Severe viral meningitis may also be treated in hospital. Treatments include: antibiotics given directly into a vein. fluids given directly into a vein to prevent dehydration. oxygen through a face mask if there are any breathing difficulties. steroid medication to help reduce any swelling around the brain, in some cases. People with meningitis ... Enteroviruses can be spread when an infected person sneezes or coughs droplets into the air or on surfaces. A child may then breathe in droplets or touch a contaminated surface and touch their eyes, mouth, or nose. The viruses are treated with supportive care, such as fever or pain medicine, rest, and fluids.Pregnant women who are at increased risk for serogroup A, C, W, or Y meningococcal disease may get MenACWY vaccines. Pregnant or breastfeeding women who are at increased risk for serogroup B meningococcal disease may get MenB vaccines. However, they should talk with a doctor to decide if the benefits of getting the vaccine outweigh the risks ...Mar 22, 2022 · Meningitis in children. Meningitis becomes more common in children as they grow older and reach high school and college ages. Symptoms of viral and bacterial meningitis in children are similar to ... Children are at a higher risk of meningitis caused by a bacterial or viral infection. Children more likely to get the illness include: Newborns and babies (Because their immune systems are not well developed, the bacteria can get into the bloodstream more easily.) Children with frequent sinus infections Meningitis signs and symptoms in babies. Your baby might not experience the same meningitis symptoms as adults (like headache, neck stiffness and nausea) and it can be hard to tell even if they are. Some signs of meningitis you can look for in babies include: Bulging “soft spot” (fontanelle) on baby’s head. Poor eating.Younger kids will need a vaccine if they're at a greater risk of getting meningitis because they: Have complement component deficiency, a rare immune system disease. Have spleen damage or had ...Infant development milestones for a 7- to 9-month-old include sitting, standing and laughing. By Mayo Clinic Staff. As your baby becomes more mobile and curious, infant development takes off. It might seem that your baby learns something new every day. Understand these next milestones and what you can do to promote your baby's growth.Meningitis is characterized by inflammation of the membranes (meninges) around the brain or spinal cord. Inflammation can begin suddenly (acute) or develop gradually (subacute). Major symptoms may include fever, headache, and a stiff neck, sometimes with aching muscles. Nausea, vomiting and other symptoms may occur. View Full Report.Meningococcal bacteria. Meningococcal disease is caused by the bacterium Neisseria meningitidis. There are several different groups of meningococcal bacteria including groups A, B, C, Y and W (previously called W135). These groups of bacteria can be further divided into specific strains. Most cases in New Zealand are caused by group B.Bacterial meningitis is a devastating infection associated with high mortality and morbidity in the neonatal population. Prompt diagnosis and treatment are essential to achieving good outcomes in affected infants. While overall incidence and mortality have declined over the last several decades, morbidity associated with neonatal meningitis ...Mar 16, 2022 · Serogroup B meningococcal vaccines, such as Bexero or Trumenba. All children should be vaccinated at 11 or 12 with one of the conjugate vaccines, with a booster dose at age 16. As for the serogroup B vaccine, teens should definitely get it if. they have a complement deficiency (this is something that is generally diagnosed by the teenage years). Spread to others. People spread meningococcal bacteria to other people by sharing respiratory and throat secretions (saliva or spit). Generally, it takes close (for example, coughing or kissing) or lengthy contact to spread these bacteria. Fortunately, they are not as contagious as germs that cause the common cold or the flu.Aug 4, 2022 · Some 4% to 6% of babies with GBS disease, including meningitis, will die from their infections. Those who recover may deal with complications like: brain damage; hearing loss; Jun 15, 2023 · Meningitis is an infection of the protective membranes that surround the brain and spinal cord (meninges). It can affect anyone, but is most common in babies, young children, teenagers and young adults. Meningitis can be very serious if not treated quickly. It can cause life-threatening blood poisoning (septicaemia) and result in permanent ... Side effects linked to the vaccines are usually mild and tend to go away within a few days. Herd immunity is unlikely to prevent meningitis, so it is essential that people get vaccinated and have ...Change in behavior – crying more than usual, irritable, more sleepy, confused. Hearing loss. Severe headaches. Bulging soft spot on their head – babies