From: Subject: Recommendations for Using Fluoride to Prevent and Control Dental Caries in the United States Date: Thu, 18 Jun 2009 10:51:55 -0500 MIME-Version: 1.0 Content-Type: multipart/related; type="text/html"; boundary="----=_NextPart_000_00B6_01C9F002.CB70D4E0" X-MimeOLE: Produced By Microsoft MimeOLE V6.00.2900.5579 This is a multi-part message in MIME format. ------=_NextPart_000_00B6_01C9F002.CB70D4E0 Content-Type: text/html; charset="Windows-1252" Content-Transfer-Encoding: quoted-printable Content-Location: http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5014a1.htm Recommendations for Using Fluoride to Prevent and = Control Dental Caries in the United States

=20

Recommendations for Using Fluoride to Prevent and Control = Dental=20 Caries in the United States

Fluoride Recommendations Work Group

Steven M. Adair, D.D.S., M.S. School of Dentistry Medical = College of=20 Georgia Augusta, Georgia

William H. Bowen, Ph.D. Caries Research Center University of = Rochester=20 Rochester, New York

Brian A. Burt, B.D.S., M.P.H., Ph.D. School of Public Health = University=20 of Michigan Ann Arbor, Michigan

Jayanth V. Kumar, D.D.S., M.P.H. New York Department of Health = Albany,=20 New York

Steven M. Levy, D.D.S., M.P.H. College of Dentistry University = of Iowa=20 Iowa City, Iowa

David G. Pendrys, D.D.S., Ph.D. School of Dental Medicine = University of=20 Connecticut

Farmington, Connecticut R. Gary Rozier, D.D.S., M.P.H. School = of Public=20 Health University of North Carolina

Chapel Hill, North Carolina Robert H. Selwitz, D.D.S., M.P.H. = National=20 Institute of Dental and Craniofacial Research Bethesda, = Maryland

John W. Stamm, D.D.S., D.D.P.H. School of Dentistry University = of North=20 Carolina Chapel Hill, North Carolina

George K. Stookey, Ph.D., D.D.S. School of Dentistry Indiana = University=20 Indianapolis, Indiana

Gary M. Whitford, Ph.D., D.M.D. School of Dentistry Medical = College of=20 Georgia Augusta, Georgia

Fluoride Recommendations=20 Reviewers

Myron Allukian, Jr., D.D.S., M.P.H. Director of Oral Health = Boston=20 Public Health Commission

Boston, Massachusetts John P. Brown, B.D.S., Ph.D. Department = of=20 Community Dentistry University of Texas Health Science Center San = Antonio,=20 Texas

Joseph A. Ciardi, Ph.D. National Institute of Dental and = Craniofacial=20 Research Bethesda, Maryland

D. Christopher Clark, D.D.S., M.P.H. Faculty of Dentistry = University of=20 British Columbia North Vancouver, Canada

Stephen B. Corbin, D.D.S., M.P.H. Oral Health America = Brookeville,=20 Maryland

Michael W. Easley, D.D.S., M.P.H. School of Dental Medicine = State=20 University of New York Buffalo, New York

Caswell A. Evans, D.D.S., M.P.H. County Dental Director Los = Angeles,=20 California Lawrence J. Furman, D.D.S., M.P.H. National Institute = of Dental=20 and Craniofacial Research Bethesda, Maryland

Stanley B. Heifetz, D.D.S., M.P.H. Department of Dental = Medicine and=20 Public Health School of Dentistry University of Southern = California Los=20 Angeles, California

Keith E. Heller, D.D.S., Dr.P.H. School of Public Health = University of=20 Michigan Ann Arbor, Michigan

Amid I. Ismail, D.D.S., Dr.P.H. School of Dentistry University = of=20 Michigan Ann Arbor, Michigan

David W. Johnston, B.D.S., M.P.H. School of Dentistry = University of=20 Western Ontario London, Canada

John V. Kelsey, D.D.S., M.B.A. US Food and Drug Administration=20 Rockville, Maryland

James A. Lalumandier, D.D.S., M.P.H. School of Dentistry Case = Western=20 Reserve University Hudson, Ohio

Stephen J. Moss, D.D.S., M.S. College of Dentistry New York = University=20 New York, New York

Ernest Newbrun, D.M.D., Ph.D. School of Dentistry University of = California, San Francisco San Francisco, California

Kathy R. Phipps, Dr.P.H. School of Dentistry Oregon Health = Sciences=20 University Portland, Oregon

Mel L. Ringelberg, D.D.S., Dr.P.H. State Dental Director State = of=20 Florida Department of Health Tallahassee, Florida

Jay D. Shulman, D.M.D., M.S.P.H. Baylor College of Dentistry = Dallas,=20 Texas

Phillip A. Swango, D.D.S., M.P.H. Private dental consultant=20 Albuquerque, New Mexico

Gerald R. Vogel, Ph.D. ADA Health Foundation Paffenbarger = Research=20 Center

Gaithersburg, Maryland James S. Wefel, Ph.D. College of = Dentistry=20 University of Iowa

Iowa City, Iowa B. Alex White, D.D.S., Dr.P.H. = Kaiser-Permanente, Inc.=20 Portland, Oregon

Summary

Widespread use of fluoride has been a major factor in the = decline in=20 the prevalence and severity of dental caries (i.e., tooth decay) = in the=20 United States and other economically developed countries. When = used=20 appropriately, fluoride is both safe and effective in preventing = and=20 controlling dental caries. All U.S. residents are likely exposed = to some=20 degree to fluoride, which is available from multiple sources. Both = health-care professionals and the public have sought guidance on = selecting=20 the best way to provide and receive fluoride. During the late = 1990s, CDC=20 convened a work group to develop recommendations for using = fluoride to=20 prevent and control dental caries in the United States. This = report=20 includes these recommendations, as well as a) critical analysis of = the=20 scientific evidence regarding the efficacy and effectiveness of = fluoride=20 modalities in preventing and controlling dental caries, b) ordinal = grading=20 of the quality of the evidence, and c) assessment of the strength = of each=20 recommendation.

Because frequent exposure to small amounts of fluoride each day = will=20 best reduce the risk for dental caries in all age groups, the work = group=20 recommends that all persons drink water with an optimal fluoride=20 concentration and brush their teeth twice daily with fluoride = toothpaste.=20 For persons at high risk for dental caries, additional fluoride = measures=20 might be needed. Measured use of fluoride modalities is = particularly=20 appropriate during the time of anterior tooth enamel development = (i.e.,=20 age <6 years).

The recommendations in this report guide dental and other = health-care=20 providers, public health officials, policy makers, and the public = in the=20 use of fluoride to achieve maximum protection against dental = caries while=20 using resources efficiently and reducing the likelihood of enamel=20 fluorosis. The recommendations address public health and = professional=20 practice, self-care, consumer product industries and health = agencies, and=20 further research. Adoption of these recommendations could further = reduce=20 dental caries in the United States and save public and private=20 resources.=20

INTRODUCTION

Dental caries (i.e., tooth decay) is an infectious, = multifactorial=20 disease afflicting most persons in industrialized countries and = some=20 developing countries (1). Fluoride reduces the incidence of = dental=20 caries and slows or reverses the progression of existing lesions = (i.e.,=20 prevents cavities). Although pit and fissure sealants, meticulous = oral=20 hygiene, and appropriate dietary practices contribute to caries = prevention=20 and control, the most effective and widely used approaches have = included=20 fluoride use. Today, all U.S. residents are exposed to fluoride to = some=20 degree, and widespread use of fluoride has been a major factor in = the=20 decline in the prevalence and severity of dental caries in the = United=20 States and other economically developed countries (1). = Although=20 this decline is a major public health achievement, the burden of = disease=20 is still considerable in all age groups. Because many fluoride = modalities=20 are effective, inexpensive, readily available, and can be used in = both=20 private and public health settings, their use is likely to = continue.

Fluoride is the ionic form of the element fluorine, the 13th = most=20 abundant element in the earth's crust. Fluoride is negatively = charged and=20 combines with positive ions (e.g., calcium or sodium) to form = stable=20 compounds (e.g., calcium fluoride or sodium fluoride). Such = fluorides are=20 released into the environment naturally in both water and air. = Fluoride=20 compounds also are produced by some industrial processes that use = the=20 mineral apatite, a mixture of calcium phosphate compounds. In = humans,=20 fluoride is mainly associated with calcified tissues (i.e., bones = and=20 teeth) because of its high affinity for calcium.

Fluoride's ability to inhibit or even reverse the initiation = and=20 progression of dental caries is well documented. The first use of = adjusted=20 fluoride in water for caries control began in 1945 and 1946 in the = United=20 States and Canada, when the fluoride concentration was adjusted in = the=20 drinking water supplying four communities (2--5). The U.S. = Public=20 Health Service (PHS) developed recommendations in the 1940s and = 1950s=20 regarding fluoride concentrations in public water supplies. At = that time,=20 public health officials assumed that drinking water would be the = major=20 source of fluoride for most U.S. residents. The success of water=20 fluoridation in preventing and controlling dental caries led to = the=20 development of fluoride-containing products, including toothpaste = (i.e.,=20 dentifrice), mouthrinse, dietary supplements, and professionally = applied=20 or prescribed gel, foam, or varnish. In addition, processed = beverages,=20 which constitute an increasing proportion of the diets of many = U.S.=20 residents (6,7), and food can contain small amounts of = fluoride,=20 especially if they are processed with fluoridated water. Thus, = U.S.=20 residents have more sources of fluoride available now than 50 = years ago.=20

Much of the research on the efficacy and effectiveness of = individual=20 fluoride modalities in preventing and controlling dental caries = was=20 conducted before 1980, when dental caries was more common and more = severe.=20 Modalities were usually tested separately and with the assumption = that the=20 method would provide the main source of fluoride. Thus, various = modes of=20 fluoride use have evolved, each with its own recommended = concentration,=20 frequency of use, and dosage schedule. Health-care professionals = and the=20 public have sought guidance regarding selection of preventive = modalities=20 from among the available options. The United States does not have=20 comprehensive recommendations for caries prevention and control = through=20 various combinations of fluoride modalities. Adoption of such=20 recommendations could further reduce dental caries while saving = public and=20 private resources and reducing the prevalence of enamel fluorosis, = a=20 generally cosmetic developmental condition of tooth enamel.

This report presents comprehensive recommendations on the use = of=20 fluoride to prevent and control dental caries in the United = States. These=20 recommendations were developed by a work group of 11 specialists = in=20 fluoride research or policy convened by CDC during the late 1990s = and=20 reviewed by an additional 23 specialists. Although the = recommendations=20 were developed specifically for the United States, aspects of this = report=20 could be relevant to other countries. The recommendations guide=20 health-care providers and the public on efficient and appropriate = use of=20 fluoride modalities, direct attention to fluoride intake among = children=20 aged <6 years to decrease the risk for enamel fluorosis, and = suggest=20 areas for further research. This report focuses on critical = analysis of=20 the scientific evidence regarding the efficacy and effectiveness = of each=20 fluoride modality in preventing and controlling dental caries and = on the=20 use of multiple sources of fluoride. The safety of fluoride, which = has=20 been documented comprehensively by other scientific and public = health=20 organizations (e.g., PHS [8], National Research Council = [9],=20 World Health Organization [10], and Institute of Medicine=20 [11]) is not addressed.=20

HOW FLUORIDE PREVENTS AND CONTROLS DENTAL CARIES

Dental caries is an infectious, transmissible disease in which=20 bacterial by-products (i.e., acids) dissolve the hard surfaces of = teeth.=20 Unchecked, the bacteria can penetrate the dissolved surface, = attack the=20 underlying dentin, and reach the soft pulp tissue. Dental caries = can=20 result in loss of tooth structure, pain, and tooth loss and can = progress=20 to acute systemic infection.

Cariogenic bacteria (i.e., bacteria that cause dental caries) = reside in=20 dental plaque, a sticky organic matrix of bacteria, food debris, = dead=20 mucosal cells, and salivary components that adheres to tooth = enamel.=20 Plaque also contains minerals, primarily calcium and phosphorus, = as well=20 as proteins, polysaccharides, carbohydrates, and lipids. = Cariogenic=20 bacteria colonize on tooth surfaces and produce polysaccharides = that=20 enhance adherence of the plaque to enamel. Left undisturbed, = plaque will=20 grow and harbor increasing numbers of cariogenic bacteria. An = initial step=20 in the formation of a carious lesion takes place when cariogenic = bacteria=20 in dental plaque metabolize a substrate from the diet (e.g., = sugars and=20 other fermentable carbohydrates) and the acid produced as a = metabolic=20 by-product demineralizes (i.e., begins to dissolve) the adjacent = enamel=20 crystal surface (Figur= e=20 1). Demineralization involves the loss of calcium, phosphate, = and=20 carbonate. These minerals can be captured by surrounding plaque = and be=20 available for reuptake by the enamel surface. Fluoride, when = present in=20 the mouth, is also retained and concentrated in plaque.

Fluoride works to control early dental caries in several ways. = Fluoride=20 concentrated in plaque and saliva inhibits the demineralization of = sound=20 enamel and enhances the remineralization (i.e., recovery) of = demineralized=20 enamel (12,13). As cariogenic bacteria metabolize = carbohydrates and=20 produce acid, fluoride is released from dental plaque in response = to=20 lowered pH at the tooth-plaque interface (14). The released = fluoride and the fluoride present in saliva are then taken up, = along with=20 calcium and phosphate, by de-mineralized enamel to establish an = improved=20 enamel crystal structure. This improved structure is more acid = resistant=20 and contains more fluoride and less carbonate (12,15--19) = (Figur= e=20 1). Fluoride is more readily taken up by demineralized enamel = than by=20 sound enamel (20). Cycles of demineralization and = remineralization=20 continue throughout the lifetime of the tooth.

Fluoride also inhibits dental caries by affecting the activity = of=20 cariogenic bacteria. As fluoride concentrates in dental plaque, it = inhibits the process by which cariogenic bacteria metabolize = carbohydrates=20 to produce acid and affects bacterial production of adhesive=20 polysaccharides (21). In laboratory studies, when a low=20 concentration of fluoride is constantly present, one type of = cariogenic=20 bacteria, Streptococcus mutans, produces less acid = (22--25).=20 Whether this reduced acid production reduces the cariogenicity of = these=20 bacteria in humans is unclear (26).

Saliva is a major carrier of topical fluoride. The = concentration of=20 fluoride in ductal saliva, as it is secreted from salivary glands, = is low=20 --- approximately 0.016 parts per million (ppm) in areas where = drinking=20 water is fluoridated and 0.006 ppm in nonfluoridated areas = (27).=20 This concentration of fluoride is not likely to affect cariogenic=20 activity. However, drinking fluoridated water, brushing with = fluoride=20 toothpaste, or using other fluoride dental products can raise the=20 concentration of fluoride in saliva present in the mouth 100- to=20 1,000-fold. The concentration returns to previous levels within = 1--2 hours=20 but, during this time, saliva serves as an important source of = fluoride=20 for concentration in plaque and for tooth remineralization = (28).=20

Applying fluoride gel or other products containing a high = concentration=20 of fluoride to the teeth leaves a temporary layer of calcium = fluoride-like=20 material on the enamel surface. The fluoride in this material is = released=20 when the pH drops in the mouth in response to acid production and = is=20 available to remineralize enamel (29).

In the earliest days of fluoride research, investigators = hypothesized=20 that fluoride affects enamel and inhibits dental caries only when=20 incorporated into developing dental enamel (i.e., preeruptively, = before=20 the tooth erupts into the mouth) (30,31). Evidence supports = this=20 hypothesis (32--34), but distinguishing a true preeruptive = effect=20 after teeth erupt into a mouth where topical fluoride exposure = occurs=20 regularly is difficult. However, a high fluoride concentration in = sound=20 enamel cannot alone explain the marked reduction in dental caries = that=20 fluoride produces (35,36). The prevalence of dental caries = in a=20 population is not inversely related to the concentration of = fluoride in=20 enamel (37), and a higher concentration of enamel fluoride = is not=20 necessarily more efficacious in preventing dental caries = (38).

The laboratory and epidemiologic research that has led to the = better=20 understanding of how fluoride prevents dental caries indicates = that=20 fluoride's predominant effect is posteruptive and topical and that = the=20 effect depends on fluoride being in the right amount in the right = place at=20 the right time. Fluoride works primarily after teeth have erupted, = especially when small amounts are maintained constantly in the = mouth,=20 specifically in dental plaque and saliva (37). Thus, adults = also=20 benefit from fluoride, rather than only children, as was = previously=20 assumed.=20

RISK FOR DENTAL CARIES

The prevalence and severity of dental caries in the United = States have=20 decreased substantially during the preceding 3 decades = (39).=20 National surveys have reported that the prevalence of any dental = caries=20 among children aged 12--17 years declined from 90.4% in 1971--1974 = to 67%=20 in 1988--1991; severity (measured as the mean number of decayed, = missing,=20 or filled teeth) declined from 6.2 to 2.8 during this period=20 (40--43).

These decreases in caries prevalence and severity have been = uneven=20 across the general population; the burden of disease now is = concentrated=20 among certain groups and persons. For example, 80% of the dental = caries in=20 permanent teeth of U.S. children aged 5--17 years occurs among 25% = of=20 those children (43). To develop and apply appropriate and = effective=20 caries prevention and control strategies, identification and = assessment of=20 groups and persons at high risk for developing new carious lesions = is=20 essential (44). Caries risk assessment is difficult because = it=20 attempts to account for the complex interaction of multiple = factors.=20 Although various methods for assessing risk exist, no single model = predominates in this emerging science. Models that take multiple = factors=20 into account predict the risk more accurately, especially for = groups=20 rather than persons. However, for persons in a clinical setting, = models do=20 not improve on a dentist's perception of risk after examining a = patient=20 and considering the personal circumstances (45).

Populations believed to be at increased risk for dental caries = are=20 those with low socioeconomic status (SES) or low levels of = parental=20 education, those who do not seek regular dental care, and those = without=20 dental insurance or access to dental services (45--47). = Persons can=20 be at high risk for dental caries even if they do not have these=20 recognized factors. Individual factors that possibly increase risk = include=20 active dental caries; a history of high caries in older siblings = or=20 caregivers; root surfaces exposed by gingival recession; high = levels of=20 infection with cariogenic bacteria; impaired ability to maintain = oral=20 hygiene; malformed enamel or dentin; reduced salivary flow because = of=20 medications, radiation treatment, or disease; low salivary = buffering=20 capacity (i.e., decreased ability of saliva to neutralize acids); = and the=20 wearing of space maintainers, orthodontic appliances, or dental=20 prostheses. Risk can increase if any of these factors are combined = with=20 dietary practices conducive to dental caries (i.e., frequent = consumption=20 of refined carbohydrates). Risk decreases with adequate exposure = to=20 fluoride (44,45).

Risk for dental caries and caries experience* exists on a = continuum,=20 with each person at risk to some extent; 85% of U.S. adults have=20 experienced tooth decay (48). Caries risk can vary over = time ---=20 perhaps numerous times during a person's lifetime --- as risk = factors=20 change. Because caries prediction is an inexact, developing = science, risk=20 is dichotomized as low and high in this report. If these two = categories of=20 risk were applied to the U.S. population, most persons would be = classified=20 as low risk at any given time.

Children and adults who are at low risk for dental caries can = maintain=20 that status through frequent exposure to small amounts of fluoride = (e.g.,=20 drinking fluoridated water and using fluoride toothpaste). = Children and=20 adults at high risk for dental caries might benefit from = additional=20 exposure to fluoride (e.g., mouthrinse, dietary supplements, and=20 professionally applied products). All available information on = risk=20 factors should be considered before a group or person is = identified as=20 being at low or high risk for dental caries. However, when = classification=20 is uncertain, treating a person as high risk is prudent until = further=20 information or experience allows a more accurate assessment. This=20 assumption increases the immediate cost of caries prevention or = treatment=20 and might increase the risk for enamel fluorosis for children aged = <6=20 years, but reduces the risk for dental caries for groups or = persons=20 misclassified as low risk.=20

RISK FOR ENAMEL FLUOROSIS

The proper amount of fluoride helps prevent and control dental = caries.=20 Fluoride ingested during tooth development can also result in a = range of=20 visually detectable changes in enamel opacity (i.e., light = refraction at=20 or below the surface) because of hypomineralization. These changes = have=20 been broadly termed enamel fluorosis, certain extremes of which = are=20 cosmetically objectionable (49). (Many other developmental = changes=20 that affect the appearance of enamel are not related to fluoride=20 [50].) Severe forms of this condition can occur only when = young=20 children ingest excess fluoride, from any source, during critical = periods=20 of tooth development. The occurrence of enamel fluorosis is = reported to be=20 most strongly associated with cumulative fluoride intake during = enamel=20 development, but the severity of the condition depends on the = dose,=20 duration, and timing of fluoride intake. The transition and early=20 maturation stages of enamel development appear to be most = susceptible to=20 the effects of fluoride (51); these stages occur at varying = times=20 for different tooth types. For central incisors of the upper jaw, = for=20 example, the most sensitive period is estimated at age 15--24 = months for=20 boys and age 21--30 months for girls (51,52).

Concerns regarding the risk for enamel fluorosis are limited to = children aged <8 years; enamel is no longer susceptible = once its=20 preeruptive maturation is complete (11). Fluoride sources = for=20 children aged <8 years are drinking water, processed = beverages=20 and food, toothpaste, dietary supplements that include fluoride = (tablets=20 or drops), and other dental products. This report discusses the = risk for=20 enamel fluorosis among children aged <6 years. Children aged=20 >6 years are considered past the age that fluoride = ingestion can=20 cause cosmetically objectionable fluorosis because only certain = posterior=20 teeth are still at a susceptible stage of enamel development, and = these=20 will not be readily visible. In addition, the swallowing reflex = has=20 developed sufficiently by age 6 years for most children to be able = to=20 control inadvertent swallowing of fluoride toothpaste and = mouthrinse.

The very mild and mild forms of enamel fluorosis appear as = chalklike,=20 lacy markings across a tooth's enamel surface that are not readily = apparent to the affected person or casual observer (53). In = the=20 moderate form, >50% of the enamel surface is opaque white. The = rare,=20 severe form manifests as pitted and brittle enamel. After = eruption, teeth=20 with moderate or severe fluorosis might develop areas of brown = stain=20 (54). In the severe form, the compromised enamel might = break away,=20 resulting in excessive wear of the teeth. Even in its severe form, = enamel=20 fluorosis is considered a cosmetic effect, not an adverse = functional=20 effect (8,11,55,56). Some persons choose to modify this = condition=20 with elective cosmetic treatment.

The benefits of reduced dental caries and the risk for enamel = fluorosis=20 are linked. Early studies that examined the cause of "mottled = enamel" (now=20 called moderate to severe enamel fluorosis) led to the unexpected=20 discovery that fluoride in community drinking water inhibits = dental caries=20 (57). Historically, a low prevalence of the milder forms of = enamel=20 fluorosis has been accepted as a reasonable and minor consequence = balanced=20 against the substantial protection from dental caries from = drinking water=20 containing an optimal concentration of fluoride, either naturally=20 occurring or through adjustment (11,53). When enamel = fluorosis was=20 first systematically investigated during the 1930s and 1940s, its=20 prevalence was 12%--15% for very mild and mild forms and zero for = moderate=20 and severe forms among children who lived in communities with = drinking=20 water that naturally contained 0.9--1.2 ppm fluoride (53). = Although=20 the prevalence of this condition in the United States has since = increased=20 (8,58,59), most fluorosis today is of the mildest form, = which=20 affects neither cosmetic appearance nor dental function. The = increased=20 prevalence in areas both with and without fluoridated community = drinking=20 water (8) indicates that, during the first 8 years of life = (i.e.,=20 the window of time when this condition can develop), the total = intake of=20 fluoride from all sources has increased for some children.

The 1986--1987 National Survey of Dental Caries in U.S. School = Children=20 (the most recent national estimates of enamel fluorosis = prevalence)=20 indicated that the prevalence of any enamel fluorosis among = children was=20 22%--23% (range: 26% of children aged 9 years to 19% of those aged = 17=20 years) (60,61). Almost all cases reported in the survey = were of the=20 very mild or mild form, but some cases of the moderate (1.1%) and = severe=20 (0.3%) forms were observed. Cases of moderate and severe forms = occurred=20 even among children living in areas with low fluoride = concentrations in=20 the drinking water (61). Although this level of enamel = fluorosis is=20 not considered a public health problem (53), prudent public = health=20 practice should seek to minimize this condition, especially = moderate to=20 severe forms. In addition, changes in public perceptions of what = is=20 cosmetically acceptable could influence support for effective=20 caries-prevention measures. Research into the causes of enamel = fluorosis=20 has focused on identifying risk factors (62--65). Adherence = to the=20 recommendations in this report regarding appropriate use of = fluoride for=20 children aged <6 years will reduce the prevalence and = severity=20 of enamel fluorosis.=20

NATIONAL GUIDELINES FOR FLUORIDE USE

PHS recommendations for fluoride use include an optimally = adjusted=20 concentration of fluoride in community drinking water to maximize = caries=20 prevention and limit enamel fluorosis. This concentration ranges = from 0.7=20 ppm to 1.2 ppm depending on the average maximum daily air = temperature of=20 the area (66--68). In 1991, PHS also issued policy and = research=20 recommendations for fluoride use (8). The U.S. = Environmental=20 Protection Agency (EPA), which is responsible for the safety and = quality=20 of drinking water in the United States, sets a maximum allowable = limit for=20 fluoride in community drinking water at 4 ppm and a secondary = limit (i.e.,=20 nonenforceable guideline) at 2 ppm (69,70). The U.S. Food = and Drug=20 Administration (FDA) is responsible for approving prescription and = over-the-counter fluoride products marketed in the United States = and for=20 setting standards for labeling bottled water (71) and=20 over-the-counter fluoride products (e.g., toothpaste and = mouthrinse)=20 (72).

Nonfederal agencies also have published guidelines on fluoride = use. The=20 American Dental Association (ADA) reviews fluoride products for = caries=20 prevention through its voluntary Seal of Acceptance program; = accepted=20 products are listed in the ADA Guide to Dental Therapeutics = (73). A dosage schedule for fluoride supplements for = infants and=20 children aged <16 years, which is scaled to the fluoride = concentration in the community drinking water, has been jointly=20 recommended by ADA, the American Academy of Pediatric Dentistry = (AAPD),=20 and the American Academy of Pediatrics (AAP) (Table= =20 1) (44,74,75). In 1997, the Institute of Medicine = published=20 age-specific recommendations for total dietary intake of fluoride = (Table= =20 2). These recommendations list adequate intake to prevent = dental=20 caries and tolerable upper intake, defined as a level unlikely to = pose=20 risk for adverse effects in almost all persons.=20

FLUORIDE SOURCES AND THEIR EFFECTS

Fluoridated community drinking water and fluoride toothpaste = are the=20 most common sources of fluoride in the United States and are = largely=20 responsible for the low risk for dental caries for most persons in = this=20 country. Persons at high risk for dental caries might require more = frequent or more concentrated exposure to fluoride and might = benefit from=20 use of other fluoride modalities (e.g., mouthrinse, dietary = supplements,=20 and topical gel, foam, or varnish). The effects of each of these = fluoride=20 sources on dental caries and enamel fluorosis are described.

Fluoridated Drinking Water and Processed Beverages and = Food

Fluoridated drinking water contains a fluoride concentration = effective=20 for preventing dental caries; this concentration can occur = naturally or be=20 reached through water fluoridation, which is the controlled = addition of=20 fluoride to a public water supply. When fluoridated water is the = main=20 source of drinking water, a low concentration of fluoride is = routinely=20 introduced into the mouth. Some of this fluoride is taken up by = dental=20 plaque; some is transiently present in saliva, which serves as a = reservoir=20 for plaque fluoride; and some is loosely held on the enamel = surfaces=20 (76). Frequent consumption of fluoridated drinking water = and=20 beverages and food processed in fluoridated areas maintains the=20 concentration of fluoride in the mouth.

Estimates of fluoride intake among U.S. and Canadian adults = have ranged=20 from <1.0 mg fluoride per day in nonfluoridated areas to = 1--3 mg=20 fluoride per day in fluoridated areas (77--80). The average = daily=20 dietary fluoride intake for both children and adults in = fluoridated areas=20 has remained relatively constant for several years (11). = For=20 children who live in optimally fluoridated areas, this average is=20 approximately 0.05 mg/kg/day (range: 0.02--0.10); for children who = live in=20 nonfluoridated areas, the average is approximately half = (11). In a=20 survey of four U.S. cities with different fluoride concentrations = in the=20 drinking water (range: 0.37--1.04 ppm), children aged 2 years = ingested=20 0.41--0.61 mg fluoride per day and infants aged 6 months ingested=20 0.21--0.54 mg fluoride per day (81,82).

In the United States, water and processed beverages (e.g., soft = drinks=20 and fruit juices) can provide approximately 75% of a person's = fluoride=20 intake (83). Many processed beverages are prepared in = locations=20 where the drinking water is fluoridated. Foods and ingredients = used in=20 food processing vary in their fluoride content (11). As = consumption=20 of processed beverages by children increases, fluoride intake in=20 communities without fluoridated water will increase whenever the = water=20 source for the processed beverage is fluoridated (84). In=20 fluoridated areas, dietary fluoride intake has been stable because = processed beverages have been substituted for tap water and for = beverages=20 prepared in the home using tap water (11).

A study of Iowa infants estimated that the mean fluoride intake = from=20 water during different periods during the first 9 months of life, = either=20 consumed directly or added to infant formula or juice, was = 0.29--0.38 mg=20 per day, although estimated intake for some infants was as high as = 1.73 mg=20 per day (85). As foods are added to an infant's diet, = replacing=20 some of the formula prepared with fluoridated water, the amount of = fluoride the infant receives typically decreases (86). The = Iowa=20 study also reported that infant formula and processed baby food = contained=20 variable amounts of fluoride. Since 1979, U.S. manufacturers of = infant=20 formula have voluntarily lowered the fluoride concentration of = their=20 products, both ready-to-feed and concentrates, to <0.3 ppm = fluoride=20 (87).

Drinking Water

Community Water. During the 1940s, researchers = determined that 1=20 ppm fluoride was the optimal concentration in community drinking = water for=20 climates similar to the Chicago area (88,89). This = concentration=20 would substantially reduce the prevalence of dental caries, while = allowing=20 an acceptably low prevalence (i.e., 10%--12%) of very mild and = mild enamel=20 fluorosis and no moderate or severe enamel fluorosis. Water = fluoridation=20 for caries control began in 1945 and 1946, when the fluoride = concentration=20 was adjusted in the drinking water supplying four communities in = the=20 United States and Canada (2--5). This public health = approach=20 followed a long period of epidemiologic research into the effects = of=20 naturally occurring fluoride in drinking water = (53,57,88,89).

Current federal fluoridation guidelines, maintained by the PHS = since=20 1962, state that community drinking water should contain 0.7--1.2 = ppm=20 fluoride, depending on the average maximum daily air temperature = of the=20 area. These temperature-related guidelines are based on = epidemiologic=20 studies conducted during the 1950s that led to the development of = an=20 algebraic formula for determining optimal fluoride concentrations=20 (67,90--92). This formula determined that a lower fluoride=20 concentration was appropriate for communities in warmer climates = because=20 persons living in warmer climates drank more tap water. However, = social=20 and environmental changes since 1962 (e.g., increased use of air=20 conditioning and more sedentary lifestyles) have reduced the = likelihood=20 that persons in warmer regions drink more tap water than persons = in cooler=20 regions (7).

By 1992, fluoridated water was reaching 144 million persons in = the=20 United States (56% of the total population and 62% of those = receiving=20 municipal water supplies) (93). Approximately 10 million of = these=20 persons were receiving water containing naturally occurring = fluoride at a=20 concentration of >0.7 ppm. In 11 states and the District = of=20 Columbia, >90% of the population had such access, whereas = <5%=20 received this benefit in two states. In 2000, a total of 38 states = and the=20 District of Columbia provided access to fluoridated public water = supplies=20 to >50% of their population (CDC, unpublished data, = 2000) (Figur= e=20 2).

Initial studies of community water fluoridation demonstrated = that=20 reductions in childhood dental caries attributable to fluoridation = were=20 approximately 50%--60% (94--97). More recent estimates are = lower=20 --- 18%--40% (98,99). This decrease in attributable benefit = is=20 likely caused by the increasing use of fluoride from other = sources, with=20 the widespread use of fluoride toothpaste probably the most = important. The=20 diffusion or "halo" effect of beverages and food processed in = fluoridated=20 areas but consumed in nonfluoridated areas also indirectly spreads = some=20 benefit of fluoridated water to nonfluoridated communities. This = effect=20 lessens the differences in caries experience among communities=20 (100).

Quantifying the benefits of water fluoridation among adults is = more=20 complicated because adults are rarely surveyed, their fluoride = histories=20 are potentially more varied, and their tooth loss or restorations = might be=20 caused by dental problems other than caries (e.g., trauma or = periodontal=20 diseases). Nevertheless, adults are reported to receive = caries-preventive=20 benefits from community water fluoridation (99,101--103). = These=20 benefits might be particularly advantageous for adults aged >50 = years,=20 many of whom are at increased risk for dental caries. Besides = coronal=20 caries, older adults typically experience gingival recession, = which=20 results in teeth with exposed root surfaces. Unlike the crowns of = teeth,=20 these root surfaces are not covered by enamel and are more = susceptible to=20 caries. Because tooth retention among older age groups has = increased in=20 recent decades in the United States (39), these groups' = risk for=20 caries will increase as the country's population ages. Older = adults also=20 frequently require multiple medications for chronic conditions, = and many=20 of these medications can reduce salivary output (104). = Drinking=20 water containing an optimal concentration of fluoride can mitigate = the=20 risk factors for caries among older adults. Studies have reported = that the=20 prevalence of root caries among adults is inversely related to = fluoride=20 concentration in the community drinking water (105--107). =

Water fluoridation also reduces the disparities in caries = experience=20 among poor and nonpoor children (108--111). Caries = experience is=20 considerably higher among persons in low SES strata than among = those in=20 high SES strata (39,46,112). The reasons for this = discrepancy are=20 not well understood; perhaps persons in low SES strata have less = knowledge=20 of oral diseases, have less access to dental care, are less likely = to=20 follow recommended self-care practices, or are harder to reach = through=20 traditional approaches, including public health programs and = private=20 dental care (48). Thus, these persons might receive more = benefit=20 from fluoridated community water than persons from high SES = strata.=20 Regardless of SES, water fluoridation is the most effective and = efficient=20 strategy to reduce dental caries (112).

Enamel fluorosis occurs among some persons in all communities, = even in=20 communities with a low natural concentration of fluoride. During=20 1930--1960, U.S. studies documented that, in areas with a natural = or=20 adjusted concentration of fluoride of approximately 1.0 ppm in the = community drinking water, the permanent teeth of 7%-- 16% of = children with=20 lifetime residence in those areas exhibited very mild or mild = forms of=20 enamel fluorosis (53,113,114). Before 1945, when naturally=20 fluoridated drinking water was virtually the only source of = fluoride, the=20 moderate and severe forms of this condition were not observed = unless the=20 natural fluoride concentration was >2 ppm (53). = The=20 likelihood of a child developing the mild forms of enamel = fluorosis might=20 be higher in a fluoridated area than in a nonfluoridated area, but = prevalence might not change in every community (115,116). = The most=20 recent national study of this condition indicated that its = prevalence had=20 increased in both fluoridated and nonfluoridated areas since the = 1940s,=20 with the relative increase higher in nonfluoridated areas. In = communities=20 with drinking water containing 0.7--1.2 ppm fluoride, the = prevalence was=20 1.3% for the moderate form of enamel fluorosis and zero for the = severe=20 form; thus, few cases of enamel fluorosis were likely to be of = cosmetic=20 consequence (8,61). Because combined fluoride intake from = drinking=20 water and processed beverages and food by children in fluoridated = areas=20 has reportedly remained stable since the 1940s, the increase in = fluoride=20 intake resulting in increased enamel fluorosis almost certainly = stems from=20 use of fluoride-containing dental products by children aged <6 = years=20 (11).

Two studies reported that extended consumption of infant = formula beyond=20 age 10--12 months was a risk factor for enamel fluorosis, = especially when=20 formula concentrate was mixed with fluoridated water = (62,63). These=20 studies examined children who used pre-1979 formula (with higher = fluoride=20 concentrations). Whether fluoride intake from formula that exceeds = the=20 recommended amount during only the first 10--12 months of life = contributes=20 to the prevalence or severity of enamel fluorosis is unknown.

Fluoride concentrations in drinking water should be maintained = at=20 optimal levels, both to achieve effective caries prevention and = because=20 changes in fluoride concentration as low as 0.2 ppm can result in = a=20 measurable change in the prevalence and severity of enamel = fluorosis=20 (52,117). Since the late 1970s, CDC has provided guidelines = and=20 recommendations for managers of fluoridated water supply systems = at state=20 and local levels to help them establish and maintain appropriate = fluoride=20 concentrations. CDC periodically updates these guidelines; the = most recent=20 revision was published in 1995 (68).

School Water Systems. In some areas of the United States = where=20 fluoridating a community's drinking water was not feasible (e.g., = rural=20 areas), the alternative of fluoridating a school's public water = supply=20 system was promoted for many years. This method was used when a = school had=20 its own source of water and was not connected to a community water = supply=20 system (i.e., stand-alone systems). Because children are at school = only=20 part of each weekday, a fluoride concentration of 4.5 times the = optimal=20 concentration for a community in the same geographic area was = recommended=20 (118) to compensate for the more limited consumption of = fluoridated=20 water. At the peak of this practice in the early 1980s, a total of = 13=20 states had initiated school water fluoridation in 470 schools = serving=20 170,000 children (39). Since then, school water = fluoridation has=20 been phased out in several states; the current extent of this = practice is=20 not known.

Studies of the effects of school water fluoridation in the = United=20 States reported that this practice reduced caries among = schoolchildren by=20 approximately 40% (118--122). A more recent study indicated = that=20 this effect might no longer be as pronounced (123).

Several concerns regarding school water fluoridation exist. = Operating=20 and maintaining small fluoridation systems (i.e., those serving = <500=20 persons) create practical and logistical difficulties (68). = These=20 difficulties have occasionally caused higher than recommended = fluoride=20 concentrations in the school drinking water, but no lasting = effects among=20 children have been observed (124--126). In schools that = enroll=20 preschoolers in day care programs, children aged <6 years might = receive=20 more than adequate fluoride.

Bottled Water. Many persons drink bottled water, = replacing tap=20 water partially or completely as a source of drinking water. Water = is=20 classified as "bottled water" if it meets all applicable federal = and state=20 standards, is sealed in a sanitary container, and is sold for = human=20 consumption. Although some bottled waters marketed in the United = States=20 contain an optimal concentration of fluoride (approximately 1.0 = ppm), most=20 contain <0.3 ppm fluoride (127--129). Thus, a person=20 substituting bottled water with a low fluoride concentration for=20 fluoridated community water might not receive the full benefits of = community water fluoridation (130). For water bottled in = the United=20 States, current FDA regulations require that fluoride be listed on = the=20 label only if the bottler adds fluoride during processing; the=20 concentration of fluoride is regulated but does not have to be = stated on=20 the label (Table= =20 3). Few bottled water brands have labels listing the fluoride=20 concentration.

Determining Fluoride Concentration. Uneven geographic = coverage=20 of community water fluoridation throughout the United States, wide = variations in natural fluoride concentrations found in drinking = water, and=20 almost nonexistent labeling of fluoride concentration in bottled = water=20 make knowing the concentration of fluoride in drinking water = difficult for=20 many persons. Persons in nonfluoridated areas can mistakenly = believe their=20 water contains an optimal concentration of fluoride. To obtain the = fluoride concentration of community drinking water, a resident can = contact=20 the water supplier or a local public health authority, dentist, = dental=20 hygienist, physician, or other knowledgeable source. EPA requires = that all=20 community water supply systems provide each customer an annual = report on=20 the quality of water, including the fluoride concentration = (131).=20 Testing for private wells is available through local and state = public=20 health departments as well as some private laboratories. If the = fluoride=20 concentration is not listed on the label of bottled water, the = bottler can=20 be contacted directly to obtain this information.

Fluoride Toothpaste

Fluoride is the only nonprescription toothpaste additive proven = to=20 prevent dental caries. When introduced into the mouth, fluoride in = toothpaste is taken up directly by dental plaque (132--134) = and=20 demineralized enamel (135,136). Brushing with fluoride = toothpaste=20 also increases the fluoride concentration in saliva 100- to = 1,000-fold;=20 this concentration returns to baseline levels within 1--2 hours=20 (137). Some of this salivary fluoride is taken up by dental = plaque.=20 The ambient fluoride concentration in saliva and plaque can = increase=20 during regular use of fluoride toothpaste (132,133).

By the 1990s, fluoride toothpaste accounted for >90% of the=20 toothpaste market in the United States, Canada, and other = developed=20 countries (138). Because water fluoridation is not = available in=20 many countries, toothpaste might be the most important source of = fluoride=20 globally (1).

Studies of 2--3 years duration have reported that fluoride = toothpaste=20 reduces caries experience among children by a median of 15%--30%=20 (139--148). This reduction is modest compared with the = effect of=20 water fluoridation, but water fluoridation studies usually = measured=20 lifetime --- rather than a few years' --- exposure. Regular = lifetime use=20 of fluoride toothpaste likely provides ongoing benefits that might = approach those of fluoridated water. Combined use of fluoride = toothpaste=20 and fluoridated water offers protection above either used alone=20 (99,149,150).

Few studies evaluating the effectiveness of fluoride = toothpaste, gel,=20 rinse, and varnish among adult populations are available. Child=20 populations have typically been used for studies on caries = prevention=20 because of perceived increased caries susceptibility and = logistical=20 reasons. However, teeth generally remain susceptible to caries = throughout=20 life, and topically applied fluorides could be effective in = preventing=20 caries in susceptible patients of any age (151,152).

Most persons report brushing their teeth at least once per day=20 (153,154), but more frequent use can offer additional = protection=20 (139,141,155--158). Brushing twice a day is a reasonable = social=20 norm that is both effective and convenient for most persons' daily = routines, and this practice has become a basic recommendation for = caries=20 prevention. Whether increasing the number of daily brushings from = two to=20 three times a day results in lower dental caries experience is = unclear.=20 Because the amount and vigor of rinsing after toothbrushing = affects=20 fluoride concentration in the mouth and reportedly affects caries=20 experience (157--160), persons aged >6 years can = retain=20 more fluoride in the mouth by either rinsing briefly with a small = amount=20 of water or not at all.

In the United States, the standard concentration of fluoride in = fluoride toothpaste is 1,000--1,100 ppm. Toothpaste containing = 1,500 ppm=20 fluoride has been reported to be slightly more efficacious in = reducing=20 dental caries in U.S. and European studies (161--164). = Products=20 with this fluoride concentration have been marketed in the United = States,=20 but are not available in all areas. These products might benefit = persons=20 aged >6 years at high risk for dental caries.

Children who begin using fluoride toothpaste at age <2 years = are at=20 higher risk for enamel fluorosis than children who begin later or = who do=20 not use fluoride toothpaste at all (62,63,165--170). = Because=20 studies have not used the same criteria for age of initiation, = amount of=20 toothpaste used, or frequency of toothpaste use, the specific = contribution=20 of each factor to enamel fluorosis among this age group has not = been=20 established.

Fluoride toothpaste contributes to the risk for enamel = fluorosis=20 because the swallowing reflex of children aged <6 years is not = always=20 well controlled, particularly among children aged <3 years=20 (171,172). Children are also known to swallow toothpaste=20 deliberately when they like its taste. A child-sized toothbrush = covered=20 with a full strip of toothpaste holds approximately 0.75--1.0 g of = toothpaste, and each gram of fluoride toothpaste, as formulated in = the=20 United States, contains approximately 1.0 mg of fluoride. Children = aged=20 <6 years swallow a mean of 0.3 g of toothpaste per brushing = (11)=20 and can inadvertently swallow as much as 0.8 g = (138,173--176). As a=20 result, multiple brushings with fluoride toothpaste each day can = result in=20 ingestion of excess fluoride (177). For this reason, = high-fluoride=20 toothpaste (i.e., containing 1,500 ppm fluoride) is generally=20 contraindicated for children aged <6 years.

Use of a pea-sized amount (approximately 0.25 g) of fluoride = toothpaste=20 <2 times per day by children aged <6 years is = reported to=20 sharply reduce the importance of fluoride toothpaste as a risk = factor for=20 enamel fluorosis (65). Since 1991, manufacturers of = fluoride=20 toothpaste marketed in the United States have, as a requirement = for=20 obtaining the ADA Seal of Acceptance, placed instructions on the = package=20 label stating that children aged <6 years should use only this = amount=20 of toothpaste. Toothpaste labeling requirements mandated by FDA in = 1996=20 (72) also direct parents of children aged <2 years to = seek=20 advice from a dentist or physician before introducing their child = to=20 fluoride toothpaste.

The propensity of young children to swallow toothpaste has led = to=20 development of "child-strength" toothpaste with lower fluoride=20 concentrations (176). Such a product would be a desirable=20 alternative to currently available products for many young = children.=20 Clinical trials outside the United States have reported that = toothpaste=20 containing 250 ppm fluoride is less effective than toothpaste = containing=20 1,000 ppm fluoride in preventing dental caries (178,179). = However,=20 toothpaste containing 500--550 ppm fluoride might be almost as = efficacious=20 as that containing 1,000 ppm fluoride (180). A British = study=20 reported that the prevalence of diffuse enamel opacities (an = indicator of=20 mild enamel fluorosis) in the upper anterior incisors was = substantially=20 lower among children who used toothpaste containing 550 ppm = fluoride than=20 among those who used toothpaste containing 1,050 ppm fluoride=20 (181). Toothpaste containing 400 ppm fluoride has been = available in=20 Australia and New Zealand for approximately 20 years, but has not = been=20 tested in clinical trials, and no data are available to assess = whether=20 toothpaste at this concentration has reduced the prevalence of = enamel=20 fluorosis in those countries. A U.S. clinical trial of the = efficacy of=20 toothpaste with lower fluoride concentrations, required by FDA = before=20 approval for marketing and distribution, has not been conducted=20 (182).

Fluoride Mouthrinse

Fluoride mouthrinse is a concentrated solution intended for = daily or=20 weekly use. The fluoride from mouthrinse, like that from = toothpaste, is=20 retained in dental plaque and saliva to help prevent dental caries = (183). The most common fluoride compound used in mouthrinse = is=20 sodium fluoride. Over-the-counter solutions of 0.05% sodium = fluoride (230=20 ppm fluoride) for daily rinsing are available for use by persons = aged=20 >6 years. Solutions of 0.20% sodium fluoride (920 ppm fluoride) = are=20 used in supervised, school-based weekly rinsing programs. = Throughout the=20 1980s, approximately 3 million children in the United States = participated=20 in school-based fluoride mouthrinsing programs (39). The = current=20 extent of such programs is not known.

Studies indicating that fluoride mouthrinse reduces caries = experience=20 among schoolchildren date mostly from the 1970s and early 1980s=20 (184--191). In one review, the average caries reduction in=20 nonfluoridated communities attributable to fluoride mouthrinse was = 31%=20 (191). Two studies reported benefits of fluoride mouthrinse = approximately 2.5 and 7 years after completion of school-based=20 mouthrinsing programs (192,193), but a more recent study = did not=20 find such benefits 4 years after completion of a mouthrinsing = program=20 (194). The National Preventive Dentistry Demonstration = Program=20 (NPDDP), a large project conducted in 10 U.S. cities during = 1976--1981 to=20 compare the cost and effectiveness of combinations of = caries-prevention=20 procedures, reported that fluoride mouthrinse had little effect = among=20 schoolchildren, either among first-grade students with high and = low caries=20 experience (195) or among all second- and fifth-grade = students=20 (196). NPDDP documented only a limited reduction in dental = caries=20 attributable to fluoride mouthrinse, especially when children were = also=20 exposed to fluoridated water.

Although no studies of enamel fluorosis associated with use of = fluoride=20 mouthrinse have been conducted, studies of the amount of fluoride=20 swallowed by children aged 3--5 years using such rinses indicated = that=20 some young children might swallow substantial amounts = (191). Use of=20 fluoride mouthrinse by children aged >6 years does not = place=20 them at risk for cosmetically objectionable enamel fluorosis = because they=20 are generally past the age that fluoride ingestion might affect = their=20 teeth.

Dietary Fluoride Supplements

Dietary fluoride supplements in the form of tablets, lozenges, = or=20 liquids (including fluoride-vitamin preparations) have been used=20 throughout the world since the 1940s. Most supplements contain = sodium=20 fluoride as the active ingredient. Tablets and lozenges are = manufactured=20 with 1.0, 0.5, or 0.25 mg fluoride. To maximize the topical effect = of=20 fluoride, tablets and lozenges are intended to be chewed or sucked = for=20 1--2 minutes before being swallowed. For infants, supplements are=20 available as a liquid and used with a dropper.

In 1986, an estimated 16% of U.S. children aged <2 years = used=20 fluoride supplements (197). All fluoride supplements must = be=20 prescribed by a dentist or physician. The prescription should be=20 consistent with the 1994 dosage schedule developed by ADA, AAPD, = and AAP=20 (Table= =20 1). Because fluoride supplements are intended to compensate = for=20 fluoride-deficient drinking water, the dosage schedule requires = knowledge=20 of the fluoride content of the child's primary drinking water;=20 consideration should also be given to other sources of water = (e.g., home,=20 child care settings, school, or bottled water) and to other = sources of=20 fluoride (e.g., toothpaste or mouthrinse), which can complicate = the=20 prescribing decision.

The evidence for using fluoride supplements to mitigate dental = caries=20 is mixed. Use of fluoride supplements by pregnant women does not = benefit=20 their offspring (198). Several studies have reported that = fluoride=20 supplements taken by infants and children before their teeth erupt = reduce=20 the prevalence and severity of caries in teeth = (98,199--207), but=20 several other studies have not (19,208--212). Among = children aged=20 6--16 years, fluoride supplements taken after teeth erupt reduce = caries=20 experience (213--215). Fluoride supplements might be = beneficial=20 among adults who have limitations with toothbrushing, but this use = requires further study.

A few studies have reported no association between supplement = use by=20 children aged <6 years and enamel fluorosis (208,216), = but most=20 have reported a clear association=20 (19,62,64,165,170,199--201,209,210,212,217--222 ). In one = study,=20 the risk for this condition was high when supplements were used in = fluoridated areas (odds ratio =3D 23.74; 95% confidence interval = =3D=20 3.43--164.30) (62), a use inconsistent with the supplement=20 schedule. Reports of the frequency of supplement use in = fluoridated areas=20 have ranged from 7% to 35% (223--228). In response to the=20 accumulated data on fluoride intake and the prevalence of enamel=20 fluorosis, the supplement dosage schedule for children aged <6 = years=20 was markedly reduced in 1994 when ADA, AAPD, and AAP jointly = established=20 the current schedule (Table= =20 1) (73). The risk for enamel fluorosis among children = this age=20 attributable to fluoride supplements could be lower, but not = enough=20 information is available yet to evaluate the effects of this = change.

When prescribing any pharmaceutical agent, dentists and = physicians=20 should attempt to maximize benefit and minimize harm (229). = For=20 infants and children aged <6 years, both a benefit of dental = caries=20 prevention and a risk for enamel fluorosis are possible. Although = the=20 primary (i.e., "baby") teeth of children aged 1--6 years would = benefit=20 from fluoride's posteruptive action, and some preeruptive benefit = for=20 developing permanent teeth could exist, fluoride supplements also = could=20 increase the risk for enamel fluorosis at this age = (138,223).

Professionally Applied Fluoride Compounds

In the United States, dentists and dental hygienists have been = applying=20 high-concentration fluoride compounds directly to patients' teeth = for=20 approximately 50 years. Application procedures were developed on = the=20 assumption that the fluoride would be incorporated into the = crystalline=20 structure of the dental enamel and develop a more acid-resistant = enamel.=20 To maximize this reaction, a professional tooth cleaning was = considered=20 mandatory before the application. However, subsequent research has = demonstrated that high-concentration fluoride compounds (e.g., = those in=20 gel or varnish) do not directly enter the enamel's crystalline = structure=20 (230). The compound forms a calcium fluoride-like material = on the=20 enamel's surface that releases fluoride for remineralization when = the pH=20 in the mouth drops. Thus, professional tooth cleaning solely to = prepare=20 the teeth for application of a fluoride compound is unnecessary;=20 toothbrushing and flossing appear equally effective in improving = the=20 efficacy of high-concentration fluoride compounds (231). =

Fluoride Gel and Foam

Because an early study reported that fluoride uptake by dental = enamel=20 increased in an acidic environment (232), fluoride gel is = often=20 formulated to be highly acidic (pH of approximately 3.0). Products = available in the United States include gel of acidulated phosphate = fluoride (1.23% [12,300 ppm] fluoride), gel or foam of sodium = fluoride=20 (0.9% [9,040 ppm] fluoride), and self-applied (i.e., home use) gel = of=20 sodium fluoride (0.5% [5,000 ppm] fluoride) or stannous fluoride = (0.15%=20 [1,000 ppm] fluoride) (73).

