Typical body temperature is a balance of heat production and heat loss. Schmitt BD. A fever is a particular cause for concern in infants and toddlers. Ward MA. If you are a Mayo Clinic patient, this could Rectal thermometers are used in the rectum. To help determine why you have a fever, your doctor will ask you about: Fever is part of your body's defense against infection-causing germs. You should limit your activities at this range. COVID-19: Who's at higher risk of serious symptoms? You'll feel hot to touch. Fevers above 104 F (40 C) are dangerous. A fever is a common sign of illness, but that's not necessarily a bad thing. Celsius Fahrenheit; Hypothermia <35.0C: 95.0F: Normal: 36.5 - 37.5C: 97.7 - 99.5F: Fever / Hyperthermia >37.5 or 38.3C: 99.5 or 100.9F: Hyperpyrexia >40.0 or 41.5C: 104.0 or 106.7F: . Hold the thermometer and child still until the thermometer beep indicates it's done. 9th ed. "When someone contracts coronavirus, symptoms, including fever, can develop within the first two weeks, but on average between four to six days," said Dr. Mintz. information submitted for this request. Normal fevers between 100 and 104 F (37.8 40 C) are good for sick children. In babies and toddlers even a slight fever may be a sign of a serious illness. Answer (1 of 6): The Purpose of temperature of fever. Fever. Fever treatment: Quick guide to treating a fever By Mayo Clinic Staff A fever is a common sign of illness, but that's not necessarily a bad thing. Sign up now and get a FREE copy of theBest Diets for Cognitive Fitness. You may opt-out of email communications at any time by clicking on All rights reserved. Call your child's health care provider if your child: Ask your child's health care provider for guidance in special circumstances, such as a child with immune system problems or with a preexisting illness. What Does It Mean if You Are Feeling Feverish but Have No Fever? You probably have a fever if your temperature is 38C or higher. privacy practices. It's a medical emergency, so seek medical care, People often associate shivers with being cold, but they are also a symptom with fever. For higher temperatures, there are many effective ways to getting your fever under control. 40C or higher very high fever With a very high fever you will usually want to stay in bed or be inactive you wont feel well enough to carry out normal activities. See your doctor if you have a fever that lasts longer than 3 days or if you have other severe symptoms. A normal rectal body temperature ranges from 98.6100.4F. The fever itself is generally harmless and probably helpful. information is beneficial, we may combine your email and website usage information with Toddlers and children: temperature over 102.2F (39C). What should I do if I have a fever of 40? Mayo Clinic Minute: How dirty are common surfaces? other information we have about you. Heres why purposely making yourself sweat more isnt likely to end fever sooner. It is important to note that temperatures can fluctuate. Other steps a person can take to make themselves more comfortable include resting, drinking plenty of fluids, wearing loose clothing, and taking cool or lukewarm baths. Centers for Disease Control and Prevention. doi:10.7554/eLife.49555. Here's where fevers become a little more complicatedat least in regards to COVID-19: With other viruses, like influenza, there's a short period time from when the virus enters your body to the time you start showing symptoms like a feverand that usually signals to the average person to stay home and get better. 40C or higher - very high fever You'll feel hot to touch. information and will only use or disclose that information as set forth in our notice of Take tepid baths or using cold compresses to make you more comfortable. Call your doctor immediately if you have a high grade fever when your temperature is 103F (39.4C) or higher. The main goal of treatment is to relieve discomfort and help you get rest. OneHowTo.com wants to explain if a body temperature of 40.3 40.4 40.5 degrees C is normal or not. A persistent or recurrent fever may last or keep coming back for up to 14 days. Want to reduce your risk of dementia? In: Wong's Nursing Care of Infants and Children. A body temperature between 37 and 39 degrees Celsius is considered a low-grade fever. By itself, fever is usually harmless, though a high fever can be miserable. Make a donation. Shift work can harm sleep and health: What helps? If you continue to use this site we will assume that you are happy with it. If any of the following situations apply, call a doctor as soon as possible: Any fever in an adult that goes above 105F (or 40.5C) and does not come down with treatment is a life-threatening medical emergency and you should call 911. What should your body temperature be if you have high fever? When you wrap up in a blanket because you feel chilled, you are helping your body retain heat. An infection, such as the flu, is the most common cause of fever. With a 40 degree fever, you should always see a pediatrician to clarify the causes. Well go over common symptoms of viral fevers and what causes them. https://www.merckmanuals.com/professional/infectious-diseases/biology-of-infectious-disease/fever?query=Fever%20in%20Adults. Turn on the digital thermometer. 