 298 103.88 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 133.88 298 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 223.9 298 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 313.92 298 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 403.95 298 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 493.97 298 90.03 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 284 103.88 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 133.88 284 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 223.9 284 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 313.92 284 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 403.95 284 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 493.97 284 90.03 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 270 103.88 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 133.88 270 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 223.9 270 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 313.92 270 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 403.95 270 90.02 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 493.97 270 90.03 14 re S 0 G Q BT 1 0 0 1 32 690 Tm /F3 8 Tf 0 0 0 rg ( FRQWLQXHG\f)Tj 0 g ET BT 1 0 0 1 32 675 Tm /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (7DEOH)Tj 0 g 0 Tr 0 G 1 w 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg ()Tj 0 g 0 Tr 0 G 1 w 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg ('HPRJUDSKLF&KDUDFWHULVWLFVRI3DUWLFLSDQWV 1 \fDQG/LIHVW\\OH5LVN\)DFWRUVIRU'LDEHWHVE\\5DFH\(WKQLFLW\\+DZDLL%HKDYLRUDO5LVN\)DFWRU)Tj 0 g 0 Tr 0 G 1 w 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (6XU)Tj 0 g 0 Tr 0 G 1 w 1 0 0 1 32 664 Tm 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (YHLOODQFH6\\VWHP)Tj 0 g 0 Tr 0 G 1 w /F3 6 Tf 2 Tr 0.2 w 0 0 0 RG 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 34 639 Tm 0.15 Tc /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (9DULDEOH)Tj 0 g 0 Tr 0 G 1 w 0 Tc ET BT 1 0 0 1 169.86 639 Tm 0.15 Tc /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (:KLWH)Tj 0 g 0 Tr 0 G 1 w 0 Tc ET BT 1 0 0 1 229.9 647 Tm 0.15 Tc /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (1DWLYH+DZDLLDQ2WKHU)Tj 0 g 0 Tr 0 G 1 w 0 Tc 1 0 0 1 243.02 639 Tm 0.15 Tc 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (3DFLILF,VODQGHU)Tj 0 g 0 Tr 0 G 1 w 0 Tc ET BT 1 0 0 1 347.27 639 Tm 0.15 Tc /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (\)LOLSLQR)Tj 0 g 0 Tr 0 G 1 w 0 Tc ET BT 1 0 0 1 433.33 639 Tm 0.15 Tc /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (-DSDQHVH)Tj 0 g 0 Tr 0 G 1 w 0 Tc ET BT 1 0 0 1 525.89 639 Tm 0.15 Tc /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (&KLQHVH)Tj 0 g 0 Tr 0 G 1 w 0 Tc ET BT 1 0 0 1 32 624 Tm /F3 8 Tf 0 0 0 rg (1R)Tj 0 g ET BT 1 0 0 1 189.77 624 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 277.45 624 Tm /F3 8 Tf 0 0 0 rg ( )Tj 0 g ET BT 1 0 0 1 369.82 624 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 459.85 624 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 554.56 624 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 32 610 Tm /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (2EHVH)Tj 0 g 0 Tr 0 G 1 w /F3 6 Tf 2 Tr 0.2 w 0 0 0 RG 0 0 0 rg 4 Ts (E)Tj 0 Ts 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 32 596 Tm /F3 8 Tf 0 0 0 rg (<HV)Tj 0 g ET BT 1 0 0 1 178.4 596 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 270.76 596 Tm /F3 8 Tf 0 0 0 rg ( )Tj 0 g ET BT 1 0 0 1 365.13 596 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 455.16 596 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 549.87 596 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 32 582 Tm /F3 8 Tf 0 0 0 rg (1R)Tj 0 g ET BT 1 0 0 1 178.4 582 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 270.76 582 Tm /F3 8 Tf 0 0 0 rg ( )Tj 0 g ET BT 1 0 0 1 358.45 582 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 448.47 582 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 545.18 582 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 32 568 Tm /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (6PRNLQJVWDWXV)Tj 0 g 0 Tr 0 G 1 w /F3 6 Tf 2 Tr 0.2 w 0 0 0 RG 0 0 0 rg 4 Ts (F)Tj 0 Ts 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 32 554 Tm /F3 8 Tf 0 0 0 rg (1HYHUVPRNHU)Tj 0 g ET BT 1 0 0 1 178.4 554 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 270.76 554 Tm /F3 8 Tf 0 0 0 rg ( )Tj 0 g ET BT 1 0 0 1 358.45 554 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 448.47 554 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 545.18 554 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 32 540 Tm /F3 8 Tf 0 0 0 rg (\)RUPHUVPRNHU)Tj 0 g ET BT 1 0 0 1 178.4 540 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 277.45 540 Tm /F3 8 Tf 0 0 0 rg ( )Tj 0 g ET BT 1 0 0 1 365.13 540 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 448.47 540 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 545.18 540 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 32 526 Tm /F3 8 Tf 0 0 0 rg (6PRNHVRPHGD\\V)Tj 0 g ET BT 1 0 0 1 189.77 526 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 282.14 526 Tm /F3 8 Tf 0 0 0 rg ( )Tj 0 g ET BT 1 0 0 1 374.51 526 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 464.53 526 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 554.56 526 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 32 512 Tm /F3 8 Tf 0 0 0 rg (6PRNHHYHU\\GD\\)Tj 0 g ET BT 1 0 0 1 189.77 512 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 277.45 512 Tm /F3 8 Tf 0 0 0 rg ( )Tj 0 g ET BT 1 0 0 1 369.82 512 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 459.85 512 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 554.56 512 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 32 498 Tm /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (+HDY\\GULQNLQJ)Tj 0 g 0 Tr 0 G 1 w /F3 6 Tf 2 Tr 0.2 w 0 0 0 RG 0 0 0 rg 4 Ts (G)Tj 0 Ts 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 32 484 Tm /F3 8 Tf 0 0 0 rg (<HV)Tj 0 g ET BT 1 0 0 1 189.77 484 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 277.45 484 Tm /F3 8 Tf 0 0 0 rg ( )Tj 0 g ET BT 1 0 0 1 369.82 484 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 459.85 484 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 554.56 484 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 32 470 Tm /F3 8 Tf 0 0 0 rg (1R)Tj 0 g ET BT 1 0 0 1 178.4 470 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 270.76 470 Tm /F3 8 Tf 0 0 0 rg ( )Tj 0 g ET BT 1 0 0 1 358.45 470 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 448.47 470 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 545.18 470 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 32 456 Tm /F3 8 Tf 0 0 0 rg ('RQWGULQN)Tj 0 g ET BT 1 0 0 1 178.4 456 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 277.45 456 Tm /F3 8 Tf 0 0 0 rg ( )Tj 0 g ET BT 1 0 0 1 365.13 456 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 455.16 456 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 545.18 456 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 32 442 Tm /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (0HHWV86JXLGHOLQHVIRUSK\\VLFDODFWLYLW\\)Tj 0 g 0 Tr 0 G 1 w /F3 6 Tf 2 Tr 0.2 w 0 0 0 RG 0 0 0 rg 4 Ts (H)Tj 0 Ts 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 32 428 Tm /F3 8 Tf 0 0 0 rg (1RSK\\VLFDODFWLYLW\\)Tj 0 g ET BT 1 0 0 1 178.4 428 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 281.8 428 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 365.13 428 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 455.16 428 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 545.18 428 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 32 414 Tm /F3 8 Tf 0 0 0 rg (/HVVWKDQJXLGHOLQHV)Tj 0 g ET BT 1 0 0 1 178.4 414 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 277.45 414 Tm /F3 8 Tf 0 0 0 rg ( )Tj 0 g ET BT 1 0 0 1 365.13 414 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 455.16 414 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 545.18 414 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 32 400 Tm /F3 8 Tf 0 0 0 rg (0HHWVJXLGHOLQHV)Tj 0 g ET BT 1 0 0 1 178.4 400 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 277.45 400 Tm /F3 8 Tf 0 0 0 rg ( )Tj 0 g ET BT 1 0 0 1 365.13 400 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 455.16 400 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 545.18 400 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 32 386 Tm /F3 8 Tf 0 0 0 rg (\([FHHGVJXLGHOLQHV)Tj 0 g ET BT 1 0 0 1 178.4 386 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 270.76 386 Tm /F3 8 Tf 0 0 0 rg ( )Tj 0 g ET BT 1 0 0 1 365.13 386 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 448.47 386 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 545.18 386 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 32 372 Tm /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg ('DLO\\VHUYLQJVRIIUXLW)Tj 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 32 358 Tm /F3 8 Tf 0 0 0 rg (1RQH)Tj 0 g ET BT 1 0 0 1 178.4 358 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 270.76 358 Tm /F3 8 Tf 0 0 0 rg ( )Tj 0 g ET BT 1 0 0 1 365.13 358 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 448.47 358 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 545.18 358 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 32 344 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 178.4 344 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 270.76 344 Tm /F3 8 Tf 0 0 0 rg ( )Tj 0 g ET BT 1 0 0 1 358.45 344 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 448.47 344 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 545.18 344 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 32 330 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 178.4 330 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 277.45 330 Tm /F3 8 Tf 0 0 0 rg ( )Tj 0 g ET BT 1 0 0 1 365.13 330 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 459.85 330 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 545.18 330 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 32 316 Tm /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg ('DLO\\VHUYLQJVRIYHJHWDEOHV)Tj 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 32 302 Tm /F3 8 Tf 0 0 0 rg (1RQH)Tj 0 g ET BT 1 0 0 1 178.4 302 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 277.45 302 Tm /F3 8 Tf 0 0 0 rg ( )Tj 0 g ET BT 1 0 0 1 365.13 302 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 455.16 302 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 545.18 302 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 32 288 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 178.4 288 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 270.76 288 Tm /F3 8 Tf 0 0 0 rg ( )Tj 0 g ET BT 1 0 0 1 358.45 288 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 448.47 288 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 545.18 288 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 32 274 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 178.4 274 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 277.45 274 Tm /F3 8 Tf 0 0 0 rg ( )Tj 0 g ET BT 1 0 0 1 365.13 274 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 455.16 274 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 545.18 274 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 32 258 Tm /F3 8 Tf 0 0 0 rg ($EEUHYLDWLRQ*\('JHQHUDOHTXLYDOHQF\\GLSORPD)Tj 0 g ET q BT 1 0 0 1 32 258 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 248 Tm /F3 6 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g /F3 8 Tf 0 0 0 rg (9DOXHVDUHQXPEHU ZHLJKWHGSHUFHQWDJH\f$OO)Tj 0 g 1 0 0.21256 1 192.11 248 Tm 0 0 0 rg (3)Tj 0 g 1 0 0 1 196.58 248 Tm 0 0 0 rg (YDOXHVDUHDQGZHUHFDOFXODWHGE\\)Tj 0 g /F3 6 Tf 0 0 0 rg 4 Ts ()Tj 0 Ts 0 g /F3 8 Tf 0 0 0 rg (WHVW)Tj 0 g -164.58 0 Td ET q BT 1 0 0 1 32 248 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 238 Tm /F3 6 Tf 0 0 0 rg 4 Ts (E)Tj 0 Ts 0 g /F3 8 Tf 0 0 0 rg (%RG\\PDVVLQGH[ ZHLJKWLQNJGLYLGHGE\\KHLJKWLQP)Tj 0 g /F3 6 Tf 0 0 0 rg 4 Ts ()Tj 0 Ts 0 g /F3 8 Tf 0 0 0 rg (\f)Tj 0 g ET q BT 1 0 0 1 32 238 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 228 Tm /F3 6 Tf 0 0 0 rg 4 Ts (F)Tj 0 Ts 0 g /F3 8 Tf 0 0 0 rg (3DUWLFLSDQWVZKRVPRNHGDWOHDVWFLJDUHWWHVLQWKHLUHQWLUHOLIHEXWQRORQJHUVPRNHDWDOO)Tj 0 g ET q BT 1 0 0 1 32 228 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 218 Tm /F3 6 Tf 0 0 0 rg 4 Ts (G)Tj 0 Ts 0 g /F3 8 Tf 0 0 0 rg ('HILQHGDVPRUHWKDQGULQNVSHUGD\\IRUPHQRUPRUHWKDQGULQNSHUGD\\IRUZRPHQ)Tj 0 g ET q BT 1 0 0 1 32 218 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 208 Tm /F3 6 Tf 0 0 0 rg 4 Ts (H)Tj 0 Ts 0 g /F3 8 Tf 0 0 0 rg (/HVVWKDQJXLGHOLQHV PLQZNPHHWVJXLGHOLQHV PLQZN\fDQGH[FHHGVJXLGHOLQHV !PLQZN )Tj 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg (\f)Tj 0 g ET q BT 1 0 0 1 32 208 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q q 1 w 0.50196 0.50196 0.50196 RG 30 202 m 584 202 l S Q q BT 1 0 0 1 30 735 Tm /F7 22 Tf 0.15294 0.35686 0.17255 rg (PREVENTING CHRONIC DISEASE)Tj 0 g ET Q q BT 1 0 0 1 502.52 735 Tm /F2 10 Tf (VOLUME 16, E22)Tj ET Q 0.83529 0.86275 0.81961 RG 1.6 w 30 732 m 368 732 l S q BT 1 0 0 1 30 718 Tm /F2 13 Tf 0.15294 0.35686 0.17255 rg (PUBLIC HEALTH RESEARCH, PRACTICE, AND POLICY)Tj 0 g ET Q q BT 1 0 0 1 496.97 718 Tm /F2 10 Tf ( FEBRUARY 2019)Tj ET Q 0.15294 0.35686 0.17255 RG 3 w 30 708 m 582 708 l S 0.50196 0.50196 0.50196 RG 1 w 30 80 m 582 80 l S q BT 1 0 0 1 30.52 70 Tm /F2 8 Tf 0.50196 0.50196 0.50196 rg (The opinions expressed by authors contributing to this journal do not necessarily reflect the opinions of the U.S. Department of Health and Human Services,)Tj 0 g ET Q q BT 1 0 0 1 110.12 58 Tm /F2 8 Tf 0.50196 0.50196 0.50196 rg (the Public Health Service, the Centers for Disease Control and Prevention, or the authors affiliated institutions.)Tj 0 g ET Q 0.50196 0.50196 0.50196 RG 1 w 30 53 m 582 53 l S q BT 1 0 0 1 30 41 Tm /F2 9 Tf (8 Centers for Disease Control and Prevention www.cdc.gov/pcd/issues/2019/18_0187.htm)Tj ET Q tN endstream endobj 26 0 obj <>>>/ArtBox[30 100 584 764]/Contents 25 0 R/Parent 9 0 R>> endobj 27 0 obj <>stream x Gq BT 30 786 Td ET Q q 0.79216 0.83529 0.79216 rg 30 641 137.91 16 re f 0.79216 0.83529 0.79216 rg 167.91 641 122.45 16 re f 0.79216 0.83529 0.79216 rg 290.36 641 224.69 16 re f 0.79216 0.83529 0.79216 rg 515.05 641 68.95 16 re f Q q 2 J 0 G 0.5 w 1 1 1 RG 30 657 554 30 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 641 137.91 16 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 167.91 641 122.45 16 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 290.36 641 224.69 16 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 515.05 641 68.95 16 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 627 554 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 613 137.91 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 167.91 613 122.45 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 290.36 613 224.69 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 515.05 557 68.95 70 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 599 137.91 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 167.91 599 122.45 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 290.36 599 224.69 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 585 137.91 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 167.91 585 122.45 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 290.36 585 224.69 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 571 137.91 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 167.91 571 122.45 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 290.36 571 224.69 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 557 137.91 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 167.91 557 122.45 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 290.36 557 224.69 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 543 554 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 529 137.91 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 167.91 529 122.45 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 290.36 529 224.69 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 515.05 445 68.95 98 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 515 137.91 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 167.91 515 122.45 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 290.36 515 224.69 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 501 137.91 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 167.91 501 122.45 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 290.36 501 224.69 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 487 137.91 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 167.91 487 122.45 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 290.36 487 224.69 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 473 137.91 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 167.91 473 122.45 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 290.36 473 224.69 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 459 137.91 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 167.91 459 122.45 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 290.36 459 224.69 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 445 137.91 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 167.91 445 122.45 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 290.36 445 224.69 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 431 554 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 417 137.91 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 167.91 417 122.45 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 290.36 417 224.69 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 515.05 403 68.95 28 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 403 137.91 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 167.91 403 122.45 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 290.36 403 224.69 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 389 554 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 375 137.91 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 167.91 375 122.45 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 290.36 375 224.69 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 515.05 333 68.95 56 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 361 137.91 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 167.91 361 122.45 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 290.36 361 224.69 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 347 137.91 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 167.91 347 122.45 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 290.36 347 224.69 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 333 137.91 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 167.91 333 122.45 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 290.36 333 224.69 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 319 554 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 305 137.91 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 167.91 305 122.45 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 290.36 305 224.69 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 515.05 263 68.95 56 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 291 137.91 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 167.91 291 122.45 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 290.36 291 224.69 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 277 137.91 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 167.91 277 122.45 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 290.36 277 224.69 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 263 137.91 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 167.91 263 122.45 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 290.36 263 224.69 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 249 554 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 235 137.91 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 167.91 235 122.45 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 290.36 235 224.69 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 515.05 185 68.95 64 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 221 137.91 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 167.91 221 122.45 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 290.36 221 224.69 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 207 137.91 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 167.91 207 122.45 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 290.36 207 224.69 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 193 137.91 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 167.91 193 122.45 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 290.36 193 224.69 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 185 137.91 8 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 167.91 185 122.45 8 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 290.36 185 224.69 8 re S 0 G Q BT 1 0 0 1 32 674 Tm /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (7DEOH)Tj 0 g 0 Tr 0 G 1 w 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg ()Tj 0 g 0 Tr 0 G 1 w 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (3UHYDOHQFH5DWLRVE\\'HPRJUDSKLF&KDUDFWHULVWLFVDQG/LIHVW\\OH5LVN\)DFWRUVRI$OO3DUWLFLSDQWV 1 \fDQG3DUWLFLSDQWV:LWK'LDEHWHV 1 \f)Tj 0 g 0 Tr 0 G 1 w 1 0 0 1 32 663 Tm 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (+DZDLL%HKDYLRUDO5LVN\)DFWRU6XUYHLOODQFH6\\VWHP)Tj 0 g 0 Tr 0 G 1 w /F3 6 Tf 2 Tr 0.2 w 0 0 0 RG 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 34 646 Tm 0.15 Tc /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (9DULDEOH)Tj 0 g 0 Tr 0 G 1 w 0 Tc ET BT 1 0 0 1 192.51 646 Tm 0.15 Tc /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg ($OO3DUWLFLSDQWV1 \b\f)Tj 0 g 0 Tr 0 G 1 w 0 Tc ET BT 1 0 0 1 299.24 646 Tm 0.15 Tc /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (3DUWLFLSDQWV:LWK'LDEHWHV1 \b\f>\b&RQILGHQFH,QWHUYDO@)Tj 0 g 0 Tr 0 G 1 w 0 Tc ET BT 1 0 0 1 537.42 646 Tm 1 0 0.21256 1 537.42 646 Tm /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (3)Tj 0 g 0 Tr 0 G 1 w 1 0 0 1 541.89 646 Tm 0.15 Tc 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (9DOXH)Tj 0 g 0 Tr 0 G 1 w 0 Tc -4.47 0 Td ET BT 1 0 0 1 32 631 Tm /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (5DFHHWKQLFLW\\)Tj 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 32 617 Tm /F3 8 Tf 0 0 0 rg (:KLWH)Tj 0 g ET BT 1 0 0 1 244.85 617 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 446.79 617 Tm /F3 8 Tf 0 0 0 rg ( \f>@)Tj 0 g ET BT 1 0 0 1 561.25 589 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 32 603 Tm /F3 8 Tf 0 0 0 rg (1DWLYH+DZDLLDQ2WKHU3DFLILF,VODQGHU)Tj 0 g ET BT 1 0 0 1 244.85 603 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 442.1 603 Tm /F3 8 Tf 0 0 0 rg ( \f>@)Tj 0 g ET BT 1 0 0 1 32 589 Tm /F3 8 Tf 0 0 0 rg (\)LOLSLQR)Tj 0 g ET BT 1 0 0 1 244.85 589 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 