217 lines
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19 KiB
HTML
217 lines
No EOL
19 KiB
HTML
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<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN"
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"http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
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<html xmlns="http://www.w3.org/1999/xhtml" xml:lang="en" lang="en">
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<head>
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<title></title>
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<meta http-equiv="Content-Type" content="text/html;charset=utf-8" />
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<meta name="ocr-system" content="tesseract 5.3.0-6-g76ae" />
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<meta name="ocr-capabilities" content="ocr_page ocr_carea ocr_par ocr_line ocrx_word ocrp_wconf ocrp_lang ocrp_dir ocrp_font ocrp_fsize" />
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</head>
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<body>
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<div class="ocr_page" id="page_000000" title="image "/tmp/BCPP_Data_Request_Form_jp2/BCPP_Data_Request_Form_0000.jp2"; bbox 0 0 2550 3301; ppageno 0; scan_res 70 70">
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<div class="ocr_carea" id="block_000000_000000" title="bbox 488 157 2062 202">
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<p class="ocr_par" id="par_000000_000000" lang="eng" title="bbox 488 157 2062 202" xml:lang="eng">
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<span class="ocr_line" id="line_000000_000000" title="bbox 488 157 2062 202; baseline -0.001 -9; x_size 45; x_descenders 10; x_ascenders 9">
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<span class="ocrx_word" id="word_000000_000000" title="bbox 488 159 574 193; x_wconf 91; x_fsize 46">“Ya</span>
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<span class="ocrx_word" id="word_000000_000001" title="bbox 594 157 725 193; x_wconf 91; x_fsize 46">Tsie”</span>
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<span class="ocrx_word" id="word_000000_000002" title="bbox 747 175 762 182; x_wconf 92; x_fsize 46">-</span>
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<span class="ocrx_word" id="word_000000_000003" title="bbox 784 159 1029 193; x_wconf 95; x_fsize 46">Botswana</span>
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<span class="ocrx_word" id="word_000000_000004" title="bbox 1051 157 1371 193; x_wconf 95; x_fsize 46">Combination</span>
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<span class="ocrx_word" id="word_000000_000005" title="bbox 1395 157 1670 193; x_wconf 96; x_fsize 46">Prevention</span>
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<span class="ocrx_word" id="word_000000_000006" title="bbox 1693 157 1871 202; x_wconf 93; x_fsize 46">Project</span>
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<span class="ocrx_word" id="word_000000_000007" title="bbox 1892 157 2062 198; x_wconf 91; x_fsize 46">(BCPP)</span>
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</span>
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</p>
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</div>
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<div class="ocr_carea" id="block_000000_000001" title="bbox 154 339 458 375">
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<p class="ocr_par" id="par_000000_000001" lang="eng" title="bbox 154 339 458 375" xml:lang="eng">
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<span class="ocr_line" id="line_000000_000001" title="bbox 154 339 458 375; baseline 0.003 -1; x_size 41.400002; x_descenders 5.4000001; x_ascenders 9">
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<span class="ocrx_word" id="word_000000_000008" title="bbox 154 339 458 375; x_wconf 94; x_fsize 43">Instructions</span>
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</span>
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</p>
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</div>
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<div class="ocr_carea" id="block_000000_000002" title="bbox 151 430 2326 532">
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<p class="ocr_par" id="par_000000_000002" lang="eng" title="bbox 151 430 2326 532" xml:lang="eng">
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<span class="ocr_line" id="line_000000_000002" title="bbox 151 430 2326 475; baseline -0 -9; x_size 45; x_descenders 9; x_ascenders 9">
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<span class="ocrx_word" id="word_000000_000009" title="bbox 151 432 203 466; x_wconf 95; x_fsize 46">As</span>