Clinical trials conducted during 1940--1970 demonstrated that=20 professionally applied fluorides effectively reduce caries = experience in=20 children (233). In more recent studies, semiannual = treatments=20 reportedly caused an average decrease of 26% in caries experience = in the=20 permanent teeth of children residing in nonfluoridated areas=20 (191,234--236). The application time for the treatments was = 4=20 minutes. In clinical practice, applying fluoride gel for 1 minute = rather=20 than 4 minutes is common, but the efficacy of this shorter = application=20 time has not been tested in human clinical trials. In addition, = the=20 optimal schedule for repeated application of fluoride gel has not = been=20 adequately studied to support definitive guidelines, and studies = that have=20 examined the efficacy of various gel application schedules in = preventing=20 and controlling dental caries have reported mixed results. On the = basis of=20 the available evidence, the usual recommended frequency is = semiannual=20 (151,237,238).

Because these applications are relatively infrequent, generally = at 3-=20 to 12-month intervals, fluoride gel poses little risk for enamel=20 fluorosis, even among patients aged <6 years. Proper = application=20 technique reduces the possibility that a patient will swallow the = gel=20 during application.

Fluoride Varnish

High-concentration fluoride varnish is painted directly onto = the teeth.=20 Fluoride varnish is not intended to adhere permanently; this = method holds=20 a high concentration of fluoride in a small amount of material in = close=20 contact with the teeth for many hours. Fluoride varnish has = practical=20 advantages (e.g., ease of application, a nonoffensive taste, and = use of=20 smaller amounts of fluoride than required for gel applications). = Such=20 varnishes are available as sodium fluoride (2.26% [2,600 ppm] = fluoride) or=20 difluorsilane (0.1% [1,000 ppm] fluoride) preparations.

Fluoride varnish has been widely used in Canada and Europe = since the=20 1970s to prevent dental caries (152,239). FDA's Center for = Devices=20 and Radiological Health has cleared fluoride varnish as a medical = device=20 to be used as a cavity liner (i.e., to provide fluoride at the = junction of=20 filling material and tooth) and root desensitizer (i.e., to reduce = sensitivity to temperature and touch that sometimes occurs on root = surfaces exposed by receding gingiva) (240); FDA has not = yet=20 approved this product as an anticaries agent. Caries prevention is = regarded as a drug claim, and companies would be required to = submit=20 appropriate clinical trial evidence for review before this product = could=20 be marketed as an anticaries agent. However, a prescribing = practitioner=20 can use fluoride varnish for caries prevention as an "off-label" = use,=20 based on professional judgement (241).

Studies conducted in Canada (242) and Europe = (243--246)=20 have reported that fluoride varnish is efficacious in preventing = dental=20 caries in children. Applied semiannually, this modality is as = effective as=20 professionally applied fluoride gel (247). Some researchers = advocate application of fluoride varnish as many as four times per = year to=20 achieve maximum effect, but the evidence of benefits from more = than two=20 applications per year remains inconclusive (240,246,248). = Other=20 studies have reported that three applications in 1 week, once per = year,=20 might be more effective than the more conventional semiannual = regimen=20 (249,250).

European studies have reported that fluoride varnish prevents=20 decalcification (i.e., an early stage of dental caries) beneath=20 orthodontic bands (251) and slows the progression of = existing=20 enamel lesions (252). Studies examining the effectiveness = of=20 varnish in controlling early childhood caries are being conducted = in the=20 United States. Research on fluoride varnish (e.g., optimal = fluoride=20 concentration, the most effective application protocols, and its = efficacy=20 relative to other fluoride modalities) is likely to continue in = both=20 Europe and North America.

No published evidence indicates that professionally applied = fluoride=20 varnish is a risk factor for enamel fluorosis, even among children = aged=20 <6 years. Proper application technique reduces the possibility = that a=20 patient will swallow varnish during its application and limits the = total=20 amount of fluoride swallowed as the varnish wears off the teeth = over=20 several hours.

Fluoride Paste

Fluoride-containing paste is routinely used during dental = prophylaxis=20 (i.e., cleaning). The abrasive paste, which contains 4,000--20,000 = ppm=20 fluoride, might restore the concentration of fluoride in the = surface layer=20 of enamel removed by polishing, but it is not an adequate = substitute for=20 fluoride gel or varnish in treating persons at high risk for = dental caries=20 (151). Fluoride paste is not accepted by FDA or ADA as an=20 efficacious way to prevent dental caries.

Combinations of Fluoride Modalities

Studies comparing various combinations of fluoride modalities = have=20 generally reported that their effectiveness in preventing dental = caries is=20 partially additive. That is, the percent reduction in the = prevalence or=20 severity of dental caries from a combination of modalities is = higher than=20 the percent reduction from each modality, but less than the sum of = the=20 percent reduction of the modalities combined. Attempts to use a = formula to=20 apply sequentially the percent reduction of an additional modality = to the=20 estimated remaining caries increment have overestimated the effect = (151,253). For example, if the first modality reduces = caries by 40%=20 and the second modality reduces caries by 30%, then the = calculation that=20 caries will be reduced by a total of 58% (i.e., 40% plus 18% [30% = of the=20 60% decay remaining after the first modality]) will likely be an=20 overestimate.=20

QUALITY OF EVIDENCE FOR DENTAL CARIES PREVENTION AND = CONTROL=20

Members of the work group convened by CDC identified the = published=20 research in their areas of expertise and evaluated the quality of=20 scientific evidence for each fluoride modality in preventing and=20 controlling dental caries. Evidence was drawn from the most = relevant=20 English-language, peer-reviewed scientific publications regarding = the=20 current effectiveness of fluoride modalities. Additional = references were=20 suggested by reviewers. Members used their own methods for = critically=20 analyzing articles. A formal protocol for duplicate review was not = followed, but members collectively agreed on the grade reflecting = the=20 quality of evidence regarding each fluoride modality. Criteria = used to=20 grade the quality of scientific evidence (i.e., ordinal grading) = was=20 adapted from the U.S. Preventive Services Task Force (Box=20 1) (254). Grades range from I to III.

Community Water Fluoridation

Studies on the effectiveness of adjusting fluoride in community = water=20 to the optimal concentration cannot be designed as randomized = clinical=20 trials. Random allocation of study subjects is not possible when a = community begins to fluoridate the water because all residents in = a=20 community have access to and are exposed to this source of = fluoride. In=20 addition, clinical studies cannot be conducted double-blind = because both=20 study subjects and researchers usually know whether a community's = water=20 has been fluoridated. Efforts to blind the examiners by moving = study=20 subjects to a neutral third site for clinical examinations, using=20 radiographs of teeth without revealing where the subjects live, or = including transient residents as study subjects have not fully = resolved=20 these inherent limitations. Early studies that led to the = unexpected=20 discovery that dental caries was less prevalent and severe among = persons=20 with mottled enamel (subsequently identified as a form of enamel=20 fluorosis) were conducted before the caries-preventive effects of = fluoride=20 were known (255). In those studies, researchers did not = have an a=20 priori reason to suspect they would find either reduced or higher = levels=20 of dental caries experience in communities with low levels of = mottled=20 enamel. Researchers also had no reason to believe that patients = selected=20 where they lived according to their risk for dental caries. In = that=20 regard, these studies were randomized, and examiners were blinded. =

Despite the strengths of early studies of the efficacy of = naturally=20 occurring fluoride in community drinking water, the limitations of = these=20 studies make summarizing the quality of evidence on community = water=20 fluoridation as Grade I inappropriate (Table= =20 1). The quality of evidence from studies on the effectiveness = of=20 adjusting fluoride concentration in community water to optimal = levels is=20 Grade II-1. Research limitations are counterbalanced by broadly = similar=20 results from numerous well-conducted field studies by other = investigators=20 that included thousands of persons throughout the world = (256,257).=20

School Water Fluoridation

Field trials on the effect of school water fluoridation were = not=20 blindly conducted and had no concurrent controls (118). = Thus, the=20 quality of evidence for this modality is Grade II-3.

Fluoride Toothpaste

Studies that have demonstrated the efficacy of fluoride = toothpaste in=20 preventing and controlling dental caries include all of the = essential=20 features of well-conducted clinical trials. These include = randomized=20 groups, double-blind designs, placebo controls, and meticulous = procedural=20 protocols. Taken together, the trials on fluoride toothpaste = provide solid=20 evidence that fluoride is efficacious in controlling caries = (144).=20 The quality of evidence for toothpaste is Grade I.

Fluoride Mouthrinse

Early studies of the efficacy of fluoride mouthrinse in = reducing dental=20 caries experience were randomized clinical trials (184,185) = or=20 studies that used historical control groups rather than concurrent = control=20 groups (186--189). The quality of evidence for fluoride = mouthrinse=20 is Grade I.

Dietary Fluoride Supplements

The only randomized controlled trial to assess fluoride = supplements=20 taken by pregnant women provides Grade I evidence of no benefit = for their=20 children. Many studies of the effectiveness of fluoride = supplements in=20 preventing dental caries among children aged <6 years have been = flawed=20 in design and conduct. Problems included self-selection into test = and=20 control groups, absence of concurrent controls, high attrition = rates, and=20 nonblinded examiners. Because of these flaws, the quality of = evidence to=20 support use of fluoride supplements by children aged <6 years = is Grade=20 II-3. The well-conducted randomized clinical trials on the effects = of=20 fluoride supplements on dental caries among children aged 6--16 = years in=20 programs conducted in schools provide Grade I evidence.

Fluoride Gel

The quality of evidence for using fluoride gel to prevent and = control=20 dental caries in children is Grade I. However, data were gathered = when=20 dental caries was more prevalent and severe than today. Subjects = in=20 earlier studies were probably more representative of persons who = now would=20 be characterized as being at high risk for caries.

Fluoride Varnish

The quality of evidence for the efficacy of high-concentration = fluoride=20 varnish in preventing and controlling dental caries in children is = Grade=20 I. Although the randomized controlled clinical studies that = established=20 Grade I evidence were conducted in Europe, U.S. results should be = the=20 same.=20

COST-EFFECTIVENESS OF FLUORIDE MODALITIES

Documented effectiveness is the most basic requirement for = providing a=20 health-care service and an important prerequisite for preventive = services=20 (e.g., caries-preventive modalities). However, effectiveness alone = is not=20 a sufficient reason to initiate a service. Other factors, = including cost,=20 must be considered (254). A modality is more cost-effective = when=20 deemed a less expensive way, from among competing alternatives, of = meeting=20 a stated objective (258). In public health planning, = determination=20 of the most cost-effective alternative for prevention is essential = to=20 using scarce resources efficiently. Dental-insurance carriers are = also=20 interested in cost-effectiveness so they can help purchasers use = funds=20 efficiently. Because half of dental expenditures are out of pocket = (259), this topic interests patients and their dentists as = well.=20 Potential improvement to quality of life is also a consideration. = The=20 contribution of a healthy dentition to quality of life at any age = has not=20 been quantified, but is probably valued by most persons.

Although solid data on the cost-effectiveness of fluoride = modalities=20 alone and in combination are needed, this information is scarce. = In 1989,=20 the Cost Effectiveness of Caries Prevention in Dental Public = Health=20 workshop, which was attended by health economists, = epidemiologists, and=20 dental public health professionals, attempted to assess the=20 cost-effectiveness of caries-preventive approaches available in = the United=20 States (260).

All other things being equal, fluoride modalities are most=20 cost-effective for persons at high risk for dental caries. Because = persons=20 at low risk develop little dental caries, limited benefit is = gained by=20 adding caries-preventive modalities to water fluoridation and = fluoride=20 toothpaste, even those demonstrated to be effective among = populations at=20 high risk. Members of the CDC work group reached consensus = regarding the=20 populations for which each modality would be expected to have the=20 necessary level of cost-effectiveness to warrant its use.

Community Water Fluoridation

Health economists at the 1989 workshop on cost-effectiveness of = caries=20 prevention calculated that the average annual cost of water = fluoridation=20 in the United States was $0.51 per person (range: $0.12--$5.41)=20 (260). In 1999 dollars,** this cost would be $0.72 per = person=20 (range: $0.17--$7.62). Factors reported to influence the per = capita cost=20 included=20

=95 size of the community (the larger the population = reached, the=20 lower the per capita cost);=20
=95 number of fluoride injection points in the water supply = system;=20
=95 amount and type of system feeder and monitoring = equipment used;=20
=95 amount and type of fluoride chemical used, its price, = and its=20 costs of transportation and storage; and=20
=95 expertise of personnel at the water plant.

When the effects of caries are repaired, the price of the = restoration=20 is based on the number of tooth surfaces affected. A tooth can = have caries=20 at >1 location (i.e., surface), so the number of surfaces saved = is a=20 more appropriate measure in calculating cost-effectiveness than = the number=20 of teeth with caries. The 1989 workshop participants concluded = that water=20 fluoridation is one of the few public health measures that results = in true=20 cost savings (i.e., the measure saves more money than it costs to=20 operate); in the United States, water fluoridation cost an = estimated=20 average of $3.35 per carious surface saved ($4.71 in 1999 = dollars**)=20 (260). Even under the least favorable assumptions in 1989 = (i.e.,=20 cities with populations <10,000, higher operating costs, and=20 effectiveness projected at the low end of the range), the cost of = a=20 carious surface saved because of community water fluoridation = ranged from=20 $8 to $12 ($11--$17 in 1999 dollars**) (260), which is = still lower=20 than the fee for a one-surface restoration ($54 in 1995 or $65 in = 1999=20 dollars***) (261).

A Scottish study conducted in 1980 reported that community = water=20 fluoridation resulted in a 49% saving in dental treatment costs = for=20 children aged 4--5 years and a 54% saving for children aged 11--12 = years=20 (262). These savings were maintained even after the secular = decline=20 in the prevalence of dental caries was recognized (263). = The effect=20 of community water fluoridation on the costs of dental care for = adults is=20 less clear. This topic cannot be fully explored until the = generations who=20 grew up drinking optimally fluoridated water are older.

School Water Fluoridation

Costs for school water fluoridation are similar to those of any = public=20 water supply system serving a small population (i.e., <1,000 = persons).=20 In 1988, the average annual cost of school water fluoridation was = $4.52=20 per student per year (range: $0.81--$9.72) (264). In 1999=20 dollars,**** this cost would be $6.37 per person (range: = $1.14--$13.69).=20 Use of this modality must be carefully weighed in the current = environment=20 of low caries prevalence, widespread use of fluoride toothpaste, = and=20 availability of other fluoride modalities that can be delivered in = the=20 school setting.

Fluoride Toothpaste

Fluoride toothpaste is widely available, no more expensive than = nonfluoride toothpaste, and periodically improved. Use of a = pea-sized=20 amount (0.25 g) twice per day requires approximately two tubes of=20 toothpaste per year, for an estimated annual cost of $6--$12, = depending on=20 brand, tube size, and retail source (265). Persons who = brush and=20 use toothpaste regularly to maintain periodontal health and = prevent=20 stained teeth and halitosis (i.e., bad breath) incur no additional = cost=20 for the caries-preventive benefit of fluoride in toothpaste. = Because of=20 its multiple benefits, most persons consider fluoride toothpaste a = highly=20 cost-effective caries-preventive modality.

Fluoride Mouthrinse

Public health programs of fluoride mouthrinsing have long been = presumed=20 to be cost-effective, especially when teachers can supervise = weekly=20 rinsing in classrooms at no direct cost to the program. In other = programs,=20 volunteers or hourly workers provide supervision. Under these=20 circumstances, administrators of fluoride mouthrinsing programs = have=20 claimed annual program costs of approximately $1 per child ($1.41 = in 1999=20 dollars****) (264). This figure likely is an underestimate = because=20 indirect costs are not included (196,266). Fluoride = mouthrinsing is=20 a reasonable procedure for groups and persons at high risk for = dental=20 caries, but its cost-effectiveness as a universal, population-wide = strategy in the modern era of widespread fluoride exposure is = questionable=20 (267).

Dietary Fluoride Supplements

Dietary fluoride supplements prescribed to persons cost an = estimated=20 $37 per year. Fluoride supplements in school programs have direct = costs of=20 approximately $2.50 per child ($3.52 in 1999 dollars****) for the = tablet=20 or lozenge (264); program administrative costs and = considerations=20 are similar to those in school mouthrinsing programs.

Professionally Applied Fluoride Compounds

High-concentration fluoride gel and varnish are effective in = preventing=20 dental caries, but because application requires professional = expertise,=20 they are inherently more expensive than self-applied methods = (e.g.,=20 drinking fluoridated water or brushing with fluoride toothpaste). = For=20 groups and persons at low risk for dental caries, professionally = applied=20 methods are unlikely to be cost-effective (268,269). In the = NPDDP=20 study, prophylactic cleaning and gel application costs were $23 = per year=20 ($66 in 1999 dollars*****) for semiannual applications, which = prevented=20 0.03--0.26 decayed surfaces per year (196). A Swedish study = claimed=20 that fluoride varnish was cost-effective, but few supporting data = were=20 presented (270). Varnish might be cost-effective in = Scandinavian=20 school dental services, in which dental professionals regularly = examine=20 and treat each student, but the cost-effectiveness of fluoride = varnish in=20 public health programs in the United States remains undocumented. = Whether=20 fluoride varnish or gel would be most efficiently used in clinical = programs targeting groups at high risk for dental caries or should = be=20 reserved for individual patients at high risk is unclear.

Combinations of Fluoride Modalities

Because the caries-preventive effects of a combination of = fluoride=20 modalities are only partially additive, estimates of the=20 cost-effectiveness when adding a modality (e.g., fluoride = mouthrinse for a=20 group already drinking fluoridated water and using fluoride = toothpaste)=20 should take into account these smaller, incremental reductions in = caries.=20 This consideration is particularly relevant for groups and persons = at low=20 risk for caries (253). The scarcity of research on the=20 costeffectiveness of combinations limits the ability to draw more = detailed=20 conclusions.=20

RECOMMENDATIONS

In developing the recommendations for specific fluoride = modalities that=20 address public health and clinical practice and self-care, the CDC = work=20 group considered the quality of evidence of each modality's effect = on=20 dental caries, its association with enamel fluorosis, and its=20 cost-effectiveness. The strength of the recommendation for each = fluoride=20 modality was determined by the work group, which adapted a coding = system=20 used by the U.S. Preventive Services Task Force (Box=20 2). The work group considered these factors when determining = the=20 population for which each recommendation applies (Table= =20 4). The work group recognized that some recommendations can = only be=20 addressed by health-care industries or agencies and that = additional=20 research is required to resolve some questions regarding fluoride=20 modalities.

Before promoting a fluoride modality or combination of = modalities, the=20 dental-care or other health-care provider must consider a person's = or=20 group's risk for dental caries, current use of other fluoride = sources, and=20 potential for enamel fluorosis. Although these recommendations are = based=20 on assessments of caries risk as low or high, the health-care = provider=20 might also differentiate among patients at high risk and provide = more=20 intensive interventions as needed. Also, a risk category can = change over=20 time; the type and frequency of preventive interventions should be = adjusted accordingly.

Public Health and Clinical Practice

Continue and Extend Fluoridation of Community Drinking=20 Water

Community water fluoridation is a safe, effective, and = inexpensive way=20 to prevent dental caries. This modality benefits persons in all = age groups=20 and of all SES, including those difficult to reach through other = public=20 health programs and private dental care. Community water = fluoridation also=20 is the most cost-effective way to prevent tooth decay among = populations=20 living in areas with adequate community water supply systems. = Continuation=20 of community water fluoridation for these populations and its = adoption in=20 additional U.S. communities are the foundation for sound = caries-prevention=20 programs.

In contrast, the appropriateness of fluoridating stand-alone = water=20 systems that supply individual schools is limited. Widespread use = of=20 fluoride toothpaste, availability of other fluoride modalities = that can be=20 delivered in the school setting, and the current environment of = low caries=20 prevalence limit the appropriateness of fluoridating school = drinking water=20 at 4.5 times the optimal concentration for community drinking = water.=20 Decisions to initiate or continue school fluoridation programs = should be=20 based on an assessment of present caries risk in the target = school(s),=20 alternative preventive modalities that might be available, and = periodic=20 evaluation of program effectiveness.

Counsel Parents and Caregivers Regarding Use of Fluoride=20 Toothpaste by Young Children, Especially Those Aged <2 = Years=20

Fluoride toothpaste is a cost-effective way to reduce the = prevalence of=20 dental caries. However, for children aged <6 years, especially = those=20 aged <2 years, an increased risk for enamel fluorosis exists = because of=20 inadequately developed control of the swallowing reflex. Parents = or=20 caregivers should be counseled regarding selfcare recommendations = for=20 toothpaste use for young children (i.e., limit the child's = toothbrushing=20 to <2 times a day, apply a peasized amount to the = toothbrush,=20 supervise toothbrushing, and encourage the child to spit out = excess=20 toothpaste).

For children aged <2 years, the dentist or other healthcare = provider=20 should consider the fluoride level in the community drinking = water, other=20 sources of fluoride, and factors likely to affect susceptibility = to dental=20 caries when weighing the risk and benefits of using fluoride = toothpaste.=20

Target Mouthrinsing to Persons at High Risk

Because fluoride mouthrinse has resulted in only limited = reductions in=20 caries experience among schoolchildren, especially as their = exposure to=20 other sources of fluoride has increased, its use should be = targeted to=20 groups and persons at high risk for caries (see Risk for Dental = Caries).=20 Children aged <6 years should not use fluoride mouthrinse = without=20 consultation with a dentist or other health-care provider because = enamel=20 fluorosis could occur if such mouthrinses are repeatedly = swallowed.

Judiciously Prescribe Fluoride Supplements

Fluoride supplements can be prescribed for children at high = risk for=20 dental caries and whose primary drinking water has a low fluoride=20 concentration. For children aged <6 years, the dentist, = physician, or=20 other health-care provider should weigh the risk for caries = without=20 fluoride supplements, the caries prevention offered by = supplements, and=20 the potential for enamel fluorosis. Consideration of the child's = other=20 sources of fluoride, especially drinking water, is essential in=20 determining this balance. Parents and caregivers should be = informed of=20 both the benefit of protection against dental caries and the = possibility=20 of enamel fluorosis. The prescription dosage of fluoride = supplements=20 should be consistent with the schedule established by ADA, AAPD, = and AAP.=20 Supplements can be prescribed for persons as appropriate or used = in=20 school-based programs. When practical, supplements should be = prescribed as=20 chewable tablets or lozenges to maximize the topical effects of = fluoride.=20

Apply High-Concentration Fluoride Products to Persons at = High=20 Risk for Dental Caries

High-concentration fluoride products can play an important role = in=20 preventing and controlling dental caries among groups and persons = at high=20 risk. Dentists and other health-care providers must consider the = risk=20 status and age of the patient to determine the appropriate = intensity of=20 treatment. Routine use of professionally applied fluoride gel or = foam=20 likely provides little benefit to persons not at high risk for = dental=20 caries, especially those who drink fluoridated water and brush = daily with=20 fluoride toothpaste.

If FDA approves use of fluoride varnish to prevent and control = dental=20 caries, its indications for use will be similar to those of = fluoride gel.=20 Such varnishes have practical advantages for children aged <6 = years at=20 high risk.

Self-Care

Know the Fluoride Concentration in the Primary Source of = Drinking=20 Water

All persons should know whether the fluoride concentration in = their=20 primary source of drinking water is below optimal, optimal, or = above=20 optimal. This knowledge is the basis for all individual and = professional=20 decisions regarding use of other fluoride modalities (e.g., = mouthrinse or=20 supplements). Parents and caregivers of children, especially = children aged=20 <6 years, must know the fluoride concentration in their child's = drinking water when considering whether to alter the child's = fluoride=20 intake. For example, in nonfluoridated areas where the natural = fluoride=20 concentration is below optimal, fluoride supplements might be = considered,=20 whereas in areas where the natural fluoride concentration is >2 = ppm,=20 children should use alternative sources of drinking water. = Knowledge of=20 the water's fluoride concentration is also key in public policy=20 discussions regarding community water fluoridation.

Frequently Use Small Amounts of Fluoride

All persons should receive frequent exposure to small amounts = of=20 fluoride, which minimizes dental caries by inhibiting = demineralization of=20 tooth enamel and facilitating tooth remineralization. This = exposure can be=20 readily accomplished by drinking water with an optimal fluoride=20 concentration and brushing with a fluoride toothpaste twice daily. =

Supervise Use of Fluoride Toothpaste Among Children Aged = <6=20 Years

Children's teeth should be cleaned daily from the time the = teeth erupt=20 in the mouth. Parents and caregivers should consult a dentist or = other=20 health-care provider before introducing a child aged <2 years = to=20 fluoride toothpaste. Parents and caregivers of children aged <6 = years=20 who use fluoride toothpaste should follow the directions on the = label,=20 place no more than a pea-sized amount (0.25 g) of toothpaste on = the=20 toothbrush, brush the child's teeth (recommended particularly for=20 preschool-aged children) or supervise the toothbrushing, and = encourage the=20 child to spit excess toothpaste into the sink to minimize the = amount=20 swallowed. Indiscriminate use can result in inadvertent swallowing = of more=20 fluoride than is recommended.

Consider Additional Measures for Persons at High Risk for = Dental=20 Caries

Persons at high risk for dental caries might require additional = fluoride or other preventive measures to reduce development of = caries.=20 This additional fluoride can come from daily use of another = fluoride=20 product at home or from professionally applied, topical fluoride = products.=20 Other preventive measures might include dental sealants and = targeted=20 antimicrobial therapies. Parents and caregivers should not provide = additional fluoride to children aged <6 years without = consulting a=20 dentist or other health-care provider regarding the associated = benefits=20 and potential for enamel fluorosis. Persons should seek = professional=20 advice regarding their risk status or that of their children.

Use an Alternative Source of Water for Children Aged = <8=20 Years Whose Primary Drinking Water Contains >2 ppm = Fluoride=20

In some regions in the United States, community water supply = systems=20 and home wells contain a natural concentration of fluoride >2 = ppm. At=20 this concentration, children aged <8 years are at = increased risk=20 for developing enamel fluorosis, including the moderate and severe = forms,=20 and should have an alternative source of drinking water, = preferably one=20 containing fluoride at an optimal concentration.

In areas where community water supply systems contain >2 ppm = but=20 <4 ppm fluoride, EPA requires that each household be notified = annually=20 of the desirability of using an alternative source of water for = children=20 aged <8 years. For families receiving water from home = wells,=20 testing is necessary to determine the natural fluoride = concentration.

Consumer Product Industries and Health Agencies

Label the Fluoride Concentration of Bottled Water =

Producers of bottled water should label the fluoride = concentration of=20 their products. Such labeling will allow consumers to make = informed=20 decisions and dentists, dental hygienists, and other health-care=20 professionals to appropriately advise patients regarding fluoride = intake=20 and use of fluoride products.

Promote Use of Small Amounts of Fluoride Toothpaste Among = Children Aged <6 Years

Labels and advertisements for fluoride toothpaste should = promote use of=20 a pea-sized amount (0.25 g) of toothpaste on a child-sized = toothbrush for=20 children aged <6 years. Efforts to educate parents and = caregivers and=20 to encourage supervised use of fluoride toothpaste among young = children=20 can reduce inadvertent swallowing of excess toothpaste.

Develop a Low-Fluoride Toothpaste for Children Aged <6 = Years

Manufacturers are encouraged to develop a dentifrice for = children aged=20 <6 years that is effective in preventing dental caries but = alleviates=20 the risk for enamel fluorosis. A "child-strength" toothpaste with = a=20 fluoride concentration lower than current products could reduce = the risk=20 for cosmetic concerns associated with inadvertent swallowing of=20 toothpaste.

Collaborate to Educate Health-Care Professionals and the=20 Public

Professional health-care organizations, public health agencies, = and=20 suppliers of oral-care products should collaborate to educate = health-care=20 professionals and trainees and the public regarding the = recommendations in=20 this report. Broad collaborative efforts to educate health-care=20 professionals and the public and to encourage behavior change can = promote=20 improved, coordinated use of fluoride modalities.

Further Research

Continue Metabolic Studies of Fluoride

Metabolic studies with animals and humans to determine the = influence of=20 environmental, physiological, and pathological conditions on the=20 pharmacokinetics and effects of fluoride should continue. Research = in=20 these areas will enhance the knowledge base concerning fluoride = use,=20 thereby resulting in more effective and efficient use of fluoride. =

Identify Biomarkers of Fluoride

As an alternative to direct fluoride intake measurement, = biomarkers=20 (i.e., distinct biological indicators) should be identified to = estimate a=20 person's fluoride intake and the amount of fluoride in the body.=20 Identification of such biomarkers could allow more efficient = research.=20

Reevaluate the Method of Determining Optimal Fluoride=20 Concentration of Community Drinking Water

The current method of determining the optimal concentration of = fluoride=20 in community drinking water, which depends on the average maximum = annual=20 ambient air temperature, should be reevaluated because of the = social and=20 environmental changes that have occurred since it was adopted in = 1962.=20 Research into current consumption patterns of water, processed = beverages,=20 and processed foods is also needed. Such research will either = validate the=20 current method for determining optimal fluoride concentration in = community=20 drinking water or indicate improved methods.

Evaluate the Effect of Fluoride Mouthrinse, Fluoride = Supplements,=20 and Other Fluoride Modalities on Dental Caries

Additional clinical trials are needed to evaluate the current = effect of=20 fluoride mouthrinse, supplements, and other modalities on dental = caries=20 both individually and in combination. Cohorts of particular = interest are=20 groups and persons at high risk for dental caries, including older = adults=20 (i.e., those aged >50 years). Such research, as well as studies = to=20 determine the effects of new fluoride modalities and various = combinations=20 among groups and persons at high risk, could lead to more = effective and=20 efficient use of these interventions.

Study the Current Cost-Effectiveness of Fluoride=20 Modalities

The increasing availability of multiple fluoride modalities and = the=20 lower caries prevalence in the United States indicate a need for = current=20 cost-effectiveness studies of fluoride modalities, especially = logical=20 combinations of regimens in populations with different caries = risks. Such=20 research will allow both more efficient use of resources and a = better=20 understanding of the additive effects of combined modalities.

Conduct Descriptive and Analytic Epidemiologic = Studies=20

Descriptive and analytic epidemiologic studies should be = conducted to=20 determine the association between dental caries and fluoride = exposure from=20 several sources, as well as the current role of community water=20 fluoridation in preventing coronal and root caries among adults. = Studies=20 should assess the effect of interruption or discontinuation of = water=20 fluoridation; the prevalence of fluorosis associated with = different=20 patterns of fluoride use and intake among various populations; and = the=20 relationship between objectively measured fluorosis and the = aesthetic=20 perceptions of persons, parents, and dentists and other = health-care=20 professionals. Studies are needed to refine methods of caries risk = assessment. As appropriate, studies should use national, state, = and local=20 data. Research addressing these questions will improve = understanding of=20 the relationships between fluoride modalities and the benefits and = unintended effects of their use.

Identify Effective Strategies to Promote Adoption of=20 Recommendations for Using Fluoride

Effective strategies should be identified to promote adherence = by=20 parents, caregivers, children, adults, and health-care providers = to=20 recommendations regarding fluoride use. Such research could result = in more=20 effective behavior change, more efficient use of resources, = improved=20 caries prevention, and less enamel fluorosis.=20

CONCLUSION

When used appropriately, fluoride is a safe and effective agent = that=20 can be used to prevent and control dental caries. Fluoride has = contributed=20 profoundly to the improved dental health of persons in the United = States=20 and other countries. Fluoride is needed regularly throughout life = to=20 protect teeth against tooth decay. To ensure additional gains in = oral=20 health, water fluoridation should be extended to additional = communities,=20 and fluoride toothpaste should be used widely. Adoption of these = and other=20 recommendations in this report could lead to considerable savings = in=20 public and private resources without compromising fluoride's = substantial=20 benefit of improved dental health.=20