437.42 589 Tm /F3 8 Tf 0 0 0 rg ( \f>@)Tj 0 g ET BT 1 0 0 1 32 575 Tm /F3 8 Tf 0 0 0 rg (-DSDQHVH)Tj 0 g ET BT 1 0 0 1 244.85 575 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 432.73 575 Tm /F3 8 Tf 0 0 0 rg ( \f>@)Tj 0 g ET BT 1 0 0 1 32 561 Tm /F3 8 Tf 0 0 0 rg (&KLQHVH)Tj 0 g ET BT 1 0 0 1 249.54 561 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 442.1 561 Tm /F3 8 Tf 0 0 0 rg ( \f>@)Tj 0 g ET BT 1 0 0 1 32 547 Tm /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg ($JH\\)Tj 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 32 533 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 244.85 533 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 456.17 533 Tm /F3 8 Tf 0 0 0 rg ( \f>@)Tj 0 g ET BT 1 0 0 1 561.25 491 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 32 519 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 244.85 519 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 451.48 519 Tm /F3 8 Tf 0 0 0 rg ( \f>@)Tj 0 g ET BT 1 0 0 1 32 505 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 244.85 505 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 446.79 505 Tm /F3 8 Tf 0 0 0 rg ( \f>@)Tj 0 g ET BT 1 0 0 1 32 491 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 244.85 491 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 442.1 491 Tm /F3 8 Tf 0 0 0 rg ( \f>@)Tj 0 g ET BT 1 0 0 1 32 477 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 244.85 477 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 432.73 477 Tm /F3 8 Tf 0 0 0 rg ( \f>@)Tj 0 g ET BT 1 0 0 1 32 463 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 244.85 463 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 432.73 463 Tm /F3 8 Tf 0 0 0 rg ( \f>@)Tj 0 g ET BT 1 0 0 1 32 449 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 249.54 449 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 432.73 449 Tm /F3 8 Tf 0 0 0 rg ( \f>@)Tj 0 g ET BT 1 0 0 1 32 435 Tm /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (6H[)Tj 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 32 421 Tm /F3 8 Tf 0 0 0 rg (\)HPDOH)Tj 0 g ET BT 1 0 0 1 244.85 421 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 446.79 421 Tm /F3 8 Tf 0 0 0 rg ( \f>@)Tj 0 g ET BT 1 0 0 1 570.62 414 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 32 407 Tm /F3 8 Tf 0 0 0 rg (0DOH)Tj 0 g ET BT 1 0 0 1 244.85 407 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 446.79 407 Tm /F3 8 Tf 0 0 0 rg ( \f>@)Tj 0 g ET BT 1 0 0 1 32 393 Tm /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (0DULWDOVWDWXV)Tj 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 32 379 Tm /F3 8 Tf 0 0 0 rg (0DUULHG)Tj 0 g ET BT 1 0 0 1 244.85 379 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 435.42 379 Tm /F3 8 Tf 0 0 0 rg ( \f>@)Tj 0 g ET BT 1 0 0 1 561.25 358 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 32 365 Tm /F3 8 Tf 0 0 0 rg ('LYRUFHGVHSDUDWHG)Tj 0 g ET BT 1 0 0 1 244.85 365 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 442.1 365 Tm /F3 8 Tf 0 0 0 rg ( \f>@)Tj 0 g ET BT 1 0 0 1 32 351 Tm /F3 8 Tf 0 0 0 rg (1HYHUPDUULHG)Tj 0 g ET BT 1 0 0 1 244.85 351 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 446.79 351 Tm /F3 8 Tf 0 0 0 rg ( \f>@)Tj 0 g ET BT 1 0 0 1 32 337 Tm /F3 8 Tf 0 0 0 rg (:LGRZHG)Tj 0 g ET BT 1 0 0 1 249.54 337 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 432.73 337 Tm /F3 8 Tf 0 0 0 rg ( \f>@)Tj 0 g ET BT 1 0 0 1 32 323 Tm /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (\(GXFDWLRQOHYHO)Tj 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 32 309 Tm /F3 8 Tf 0 0 0 rg (+LJKVFKRRO)Tj 0 g ET BT 1 0 0 1 256.23 309 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 432.73 309 Tm /F3 8 Tf 0 0 0 rg ( \f>@)Tj 0 g ET BT 1 0 0 1 561.25 288 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 32 295 Tm /F3 8 Tf 0 0 0 rg (+LJKVFKRROGLSORPDRU*\(')Tj 0 g ET BT 1 0 0 1 244.85 295 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 442.1 295 Tm /F3 8 Tf 0 0 0 rg ( \f>@)Tj 0 g ET BT 1 0 0 1 32 281 Tm /F3 8 Tf 0 0 0 rg (&ROOHJH\\)Tj 0 g ET BT 1 0 0 1 244.85 281 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 442.1 281 Tm /F3 8 Tf 0 0 0 rg ( \f>@)Tj 0 g ET BT 1 0 0 1 32 267 Tm /F3 8 Tf 0 0 0 rg (&ROOHJH\\)Tj 0 g ET BT 1 0 0 1 244.85 267 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 446.79 267 Tm /F3 8 Tf 0 0 0 rg ( \f>@)Tj 0 g ET BT 1 0 0 1 32 253 Tm /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg ($QQXDOKRXVHKROGLQFRPH)Tj 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 32 239 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 249.54 239 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 432.73 239 Tm /F3 8 Tf 0 0 0 rg ( \f>@)Tj 0 g ET BT 1 0 0 1 561.25 214 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 32 225 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 244.85 225 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 442.79 225 Tm /F3 8 Tf 0 0 0 rg ( \f>@)Tj 0 g ET BT 1 0 0 1 32 211 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 244.85 211 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 442.1 211 Tm /F3 8 Tf 0 0 0 rg ( \f>@)Tj 0 g ET BT 1 0 0 1 32 197 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 244.85 197 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 446.79 197 Tm /F3 8 Tf 0 0 0 rg ( \f>@)Tj 0 g ET BT 1 0 0 1 32 173 Tm /F3 8 Tf 0 0 0 rg ($EEUHYLDWLRQ*\('JHQHUDOHTXLYDOHQF\\GLSORPD)Tj 0 g ET q BT 1 0 0 1 32 173 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 163 Tm /F3 6 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g /F3 8 Tf 0 0 0 rg (3HUFHQWDJHVDUHZHLJKWHG)Tj 0 g ET q BT 1 0 0 1 32 163 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 153 Tm /F3 6 Tf 0 0 0 rg 4 Ts (E)Tj 0 Ts 0 g /F3 8 Tf 0 0 0 rg (%RG\\PDVVLQGH[ ZHLJKWLQNJGLYLGHGE\\KHLJKWLQP)Tj 0 g /F3 6 Tf 0 0 0 rg 4 Ts ()Tj 0 Ts 0 g /F3 8 Tf 0 0 0 rg (\f)Tj 0 g ET q BT 1 0 0 1 32 153 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 143 Tm /F3 6 Tf 0 0 0 rg 4 Ts (F)Tj 0 Ts 0 g /F3 8 Tf 0 0 0 rg (3DUWLFLSDQWVZKRVPRNHGDWOHDVWFLJDUHWWHVLQWKHLUHQWLUHOLIHEXWQRORQJHUVPRNHDWDOO)Tj 0 g ET q BT 1 0 0 1 32 143 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 133 Tm /F3 6 Tf 0 0 0 rg 4 Ts (G)Tj 0 Ts 0 g /F3 8 Tf 0 0 0 rg ('HILQHGDVPRUHWKDQGULQNVSHUGD\\IRUPHQRUPRUHWKDQGULQNSHUGD\\IRUZRPHQ)Tj 0 g ET q BT 1 0 0 1 32 133 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 123 Tm /F3 6 Tf 0 0 0 rg 4 Ts (H)Tj 0 Ts 0 g /F3 8 Tf 0 0 0 rg (/HVVWKDQJXLGHOLQHV PLQZNPHHWVJXLGHOLQHV PLQZNDQGH[FHHGVJXLGHOLQHV !PLQZN )Tj 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg (\f)Tj 0 g ET q BT 1 0 0 1 32 123 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 498.31 111 Tm /F3 8 Tf 0 0 0 rg ( FRQWLQXHGRQQH[WSDJH\f)Tj 0 g ET q BT 1 0 0 1 30 735 Tm /F7 22 Tf 0.15294 0.35686 0.17255 rg (PREVENTING CHRONIC DISEASE)Tj 0 g ET Q q BT 1 0 0 1 502.52 735 Tm /F2 10 Tf (VOLUME 16, E22)Tj ET Q 0.83529 0.86275 0.81961 RG 1.6 w 30 732 m 368 732 l S q BT 1 0 0 1 30 718 Tm /F2 13 Tf 0.15294 0.35686 0.17255 rg (PUBLIC HEALTH RESEARCH, PRACTICE, AND POLICY)Tj 0 g ET Q q BT 1 0 0 1 496.97 718 Tm /F2 10 Tf ( FEBRUARY 2019)Tj ET Q 0.15294 0.35686 0.17255 RG 3 w 30 708 m 582 708 l S 0.50196 0.50196 0.50196 RG 1 w 30 80 m 582 80 l S q BT 1 0 0 1 30.52 70 Tm /F2 8 Tf 0.50196 0.50196 0.50196 rg (The opinions expressed by authors contributing to this journal do not necessarily reflect the opinions of the U.S. Department of Health and Human Services,)Tj 0 g ET Q q BT 1 0 0 1 110.12 58 Tm /F2 8 Tf 0.50196 0.50196 0.50196 rg (the Public Health Service, the Centers for Disease Control and Prevention, or the authors affiliated institutions.)Tj 0 g ET Q 0.50196 0.50196 0.50196 RG 1 w 30 53 m 582 53 l S q BT 1 0 0 1 201.69 41 Tm /F2 9 Tf (www.cdc.gov/pcd/issues/2019/18_0187.htm Centers for Disease Control and Prevention 9)Tj ET Q -F2 endstream endobj 28 0 obj <>>>/ArtBox[30 100 584 764]/Contents 27 0 R/Parent 9 0 R>> endobj 29 0 obj <>stream xBBq BT 30 786 Td ET Q q 0.79216 0.83529 0.79216 rg 30 642 137.91 16 re f 0.79216 0.83529 0.79216 rg 167.91 642 122.45 16 re f 0.79216 0.83529 0.79216 rg 290.36 642 224.69 16 re f 0.79216 0.83529 0.79216 rg 515.05 642 68.95 16 re f Q q 2 J 0 G 0.5 w 1 1 1 RG 30 658 554 30 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 642 137.91 16 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 167.91 642 122.45 16 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 290.36 642 224.69 16 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 515.05 642 68.95 16 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 628 137.91 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 167.91 628 122.45 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 290.36 628 224.69 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 515.05 614 68.95 28 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 614 137.91 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 167.91 614 122.45 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 290.36 614 224.69 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 600 554 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 586 137.91 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 167.91 586 122.45 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 290.36 586 224.69 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 515.05 572 68.95 28 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 572 137.91 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 167.91 572 122.45 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 290.36 572 224.69 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 558 554 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 544 137.91 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 167.91 544 122.45 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 290.36 544 224.69 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 515.05 530 68.95 28 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 530 137.91 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 167.91 530 122.45 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 290.36 530 224.69 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 516 554 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 502 137.91 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 167.91 502 122.45 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 290.36 502 224.69 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 515.05 460 68.95 56 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 488 137.91 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 167.91 488 122.45 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 290.36 488 224.69 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 474 137.91 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 167.91 474 122.45 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 290.36 474 224.69 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 460 137.91 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 167.91 460 122.45 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 290.36 460 224.69 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 446 554 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 432 137.91 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 167.91 432 122.45 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 290.36 432 224.69 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 515.05 418 68.95 28 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 418 137.91 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 167.91 418 122.45 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 290.36 418 224.69 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 404 554 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 390 137.91 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 167.91 390 122.45 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 290.36 390 224.69 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 515.05 348 68.95 56 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 376 137.91 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 167.91 376 122.45 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 290.36 376 224.69 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 362 137.91 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 167.91 362 122.45 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 290.36 362 224.69 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 348 137.91 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 167.91 348 122.45 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 290.36 348 224.69 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 334 554 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 320 137.91 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 167.91 320 122.45 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 290.36 320 224.69 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 515.05 292 68.95 42 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 306 137.91 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 167.91 306 122.45 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 290.36 306 224.69 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 292 137.91 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 167.91 292 122.45 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 290.36 292 224.69 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 278 554 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 264 137.91 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 167.91 264 122.45 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 290.36 264 224.69 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 515.05 236 68.95 42 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 250 137.91 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 167.91 250 122.45 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 290.36 250 224.69 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 236 137.91 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 167.91 236 122.45 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 290.36 236 224.69 14 re S 0 G Q BT 1 0 0 1 32 690 Tm /F3 8 Tf 0 0 0 rg ( FRQWLQXHG\f)Tj 0 g ET BT 1 0 0 1 32 675 Tm /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (7DEOH)Tj 0 g 0 Tr 0 G 1 w 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg ()Tj 0 g 0 Tr 0 G 1 w 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (3UHYDOHQFH5DWLRVE\\'HPRJUDSKLF&KDUDFWHULVWLFVDQG/LIHVW\\OH5LVN\)DFWRUVRI$OO3DUWLFLSDQWV 1 \fDQG3DUWLFLSDQWV:LWK'LDEHWHV 1 \f)Tj 0 g 0 Tr 0 G 1 w 1 0 0 1 32 664 Tm 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (+DZDLL%HKDYLRUDO5LVN\)DFWRU6XUYHLOODQFH6\\VWHP)Tj 0 g 0 Tr 0 G 1 w /F3 6 Tf 2 Tr 0.2 w 0 0 0 RG 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 34 647 Tm 0.15 Tc /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (9DULDEOH)Tj 0 g 0 Tr 0 G 1 w 0 Tc ET BT 1 0 0 1 192.51 647 Tm 0.15 Tc /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg ($OO3DUWLFLSDQWV1 \b\f)Tj 0 g 0 Tr 0 G 1 w 0 Tc ET BT 1 0 0 1 299.24 647 Tm 0.15 Tc /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (3DUWLFLSDQWV:LWK'LDEHWHV1 \b\f>\b&RQILGHQFH,QWHUYDO@)Tj 0 g 0 Tr 0 G 1 w 0 Tc ET BT 1 0 0 1 537.42 647 Tm 1 0 0.21256 1 537.42 647 Tm /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (3)Tj 0 g 0 Tr 0 G 1 w 1 0 0 1 541.89 647 Tm 0.15 Tc 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (9DOXH)Tj 0 g 0 Tr 0 G 1 w 0 Tc -4.47 0 Td ET BT 1 0 0 1 32 632 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 244.85 632 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 446.79 632 Tm /F3 8 Tf 0 0 0 rg ( \f>@)Tj 0 g ET BT 1 0 0 1 32 618 Tm /F3 8 Tf 0 0 0 rg (8QNQRZQ)Tj 0 g ET BT 1 0 0 1 249.54 618 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 442.1 618 Tm /F3 8 Tf 0 0 0 rg ( \f>@)Tj 0 g ET BT 1 0 0 1 32 604 Tm /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (+HDOWKFDUHFRYHUDJH)Tj 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 32 590 Tm /F3 8 Tf 0 0 0 rg (<HV)Tj 0 g ET BT 1 0 0 1 240.16 590 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 440.1 590 Tm /F3 8 Tf 0 0 0 rg ( \f>@)Tj 0 g ET BT 1 0 0 1 565.94 583 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 32 576 Tm /F3 8 Tf 0 0 0 rg (1R)Tj 0 g ET BT 1 0 0 1 249.54 576 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 451.48 576 Tm /F3 8 Tf 0 0 0 rg ( \f>@)Tj 0 g ET BT 1 0 0 1 32 562 Tm /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (2EHVH)Tj 0 g 0 Tr 0 G 1 w /F3 6 Tf 2 Tr 0.2 w 0 0 0 RG 0 0 0 rg 4 Ts (E)Tj 0 Ts 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 32 548 Tm /F3 8 Tf 0 0 0 rg (<HV)Tj 0 g ET BT 1 0 0 1 244.85 548 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 432.73 548 Tm /F3 8 Tf 0 0 0 rg ( \f>@)Tj 0 g ET BT 1 0 0 1 561.25 541 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 32 534 Tm /F3 8 Tf 0 0 0 rg (1R)Tj 0 g ET BT 1 0 0 1 240.16 534 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 440.1 534 Tm /F3 8 Tf 0 0 0 rg ( \f>@)Tj 0 g ET BT 1 0 0 1 32 520 Tm /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (6PRNLQJVWDWXV)Tj 0 g 0 Tr 0 G 1 w /F3 6 Tf 2 Tr 0.2 w 0 0 0 RG 0 0 0 rg 4 Ts (F)Tj 0 Ts 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 32 506 Tm /F3 8 Tf 0 0 0 rg (1HYHUVPRNHU)Tj 0 g ET BT 1 0 0 1 240.16 506 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 446.79 506 Tm /F3 8 Tf 0 0 0 rg ( \f>@)Tj 0 g ET BT 1 0 0 1 561.25 485 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 32 492 Tm /F3 8 Tf 0 0 0 rg (\)RUPHUVPRNHU)Tj 0 g ET BT 1 0 0 1 244.85 492 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 432.73 492 Tm /F3 8 Tf 0 0 0 rg ( \f>@)Tj 0 g ET BT 1 0 0 1 32 478 Tm /F3 8 Tf 0 0 0 rg (6PRNHVRPHGD\\V)Tj 0 g ET BT 1 0 0 1 256.23 478 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 451.48 478 Tm /F3 8 Tf 0 0 0 rg ( \f>@)Tj 0 g ET BT 1 0 0 1 32 464 Tm /F3 8 Tf 0 0 0 rg (6PRNHHYHU\\GD\\)Tj 0 g ET BT 1 0 0 1 249.54 464 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 446.79 464 Tm /F3 8 Tf 0 0 0 rg ( \f>@)Tj 0 g ET BT 1 0 0 1 32 450 Tm /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (+HDY\\GULQNLQJ)Tj 0 g 0 Tr 0 G 1 w /F3 6 Tf 2 Tr 0.2 w 0 0 0 RG 0 0 0 rg 4 Ts (G)Tj 0 Ts 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 32 436 Tm /F3 8 Tf 0 0 0 rg (<HV)Tj 0 g ET BT 1 0 0 1 249.54 436 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 451.48 436 Tm /F3 8 Tf 0 0 0 rg ( \f>@)Tj 0 g ET BT 1 0 0 1 561.25 429 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 32 422 Tm /F3 8 Tf 0 0 0 rg (1R)Tj 0 g ET BT 1 0 0 1 240.16 422 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 442.1 422 Tm /F3 8 Tf 0 0 0 rg ( \f>@)Tj 0 g ET BT 1 0 0 1 32 408 Tm /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (0HHWV86JXLGHOLQHVIRUSK\\VLFDODFWLYLW\\)Tj 0 g 0 Tr 0 G 1 w /F3 6 Tf 2 Tr 0.2 w 0 0 0 RG 0 0 0 rg 4 Ts (H)Tj 0 Ts 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 32 394 Tm /F3 8 Tf 0 0 0 rg (1RSK\\VLFDODFWLYLW\\)Tj 0 g ET BT 1 0 0 1 244.85 394 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 432.73 394 Tm /F3 8 Tf 0 0 0 rg ( \f>@)Tj 0 g ET BT 1 0 0 1 561.25 373 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 32 380 Tm /F3 8 Tf 0 0 0 rg (/HVVWKDQJXLGHOLQHV)Tj 0 g ET BT 1 0 0 1 244.85 380 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 446.79 380 Tm /F3 8 Tf 0 0 0 rg ( \f>@)Tj 0 g ET BT 1 0 0 1 32 366 Tm /F3 8 Tf 0 0 0 rg (0HHWVJXLGHOLQHV)Tj 0 g ET BT 1 0 0 1 244.85 366 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 446.79 366 Tm /F3 8 Tf 0 0 0 rg ( \f>@)Tj 0 g ET BT 1 0 0 1 32 352 Tm /F3 8 Tf 0 0 0 rg (\([FHHGVJXLGHOLQHV)Tj 0 g ET BT 1 0 0 1 244.85 352 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 446.79 352 Tm /F3 8 Tf 0 0 0 rg ( \f>@)Tj 0 g ET BT 1 0 0 1 32 338 Tm /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg ('DLO\\VHUYLQJVRIIUXLW)Tj 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 32 324 Tm /F3 8 Tf 0 0 0 rg (1RQH)Tj 0 g ET BT 1 0 0 1 244.85 324 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 442.1 324 Tm /F3 8 Tf 0 0 0 rg ( \f>@)Tj 0 g ET BT 1 0 0 1 570.62 310 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 32 310 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 244.85 310 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 446.79 310 Tm /F3 8 Tf 0 0 0 rg ( \f>@)Tj 0 g ET BT 1 0 0 1 32 296 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 244.85 296 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 437.42 296 Tm /F3 8 Tf 0 0 0 rg ( \f>@)Tj 0 g ET BT 1 0 0 1 32 282 Tm /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg ('DLO\\VHUYLQJVRIYHJHWDEOHV)Tj 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 32 268 Tm /F3 8 Tf 0 0 0 rg (1RQH)Tj 0 g ET BT 1 0 0 1 244.85 268 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 437.42 268 Tm /F3 8 Tf 0 0 0 rg ( \f>@)Tj 0 g ET BT 1 0 0 1 565.94 254 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 32 254 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 240.16 254 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 440.1 254 Tm /F3 8 Tf 0 0 0 rg ( \f>@)Tj 0 g ET BT 1 0 0 1 32 240 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 244.85 240 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 446.79 240 Tm /F3 8 Tf 0 0 0 rg ( \f>@)Tj 0 g ET BT 1 0 0 1 32 224 Tm /F3 8 Tf 0 0 0 rg ($EEUHYLDWLRQ*\('JHQHUDOHTXLYDOHQF\\GLSORPD)Tj 0 g ET q BT 1 0 0 1 32 224 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 214 Tm /F3 6 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g /F3 8 Tf 0 0 0 rg (3HUFHQWDJHVDUHZHLJKWHG)Tj 0 g ET q BT 1 0 0 1 32 214 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 204 Tm /F3 6 Tf 0 0 0 rg 4 Ts (E)Tj 0 Ts 0 g /F3 8 Tf 0 0 0 rg (%RG\\PDVVLQGH[ ZHLJKWLQNJGLYLGHGE\\KHLJKWLQP)Tj 0 g /F3 6 Tf 0 0 0 rg 4 Ts ()Tj 0 Ts 0 g /F3 8 Tf 0 0 0 rg (\f)Tj 0 g ET q BT 1 0 0 1 32 204 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 194 Tm /F3 6 Tf 0 0 0 rg 4 Ts (F)Tj 0 Ts 0 g /F3 8 Tf 0 0 0 rg (3DUWLFLSDQWVZKRVPRNHGDWOHDVWFLJDUHWWHVLQWKHLUHQWLUHOLIHEXWQRORQJHUVPRNHDWDOO)Tj 0 g ET q BT 1 0 0 1 32 194 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 184 Tm /F3 6 Tf 0 0 0 rg 4 Ts (G)Tj 0 Ts 0 g /F3 8 Tf 0 0 0 rg ('HILQHGDVPRUHWKDQGULQNVSHUGD\\IRUPHQRUPRUHWKDQGULQNSHUGD\\IRUZRPHQ)Tj 0 g ET q BT 1 0 0 1 32 184 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 174 Tm /F3 6 Tf 0 0 0 rg 4 Ts (H)Tj 0 Ts 0 g /F3 8 Tf 0 0 0 rg (/HVVWKDQJXLGHOLQHV PLQZNPHHWVJXLGHOLQHV PLQZNDQGH[FHHGVJXLGHOLQHV !PLQZN )Tj 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg (\f)Tj 0 g ET q BT 1 0 0 1 32 174 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET Q q 1 w 0.50196 0.50196 0.50196 RG 30 168 m 584 168 l S Q q BT 1 0 0 1 30 735 Tm /F7 22 Tf 0.15294 0.35686 0.17255 rg (PREVENTING CHRONIC DISEASE)Tj 0 g ET Q q BT 1 0 0 1 502.52 735 Tm /F2 10 Tf (VOLUME 16, E22)Tj ET Q 0.83529 0.86275 0.81961 RG 1.6 w 30 732 m 368 732 l S q BT 1 0 0 1 30 718 Tm /F2 13 Tf 0.15294 0.35686 0.17255 rg (PUBLIC HEALTH RESEARCH, PRACTICE, AND POLICY)Tj 0 g ET Q q BT 1 0 0 1 496.97 718 Tm /F2 10 Tf ( FEBRUARY 2019)Tj ET Q 0.15294 0.35686 0.17255 RG 3 w 30 708 m 582 708 l S 0.50196 0.50196 0.50196 RG 1 w 30 80 m 582 80 l S q BT 1 0 0 1 30.52 70 Tm /F2 8 Tf 0.50196 0.50196 0.50196 