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<span class="ocrx_word" id="word_000000_000010" title="bbox 224 433 313 475; x_wconf 95; x_fsize 46">part</span>
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<span class="ocrx_word" id="word_000000_000011" title="bbox 331 430 374 466; x_wconf 96; x_fsize 46">of</span>
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<span class="ocrx_word" id="word_000000_000012" title="bbox 389 430 460 466; x_wconf 96; x_fsize 46">the</span>
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<span class="ocrx_word" id="word_000000_000013" title="bbox 481 439 556 466; x_wconf 95; x_fsize 46">use</span>
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<span class="ocrx_word" id="word_000000_000014" title="bbox 575 430 618 466; x_wconf 95; x_fsize 46">of</span>
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<span class="ocrx_word" id="word_000000_000015" title="bbox 632 430 704 466; x_wconf 92; x_fsize 46">the</span>
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<span class="ocrx_word" id="word_000000_000016" title="bbox 725 431 838 466; x_wconf 92; x_fsize 46">BCPP</span>
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<span class="ocrx_word" id="word_000000_000017" title="bbox 858 430 989 475; x_wconf 96; x_fsize 46">public</span>
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<span class="ocrx_word" id="word_000000_000018" title="bbox 1011 430 1172 466; x_wconf 96; x_fsize 46">release</span>
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<span class="ocrx_word" id="word_000000_000019" title="bbox 1191 430 1302 470; x_wconf 96; x_fsize 46">data,</span>
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<span class="ocrx_word" id="word_000000_000020" title="bbox 1325 430 1469 475; x_wconf 95; x_fsize 46">please</span>
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<span class="ocrx_word" id="word_000000_000021" title="bbox 1489 430 1697 475; x_wconf 95; x_fsize 46">complete</span>
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<span class="ocrx_word" id="word_000000_000022" title="bbox 1715 430 1795 466; x_wconf 96; x_fsize 46">this</span>
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<span class="ocrx_word" id="word_000000_000023" title="bbox 1813 430 1916 466; x_wconf 96; x_fsize 46">form</span>
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<span class="ocrx_word" id="word_000000_000024" title="bbox 1937 430 2016 466; x_wconf 95; x_fsize 46">and</span>
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<span class="ocrx_word" id="word_000000_000025" title="bbox 2038 430 2174 466; x_wconf 96; x_fsize 46">e-mail</span>
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<span class="ocrx_word" id="word_000000_000026" title="bbox 2194 433 2236 466; x_wconf 95; x_fsize 46">to</span>
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<span class="ocrx_word" id="word_000000_000027" title="bbox 2254 430 2326 466; x_wconf 96; x_fsize 46">the</span>
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</span>
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<span class="ocr_line" id="line_000000_000003" title="bbox 151 487 627 532; baseline 0 -10; x_size 45; x_descenders 10; x_ascenders 9">
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<span class="ocrx_word" id="word_000000_000028" title="bbox 151 487 352 532; x_wconf 96; x_fsize 46">following</span>
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<span class="ocrx_word" id="word_000000_000029" title="bbox 375 487 627 523; x_wconf 96; x_fsize 46">individuals:</span>
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</span>
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</p>
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</div>
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<div class="ocr_carea" id="block_000000_000003" title="bbox 155 578 786 623">
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<p class="ocr_par" id="par_000000_000003" lang="eng" title="bbox 155 578 786 623" xml:lang="eng">
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<span class="ocr_line" id="line_000000_000004" title="bbox 155 578 786 623; baseline 0.002 -10; x_size 45; x_descenders 9; x_ascenders 9">
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<span class="ocrx_word" id="word_000000_000030" title="bbox 155 578 260 614; x_wconf 93; x_fsize 46">Faith</span>
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<span class="ocrx_word" id="word_000000_000031" title="bbox 283 579 444 623; x_wconf 92; x_fsize 46">Ussery,</span>
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<span class="ocrx_word" id="word_000000_000032" title="bbox 468 578 786 623; x_wconf 91; x_fsize 46">inh3@cdc.gov</span>
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</span>
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</p>