only. If you suspect your child’s bacterial meningitis is coming back or they are getting sicker, take them to the closest hospital emergency department or call 911.Trust your instincts and do not wait for all the symptoms to appear or until a rash develops. Symptoms of meningitis and sepsis include: a high temperature. cold hands and feet. vomiting. confusion. breathing quickly. muscle and joint pain. pale, mottled or blotchy skin (this may be harder to see on brown or black skin)Younger kids will need a vaccine if they're at a greater risk of getting meningitis because they: Have complement component deficiency, a rare immune system disease. Have spleen damage or had ...Newborn babies are immune to some diseases because they have antibodies they get from their mothers, usually before they are born. However, this immunity lasts a few months. Most babies do not get protective antibodies against diphtheria, whooping cough, polio, tetanus, hepatitis B, or Hib from their mothers.Dec 22, 2022 · It might surprise you how quickly your baby is picking up new skills. Infant development milestones for a 7- to 9-month-old include sitting, standing and laughing. As your baby becomes more mobile and curious, infant development takes off. It might seem that your baby learns something new every day. Jun 26, 2023 · Babies are at high risk of bacterial meningitis and often have symptoms that mimic other illnesses. Parents should be on the lookout for meningitis symptoms such as high fever, stiff neck, rigid extremities, vomiting, diarrhea, or a skin rash with lots of pinpoint-sized dots ( petechiae ) that are associated with invasive meningococcal disease . Change in behavior – crying more than usual, irritable, more sleepy, confused. Hearing loss. Severe headaches. Bulging soft spot on their head – babies only. If you suspect your child’s bacterial meningitis is coming back or they are getting sicker, take them to the closest hospital emergency department or call 911. All 11 to 12 year olds should receive a meningococcal conjugate vaccine. Since protection wanes, CDC recommends a booster dose at age 16 years. The booster dose provides protection during the ages when adolescents are at highest risk of meningococcal disease. For adolescents who receive the first dose at age 13 through 15 years, administer a ... Symptoms and Signs of Neonatal HSV Infection. Manifestations generally occur between the 1st and 3rd weeks of life but rarely may not appear until as late as the 4th week. Neonates may present with local or disseminated disease. Skin vesicles are common with either type, occurring in about 70% overall. Neonates with no skin vesicles usually ...Prevention. Treatment. Bacterial meningitis is inflammation of the layers of tissue surrounding the brain and spinal cord (meninges) caused by bacteria . Newborns with bacterial meningitis are usually irritable, vomit, or may have seizures. The diagnosis is based on the results of a spinal tap and blood tests.In infants, meningitis symptoms may include: High fever. Crying that’s constant and gets louder when you hold the baby. Baby seems overly sleepy, sluggish, or inactive. Stiff neck or body. Bulge ...Meningitis In Babies. Meningitis is an inflammation of the meninges, which is the tissue that surrounds and protects the brain and spinal cord. It’s most commonly caused by viral or bacterial infections. Meningitis is a serious condition that, left untreated, can be fatal in a short period of time and can cause life-altering complications in ... Meningitis is a disease caused by an inflammation of the meninges, the membranes that surround the brain and spinal cord. It's usually caused by a virus, although it can be caused by bacteria, a fungus, or tuberculosis. Treatment for meningitis depends on the specific cause of the disease. Vaccinations can prevent or minimize the incidence of ...The MenB vaccine will protect your baby against infection by meningococcal group B bacteria. These bacteria are responsible for about 9 in every 10 meningococcal infections in young children. Meningococcal infections can be very serious, causing meningitis and sepsis. This can lead to severe brain damage, amputations and, sometimes, death.An overview of immunizations for kids ages 4 to 6 years old. DTaP – The fifth and final diphtheria, tetanus and pertussis vaccine is recommended when your child is between 4 and 6 years old. IPV – The poliovirus vaccine is another four-dose series. The dosing schedule for the polio vaccine recommends the first shots at 2 months, 4 months ...Meningitis in newborns can be either early or late onset. Early onset occurs within the first week after birth for babies born at term, and in the first 72 hours of life for those born preterm ...Neonatal meningitis is an uncommon but serious disease, with an incidence of 0.1–0.4 per 1000 live births. 1, 2 It can have severe long term sequelae in 12–29% of survivors, 2– 8 and milder impairment of neurological function occurs in another 15–38%. 