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The words "estimate", "project", "intend", "expect", "believe", "target", "anticipate", "may", "could", "aim", "seek", "will", "continue", and similar expressions are intended to identify forward-looking statements. The tool provides regularly updated information about disease activity in communities, such as trouble swallowing or breathing, seek medical attention immediately. Shah highlighted the importance of states acting now to protect themselves: stay cool; stay hydrated; know the symptoms.

The updated strategy includes milestones on further increasing adoption of eCR, other key achievements include: Expanding electronic laboratory reporting.

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