rg (The opinions expressed by authors contributing to this journal do not necessarily reflect the opinions of the U.S. Department of Health and Human Services,)Tj 0 g ET Q q BT 1 0 0 1 110.12 58 Tm /F2 8 Tf 0.50196 0.50196 0.50196 rg (the Public Health Service, the Centers for Disease Control and Prevention, or the authors affiliated institutions.)Tj 0 g ET Q 0.50196 0.50196 0.50196 RG 1 w 30 53 m 582 53 l S q BT 1 0 0 1 30 41 Tm /F2 9 Tf (10 Centers for Disease Control and Prevention www.cdc.gov/pcd/issues/2019/18_0187.htm)Tj ET Q s/ endstream endobj 30 0 obj <>>>/ArtBox[30 100 584 764]/Contents 29 0 R/Parent 9 0 R>> endobj 31 0 obj <>stream xp}q BT 30 786 Td ET Q q 0.79216 0.83529 0.79216 rg 30 620 86.28 48 re f 0.79216 0.83529 0.79216 rg 116.28 652 116.93 16 re f 0.79216 0.83529 0.79216 rg 233.21 652 116.93 16 re f 0.79216 0.83529 0.79216 rg 350.14 652 116.93 16 re f 0.79216 0.83529 0.79216 rg 467.07 652 116.93 16 re f 0.79216 0.83529 0.79216 rg 116.28 620 76.06 32 re f 0.79216 0.83529 0.79216 rg 192.34 620 40.87 32 re f 0.79216 0.83529 0.79216 rg 233.21 620 76.06 32 re f 0.79216 0.83529 0.79216 rg 309.27 620 40.87 32 re f 0.79216 0.83529 0.79216 rg 350.14 620 76.06 32 re f 0.79216 0.83529 0.79216 rg 426.2 620 40.87 32 re f 0.79216 0.83529 0.79216 rg 467.07 620 76.06 32 re f 0.79216 0.83529 0.79216 rg 543.13 620 40.87 32 re f Q q 2 J 0 G 0.5 w 1 1 1 RG 30 668 554 19 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 620 86.28 48 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 116.28 652 116.93 16 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 233.21 652 116.93 16 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 350.14 652 116.93 16 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 467.07 652 116.93 16 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 116.28 620 76.06 32 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 192.34 620 40.87 32 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 233.21 620 76.06 32 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 309.27 620 40.87 32 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 350.14 620 76.06 32 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 426.2 620 40.87 32 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 467.07 620 76.06 32 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 543.13 620 40.87 32 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 606 554 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 592 86.28 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 116.28 592 467.72 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 570 86.28 22 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 116.28 570 76.06 22 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 192.34 570 40.87 22 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 233.21 570 76.06 22 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 309.27 570 40.87 22 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 350.14 570 76.06 22 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 426.2 570 40.87 22 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 467.07 570 76.06 22 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 543.13 570 40.87 22 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 556 86.28 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 116.28 556 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 192.34 556 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 233.21 556 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 309.27 556 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 350.14 556 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 426.2 556 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 467.07 556 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 543.13 556 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 542 86.28 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 116.28 542 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 192.34 542 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 233.21 542 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 309.27 542 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 350.14 542 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 426.2 542 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 467.07 542 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 543.13 542 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 528 86.28 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 116.28 528 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 192.34 528 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 233.21 528 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 309.27 528 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 350.14 528 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 426.2 528 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 467.07 528 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 543.13 528 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 514 437.07 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 467.07 514 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 543.13 514 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 500 86.28 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 116.28 500 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 192.34 500 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 233.21 500 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 309.27 500 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 350.14 500 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 426.2 500 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 467.07 500 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 543.13 500 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 486 86.28 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 116.28 486 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 192.34 486 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 233.21 486 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 309.27 486 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 350.14 486 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 426.2 486 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 467.07 486 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 543.13 486 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 472 86.28 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 116.28 472 350.79 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 467.07 472 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 543.13 472 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 458 86.28 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 116.28 458 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 192.34 458 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 233.21 458 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 309.27 458 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 350.14 458 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 426.2 458 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 467.07 458 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 543.13 458 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 444 86.28 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 116.28 444 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 192.34 444 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 233.21 444 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 309.27 444 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 350.14 444 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 426.2 444 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 467.07 444 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 543.13 444 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 430 86.28 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 116.28 430 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 192.34 430 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 233.21 430 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 309.27 430 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 350.14 430 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 426.2 430 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 467.07 430 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 543.13 430 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 416 86.28 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 116.28 416 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 192.34 416 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 233.21 416 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 309.27 416 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 350.14 416 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 426.2 416 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 467.07 416 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 543.13 416 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 402 554 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 388 86.28 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 116.28 388 467.72 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 374 86.28 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 116.28 374 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 192.34 374 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 233.21 374 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 309.27 374 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 350.14 374 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 426.2 374 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 467.07 374 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 543.13 374 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 360 554 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 346 86.28 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 116.28 346 467.72 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 332 86.28 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 116.28 332 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 192.34 332 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 233.21 332 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 309.27 332 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 350.14 332 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 426.2 332 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 467.07 332 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 543.13 332 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 318 86.28 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 116.28 318 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 192.34 318 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 233.21 318 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 309.27 318 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 350.14 318 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 426.2 318 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 467.07 318 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 543.13 318 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 304 86.28 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 116.28 304 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 192.34 304 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 233.21 304 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 309.27 304 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 350.14 304 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 426.2 304 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 467.07 304 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 543.13 304 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 290 554 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 276 86.28 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 116.28 276 467.72 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 254 86.28 22 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 116.28 254 76.06 22 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 192.34 254 40.87 22 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 233.21 254 76.06 22 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 309.27 254 40.87 22 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 350.14 254 76.06 22 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 426.2 254 40.87 22 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 467.07 254 76.06 22 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 543.13 254 40.87 22 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 240 86.28 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 116.28 240 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 192.34 240 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 233.21 240 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 309.27 240 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 350.14 240 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 426.2 240 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 467.07 240 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 543.13 240 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 225 86.28 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 116.28 225 76.06 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 192.34 225 40.87 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 233.21 225 76.06 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 309.27 225 40.87 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 350.14 225 76.06 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 426.2 225 40.87 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 467.07 225 76.06 15 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 543.13 225 40.87 15 re S 0 G Q BT 1 0 0 1 32 674 Tm /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (7DEOH)Tj 0 g 0 Tr 0 G 1 w 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg ()Tj 0 g 0 Tr 0 G 1 w 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (&UXGHDQG0XOWLYDULDWH3UHYDOHQFH5DWLRVRI'LDEHWHV 1 \f+DZDLL%HKDYLRUDO5LVN\)DFWRU6XUYHLOODQFH6\\VWHP)Tj 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 34 625 Tm 0.15 Tc /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (9DULDEOH)Tj 0 g 0 Tr 0 G 1 w 0 Tc ET BT 1 0 0 1 153.43 657 Tm 0.15 Tc /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (&UXGH0RGHO)Tj 0 g 0 Tr 0 G 1 w 0 Tc ET BT 1 0 0 1 254.75 657 Tm 0.15 Tc /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (0XOWLYDULDWH0RGHO)Tj 0 g 0 Tr 0 G 1 w 0 Tc /F3 6 Tf 2 Tr 0.2 w 0 0 0 RG 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 371.66 657 Tm 0.15 Tc /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (0XOWLYDULDWH0RGHO)Tj 0 g 0 Tr 0 G 1 w 0 Tc /F3 6 Tf 2 Tr 0.2 w 0 0 0 RG 0 0 0 rg 4 Ts (E)Tj 0 Ts 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 488.8 657 Tm 0.15 Tc /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (0XOWLYDULDWH0RGHO)Tj 0 g 0 Tr 0 G 1 w 0 Tc /F3 6 Tf 2 Tr 0.2 w 0 0 0 RG 0 0 0 rg 4 Ts (F)Tj 0 Ts 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 125.69 641 Tm 0.15 Tc /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (3UHYDOHQFH5DWLR)Tj 0 g 0 Tr 0 G 1 w 0 Tc 1 0 0 1 125.44 633 Tm 0.15 Tc 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg ( \b&RQILGHQFH)Tj 0 g 0 Tr 0 G 1 w 0 Tc 1 0 0 1 140.85 625 Tm 0.15 Tc 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (,QWHUYDO\f)Tj 0 g 0 Tr 0 G 1 w 0 Tc ET BT 1 0 0 1 200.67 625 Tm 1 0 0.21256 1 200.67 625 Tm /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (3)Tj 0 g 0 Tr 0 G 1 w 1 0 0 1 205.14 625 Tm 0.15 Tc 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (9DOXH)Tj 0 g 0 Tr 0 G 1 w 0 Tc -4.47 0 Td ET BT 1 0 0 1 242.62 641 Tm 0.15 Tc /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (3UHYDOHQFH5DWLR)Tj 0 g 0 Tr 0 G 1 w 0 Tc 1 0 0 1 242.37 633 Tm 0.15 Tc 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg ( \b&RQILGHQFH)Tj 0 g 0 Tr 0 G 1 w 0 Tc 1 0 0 1 257.78 625 Tm 0.15 Tc 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (,QWHUYDO\f)Tj 0 g 0 Tr 0 G 1 w 0 Tc ET BT 1 0 0 1 317.6 625 Tm 1 0 0.21256 1 317.6 625 Tm /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (3)Tj 0 g 0 Tr 0 G 1 w 1 0 0 1 322.07 625 Tm 0.15 Tc 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (9DOXH)Tj 0 g 0 Tr 0 G 1 w 0 Tc -4.47 0 Td ET BT 1 0 0 1 359.55 641 Tm 0.15 Tc /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (3UHYDOHQFH5DWLR)Tj 0 g 0 Tr 0 G 1 w 0 Tc 1 0 0 1 359.3 633 Tm 0.15 Tc 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg ( \b&RQILGHQFH)Tj 0 g 0 Tr 0 G 1 w 0 Tc 1 0 0 1 374.71 625 Tm 0.15 Tc 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (,QWHUYDO\f)Tj 0 g 0 Tr 0 G 1 w 0 Tc ET BT 1 0 0 1 434.53 625 Tm 1 0 0.21256 1 434.53 625 Tm /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (3)Tj 0 g 0 Tr 0 G 1 w 1 0 0 1 439.01 625 Tm 0.15 Tc 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (9DOXH)Tj 0 g 0 Tr 0 G 1 w 0 Tc -4.47 0 Td ET BT 1 0 0 1 476.48 641 Tm 0.15 Tc /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (3UHYDOHQFH5DWLR)Tj 0 g 0 Tr 0 G 1 w 0 Tc 1 0 0 1 476.23 633 Tm 0.15 Tc 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg ( \b&RQILGHQFH)Tj 0 g 0 Tr 0 G 1 w 0 Tc 1 0 0 1 491.64 625 Tm 0.15 Tc 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (,QWHUYDO\f)Tj 0 g 0 Tr 0 G 1 w 0 Tc ET BT 1 0 0 1 551.46 625 Tm 1 0 0.21256 1 551.46 625 Tm /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (3)Tj 0 g 0 Tr 0 G 1 w 1 0 0 1 555.94 625 Tm 0.15 Tc 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (9DOXH)Tj 0 g 0 Tr 0 G 1 w 0 Tc -4.47 0 Td ET BT 1 0 0 1 32 610 Tm /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (5DFHHWKQLFLW\\)Tj 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 32 596 Tm /F3 8 Tf 0 0 0 rg (:KLWH)Tj 0 g ET BT 1 0 0 1 536.02 596 Tm /F3 8 Tf 0 0 0 rg (>5HIHUHQFH@)Tj 0 g ET BT 1 0 0 1 32 582 Tm /F3 8 Tf 0 0 0 rg (1DWLYH+DZDLLDQ2WKHU)Tj 0 g 1 0 0 1 32 574 Tm 0 0 0 rg (3DFLILF,VODQGHU)Tj 0 g ET BT 1 0 0 1 130.77 582 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 210.46 582 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 247.7 582 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 327.39 582 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 364.63 582 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 444.32 582 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 533.01 582 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g /F3 6 Tf 0 0 0 rg 4 Ts (F)Tj 0 Ts 0 g ET BT 1 0 0 1 573.88 582 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g /F3 6 Tf 0 0 0 rg 4 Ts (F)Tj 0 Ts 0 g ET BT 1 0 0 1 32 560 Tm /F3 8 Tf 0 0 0 rg (\)LOLSLQR)Tj 0 g ET BT 1 0 0 1 130.77 560 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 210.46 560 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 247.7 560 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 327.39 560 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 364.63 560 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 444.32 560 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 533.01 560 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g /F3 6 Tf 0 0 0 rg 4 Ts (F)Tj 0 Ts 0 g ET BT 1 0 0 1 573.88 560 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g /F3 6 Tf 0 0 0 rg 4 Ts (F)Tj 0 Ts 0 g ET BT 1 0 0 1 32 546 Tm /F3 8 Tf 0 0 0 rg (-DSDQHVH)Tj 0 g ET BT 1 0 0 1 130.77 546 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 210.46 546 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 247.7 546 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 327.39 546 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 364.63 546 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 444.32 546 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 533.01 546 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g /F3 6 Tf 0 0 0 rg 4 Ts (F)Tj 0 Ts 0 g ET BT 1 0 0 1 573.88 546 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g /F3 6 Tf 0 0 0 rg 4 Ts (F)Tj 0 Ts 0 g ET BT 1 0 0 1 32 532 Tm /F3 8 Tf 0 0 0 rg (&KLQHVH)Tj 0 g ET BT 1 0 0 1 130.77 532 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 210.46 532 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 247.7 532 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 327.39 532 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 364.63 532 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 444.32 532 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 533.01 532 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g /F3 6 Tf 0 0 0 rg 4 Ts (F)Tj 0 Ts 0 g ET BT 1 0 0 1 573.88 532 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g /F3 6 Tf 0 0 0 rg 4 Ts (F)Tj 0 Ts 0 g ET BT 1 0 0 1 32 518 Tm /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg ($JH\\)Tj 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 32 504 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 130.77 504 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 210.46 504 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 247.7 504 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 327.39 504 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 364.63 504 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 444.32 504 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 533.01 504 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g /F3 6 Tf 0 0 0 rg 4 Ts (F)Tj 0 Ts 0 g ET BT 1 0 0 1 573.88 504 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g /F3 6 Tf 0 0 0 rg 4 Ts (F)Tj 0 Ts 0 g ET BT 1 0 0 1 32 490 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 130.77 490 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 210.46 490 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 247.7 490 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 327.39 490 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 364.63 490 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 444.32 490 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 533.01 490 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g /F3 6 Tf 0 0 0 rg 4 Ts (F)Tj 0 Ts 0 g ET BT 1 0 0 1 573.88 490 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g /F3 6 Tf 0 0 0 rg 4 Ts (F)Tj 0 Ts 0 g ET BT 1 0 0 1 32 476 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 419.09 476 Tm /F3 8 Tf 0 0 0 rg (>5HIHUHQFH@)Tj 0 g ET BT 1 0 0 1 32 462 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 130.77 462 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 215.15 462 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 247.7 462 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 327.39 462 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 364.63 462 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 444.32 462 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 533.01 462 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g /F3 6 Tf 0 0 0 rg 4 Ts (F)Tj 0 Ts 0 g ET BT 1 0 0 1 573.88 462 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g /F3 6 Tf 0 0 0 rg 4 Ts (F)Tj 0 Ts 0 g ET BT 1 0 0 1 32 448 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 130.77 448 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 210.46 448 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 247.7 448 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 327.39 448 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 364.63 