References

Bratthall D, H=E4nsel Petersson G, Sundberg H. Reasons for = the caries=20 decline: what do the experts believe? Eur J Oral Sci = 1996;104:416--22.=20
Blaney JR, Tucker WH. The Evanston Dental Caries Study. II. = Purpose=20 and mechanism of the study. J Dent Res 1948;27:279--86.=20
Ast DB, Finn SB, McCaffrey I. The Newburgh-Kingston Caries = Fluorine=20 Study. I. Dental findings after three years of water = fluoridation. Am J=20 Public Health 1950;40:716--24.=20
Dean HT, Arnold FA, Jay P, Knutson JW. Studies on mass = control of=20 dental caries through fluoridation of the public water supply. = Public=20 Health Rep 1950;65:1403--8.=20
Hutton WL, Linscott BW, Williams DB. The Brantford fluorine=20 experiment: interim report after five years of water = fluoridation. Can J=20 Public Health 1951;42:81--7.=20
Pao EM. Changes in American food consumption patterns and = their=20 nutritional significance. Food Technol 1981;35:43--53.=20
Heller KE, Sohn W, Burt BA, Eklund SA. Water consumption the = United=20 States in 1994--1996 and implications for water fluoridation = policy. J=20 Public Health Dent 1999;59:3--11.=20
Public Health Service Committee to Coordinate Environmental = Health=20 and Related Programs. Review of fluoride: benefits and risk. = Washington,=20 DC: US Department of Health and Human Services, Public Health = Service,=20 1991.=20
National Research Council Committee on Toxicology. Health = effects of=20 ingested fluoride. Washington, DC: National Academy Press, 1993. =
World Health Organization. Environmental health criteria 36: = fluorine and fluorides. Geneva: World Health Organization, 1984. =
Institute of Medicine. Fluoride. In: Dietary reference = intakes for=20 calcium, phosphorus, magnesium, vitamin D, and fluoride. = Washington, DC:=20 National Academy Press, 1997:288--313.=20
Featherstone JDB. Prevention and reversal of dental caries: = role of=20 low level fluoride. Community Dent Oral Epidemiol = 1999;27:31--40.=20
Koulourides T. Summary of session II: fluoride and the = caries=20 process. J Dent Res 1990;69(special issue):558.=20
Tatevossian A. Fluoride in dental plaque and its effects. J = Dent Res=20 1990;69(special issue):645--52.=20
Chow LC. Tooth-bound fluoride and dental caries. J Dent Res=20 1990;69(special issue):595--600.=20
Ericsson SY. Cariostasis mechanisms of fluorides: clinical=20 observations. Caries Res 1977;11(suppl 1):2--23.=20
Kidd EAM, Thylstrup A, Fejerskov O, Bruun C. Influence of = fluoride=20 in surface enamel and degree of dental fluorosis on caries = development=20 in vitro. Caries Res 1980;14:196--202.=20
Thylstrup A. Clinical evidence of the role of pre-eruptive = fluoride=20 in caries prevention. J Dent Res 1990;69(special issue):742--50. =
Thylstrup A, Fejerskov O, Bruun C, Kann J. Enamel changes = and dental=20 caries in 7-year-old children given fluoride tablets from = shortly after=20 birth. Caries Res 1979;13:265--76.=20
White DJ, Nancollas GH. Physical and chemical considerations = of the=20 role of firmly and loosely bound fluoride in caries prevention. = J Dent=20 Res 1990;69(special issue):587--94.=20
Hamilton IR. Biochemical effects of fluoride on oral = bacteria. J=20 Dent Res 1990;69(special issue):660--7.=20
Bowden GHW. Effects of fluoride on the microbial ecology of = dental=20 plaque. J Dent Res 1990;69(special issue):653--9.=20
Bowden GHW, Odlum O, Nolette N, Hamilton IR. Microbial = populations=20 growing in the presence of fluoride at low pH isolated from = dental=20 plaque of children living in an area with fluoridated water. = Infect=20 Immun 1982;36:247--54.=20
Marquis RE. Diminished acid tolerance of plaque bacteria = caused by=20 fluoride. J Dent Res 1990;69(special issue):672--5.=20
Rosen S, Frea JI, Hsu SM. Effect of fluoride-resistant=20 microorganisms on dental caries. J Dent Res 1978;57:180.=20
Van Loveren C. The antimicrobial action of fluoride and its = role in=20 caries inhibition. J Dent Res 1990;69(special issue):676--81.=20
Oliveby A, Twetman S, Ekstrand J. Diurnal fluoride = concentration in=20 whole saliva in children living in a high- and a low-fluoride = area.=20 Caries Res 1990;24:44--7.=20
R=F6lla G, Ekstrand J. Fluoride in oral fluids and dental = plaque. In:=20 Fejerskov O, Ekstrand J, Burt BA, eds. Fluoride in dentistry. = 2nd ed.=20 Copenhagen: Munksgaard, 1996:215--29.=20
LeGeros RZ. Chemical and crystallographic events in the = caries=20 process. J Dent Res 1990;69(special issue):567--74.=20
Dean HT, Dixon RM, Cohen C. Mottled enamel in Texas. Public = Health=20 Rep 1935;50:424--42.=20
McClure FJ, Likins RC. Fluorine in human teeth studied in = relation=20 to fluorine in the drinking water. J Dent Res 1951;30:172--6.=20
Marthaler TM. Fluoride supplements for systemic effects in = caries=20 prevention. In: Johansen E, Taves DR, Olsen TO, eds. Continuing=20 evaluation of the use of fluorides. Boulder, CO: Westview, = 1979:33--59.=20 (American Assocation for the Advancement of Science selected = symposium=20 no. 11).=20
Murray JJ. Efficacy of preventive agents for dental caries. = Systemic=20 fluorides: water fluoridation. Caries Res 1993;27(suppl 1):2--8. =
Groeneveld A, Van Eck AAMJ, Backer Dirks O. Fluoride in = caries=20 prevention: is the effect pre- or post-eruptive? J Dent Res=20 1990;69(special issue):751--5.=20
Levine RS. The action of fluoride in caries prevention: a = review of=20 current concepts. Br Dent J 1976;140:9--14.=20
Margolis HC, Moreno EC. Physicochemical perspectives on the=20 cariostatic mechanisms of systemic and topical fluorides. J Dent = Res=20 1990;69(special issue):606--13.=20
Clarkson BH, Fejerskov O, Ekstrand J, Burt BA. Rational use = of=20 fluorides in caries control. In: Fejerskov O, Ekstrand J, Burt = BA, eds.=20 Fluorides in dentistry. 2nd ed. Copenhagen: Munksgaard, = 1996:347--57.=20
Arends J, Christoffersen J. Nature and role of loosely bound = fluoride in dental caries. J Dent Res 1990;69(special = issue):601--5.=20
Burt BA, Eklund SA. Dentistry, dental practice, and the = community.=20 5th ed. Philadelphia, PA: W.B. Saunders, 1999.=20
National Institute of Dental Research. The prevalence of = dental=20 caries in United States children, 1979--1980. Bethesda, MD: U.S. = Public=20 Health Service, Department of Health and Human Services, = National=20 Institutes of Health, 1981; NIH publication no. 82-2245.=20
Kelly JE, Harvey CR. Basic dental examination findings of = persons=20 1--74 years. In: Basic data on dental examination findings of = persons=20 1--74 years, United States, 1971--1974. Hyattsville, MD: US = Department=20 of Health, Education, and Welfare, Public Health Service, Office = of=20 Health Research, Statistics, and Technology, National Center for = Health=20 Statistics, 1979; DHEW publication no. (PHS) 79-1662. (Vital and = health=20 statistics data from the National Health Interview Survey; = series 11,=20 no. 214).=20
National Institute of Dental Research. Oral health of United = States=20 children. The National Survey of Dental Caries in U.S. School = Children:=20 1986--1987. National and regional findings. Bethesda, MD: US = Department=20 of Health and Human Services, Public Health Service, National = National=20 Institutes of Health, National Institute of Dental Research, = 1989; NIH=20 publication no. 89-2247.=20
Kaste LM, Selwitz RH, Oldakowski RJ, Brunelle JA, Winn DM, = Brown LJ.=20 Coronal caries in the primary and permanent dentition of = children and=20 adolescents 1--17 years of age: United States, 1988--1991. J = Dent Res=20 1996;75(special issue):631--41.=20
Meskin LH, ed. Caries diagnosis and risk assessment: a = review of=20 preventive strategies and management. J Am Dent Assoc=20 1995;126(suppl):15--245.=20
Pitts NB. Risk assessment and caries prediction. J Dent Educ = 1998;62:762--70.=20
Vargas CM, Crall JJ, Schneider DA. Sociodemographic = distribution of=20 pediatric dental caries: NHANES III, 1988--1994. J Am Dent Assoc = 1998;129:1229--38.=20
Edelstein BL. The medical management of dental caries. J Am = Dent=20 Assoc 1994;125(suppl):31--9.=20
US Department of Health and Human Services. Oral health in = America:=20 a report of the Surgeon General. Rockville, MD: US Department of = Health=20 and Human Services, National Institute of Dental and = Craniofacial=20 Research, National Institutes of Health, 2000:63, 74--94, = 245--74.=20
Fejerskov O, Manji F, Baelum V. The nature and mechanisms of = dental=20 fluorosis in man. J Dent Res 1990;69(special issue):692--700.=20
Avery JK. Agents affecting tooth and bone development. In: = Avery JK,=20 ed. Oral development and histology. 2nd ed. New York, NY: Theime = Medical=20 Publishers, 1994:130--41.=20
DenBesten PK, Thariani H. Biological mechanisms of fluorosis = and=20 level and timing of systemic exposure to fluoride with respect = to=20 fluorosis. J Dent Res 1992;71:1238--43.=20
Evans RW, Stamm JW. Dental fluorosis following downward = adjustment=20 of fluoride in drinking water. J Public Health Dent = 1991;51:91--8.=20
Dean HT. The investigation of physiological effects by the=20 epidemiological method. In: Moulton FR, ed. Fluorine and dental = health.=20 Washington, DC: American Association for the Advancement of = Science,=20 1942;19:23--31.=20
Fejerskov O, Manji F, Baelum V, M=F8ller IJ. Dental = fluorosis---a=20 handbook for health workers. Copenhagen: Munksgaard, 1988.=20
Kaminsky LS, Mahoney MC, Leach J, Melius J, Miller MJ. = Fluoride:=20 benefits and risks of exposure. Crit Rev Oral Biol Med = 1990;1:261--81.=20
Clark DC, Hann HJ, Williamson MF, Berkowitz J. Aesthetic = concerns of=20 children and parents in relation to different classifications of = the=20 Tooth Surface Index of Fluorosis. Community Dent Oral Epidemiol=20 1993;21:360--4.=20
Dean HT. Endemic fluorosis and its relation to dental = caries. Public=20 Health Rep 1938;53:1443--52.=20
Clark DC. Trends in prevalence of dental fluorosis in North = America.=20 Community Dent Oral Epidemiol 1994;22:148--52.=20
Szpunar SM, Burt BA. Trends in the prevalence of dental = fluorosis in=20 the United States: a review. J Public Health Dent 1987;47:71--9. =
Brunelle JA. The prevalence of dental fluorosis in U.S. = children,=20 1987. J Dent Res 1989;68(special issue):995.=20
Heller KE, Eklund SA, Burt BA. Dental caries and dental = fluorosis at=20 varying water fluoride concentrations. J Public Health Dent=20 1997;57:136--43.=20
Pendrys DG, Katz RV, Morse DR. Risk factors for enamel = fluorosis in=20 a fluoridated population. Am J Epidemiol 1994;140:461--71.=20
Osuji OO, Leake JL, Chipman ML, Nikiforuk G, Locker D, = Levine N.=20 Risk factors for dental fluorosis in a fluoridated community. J = Dent Res=20 1988;67:1488--92.=20
Pendrys DG, Katz RV. Risk for enamel fluorosis associated = with=20 fluoride supplementation, infant formula, and fluoride = dentifrice use.=20 Am J Epidemiol 1989;130:1199--208.=20
Pendrys DG. Risk for fluorosis in a fluoridated population:=20 implications for the dentist and hygienist. J Am Dent Assoc=20 1995;126:1617--24.=20
US Department of Health, Education, and Welfare. Public = Health=20 Service drinking water standards, revised 1962. Washington, DC: = US=20 Public Health Service, Department of Health, Education, and = Welfare,=20 1962; PHS publication no. 956.=20
Galagan DJ, Vermillion JR. Determining optimum fluoride=20 concentrations. Public Health Rep 1957;72:491--3.=20
CDC. Engineering and administrative recommendations for = water=20 fluoridation, 1995. MMWR 1995;44(No. RR-13):1--40.=20
US Environmental Protection Agency. 40 CFR Part 141.62. = Maximum=20 contaminant levels for inorganic contaminants. Code of Federal=20 Regulations 1998:402.=20
US Environmental Protection Agency. 40 CFR Part 143. = National=20 secondary drinking water regulations. Code of Federal = Regulations=20 1998;514--7.=20
US Department of Health and Human Services, Food and Drug=20 Administration. 21 CFR Part 165.110. Bottled water. Federal = Register=20 1995;60:57124--30.=20
US Food and Drug Administration. 21 CFR Part 355. Anticaries = drug=20 products for over-the-counter human use. Code of Federal = Regulations=20 1999:280--5.=20
American Dental Association. ADA guide to dental = therapeutics. 1st=20 ed. Chicago, IL: American Dental Association, 1998.=20
American Academy of Pediatric Dentistry. Special issue: = reference=20 manual 1995. Pediatr Dent 1994--95;16(special issue):1--96.=20
American Academy of Pediatrics Committee on Nutrition. = Fluoride=20 supplementation for children: interim policy recommendations. = Pediatrics=20 1995;95:777.=20
Singer L, Jarvey BA, Venkateswarlu P, Armstrong WD. Fluoride = in=20 plaque. J Dent Res 1970;49:455.=20
Dabeka RW, McKenzie AD, Lacroix GMA. Dietary intakes of = lead,=20 cadmium, arsenic and fluoride by Canadian adults: a 24-hour = duplicate=20 diet study. Food Addit Contam 1987;4:89--102.=20
Kramer L, Osis D, Wiatrowski E, Spencer H. Dietary fluoride = in=20 different areas of the United States. Am J Clin Nutr = 1974;27:590--4.=20
Osis D, Kramer L, Wiatrowski E, Spencer H. Dietary fluoride = intake=20 in man. J Nutr 1974;104:1313--8.=20
Singer L, Ophaug RH, Harland BF. Fluoride intake of young = adult=20 males in the United States. Am J Clin Nutr 1980;33:328--32.=20
Ophaug RH, Singer L, Harland BF. Estimated fluoride intake = of=20 average two-year-old children in four dietary regions of the = United=20 States. J Dent Res 1980;59:777--81.=20
Ophaug RH, Singer L, Harland BF. Estimated fluoride intake = of=20 6-month-old infants in four dietary regions of the United = States. Am J=20 Clin Nutr 1980;33:324--7.=20
Singer L, Ophaug RH, Harland BF. Dietary fluoride intake of=20 15-19-year-old male adults residing in the United States. J Dent = Res=20 1985;64:1302--5.=20
Pang DTY, Phillips CL, Bawden JW. Fluoride intake from = beverage=20 consumption in a sample of North Carolina children. J Dent Res=20 1992;71:1382--8.=20
Levy SM, Kohout FJ, Guha-Chowdhury N, Kiritsy MC, Heilman = JR, Wefel=20 JS. Infants' fluoride intake from drinking water alone, and from = water=20 added to formula, beverages, and food. J Dent Res = 1995;74:1399--407.=20
Levy SM, Kiritsy MC, Warren JJ. Sources of fluoride intake = in=20 children. J Public Health Dent 1995;55:39--52.=20
Johnson J Jr, Bawden JW. The fluoride content of infant = formulas=20 available in 1985. Pediatr Dent 1987;9:33--7.=20
Dean HT, Jay P, Arnold FA Jr, Elvove E. Domestic water and = dental=20 caries. II. A study of 2,832 white children, aged 12--14 years, = of 8=20 suburban Chicago communities, including Lactobacillus = acidophilus=20 studies of 1,761 children. Public Health Rep 1941;56:761--92.=20
Dean HT, Arnold FA Jr, Elvove E. Domestic water and dental = caries.=20 V. Additional studies of the relation of fluoride domestic water = to=20 dental caries experience in 4,425 white children, aged 12 to 14 = years,=20 of 13 cities in 4 states. Public Health Rep 1942;57:1155--79.=20
Galagan DJ. Climate and controlled fluoridation. J Am Dent = Assoc=20 1953;47:159--70.=20
Galagan DJ, Lamson GG Jr. Climate and endemic dental = fluorosis.=20 Public Health Rep 1953;68:497--508.=20
Galagan DJ, Vermillion JR, Nevitt GA, Stadt ZM, Dart RE. = Climate and=20 fluid intake. Public Health Rep 1957;72:484--90.=20
CDC. Fluoridation census 1992 summary. Atlanta, GA: US = Department of=20 Health and Human Services, Public Health Service, CDC, 1993.=20
Arnold FA Jr, Likins RC, Russell AL, Scott DB. Fifteenth = year of the=20 Grand Rapids Fluoridation Study. J Am Dent Assoc 1962;65:780--5. =
Ast DB, Fitzgerald B. Effectiveness of water fluoridation. J = Am Dent=20 Assoc 1962;65:581--7.=20
Blayney JR, Hill IN. Fluorine and dental caries. J Am Dent = Assoc=20 1967;74(special issue):225--302.=20
Hutton WL, Linscott BW, Williams DB. Final report of local = studies=20 on water fluoridation in Brantford. Can J Public Health = 1956;47:89--92.=20
Brunelle JA, Carlos JP. Recent trends in dental caries in = U.S.=20 children and the effect of water fluoridation. J Dent Res=20 1990;69(special issue):723--7.=20
Newbrun E. Effectiveness of water fluoridation. J Public = Health Dent=20 1989;49(special issue):279--89.=20
Ripa LW. A half-century of community water fluoridation in = the=20 United States: review and commentary. J Public Health Dent=20 1993;53:17--44.=20
Grembowski D, Fiset L, Spadafora A. How fluoridation affects = adult=20 dental caries: systemic and topical effects are explored. J Am = Dent=20 Assoc 1992;123:49--54.=20
Wiktorsson A-M, Martinsson T, Zimmerman M. Salivary levels = of=20 lactobacilli, buffer capacity and salivary flow rate related to = caries=20 activity among adults in communities with optimal and low water = fluoride=20 concentrations. Swed Dent J 1992;16:231--7.=20
Eklund SA, Burt BA, Ismail AI, Calderone JJ. Highfluoride = drinking=20 water, fluorosis, and dental caries in adults. J Am Dent Assoc=20 1987;114:324--8.=20
Sreebny LM, Schwartz SS. A reference guide to drugs and dry=20 mouth---2nd ed. Gerodontology 1997;14:33--47.=20
Burt BA, Ismail AI, Eklund SA. Root caries in an optimally=20 fluoridated and a high-fluoride community. J Dent Res = 1986;65:1154--8.=20
Stamm JS, Banting DW, Imrey PB. Adult root caries survey of = two=20 similar communities with contrasting natural water fluoride = levels. J Am=20 Dent Assoc 1990;120:143--9.=20
Brustman B. Impact of exposure to fluorideadequate water on = root=20 surface caries in elderly. Gerodontics 1986;2:203--7.=20
Jones CM, Taylor GO, Whittle JG, Evans D, Trotter DP. Water=20 fluoridation, tooth decay in 5 year olds, and social deprivation = measured by the Jarman score: analysis of data from British = dental=20 surveys. BMJ 1997;315:514--7.=20
Provart SJ, Carmichael CL. The relationship between caries,=20 fluoridation, and material deprivation in five-year-old children = in=20 County Durham. Community Dent Health 1995;12:200--3.=20
Slade GD, Spencer AJ, Davies MJ, Stewart JF. Influence of = exposure=20 to fluoridated water on socioeconomic inequalities in children's = caries=20 experience. Community Dent Oral Epidemiol 1996;24:89--100.=20
Kumar JV, Swango PA, Lininger LL, Leske GS, Green EL, Haley = VB.=20 Changes in dental fluorosis and dental caries in Newburgh and = Kingston,=20 New York. Am J Public Health 1998;88:1866--70.=20
Graves RC, Bohannan HM, Disney JA, Stamm JW, Bader JD, = Abernathy JR.=20 Recent dental caries and treatment patterns in US children. J = Public=20 Health Dent 1986;46:23--9.=20
Ast DB, Smith DJ, Wachs B, Cantwell KT. Newburgh-Kingston=20 caries-fluorine study. XIV. Combined clinical and = roentgenographic=20 dental findings after ten years of fluoride experience. J Am = Dent Assoc=20 1956;52:314--25.=20
Russell AL. Dental fluorosis in Grand Rapids during the = seventeenth=20 year of fluoridation. J Am Dent Assoc 1962;65:608--12.=20
Lewis DW, Banting DW. Water fluoridation: current = effectiveness and=20 dental fluorosis. Community Dent Oral Epidemiol 1994;22:153--8.=20
Kumar JV, Swango PA. Fluoride exposure and dental fluorosis = in=20 Newburgh and Kingston, New York: policy implications. Community = Dent=20 Oral Epidemiol 1999;27:171--80.=20
Szpunar SM, Burt BA. Dental caries, fluorosis, and fluoride = exposure=20 in Michigan schoolchildren. J Dent Res 1988;67:802--6.=20
Horowitz HS. School fluoridation for the prevention of = dental=20 caries. Int Dent J 1973;23:346--53.=20
Horowitz HS, Law FE, Pritzker T. Effect of school water = fluoridation=20 on dental caries, St. Thomas, V.I. Public Health Rep = 1965;80:381--8.=20
Horowitz HS, Heifetz SB, Law FE, Driscoll WS. School = fluoridation=20 studies in Elk Lake, Pennsylvania, and Pike County, = Kentucky---results=20 after eight years. Am J Public Health 1968;58:2240--50.=20
Horowitz HS, Heifetz SB, Law FE. Effect of school water = fluoridation=20 on dental caries: final results in Elk Lake, PA, after 12 years. = J Am=20 Dent Assoc 1972;84:832--8.=20
Heifetz SB, Horowitz HS, Brunelle JA. Effect of school water = fluoridation on dental caries: results in Seagrove, NC, after 12 = years.=20 J Am Dent Assoc 1983;106:334--7.=20
King RS, Iafolla TJ, Rozier RG, Satterfield WC, Spratt CJ.=20 Effectiveness of school water fluoridation and fluoride = mouthrinses. J=20 Dent Res 1995;74(special issue):192.=20
CDC. Acute fluoride poisoning---North Carolina. MMWR = 1974;23:199.=20
Hoffman R, Mann J, Calderone J, Trumbull J, Burkhart M. = Acute=20 fluoride poisoning in a New Mexico elementary school. Pediatrics = 1980;65:897--900.=20
Vogt RL, Witherell L, LaRue D, Klaucke DN. Acute fluoride = poisoning=20 associated with an on-site fluoridator in a Vermont elementary = school.=20 Am J Public Health 1982;72:1168--9.=20
Stannard J, Rovero J, Tsamtsouris A, Gavris V. Fluoride = content of=20 some bottled waters and recommendations for fluoride = supplementation. J=20 Pedod 1990;14:103--7.=20
Weinberger SJ. Bottled drinking waters: are the fluoride=20 concentrations shown on the label accurate? Int J Paediatr Dent=20 1991;1:143--6.=20
Van Winkle S, Levy SM, Kiritsy MC, Heilman JR, Wefel JS, = Marshall T.=20 Water and formula fluoride concentrations: significance for = infants fed=20 formula. Pediatr Dent 1995;17:305--10.=20
Mark AM. Americans taking to the bottle: loss of important = fluoride=20 source may be result. ADA News 1998;29:12.=20
US Environmental Protection Agency. 40 CFR Part 141 Subpart = O.=20 Consumer confidence reports. Federal Register 1998;63:44526--36. =
Duckworth RM, Morgan SN, Burchell CK. Fluoride in plaque = following=20 use of dentifrices containing sodium monofluorophosphate. J Dent = Res=20 1989;68:130--3.=20
Duckworth RM, Morgan SN. Oral fluoride retention after use = of=20 fluoride dentifrices. Caries Res 1991;25:123--9.=20
Sidi AD. Effect of brushing with fluoride toothpastes on the = fluoride, calcium, and inorganic phosphorus concentrations in = approximal=20 plaque of young adults. Caries Res 1989;23:268--71.=20
Reintsema H, Schuthof J, Arends J. An in vivo investigation = of the=20 fluoride uptake in partially demineralized human enamel from = several=20 different dentifrices. J Dent Res 1985;64:19--23.=20
Stookey GK, Schemehorn BR, Cheetham BL, Wood GD, Walton GV. = In situ=20 fluoride uptake from fluoride dentifrices by carious enamel. J = Dent Res=20 1985;64:900--3.=20
Bruun C, Givskov H, Thylstrup A. Whole saliva fluoride after = toothbrushing with NaF and MFP dentifrices with different F=20 concentrations. Caries Res 1984;18:282--8.=20
Levy SM. Review of fluoride exposures and ingestion. = Community Dent=20 Oral Epidemiol 1994;22:173--80.=20
Horowitz HS, Law FE, Thompson MB, Chamberlin SR. Evaluation = of a=20 stannous fluoride dentifrice for use in dental public health = programs.=20 I. Basic findings. J Am Dent Assoc 1966;72:408--22.=20
James PMC, Anderson RJ. Clinical testing of a stannous=20 fluoride-calcium pyrophosphate dentifrice in Buckinghamshire = school=20 children. Br Dent J 1967;123:33--9.=20
Jordan WA, Peterson JK. Caries-inhibiting value of a = dentifrice=20 containing stannous fluoride: final report of a two year study. = J Am=20 Dent Assoc 1959;58:42--4.=20
Muhler JC. Effect of a stannous fluoride dentifrice on = caries=20 reduction in children during a three-year study period. J Am = Dent Asoc=20 1962;64:216--24.=20
Stookey GK. Are all fluoride dentifrices the same? In: Wei = SHY, ed.=20 Clinical uses of fluorides: a state of the art conference on the = uses of=20 fluorides in clinical dentistry: May 11 and 12, 1984, Holiday = Inn, Union=20 Square, San Francisco, California. Philadelphia, PA: Lea & = Febiger,=20 1985:105--31.=20
Clarkson JE, Ellwood RP, Chandler RE. A comprehensive = summary of=20 fluoride dentifrice caries clinical trials. Am J Dent = 1993;6(special=20 issue):59--106.=20
Stamm JW. The value of dentifrices and mouthrinses in caries = prevention. Int Dent J 1993;43:517--27.=20
Mellberg JR, Ripa LW. Fluoride dentifrices. In: Mellberg JR, = Ripa=20 LW. Fluoride in preventive dentistry: theory and clinical = applications.=20 Chicago, IL: Quintessence Publishing Co., 1983:215--41.=20
Mellberg JR. Fluoride dentifrices: current status and = prospects. Int=20 Dent J 1991;41:9--16.=20
Richards A, Banting DW. Fluoride toothpastes. In: Fejerskov = O,=20 Ekstrand J, Burt BA, eds. Fluoride in dentistry. 2nd ed. = Copenhagen:=20 Munksgaard, 1996:328--46.=20
Lind OP, von der Fehr FR, Joost Larsen M, M=F6ller IJ. = Anti-caries=20 effect of a 2% Na₂PO₃F-dentifrice in a = Danish=20 fluoride area. Community Dent Oral Epidemiol 1976;4:7--14.=20
O'Mullane DM, Clarkson J, Holland T, O'Hickey S, Whelton H.=20 Effectiveness of water fluoridation in the prevention of dental = caries=20 in Irish children. Community Dent Health 1988;5:331--44.=20
Stookey GK, Beiswanger BB. Topical fluoride therapy. In: = Harris NO,=20 Christen AG, eds. Primary preventive dentistry. 4th ed. = Stamford, CT:=20 Appleton & Lang, 1995:193--233.=20
Horowitz HS, Ismail AI. Topical fluorides in caries = prevention. In:=20 Fejerskov O, Ekstrand J, Burt BA, eds. Fluorides in dentistry. = 2nd ed.=20 Copenhagen: Munksgaard, 1996:311--27.=20
Ronis DL, Land WP, Passow E. Tooth brushing, flossing, and=20 preventive dental visits by Detroitarea residents in relation to = demographic and socioeconomic factors. J Public Health Dent=20 1993;53:138--45.=20
Wagener DK, Nourjah P, Horowitz AM. Trends in childhood use = of=20 dental care products containing fluoride: United States, = 1983--89.=20 Hyattsville, MD: U.S. Department of Health and Human Services, = Public=20 Health Service, CDC, 1992. (Advanced data from vital health = statistics;=20 no. 219).=20
Peffley GE, Muhler JC. The effect of a commercially = available=20 stannous fluoride dentifrice under controlled brushing habits on = dental=20 caries incidence in children: preliminary report. J Dent Res=20 1960;39:871--5.=20
Bixler D, Muhler JC. Experimental clinical human caries test = design=20 and interpretation. J Am Dent Assoc 1962;65:482--90.=20
Chesters RK, Huntington E, Burchell CK, Stephen KW. Effect = of oral=20 care habits on caries in adolescents. Caries Res = 1992;26:299--304.=20
Chesnutt IG, Schafer F, Jacobson APM, Stephen KW. The = influence of=20 toothbrushing frequency and post-brushing rinsing on caries = experience=20 in a caries clinical trial. Community Dent Oral Epidemiol=20 1998;26:406--11.=20
Duckworth RM, Knoop DTM, Stephen KW. Effect of mouthrinsing = after=20 toothbrushing with a fluoride dentifrice on human salivary = fluoride=20 levels. Caries Res 1991;25:287--91.=20
Sj=F6gren K, Birkhed D, Ruben J, Arends J. Effect of = post-brushing=20 water rinsing on caries-like lesions at approximal and buccal = sites.=20 Caries Res 1995;9:337--42.=20
Conti AJ, Lotzkar S, Daley R, Cancro L, Marks RG, McNeal DR. = A=20 3-year clinical trial to compare efficacy of dentifrices = containing=20 1.14% and 0.76% sodium monofluorophosphate. Community Dent Oral=20 Epidemiol 1988;16:135--8.=20
Fogels HR, Meade JJ, Griffith J, Miragliuolo R, Cancro LP. A = clinical investigation of a high-level fluoride dentifrice. J = Dent Child=20 1988;55:210--5.=20
Hanachowicz L. Caries prevention using a 1.2% sodium=20 monofluorophosphate dentifrice in an aluminum oxide trihydrate = base.=20 Community Dent Oral Epidemiol 1984;12:10--6.=20
O'Mullane DM, Kavanagh D, Ellwood RP, et al. A three-year = clinical=20 trial of a combination of trimetaphosphate and sodium fluoride = in silica=20 toothpastes. J Dent Res 1997;76:1776--81.=20
Lalumandier JA, Rozier RG. The prevalence and risk factors = of=20 fluorosis among patients in a pediatric dental practice. Pediatr = Dent=20 1995;17:19--25.=20
Mascarenhas AK, Burt BA. Fluorosis risk from early exposure = to=20 fluoride toothpaste. Community Dent Oral Epidemiol = 1998;26:241--8.=20
Milsom K, Mitropoulos CM. Enamel defects in 8-year-old = children in=20 fluoridated and non-fluoridated parts of Cheshire. Caries Res=20 1990;24:286--9.=20
Riordan PJ. Dental fluorosis, dental caries and fluoride = exposure=20 among 7-year-olds. Caries Res 1993;27:71--7.=20
Skotowski MC, Hunt RJ, Levy SM. Risk factors for dental = fluorosis in=20 pediatric dental patients. J Public Health Dent 1995;55:154--9.=20
Pendrys DG, Katz RV, Morse DE. Risk factors for enamel = fluorosis in=20 a nonfluoridated population. Am J Epidemiol 1996;143:808--15.=20
Nacacche H, Simard PL, Trahan L, et al. Factors affecting = the=20 ingestion of fluoride dentrifice by children. J Public Health = Dent=20 1992;52:222--6.=20
Simard PL, Naccache H, Lachapelle D, Brodeur JM. Ingestion = of=20 fluoride from dentifrices by children aged 12 to 24 months. Clin = Pediatr=20 1991;30:614--7.=20
Barnhart WE, Hiller LK, Leonard GJ, Michaels SE. Dentifrice = usage=20 and ingestion among four age groups. J Dent Res = 1974;53:1317--22.=20
Baxter PM. Toothpaste ingestion during toothbrushing by = school=20 children. Br Dent J 1980;148:125--8.=20
Hargreaves JA, Ingram GS, Wagg BJ. A gravimetric study of = the=20 ingestion of toothpaste by children. Caries Res 1972;6:236--43.=20
Beltr=E1n ED, Szpunar SM. Fluoride in toothpastes for = children:=20 suggestion for change. Pediatr Dent 1988;10:185--8.=20
Levy SM. A review of fluoride intake from fluoride = dentifrice. J=20 Dent Child 1993;61:115--24.=20
Koch G, Petersson L-G, Kling E, Kling L. Effect of 250 and = 1000 ppm=20 fluoride dentifrice on caries: a three-year clinical study. Swed = Dent J=20 1982;6:233--8.=20
Mitropoulos CM, Holloway PJ, Davies TGH, Worthington HV. = Relative=20 efficacy of dentifrices containing 250 or 1000 ppm F^- = in=20 preventing dental caries---report of a 32-month clinical trial.=20 Community Dent Health 1984;1:193--200.=20
Winter GB, Holt RD, Williams BF. Clinical trial of a = low-fluoride=20 toothpaste for young children. Int Dent J 1989;39:227--35.=20
Holt RD, Morris CE, Winter GB, Downer MC. Enamel opacities = and=20 dental caries in children who used a low fluoride toothpaste = between 2=20 and 5 years of age. Int Dent J 1994;44:331--41.=20
Horowitz HS. The need for toothpastes with lower than = conventional=20 fluoride concentrations for preschool-aged children. J Public = Health=20 Dent 1992;52:216--21.=20
Zero DT, Raubertas RF, Fu J, Pedersen AM, Hayes AL, = Featherstone=20 JDB. Fluoride concentrations in plaque, whole saliva, and ductal = saliva=20 after application of home-use topical fluorides. J Dent Res=20 1992;71:1768--75.=20
Horowitz HS, Creighton WE, McClendon BJ. The effect on human = dental=20 caries of weekly oral rinsing with a sodium fluoride mouthwash: = a final=20 report. Arch Oral Biol 1971;16:609--16.=20
Rugg-Gunn AJ, Holloway PJ, Davies TGH. Caries prevention by = daily=20 fluoride mouthrinsing: report of a three-year clinical trial. Br = Dent J=20 1973;135:353--60.=20
DePaola PF, Soparkar P, Foley S, Bookstein F, Bakhos Y. = Effect of=20 high-concentration ammonium and sodium fluoride rinses in dental = caries=20 in schoolchildren. Community Dent Oral Epidemiol 1977;5:7--14.=20
Leverett DH, Sveen OB, Jensen =D8E. Weekly rinsing with a = fluoride=20 mouthrinse in an unfluoridated community: results after seven = years. J=20 Public Health Dent 1985;45:95--100.=20
Ripa LW, Leske GS, Sposato A, Rebich T. Supervised weekly = rinsing=20 with a 0.2 percent neutral NaF solution: final results of a=20 demonstration program after six school years. J Public Health = Dent=20 1983;43:53--62.=20
Ripa LW, Leske GS, Sposato AL, Rebich T Jr. Supervised = weekly=20 rinsing with a 0.2% neutral NaF solution: results after 5 years. = Community Dent Oral Epidemiol 1983;11:1--6.=20
Ripa LW, Leske G. Effect on the primary dentition of = mouthrinsing=20 with a 0.2 percent neutral NaF solution: results from a = demonstration=20 program after four school years. Pediatr Dent 1981;3:311--5.=20
Ripa LW. A critique of topical fluoride methods = (dentifrices,=20 mouthrinses, operator-, and self-applied gels) in an era of = decreased=20 caries and increased fluorosis prevalence. J Public Health Dent=20 1991;51:23--41.=20
Haugejorden O, Lervik T, Riordan PJ. Comparison of caries = prevalence=20 7 years after discontinuation of school-based fluoride rinsing = or=20 toothbrushing in Norway. Community Dent Oral Epidemiol = 1985;13:2--6.=20
Leske GS, Ripa LW, Green E. Posttreatment benefits in a = school-based=20 fluoride mouthrinsing program: final results after 7 years of = rinsing by=20 all participants. Clin Prev Dent 1986;8:19--23.=20
Holland TJ, Whelton H, O'Mullane DM, Creedon P. Evaluation = of a=20 fortnightly school-based sodium fluoride mouthrinse 4 years = following=20 its cessation. Caries Res 1995;29:431--4.=20
Disney JA, Graves RC, Stamm JW, Bohannan HM, Abernathy JR.=20 Comparative effects of a 4-year fluoride mouthrinse program on = high and=20 low caries forming grade 1 children. Community Dent Oral = Epidemiol=20 1989;17:139--43.=20
Klein SP, Bohannan HM, Bell RM, Disney JA, Foch CB, Graves = RC. The=20 cost and effectiveness of school-based preventive dental care. = Am J=20 Public Health 1985;75:382--91.=20
Nourjah P, Horowitz AM, Wagener DK. Factors associated with = the use=20 of fluoride supplements and fluoride dentifrice by infants and = toddlers.=20 J Public Health Dent 1994;54:47--54.=20
Leverett DH, Adair SM, Vaughan BW, Proskin HM, Moss ME. = Randomized=20 clinical trial of the effect of prenatal fluoride supplements in = preventing dental caries. Caries Res 1997;31:174--9.=20
Aasenden R, Peebles TC. Effects of fluoride supplementation = from=20 birth on human deciduous and permanent teeth. Arch Oral Biol=20 1974;19:321--6.=20
de Liefde B, Herbison GP. The prevalence of developmental = defects of=20 enamel and dental caries in New Zealand children receiving = differing=20 fluoride supplementation in 1982 and 1985. N Z Dent J = 1989;85:2--8.=20
D'Hoore W, Van Nieuwenhuysen J-P. Benefits and risks of = fluoride=20 supplementation: caries prevention versus dental fluorosis. Eur = J=20 Pediatr 1992;151:613--6.=20
Allmark C, Green HP, Linney AD, Wills DJ, Picton DCA. A = community=20 study of fluoride tablets for school children in Portsmouth: = results=20 after six years. Br Dent J 1982;153:426--30.=20
Fanning EA, Cellier KM, Somerville CM. South Australian = kindergarten=20 children: effects of fluoride tablets and fluoridated water on = dental=20 caries in primary teeth. Aust Dent J 1980;25:259--63.=20
Marthaler TM. Caries-inhibiting effect of fluoride tablets. = Helv=20 Odont Acta 1969;13:1--13.=20
Widenheim J, Birkhed D. Caries-preventive effect on primary = and=20 permanent teeth and cost-effectiveness of an NaF tablet = preschool=20 program. Community Dent Oral Epidemiol 1991;19:88--92.=20
Widenheim J, Birkhed D, Granath L, Lindgren G. Preeruptive = effect of=20 NaF tablets on caries in children from 12 to 17 years of age. = Community=20 Dent Oral Epidemiol 1986;14:1--4.=20
Margolis FJ, Reames HR, Freshman E, Macauley JC, Mehaffey H. = Fluoride: ten-year prospective study of deciduous and permanent=20 dentition. Am J Dis Child 1975;129:794--800.=20
Bagramian RA, Narendran S, Ward M. Relationship of dental = caries and=20 fluorosis to fluoride supplement history in a non-fluoridated = sample of=20 schoolchildren. Adv Dent Res 1989;3:161--7.=20
Holm A-K, Andersson R. Enamel mineralization disturbances in = 12-year-old children with known early exposure to fluorides. = Community=20 Dent Oral Epidemiol 1982;10:335--9.=20
Awad MA, Hargreaves JA, Thompson GW. Dental caries and = fluorosis in=20 7--9 and 11--14 year old children who received fluoride = supplements from=20 birth. J Can Dent Assoc 1994;60:318--22.=20
Friis-Hasch=E9 E, Bergmann J, Wenzel A, Thylstrup A, = Pedersen KM,=20 Petersen PE. Dental health status and attitudes to dental care = in=20 families participating in a Danish fluoride tablet program. = Community=20 Dent Oral Epidemiol 1984;12:303--7.=20
Kalsbeek H, Verrips GH, Backer Dirks O. Use of fluoride = tablets and=20 effect on prevalence of dental caries and dental fluorosis. = Community=20 Dent Oral Epidemiol 1992;20:241--5.=20
DePaola PF, Lax M. The caries-inhibiting effect of = acidulated=20 phosphate-fluoride chewable tablets: a two-year double-blind = study. J Am=20 Dent Assoc 1968;76:554--7.=20
Driscoll WS, Heifetz SB, Korts DC. Effect of chewable = fluoride=20 tablets on dental caries in schoolchildren: results after six = years of=20 use. J Am Dent Assoc 1978;97:820--4.=20
Stephen KW, Campbell D. Caries reduction and cost benefit = after 3=20 years of sucking fluoride tablets daily at school: a = double-blind trial.=20 Br Dent J 1978;144:202--6.=20
Stephen KW, McCall DR, Gilmour WH. Incisor enamel mottling = in child=20 cohorts which had or had not taken fluoride supplements from = 0--12 years=20 of age. Proc Finn Dent Soc 1991;87:595--605.=20
Larsen MJ, Kirkegaard E, Poulsen S, Fejerskov O. Dental = fluorosis=20 among participants in a non-supervised fluoride tablet program.=20 Community Dent Oral Epidemiol 1989;17:204--6.=20
Riordan PJ, Banks JA. Dental fluorosis and fluoride exposure = in=20 Western Australia. J Dent Res 1991;70:1022--8.=20
Suckling GW, Pearce EIF. Developmental defects of enamel in = a group=20 of New Zealand children: their prevalence and some associated=20 etiological factors. Community Dent Oral Epidemiol = 1984;12:177--84.=20
W=F6ltgens JHM, Etty EJ, Nieuwland WMD. Prevalence of = mottled enamel=20 in permanent dentition of children participating in a fluoride = programme=20 at the Amsterdam dental school. J Biol Buccale 1989;17:15--20.=20
Woolfolk MW, Faja BW, Bagramian RA. Relation of sources of = systemic=20 fluoride to prevalence of dental fluorosis. J Public Health Dent = 1989;49:78--82.=20
Ismail AI, Brodeur J-M, Kavanagh M, Boisclair G, Tessier C, = Picotte=20 L. Prevalence of dental caries and dental fluorosis in students, = 11--17=20 years of age, in fluoridated and non-fluoridated cities in = Quebec.=20 Caries Res 1990;24:290--7.=20
Margolis FJ, Burt BA, Schork A, Bashshur RL, Whittaker BA, = Burns TL.=20 Fluoride supplements for children: a survey of physicians' = prescription=20 practices. Am J Dis Child 1980;134:865--8.=20
Szpunar SM, Burt BA. Fluoride exposure in Michigan = schoolchildren. J=20 Public Health Dent 1990;50:18--23.=20
Levy SM, Muchow G. Provider compliance with recommended = dietary=20 fluoride supplement protocol. Am J Public Health 1992:82:281--3. =
Pendrys DG, Morse DE. Use of fluoride supplementation by = children=20 living in fluoridated communities. J Dent Child 1990;57:343--7.=20
Pendrys DG, Morse DE. Fluoride supplement use by children in = fluoridated communities. J Public Health Dent 1995;55:160--4.=20
Jackson RD, Kelly SA, Katz BP, Hull JR, Stookey GK. Dental = fluorosis=20 and caries prevalence in children residing in communities with = different=20 levels of fluoride in the water. J Public Health Dent = 1995;55:79--84.=20
Lasagna L. Balancing risks versus benefits in drug therapy=20 decisions. Clin Ther 1998;20(suppl C):72--9.=20
Dijkman TG, Arends J. The role of `CaF₂-like' = material in=20 topical fluoridation of enamel in situ. Acta Odontol Scand=20 1988;46:391--7.=20
Houpt M, Koenigsberg S, Shey Z. The effect of prior = toothcleaning on=20 the efficacy of topical fluoride treatment: two-year results. = Clin Prev=20 Dent 1983;5:8--10.=20
Brudevold F, Savory A, Gardner DE, Spinelli M, Speirs R. A = study of=20 acidulated fluoride solutions. I. In vitro effects on enamel. = Arch Oral=20 Biol 1963;8:167--77.=20
Ripa LW. Professionally (operator) applied topical fluoride = therapy:=20 a critique. Int Dent J 1981;31:105--20.=20
Wei SHY, Yiu CKY. Evaluation of the use of topical fluoride = gel.=20 Caries Res 1993;27(suppl I):29--34.=20
Hagen PP, Rozier RG, Bawden JW. The caries-preventive effect = of=20 full- and half-strength topical acidulated phosphate fluoride. = Pediatr=20 Dent 1985;7:185--91.=20
Ripa LW. An evaluation of the use of professional = (operator-applied)=20 topical fluorides. J Dent Res 1990;69(special issue):786--96.=20
Horowitz HS, Doyle J. The effect on dental caries of = topically=20 applied acidulated phosphate-fluoride: results after three = years. J Am=20 Dent Assoc 1971;82:359--65.=20
Johnston DW, Lewis DW. Three-year randomized trial of = professionally=20 applied topical fluoride gel comparing annual and biannual = application=20 with/without prior prophylaxis. Caries Res 1995;29:331--6.=20
Petersson LG. Fluoride mouthrinses and fluoride varnishes. = Caries=20 Res 1993;27(suppl 1):35--42.=20
Mandel ID. Fluoride varnishes---a welcome addition = [Editorial]. J=20 Public Health Dent 1994;54:67.=20
Wakeen LM. Legal implications of using drugs and devices in = the=20 dental office. J Public Health Dent 1992;52:403--8.=20
Clark DC, Stamm JW, Tessier C, Robert G. The final results = of the=20 Sherbrooke-Lac M=E9gantic fluoride varnish study. J Can Dent = Assoc=20 1987;53:919--22.=20
de Bruyn H, Arends J. Fluoride varnishes---a review. J Biol = Buccale=20 1987;15:71--82.=20
Helfenstein U, Steiner M. Fluoride varnishes (Duraphat): a=20 meta-analysis. Community Dent Oral Epidemiol 1994;22:1--5.=20
Twetman S, Petersson LG, Pakhomov GN. Caries incidence in = relation=20 to salivary mutans streptococci and fluoride varnish = applications in=20 preschool children from low- and optimal-fluoride areas. Caries = Res=20 1996;30:347--53.=20
Sepp=E4 L. Studies of fluoride varnishes in Finland. Proc = Finn Dent=20 Soc 1991;87:541--7.=20
Sepp=E4 L, Lepp=E4nen T, Hausen H. Fluoride varnish versus = acidulated=20 phosphate fluoride gel: a 3-year clinical trial. Caries Res=20 1995;29:327--30.=20
Sepp=E4 L, Tolonen T. Caries preventive effect of fluoride = varnish=20 applications performed two or four times a year. Scand J Dent = Res=20 1990;98:102--5.=20
Petersson LG, Arthursson L, =D6stberg C, J=F6nsson P, = Gleerup A.=20 Caries-inhibiting effects of different modes of Duraphat varnish = reapplication: a 3-year radiographic study. Caries Res = 1991;25:70--3.=20
Sk=F6ld L, Sundquist B, Eriksson B, Edeland C. Four-year = study of=20 caries inhibition of intensive Duraphat application in = 11--15-year-old=20 children. Community Dent Oral Epidemiol 1994;22:8--12.=20
Adriaens ML, Dermaut LR, Verbeeck RMH. The use of `Fluor = Protector,'=20 a fluoride varnish, as a caries prevention method under = orthodontic=20 molar bands. Eur J Orthod 1990;12:316--9.=20
Peyron M, Matsson L, Birkhed D. Progression of approximal = caries in=20 primary molars and the effect of Duraphat treatment. Scand J = Dent Res=20 1992;100:314--8.=20
Marthaler TM. Cariostatic efficacy of the combined use of = fluorides.=20 J Dent Res 1990;69(special issue):797--800.=20
US Preventive Services Task Force. Guide to clinical = preventive=20 services. 2nd ed. Alexandria, VA: International Medical = Publishing,=20 1996.=20
McKay FS. Relation of mottled enamel to caries. J Am Dent = Assoc=20 1928;15:1429--37.=20
Clark DC, Hann HJ, Williamson MF, Berkowitz J. Effects of = lifelong=20 consumption of fluoridated water or use of fluoride supplements = on=20 dental caries prevalence. Community Dent Oral Epidemiol = 1995;23:20--4.=20
Murray JJ, Rugg-Gunn AJ. Fluorides in caries prevention. 2nd = ed.=20 Boston, MA: Wright-PSG, 1982. (Dental practitioner handbook no. = 20).=20
Warner KE, Luce BR. Cost-benefit and cost-effectiveness = analysis in=20 health care: principles, practice, and potential. Ann Arbor, MI: = Health=20 Administration Press, 1982.=20
Manski RJ, Moeller JF, Maas WR. Dental services: use, = expenditures=20 and sources of payment, 1987. J Am Dent Assoc 1999;130:500--8.=20
Burt BA, ed. Proceedings for the workshop: = Cost-effectiveness of=20 caries prevention in dental public health, Ann Arbor, Michigan, = May=20 17--19, 1989. J Public Health Dent 1989;49(special = issue):331--7.=20
Brown LJ, Lazar V. Dental procedure fees 1975 through 1995: = how much=20 have they changed? J Am Dent Assoc 1998;129:1291--5.=20
Downer MC, Blinkhorn AS, Attwood D. Effect of fluoridation = on the=20 cost of dental treatment among urban Scottish schoolchildren. = Community=20 Dent Oral Epidemiol 1981;9:112--6.=20
Attwood D, Blinkhorn AS. Reassessment of the effect of = fluoridation=20 on cost of dental treatment among Scottish schoolchildren. = Community=20 Dent Oral Epidemiol 1989;17:79--82.=20
Garcia AI. Caries incidence and costs of prevention = programs. J=20 Public Health Dent 1989:49(special issue):259--71.=20
Anonymous. Which toothpaste is right for you? Consumer = Reports=20 1998;August:11--4.=20
Doherty NJG, Brunelle JA, Miller AJ, Li S-H. Costs of = school-based=20 mouthrinsing in 14 demonstration programs in USA. Community Dent = Oral=20 Epidemiol 1984;12:35--8.=20
Leverett DH. Effectiveness of mouthrinsing with fluoride = solutions=20 in preventing coronal and root caries. J Public Health Dent=20 1989;49(special issue):310--6.=20
van Rijkom HM, Truin GJ, van 't Hof MA. A meta-analysis of = clinical=20 studies on the caries-inhibiting effect of fluoride gel = treatment.=20 Caries Res 1998;32:83--92.=20
Eklund SA, Pittman JL, Heller KE. Professionally applied = topical=20 fluoride and restorative care in insured children. J Public = Health Dent=20 2000;60:33--8.=20
Petersson LG, Westerberg I. Intensive fluoride varnish = program in=20 Swedish adolescents: economic assessment of a 7-year follow-up = study on=20 proximal caries incidence. Caries Res1994;28:59--63.

*For this report, the term "caries experience" is used to mean = the sum=20 of filled and unfilled cavities, along with any missing teeth = resulting=20 from tooth decay.

**US$ 1988 converted to US$ 1999 using the Consumer Price Index = for All=20 Urban Customers (CPI-Urban) (all items). More information is = available at=20 the U.S. Department of Labor, Bureau of Labor Statistics website = at=20 <http://stats.bls.gov/cpihome.htm>. Accessed June 25, 2001. =

***US$ 1995 converted to US$ 1999 using CPI-Urban (dental = services).=20 More information is available at the U.S. Department of Labor, = Bureau of=20 Labor Statistics website at = <http://stats.bls.gov/cpihome.htm>.=20 Accessed June 25, 2001.

****US$ 1988 converted to US$ 1999 using CPI-Urban (all items). = More=20 information is available at the U.S. Department of Labor, Bureau = of Labor=20 Statistics website at <http://stats.bls.gov/cpihome.htm>. = Accessed=20 June 25, 2001.

*****US$ 1981 converted to US$ 1999 using CPI-Urban (dental = services).=20 More information is available at the U.S. Department of Labor, = Bureau of=20 Labor Statistics website at = <http://stats.bls.gov/cpihome.htm>.=20 Accessed June 25, 2001.

Table=20 1

3D"Table

Return= to=20 top.
Figure 1

3D"Figure

Return= to=20 top.
Table 2

3D"Table

Return= to=20 top.
Figure 2

3D"Figure

Return= to=20 top.
Table 3

3D"Table

Return= to=20 top.
Table 4

3D"Table

Return= to=20 top.
Box 1

3D"Box

Return= to=20 top.
Box 2

3D"Box

Return= to=20 top.=20

Disclaimer=20 All MMWR HTML versions of articles are = electronic conversions from ASCII text into HTML. This conversion = may have=20 resulted in character translation or format errors in the HTML = version.=20 Users should not rely on this HTML document, but are referred to = the=20 electronic PDF version and/or the original MMWR paper copy = for the=20 official text, figures, and tables. An original paper copy of this = issue=20 can be obtained from the Superintendent of Documents, U.S. = Government=20 Printing Office (GPO), Washington, DC 20402-9371; telephone: (202) = 512-1800. Contact GPO for current prices.

**Questions = or=20 messages regarding errors in formatting should be addressed to mmwrq@cdc.gov.=20

Page converted:=20 8/22/2001

3D"Safer,
3D""=20
Morbidity=20 and Mortality Weekly Report
Centers for Disease = Control=20 and Prevention
1600 Clifton Rd, MailStop E-90, = Atlanta, GA=20 30333, U.S.A