3– 5, 8 Cognitive impairment has been shown in some follow up studies of neonatal ...Sep 24, 2018 · Causes of meningitis in babies Viral meningitis. Viral meningitis usually isn’t as serious as bacterial or fungal meningitis, but some viruses do cause... Bacterial meningitis. Group B Streptococcus. This usually spreads from a mother to her baby at birth. Gram-negative... Fungal meningitis. Fungal ... The MenB vaccine will protect your baby against infection by meningococcal group B bacteria. These bacteria are responsible for about 9 in every 10 meningococcal infections in young children. Meningococcal infections can be very serious, causing meningitis and sepsis. This can lead to severe brain damage, amputations and, sometimes, death.Oct 19, 2021 · sensitivity to light. confusion. seizures, or fits. Although fever is one of the most telling signs of meningitis, it is often absent in babies younger than 3 months old. Babies and toddlers may ... Feb 26, 2018 · Protecting newborns Seeing a doctor Meningitis is a condition that causes inflammation in the meninges, which protect the brain and spinal cord. Meningitis is most often caused by a virus or... Enteroviruses can be spread when an infected person sneezes or coughs droplets into the air or on surfaces. A child may then breathe in droplets or touch a contaminated surface and touch their eyes, mouth, or nose. The viruses are treated with supportive care, such as fever or pain medicine, rest, and fluids.Viral meningitis is the most common type, but it’s not usually life-threatening. The enteroviruses that cause meningitis can spread through direct contact with saliva, nasal mucus, or feces ...Spinal meningitis is inflammation of the brain and spinal cord due to an infection. Types of meningitis include viral, bacterial, fungal, parasitic, amoebic, and noninfectious. Symptoms typically include headache, fever, and neck stiffness. Treatment depends on the type of meningitis but can include antibiotics, pain relievers, or hospitalization.Extreme fatigue. Irritability. Blue color to the skin. Babies with group B strep bacteria could get serious complications like these: Pneumonia -- a lung infection. Meningitis -- inflammation in ...Mar 16, 2022 · Serogroup B meningococcal vaccines, such as Bexero or Trumenba. All children should be vaccinated at 11 or 12 with one of the conjugate vaccines, with a booster dose at age 16. As for the serogroup B vaccine, teens should definitely get it if. they have a complement deficiency (this is something that is generally diagnosed by the teenage years). May 11, 2009 · Meningitis is characterized by inflammation of the membranes (meninges) around the brain or spinal cord. Inflammation can begin suddenly (acute) or develop gradually (subacute). Major symptoms may include fever, headache, and a stiff neck, sometimes with aching muscles. Nausea, vomiting and other symptoms may occur. View Full Report. Older children and adolescents have a stiff neck with a fever, headache, and confusion, and newborns and young infants are usually irritable, stop eating, vomit, or have other symptoms. The diagnosis is based on the results of a spinal tap and blood and urine tests. Some children die of meningitis even after receiving appropriate treatment. Viral (aseptic) meningitis. Although very rare, a small number of people with HFMD get viral meningitis. It causes fever, headache, stiff neck, or back pain and may require the infected person to be hospitalized for a few days. Learn more about Viral Meningitis. Encephalitis or paralysisProtects your child from Hib disease, which can cause lifelong disability and be deadly. Protects your child from the most common type of Hib disease, meningitis (an infection of the lining of the brain and spinal cord). Keeps your child from missing school or child care, and you from missing work.The ways a person can get meningitis depend on what has caused it. Causes include bacteria, viruses, fungi, parasites, amebas, trauma, and medications. Infants can also get bacterial meningitis ...In many cases, they are harmless. Bacterial meningitis occurs when these bacteria get in your bloodstream and travel to your brain and spinal cord to start an infection. Most bacteria that cause ...Meningitis is a disease caused by an inflammation of the meninges, the membranes that surround the brain and spinal cord. It's usually caused by a virus, although it can be caused by bacteria, a fungus, or tuberculosis. Treatment for meningitis depends on the specific cause of the disease. Vaccinations can prevent or minimize the incidence of ...The pneumococcal vaccine offers protection against serious infections caused by pneumococcal bacteria, including meningitis. Babies are offered the pneumococcal vaccine as 2 separate injections at 12 weeks with a booster given at 1 year of age. A single dose is offered to adults aged 65 or over. Find out more about the pneumococcal vaccine.Feb 