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</div>
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<div class="ocr_carea" id="block_000000_000004" title="bbox 154 760 528 895">
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<p class="ocr_par" id="par_000000_000004" lang="eng" title="bbox 154 760 528 895" xml:lang="eng">
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<span class="ocr_line" id="line_000000_000005" title="bbox 154 760 528 805; baseline 0.003 -10; x_size 45; x_descenders 10; x_ascenders 9">
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<span class="ocrx_word" id="word_000000_000033" title="bbox 154 760 333 805; x_wconf 96; x_fsize 46">Project</span>
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<span class="ocrx_word" id="word_000000_000034" title="bbox 354 760 528 796; x_wconf 96; x_fsize 46">Details</span>
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</span>
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<span class="ocr_line" id="line_000000_000006" title="bbox 155 850 433 895; baseline 0 -10; x_size 45; x_descenders 10; x_ascenders 9">
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<span class="ocrx_word" id="word_000000_000035" title="bbox 155 850 308 895; x_wconf 96; x_fsize 46">Project</span>
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<span class="ocrx_word" id="word_000000_000036" title="bbox 323 850 433 886; x_wconf 96; x_fsize 46">Title:</span>
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</span>
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</p>
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</div>
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<div class="ocr_carea" id="block_000000_000005" title="bbox 155 941 2013 986">
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<p class="ocr_par" id="par_000000_000005" lang="eng" title="bbox 155 941 2013 986" xml:lang="eng">
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<span class="ocr_line" id="line_000000_000007" title="bbox 155 941 2013 986; baseline -0.001 -9; x_size 45; x_descenders 9; x_ascenders 9">
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<span class="ocrx_word" id="word_000000_000037" title="bbox 155 941 307 986; x_wconf 93; x_fsize 46">Project</span>
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<span class="ocrx_word" id="word_000000_000038" title="bbox 328 941 779 986; x_wconf 90; x_fsize 46">Description/Planned</span>
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<span class="ocrx_word" id="word_000000_000039" title="bbox 802 943 903 977; x_wconf 96; x_fsize 46">Data</span>
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<span class="ocrx_word" id="word_000000_000040" title="bbox 926 943 1005 977; x_wconf 96; x_fsize 46">Use</span>
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<span class="ocrx_word" id="word_000000_000041" title="bbox 1026 941 1248 982; x_wconf 96; x_fsize 46">(Minimum</span>
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<span class="ocrx_word" id="word_000000_000042" title="bbox 1270 942 1322 977; x_wconf 96; x_fsize 46">50</span>
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<span class="ocrx_word" id="word_000000_000043" title="bbox 1341 941 1486 981; x_wconf 96; x_fsize 46">words,</span>
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<span class="ocrx_word" id="word_000000_000044" title="bbox 1510 941 1728 977; x_wconf 96; x_fsize 46">Maximum</span>
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<span class="ocrx_word" id="word_000000_000045" title="bbox 1748 942 1830 977; x_wconf 96; x_fsize 46">400</span>
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<span class="ocrx_word" id="word_000000_000046" title="bbox 1850 941 2013 982; x_wconf 96; x_fsize 46">words):</span>
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</span>
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</p>
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</div>
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<div class="ocr_carea" id="block_000000_000006" title="bbox 153 1577 639 2249">
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<p class="ocr_par" id="par_000000_000006" lang="eng" title="bbox 154 1577 585 1704" xml:lang="eng">
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<span class="ocr_line" id="line_000000_000008" title="bbox 154 1577 585 1613; baseline -0.002 0; x_size 45.330559; x_descenders 10.330557; x_ascenders 8">
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<span class="ocrx_word" id="word_000000_000047" title="bbox 154 1579 268 1613; x_wconf 96; x_fsize 47">User</span>
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<span class="ocrx_word" id="word_000000_000048" title="bbox 288 1577 585 1613; x_wconf 95; x_fsize 47">Information</span>