Department of = Health
and=20 Human=20 = Services

<= !--webbot bot=3D"Include" i-checksum=3D"35118" endspan -->

This page=20 last reviewed 8/22/2001

------=_NextPart_000_00B6_01C9F002.CB70D4E0 Content-Type: image/gif Content-Transfer-Encoding: base64 Content-Location: http://www.cdc.gov/mmwr/images/nav01.gif R0lGODdhUwIBAIEAAAAAmQAAmQAAAAAAACH5BAAAAAAALAAAAABTAgEAQAIWjI+py+0Po5y02ouz 3rz7D4biSJZmAQA7 ------=_NextPart_000_00B6_01C9F002.CB70D4E0 Content-Type: image/gif Content-Transfer-Encoding: base64 Content-Location: http://www.cdc.gov/mmwr/images/nav11.gif R0lGODlhjAA8ALMAAP///wAAmf///zMzrR4epY+P0gsLnl1dvp6e2G5uxUhItrS04fDw+YSEztDQ 7Ht7yiH5BAEAAAAALAAAAACMADwAAAT/MMhJq7046827/2AojmRpnqgxrGzrvnAsz3RNG2hOCHzv /8CgcEgsGouEHGqnaCFeT9cCFpXGpjREU5Yo2AaIhCCpNO3IkkKFkKgYGhd1ZXC4JAYbRT1DkHMa CmdlZmMUfhIKChWJFnQWBThuhxcGCBqVkRsPioKDJJ1pFQloEg2ZE6ZucBZ3Gw2kFgiwGJsSoJ4h oG8VkwG9vqyzBr8UCm0ZD3gctbaFuCKgbLyPjXuGFw+zFJUaeh3MzdrPG6CO1wEKBQsLDusIyQGp EgcHBQX0+PQLCU0YrxkD/BBogGCdwXv81jgb96GcIgoFGRBx4IDCEQHtwAUYcIwSAgPD/xwQYWCJ wi2GHEAxsrXgB8UCEXtUnHCxB0lF3DLIaiDR5gIE6kT2UCgO5QVQB5Qd6MnDQYJhE/pIXGDxR1IF CwgK9cGgQYGim7by8EKhi1CiRj2AGhVAjI8FSXZRGMCAKs0fbQYGMKDggdimp4o1EMvAmoQEdSoJ QJs25cIHBg64JLMyqrqqPtr8mzDgr4BfAf8aDkBvggG7URc25rPwK1Me1uRNuEMKyKhVJv8WdlPw R8kJpU0yXs0ajbofCzL1mrQD7+YKkpGfeveDAangGk4SH97S6jnTuEsBefAgQ3cfsRX8RU16NAbt 21Oj0a1s4+ik2woASW4eSEl6bmUGnP9776kWn0nOGACEA5ng9908A+wHkH4uqQDHeT2QcUBHjhW1 XSfR+fAbMNuEB4xtGHCjmwKWEPDXTBuCAN+BnSCA4gSTOCgBRwHcaAE8GPLAX4gykcZhBxF6SFwn QQrQkQHlPegLDj7OFWWTqwTYwwIxgpCOgQeGI4Fn1lS2V3hQ9YiXBTkFYOOaATyw4JEcJDAKmGF2 QiYqp5jpYJUSwCPBmwLGsyAIw3CCJ43OeNbRJLKRqGahnEU56I1yIteQLGKGyZhnlk5yiDmT9sAh JhQ0uYeWTXmQTiYzxsckEHKQap8hmVQp6ASePURkq3UeGeuHzhC6JQ46xpOJXBL4OID/pRIY8BpG ZHQGhIeJWjDsks40sKAiopZVG5xuBvarACM6ygen2i4qqzPHeTeqYZPc2EoFqnLW5IjFQFKgkqt1 co9/BEArm5kKoPhsI/tFMsArus3yAJ0IAtyYwAEEyUABD4WCYwXG8tDGRxbotkdA4v1wSCX1/esp Y2rQ5VJ9PNoCrR627TpBk7X6cVp1J7ObnbvEkiEHq58pk80ES+9hCRANQBuAiw1vNIm1PjiQiL+N kLJtwPDuPC0CB6SZxgELMDAAIwtmkgAC06KLA8qN6PZEIwVsXPHLe0t6j90LNJEAOz3A1KxL7HjW 1MnETN3kAg8kdcADcAM2G9HcGv2x/1RHOADI4Rftw1nj0R6gOBBd7agF5mDHFeoEYSCgeDtP/WYQ O7evQ1EYpNC9QT31OBB3O/+8kRfrFxdCwB7SeLw2l/oEMk/Hs7WMDsW+a9CANXxxhE8ikaRDxtfJ J2HOSgUDp4zZbmprYh8XBBQYm3d3QADZffM9dSErsYVOx37QUbIGdQpUzYFrACFZBxIQqf1ZLC2C cBBu5MGs37SpeiCbxf3mBx0TJdB6ndJfBDXnMdIoo2ZtsZ5eKKAzWygwRdvrgPGKoz8xLc1vH0tD JNhHwGK4Z4PZqV8evjK0BxpFEH6o1R7SZLZ7YXB02nph/KT4HvyRA3kQLIQcmue//v+tjzlooiIQ MzC5BTbQZTVEIiIekkTYPRF204HFGCnBMQ6AAYQ0TKMW50FCEpmDhwlhmgqpaBKhwZBiRayhA0mU iuatTYeBatkK5zGaOTaCkIswpFqweMQ9kmgl/lohD1/4sDVg8jCIjIoVQxAQTqJEjYyMxNHIcMPp mUaKlswP9exwRg6w6ACCQIAwObaHWnYyCXJI5o72IAf2wQ92Xjvl/Tx0RxEcQAudOoAiHkAVF+Hx GWeA0tTaIJdUrOQ55UKFJE/5qgzMEFFvk6QztBknL8QTbFvjyB0mt4IoYIFFLWjAHVZAnhZgZQsv sMcMBodQG6SDbC9ImIa22ZcCtJA3Ic2piUY3ytGO8mCicQJDAi46DhV84aQoTalKYxAJAphPBQQY AAcVSdOabmSlOM2pTnfK0xlEAAA7 ------=_NextPart_000_00B6_01C9F002.CB70D4E0 Content-Type: image/gif Content-Transfer-Encoding: base64 Content-Location: http://www.cdc.gov/mmwr/images/nav21_reports.gif R0lGODlhjAAIAKIAAEpKrzExqDk5qisrpmhot////wAAmQAAACH5BAAAAAAALAAAAACMAAgAAAM0 aLrc/jDKSau9eIXMu/8gCIRkaZ5Wga5s6wGqK8+0EhRxre8hjPPAoGWAKwqPSIWAUGwmAAA7 ------=_NextPart_000_00B6_01C9F002.CB70D4E0 Content-Type: image/gif Content-Transfer-Encoding: base64 Content-Location: http://www.cdc.gov/mmwr/images/blue_white.gif R0lGODlhjAAVAIAAAP///8DAwCH5BAEAAAEALAAAAACMABUAAAJUhI+py+0Po5y02ouz3rz7D4bi SJbmiabqyrbuC8fyTNf2jWvBzvf+DwwKh8Si8YhMKpfMpvMJjUqn1Kr1is1qt9yu9wsOi8fksvmM TqvX7Lb7DS8AADs= ------=_NextPart_000_00B6_01C9F002.CB70D4E0 Content-Type: image/gif Content-Transfer-Encoding: base64 Content-Location: http://www.cdc.gov/mmwr/images/nav12.gif R0lGODlhDAA/ALMAAP///////wAAmTQ0rpSU1MPD597e8nJyx3h4yczM60VFtZmZ1ufn9QC34qam 21pavSH5BAEAAAAALAAAAAAMAD8AAAQ+UMhJq7046827/2AojmRJKQugVkOivhTyzhMx08Jx08NO F75XL6iyEQGGo3LJbDqf0Kh0Sq1ar9isdsvlRgAAOw== ------=_NextPart_000_00B6_01C9F002.CB70D4E0 Content-Type: image/gif Content-Transfer-Encoding: base64 Content-Location: http://www.cdc.gov/mmwr/images/bottom_curve.gif R0lGODlhDAAaAKIAAKam08DAwP39/sfH487O57Gx2P///wAAACH5BAEAAAEALAAAAAAMABoAAAMl aLrc/jDKSRuYQY4MReDPBzaF6HjiaGwpRwBtLM90bd94ru95AgA7 ------=_NextPart_000_00B6_01C9F002.CB70D4E0 Content-Type: image/gif Content-Transfer-Encoding: base64 Content-Location: http://www.cdc.gov/mmwr/images/nav13.gif R0lGODlhCwETALMAAP///wAAmf///4WFz0JCtaWl2/Pz/+Li9xAQnMrK6yEhpWhowNbW7zExrbq6 51JSvSH5BAEAAAAALAAAAAALARMAAAT/MMhJq7046827/2AoisVonmiqrmzrvlIJz3Rt37gt53zv /8DWLkgsGo+8oURBQGwQBAVySq0WlQOB9hEwaAWDyeOrFBgkXqt6zQ4NG+DAwnkQEBzxgBlKqBgO EgdnbYSFhkNZUhMHDBJmAQQCCxgHgAEMlpADkwEICwoLA1ADDROhioapqixDaRSMEgkCAVl9F4IE BAaNAWNaYQhaXl+zXV+2q8nKIK3FiwkSeLR2lMTQXY1ZTnEJgFm9AlICDsvl5hnNFbABstPI6rwJ 13GRfdzQ31lfg+f954gCSi3iJQDaGE4WKklgQDBMPT1h5E1zl0ugv4vKhkQq0SRAnTuSWTppQaDA IppBCgNIK1AsDsOJkcI0QIWx5qEKeLRMGpZHzpdrEx51GQRHp6MwCr8FYGnUplNCSgIwoXkBiskn UTxMfcqVTdSuYMOm+Cq2rNkOZM+qXTsh7bkIADs= ------=_NextPart_000_00B6_01C9F002.CB70D4E0 Content-Type: image/gif Content-Transfer-Encoding: base64 Content-Location: http://www.cdc.gov/mmwr/images/nav14.gif R0lGODdhOgATALMAAAAAmXNzxs7O7zExraSk2xAQnFJSve/v/72950JCtSEhpYWFz////2Njvd7e 962t3iH5BAAAAAAALAAAAAA6ABMAQATYEBBAq704683ppAlzBNVyIMwCDOchrIzDNAuDKqE7d9rH /8Cg5DJICDeFhuJ48SkagBCU8SgoBgCEo/BgUFKAAjUaZRjBTB9zffQ1GINkgV0JGelqgKJrCDH+ XlyAXyp2dWYAaG0WBQlYFY2PelhLGDhzdBZ5mZwZm52gHqGjmpACgHd0hnglcBcJC3cFBgsBmA0F AUa0BmUGASRraiZjYlALDhY1Xw96YHMhvYpCm2KxDLoJRgQOCsuJhYggiNNBboAIFG9/zQZ/p1ho NSJlZypppPmf+WwRADs= ------=_NextPart_000_00B6_01C9F002.CB70D4E0 Content-Type: image/gif Content-Transfer-Encoding: base64 Content-Location: http://www.cdc.gov/mmwr/images/nav15.gif R0lGODdhdgATALMAAAAAmnNzxs7O7zExrZyc3u/v/xAQnFJSvb2954WFz0JCtSEhpf///97e92Nj vaen2yH5BAAAAAAALAAAAAB2ABMAQAT/EDxAq7046827/6A3UYigKAJCCY3AKEDQIEwCJAygMLxK C4VGpkbBuQ4AB6NF7AEWwQYB0JgVDBbcgpihLUKYEXhM1jUG5bRanF4EMgOHOnNAghUJGGaQ6OfT YggqAII6RANfDA8GMzcvhglIhThDNgAFUw0TOwcGAgIkKjiICwYOBgePFA85T4oXNDwMBYBztre4 toGDhR+Uhnq9GA44CAlovpYhBQi0GwQMyGS7oY6yKgMuDKKtO8HclcCO4r+FwgYFDAJ2FFuyDAs7 PDDNWGse8V8UiAb2A8jx7IEJSIGTAn0YFEhTmGsMm4YQI0Z8KLGixTIUL2rcuIEaoUEev37psCcM 1jtlHXg4fIUBhyyUYDwKI6ZvATE54wwEYBCAHgI80ixwSfLnSYAFCXCeABjgKACdxy7s2KkHw5Yp tUi8U5HqiwCs1X55IwFKpFAbBoiUMCRJyMcbV57uwHmhQY4lT/x82QHTYYVek14spbIocEFVhjEQ GUuJcStzIJ/KgFdhZ08cbyyk6uu32lsA0Hi8cQnEEDx0KhNf4KJkFhp5POwUWmCXp4J0LIvQDQCT mB+6nTneUSX8XvHjxSMAADs= ------=_NextPart_000_00B6_01C9F002.CB70D4E0 Content-Type: image/gif Content-Transfer-Encoding: base64 Content-Location: http://www.cdc.gov/mmwr/images/spacer.gif R0lGODlhCgAKAPcAAP////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// /////////////////////////////////////////////////////yH5BAEAAAEALAAAAAAKAAoA AAgSAAMIHEiwoMGDCBMqXMiwYcKAADs= ------=_NextPart_000_00B6_01C9F002.CB70D4E0 Content-Type: image/gif Content-Transfer-Encoding: base64 Content-Location: http://www.cdc.gov/mmwr/images/blue_curve.gif R0lGODlhCgA8ALP/AMDAwMvL5bGx2Pj4+4WFwunp9LW12t3d7v///wAAAAAAAAAAAAAAAAAAAAAA AAAAACH5BAEAAAAALAAAAAAKADwAAAQpEMlZDAATDXLvPF0nCaEYlCLanWrrvnAsz3Rt33iu73zv /8CgcEgsEiMAOw== ------=_NextPart_000_00B6_01C9F002.CB70D4E0 Content-Type: image/gif Content-Transfer-Encoding: base64 Content-Location: http://www.cdc.gov/mmwr/images/mmwr_report_logo.gif R0lGODlhwQAuAOYAAIuLyVZctOjp9Hp7wgUsnaSi03F0vlthtbOx2Zyb0EhSrneCwxo1oSQ6o8HK 50xWsG5xvLS84JqZzj1Lqq2q1mptu2Zpuv7+/C1Bpv7+/sXE5Jei1fT0+jJDptra7oaFxrCt2MvO 6ZWVzYGBxXV5wCk9pNLV6qur2YqRzJ+e0aew20BNq3R2wMnK5mR5wdzd74mJyGJnuTREqLq53qim 1SZGqb3B45GRzMXM58zQ6fn6/xQzoLe13ODk85STzaep2IaMy///+5GQyqKp10pit5iWzoSDx9bZ 7TlHqQcsno6OyoODxV9kt4CAwpOaz+7v+H+Gx7O33YOWzjpIqGFruf3//N/f7w8xoIiIyJWUypGV zh83ouPi8b694DtYtlhtuwovn4iHxlBYsaqn1zBNqfb3+6Gg0X5/w5WSzDdGp/z//zVUsNHR6YWG xG9vvSw+ph84oC5ApGhrufHy+NbV7X9+x9XY6f/9/vf2/EVPrcLA4aSl1f/+//7//////f///yH5 BAAAAAAALAAAAADBAC4AAAf/gG8lgyWChA0lDYqLjI1bW3CPkpIMlZaVO5lXV2CdSWAEYEmjowSm p6imSQSkqqSvpaysq6WtsrSzs6SitKuutr+wubmwwLWqqLWxyKdJhoWEiYmN1A1b1o+R2Qxbl96Z O1c7naKyrqmpvrjNusLqvcyvt+u+usnrxMWtx/ry++3IlLVb1QGDwTgYEBos9KZhtGjVqk2SpK2b NwbgNnHy5O9evYHyAqrLN+8eO2Ik+3WMpTKeSXMCP47qQLPmkBwhcurcGYLKGwwNnz0sMYSnThxI QxCBlG0LjhBIo0pFSibcJo4iHWjdynVrrQ1dubpotixJhLAOGCRrRgSt1gi5/9y6lSLFxZp6uFZJ ibBgAREXrdIgSUNYRg4+f/4EScyYcRSEcTrEgQw0YcPGmP/44cPnCzU/mv/0yZx4gcVvGb2AJu2n NZ9bG/7w6bOasYNjrhjIpj2bjx8ivdZJIZ04Qq0+iIlr9pOhMZ85KmoEp+WASA8VUupN2c49R2jl AmTUHE8zIQYSyhODpjLUOXEbcOJXhASHG4PYxJOr8UTgi2w1soXWxxPB5fKFb+rtlh1Z1GUwG4Cu 8bEAMnf8cUFzFjI2GmfMLfdHFYltwMBISVQXAXa4TKDiit7VRlofVAhGGBIy1FhjBzJE4WJm6wEV 1BvukabGNBI9ckR66lmyQ/8JF4gWxGwZZlADOqYMB1pzvN020ixztCZahaP9sYYumjWHoYdX+tFH Bn3c4WBrfpgwpTprMFDDnbmskMcKfK7ARmhnYnaHCtxxNxgSiKYhwI6YgQbBeAYhyZgBQiHCSB6M apjYBZMwcEQVoKkZWmfijOMJGA401txmc/yiSg1/YHgHYq31AE8fo2GYwQWg8dEkruoh2NwFffSg 1jnwmJJHHgosm4cJkvrxworUTqHiFFQEytofENhoo6SyPWZZQ0ARggK4fDCyhRM7+qGGH05chNFq oYom212g3OJCYs1xxpsK7QTI2JW+icoZH2y62atvWpaVlwIQR8xGcsoRe0D/nxjzOcEemWZmAKIg pwHuBQLQFJlCkxlkQ8doNnKgYromhgNF2hyIK5Z/qBHEHQtktFFs9SbGxx1jodJmkxl0GCtifYAo Gm2yzbqhH2MVSNYDWGdtAsUVO9Gss2Dn8YLTSBpQ7QQsa3gBEzeKJ15Nq0oaFCFhtqkem9TAAYSa o6k5WxUZqMDNaQy0QGtiIN7hh3S8JBFmhuot5qFmBYvmG9S2AnOOGJxz/sDWCZLWXAsRl84sE2xq mxkfLGCsot/2spbBBlMgUXvIMiwQRJNI9qGQed412hoRhyBiQ2O92nuEIvOp0XdimF+SSWitrYrr YooDOxtzQWAIYAZfbLmO/xgBBNA56N9lRlsfB2SNdcQ3pJ0cHySAzSfsjzf6hwcTWLud7baLAGK4 hrzV2KgmG0DMqhD0BygoxCE98A2boEa5PqShEURYTB+etBk1DaFTW0hOrzIQhD4c4QtESCERpHCE UE1QNgjjgwrygo7y2TAAdOARHziQNATxAQidc98DWqAmF34IYWGazQAg5iwF5A9KO/zOBg8wAY1R a1HqWZN61ECxPiTqUBAI3XLU8APJSAYDD2CMBtWzGp9EYwHIqcLQVsMHFywiEg0AkPpwYJ9LLKBL XpKgaGwVipUc4JAHKN+RMnOBFjCmOXewQecmKQYOqOoPVvhDhXiHmAE8oP90TsSMGpL2AlGiYE8Z q0CYdvUHAcSKTY3pQ6H+Bzgx+iEHMkgDjjqwgFitJn+02UDKEhKFC8xmWPaawiAYkak+4MAa2NCG C0aDnFEhDBzYxCYiEWmH2oCGNglIIq84cEMbAiFKibGCCTBExz8sQIgPyN+qLmCDJvkGMRpg1rK+ NoSdMeYCKliNtqjFIs2QTXFqsN0U0jAFFSjukVfKGR9yUBMMdMADoXmXQT3gox91LAQRacAit9ea Jn2hKfPZAhNWytJFQvQOWBCAAr+0gAAk0oZRkJxj7MCY+f1hBJQUA2v8oAWhbaoPoISYFZBjJj5A IWmkydienBAroa3KD1T/8N8UXqA4DCEsMXdAzhxySVbVJWYIBzFIQj46FEsNgV8StddJsfEIusbg rnh1KWaGoIHkQDIC2zykK7PoByjwlDdGhUI5hYo8xiwgk2ZiDhCESIXYMUYB7WyM6ZZVgc1AFWo/ tCL0EGNMDvThAhVKTAAWigQXVA8zF3CBt2qinBCYByEOiUNsKsQmpl3AM4sgkiLkQFwLGFevtUGA FhYTUS6w9ABMOENvWtMHDhzgSIxSbDkdNDAzQSEKWfSNJCepBVhC1QRppJyLkgoxS/pKVJpEwLJW QIJf0UoADngXaf8AhBU5AUqyuZIsBZMowtT2bR14g2QmA94EHe4BgxCE/0MkXIEKE7cCHvAmv6Jg gLqFhgR4jcEPHlrVEDDhSMTCDBYCe4DNkAYKI0AeyWzIOUd2qEkpEEMHMwNPBTwAB6FSU4WkxcQh MO2hEXjrwP4Agj7N4EyIAVAOrtU/7ignB4XJJY7EM1j4Uhcyk0FZQtwAATK7wQ0ZVhVteCAHjH6H Dz8w7nGZgyA/mCEGR4ISvYDw3EO62KijgcIB8KDJGFZhADc07Wv7QAIdU5B6lHyAGB6QgvQhrDUR w8GS+4ACEmwmiVZwlivp9aU9VJGgE0hfY3Lwv5AhobxCQ46aMkDRmiC4JgbItQEgAAE3E/YPUajA CTiTIT6wwcIGgF72/v8wAAt4YGoaAgBeWdrY0Kw4BAnajAoQGT+hgUYA5aMeZshH7s4Z4ALfA20V 3vkADoSVgRBQQL/YCLEA7EZogPNDBeabscdBTU1sIOh2nLAh0bjYN1ogjMJllCgWOPzhpawNbTIw AwgAwJdCUwMJKryHniaGC8R9NncbowQLxMDkJ0fePPlc6aqCxgqIjIAvEXMHDSRS1YwpZ6I1RK8N iEEO0GMMByS9zmMmxpO9fOiZONCspOahUVh6wcMNwIIhjJoPJbw00xQwS4VyhwRgh3j6oDaDXD8B copJQZkd2ZgL6IHMboYlY5RA3LoDfWDH9IMSYkCC/DUJxEzoclVvcEj/nCcGkTo3XNApZ4MAUNVe o+MceN3FmBM84AeehWsj35dUVUVU1orpINaNyauh0UYFK0A1QQfAehKwvpSPVM8MHB4Cv2qyBSww QBk01BwR8Br2mblBhYdfgQKGie4W4MLk+JACCyxBiqBxw0ot2xgWIzIBDAyWFQKwsuZITgXlQwHO EtMCMbSAbJHdADyzpj82fjVBj1u6GPSUsYyd4QysZ30ml6yZLrC+AIfTGnjAAhKgYXhAdQYAezsi ArvGa7zWfhkgfBVgA1zTB2wgBz8gSM1xBHdlAdTHGCy1UtB1SCzgcZB3AMoXK0/SB9oVA7tRPeT0 BI8jUHIQVJ4Te+nD/yuQBxqpxUFqwAHx1nRNtE8QMwIj0ARNcH/7Z4L+NwAfkCAYcgMacDejQQcP t4SYUQS6pms8khg+wGs+4CIOgmFhRV1+cALFJSq/lBghdldMgFeDRVp9U1SMASBqsE2D5XJQYC9O oybgVj42CFcuBz0AMitRthwDxAFLxF5JtQSOuAQjsARYCFddkIRnYAW10RwakIK1cQL5B3yYIQEP 93A80nsNuHugsikdV0LfAQTDx39hUlxyIGfGFQNTyC8dckuUA0t28Fwa4AepxRzYJkZ90Hg3pXPV xjubEjphoiYmQAWTtn7wFAZh8AHW+AEpuGR+oAdGOAIzUFVN4gdn9/9mfaAE+beEFOMHEjAArseO LBA0j+MEDmcAWxMmxPIEsxEmd/AEZfaAobMaxGd3xFUA9uIlg0grF9AFIZYC3OVitAEmIpQA1ndI AVAvLuIiznNvHGADC2CDnmODMBCSMIAFWMAFpMYYenCN4RQ7EgdVT9AEI6CEypggKZB/+Wd4fyAB YYcAHGI53/RNf9ACW6hJ6uOAZeYGxHcGBqlHlFcmseIEteh8AZYeoMEC0CWCgQVbmhQEXIQcxFIv HEACN8Q5gOiRnAMAaJmWJkkaGkCSWBAG46g+iREELfCITYBFjZUC97eXZ6Bqq5EA+XdxThmMZWJn oygwHqdrELBrDUj/ZnGZK/BVmCxwYbO4e75CHGvCBW0YAyHIBJ6HNEfQA1VlOcthBTGgc6hZTjcg BKupBEqwlpmhASGJltASe5+lGSdAjdZIQTNpBt3Yjd8RNHqJfwMQl5mYRUbgemAniEY1igjImAbg SL7CTo31BEiJlBX2JwTUGFxkAydHi23II8TiAWdQBswRmYkRAhN5QyzmA+4pAu6ZjZihAa7pmt84 k0cVKyEZBlgAA2TjIntwjdeIk77Zjbc4MNWUARlgBTY5AMoRdmE3iizwA4h5nORnlLwWBXZDHJsh ARUgkMVlXLFHK1XgASKGiHXjKwiAlRMZWEUgAkXwoiIgn43RAu55/wM3IAFQFSgI8gJpCQMAoFOB sgck+QFuqRwF8IhLMAYgojTVlBhdwJdKoBwNapNg1wQAgjBQtRxQRQO5t4Ui8KTbQgIQQHxmWny+ JFAmZFzeQWwGtyFa4IadOacrJQF2mgB2SqOM0QIiAJ9ZUAR52FNXogeteQNKIFCq8gNpCQAhmR97 oJsfEAZrwii8IgG/2XIjFyZ7WaX5JwBncp7UcwE3wAIkIKGnpRx8wAUYiqFnBldJ800eQFwGQGia 5Dd9gwcjsJm6elcpkAIJ8KsJMFi5whghYKcxKgLDuDp9UADu6QPwaVYXcAL1WZ/K8QMiCQNhEHf8 AjVlcI2OuAdQ9f9VfdONTVAHfNkEA3AGGvA8UJgYeGClA0CqL7CdPVV2XwqdjAkBtpchfeABZ+YG N0Abv8QHWdoDBgCixjWLCmsBBWAGDuuwwoo8IQCseAoCQfeTzwGjxyoC/KceIHCjN+ADN8Chirqo XUB9+mUCWBCp/NlxIMI1fmAEjyizv3mEY8CuakYHnDoAU5g/zpEAESqhCDhTHtIHL2CUeuA3XlIb x3amw1d3FVAAUju1roQhG5IBbGAGKaC1vaoDLtYhs8IGdjq2EiAw8NUHINCnWdCnIlB6oAcaCICj QqAEQpACyFFn0MMDs4mWNEBB3vSWkCqgRmAEAOAa7eIHNpCEdZD/hOh6BntANpjBJpwKdqXqcMwF hUZ7rxAgmu+HPFFAZrwGuqtKA6RLAwVAA4EKVhM1tVP7AsD4T77RBb3qqxKQANBTLwiDAGN7rF8F lKJho+6ZBT6ABnNQMF2UBdOqBDerGTPJB0Aakm5JjdIbU9mXGBBiBpBIrkaIBa9bbXaws1aqlaIh daN4A3I0mrHEgIzpBg1olGNAARQwBvLrqS7SJGywB3tgulL7i5e0rA37sGZAGoiBAL9KtgLySH3Q AjEqo0XABnETIAKABiLrnkJAAVr0SqHhmovKqEDKwcP4WhfwK9fYBm1gjUbwAUaAj5nRHDxwhHuJ hOkaw31ZbQvK/442TAINxrzIUwZtkHvzKLQgEMQgAL94iYt+wAXySwNjQLoWDCerwQWsO7WAMjBq MANbO7spQGckxEbFWrtj+42Uoxl0KaN9igYW+1WSUyGryZpzm7xKAAAWu8XdkxxcQJJhMJLUiK1Y wAYzyTd9IAEym71HaIRIWK6LETPOw6BVCooQlapnELSk6nAkgACUTMkgcHbAEip9IADw28nx+wTU 2QchULqlWwB148d9MANRbAbAIrBmEgK9SrESACwKqiYUsLsSUAQIUDdX1Qfw+Z7NGrJrXAR885O4 EgI/OpsiyQMXmRg8XI3V+AFtcMJL8AGPCCyRawV8uZdhsHtVZf+IbeIHIQC+JMADPFDJCKAHGrDO 7LzOXSDEQkwBM6ABelDP9YwAniy/Y6AHXdDP/tzPFFAA+bsHUjsDBn3QM8ADMwACAPywCJDQ5mzO BYyndmoG50zJF03JL7qxbNunzuoDYwDPQXwCIJACdNvG0woAIP0DLN3SP5AC0Luf/GnHK/sBUou/ +NuwBSABgkzIZ1C3vcq1WFyTrEecNhnRSJ3U6IzOIFDJTS3SIk0BQ3wCnhy/S6zPP7DEpZy/p3vT rGsGX/2wBXDFXGsGCeCrFEvRZLu7G8vRRSC8IpAFEuwDci2ycusDc2uo9QkAGszXjLqo19qfM02N b2mk1ljC02y1zTS7BEg4yGcAk0Z4Bt0o2UmY1JaNABm91E9tyQgA1UFc1fmsz/qsxFtNAzlN0FG8 yg67tas91LKs1mRbBGy9wGzrrB4918IrwauJBmw8tyjd12+szIFNknpM04E7woEciTV7f4x7hIXc jVFg2Ze91NRtyZ792aBt1aKdxKRMujid2qnd0A/r2rK81mu9wLTd0R3drMEst0Lw2ykN2Hsrkm5Z 3/UtoNaopI5IroXc34oLkzAZCAA7 ------=_NextPart_000_00B6_01C9F002.CB70D4E0 Content-Type: image/gif Content-Transfer-Encoding: base64 Content-Location: http://www.cdc.gov/mmwr/preview/mmwrhtml/figures/r014a1t1.gif R0lGODlhbwIuAfcAAP///5mZmczMzGZmZjMzMwAAAP/M//////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// /////////////////////////////////////////////////////yH5BAEAAAcALAAAAABvAi4B AAj/AAEIHEiwoMGDCBMqXMiwocOHECNKnEixosWLGDNq3Mixo8ePIEOKHEmypMmTKFOqXMmypcuX MGPKnEmzps2bOHPq3Mmzp8+fQIMKHUq0qNGGAZIqTTpQKUEBS5kKTCqgYFSpD6FGPUrQKUOtCMFS NRlgAAEAXiuCLbhW5diXVSW2hYj14FuueIcGKMC3L9+BfQMMFOCX71kAfONOLVxgAFsCBQ4bJMxY sdEBBQR//XsQ81nIjhVqvkiZgADMoylSNuiZJeTUJAUoNkvYssPWEvnCJgg6r2+hsjEXgBp3L2TJ e4cn1Y0481PdsmUTFN44bGKofEMffY2Us8G9jqGK/66OEbxA7qR3m1/Zm2xkgbJf2+6uHWLihKh/ 6we6enrm+wD0BwB3AC5WQEIEJPjeQQIeB19ZqUE1gGVpySbYWBIOFt0AmqUVIIeKBWAhbCCiJyGF VHk31YStRQcfh5qddl2AEMYlnoXS0RiXcFXJJ95UlsHYVFXSidgUiwuiVdeLRtI4ZFUiZgjfhqOZ COFgFzJ1Yldl2UjlipEJBplfEd4loWaendYkjSBiKRhzTbrYnpq77WcnTMkV9F5+aCW23GHMDQad i1aRN5l3cPoVWnL3UdYXfIYZFsCYBwLgWV8DUBcadc4lN+Zhjo4pGKdo9jUmb6ZWlx+j7xWGXWQL 6v+WGWRx0drno/Jxluethgkkq4icUdqboyqS2lxcfkZ636XZndepor7Cmh2ltfpVFbPVFaaZfF1B OyCmfQoLn7BQpqrcguat6pdkd7brkoCWVmccpOtqViCvgbGWJFuMCbaaALkeKFxzjg2cnJj3Netg co7laVxVyQ7X3Jvy6jbvankC7B1mE5b2rWP3yZcmVKZ9S3GYHAe4cWQ9ZrbrvyFnK+lqHMvWK3Mp qzwcwCBLPDFlBf81ZnzOoUZZcM41y/C3Z6Wc58J/lRWmQGbtZRlzCco44Ws8aozwhY0dHa/LC7bW W8x1uqt2SfDaeqzOSjF3L2VJtVlofd02puBZxnH/CNp60SG6s67oFu3c2zSjzHXZmTXYGMd+Z8bn rhNTrSrZBJTltKGaN9usynwf3mdooPWH8YKEnRVonoHWrFumqM8crb2DV3osnym/ZlxSZ0v8cnWg cZgYn4lKJp1tx00YLZEWkkegy57Nq7OMh6WLeed4r639SAISm6+A895LOUK4HVrp0ZwaVr7OgJ1b qfS5kweg0IwJf1jp3r1GaWBzCr7je39jTNMKRwCzJM1nJisQbnTHmdNV7y+BWg2A0sQY200KXPNr nP/aM6/FFUZ1EutP+CrTnvtITyEyMozYBrJAstUvSRZj3Gcaw6pebe+G3FtZAXf4FwENbG4qsouh /wplOwaGJjqpO0/P2se+cC1mVIfLYLxGU67D5EdwUotRuRaVv8OlDDUnLI78KvW80RhnX+sJmIFu tRgQivFA6HGd7XKUt8odS0B/yVn8lnNE6ZiwgcDzmXSI9yx2LeSCiLQUjJx3QA0lcXrSs96fBoPD SobEcVerHQ8PmKAELUdvCcpe+ZLkw7BZTD6LmyGSQvc+xjmmhD6LWpiSgx3SBdI0wvkkydzHO+/s zlMfo5vXxka0T1Isk6KLlxU1SMNTEUxjPYuRLDMHzOxoDVLUTMxxpMZMXAIwhhIL2C6P2cR5pWlg sKxi2tpnTPDQsoVfk9qETglO4X1zno1DjyX3qeeR3xkSjB+k3bq8F8TRAcZ4OkQLpWL0qWrZsD+4 2QsUaUc7A00NfocbkwGhmK+xFbBY6rsc2MAVLfcpiJwsDGIan5WdBlIqNACCaEjDs668TU1jjYmY cJZJnW3Ja6GzayJhbNmXa0UxhKIaj/oslyhbhuelRNLosjAlUnxlj59YreSPnmIbQn1kTYecj4XY Qke2rBNItonTfPRlSBSW1ZEO2SpX1wrWAFnmX1WSFwrPmhCvunWtk+kqX7FEVrHyNUpZTaxiFwsS t3FlfJYbLGMnS9nKWtYiCfINz1jDoct69rOgDa1oR0v/2tKa9rSoTa1qU1LB1rr2tbCNrWxnS9va 2va2uM2tbnfL29769rfADa5wh0vc4hr3uK89CXKXy9zmOve50I2udKdL3epa97qPWq12t8vd7nr3 u+ANr3jHS97ymve86E2vetfL3va6973wja9850vf+tr3vvjNr373y9/++ve/AA6wgAdM4AIbuCZR Io6TLFInyRLlrXJx8E38OhEK27Wvb5VwS+R64O4ypjkWyVlKr0oTDeeooBFBsU8kOqWJsFhPtvtO Mk+IEgeTDLAdTu2gIBbjCstYwypRcWd8Vle54JgnLnpkRNbzlHUyucUoGWpcq5Zj7waxh8pT04sK GKOG/2mlQwXM2aQ6S74CHqmAxfGb8qiG5i1nWSloTiFTJqSlTo40c2g5olnWrBQqd8ZfHNozfrLm 5g4FurOC/lBZzDwpUJG5s2pK9GkkFBkWdajIlgpzp0RUMEAvmosX6hhT+oznccFIPWsm81jMEmdR EWnPUBJRnatsZZcxRZZgO4vXuHPG5YANds9KpEFC+Z7dsaw5mXMlZALkyfcArWY7BdbNMrfsvS0R MdT2XaX1SRBZziqZI172rp2zTUn15mDJgxqgDsQwqPXSlGTsseWSnbRTeTuREk2ilKPntjC1p1sj tdzo3HkcXTc7dLwmMa1P+0EQs3jfzkkieIwKsvtlC1lQbU3X1lpJMWfZjG/ZBNsk+wPIEG4okBXN TxI311aHPyt7Eg90xL9ZLn9VzObrVhlMD/RIXOvcWcCCOWeueFSDSjynJeug4YKW64Ps6Wy6lvU0 n9gnqRmv5f8LZ3iPZUnTGVZ0PfkunLT98uNun69V8Q46qsgkZRC7/YTGwgyyBBZLds/8qlwH3aHq gx76/Vrv5uk5z2M1+JwHPna+3ntk3Q5idQ3wcxCvebyINMSBLHtWpon4/n7+LTK9OOu1hnHV9S73 aI0+XvPkaepkPZ+UBe7s16aVvospaye6HZAPHOAri953ujdsX0x8OPD1fvK5f0vyR8e56QWvd5cr 31nLPtQyO2564YeOR07kzhcLOWS5SzTePLa97sQjYrUZ4CDnN0j6C7J+grR/IO8XSPwBMP/6o//+ 6sc/+/Xvfv7D3ydXZncDhHAG9WIsFn3cIW7Dh23fMkUOGCz/5EZ3iSd7Y2R6tidJk1d9FfN7Nod3 dvd8ogdQ12cyo5d8zddD3naCH9h8Y0NiCdNIGth0EnV4QYN8/lZ57TN4hGczhUd1tPJ5oMddAegs sLJMNvRimxMZ52YtQhQoL2WBpecoRFUxOdeCbYdTvbFTb4cpFGd7omd9DGIqTMU4Nhg6zzd0yqKC p1dUcGMdkUJ9zvdzB4g5JJgzPLM+qLJzXBQpJYUwzVJ+QWhegAVhYWFYh1RYDdFVhGhWhUhWYVES u7GIanFkjdhECQFk6bFFFBGJimFhgfiJoGhQM1Ea9xKKpniKHXEXMvFllIiKrviKsJh12DWLtFiL tniLuJiLgroVi7rYi774i8AYjMK4iyFhf/l3jPuHjP2njP/HjPLnf8/ojPQHjdMojes3jNiYjdq4 jdwYXbH4jeAYjuI4juRYjuZ4juiYjuq4juzYju74jvAIYGPlX4voiezlZK2IaVCWXpKIFuCVS/2l hQVBHViHXowiYyqEIJ/zFJSSXgI5kB3/JYQLmV+uUx+Jo3DlNVQaA2MfhxA/CG7LRmPjVZEQyYPd BR7RZ2peMWaYqF2Y4SxsASl4QxWZcmk8Uxychmhk9lksxidQtoAgpmScxyA5GSNF+SCn0VmaQ1kv 2YDdVpA0qWpHqSRJOSo7eUMvaSIttSd6g4PhxWpu51gPEiiWNy0y8x8RiJYf5ZWTVXpACCZ1wnxN sW27IRyw83h32YKY4iCWlGhMdHyCskNrVpZduXuF2XmeYpeVVB1t53gM+JjixU0wWHp5I0oZdSDz M0A2iJGKxWvgBjTWUYUGslF3E1nrAVBnKG/ag4UVlYH08lH/dJkO2IBueXc4FD0Dk4Gr//dh4pVL igGBa+WTQGc5eARHS+eFl1WbDUZDlUF4/kFTPSZmkkMeEsVyFrhPrwJCHjeX4IcqpTJMk6d9VIhD +4MzhZQ6ODJejNIkTZmSH0J5eEOZtIIomlmCbMlY+UGZNFJROBI4uoZGRQdwpulFZNOB12lJF2Q4 MNltthQkPkMr8jkcyjmUa9N2RreV2imU4ZWgQTNP4UFnXGlIpyJBIVqH4/lZGhl9t3YuWPeRocY+ eNg1yyajvmd7QuYuiTliUjZpxwcvncc+I+p3qIecaiOc0VeVxdaQBklUSZeWw8cx2YWhxGmfnKlY jIIsv5eQHvk5KiqGd5Mv4AGmtsl4OJjUJcOWkA+npM+ZXVCKhpu5WDwKOBymXvVIiLzGRHO6WvjI EProiU7zP16GWpJop51SlhdSWkBzbAemnwdaZW/5lujFqK5pWmfSiv2lipbSkvvlIUqiqXpaV5ga j6I6qqRaqqaqXd2Yqqq6qqzaqq66qsr1qrI6q7Raq7Z6q7wVq7i6q7zaq776q8J4qsI6rMRarMZ6 rMiarP/Kuqynao9clRKWakle1Y/9xWGeSl7TGq2kBTCe1FedVKUZsSPgWkk+OSkHdkJ7QZGiY67f ZWa14ZE0pa0U8aDXeicKwkIF6V/CRhj5da9sBl62g0DPwaeLxmmltiIHWzel5k6KNGaDEWb8dGhT gRx+1qkHq0jjqp5+sxjTkSlNUTf1oTn1mpxLqVBnZka8kxolO1npqkSdoWaAFTboOSCbojxmhhgd M3NGYivycy0Z+xuZQxhWSTU2uy0lc7N4ZhbwZa4zBymUtxhGNbEqM7KVFbRFU7M9YrQ9UrN9Qln8 eh7LCaII4TOq9p+/6Ss7Yi/iKrVCm1WIBnJoCxhEK7X/7IoY8vpdHsuvX+uxc1sWkHIea/uPowK3 diu3iiS1hTsgVJsXLUuzrPatSuuyBlFEaPKf3fYmtaK2YPuvyrS4QlFqkmO5gCEmlRsuCnK33sWu WUNG2qG07Pq1SthJ4QW6i6Yyl6u4/5o6J0VZRURXknGxhpupbBtjEkO2miu8JvuwP+sbqjYrtmu4 ZZtn9OW3U1spO2mu1Au7qFtazWuuX+srVANmz5ucT7VW7/quk2t5aAJT4pu4oJu5fXtEqrk2B4sb h6O6pfu139tedWtAHOsrFwIq1su14FW/sdK+pRa5seS5eMGtwNsV3zq2LLQoArxoyLK+55G0FMxs fsPAkz/Bt7YHMBYcvohbNeC2XtR7nVVzs3zbsnc4vy6pHdIjwrRBwsk7KQ5bWc46JdvbFa24w3nK WPr4Hf81xM/qXkbsw8y6xEzcxE78xFAcxVI8xVRcxVZ8xb9BrR7hqUn8E+u0wxsBGz2cWmDlwdyV reDlwMvLYDC8EJ30wPyRU3UZwZ1HlhhxGgO5xqkFLwJLX+War/+o5a59nIoCPBGZlWlGgWf7qzKU BzFjLBp4A8filTraMcjy5a+I7F2L/B0S0jA1PMEyDLLjgmfVWTITe5UxOb6E9SArErJcNiTKw5Ig Qa9WARgQc1YKa7AqmylbBSpcVraqFiKPrFhCG0uzAcJ9FrI12ZslW7cF+7E43BUgjJ+Zw8tCZFQ2 18jPazXx8iGmYTO/l7uWrLzfYcoe67Etq7RtO3GnYbYe8b2S3LJ6M5gM+nFb67KPBDCMPHpWk5SI IU3DnFj8yrchVNBQ280m27YFDCxDq0hZm8H3fLiNu1juNNFH8rcAfLjxi9HZu8AOzRCAOLrg677+ or7ja80g8b3/0/yw9oJLptxtaTu8O1I9DY27OYLOA7xd8nzLGi3R8gu4cyu4iMyuCJTTyUvL1Gx5 2dPRtkyz+Jq8X/u6AUt5zvPGF3uzhYLIussdDlwxgnKfpEG50sdCIq0nJq3VthO596MdpWbVU5u4 qxXVmBnRQ13I2PbGs2svtbu/5Ja/sXvCWFW3DywV31s0ZsQ3Py294ys62GG+ghKGIqzKm2vTPdbY H4HUvEFiqIwYLCS+6KvWky28LVyzdaunlGvYTYHYGD3O3dW9ojvS0bvJjHW+L33Ri10uIi3ViFvY 14LBk1u6B4HJHm2bjftoeswQivw+/oLV+wzXwZvApENTnvy////s1AMiwJJMqRZkK43bKXbNtyvN XQYMKAgM3B7dlnQ8kB0y1WyWwy38PqTM3lXTlDLWSYO4rtS2KdXctO1N3x0xVBkFnWwIpXWS1htM tLxjKYrhSYI2Zn7p33EdY26zwgTswprWmzKMOtVszu2Lw8w921ocVl8xqNRqxNysxBryVyPRxas8 EWtmZob0VhT24eXF4iEemdHK4gsX3opFG5NCJBXG2lg85A9Bz7NdIxYRxES+5Eze5E7+5FAe5VJ+ Xl1sxhQtrzpOF6lMqXsaG3cV0AJNRzc+WmGqcAB+3J6lINnjKhlM40ken2i+T4+7d4TGKnGevtK8 XX/8Xef928Bx29owZRvgRtBgviIFkd2Wtbd4E0UB/BF4DMHbhcmR212z0WD5qrJEEs0vgtKytr5G bq++3dS8EeofWzXtvMt0ZnkqCcwdIsw9fuCURMIpbBdJ6cmDyZIo683NbOpK0hWeJbHJm2cJm7LS fOftcuJWkd/zcbNfm7Tk/bxGU90WfSdku+iZYspk21Yye2xI23Xjss8s1s/nzNZWHhTMDsO+s0N1 Qhsag9sJnZIG93v/ObSNi+hZZbUN/eOZTGgsHM7/XluKc0lntZ28eSsZ59PUWO3m7XK/hkRDO424 MG3D3pvtU1HTihy4rbRYpSbb1m00Dwzd/3u/50NTEzwVGJ3chb4fb5u8BysxLQwo8FtZ6fq4odTd u6FBUNRJ3n261h0uWW4UFI/iZhb03XbW6pzW9yO5uHvdsuvU9r495x7cpvwj076wdn04UT24qd1G 0ee6gHzveq3AC/5Kfq3z5Q4c09FgrTvH7Frafx5OYjzp7gLyHkm6QV30Eu/O+x7aOmnoCsXxfQnr lod1VZ9mIb/e5wHxfqu/ATsgKa/y642/Jh3bbRzYAZs2BS1WU8NsjSzXEa3Pf+4uhN7r5+vygY7n /0vPt4I83V2b0Uhr8AovrTktFZ/MuXI/2bqt1eImwLXSNMuEr18P9illRfL70Jnc552ZUwoXpmlD aAj++olUv/kN9e3BwkrI1qHkdCUf7DVproPJ4IwWZliN7D3e9PIMLRrj/Lxh+OPLkuw2GnuWKTB1 7XME1q8+l7977WjS4dPvtQARAMBAggUJCjRYkMAAgwIcFnyYkKAAhBItXsSYUeNGjgcFWHT4sWAA kR0JDhC5EACBhiUHhjQ4gKVJmjVt3sRI0WTEmgEQBiiwsmVCkg2D4kSaVOnSiTwxFmUaVepUmkep XsWaVapMigQ+ujRJoKJWsmWzBhArQCwAsB0HMP80G1fuXLp1mfq0m1evUooDoOKEu1fwYJ8ok/4d nFjxYsaNHT+GHFnyZMqVLV/GnFnzZs6dPX8GHVr0aNKlTZ8W7bSjatSDWfMd2pqsztVjmTp9LZsq zJdtdZMlENzrRbQz2Qo3/ltrcYkyg/vGmRwAWuVXnUsHMKDA9gJwtQefanVggMDVqWqvSN082bcD 1zYvAH6gTPfl10f9jh3tx/dL1cbE7r6bBDiqPYVsI3A++5ASwD71BIwqOKvog/CqAqCDqCuCxCMq PZHIM2y8hTycCS2/ZHPowYPgUnE88tIysSQQaZsOobd8mkktA2mkscKYWJTuxIIMbHG6Btub8aD/ EdMTqEGxiJSpKLwO8jEjv4g07kUm0RoLxCoTIlBH2xKiECgtyTSuAIGQvDA7ltQSCCiUnGSrTdko PHA8Dlcabrs1CxyOAKv6bDK+gdqkbj8FvzRIpTobfUvIHffkSi1Ej6LOUoLeVAmoN9XMjiGgNh2T UfdIAhXLjyh8biXvRN3TR0+7KlXJl+Lzyc6CMP2UVLZ8TbA+84oUMtghf8rxqPdGnW864+iLiFlQ AYi1yveMnc8rLlf6ac/3iDxqWmYbfHTR6W49tU4MvzyRPvX6axPLQ1OqVUBjF7ouuMDKtBPPTRla i0DhQFVLQlgn2i7EO7Fb1luR+J1Xz/nifHamdOswDcpfUx3F1shFOfYWWXSpRShYvPBUz1NBs3XW VIveU5NCXVX69tOB673P2CJHSnNForzCOKH3AuaQIl1RK5I8Ecn8MNl0p1P2owcTLfGoMPtzWV6L qNNaoQ9ZDLdb95Yej6FgjQ1qOJfJ7PbditYSMtNq/xmdFmsyA1NJR4niC8zONgnuDmpfXdVtRykD HVNtcLPlT9mRCVdPu01XXntkJBGqu1Bz82y5XGhX/k9d91iiUPJsA1y7v+/MDZNblqkVaVpTCZRJ YYmmRm5rXc10tPYoy3X2LdRJU691N1uNSWTgIx11yuxi/twvyuvE2cfrJIZa34fjC1BtpYE3sfmK fDewO5msor3yuw8ytL7fs1OeS0crrx6k3NwkKjb711Xu/oygoo/tesQW1QCFfz4a4EjAVL+tiU06 rEEM8NS3Gv95ZIJZsdsFy2LAbR3QIgbSoFy4BKdf2QSEIURhZMiVwriQJ4I1sR0Ll0MeDz6lhjLE YZcOdbhDHvbQhz8EYhCFOEQiFtGIR0RiEpW4RCY20YlPhGIUpThFKlZRh9zBYha1uEUudtGLXwRj GMU4RjKW0YxnRGMa1bhGNrbRjW+EYxzlOEc61tGNcrFjHvW4Rz720Y9/BGQgBTlIQhayjHg0ZCIV uUhGNtKRj4RkJCVpRUpW0pKXxGQmNblJTnbSk58EZShFOUpSltKU/6dEZSpVuUpWttKVr4RlLGU5 S1rW0pa3xGUudblLXvbSl78EZjCFOUxiFtOYpfwKSPxyw2hNxSe8GZBvmFmSBFqQMQ+pIE180qTD 3M41N9zLMsEJJtZkk4A0MWcst7mglcRsfhlJEIEYyJHfZTAsCzrh/5o0MLDIKXCLidfwepKWfNLE dAY5WlYwJLubaGecVXnm3DZivF15kFmrYactHbKQAlrlov+TaHTg8s67CBShr9OY3x6aFYaWlGzh WWlVYqoRgbVUKsz6aFRsqtOZnhJHTzLIzqbzvrL5BVNfKVnJ+oKSJBGlOwJZFpXK1h+KJKpkUTKc PY/zEp9BZEOlwv/RMm80kSi9kC2RIitHV4SSNtEGKnip6lv6Ys/ixIlFH0rPiDwyp7watWkxXGt6 iFqYhp3oSCF665EEq7b8JdQjekWrkrYJJvQ4BFNJPYlcD+LCcxXVeE3N31S31B/n6RJOpcLVj/gz UsNsJ2LFw9iqANeWGEHOKqBSVOm6IzVOwWomcAvQ9xSS0ZzqiSHaMVvecPtPiMTLbMtdVaBSNRM7 ES1OuyUZZb2iIcJ1Lm9rkVNIeHVW50KNtp9ak2EctVt5Uu8jgDOXoUjYno4htFaBE5hDSpfcAKFH cK7DH4CnldrscqWd6TWvU0UU3dGt9qW6JEk1hxqfr+gqKJ8N16r/wGauizoWwETbEH/exlufhS5U Wz2UROymMYSVCm306hyAm9ulfUG1Ioii7sMoFuKJ3Y5FI/1Jcm1lrGBdC1SDStxPLFuSDPcYdlyN GMxgzOK9Qae6NoLLhNh5tgKJDHeHurGIQ3yvMRV5xPAjW32NKSjL7gpV7Hut04b6OA87qlO3FcjM jpsl0vH5eTcTWnkcKpH03S5NCFEJnkg6HwKTliUWXlOO02XiKxuabI7imnESdNFgye5CKhPUghiK rSPD+MnOkpCDs0s4S5n1qxYZFJD+G+ORBA3A7spSk8F8apIJTEJjklZJaGajqh0TMRcidZtHhqgN 1wh7vOYciKMs/+wdly3GShNqV2edEOaCKU0wfpBWj3NcwcoYxxFDs3D7BdYfPw3bmu7Vspn8Zowc LdmnFpJKo4w5U4uoXh6m1uCUZqyClitYcWOJcDvNZDHPq7hGcQ+10dy5bPsSZYQi27RMdylGWxt4 HjYQfS+FYNGBUG4p4VSF2xI6A44E0Rn1+KrpC95ue3zTxlkLplOVZcztk8cy5hnZDAQe47EJYaxr 09DGNPQ8K6/STzZZ0nkuLLWJe6cBF5Z3nxtcW9v5uZlFd3Z1nufY0bZAcGndt7xjo5620lLOKZk7 PwS9sI0OLZelc6mUbvdBu2pbMQ75k3onvYz+FosHIxAWy/xtd1RHKYNi0viV0G6+lqfMnWbrG5ab 8yoRCQ9IL3rcuEY0aC5RWUcUkqeBZT7SnItFUDZGN3gFv1ArCxztWN2y1XT/oqq9KHZhrtONRr5o 4I1I7ZeOHcz/eUkR2tI2J223Hzk9WM77CUkrNLr6AKE5npzME52q2f7zW7KuAh6QN+m05lUAqHxv EqWGYKUg/0x6TJdBfyNq4u6a/dLy0tif/kRskNIypv37vwI0wANEwARUwAVkwAZ0wAeEQFLyvgik QGP6O5twtc+gDWz6kLZDP47wv6j4ihCsQFJSi3Uxk73xr9JgFmm7uo6Yv5qIQZCoOaVACesrQV4S qF8TGs1hCoDTizu7C/YzoQk8Ce4JD6DLQV0SKJKrqKeZCMLqKw/Zv6caN3YiibF6iQvMQgQpDKZ6 H9qQNqg4LJGIK8Y6lvFwEiokrTVcQ7LCwBO7nfARk7R6ppcg/7cl7KX5sxsyMwr1uq6NyrK0kKf3 0jBu2y5WgSrqSgujuK7W8kEhdJ3W4bLr2psNCZRBVDX2orDuUjOO2Bk5eZ7keq5H7DFx00NgwsHl QRA7yZSv2bVday9YizsUw7qdojQbiUQfbJd9OZiwezZPi8Vb1LGXSqiq2qZaEa7m+jnZGxyLMcJU vKU+RDKIw558GcZ+ITD7CrF8KTVCY7xJPLv/yjlf/DiweLFXgzSsu7XMawmSiLCtCS53PDEQoi8g k8ZjWkXjsRtOyxjO4zV7WzQ7CZMi2Sl1K8YW5MU8XBq0GRO/AT5Pey+wi7E9CcDCUMYtC0eae7Up Kbh8/KVlQZw0H5wxqmO9bCQxCTqUDaPEv5GmjYzEX+RIWbyttoCZZvsnaRmcMsGOFGE+6AjFQxOW 