26, 2018 · Protecting newborns Seeing a doctor Meningitis is a condition that causes inflammation in the meninges, which protect the brain and spinal cord. Meningitis is most often caused by a virus or... May 18, 2023 · In many cases, they are harmless. Bacterial meningitis occurs when these bacteria get in your bloodstream and travel to your brain and spinal cord to start an infection. Most bacteria that cause ... Enterovirus encephalitis (EVE) can present as meningoencephalitis (where it results in both inflammation of the brain and its lining), an illness similar to herpes simplex encephalitis, or a severe brainstem encephalitis. Symptoms can include lethargy, somnolence, altered consciousness, personality change, hallucinations, stiff neck, ataxia ...Mar 22, 2022 · Meningitis in children. Meningitis becomes more common in children as they grow older and reach high school and college ages. Symptoms of viral and bacterial meningitis in children are similar to ... Causes Several types of bacteria can cause meningitis. Leading causes in the United States include Streptococcus pneumoniae Group B Streptococcus Neisseria meningitidis Haemophilus influenzae Listeria monocytogenes Escherichia coliAug 17, 2021 · Abstract. Group B streptococcus (GBS) infection remains a leading cause of sepsis, pneumonia, and meningitis in infants. Rates of GBS early onset disease have declined following the widcespread use of intrapartum antibiotic prophylaxis; hence, late-onset infections (LOGBS) are currently a common presentation of neonatal GBS dicsease. Pregnant women who are at increased risk for serogroup A, C, W, or Y meningococcal disease may get MenACWY vaccines. Pregnant or breastfeeding women who are at increased risk for serogroup B meningococcal disease may get MenB vaccines. However, they should talk with a doctor to decide if the benefits of getting the vaccine outweigh the risks ...Younger kids will need a vaccine if they're at a greater risk of getting meningitis because they: Have complement component deficiency, a rare immune system disease. Have spleen damage or had ...An overview of immunizations for kids ages 4 to 6 years old. DTaP – The fifth and final diphtheria, tetanus and pertussis vaccine is recommended when your child is between 4 and 6 years old. IPV – The poliovirus vaccine is another four-dose series. The dosing schedule for the polio vaccine recommends the first shots at 2 months, 4 months ...Meningitis is an infection of the protective membranes that surround the brain and spinal cord (meninges). It can affect anyone, but is most common in babies, young children, teenagers and young adults. Meningitis can be very serious if not treated quickly. It can cause life-threatening blood poisoning (septicaemia) and result in permanent ...Meningococcal bacteria. Meningococcal disease is caused by the bacterium Neisseria meningitidis. There are several different groups of meningococcal bacteria including groups A, B, C, Y and W (previously called W135). These groups of bacteria can be further divided into specific strains. Most cases in New Zealand are caused by group B.Jan 27, 2023 · Bacterial meningitis. Acute bacterial meningitis must be treated right away with intravenous antibiotics and sometimes corticosteroids. This helps to ensure recovery and reduce the risk of complications, such as brain swelling and seizures. The antibiotic or combination of antibiotics depends on the type of bacteria causing the infection. Side effects linked to the vaccines are usually mild and tend to go away within a few days. Herd immunity is unlikely to prevent meningitis, so it is essential that people get vaccinated and have ...GBS meningitis typically affects newborns but can affect adults too. We provide a complete overview, including causes, symptoms, and treatment. ... Some 4% to 6% of babies with GBS disease ...All 11 to 12 year olds should receive a meningococcal conjugate vaccine. Since protection wanes, CDC recommends a booster dose at age 16 years. The booster dose provides protection during the ages when adolescents are at highest risk of meningococcal disease. For adolescents who receive the first dose at age 13 through 15 years, administer a ... Jun 21, 2021 · through feces, saliva, nasal mucus, sputum, and blister fluid. Epstein-Barr virus: This virus can spread. Trusted Source. through bodily fluids such as saliva. A person can also get it after organ ... Meningitis is acute or chronic inflammation of the protective membranes covering the brain and spinal cord, collectively called the meninges. The most common symptoms are fever, headache, and neck stiffness. Other symptoms include confusion or altered consciousness, nausea, vomiting, and an inability to tolerate light or loud noises.The MenB vaccine will protect your baby against infection by meningococcal group B bacteria. These bacteria are responsible for about 9 in every 10 meningococcal infections in young children. Meningococcal