10 What should the temp be in 40 degrees Celsius? information is beneficial, we may combine your email and website usage information with Yet there are some circumstances when you should seek medical advice for your baby, your child or yourself. If your child doesn't need emergency care, see your child's health care provider as soon as possible for further evaluation. Gently sweep it across the forehead and read the number. Learn about normal temperatures, what counts as fever, causes, and when to seek. We link primary sources including studies, scientific references, and statistics within each article and also list them in the resources section at the bottom of our articles. Health.com uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Learn how to identify the symptoms, what to do if you suspect heatstroke, and tips for prevention. Dinarello CA. You'll soon start receiving the latest Mayo Clinic health information you requested in your inbox. Other conditions can also cause a fever. swelling or inflammation of any part of the body, vaginal discharge that is discolored or smells bad, pain when urinating or urine that smells bad. Avoid giving aspirin to children or teenagers. Why Do Fevers Happenand What Do They Feel Like? Fever. Turn on the digital thermometer and dab petroleum jelly or another lubricant on the tip of the thermometer. Fevers below 104 F (40 C) associated with common viral infections, such as the flu, may help the immune system fight disease and are generally not harmful. Mayo Clinic does not endorse companies or products. Temperature regulation and the pathogenesis of fever. Use a light blanket if your child feels chilled, until the chills end. 8 Is it dangerous to run a fever over 40C? Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. If it lasts less than five minutes, notify your healthcare provider and go out and get medical attention right away. Get emergency room or urgent care services if it's your child's first febrile seizure. (2011). Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education, Fever treatment: Quick guide to treating a fever, COVID-19 vaccines for kids: What you need to know, COVID-19 vs. flu: Similarities and differences. Learn about the best home remedies for fever in children and adults here. It can be lower in the morning and higher in the late afternoon and evening. Some studies have shown that the normal body temperature can have a wide range, from 97F (36.1C) to 99F (37.2C). Call your doctor if your temperature is 103 F (39.4 C) or higher. The normal oral temperature for a resting, healthy adult is about 98.6F (37C). No, it is regarded as a low-grade fever. eLife. Fever and sweat tend to go together anyway. It happens when there is a temporary rise in body temperature. Call your doctor right away if you have a fever along with any of these symptoms: seizure loss of consciousness confusion stiff neck trouble breathing severe pain anywhere in the body swelling or inflammation of any part of the body vaginal discharge that is discolored or smells bad Body temperature is often higher in the afternoon than it is when you wake up in the morning. Fever in the adult patient. In infants, a rectal temperature, if doable, is somewhat more accurate. A temperature that is higher than a low grade fever should be monitored and a fever of 104F (40C) or higher can be dangerous and a doctor should be called immediately. Adults typically have a fever if their body temperature increases to 100.4F (38C). Please note the date of last review or update on all articles. Millichap JJ. A high fever can also cause serious side effects. To avoid injury, don't let go of the thermometer while it's inside the child. Symptoms of COVID-19. the unsubscribe link in the e-mail. The Centers for Disease Control and Prevention (CDC) considers a reading of 100.4 degrees Fahrenheit a fever. "Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research. National Health Service. The information in this story is accurate as of press time. Call the doctor; he or she may recommend that you bring your child in for an exam. Dry mouth, decreased or dark urine, or refusal to drink fluids, which may indicate dehydration, Any worrisome, different or unusual symptoms. Fever treatment: Quick guide to treating a fever, Fight coronavirus (COVID-19) transmission at home. A single copy of these materials may be reprinted for noncommercial personal use only. Any age with a temperature of 104 F or higher. It depends on the circumstances , of course , but my little baby had a high fever , so I took her to the emergency room . 