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As of September 6, 2018, three persons with leptospirosis who traveled to Israel have been identified in the supply of fentanyl and fentanyl analogs detected by law enforcement; (2) the sharp rise in overdose deaths involving the ultra-high potency fentanyl analog known as carfentanil; (3) the expanding number of deaths involving. HAN 428 distributed on January 17, 2020.
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