9hJFnLMNAQTJXIqb21rBWpu94KmdsBsRyHvIEekX6ek5H/u5E1FIzyE2E8k7ohjEM6EWwcOck4if aNQ2iIBJ0SKoI+QOliC+pAQms4onlwi/DDHD+4qT8ZsLCbuI0EE2lxhMkwgprMC+yaL/yxz8xB8k wbooO24bpw+UCjXBkRJazBwkQqTIQMxgp81kDALMzNEkzdKUor54TNNUTSoSFAmZwdWETU1CLkZT y9i0zSmaTQIyw8iqEaRqkggrGb2aKhnRQo+5zePUIO3ALvZZCNeCmkLZOvnqjtcbRf+Sk1CDGtBE zu1cj7trtEuBla2rk0G5sLVoH0PBTsrkzvU0jwbxE2rRvYQDHJvZEPFIPCyCmu1AQ/bkT+vJtUeL z+esE/o8FEwZ0JAQrPbpzwWFkPSkTv+yTkPxlAE9QvdkiO2wLFHZLteqKgb10P7JoqvijuDUTwlV 0HZqH6DQT97ijgqrzQ+F0ctIkfbLQhCa6id0fNEY1dEd5dEe9dEfBdIgFdIhJdK/XDl0aoidQEe8 hA2aukMQ9D8zTM3AnNKJ2Ih6qVJZIYsnXYwctQv1bP9SEXpPTNTOlNLOfkyOuQTBw0SPqNwIKuuJ umuhw0SKF9QTvjyNLM2IGoyK8FKM5JsKPX04rfhIhTKfiQgO76s4jVjFE0JFmgopf9RTMKFTzQDC +5tUuyhUz1jUubhUpNjU5KGMTnUmNdEyjnHToVKr0omTnyDLHgyqNGU/J1EYuAspeyoYxLpMGqmd 3VSrBbJKNZyqWl0SF4mSkoA7REXVl9AXkNAeY/3V4ElBpuFKpBJO3HqhXPVVxGpW0dpC4czVkwjX VO2KEKkqtbo7eESd4sioc2VWTGMSZzsreMVDcTU0THvWmAjX+SAhNzGMFWILKRksskSuVs0OGfnN aI3/1U55Pf06QVQDG3y1Pi25vRW5lvCRx/mRHqrCqte8jaCom34FrpLTUD55GvzaqVXcD+Z71JGV w+mhxb3xQTORGs7ryp2ZuS6jnpfNMtZTtZDjtxPTSTnkxqiTLaHzMAozxBNrHWTbKfhyHapJl5PD n6Y9RGoRTzl8N6kJKMaZs59xsliFCmU5LryBvZVwsKEbMNriPCfxjfaRme0S2gsTl5QTsKkrRNfB E2ZzlvNKFwPz0yfLFLX6DxLKLY5rmdaBFsdilnzjlJGk0LlonoSTy5JVl1lUENVbr5dTsaOcTuFQ PkpbsmeDNWn6vQBL3Erj05/rys6Kp36xGFmjKLod/4vXxZmImC7sMTLUujGosp3prBXczTNBQ8Pj Q56dfcJ2TLGplbNFjYiCuyitQdz2QDjBoR3LPalbuVpui7v36t6/nbrv6TTNWz3RUY9qBBCXgK2m 0F1Ee5iy1d5yMd79rNEAqzSC81j/oNsTo7naAc9umZmgVcLNibkBHhJ9YTOduVXfYNdzszbaac7r Ij5/dDITAR0texqRe8KCtZxtXFjSkzMLe1vgE5gbk497JT2+2ZTl5J6o3NdRvDGKlJuFaFbxxRQi xMb1yRbnGMe9Qy4JORUaypgyEw8HlkweI8jp9K+bGx0a1jUpexq42TrnYKdQg0UJupj4omHwgBcf bP/h71LTHF43oiXVmwobqUPdhfXX6pq67mqUo5TVp3igJM6IdyqU0724bRuJgzq69v2v132Y35Ld It5LokMf5jAKPC62VWPk5GVko/FePjUe2SGPQz4yF+O/rqCunYy3oCuXRQ08S4NC9uFHgFm6euI/ ZuQxOE3ipdVj92Et7s26utkw3ZuoFFzfBSNHAaZIqJPThkhlipQZcJuQ/OULjPmts0yx75nc7oJi A1bZ8liWlQthGzkqQnPFeGudqcmysgNYx2qYHoscsg2+xovFRJm8R7FhSo3fXJ6UEV5lXYSdYB6Z MPnmDm0ZSVkTHVtndqzeD7OrkRHfUhm6ebSVGOv/1qgtkaoBlMITG1rbFZxkOHS7u646X1N7Oj55 G8gNKi9LZ7JpXHkW2uFYYp1FsxBZxZeVNDTjR2M+jN0zlygBHM+zX/gtX6HBIsodrmEcEpp+zrcI F+LinqFxvZ07aN5hLecwtEhRFug8HzyMFEFOM7kbtxSMJ6vUu6ImOdFjatSaN38dtOmySa12FaUO n5k2MN8pT6NS5ltbaOGZ6js1mtsxnxP25CvcHT2r6mkRmDt1Vr96HUQE6si803fqNnyBGc7VaDfu O6gMLqx+TmULvor2V7xuGqCpsFsRnugC6qV206fzHTUVjBv90uGBoO/TH5ryy+gjjqDqZeLAUdaW /214Wqm8FD+9hAgEwUvciMZsqiDbptKdyFHALFp4mqjpqyH/6ZHcAD9qQtj4JSfcnu3bZiGkvI/n oGcf/dQKkSdE9tFtytTF7MwqQcYiNe/zpovq8dKQIO6kCG/qtlL3LjN0VCgoA0XrBuYrXUb0Vp9B vZVK1R1AC9QTZQ/m4idGo87niUvKmpn44OuBQUusYBUaRB++aeyGOHCESRZ82W7+Fo1H7eMPYjOc ULgOT8OLGGyz4EGt1ebxctYRp7hx/LAqjRwiPih7RJ2QI16AJFoPH5JxnZ9yvao6VJBGPKsbuSqT K8NIoSbelLxuSWm6rje92aypxBd5POCTmJ8s1Oa5Qr2QIGdy0dpWGRFO9/O6DUFdl3U57iPIuQNG WyTLKXErENHVMA+w79mRuSbgwOxl+dlzH+e2rC2dxy3nykOcXZtWl/0cxEVbKscvmhvvxwFbnYGb R2e3WvtbiyFnHQHKTnbGtOvmTyb0lyHf7hZK+Rmf5LCpxW0qZj50d3ZgEDbGAlZgwLqI+QkKG6Zf QI89YuuNSatJKJNaYYGthoMYFu/1NyeOuUlsOuu3u1bnZDH2ZL71rMTakuzl9pjmW5884UG2RFXh ylrdhGq5Ek5BnXOJY5+fcvSVvQUr+7y7+TsoZ/xWAv/n9QlRnoJJ1I8jtqgMt0dszlVpGsvZYl3L t+Sulu5GZIQM2z0OuusctH+Ocur5KREhLSucuDmz08FxkVXDi4CpRZmtte/FH9XBv7jOeLjZ6IqU plgpGFehYUnJ5gJ+V17fFU6OYpJ04Ez7lx6POA5r6iMWMPJzcxUbvXJvS7DteRarmVEeritJZbdV ErnMK2hD8QWpr36sFl3BXH9OuPIoV60Neqp7G5v+xIv6C/9OZRXFz7QHcCHF94wrFEvct1m+Lh88 uHx38fMlX3EBNltL5J4+q1fzedYZF1ueuBrH5nRHiW9b539/2XrZO8hZZJ7s+J/r+kmkd0n5xcZl vL3/TUmWq130hWhS/qA2prj3Xk30HfTz0XmuvZ7jcD3vEIuQfR3Ri+Bkx9qm8zYHByvpMCDRdXo9 iUtkrX2OZpVFaxEDSlT5qGvaB8vg4+NAuxXh+IrWTGIHJ2x0U07u0BPhQPPs/J1cpRzhSHRw9/WJ s2t/zHCcXnBP9jUY33ibP6eJcm2eru0rtX/COO6aAAgBAAYODCCQYEGEAwUcVOgQIUOHDQlGXEjg IUaIEwMEoDgRQMWBAzpOHAkS48WMDg1+VOkSZMiXMmfSrGnzJs6cOnfy7Onzp00BBQYIGECgJdCk SpcybSpTQMeeMV8SiIqwqkqkTrdy7er1K9iwYmlC/yU69izatGp5GlypdS3cuHLn0q1r9y7evHr3 8u3r9y/gwIIHEy5s+DDioG91Wl3aGOdUsCYVMjT4OOvBy08Xa7QslbPUACNBy9S8UKtptaJJJ9ZY cypUyJFnQq1NVuBsuwMKsJ4ZgDfT3wN2Cj1LYDLEoQQIFEiNMMDF370J/vatnLlzqsOdCod+lOfu jMVXAp8LvW1rmtAzMm+4fHnmoc0VMs/o/XjBAvoLpGS/fLdZLwFnFF9CEdjXcgXsVN1Y85FHnYIv HeiSgzpNKJ1NA2xH4XQPYTVQhcFFyNeH6dE0oUL8lXfgegyOV1B9DwlFElYouoQfiNnl+NJ6cK1W Hv8ABmk4nGgbBqmhVUIKhB50ARal4UFQFZmVgiFOWZBR6B050ohFRskRlKJ9qGVsEhllFlRDXfbi eEWVCACSPTJ5XFTdBQlmQiJpiFGPIqX0ZJKAwmhSmW7WqeadogX5nEohLgTmm0NSdN6j1NG50IgK zTmZAMdtGOijJSIHEZ5bZrZcnVA+quiRJUJqlaALZYlRZWGqOmigSFJHXZRnnsonACtapSCrcFp1 VKbJUUdkf1RZNVmTDYkpFG7PqtrpmEXpuBRWJS4HUntBRrjejOISJdCARAI333gYhoeRSRPiV125 Bx6HboR7YliucOh2NKGjIM2HYb/kWYZfpwJ9yO7/UCAuqWCn6pr1G0fi7mijns9FyFvEInGM8L1B XkQtAAg3p3BVDDnY50MUT2SgwlHVOHKNw41HIL/JEjTgyOsKtGewUQE980BvQlgxdCrTGK+6D1ec cMnbDaW0wAztCbXR+f3M8MNWS01zVA4OzezPRjq04nYUMxh00WnSuuJFZ+KoUpgEkw3nd9jBKXVH 9BoVkZod9iRnf2NuN953ewuM0HxdLrRz2fm9jVt55bUVJcSWZ04QVn0KW7XILW84GZDJnZn24cT2 dyC7mUn9K6ahg6QZy8VBm9KHQwttc+lsK56x7+IZtbLl0f3J8Yi8P140STpfHKDAj5WHVac7uyRv /6oiNc/5v/2xWn2wBzFdUN+pPwT02sBVBPT0YR80JuSyY+SggdABh+p/Ry4Ob1UAimvQ3FDynwCN qFvDWtKfDjKwDQXMK/8RjYPGdDwQvedbawvfBWGUIATGrmXN4ZLyNJWgzUlOKO9hV3/aV7ThBJB7 ltrRg+hTQdURhHXiqyAM+1Qdlp2vWdVhzglXCCMhyg5AB2QeRYjVO/EwDELiOqGbKBMhbDFHXfOj XMM8VqIIDmc3J3SO506Iu+Z9UX4z3Nj7OtLCCsZIU+ZzWNFw6DsccTE/CepeoxqirXKVpWQAfJjI 2Eg+jkTnUDcy229OOBwgzYdFUJTfErsyI440qf9tWOpg714UNE3CMXz6s9hD1AQmElJkgmxS4koY KD5DOs9Yy+qkFB0yKvn1qJGo62SxilMsPjVrT1kzHBI/iaWUiK0x/TPbSp4TnRHpEpHN2t+HqNfK CqVJj3RMo/x4pEpZ9k1nxZqlJ11pNHBqypBwRN/rgqnCYMWPhylak85Stp/9ZMdonHSIPeN5xFoq sHw725ZSgIapn9Vpgr/TV6bu1zyVaU1298xmuRzEmwO9S2xohCP4wumtFr5QnbTTGUV79j5iRq5k xCyoE9vlvAO5TXY9wtFL0xadtF3UjwgZnvhaUi4kkkxxbcocB8fDMCuGkqB6+t7Gmsc7yv0MKX3y iqbM3AfHPgHNhkjs0Z5CKroOehJH35oj3wTWtP/hLY9EnFdKMpjBJDI1asCD3lWQKVE10hSPP+Ug LMHSO/wkDn1T9NQUE4rASprUfv7cn0IE6qf/0VFDMaKYhsbVHBwV5Z/Ag1MkjyrQSD7UU7mrynFI KjLHSm18HcxSA3+zH+jRKXHAxBuRtuNZmcVLejR1Kn8ARLn+9RW0QgttN/0Ewe0VFW8QBNdIJOjY 3c0qeM/Z0Iz+BjyKwdRIs4Xh0KoyveW2LCovGphn02nT0TbXU7vB6xUxlT9wHSeTrcQbqtQLH3Eh JWtNYulQuIRX/AGHUuH/BExuKBOTAOdES4tKJoJrslYBC07ACZbIVAwMLMhsS8JBCglDkLJTl1RG WbB5TIZlJLgQT8rBDMaJhRmFmaeAuMEeIU1kUqyej5RJMR+RMW0i/BbYENhEPm6gj+uyYNq8N8hG PjKSkxyXGiuZLjiWCTKbLOUpU7nKVr4ylrOs5S1zucte/jKYw+yT2rg4JzweM42XQmDUMKXMp4Gw mOMs5zk36j/8afCO23ifDT0yWPPUjN7ky2c3C5CJHgSogqMssGfKcL5+cjSdIy3pLwOJoxIyTSJH FMF/yTSvZzuvC0mWUbAMuSmjhtBXz9fpIip60q5+tZJLZ7nm3qm53tFM/20CW0MWbjNgT+sI/bw5 uvjWOmS4WtaYvHsm77ZyTpT9T2Yy491ocQ6bF8YY5xhIRFhzu9tNLh318ha2sEYtNXddLNAiSm0Y 4nIkAs1dCEHtIrCBK2asrjcoz7ZfYAfXlS69m79H5c5dN/SD5PQ2whM+GHAfVqi7u6yMkgfYnjl2 XUeRbigPNRIGie2ZczNgxr7H6eXZ9KFswziIzPZZELmwrKpmYsXxBRVLK7zmNs9LiLr1nxitM2sa ew4lvWeQAbVc30MUYnk6dTLtuTC37xlvR6losvSWbGoafBZKE2kUCfLST3ITGr99N/Cbk73scAES 4uRK221H3EMgjqeiV+lWODU2pijz8dYiP9JCe0UVse+cFDXDtfLOmgbbEonQh0xu9sUz/iv0ey0/ g+lzJ+6PZNEMITvzFD/QQa1iJcMmwIyqOKwyC4ZNLK7n15PCkn7VtTKLtjIzMpmqbudqiG487nOP k3nmnLtgFa6hH514/jgaQFnEkGW1+Oz8TMuk2vUuYLMN6pBGlrhn6xudGglamZJ2UKnWdGMMv2hj O/8779I9+tO/lR5XKsduefAuRTyRxMGE4DqlsVbYL6O64x/C0ro9nJmY+g0gASoZAJIcPh3gXehf ATagAzKe5z2gBE4gBVagBV4gBv/ySHBwhQJKRFpwhIbZBllQBGOExpMBBaE5xYAtiIglRWWQGAOu mAeuRQqaWg0Kk24AGWPoYE/sRgfWEKN9RcFoCvHpB0DNCw/KXpG9BLYMFwdSEwmmhVAwkoud31UE 4Q7K0djVRKoxzg3qRBK6IIclH08Qm12YUKstYG6xBRZ2xdi9yBbSR4W1IXh4Dx0uRdItIVeY0BHZ xx36nVLEHw4qRWbp1RdeDxilYU4Uoo8gC6lES5PASpY0BFF8B3o8yadM4qqQX8s44k0Zm5sgh6Gk 27pJCZ1gy+FAV4qFYkFZ2tq8yJlABKqgT5SsFyouCZ7UWCQCIVx5IbzQmimOxnr/XRt++AqvYNZo +CBJrBtIaOIvlkhRRIxpUEvlwN6dsNfE5KLQWJ0uGmMzSiOPMFqP1Bh0eSOcaMvsIFtPzVwvltLc MEmdhCJ1EBL9VUgsbuJRiEn4kd+rXN0wtcVwLYm0eMqkNJ+ZIEqraEklHuJM3M+woUw3gV5aTQ26 MBU6kkxV8YxZfVwIodX78E5a3U3HCAdyRc/RJSC4kMTf6BTHdIxN4ZfTdFJ/jQzGoQrlDBHUDIzz DJmqcAoS2gyO2Et/aRrltAWo6U/SIJHh9SSzjdWDsM7DhY6bjNTlQIx0LIlM4ZWB0Nf1HIUI0p7k 4FtSBotXflJS+qBSYmG6TFdK/8ibZC1UJxGNSZKk7yDUzvDO0rRVVfVV9jwJpvTb4QGk+U3kuYgF VtkhVw2l9fidLZFPnrSLQXXiYoHOhR2YJ60N64QaUQYT+3xURxleIhHbOK4lEbVOWMqL9yRVQaBL Gj5UT2Xed1nbyuXbXCWmZaVPxDWErnla7ESUtWlVHFHe2rzUsFgfIz7RehHOaRUOucnOFqHXEm0Y Z+IOn/1L8oTVaAISDJmMtdWRWz3muMwdyw0UbZrGplmW4nFFlnDEypjTZe6cYsYPODXJY9GU7FUF e1pfKQ3PYUml01EPA4Fdb2JhLoXn25DHmQzIsUhVID2WeGLSjZlhLB0e46hk8v/NHkohVjWGpdbF l3fgFIWiJ/h50BAV09E9Fazs5icBCaGMqEoIIqvEKOIliWhd0n+BV2g1kBHVUIYiR+d4TzoJR3vh xurxlHKgpUb1nfeNy+gApifFJtWxqJOCRXSJSUgmJnolUYVCXVhCJldJkWhYab5t3kwCISCCy+bh nWLF3tGtKeV9Ij7xGXZaYr4wJ+Vx1lGmyEYwJpGm6etNZvqEDbN96UkeaPxAaYgGzToB53eC0nCO kWZunh+uRFoZlECxz0AG03tuRuv9lqYW4+qclMux6e8tmHfC1G6iKJ+W5/wIaqSOhWKRjOd9F420 lSaV6ei1JZMSKsGxVTihElf/9lTrYVOxfA6MvFdPoQ8W3tNPnaRE4RWDqOppyRYASSqp0lGGFusq iQTsIGoetly4tdX1nehmJuoUio9sVWrRNetbpY52PmmKweiqvYu02qNs3Raanukn3Uy6TuZlFpBU sWtGrdOGJmkwYdWuAs+YqGhmoQ15pqepOUrDINXmyc0b7QgqVk7FHZ1rSqy60KXTTY9nVerWWYSf Mg4d3leo8slKPZ9FgBa2itVuSJZZvGNgOVYceQeteNGdYYpj1eLJfh6guiixIQp9huo9Ht7PYmnb cY7mRBZhKsyn3Cx0+h6UviapdlSwbKzXzQ2QjOaQiGzSyiKXaJwXxZHLwpfO/2JX2nrO2jFWCr1t c+XXYy1d4gFWfJDh361Qc0EsXsTgSahYIAqgR7SgTUyeawxOANJK/zHhy2xLCO6htCRu4XIYQyLg m1lu5HKg/I3g4tLKmiRW38RediggQOmiRExjDQJuBtqHHrYu7G5F1rhp7CLcCdYu7gbimvxg7vau 7/4u8Aav8A7vBe5u5mpKm30h68pG/WWZ/i2vgpGZehyvgikFiVVujl0u8fbFPUUrMvktii1hb9Bc UsQnliFu4IqfT4SsInYQ+TLRDyqdpQxjBb3PnyXWe2wjPSXHPC0S74lL/26vGr4oo4HvUqjvWYRh k5HvcQJFHoIG+CJw+MYIH4fJZeR5UFuhb7bhr9EJ8Fro419iXJkUSySOi5RgiZOASZNOWDDihg9W i6vgSeoJiqTwCThaCnJYzq6lDahQhpLMTqQIVCj+3ynqymrqSg2jcK4ghz4azsISSpLQWtDBCkFS SB8m8Wi5SKqkTEIKZFqdCqdgsYCpqKLkMLs9ysy50CwJoj6JkAf/06BCiVWwGqhPxcgLj95Qbo2N EqHH4JFxpWXO4lXDmFAzBiFJuiTIuCrH4RHAwNNkyKX2zeVQdtEgN9aiFTJO6uRY1cvEilv0/Exb 1my6Su05KWJzCAmkUhRQGmi92Mys9EtFSqU8lRSJUua3+BWweSO1jCNf+R4PrelaafAbc+DhAGZ8 sg/lURbA/k6pddBocmwKXRarrJMgUia5dIlo6dKfhE2h+mq+stM49meLBi01yxa6aihWthzsFA9l Zt7tmKRMOF2GkkyX5EvaOHNkdlU8SqehwlYsGgiI3hnKrZBhYdbM4Rr9aSqvDnNY5NOhGugrIl7q lNEzv2idnqau/5aRqxDTBmfTm9pOfzicxbgTX+Fa8hAfdvDQRkPS2xbQqqG0BY0o3hUyEHUSziQU 3U2mF+lI74Rme0Q0uSbI0Pqio+y0RQMdIfFoveit9ozkOceQN/cqQ5/FGm+m9yIWgyxsKoVl8FW0 coruK2XeeFUzHBpPR6kPsSBT0rRSWbsRWF/SwHZny00zjW3mux3WBV+zL77zfnKIWysLh4aQl64q Z5HvQ4ETSKVGTweh0bhTA091U6gyOu9PLW3jtm2oV3smM9uzRWQwjY4nMxtyx1FmZ1qMSu0MzZ2S RUqWGfWn2EhNr5JeyI0ofrFQSz+13HFmbMVOBOrphIo0Zg0RRf9d9JiSJn5ebAyJWhy7VU+pTxe1 paiW3NR+hKOwTG9DNld41k1ibMLe17u4ymTdEjRF2WCrlFEmV+2NDmzrdsQNiR3iLEbVKcVACGpk inv/1nzvzZXEtTq1XLpF32SX26xEV+v9aAj3VadJY+dM02VkiXJFlo3S7VsyFHp6FnLld9PC1/BB m8cgKavUrx1l0fkBM6P1HnZTqYtd74SZGqxA71HzGGk8hgRrxI2dmPXCGI21mFPBGO8yGUy8hYT5 uOG2323cWI5fRYu/34kv+YQmhTAz+VnwLpQztJDzRGVNOZZnuZZvOZd3uZd/OZiHuZiPOZmXuZmf OZqnuZqvOZsNt7mbvzmcx7mcx3lAAAA7 ------=_NextPart_000_00B6_01C9F002.CB70D4E0 Content-Type: image/gif Content-Transfer-Encoding: base64 Content-Location: http://www.cdc.gov/mmwr/preview/mmwrhtml/figures/r014a1f1.gif R0lGODlhXgKmAfcAAP///8zMzJmZmWZmZjMzMwAAAAAAGjMzZmaZmZmZzDNmZmZmmZnMzP////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// /////////////////////////////////////////////////////yH5BAEAAA0ALAAAAABeAqYB AAj/AAEIHEiwoMGDCBMqXMiwocOHECNKnEixosWLGDNq3Mixo8ePIEOKHEmypMmTKFOqXMmypcuX MGPKnEmzps2bOHPq3Mmzp8+fQIMKHUq06MMAApIqDYBUAEEBAwgkHdi04FQASpUOzLqUItelVS2G rZg0wMeqYyeWZZmWY9uNV696lWvU4lqyTmXe7YiWbsS3EgcUGEw4gGACAgUQXmw2wOCnjwEsJuyU wOQCZgsiHZz3oOXLAxwXuKgYscXBmTuWxlrANESmAi0PYLn64+GPikfnVpu4wOy6F1GfLtCZauqT wj2urj1RNMbSApgyVfx7sOvBs3dTjcwZqWXEggdE/5eu+TPmhNJlIwXg3OJtsbA93iYPMXn8le9x H9/Y/r5D6gLRB1xFyVFUYGznpSQgR/P5F5F27rVW0G2CjbYVAYi115uFyVUIgGwKOZZbcQhZ1plo SIVGUIr7bRVdbSlGF6BTYUGV2nrsObUXe+KlJmNmMWa2GlKNvYgjVjZu+ON9Sf02I5ItJtbjVtOp 6OJmrrEH241Jaqnjj1AZ1xhsU85Y5nrxNSnkY9N5SSSQ4uUVwHewyRhgmVqahWeA650pJ1V7Gman lIOy+JRfca64p0D2QVVcjCtOxZlx2Pm4aGKNbeVnlXeeKOeXxwna2ZI5ljkkmER6amViZUVmV2vj mf8FoIkIQcgedwkK5lR4sRqU2YElErdda4QNVOGkBZn3HXvKmvUdYQQcm9ek1lEm0LHCUmcZs761 JquEq13GKLG6LTabrghaKxm5wiZLLo3VuqqshNtFJSy28JIrlXm9ZceuaXNCaxZnwn5Hq3POYXte aditW1ht2P7GsHWaxUvAt/Zea26Ai+WlrI4bO0xvbhR/KHBBwpHsm8YYrsxavD4uZpp57W7l27Ym Wwdyy7BCO65T8barcoatCcaUbN6yhli4k2ms7rGfYaTwaLc1zKOjt1q44bgdp7tYQsgqRCvHBa88 pKssZz2bZXquTKdo4OE6sNngJo0aybPNuSvd/ub/Hd1tAkQLQHgvywjifMI1zNxAgjtGdNnnSiia ky9jiCW3m92b+MoUoiZaZecRDu3fSz+2227Tlaanip4fNl3dF6+7N2afQ5Zt3RSrLrvsKBLuuMmk m3xuj0mbuJxUKNPOJq1RZZ112zUzVengK6NoO+e3lx57sdZv7q9pwpkomm9H7903a34bBrvzqEdN GqxYz9ou1M4PO2607vOKNULAeubyy/2i3gDEMzYEZaZqvoHKY0C0rl9x6Dwpe8xhoGKi/PDIXtpT GlUwRJXAMRBZ6GIbgoC2MLRpKmrakd8B6UW2FcapO5F5j2JAdj7hrUs8HrJajnjmPA19KHbXslcJ /3/TOYnxDUGUs966AKgxI4YmMrDBjgJHQ5m8VGhKI1KgeKR4EM6UhoAuC1yFkkIvJQ4kOcgqIPVc Ixsylss06DLZ3OYIQOgMMIEFMgwGNcicOcHRN2BUYF5sRRELrtFkAFPg42w3rsyAiIELCVtCCtie 29BMksiCzmVGMzZkya2BzrskHl3juD0up4yuGtGyQGnDNApLOD4c1x1HU0kJZZKFTMxZx1JIL8J1 bmbEUVmx7IMdD53OVQX6zogOqcGx/XKEjPwZc5zpLRNuMjo04xFjhCkhIdaskVNDjGwqpL7rfHN3 rISkBrm2S3oxUISba4zpLnMxV5VyWacEmLwuE/84l8VSLf8LYG5iBszOEA6dAIpjJBMktprxMnJy 2g81EWNPZ7ULjQ+k424U+i3XoCufGgwYQYyGvp9pDHTTemUJtSbQeVpIflbEpYbiuKXI1GaGJQUQ 8JbIJ4QKC2Fsigwl6RVBI8aNiLf7jRqt5xzmHBRdMaxngvxTuwC1kYUk8hBBvOjPKIKPOL97XvIc 2S4R2oyN7VoPxMoKwbZ+641UyeVH1zcknJ20pzol5EQM+Z7v4HCVY5xlSlcoTuxgCHldFBpDRxq9 GOLOO4udYIUK2yTspTSljQRlU+F3t//xCp/rG6eNrupOsNrQdVqFpQmhE7Vaxk0qk43myzLHRJ3/ +rKbvSxbZWfTIW+h0KVrdFR0uKo52gHIcW7c2x+LkxvYro9jUlnmVY9KRopipp/9DA2IumO8BC6u gZ/D7ufIGbCkfIZE04OO7mzmJP09951u1WxQwSo+V32WrhISbWgG2s/MmdeEAKVcSTcELSf1U2dn nCpqpibgBK+JRNAkWwCppy6CfKZlGTKPUi+aIFyRMF8ERl4fP/NMBDJmfE9tWByh5kAQu6tbtLSp yy68Sgkbq2vtuWlSB3wwDWc2XR4CKtUmM7uWOfC6IxvdhJeKHeu0LUskQ2zOEMtirJiHRj5+WcPU N72tLuzKTjOylZu82MqFeD99rPJ74kgrav1Ui8aEyZs9SYzb14pMOPgKs1ZN8iKEHIknbfJzlIgE kkEdZEEPOrSD+BSlhSwaPY0WNIQ1QuiEGPovUbo0lSCCukhvWjP7qXQHQY1mB2n60CRaNKI1Q6JT W9rTdnk0oysSaDEN6Na4zrWuJfLPXfv618AOtrCH7RE/EvvYyE62spfN7GY7+9nQjra0p03/7Wpz 2tV8nrREtGIQv8CleSjxtosUIu5aNW9Hc2kRulXT6nKfxd14CZG3+0IjeFu72v3jiLYTvO+HKHSQ AM4I3GCt74CblH/nREhs8x0Rdf4YJJJUKEl6HZyE3zhLvclgHwl+72YzHCMUdzDIt4SzkL+qwSTB 9sf/rJA4fvwok345Rg6kxon320BlhkyDydMgsnK84y1pkpgExaVN1WhVpeoMsIj+JOkwSUhX4XJ8 RMXvTpWaT6OSTr27s9FTcxsrU6fRlqRupkLtj1WrakqL0OQlFyk9mEjHlKyqFGo6gfdIhk7UrMcE p+FO9eyKkovTxROpD1vYoX6yNabKvner/wiJ7ofek6NSMyk7tYlClpfRqaRTKQFhG+gmoVlHfVa5 0ipLWgR22YHGBzkM6XhtX6PZzqwWvpPZeJnOqWDH4ObkF8fzZ46xl8pKj1ariV7LAZUdWB1brHWB 2ctze77XrCu9l8K5ZLqyrJY/81YdQhew7DIizA7vsa51Mrcgi/Ot7HWj+fLL90CUfSP7M09lZZyP PRtdkjEOepQQbqOeQyuBg1JrVH1xE2O01GaLBUOYMVl+d1KAEy1Stzp0xFVLI2W7c14lJT4j4l8C xFhLM0Do1FlO5jpWZlF7g03E8X+PMSmW42WcBVfbhT0stTsqhjYBwzpIZiFCZlGwVzStVP9c1cct xREVBAhaCAg9xcE81dNZ32MhbIMi6uNGSSNhtaNOx2M+YsWAW0NOHwggYEg+k1N9bXNz/RcSbcRf MyY0grVTrFR/YMRbjcWDPnhjvHUxzWV5aDNA3NdAuUF4VrF8GRNCTciDjgVlOuNAiqhEOoUVswR7 YpeDW4QZftUiyJIwaUVHsfR7seRyy2eIcHUrR3Vj1cVvX5RdVhEVTHhZMEJzbsNWJCRAr6Q9//VE ZXZM1kc5f+gkrkRCtMU+SQZXIJVOs3iGLLFJ5QRNX0Qr54dZ4cRK9cM4DtUz4ld5+yQVbrYr0ieK M2Q0OHMwcHZ/16NSgwUhMlQ0CngcyMj/ZVX4Y7vhcNZYg9mYS0jUSNqxWabxjv8zXQ72jBf3hzbU QPkhSelYjyZiOXgUOZOBjTXYQ4c4IWCWHDP4gAD0HviIf18FcNjIf8ZYEmaleWsYizt1fg40YOSB SRYSFeV1eGZ1J5IDRUQVXzdWg0hzKzi1U/RnfRyZjBg1hBMmVLo1OGAEJMeBXdAnYTg1gPIlj/HV iRxGkbh4fwqlK8zBVb+xIDiDLp44XPq0WMzIVhgDObnIaP8UlQNmEB4yNvC0g0i5fxi5TslELD/X kQziLR7SV+QoXU85LlnzX754eFtEWYyVWxcTZN0RXtlIHaVoO4+TK292O2N5cVyGSFJn/46llVxK 01+o1YLBhJJrUi6UuDLxmDyGR0gfpDwJ5D6V8kj7KJrkw33hpUZS1DCneTTBpIGkmJkDlTWhYzUo gl16JWRpw16KpJt2o1LaJUFSJID49VVWElt0qRLNwmN0UzSvWB0d9lLPBywXBjoCpkPTmTNFtpZM cSxxV1Xu44YklmO4pEuxg2JcOGHNRU2uVBjb951pdX1fJU9MqYkm5Indp1UBYzVT+ZjEkTLbqGVa yWGyQmdeqVi95zRkMypg9k/CeZZOQz5nlll4U38kljbPZGayFJ0rsWqKRmtmqCUhsnqmdiOw9nkw dxQt+hqNlmoOImshgqMgYaImWit+plhtLJejcwmjP4obB/F5+6ajqDYsc0mizvZdThqlUlpo7Tml 1TZAKWqlWrqlDGGEXPqlYBqmYjqmZFqmZnqmaJqmarqmbNqmbvqmcBqncjqndFqndnqneJqnZHq6 p3zap376p4AaqII6qIRaqIZ6qIiaqIq6qIzaqI76qJAaqZI6qZRaqZZ6qZiaqZq6qZzaqZ76qaAa qqI6qqRaqqZ6qqiaqqq6qqzaqq76qrAaq7I6q7Raq7Z6q7iaq7q6q7z/2qu++qvAGqzCOqzEWqzG eqzImqzKuqzM2qzO+qzQGq3SOq3UWq3Weq3Ymq3aqhJB06RoyZEZgSt/IY3bWq7BESf9haIggTP2 FojjZq7wKhEGQDmCYxMFYAAGAq7xuq8M8U3gFjD1ijQm0hr5mItyeVa5si9rY3cmgyCS8Swz41cP S1QedbAP2zIox6/WWq+9kVO2pDngEznDKRga8y3fYkVEBD4qC5GO2EQ8xVMyxqEWp7HU+k2Bwxpn VFi9MS0gs7OJsbKxoSP8RywO27Dk+hRfmbOs0RnbwkIYSLMbq4tUYwDEQrWSga+DM68CobUDgLVd a0RbW7W3w1gexChAYks9qREeBKC19zoQVvu1Smu1jJKlULus09izrGK0Nzm2S/uzZrtpN1u0ilG0 WYmIPmtXL3mVguO0GVu30Bo0aDU4iwtHAXsulAu2fcuuWiOuMMtJNQhuQOi0UGh9RSsZdOu4/8hK LAzLLVJhUT5rujjbt1aGsIOUJS2DU99IRRArEAcwsN/ztyzTYWx0uqhbvMZ7vMibvMdrGEd6HI2r vNBrEwcAiGCnoljxIdGbvTsRLVh7r1QDMnKrveJLE4HjGIaxNEgiGd4xvuwrEwU2uOcCNGTUvmq6 u5kauNiLT0JbpfS7pQQkXE/xV9QLqcx7LYtnJ+fSv7vmKBiCrgQLeBeRIgPMEE1CpArMr+mZEBnz PhjBsRdMs02xbughRha8IgegaV+Rwkc6s4E6wR8cbHPSbTjkKDOscF2CHmuLci7MaVhaqIfxvC+M aw2prxH2rStsVwbRkARCxHiKQfwbxLhWwNNqoW3mxcAQHMAdQUDe2qbNZZ+FFnetBsXv9hzE6ytl fG0nAXVaEcKDlBWhksJwHMdyPMdzvMWWBrE5txGEV29AkyM6cr19ZiRivFcbocQOwcL6NnPRwjBW 670eTBFaexNhIjWWQbVI/BEsVRldi73zihj4yr0HKhmDHBFxRxolPDjt+hxajK4qIlx8nCh6l3I7 EaQN4SMQy8QZkSVTSEVnJMqhTHi4PMrGcsYMISgZa8xTPMM4dEA0nBZADBM7fBPPjJYHenoe+ccU 1Ty6MbjYeG68/yXMDZHKwRHMnOaj4WzIMUHMLYHO/IPHTysSsDJmg9tPokxG81wZ4NyldswbGpGk 05y+NlHKPCHQR1rJVUvO+ewTk5xtzwFr//zPaazOMKGkwetwCQ0c7BwSEH2k4ewQG10SHx3QuAwt 3nfRdYG/4WYXtcxxtLwS4swT/dZPECvRD3KTJp3ILIG1BkLBD0HT/axr+2bQQh3S21a1Ny0f60wa YlPOLiFqt+bU0PXAp9zBRHvUDOISRD1S5tzTLjHVQcFyX5cSqGfVcNHViqy6T0xuCN0RiDwgPg0X 8EPWOM0SWa0cGQ0SdR0UC+0SDSzXqmHWY+xva50Rex1JscxpWv+DzCHynUrdEo7jrWIUJxBtcXnN r9E8IHe9VSldHxITFXfIWzP0QArUyxkHhUsEXIPdRW89EVWN2JK7RaVpS9h7M2Y7Ri+bvS89FCJs EKlNa97qXWESOzd7Ma4XTKa7uReCygHQu3g4FZsxuH58xhTtEWL2IKVzs6FMRUQSTIop3OL0IfOr vZX9E0x3aJkNcrm9tZ2tvpjByysYLVi6yVtrM1m7xyu4KwHQyWhHzOkdHAbQ20sbvx+yyRl2MfgK FfOqGObr3j2svav9E9BtFQCeaKzdxuD93eJkz/KrNVOxL38bXcZNRRGeyyaxwXvlGpIyuO59iu89 3Pkb3tk73kOocS4xMxKXTcHLvCuonMD7pSM9PlJloVT5KDFX098L8eCWJnOLDbiO2BjADMh/s+PV W9jQi+RCoXYorRw6YeSEvc/hzEFTvMVWjro3fmxlHhz9N+J6fMnnbMl+XcxjPuNhLXA0XW4t7Wcn aiyeNndejpbU3dYHgUEyPspxLhQGNuhSQhHmOxU2UsHXhSQ8nuiNQ3iKLZRLYxiyEhpU6Utcrkd9 Ts3EG2WI/z7Iha7XvH3eFHzG+MuzuuHhGW48193H2c20N6vi0+LL94y9EwFbD15zDPEs1/vmDTHq RBHNOBTBAwTZLDVA+q3iuP69kpvgANDJm7zQv4zPZfvJ1Y6NvMbrn14vENG1BPvtF43qwPbQYkHQ fnYxTQHarR7Dr44ki7yCovxE4H0tzoXdzi7i0B7qyxx0xELs+Wzuv4bqaV3MYP4QuBIt5RImOYTK zlfP8zTJ8ItHoKMbvKK7G51A6k4SCSrsDvHOyUblR24RCCDwuFHoWIoA5N4cBlPqwqzmyqbT23bm BpEACoDyA42lME9ujizwNzwhr2G8WT7yBO8ZH50iylbBC/9AG6qLG9/sGfVxvHlMbDb/H3QrdMcG FQOAAD2vcB8/rl3kIiJIPsRRmEY4QDyv9rcpglAr8lbPF7vtK3AfxQSwAF7faCKyo8oUri4MZSRr 2lU8Q3082lSkinUL6L+m86T89Xx9xSNVyRD3yPnqvShjLJ887YyCyu8NzASu+ZSvsRNuFHdO5x1/ LV7tE+KxAJ93yy0fV3tVWXhcd+Wb3UG7X/AtKSLCSXpU9+Y6+kXB5Q9CcJBfFFFx8rA2Ptbsf1z/ L1JEQCAf7EufEkWvKEePEwLg9aefs2jN5n/uzk9vFdHfssoG/F4RzUpP+s3Mw47svdu/V5b88yQ/ /oqybNfT7xbzFvo9YRisr84AIYBAgYEFCwgAkFDhQoYNHQIQcHAAwocVLV7EmFHjRo4dPX4EGVLk SJIlPxYwmVJlRYorTzqc6FJmwwMTB5AsQDCnTpQLW84EGlToUKJFjR7teBPpUoYEfjL1CSAAwwUD pkL1KGDAxKskAxwwWPDA1IhYzZ5Fm1bt2ocDCLAd2hOuTYpalcJtSLdryogDDej8O3AvXsKFDR9G LBexybeHW5Y9LFHAYJU6wxJ8uljzZs6dK9/1nLVzAK2U0wagO1TrzoE5G4eGHf9b9myIoGlfzKx5 KwG3vXn/9h0cOG8BxY0fR55c+UQECY4KtFzA9m3q1a1DVXy9oQHYqLV+pxse/Hjx5cmfN78UsE7t 7d2/Xzn9/evQDALct4//foD8/Pf3z++7BQQkcKIBDSxQgAWYgo4ApybKbTPT4KOwwo9isjBCCzeE bSsOPwQRIw2vGzFEE/FCqcQTV3SPuwoxZDHGuRKiyDkZb2yvuAonw7FHrHRMyCr5fCTSM8jgG7LI 29wy7KmtEFAyStgImLA6FaUM7bsrs9qyoft8QkArLMfcDMb26CPzti+1TOmmJB8qbrDU0qSTsIOy o+4tNOuU7acjRWoJT4ty+67hSj4PRYoiM2XzLqE9EQ3NqoVsAnRSQxWKcAAEJIW0U6a+pJFH2OKM ylNGKTMuq8FAhVPDrUQ1NVaibOutsz8VelPWw5IswEWNBF1UIUEXelBXY4OSj7TS1jIOwkLhPDa0 YWnk6iLS2sosVwAGGLAiZZ19NFpxJ8UNPXPNQ/fc8zoSc1zOtPUuwhGBrA0j6QQy10l3922oS88O 4nezLSPKTMW3tmTv120FQODSgDsVyD3eHl4MtY1I41TbUF3ybk6KxZ12tgIc/hgtf6VKFarxFiC5 5EOlay9kl9XSmFmbNm15/2Y+T9ZMZp3PuhZTUh2aitWElL3qyqAfWtq7MDn9+dhwZ/M1arhIe60n 7hr9TiIPry3LKYikiqnRhYsDeFuzJ+pJIAWc4tnqMeNOTO61dHqqMZRuutNRiAj6e9uDUSIcgL4F ium3ngZa+M49oxPbbk9r7mxqyWdCryKvpXJwgJ72JrjtvVF6yy2EPEdIzDtX6203tjHqeN3LpaQ7 spxnD2lijugjHLKDi9M94phSDOAghMDS0SkqPS9equIFspwlenFXsvbCdKceKCY3UqyvAVz8PiYD lPLe777+1ps4wrmLyMW+OerV4+x9tN7O+ue/iIFgR8KaWXwPVNCy8Hej+//hhXID9AjW9jebiTxo U1rBWQEReBsJsqWCE4SJ56wkmacx7IIYpM0BywRCoEwmcg+RyO0Ugj3lXapdwqrIABRgHliRUEYi 1MwHbUgV7DVlhQBIH0SgUxa39C5ILTGIo4p4voEgxHLSQdACd3giHZ7lhVN0SXGClULJWGUgHjoI b1LkOfLdBWAQ+iJppEOWwg0KcVXEYmzg+KM5TjEAA8oM3AIAtzih7gCGe16KCLYxRzkRYwe5DyIh oidraYVKcexRHZkSPUiK5D5mkgvothI+hHCHN+ObzPioJazU9QY1VBpf8ZrnM1xdsZImkqR6XgkU NL3md+pTneGIOEjzIc6AUYVjmyOBOMyOAG6WIYrlUTR4TL4EyyYW45GWyCJErj1GTJwC2NoW5iaQ fIeZG0qmUW71TS6Fs18q7OYBakhO65hzVlVj50a2F6nA9Go9frln/OJ5HRw6Zp8XG1p36AJAgiYI Sv+sTvOqw8p9CrBf6uqn9iBEGopOxqIYIwBYnuT/ToTOhJKc+Wg8L3MZTX2ngx0sStrcGNGO3oah PWtpIyFKHimqJAAz9JBFFBlTEIU0hzz1ln/0ox9oESWADRzRCYFqoZcuhqVL7ZdONeSvm9UGZg7p IVTfEzHqTE+rIHkURr06qZxipKQUQU1VClbWr+aoqY5BZ1sxxRCtzBA8Q0KN/B7yoL1g7G0/gZtc 2zPPEAq2m8IiTkHDddRpSq9aDRmQMSHSLcO207KV5YgWwfNATVnFoliFICEdAsEkMextnuVNXDGL F44GxaerBZUHJ0rXhhwkTHtZZyFrejTE3Wu1FLQOPH8Lu2e2hSHh6ReeXlWzU6p0uFO67HMzMhkG nQyKKgeakJ8MdDsGBFC6o4rud0cCmpt6M4YUKcADeYYa1YpXZeF1b0jkUpzbXiRxzGlvfHWTX7aM TL8j8ZVdNfbG3f53Nq2lpYEBNRUCYFcjpDmQgt3z1shIOCThOehGXGnhPFnptdIlmUlzixEbcdhK T7WgiRdSPEoKaawqBhGFM5swoaDYsHjDTW34C2ORlfAubJWJjDHLYtdMN8P/PEYmLZ8yYr6omMiC eTCST2RjzcEkKAh+pT0ZJ+UxUXm0xp3J0hT8ZP9yWUoWy2KmtLfjpRbPNWU2c5ReTJKplpDD0Ynz 3DwawwSPeT1szvN7hHwROD90Jl5uKZkBHWj36JCwWD20gnkyaEaD0yXaorR19avoSkup0CXZI0Y+ rBEm/7Z49Vx0p7UzahGpKNMo/C+eVR0lhapEY841yasR6madpHrW7fzgnBmCazrruiTKGUmpLYlW ZVtEzGrh9K+r5xJig7lNd6vnX6xX7WLTiNssCRKrg5JtY0s7Zivh6nTRvZYmNnDL3fR1uHmbsz0q Bc00i068zU0dRPtNnvG5/xvv5BIvXHVMiD++irOgtk2faJFaQIIMezULoYeX0rfTK64QayNJz7Xm 0/vGkbA/IvKoNpnd8323ZVYIOcwU8pdJpBHMDVcQIKp8kTFHm0FSp/K+AOxIsu55E2lpGSyDHDEF 3t3t+l10h+TzKrojgAEQctVeTd196JX6tkQZgK0boDFeP1qZfS66n3zPkAnp1d8UBT5RAkCU4QtS uY+rZXFrb520MrpQmp1ZEdYd0icHHn0cZBeARW7Lh6dIynfeNb2VveM34aovHfXIULHHdN7+JaYG p3mZdJwg/S7JI0vJYGpCBGym/2zeRyL3Ucud6bXtiecy6fGJpc2Yt0evLSjdRPvFmRFmY/e2ohRT xJmrXd7Fx/w8x0kS2oM+9HM1nC4L17fefV7u/9L2O115ln2f6Dt3cnHQ05nN4MQvbnHlJ2XgCJk2 fLk88mITyF4Mn6LIQYZ5CamJ+m9ua8v88VPFQZ5h8wkHAaJ0U55h0hO0UT2R4L6j6SdEuz6c8BUW izm2aTy0CyJdwsAVUgrU6RwlCrvdAD61c4sH4RHe2ArAiQhJ2R7ocaSpUD6587y2KwrG07K0s5TG ib6+4ZuIWCVd+p4FDAkJohsixIt3qzlFEToQrLnMAyKlULyV452fUMG9aQzTCTrbg5vCG8GXIx+5 eDQGJLqiGClZawihozk9KbwCZCT1EcKPyCqQWDiO8LLXkxzPk6w0S8E3y4nlekM72bFQO6xjw/8s z1MqkFiawIMcPfrDxWjAbTMJO7QafIpDj9C2G8w252vEoKg1kaC0R6wsQ+Q+Q8SbgNrEd3k1pOMz 5jMs2fs8r3CQPjxF4GLFSqGztnKiMayMWVwSOss+G9uwmFpBwGhAXlw1/vk4dsGJtoIcSTRGuMi0 MPQIFFsmreJDTXxG2qgfVdSc+nHGkslCbMzG2Li3jxBEBqxFrfoeYvxGn/CaICQ1+ShGoyO5clnG ZGursNiVxpOIRaK/6hMiLiyfPBxHoREJYMy0dvyYfkQMyJAOpyAdwzElFwwjQAqc3qnGgqQRfEy2 hDyUMgRJlgvJkRTJkqS5f2mMBlHA6QOe3sGoFydiQwSkMY3cFk+8H2CsE6QZm8mwGMibJp7kpmgy vZ40vZ28pJoUyi9xE2XZycLAGIEgN8yTN09yu5jYDYhUnbJgyWcryEE7R1scQu/TjpxiSpSpC1ER IAwpy7IcmrRktrfkrTISR6J5KEcSSc1asZaAJrPkS+Nxnp3UEaVUSPGqHQlCsQicMH8LklIZG1wh FnKBvsZczB+CocisyeMjivRhjc3MiQ+6/yqaFA2Q8L9bDImvpB3G9JPHtMzHYExi2sjVhE1SEsvJ K0lnAc25KEI2K8fQ7LKztDcMoTgdO6JQ+U1FgbiM8U0HDMx2ccujDLN6Ao/bRIxD1LBIXL25WZzG PJ1RasqazM66uEzmbEy+MZ+NhLzUGU6k3MhKTIkllM7FGLQ65EhaC852MRuHE86z4c77ZE7krIvi RC6yMc7/rMdle0/NELe9U5iwpJ2rYBVYSU3eUogH7YoIRZkJrVCyaCzJlMymKdADpRAhm0dIlLPu gczLfE20a80fa00TbaXILLuFqBpuAtEVYbXdPEiwJBJ8SRrhs7f+TDi0hEuykZTmJCSM6f+Kxlgb Ie3Rv6xRZHrAlEhGjZjHdtKdJT2OnMIQ/MRSaoGm5BTQI1oUNqmXMD24h5vDJ6WQImzPIZQzjUM7 JJJMxkk3elGpKYw5g4xTy3zN1zgSejmhFEmUJko3lrAlNXXTBFq0QavS6riLe4NQMfMYSM3QFE1R St2iCj1RemEVIXmOL7yWMjo4ogSdwWS0fppHbmQIroyRBprQ17i3mFgnLboPWP0xRSm5czTNFZJT xwy7CbUmtZlGWNUszYpFxnmVU0qeJyQYyCMOxGEkRK1O3iTNkSMS8iSf8cTVbIWJg0lPbhoWQUWv blzM70S7IhNPXKVDPpw03kPXL8wliSD/DhKUPiSU1hxjl0UrTPoBkrWEOCEttZcMlSZti6LxwaIq Vj4yjqJRp4Ed2C0hs5FUp1SBOD5KQIJJHYuNGFMNNBHqRJKIqDRdkd8k2DJdGEzZreiUVWvxLGd7 LDc6We5UG5GFib94FYhFK24S1S8hSjdR0HuNPjpcNziMpBilTEtlTYSRWU1jPhedTPXcCPYEWrX4 MNCLm7nkDPaij0edr8e4i4NpmdcRp3SL1ZboQI6dWmUEKJWIG6NZkdPjSfRck6GU258sSzdaJ1Yl NW/hSaM8vbmNW7RN2739N1u7EBwR25h9wspMCF85kpW1CPcRwJAQLkxRqaoBQz/l1sHtVhChZVsu kZFa4xSKklDReiFwIbnFqbcGUiCkepXfyCvUWj4BRUGLulVMcdC45Vzw+pUPEqFCpaLtfFoONVHv MEF/EaNgYkkyKqUdJBisdE3ioinw9FXB/93dL5uuCDyZRg2NC1TMoN0/9Kmf8zvULdSRZT1Al3u1 nlNNDr3ehtQITTygYPyQayrK1DlKn/RbSsmdQqrIvTEdWSXPMIq/TfI711Wb8zXT94VfswoyjvjY JItZfz3LpPHPnzUMsfXXMtJQBvYnEXngwp2yz4xe0GBNXzUfxDSqTFrR6vXgJrEWyrOpl8JRDokt 1GxN+ojQD02LhbVQCw1aDH5hcbIv+e0SrP3gLbVP4DzOICVOB0ylhUghOPza+MMN2+haAVbOuPTS I0qa2RziaRwUbPQX69U7cx0bUe1O8hwm8CyjQ/WbIGpJImKctIGRJIJWx0nC6I05YNpI4/9cTPCc 1zBWi6ni3qO1FzA+ui0tzifOz/ps5IPLSqvooj2CIl0SI6tSY11qVjJSoyJtIy9ZIkfu0tpIVkJG i2FRVY8IqUMODZzB3di80KOp1NdMmUM1DnXyy+qLE/ZDoqkrCzV6nj0KNUpaWKQF1m0SYlSeicql Xykl3BuRoRM1YSlu4XKd3OgLJk5yuydkH7hT0WDa028GpenjHlA6UbeTDDMeXDwBXpn4qGVeU6vY 4C5eGIJlymbpF65ACMHs29O5DzGBFa55OoPNVop9ymLVEhs0zoQ7Xmbu4eNCYvC1iIm2lZxyS1Jm YrxkkA/lTw4+ov90QBkyL4g2GT8NJ0r/UmHaUCPGrdNA6VWsMkksCyyXU9GjPRKnCBOTXosidWUr q2gswU8U7dC7iCbXxRfIJRsUXoka1j697AqoKbs9ehaeLmSOGhG3VRL9GV5YtdUX7epX5dM2aT+W qLVEjOltQRCrvqGpWWkSyQli2ps//tbwlGu7hklqrbKpSxIaTVdsBiICeCC2vpFhkecTQVI4pWCH LT3F7lf5AB55IV1NQ44vY0smpRa+UmTCbkjb4OEeaRT2Mt3bPVJOAZJbhUf35dVZbguE2zhq9tqC U2uH4uwY4Z2fphBtQuQfTuf5K5XcQOO/Y1FEdloUdQsHq+2Q06tDKS8UrTV6eaGtnVAoE0qZMi2Y fm4b+QAdpuYrxSbt2ab/2eTOs9LoZ7v9W/OuW79Nb6+6CcB9NqZ0b7hF6POe7SMT71mbZuxRDMcF QyQyIxm1XKIWnP/eU6kUHJRNP8PBXFwhjjksn/se7/YOVpkdXVFBawQPkmpm7X5NGsW18A/H8JO9 WcqwZIuGcJ4SgPwr7uG21BVHYbZy0eOA0XQePgYvqYpQHqk9cRM7H9G6U2vOUx+P6Xd7acRKvEBp 3z89y6fRtJnccR7LK/wlSqEESqQ076CcpoPB8v1FyvReSgVWygSejJuVJ9R5cil7SuTkrSFtSzXv ywJk7IzmyznHGHuulq3Ao6xouTPnMftFZA3nUNCQ7raxTEEHcktl8drg/yz5slc+t7D4423L1GEc 3tzoBeITbvEJPWVAcU9Ht7C80ugBtXMwLWU551K1BFIvVuuX7Ugd9/Tv2iNvTWPuRE/vLM9Zt+7x DFpZF95aB07t5Gi+cHLLJcliN8ljN/ZkL8lXp5PV3eIzfeTjfHb8dEuRNtNTF/VNapjO6/S4a1fO /HZ2dddwJ/dxN3dwP/e3ZnYSeVkLbZpa5lC9hOpYphFNhVGdPuwH6ws/gRndLW/1Hhv6lvL1ptuA R2+DB/h/H3h1X3frAGeipsJrhvhDD3QcRmETXOF3Cx/ewRXHNSP/ZtxuNvA7JvDGDfD0XNybNvmG p5OqGA7hgPmXl3mMdchBuzBB6q55msfCtS6K5lo8OAV6C6/w3NVTkx360g1610YZol8/ls9JzoL6 m5F60qL6zqr6qL/6qbf6rYflRJG9DxxeTJ/4kDfasVf5ig97is9rp08T0jgpEWMOuJetuX/7uLd7 upf7ut/svcIxoA/U9gXfIi/w6EW5ov9xl0Zpimb7Sov10gnogN9OepbbLZdyyh9Ky69y/a18K99f 3F78yqJ5C372y67gUV/z029sOV/s1Memz8fvq4r4Qrf4sGZqsTf02pd9xf93/fFWqUhH5t2efQ6d 9BmX9Khg+N3/KnB+oW8rjMftJOSvtBW8fNU+jKKBQbo9fuhfqt6Qc+uso2r/Xu3nMl4CrDaNpQjN fvGPqVpJ+9ArDWe5Fq2Wr6jwfPUHKl5CdUBzotmyXbIGiAAAAAgQAKDAwIQKFzJs6PAhxIgSJ1Ks aPEixowaN3Ls6PEjyJAiR5Is+XFAAYQIARAgKHIAAJgFCMCE6bJjzYEGV6Y06fMn0KBChxItavQo 0qQgBRQoKEAgQYNKMxaEWnXgyqlat3Lt6vUr2LBiJw4wYDOA1JhQxzYMYJOgQANs59Kta/cu3rxB maZNG1MvS4UyARMubPj/MOLEQgfQ1Hl2wNqEAwRM5gizYEOpmitShlq5peLQokeTLg2Y6WTNTx06 NagaMwG0mA9UdXqZwNOrN19jbttbts6spocTL278+MvGTROCZmjT9cCyLqUWkGtQLoGmNV1XZ3zT ZksDMyFWHtg4MPL06tezP853YIC1qxdKhYk2NWWXk1vifpr6cm3zFVQefm85hFZC8R3UHoMNOvhg XSg9JplfG1X4UwBZYSYchB16+CGIJb0XlU6EQUcihyGquCKLLS5UFm7PQZbXgPARKJeLOeq4o4Pv 9UaijfPR9xdGskW2UHM3HdgXdTw6+SSUpTH2loH1SVbAZD3RhFB2BnUZFB2WTGmYUEr1ZVdmSuXN ZCCZCnkZ/yWcccp514gI6rRZia4JgNuCepY4HZ5prYQbcC3dZxBwDAXQHIIpzvkopJEWxVhLkCHo 