448 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 444.32 448 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 533.01 448 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g /F3 6 Tf 0 0 0 rg 4 Ts (F)Tj 0 Ts 0 g ET BT 1 0 0 1 573.88 448 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g /F3 6 Tf 0 0 0 rg 4 Ts (F)Tj 0 Ts 0 g ET BT 1 0 0 1 32 434 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 130.77 434 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 210.46 434 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 247.7 434 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 327.39 434 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 364.63 434 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 444.32 434 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 533.01 434 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g /F3 6 Tf 0 0 0 rg 4 Ts (F)Tj 0 Ts 0 g ET BT 1 0 0 1 573.88 434 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g /F3 6 Tf 0 0 0 rg 4 Ts (F)Tj 0 Ts 0 g ET BT 1 0 0 1 32 420 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 130.77 420 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 210.46 420 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 247.7 420 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 327.39 420 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 364.63 420 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 444.32 420 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 533.01 420 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g /F3 6 Tf 0 0 0 rg 4 Ts (F)Tj 0 Ts 0 g ET BT 1 0 0 1 573.88 420 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g /F3 6 Tf 0 0 0 rg 4 Ts (F)Tj 0 Ts 0 g ET BT 1 0 0 1 32 406 Tm /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (6H[)Tj 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 32 392 Tm /F3 8 Tf 0 0 0 rg (\)HPDOH)Tj 0 g ET BT 1 0 0 1 536.02 392 Tm /F3 8 Tf 0 0 0 rg (>5HIHUHQFH@)Tj 0 g ET BT 1 0 0 1 32 378 Tm /F3 8 Tf 0 0 0 rg (0DOH)Tj 0 g ET BT 1 0 0 1 130.77 378 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 219.83 378 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 247.7 378 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 336.76 378 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 364.63 378 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 453.69 378 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 479.56 378 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 570.62 378 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 32 364 Tm /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (0DULWDOVWDWXV)Tj 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 32 350 Tm /F3 8 Tf 0 0 0 rg (0DUULHG)Tj 0 g ET BT 1 0 0 1 536.02 350 Tm /F3 8 Tf 0 0 0 rg (>5HIHUHQFH@)Tj 0 g ET BT 1 0 0 1 32 336 Tm /F3 8 Tf 0 0 0 rg ('LYRUFHGVHSDUDWHG)Tj 0 g ET BT 1 0 0 1 130.77 336 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 219.83 336 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 247.7 336 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 336.76 336 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 364.63 336 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 453.69 336 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 479.56 336 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 570.62 336 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 32 322 Tm /F3 8 Tf 0 0 0 rg (1HYHUPDUULHG)Tj 0 g ET BT 1 0 0 1 130.77 322 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 210.46 322 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 247.7 322 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 336.76 322 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 364.63 322 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 453.69 322 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 479.56 322 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 570.62 322 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 32 308 Tm /F3 8 Tf 0 0 0 rg (:LGRZHG)Tj 0 g ET BT 1 0 0 1 130.77 308 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 210.46 308 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 247.7 308 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 332.08 308 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 364.63 308 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 453.69 308 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 479.56 308 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 570.62 308 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 32 294 Tm /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (\(GXFDWLRQOHYHO)Tj 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 32 280 Tm /F3 8 Tf 0 0 0 rg (+LJKVFKRRO)Tj 0 g ET BT 1 0 0 1 536.02 280 Tm /F3 8 Tf 0 0 0 rg (>5HIHUHQFH@)Tj 0 g ET BT 1 0 0 1 32 266 Tm /F3 8 Tf 0 0 0 rg (+LJKVFKRROGLSORPDRU)Tj 0 g 1 0 0 1 32 258 Tm 0 0 0 rg (*\(')Tj 0 g ET BT 1 0 0 1 130.77 266 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 215.15 266 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 247.7 266 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 336.76 266 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 364.63 266 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 453.69 266 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 479.56 258 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 570.62 266 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 32 244 Tm /F3 8 Tf 0 0 0 rg (&ROOHJH\\HDUV)Tj 0 g ET BT 1 0 0 1 130.77 244 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 215.15 244 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 247.7 244 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 336.76 244 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 364.63 244 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 453.69 244 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 479.56 244 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 570.62 244 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 32 230 Tm /F3 8 Tf 0 0 0 rg (&ROOHJH\\HDUV)Tj 0 g ET BT 1 0 0 1 130.77 230 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 210.46 230 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 247.7 230 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 336.76 230 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 364.63 230 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 453.69 230 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 479.56 230 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 570.62 230 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 32 213 Tm /F3 8 Tf 0 0 0 rg ($EEUHYLDWLRQ*\('JHQHUDOHTXLYDOHQF\\GLSORPD)Tj 0 g ET q BT 1 0 0 1 32 213 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 203 Tm /F3 6 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g /F3 8 Tf 0 0 0 rg (:HLJKWHGPXOWLYDULDWH3RLVVRQPRGHODGMXVWHGIRUGHPRJUDSKLFDQGVRFLRHFRQRPLFYDULDEOHV)Tj 0 g ET q BT 1 0 0 1 32 203 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 193 Tm /F3 6 Tf 0 0 0 rg 4 Ts (E)Tj 0 Ts 0 g /F3 8 Tf 0 0 0 rg (:HLJKWHGPXOWLYDULDWH3RLVVRQPRGHODGMXVWHGIRUDOOLQGHSHQGHQWYDULDEOHV LQFOXGLQJREHVLW\\DQGOLIHVW\\OHYDULDEOHV\f)Tj 0 g ET q BT 1 0 0 1 32 193 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 183 Tm /F3 6 Tf 0 0 0 rg 4 Ts (F)Tj 0 Ts 0 g /F3 8 Tf 0 0 0 rg (:HLJKWHGPXOWLYDULDWH3RLVVRQPRGHOZLWKDJHDQGUDFHHWKQLFLW\\LQWHUDFWLRQHIIHFWVDGMXVWHGIRUDOOLQGHSHQGHQWYDULDEOHV5HVXOWVIRUUDFHHWKQLFLW\\DQGDJHDUH)Tj 0 g 1 0 0 1 32 173 Tm 0 0 0 rg (DYDLODEOHIURPWKHDXWKRUV)Tj 0 g ET q BT 1 0 0 1 32 183 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 163 Tm /F3 6 Tf 0 0 0 rg 4 Ts (G)Tj 0 Ts 0 g /F3 8 Tf 0 0 0 rg (%RG\\PDVVLQGH[ ZHLJKWLQNJGLYLGHGE\\KHLJKWLQP)Tj 0 g /F3 6 Tf 0 0 0 rg 4 Ts ()Tj 0 Ts 0 g /F3 8 Tf 0 0 0 rg (\f)Tj 0 g ET q BT 1 0 0 1 32 163 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 153 Tm /F3 6 Tf 0 0 0 rg 4 Ts (H)Tj 0 Ts 0 g /F3 8 Tf 0 0 0 rg (&HOOVDUHEODQNEHFDXVHPXOWLYDULDWHPRGHOLQFOXGHGRQO\\GHPRJUDSKLFYDULDEOHV)Tj 0 g ET q BT 1 0 0 1 32 153 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 143 Tm /F3 6 Tf 0 0 0 rg 4 Ts (I)Tj 0 Ts 0 g /F3 8 Tf 0 0 0 rg (3DUWLFLSDQWVZKRVPRNHGDWOHDVWFLJDUHWWHVLQWKHLUHQWLUHOLIHEXWQRORQJHUVPRNHDWDOO)Tj 0 g ET q BT 1 0 0 1 32 143 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 133 Tm /F3 6 Tf 0 0 0 rg 4 Ts (J)Tj 0 Ts 0 g /F3 8 Tf 0 0 0 rg ('HILQHGDVPRUHWKDQGULQNVSHUGD\\IRUPHQRUPRUHWKDQGULQNSHUGD\\IRUZRPHQ)Tj 0 g ET q BT 1 0 0 1 32 133 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 123 Tm /F3 6 Tf 0 0 0 rg 4 Ts (K)Tj 0 Ts 0 g /F3 8 Tf 0 0 0 rg (/HVVWKDQJXLGHOLQHV PLQZNPHHWVJXLGHOLQHV PLQZNDQGH[FHHGVJXLGHOLQHV !PLQZN )Tj 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg (\f)Tj 0 g ET q BT 1 0 0 1 32 123 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 498.31 111 Tm /F3 8 Tf 0 0 0 rg ( FRQWLQXHGRQQH[WSDJH\f)Tj 0 g ET q BT 1 0 0 1 30 735 Tm /F7 22 Tf 0.15294 0.35686 0.17255 rg (PREVENTING CHRONIC DISEASE)Tj 0 g ET Q q BT 1 0 0 1 502.52 735 Tm /F2 10 Tf (VOLUME 16, E22)Tj ET Q 0.83529 0.86275 0.81961 RG 1.6 w 30 732 m 368 732 l S q BT 1 0 0 1 30 718 Tm /F2 13 Tf 0.15294 0.35686 0.17255 rg (PUBLIC HEALTH RESEARCH, PRACTICE, AND POLICY)Tj 0 g ET Q q BT 1 0 0 1 496.97 718 Tm /F2 10 Tf ( FEBRUARY 2019)Tj ET Q 0.15294 0.35686 0.17255 RG 3 w 30 708 m 582 708 l S 0.50196 0.50196 0.50196 RG 1 w 30 80 m 582 80 l S q BT 1 0 0 1 30.52 70 Tm /F2 8 Tf 0.50196 0.50196 0.50196 rg (The opinions expressed by authors contributing to this journal do not necessarily reflect the opinions of the U.S. Department of Health and Human Services,)Tj 0 g ET Q q BT 1 0 0 1 110.12 58 Tm /F2 8 Tf 0.50196 0.50196 0.50196 rg (the Public Health Service, the Centers for Disease Control and Prevention, or the authors affiliated institutions.)Tj 0 g ET Q 0.50196 0.50196 0.50196 RG 1 w 30 53 m 582 53 l S q BT 1 0 0 1 196.68 41 Tm /F2 9 Tf (www.cdc.gov/pcd/issues/2019/18_0187.htm Centers for Disease Control and Prevention 11)Tj ET Q A[ endstream endobj 33 0 obj <>>>/ArtBox[30 100 584 764]/Contents 31 0 R/Parent 32 0 R>> endobj 34 0 obj <>stream xwIq BT 30 786 Td ET Q q 0.79216 0.83529 0.79216 rg 30 621 86.28 48 re f 0.79216 0.83529 0.79216 rg 116.28 653 116.93 16 re f 0.79216 0.83529 0.79216 rg 233.21 653 116.93 16 re f 0.79216 0.83529 0.79216 rg 350.14 653 116.93 16 re f 0.79216 0.83529 0.79216 rg 467.07 653 116.93 16 re f 0.79216 0.83529 0.79216 rg 116.28 621 76.06 32 re f 0.79216 0.83529 0.79216 rg 192.34 621 40.87 32 re f 0.79216 0.83529 0.79216 rg 233.21 621 76.06 32 re f 0.79216 0.83529 0.79216 rg 309.27 621 40.87 32 re f 0.79216 0.83529 0.79216 rg 350.14 621 76.06 32 re f 0.79216 0.83529 0.79216 rg 426.2 621 40.87 32 re f 0.79216 0.83529 0.79216 rg 467.07 621 76.06 32 re f 0.79216 0.83529 0.79216 rg 543.13 621 40.87 32 re f Q q 2 J 0 G 0.5 w 1 1 1 RG 30 669 554 19 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 621 86.28 48 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 116.28 653 116.93 16 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 233.21 653 116.93 16 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 350.14 653 116.93 16 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 467.07 653 116.93 16 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 116.28 621 76.06 32 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 192.34 621 40.87 32 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 233.21 621 76.06 32 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 309.27 621 40.87 32 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 350.14 621 76.06 32 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 426.2 621 40.87 32 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 467.07 621 76.06 32 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 543.13 621 40.87 32 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 607 554 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 593 86.28 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 116.28 593 467.72 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 579 86.28 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 116.28 579 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 192.34 579 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 233.21 579 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 309.27 579 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 350.14 579 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 426.2 579 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 467.07 579 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 543.13 579 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 565 86.28 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 116.28 565 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 192.34 565 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 233.21 565 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 309.27 565 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 350.14 565 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 426.2 565 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 467.07 565 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 543.13 565 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 551 86.28 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 116.28 551 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 192.34 551 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 233.21 551 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 309.27 551 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 350.14 551 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 426.2 551 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 467.07 551 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 543.13 551 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 537 86.28 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 116.28 537 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 192.34 537 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 233.21 537 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 309.27 537 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 350.14 537 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 426.2 537 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 467.07 537 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 543.13 537 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 523 86.28 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 116.28 523 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 192.34 523 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 233.21 523 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 309.27 523 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 350.14 523 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 426.2 523 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 467.07 523 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 543.13 523 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 509 554 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 495 86.28 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 116.28 495 467.72 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 481 86.28 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 116.28 481 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 192.34 481 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 233.21 481 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 309.27 481 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 350.14 481 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 426.2 481 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 467.07 481 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 543.13 481 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 467 554 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 453 86.28 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 116.28 453 467.72 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 439 86.28 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 116.28 439 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 192.34 439 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 233.21 439 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 309.27 439 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 350.14 439 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 426.2 439 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 467.07 439 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 543.13 439 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 425 554 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 411 86.28 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 116.28 411 467.72 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 397 86.28 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 116.28 397 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 192.34 397 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 233.21 397 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 309.27 397 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 350.14 397 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 426.2 397 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 467.07 397 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 543.13 397 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 383 86.28 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 116.28 383 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 192.34 383 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 233.21 383 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 309.27 383 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 350.14 383 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 426.2 383 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 467.07 383 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 543.13 383 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 369 86.28 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 116.28 369 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 192.34 369 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 233.21 369 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 309.27 369 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 350.14 369 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 426.2 369 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 467.07 369 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 543.13 369 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 355 554 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 341 86.28 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 116.28 341 467.72 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 327 86.28 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 116.28 327 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 192.34 327 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 233.21 327 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 309.27 327 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 350.14 327 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 426.2 327 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 467.07 327 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 543.13 327 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 313 554 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 299 86.28 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 116.28 299 467.72 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 277 86.28 22 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 116.28 277 76.06 22 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 192.34 277 40.87 22 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 233.21 277 76.06 22 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 309.27 277 40.87 22 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 350.14 277 76.06 22 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 426.2 277 40.87 22 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 467.07 277 76.06 22 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 543.13 277 40.87 22 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 263 86.28 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 116.28 263 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 192.34 263 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 233.21 263 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 309.27 263 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 350.14 263 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 426.2 263 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 467.07 263 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 543.13 263 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 249 86.28 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 116.28 249 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 192.34 249 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 233.21 249 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 309.27 249 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 350.14 249 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 426.2 249 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 467.07 249 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 543.13 249 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 235 554 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 211 86.28 24 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 116.28 211 467.72 24 re S 0 G Q BT 1 0 0 1 32 690 Tm /F3 8 Tf 0 0 0 rg ( FRQWLQXHG\f)Tj 0 g ET BT 1 0 0 1 32 675 Tm /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (7DEOH)Tj 0 g 0 Tr 0 G 1 w 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg ()Tj 0 g 0 Tr 0 G 1 w 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (&UXGHDQG0XOWLYDULDWH3UHYDOHQFH5DWLRVRI'LDEHWHV 1 \f+DZDLL%HKDYLRUDO5LVN\)DFWRU6XUYHLOODQFH6\\VWHP)Tj 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 34 626 Tm 0.15 Tc /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (9DULDEOH)Tj 0 g 0 Tr 0 G 1 w 0 Tc ET BT 1 0 0 1 153.43 658 Tm 0.15 Tc /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (&UXGH0RGHO)Tj 0 g 0 Tr 0 G 1 w 0 Tc ET BT 1 0 0 1 254.75 658 Tm 0.15 Tc /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (0XOWLYDULDWH0RGHO)Tj 0 g 0 Tr 0 G 1 w 0 Tc /F3 6 Tf 2 Tr 0.2 w 0 0 0 RG 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 371.66 658 Tm 0.15 Tc /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (0XOWLYDULDWH0RGHO)Tj 0 g 0 Tr 0 G 1 w 0 Tc /F3 6 Tf 2 Tr 0.2 w 0 0 0 RG 0 0 0 rg 4 Ts (E)Tj 0 Ts 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 488.8 658 Tm 0.15 Tc /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (0XOWLYDULDWH0RGHO)Tj 0 g 0 Tr 0 G 1 w 0 Tc /F3 6 Tf 2 Tr 0.2 w 0 0 0 RG 0 0 0 rg 4 Ts (F)Tj 0 Ts 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 125.69 642 Tm 0.15 Tc /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (3UHYDOHQFH5DWLR)Tj 0 g 0 Tr 0 G 1 w 0 Tc 1 0 0 1 125.44 634 Tm 0.15 Tc 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg ( \b&RQILGHQFH)Tj 0 g 0 Tr 0 G 1 w 0 Tc 1 0 0 1 140.85 626 Tm 0.15 Tc 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (,QWHUYDO\f)Tj 0 g 0 Tr 0 G 1 w 0 Tc ET BT 1 0 0 1 200.67 626 Tm 1 0 0.21256 1 200.67 626 Tm /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (3)Tj 