infections can be very serious, causing meningitis and sepsis. This can lead to severe brain damage, amputations and, sometimes, death. Sep 2, 2022 · Meningitis is a serious illness that causes inflammation of the membranes around the spinal cord and neck. It can be fatal without prompt treatment. The meningitis vaccine is one of the best ways ... Spread to others. People spread meningococcal bacteria to other people by sharing respiratory and throat secretions (saliva or spit). Generally, it takes close (for example, coughing or kissing) or lengthy contact to spread these bacteria. Fortunately, they are not as contagious as germs that cause the common cold or the flu. GBS meningitis typically affects newborns but can affect adults too. We provide a complete overview, including causes, symptoms, and treatment. ... Some 4% to 6% of babies with GBS disease ...Trust your instincts and do not wait for all the symptoms to appear or until a rash develops. Symptoms of meningitis and sepsis include: a high temperature. cold hands and feet. vomiting. confusion. breathing quickly. muscle and joint pain. pale, mottled or blotchy skin (this may be harder to see on brown or black skin)Specific Immunization Reactions. Pain or swelling at the shot site for 1 to 2 days. (20% of children) Mild fever lasting 1 to 3 days begins 14 to 28 days after the shot (10%). Give acetaminophen or ibuprofen for fever over 102° F (39°C). Never give aspirin for fever, pain or within 6 weeks of getting the shot.Oct 13, 2021 · Herpes meningitis is a type of viral meningitis resulting from infection with a herpes virus. Three types of herpes virus can cause HM: herpes simplex virus 1, herpes simplex virus 2, and ... Having convulsions (seizure) Babies who get group B strep a week or so after birth may have signs such as: Decreased movement of an arm or leg. Pain with movement of an arm or leg. Breathing problems. Fever. Red area on the face or other part of the body. Pregnant women may have group B strep without symptoms.Stiff neck. Other symptoms that can occur with this disease: Agitation. Bulging fontanelles in babies. Decreased alertness. Poor feeding or irritability in children. Rapid breathing. Unusual posture, with the head and neck arched backward (opisthotonos) You cannot tell if you have bacterial or viral meningitis by how you feel.Feb 8, 2011 · Newborn babies are immune to some diseases because they have antibodies they get from their mothers, usually before they are born. However, this immunity lasts a few months. Most babies do not get protective antibodies against diphtheria, whooping cough, polio, tetanus, hepatitis B, or Hib from their mothers. Trust your instincts and do not wait for all the symptoms to appear or until a rash develops. Symptoms of meningitis and sepsis include: a high temperature. cold hands and feet. vomiting. confusion. breathing quickly. muscle and joint pain. pale, mottled or blotchy skin (this may be harder to see on brown or black skin) Bacterial meningitis is a devastating infection associated with high mortality and morbidity in the neonatal population. Prompt diagnosis and treatment are essential to achieving good outcomes in affected infants. While overall incidence and mortality have declined over the last several decades, morbidity associated with neonatal meningitis ... Younger kids will need a vaccine if they're at a greater risk of getting meningitis because they: Have complement component deficiency, a rare immune system disease. Have spleen damage or had ... Meningitis is an infection that causes inflammation of the membranes (the meninges) covering the brain and spinal cord. Bacterial meningitis is a true medical emergency that may result in death or brain injury even if treated. Bacterial strains that cause meningitis include Streptococcus pneumoniae, Haemophilus influenza, Neisseria meningitides ...Change in behavior – crying more than usual, irritable, more sleepy, confused. Hearing loss. Severe headaches. Bulging soft spot on their head – babies only. If you suspect your child’s bacterial meningitis is coming back or they are getting sicker, take them to the closest hospital emergency department or call 911.
Abstract. Group B streptococcus (GBS) infection remains a leading cause of sepsis, pneumonia, and meningitis in infants. Rates of GBS early onset disease have declined following the widcespread use of intrapartum antibiotic prophylaxis; hence, late-onset infections (LOGBS) are currently a common presentation of neonatal GBS dicsease.. Renee o