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</span>
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<span class="ocr_line" id="line_000000_000009" title="bbox 155 1668 397 1704; baseline 0.004 -1; x_size 45.330559; x_descenders 10.330557; x_ascenders 8">
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<span class="ocrx_word" id="word_000000_000049" title="bbox 155 1668 249 1704; x_wconf 96; x_fsize 47">First</span>
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<span class="ocrx_word" id="word_000000_000050" title="bbox 269 1669 397 1704; x_wconf 96; x_fsize 47">Name</span>
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</span>
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</p>
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<p class="ocr_par" id="par_000000_000007" lang="eng" title="bbox 155 1761 393 1795" xml:lang="eng">
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<span class="ocr_line" id="line_000000_000010" title="bbox 155 1761 393 1795; baseline 0.004 -1; x_size 44.330559; x_descenders 10.330557; x_ascenders 7">
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<span class="ocrx_word" id="word_000000_000051" title="bbox 155 1761 244 1795; x_wconf 95; x_fsize 46">Last</span>
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<span class="ocrx_word" id="word_000000_000052" title="bbox 265 1761 393 1795; x_wconf 96; x_fsize 46">Name</span>
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</span>
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</p>
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<p class="ocr_par" id="par_000000_000008" lang="eng" title="bbox 153 1850 639 2067" xml:lang="eng">
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<span class="ocr_line" id="line_000000_000011" title="bbox 155 1850 491 1886; baseline 0.003 -1; x_size 46.330559; x_descenders 10.330557; x_ascenders 9">
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<span class="ocrx_word" id="word_000000_000053" title="bbox 155 1850 290 1886; x_wconf 96; x_fsize 48">Phone</span>
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<span class="ocrx_word" id="word_000000_000054" title="bbox 311 1850 491 1886; x_wconf 96; x_fsize 48">Number</span>
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</span>
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<span class="ocr_line" id="line_000000_000012" title="bbox 153 1940 639 1985; baseline 0 -9; x_size 45; x_descenders 9; x_ascenders 9">
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<span class="ocrx_word" id="word_000000_000055" title="bbox 153 1941 331 1985; x_wconf 96; x_fsize 46">Country</span>
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<span class="ocrx_word" id="word_000000_000056" title="bbox 349 1940 392 1976; x_wconf 96; x_fsize 46">of</span>
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<span class="ocrx_word" id="word_000000_000057" title="bbox 410 1940 639 1976; x_wconf 96; x_fsize 46">Residence</span>
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</span>
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<span class="ocr_line" id="line_000000_000013" title="bbox 155 2031 378 2067; baseline 0 -1; x_size 44.947945; x_descenders 9.9479437; x_ascenders 9">
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<span class="ocrx_word" id="word_000000_000058" title="bbox 155 2031 378 2067; x_wconf 96; x_fsize 46">Institution</span>
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</span>
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</p>
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<p class="ocr_par" id="par_000000_000009" lang="eng" title="bbox 155 2122 507 2249" xml:lang="eng">
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<span class="ocr_line" id="line_000000_000014" title="bbox 155 2122 507 2167; baseline 0.003 -10; x_size 44; x_descenders 9; x_ascenders 8">
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<span class="ocrx_word" id="word_000000_000059" title="bbox 155 2122 378 2158; x_wconf 94; x_fsize 45">Institution</span>
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<span class="ocrx_word" id="word_000000_000060" title="bbox 397 2123 507 2167; x_wconf 94; x_fsize 45">Type</span>
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</span>
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<span class="ocr_line" id="line_000000_000015" title="bbox 155 2213 485 2249; baseline 0.003 -1; x_size 46.330559; x_descenders 10.330557; x_ascenders 9">
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<span class="ocrx_word" id="word_000000_000061" title="bbox 155 2213 285 2249; x_wconf 96; x_fsize 48">E-Mail</span>
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<span class="ocrx_word" id="word_000000_000062" title="bbox 304 2213 485 2249; x_wconf 96; x_fsize 48">Address</span>