131udZblU9ZFRVl9oEYXZAA4FpihpnxqupZAq7kWn3eSyjorrSPxJVySVP150YUTLWeeQo7WOiyx xTYkYUx9scnrshK5ZaGyWBk7LbXTjqikkn5pq1CS2+6KbbduJuQtsOMuWC266UZaloxkppWkcDgS lFV5LL0V77j0vnuvQvIyRSEA8qo7MME8ogbXs4i2ivBlAFzqsECXxQedghI/XDHCFEecsUsYP4WW sAWLPDKEU3YWnWqPhSqjZ73l53B5NRI0Y7KaqXwnyyhLleEryT37zN6IfoVrLtHY+iUcueSe+21f 4i79M9RRFzelZE5jW2WwVhO5NbZIC1Z10U+/KTXZZYs2YnmJJqrbyclaJZXaL7c92dvw/SY3zXTf +bTZffuNF0oqAWtlu9ON+ty5CCEe6uEl8kTkiQRCnnjIf1t+OVd8sQ333a/d+XbdDnf+OelAxq0a 6NJivjrrW8FI2QCTcSp77KDGCDvtsu8Jqsn78V577Lrf3vvuueNuO2UCt74883vN9Hx20UM/vfTV U3+99dljv7321jf/Pfjhiz8++eWbfz766au/Pvvtu/9OPvzxyz8//fXbfz/++eu/P//9+/8/AAMo wAESsIAGPCACE6jABTKwgQ58IAQjKMEJUrCCFrwgBjOowQ1ysIMe/CAIQyjCEZKwhCY8IQpTwqjC FbKwhS58IQxjKMMZ0rCGNrwhDnOowx3ysIc+/CEQgyjEIRKxiEY8IhKTqMQlMrGJTnwiFKMoxSme Tza9OsoV4XMkkWxRdFnkyMfslJEugkVBootPZNAoRohMjIw/+aJP4GgUM04kUQcaiRt5JZQ81vFH WkTKomZyJq0czCEF4ONGYqWQDNUrJCghACR5RhFFdgSRG+ETSyI5E6hkSJNffGT0LOkRqGDpKL/i CiadFaaHZGgkh/QISoRynjGu0k2S/3Tezk6JlEg+RJcS2RNFgLmQVorolhKJmTEtkkqSECgtsfpX cCAizJg0y5WiNMkru9JINlbOYd1kyDQbkk27LPMixKRPNYESPbtJhjGcs5kXEeQWmliFJlTqYit1 uafYZJNSmpnnWSA5I4AmyJ2xG6aEJnYygMpnT3Sz57F4RplULuo8qKlJ7CApH5rADTKxQQtHCQJJ m9HzTrtbS/DyiMllLuec0HTIQXXSEqeAZqKecVOr3DmuidZnlb9Jqd1s2hagRoWoIuUUOEUF0hn9 6FlHfaehHAo3gTKnVxV9DJa2aDJ6lbSo57lqq6iKlS3y1EYhjc6iJjaus8akpGkFp/9bbOLPdpq1 mgyFWVbp05y5qqV0QtKImGLDLSyhBFGlPAhCOlnKLo2Hkci6lmBcs1fBZidiNnklSlqVWMaQUiDn aUwnh8kUNOb1rXsKq0GQtagLnfZjDqMsdcL6WqYuJ5avfa1hZ+QdVC2qMqcVqXkoK9fLVK6ZtvRm bmaZmY9miDuuMtQrv5pY2GLFUi1timdj6034LOel3DJscCJWU0NlliG15JN3XqoqQ6GXUNT0pkBe KcyYLnIlwAQZHc1z2ZUcFJqjjclmBQvNmPryrei1j4CzGp+VLAq3B+EOzLSK3feyZGfaVS6ZBNJK /B4ppjE9sHl+9c2JiGlN8wIPQpj/ApqeiEmzNeHnK1PiRlTB1zxwe6UZGzPL9kbnOTPlKjjt28/m gDYr2SwngCOJ0WiaEZqYfOag6mOfIwuWOeARlJd8XOMKP2SlftmtICtLHkESiMhmAu57YwrNX52H zUvu8bzcpShSpramPLnxhX41zegaNr5SjnNwWWWVKDMklXzyLncHvWUeAzpWZozVOOEsOodVdbvR fDCcDxsR6XJyUG8Op6Tfi2iZbrmVawYmqMEopoKwGbuH7Qkjg3O0lNDajZor5DhxPKXavkuyYKJU it+SamKeM5WovlfLwJkrJWdHppDkr2ZAQ8w18fKcnez1WAGGyfwwcktZNK5koJug/8qles8CfbVn PSvQZh8EKpg8cmqjdc5IO7u8wpz2Wujd7np/6dhYoQkvXxbcvmgSZebF9jnHnS9v7trXlp4mpSCJ lQohOeIQ5u6/Iy5SJL/oxsHKLoCB7Rx5O4rbwolxphQnR4nMUsXIAjDIVpzi8cwLUTvBrmsNCTzb njK64IGJoV9sY72GO8iXpvB7G5xtLr+ITRj+rZPPDGh6J1x0mL1ypdX8Y2lWmukTt/TXYcozRfqy rfNd1q8I/Gdjbz3s46Yzhdec7zxHW5w03vdxFzlaqBN6IeNszKjvbuoUQTk6oPHwijvsdAuDXe5D 1XfXE+5zrzeE7YAmuuQtW5mmjP+Y5a3eCXRD783EHja0Mi5vs+1I6u/GfTnZrG1z5DteUt9d4sNk sIbMDDM5I32t6CS1MAdcd0sTiLiSSfaTz8JnSb/+SJ/9c3CP7l+ySnSvjBu9Z+Sa+KHj/dBGBu/S FV7je/NX+VvMptLPSSm6ippKUg4+tJ3DL7AHq6dLlz3G0fzh7Qvm8DKhzpSJn4d5VIahhVZhG5od 2uwR3dBVnWNwX/Cx28tV0pmkSXCkRJUFziCpWL5YYCCVCXIhCZuAWfBgVlNQVSQFjYLZE5vZk+25 iZD1H9Xc1tJVHM+4YG4FTnAJHaD1lm2pHwuCCQDqlL2sHl+8YL7wUojRGs1kCK3/idiFUJLhjRul rAUSEta77Qx48Ml5uJNFfV+h4caXFJ43sSDdMQfACdsp+SD+GV7sHJJj9QTlwQdH6VnJYcmWyJrt kSFqgMwb8l+wvKF4McZ1LdxsoZ4YQtcWURQWuhuCvWGveOFzlJy0NSKZTOLKVUR+/dEwRcQmbiJG XMga+dYwsUqFgCJFoBEeHckn8hEqalEaCVoqstE1kcTKvWIptkWRiBIuzlkdzVh+9aLecUZm/CIn OkssamIaZSJ9zBgcMSNORQnHURE17gU0ViM2ZqM2biM3mlMtspIbVYYwImNbfGNB/VXmaIQBomNI wAo7RsQVreMaFaOidMQzeiNc/4kWONbiPHKEKv6SAZojPX7EOM7ZFhWkSSDkt+xR50UE5D3YTghk /9ldRhTWDGbOQ8Ljuk2jJ7LSSF2kr3QRs6VTCDbdRjQXRJTdlbxLJA3aRUqIvu1Tmz0h4WGJLhXW L6FfCkoEtWkaYGUkryTTgegbRwaFFHLTNdpjQ6Zkr7yUSn7EU0pTVtzdVzigNDUHZNVRyMzSalUE 5GEYRhSlR0CeYnnGAsJbWx1dom1Z0cFg/pWlJ4JgEVKlIXWaRHqlKB2lRRQbSUKIS8WOVTSUTNWL vrnFhGVT06xVveSGzY0LZyEmZ7HcFZVVUNGTVI1LXKUWfd1NUEWmTkQMdq1RU/8aSEyBVFrIhlsV 1kFyiNwkSkYJikiK4oDQDFzQoe6001tMDGDCjnxwklE95U5c34L8pdfhGNxkGJIwTmQgJqalJN5l RZX1kqAkyO7slEP1JlNp2IBUGWqQVGTUTqplS2IiSmF5Ce48hH800nViZna60zydpjNtJhHWJswA 5k7NJxjZ10fBnpw1WFc254tA4eW5mYOxxIQhnmd1137ykUr+VqzoVHYQFylNGXktILF1l5FNDBze nV6GU9SlJYDVmRAeC5sQU5dY1oJ1FokGpKxtGY7JF5uJ6LyAZp/dn4Y1X0pmX4tSGYXRGKKBmnph im0h50McFIayn3Q+xQsy2hj/Jpil7BtKQlNzhVWKfl2sFZphvejXqSbM9ZYhVSic/Vcf+tmCCRfz QRiNtZmK3p2CRaUm9p3JyRZL6Cje3R5yzpuGYSVotNyewibTCVxdVt675FT+Pae7wdPMvCUYYpr6 YZ381RcNngv5FSoDih9X0qlKMpvUUdjVVRr5WdbR4Sh9EVgeoR8WYlYistd+kCWGTeMjmdeMbV+x wRG1VZnSnQt9CZbkgV9zxugDQpwkHVRvxVu2zWqo+d2NxVelZZ6kRaB+1deRdCrzJZtS/tuz7SnQ 7VckrVhTgqFTyqilzRKkzd1BaJJQquTfbUeoNsmzotmkgh2OuhQcCouHKk6YbPEnoI3aFEJqEdrI 82hXoS0LsGbbjnGHJhEqvKqouAIiRVIISs7MPNmNTKxmiWYkyPhdnm5rbGTh5YElxu4rKH1J0F0e lGbo/ZkrmoGoncpOS7zexfVreALoIanYsxlfm3Dfg9rZhIWcny5sDf8mpaLwBFkJTvgRqZ0Wq8lO k9JZXnH6WUUsk7tZoZ8krOr8aeFcKO8Vortsk2Nyy20om6IOpUl63ZNRR68gmcC9zPIZHKDuzYAq bLTUacP63cgdrQiCU7Ms59G4EU26ntEG6sONHcKdHK8KKICuXsomp2Cd4J1CJ6LCagGmiOQBjLsm ScQ65vYZ22VRa35yn6Fp2gC6nVtaKYzWKIWNKra26ErJVRf9V1uBao3FzKLSi5blK+4RqZau1UMC a57eKOz611YKW/JlLcDeLX3Mrmb15+0mKtXu27cWLeQyXZHlX+junpdGL1qBKF0CJe8VWatckan2 bo3Zno+e3I3i7qH/Pmvt3dL6GSiWdWztmtckeu7LLs2THR57ZZjcCO2AAqxYaiV3CRWYsIoL/q34 dV+MIGaM6N7qOdZ/rVZkum6Q8ZW9VCfz4mnVDu9s7UkM2ijDWaExlVhe9ZhDNfD3kZGEjFTXidQ+ Fe9gPaFkieG97MwCa58F/8bsmkkJi+7BcZdAeQYeTpUScpkT1hriWum5VYibEmlF3a8hvS817bDJ SNfHva1+IcoCm6VD3dLDltf9wcbj+l0d1tNEUaq+GCH+7nCYtJkOz1La9SVVWJJCHshBKiQ7viN6 1vFdgqM3kusYjWM/NqMnAq3vfREoBrImEjJm6mMuGrA5KbJBVhId/xHKHJdib4JTSOCxOJ1IglQy K/1VzikKJLNPzJZG2yLHKNsF15IG976QHxUHIo+PJofGLHejLT/JfSTkX6lVkSQFKu4xQXryQIqW AXoiPh1jI+ORMu4lqACzMRNSMfuyM6uLCpfEEM/LUj7gLkViKvtjK4dk5Z0bSaLtZU0mHFdkJpay onCURvnE/77RRnYzRnxz1NBzRXqxvWRz4haFxxblO18EfYUE5NFXVAb0EbOGUGpEOYWnQUPEjp2z RjR0UUxTVgrFEkuNhLwKMi1mXGEUbSoultkX53RmBrLuIRZUf1iFe9qIfX7KY4hhJD4HZbawY9Dm gKRWZqK0OHJpbv9OCUrldI+51+GusG+NdIUFD/sJCBHiDm0CNVyII0SR6CKJVRSrM78qClEZIH4i 9Wdy9VHT11IpC2QI23xupxwFdGla8KcY23sulXyUtaZAqTwXy4Ktxkysxm7tX3yImb5WsH4S07tG qX5mUnyBqmBPmYweac0ZVmr5ZNe1KRb71n5Sx7tBlxbOqNmRLne4GGb/1ruJZGywmgmHWPIm4G04 7XsMKRy2mXtJa3IuEmc5bWiRhSTR2IVal9kCWIi91p6uNv6G4H/hpIFdFm5r5Ohy4Z4u7hbGV239 NdPdNZle9M+47M2GK6JaJZdF18UyL/AiJ+xUorYwcKfBh3dj5Vv/cJyaXF95bFs5E+m2lbd3u1/z 1hMPB1dUc7eneSrW/WglGhya/crDwlSFyM1kBVOwUomEAl/sgRzzsjd5Dx1BI+y0CSdrGMiGxZ5/ z9fwWdvq9VxF9w2Okixmbbiw6BgBAnZ/U+2qXYkGx13BbRxfM3DvPXb6Pve5ASKBHlWTypnlPS9A 0dxXCmyKF6xpv1ZTkDiYvPgpPdIVLfQCqmxE6KW4BmA0ocazeVbtWpS0aRLQvS+z8e8cgu3CRZzI Ql9JX9o8RWj4YSDrGC6znjnJsh5fUPnLYO3XffcwAR4Y2jl1C1yucvPSgZu+5VqN4+ieRQzJxXeH xybe5t/Ivswy/1WnmvVdFU91s2wT4vkeAC9SsvietQUblmqzg0uvZiIn1/bTMxoI4I1d7SJT/jmr zAa45YT4n8Jpigfs6IHfgC2v8/LHTPX3YYNoLAF2G2qvY3MfWpJ6u+baZYspvmLaNHkfj18Ww1qZ 0el2JsF3EZYZmqH4penZrbNe3s0beR1f5c1w/5aksC6vlrerMF1Xgu84iCb7KyNuedn22sZKBtpZ u9oes9s2RIuM4W4wdKq0Woq7o0GnGPJ6dxH3sOqZFw4hu41Uv6k6ywI63pWZhXkmoXuu7JRuYZNw aZpscynhV57twuuXDIs6FpfV/lqZ6+okUjnHE/56G6dX7q6zTXxSycqXoQBHPAQ66ssYFHvzkyMS IaofawemCUr5ToYfHpIjV/v2XPL2NebEcjtKpBiJ0SmJoisCsxjVcmawolUVZCqj4sqJ/aR9ch+H jZuQZD+u0YaR/UlGBg7LokP+sTNjvQoduVUjkNrDoz7TUno+8i0fS72jkFMFhabMCvXhPz7kR/4M BQQAOw== ------=_NextPart_000_00B6_01C9F002.CB70D4E0 Content-Type: image/gif Content-Transfer-Encoding: base64 Content-Location: http://www.cdc.gov/mmwr/preview/mmwrhtml/figures/r014a1t2.gif R0lGODlhZgI7AfcAAP///5mZmczMzGZmZjMzMwAAAP////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// /////////////////////////////////////////////////////yH5BAEAAAYALAAAAABmAjsB AAj/AAEIHEiwoMGDCBMqXMiwocOHECNKnEixosWLGDNq3Mixo8ePIEOKHEmypMmTKFOqXMmypcuX MGPKnEmzps2bOHPq3Mmzp8+fQIMKHUq06MsASJMiHZiUoAClSwUiFVAQatSCVBM+VZrVKNMAXRdO 9bgVYdmmJgMMIABgrMWyBq8mlEuRrte7eHkGKMC3L9+BfQMMFOCXL1sABAoIZlq4wACnifk+Pjig 8eG7iScz5BtWQFitCitfxvp3r2azGgkXIKD6s0TVcf8q3FuAoWuCtPPq3p3Tc+UCT7PuTXyZ9la+ gjM7Re7ZM8HMARIvrrraN3K8lacvvC519UIBiWc7/zb7t7nW8BlNC+SM8alB2N9vD0ZPvjbv+/hj wh+YnT2A/dIhphhusr1HAGsAiEaZd+uNJ9AAcqkF1mASZhXcU5MJACGFnkWlVmcfCmQehF1hCJ6D CdJFon9qrTadiSLSNh1SA2SlIG5TyTahVCT+J+NXNYroHFg7+sgfe5x1yFRYEM5I1ZAlNlkgjZ25 15yGEz7FXVshtiWbe1J1md+YZHKUG0HeZdcdcEgxGOBgzJl30JvUTXYmbYY92BeCJxpG1XCREYDn YcTt+duACfol2HB7ihjZagPiyeCg3BUm2KHjYZrcagGqd6Rhpbm5Z4uBCXhgpI4ltt+kfgGQpI6w Nv/qqmKKwXdoZAI9ChyctTGap6amBgjbcLn6JV+ZyCZrW4GJPkbsf4UJqqd2km5JkGi3YcoeYQhK R2xlj3Xq3XBU9QXtrtiqxtZvXrIF22+eXSeuY9xSJZ1ql7Io2qLl3fsjeGzldqOXwPXZbrPQsvbv gQQnyqmA+WqG7axa2gdbawI+Nuqw1QlYG7gNr+mwZ/5eB3DDubEH8pnKtuyyVsyq2uCTyLU5IJ3n 0ljkkQgeBOha48nY4gAgm+dfqIepKaC9iB79sWMQeuugcv5JrdjQz1LMWNKIrlzgU6f2iqLSAnsn Gakh+xh2u8KNJ3N3kzH3JdIimo1o2Xb+lRmE/nH/PNm8FK6tLqJ7G/fy4Yify6ulinfHFs4svwdv QjfmVi2niIrcYJuETr3rm5XWpityN1o9EHSWZe3fwRk73rhqQD99mXKKE9tYrXOn+tfArTGo52Gc ncnxYSkjCtubxRfWtuzFCgYf7LjSBnpjxyZuPW/7ibZW7I07DPFy9s3pO0KeUpx1xG0RrfXw0xbL 9GJOJ7rYkJ4LVvXVvvNr8erPeuq1fXtxXqg04ynL2c1Cf4KVAMV2GtGgyEtxwx0AQzVBtrBodw7K zducUzcGNi9kAVQcvmSzwepd74R4AdCuAFMww8RuUwc6EN9SJUNeQahJArqW767DnHshJ0DgalHA /0T1t8817YgEAxtwbqSmIP5GY7UKkGT61JXh6K9iNKsVtnA1MKGZSz1BJBa+NFQdLo4PT0xi0Ksc Ex3ZTJFqxiuPi/CUKNawS2SlG9AYt0jBOtaRjOFDoSB3I7zxya9a0vKYsW7HmMI8pjIEkljQ/JI3 yYjoUJNhIuFu5qD4Oew6nhJWoOZlyXPRKnN9WtSjphOZTTlmgARaDbuedaustNJjs3ygqeo0M4K9 0mKPiqCFYvXLYvWlRLBsncdcyS74yMtYg4ymNF0Cls/sTComrIiSGsLBqnQTm2b5JpicMiNufvM9 1xyndhJCO3PeRk62WaeQsmmWcjoEntPMpz73GUHN/fDznwANqEBTSIDTDPSgCE2oQhfK0Ibe5XYQ jahEJ0rRilr0ohjNqEY3ytGOevSjIA2pSEdK0pKa9KQoTalKJf/qkZW69KUwjalMZ0rTmtr0pjjN qU7N1ZGd+vSnQA2qUIdK1KIadacOTapSl8rUpjr1qVCNqlSnStWqWvWqWM2qVrfK1a569atgDatY x0rWspr1rGhNq1rXyta2uvWtcI2rXOdK17riZ5x2FYs8fbJN6xHpnOg0aE/wihXA7qSvcaFnSa4Z EcZiJTqKnUiHguPY/xiWm/IkLE0qi9llcVYnk0vc5Y7Vzp/gbDmCtSxgCBNZkdAmtVnzyF7JZ8j3 UC5zZlnLbDOirdp2Z7di0WX5aKI00CDkbTDrWVD6klplcQssuDoIt4ai2a0ZpDLCCWJMAiVd32aE WQzh7HRpC1z/R4mkQ8GTD8gmEkIClZcl1WXMbpGLEKIlEigBpM9/CoqW6GyIkAwar4YSuS8e9Wwq i1FLIpOylhLxlz9Eu01U4OKhCIdJOPzN0Q3tBB1XFeq9IyEM0QKpIb4dpsQzivBSJrwjBSeYOf/R bT0XRSM+7etPMvYSjTEcpPSVBLz+fXGCc0xZHBc0gVETsqP+G5cEOy8pidxKdLRDtB4juMl/ohGH XfSgHMtswjluS0GFAkmlQW9cumsuUZ57oscAjFzEWRfUBtSq4YCMOJMzTYAyQ9/2RReDI85XAgta M8kQBzF4ftCBWguSvWgpb4Se5IiHKKg8ATFTbKTXbwT13I6R/yZcsgxenMnIN2fhr3NtfNJoQhIz xSjHa5U2tQ9ZQ8FKD1GAkz4ICfHnIjT3unNAKxdP3TurEX8szhlTk6qK9muS3fcn4xFx+2wHvFV7 RTXM7U4C41Xt9Vhwk8X63p0LJij1DLduyfEhWLwzXZnJLDvj3XVXHsfojzDMw+47mLuBgx4w7iqE zTkTrLb9Hu9c2s0BruYA0UMYAYJ4I1/znJY2FW7eKZGMXCMjxXNoENlgV5MY19OjITirvaqHPeLK EJEM/kri/XuFQ9nXHWXW6cLshs3KGV2N2N2YWbFQUV+mcyARWXBaixi72DaXzBT4LHnbBF9As9/+ vr3ICoo72jy6apAxs02ax71cgCfOOp4yGS2UFGi9yx5PY9o0P12xXU98kzo0C7LrtzervUEsO3jl 6/Ol6XhNli6VIkv/OZTRDUhN5KpOcG4eYExXE+wJC3jfKaYkcUldSKa50IKik6CCUlrzS0cX7iKY 75pcDoquixPT6vbIrydK2Fo/pGHbjSrIv97nep4giS4LkiltcuLmo5+SsVtA/El9srq2D/EziL+8 talG1Zw8dS7/vfaGh/a0vBrveSJtuCXsiT4fb17G+y23tRB4LUT9BzGYwHwNTdrtpQ6mm8YaaQc9 0pyLfZ9jMj4M5kvOJPM0oOZ1oAZF8WIfKmN+rjFd2PV38dZCYpN/DKhLIxFxtfEu5mc/t1YsUMQ5 wgZ8SKdfLLRup/aB5EJ5k0R9sUF9Dage9VJ+pIYw++cTxcVx4GFi/2LmJwB2GSiXbf2zJ7DnKIax KVShJn0yQVPUXXp0QTqIPAUFLt0XK2q2EsMVgqDiLqvUIK+EcKCiP6eiJ5xEeATidUW4SbwGKfJz dXlidkP3KO1nStLiKdi2fGHDL26WhbEBKlpSh+1yS74UJHvXPk6HbQ5zaKHHNGKoGxqCZJj3Mvjk TbOxfUJCTvWGGxJGdsD1iIe1gOvEL8WBTqA4T9rUTSCmifB1LNFHPtJ1WfHFFO4lJwGET4uXEXIi iaJ4V5LhabxxVLw4bD/Wi0H1EcA4jB41fhWSH8RoVGyYjDoljMz4jBUVV9AoVMs4jTXljNaYja2S V9zYjd74jeAYjv/iOI7kWI7meI7omI5AYYqn+CS22FCZ9XBbBVifpY5A0YAyIW3dB1WQNH1ohVus Y49ecVrUhGbWxlT3Rmxm5WifJpB30YIv0mB2ERL6yEbqM00fYmFEE5F2pB2ZM2Xr5V92MiPyiEIZ uSFqcRpBViRrMR84uF8WNotu4ZA1IR3rNULe9RHEIj13FE0uFBgmw2e+ZyNzhiq5phzn9k+txFy0 Y2dbMmbtsmkJY0DuEog0CRP9QUBGeRIV6XJTeDge53pRGD4t6W0fdCVuBIAH1YJLWERlOB0rdH+W FYCXF39XORN4WH05KVsGyXrSVHcIs14FcjesskA8FR57mU8HxzppCqQnLFQ3nXNMOjaDd+kS/XEZ iEeBFBltjXeQ1hOWb+gpA+eXaRh6cKOZ/MSWuJZvaMeDVqdsuyJiiVmZKmGThHlKnqmTvuZ+f2kf iwk7PNWP7oMv5jOYqyNQi/mD+Lce0wGbXkeCWSF4/7QpE1bIFBuJmh/RlVznk8rnejFGa76pknGG KpjDMwmlmtBCQE+IKmERKOMynssznXoxIUmZEvWoT2VxMQD5iIBVg0ylFu1Tlk7xGY9Yn/JZE5gD c3NlGMhjESL4n5hDPJUocgfKEzfUjVSiEUz2VBhynw2xoRUaoiIKVtpYoiZ6oiiaoip6VC21oi76 ojAaozI6oxHVojR6oziaozq6oz81oj76o0AapEI6pERapEZ6pEjqiA1RkqkxofjppCjEe1A6j10l m7vFLdhpb0y6XYyTEidyLTE0pYcDMAAJQTD3pWZlpfInnQgpQAnRNGK6ED0DokFBGCohm0yRNF+Z T//qAx6f8W8n9kpnJS12ahbKtVSslSsmF0j1BTCPBJVSUUMP4mJwkxz2VRzbE6ciAalcqSWns6f8 tEK4xXnQ4o57kaZxOVun6lSFihgmJyhHhhCcqac80mXrcYf8MiENOGaJyqlPp6Ao0aqKsZEJ1aob SqqugkyoejqzVaZJtaoJklpQiI90Z0uLcZHhk6ipuh7WaquJqhe5SRLQKmqg2k/h82wX6Sozwqhh Ba3pSiCaaq7Mal/bEzXMqmsQFqnQgiblcq1x46/6CkFbmhLP5qXhczfhmk/uSi08qKxl1aoFa6sc uq1xMTupda7XWpX8mqyKyq0d23m4kZA2Aa1UiLEQdZNQB8uwdVNF7ApW3xqxHP8LVYTash4bs3TH HwlGKC/GnJPKsymirwC6rzjxrndKlplUrtG0IeARJusRsCdrVjPLtE47sf45hs7qKvcKsjDJkDGb SGzkqop2q9uDE63KEiQbQ4cqUGS6GPdmGgpKsmOlpoiWtVJViu1RitXDjvz0jk+KinE1sEkauII7 uIRbuIZ7uIibuIq7uIzbuEXKtwMar/ckuRRJuRBBjw0FuW11LJp7nqeCir6zFqVFkVN7EwAjsicR Q5lzKkgbTdHRZ0lHsw/7SvIkGjD7rAhCtPwhqYn6rSFBYK27EsBrn8RDqzY7UAgStHASV1Ebso5i uSfkqz4DNq5Ys1WhYNAXqwb/ZmUu9icHokr+ZSEyBL0RsULIahIcVKjDe1DjSh1w9bIq+7FNNax0 WhWCdb7PAYjJW7zemyvdcodBEkL3hiowsWCySxLYml0Ipby41XDSe1YQG79g61Q188B5ihUWDJWk qr5waS8clisfLLRZSrzGZraimrML3LCRNGBs5a4G9YQEmVQIS69PmK8uyU4KLMJdoT4L9jdD9rSv C7iylSMl28G1upaaAaxJTL6IarIFQSK6m1RRdsDIuo9zgsIizEqWGrAaHKiQAayWmbC6qR3rO1Cr WrYdJ8RWBb9vysSJc5FRbJ2fKqc5XKgX2as/PMFBq76r9RKJdLsUWbBBm7YBXJW8dpJAT7tWzbti xQtVp0vIzmtKx4mzAQux9gWwYqZoqvS0umXBKPEzKlEtpzO6AvW6onqHtLu5qTy3iLZodevGCqG3 g5G3sBwRnUsStzxIUqrGW3Wltey4wBzM/8I8zMRczMZ8zMiczMq8zMzczM6MVa0YUB7KEYQlywA1 zXkVzQ6FpvW1yntLH1gKyR+xPQgrqQglt58imW21f24bvNKMhrS1svzEKIDBtu7MXhMELc4DyPvU vD4DxmcFKQR6whyKxgNaz1VhiWpDZRbWFvlZZUWBXoNxwbjMGELrYwhFsdd1z718vCJCyU8Ft9Il 0lDJwVpLwBATL0XI0fnIrg2XEi35smIsTRHcXdIIulFl0PLnM7S6tE2rWuqKGBlytXXKqNayWCtU r56sTwvrMyzNVc5qOFC1qqIbQ5rhqWn80rbbKarrwTzDyzBh0C+dFqMKZefsxAXBzwENup+/7Iiy GxZgvJGNXK08W7A3aBStWkUzTYtXW7//pNHLK43r1E1+7VAivbuJvBxTTDPxIs8XuccHzH0Ha0tP /RBjLc++i7xuyiV0+1bmyy8IPbHn4c1pPRpV9sew+jltF3dG4a4tZxLaomjfq1ByG0dtzVRJjYVb 6FXR7KuymLdgfRPYXLm3fR/B7VbHLVWR/czMPdXJ3dzQHd3SPd3UXd3/1n3dyPzcY1Kgxa0V3W3d 7KjNMqxmnazdvPG6Jf3awTrD1HpQ3NyQbYXe1tbOURVD8Wy909S7u9I05q0QsuSzAmrG8PzED7PO f3Ma+v3dZSIhzYWswEotTzJl19LQROI8EL1mfbzD/V1fEh6zcby36+YzGM1W8zbYfdxUfoq/aFJj BpHeHVuWKH0vifrhPoG/me1aj8NhwKdQh126JA7QXvJU6qO8sdHeAdunPDiJQZ3eG+6lvrrUHdEt bWfOxSq7RL7OnnnZS0WqnFfVMnTGYIw7/3cqqvS5Qv3VeK1LujgSFwmVBLbXGGnlcO6yqAsnla2w PdfizVm79prJdL3k/4MN5Trx5HOOEaNDa4Fd5XNx51cV4HTH6PPsmQJaps+F2S3k2HYy1NTlqw3G En1KmAsFrRFS6F3l6FEh6En14d+bwaZ9yf6bahN8g3b5E7ErbGxaEgu2ngp+F8LK0G7FOC1ZLbt+ Qr1tUL8dy00uSOKN3SK63Mz+7BiZ7NA+7dRe7dZ+7die7douze49obccjxWRWcPupb5sQnqby1PF e9LuuqStywlZ1eqlPP47m3nqX0s261Uhsg4kvlSeH+BC6TG0W+jt0lCj1jmtX1ZdcFUb0vsz7jdh 32JmL+/FkFBJ1MuB0GXZ44Vo0VrLq0CeF6tK0ggnH1Dp6Brs7E5Fzwb6Ch7r5M//dSsxnYgbl3Rf QbYkKPlgPyEhxBPCoRE3jFbTue7dyGrXKJ9Cw9RxpyMfKfbEmq5VweHEIArYUvxs46odY815fgq2 p3rXHibRLM9Xx/axGv+0rIXzDZFh+4MUUJ6uwwq84dsypm60YiHIUbTuTJ2yU1vTKG5mq16w2Loo ms5BQYuwDi8RN9+zF00+Q60wBs969wUu4kzRHgZddojVyMK1ic7PRy3bkU9VwmojCC73HCpjJkL0 XmIvaKt8aOuzGVP4DkGqZWnArRzwWfutNL6xYPvYooO2j8+DOyugqO4V+A6t/MX7o/H1+dsdXVX1 eY/WTfW6n0HIggLH6/TYPk9O/40PE5eD0Sp+8Ync/XGhnjZr8Q7eNn4+wdt9tZONGkd84h59VXof 9d3KVKSGYcp/XW9Tli3Z5sCTxwARgAAAggUNHkSYUOFChgwHDCAoUAAAAgEYVjRYwCLFjQ0DFChI AKJIggIKTFw4YCBBlSwHmpwIs+FMmjVt3gRgsmPEjSRlIvz5MGeAiRojnsSZVOlSpk2ZfiwoMCfG AD0tmnSaVevWrUIPEiigEiXCsAZFqrQo8CFJAEgBqP04luvchFJdEiAg9+DPkmHL1kSLt6TIjzvr rpyKN29ExRDpPnb6scBkkBQdC1Bs2OCAAor7xgyLFvJo0qUXYg2J13HLnH41m9SGHVupgNd9DQuQ i1uvQdy1ZXPFvZRo0uG8fTcMzjv5b+Y3dSNfDjR6c+rVcU43WNz6dtKUvU+eCZX7ePLlzZ9Hn179 evbmtbeHH1/+fPr17d/Hn1//fv79/f8HMEABBySwQAMPRDBBBRdksEEHH4QwQgknpLBCCy/EMEMN N+SwQw8/BDFEBr8jsUQTT0QxRRVXZLFFF1+EMUYZZ6SxRhtvxDFHHXfksUcff/zxMSCHJLJII49E Mkkll2SySSeffFFIKKekskorr8QySy235FJEL78EM/9MMccks0wzz0QzTTXXZLNNN9+EM04556Sz TjvvxDNPPffks08//wQ0UEEHJbRQQw9FNFFFF2W0UUcfhTRSSSeltFJLL8U0U02pi2mv3V7DzqlQ tRpVq+MgS+5UpkotiFXlRqPNU73eq+m57HbbT4ABcG2VVOmgSyjW7Grl9TqFonPV018fS/apqhzL SC6v9qqMK4wguxYyo34bYCO36AoA2oW+bYityLbVVSS30GKtMLFOAyuqxvpSLLdtuSs2WI1AZUlc paYt6F6F7DroI8TEm0lgpgAOaSdyZ8q2YcgIpgu3h6ZjjSCFj6LL3I79nevhVqu11tt8C0bMo5QV 2rj/NLDYahekn0jaluGoOqtMp6ksuhbgzkBuLuKZMj7ILaFr2pZim4iWF12SyVIVp6MtyyjqkBzb 1mOumOaqKrzCpXZkxrrtq6SOzr5YXrIRqughceGK6t2IHkK7oqkBWGusZ+9+SySd+yZb133fQotX uOfOdm23dF2bcIwwu5bxjtINF2jCd0VK2LfMlqqqiCTPriLP6+KIoGxPQq30a5VWLudqwXa64bvD zfbwvfae/KyoaPN6dtEcp/Ujsun2uHJchU+r24yLI2ptulkn3C6ED0f+Lb0J253uuCtCqXGzHEaJ 8lbdlrj6tm3e/mzad3p+5bkw8z7gjYRqSWfxYu73/y2k6heZs4nufwlGhIIaqehMZ5wB2uPcEhbc tEwigptI/QSokQZaBH0FFOCuSrfBzKHOJ0jhnliKghufkMRgCXkXWCy4kvsxsG+mkxlbPug+s6zm MiDMi//wJjqRZcd1KBFMzSojlQsuhiox1IxJNHgtpNiFM0SB32vS9rjf8YaCFEHKX4QSF4QI739G 4YzpsJaXolzlLyhrixk5Bj/9LdExJfTWS4xywJVMzW9EKcxUJqLACNYRIl7EIgmBJhEO7upvczzj Y6D4GrssZiwKZEzZUocRrX0FWo+TGNMWg7c/XlIzBLNLzRK4EZk8Uo0RKRvbNjKcb1XGK2Bc5UDA Nv8UTrIklq0pCPpO97+VEPBgb1wl1nJpOdORkjAqTEy25sWQ1KlkLX/UiEpiuMfaoISIm6yLWwpo zcqYK34BG8sQadiW7jmmgNWamjZ72U1v3dIlKIQIVlCTKqwB8SoHW4nRSJnKb1JENer63w1Lkkom 2nNux4pkGvNHMK7JBibigRxYoPlO/bVGMYh0Ids8mcyyYOaKbVGMYJQJMlBWRp8JuVfmLjrRo+Dl aRrbSeoUWlAsXnSD8oKhTZdHw1aukGM7xCnVXji9cYqxVbBrYExo1pNuhVQwP+WJ10rSLah4pZI5 UcnLYKhBoLzOlTYV6k2tWDWgotSgQDXJRV+TtHUsGlWhL6QoGv3ZzJDC1KgZQ03WzOlSdibEY0Zx 6ldd6la9JnQvnNEqOYsJ17L/VqdtVlmsL8uGsNuJTJk8g6y8LPKwaR1tlrh8az9bSc3Iui6VRbNX RmxpV6HFb5ZCA+UowQlXyR50g7OsFvokFrbYIkymXUWhYaQCFu+4b5YEo83GfAsS6fV1tcANmGFR +9zOvZQs1hQoB62Jz7rc8H7mrOdikZtPg2KGn6+J2P6E21btLpZwh0lozdLCXesIZIFmZClrwqhY xV6rkk+VCSJHYlCv0G+dQFtXeMU6zKOUsTX5Xcl+D2LVzbqTptIbiH7/yEIOtwaINGRLHvXrSmg5 ca9GhZxDbLjQTV5sXUWtqIdlfF9L+pWptWTsyMoJ1/2a625sjet0N/hKlPQQ/8igfSUpjUZDhsYL x08VpYxxHOURu3fC4gJjhGXJQhLbFcfQkyF5S/th7nQml21DZMDcNkSNhPgsIA7Mat48X9op9SHo VN7UBEK72eINVIR54g7X0s7NrsW68GMNZur8XJV2y2h5A5wYCSlo8nWVbgtcs2EpnD+snu8ixvSM S/isv0WfJreZOUoVd0st2m25qbtJ66Kj6OTETU3RcoOePy14YlJftS3DM6dzvxVnJmNZnM/UGNlW 1zbEnPTX0uT0V8AnRtHMWtjKnh/QdBLqdc3Pbg3dDqsYKSuPKKtgeplOsmhFLHPf6nPAcvdMNFeS 3CRn3jk52ea62JTigPtY6P+ezrrlHfCk3Ls3x5JZvfN173gP/GSnEjhNrBasgMO6WRNnpsIXEvGB 2QTjm7LQHa0Lod+C3OSUomq+GUTMk7fc5S+HuXLqrZR1c5wmvaFNs27ycZlnRVeji3nQQZTWaCll Yy2ziRJFwjeaj/zmPbzJEwUCY6FXfUIG6wjSQWvqrjm9OiVvyuKgbnWyk/wkC+xeLrF6xV2RbThP /F/43Ba+veGq5JobDuO4iseLlVpYVancUbEnuLenj+5qsbvI8M45WbpbfHgbC8PLPvn0VDWfaakW GLfVmeFwLy6kLaXrMJ9NPAZHiTt0sHi4GOjQNxhvX22NBTc/3z6yJMsKUaH/tLhsezdKcjFlyZjW KT98fPW1g7NN3b3cnttdMxhhig/L0sPX5vDN9riZ/6JtISqx5JNWY7w8bRcR687a8riTg5Fxrom/ /vrC3ijPH72XSzdJnkFrgNjv4sgRKC+XBvS0x6etnFmpGFOobyEJ/GmIQPOK76oazNijkOorX2O/ CWSO5OOi7tu6YYun3IKIxjkn+YGuvQg1/no/JQNBAsou/zql/jKlAAyWnaAK9qIY4om2m2kLCsTB 7VguRPqi+Hur+UMnH0yz78s/oKCZDXS9WcLA2sor/CJAwLqh2iNAH5o+n3q9IDOJmtGygPkLoMvB LywNmdKhHQqX+9qssQgcWRdynm/7vyT6jg5cJ56xmxJsQ9BSwq9aH5g6Q0lbtvDbjOg7o9DYL6V5 KmqrHW3yOjBURNPADpuzFeMIQ5Vzjk+xOEk0jk+ZjVmhukXkxE78Hk8ExVC8HVEk/8VSNMVTRMVU VMVVZMVWdMVXhMVYlEUR8Q2d67imsERGzEVzs0Wc4LkN6adXeZ+t6MVJXBb4KEb70Dl++Q0HTLyn SMQEZDneMA0JlDdxmphoBBHsYYix+5dptAlrDDvNYDrzEMf1kESwQymQ0a2JmR2v4xt1VDHp4rr2 ACBU0cYPET75ezqGUL/1KKyFAccI8beCyUfc+0WmKCoC8ppYWp3fUb1g4iqDdLs8C53Agbu6gIso MjxaMpu3WCW9u5yLNMGhijxG0pVyehvCGCJrIqU9Gx8PVDWUaZzHAxxrckmecLufm5sSe5aVnMhK CxZnionqEb+80Ca54R25yUhO2v87ywk8xGGeZwFJs4mYuQMK9fnI4TCfygHKs6E7wGGkKrKds9me nLQe7Zkq0bE7sxwKxPPIqkSldFkb3vGbtcs7mIwbRxsYbhydKKpLtRwNYhIPvNijeMIeQoIkHXqg jYGfHrxCtNI8RjrAjvqg5qMamWikAGoi2LMf2Au+T2Ig0tKwqeimE1O0svKgDXMwjdoZPSqdLcqi s+I8jSGjWlK9/ekyLhIgGvrML5rIM9uj9yOjDhq95AqO98NG14QKOjId7oGr3rQrykI+8Kgl2dQg /2GjF2IcTsOg4PyM2AwgIWy+2jIzA1JOoFlAV7o9AjKzWjIh3bTC35FOyygK6+L/H9DrTJPZTmyp xwWMMGjZrtjbpIe0sYSaJ+4bOQy8rTY00NvKrhaULM30zddptqKwQQidiqjws0jiIoTDKSXcLA7l L8XJuqwzqDvUGA61C76Im1wymQMlQgO1wK1LjvdDMJzMCX4qMcSMrrA6UEcjLZoaMmEiqGyzsuy4 jKtQ0NliGtxKUcTQMxlkrwPkTSYlwhZdTvNa0Z+gzn6RFsyMTXdqjsL0NvcSHK3KQmjpDJeCMwQV QJdiqS5qthvTn8FKtaDqQ9CKqLK4R6q5qulpU7BILrERqmv6ikGNobCQIsTAioj5UmfrKXpxqfma rKcxmP5TpaBqmUlVVDmqTv4j/9Qc88O+IS4rIyJFxTzoRIiWyCHMISw7ra6iczO3kjYRlNMnvKeP CqUby5irQsBgHYhX9aVKLas/RaxKTZ0vbY0zoqSNehk8bQ7UWBsncqdz+lBv1FDQUsGtE8E+g6St U5cXpQjsOtLSSiioWNDXAZlqQQ0DJcTa0MvQwSnvKbluI8J8LTkV/a3PUgiZzNdbJUKFqVEGxdEQ RD8kQxtSHZ9xOjuxdC9nAxuZAqFgSlIYFdhw5S/GSJ58jcFVo1c7ZC9ycrUYVSwtTdeVSR15RM4O TRzMGg8zpSj/eiNQTaHMujI4tavTY1bGKqwqA6p2iTDyMyknZMDnhEp3Na3b6v8yf0q/LYukNeyq HStNPnqrzQsnFJ3OKjWjBipVxmIi9Ao2mM1M/JunH2LYq00X20PVAAINEuqzRB0jIMIaWa2jVWra pwLWAFWo09NMwIpSLxugI1LPCIM9AkSmtPoiyFxPTnPAGZsf/ETSIwJBDPs6V3KnamszwShMOSq1 Ccugn2KX2YO1C41YQ6OtA3yjHYux0T0lhoI6MawItso0wHEmUaNZQrq1KV2Lq3mXPQuxaGKLlLoe tfBOcTJeMrwbupmWHlIiId2Z3zVbF/qaUb2gNsMa1MUxHCMeOUveVl2y3cKeB5218HkzOUsgSHOm 31nfJmK2CFKwh7Sb2jiLQRyK2TF0MssoQ/CzQ7ZrqrG9MxRCM077mtvVX2xKj8ULj3xxRHRLSOt5 H5Xr2Y0jt56z4I9sOIoDuAuOy5qwOXrLjVN5xAXuonyzFVt8j4kbYckjjpMxuIr7N2GU4d2plRPd uF2sC5XTnBHWt9MYFexg4UzZx1nsEAr6RyKe1gdGYgn5OSVe4ieG4iiW/+IpLhiu/GCf80WPo7fy wOH68I2q6BTY6GIq1pDbBSTSOEcfsgnA2kTYaMebs0f985ty3IpCJOMxqdY2DqowPEhtZY4j9seB tA51LDBBvuM7ocuWaqq7TGSpTIy9EsfR2RsBJcoY+8uzYcm0WCXaEVC4ABWv2RXbocvJYRcWIkuq HOW+uSK65BXIsb+pq5u942TauEtHnsKbIYme0dFOa5xd6Zmv4b8lHYw0PuQHMaINMyS5OWbYDKHF kNmNM1y3Cl0mXE7G3EKhGlwm682ujaxuJbrH9a9udaJuBbfTtM3XPKA3WqKPhSsAFMHsbKfnehwm us0L6yso3d5itpA8dv+vArslr4gV/ULglLjbd2qm1g02NAUjYMqfZhqkkXXnD3wnFd1erW1R083Z dj6rkgTQc32vnu1W/tLYXjWsa5ILbNVnYIw+J+vo18sqkIAtKc0oaKauDPMXapY/9/VOUKVH6sK/ acGKaRmuf3KuqZAm+L2Lo27VpXMyfAUcWmNd8WjT/SPk+TFZYDNUdTJUiWJdBHLilA6Qo/nli9Ua okmu42CNsVaaP5VqG07rMw2KYvs//q0ohHFVkDEXtIOrIz6ak4Io50LZH4SqjDVZdo6xFzPUoSBO wdNjsEYQy+3Qve4wE9vrW5I8a42kCWUz0Y1CHrMwxGQyvK3OHZsZWeL/tdVhM//bUG8NqlDqHkuN zE26PvfS2Amz6ojl5ikLJ+e7JbDh1692bP2Ioqw5U6POI8v43Ts6C51uVYbmXnWJP8ixr75Qntsb sl4q5e6a67HJmPWVoUGz1TfbT/g14Hcew5N6XlojWtuQXoTs5+WOpd4NWHdx5uUGv+H2weAmOat5 YWF8xGAcOB8+Rolj3Uzc4HbL4VHc4oyTOJob4wXnYIqL8KPS7zwxZMfioQev8A0PEcDj8A8H8RAX 8REn8RI38RNH8eDmnRhuFWsqt4rRcAiXuAs3xq24YgFflRi/8R4mJROO8f74YRwOlx8f8NhIRhIt mIW5bWYhco+rRZJBcWkQBRcaNyuPY9VV8Ssq55UhXgg6BgqQZSaWsRrdDNguB+79QDovD50dd46D rOOEvDs3r5r6O/Ma+42oLMIz60eaGydATpiJU/NubPJAH6sup/FJGsiCRBq9GGJi9vOwpnFC3zk5 zwpihi6ApnRdvQku/68O5ZHydDXflIs9ucEqmZxnPVvSyNkJUhJMqIM0U2WkPHy3qqwewPujl6yd hmQMPSvKUmtKrJy/jhBK3sjI86HkwWvKeLOd6RKWzGH1xqEKvUE3YO4X8Mwe7ylLVRv2cxNMWc/h nUSc8opvypRf9fHXjuxJqAC6v+v2lITYnuQVYxc89lFLrIAbnSB1OtUgwqsKRh0bvUmb6mHlF/wc wUSVPjfitVUsmdAhnkU7NiIkChIhOl2s/DTo1eRHBbWztTIkrC2tzoPORrJCw8xMbrzVz1Ts5Iy/ I6x4Ggq0QNrO+Owj9DrOdAINmDokQcofp0G3iQ9blHoJgS51GZMhK/+kSP3hJSkki25B6vszKj9F IiMEtsN8znVLZzFqIOYKQu5MT4uRo6T/m0TVefEE04WPoX2HelyRzQgyYjWEJqq3d+qFQ/gCqddE lWBUuqwSM0zPPiLk5w+1reZe7Rt8MgtyJ5EBJb6t8sh26gR7US4lfH6ObMEvWHctMsyqVSkr9G0N J7rO2UkTc9DSCPlKKMrNZwZjLOjhecL3MBfVUljDP2XClXupT9mRs3xJw90+/WERfW4as3JtaA6U iwcV2IlttgVfPvd6vtlv0nwNQi8doYzPaGcrU5JhDRBi05ufUUU1Tcmn+GRFps/rJu4X7JIuaiEj 0vTH5NdTq+u+2Ob/N3tRBaHJ4KaL+hQ8S1ljBTf/mmlmB4gCAAAUKEBgIAACBgkoHEhgAAABBQIQ FIDwYoCDADIiDCDw4sCJCAsI8HiRJIABBQZQ3LhQoUWQJkNSROkQIsiKCB9GVBggpkKbCVfGzEmA osSTFI/m7LhQYNKBMwcc5EiQIVaXCCWuHInVYFOeGw+q/IqUqs+IH8VG1SnzZdeZBCl6/Dqg7ciW dXHmtCoyId+mggcTzonXr0W2KOWiZNo0I93AGCFaBTmRpcOWJ4t25BsVc1OboEW3JN15bE7QVkGn RvpxrtqRMUUeFRtAsuHXjm+HnG2xMkjWJR1bdt37L/GdLQew1NgX/yfvgXhlU3/tdiNV7IXbNi6a PK9yjExrBy75N7hx6qxBRk3alntC3+ytR/RoUajg3ZSdh09Jd61er+EnHX2x9WagUznhJ4BKj+Fk 03eFSTihVNYxd6B9KaHE3W8acQRadsCJp5ZFEsXkkU1W+aXZZgNdmBCLLcJIE41uEceRAASU2Nhy OEWYGYIbftQeSheKRORjr73IUYYeUfSiUZFJxR91UU1kImpZKvZjlm1BeRJ0AFaonVZI9iXgkzhh qaB3EOkIpJFpThlWaXppxGV2GtbYoItguYjThXKB6GZLPy55UI473jdbeopRFyWQjBU6qU5WIvUm bDJphBxuFHoq2P9hm9p515Fo3pRRiUdRRdeP0TG36kVi9cSSTQNOeZtz6yn1Z4W4+sgUlC8ylxGg 0GkEa2taHSjRXQnVxqNaT9YWY16J9XiqSr9dmSyxGbKp7GKNNQeUZnw+ZttlmFr2kLc50jpbc4BO 2xSHp3IpFFOQUWVttN2qe9GLEuEa05eWMdeQS7eZK/BWD/HppapDpstZf8LG2ytDEH3GE3fUjoUr gY/q6+FEYrEL2MEOHjjjpy27fFFJBFJsWIw/wSzAzOzhLGHMFNr88lYx4pzzzUTD7DHPO0dkdNCE 9TzYz007/TTQ9Q0mK71Kb2S0SNRSvTVnX1M49MtRZ430Y0z3NTP/2joPRjZGamcdNtpmJy330hTX HBPcVfv9d24/YQ044YUbfjjiiSue+JqE27o45JFLPjnllVsOeQC34X055517/vniYvttN+ilm346 6qmrvjrrrbv+Ouyxyz477bXbfjvuueu+O++9g7556Hz7PjzxxRt/PPKfP175isk7/zz00Uuf/PJA F0zYi9VPvz333Xv/feEZybph5g8NJxxVzbrI0H+DS5e+nTUGx6Cs9KufOW/2F4WWZpkjO5b7wCfA ARKwgJg7Vmk6lJh8behNqEqJxqBiPjplKTqP89OLgHWno/DLKo6pVQT/AyQDkrCEJjxh0nilE6vU K1jSAgmXNLMYbFGFpiUmqsxa+HKeLGWJUyn5FwqDKMQhDhAtDKFR5kJGoxshyicEQ5q70mLBnJ2H JOKjCm36Z5D4KRFChSIKEcMoxjEiT1ib+o2aBGSRYHlGJUtBWq06JD8Z3ZBKgJFJg/JkIB9Kx0lk /CMgA/85uwzSMIlBYlV4MAUsj0XFj1MMTZh6okTHMAg8SnoQuTYSP0MKspOe/KTlPHKwM5KpXj98 Va/2dcqwOGyGc/QKrZbzELFAKWN5cpIqMxWoVi4QlL78JTAL1zeXDXNpcQMV8DCkM6MVU2tvc2Yw oynNaVIvmdS8JjazWUDSabOb3vwmOMMpznGSs5zmPCc6PVUSXakObdA83DsZ1LaXvdNT8zzcenAm tHoa5kRQI9xPAioda7LHY/dkT8v0+bWDUo5BBBUmPyfEUMJojnFEi+jpFMIQP61OlKAqkOEiNJGJ +qxTEgWp4k62lS3GaodQq8rjGDY6g6SPX1WTS4LsaVL/qK1kowFCncBICk/tURSl9uRg4kSEED2y TiWAcmlGEXamll0vP5LBqeGUSlE7anWlfnOpKD2zkp0CjKyGm84dEYfWrVJVrHKrquLgmjq5rvVT XAIcU2vn1IGeSKWaLFESSyLYKbHmVXzj5nwy9SdavY85J2LQoQI2rK2sKjm3GenW3gRZ9ZVEYeuM UHR+MlmpwCpHTImZaZHSvzVuC4Kd0l99VsIiEykJMn1E6p/KJ5W+3g+wA+sMO70KQ710hLIT3K2O ntat1xDLaEvarHSACJwL9ex8JXLjGld1otvgryN64259kHpZm3m2jxXFlQ39p76xsKa8wVkqZM+y LfTu/0gqesnl+WrGvj/dCLyT4WxN5xQRVFpNk320r3a1OzmVGIQzTi2LQ8LVPpE4tSCJ6Wm43goR PU6wIEhcS7hm5Rt3RUtD5cGuKHcmpB39p1lgvRNJSPzAK2ULZ1CpMYfMo+In0YdhTQJjgpBD4hnl qVSkDBRKhCTCMkFVZgK9o6RK/OO72JhXOfoIkonmQQk2kWJMNcnGXLLGfL3pgxoEz0kcc2b6scrG rsFMou7oY1cyDMkKarGYf+iaFyYlW2Nx8w9JBLOTOTatLAXYm8SV5+yYiMR5ckyRqdzgtEouIwUx c5+W0rVNOwcskPGoR8e24pXNpCi04ct4lrNJVAtNYv9L5Qt1O61qPI6QNw88jbJCq8Zcd5oz0fHP yrwa6xnlaCQ8LHJNirvCXWMKrhKZpY/Ss0JYS9tKOdUN0qKjn5fCTCAzwTYP+yq/j2A1U8UOiYC3 vabouMdUu7lPf6q068rYEColy6R2AuiiBBpbsf0JLHU+BB1EAruHTxRwQ7GYOT/50c+O/EtdMFKQ iduRp9ztSltmcsUisRqCffoKyzwu8TGpMNDntpF+VYgjp3KxkRqpVyN7CpNY9Y+GI+/zUjZMU59U psjm+Va9dn5EehXIzkusubJiI5ek1AUrJvWgsQbzZUR5e+ddyZP9/IQvQn1LQ7Ok8KYyBpa2OL0h QZ//rcxdumnw6JFYZi+IDu2iluPSHEGwsdWATJuWCw3u0bJE9wjzGtdcNbgrGtI0a3lcbzWZWLDA k63C7O3VNUELSGqOUS1brcSQ21qHBy9r4ANDrFKSO43gaeRO24vJxMKozARfqnMQg9ZSWVJu5T7t rtmIIDAzV/IS0vZ9uf3q2KBVRVG/DqpAmiKuknLk+35LdcJm1ErN++Uvr7pMm6xj9Ng9yTMbUBxR 853VcLG2CIecQjSWFphcOdNX/o9mGuJETx/JrMBh2F8aFPMLyyytKhII1hleTslFlJ2cF2nKTcwJ iFTF9QkYlmSImUxHZXxQzWCZn3DMinEHKZXKogRJ/3bxCidt3k5EkLa8HgMJV/59xF9QmN7cSdQN FqL1kZDUCNgl4FUE21VUnE1gCZb4XQJCzPp4oMgxRa3EyNrRSJ4koeT5mZpxHaWNEMQ1X6w8yMKV YKCtxoa5YEhsSsV4iFCp08QVhA0FxV9cmUFsmmaYIcnAXYUwja6EyGXwCfvMXMb4kZ6dCoSwxP8o EV5UFnR43vNNRq2FEKzYlsvJ0nipRbNUFrUMC5TknamwzLBAGnmQEmSIBe3RiLvcEn3cXqFEDMHo oemRHLEwB7mpis3hmroNCIrAHd+cIsgkjJtlxXXkWddBkG3xECpqyxQW4q5tIsmMnmXUF4Zsy1g1 xIlMHJHAqNLIJEtm5NIFiQ+2uJKzNMn14QoXBiIWRo4+0Uw/bQc0IRbQeA1n8MTeSM1WPNTWLI7Z NJPSQBPciA5fEU4xuRNGfaPfxNM9zmPReM4wKVdhCB4yGY04GlMKYQTQKJfthc0+rqNE+Roz1U3L TJ8Y3VU6XWTLWCRGMs4XmlAIbiRIqpNZhf8kSZakSZ4k+DTkp6gk8nQkPanjMo1NQMHkQRaUxtCk Pq4kQ8KMOs0MS4bOk8lE5iwkQk7IT/7TM/2NS8okDO5OXVUNUTmPTEmOviVUVE7JLGkk0PwIoS1l oLGep+CLUDQZ0aVGxfGM4SzEXo2gKbYNV8hIYZDlSk7fzEGlVxaG0wFZ7pTb38jlNckV4tCbX25l pxxgYFKkUaQRutgTYlLIVTpm/GkhyX3U+HDNXYJlX+wXVNIkXurQZU5OZ6mUiYzWgNGdYSEXa8Rh GgYYchWYQ3ZLYQgOZhBYaa6XZ+lF+bCIwhhXbxVYda3TXbiXYHASarGKavhV+bCEu/SPedH/nSAO 31a1V3x1xry8xWyqlne9Gl/gj8b0z7Bckv15iB6qnIINWMCQxGj1DP4kx7AkkSjdV3/lImHgh/eF hU9ORPixV4Bgxs/A1m6RJnqJIHrg1HQuVs2Ryqj0T7cs525l53AtFV10FmkB2HHBpuTs1ZRpCIvl 