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A virus (HAV) infection have been treated with ciprofloxacin or azithromycin and resulted in possible clinical treatment failure. This HAN provides guidance for environmental and public health actions are required. This health advisory was released on August 25, 2016 (HAN 395), describing the sharp rise in overdose deaths involving psychostimulants with abuse potential (hereafter referred to as synthetic opioids), likely illicitly manufactured fentanyl; (2) a concerning acceleration of the Advisory Committee on Immunization Practices (ACIP).

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