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</span>
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</p>
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</div>
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<div class="ocr_carea" id="block_000000_000007" title="bbox 154 2395 1382 2530">
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<p class="ocr_par" id="par_000000_000010" lang="eng" title="bbox 154 2395 1382 2530" xml:lang="eng">
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<span class="ocr_line" id="line_000000_000016" title="bbox 154 2395 558 2431; baseline 0.002 -1; x_size 45.269817; x_descenders 10.269818; x_ascenders 8">
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<span class="ocrx_word" id="word_000000_000063" title="bbox 154 2396 284 2431; x_wconf 92; x_fsize 47">BCPP</span>
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<span class="ocrx_word" id="word_000000_000064" title="bbox 306 2397 420 2431; x_wconf 94; x_fsize 47">Data</span>
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<span class="ocrx_word" id="word_000000_000065" title="bbox 444 2395 558 2431; x_wconf 94; x_fsize 47">Files</span>
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</span>
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<span class="ocr_line" id="line_000000_000017" title="bbox 155 2485 1382 2530; baseline 0 -9; x_size 46; x_descenders 10; x_ascenders 9">
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<span class="ocrx_word" id="word_000000_000066" title="bbox 155 2485 296 2521; x_wconf 96; x_fsize 47">Please</span>
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<span class="ocrx_word" id="word_000000_000067" title="bbox 316 2485 448 2521; x_wconf 96; x_fsize 47">select</span>
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<span class="ocrx_word" id="word_000000_000068" title="bbox 465 2485 537 2521; x_wconf 96; x_fsize 47">the</span>
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<span class="ocrx_word" id="word_000000_000069" title="bbox 556 2485 653 2521; x_wconf 96; x_fsize 47">data</span>
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<span class="ocrx_word" id="word_000000_000070" title="bbox 673 2485 763 2521; x_wconf 96; x_fsize 47">files</span>
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<span class="ocrx_word" id="word_000000_000071" title="bbox 780 2488 823 2521; x_wconf 96; x_fsize 47">to</span>
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<span class="ocrx_word" id="word_000000_000072" title="bbox 844 2485 895 2521; x_wconf 96; x_fsize 47">be</span>
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<span class="ocrx_word" id="word_000000_000073" title="bbox 916 2485 1018 2521; x_wconf 96; x_fsize 47">used</span>
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<span class="ocrx_word" id="word_000000_000074" title="bbox 1037 2485 1099 2521; x_wconf 96; x_fsize 47">for</span>
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<span class="ocrx_word" id="word_000000_000075" title="bbox 1115 2485 1195 2521; x_wconf 95; x_fsize 47">this</span>
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<span class="ocrx_word" id="word_000000_000076" title="bbox 1216 2485 1382 2530; x_wconf 95; x_fsize 47">project:</span>
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</span>
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</p>
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</div>
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<div class="ocr_carea" id="block_000000_000008" title="bbox 154 2576 874 2612">
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<p class="ocr_par" id="par_000000_000011" lang="eng" title="bbox 154 2576 874 2612" xml:lang="eng">
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<span class="ocr_line" id="line_000000_000018" title="bbox 154 2576 874 2612; baseline 0.001 -1; x_size 41.396225; x_descenders 5.3962264; x_ascenders 10">
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<span class="ocrx_word" id="word_000000_000077" title="bbox 154 2576 429 2612; x_wconf 0; x_fsize 43">KMEvaluation</span>
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<span class="ocrx_word" id="word_000000_000078" title="bbox 452 2576 629 2612; x_wconf 96; x_fsize 43">Protocol</span>
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<span class="ocrx_word" id="word_000000_000079" title="bbox 653 2577 754 2612; x_wconf 96; x_fsize 43">Data</span>
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<span class="ocrx_word" id="word_000000_000080" title="bbox 777 2576 874 2612; x_wconf 96; x_fsize 43">Files</span>
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</span>
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</p>
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</div>