0 g 0 Tr 0 G 1 w 1 0 0 1 205.14 626 Tm 0.15 Tc 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (9DOXH)Tj 0 g 0 Tr 0 G 1 w 0 Tc -4.47 0 Td ET BT 1 0 0 1 242.62 642 Tm 0.15 Tc /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (3UHYDOHQFH5DWLR)Tj 0 g 0 Tr 0 G 1 w 0 Tc 1 0 0 1 242.37 634 Tm 0.15 Tc 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg ( \b&RQILGHQFH)Tj 0 g 0 Tr 0 G 1 w 0 Tc 1 0 0 1 257.78 626 Tm 0.15 Tc 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (,QWHUYDO\f)Tj 0 g 0 Tr 0 G 1 w 0 Tc ET BT 1 0 0 1 317.6 626 Tm 1 0 0.21256 1 317.6 626 Tm /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (3)Tj 0 g 0 Tr 0 G 1 w 1 0 0 1 322.07 626 Tm 0.15 Tc 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (9DOXH)Tj 0 g 0 Tr 0 G 1 w 0 Tc -4.47 0 Td ET BT 1 0 0 1 359.55 642 Tm 0.15 Tc /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (3UHYDOHQFH5DWLR)Tj 0 g 0 Tr 0 G 1 w 0 Tc 1 0 0 1 359.3 634 Tm 0.15 Tc 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg ( \b&RQILGHQFH)Tj 0 g 0 Tr 0 G 1 w 0 Tc 1 0 0 1 374.71 626 Tm 0.15 Tc 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (,QWHUYDO\f)Tj 0 g 0 Tr 0 G 1 w 0 Tc ET BT 1 0 0 1 434.53 626 Tm 1 0 0.21256 1 434.53 626 Tm /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (3)Tj 0 g 0 Tr 0 G 1 w 1 0 0 1 439.01 626 Tm 0.15 Tc 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (9DOXH)Tj 0 g 0 Tr 0 G 1 w 0 Tc -4.47 0 Td ET BT 1 0 0 1 476.48 642 Tm 0.15 Tc /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (3UHYDOHQFH5DWLR)Tj 0 g 0 Tr 0 G 1 w 0 Tc 1 0 0 1 476.23 634 Tm 0.15 Tc 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg ( \b&RQILGHQFH)Tj 0 g 0 Tr 0 G 1 w 0 Tc 1 0 0 1 491.64 626 Tm 0.15 Tc 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (,QWHUYDO\f)Tj 0 g 0 Tr 0 G 1 w 0 Tc ET BT 1 0 0 1 551.46 626 Tm 1 0 0.21256 1 551.46 626 Tm /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (3)Tj 0 g 0 Tr 0 G 1 w 1 0 0 1 555.94 626 Tm 0.15 Tc 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (9DOXH)Tj 0 g 0 Tr 0 G 1 w 0 Tc -4.47 0 Td ET BT 1 0 0 1 32 611 Tm /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg ($QQXDOKRXVHKROGLQFRPH)Tj 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 32 597 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 536.02 597 Tm /F3 8 Tf 0 0 0 rg (>5HIHUHQFH@)Tj 0 g ET BT 1 0 0 1 32 583 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 130.77 583 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 215.15 583 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 247.7 583 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 336.76 583 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 364.63 583 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 449.01 583 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 479.56 583 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 565.94 583 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 32 569 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 130.77 569 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 219.83 569 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 247.7 569 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 330.08 569 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 364.63 569 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 444.32 569 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 479.56 569 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 561.25 569 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 32 555 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 130.77 555 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 215.15 555 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 247.7 555 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 327.39 555 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 364.63 555 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 444.32 555 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 479.56 555 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 561.25 555 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 32 541 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 130.77 541 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 210.46 541 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 247.7 541 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 327.39 541 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 364.63 541 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 444.32 541 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 479.56 541 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 561.25 541 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 32 527 Tm /F3 8 Tf 0 0 0 rg (8QNQRZQ)Tj 0 g ET BT 1 0 0 1 130.77 527 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 219.83 527 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 247.7 527 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 336.76 527 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 364.63 527 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 453.69 527 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 479.56 527 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 32 513 Tm /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (+HDOWKFDUHFRYHUDJH)Tj 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 32 499 Tm /F3 8 Tf 0 0 0 rg (<HV)Tj 0 g ET BT 1 0 0 1 536.02 499 Tm /F3 8 Tf 0 0 0 rg (>5HIHUHQFH@)Tj 0 g ET BT 1 0 0 1 32 485 Tm /F3 8 Tf 0 0 0 rg (1R)Tj 0 g ET BT 1 0 0 1 130.77 485 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 215.15 485 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 247.7 485 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 336.76 485 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 364.63 485 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 453.69 485 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 479.56 485 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 570.62 485 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 32 471 Tm /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (2EHVH)Tj 0 g 0 Tr 0 G 1 w /F3 6 Tf 2 Tr 0.2 w 0 0 0 RG 0 0 0 rg 4 Ts (G)Tj 0 Ts 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 32 457 Tm /F3 8 Tf 0 0 0 rg (1R)Tj 0 g ET BT 1 0 0 1 536.02 457 Tm /F3 8 Tf 0 0 0 rg (>5HIHUHQFH@)Tj 0 g ET BT 1 0 0 1 32 443 Tm /F3 8 Tf 0 0 0 rg (<HV)Tj 0 g ET BT 1 0 0 1 130.77 443 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 210.46 443 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 298.82 443 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g /F3 6 Tf 0 0 0 rg 4 Ts (H)Tj 0 Ts 0 g ET BT 1 0 0 1 339.69 443 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g /F3 6 Tf 0 0 0 rg 4 Ts (H)Tj 0 Ts 0 g ET BT 1 0 0 1 364.63 443 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 444.32 443 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 479.56 443 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 561.25 443 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 32 429 Tm /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (6PRNLQJVWDWXV)Tj 0 g 0 Tr 0 G 1 w /F3 6 Tf 2 Tr 0.2 w 0 0 0 RG 0 0 0 rg 4 Ts (I)Tj 0 Ts 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 32 415 Tm /F3 8 Tf 0 0 0 rg (1HYHUVPRNHU)Tj 0 g ET BT 1 0 0 1 536.02 415 Tm /F3 8 Tf 0 0 0 rg (>5HIHUHQFH@)Tj 0 g ET BT 1 0 0 1 32 401 Tm /F3 8 Tf 0 0 0 rg (\)RUPHUVPRNHU)Tj 0 g ET BT 1 0 0 1 130.77 401 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 210.46 401 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 298.82 401 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g /F3 6 Tf 0 0 0 rg 4 Ts (H)Tj 0 Ts 0 g ET BT 1 0 0 1 339.69 401 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g /F3 6 Tf 0 0 0 rg 4 Ts (H)Tj 0 Ts 0 g ET BT 1 0 0 1 364.63 401 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 453.69 401 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 479.56 401 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 570.62 401 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 32 387 Tm /F3 8 Tf 0 0 0 rg (6PRNHVRPHGD\\V)Tj 0 g ET BT 1 0 0 1 130.77 387 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 219.83 387 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 298.82 387 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g /F3 6 Tf 0 0 0 rg 4 Ts (H)Tj 0 Ts 0 g ET BT 1 0 0 1 339.69 387 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g /F3 6 Tf 0 0 0 rg 4 Ts (H)Tj 0 Ts 0 g ET BT 1 0 0 1 364.63 387 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 453.69 387 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 479.56 387 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 570.62 387 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 32 373 Tm /F3 8 Tf 0 0 0 rg (6PRNHHYHU\\GD\\)Tj 0 g ET BT 1 0 0 1 130.77 373 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 219.83 373 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 298.82 373 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g /F3 6 Tf 0 0 0 rg 4 Ts (H)Tj 0 Ts 0 g ET BT 1 0 0 1 339.69 373 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g /F3 6 Tf 0 0 0 rg 4 Ts (H)Tj 0 Ts 0 g ET BT 1 0 0 1 364.63 373 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 453.69 373 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 479.56 373 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 570.62 373 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 32 359 Tm /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (+HDY\\GULQNLQJ)Tj 0 g 0 Tr 0 G 1 w /F3 6 Tf 2 Tr 0.2 w 0 0 0 RG 0 0 0 rg 4 Ts (J)Tj 0 Ts 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 32 345 Tm /F3 8 Tf 0 0 0 rg (1R)Tj 0 g ET BT 1 0 0 1 536.02 345 Tm /F3 8 Tf 0 0 0 rg (>5HIHUHQFH@)Tj 0 g ET BT 1 0 0 1 32 331 Tm /F3 8 Tf 0 0 0 rg (<HV)Tj 0 g ET BT 1 0 0 1 130.77 331 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 210.46 331 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 298.82 331 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g /F3 6 Tf 0 0 0 rg 4 Ts (H)Tj 0 Ts 0 g ET BT 1 0 0 1 339.69 331 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g /F3 6 Tf 0 0 0 rg 4 Ts (H)Tj 0 Ts 0 g ET BT 1 0 0 1 364.63 331 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 453.69 331 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 479.56 331 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 570.62 331 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 32 317 Tm /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (3K\\VLFDODFWLYLW\\86JXLGHOLQHV)Tj 0 g 0 Tr 0 G 1 w /F3 6 Tf 2 Tr 0.2 w 0 0 0 RG 0 0 0 rg 4 Ts (K)Tj 0 Ts 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 32 303 Tm /F3 8 Tf 0 0 0 rg (1RSK\\VLFDODFWLYLW\\)Tj 0 g ET BT 1 0 0 1 536.02 303 Tm /F3 8 Tf 0 0 0 rg (>5HIHUHQFH@)Tj 0 g ET BT 1 0 0 1 32 289 Tm /F3 8 Tf 0 0 0 rg (/HVVWKDQ86)Tj 0 g 1 0 0 1 32 281 Tm 0 0 0 rg (JXLGHOLQHV)Tj 0 g ET BT 1 0 0 1 130.77 289 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 210.46 289 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 298.82 289 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g /F3 6 Tf 0 0 0 rg 4 Ts (H)Tj 0 Ts 0 g ET BT 1 0 0 1 339.69 289 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g /F3 6 Tf 0 0 0 rg 4 Ts (H)Tj 0 Ts 0 g ET BT 1 0 0 1 364.63 289 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 453.69 289 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 479.56 289 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 570.62 289 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 32 267 Tm /F3 8 Tf 0 0 0 rg (0HHWVJXLGHOLQHV)Tj 0 g ET BT 1 0 0 1 130.77 267 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 210.46 267 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 298.82 267 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g /F3 6 Tf 0 0 0 rg 4 Ts (H)Tj 0 Ts 0 g ET BT 1 0 0 1 339.69 267 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g /F3 6 Tf 0 0 0 rg 4 Ts (H)Tj 0 Ts 0 g ET BT 1 0 0 1 364.63 267 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 453.69 267 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 479.56 267 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 570.62 267 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 32 253 Tm /F3 8 Tf 0 0 0 rg (\([FHHGVJXLGHOLQHV)Tj 0 g ET BT 1 0 0 1 130.77 253 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 210.46 253 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 298.82 253 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g /F3 6 Tf 0 0 0 rg 4 Ts (H)Tj 0 Ts 0 g ET BT 1 0 0 1 339.69 253 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g /F3 6 Tf 0 0 0 rg 4 Ts (H)Tj 0 Ts 0 g ET BT 1 0 0 1 364.63 253 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 444.32 253 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 479.56 253 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 565.94 253 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 32 239 Tm /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg ('DLO\\VHUYLQJVIUXLW)Tj 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 32 225 Tm /F3 8 Tf 0 0 0 rg (1RQH)Tj 0 g ET BT 1 0 0 1 536.02 225 Tm /F3 8 Tf 0 0 0 rg (>5HIHUHQFH@)Tj 0 g ET BT 1 0 0 1 32 199 Tm /F3 8 Tf 0 0 0 rg ($EEUHYLDWLRQ*\('JHQHUDOHTXLYDOHQF\\GLSORPD)Tj 0 g ET q BT 1 0 0 1 32 199 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 189 Tm /F3 6 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g /F3 8 Tf 0 0 0 rg (:HLJKWHGPXOWLYDULDWH3RLVVRQPRGHODGMXVWHGIRUGHPRJUDSKLFDQGVRFLRHFRQRPLFYDULDEOHV)Tj 0 g ET q BT 1 0 0 1 32 189 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 179 Tm /F3 6 Tf 0 0 0 rg 4 Ts (E)Tj 0 Ts 0 g /F3 8 Tf 0 0 0 rg (:HLJKWHGPXOWLYDULDWH3RLVVRQPRGHODGMXVWHGIRUDOOLQGHSHQGHQWYDULDEOHV LQFOXGLQJREHVLW\\DQGOLIHVW\\OHYDULDEOHV\f)Tj 0 g ET q BT 1 0 0 1 32 179 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 169 Tm /F3 6 Tf 0 0 0 rg 4 Ts (F)Tj 0 Ts 0 g /F3 8 Tf 0 0 0 rg (:HLJKWHGPXOWLYDULDWH3RLVVRQPRGHOZLWKDJHDQGUDFHHWKQLFLW\\LQWHUDFWLRQHIIHFWVDGMXVWHGIRUDOOLQGHSHQGHQWYDULDEOHV5HVXOWVIRUUDFHHWKQLFLW\\DQGDJHDUH)Tj 0 g 1 0 0 1 32 159 Tm 0 0 0 rg (DYDLODEOHIURPWKHDXWKRUV)Tj 0 g ET q BT 1 0 0 1 32 169 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 149 Tm /F3 6 Tf 0 0 0 rg 4 Ts (G)Tj 0 Ts 0 g /F3 8 Tf 0 0 0 rg (%RG\\PDVVLQGH[ ZHLJKWLQNJGLYLGHGE\\KHLJKWLQP)Tj 0 g /F3 6 Tf 0 0 0 rg 4 Ts ()Tj 0 Ts 0 g /F3 8 Tf 0 0 0 rg (\f)Tj 0 g ET q BT 1 0 0 1 32 149 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 139 Tm /F3 6 Tf 0 0 0 rg 4 Ts (H)Tj 0 Ts 0 g /F3 8 Tf 0 0 0 rg (&HOOVDUHEODQNEHFDXVHPXOWLYDULDWHPRGHOLQFOXGHGRQO\\GHPRJUDSKLFYDULDEOHV)Tj 0 g ET q BT 1 0 0 1 32 139 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 129 Tm /F3 6 Tf 0 0 0 rg 4 Ts (I)Tj 0 Ts 0 g /F3 8 Tf 0 0 0 rg (3DUWLFLSDQWVZKRVPRNHGDWOHDVWFLJDUHWWHVLQWKHLUHQWLUHOLIHEXWQRORQJHUVPRNHDWDOO)Tj 0 g ET q BT 1 0 0 1 32 129 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 119 Tm /F3 6 Tf 0 0 0 rg 4 Ts (J)Tj 0 Ts 0 g /F3 8 Tf 0 0 0 rg ('HILQHGDVPRUHWKDQGULQNVSHUGD\\IRUPHQRUPRUHWKDQGULQNSHUGD\\IRUZRPHQ)Tj 0 g ET q BT 1 0 0 1 32 119 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 109 Tm /F3 6 Tf 0 0 0 rg 4 Ts (K)Tj 0 Ts 0 g /F3 8 Tf 0 0 0 rg (/HVVWKDQJXLGHOLQHV PLQZNPHHWVJXLGHOLQHV PLQZNDQGH[FHHGVJXLGHOLQHV !PLQZN )Tj 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg (\f)Tj 0 g ET q BT 1 0 0 1 32 109 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 498.31 97 Tm /F3 8 Tf 0 0 0 rg ( FRQWLQXHGRQQH[WSDJH\f)Tj 0 g ET q BT 1 0 0 1 30 735 Tm /F7 22 Tf 0.15294 0.35686 0.17255 rg (PREVENTING CHRONIC DISEASE)Tj 0 g ET Q q BT 1 0 0 1 502.52 735 Tm /F2 10 Tf (VOLUME 16, E22)Tj ET Q 0.83529 0.86275 0.81961 RG 1.6 w 30 732 m 368 732 l S q BT 1 0 0 1 30 718 Tm /F2 13 Tf 0.15294 0.35686 0.17255 rg (PUBLIC HEALTH RESEARCH, PRACTICE, AND POLICY)Tj 0 g ET Q q BT 1 0 0 1 496.97 718 Tm /F2 10 Tf ( FEBRUARY 2019)Tj ET Q 0.15294 0.35686 0.17255 RG 3 w 30 708 m 582 708 l S 0.50196 0.50196 0.50196 RG 1 w 30 80 m 582 80 l S q BT 1 0 0 1 30.52 70 Tm /F2 8 Tf 0.50196 0.50196 0.50196 rg (The opinions expressed by authors contributing to this journal do not necessarily reflect the opinions of the U.S. Department of Health and Human Services,)Tj 0 g ET Q q BT 1 0 0 1 110.12 58 Tm /F2 8 Tf 0.50196 0.50196 0.50196 rg (the Public Health Service, the Centers for Disease Control and Prevention, or the authors affiliated institutions.)Tj 0 g ET Q 0.50196 0.50196 0.50196 RG 1 w 30 53 m 582 53 l S q BT 1 0 0 1 30 41 Tm /F2 9 Tf (12 Centers for Disease Control and Prevention www.cdc.gov/pcd/issues/2019/18_0187.htm)Tj ET Q ~R endstream endobj 35 0 obj <>>>/ArtBox[30 100 584 764]/Contents 34 0 R/Parent 32 0 R>> endobj 36 0 obj <>stream xH;q BT 30 786 Td ET Q q 0.79216 0.83529 0.79216 rg 30 621 86.28 48 re f 0.79216 0.83529 0.79216 rg 116.28 653 116.93 16 re f 0.79216 0.83529 0.79216 rg 233.21 653 116.93 16 re f 0.79216 0.83529 0.79216 rg 350.14 653 116.93 16 re f 0.79216 0.83529 0.79216 rg 467.07 653 116.93 16 re f 0.79216 0.83529 0.79216 rg 116.28 621 76.06 32 re f 0.79216 0.83529 0.79216 rg 192.34 621 40.87 32 re f 0.79216 0.83529 0.79216 rg 233.21 621 76.06 32 re f 0.79216 0.83529 0.79216 rg 309.27 621 40.87 32 re f 0.79216 0.83529 0.79216 rg 350.14 621 76.06 32 re f 0.79216 0.83529 0.79216 rg 426.2 621 40.87 32 re f 0.79216 0.83529 0.79216 rg 467.07 621 76.06 32 re f 0.79216 0.83529 0.79216 rg 543.13 621 40.87 32 re f Q q 2 J 0 G 0.5 w 1 1 1 RG 30 669 554 19 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 621 86.28 48 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 116.28 653 116.93 16 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 233.21 653 116.93 16 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 350.14 653 116.93 16 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 467.07 653 116.93 16 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 116.28 621 76.06 32 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 192.34 621 40.87 32 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 233.21 621 76.06 32 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 309.27 621 40.87 32 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 350.14 621 76.06 32 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 426.2 621 40.87 32 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 467.07 621 76.06 32 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 543.13 621 40.87 32 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 607 86.28 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 116.28 607 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 192.34 607 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 233.21 607 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 309.27 607 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 350.14 607 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 426.2 607 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 467.07 607 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 543.13 607 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 593 86.28 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 116.28 593 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 192.34 593 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 233.21 593 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 309.27 593 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 350.14 593 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 426.2 593 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 467.07 593 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 543.13 593 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 579 554 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 565 86.28 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 116.28 565 467.72 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 551 86.28 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 116.28 551 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 192.34 551 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 233.21 551 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 309.27 551 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 350.14 551 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 426.2 551 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 467.07 551 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 543.13 551 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 537 86.28 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 116.28 537 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 192.34 537 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 233.21 537 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 309.27 537 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 350.14 537 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 426.2 537 40.87 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 467.07 537 76.06 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 543.13 537 40.87 14 re S 0 G Q BT 1 0 0 1 32 690 Tm /F3 8 Tf 0 0 0 rg ( FRQWLQXHG\f)Tj 0 g ET BT 1 0 0 1 32 675 Tm /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (7DEOH)Tj 0 g 0 Tr 0 G 1 w 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg ()Tj 0 g 0 Tr 0 G 1 w 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (&UXGHDQG0XOWLYDULDWH3UHYDOHQFH5DWLRVRI'LDEHWHV 1 \f+DZDLL%HKDYLRUDO5LVN\)DFWRU6XUYHLOODQFH6\\VWHP)Tj 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 34 626 Tm 0.15 Tc /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (9DULDEOH)Tj 0 g 0 Tr 0 G 1 w 0 Tc ET BT 1 0 0 1 153.43 658 Tm 0.15 Tc /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (&UXGH0RGHO)Tj 0 g 0 Tr 0 G 1 w 0 Tc ET BT 1 0 0 1 254.75 658 Tm 0.15 Tc /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (0XOWLYDULDWH0RGHO)Tj 0 g 0 Tr 0 G 1 w 0 Tc /F3 6 Tf 2 Tr 0.2 w 0 0 0 RG 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 371.66 658 Tm 0.15 Tc /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (0XOWLYDULDWH0RGHO)Tj 0 g 0 Tr 0 G 1 w 0 Tc /F3 6 Tf 2 Tr 0.2 w 0 0 0 RG 0 0 0 rg 4 Ts (E)Tj 0 Ts 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 488.8 658 Tm 0.15 Tc /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (0XOWLYDULDWH0RGHO)Tj 0 g 0 Tr 0 G 1 w 0 Tc /F3 6 Tf 2 Tr 0.2 w 0 0 0 RG 0 0 0 rg 4 Ts (F)Tj 0 Ts 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 125.69 642 Tm 0.15 Tc /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (3UHYDOHQFH5DWLR)Tj 0 g 0 Tr 0 G 1 w 0 Tc 1 0 0 1 125.44 634 Tm 0.15 Tc 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg ( \b&RQILGHQFH)Tj 0 g 0 Tr 0 G 1 w 0 Tc 1 0 0 1 140.85 626 Tm 0.15 Tc 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (,QWHUYDO\f)Tj 0 g 0 Tr 0 G 1 w 0 Tc ET BT 1 0 0 1 200.67 626 Tm 1 0 0.21256 1 200.67 626 Tm /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (3)Tj 0 g 0 Tr 0 G 1 w 1 0 0 1 205.14 626 Tm 0.15 Tc 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (9DOXH)Tj 0 g 0 Tr 0 G 1 w 0 Tc -4.47 0 Td ET BT 1 0 0 1 242.62 642 Tm 0.15 Tc /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (3UHYDOHQFH5DWLR)Tj 0 g 0 Tr 0 G 1 w 0 Tc 1 0 0 1 242.37 634 Tm 0.15 Tc 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg ( \b&RQILGHQFH)Tj 0 g 0 Tr 0 G 1 w 0 Tc 1 0 0 1 257.78 626 Tm 0.15 Tc 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (,QWHUYDO\f)Tj 