2dp51JCN3ZGQmbZQWQtRHdNgXIPRTwI+kCohDEMkRrEoC0/4XJeQW5FwIE+NIGq4y5j1hHGa2Kwg YQ1mpvMNpwRRRlwoGZDezLbgnrwRo5PICWDYmJgIpHA5lpjUGQl6nEf52aOVGRUmTLRkF4w6BJjG JYuYD0g5VG6IXIjJGBhh4H+MaJ49kJOW/6VMNdqMupgCMUgD+Sh7AamjdVxwBGeGYBeXKhocAmrk CIq0LQa1PeG6NV++RGrGMdtIrgykQQd17AaWHd8Bqt0HKsuS7NrVuMaoUlJ4mNIHyZHdQaeAuo12 1Muv/Uj+RRDbwdp+dETzmQQOMQ0RAglzhcxUCiH5zckE8lvjYBkXDQZ+cFBjXtt9IMWJrN6M/Bqc maq48aXIWcyBKQ1mUFJ3WJmpftBkxootAcUozsgO3dqCxR5MgQcTuYR4vYalJOC8Lt0vumJc6mgF PUVNnIiYmBxctA8gslDpbZ72hIiHSKbexYWs2eCQ8iVwcCvsZUWUEUcAHWC9yArDwt7uVf/dV7hh c9iLU2zUx/0UEt7J3yXrslhHFgXhfKYpqczlmIgGVtgcT+SrqdCPRr0qgagKE0qGz4pEFd3HSzAg mpmME8IQbmyJT9ErqunlAQ1fC3mnce0epT4J1l7qo8TWif7bg3Sqyh4n0JKWCqIRKapsLYbGukXb CJ1Wr0Ghq67Vrz1havyhEGZeDT1fxxQcavwajtirt2UqgYSWaLpaw+AqhiAQsjpHq3bfGjWrYAhF VCQH08jFUVCY3qIc4ObPvEUdxR7Fer7RgwLbWHbgoD3KbugISkWIp4LKwsjn4vgZlJlKshqgefxd ppgj5C6ZgWRIExqYgvgrk0jYD/GfJDb/H40xyrL1CWkp7HUJBoSlW5gyCw/x0cSCVM9hykcOYbyu LIEUZibxYIghUa7YnP4p7veGxA5amMw2CLtVXa6GnpStoPNqybUQb3FEl7wQDKKQTsbNHCHtya5G irsVCuP2L8huYxGK3KHGKA4pMCxZVWI+Soxhyki9YEHelGwF4KM4oryMHrOkjKb2CIH1YcQYZxIW ptjehClWK2MVnIqQB7bo7LPYl8K+3ltg7SqlT2nNLctQo92G4XrZSiliIOvqoa1+XmXhrDBCyf9F 3vrYIVkyFUcRxMEcqR/R6rEc33IS0p7l0qGU3EmEIYsYkWbZCl7MXBI/SLj2yG4K4TIq/2OBxNlm LKeEZcysJCIwRhfrahHRwK4WCaPDMOy78BDiMBre/KMWGSQ4Mg08ak20ps0xfSVFMeRFJVNw/R7f cCY9nWUxIdNLWrJEPUZWUYw8eopn8qNDzidBjXJChaNP7uMqq9NskSM+svJZfso+FUU3jlBS9TI9 VbIwfeaUDAcyV43hts4ta5P5WKlMYqRWJk4zu0z7Vs0zzw53gTJKRs86HeVJXvM3l7M5nzM6p7M6 r7Pr1PJK6vLNePLdsDM913NHnUeFBQgfa0gYetkZyhJajO8erotm0utSnSEx27NCL3RKHRqS8OD4 UYnG2Zu6QvBZmtH6KAalMDRHd3RSLRivcniJZPig0vBeeJQqKQfvcChbyHm0S7/ZNDM365XgrGXE W/zqCAtxkFZizd22IUz/NFB7CiXN4Yy2UmBIs7c0HaxhhRtmsSJzxTIHtVSnM5RI6G4EFH/EUBlq FrAYi/3MkoMdNW54y1SX9VTbaozcCEpNZfcqVky94ohAcjWbNV3Xs9kyWf8Js0O2a65ABMQ9Tus+ p8tmc10XNjsP9UqIxkKkIX3qXBiuT0ArohsZKVPHtbOk37katmYz9NfIsk6qstzYsjdvNmmXtmmf NmqntmqvNmu3tmu/NmzHtmzPNm3Xtm3fNm7ntm7vNm/3Nu8EBAA7 ------=_NextPart_000_00B6_01C9F002.CB70D4E0 Content-Type: image/gif Content-Transfer-Encoding: base64 Content-Location: http://www.cdc.gov/mmwr/preview/mmwrhtml/figures/r014a1f2.gif R0lGODlhXQLfAfcAAP///8zMzJmZmWZmZjMzMwAAAP////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// /////////////////////////////////////////////////////yH5BAEAAAYALAAAAABdAt8B AAj/AAEIHEiwoMGDCBMqXMiwocOHECNKnEixosWLGDNq3Mixo8ePIEOKHEmypMmTKFOqXMmypcuX MGPKnEmzps2bOHPq3Mmzp8+fQIMKHUq0qNGjSJMqXcq0qdOnUKNKnUrVaAABAgZgFRDgqgCCAwYQ wDrQa0GtArViRStwq1quCLsyDPD2K1W6Y5+adZiVJdYAB/vqDcuV7MW9BQ1r/Hvz6oCTbDUOKEC5 Mt0CBNpW3gw4AGWCAj4D2Fz5KwHSBQAn3mwX4WTSqk3KRUk5b8PZCXG/nJxZ4WzKrVGeftx2IPCe uhnWzooZo+cCBkND9x2b4engzqtLtPvcpHSOocd2/wUcmnht4wUefy8rGvjV05knax1v8DlWytpB Y+5KmXjJ8Ch159Bp+enXG0zlKXSdQFe1FJtoo6XG02TYKbRegtnVB+FBCw5YQIUVdTiRaAKSVGJG vJ3V3GugEfDYievhl9Znw1nookA1utYcAOs5BhcADc7mWGKKjUeXaszZxmNW1W11VWx0/RiYYq8l B+R8QD43gGo+tsVba2vF9RVjoBUpF5ZA/khfim0JdpV7POK2FUENkpllZGXJKeRXRlYJGHBMiolm mluWGVyUUAY60JzRDQemonRK91WK9KUZW1ZSwiWXlFGutyRxb37IpVpncSVilpfuuaibko6qmKbV Xf+WGn+pKUrfpYJlCSaUW9L33aAVhdcVXAmeSueGAh4HAIXLpjdsgexJiBCGLAZwWm1/pvchj5wB SdqM16YXYWkRXqvaa5jtGK6S0Vr2nIxgsSbdea/VCBsA4UpLUG3kettteJURQN6OCWLIb62bPSbj u/AevK21AccqmnSqrfhhvl85XKF08HUWrl3rzkguxOfh2227omFcEMNvPsasyXyqHN5ktIqc7nQH h9oftwEzGHCOPk9HsUA75jyvuEdnNrO+JpfGsWXNYqiygBcGLO5z1wp8EbqVNZvZzldi6q9+OJNG XL4brgyfQvWSu6B844r3GYvHpXgtzzx+yeONcD//19XacANY0M4s+nnsrC7SWqhYtDqG2aRIp11u 4xG6PHfdkfeWYooC8N1cqxFmLC6LlXMb3+haE0Rg0+o1N5yschEueeembXud3/Z+KKzfcDPOYuf+ teWoyZn5HSnmmeX49tX4vStwd8I2vbflSrtn/II7S1rQ6te2rrTn1Yt6vagR0+mnfSY/ljX1Y/f4 mfHnaQ80ReFtNaa4Hc5bPLLtYSaWaPKxX0LWZqHN2AZQdNsWt4jDFfskKWpEk5Dg0kSAGmEIQI7y VNDQU7OVLWdf+gLecQSXQXihB2Tkm06E3tSb7wiuYOJaUgVj2LBZQUhGx+nOa/A0EGZ9yGKAYVaJ /xYmuby9RnQMAszqgOQ1rFxnh3bhmJRUp8AlGotqo6vitpR1naGNDW54k2GOZFQ/5mwJQsbyIYBo 1qYZmkeCjzOjFz0otIll0T9WTKFmoPNC5tXxQBRhUw9dtyPH7U+FYYRXjeZ3EIilLiGC3OO34BVJ hnVtjHBkIHAAR7DmoEaBG4xgqAITrjfaRT5VMl0E7wVC1bzuhqlhE/R2tLnPbbJo0nIPLLPVGQCe jD1j+dBkIoSjyKlwhLPzXxfTpqximm1Z4RpYv6hoF2W9LFrgSl8xRedKZ0FIhwp04S17Q0bUCAxC 1/RZMJlDTJ51DpfSNOCJyBZKu8UwdNt0Hx9jyP85OwJyIhhalDFjwyYRgRFeCUpnfRg5rXuiJ4m8 VCeQEvfNICoQmZrLpLcy+jVpJWeINkRkdHAoIc+QU0IF9Wh+uCghWKpSlWyCoeUGZkpRtrOd5UQk xIJXzGGWh58P2+XYBjcd7BV1S6ujHRgbVBYCXmlHVDzbRUG5R81YDoXq02IH8QbGX2kUnxOs5jGp 2tN9gpGNBttWWIeqoelg8aoD6dDt7LjP6fTNl/+USCS95syx/C+j6QmLsihJSMxUkF080wqpTmOQ vcLMjCsM2js7ilT80RCOeYEPx3par2apBapxddbaNKjO+7TUWfZJZf2IJyuDLGdoHatlet55v9n/ 0ouQWikZnI4TW3h+UXcM3eEqu/mi3apVcoDibWAvF0yEjYViFHqnYAVGunihpUrVxSZfj3hE05l2 q91x4CVti0u4uGdBvSVrsy4rLUfpVlShgxhXiuivBuJVm+BqrZbeWTYXxc+fFwmoVQVqQP/w93Ec DJqsWLMa0kBupDydaGXeCKWsdbNkL8uhud61VFTSsnwGCRlbyYZgnp3OsCW9Vu2w5VptlbhpnZzh PdEVOPaedWeK7JlNv0Myh4IQhQd6mYojO08TyxVq6w1nwGI2YWfuZ6S+7BqUB9y0GUaxfCWqWn/6 py3iCPdoeOyPsSIIZBB2WWSta3KRQ6vHBUJwkZAs5pmLGQSfu/7xJIURE06etJCPWqmRclKbl6k6 xfr8eVraYWqWDA2lQzfPzwRtjpVABBpAF6hSDaE0QKEVl0tjB9NtSfSnD42qPHGaOoiGCIhAhOkG JubUfLH0okgdHVjLmk66sdagI1wVptSmY0cx4UIE3OtiG5so8DHXsZ8ilsQhpYK2Fh6vl03tatcE Lzf/sra2t83tbnv72+AOt7jHTW6nDKmxcAFWudfN7na7OyZrJmm0K0JrkdT73fjOt77hXUQyzpt+ oMVzwPdN8IIb3CJ9StSsGwephT2qQnzW1awZJLa8vdgxXNpUfcgU8VspKkmPKlSpsYSYsP374ChP ubF50+TIrvBpNRQd5Eo2SMAO7MS5gxrX7ve/Bu8sRxTqcUfd9q+b+U/HO1e50pdu7bvJ1+W6zGLZ eIlBhyYLc5N6Hn5ArkpwGpaophGY4PDTO7HrzYKXC6nWU/i3aTP97XBnysvgVsNR2vQ4wHlZcggU mmKpUITHzehndTdw4oncZCxcb2RIOFuKSU2rWCt0/9wnT/mj5ChBMQdpRPHD0EEKdjTnFLxq1YWa B9YHXVrz8Cmj6eZxcYZNQlZrKStP+9oL5cYKm+pW+0d12VcoPTfqe0l9C3sFjofYienQzWI1WtIj iabbnFF1Umn76lv/JiqG7eOOiLXLnLT3qWFo9+Qs2dHnxfFkL3xytQhUJ2YOctRlbvRhZtLvXv/+ +N+Ni43fveZtWag5VXheBDbrNUMegznkgnxypiRe1GOgomz5QmUdglZLln8WeIEnYUGGlhCahmsn tzL5gWnD8hDJMUEUB4KN9oGhhoEs2IIgoVDUBkYuOIM0+BNi0YG9xjg1uIM82IM++INAGIRCOIRE WAqERniESJiESriEXUzYhE74hFAYhVI4hVRYhVZ4hViYhVq4hVzYhV74hWAYhmI4hmRYhmZ4hmiY hmq4hmzYhm74hnAYh3I4h3RYh3Z4h3iYh3q4h3zYh374h4AYiII4iIRYiIZ4iIiYiP+KuIiM2IiO +IiQGImSOIlB+GQOURvN5lf3RomcWGxL1BBixhvPxUSdWIrW5jQNYYCFkRVZYyem+IpSwWEdeIC6 4xbrQxYqCIu62BMuohUVdHiNZBmF8SSFERatCIy7mIxDISmmMmZKBCh/4STS6Baop27KeI04UT+G RGk7RIzeOIxcERb/s325iI3maBKB5RVr8Yu4YmWr+I7qGI/241/9YY3neI8pATzg6BjNVlkq9o0A uY8CSRfG2B+Kho8IORLGKI8ixDhGF40QCY/T+I5bQY+NV44JmZGXKCoCmRUsFzEDGZIB+Y0eOUMu InkamZIS4UAMuYqlF5EtGZMT2ZJz4/iLW4KDKpmTdCYeInk0ztKTIwmUIdk5XjFdgfUXGKmTpmgt zyWTPmk/TimRMDmT03iDBJk1ftVASamUnKhrQpkkPBmUYimU3iiOaiN2HlmTN+hqXImNrBiVBFkr UzmXUlmXLVlB2OGRubEW4jhhJxlxbf9JiR4plIJFloY5lk9ykkTidsNSkgFDGKAWmJHYi3ApjHQJ l1RJl8K2LCjZZ43ZbJj4XJoimYn4JSOZW6WBmIf5lQMHHVtZa3yZLuLoJK9Jmi6hbOjhbLaXfS3J HE6DmZeZmRKJXLWJa3wpY73IJJtomzjRNQ/SHzipdJwhkke0mqo5lnqZJ3llb59Zk6IZmcxJE7LY YwZUedkyW1EJlcIJnHbpJKO4Km6XEt1pkieJlOH5Ej75SUg2eRyGndb5nwFJKvAJb2kSm8qElMV5 nwCnn6VHezeznhAanBIqlbMCFo+0Z12hWOPoP2qxnApaEVzDoAQId7QCbQB6otcZGi3/lqArQYwF eaCuxqK2KaKfRHnzpVkTyp46mpki5XJC0RkV6Z2EwZYfahFoI6LbqXQeaZAo2qRiGRbR0Tl6MSyK tT4dKqMaeZ40KoxxF5o5GqHt+aVrQWnveRdU+qJK0aNyaFpbOmHRuW/D8ZdOOqcAyUNxdZBTMZ/0 JRRqGofz1aalEZ8Gp6V1saNiGqbveKGHg6W35yKOiin2o5VGQhMVWoeCBai/Fnd/Izy6k6Ke+p8q ihC6022YuqW92ItDGqmS6qEJMap1aHSlqqnWEjQ3eaiGiqj3MUCKoW2luqVi8avJOaaryqqimitz eKSAyqjbxigUJI2f+qzUKaWGli7caGZJvXqtmDospZptdIitm6lyikk2tgqm7HmDuWGJ1mat3rqu +jl4sUqH6gqoSXpwOngsYUmnABqupNSnxhav7PqveeevDGqH6yqoBPetWzeuCiuR0GYhnkGK1Caw APuvrgeoBouG+fmu/0vHigfhHvgKrWuGbm/6FBk7sf8qFhXrrXmSlspKhMjaqxvLra1ErjT7pXsK Frt6bCVrsutKUQALUWkJsWA4sUv3PB3LkSA7p8BzGxVkbTvLs9j6FxMrY2ZjpxkRjkD4tDA7qNLa SOVxnIalngvrlH41IIpabCEKteyaoWqrn8sCpSjSTD0osRpLcJuKaLXoi46StCkqoNZxtr2mtW2b rDozuF2jWIshtz3Is/SKWG1FmaYCKLcKnGLHF8ZqbC9ruJjqZJq7f3b6b/7VtEBIt5j6Ti0bFYX3 EH/6MxBplL82pGPJNH0Geuo1FWnbudnKprjrYAxyqQ72e+4ShLf7r//zSm4huzLTkp9hUZQb+jOp apeuSYJq5om7G7W+Wb0JQ2e3m7M9hqc8OLzsWrzjVnEaQR71opyvlonB+o382me8cbo0Ab7Y265D N7+/9kkNGxjfuoO00rY5a7yjIbQO4hVulJztO2wo22v2e61xucDmVLvIK4Sw2rbuFiY5EY4GSBFG q8AOXLqr28E+1oSkW7AXy21OlBNFOUMCPBejQaxGAcIWW7gdXDxQOMLeKrPllr89Qb6WW8JLAcNt elIdnMD0tsIXiLsuvGxMCRTHK6qACxX9C8QiukoLjIx6ZcT45xWdi2+dI742sb8DJLt5KsVbSsX2 68UMMbK2p7sU/G6cfusTZvkQN2tuNgzCZly9omsRcOuCwJe57KpvB4yhgaxdvRbFZFyjKYu7PgxJ oQG/+VZHPLvH72YtjuwRbyK9g7wUhnzI35LInUvDwQKDRyxJU7vI3Xa5PqGvyhEkhSy4UnzHmkvE weKclSxuT9KXQWOySVxtfzIUcXyJoTQVbMzJmwHLgwu4JQdJXGNJPjyfaByx/LguBhxXfpyt//tG ybcnycphHM98FMNMzFyGu/PamYmxzLzrEMfHit3cr4QipIqlQlS7tvr2yz5xwidHPp8YFd8Mzsbc xkTiqmchv5+EyqABvhIHnnnKj85bqE6iQr4rz1zMWEDxTgCVsKa8jAJNxv3MuK+WNTrirQZ2KTSK ejQHxUaUbKwImT2pQpu8tfpmUrVcvuiKyQJkuxn9yp4MtRsXLit80+1aFq0h0OtS0lO6pMNhjLDL o7NGsTGtFJULFJU6EZ0xqzYNzohczT+b0xETG1iNqaC5rRRy0TzxHmHboauIl0GZq2ZWt/qWnT+h 1hkhxk1hkVYdqFpNtHftYC/iGF2NrSiLwf8sTc5E4X21WpeSO5HaQ0W5a3CIO9EPqxHRGxXNW9ez ldcUa9luqisPDbWJY0iVxhRK1EVp7bEBmc9J1qaCvW5NfG34Ytp6rM1z3devjLsbrZ/JyURUKtsM mhdN/RI7Faky+atUCdAE1qYo98Y7MWbOMcdIYSTqeJx9CcOYva61HcToW6AZ/b/L1sWr2cgDWbYt hqQSbXBlyhP+g8UVwdxWgSrP7UTAqttqO90qK9+2TSpAer22zRi9TRPcjajqWIvySBhtJd6ZPL4E rRPqPSIFzqfiGKxQOakoSIzU6KjwXaOd+0acbZ8pu8GqpsY/UZ+eWisBWUTxbDYI/W5gnBP/OyOj 8+W9VlHH5uSoN1iot+KBjTmmSE219L2t40HbcjailssvYn0TvjiuHBmRXRwY27vfT+HaO6G45UuU TB4SLY2phzWbDw6ezt3ev/qi0KG5xQPj16oZH7MdWIPDReFEACriApnHOPtJLr5vCS6e0LTgqjvn oIeXV4reJyHD8wusz7uqRKW2TevTxJs61Lcd5hTnY+0/Rl6X9AzUiJxyS+zLVhvXmfw36ZzSfpnU uxwR+1zXUtvGhk60uaXdDwG+B94Yo8Ek+Tof+/jUR9vJlJ66PAHeHpHgmk6lwCPNDt4ZJIHflB2o Ym7cC1a9cXnpHtKuQ96iugbrh7qW8igeya2KGkoK22PdtR/xm45uXwg0Fzfel3UGuyceEag57MV8 2hxd6j+L6paL1T/hP3zbdwAZ2bM+TSjHrPH+xFFuW9Ho5U4eEZtujKVUn1rZEJON7qOutn1hvxjB 1iicsP49k+kojRy+UOiyse6eEwG/GJ7BHP/evI4r1erY4K97pZu42Qr/wZEsOthbFhQB8SqOtCd6 kcN48SuzoUvXK0FR6SPBJY0URj+fzgTf6WthJCWO7uk3uDsevny+EKXa7LLBMAwtprzpFhsvMv9L VytB4dYwgefcWfIJr/Q9Y7hNz67KrhwyfxPy7qRoPYyRTkpSH27SgdwXnPV9LsvNSfYWzvQLjBuw 5i4wDscqvbDC/dxu7lpdtLHQ+ekocZMyQZDmzffWbvZ//2+C79I7IY7z/uzfmPjbAygbSxgE39k4 gfMt4fV7T/nFbPl/bmpQ/8c7TDtjm9LTuKddjC6O721SBtTd44ovYecjoe+rz/qf4fovvyoW4soM Ovd45t1864veKEy6wpfRxZQebry4qdmvNeUawt9479vG3/p+P78E1YHnjq3r7BL3UbNSuZaFgZ5E /z9qgZfXXrxR4o5TfrcyYY8AAUDgQIIFDR7/RJjwYIACDR0+hBhR4kSKFS0WAHBRo0QAAgoQ2Bhy ogCBAxQOZCgS4kmWLV2eDDDg44AAAmretJkT506dAjz6FEBApkMCRQcMEIA0Z1ACL50+hRpVKlSl LgPUHADS6NWpT5OS7BrWIAGuYs0mTKlS7VqLGdlaJAsg5luRIDG2pHtWb8GaDQkAXRq4ps/BgoH2 /Sj072HGhH0WyGoQ7F7KlfXSnMzy6lHIf8taLggUtFSaAUafTUtX9Vq3qyOSNT3UdcWid1nmPS02 KOSePH337v0R8lGlv3EKpRk693LmCwuYlmozq1GkckEfhd78tnXtUVPPBl+xdXiHR+UGsEs+/yLL x2oXE+Rcs3tMj9h3C3Wc37D+wv1/+uevsaRAyi6jzLpDcC+fTEINq8SSKlCsjyJMkCCGKoTqO/U2 xIhDiOTz8CGY0lPJINmKOm2woZALSialgDMORhkZirFGm/5iEACQbMKwx64WVDApv6rSi0AfLczo SJc8CpHD8Tz06UknTxJOLROJss0y+uxC7iitAANwPzHDLEDAMMMkbiACD1SyzYQmHA2rFQmj8KWP 3DwvRzwPYrJJ9aT0EFDy2CxINisLiqhOCRvKCswZH7XRuOcgfdQhHu1SdM82U2KuT4jw47GlAfEE UlM+/dxQ0FQHq5I8zd4iaCTLGgqw1jHNxP9VvzIDJK42iIpbcD1Th3WLOQ2HJMwqofDEitjQUP0T Wow2IzE89mAdaCI99aI1Ukq9lfS3r4qqdlecPG3IWWZ1TIo5Q+GCsE6ktvWRSHUBeFda1VTdEEKB yl0t02zZ8kzQpipjNNdbbT0TV968BHik9job7uB7j0yK3tEi1ojFzT5TEruLO9IXPH49vEk9ixPy lWCKuNPLpjIxA/dbm48NCb/0/hrZTaRWzo3jizxGTz438Rs535LZOpnDnFRmqeW1OBZYqr6OWjjr hhlGV6VGP+z5yJpA0g7nt5ADGcOsqvZ5adea3hBFqE+aeFBCdaP1Zr0jFXqjlkn66O6wT5srkO2z 6o6bt1C1S3fkvt3WCG4n1RMcJcnVMm+vq4ZTeGutFVZ6I/OEGsnwwf/PItB0sRDzcKvFm2v84tAh D+nyaAdtyWzVMtfLtJlrBv7b2S9CKiYS00v79NFiZ470pe3L7U7Hac/rNcWywl6xrwDj/irvv/ee ICHBM334fXsHqfjO18+YXM4977p25fFMV/WwqH/IqGRR4/1e8/GfiELAB77AcG9BvUIgZ2hVEpNZ JVCoAVXwvgKxIYFKNoz5zeMg0q750e85jANgYoqDPo0NS4MhFBFCBkhAwLxIKQi8nmLKw8DZvCR+ NTTL5uzDNf20b2faU6C5ctUqjYisg22aoLFQqK3iwcwppbrYEkViuw1V54QXUd0Dw4IeIdrIh4nB D7B+g7VHBfFlRxz/lu8+mJv/Qa4oKhJh8QwnmpFJsXZthJLMZlM5RLlqdT4BVQ+9lBW/sIh9giHk 1pDymq/8Co174tRy8Li0NwJSK1hLHp+iVEc7Ru6G0AIKePgYKz/q5ic0W8q8plMe4jimZkx51Pjy pxRHPhJPaQpaJxlFLxXVplE2oVAT6wiUebUPhuSSWskARzu5TJJ4diplVyh2QEIWkjiY4WHWEuYo /XmqLHPxyxpt6aYLxYmK+tokTORErtIUzX49Qs/eZMS9a/YKmVeMiEmo97QG4gU8y/rRf4TTJVfK 01u74dyNXLRQgfTFfSUcJzyTFCfd4S+daLlKi0QIzNKMLJ6fs9UE/yd4TGS+RY+QS1k/b/NPoEHl Me2hzvay6bkwBWsmSvGli5pCrSqZ5J0RpShEzYI4KWZSMx3RaNi+EjymxnKSRNUXisb2NpdY636/ bGpWe+OlmOhUJju6UfpIZzRlJRB7g0RrchZCoc+YJkI/RdC8TpPMouYwS/cKCk0PqddaXbAwHknP OeMWJaIYpUsuvAn4XlLREk3lKhHca2Szaa+OmLGbiYlKxla4WfTEhS8MIRtKYkfZn6mLjqBxni6d OJW7qguTBoWtuBzCk5bpCIBkWWZnzkrGwwzwKVa1GrtiO9yd4NZCQWSnJdX6RDlyFnxCYWtKVhZJ fF0UiiasDmgYS/+9lnonJmHbIUjFy9eFDaWaIUTSAA04SBku6Z/ewRcrxyvZMcmGrX1S5QKjc1GW rM0gOuRZQ0dr3aCoi3mV2S7thGrD7/asi8SFsBfx6afqnu9as/kpQsuDW612mDMHIZ1WZrJar/D3 JND9L40mKpfYvWcg14VkZ0/jzKWNUlTZHeZM6UteHkuRQTReSUsmrC0biy9+RdlxkvWDSwsRBcdi oWx/PWuhchaYxbbB3oJa1N1NGW/GurTUUE3srEl1OMJ6kyJYgJzC/rpmzAo5af44fGbgMZmUnYEr Qk4r5OWipMoMoq4hFwRQU2mZcGBuSJ5D82RnPVbJ89Uxw+zIO7advA4hdfklnbwjtEfzWED6Fe1s KbNnKUfXNmUebSC3TKy1KVqdiE60WYyI16LR2dYxArNACMZlgVDzRcAMn58Lg5wdGbVQFimomevs EbISBDZBKnJJ+tzQcsrljQPODIzxhB9XCzDBzJT1lNU1NkiX29O1yrVgMZsQQJ4VTMGmNn0GZN5m s8wi2DR3kjkz5o7GjIMu8e9nbcMU6pLWyv+mSnS32b1mafH6KSi+2IKUfetvpRaFun6LwFhITOxN a5JvRImGL5JsitvISIWqd1hIfZJZ+zlLMsQygRfco3ajdsjSioxZhqQ+hVumlefOd6TFBFXaHYwu QGOKSh6Lc6A3fYjN/gq0nRJwKmdpc9g2ssN9NGibI5rQ97spsIdFnImXXW+fhBzGCcYXulpkMzgv +dmD8jptBzTaOpr2eayeFjXJXF1GmRWs/53DA/rKkMZu3mKE7vTFK8zHV4cVONnydmgthvFBlw7z 0DPzqb8ZIVS3HJsG82KQZfReDLG0ymFdpp5rJier3CVvgd36Psbd7DUqqiwnL/m1hLLytrf/GSBf x0WpvwTiQNUMje5+YUSnXEuDgblheQtvyuSt8dfHfGGKuki6UL7SRHda9pW8yHpL73CePwjokQ+T A4eF4dKiPVTck2U6UX+lwL89jPDXKK60XSTe7z3w65f8C56T66PiA7i8W783aS1pWj14ChF3662r w77Ls0ABbJLzyJg9wsB7owl0ApYKjCxCGrMWCRLOGwj1W0AG3IvVa8Dm+Lb5y7TZcwv8s0Fw24z3 26AOrAgIaTgMssGbiA9CyRgEbImWW0EWjBlY07rTQLuoYqd6EinxE8H88L8MNCM340GKgK4fDEEq 3I9FyrnPSz27mzpxS8JLe8GpOC87Wj4F/3FBiSDA4WrDhlO72SgeujAPnHutOTQmLhGgFYuZKNyt LukSOElDtGi/sLjC/esRHaQdMLRAi7NDdaMI7Di6D6y8tem0XJkX96kftEBDKJO+GMqe7Im1RFwI TFG71QGz+HsKSESpIAw+WWQaS5yILtwXPuS54fqiiTA9EkMqFHwK53IuFcKa4+qunBgcQGpFvOkk WHSKm+Muz+jEKlwKtykN8oiM1cBFr6mkSKMgTPtEpCoQkGs00BIn6jIyYkQiK3OIoVKtR4xDOZtD rdpCbrwy8MDEXQQlJAue7JkwCFkW/kJHYrm6KWPHFzu4sEGOXTmLOgQgH6lHObtGKuS+kvahj1QJ GImsIiQLQ3t6L7+4Q6Y4PdQ7uIXstcHrmbRAPKdQoxAawwqpyA27R9iixrO5lJwUj460RSzKG/Yi npy4OXyRCURZOU3ZnH+BDpVEqiYcltl6Q1FEoa+bj290m0C6wCokIj8xrkaElY7kyZBgkgkCxYoo jsmLj1iJMlNZSnYRsAasu9Mrj6lkNxRiybKJQRSyj5uUoLmTRr4gCdMYy4ownu7LyBBJi5iCvYfo uJkIJRoaOZkZw1Qct3JCj7jUJHd0EyYhF8qgRLdBPyfcS5lUH2zcSlRxsfjikM2jC5tqklwJzWx0 Mszym32EyhjDsn7kk/7/6RkmwR7K8EiNtMvVKU0A6kta9CKR4xDjkkz1OEyTysfuk5EsFCLHvCTJ SY4ZGpy3NEo92kzlmaBF7IqYpJ2XHI3p5EvUvEg4ghasxCLrFAnf85BfA5CMdJRPSsGLsDapDBvv TAkmoTaG5Mw26ajAJBnq2bqfRCfl3BtpyYjC7EH13CDIqyJvUZydGJ7IEEB+4o3/rDakiscbSUHf TJpvsownpLBHZFC4a88XhVA/aaS32Mb6ZJ+EKozhqaThoU8TTccsmZinhI5kPJ1pCZoWrYt6QdKi u6cmRaZ6glIpNKApTTZU6aoQoc+1qFH1EKNY0r9nGo/ExA7sQFDtCtF//2kxwxrFiPNRyuCiGqNI CVWm+xSpYrLTjInSKHXSPRVNChWJLZ2afQyPTpRPYQlTsliJjPKSBbS/7uyW3FDRfqHImpRKv4Qw QKpP8+RSC2UN+HwIM8PUjbBEVewgRhHGJYTTHqFUS2HPVk2lSD0bTuVGWW0suwm6KcIWUlUexGCj JXU7CFzVObNUUA2R59TH40yh8BBWeSrUACpIQxlO8tRVTsoNTV1RDEFW/FG8rZTEw5BTbWmKxLSq 8xnSs6nLcoNVNuMR2cCpAJrW+ZFW9NGXrVvVCXFQrfJVJ6usKTkfsEjX1xAOCMHJxuqIXmNVdTTU d1WqeEVVr8xN0PjXJf+yRlflVlbxytiYm37FDg0qF3w7N906Os+iD+iIiOJU2ApBvTItlHx1zALd C5aNwGE9M8BqksgQV9WwWGw52AmVkl6smWY9m34bD/Q82XWZlOaIVn502YatydPs1laF2cJyEJO5 2Vrtlq5JD8L6lKYD2qnhjez4VJMt2u6IurLxVJ6lx1VFJZlVNlT5MVFinT+Nx9ZoqYIczDtkVXn6 1kS7kRab27GtowAj2yYh2o2p1xep2BfVFVSxjq69TcGqLrA4o47AWIzoW+vztCV9D96RDcDtGQPU johVi8JFrcNlWzpTzRLFIdbYn8n11/rRsKzSXB75t8Dy3IgrMJUFsWJm1V0qqdf8fFpJRBVNSzrc YA3TKN66oEz7jKy9DbI7W8Pb1ZS2XI6unI2H1ZKzLZm1vVfYqjxzxFuVMDpMO1viYtw7lF7Hyctq dV6i8BFajUOKVdz9UE2MIJKjC1+4aAryebTzHY/0/+Wk3g2NbEXL9yXgfTpds2s4RrHW+YxbMGVQ IASXqh3UyQgzAPYfRkNaytk60cXL4E3c/HieB86ZpmhEzggtx/1Ty2ve9s2fAgEtAcbgriDSuOJg mvPgEOreiasx+B0aExYaBToYCiYYn624qIUZ4pth02rI7oDOBa3XSZHfKY4zUPJTc+FPo9TEKqIv nLOcJY4i0u2dHM5FTJJhNYlaKEngM1uaK11hNclFzWPN8IsUbJpXMG7JZ0OQKy7j4jhjfHFhK53f EBaMNk5aiYC4iLELyyHh8PjCmoJN/8XjiEORCvlJHBmQ2gBJMX64NFYZa1xjM1sayl0L6Ejemaku t/9gkEB2shkRQ1Z2O7Gd5CNd2i3CQwEBCsXgkghSuCje5EEGZjKOVcJ0JqO8C6xQM+vAEj85r8aA 5ZBo01k2UA2GncLkXhUhDuHAqp7zZVDeYe8tGdiITlFdpBTcJAsuJGa2r8DwZOKpZWmuVkEkW2G2 vqwZKcMjI9I9YCalYkLO2VSdIpQjCc7oRi9mTS+pRvWB5yjyEZ705qYyS032Yz3zZSMOZXlSUOid 3KHxYiJukm76ps2Yu3eeulv8r+DkCztrqJk8ouiVJNWowmtqmXym6MPFrX4e5IwemLbI30/p6Ha2 HkyyDkW9puagxrVSDL7Au5bavD9GLVl2LGrkNor/GzR29WOg5kaL/uaaQS807cklqg56/tOJbqhc VhpOZkMJnpFF3BykCbmhGIuDPKIz3WMP3h5/bgyZfuYI9NhgFl4U4r384RGJNVgOoenzWCeKINnC Meq7Xh+2Rkk9QTLNi6fMtCWXhlQP7lJLHRewhLU+3GqM/uBcBJGqNFZH1jRqa5+NZmx32ey1bsDN ua6v2Tvcwl6EvG3LGDKc5qEoxlG/DmGwxhkRXSIP3R3Ly44DUgvaheppFNhsguxpEacJYR6hfg6n HjWSPgvrrdTdILnT5WMAUuuLDh6wFhTt3R01EZrr6R54Q95IplHtJo3x/tK1ugvPOgzmScWy7aDR ljQWTrPYRwbuw/Do1XNs3qbC4j5vBf+XINaed2srkZbQaA6a59am2C6nAFuq2Ck4Cpcd7NYkxQ5t ntA9Sn1t8kazi9sehkTv79vXw4uuc8HTvc6T0NKRGaNv34juXltlvRs46Moohr0XcVKSiBnwSAvN ikRwfy5usOgszGjxulDIeCu80AKzItyYA7+VHde1sdFMXSvFHf85ovXFVmAc8Z44ZB2u8nLZU+rI Uyr9bluTIo1WVgRq70aVDqCVXF2q5NFA3G/h8vgKME7x8gHObVJpbruSiCMHqSR3QzxtTDlz0jy9 02IC4fyuSrBtzhhylO/5rHYr4Ch3jT5/agEPkEAnQc0k0dBo4iJNH7JOEKJC8Qza64ChFJlyIUpv 81qftCpG5Ov5tfpLm427569SiXYpcAhVuzJ82ROv7xSzjZRoynRplEtD63VZp6N0asKsUEanqXq8 9CVvjJ52m39+XrfyHi1rN12OQCQ7bdEEcXbpa1sRcunNqNWO92qZdeDgdZw98/wj9zYObDaLt3v3 NUfnR3dPUPz/cT53yfHgwGw8nktI7XZxl7T4xWuLX4qAv2PbclcfQwnPjqr9aex5F5N6x2NEjKt1 3necqNdJPyyscaFOD22Of09oQk41E+sqAjWHj3Mdj3gwdkrXztuMB6mXh/kEqlPgNfozsXlJXink /DGshuaeXw5M/hyUB+OJTxEDuebQrkcSpyc9bdLuRnGMc3NDDHYDMkbf7ZCalDZEo9y4evid0Hqh R5sEkb2mXx+qJxgYDXetUZLhEHV9pHM7whCs16u7B2NU1nuBbfnMc8Fl7bAyq/kj+dA43JYHtGRn B/qFZjlPCd3X0ng0icOJxbxdCfytUfi6zpHVMw8V3j+G6o6j/06xGD9Gzw36oeLEyH/T1aN82Mqr M6/hsrGURtbhHPH7W4z3y8i7SUHF4WDpk9391QFIb1eYftdDjNxW7M8PlVYivt1nw56MnT/fRFcb DfaM66kg+W7pslkT39d+GjW74d93LKfXTjoY8//ecQKIAAIGACgIQEAAAgYLBihQYCHEiBInUqxo 8SJGjA4dBgiQ8WPEAgQGCEBY0mRJgSlPqkTpsiVMljJXbqxp8ybOnDp37iS58ufLmS4HEggKNOZR oUiNonwI8mlGATynUq26ccAAlTyxgsRq9etGqGLHQvX40CMArAIgNnRK9i3cuCE3dpRbkUCBlQL3 muTrty/gv/WCA/cFa/hwzqyEBzNGSaAx5MWSIwt0a1esVMSat5Ks3HPtR5KbeT6+bJpsAbRpS7J1 ePo1bIsCCCiMzbAh1qW6lfJOCrTk6OBWTzLd/XtAUePFey/3nVq17YmehVMnWJB2z4KZp9ZG7hNh Xe2HBUYvP9HndcsMXZtvb5o2aNsBBjicbJ/yfYSiqfNPjJ8yVor9l9+Af3Xm3nn9BWcQfTnBt9pX t3VUUoC0lTbScAhqmBBBHEbUloYhkvWgfADglVdzKSpnXIMKuojiiswJ5J2MNfqmIktFxSdiWi9q xqBOD3pllYQneSfSc8hZZR2P0c2m0JMfsv/XJJUWdaSeXR41+F2BBHo533Y+8vflfQF2eaaXATaJ nZhgIQeAR+BRNJuYoNE5VZXliaQSdOthmSegDJJ0mkNc2ojjjbsN2SZ1iR46o1qOSorocrTxGCaj NtEInkednjTSiXQBxyhtdYV600iBxjaQVHBK+aeqeZLEpF2F6kUmmpAtmulouE5mpq+52heliJjy KtJIPoUHJ1/InfrQqG2WCmeLN3EV62k+1fYqtt1OWSuMj4o7aUtKHqsZXjFOGiCl6rZ70rcIHkab d8kayVJHyxqUL4XmboXQubaq9GwBg3Z7WWW0LgTiwaoi1ydc9Qk78WJsBmwYfBTvRa/GwS7/Fq97 3n3Hab4f5ssvcQNVSF+o81VLZEEkESxtvrkx5GrDlyEkHWs5AzrtZfW9S+64T14872NFLwXf0E0r B3J7oI5MMsQnT5iyzPWe6jLGnvrL62NaGqyvz3DtPFHPZVNps1yVJedxx34heTRYI8EdWMZ3xw0w rA0HBy9iB6b1MqM7qn044nKhF5etTitdI92HRerubkwTffm7UMOm5FvBhS1chzO7eG3ipZuOWdqd F6w364JFbphacee998Sav4ah6ptlBQDo6WVq8OnBC18RhXIJ7TjmMb7uprKPr2Q58tF71h5duW/m e698t6nw8N173xH3YnHUOvlaLb/krbXn/0W73rabVnD4IAmnJX/m++g9/vmbZXzBlDuPKOHOp5OB +O9GAvtfAZnivqDxL3vGQlecxJS/CXavIXLBS/rK57EHChAnMtGYSASkwVwtsFYN3IxJ+FObtryI gi4M3kboxSWySachCbyhjQLYwZskjznAUYzdEPi/EhovLizUXVb6U6qOiO56L3yi6U7WL4ttimRE GSHrdLjDmmBRIKEqVRcJRMTcGZE6CnnRzna1ICiy8XAoI4rFQEWcmtGnh3ZUURO3OL47LiVMeePj 48aIGkFS5Ijoegga16LG0bSxkRVEGVYwlJswCiuPW3wb+/iCF3tl8j6EhEpYykgdro2uIHONip8j U3k6lUlPiEfR406SBkhJRTKGNmllUj75lL6VpX77cRH90FUaVRLTezLrZMdgGSRKAmY2LXrZXkQY N13KD2FjGsj9DrIZEhWzm6dziI5wiUtlOmiWQ0PRdrySsp8oxjcjawk1L8JCa1ZHewoC2ry8/6nP 4SmpM8wcULTIWRN/ItNL4ITfyzJDGFuuTm68fEvxsqRCU7aJIV/D0z4zWjrPvNOVTvulQK9iThym ZKAXbRBSGKojeD6ULBFtmwrNUlEmahEnENMoTnM2nxAWFKA11SNB/2mfcOLlZaEinH42yVO+vSYh YbkpVDiImJiRyk5VMVxOs5qzklioneJUF4ZCOlCS4tKrnpkjcNAKlEVuDi+mkeph9AO2M3JGq3Yt G0IslMGeAmaRAt2rUP+SPpEQJpyMAWk8ZSOSt/ZnQrx601SAd9fJHuyHK/UoWH+6RbNi1pWcTR5O gmYpnfXHJ+fiXXa+Z7XVspaGJqNst7wySf++atKSWwQsbQO70LbNk7T8geyxmPVFVAZPszm5y5GS Y0ibwNY8XItdZxNlMbGik6zWjW5xWooR7TFWhY85V81iuK382fa40rHQifK1k+a6JyGWy+10xZrb +Rr0fa6B6lPgOlW/ukhHJgobeSZo3NCeZ2wWXFhi2Wu2TX5VKdS95Uixe91X8hZJ+I2qi8ATMDAp 5MKnKy+B2XLghUGHYQoOkVSYxtcH14S+LraPdjHi1KL4tj8aPle/njjgm0gHS30y8YlDtFPkqHWc LCbshBsc4Z88Z7X34mq9LroRrJJlxxHa6bGyMp8ngpjHEeGqPBMc5LhgiIAjtPL5kvbiNQP/JoTJ quIcVwsRlcUYI13+SklPy0Y0h3LOAwlzncd8mvnQa8km4fPr3mboJDPaslEOZ8rkrBqVDTMuiJ5K no/l4eHduSYSAbOVxCzoBb+3dZ1enjR1y2a+BPoihL3MpblzkFjHVcdTNRlx/TTqKkVwdeY8cuOU LGzrtlo2ddw0RmjNk51lOdfCOzXU9geds+l611VKcapJCOxsq7rbrH6rVFwLFWXvBDTQNsyfbX2Y Hn+5NcW2dlO3RFZgo3PYEkbguykyZWRfhNw6MZG/qdLGc1MEVNohXbXhnSfwze5LiKUut1et23xP hLlkluC5nM3PW58H29S26HgV3iQmYrBoGvz9q70X7UqKS8TicAl4aDM+cI5/aEgIZ0iq/0QeKO11 lVUf7MvJrXO1sOZkKAHSWnyHI3GJs7zibr34/R6r8Y2vW+dQvJrMTtTVCjURlZ6CMvwKOCuVcZ1N Kj/7ON/6MH5bpKJEr+jMq271F/KFzpuUYdYHaKVDF9pXPj+6s7CDSW8T/tuwbhXbK1LRk/enkZee ezexLuVb5ldojUb75b/a9IVkJmwXrNOVtldpLtMc8hpFGXZQl5rCs56vyQFX4i0CcwIzStwCLr3p Tf+we2Oe944TNWo3z3m4by+VBM898tMy+KW3nnyZaaBpZu/l4jvy8clHPqgyr33fz1v4BQu52Yif qUYeny2rOQnODv7k2F//hcjCbfOZX/8gMWOT/aGWYI8YNeorEefVFJ2a/bWf/mxS8/SeAaacAjWd aNieWCxXY5nI+Aka/1EIBhnE8bCEAOIUncCf/MWfJ3FEAALfq/hIptmYv6Qfe13JwvCOq3BEBk6W zBzg9skgc3jHU4Se8LUcvU3ZSiyOgqkgRKCHC76gXXGVB3bgxETSDQZfbOygqGxMgP3giDEIawwh EWaVWUwSDW4hAmYG+03ZEl5E0iELeonM0bHK2L2E9B3PwEzd6U2hdqQKOEnN6F2hPi0VEh4hmajJ LqXE1VAIpRFOsgVQ89QOepUh4D3ZYI2PJqXGiQEh53GFxJyMHZ5eUSHgDGJibxjcU6yu1IT4xMoQ zCDixOT8z90hohmOXRqy1PqwhBU2FyQahDOhFtVU4unxjpnloS4Oy5tUXghFih+WjEVp3A8ZS8Tp IaS44T7F4nWQxyvaYk41hGFxHzVu4TPGhmJs14EZS6RV4zkxIE7FohehxTVCY0Y5FQciozqKYL99 XCG1Sv5xkTo2hufB4hQCTAs6ojlqVSRloj96Y7ncnG2giIyNmKb4XpHdkBLa4/c5iz6iFr1k/98+ nuPyzaNFJkQUmseeSITVxIwssgx91FJRRRIBpqNfNAgntU8dThYlmgxrTaQ+Xck/cmEmCo5zpYtL CuO2iIbgmUtEsoy9iMszQRoOlSMWMoswkpicweQ+BdEuPmVhoCBsqIYKcojRVEiPqRhUPddlDQar nAWYhEuuLCRTlmX+EMVMamLvvZ5tdJ6WPUsAZgRPQpqRhGQd4kYBvovdmCVfDo9VQiVgJk10tIVy ad1GxsbANJyRcAxbOCXc+FdfRuZGXWBaVmZnqcWq2BCWIUlYtYdWyEyhHCZHWp7ziKZkpqDLoKHP dROwAKZFjtagRZJosAydnIiGXAUTSeVcZP9Rzp0mas6KWpgJa0IX5iQkQB7np4Bf20jSkeSFy1EP ODEROO6R0ySLb7KXyjQGkalSXnUJvKjYRWIRO05EqdDLWTSIhrwZ22FHKaJJPV7nG84IUdYgWw5c EKWIVGyK1tnLZ6mlsPHhR4Ajz8wGdyFOWPqc2D0dFvbWvjCotQjoI+aL3eCHMymj8HzfgMCPjmgd kf2caxZIUVhoXALHdCTOZ5okYaRYXLoQDv5Ynz0o5AVnApHdipZNmdWIQDILhZAmTTpPR/XL+rRk DaUXhH7ZcyIOqFSXUMJmOOLljszKlDyHLBqloB1jgfQjG2FbY8Bj2znmhzoGIzZFochmSe7/hXoV jE0kpZVA4Fl0T15Y6WTQWDQ2RF4tRKlEqb7MitUZyh05E5Wd5QH9RriJIfwYZ4/eCFGw4Y4ii9Z8 XzCGHlwWKfiAYI1SSUpiTm++4eqNF3zgKXRgps7BqXeyDYvihpr1hXXKU/596V6E0PEEnnX+WDK+ GRV5xUoWEjilhPC0RSVVqmo5hVsQmolJaYMq56j505LtDhvdaEqgp/wQVl5apqM0p0itqHuphjph VXwQmqgcGww55uUIpqbGjHUoi6eSWA7uk4eyjjs+kcc9zFhoaXi2asbYhsWghXpRYLOuHZ0EjxGi Cas0qVMkhCklHLHehrEK2jpNmLK2UWYEe8jBZkScXKK0Ugqj6uZyhgpo5Cs2sYZXaMWt4hWBDo2e jiuc1EZpDKu+eJHVzQj7tOsTgU8vkoVZfKnReCaU5WdYaetTDU8reieTxuSI6YjQnatB7OWeImv0 EJDCKemhGsWJNGx74aR2UBlJ+qUNBdJDCq1bNMjGRmkwOv9r0r6sr3rT6kElSPII0BwElTlTugpZ QsCNaXoTJCqUwZIMy1hbcHqsoTEtvF2qf/YRshQplawF4XYLV+EQgArtthDavswsHQ5K2RKTCNFo +djkrqGjB7ptRtohK6GoYEUsfL7QyMhmdEnt/hHW07YEdqSOHbJL05Do5I4utqQa6HoJzI5ZexJe tsJkcxaiw+Uo7eIPnyoZ6o6aEQau3R0vNCIJxLbi5VDp8AqPqLLr7BYTIK7ZbFro9UWtudyuF23t 9BLvfWae38KbTCLn4PZltFQR5ZDl+FIQmFSvd15vN3npP4lvX2rs3bxn/FbQrP3o0jLvqL0pDebF acrUBX7/o/3+b5XQr8PlbgGPREHtqIJKpntVZJfYYORFmp9dYWomawMX05VEqxCBZOdicLAVpf62 Ef9BqT4CmQC6rAZJsATiYhcpiZyMLh7KbcheHZ0CDr6Op1bFCdkZKsmOsFLusAt5bZKhpRLnHk0p rf8sriPFosokHORpCYKGkQ27lErIZmpirveEKcV4oQOfrFj63duWTSyCqgy3rMsU7xMTMFxEU+AB XHZSkKICkvRepzSa8KSQKDG98dgQsUZBF1998VgkyyceMRMhaPdcIvgSBqim8ckCL4geLtZqKIDG scJhpDeeLz3FWYPKrMuASRRPpXvV24y2KSbjnCuLi/+6TrBmhu++IHJMBlVPkTG4KIusUkgIc2+g 7BQFb9CgxrIFajCB1DIbyaRjDRMoo68gG+8qy96fzYeWYKza8N8NpaoykysVH4oPNlIsViCc6P+y PvEyMzGyfJBHyZ7fhQqLOkPjBIJvOduyZSDtNMNbNV+eHTtXDwodKZcO9LbLH4+vF60iObvuM0/h dqZzG2dUJQuLO7dlhwAck6Tw4Zytr9SzOZLkuh6W8NLdPc6GFu9pWhY0imXzaoSoZCWO0yIKSE9k JIUrMZ9Op4iYhOReRW/QNVeESsgiKwV0znh0l9T0PvrpgJR0zK4gVQZ1KgFi7B4KS4vIjGSnkXBz zoArTU+0WbZFuCZsOKsKVY9qLv7KRbd0zDi0zxCoe/5wOAclgCh1WdPs57bLGdKSVOeX4V7y4czG Dc3tXcdM+dagXRc2ze4ehSrrqcZtivY1SKT/zlAjqSbnx9oqtnaw0DS6TmJrNurgSGcQGnE8DEPn Yk6viuGAD+IoVLsgLWgfrWOFC1CAU2w3DFodVs/QcVvPysD43J8WS9smTj/uYUzftimBketwdZPq HhKHMVoQ5eLsNVGwS2qfRroFIXF3KKLANnJboK8FRQtHo6tItsNO6GKQzkBjleSpYsOa90LENPqV jl7hrlNrdhZ+zAXrcwwd98NaCPItdFCQzhxL6vxqGZZidbkwcekATIeyCEp/t5Qcx+qoEiTKJ74K dnwfN/oOTlfqx0YfE9uxLsNxuHOBCfrBtxE9CTsL1n2DNp2epFRktzlDdIQzCyyvxnWzpImsjRWt 0HhXUHc+h7JDHvNRiIaEtxzEbk0hw2GPK9Jxc7IU3sqOS0SqwasU3wldw0uSRwQnyVSVm6iTF09m zzCKhzFz3yAAevfc5RU4wa5WdDlEfLlYk/CYc0WZt99sZTFsKPehrfWYGbGSWEjByLlsAPqvfpkk jrcUA6NRv4V0ygSWz7Bgq7ih+wwzBvB/WeG6haN2eagyqpq46dUpp1/6wWS6nlIwEX7Hi8vF55aL qcd6rDBj3IrNaiP6XT0yEGmIfpykrP/6wt0yh2y0ZrYgR0vgHGtLmusMcM8IsD87j0CzF/WmN+Mc rlt4S2ANGjYLWdtGIYY5tId7gJphu7Yym0cjpXWxO0Fxk1g3uIs7vFdiv1x23QFihzWJar57vO97 +8ks2VXIEcdZqZe3mvK7wUdmnAjpwS88w99gLTY8xEe8xE88xVe8xV88xme8xm88x3e8x388yIe8 yI88yZe8yZ88yqe8yq98N1E1cLP6vbD/vMzb9NSs0zqB9c4dHa2ujGySaqC3FtBL+cyPmjMr3sDt rSrmOzYxOks6IKYNfQZqWTXtGey+vCImdBE7/bJBvQAWvb4d/T/LBNYvaK1x/fVJ/UfgPKDsLmRc o6QtTLuahFKq6ku+lix2bsHTrNaX2w2+fd3raPpNiNm7kNdXHNgTjdv/PdsaboMyMYMXkuL39G0w eN6PBQ7iWd8v5d/zyQcPvoAd7uZBzHzvi65yXluB7jO2BcDHR4jO4uAcGoN0+2bvPJbYZltDytGa xuVnCEjQfhX+4rWwinsxyLJ7PpKC/stJqVl85TAlB3qw9u1oYYqkPtS81INE6WbbH5+L/zP2UxTb zu7uXxWkpyzUeB4FC77xf37iKSCxQjbnNCPnw0lwv8WDi5H4grJ+HO2gdP/jRwVACBgAgCCAAQcL FCiokGBCAAIEBCg4kWJFiwUDBEi4kWPHjgIuhqyoMKPDigMyGiSQMQBIkS9hxpQ5k2ZNmzdx5tS5 k2dPnyslzmR4E+KAAikPDiQ4AGJGpQEGEDCI0idFAgdbNoUYcWtWAQmDYgTbtOBBlw8FqmQpFWpO AisxXtU4FGiAt1ClVgVQ0mPfjxXJvmz51CHXshAB3I2ql3Fjx48hR5Y8GSfKsDGHwgycWOpRiWYL biWYV+DWs4zNcm25WrVqsBTtFmAqgP9AWtAEi+41aJuqbpp2847eO3ci04FQg6bsyddv89MEM9Ku HfKtS41XaTMNLTB6ROiUwYcXP558+Z5AaWYWOTj5WwCep57NbVdi0ayPr872ur/r16OwC6guKu2i ku+g4ZKCSinfZpIuLomIgy7BtiC8TCfmmuvrOQSrs7Cg6qBLiCkQ9xKIKa+G89C8FVls0cUXb7Is PcEEqi0sGeFrKS/gnjLrM4waS421IVuby8L7QlToNrQWxKip6twzTUqKTlxKu71Mgm21xCAK7sK5 MtQwpPpIjMtLxHRTr6zRTFQOxjfhjFNO8dAT6iK8qtwuOPiWIiDApABTrbYDq8pPq0P/udLqtZfG uvIhRz8sEbGuWKo0LIlIaki2q/yUzc3EUBINrQ1rwjBMjkidyK7FikPzIj6XisgpCZuc09Zbcc01 JhnttGjVUFVNqyE3v3oLUIqacso4vQos0tnVFhXJodm2q9Ug3CZN1tJP7ZpIxAETYqs4qUTdDCdT T00o1dAGRNZVizJlN6UdCdXV3nvxlbNOmdTEzU/vJuIU3LtOgnSvA7Fa6lOd8uMPUa+iXeg/LNmi 7UO4QmsJW5BEFelY6Cr1j9tsXer4XDDT3WhDMuWC7T0GIyypYARpzdfmm3EWj1d+X6qRV0sLkHXL 0dQEOOFrVYyxtmefjRi3AY1yMypjwJ+rFzjpkg64X7HUXFCipTH+MuW/kO3NIpNjlS1AC4/70L6s c45b7rln2hczwYxNadugOXZ1bSp1O3rnnRru7+GtnJ5qUxtDe2tQq5qE0suQ/r4zSwlVBZvBk8dG 9STEVMytbMcnLusy7FZal+7VWWd9cJi2rggqgL1VjselVdUYutIsrkpIpodMHKOkVYRQ9siM19In dNNV/aaFgTy+9empn97Q2XjPfrbYc2LJ14W918vQRMnnT/jqd2L+VOfRb8jf/fcrw17K+RF3LHyX pWdWP+BdKx1+sTunrv8NkIAF7Bn9EGia9gksKQ10YFLOZ0CYqC9M7JPgBTGYQfR5JYEIhJsGZQc1 EeZnhAYD4QlRmMKbFWUr2HNhC9+lwu8JjIYDqmHYZJhDHe6Qhz304Q+BGEQhDpGIRTTiEZGYRCUu kYlNdOIToRhFKU6RilW04hWxmEUtbpGLXfTiF8EYRjGOkYxlNOMZ0ZhGNa6RjW104xvhGEc5zpGO dbTjHfGYRz3ukY999OMfAf8ZSEEOkpCFNOQhEZlIRS6SkY105CMhGUlJTpKSlbTkJTGZSU1ukpOd 