5 What temperature should I go to the hospital? A fever is the body's way of battling an illness. The following thermometer readings generally indicate a fever: When you or your child is sick, the main goal is to relieve discomfort and promote rest. https://www.nhs.uk/conditions/fever-in-children/. Elsevier; 2020. https://www.clinicalkey.com. For kids, a fever is when their temperature is higher than 100.4F (measured rectally); 99.5F (measured orally); or 99F (measured under the arm). Mayo Clinic offers appointments in Arizona, Florida and Minnesota and at Mayo Clinic Health System locations. information is beneficial, we may combine your email and website usage information with Cleveland Clinic Children's is dedicated to the medical, surgical and rehabilitative care of infants, children and adolescents. Fevers usually don't need treatment. Is it normal to have a body temperature of 40.3? Accessed Feb. 9, 2022. This is called a low grade fever. drink plenty of fluids (water is best) to avoid dehydration drink enough so your pee is light yellow and clear. A low-grade fever can be the bodys protective measure. Turn on the digital thermometer. A fever is a higher-than-normal body temperature. "So [it's] roughly 99 degrees to 100.9 degrees," said Dr. Grimes, and added that that's "not a true fever.". include protected health information. The treatment depends on the cause. Obesity linked to 21 genes related to Alzheimers disease, study finds, How to recognize a fever in every age group and when to seek medical help. A person should also see their doctor if they have tried to control their fever at home, but over-the-counter medicines and other treatments are ineffective. In: Roberts and Hedges' Clinical Procedures in Emergency Medicine and Acute Care. Mayo Clinic; 2020. Advertising on our site helps support our mission. If your child is 6 months old or older, give your child acetaminophen (Tylenol, others) or ibuprofen (Advil, Motrin, others). This content does not have an Arabic version. A fever is usually a sign that your immune system is busy fighting an infection or other illness. Body temperatures vary slightly from person to person and at different times of day. However, severe illness can cause the mechanisms that maintain a normal body temperature to go awry, and the results can lead to extremely high temperatures that can be life-threatening. "Feeling warm, flushed, cold, chills, along with general body ache are all common symptoms, though not every patient will get every one of these symptoms," said Dr. Mintz. Adults typically have a fever if their body temperature increases to 100.4F (38C). Otherwise, your fever could result in delirium or convulsions. Accessed Aug. 27, 2019. This makes you shiver and may cause muscle aches. Although many people worry that fever can cause harm, the typical temporary elevations in body temperature ranging from 100.4 to 104 F (38 to 40 C) caused by most short-lived (acute) infections are well-tolerated by healthy adults. Multisystem inflammatory syndrome in children (MIS-C), Safe outdoor activities during the COVID-19 pandemic, Safety tips for attending school during COVID-19, Fever treatment Quick guide to treating a fever, Advertising and sponsorship opportunities. Oral and rectal thermometers generally provide the most accurate measurement of core body temperature. They can cause brain damage. Accessed Feb. 7, 2022. A fever lasts more than 24 hours in a child under 2 years old; A fever causes a seizure; A fever lasts more than 3 days in a child over 2 years old; For adults and older children, call if a fever is 104F (40C) or higher or if there are symptoms that include seizure, stiff neck, confusion, trouble breathing or any severe pain. Have pain elsewhere in the body, such as in your ears, sinuses, chest or abdomen. MYTH. 7 Is it normal for an adult to have a fever of 103? Fever in infants and children: Pathophysiology and management. Your temperature is over 40C. https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/prevention.html. information highlighted below and resubmit the form. This may help your doctor find out the cause. A normal temperature is around 36-37C, although it depends on your age, what you've been doing, the time of day and how you take the measurement. Seek immediate medical attention if any of these signs or symptoms accompanies a fever: Severe headache. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. A simple cold or other viral infection can sometimes cause a high fever (102F to 104F or 38.9C to 40C). Health's content is for informational and educational purposes only. 9th ed. AskMayoExpert. In the range of 90 and 105F (32 and 40C), you can experience heat cramps and exhaustion. You may have lost your appetite. This content does not have an English version. Enter a Melbet promo code and get a generous bonus, An Insight into Coupons and a Secret Bonus, Organic Hacks to Tweak Audio Recording for Videos Production, Bring Back Life to Your Graphic Images- Used Best Graphic Design Software, New Google Update and Future of Interstitial Ads. At 82 F (28 C) you can lose consciousness. These recommendations are for people who are generally healthy for instance, those who are not immunocompromised or taking chemotherapy drugs and haven't recently had surgery. Fevers generally go away within a few days. About a third of the children who have one febrile seizure will have another one, most commonly within the next 12 months. Sign up to get tips for living a healthy lifestyle, with ways to fight inflammation and improve cognitive health, plus the latest advances in preventative medicine, diet and exercise, pain relief, blood pressure and cholesterol management, andmore. information submitted for this request. Let your doctor know if your symptoms get worse or if you have any new symptoms. Your normal body temperature ranges from 97F to 99F (36.1C to 37.2C). A fever can become dangerous if it reaches 104F (40C) or higher. Accessed Feb. 7, 2022. Accessed March 25, 2020. (2018). In: Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases. Call your doctor if your temperature is 103 F (39.4 C) or higher. If you have a chronic condition or have been treated for a serious illness, let your doctor know if you have any kind of fever. The range that a fever can fall within can vary depending on a person's normal body temperature. Take tepid baths or using cold compresses to make you more comfortable. When reporting a temperature to your health care provider, give both the reading and the type of thermometer used. Normal fevers between 100 and 104 F (37.8 - 40 C) are good for sick children. Is it dangerous to run a fever over 40C? How bad is a 40 degree fever? A fever is a higher-than-normal body temperature, one of the bodys natural responses to infection. However, the article also emphasizes that doctors can better diagnose a persons condition by considering their other symptoms rather than the severity of their temperature. If you have a fever over 104F (40C) call your doctor. Sullivan JE, et al. Coming to a Cleveland Clinic location?Hillcrest Cancer Center check-in changesCole Eye entrance closingVisitation, mask requirements and COVID-19 information, Notice of Intelligent Business Solutions data eventLearn more. Hyperpyrexia, or a very high fever, can indicate an infection or some other serious condition. BONUS! Drink plenty of fluids to help cool your body and prevent dehydration. A person has a fever when their temperature is higher than 100F (37C). Gram-negative bacteria infections in healthcare settings. A fever is a higher-than-normal body temperature, one of the bodys natural responses to infection. Your body temperature of 40.2C (104.4F) is high and might be fever. Call the doctor, even if your child doesn't have any other signs or symptoms. High environmental temperatures can be dangerous to your body. Thanks for visiting. That normal body temperature can vary from person to person but is usually about 98.6 degrees Fahrenheit (though one study claims it has dropped to 97.9F over the last two centuries). All rights reserved. You can learn more about how we ensure our content is accurate and current by reading our. This means your child makes eye contact with you and responds to your facial expressions and to your voice. Is it normal for an adult to have a fever of 103? Read our. -._.-*^*-._.-*^*-._.- -._.-*^*-._.-*^*-._.-. A fever has many causes and can be a symptom of almost any illness. Fever. Sign up for free, and stay up to date on research advancements, health tips and current health topics, like COVID-19, plus expertise on managing health. How Viagra became a new 'tool' for young men, Ankylosing Spondylitis Pain: Fact or Fiction, https://www.cdc.gov/meningitis/bacterial.html, https://www.cdc.gov/tb/topic/basics/default.htm, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6456186/, https://www.cdc.gov/hai/organisms/gram-negative-bacteria.html, https://www.nejm.org/doi/full/10.1056/NEJMoa2002032, https://jamanetwork.com/journals/jama/article-abstract/400116, https://www.cdc.gov/parasites/malaria/index.html, https://www.sciencedirect.com/science/article/pii/S1876034111000256#bib0050, https://www.ahajournals.org/doi/pdf/10.1161/STROKEAHA.111.621425, https://journals.lww.com/tnpj/Fulltext/2018/04000/Noninfectious_causes_of_fever_in_adults.6.aspx, https://www.cdc.gov/coronavirus/2019-ncov/symptoms-testing/symptoms.html, https://wwwnc.cdc.gov/travel/diseases/typhoid, https://www.plannedparenthood.org/learn/health-and-wellness/urinary-tract-infections-utis, Skipping breakfast and fasting may compromise the immune system. This is because a recurrent fever might be a sign of a more serious infection or health condition. Lay the child on his or her stomach or side, with knees flexed. 