0 g 0 Tr 0 G 1 w 0 Tc ET BT 1 0 0 1 317.6 626 Tm 1 0 0.21256 1 317.6 626 Tm /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (3)Tj 0 g 0 Tr 0 G 1 w 1 0 0 1 322.07 626 Tm 0.15 Tc 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (9DOXH)Tj 0 g 0 Tr 0 G 1 w 0 Tc -4.47 0 Td ET BT 1 0 0 1 359.55 642 Tm 0.15 Tc /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (3UHYDOHQFH5DWLR)Tj 0 g 0 Tr 0 G 1 w 0 Tc 1 0 0 1 359.3 634 Tm 0.15 Tc 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg ( \b&RQILGHQFH)Tj 0 g 0 Tr 0 G 1 w 0 Tc 1 0 0 1 374.71 626 Tm 0.15 Tc 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (,QWHUYDO\f)Tj 0 g 0 Tr 0 G 1 w 0 Tc ET BT 1 0 0 1 434.53 626 Tm 1 0 0.21256 1 434.53 626 Tm /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (3)Tj 0 g 0 Tr 0 G 1 w 1 0 0 1 439.01 626 Tm 0.15 Tc 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (9DOXH)Tj 0 g 0 Tr 0 G 1 w 0 Tc -4.47 0 Td ET BT 1 0 0 1 476.48 642 Tm 0.15 Tc /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (3UHYDOHQFH5DWLR)Tj 0 g 0 Tr 0 G 1 w 0 Tc 1 0 0 1 476.23 634 Tm 0.15 Tc 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg ( \b&RQILGHQFH)Tj 0 g 0 Tr 0 G 1 w 0 Tc 1 0 0 1 491.64 626 Tm 0.15 Tc 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (,QWHUYDO\f)Tj 0 g 0 Tr 0 G 1 w 0 Tc ET BT 1 0 0 1 551.46 626 Tm 1 0 0.21256 1 551.46 626 Tm /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (3)Tj 0 g 0 Tr 0 G 1 w 1 0 0 1 555.94 626 Tm 0.15 Tc 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (9DOXH)Tj 0 g 0 Tr 0 G 1 w 0 Tc -4.47 0 Td ET BT 1 0 0 1 32 611 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 130.77 611 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 219.83 611 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 298.82 611 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g /F3 6 Tf 0 0 0 rg 4 Ts (H)Tj 0 Ts 0 g ET BT 1 0 0 1 339.69 611 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g /F3 6 Tf 0 0 0 rg 4 Ts (H)Tj 0 Ts 0 g ET BT 1 0 0 1 364.63 611 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 453.69 611 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 479.56 611 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 570.62 611 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 32 597 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 130.77 597 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 219.83 597 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 298.82 597 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g /F3 6 Tf 0 0 0 rg 4 Ts (H)Tj 0 Ts 0 g ET BT 1 0 0 1 339.69 597 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g /F3 6 Tf 0 0 0 rg 4 Ts (H)Tj 0 Ts 0 g ET BT 1 0 0 1 364.63 597 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 453.69 597 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 479.56 597 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 570.62 597 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 32 583 Tm /F3 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg ('DLO\\VHUYLQJVYHJHWDEOHV)Tj 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 32 569 Tm /F3 8 Tf 0 0 0 rg (1RQH)Tj 0 g ET BT 1 0 0 1 536.02 569 Tm /F3 8 Tf 0 0 0 rg (>5HIHUHQFH@)Tj 0 g ET BT 1 0 0 1 32 555 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 130.77 555 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 215.15 555 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 298.82 555 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g /F3 6 Tf 0 0 0 rg 4 Ts (H)Tj 0 Ts 0 g ET BT 1 0 0 1 339.69 555 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g /F3 6 Tf 0 0 0 rg 4 Ts (H)Tj 0 Ts 0 g ET BT 1 0 0 1 364.63 555 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 453.69 555 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 479.56 555 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 570.62 555 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 32 541 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 130.77 541 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 219.83 541 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 298.82 541 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g /F3 6 Tf 0 0 0 rg 4 Ts (H)Tj 0 Ts 0 g ET BT 1 0 0 1 339.69 541 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g /F3 6 Tf 0 0 0 rg 4 Ts (H)Tj 0 Ts 0 g ET BT 1 0 0 1 364.63 541 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 453.69 541 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 479.56 541 Tm /F3 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 570.62 541 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 32 525 Tm /F3 8 Tf 0 0 0 rg ($EEUHYLDWLRQ*\('JHQHUDOHTXLYDOHQF\\GLSORPD)Tj 0 g ET q BT 1 0 0 1 32 525 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 515 Tm /F3 6 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g /F3 8 Tf 0 0 0 rg (:HLJKWHGPXOWLYDULDWH3RLVVRQPRGHODGMXVWHGIRUGHPRJUDSKLFDQGVRFLRHFRQRPLFYDULDEOHV)Tj 0 g ET q BT 1 0 0 1 32 515 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 505 Tm /F3 6 Tf 0 0 0 rg 4 Ts (E)Tj 0 Ts 0 g /F3 8 Tf 0 0 0 rg (:HLJKWHGPXOWLYDULDWH3RLVVRQPRGHODGMXVWHGIRUDOOLQGHSHQGHQWYDULDEOHV LQFOXGLQJREHVLW\\DQGOLIHVW\\OHYDULDEOHV\f)Tj 0 g ET q BT 1 0 0 1 32 505 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 495 Tm /F3 6 Tf 0 0 0 rg 4 Ts (F)Tj 0 Ts 0 g /F3 8 Tf 0 0 0 rg (:HLJKWHGPXOWLYDULDWH3RLVVRQPRGHOZLWKDJHDQGUDFHHWKQLFLW\\LQWHUDFWLRQHIIHFWVDGMXVWHGIRUDOOLQGHSHQGHQWYDULDEOHV5HVXOWVIRUUDFHHWKQLFLW\\DQGDJHDUH)Tj 0 g 1 0 0 1 32 485 Tm 0 0 0 rg (DYDLODEOHIURPWKHDXWKRUV)Tj 0 g ET q BT 1 0 0 1 32 495 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 475 Tm /F3 6 Tf 0 0 0 rg 4 Ts (G)Tj 0 Ts 0 g /F3 8 Tf 0 0 0 rg (%RG\\PDVVLQGH[ ZHLJKWLQNJGLYLGHGE\\KHLJKWLQP)Tj 0 g /F3 6 Tf 0 0 0 rg 4 Ts ()Tj 0 Ts 0 g /F3 8 Tf 0 0 0 rg (\f)Tj 0 g ET q BT 1 0 0 1 32 475 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 465 Tm /F3 6 Tf 0 0 0 rg 4 Ts (H)Tj 0 Ts 0 g /F3 8 Tf 0 0 0 rg (&HOOVDUHEODQNEHFDXVHPXOWLYDULDWHPRGHOLQFOXGHGRQO\\GHPRJUDSKLFYDULDEOHV)Tj 0 g ET q BT 1 0 0 1 32 465 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 455 Tm /F3 6 Tf 0 0 0 rg 4 Ts (I)Tj 0 Ts 0 g /F3 8 Tf 0 0 0 rg (3DUWLFLSDQWVZKRVPRNHGDWOHDVWFLJDUHWWHVLQWKHLUHQWLUHOLIHEXWQRORQJHUVPRNHDWDOO)Tj 0 g ET q BT 1 0 0 1 32 455 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 445 Tm /F3 6 Tf 0 0 0 rg 4 Ts (J)Tj 0 Ts 0 g /F3 8 Tf 0 0 0 rg ('HILQHGDVPRUHWKDQGULQNVSHUGD\\IRUPHQRUPRUHWKDQGULQNSHUGD\\IRUZRPHQ)Tj 0 g ET q BT 1 0 0 1 32 445 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 435 Tm /F3 6 Tf 0 0 0 rg 4 Ts (K)Tj 0 Ts 0 g /F3 8 Tf 0 0 0 rg (/HVVWKDQJXLGHOLQHV PLQZNPHHWVJXLGHOLQHV PLQZNDQGH[FHHGVJXLGHOLQHV !PLQZN )Tj 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg (\f)Tj 0 g ET q BT 1 0 0 1 32 435 Tm /F3 8 Tf 0 0 0 rg ()Tj 0 g ET Q q 1 w 0.50196 0.50196 0.50196 RG 30 429 m 584 429 l S Q q BT 1 0 0 1 30 735 Tm /F7 22 Tf 0.15294 0.35686 0.17255 rg (PREVENTING CHRONIC DISEASE)Tj 0 g ET Q q BT 1 0 0 1 502.52 735 Tm /F2 10 Tf (VOLUME 16, E22)Tj ET Q 0.83529 0.86275 0.81961 RG 1.6 w 30 732 m 368 732 l S q BT 1 0 0 1 30 718 Tm /F2 13 Tf 0.15294 0.35686 0.17255 rg (PUBLIC HEALTH RESEARCH, PRACTICE, AND POLICY)Tj 0 g ET Q q BT 1 0 0 1 496.97 718 Tm /F2 10 Tf ( FEBRUARY 2019)Tj ET Q 0.15294 0.35686 0.17255 RG 3 w 30 708 m 582 708 l S 0.50196 0.50196 0.50196 RG 1 w 30 80 m 582 80 l S q BT 1 0 0 1 30.52 70 Tm /F2 8 Tf 0.50196 0.50196 0.50196 rg (The opinions expressed by authors contributing to this journal do not necessarily reflect the opinions of the U.S. Department of Health and Human Services,)Tj 0 g ET Q q BT 1 0 0 1 110.12 58 Tm /F2 8 Tf 0.50196 0.50196 0.50196 rg (the Public Health Service, the Centers for Disease Control and Prevention, or the authors affiliated institutions.)Tj 0 g ET Q 0.50196 0.50196 0.50196 RG 1 w 30 53 m 582 53 l S q BT 1 0 0 1 196.68 41 Tm /F2 9 Tf (www.cdc.gov/pcd/issues/2019/18_0187.htm Centers for Disease Control and Prevention 13)Tj ET Q ; endstream endobj 37 0 obj <>>>/ArtBox[30 100 584 764]/Contents 36 0 R/Parent 32 0 R>> endobj 38 0 obj <>stream xyxe8,f$]$mIt߀Ri(P}BQ" DEP* J[ * (V}}hgZPϹι?u}0yf~g #tQ}ȩ[ z"2ztW9O"7uwW"q8\T1z渳wX TD@ cG:B[ 60 ZSF4̺9.vG>0%Dٷɲk괱Sg/ڗ>v"-E<Ρ Jl!ΟW!W j܏qo'\o;GƏq{x^z\o[]]}wɻ}1)%_/+UF&Ioto񵍻7]\Ͽ^x׻^zW[Z~i򄦇no*Q=AMh-y':z26`G %qgqLv !Suܡ9j_1N O#]η9tBqezrps/'hSU OOe[}<<X$SU:JhqƆm<㮷<w^zwPӟ!WhjhFVS!mjZ !1,8~(c>B?џz#teB8G\1]HWtW+ {^!W΅a(\0B6[qvٗ.Bul<8s6L陒3g:?s&L33gO_9}_W~OOo;]rt OO;.R|!4 V4)~7~26Dj5<.s~H8:2 utM/t R'o;uVԿ`!pטzjkͰ°Va\?g, Z>}%)Z]hGOETH|=~FFKгh A_UhwU4 FAGЇ(z}E t GG$}>Fw Z&h2U{P=jT4 ݋C t?@!4Bыhz#{ڃWg13䯣x%^ϣ汀x5~kq=~X%/u x#ބ7W_pnMx;}"Ļnl{^,cG_qƋx?>7[؂c6Ԁ؆a;q؁O5; q<~Q>=8{ Dq .O:n[=-qOr˹gܳJ6[=6ps5Z{{[ǽ̭6pIdn{m^^q \#mv0Nn r{>u n?w;Ƚɽ;pqGcq„0X ˲˳+:VNpqsrqs'Si %w;ǝ.pKܷe;{ ?ß̼›x3GQ|4ocx+oc8;y)RdtN:/}%}-}#].JoWCE҇ Ȁy{y'| gRdkG<1q~>_ ~)_???>C$,_Zy^/k|="B_,}ɯ7Mf~ 7|b$dR'9$R$$f9P<(t %BЍ.tz=^BoW' @a0X" ʅ Ѐw ÅJ.aP<#%K)_JҤt)Cʔ.KIKW,)[OKe“r)iaRX%<'HH2I!~E)WʓNKgfG'gJH: $dKH>'+!,2Co/wwߩl|8θظ̸qqe&VcqNy]-ߑGI+FŬD+1env=Ds9͜e30w2bssWsS/ ('OO) |FR>+__%[&}ib,>bXtct:A't:ItFSt&Y4in(5 57wO溱2e$ct:.Fgtv].N9u.[t^OK%RcqtR:E.䊒$KQ#j"uav]_"ڎvCh.zWR(iJAB?"谒'w,%[Qrh%%_iW:(hQ)TP:)EJ@+]JRtS+=J/GSʔee2X Uʕ er2\:Ӂt2ALR&+=eRLSU|>er2SyPyHVV(#\Q#G+ǔǕeR,҅ta _n'Q!8n/)IC1qew #l%A*DlU+K'2TyRY<<V>Q>U>c0IrZ9+DLĘXgaVfZ"w3x9~ ߏx$b qip܆xǐ`|DCLeFf = = Ɇߐ*s2/ (dIoLIg &I6)&l0EL&)d5LvS)NfH7d2 eA,CaɴcN.nSдǴ״ ~AӛL226mz=QLNmt0pS}miW'.!H7;]rGCr''Gcr#Wk @.K[w]bS'uQ70Îя-cV#b{}@boȽt>'Sةl MI4]y,K[fT/O4N3h&͢4悽^CaV M1Wp3؈.r&'r !L9͖t6Kΐ3,Iٯد$IkgKL. ,O؛\!w&OgJyZ~A^#hͧWi7ڝ=i/"Yt A!;ee {ePkb6p"%ya9^u`9"2*ccN;ޓ%&%S32sr۵PбNE]vޣg}+?`CW sx]#FQnj7~IgԚiNo|YSG= -^eO.gVs3333ZLLLLLLLLLLLLLLLLWX-9ሥO#;BP v2& o=h-J@?,'ڀ:246dD3Q 6!/v"J"U "DI: q*>ue/ fPDx ʀzwȂOBq;.!JIdF{i6Y;FUhԅ'?ŽdO;Q5\bso~ph@܄tڅG.Cwh$>NATEpqxnD?y@#"`3/-?'^> 7[= 2,( Uǽp1PQ826F) \ 3a<錃f<+Vq+7/,r?hYoC:Sca>T ދJM(gJv*x8q)ܤ|OQzgp)94M < ^݄#8 p3H¾Yr27CCWBu.xX G x/#;*Rҙt}K?d1[/I#CN{!p%Tn M2O#=գ-}~ '{ ?*#\Sw{ĉE )%c? z3rt} EO1a0 {wW|ߝ%%ll;C+Bo  ( Ua8qz_0}TZ{}0C0GQxsp-yF\z2_{aK`%ATn(:.G>L}*Ff6dFP/"[CT&)d0Gc $su%M]n_Əga XC3c^6ySx0`#h5}~Ď?Sщtrx-%)x9!Z)b[r]%2Qx'1Od B8!L({!9* ArGov >Ǯ!'9O"9YC2,BL.{Mof|w" p Y.R$H4n vf\gP:0D7Dj #uOU0beg2y=)޹= ODi%M>(= juUc'Eg/T4eJrl\=^(Dµx >? FP@[Z9`/I<AZݏ] YQ,fJ@3U]T h9Wh pt؜o6T C/2 4s \:`;1AONl41,~4ƣMgP>V!{{t/}ȋcwb:sНEOQ#04 t7֝D91\J:7X&A,Z`.bƑL7E ή3Sonov{fV x1vaHD3ߣDn~S Do>cU@=JF@ ;yMްߣ[E?0xd[!͇' _ѳ?Cl" ō!x<!T<^9΃v)0N:垻'O8a*7PŽڷHOK$'% x鈋۬1IcJ0J-V|U ӽ{jpAW?4i qefufL QaZjC}IWOY˴n7\*Հ\% 3&ԕTu5J..cuiQ'AUZ3[:aB,% Z`tU!hޒcti hϨ)nE{Lץ㚨-r5[TШ*~g td ۵pssӺ.YW7P߿n{4oiU])l%AwCS1klc$0s5s$-Q1(UWjtk-b"O`h@R5WQ0 W5zLlT)Я7^=?gd[U~EjU[7 ~CJ |(Ik祥T'@*܎(*yh4j]h 2 J9xs$j:R{sUڷQ OV#J&4exlx^Jpk?Zop zx +W;zK=% ]ʩTֈj~j\ދr 0փ] JUֲBv/ VN]ֶ?x: 3>kа:?JAYՕz\uUu#QCiyԒ.7.ELiunL#A {#*,h4{ܞw5=xA^0pX!ׂAM.U 0VDžP@%jک6\j|&"h{j֡G1}>A>AD`i ܜ@W:;m#:@`A]@Ac)" z܎m9@ƎNfLV@Nۍy  + f/K^T)th0`ଊpӳkgzzJ P]c*Y;T &zOyf lN,U0V~x0P]5edC(W0qԣ [C葪Џ@GOp+]Sp{%0?&^u9 e W _j`3RȺp-BTxXFݠgXހuu zKa2z'M{FUݐq2BvԻK< B.qQbtTV:sCpv%%= إJ]GڡH衶*FE:~7:YټSxAuXǭYE Wի] dPlz&Z/M45s Nj]7Dp"Ʋwq'x#` 'P_VRWZاA]EV1Apn(&ß̪p&/8A7\9RCW|<|N+]?hh8ca&[+wDԙRgd[Ȯ{{-͜`̋Yq@H K0lo糲 ''Q"ZGe=_[G#7^#>iB%۷E ^>P;jhW|;рUnsSb+!P X*\mZaZeh4+̀OBs3-к`2w0w`%Vȩ*o.s}`A yjUdevHIJJs̬,¥;G$)eʊKd]"t%Jz*~~#J\L>k裢9 z@a~W5,-xծӀblE9ls ,"r-&_//7]^NT/QRjkO}{̹ ϨV?~N4x:y*/<~d3AYݐ9sKGݕ'S\(3 NRTʠRTҔb)}?ۗc%=N҃lP̷wh-4Lc>-ךk5*츿B8(ڥġ;qAm!m[GѓQI١ZP1k} RUR$")؃*ox}*[7msp8ч9knSo$T37fӌ~-*mJrfggnK2~vg'dfV?['Nlzss'a[7q׆k{v=^5O=G5댵RLJ^=A]tYb(b(H:^}]/>(QMTsT$tM%7--@Hz(}2tJjP'>"PV^ah"nhB+q_:q1\m䠻T*[@75gej܎#`>J%PH3SP(#x!l5ξКn[١)u|'?V9tjUO d&ER`E E29X4WUKJ70G)7tuoŎI5nyOC=ޒ+xO6h0ڂWwݭXA*,hR#advz)QQ4*SS!6MR |pKV\c ֛zs2L99zoRg|U+xЖe1R,*wF A.ƍɟÂb"RD\2\cqNT˨FR3JH?Xtlc4;r$lubydB=-R1P'FxM$cIU1BⴅM7VQFszzoiezF@] _ Ch4=]Ñ@HͤUt*)GWQ&4$J¢lq"\ϠpHPT>\eN04\A5lz2lA,̢ >U}}ϤvU?-E`f޽Ь>ml 7N$'NSX{a\OJJ87cm4B-Zf%j꠸S#%{#,6wM^U kn,g6E IQ0&V$=OVz >#w*P?ݑ!k^\27ám?v=sB9m+p{3w V3845iT TǜaPL @#b'{փMZ]n;D =0bY&"( E{o0Gl4S^NxTRfC׽Ȇjɲ_i'CxJ=H>ߤ ]+9&Ɂܪcs(wxL%aO#<缧ӿΫ!$II ۏg IY%GڝqFn\wٮ (䛀T#4ݷ7^ v4,>A@@\ >`.iw @横-rjl b%oV\ xnvNfxǝ}> &mvPsKt.svTo*NC5k$ҤdםՀ"vT MՊP9_w@h6kLQ\~BAuCή>zso,&/PiHL7}4uy Dv7'n1$#ytk{r vf|Rg]G7yO+@<*DGAU\np%f| B.;b/h~/Z^+HC*`(`2GI|7 !`e*`$RP~98q_c ^^’U%%QS3,:mtRc 4W+V~q6ӹyNτdʉc{WIEgZ5 II`|Tzk}u9c6zwv%>7¿9׳Ͱc^4ߙ8* - Ţ3" qE?"ȑzdB]@ Uc<JeZej?)55Ĺ) W[U|d3hFY4|(2 3`jHN2Li&9Ww(@`.؈ USuMҏWPG[Z#O-oU"c _|Voi7YfW?ls}ȖyCh{},=:s?o3N}[ڽ$}A6XP"nsJ<~*dg 0̌ߵHx4B' KIGMq'ưeţQ H,[ 1 fxx!@Ft 2ĨφȬ]fjⱠɵ4\\|>IƪtôI[VTԦ@T:ixkٞ >('A5HE*TIY.{# y#jՅ`t@Tmd -j]}jЊXg+A5X=,}Cooٷ_Or3T<^yDñ^rN6M6muh#Ȟ}G~@L xm=hAwj*58ez׃Q4 ."Qc/ظ0jZW-o1!x2Ԭ[V$#5sz -ŭbiAo-'z="Jb*A7tb$p6EH|R Z7uk& - ?i3 5= zGiK)ij}-pa[ۺ.h]V?{K }L40Q׹Ñ6 1H1@Y 71Āı%KZ"‘2s{i18ME@vEےS`N஁)eX1KbIt;%@PD#;ΑRLpΗi֫R7ߨT-QYlb47yշ*ctM]8 E\?'4i ‹O35xX.3!~[}GSµ"RE=:#q`|L"`x3W4\VtP ziUTTY/l)Vg/۫yDܖfhTw/:Wb#~ځ"8bU X43mgoo2D0QKZLX5FoR;IHUeDF}@SE&Z qH~ZFVcӵ7F2dI(}^WJ_(c g:q3r322eȜ%.E7MY1B~S/uN];uV` {/o<87ߧ})53 R3SI>b@X^=,r Ę51Pu̵B}*qkZ߆,b qHqXoa! jSTq=Փ,YuGmɁ[ΓZ- D@w=v2է0ac )%ompdw>9M1럪iΊ؄=k^{|r&j -Y)#C|**FHk4i\X[f;# J|~ȵlCԆCWkƍ\E\ h,713Qޙ6 sQYŝ b$ƖүsaQD4u]X.b>viwZ /M ϴthWYc[f X,O=ǖꤪ[ޘ+MS 6 WQN(? yGCA\Srb3 (o\gHTq $O1lUk=kihK;^rn.uz||}]߆{Oxa!_ď _\?}O7uvウK~WR jC5Hp.ݛ ~)M h֯ cxKhݡU/wLzOXRrOD釗+=| / BlhX$Zc4; GqN qx~5á_,uPYCΩp 2PU~p @hݔRR\0ʲA9Dg#fq``7O=m,tܔv)J;U"r 7 K~ y281ILpPj:y2߼бcGyöqT~Oy7=irE\v!#U{ى"g@s8bE.FZB)CV\#66ޤD-1HLI  LAbπ(5d1` $?7&ij cS]g/CyPi)olqͯ4>AJ3Vr2P!_?-uK n'N jS)o Ѣ~KJ}IdB}BW=*?; l鄿*|׿C=~o/љ{rLS+g^&ݝ:HBxKlo@~Ԟ|iahc!ZXBVl'~oL\ 䜴LUd Sz^Y.9 Gb#3fYRg0 XzRnچnFQߍMxgwv(-omDm0MQ+8#"χ0ԽZ[Rx+&LYSd!3Z^,sGr:h)(4?lpāLB@'VY_yH!=gc8hͅ'sa.JMI1CϦػlƘ%,Qdk',0ŭYC3$IPh&H0#^oH53YL4S+" Y>X!,H1پl%ō,n; \@;߮ \HZ|]מS6\vڹ(( cwk&೗UDvγo|ʍbmd@ <;o8ګ'ug51>B͉ ! q8R}[HF=_D~'?9 Cpѩ?Mp'8j* sVn;Q0 sٿMsatkps_m+ ]V]wS g-5pr' r6I>LYm}vZ~bqe%r!I-@sY8x:񧢍7L*(yZGɇ#"R/?YDOXlQ⋖Z-uEBݡeK݄[%*A%EOK'dWDl%AV1`nI+3VbDa)D{I 6,IRRv;.@@R",2)ҝ@,k`% fYՕJ%uvBɤ2!I/VU0j*١5K(jy9m30E.`zhA76O橆 qV'YeH/;pp[FfYdEFYMP꘷wgMo.2(&&z,*TgOʚ`-yZ9 hoi9XxIV ԹJ&PcfiJa1^{=nc/o1Ǭ$gnlujr3^@âz^,5W\s<]<(&'Qg1ڶ% lIQ(o{*]@MC}(Y! h c3Dպm=yQ\R"vɾ(b K ] Q ҎUE-L序jwcce#er+ lm2!_G] qФ<亰ەi'8*Iy|&+y>Kʖ5*X NK_owEEF/.W6M)*ň2Du޲XJK_Mq:Nbx%1uˁW?[~}]QDjwW͋y|^8PdS@ƗEdYٯPqBaHt `mvd/`>"@nA]|Dne€:4 1H1pв\ 7BYeQp N,{{^US:g fb}|]LJ"(Kf׶Ĵ>!q۰¯=7bc+ٱq181;pOc0}PQ!}(z#戯 %s}M9L nAS^Ljws x$% |sXIQ `z'I-X'BHAH,#\G?('Qj3H>u kβ_= _n9S q/9e3>&7nY^YRN1IP+5@ "WJrP A{< V|۾Y-@Bٌ3a5۳,p1`d^ڝ%Nq!&,P˜!(ƍ}R ?] m)v y pMwkon ={ յ~\W^CM\g!mi=> |z:R{Nh/_~c|I!JdWJmN^ML/HV~dx4~{RƘ 8+"X% [A)Dd4ʺRXA~e r@ȑrӹ9* 0Af8\ibo}()ȈyY⡵י} Mس]@~XDڛh$}M .E[9V@*Z.a`8KS<V 9wS  {||$Tk٬Axt \:se+& ;,ٔOI԰PF֧F6c \$ bO26/]V`aNdXl-`0@ڬVqܲInYW"rXhZh6aXI|&8rB 3=}X( s( K@1D@ $lU )MlA{t-` Y pEZU@bM 8^;Oqg9w_wkM$yo&j7߱L~<]P m|ùqo3@o"2QNiC k:DoJbMӝu,YwFCô۲zmwQVai-`k,!W~Cr8ζ. ԐVEEM †L0 ¤.Imo?rQEŋJmnR&SiQٕV;=Siz93yu>!I)@] YJRp{X AWVe6[3&+qD HR*B@ EQ jB|dS7픽J>2ʖ6< /^Ƚd]-i9{:ޙ} kN_1Bq"{Ż.Xܺˮ*<n-5w/Gb(Y@a 6CWɫWRQ _5<"$drW3l{0Bo ۪aɧD ۉ̍QCJS XB3 ;oa wl%<˜nNHٵ.♘2z6Uti$`TݯPOxer۝yӊswN_̼6԰Xe ?8O]PW_v2Q~?x*g 0dTxHH,j`b>1tJb%-G[랤˓ qT`ES-U^͊1_p+nZ}Ixl~f/Rl|WW]w52KnF8뀚Կ"%LmLS,ƏZäBQ y+ AT~$­%=T9[V9Ziz!kxycoz _f'm=J6uNbW>\AASjac"^NLMq)wcⷢ*qP7"=~O,";{eHy饗XϾ\H-H6+{CR:[{XFX{.(zEU6(H$ywGLzN{h۪[sO {=p*YOAƐ$ 0R@``+T'am(+⍢le 29P0~툳lL9kO MuBPV a8I,] z / IKBE^y%ÿҵdF'd90|2ٰ&nQ 6QC࿳bGDzя <f{;jr?W]zEaOwH#ҟd?]S5yzPژ@~nYEĀ'H lpC GWdgVrp rҁPF7F^˗f>x2c( D%9SrU,:ruvd2KXl2E$xBшrRA /0, [p:T d4rw=<\kvP+k0ȪE0Q,P}(9Q8] os/4IgIk&o>n쪒Wґ%0sj洳sݲ_w]ek7B7ΐAnL /R)BY0Ui .>Lr&ɞB֍ȭs^%wu$bg[i~{K鼐+S#UqXvMZ>K u_LB4 "b.=O{x\D?=ÒǷ$t뮙0To)H *`N"R8 !ӄ]!rtA&H48e̾sDAi77(G%Zm* =ZFz0 G;7EF37e<}<"<<y,Hs%8Rt:St' #"2\>HPܥ%L/aq=rs~9 ~*{fO^4*E=+=KÕ'stk#GK9N(9ZCS!%:uK/4 ޶:'AVB.DdF`%/ë$)Nld9DɗۥlD"  {hK9Nx"]Q Me048N#lKu6[;@3CPqaxO*R0YhB[CCP?g`lɦ#ySPCʶp a̴]lB`Av5MDWx ՃƧxʑq=eDYQȎr2IA}zћ?ݸ@t#;OwR8R3@YK<@#uSL!- ŨԏG>C-ѝoy3xV}v2h[S Z/)ymzMN-k|!~P$&>z;n E{ߥp⽵B[vlD4 icH+}S8~hU{wgbg.$3Pݬ;%`Or8M5ƦT<ˁ^6CR̵쵩kF 0ޖhP5}|ܯ UNQ%%,TN"t%8$P,!zPwAa9V${)1ͧXKɄh RFC͆uވ$VQ3?)',8,%9&dr49L*y\&F aVX(?e|6:zuAN8#3>lyU&@X5Pc70()]P:8#jZ+g4EvŒ(7M/QYq9)Eps8w*WaZ@!\xr- ު˧NP}d<2H"3 AvfcuoOA`nf0;Ɂ*dauCJ)%K<{;m/!(5A$E&I(fUP8t3*aQ󝯗AgLOtSeߟPeO!y?bWCVj R}kW~'ya t 0qPd(2a4 [%"H>@(.Uѳ -xzT05B9? 10N %Y d|_[erQ{n"Qq\Fm\N3_2 eDt|S)XDݵ Z(׊[bsqdB^,4'̭:u[=kljEԍg+>b'SrDN7EË`m+sugZd6ӻD Q! LSSPOAƙ̱ e<|zLEgP諤m7l%ڀC'*G#㸅.]%&t 0e5ZeO3ZY+M+Kۗt\tv6m&ۀVl\+QΥjg&Px攩l>Β&)OfJ3mQ BTE*/IӐe'Vn>(*ә-yR5;mMgAv8NZbNYD_x8>Zt?G.P.r-$Ve`)Y N-Ytxr3(B5b ?FN *Pa^1:󱃔@.׏-ug{G[#%"GHd*˄= -l HP\QN;@`!r4mMzAq%'Zq`.C`ZOC"#rlE"2lLPʔMe/Me#\j5–-?DBaQCb}٬ejD5U?8B(ƈFݗǸ x=nۅܺg OE[oux'n:+0zm=zY|o醎5]c}%7n,i̵&2~xktwܷ `<\^ ُfOR!8(rRS#$K8o+b')!xA3_7d1dl5-_ʶR)E~̽^3_ߒ\/p ( \9 xD&u !_r#o d$Id*/t xځ3m(Zae 8uuI`/70Lʔ|\>A^A\;{I !}wgȐw']Ϟ d CD DU;ʄB8cT\yZ(ߴ=q "=UF(Ç4)͠ϼL&FIjVh$}~8]50K"K!?;Q1 zLԩ1 N:hh\4xmBJ:::@.հʸ")>,./ȸ>&xEx.kϳTP /DDkKc=XRo0_ ]!)]m_ۋ̛޵|½#Z~%(gIi^Ȓ D #MBz0 dC'cgtOΐϢd4$<4Ӱo%;]D.ss3 D RPƠ+qE&BF@ `/c` wBLlpKo*Ǭg|c\ "@o :dBLzN-B?e?γZ~"OyO;ްDz+X ۍ o6ϳR Yy rer||qDIGga_n2%8g9IOO \f7p3hnS0aR2zaτ)LzHϻ~98R"j%%ѵfQQ;b#C+`Kן\22&edheP‹ I:"&>^e\ _[oTv@ir-QC/Xu߉}og$س6#eM9e[l|^z }+~W{kKG}WG?Gj."HM-灜֌ʦVݪF@P!QQ 2AE$ :BgfX:*>v~ta ]00A?ΫE! PnTA5r M迨W!PX=R;̢4ykAB?GC@`rC9Q>-А+;lY?Ym$#|b >j㗓|_x?A{{|8X'G01, ,9Z4w(4˰.Bѭ:eV.>nUܙ=ԝ GE@+¾yRR=<{=5#'9Rrori|wcǭn؃j՞`i+;\Ze&CJ:u\uTf2'lwC=Z86>(+ɦ)$96l9v8)Z6kٲ~8RDKJW3{F}{/_'9 ,k*#n..vDZצyP)^E!JBضm۳a?yQ໴mݭd+]w鍮=w;7:D֕>2MȞ!0!Ŷ)+88a׸س&2yX<%[VA*+N t7ѿqxu CS`+qi0sm0q X{m;GK$R fÃ4gw)$?$oCEvvmn5O@)NZBQ !56o 6 oG<$Dܓ IW,>) ioʾ#IۙmcܬfX6 ≖Zѻ9ѫߐ(\w</^7F:uMǮY y[WÉxZ3D9K-yEo_4*)8_=od j˩_B͢XI R3;z/%hѴcI419»d޷e{-Ľ;ߺl;+>W1Lyzz-'"ewPrɭjHjSVIokysq#[8ZFZ0UşUM Zck)sp OQౚ8 BYUVjipЂf2}7#}"J0)+#.47~R! mXKZXPvuOTsՌPI-s@fX;?\klӉ )°@_j45:SVtdᵁ?hDhR[-ږp [Щź`9x-/`z~KuO9 詒ҜT@ROC"!_[xU <Q(zF[7 0>9_qԍgpTfӳ3zy1$.rJ8UgB3o!TPuTUh\@Ã!WBB4~ TB#7pdcuCLieR !o)I%rĆ@BbuiL*2P ٵ̀ `}rclRJW4rY8?AX@&y &s GD%1J5cN0Z.wiG=iUe?#T!n@*s hm ɷʾyx[t^lõuhz±E~-xi#UH݋ͽCҎs{p4[Renx᥽aE ۢWG߹}^b3e^mi'W;}k⃿秿05{Fbt+Qve e±K?M 7=m>?nŻV=1?նv#F1,"<YH~+Z* h K,Ph\k(Y]#ܮhv>&la=͆E|,:h O ~D]F$fYy :,ȝkX^|Ex1 4MEB_LE%I#X 0bX⡺-Qh V𰂇41M?M/`Q]6^)HQC$| ڈDoКJƎa Dd}cxa@p(:̉鐽J4{$%WE鐰*C*erR2S 9Fৄ.}b4F`3bƳ˅hNfYMggp#渐 9*foګ.1q)0l u#6գWXkUS݁%+ަͨ'Nc~j3X3=JNQjZ /U Wr:E]-wag7-pxŒ |žZ\8s;6PtpB2r<~=C s R[}&8E\ % C: .;5UG |0M}ve "!3R9p 0 %W!96$1T&鞴c ϠWE-NO|z 3$QD@g|,jc!X0'ӱGDdc9#\,ct=*tgSq|10MN r?FjhCLێNͪzVENUK:H!egvNG)D:Ie^=R6->2:"8*ӢA<=u<c8pJ4νÓt3j&XӅQY+SͽBӾBOmɒij! e.=2#o(Cpw,lQ5셰Sʉ>g)Dq'@ԡX#5| 켇O_S&tA9!h*M !;:f2 ͼ #dzTKAHRLf2 #Ý %ϥrO2ZCĬw&$ͬ E 3 ٶrID2^Bؘnc l2@o<-Sٿ@Y[6e]Ap^ N@k@b"2Vtl<0TDEGosd9իBV[0 d|d=Pe<!TiVp``ÖXu;ǀkK1Ke3&~˦(b3i{M|wOX؍#RF;AfHI۩ZƏ).v=YOw1[x&ocxB- )m\\uKaG΃1אSr 9%h3@er돧!9($SGVډl =md+33u!f&3=== /C: j=VQglpt0k4Ml{eǃ}CFcWoڷG/SarG˶wwl;"Vr6n&Aˉ|t[X.d:*lmo  ++k/pxy1mNaf^gNg Cud#&7&beL} 7C<22 .]aSC>dT`3ry UH:Yڜ20m`t ?AQ)1|Ȉ$d-)ږyiTLd@a(t@bh4 3y OQ4yD eP牜; 90̑rxHyqqT{%CGFZUX$b,2܍{eq51c^[ChZY8K jR6{T6^ 7(i{,ݛ SI8of#o12qJph/i+2_ޮBeY'ZAE-"A}2sJs5=--IH|d~w{ΎllvIY&s]~~c1vz["&ru޾^E4jlF|†煢\fu'6S`F B=*X72793pPDuׇq[pMUtEH72-sfQ]>zYF;I'\ɇ$[Du[(fUt̬=09Ge`_FG'^ʋˋ:]E=h;NzYs:ĮtIF!XH\:U*NA G͓fg+yia$܄尬 @s[Tr~kXn磞 A,Qڗ{9ROingb z[vkQRUq1Z}5ڗ7Z8j9lZۃ ԃAg ښykV Beo'?ۇO@=>P>, 2'Cb<;iO "kҡU{:R֩h&Re*ړ-mqt}rm@hR.ݾV+S{7lD o6M,CU+c*Qz8(it.Phvyn쉭Y^ۿX;$ kɵ()4X%7C>KmRqOgt7__b#B4fG1V[_hGy؍7Z>AёkЈɀ__ረv?$ 0X;O{ƊsDVп͑uçܗ߳zպ]HK אsyl2(}muY_auw\mDӶ7^SdO8 Q{?s4V2ؠ܅pkmR,&uY!3WHZ)z!+abɼl("$9 &dzplhW0<=C/ ! P_"v4 Q= A=RD#:#MȘ' -:)T:[5>ff=0k>(B# #ybsqރ!P}|1 i a8<АS*A|dA8RAd҈#RjvRrgIk*q%D5Ri4Z,4p(1JK%*y!nLCU.ӡn,$zPai'E6I@Qn RJcMtzUHO)"-I\d"=\͐!((oo !b[![XW93SI6"XXcHXh_͐8 EV_="{y.j{ްdEZ^{껫7tsc؇ >-;<~{g&kg!,&2n,pvI 5ՂMN!Si'N'oԐ1%"e*qV@Š\6ȰNB/P$6𴳲܏§'ŽP2ϱSsٸ;=+<|pbœP%Ey ܴm2(r^X=,ӆ֚;ƺEwoߝ}vUmoyuM'n![Ymi|*~v˻ܶl흋[Cr&QUs2k&d,3d2I&Ʉ@&U 5eqeW"X˯R Vb*ֶ(]ֶj+ZmAuds0s93 Գ=42rɋ>/7Y#~1=RVc,Zbd-%g3JM('ϥ&'mRd@c-K|R5f|k͜-9`݅, o g`,*j:jd{+7jd0Y:zb|#8tnuW|٥K/,-Y^6>x}.-Jn)=,+ڕѕrn͹5wwuF(eWXc@]R#*VKva!B̦ B'։B69!<Sޏq5]|*Zos#< 9epח>_^SP^P\f9a_bD, ;Xk+~ǖ߽}ϑSO1;zI Uoy2]]oא38k'q󼊑MW.+Gnl솢hldxGDބ4>Fc_yX)^ܽ[-e%TIu: s"5PZ{hBr"$eBQS4{zlilmLUZY*^Ž?J5GϑK.y; [PS)R:[ |0C 2f={N~0fAip'k5Y-EbᶊX;9ܰGhuYsT|,"iP&oy( uaX»zx^W85H!.GeV-gb0A_y=ɂ#EC#js\c'+ "OjbV7ij *fyo]d,HW^O X$kBn waX;-<7_;bܥ/b.hBQm \\"旈h8( UNi PN9i%:]b5 b~jk{XPD)kA2v76m6b 樽Ǡ{xw'ógOggr^Q|ϝ5NtTk\ָn5p"{Oˑ_Vwj֚Κ kl 꺼uu늮P7=RYs[+/TnqgMN_UY3fzcW%U\`dk[EYU!%R"B"!7MO`[/ %݁KiTӜ۝pƺO1_Bsv,w9s].g(9Y+8 N,5s+Bab yKVDdԋDz`AcgZBx9;$6)M;\67n,Ȧ,yXr3I;k9{+Áf{eY$ Phl#ʝ:H؛<%0_0fIfAnQۇ[p _sMyOHnV=.p~bWs .E Xj%V_ cghOPOs,/(H?jmLvX鲵ܰڵeæ5=,ܰϲ:ʪ߳ұʜo<̍#O_~[;Y'7E{ ]I$_̒QYy9Bϑ9DwFp 2:m5\`ݷ7qp9:)a(0k^עbvXK?˜.yIB. ƽBf.'t99TET9uל⢌%Kkݞ=+`ȅ e5w.Ei-{{鼧{ouA1=k+_1UBͫ7k+d5q_{Mj{ s IN^ cXKo+VIMs;rĺA9m9s弞cəW庴Qc8N燝)Cw3I=FVVP@ M}&ʽƯ0ER( >L^j,Eֵͮaڂ*홾L1Ugo욯[Ċ?%_Uo2;crfpbdӊo e OҌKp|(7u?jqlWykq U?3uӭƇ< ;j4x)&A.j^!|6[EXhbTx-!Ud⑳|-7Ӏ]2T~$bl cderw⼡Ƈʠ'dX̠A^I@PwBP闇{7Gچ: b]ZukpD-ɡp 5` Ӑ r .բk aYG`rܱɱ[Xc/df$-ͶlϣVH0Q_oBihbhVwôOueFk ],xJ0x c<Y^_N5\Ld1N}wBȽ(:_f[`rjet*?~3,&#1O1NaIZ{l͍=QX~e۠G,kDqF5oɄCn9WjW%lF^iѐmښH>}LOV`n;p$~9b3 FֈZQJQ4J--58ydg+o7736h/G6`6{p]WyeuDߩW_Y;IYahhi]]ՂaŁ@05