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<div class="ocr_separator" id="block_1_10" title="bbox 185 2578 187 2699"></div>
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<div class="ocr_carea" id="block_000000_000009" title="bbox 154 2667 912 2703">
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<p class="ocr_par" id="par_000000_000012" lang="eng" title="bbox 154 2667 912 2703" xml:lang="eng">
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<span class="ocr_line" id="line_000000_000019" title="bbox 154 2667 912 2703; baseline 0.001 -1; x_size 41.396225; x_descenders 5.3962264; x_ascenders 10">
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<span class="ocrx_word" id="word_000000_000081" title="bbox 154 2667 467 2703; x_wconf 2; x_fsize 43">KIntervention</span>
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<span class="ocrx_word" id="word_000000_000082" title="bbox 490 2667 667 2703; x_wconf 96; x_fsize 43">Protocol</span>
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<span class="ocrx_word" id="word_000000_000083" title="bbox 691 2669 791 2703; x_wconf 95; x_fsize 43">Data</span>
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<span class="ocrx_word" id="word_000000_000084" title="bbox 815 2667 912 2703; x_wconf 96; x_fsize 43">Files</span>
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</span>
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</p>
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</div>
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<div class="ocr_carea" id="block_000000_000010" title="bbox 153 2849 1541 2985">
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<p class="ocr_par" id="par_000000_000013" lang="eng" title="bbox 153 2849 1541 2985" xml:lang="eng">
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<span class="ocr_line" id="line_000000_000020" title="bbox 153 2849 407 2891; baseline -0.004 -6; x_size 45.253635; x_descenders 9.2536364; x_ascenders 9">
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<span class="ocrx_word" id="word_000000_000085" title="bbox 153 2849 407 2891; x_wconf 95; x_fsize 47">Questions</span>
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</span>
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<span class="ocr_line" id="line_000000_000021" title="bbox 155 2940 1541 2985; baseline -0.001 -9; x_size 45; x_descenders 9; x_ascenders 9">
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<span class="ocrx_word" id="word_000000_000086" title="bbox 155 2940 181 2975; x_wconf 85; x_fsize 46">If</span>
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<span class="ocrx_word" id="word_000000_000087" title="bbox 197 2949 297 2976; x_wconf 96; x_fsize 46">case</span>
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<span class="ocrx_word" id="word_000000_000088" title="bbox 317 2940 359 2976; x_wconf 96; x_fsize 46">of</span>
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<span class="ocrx_word" id="word_000000_000089" title="bbox 375 2940 605 2985; x_wconf 96; x_fsize 46">questions,</span>
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<span class="ocrx_word" id="word_000000_000090" title="bbox 628 2940 771 2985; x_wconf 96; x_fsize 46">please</span>
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<span class="ocrx_word" id="word_000000_000091" title="bbox 791 2943 958 2976; x_wconf 96; x_fsize 46">contact</span>
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<span class="ocrx_word" id="word_000000_000092" title="bbox 976 2940 1047 2976; x_wconf 96; x_fsize 46">the</span>
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<span class="ocrx_word" id="word_000000_000093" title="bbox 1065 2940 1266 2985; x_wconf 96; x_fsize 46">following</span>
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<span class="ocrx_word" id="word_000000_000094" title="bbox 1289 2940 1541 2976; x_wconf 96; x_fsize 46">individuals:</span>
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<p class="ocr_par" id="par_000000_000014" lang="eng" title="bbox 155 3030 786 3075" xml:lang="eng">
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<span class="ocr_line" id="line_000000_000022" title="bbox 155 3030 786 3075; baseline 0.002 -10; x_size 45; x_descenders 9; x_ascenders 9">
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<span class="ocrx_word" id="word_000000_000095" title="bbox 155 3030 260 3066; x_wconf 93; x_fsize 46">Faith</span>
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<span class="ocrx_word" id="word_000000_000096" title="bbox 283 3031 444 3075; x_wconf 92; x_fsize 46">Ussery,</span>
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<span class="ocrx_word" id="word_000000_000097" title="bbox 468 3030 786 3075; x_wconf 91; x_fsize 46">inh3@cdc.gov</span>
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