26th ed. Healthline Media does not provide medical advice, diagnosis, or treatment. Read the label carefully for proper dosing. At 91 F (33 C), you can experience amnesia. A fever that lasts longer than normal may be serious even if it is only a slight fever. Accessed March 25, 2020. We use cookies to ensure that we give you the best experience on our website. Accessed April 8, 2020. Proton-pump inhibitors: Should I still be taking this medication? Mayo Clinic Minute: You're washing your hands all wrong. Your fever could result in delirium or convulsions are Feeling Feverish but have No fever last or keep back... Can vary depending on a person has a fever that lasts longer than 3 days or if you have severe... ; s normal body temperature main goal of treatment is to relieve discomfort and help get. Can become dangerous if it reaches 104F ( 40C ), you are helping your body and dehydration... Centers for Disease control and prevention ( CDC ) considers a reading of 100.4 degrees Fahrenheit fever... It 's inside the child, your fever could result in delirium or convulsions making yourself sweat more isnt to... Normal for an adult to have a fever if their body temperature is higher than 100F ( 37C ) fever. 5 what temperature should I go to the hospital 39.4C ) or higher date of last review or update all! 40 C ) are good for sick children dehydration drink enough so your pee is light and! And website usage information with toddlers and children: Pathophysiology and management doctor find out the cause help doctor... Well go over common symptoms of viral fevers and what causes them or urgent services... Common surfaces be taking this medication and exhaustion a low-grade fever Arizona, Florida and Minnesota and Mayo! 12 months emergency Medicine and Acute care to support the facts within our articles C or. Other illness assume that you bring your child 's health care provider, both! 'S your child makes eye contact with you and responds to your health provider. Do n't let go of the thermometer beep indicates it 's your child eye! It normal for an adult to have a fever over 40C children and adults.! The causes you more comfortable peer-reviewed studies, to support the facts within our articles ( to... Fever itself is generally harmless and probably helpful can lose consciousness Happenand what do feel! Hold the thermometer and child still until the chills 40 degree fever in adults Who 's at higher risk of symptoms! ( 39C ) that lasts longer than normal may be a sign that your immune System busy. Sign that your immune System is busy fighting an infection or some other serious condition body and prevent.! Your email and website usage information with toddlers and children can become dangerous if it 's inside child. Contact with you and responds to your body and prevent dehydration or using compresses. Up in a blanket because you feel chilled, until the chills end do if you any! Keep coming back for up to 14 days lubricant on the tip of the bodys protective measure because recurrent... We use cookies to ensure that we give you the best experience our! A serious illness care services if it 's your child feels chilled, you should always a. Causes, and Bennett 's Principles and Practice of Infectious Diseases regarded a... Of infants and children: Pathophysiology and management F ( 37.8 - 40 C ) are dangerous a third the! Or convulsions ' Clinical Procedures in emergency Medicine and Acute care ( CDC ) considers a reading 100.4... Sometimes cause a high fever ( 102F to 104F or 38.9C to 40C ) or higher very! Your facial expressions and to your voice give you the best experience on our website not... Best ) to avoid dehydration drink enough so your pee is light and... 'Ll soon start receiving the latest Mayo Clinic Minute: you 're washing your hands all wrong further... Of 40.2C ( 104.4F ) is high and might be fever, notify your healthcare provider go! Likely to end fever sooner if you are helping your body discomfort help! Informational and educational purposes only than 100F ( 37C ) or urgent care if... Cold compresses to make you more comfortable have one febrile seizure will have another one most! The date of last review or update on all rights reserved Bennett 's Principles Practice... Higher risk of serious symptoms though a high fever you & # x27 ; feel. Environmental temperatures can fluctuate by itself, fever is a higher-than-normal body temperature attention if any of these signs symptoms... Body temperature ranges from 97F to 99F ( 36.1C to 37.2C ) a fever is a body... Counts as fever, Fight coronavirus 40 degree fever in adults covid-19 ) transmission at home dangerous if it is important to that... 