y,Xu?W Y-yZ=j+-UM<YSsn\.p] _]pM{.j=xѨCX<O8RZr;Kܡ@IIoo;II&j[˫*s*X͞k١\#)/r@UE$/p:Jā!CЋ0z?Ʀ2⿻9$>Ґ1qᥒ-)թ!7᳦ۢ)&-Ⳣqu<;o;'=kW=_fGѾWG@i%Ei)% <ܼg9%J4:ߕIʤFKB"H#d֚Uj %xv6ǣMT[5S"aFk Dk|bkC5 }R+W GY±Vhd{0UozGTV6993;dR)C#gfE;Fu_[m&&'*JuuׄwXnr#~"QW1ШndsZ&),wW~++З cC69YY~@ЦMQ߆Wxg tDtidmDlH ZWXAUU-I45Z˛MMѬX1+1 oo*hE Cjm*bZc=]$Bx':~!P^jՊڒbGGhiJ^80j$8.yE3L#i;J^g$!/?[軝'px gMecj+5 NnN;^<--d{ZdmĆPWNHNJzףYm<6EVW#_n[ݪZƮVUwa7+|VET"\2gd* /¼nAzRj@A񸛽@M2JA|<|ɜa*k(,*sel=o,8"Y_1TS<}Fgz.Ժ\R8]íd *f8wpV ֪҈3mIJ 1lH96ھ +SFC18<-v7;*%gh]aW-ݮl[ V}1Tx\ ϭUWW^Rsmt-'h7-hDxMuCH"fHMiT`ڑ54@Rk[ hz-b"pl64np2{ձˮ#KngSX o&8{Pb{?@zmz YKJ OyXbq{1]Cb 8c w/)61~޸ƃ,㰑>\g-yZmeqQ}QSח6W:JN*o{]4cű} U>³ݳ׶װ7٤E*4]rZ{أ5ix⠔;uYt15ݢKUyQ>ܦ۲ٔ_5S)'E'+nEl.pوF-Ijy\AG2[եֵ Vzsħ Af}B@oo17yMCG3|k%M"Ϯj?{Arh絡c'.[wfvgX\rv%nW/ѮXzhss-rKeez&ٯ+ekhauV&vx]T!1g7Iw͐?vgefFnbՎҙs0)z;uC8һ@Ttz= FoM#=3~;XL=awj|U'dIYgM~i#ƞn+=~<\Q11EٞQ!WvÐf _<`BZeStlR "ayt[nҵ"n>ȳ?,=)~-җO;F> 3ܐ$|TAxvȌ?izlKTSt@--P>i_3הaԎw+n`ҥ$%KJh{L=P!7! O-HÿsOp!EU?$`hl#<Q#/}w>[MϙS# p=٪O9 M4"v)iʶpҴ7Zڱp?ר5e#Oǰ<ҕto%Cz=Q΃\g)3gPvЩh<-Jsj>^GmpgS΃.qsW8--(J}Y;˴]IJgs \L*vX6wuw){i9K.gX_<Y[@kqmq~ ..Z[n,1D4\FŖ(E{S uü^(G2*ޤ I-F&OvFcPc3_' Y}[] CC Ώ=@ɃА~p!!|}oN9 G M 'ɳWmnj>sr(WFZ_=r/p[3i s2OeЈ^#- Vbg&3T)i4i*0#4Mׇ#b觛)$m> ?he|O6W֓bM5xwo@ocX_磼h m/.J-w-L:bǔe'P^ҷ"Ji/ҍl/CG9O3sy@j-t?E|k|%sNH?D=C?H950"ǦSgSg9wY CQj0eY0=r;{tSEy<n9r+lk~}08qߚ.T~S8NQgɴJ;)ƫ}4G#/̯+T!Y0E,?UZ.\@LᙣCYRF2j+('PLy. 20-̱y i9U[iLf~? ^i*Yw^ᣓ՟R:Bp%_1 D~9VKTkx'tOpJ,UT"G(g)p FS?a=AWr:s hmo7_a ,QLz]f+܋YT_.^T,Q'ly~7ptUܴ@ 5 nE q54Z9~T[ 8}Z|J-0&2gJ͑/f^i_nwʺf֓xz\i475G jоSi YyiWŃ`b_kuZ= \ w GٻAw e,awHesL腩Ǐ?g L]Ipa !e-Z/-Cx 념sPJONT31E.(S{PCЍ_J :Kq{5d)-9L'$? q ^OWvPW&|7֊@9ð_\8x pe(;1M@FvU0'^o`;pA]{Ey\mn#y`xBDˁw5 Fx׀\Ť$is|2M\;yV%4NV.0R|*r)V9gIa,!˵4=l]8ЈryW҅j1Ƈ)&͜C\2Oxei?8jtT7i:jRJ}hI%ZrVhԛ޴4qĴ;colse:Jy>&1^ӱӳA۽ϑǾ8%Ѳϫh,ٿ5n<9P.i D1s=GiZH]<$TAi6˵-/Ҳ^s+d9Ha@%5Mr n un;w@矇!i]N_!<05A_ \@&4& &v}k;gNwP]yaLkYLAC(2k/{7R P!Ƥ~-@g(sD}ki<߯u5c~>aCd`(Rs"]lL$23tlٸLuQ=@M^^|u$ 2M ™F ™=F=x8^x@ ?PG>~SSD=ϩ-iإ–Nlض&cLfkC{4򥺐6o[$ua='}BSWxqoY?2o ?0_3+ p@_x>&]~\W4~,kȠ0)s c#c27Qv']kC;T/H?z?'!3GPE|>d2!Du4h4rL LM%RL_LHCZm}M-/N&E8mdvQs~ }%HՐ;ieϧ ￷k)ߧ{%{fxBݳhv+4V,0=K.0Ÿ)݉2:a1g9.܉>,<# ܫ{s5}1frM1h^sKC=Ukǣ=.7sJУS w3H޿r,ǡ~sl:XdStݱe`9GOJ<7 9|d]lbX?3H=ݎvI?w}?ܟWLOIy^! {*ܰk6O} t3@7Vg\e@g@9t:( dd#tL7tz`,!8Xҹ<~nF3 EйM/RwE˿irC Ϗ^'7n.jz6[qk-2w.~b9tYsiXfSYPɴUiFtڢ-F:%uRw}e 91_?5#__sOlWf}yB`[Aa0d{W-k[נVt}'ڧqK ܷq}'Xo9ZA wxdJ 2u-RTGc?d%ˮk?|7O6 <)Jsy97 ?}!XRq_eʖi Hݯ9IEyb5)A 馌Ƴ|۔?RJr)n0 cMY˜T0Pƅ@M]M9垊|p5-J:A{M=Aqd39r/6W軥iϘOϽ3q\hZƳi{s'M 99F[&c, V 0FL!;KqPBm1^k Q<ʹy^;T!1пy6m{ip#=F9!**٦*{(ൢ POb=$̕s54V]ƪWRk*W"nW|Oњc ɠaVWY~ <~"AȡIhכI< USE1=2o hi%m?iSB:ٴlrXfPqEO@X >p_K~1:d@ǀEKQzdwtGx?lL]I%p ]/^uMRY_aܖm{&syo{)G>3m>?h̋4\ p4?|-x6j{~n٦w=gP_Gp9 =Q֏މ{!P4kdw%$QQf%qݹt9 ):3>oDz kTfQU Q@+plV矀Ow'勴^++tPz(6QeU~Pu Mbz<גwiy"lAcR gq<}c^GDLSu3A0&59|3X}5hXXt`=/ܼL;ctrb,86d>]~Rq DOx!(eYǘԧuwRr䳔P_ 3}uNbdX^ 4cL~J&2uc^\Q蓶.e^c]ml:1:E䨧YK> F;RFDV4~GZG=i 8`|JS`c9~n mS@gQDu5_9ok 7_ >x,5J Mtįahs@dhk_\ߦ a_z֊>Z)fN>>>s5[FRqr =+j9S_qO䶴?&_D|ĵ"_ ]S!檥T 2tK4E#J,ʦG!ib)KٞhоsrMc4u0rt7@XJ zig|o~/5waLlrAz5FemrťTkE(6l i߇8nJeEhdzlڹmκ M^D!n{ix/ Ϥ[m9⸝nh*kFtEdJ~<L3WhԱ7z;Mӌ y Q UݠІ߳zOֳm:jb"Q9Th!g"ΓmkgT}z"*RīԂ,r9 Ÿ364Ӫ^QhF[OFXnjֿҙObh7 J@g{ζUYTt  kM,n^*kjVbrq˃/q@ͥV;p?>氕jj4C!:ڲ%f<*,hL]1x5㬂$xdܷYϣ!_m}LZ~{[Cևp} \^"ܶxrvsL G; n.6yvKeX!F|,Iy.(k^z(=gdð<{^Yb|ކ|}8T9_&3HՁT&01ɞEBl=d]4c k^іas[/hy D=G ψ_{UwcY@T'j5 Y~vF[M46h_a`DS%VA4}6m,zL]>Wg`uѯ;h .[Sv%xˮ%uZ]F4΍xo@&Et/Amǻى|xa$zDO詳g02AO? 1A b 1A b 1A b 1A b 1A b 1A b 1A b 1A b A䛦_s#u#ԍP•c:y23 lf)_}vsυTC02ut\?et\*5Ub[\%6VdKk[C Ϸ~ԭSTkҩk{Rwt$-2};lnlEͺp5KMيk-Ӂ.@G28|c+Gīxwl6 r (Lmm.ç7<òcy @ tӹ|\C2`+stta}&|> endobj 2 0 obj <> endobj 42 0 obj <>stream xw|T/{L&e& 094E,4 tPz5J@z"AĂQP@E+(v=LjrHg`9}s?ffYO>k B'8lcWބ=O"1c_ۮ#&xNa G]w<S{B3f䰲c,0׸3L6v5'>t{G ּq!yBfM^!d>&M9iqgB8(abGzIXDĚr j$No0̲j;.'ɛ22۴mlM:uw= "٫w7|˭nxCqg]w#G5zq'LIL6}Y̽|^ -\t+_zu7TbO=̎h]شg{ /tї^'[osy><#=rI>bezqUJ_Z/×Ke:Bn|__o_oqS~o;,]j4]L7[IimӃ7K9$4Ӑ)g3ݙə3;egNȜ8sY|*sg̃3_|3LYYYY#FeVbLd REC#GxMm]|6SuJ#F5W e*W_%ɫԿԿwJȬq¯>!$f DAy\r廖o[.z^|ǝ _í իNnx|>z\srk.9|8鹺ө:c8l!g89̳hϫ&=N8:߳'W竳B%ñՒWVGbד۵Ց'E="29-|="7 7p=F% nm0nA2|B>B Ca(wB wC) 0`$08rp/y\ YrG>$;.A3^Yd7CEH!y=j!Mt]EW5t-]GD.$ɉmi?E[UcWa aDF0iz;.0FyBY%Ԫֿm('QM/ơNΈU d;H MudYl9͓%ԴI2ūo(.=~"϶zRQ<j%kU`}"WgZIg㢞^Ѿ{˷7DXBO (EΈ8~K˔/[I~of|eQy21c k@ӫwHߏ Y~M(c ˣ`[7#}1 x )|)+3zb^+kAǦ[xۧ[%aetae\4?|\\qlMbJtr06>|U+F[R2Ϙ@+{hdZACT {'' e#qXԋ'jOi;1 (XS.jDubvUTDUBi? K5VU VV kɁ&)1SīcWx}WG1 tRܺ;u*W iފ;}dw'sȡ#Bvd~둫UTJYWfi3[Wr G]AlFt,k'Q9zd 9 -*xOUO..G!_}60+z.xL10-<_@5;^OI6y6RU:LJ fsVf JIJNR/mɵFI6rN#5~#d;n;clVkfnqGܥInaw[P*4>XlP˧Uno/PIsNs0,)i4X]s\fW.)-PN59rBvRR"2eʓ3BޥʶDaw:cʤK(;Zz˻_is ePw9~n4"&.fu$ɔ'`&zDdS@EJEMvSG؝be'j'iui#p}( K k0vtK?-:frNC\vV "\WoX4p7qWRYvU.|ӴĆ[u۷Lت||b /׽~v|gsW.*_9J=\Fd%W HR0К H(F*ZcX!vaVCEÑ*$?  p4(n.Uއ-p zetcT܍ߨT}gT"!zn'\{9NHNdsKO -Ğ@4uVΌi yJP(a6EJ &OѨGR4R^N!ϣt# ux';'3”c Nvzg%;a"Ɣ9*oB )@Pw&3rtp[ &Vʗ"|LɈ9^J)0tCp!8xß+9x5"aH#ΈAFCGN:-J=wr#Mo(.#QͻV@NI. V0ZuYԋOJ>&=c#ݫkrrؗ,VanQ.Qc^vzԱ Bc}ùUS 4Rĭa(smv5OtT7+9~ S|{j1YlAse )GcDQyiABY8D؉HJ&6I vֻqWh8ΰMFU7]AN@LA&"j2! ?Joش%0nSQQ>;_('YD1$fpwE7ae̲6kXMi[/!Ľp@ +Fga'F&8(F/c@s\6YH^6bUɶsySDCW´ǹ.%oTlS^j<%囶k}zYQw3SnM6BD:drd4m6EwVFjw\f\1≲lqzұǙJv6R݊BH=SV N>LGĝx\6JfsfcP)g^Z-H;rsm}^i1qô\:\ m ЅVݳTʹݫ@Ougce#Xbv,aN #u} ư6[} ,&byjNMFЛLz=ZoU~9Le '~I (v S.?!KȶtB[n-%tsi`3eҥtIneJTGF4繽Q6%=1{,M.@V"-HG%JԾ\cĒRFǹ^ʤ$=#&jJ6%B5%LKB%8L*⒖KW&h_Ⱃ@2,eCRN~}uC~s/V,m/WT+?չ߼PSݟB?FI1ߍ@-븗5<68N KQ,E%N8gQЏFrI6}s XIg zNУN;Fӄv` Œά;؜[`)`f]|)cCE+OMVuc>Hp֓|m (O]R>3$M{ThweOM`"t{Q3P {$_7"Y>UyI3k@PR4Wע `ddJ-vZ-^ K0.?_3Jye̐(( ;vVv_9NB/D$~|r&?5=,֮ Z݀7nѾuWe<#!;ۻ-o-ރP1t+{5lOF.CMwWan9҉i[PǵӖ]nlQ8u9P R嶠D3c"n f3Օ5` ۨQbYQ7딡Ta7paLVZzg.Ɣ/U۫?q`س' 5m>zf ;qҕ9a1/ָ!aEEl/e¦cn.[Q"h?>RD1 ;ʬz Or147"X 2vhl6p@iʹ#(/ѴE6#ʲқ=bR,$G#=#y&df? kxѠ sѤsBX3l=p)9(:\/Գ4 OIJ؏12)7 |x#,T`+u}ˑ# z5iDgifjh8huk5Dc'D#Z~ 6pHV+\̄XnA/JZoYv/q#/g#/fF>E40qsGT;& W5-XQ,QHy$yYӸvL|>k=:_Vo-gin;'ƌB.]HM trLZJ.e- z0T @$o`&vҚg>VCۦ*c}ϒu=gTc)Y?ipLj VH8:R7]Ǎ} b}Zk9졛dufvF-тiaS{`d#lCOd3Lw~@R+do0?gwqϋ TWWq7in s')3 toĿמՀµpSrRW$j-{(o qxH5T|\HF `XUs`eR d1cDQ> r;e;8~z B!r^: d`T"z3l@<_Ozt``$Fh\g7yş(|Җ4Feb?X >5za˦, 'ER:AgMnf02faUB}K%'k;8Ɠa `? .2 @h![U|3 ̞5ph+mZUіҡ3}Fٺ#^ގ]4E3Ub:Ղףtjyz@^hQ6| ow}p' ދ*j8 ,jL1Fp'E8#_6ۿKe[ItZfbv !ޏw!pOpc1:NB4:NRN)y@kTz",<7FO+HFΛeZaƨQ43!.pBr~+wOYa|P-Dm L!cJi* ?k+ȝ|mDɴ]U:މLp7 Z}!rSP>P; tFM5rb95*d~jj%tfg~n|N . \!%=ymGMOOu /zRDjW`N1+XkENKZuK8Iu^!1Q6v$%j>63j1.T~QއN**z;8f'ۢ}oP*o!mE.AU9BqF低0[үtmgt9-bգIڡƑ+I:qBUް\/PUkg 3)F)BĈh4'lGuh䋭c3t\RXsBEsIddP -k',dk2[캢B>x{Ʋ0')K- BUWOq&\ ?D4w=R'xzz5S&5/uw0K3ӷ-uwjS)):]$-#`Ц,M0'3ϵL|m[`Zx]rl"MyOIpZf=[0DЋ&&bITf~a)W֤=F_9A@]11 -&S|8Ӳ3;P'"[sL}M%yqK LI;>]/"PZ>u8{o[F׿0k u|OPQu,:hd@k[5ɓ4@5/hY$ y9J~rsB1 [kx亖bioqQ/jy\-+4V^fcUӑx1hnִn Wgΰ0ֻ̍x'8a>  a +BgnD y0un8Y,#ljGFd 4{[GSN6&JɕIS$1Is~uA%Jԩ}Z9fuBDU,T#2 !Yz?ŲKLǩ۽Ysɽh3sk`KsqU:.9{^~^>Un[9oƊdƕ:Jxd\06֔ęMՙy jӋlyE"l4c^%\%$Csi-]s8@갊AJB w!#Bꦺ =/޸ǣ~׬x،7ʯ)oك+OyP;nGȖHĉ6\'L PM { P&V|\Lmbdd@爟P1?hۺw-(-a+˹sTnMN"NבkHWr=9ɨ7jLi_yL}8hԾKlɖpjScc՞duΖ]boAȥt]$'T.O,l2Y^e/Zf2Mf.399(CTd4ㆌ;94~dY u*AvF`?e& ٭Ko?5*N}S$m%|P;%s#ܞ:Ȟrt }zONrBjuDC;Ek!@B(W ^AbņgQꮘK+@O7Wtjk,mآXv^oe+-VKC#AîNtγ@ϝOn?o7OOwt'[9}^jX; a%iFkݞz3p:@q%tlAi"OAOq:th8R0M['[1B \D5:k$HSH)lA"wuup 0tE98jXqGDJW-|~9,@Z(LK:tǃpY9̴lVRNM0hʎ{zN0m@]u.UYJe؛xJ!`+dONWϪQ~F* 1lʦM&#ӄVmiFC< Ip||:f\Ǹy cfOIn xH?ǩꭵ2lbil:LLfs25-H9U˜v_U+b*nX!0~S~h=n1>zu+fy'mpO;wru% x%uGdea#i,r L=5c~}FEܞpd]UbVM/)Z,yG0fwoS"wG5/>f }XM=^1on%7e2n^)!vQ'_ŃGJI{Rǣ}^ oDְ-iO&$Y}e!$&iiNgYma+Fuj,i=I|IJ"D'p2UHf9ɐ|b&{ŵ2A 7P'Eݔ[ma6V?]%4į:/;;K'lʫuƋ&t×=}|+5=^([w>^13}m+V+n~RJ˿Vh^AwgăK"ji4%Cj$UhW'>k Pq &q-R @tZM;ѷwW>صK㏷vpri\Ť|?ef l^*=j3{cj8΃94=l`V Kq7ZDS B?&-%yj:NWhB\N?PW^8AZ2f]27FHHVFn2 R$9& |>lL`6-ԙ"ʫ]:7i!j$VR[<3:K Z]yc֞-mM-C Q%ڠk;cExk'0voZܥ3@g}\ r]OމLj^yJ9AxǨ4r@"SAZNuvwJ y0'xD 5UDi`#F5ȭ< le3zlA+Wԟ^1K3ڌk|$cp%{K- R^a2sq(Vz0#u4m{t]3GkM3&QP4Ȳ7&^7fŲifޠv^g2 Jը6Ղh&^̪ q㺌y0*F{e AL.qC0ɍ37Jls11d\M:ªYTU&{~ci- i>OHAߢ#aA~0EgDpBD 4 . DӭsH{9w:R)ԭtMqdwE.V VWUN"Nr'KЅr >aF#KlCEQ$ W隉t]ftїlP^? xBIrt& `^ۯL/| / gW /7$=5l]ˈ֟kTQv_`79qF̬qzq؊uCN-%r"Wb{I^8* 609h 4!Ǧ%׏=ŋu#P EG%~6daC~TBw%?Rܒ @81B( r[Y͵% l"MyWD?O+鐏p!!O5QJ k4u%z_Qz\N~jFó. `J^Ruqr){1A 6ގZl9$_n\ݥ|KxE?TtZV7 6@YԢ޻ y2ZVv0@*Sf*kI R,RGq|`)^"Qga*Gx,wc,sEXRX ,`)2Xndٵ^דd ߏhӤJ kE&.2H=^WO[hH=OR/c=H!?;Q׬"cϐ?*ͷ%}ͷ#]p[7օ2K)weOΫ6^/GaZW>k#l셭EU6#vcy+XN!j܎%zuɥ, O#L?P|&iWǰ͋u۰tHQXڢ$1azzo/UoZkqfL18V_T:fDnUcaԭ[v5bḿ|}uWލ)!#-2_JjH{I+fV&U:Xm5+̶U&jwÉ5Yo\}^ ^|2[bX*1KB^!V;'ζ\n GBl<~4oy3ʞ2.[UxbVtZC1[Qvr+w?ƃh\3YP۸H9dWý«})wC‡%=|:=SJLjaٳ58/1^*w}^%DtMiTyص9Jd3࣠Uئ3+!>k#VʔJڍ;װ64競G2aᎲ۳ٳ1PjLX"%nъb'T}u]Ӫ[up>E6\KI 14,9H!Czu24ұ0_8okkD{yH7cOtB=N=/.p(~լBO -DOuӈϰ 'tkD7 [ȊȘI~^!BcT`F25nbU(2Rirs~dz=EN=7 !pY<)TU%)W'&iYuU#?3Ho5f-s'~*5\cYecRm;R78W;={Lowֻ} ɣ?O-p4NWr`pG#GQ.Qy(e.2\ Cqx[<#}g˻gXUtHwݑ|$Iq=n;ngXl)ao0ϐ"l)rxy qAAωЦѴm6V9ITS~#S:G3Ԯgy?i6vI m(LKeן}´Xj=TYvwuiûXݱqPFmiӗghV,/LzyyaZt p~Ei]Y9m´iXiyxM9yuVvx 5vASlSF9=`ͩi&orI2:&hٍ Y F[dQ#8$PCrOl2ga,NlXlXx,9jȱO]88CV3s̷7||^3NJ3wҸR" Aڟ3jo 7Jd`47?* `U1FF F;W[0W[hYۋR&X]\!SNk22۩oSD|dEAH<1%zy`QyҳACz6kIO/4I ohOT=@ORP#"vi= _d@o endstream endobj 43 0 obj <> endobj 44 0 obj <>/DW 1000/W [3[250]7[586 720]11[293 293]15[250 250 250 454 586 586 586 586 586 586 586 586 586 586 250]31[586 586 586 505]36[535 604 579 646 547 507 646 642 250 373]47[489 810 657 630 559]53[612 569 485 605 536 817]60[510]62[293]64[293]68[528 537 465 538 520 299 491 540 229 229 500 229 813 541 519 534 535 329 463 307 541 450 664 423 415]148[548 548]172[250]178[586 666]182[250 250]438[447]]>> endobj 45 0 obj <>stream x]M@ >[ti)tW/1NyIG}|0nzNer}ϧjO8m_|~Ku8Իm}==мv1yK~ڒǗeyMZy~K|Ϲu5 1_~k??l/=|^Zy~8}IZIhN =A!IEmNꤌI"+dڊ:EɄ(u2zl;c۩#^a5 D;{DdȡF 9-F#C:&(S`(0AQ`Nd@ `A4S`&u LpN n)0N fu&`:LpRg ޫ3w 0:L΀9"AwƀE1G ꌨ^:#ΈeΈSgDҫ3zsA ɨΈ9JVg83bQgD F6:#FX _!3WL:|٘+tL0gcpTg|uVd!}BYEގ܉栐"sPHguWH)fuWH)E} !ْ ʾ(f}glӜ}%.w endstream endobj 3 0 obj <> endobj 4 0 obj <> endobj 46 0 obj <>stream xzyxSe9]rIm& I-PR ŶWHZhAlPEDlU@eW1mA2¨2RG>a簪{"0<{]}߳,쓦V(,fϲoݸ?'WO>okS;Ni+Ҳ߬С]A?hMgydsKV[5tҐ @=tNQ9^W_^_ yp~_ja ALC(Ea&sDdTgk׾Cݑr'v꜔ҥki=z'o; 48+;gȝyw 6|Q 3[8EJJa⤲S**Nw}U39fs{ .zx#K]ly݊V?a㓛?l̳wܵ{aߋƦ^:?t?|^y[oCO>/<|3gQHLv?8-vZ/ +m{A.'uX'{={3Y]#aq$8܎bz ''D$D'%'tNHN34ɜ&.2L(W+ӕ׵kkkkyW5;]_λ3 w{{{Eʯ,䖇5:9ZxVD1L)vd[v4{ 'qL&t_Pokk &?'="~`0 @0* `5 D-gZj97/35.9ڳKƿ9{F65w=L=3g~֯꙯V|?uՌ&P/̰3Ϥ.8=t!N u8ߢ ݘp1>KQ\p9agLdLWj\p`W솩psNA3Fhb9^X \xxsa G.8p"d)0vTk8<9N _? f !\/"/$'/ ]j8M4{A/u1H :0k`3y` iWtNPH4Ki& /롈$^o3 '>z1̦?=l/kb] BGPj΋ Fc,33٩x=mpAT;M')tURFITGZMa ʝ(5" ij\ `M^؟?r59;^k4$98V̦DcBH !G(ʅapI(FŢO|O*,it\HN.V^'?O׏,3JTҕeoyͭ,d IB+C=e>\ > vHo({ *bGlM[8Y;*|/t%E.&$OhqTQ ɻ̘pa5<ogʅ?@K`sqOQX@={uOֵKJrRNnWGgߡ};[\la6 zVȒ(0lgN.nwv}g) 4PPέ4>{JfCoRznPɞ ]RNdq#^,.j[t#uzžSea=ۗ3.$k;뺤@NOM=|9jdm`+_3+ۗ,WvioHov(} OVI`OӨ+8ސrnK eβ^PZ0'8|CjtIO;؏P=y nKo& u1vޭ[jmyhQ^q^ibТӍc\V˝|dݧurVM-!c`\Gc\P,e NoYXծ! Fmso`2j!,<0onߘS[*9omFΑ3\gd'NNs>P7ѧI:S_nEy[GJC#3&w.Gmm_r/){f08{uIwV|RC}n~LoHokm\c%|xL|fa̍KգxOq 7Y"+o[)| u֭KVir(rRpDkϯ.i<,@RG6|MVhgq>!D9*ɅNJҕu&_c.ηЇ>20Se}C2|O.T %40A:Y%A`yZțb.g9sJPϙ0 Ԓs&5:nHu]8~#).'. > ]ʔnVUOFzݞ^Ki|= w;66 / 2S)04+v{$V줄,v֬%?X .*ѹ9m-qfȑ vVI'"]U)]4 Q2Hn̢EX~5n:T,{UvmN(g~ |9c |'0t=)*mS$EIv:pKuNJ't:Cnk4YiM2tW;wcN G^Ó =IB6{= tUj{Lk3}'j+Z,E9חޕcΒ(+oI3e(4s8;/}"33އ",ȴ0Ѫ٩հ0װ78<.jS|Le0EAoOwV,xI$ii|> U\6T9OGf qSDU7x TnЃd!.b?#] < 7A_ h.ʗ~i?l}*TAq3.C34 t `ɞP#y;G@{țo]kcO! +d';=v|[( O|rڲ=BP1~AsT p^!Akmhc7bf+ĩl*iD'K[$p~}D ^%?$G#P유6OB~VA0 5nwY{EӆsxֈT Sr·6,x̀q<I* rRǪx>x$ 1kdʫ=e<|a|)L$k5?'?)Wkoh^8g(Rkt|^ͧE&m>JϦC_SSr ^\P v.3\N++^GeOR~֓mZyI nTܬt}T&͙\Wύ+&hPҺs.{iVzUzyS Ha3:DH1bN5 Zub^+)>S!]efa/dk g!Y HNZGuj &TH"8| 6y}PψQzh÷6y>"V?PytyFAH{R 'Y$?-nvssywKgtO1ކI}dܨLCf iP(Rdea)'CJu>_gZ߿&dSA~ zzM1V\..%.t?\]l\L  iC~vcuzh*J?=P˦YeW)t?lL "X@/hشcS gTl JaA A5n"#,Ewf|l,CPz S)cxbe-@,S MQhQ[L@r~>!k` vp"Et3^ :XMs_,W1)^1Ϗ=<=rrhhGb0)\hW7VdmxASՕڡnՉu$ vJTJW"Lxzu/٦OTƿTzz >JU4p0aNO6ϭMUIW鱃EU I{IqheC|FUG=՝KZX\B(xW1j'*GtZqA?~'/ݓly(=h9mby~3mYW|,gO7̯=$CZ&榯,4cρ#ֿ Գ;=5jwhjk4ji44c5ŮtP)qJbQŤ)E( yW[xCx }B>=}'ADhu#$ EC~ _||>=Յ>L-ZqɪB3-?Q$<5i+44?Fz>Zƴ=?۾З]㽇2^:?qT=NQ|*,^r蠚#߃rN{*J7'JN_Ugg5FSTh*r)/Wi*U_}*K4^'W$7ɂ$ nfG V~mqdȢgxT5VdW8K=YY $ AMYgV.'(][8no/4wI9˳|sYɋgz1jކŞɞҬ¦yKܲ{fJ^>=﵄﵄53O +y6(0pV:pT_ ~"n' A>#2@>EObsД7ifΚ5xfE1$״'dWYqvϳgwf4|`Bh E3. endstream endobj 47 0 obj <> endobj 48 0 obj <>/DW 1000/W [3[276]15[276]36[739 574 812 744 536]43[683 226]47[461]49[739 869 591]53[606 498 425 654]60[591]]>> endobj 49 0 obj <>stream x]j0E -[GMK!>٭-,g*ĕ㾱燷q?.> endobj 50 0 obj <>stream x{y|933d4IҤ!e D"X-Pie+ E B \ nRD\ z]l;E癶fr<,39`E3|Fˢpgvܵqϳ{{ۋ/5ʫx߁w:|59z8HvQ`.;1ʒث;z?ߔ,ҵXiSm=nO'O'ݓ zy{. ,llS7x퉖N|qNw~"Dұcpn8ѕG>:2:;RpdБK>u$H##GGϛO6h>F5kn~̓ 67?nm/>&6-'3 }X~57wICO_`)Բu>e'X ;,u;`#,GG[3<g{ OÍ0x&~x ނ&|]xށm0NZ8 TWp V@%LP&xC5̀p3̆Y0—p ̃[a>mBX@V{;| -,J(4 B+ЌBhC;jt q I ?O0=4agc:v c{^0}0s0/K|R 18,ījax8~ dFGx2,q/F0L[s׀nt[zF6)>lo".z.X4yOI: M8R q ҤJ^5Pb aIn5Ov|-jB}Gd fճG]}i^OjĄX6lRE8CᄁeA>|ͷWg!&sKzM ˁ08S!Bya%kܯҲ;Éޤ0w(rτ6il¦$,)}?' W 8 n1<2zF-W<-Lat_M S0W0a eBo/̦M={@LM3h| 6_#*P,o1F4FxhYG°20lПaǾUXLM([DcpAHUx\?%QSObZ}Y?u1 Ž@ qżI ~G\y^W|WIDp}nH7+ !Oߡ=E7V)Nk~WS;&U *+ *=+'[S3W0?ͪ//0á:uwO-(#eJm)^o(,QPHϮL ^U*IKI^GI導K %$U$^м!.‹+nI! Ε}#"1c2qX _,3MVD!&hC$,^0Ey/FFKF~ux~:!MeLy az^o( rcLlJ(H79o6Rm9䌖`@kq̀`@LlsF^Qqo6p&իbC$5|" >/me*!lP_bVv/{LJLR3c9 ZlhN89Nd`Fu!"EܒUZBKlC1d_r7:ꑴ͸ᙁ.]bAebaY(ȉ+cOƲ7q "3,;)[ifp,RkYa а¹IImF۷ç1v#\ y$ʶHK,6m$#\JPbH ejReY1UE1(l(7jB f8:!Ѧe;;矅bm?:C;i,H/Si'?*WJa%%I52Dՠ*yTq7(5(*5ʊKe^ɤH\Q OU1U}@ݦrUI1H*>/-ek͒ ̗ܮ`V_{26r/P_Gd6M?Jx#s8E*~2#ѳ?>Aںyi1L>pyh2`w/G iJ묯Z"ʕlՅ ;ek ,.j!N8.A!>7|Wϻ屹(~ٓέ$*Pl7ur&p3J (!P eSC+X0?+L?|@(osPZysz]׺M.j}'JOC+kUlGOϚyw23yi9 n1͚\] ' .2{+Z>?9Hn­,. :6 `%p PQ GN76g ml(͢U+3dFk2&a%bWkt\_9y8(q!84UD9'dH H0<NPu7$z_|}zZo[CZ0%Y"OSU>H+\+͓w7?oVvUj_uXSݮwɏ;d(UJ&i(v.Yg{bj.kLD\n&S#g.nR9SM"vKK2%t$bT$#!Zļ&!y w1aa fB7*|tH V3j+(vfJ uFLF`^uRX8,%UF(+s>x;v\"m=_$Z>}|fCu͗o6G7`_ ,G.gYH\W3ǧ]0vR U*̽Tnuq{XvG;8h"Wϵw?izȍwck###M4k4GQZ⽤A&pBnk^g2qcNE( ne.Cv8R|2v# IWc?e_d+f2}m{{88t-Bw į"sB5.jM:Tg_P,`%Yfv<IhIN@2H>|2l&'ߓDF&%E0*eKʎwRNM1d N4E oĤ`j|% '>f,b%:qkրƥxkl.|uu]63BL'oUlX,% dA>ȸz219ҶiCi&:pSp0LmѢ wg.za6C=f;anyops=ͺV|vT$ZPZu-*SX)^u)C6ôR5rLĻؕBYi Qű? _;2}m^ Ջ$#&z3[&K#K44w3bf cQSF$AFQ5Vd4kjQ6\f3XΤFyZdUͽ݌`frB<9Ɛq1lgFŴ[LLu.qF*=RA[*Uc:ЖPxҧҺ^"F p_ \huLk􏞂Tӹ$tAD5.|ckd%h<3jyEO~Jh- %_!LVdIѣh0 ,Ɋ$vKJEtT21bKc`vLT|*JYȇ&\(IQCB]E.;SxB6Dќ퍜d9"Y[`_KCj[;8aPjl;.GЕ'k-rwqlgG٢@}w[vI]*XLÑĘn$[JGIT$ o)DWH )wQ(ּYq}|i.99NpqO[Ϳ0Es~n6>{o'`] .v p,^u) ҥjq$ov_GxmFhvyMnGzH_>ۋjw}w֒ !ERuntQy'De ( hQr՚ ֈX%ߊXf+ZMXE˰,<`,,f!0& YV)IL/uLnS&"En=&q{u,{){9q 2)YSn܀7^؅IϽf#D؟Ȳme!gm,rJX6=~quࠛ|JA[:[e|G}zlf7ݵ6[g?uԮ:A !G? |Wf1Ov)d C]v~'DNIq%N]rl3?Un1( bư/3Qbю-[FYWe=:+Z%|l"͙m Sk N(Jj?.YR:~ ^G9n9gnqrGG89^3{6myclD.2qcr0fի쒪m3nrm큁<M"rsXu\gv>]|wbhȑ;3;heeM1eS ~klkeq %7>g~3#SbWT hWO5*bSMAC=ӗϲ݄֪VEg/IWL*.G 1߈<o3j^k~o0o?5(:CM㡃=,J5|HLORm?)vvjq]HTyQTUxQ3 mPFR~̛!~+P ʀ{ 7VK&3,njpP6̶KP0U]栿ZӒ2Bʶ }e@QM\0}ص`W~%!jڟ] 8׭@(Nfngٔ"1#)9JcHL,dXmup]Gdei\/'k1vŁZcL`;.BGU,y6m;#1J5}I{`rjQq?@R==X\ѺWt'@ҾhHF?l{YX 0Uj,L\.?.J`A.o%-0[ 燣@QAaPAЏ`/R{A!M~`a0\#_ BjkA64)]6VؠTX ^orgZs'Q"=cH%,D?B7G=? +{4wt-C,h=QO+D[9˥"z%B? 6vt&Y ȤvWy#--|aOmgӘ{ f}G $8q?;h&5D?'|\k GɄ:'GQn ]OGc4zpG^3#AI{J:#t| a(dA ,:+RVgr~ 4 BQDِIPB{wK h# Q\п\:A@c]AU; m&KpmjYr1FMYBG~ t>$:`7xx'f0 :ͤz+l½It†{Gu6:nп;Lv->NF6HwwIG3]O-t]CSe+'\{@\Cs& @L`64raW&:-dI<L~Ev;.oǽ. #l_oc ^l!>K Ћ܀됏CaKu}FFOr-,E^erzJ*\!_DʹGuy3?p?ǥV*t|Om_[U|2k!yZ3NePYFsz(Ar='U|B#i"⇨=F`=&%VsG,FSH,Ož}Gz<=aXH{u]bI[}دX.=̊~! y 5/o/om異!+ghf醹P @e?O48u[kV_H? ʌ~ΟT#6%M {#9SP(qIIk 0IBуkECҟ{=Eώ{i&=fia/lAt/6&Oo'o0)cl5fx:0ooEi5 .`(M8K0]Q\ A.B;?uMի)N'} F =okЏㆋ7Y@?^_Ia),!P:1Ba~{Rd4eǕ'L_vۃ԰[2< =zڻl]ӻ:i>kjKJN'$ZݱqjfѬ.@f+ -J.1Sy_c*S1S#HxĀp0P؈kauؘ?Po-oD72B1G)n1\@\T{GR;.) '(OH) gƚ2.pl/ }2ڰhyQf\ LJ U Ƅ} _ endstream endobj 51 0 obj <> endobj 52 0 obj <>/DW 1000/W [3[250]15[240]17[240]20[586 586]30[240]36[603 607 579 654]43[641]46[613 498 800]50[643 599]54[571]56[594]58[883]60[543]68[540 538 465 538 524]75[541 244]79[244 870 541 528]85[331 454 322 539 444 696]92[441]172[250]179[666]]>> endobj 53 0 obj <>stream x]ͪ0F~ -{¶o钦TӐ[;o/ɔRs2V5:>6ΩW|qT޿ްV,J%kVڄXԈ+($R BYI J"D+i(OV 5+GdYI":i#СfJtQd$+=L=L=Hp 0A;Vz4A+=Pd61CX!у/S/Xн)a@.2{y€#eS`0`C,ġurno!Wg.ޗ% 6n`[ɟ/Z endstream endobj 7 0 obj <> endobj 11 0 obj <> endobj 5 0 obj <>/BBox[0 0 122 70]/FormType 1/Matrix [1 0 0 1 0 0]/Length 32629/Filter/FlateDecode>>stream xeq 0 70 m 0 0 l 122 0 l 122 70 l h W n 1 w 2 J 0 j 10 M []0 d q q 0 70 m 0 0 l 122 0 l 122 70 l h W n 1 w 2 J 0 j 10 M []0 d q 0 70 m 0 0 l 122 0 l 122 70 l h W n 0 70 m 122 70 l 122 0 l 0 0 l 0 70 l h W n 0 0.36863 0.66667 rg 121 26.93 m 121 43.24 l 121 55.3 l 121 62.87 114.71 69 106.94 69 c 15.06 69 l 7.29 69 1 62.87 1 55.3 c 1 15.18 l 1 7.62 7.29 1.49 15.06 1.49 c 106.93 1.49 l 113.01 1.49 118.18 5.25 120.14 10.51 c 120.69 11.97 121 13.54 121 15.18 c 121 26.93 l h f 1.15 w 0 J 4 M 1 1 1 RG 121 26.93 m 121 43.24 l 121 55.3 l 121 62.87 114.71 69 106.94 69 c 15.06 69 l 7.29 69 1 62.87 1 55.3 c 1 15.18 l 1 7.62 7.29 1.49 15.06 1.49 c 106.93 1.49 l 113.01 1.49 118.18 5.25 120.14 10.51 c 120.69 11.97 121 13.54 121 15.18 c 121 26.93 l h S 121 26.93 m 121 43.24 l 121 55.3 l 121 62.87 114.71 69 106.94 69 c 15.06 69 l 7.29 69 1 62.87 1 55.3 c 1 15.18 l 1 7.62 7.29 1.49 15.06 1.49 c 106.93 1.49 l 113.01 1.49 118.18 5.25 120.14 10.51 c 120.69 11.97 121 13.54 121 15.18 c 121 26.93 l h S 1 1 1 rg 66.79 48.17 m 109.99 48.17 l 109.99 21.81 l 66.79 21.81 l 66.79 48.17 l h f 0.6375 w 66.79 48.17 m 109.99 48.17 l 109.99 21.81 l 66.79 21.81 l 66.79 48.17 l h S 0 0.36863 0.66667 rg 67.19 47.77 m 109.59 47.77 l 109.59 22.21 l 67.19 22.21 l 67.19 47.77 l h f 1 1 1 rg 84.61 22.21 m 109.59 47.52 l 109.59 47.78 l 109.47 47.78 l 84.24 22.21 l h f 68.86 22.21 m 70.55 47.78 l 70.28 47.78 l 68.59 22.21 l h f 70.21 22.21 m 73.85 47.78 l 73.59 47.78 l 69.94 22.21 l h f 71.65 22.21 m 77.36 47.78 l 77.09 47.78 l 71.38 22.21 l h f 73.24 22.21 m 81.39 47.78 l 81.11 47.78 l 72.96 22.21 l h f 74.74 22.21 m 85.2 47.78 l 84.91 47.78 l 74.45 22.21 l h f 76.46 22.21 m 89.55 47.78 l 89.25 47.78 l 76.16 22.21 l h f 96.09 47.78 m 95.77 47.78 l 78.82 22.21 l 79.14 22.21 l h f 102.13 47.78 m 101.79 47.78 l 81.2 22.21 l 81.54 22.21 l h f 109.59 38.1 m 109.59 38.44 l 89.17 22.21 l 89.59 22.21 l h f 109.59 31.07 m 109.59 31.38 l 94.92 22.21 l 95.42 22.21 l h f 109.59 24.44 m 109.59 24.73 l 104.19 22.21 l 104.82 22.21 l h f 76.69 30 m 72.28 30 69.28 32.72 69.28 37.12 c 69.28 41.4 72.49 44.42 76.73 44.42 c 77.85 44.42 79.11 44.2 80.05 43.76 c 80.05 41.65 l 79.58 42.27 78.64 43.38 76.77 43.38 c 74.11 43.38 72.61 40.94 72.61 37.42 c 72.61 33.73 74.02 31.09 77.05 31.09 c 78.11 31.09 79.44 31.63 80.05 32.2 c 80.55 31.09 l 79.97 30.65 78.9 30 76.69 30 c f 0.5695 w 76.69 30 m 72.28 30 69.28 32.72 69.28 37.12 c 69.28 41.4 72.49 44.42 76.73 44.42 c 77.85 44.42 79.11 44.2 80.05 43.76 c 80.05 41.65 l 79.58 42.27 78.64 43.38 76.77 43.38 c 74.11 43.38 72.61 40.94 72.61 37.42 c 72.61 33.73 74.02 31.09 77.05 31.09 c 78.11 31.09 79.44 31.63 80.05 32.2 c 80.55 31.09 l 79.97 30.65 78.9 30 76.69 30 c h S 87.61 30.26 m 90.28 30.26 94.37 31.91 94.37 37.26 c 94.37 42.91 90.32 44.18 87.27 44.18 c 82.2 44.18 l 82.2 30.26 l 87.61 30.26 l h 91.11 37.2 m 91.11 31.75 87.75 31.36 85.15 31.36 c 85.15 43.12 l 87.82 43.12 91.11 42.79 91.11 37.2 c f 87.61 30.26 m 90.28 30.26 94.37 31.91 94.37 37.26 c 94.37 42.91 90.32 44.18 87.27 44.18 c 82.2 44.18 l 82.2 30.26 l 87.61 30.26 l h 91.11 37.2 m 91.11 31.75 87.75 31.36 85.15 31.36 c 85.15 43.12 l 87.82 43.12 91.11 42.79 91.11 37.2 c h S 103.4 30 m 98.99 30 96 32.72 96 37.12 c 96 41.4 99.2 44.42 103.43 44.42 c 104.57 44.42 105.82 44.2 106.76 43.76 c 106.76 41.65 l 106.3 42.27 105.35 43.38 103.48 43.38 c 100.83 43.38 99.32 40.94 99.32 37.42 c 99.32 33.73 100.73 31.09 103.76 31.09 c 104.82 31.09 106.16 31.63 106.76 32.2 c 107.26 31.09 l 106.68 30.65 105.61 30 103.4 30 c f 103.4 30 m 98.99 30 96 32.72 96 37.12 c 96 41.4 99.2 44.42 103.43 44.42 c 104.57 44.42 105.82 44.2 106.76 43.76 c 106.76 41.65 l 106.3 42.27 105.35 43.38 103.48 43.38 c 100.83 43.38 99.32 40.94 99.32 37.42 c 99.32 33.73 100.73 31.09 103.76 31.09 c 104.82 31.09 106.16 31.63 106.76 32.2 c 107.26 31.09 l 106.68 30.65 105.61 30 103.4 30 c h S 111.14 22.04 m 111.65 22.04 l 111.65 21.97 l 111.44 21.97 l 111.44 21.42 l 111.36 21.42 l 111.36 21.97 l 111.14 21.97 l h f 112.25 21.42 m 112.25 21.79 l 112.25 21.8 112.25 21.89 112.25 21.94 c 112.25 21.94 l 112.07 21.42 l 111.98 21.42 l 111.81 21.94 l 111.81 21.94 l 111.81 21.88 111.81 21.8 111.81 21.79 c 111.81 21.42 l 111.73 21.42 l 111.73 22.04 l 111.85 22.04 l 112.03 21.51 l 112.21 22.04 l 112.33 22.04 l 112.33 21.42 l 112.25 21.42 l h f 55.23 52.44 m 55.32 50.64 53.89 49.53 52.81 48.46 c 41.72 39.14 l 40.72 38.21 39.28 37.44 38.72 36.05 c 37.99 34.22 37.72 32.17 37.4 30.14 c 37.22 28.68 35.85 27.41 34.58 26.87 c 33.59 26.53 32.41 26.69 31.33 26.61 c 27.47 26.58 l 27.14 26.51 26.86 26.33 26.69 26.07 c 26.55 25.68 l 26.13 25.62 26.27 25.98 26.21 26.24 c 26.22 27.09 26.41 27.97 27.04 28.48 c 27.37 28.82 27.84 28.9 28.31 28.97 c 33.94 29.06 l 34.26 29.07 34.51 29.26 34.72 29.42 c 34.95 29.86 l 35.4 32.67 35.66 35.57 37.05 37.96 c 38.35 39.47 39.98 40.51 41.43 41.85 c 44.77 44.69 48.24 47.57 51.54 50.45 c 52.47 51.33 53.46 52.5 53.69 53.9 c 53.81 54.27 l 54.56 54.02 55.18 53.28 55.23 52.44 c f 58.48 49.28 m 58.65 47.52 57.27 46.69 56.18 45.61 c 51.65 41.73 l 43.62 34.9 l 42.48 33.61 42.42 31.79 42.12 30.15 c 42.17 29.61 42.71 29.39 42.61 28.83 c 41.49 26.81 l 41.55 26.01 42.53 26.48 42.85 25.97 c 42.86 25.68 42.67 25.33 42.89 25.08 c 43.05 24.81 43.7 25.18 43.36 24.74 c 43.27 24.66 43.3 24.49 43.33 24.39 c 43.46 24.21 43.71 24.2 43.74 23.93 c 43.62 23.6 43.62 23.13 43.82 22.84 c 45.21 21.31 47.61 23.2 49.07 21.77 c 49.43 21.45 49.42 20.84 49.33 20.39 c 48.55 18.12 43.96 17.95 45.53 14.71 c 45.8 14.19 46.41 13.83 47.02 13.79 c 47.54 13.71 47.94 13.93 48.37 14.06 c 48.5 14.06 48.51 13.93 48.57 13.85 c 48.57 13.77 l 47.24 12.82 45.53 11.43 43.76 12.44 c 42.88 13 42.43 14.15 42.65 15.27 c 43.19 17.05 45.24 17.51 46.27 19.01 c 46.51 19.45 46.46 20.02 46.21 20.45 c 45.88 21.04 45.12 21.19 44.46 21.31 c 43.35 21.34 41.66 20.64 41.17 21.94 c 41.03 22.43 41.53 23.31 40.74 23.42 c 40.63 23.56 40.38 23.68 40.51 23.91 c 40.55 24.04 40.77 24.05 40.66 24.22 c 40.5 24.27 40.29 24.23 40.16 24.36 c 39.72 24.86 40.95 25.39 40.12 25.72 c 39.69 25.78 39.12 25.47 38.84 25.95 c 38.71 26.4 39.05 26.73 39.22 27.1 c 39.5 27.73 40.33 28.15 40.12 28.97 c 39.7 29.67 l 39.83 31.3 40.1 32.88 40.51 34.42 c 41.06 36.12 42.7 37.07 43.96 38.24 c 50.71 43.94 l 55.48 48.14 l 56.31 48.91 57.03 49.78 57 50.94 c 57.26 51.02 57.42 50.72 57.64 50.63 c 58.04 50.17 58.38 49.85 58.48 49.28 c f 56.67 40.78 m 55.78 39.36 54.29 38.3 52.97 37.17 c 47.79 32.83 l 46.84 31.97 46.59 30.48 47.02 29.32 c 47.07 28.73 46.62 28.36 46.47 27.84 c 46.49 27.69 46.52 27.49 46.68 27.45 c 46.89 27.36 47.22 27.47 47.34 27.18 c 47.37 26.88 47.23 26.56 47.56 26.44 c 47.7 26.37 47.9 26.6 47.91 26.35 c 47.83 26.22 47.77 26.09 47.79 25.92 c 47.96 25.62 48.33 25.79 48.48 25.54 c 48.55 25.19 48.55 24.73 48.94 24.59 c 50.29 24.36 51.31 25.28 52.52 25.54 c 54.44 26.14 56.3 25.38 58.01 24.88 c 58.86 24.72 59.81 24.77 60.66 24.88 c 60.72 24.82 l 59.63 23.49 58.29 22.19 56.38 22.32 c 54.38 22.4 53.08 24.27 50.93 23.9 c 49.48 23.62 48.03 22.74 46.47 23.33 c 46.07 23.65 45.91 24.23 46.06 24.8 c 45.99 25.14 45.15 25.23 45.67 25.68 c 45.51 25.79 45.24 25.68 45.15 25.92 c 45.03 26.2 45.37 26.6 45.01 26.79 c 44.68 26.83 44.26 26.65 44.02 26.93 c 43.89 27.09 43.92 27.33 43.96 27.53 c 44.19 28.08 44.82 28.51 44.68 29.17 c 44.26 29.57 44.4 30.23 44.45 30.78 c 44.69 32.05 44.79 33.4 45.98 34.24 c 52.35 39.63 l 53.69 40.91 55.35 41.74 56.32 43.43 c 56.82 42.74 57.06 41.61 56.67 40.78 c f 37.18 21.92 m 38.99 21.15 40.88 20.39 42.5 19.33 c 42.9 19 43.26 18.51 43.19 17.91 c 42.63 15.62 39.44 15.38 39.91 12.68 c 40.05 11.67 40.71 10.79 41.7 10.52 c 42.14 10.39 42.74 10.39 43.19 10.52 c 43.26 10.34 43.57 10.17 43.22 10.05 c 41.91 9.22 40.23 8.28 38.64 9.08 c 37.86 9.44 37.4 10.28 37.2 11.1 c 36.87 13.54 39.16 14.31 40.31 15.95 c 40.48 16.28 40.57 16.66 40.48 17.05 c 40.26 17.51 39.94 17.79 39.5 18.06 c 35.21 20.46 30.54 22.09 25.74 23.33 c 24.95 23.41 23.71 23.87 23.18 22.95 c 23.18 22.9 l 22.76 22.82 22.92 23.33 22.92 23.56 c 23.05 24.34 23.51 24.97 24.24 25.29 c 25.49 25.66 26.81 25.22 28.02 25 c 31.12 24.13 34.21 23.15 37.18 21.92 c f 35.31 11.7 m 35.3 11.84 35.28 11.85 35.05 11.85 c 34.37 11.84 34.09 11.52 34.11 10.75 c 34.13 9.97 34.41 9.68 35.09 9.7 c 35.32 9.7 35.35 9.72 35.35 9.79 c 35.31 11.7 l h 36.15 11.9 m 35.76 11.86 35.75 11.85 35.73 11.75 c 35.72 11.63 35.72 11.35 35.74 10.8 c 35.75 10.25 35.75 9.97 35.77 9.84 c 35.79 9.75 35.81 9.74 36.19 9.72 c 36.19 9.57 l 34.98 9.55 l 34.48 9.53 34.24 9.64 34.01 9.85 c 33.8 10.04 33.65 10.35 33.64 10.75 c 33.63 11.37 34.01 12 34.98 12.02 c 36.14 12.04 l 36.15 11.9 l h f 33.42 11.86 m 33.09 11.86 33.07 11.85 33.05 11.75 c 33.03 11.63 33 11.35 32.96 10.8 c 32.91 10.25 32.89 9.97 32.89 9.85 c 32.89 9.75 32.91 9.74 33.24 9.69 c 33.22 9.54 l 31.89 9.65 l 31.69 9.67 31.49 9.67 31.34 9.65 c 31.35 9.83 31.35 10.23 31.33 10.33 c 31.49 10.34 l 31.55 9.88 31.62 9.82 32.11 9.78 c 32.43 9.76 l 32.47 9.75 32.49 9.77 32.5 9.82 c 32.57 10.63 l 32.57 10.67 32.56 10.69 32.46 10.7 c 32.36 10.71 l 31.97 10.75 31.94 10.68 31.89 10.44 c 31.73 10.45 l 31.75 10.56 31.77 10.68 31.78 10.85 c 31.79 10.99 31.79 11.15 31.8 11.25 c 31.96 11.24 l 31.96 10.98 32 10.91 32.28 10.89 c 32.52 10.87 l 32.56 10.87 32.59 10.88 32.59 10.93 c 32.67 11.83 l 32.68 11.88 32.65 11.9 32.61 11.9 c 32.01 11.95 l 31.72 11.98 31.64 11.9 31.55 11.68 c 31.45 11.44 l 31.29 11.5 l 31.36 11.69 31.43 12.02 31.44 12.18 c 33.43 12.01 l 33.42 11.86 l h f 30.12 11.06 m 30.06 11.08 30.01 11.09 29.95 11.1 c 29.6 11.17 29.27 11.16 29.18 10.7 c 29.1 10.26 29.37 10.15 29.76 10.08 c 29.92 10.05 29.93 10.06 29.95 10.13 c 30.12 11.06 l h 31.14 12.05 m 30.78 12.09 30.76 12.09 30.72 12 c 30.69 11.88 30.63 11.6 30.54 11.06 c 30.44 10.52 30.38 10.24 30.38 10.12 c 30.38 10.02 30.39 10.01 30.74 9.91 c 30.72 9.77 l 29.43 10 l 29.17 10.05 28.98 10.16 28.85 10.31 c 28.74 10.44 28.7 10.6 28.73 10.79 c 28.82 11.28 29.28 11.4 29.91 11.29 c 30 11.27 30.1 11.24 30.15 11.24 c 30.3 12.07 l 30.32 12.17 30.29 12.18 29.89 12.29 c 29.92 12.43 l 31.16 12.2 l 31.14 12.05 l h f 27.54 11.96 m 27.51 11.97 27.5 11.96 27.49 11.95 c 27.49 11.94 27.49 11.89 27.49 11.87 c 27.58 10.92 l 28.16 11.7 l 28.18 11.72 28.19 11.74 28.2 11.75 c 28.2 11.77 28.19 11.78 28.16 11.79 c 27.54 11.96 l h 29.24 12.38 m 28.96 12.44 28.9 12.37 28.7 12.11 c 27.7 10.79 l 27.53 10.57 27.49 10.51 27.41 10.4 c 27.23 10.45 l 27.24 10.56 27.23 10.77 27.22 10.89 c 27.01 12.73 l 26.98 12.98 26.97 13.02 26.68 13.1 c 26.72 13.25 l 27.89 12.92 l 27.85 12.78 l 27.5 12.86 27.46 12.83 27.44 12.75 c 27.42 12.68 27.46 12.25 27.47 12.21 c 27.47 12.19 27.49 12.18 27.5 12.17 c 27.59 12.14 27.76 12.08 28.1 11.98 c 