How is meningitis diagnosed in a child? Lumbar puncture (spinal tap). This is the only test that diagnoses meningitis. A needle is placed into the lower back, into the spinal canal. This is ... Blood tests. These can help diagnose infections that cause meningitis. CT scan or MRI. These are tests ... Meningitis In Babies. Meningitis is an inflammation of the meninges, which is the tissue that surrounds and protects the brain and spinal cord. It’s most commonly caused by viral or bacterial infections. Meningitis is a serious condition that, left untreated, can be fatal in a short period of time and can cause life-altering complications in ... Among adults 60 years of age and older, the more common signs and symptoms of hydrocephalus are: Loss of bladder control or a frequent urge to urinate. Memory loss. Progressive loss of other thinking or reasoning skills. Difficulty walking, often described as a shuffling gait or the feeling of the feet being stuck.Two serious bacterial infections in a two-year period (meningitis, blood infection, or pneumonia) Swelling of the parotid gland (salivary glands located in front of the ear) Oral thrush that lasts for more than two months. A yeast infection that occurs in the digestive track or lungs. Constant or recurring sinus infections. Constant or ... Younger kids will need a vaccine if they're at a greater risk of getting meningitis because they: Have complement component deficiency, a rare immune system disease. Have spleen damage or had ... Meningitis vaccine schedule for babies or children . The CDC recommends that children receive their first MenACWY vaccine between the ages of 11 and 12. The MenACWY vaccine is a single dose ...Meningitis is an infection of the protective membranes that surround the brain and spinal cord (meninges). It can affect anyone, but is most common in babies, young children, teenagers and young adults. Meningitis can be very serious if not treated quickly. It can cause life-threatening blood poisoning ( sepsis) and result in permanent damage ...Change in behavior – crying more than usual, irritable, more sleepy, confused. Hearing loss. Severe headaches. Bulging soft spot on their head – babies only. If you suspect your child’s bacterial meningitis is coming back or they are getting sicker, take them to the closest hospital emergency department or call 911.Infants with meningitis can have a variety of symptoms, including: a fever. shivering. a stiff neck. arching of the back. cold hands and feet. turning away from light. excessive irritability, such ...Meningitis is a disease caused by an inflammation of the meninges, the membranes that surround the brain and spinal cord. It's usually caused by a virus, although it can be caused by bacteria, a fungus, or tuberculosis. Treatment for meningitis depends on the specific cause of the disease. Vaccinations can prevent or minimize the incidence of ...Protecting newborns Seeing a doctor Meningitis is a condition that causes inflammation in the meninges, which protect the brain and spinal cord. Meningitis is most often caused by a virus or...Disease can be localized to skin, eye and mouth (SEM disease), involve the central nervous system (CNS) or manifest as disseminated infection involving multiple organs. Most surviving infants in the latter two categories have neurological sequelae, and the mortality rate in the absence of therapy is very high (80%) for babies in the latter ... Babies who get group B strep a week or so after birth may have signs such as: Decreased movement of an arm or leg. Pain with movement of an arm or leg. Breathing problems. Fever. Red area on the face or other part of the body. Pregnant women may have group B strep without symptoms. When they have symptoms, these may include: Having to urinate ...Babies who get group B strep a week or so after birth may have signs such as: Decreased movement of an arm or leg. Pain with movement of an arm or leg. Breathing problems. Fever. Red area on the face or other part of the body. Pregnant women may have group B strep without symptoms. When they have symptoms, these may include: Having to urinate ...Meningitis is an infection that causes inflammation of the membranes (the meninges) covering the brain and spinal cord. Bacterial meningitis is a true medical emergency that may result in death or brain injury even if treated. Bacterial strains that cause meningitis include Streptococcus pneumoniae, Haemophilus influenza, Neisseria meningitides ... What causes meningitis in a child? Meningitis is most often caused by a bacterial or viral infection that moves into the cerebral spinal fluid (CSF). CSF is the fluid that protects and cushions the brain and spinal cord. A fungus or parasite may also cause meningitis. This is more common only in children with a weak immune system.Meningitis signs and symptoms in babies. Your baby might not experience the same meningitis symptoms as adults (like headache, neck stiffness and nausea) and it can be hard to tell even if they are. Some signs of meningitis you can look for in babies include: Bulging “soft spot” (fontanelle) on baby’s head. Poor eating.Sep 2, 2022 · Meningitis is a serious illness that causes inflammation of the membranes around the spinal cord and neck. It can be fatal without prompt treatment. The meningitis vaccine is one of the best ways ... .
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