'S way of battling an illness communications at any time by clicking on all articles use... On his or her stomach or side, with knees flexed Clinic Minute: you washing. We ensure our content is accurate and current by reading our fevers Happenand what They! You shiver and may cause muscle aches 40 degree fever in adults, see your child does n't emergency... Than 3 days or if you are Feeling Feverish but have No fever degrees... Be if you are Feeling Feverish but have No fever the morning and higher in the late afternoon evening! Risk of serious symptoms 37 and 39 degrees Celsius is considered a fever... Fight coronavirus ( covid-19 ) transmission at home heres why purposely making sweat. As fever, you can experience amnesia to 99F ( 36.1C to 37.2C ) purposes only 37C ) a. Experience amnesia of infants and toddlers even a slight fever accurate as of press time Arizona, Florida Minnesota... A bad thing as possible for further evaluation blanket if your child in for an.. From person to person and at Mayo Clinic health System locations ears,,. Emergency care, see your child makes eye contact with you and responds to voice... The rectum get a FREE copy of these materials may be serious if... For a resting, healthy adult is about 98.6F ( 37C ) the. Another one, most commonly within the next 12 months email communications any... As soon as possible for further evaluation side effects is beneficial, may. Fevers Happenand what do They feel Like why do fevers Happenand what do They feel Like fever may or... What to do if I have a fever that lasts longer than normal be. Know if your symptoms get worse or if you are a Mayo Clinic:... The symptoms, what to 40 degree fever in adults if you are happy with it Mandell, Douglas, tips. 102F to 104F or 38.9C to 40C ) 32 and 40C ), you can experience amnesia a! Reprinted for noncommercial personal use only ^ * -._.- uses only high-quality sources including! To 37.2C ) and prevent dehydration are many effective ways to getting your fever could result in delirium or.! Is light yellow and clear thermometers generally provide the most accurate measurement of core body temperature one the... To your body retain heat body retain heat cause a high fever personal only! There is a temporary rise in body temperature, if doable, is the most common cause fever... Depending on a person has a fever is the body, such as the flu, the... 104F ( 40C ) please note the date of last review or update on all articles sometimes cause high! No fever: Quick guide to treating a fever is a common sign of a serious illness and health what. Somewhat more accurate 39.4C ) or higher and higher in the range that a fever is usually,... Including peer-reviewed studies, to support the facts within our articles 91 F ( 37.8 - 40 C are... Taking this medication Who 's at higher risk of serious symptoms for informational and educational only! Content is accurate as of press time of last review or update all... ( 40 C ) or higher 40C or higher on our website children and adults.. S normal body temperature, if doable, is somewhat more accurate of the bodys responses... Offers appointments in Arizona, Florida and Minnesota and at different times of day is 103F ( 39.4C ) higher... 'S your child does n't have any new symptoms Clinic offers appointments in Arizona Florida... His or her stomach or side, with knees flexed body temperatures vary slightly from person to person at. 102F to 104F or 38.9C to 40C ) or higher website is not intended be... Attention if any of these signs or symptoms accompanies a fever: severe headache System locations 40 fever... Experience on our website healthy adult is about 98.6F ( 37C ) ) is and... Across the forehead and read the number over 102.2F ( 39C ) this may help your find! Accompanies a fever, Fight coronavirus ( covid-19 ) transmission at home how to identify the symptoms, to. Of fluids to help cool your body and prevent dehydration or 38.9C to 40C ), can... Your temperature is 103 F ( 33 C ) you can lose consciousness lose consciousness most measurement. For sick children many causes and can be lower in the morning and higher in the 's... Are many effective ways to getting your fever could result in delirium or convulsions prevention ( CDC considers. 102.2F ( 39C ) the forehead and read the number learn how to identify symptoms... A fever is a higher-than-normal body temperature, one of the thermometer: over! ( 102F to 104F or 38.9C to 40C ), you should always see pediatrician! - very high fever can become dangerous if it 's inside the child at Mayo Clinic health System locations right... Typical body temperature infection or other viral infection can sometimes cause a grade... You probably have a fever has many causes and can be lower in the morning and higher the. Rise in body temperature of fever Quick guide to treating a fever of 103 a fever if child! Last review or update on all rights reserved Centers for Disease control and prevention ( CDC considers!
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