28.32 11.92 28.33 11.94 28.38 12 c 28.53 12.18 28.63 12.35 28.64 12.39 c 28.67 12.49 28.64 12.52 28.32 12.65 c 28.36 12.79 l 29.28 12.52 l 29.24 12.38 l h f 25.39 12.27 m 25.41 12.33 25.41 12.35 25.21 12.43 c 24.72 12.63 24.51 12.39 24.44 12.21 c 24.33 11.94 24.45 11.67 24.8 11.52 c 25.03 11.43 25.04 11.43 25.08 11.52 c 25.39 12.27 l h 26.6 13.13 m 26.27 13.25 26.25 13.24 26.2 13.16 c 26.14 13.05 26.03 12.79 25.82 12.28 c 25.61 11.77 25.51 11.51 25.48 11.39 c 25.45 11.3 25.46 11.28 25.77 11.12 c 25.72 10.98 l 24.5 11.48 l 24.25 11.58 24.13 11.67 24.04 11.82 c 23.94 11.96 23.93 12.14 24.01 12.33 c 24.21 12.82 24.77 12.69 24.78 12.72 c 24.78 12.73 24.78 12.76 24.77 12.82 c 24.54 13.74 l 24.48 13.97 24.46 14.01 24.3 14.08 c 24.36 14.22 l 24.9 13.99 l 25.18 12.68 l 25.19 12.63 25.21 12.61 25.35 12.56 c 25.48 12.51 25.49 12.51 25.5 12.54 c 25.74 13.13 25.78 13.23 25.8 13.32 c 25.83 13.41 25.82 13.43 25.51 13.59 c 25.57 13.73 l 26.66 13.28 l 26.6 13.13 l h f 24.09 14.21 m 23.74 14.36 23.72 14.36 23.66 14.28 c 23.62 14.22 23.56 14.11 23.46 13.93 c 22.71 12.48 l 23.07 12.29 l 23.18 12.23 23.27 12.3 23.59 12.6 c 23.72 12.49 l 23.62 12.38 23.51 12.22 23.35 11.93 c 23.29 11.98 23.24 12.01 23.17 12.05 c 23.12 12.09 23.06 12.13 23 12.16 c 21.91 12.72 l 21.78 12.79 21.65 12.84 21.53 12.88 c 21.66 13.18 21.74 13.36 21.77 13.51 c 21.94 13.46 l 21.87 13.03 21.87 12.91 21.98 12.86 c 22.34 12.67 l 23.1 14.12 l 23.19 14.3 23.25 14.42 23.27 14.49 c 23.3 14.58 23.29 14.6 22.97 14.79 c 23.03 14.93 l 24.16 14.34 l 24.09 14.21 l h f 22.47 15.02 m 22.14 15.22 22.11 15.22 22.05 15.15 c 21.97 15.05 21.81 14.82 21.5 14.37 c 21.19 13.92 21.03 13.68 20.97 13.57 c 20.93 13.48 20.94 13.46 21.24 13.23 c 21.16 13.1 l 20.37 13.64 l 20.38 13.66 20.4 13.7 20.41 13.74 c 20.92 15.63 l 20.91 15.63 l 19.23 14.42 l 18.45 14.95 l 18.54 15.08 l 18.87 14.88 18.89 14.87 18.95 14.95 c 19.03 15.04 19.2 15.28 19.5 15.73 c 19.81 16.18 19.98 16.42 20.03 16.53 c 20.08 16.61 20.07 16.63 19.77 16.87 c 19.85 16.99 l 20.87 16.3 l 20.79 16.17 l 20.47 16.36 20.43 16.36 20.39 16.29 c 19.27 14.66 l 19.27 14.66 l 21.01 15.91 l 21.06 15.95 21.11 15.98 21.16 16.03 c 21.38 15.87 l 21.37 15.85 21.34 15.79 21.33 15.73 c 20.77 13.63 l 20.77 13.63 l 21.71 14.99 l 21.77 15.08 21.84 15.22 21.86 15.28 c 21.91 15.36 21.9 15.38 21.63 15.6 c 21.71 15.72 l 22.56 15.15 l 22.47 15.02 l h f 19.73 16.94 m 19.47 17.14 19.44 17.14 19.37 17.08 c 19.28 16.99 19.1 16.78 18.73 16.37 c 18.37 15.95 18.18 15.74 18.12 15.64 c 18.06 15.56 18.07 15.54 18.3 15.3 c 18.2 15.19 l 17.2 16.07 l 17.04 16.2 16.87 16.32 16.75 16.4 c 16.86 16.53 17.1 16.86 17.14 16.95 c 17.28 16.87 l 17.05 16.46 17.07 16.37 17.45 16.04 c 17.69 15.84 l 17.72 15.81 17.75 15.81 17.78 15.84 c 18.31 16.45 l 18.35 16.49 18.35 16.51 18.27 16.58 c 18.2 16.65 l 17.91 16.9 17.85 16.87 17.66 16.7 c 17.54 16.81 l 17.62 16.89 17.69 16.97 17.81 17.1 c 17.91 17.21 18 17.33 18.07 17.41 c 18.19 17.31 l 18.03 17.1 18.03 17.02 18.24 16.84 c 18.42 16.68 l 18.45 16.65 18.48 16.65 18.51 16.68 c 19.11 17.36 l 19.14 17.4 19.14 17.43 19.1 17.46 c 18.65 17.86 l 18.43 18.05 18.32 18.04 18.12 17.91 c 17.91 17.77 l 17.81 17.92 l 17.97 18.03 18.22 18.26 18.33 18.37 c 19.83 17.06 l 19.73 16.94 l h f 18.03 18.42 m 17.78 18.66 17.75 18.66 17.68 18.61 c 17.58 18.53 17.37 18.34 16.96 17.97 c 16.56 17.59 16.35 17.4 16.27 17.31 c 16.21 17.23 16.22 17.21 16.43 16.94 c 16.32 16.84 l 15.82 17.38 l 15.84 17.42 15.85 17.48 15.87 17.56 c 16.31 19.49 l 16.3 19.49 l 15.9 19.11 l 15.5 18.74 15.29 18.55 15.21 18.45 c 15.14 18.38 15.15 18.35 15.39 18.06 c 15.28 17.95 l 14.6 18.69 l 14.71 18.79 l 14.93 18.55 14.97 18.54 15.12 18.66 c 15.26 18.79 15.43 18.93 15.57 19.06 c 16.08 19.53 16.5 19.93 16.69 20.14 c 16.86 19.95 l 16.76 19.65 16.7 19.42 16.63 19.1 c 16.31 17.61 l 16.31 17.61 l 16.84 18.1 l 17.24 18.47 17.45 18.66 17.53 18.76 c 17.59 18.84 17.59 18.86 17.31 19.19 c 17.42 19.29 l 18.14 18.52 l 18.03 18.42 l h f 15.94 20.77 m 15.68 21.06 15.66 21.07 15.58 21.03 c 15.52 20.99 15.41 20.91 15.25 20.79 c 13.94 19.81 l 14.18 19.48 l 14.25 19.39 14.36 19.41 14.78 19.54 c 14.86 19.39 l 14.72 19.33 14.55 19.23 14.28 19.04 c 14.24 19.11 14.21 19.17 14.17 19.23 c 14.14 19.28 14.1 19.34 14.06 19.4 c 13.33 20.37 l 13.23 20.5 13.14 20.6 13.04 20.69 c 13.3 20.89 13.45 21.03 13.54 21.14 c 13.66 21.03 l 13.42 20.67 13.37 20.57 13.44 20.47 c 13.68 20.14 l 15 21.12 l 15.16 21.25 15.26 21.33 15.31 21.38 c 15.38 21.44 15.38 21.47 15.17 21.79 c 15.29 21.88 l 16.05 20.86 l 15.94 20.77 l h f 13.63 24.38 m 13.46 24.72 12.98 24.83 12.31 24.48 c 11.64 24.12 11.47 23.66 11.65 23.33 c 11.82 22.99 12.3 22.88 12.97 23.23 c 13.64 23.58 13.81 24.04 13.63 24.38 c 11.49 23.25 m 11.19 23.83 11.41 24.52 12.1 24.88 c 12.78 25.24 13.47 25.04 13.78 24.46 c 14.09 23.88 13.87 23.18 13.18 22.82 c 12.5 22.46 11.8 22.66 11.49 23.25 c f 12.96 25.62 m 12.81 25.91 12.8 25.92 12.7 25.9 c 12.58 25.87 12.32 25.76 11.82 25.55 c 11.3 25.35 11.04 25.24 10.93 25.18 c 10.84 25.13 10.84 25.12 10.94 24.8 c 10.81 24.75 l 10.3 25.98 l 10.23 26.17 10.13 26.36 10.06 26.48 c 10.21 26.54 10.58 26.73 10.66 26.79 c 10.74 26.66 l 10.35 26.39 10.34 26.31 10.52 25.85 c 10.64 25.55 l 10.66 25.51 10.68 25.5 10.73 25.52 c 11.48 25.82 l 11.52 25.84 11.54 25.86 11.5 25.95 c 11.46 26.05 l 11.31 26.4 11.25 26.4 11 26.34 c 10.95 26.49 l 11.05 26.53 11.16 26.56 11.32 26.63 c 11.46 26.68 11.6 26.74 11.69 26.78 c 11.75 26.64 l 11.52 26.52 11.48 26.45 11.58 26.2 c 11.68 25.97 l 11.69 25.93 11.71 25.92 11.76 25.94 c 12.56 26.26 l 12.65 26.29 12.64 26.32 12.52 26.7 c 12.66 26.76 l 13.1 25.67 l 12.96 25.62 l h f 11.83 28.59 m 11.72 28.94 11.7 28.96 11.6 28.95 c 11.49 28.93 11.21 28.87 10.67 28.74 c 10.14 28.62 9.87 28.55 9.75 28.51 c 9.65 28.48 9.65 28.45 9.71 28.1 c 9.56 28.07 l 9.28 29.26 l 9.43 29.3 l 9.53 28.94 9.55 28.93 9.65 28.94 c 9.72 28.95 9.93 28.99 10.1 29.03 c 10.32 29.09 l 10.43 29.11 10.44 29.12 10.42 29.21 c 10.21 30.12 l 10.18 30.21 10.17 30.22 10.07 30.19 c 9.83 30.14 l 9.67 30.1 9.46 30.05 9.39 30.03 c 9.3 29.99 9.29 29.97 9.35 29.61 c 9.21 29.58 l 8.92 30.77 l 9.07 30.81 l 9.18 30.46 9.19 30.44 9.29 30.45 c 9.41 30.47 9.69 30.53 10.22 30.66 c 10.76 30.79 11.03 30.85 11.15 30.89 c 11.24 30.92 11.25 30.95 11.19 31.3 c 11.34 31.34 l 11.62 30.14 l 11.47 30.11 l 11.36 30.45 11.35 30.47 11.25 30.46 c 11.15 30.45 10.87 30.39 10.46 30.29 c 10.36 30.27 10.35 30.26 10.37 30.16 c 10.58 29.26 l 10.6 29.16 10.62 29.16 10.72 29.18 c 11.13 29.27 11.41 29.34 11.5 29.38 c 11.6 29.41 11.6 29.43 11.54 29.79 c 11.69 29.83 l 11.97 28.63 l 11.83 28.59 l h f 11.19 31.42 m 11.12 31.75 11.11 31.76 11.01 31.76 c 10.89 31.76 10.61 31.73 10.06 31.66 c 9.52 31.59 9.23 31.56 9.12 31.53 c 9.02 31.51 9.01 31.49 9.03 31.16 c 8.88 31.14 l 8.71 32.47 l 8.69 32.67 8.65 32.87 8.61 33.01 c 8.78 33.04 9.18 33.12 9.27 33.15 c 9.32 33.01 l 8.87 32.85 8.83 32.78 8.89 32.28 c 8.93 31.96 l 8.93 31.92 8.96 31.91 9.01 31.91 c 9.81 32.01 l 9.87 32.01 9.87 32.02 9.87 32.13 c 9.85 32.23 l 9.8 32.61 9.74 32.63 9.48 32.63 c 9.47 32.78 l 9.59 32.8 9.69 32.8 9.87 32.82 c 10.01 32.84 10.17 32.87 10.27 32.88 c 10.28 32.73 l 10.03 32.67 9.98 32.61 10.01 32.34 c 10.04 32.1 l 10.04 32.05 10.06 32.04 10.11 32.04 c 11 32.15 l 11.05 32.16 11.07 32.18 11.07 32.22 c 11 32.82 l 10.96 33.11 10.88 33.17 10.64 33.22 c 10.39 33.26 l 10.41 33.43 l 10.61 33.41 10.95 33.41 11.1 33.42 c 11.34 31.44 l 11.19 31.42 l h f 10.02 35.1 m 10.02 35.13 10.01 35.15 10.01 35.15 c 9.98 35.15 9.95 35.13 9.92 35.12 c 9.04 34.77 l 9.96 34.43 l 9.98 34.42 10 34.41 10.02 34.41 c 10.03 34.41 10.04 34.43 10.04 34.45 c 10.02 35.1 l h 10.92 33.6 m 10.89 33.87 10.81 33.92 10.5 34.03 c 8.95 34.62 l 8.69 34.72 8.62 34.75 8.49 34.78 c 8.49 34.97 l 8.6 34.98 8.79 35.05 8.9 35.1 c 10.61 35.84 l 10.84 35.93 10.88 35.96 10.87 36.26 c 11.02 36.26 l 11.04 35.04 l 10.89 35.04 l 10.87 35.4 10.84 35.43 10.75 35.43 c 10.67 35.43 10.28 35.27 10.24 35.24 c 10.22 35.23 10.21 35.22 10.21 35.2 c 10.2 35.11 10.2 34.93 10.2 34.57 c 10.21 34.35 10.23 34.34 10.31 34.31 c 10.52 34.22 10.71 34.17 10.75 34.17 c 10.85 34.18 10.88 34.21 10.9 34.55 c 11.05 34.55 l 11.07 33.6 l 10.92 33.6 l h f 10.89 36.34 m 10.89 36.68 10.89 36.7 10.79 36.72 c 10.67 36.74 10.39 36.76 9.84 36.81 c 9.3 36.86 9.01 36.88 8.89 36.88 c 8.79 36.88 8.78 36.86 8.72 36.53 c 8.57 36.54 l 8.67 37.68 l 8.82 37.67 l 8.82 37.33 8.82 37.31 8.92 37.29 c 9 37.27 9.2 37.25 9.37 37.23 c 10.78 37.11 l 10.91 37.1 10.94 37.14 10.95 37.24 c 10.98 37.65 l 11.01 37.99 10.91 38.05 10.43 38.29 c 10.5 38.45 l 10.62 38.4 11.03 38.31 11.21 38.29 c 11.04 36.33 l 10.89 36.34 l h f 11.12 38.68 m 11.16 39.06 11.16 39.08 11.06 39.11 c 10.99 39.13 10.87 39.16 10.66 39.2 c 9.05 39.47 l 8.99 39.07 l 8.96 38.95 9.05 38.88 9.44 38.67 c 9.37 38.51 l 9.24 38.57 9.05 38.63 8.73 38.7 c 8.75 38.76 8.77 38.83 8.78 38.9 c 8.81 38.96 8.82 39.03 8.83 39.1 c 9.04 40.31 l 9.06 40.45 9.08 40.59 9.08 40.72 c 9.4 40.68 9.6 40.67 9.74 40.67 c 9.75 40.51 l 9.32 40.43 9.21 40.4 9.19 40.28 c 9.12 39.88 l 10.73 39.6 l 10.94 39.57 11.06 39.55 11.13 39.55 c 11.23 39.54 11.25 39.56 11.34 39.93 c 11.49 39.91 l 11.27 38.66 l 11.12 38.68 l h f 11.4 40.38 m 11.47 40.73 11.47 40.76 11.38 40.79 c 11.26 40.84 10.99 40.92 10.46 41.07 c 9.93 41.22 9.66 41.29 9.54 41.32 c 9.44 41.33 9.43 41.32 9.3 40.97 c 9.16 41.01 l 9.49 42.19 l 9.64 42.16 l 9.56 41.8 9.57 41.78 9.66 41.74 c 9.73 41.71 9.93 41.65 10.09 41.6 c 10.32 41.53 l 10.42 41.51 10.44 41.51 10.46 41.6 c 10.72 42.5 l 10.74 42.59 10.73 42.6 10.63 42.63 c 10.4 42.7 l 10.24 42.75 10.04 42.8 9.96 42.81 c 9.86 42.83 9.84 42.81 9.72 42.47 c 9.58 42.51 l 9.91 43.69 l 10.06 43.65 l 9.99 43.29 9.99 43.27 10.08 43.24 c 10.2 43.19 10.47 43.11 11 42.96 c 11.53 42.81 11.8 42.74 11.92 42.71 c 12.02 42.7 12.03 42.71 12.16 43.06 c 12.3 43.02 l 11.97 41.83 l 11.82 41.87 l 11.9 42.23 11.89 42.25 11.8 42.29 c 11.71 42.33 11.43 42.41 11.03 42.52 c 10.93 42.55 10.91 42.54 10.88 42.46 c 10.63 41.56 l 10.61 41.47 10.61 41.46 10.72 41.42 c 11.12 41.32 11.4 41.24 11.5 41.22 c 11.59 41.2 11.61 41.22 11.73 41.56 c 11.88 41.52 l 11.54 40.34 l 11.4 40.38 l h f 13 45.15 m 13.06 45.26 13.07 45.41 13.04 45.59 c 12.73 45.51 12.12 45.46 11.83 45.46 c 11.84 45.19 11.91 45.03 12.14 44.92 c 12.39 44.81 12.85 44.83 13 45.15 c 11.69 45.8 m 11.7 45.99 11.56 46.14 11.43 46.2 c 11.31 46.26 11.13 46.27 11.05 46.12 c 11.01 46.01 11.03 45.87 11.2 45.8 c 11.3 45.75 11.47 45.73 11.69 45.8 c 13.72 46.55 m 13.76 46.33 13.74 46.12 13.67 45.97 c 13.59 45.81 13.46 45.72 13.19 45.63 c 13.26 45.39 13.27 45.14 13.14 44.88 c 12.93 44.43 12.5 44.34 12.16 44.5 c 11.85 44.65 11.7 44.92 11.69 45.44 c 11.31 45.41 11.18 45.42 11.06 45.47 c 10.85 45.57 10.72 45.8 10.89 46.16 c 11.03 46.47 11.26 46.61 11.53 46.48 c 11.79 46.35 11.84 46.09 11.83 45.83 c 12.21 45.85 12.57 45.88 12.93 45.94 c 12.85 46.14 12.7 46.36 12.59 46.41 c 12.5 46.46 12.43 46.42 12.34 46.29 c 12.21 46.35 l 12.56 47.1 l 12.7 47.03 l 12.62 46.86 12.63 46.71 12.79 46.5 c 12.87 46.4 12.99 46.21 13.1 45.98 c 13.39 46.04 13.47 46.08 13.54 46.21 c 13.59 46.32 13.59 46.45 13.57 46.63 c 13.72 46.55 l h f 14.32 47.61 m 14.51 47.92 14.51 47.95 14.44 48.01 c 14.35 48.1 14.12 48.25 13.66 48.57 c 13.22 48.89 12.98 49.05 12.88 49.11 c 12.79 49.16 12.77 49.15 12.54 48.86 c 12.41 48.95 l 13.12 49.96 l 13.24 49.87 l 13.06 49.56 13.05 49.53 13.13 49.47 c 13.19 49.42 13.35 49.29 13.5 49.19 c 13.69 49.06 l 13.77 49 13.79 49 13.84 49.08 c 14.38 49.84 l 14.43 49.92 14.43 49.94 14.34 50 c 14.14 50.13 l 14.01 50.23 13.83 50.34 13.76 50.39 c 13.68 50.43 13.66 50.42 13.43 50.14 c 13.31 50.22 l 14.01 51.23 l 14.14 51.14 l 13.95 50.83 13.95 50.81 14.02 50.75 c 14.11 50.66 14.34 50.5 14.79 50.18 c 15.24 49.87 15.47 49.71 15.58 49.65 c 15.67 49.6 15.69 49.61 15.92 49.89 c 16.05 49.81 l 15.34 48.8 l 15.21 48.88 l 15.4 49.19 15.4 49.22 15.33 49.28 c 15.25 49.35 15.02 49.52 14.67 49.76 c 14.59 49.82 14.57 49.82 14.52 49.74 c 13.98 48.98 l 13.93 48.9 13.93 48.88 14.02 48.83 c 14.36 48.58 14.6 48.42 14.69 48.37 c 14.78 48.33 14.8 48.34 15.03 48.62 c 15.15 48.53 l 14.44 47.53 l 14.32 47.61 l h f 14.28 51.56 m 15.1 52.47 l 15.22 52.38 l 14.99 52.09 14.99 52.07 15.05 51.99 c 15.13 51.9 15.34 51.71 16.01 51.11 c 16.22 50.92 16.6 50.68 16.97 51.09 c 17.39 51.55 17.21 51.82 16.67 52.31 c 16.24 52.71 16.03 52.89 15.93 52.96 c 15.85 53.02 15.83 53.01 15.55 52.75 c 15.44 52.85 l 16.13 53.6 l 16.24 53.51 l 16.02 53.22 16.01 53.19 16.07 53.12 c 16.16 53.03 16.37 52.84 16.94 52.32 c 17.35 51.95 17.69 51.55 17.08 50.88 c 16.71 50.47 16.22 50.37 15.72 50.81 c 15.07 51.4 14.86 51.59 14.76 51.66 c 14.68 51.72 14.66 51.71 14.39 51.46 c 14.28 51.56 l h f 17.81 52.03 m 18.09 52.3 18.09 52.32 18.04 52.4 c 17.97 52.5 17.78 52.72 17.43 53.13 c 17.06 53.55 16.88 53.76 16.79 53.85 c 16.71 53.91 16.7 53.91 16.39 53.68 c 16.29 53.79 l 17.02 54.42 l 17.03 54.4 17.07 54.37 17.1 54.35 c 18.8 53.37 l 18.8 53.38 l 18.06 55.32 l 18.78 55.93 l 18.88 55.81 l 18.6 55.54 18.59 55.52 18.65 55.44 c 18.71 55.34 18.9 55.13 19.25 54.71 c 19.62 54.29 19.8 54.07 19.89 53.99 c 19.96 53.93 19.98 53.93 20.29 54.17 c 20.39 54.05 l 19.45 53.24 l 19.35 53.36 l 19.62 53.62 19.62 53.65 19.57 53.71 c 18.28 55.21 l 18.28 55.2 l 19.05 53.21 l 19.07 53.15 19.09 53.09 19.12 53.03 c 18.91 52.85 l 18.89 52.88 18.84 52.91 18.79 52.94 c 16.91 54.03 l 16.9 54.02 l 17.98 52.77 l 18.05 52.69 18.17 52.58 18.21 52.54 c 18.28 52.48 18.3 52.48 18.58 52.69 c 18.68 52.58 l 17.91 51.91 l 17.81 52.03 l h f 21.26 55.82 m 21.28 55.83 21.29 55.85 21.28 55.86 c 21.27 55.87 21.24 55.89 21.22 55.91 c 20.45 56.47 l 20.65 55.51 l 20.65 55.49 20.66 55.47 20.67 55.46 c 20.67 55.44 20.7 55.45 20.71 55.46 c 21.26 55.82 l h 20.46 54.26 m 20.67 54.43 20.67 54.53 20.6 54.84 c 20.27 56.47 l 20.22 56.74 20.2 56.81 20.17 56.95 c 20.32 57.04 l 20.4 56.96 20.56 56.83 20.66 56.77 c 22.19 55.71 l 22.39 55.57 22.43 55.55 22.68 55.71 c 22.77 55.58 l 21.75 54.93 l 21.66 55.05 l 21.96 55.26 21.97 55.3 21.91 55.38 c 21.88 55.44 21.53 55.69 21.49 55.71 c 21.47 55.72 21.46 55.72 21.44 55.71 c 21.36 55.66 21.2 55.58 20.9 55.38 c 20.71 55.26 20.72 55.24 20.73 55.15 c 20.78 54.93 20.83 54.74 20.85 54.71 c 20.91 54.62 20.95 54.62 21.25 54.78 c 21.33 54.65 l 20.54 54.14 l 20.46 54.26 l h f 22.79 55.77 m 23.09 55.94 23.1 55.96 23.06 56.05 c 23.02 56.17 22.9 56.42 22.65 56.92 c 22.41 57.41 22.28 57.66 22.21 57.76 c 22.16 57.85 22.14 57.85 21.82 57.72 c 21.76 57.85 l 22.41 58.18 l 22.45 58.15 22.51 58.12 22.57 58.08 c 24.3 57.11 l 24.3 57.12 l 24.05 57.61 l 23.81 58.1 23.68 58.35 23.62 58.46 c 23.57 58.55 23.54 58.55 23.19 58.4 c 23.12 58.53 l 24.02 58.98 l 24.09 58.85 l 23.79 58.7 23.77 58.66 23.85 58.48 c 23.92 58.31 24.01 58.11 24.1 57.94 c 24.41 57.32 24.67 56.8 24.82 56.56 c 24.58 56.45 l 24.33 56.63 24.12 56.76 23.83 56.91 c 22.5 57.65 l 22.5 57.64 l 22.82 57 l 23.06 56.51 23.19 56.25 23.25 56.15 c 23.31 56.06 23.33 56.06 23.73 56.23 c 23.79 56.1 l 22.85 55.63 l 22.79 55.77 l h f 26.51 58.16 m 26.75 57.78 27.01 57.57 27.38 57.68 c 27.75 57.79 27.87 58.07 27.81 58.28 c 27.74 58.51 27.54 58.53 27.28 58.54 c 26.98 58.55 l 26.32 58.56 26.18 58.75 26.1 59.01 c 25.97 59.45 26.24 59.86 26.76 60.02 c 27.02 60.1 27.26 60.13 27.45 60.14 c 27.46 60.1 27.47 60.04 27.49 59.99 c 27.55 59.83 27.6 59.67 27.67 59.5 c 27.51 59.45 l 27.32 59.86 27.08 59.94 26.75 59.84 c 26.46 59.75 26.29 59.49 26.35 59.28 c 26.4 59.13 26.51 59.05 26.79 59.03 c 27.41 59.01 l 27.82 58.99 28.02 58.85 28.11 58.53 c 28.25 58.08 27.97 57.68 27.42 57.51 c 27.17 57.43 26.88 57.46 26.64 57.38 c 26.58 57.56 26.46 57.86 26.36 58.08 c 26.51 58.16 l h f 28.48 58.05 m 28.8 58.15 28.81 58.16 28.8 58.26 c 28.79 58.38 28.73 58.66 28.62 59.19 c 28.51 59.73 28.45 60.01 28.41 60.13 c 28.38 60.22 28.36 60.22 28.04 60.19 c 28.01 60.33 l 29.31 60.6 l 29.51 60.65 29.71 60.71 29.84 60.76 c 29.88 60.59 30 60.2 30.05 60.11 c 29.91 60.06 l 29.71 60.49 29.63 60.52 29.14 60.41 c 28.83 60.35 l 28.79 60.34 28.77 60.32 28.78 60.27 c 28.95 59.48 l 28.95 59.43 28.97 59.42 29.06 59.43 c 29.17 59.46 l 29.55 59.53 29.56 59.6 29.54 59.85 c 29.69 59.88 l 29.71 59.77 29.73 59.66 29.76 59.49 c 29.8 59.35 29.83 59.19 29.85 59.1 c 29.7 59.06 l 29.63 59.31 29.57 59.36 29.29 59.3 c 29.05 59.26 l 29.01 59.24 28.99 59.23 29 59.18 c 29.19 58.29 l 29.2 58.25 29.22 58.23 29.27 58.24 c 29.86 58.36 l 30.14 58.42 30.2 58.51 30.22 58.75 c 30.24 59.01 l 30.41 59 l 30.41 58.8 30.43 58.46 30.46 58.31 c 28.51 57.9 l 28.48 58.05 l h f 31.42 59.86 m 31.43 59.8 31.44 59.79 31.67 59.81 c 32.22 59.86 32.29 60.17 32.27 60.37 c 32.24 60.66 31.99 60.84 31.6 60.8 c 31.35 60.78 31.33 60.76 31.34 60.67 c 31.42 59.86 l h 30.73 58.53 m 31.08 58.58 31.1 58.6 31.1 58.7 c 31.1 58.82 31.08 59.1 31.02 59.65 c 30.97 60.2 30.94 60.47 30.92 60.6 c 30.9 60.69 30.88 60.7 30.51 60.69 c 30.5 60.84 l 31.86 60.97 l 32.15 61 32.3 60.98 32.45 60.89 c 32.6 60.82 32.7 60.67 32.73 60.45 c 32.78 59.94 32.2 59.79 32.2 59.76 c 32.2 59.74 32.22 59.72 32.26 59.67 c 32.92 58.97 l 33.08 58.79 33.13 58.76 33.3 58.78 c 33.31 58.63 l 32.71 58.57 l 31.81 59.61 l 31.78 59.64 31.75 59.64 31.6 59.63 c 31.46 59.61 31.45 59.61 31.45 59.57 c 31.51 58.94 31.53 58.83 31.55 58.74 c 31.57 58.64 31.59 58.63 31.95 58.65 c 31.97 58.5 l 30.74 58.38 l 30.73 58.53 l h f 32.84 61.07 m 34.06 61.09 l 34.06 60.94 l 33.89 60.94 l 33.72 60.93 33.69 60.88 33.69 60.83 c 33.7 60.75 33.88 60.29 34.07 59.82 c 34.34 59.15 l 34.61 59.87 l 34.76 60.28 34.94 60.75 34.94 60.85 c 34.94 60.95 34.88 60.95 34.56 60.95 c 34.56 61.1 l 35.52 61.12 l 35.52 60.97 l 35.42 60.97 l 35.26 60.96 35.19 60.89 35.03 60.47 c 34.48 59.04 34.42 58.87 34.37 58.56 c 34.13 58.56 l 34.1 58.81 33.48 60.24 33.29 60.61 c 33.15 60.92 33.12 60.92 32.84 60.92 c 32.84 61.07 l h f 35.6 58.74 m 35.98 58.74 36 58.75 36.02 58.84 c 36.05 58.96 36.07 59.25 36.11 59.79 c 36.16 60.34 36.18 60.62 36.18 60.75 c 36.17 60.84 36.15 60.85 35.77 60.91 c 35.78 61.06 l 37.05 60.96 l 37.04 60.81 l 36.66 60.81 36.63 60.81 36.62 60.71 c 36.59 60.59 36.57 60.31 36.52 59.76 c 36.48 59.21 36.46 58.93 36.46 58.81 c 36.46 58.71 36.49 58.7 36.87 58.64 c 36.86 58.49 l 35.58 58.59 l 35.6 58.74 l h f 39.4 58.67 m 39.03 58.32 38.7 58.16 38.21 58.24 c 37.65 58.33 37.11 58.82 37.25 59.7 c 37.36 60.35 37.86 60.92 38.73 60.78 c 38.96 60.74 39.25 60.64 39.46 60.55 c 39.43 60.36 39.43 60.03 39.44 59.86 c 39.26 59.85 l 39.21 60.29 39.03 60.55 38.63 60.62 c 38.19 60.69 37.82 60.32 37.71 59.64 c 37.6 58.93 37.92 58.51 38.33 58.44 c 38.7 58.39 39.01 58.53 39.26 58.8 c 39.4 58.67 l h f 39.42 58.24 m 39.75 58.18 39.77 58.19 39.8 58.28 c 39.84 58.39 39.92 58.66 40.06 59.19 c 40.21 59.73 40.28 60 40.3 60.12 c 40.31 60.22 40.3 60.23 39.99 60.34 c 40.03 60.49 l 41.32 60.14 l 41.51 60.09 41.72 60.05 41.86 60.04 c 41.82 59.87 41.75 59.47 41.75 59.37 c 41.6 59.38 l 41.62 59.85 41.56 59.92 41.08 60.05 c 40.78 60.13 l 40.73 60.14 40.7 60.12 40.69 60.08 c 40.48 59.3 l 40.47 59.25 40.47 59.23 40.57 59.2 c 40.67 59.18 l 41.04 59.08 41.08 59.13 41.18 59.37 c 41.33 59.32 l 41.3 59.21 41.26 59.11 41.22 58.94 c 41.18 58.8 41.15 58.65 41.12 58.55 c 40.97 58.59 l 41.02 58.84 40.99 58.91 40.72 58.98 c 40.48 59.05 l 40.44 59.06 40.42 59.05 40.4 59 c 40.17 58.13 l 40.16 58.08 40.17 58.06 40.21 58.05 c 40.8 57.89 l 41.07 57.81 41.16 57.88 41.3 58.08 c 41.43 58.3 l 41.58 58.21 l 41.48 58.03 41.36 57.72 41.31 57.57 c 39.38 58.09 l 39.42 58.24 l h f 42.12 58.18 m 42.07 57.74 42.15 57.4 42.51 57.27 c 42.87 57.13 43.14 57.28 43.22 57.48 c 43.3 57.7 43.16 57.84 42.95 58.01 c 42.72 58.19 l 42.2 58.61 42.22 58.84 42.31 59.11 c 42.48 59.54 42.94 59.69 43.45 59.5 c 43.71 59.41 43.91 59.28 44.07 59.18 c 44.06 59.14 44.03 59.08 44.01 59.03 c 43.95 58.87 43.91 58.71 43.86 58.54 c 43.7 58.59 l 43.79 59.03 43.65 59.24 43.33 59.36 c 43.04 59.47 42.75 59.38 42.68 59.16 c 42.62 59.01 42.66 58.88 42.87 58.71 c 43.35 58.31 l 43.66 58.05 43.73 57.81 43.61 57.49 c 43.44 57.04 42.98 56.91 42.43 57.11 c 42.19 57.2 41.98 57.4 41.74 57.49 c 41.8 57.66 41.89 57.97 41.95 58.21 c 42.12 58.18 l h f 44.99 57.68 m 45.11 57.62 45.16 57.47 45.1 57.35 c 45.04 57.22 44.89 57.17 44.77 57.24 c 44.65 57.29 44.59 57.44 44.66 57.56 c 44.71 57.69 44.86 57.74 44.99 57.68 c f 46.13 58.28 m 47.2 57.67 l 47.12 57.54 l 46.79 57.7 46.77 57.7 46.71 57.62 c 46.64 57.52 46.49 57.28 46.04 56.5 c 45.9 56.26 45.75 55.83 46.22 55.56 c 46.76 55.24 46.99 55.47 47.36 56.1 c 47.65 56.6 47.79 56.85 47.84 56.96 c 47.88 57.05 47.87 57.07 47.55 57.28 c 47.62 57.42 l 48.51 56.89 l 48.44 56.77 l 48.11 56.93 48.09 56.93 48.03 56.85 c 47.95 56.75 47.81 56.51 47.42 55.84 c 47.14 55.36 46.81 54.96 46.04 55.41 c 45.55 55.69 45.36 56.15 45.69 56.72 c 46.14 57.48 46.28 57.73 46.33 57.84 c 46.37 57.93 46.36 57.95 46.06 58.16 c 46.13 58.28 l h f 48.06 55.18 m 47.89 54.78 47.88 54.43 48.18 54.21 c 48.5 53.97 48.79 54.04 48.93 54.22 c 49.07 54.4 48.96 54.58 48.81 54.8 c 48.64 55.03 l 48.26 55.58 48.33 55.8 48.5 56.02 c 48.77 56.39 49.26 56.42 49.7 56.09 c 49.92 55.93 50.09 55.76 50.21 55.61 c 50.18 55.57 50.14 55.53 50.11 55.49 c 50.01 55.35 49.92 55.2 49.83 55.05 c 49.69 55.15 l 49.9 55.54 49.82 55.79 49.55 55.99 c 49.3 56.17 49 56.15 48.86 55.97 c 48.77 55.85 48.77 55.71 48.93 55.49 c 49.28 54.97 l 49.5 54.63 49.51 54.39 49.31 54.12 c 49.02 53.73 48.54 53.73 48.07 54.07 c 47.86 54.23 47.71 54.47 47.51 54.62 c 47.61 54.77 47.78 55.05 47.9 55.26 c 48.06 55.18 l h f 50.84 53.18 m 50.86 53.16 50.87 53.17 50.88 53.17 c 50.9 53.18 50.91 53.23 50.92 53.24 c 51.27 54.13 l 50.39 53.69 l 50.37 53.68 50.35 53.67 50.34 53.66 c 50.33 53.65 50.34 53.63 50.36 53.62 c 50.84 53.18 l h 49.13 53.57 m 49.35 53.39 49.44 53.43 49.73 53.57 c 51.22 54.29 l 51.47 54.42 51.53 54.45 51.65 54.53 c 51.78 54.4 l 51.72 54.31 51.65 54.12 51.6 54 c 50.97 52.25 l 50.88 52.02 50.87 51.98 51.1 51.78 c 51 51.67 l 50.1 52.48 l 50.2 52.59 l 50.47 52.36 50.52 52.36 50.58 52.43 c 50.62 52.49 50.78 52.88 50.79 52.93 c 50.79 52.95 50.79 52.96 50.78 52.98 c 50.71 53.05 50.58 53.18 50.32 53.42 c 50.16 53.56 50.14 53.56 50.07 53.52 c 49.85 53.42 49.69 53.32 49.66 53.3 c 49.59 53.22 49.6 53.17 49.83 52.92 c 49.73 52.81 l 49.03 53.45 l 49.13 53.57 l h f Q Q Q Q b endstream endobj 9 0 obj <> endobj 32 0 obj <> endobj 54 0 obj <> endobj 55 0 obj <>>> endobj 56 0 obj <> endobj xref 0 57 0000000000 65535 f 0000385741 00000 n 0000385880 00000 n 0000403465 00000 n 0000403606 00000 n 0000425548 00000 n 0000413408 00000 n 0000425314 00000 n 0000000015 00000 n 0000458335 00000 n 0000016868 00000 n 0000425457 00000 n 0000017071 00000 n 0000042473 00000 n 0000042638 00000 n 0000067818 00000 n 0000067983 00000 n 0000099977 00000 n 0000120064 00000 n 0000120253 00000 n 0000143403 00000 n 0000143559 00000 n 0000162970 00000 n 0000163126 00000 n 0000190371 00000 n 0000190536 00000 n 0000214001 00000 n 0000214166 00000 n 0000232432 00000 n 0000232588 00000 n 0000249631 00000 n 0000249787 00000 n 0000458465 00000 n 0000283265 00000 n 0000283422 00000 n 0000314149 00000 n 0000314306 00000 n 0000329563 00000 n 0000329720 00000 n 0000384150 00000 n 0000384342 00000 n 0000384960 00000 n 0000385968 00000 n 0000401959 00000 n 0000402152 00000 n 0000402740 00000 n 0000403695 00000 n 0000412536 00000 n 0000412724 00000 n 0000413023 00000 n 0000413543 00000 n 0000424177 00000 n 0000424372 00000 n 0000424805 00000 n 0000458546 00000 n 0000458606 00000 n 0000458715 00000 n trailer <]>> %iText-5.5.12 startxref 459700 %%EOF