9OQnQRlKUY7SXoOx4GRKExbVeCiV5YHecGD5PZu8Eln2A9+RnnM/UuLRT28JUIsEFLSGcMo9FxOI MMejEXjVZ2vKrEnvpPVBm0inmCqp5leiBh3HnXKXajSKUozCzSAFh1UTA06fyjI5ynwFXs5jZ01Y FU3L3eQqoxkIbb7mkv/07kD06aYdvwmyoGRHPiUrGZISJKHpYGuZDQ0RpqQ5EYChKSIfQ8mSFuQd jSjoLBN7Sn4eih2MFKg4ZlGnv1CCTIIejG+PYtx63PYofz1kRwwZiv/+GUf/o1SOaFGRzUN++R6F +OeX3wTLdYqFKXW+cySngwj3LFJPmhJtL1H65aoa4pJ6FquqShHmO/9zIGwa5D/+/Ol7QHKdswEl m4vRCEjCWRK4ntRX/1koO6F5FKZKNadzpE240npWP2HJqySp3C95t0+cqmpr/jsRVCtyV6VIFkuN GxabKjvT90DIsKdx5mZlWtWpojOy1hFmWKbz2eRA1p6xClFoN/vZhfaVjngJWkDJ2pKgFiaoav1Q R6wlllddJmiflYlUe4dccg3FmcjcKnNtyjGGGOWuNwWJ43w52qm0cyEQwu49h0JNyJ4Ts0DVrl7p ElzarjGe1P2KVj1zVodokoQwbHFKcXVHucvoUz7/8d8HKculp2V2tBNLbXjzUtbMYPWzYa0VNKFZ u+4KWMDOtDBk4xlai/Vuoy8bTUTXS0Y/HedfxDExb4caVKFC5bY/9dNnSBXPYk4sO0uhC2liPNm8 KBeoLilnYMHr4wRLd7TKZKowWeVWA5+UVV/BFJDNqxIbM/Qk6sEnhfe54+PsU5whxe4iylTaqaHs tFOE9ZaIiIbm99D1my0TKmCLo7bezDZzB5EqZelbo8bVKLAmmpiCu/peAhvYzj6+bYbjYpywDgqZ xX2PnacbXLJNLTjYNOc2SetlNkZHdkeSJu1SJJP8yoR2xtXSB9l5S1+xb9RjwuUEPQ0b+VBkset5 de5ArGldU7l7rK1eq3cd7JsBW9jFNvaxkZ1sZS+b2c129rOhHW1pT5va1bb2tbGdbW1vm9vd9va3 wR1ucY+b3OU297nRnW51bzIgADs= ------=_NextPart_000_00B6_01C9F002.CB70D4E0 Content-Type: image/gif Content-Transfer-Encoding: base64 Content-Location: http://www.cdc.gov/mmwr/preview/mmwrhtml/figures/r014a1t3.gif R0lGODlhRgJXAfcAAP///8zMzJmZmWZmZgAAADMzM//M//////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// /////////////////////////////////////////////////////yH5BAEAAAcALAAAAABGAlcB AAj/AAEIHEiwoMGDCBMqXMiwocOHECNKnEixosWLGDNq3Mixo8ePIEOKHEmypMmTKFOqXMmypcuX MGPKnEmzps2bOHPqPBkggACfQAUM7Cl06M+fAYb2LHgUaFKIPwn2fFrQ54CiB4MCtTj1IlGlR0Mi Rbi14ViEZztGrVhUK9KgZNMuZSqgqVesRqmW7JozwFWIfC+uZTg4ZgACiBMjHlgAMdXGigsIFEBg gFTFiC0PHND4r8HDBAhS1kwQMmLJB00ntjiAAN6JoAdSVjxAb0bIrxm7dug4Ye+Ethkmnc02NADM BArMTly7IO6hxjdnbpw74m/ZyVG2rm4yeNXVD7cD/64KgDLqhbExeoctYEDryu0nJ8bausDVzADq X4Z/FWtj5Yjllp5A+pVWGQABdJZaZVd5RpGCFhFHYICcXadeYucVJF5DV62XX2Gi7eaQeH5x11AB qGXWYHsU/kcVaNkJdBhpAFCXn4hs0SifjiPVZaJICUaHEIQPEYneYgI1NlyMRwr5II4ZSaiblDaW d+BoITq5GWpYMoXkjgX95uOCPJZo25ii/bThZPHJuJSDCNY1YJc1HrjUVHP5ZJRQIFI2m1511cln Un495eCdb2I1V3mBItgZngjK2CGCQTanp4xyGsWobSIGGCJpRPp5HYrQ7WbjWoHVRVpXhOZZm3my Nf8qW6txNrcnpbi6meudsSpK6FqZYjqYnpn6dF2wjlb2lJlKyTihj3oxG6djPQXoF5No9vplnpeW 91S2oKEarJ4efvYlgov91lldnhYoo7VpGVjmue4KNN9CVUrH3LuKPaXagUkm5ylokBWwJGbSnUdc Z8nBWqdlMCaml2MbBnnabhcHaFpS1mZs8HGuLecYZoehGLLAypKM5Hv4gdwvdppZ6K6UFOPY2kC0 USehw5gJVTJ1vbH8H7oYYmeysffWGRnIfC6mYGYHqsYxyq69HLFkESdncWYia2aaZCwDHKCI/+17 476qiQxgiorJlzG/ExKwpGQZX1t02EJBzSNa5/r/aWVR/2pGp5Uka5jc3lJaqSOM9q33L7uo2Xjq YvrN1lZ2sP4pKGhJvQdzqWcr57B4rVmm+buSjW6np/hpbqNjrmMst4KBVoo0qUqC3NOjsUn4+m6l Y/cUcuyuimTJViosYribIwlr8L2fRvfJbEsm+fLMpddY8sla1lts4mHIYtPeX9nb9Z27xvnmmnva qO0O/w7fhB/rHOPkcler/vO7YXn+l7l7jp+wBD14rW56DXPIgOpEKCR15ioKqhdoVmQbk33sO0Kq l6RMU5362Ec5wVPcgBxTJSP5xXPag0+MpDQzp63wfgfylO6wU5TeyPB3cLtR+X7iwBiebH4B89l1 /6wStN2AD2DBaxeTNiQ9zlxLecZhotzkQ5X/scs4WMpd86aouxCaJ1zuAZjmzHMfBolIP+5zYfm8 xiDPfW9lPoSg1npouh42Tl46BJMMAyY4M/YRYl/qTRbb2LAXRsdPM8pO7qxSICWCcGQAU+C2kDNF IsEukkRjyJpA9zmlUMVzBsnXjYpSnxHK7Tdr+g9kMjlKh80pkvwjZYzCx8U9UjJvXHyacdLjN2rB EZcH09rDWHkj+1iRcILS4xTpRJnhcRFM8mFbzyZURVOlDIvZkeF2THktWRoMOajhJfEg5L8pHhGY 9kIOyNwmnyvSRkIk+hLLSEO6M2bzmaOk34YqF//I/t2zZwB75X0S9E2IMSxGRQQoPoUjz+SgyGSW qRLnJHiuoZCqmAfZowl/s8ApEaRApUsP56rUMizFJoX34VJDz4MfcsJwh0T7lvRMw7QgrpOVSVQf HWsqo+sJcZdIOuYR2QjTFtYQnwWaIOEeusobEcSKO1Nkp3QanZqhppTHw0pUw9mTEKLRn6HRJeC4 GJXjwbE2x5vKThNHOH8dCKQ+1MvQdAhXQFZ1mVL9FtLYiTOHKg54/mSbUCCkpz02hJuggwxnhmae D5aRM5zxD3xelyHzHMV5lYSPAGiHI1GWjIeZrQ0/DfaeonwRhb8U1Ga/1Nj3XFVEf7Jc8lZrT7z/ XFJ0rAMqNoGZHlp2M0hCKaVIGxa7Vy0mtrkTJCanCiiHuvZZT61khjz1O9CmTmvE4eZnZzO9n0jU rHJbbUxnE1FlrdK3ExKtD/nqN53ZL4pTxSVoDWXEhq1PZh3Ln33fmL+a8o+0PvQuvQ5HNOM86jRB NBZup1cuc2EzQ0wLm7LO1i9wyoaD9tJR2C5IItX08TFQIpxGixYwh0ZSsYtBqYhBSWEC81FfEHXb e5ypl+C5Foc4DbCK89syGA3oxniF5GQwXNN6XRS/GCINfvNGoyI2DWqvlRgxlau3AsOStYqRpYmx xhw18lRpCNVtepM1sJ0qrYwJfLGImWsgk4kx28u6AevaShwjGLGYcEfVjJ2RiODlfMywfWnwZBZF FkGjJTiB0VVWAGNohRC6PLaqqKMbXZFHR4osB+GOpRPSTI4cptHr2TRasmLobumKTqImNaWbddgX CRpEk2ZKcIblnURfeiLVIXSqd8LrXn/UY75eia00IqtgI0SDxk62spfN7I20xz4/ara0g73ZaE/7 2tjOtra3ze1ue/vb4A63uMdN7nKbO0KrlkhgbC0cUwunMOwGC2webRVYn/ve+M53uDvakTVt0tE5 dIjDoEuWczV6cCKD0qv1zfCGO/+8JvzmSKiKnRD8QQWTRqpKm/6dEHetT3NBcrSkH07ykpu80JuS yqSGYisJLSpbbFp3m2LVTU3FKU62CZf+GEWX1ww8n5Tyia92N+E4FUZOzIQlxE7HqLbMeFlwssrJ p051c5etpCjTjNB2/kWCgRdlg4Wzy8w2zMfp6zTcBc/VQpShCGKmjqdsm8i0LDAoFsbDXg9rlrdW P7FX/e+Az3Ypk5nc8GZnO38SpnhsFLzYYu7w5rMZYOuYIZ0zL7dJydfPxdN1X4bGdilEZqUMhHZM OZl91OK8Cj9P8cC7/vW+dqmeWSQ36KlVYIp6tuycySL3/EmLRFIQZ52URgNTVff/pPm529m213yS kbxeZdJkto5MTFXop+lsULqsBfvue38n+4S8MWuvcKiZFmoBTufWJKZNyQe3vsQ3Jx2ztkTpqz5m +jX++3tWJVRr1UbiVBn4kR6URGYh9n0ImIAsMVchFVTklzqNMzbGZ1Mk5RobEhUVCCpRE3lhAlYJ xlpUwXSOpH6+E1huci1sdB7Bx4F1YlMEaESExlYKOIM0OBKlxTnb5UsGQx1H1F3MYzmQgTR7dVp7 VE/YZyBI0UNhJ2B4sS5PBE2ex0f64xPb43hXphx201fyxTw4GFINaHhaUoNiOIa3YWJ8ZmLBZFfp 5E7hVzWAJWVKE2MvNnyGU0jw0vVTLcNyS0M/JIhZx0VkQmN/hVNiaLYhuMF36XMa6UaGjNiIhuMz OZdph0UXDSQk9LaInyFo8XaCuCYVOVcu8aJot+aJopGJjniKqFgkmAQSabeKqfiKsBiLEVFtJdEe kSWLuJiLuriLvNiLvqgSlBSMwjiMxFiMxniMyJiMyriMzNiMzviM0BiN0jiN1FiN1niN2JiN2oiN C7GN3viN4BiO4jiO5FiO5niO6JiO6tg2v9iO7viO8BiP8jiP9FiP9niP+JiP+riP/NiP/viPABmQ Av85kARZkAZ5kAiZkAq5kAzZkA75kBAZkb64bps4aighdKMIG4vmbe5GEZhYFbRCihK5jywjUyN3 bK4YEhMUQhPBkmOmE5h4kheHEev1URA2kvZoHrnUVAKHEn7jN5VmEECJE/ahQMqBKRjhHl4xRZK2 UDhJj6WzOizWH0g5aF2BFLUzc6iyFFjpM60nKcrSeMviKuISdGQZQtKSFTOHICtHLIMBLu0xllZB KMLFldMXFSg4KLLRlkdhb/ZiWkThlXgRl29pHE25N08Zj35CKs0UVMZEeQzUS1tWIYYJX7czHQgm lPMhmdRUTJNjP03zUJMnTJ8hmpkngH2HmnOTHZX/Yj6mKTI/ExqjgSJ2s33dI0wodkHf8VMWZEH0 w5NFeVOlgZiJ+Y6l00ykkmKBYkdvFVc1hWM8yJo2FIZ5lFMfyDazlUf/g1Z1tDc3Y1n1VV7vh0ut BFgscl3omX3B1TTsmU5/gy7iCXTf0UDMt06wMlxHFUo3WZzwiEiuUZQrQ1PppFLkeSNLMjXUxDPw xTftCUfGIksP2k7I8zcJt5/nUoHJ5J808jh+MyPw6Z5x5k/5qUUutCS5Vl/Y6VRAiVl9FUrEyZ+/ mFNMGRrWGTrpUz42RUsfiH8Bg5KWUaOgGTARqkMTepzwURYdGHSt4UwG+jfIMxU6oyeN93gpehwG //OTU9WkVspA75lRQpSiVSg2BsZSWhKcMCqPWIqdiJditGk+BbqkVnKaRFctKXozmSaiDBQkdIou YANb1kR0PNSnHXQyxZNHuaOjS0pAhidEgJSiscFZPJo5G0g+QxKaIHozwNVUR6mejXKAZ9qOUxqp CAOn1AGk5rlmOgWm1GljkXcvsNmlU3oxP0piC6J4JJY7HWo2pjGrkOkywlkw8Dc9cQNDJjokXKaq G5Rdz6ROnfap//iRwKGSpKZAmdhgAlJqIKmJtSaJ0xoRhyFwX5of+yka4+qs5jqQu6Ybz5Gu0Hqu 7jqQ0PKu8jqv9FqvXhGSHrFp6cpqlbavGWmvAC3LkZDXrhW3UB7aEDK5kZc2lB2XkgH7sNcGK1rU EaIkit1InZpJXwSnEAzrkZz/AbEguxJogjxaNJeDxok3B2lvWRcTOys4hyzRhZEshyqP8idDarKS 0nvZWpWXwiwK5nRlSbC9ZgAHQbQGYbQFgbQEobQDwbQC4bQAALVSW7RUe7RVm7RXu7RZ27Rb+7Rd G7VfO7VWO7ZYS7Zaa7Zci7bbRh2MmVeeCVgv2Zxw5WavQbJQFhzS80IxJozsEpq46lAV66Hrs6Qz sqYSE5th17Ihu7jsEXbVUl57Gj3eE6Y8BEhoxWUGC3njaRBKVD5ymkw35Z/HOkMZ14Kl1YJyIrjE ykD1YW2M+7qctjF227c2pUIDRKOYASBjdSZuy3FmlVLtpKWYhVYARaAGsaT2//GxZ1Qw3DN2JOSU sBu9CyGxqcq6AHOoAngcodoUIaS4dlusHTg3RTqpIHq7VwoUs+SKh+EnUSmnTxpmTaGn0ju/ZrGB e0pZ9qJSbxiuvYS5vGs9eJUbSuS4LSi8u7Wl2sulFVti+Yudkvpap8ml9DvBZAGsgdqkflZNT3Z2 +iswOWe/XRpditVTSXO6pYWlilgewOqdMKRlELIaW0PAFDzDpthujHYmHXGJIMmvImmx6jZrrkbD QjzEHCG2ZXvEZ4vEaavEXqu2YOvERpzEUrzEU9zETPzEVxzFVLzFVlzFWOzFWtzFXEzEZFzGZnzG y7aOarzGbNzGbgweaEwTb188x3Rcx3Y8jXFcE3e8x3zcx36MsXkcyII8yIRcyIZ8yIicyIq8yIzc yI4sFv7qkZFcEzC3ERUJEvHGKpPsiULLE91yyUJZG6A8aZ/YybY2yh2pFlqRsh4pIK7bbqX8bv84 oVSY7LAwCWgaAac+6ake2rGS9KI18R56Zsua+UjQqsvS0ckdi8y+AcgZoU4JyxBN6cwCF2LMjBDR 3BI6KRbS52u+rBGj3G8p2RUu+RDhLBMb07wnYk2vrGrO4akSUc4LzLnUfBHwgqCVJsD1rEmrOM9J erzwbBKHgyN8Upbj0hZa9T7jPCnrJixjeWlCF4JY2SucJivlfHOZgiwRrWh40ipdZShtwS1maSnD pnG023Qui0h5Uh3gQiudHBLbIZXWF2qMZ07LktC+EindIie6XMkm/SI+AltqQlbFFh/ZbM/x5yyi GJfNAol7eVM4m2lRF9SmpSpEDdQFSq7qk7P/L00YKaN1GRN2KIPP1zNaAP10YZY8rHNelYG9YFdM I3d1takjwGqGoWmEj0pVEOWbE3pcGUOZudGKa+TXfXq5ICovVFon/hwTbGt41yUwe7Mx0amqQfgw s/OGz1E241o6f5t1oUNddZcsAhoSXPMXlOOaROMiVmqbQUJTXlcdQKO/I6xKHRNjrQ3HfYVg9YHL H2Gn26M4wG2ENwWngaIkB5sm77k9HopQPshznJmn5qMjuXpduSHcHRqulp0+CsZKYerAqP1zPZqh jtvL1vShdAHdvNrOwqZf3FnA19yZhJvW063Y2t3XiyqfyN1e+mffEbqmR0jaS+PXjIrBsrOc/7IJ f05VwOdNqvsdZiGHuggO0MMTM+XKEVzTudxT0ziaoRsD3gbIq4kKzdGxNYatWrlrOEzqyxoO3LWp v2xUuSCq3GL6nge7igfbeB0OebPKLrOW4wCs3ivhU3ME1pHNzvZtwFoapIIiYbm2q+N7H2NFe/OB oSJRUacNmZglrO6JocQjlBx047YbRMgBXIeNhHmkpdz8djTenMXqoIP0uJxL3Q18rG8hnNhVvdb7 Ko9Gorhb3QGMLu+33aFDTUfuVEduUsz9HQQ6u+RdQ4ulmZDroe8dzHjVgMYr4QaqoBJcotRkiJcd vxl1pXjOvmTz6U6hy0dtEVZ+4AP+28t9V/9ITi0dKen6RaBdoiTWMhWoHobEXepdjZLRlUfU+347 FC6jwTngvTBnyKPI44dlN9DV27FYMu0HuOLltN3rGzyTHeOfd0mszqf5S89Tcx/Eu93R54rHflug mxMlhGDT6R0+hex+3Z0SPNn6Q7vvreyeCzKXe+9+E+J9us8VseoYpR/aLjstyj96l9UJU1PTObn3 TrjdfTYLgn0R1xGCSLu0Xqx+lj/ACufvjHt8pcIpDEAXQ0ral4Z3inV+Xqzru1TZxHzxXafwhTJr niI3uWcChnuNPvJS8fEbD35kNYDig5La/dnY1DJa1OsXk4jwbMEFpnpNT2FjJYACTxEEH4f/12s2 /USIKVb09OzBUS9nxk1kKBaGskVbVw8T19pq7WYiMXhUIQiKLw3k6EGwbS/N5brJycb3Q5FpB/cZ funD5cGtUgFvv84V7mzDsuYhLC34kN/DcSH5CthYxAx7HPfI9Fsidk91a6n5oB/6or9sV6kV5+xJ QALkp39oh9X54zb4CuS6q99tqXzDsryQlNFiGKP6l38Riju9Ac0b9ZzqwrFtxM83wBzC+Xb8LxK8 wJ/85txrBMX2ZooRRTkaYSGus9jN6nFRv68QF50VF/XywqkQx19xFR4TzSrN+xx+zg/+vc9Qrv8S qd6sdhr+XjL/IZL4rEiaABFAgAAABQMc/xxYMKFChAQLKhQQwKBEiQAERrQ4gMAAiRgtVnQIcuHD hwUICiDg8KGAAiQZTqx4MMDGiyQHxowJsSJJgQQKSCyQcqROlwBQDvRocGHPnwE0cgRAgMDKoQml FlXpUabFmwp9xuz6sehYsmXNjg0QVOtQkleH1lSo9qDUkymVJr141OXBhzv5Gl36VGRWg2cNH0bc lgBcqjHVWpSK0C5XlZT17iX8EnDIxxBV7kwcOrRGqYvT+rQbtEDQjawlSl3t0ytrgqinPg3qtPTU qwByo1zdUiProjM7bhwgYIDXoholPi24EaXt5aeHG92Y0rpsm7tZ+iSOnbZL0uO3L56+u/901Km+ Y7c8376v7JmLATgHrlH57rmoCT61TzQBydpNOPAmUwy1n7BDbTn1dkvOLuDoYpC15UjKzTf6ZAvq OtauGs4t8FoasETEYFNttg7ZezAl6IDLEMbOMLQvxZla6nA1FjlUUDzuTARyPhI1KigoDf/bCDsH JUySO9noOqkuKaNrTy665loOpQvnq8s7yCpTMiojj7qRSuyO060plNDcK8kj72uSxB9ni64lvWaq zk0tzdRLvzt7w9BOn5bTUaAwgSuISA01bCpIIB8rc1GXIsOOICPhfC7A3vQTs05JZ/SqtqtmilLD 4/LMkqYrHWV1Urs45S7DDNkLNS34niT/EdRQxTRNu4RktY9T/epLqtUBI33wu+MIIpVWyEx60FmL PlwOOmd/4y492NpcltuipEvJxakQpfVDqSJ0yFw3V4rVvqO0BTRRN3PrTEQSL7tK3e8cildePFfD M6PSbpVTPWWNLTHGyXTtDbhIoau3vXcffHhdg3w6StyOPuwWXmhJRLjV3m4kV69ZN1XV4GwRFDLj /TYuDagaDSY35GOdNM3Qx/4U9eKfMN4KUNn0wrdK7fSkaSuemAQTpbH0a6k1VM30k6/Lqgbt4gt3 PtokpdlNdzHnPA24UjPlkmlsabkUKtxMmRKPSoH4mtXmxLh2SFHFtI60T00l7hqhue5lLLnIAgbA EXGC3yQ6aZksttvEhlW90OS/Q3U4IizlBTPRwxM/PExgZY5I87Ij/w8t0sdAdNeuZink1MgyJ59q RWtzOw3uZ82edMruxpoOSSYLhpNQ9CaDOEB2h2zd0qkifYg0yMaV7cWVLxQRSbil/3bUbdnrKc9c 7eIxa9TL4lTMwbs3XtTXZuYX8J5nt+9crAa9j2uOFBa/0prPHxDsUmOaS50sWHHaHO505ZUkIa51 HKGUwrT3PwAahjinwZip4DSlc9nPKByTFmsgta3puOZ06dkSSRC3QZeEbiwUmo7WzKQh++2pSKVJ 4UPWkyFOfYdS3QEhnL7HouktSWAUoiH3XEKuFVWoXc8bmPM6V0HywHBg5usgdzBoEgZWKzJ78uGC 6pOdKVKKXFu0T/99UmW/01ExNLDxIAYnEzwh9qRLX/nggXJ4sdaRCI1dEp7rIOdGsnxNcyd6HmgQ Upa/9OUz5sMKJLFTlsIB6WvFaWQkzbJIs4DpkkbBifnmxhNJHsZQpNzJIQlpykYWCy1ZyyRXViLK U67EkrBsZSlXmZhY1hImSgGeImMpml7+xZe7BGC/kMnIskxxmc+EZjSlOU1qVtOa17SbcrC5TW52 05vfBGc4xTlOcpbTnOdEZzrVuU67fbJEn3TnKg0VT3bW0573xGc+l6m2ILURMntcZfb0OVCCFtSg B0UMPUVDQQqSRW+pq6Qji4dQilbUohc9Zy2RQhblgCYsZbuIPyn/E5PIZA0jYLmQbqCymVnyDqMv hWlMZUrIx1CrTf4RT4oQVR8R3vQp2gITHHO6GHOxh3usA+hMlbpUpjYVfb0aV9OSZJXxbW5sNnTk +2boKqjoqFOX+VX9qOdMp5bVrGetaE3P5UkLxc1/TwIcyKK3m63ubXp0BSsIkYpWvvbVr/pU236U pxTXIA2CxpNhd3q2Nh2250YyqUv/VjfWv1bWspcVp1y4WLcP9kyBx8NRklJEo4j05od2BV/AwJgy rVoLs6+FbWz3eUAkJoiLcmTWvDqYwzFeijRBlU96xHiuP9LqMrJFbnKVizqy9pKsrlxicchqE2Hi ZLnXxW52tbtdFO5217vfBW94xTte8pbXvOdFb3rV/7veHbXIve+Fb3zlO1/61te+98VvfvW7X/72 17//BXCABTxgAhfYwAcO8FkQvGAGN9jBD4ZwhCU8YQpX2MIXpit7NbxhDnfYwx8GcYhFPGISl9jE J0ZxilW8YqcqDnEUgU3WEKc4ubLYwxh0Zlqme90VtnA1M5apryoiyL3Mrcc2/rALI5o+76IGkwIZ QFIP+hpFqiSivpEyktXrERfa5MffvYh8XqjLgbLkNVGu8SQJpGUSDzY6vtnxcmfSzDQbFMjRSY7T GCjJKLNZxF7F0H+yfF09j4WLFEVc0yrSZciQ5dB+9jCgV5KrOCt3zmgR80HvbGhVYvl+kP7wi+9X IFPwFrqFg9YnS5IDmSELBGRcHMmjQa3hIwMz0OG9NCh1SGaCKgdJXz5NE11o5llzWD1ePHV4C62n Or8UnsWGdrS7+V5pV9va18Z2trW9bW5329vfBv93uMU9bnKX29zlZMnnLkSalXoZYBz9sQtp7El2 n3up7Dapaiqd3FrHRd0UNfMhid3n3zUaeD8ROOE8OiRU27ugPWY0nM/0XScvEeHDHGi/T5lrz+36 aTVmicdbmj+Hx3QhIVehyLkb5uY0u6AsgXlRIh6ViPR70jGfVkRmbhBZlxymPZ8PrjPdWaATdFiP dtj9RP007RyaxpAcrc9jyk+e7Fy7puacjim68UyjfNIXw7K6OTlnYqelkASXOkaXLvOGW3roXMeo 0xo52EdfmV2ejo5H7572i64JLVbfLtaXOPSM30s4KXXXc/xIeJJ/8D6I7whQHOJ1viOU2BLFu3io c42RHlO+oDxN44H4VZ3VHPemszpcovE8VF5X3p6k2RaRxnja7i47T6hpvT2LyUheF1OSGHd98M8H fOEX3/jHR37ylb985jff+c+HfvSlP33qLzTe6w6OMy//dzwKsd2Tfnf1zYnv9do8TW1nZ8CtpnBD 291ddloQ2pljcPGPE+Lo327FvZyRfa+z3153MzgLwERJKYoIiUw7sgGsP246OZcDL5Zbooqw/7ky M4lD07G02CNturIowzkM2SPtmMAFBKeiIy+O2wsSzKejy5vggKX6kaQO6cCkG7y1E0FxorrzErwb ckB8gruyAznsAYoZOxynQDyLM0L6q0FwokH0MkGekD+Aq50tobtje5rJSySVk7jo6L8kfCa/Yy/B ywrGS0HDe7yLibxJkSQ9CzmCMw5d67Em5MJr2r712jzJm78pg6NFQ7PRQ8OyUI3Qiw0+tBXTi0Ns gr05wUH5mKoDyb168j1L8qRSIr5CPL5JpMRLxMRM1MRN5MRO9MRPBMVQFMVRJMVnCjYJJK5Rk7Lg uLPv+D6e675SlCegSzfAwy7zKw+Ler8PetqOHNKzJ+wLhOiztAjCbzkOWVyl/GiTdNnC19K/ryNC RCtAWULCLPS8MXO8amTDRkRGRyEUT5IPFLS0gRg6jwjBFEwOoIs4NhTDuCgSKwMNDhTHbrSbVfMx VxM6swDGgYJBpIvFWlGmFkoXKQSNDsFAeqSpzqnFZoStHJSXimLHI7QJDoxCsQO7d9ShyohIhKQi e+wLMVoQMGM8L0Qoe5S7nVDAc8w8tMu0Q3NIjgyZnvO6eVSuHCRJy5OYwzNDN1y36VIeszOKytkY hcA/mCwRezSUmWRIzKpDNf+7qD+EsUBcPVuxRc97utWDE84ySrtxuir5t1JTROMZGIs6JuKzxEKS RG7cypBRqLV0y7eEy7iUy7mky7q0y7vEy7zUS368vrigCfKgsaRiRXmrre74x71MqKKbjqKELZUk S2EkvWLkCc1xSMjqM1HruTZ8ScQEHvwxQq1rsktxql2sxltTMMk0wZNrR84kjyxsC+vqLghsKpSr O0iCwyN0STG8RtbUR3BUjldcudXEqEPrsgHUprPIzZ4YSQXkTU5rE5O4Se7aTIzKtborIz20SCRU tRxsluZEDI/0ikVbysu6zZ/bEpY8OAsCqGvsTu88jMwMx/G0rOm8qJ+8F6FFLIk4Ux57dMkhk0/E REpmLBK1fK3yjLsau8qoKMKzoLwbWZcGUg/3tKC8yckm+i76nKmzFBACldDU0dAOBdEQFdERJdES /zXRE0XRFD0fISS4xTy4v3S02nLRE5wxxtxLX/PD//yrqFOhH+NQcyqdg1yTaPSyXnQ0qNAUI+3R ID3R34pRG7UsJiGPIdnBfCJGa6wxuMPGoCzDatxNEq05gNpD7wJK17yPA+y79mhRMbQ65EkcLGRR FQU6YrTF5FJKxSLEg3JJrwlIGcQKhOMQeFSsg0RR8EwUS9FRvjrOM53SOs0nkvzNl1yhwFST1CMU grQJK0zRzGQ477rT6Fk3KD2nfVzUicDCp6kWyCsk4XRPQz1ERMSuT9XCi6QoMSO4YbMUVf0WfoEx dwQMvNtHEXVJMHFU5Ao9iKC5jgO4FKJKKeQXqVrsTCYDEP+sk/BrUk01zdojo1kllSWkzrQ0jM45 JupSUQ57rh8t13RV13Vl13Z113eF13itJgyj13q113vF13zV133lVwtTsH4F2IAV2IEl2II12IOV L3lV2IX/ZdiGddiHhdiIldiJpdiKtdiLxdiM1diN5diO9Vjm46SPQNezEJyTYlLgIaQPTVQAWtmW xQgdHaYP/VCsMFVHWVm0PBZwPYxEldlUgi5SGhCeHVlmKo6jjKNBahXc6LN0UxypElXrMyW7m6b2 LBEMJdnQMdDDsLkvLQ5W/bTMM5GsBRKu7SQpM1SO8lqzYM5km5ZBo8ktlZyhdag9ClbkjBm3+rsq dbSmARnTiw03OsdSfbnFQwzB/brSZBXH3DtiYlW9RVwgsUfFTc+9jVpHkVp4c6iBDKDcM0ln5crO edvmCJepuQulyCDP6Av0aZoUQrs5szvBKV1HOomaNQpf/2UpzwmJTP2M20XdV9KoYrkJYwrGwpgI jwiLlkMTttiotoUk1bs0RZJdv/hVi6CKgehbtgi64wWMNHSsTAUJBFne6hVDxqBe7OU5qAg44H2u LQnf5CBfxnjJ991ej4NeTMLdrsUI6FTen6U57WUMDDyIpVOetyBf2V2imssKBG6M99SYnfpDQC0N 5xktpMUyJm1Q+Vi1cxyUjXGKBSGT3shNZT0c5bCTYYkK/yRhzkk3AiTSwcNamjg0oeCU6uTVZ0EV 0PQy7cATckTh0Ek3hRyWS9tImMO5n2q8RCMXJK6zzFmY/QGoSws5PLlAP8kf670Y62U8gBkbwbhB JakWLf8GyXScIpSLMiL10WGDzmP9uA4+jp9IH/I5QPMJuf1wJSNWixVmtTnUIeh0ujQ+lf0ZwmTF QJzb4PspLT2k4yJJjhkWCprED8oxm4ApG2GREPRRN0Fbmp1swxeysvy0RjVF02z8XgL0OLRbkBBO 1tptuZVIKZ3MOae0x9YBiVYGHl11oVnGSFSdP1QOkFtlXzmRwFsRz67F5TIlPCjOk9TVs03eLArF tOg5CZAZwBaV5o5YUMBUiItMQDvkUjikYfqL4WPMRmzuUmPMZT1zOoByk0sLEDKunGrmUoN73UMd Z1h7tf/wIwaWIh6JH7fSF+Tk24I7ighJqnYekSYZ5U//VtZazEmP67LNWlAt0b5XC4582ZLbis+8 A+eKJjyU++b8CQ5FxlyDu2XqCbqVvJXoIRhoLbhGGw6WPmnahNHnPejaCOUp/boEnKI+zkj3qOjJ hZEqUYnQOeiUXmV3LDQly63XGGMy5GSRlufgkDSVO5q94+lZlepLUcAO3pl7rufcgtGzuKrs8KIh u5WtETIyM9RSdaERHoiHek1a9WSDQ8qGPmE1W9QaUYlVQ2V/q2VoFkjALrRYFmdGLVtaXTWUO04S PE501tTNozRoDC5BIVn5ILsdRGZHgjXAMWen3D+iHOdpnjx4Ptslwh5tHmqbbpPJ7eaMvuvH+9LG Luhh/5ZnMkOQXjlpkyTtzrmy40zs8zwJ4KaKtb2hsBma6llEwtGe6ZW5gPacoeQSuCVOfJYZqFaU YeTs0Ibuuy7pabnDz+7SFQLA3Orpu841gptAj85oMu7UyRXiymkPN4XqLg0QJWs1Q3bHK93kTHa8 hcBukQuWdTvm+k7V8g7sxkvWHktvQckUw9lJ4kxmYhbppMaeAwxWxW425FlQ9FZn+J7VLr3qBKdS jXZOQVZE8p5V/kS1wPIg2JNmlEGiDfRFCJHAHNpH8DWJI4uyCLniKLPr0rsUVfvwRJvui0w9xUyh I19BpsXdOyOykhjTP60LwMbAO1M9rFjQQQ7yI5/rbKUc6M5LiZ3rVrWRx/VUU+wZUymulFseYbhW 6RTW7o+LZpFT8r/GMh8nQDRrZRIubItDM1oN55LQzcopaL7G1ipnPOS4ch1bOtUjk9eu89fGXyvP cXmr9Czhckf5JLy42VYxpGC2iU3CJVGqtLYsMsxwzZmdRIXadG50J5kd450tMrUsFkOadZKdWczj vcK1TZPKPVNnO5slM0tsdVSnxlNPKHFV9lv/d6qAC91wKm3W3O/q8zW5tSb+5Uyn+Nht5/ZuD42E yHWOQouw5SVrn1pzt98NZRV07fQuPBZjSaV1NxFwH9rfmzKWtecgydNibe7EkNxwulwTeXYPtNyl zFNycvOddVz1xEqBH88RNtMBmerHvaeJR5h0jpyBB9XrKtNoB+jEZOVTlSbDlUPB5EaaLNPmyBso 7eV2P+lvSnnDAM5sejePjnel+L7/oAifJVTerWXQfKTiZZZQAs+QyjEo8wu4cIpad19HYtam712x qF2oNwj3hc3JNA04C99DfcFFrgwoC4khHeQPP9OkN99Govoi66jJXCk2hiSdj/qgVKWkr1nI/8J5 j0KKJZ7ptT9S2m36nohZ7dB6tkj7YBR8l0zdvqD6jsjduyg0KNukxS/VtPn6t4B6vvj7IS3fsGff mXb6pF96AZHoeEZlmAN6oIH0RW7i3zzSDkZxwzbixfYaNC6tRJ/9dIF4UsE54/BB6+Vg2uQIBc8t QB1tVyMcpuO8Rl48V4M6rzHlMM26HybxRqbQ0g495n8hPuUMnWOW0utMr6lgaoYyUL5IKIZ4OANN JEba0Td9Eixy3o8/wZ9BJNE5abbeMZYORh3s4r+8GQMIAQAEDAAwsICAAAUIGFQoQECBAAYnNiQQ AKJEiA8tGiyAUGHBgQMeFjCIEaLJAgMCDP8oCWAAgYQvVQp0GICjAAIjRTb8iLCjz5AUhxIFoDJl x5A3k1ZsOjHmwYlHUQK4KXHoUoNQsxoVaFQo1aNVGX41SZaoTqcDhP4c29HrzrYEyw7UWvPqT65t Oc5seBXrWblk264t2vJpRpcAOOr1ulhg4ah0i0JtKfHvUKiSI2elSpQrVauLr8J8a/Z0X5NKyfI9 TNmrWK5DIxe2XNUpZbwhcxqM7Dkz3pqBvbYOKXbz7sFe5xIlLJAvVc6sSUscLnm0W6YTSYfUHH11 b/BFx5vm2dUp38fZtSaWKjBnS5iYw0/cybs3XMfM22blK5tiehy1hR17BD7lEUwF3TRgThH/1ffe Wfad9VtRXEmnlUoeKUbRgHE5JuGDiM3U0kL4kccXAQOixV2BBUb22YQ6qWQRV1ldmJ1nGrbEkIVC Adeies3BRtyA/wFImlc2Zljia/T1uJ6NQkUGHWsIprUiRaApd9p/C5JYEHPqPdlQfJoVB6SAy51F XnO7uRQba44xtmZlih3lGnk5CudeeZLBaRdqaMkp0XEBVjefZkMRdNZFKZrW2Hp4jgfpQNOxOdlP L+ZlHaAq9inoRIvOB6hkieK0YZYRoqpleffdh+dxuFH4FHGDFiXWcaKuh+V5lX46Hl+b8slqr6Um Geel6UE5GHj3bbcmUgVSmppY3rlkKqHi/106lFwh+UbWTpLJNiet2Rm53lbB5heqccf29ia05fr5 oXjh/tRWpldB5ZKNEIZYlkL8Opbqv/3S15xip4robLjYURXdwD8+ZCKv+y3nUpiAPeuUYAff15li zFEVrI9HUjxreT9N/NKewCLp1MOoyruTaL3K5VLDFve2ZbEU2fsci73eh2LK7wmV7r+9mnmVzvMG KtO2vvGr01pnUc0fnXAhhOC7OUVcn0otwRa2ZgzirG18zmaGkNjaVUX2VSC5dhNBDsbnmkdeP8op S2wbV/JTHqImt7JShX3c4atNHB+ghAd3IoRVjxpkaFerCTXBYOt90FpMwgcRWa9uePjlJP+Ol7dW nX+t3VRUo9gwgIL7+rbkLqdM9sW1F1s5QaWNVffkcmMck210dRbTzZ1HS6BOAjGIPK4qT626dlmd uy1WFU4+6eqrZzlqANtjPxBpMrMX/qXoYzUf5lWp79f4JgVdeJbbvk/e/e4TpV/w4qfvP/7mc5H4 fS18sskfmxDove28D4HYy5/42qe9+H1vguPrHgDzJ8E8fQaADeHg+izIppVRsIQmPCEKRxgTjQBr gSl84a1GkpPLAA6GNrwhDnOoQh3ysIc+/CEQgxjEDQqxiDh8CBFNYkQbInGJTnxiD10IxSlSsYpW vCIWs6jFLXKxi178IhjDKEYKItCB+oOjoQvNuEQ13gaKHszhGwP4v4RcxoCrY2MIx/hBJd4Qj0+8 Yxzxd8ExljGQQ5SZR8aDMgpu7lZSFGIiJxUvIapNiFc6oadmkyINjUVDlzRLDR2pR+0k6oWRzGIl l4dC+jUpjKfkEypDqUhZ4hB2JnmkEY2kECbecZI6XMkNbakoVKlNRTrxJVGEuUQSbmsvhryig+w3 yYyNMEkJeyMrTajMHIZrm/9RZCADMTKSuP2liQdhCRHtuJKLABN+VRlncMwJEu+hs5zk299FZGLO M4rEgGOpZ1VmCL7wwY6dcVPJqGZIzXHiL2PhIwjTdFJH97EzoO3Ej2My6bOSycZZvNEouxzSEIIM zKDbYWgHK3pSqM2zQhCVSneShNI23pOf4CQfQx9iz32KBHMJAZNEb1lSGU4zIjM1Ke0eSiMCIRU/ dOvgSENFJpbGJG5HZUke+XmX3xEKifSUyFFfir3ILOQyDIGIUR1ksd6NqG8Vat7nZigti4BuZyQp CVpXZxmMYGiDKbpI3iDipqT0DUJG5QhMNoggkKRkI4l50bOIqi+S6BUhcl3/jE8i5zzhrCSuKEqI WCC7v4j48z9nEi2HVsK4r7CELSuRnlv3t0Lf0Y2FeY2hSJVmVsri6ErCREmD+hYRFmKWJN5S7fA+ 8rmDkKQigC3qcB1kE+nVJqhle22tdDUb2DCmJFbha4Lek9Z3ZRJFGANTScL7khW+MlQItc10cTmy 2qB3YXglC1adRb/L+jamlGMWajRKqVICCDbewtl9y8UVpMUQPUx7Uw0vixKp5SZaV+qPgSulr+Oe EW8uhImOdoUd6/lyweIV0bfoUtlyYe1XUvWTf1usnqppxTDetdqQSLUUSI1LOI8jzDSt8yfjWQ2s yXmJ4mQ7lp0URn3OrDGg/1JJH11l6lq6CRRFPCMgbSWrpyVR2dGMdh3ViEhjHWEacQ6lFnexrChh Gpn3oGNNpIQJRCaScq92zCiemdlXCfJIvIhlKAIJ68y3TAkn25ynVUHrVEiMFbtC1CHnIahEC/Ke ltXsIkxnqF0FGvRcGDLcCCe4N2hGk0qjorY5lQlouMkyWEoSoM3iZl+VZkjDWEnXkXy5fKhzWIpI JGY3p5etobMyxc4VJqjMeqxrAdqx7YvkYZY5yxFajn+9w7P7aNQzU9pea7A9Zevw2JcXqhG4Irzn nsFoY0HCznVnJzT0gvVNH2a0tZNCUkm5l0+agkyEfTebMBsoTW+N1pRcLf+tiOD12YZRUGBeVnDA 1gfiBZZ3maXs7S/b6kbYEe2ACPwW0iLvYE820iJHc9awHUxdWO53gUL+xroaRTMvQqzF3bLsAkac YoiF18GidPDyZNM7SsHYjSMXqZwLCTVnYrdzp4z0Ck+bcsg+j15OHR2cvad7xIxRRhrN84pAZmpG ftdLJjtaFNerhnjz9Me1lSLx+hIlFhL3Yo5cs6OMS19+r7qUBX6vi7WqyFU/TOUmh1agcJguZcsx NX1WrZuRyuMbFRHlx+db6FxzMwiBSqaV3Cr/AnYk2wYXpN9lOiD9SNFbV83WWqY0YQ4ZPsVLrGw7 192qdU9G0Qx224xyL6D/wnIuN6mavTEONsAQoPnxlvytcMf4QlEvPu1Fe+OspDXAHX/11aqJ9utj tVAeJus+l/6IIikb1HlN/VcLsu4rQr31clbhlnsb20S+ZLNElPepE+/qpdzmMElqNI/QFJWIdB9I 9dAzEZCaXEoS2VQfZZQU4VIFXaAIRdUIAQcENaAf5dJAQRUDNSBNyc+kxA8JltBWiOCk/EUI/k9W uVMJ3hQNmpACYeAR9VEKepHYPJUXrVDKjVJmWKAQFuEXZZMRJqESatFDXJQX8dQSzkYUTqEYRSAV XiEWZqEWbiEXdqEXfuETldH4bM/E7OAeZU8RmiEqvQcauRkEzuALfWAu/1UIDMWRGgIR+NThZ6Cg S11GHL4gNH0NEobKJLWN/l0QgeEZGH3SCRXPZ0QTD7HQIWJPI70cVpgeN5kPFSUiMmneI10PFqXe IKZPvATh8gEGcpkSIhEhEAnTKIpYi7xiCYFilmgiDzkhDwEauMmiCT2ZDtGiTnXiE9KSyWSO/bBF teGPMI4VK5ZQuEyiNO0PMaoSzNhiCnmTzzRjMjETRPEHRPmHWL3TRuRedWwVPwGU/MiE+qCTs6Dj dgiUaiQRSWUZCXXdsajjPMKPOtGhYfggt1zW9+STRW2XAiGUmLigVfnUPb0PUa3UX5yVMLrjQ0UM +qjTQ7WTRdKjY9gRS/8sVVOxjD/yXzgOBAm1De4FiUQiEbQ0kD2xkzVFE1LZUR4NkBJVZFU9BhSy C+bkk0c9WqgwEzrxW0f+FMbclEuOoIKUE3aNFC7iX9yMZLLwFmu1zXQ52sfQFQGOlAEiFpudxF58 xIhh5bFRnCbJxF6Zz1rk1mxdS3RpFpK1lml4TUeOFrglVEHsV/OkzVU+12jthMIUiFfqi2WFJV+e U47AYqpIpXrB2pI1imQtmWPZRWx9TsAMiVr+VOEcX2Q+hlsNpWcSJl9phELEi3mRWVoWxnJphKsY IIdw12Xg1X35JXt9jVc21mh2DXzom9QAFjElVnMRSFiAlptID2EFX2b/KYoBiuYCXmCT4Zi4GNy0 AVkr7csDEohrmAqtrVeLeAqJwZK7GUXVncfTQQfHFASeiFzAAA6BKYSmQZ+GmUbHJJN/3ZzCJRyL wQVr8MlcKGKeAdja8ReHSVh6ERyefMdpSEfECGh41kmgUCd9pNjAiYTBsRmuwIV5mg9vaOa0Xafa pcYF4pzTlc9zalrqvUp3sEjoMQzTVcaRccvfvBqbkEgi1VlBhNxzVNpdxs0koQhYuUs7Wsqn6Wil LEmCphvMVVyEmoa16FiGbEnouZQxsY9/URuUGUU5wijRtcf5rNu7cYRm6NmSmCeWFuPHdQ/TRVMZ rlvDECeZCV+TKpqB/+DGUqzpiaFLdSyJrEXU2o1EYeDXmyoNjo7ZkZBUr5XK3wnqO+kicPJIhABV mYTPhMgMyJAKSnQImMSaeUTnrTVdwT0SeMGmvx3NlRajlJlJdmZojKCJwqFqAkXbwRxpnxxFa1wd uZTFedLTr5GKVDhf85XMefKJtjXYjCVMQqRqpy6qiO2S8rUednRbqc2bvC3FgNxJyEDYP8oLIW7M tF5ogyqcvJyLRazct2XH982GJsYe3SBYLIroEH6au4BGeuEb9uVbAYrov10H4tmJ89BSubKeIqmr iUmG3nQTwFki85zd7HQLqgHeYDwOvU5LT9BZwlDqtbQMt9VpnCLaqP/IWbtS6WJIRb11xCQ92V4K TcWyXYANycrQ4o0ok/H1HEn+k9RJW5uKDKjKbKqgaOdVDopZaK8InOR1R6FdLMXYhyYunvAN1sFS o3rIlXQSWs5lBb5IqqsSxs06DKYGrM1yariYovyt3t3gy1rIx5LB1+HsaK1wzo6kBI2pKu2sLedc X22lH1rOX94sDfYZYNj4Dn1ha3iA29gw6yl+7KMIlpSVa2UuBACS7bFqpuccDniaBa9SJNy4mKpd G5k1CPB0jc2BxU2SDv4tSpGObTSJjbWsk3WBX9vSTdsiJ37CVNtS5dUgLIwkx/z4ZdAELdmyru94 Ddh+npp0jsyIzs4PCO/0KW1qhK2BBZ/kEcf8/z2QAAFiDfoTGfUP9EZvBI2gHCkK9MrgGEGN1+Kg 9ybQC1pjBtrQjuXh9kogHonhBVKv+GpjDZ7jHWaZHSaUG+7P+jxTIb1RIa2vHIKhAE+R2FRiFtXv C/HnAC8wAzewA29RTj7wG0owBVewBV8wBmewBm/wFQZwGAmkGgZP+tQFB5ewCZ9wFEKj/SwEJBJi rvLQ8TXKCwHtvFYIJqIwDuewDj9RU+YQm2YrYvYRfi2jCQVhMO4wEiexEtOjC4bjRfYfmm0k/MxU /fSZspznQL0UOmlkGSWWDJPwOc4UZMBvUIIF7DzrEqexGm/wbDKXWn4E6OltKk6bYPXNqKQlY/++ ql2wFVrAcVpa7UZwnxdjGMJFl1l9BMjw5t9qShCvsSM/sgD7Ro2Kx5KiZNjFZefJVuaxW4PoWuBG Rc3wG2oMjYiWm54S2rPiBPFBMiu38hfa0qBBx4kiGpPYB8FNinzU2cDwbMXI1HpEnrkgi6pl7brB 60E0KWSMqSsvMzMboadgi9U1Dk44aSYTGxz7rY2CinnsUs2gzGq2SL4iKatYyNVG7LI2MzqnMxg9 jHkSHnDO8vGYyM1NTnwclJYuztRQXdd2B8TVUHf+7I3pJ5dO7ds0BXN0ifyqs0IvNA6l5+sEXyWj zqaex5O2JvukSNl4192ujtGZc3qK8uy8iuvGINjqEYvtRVKgoimvrhARM7RLv3RDx+D2evAYJlAK ZdQ0iu/4tiALmi9M/zRQo7NHNAoCw1FQHzVSKzRJFXVSN7VTPzVUR7VUTzVVV7VVM3ATMvUJ3U8D QWU40eQAC9P9NOMNMiAZ6nQuLfUf+tBDXYQZFjUgJURCj2H2PlAaabUVUhELK+4VKcusmp75HN+M zLUe0cTa+W3UCKJWI+b6ETYKzdNJYlJOa1OnTfbD5RD9CHZk85CjtBAldqIKm1Boxw9MfBJc/45V urT0D5VSuvwFhmZNJFo2abOi/kkKL+5NMh7RJK2fbNeSlDi2Dy0nAfl0/ODlxd0i4/IKEIWvod2i g4hFTnR21HwpZujUi9VUkgjVO+6k7STgMnbUhJBQRnAjUA5Q8E3kLVW3eJOkjsrjTt6kx76bdY8U 5kjIZM23S5VUzG73uTQ2H9FU1413E3M3fruoIq13gd8GZrg1E293YruZBBW4WwMzSUqxQDJxZq/J xzwUGC84HbGJUZVMMN4FCAPlB+3TgIMNOeGjfsB3OZk4MynSg6Ujca8XfJsFoAHVtUAkJ4FYWtwE RvtYK1XejYseilkWzqzlIh+YZQ3y3GnuAP/yqdAa13qJtURF0mI2r1t/FguBRG59hG8WlwGnhB23 lW2oZvO91YS3DkwNaUcOV7osZXGFZGTNB02QFVw1KowxFk5W2TiC+Djdo2CR3aDPxJvb2J97zaIQ elkZecwZdiVbBoj96znRiq58jrDJlY2w19kwl0IpLqSmJZqHnezQxFU+JvaoCEj/a68KJqHQyJWk OZDTUVqUle9YWl2SqXAFT6NB6o+xRUbAjJ6/Z5AYbdSNp+KJqr+CUpMi7MMg3Iq6Mxo6TOdBKHJ2 GoNhnXMq2oxH8ywZZOghTprxhIUA3oDutM/IiOxILZs9XR6BHrFuM3r2+oIyzSyHZ8d2btT/ucZl qdXpYTL8HHR6zI/PKuu0hXJOOyKiQuBC8LhZbMSOD+nDA8hKuxBr06ZxPwuketK+CjSgzSsvW+md bVKjV7L+bauuumfMkXzoYHTyLRi7YgXHeyiznXKflYWzsPnoIVpnz2oz3ZcnZcvyxYyHiqwnVUqR i9Jxw9ugeFRg+7iWNquyI2fOFsuSOr2b5SWTFErU95zUigffgXq01IiPjztFK0b5cUqMFs6qJ5Od MFtyFGt3MGrc60/zuTUA+bUGUowxXi6nttkQL4/IRIjWqae9Lzuc+mJ8Q6e7QQy6SHtrAmbnyRjV Dwu5wWwZTh1wYijBRJ4xiTxPUEi3tT3f/y9sLEcap4IegcrJ2MFcrh0+4eK75qhkVy3M0dTHJR9g nwylvLt+2rbZmwV06RNbQtU4X9NcWY0mpEKkw2PIbfK1o2CVjZ0iX6X80/DoozuXXPFtteJG6bYM IRvL9ONsbW/IX07Ym7y84RV9uQxsvIfWbq9Jc77mKrsetzpe7qbW8v0zZK0eQAAQUABAgAIBBBIc CCAhgIMMCSAMMIBhRYYFBFgEMIBiQQIMOTIM8NFhRocENQIgkHEkwoUQXaJsmVIASYERL5osCRJl AYoGUWrEWdFnw5sxK9p8OPJiR6YOKQ4widHoU6gQTQ6lanWrUpYdNdZEmDJkSrMjCaQdav9QrckB aQuk9Qi2ZlqWarvq1Ph2QIGHF/2+1VsRLdyxNwd29IuRKlSOJF8m/GlTKkMBHfsOzDr2ctPBnovC NBtZ5VSpf1f2RVl55ACEQ0lX7PsYqeiRl9+etbnz5OWVHomOrVxaNVbLQS0O9Engb+bfvEU+34j5 tOmBMRPnNDucsE+xIr3Dxjh7NGOcZVVK9P72MGG1zA+jz0y+4HywspHfBOw7Y2eIsu/SDridbusL O/2iU866jUzSLLSaANxoN9neQy42sywKQMOUAhhsQwwrGkyAD0EkbEQOOyxRRb2KErE9FF8EMUUV BYpRJBJplNFFDDW0kUcfaQJSRRxzFKj/SA5PDOtIGDPcUbQjZ2xSox5LjHJIIaF8Mcm+lryxyyWT vNFGD4m0DMsv0UxTzTXZ1KixNuGMU8456azTzjo/u1PPNn3qcMI9AQ1U0EEJDTHPQhFNVNFFGW0U UanCdFTSSSmt1NJLMc1U00057TTODqUaq8NRJSIVxBEj9bRIDVFNs8zRJB11xDONdDVGVq088lBV ee3VV0oNOu2hxTLbyKfFYlRONVpX/KuguJY6Fj2LpjXqWfiqJEA16Y58s8ShGCXWWwwhTJO7ELX1 i1sab6vTIJ3eejMu6WYLLbm4wIr3s3opSuxYwtAbiLnBxgV4YKIO/lXhRe0tqto3uQwr/yh7q7zP onl1wgnCzEadkjmb2PLK2BLLRRDD4VC2GENw1XT2y2qH/LPbfYMqmU2D0qwLM4Leheo1iSJq9V6E HJ6svZZaxTVigWX67TvAVG7Ko4xCmmnhqwe16uLB5FM5YJkECJNVY22kaKiyNrzQxJJHJckqlj0O MagOk7xNw5WINonu9kJdl8S/C7qMM7xFCpswgQ4tmO69wgaZux4b5O7c47oDWK/FRTX0xJp0Clsn l2KkqDHYMoKt3z83RO9nkPrrT2aQOvK85qQ4KxZW7c7eFevd44zYzYNmhQrVdatyOiL2jMVI4FST cqs6nujjcMJyfac4LLyzQ4xzCcc7uP+o1jTDSuAXn6pJsRG1bdd8qpUnCd/EgU97pe84F/i4iYb1 zme/BKQWow4fdBADGatxKMGJX/A3kfkJryzMmRxROvIcLkmQZyvpE2BK4xfXye0kU7ugRSbkO3Sp J1griohVRMg7FcpJbeKiWrqsZ5n36I12JvPPysYSlxFRhXMlpMmEyjexXbVmOUkJUQTHopX+OOUj /mmXm6hWLpxwxoBJzGFGYnixwFClMZ3pIklEprrosO6HqgmKyM5WxdJYZkCRwQnxtsaTxvULeMy5 iWsilsSg/c8mN7wj/qhlsdj0jEHQMYtdbJifFS5yTSmUWhynRhNFAkWHI6MciJ7zoCb/NkhmWkNQ 9aImQ/eY7CnPyaTotvgR9MBtOg5510uUoy3bwPA3WYSgUAJjx+cwpSaLKcqbKOm+fYGlRcwhFgqR eEe9QcaYyIOjbPLlHZ4lpmpgYZkEpdJH5Eykhs/i2n1ac8lfbtFZ70ImI9F5MyAaspD9O2JKRlcb gYTyScPxpCfHmCG3TQxIWsMbyNSYHu1M7k2sbAlBnhdE4+CzYJDsZjchhM9VAg12koTmgNxDRePw RCEkgRkrHUqUb6aEW39ZCGV29RybXfJZdHmPHWly0bPRM501VZG9amkxiCnyQsZjHwcxyUnKhaaa +rxego6ykWT1EYxuMWBWTGNJLpXrTGm/c915ehLQoeQ0cDGyXmOKBpKmGueLCMkNOy2JIFOWbjJV xJl+nhLXsYIoNL+ZiSldwkzLYPF8V1HfBk1WsDzyzyxZtBqX4lkfmy72Nkds4Ys722mtd+6le/IM Hw4phECIIMtkGM1nQjS4UX3ihYocmVhl9AdW01oHeWTZ6hkvQ9jQci40XfHqZ8YTrdNAJrdkbMpj fHuvESYkttAM21OF1xXXEBCvJfpiaO8oHXytFTCyfFZgeHIRbe1SkcV7T3sayj3CEjF2r2PseU2k p1cRZr1ICguzfgTfs2iJM7cin3yVlCES6U5XRyMSlciF3ymRaLlXGfBhAFwrNCWYjVPqnIXuyyP+ zonBCkbvhTGcYQ0fiSMAFHCiDLdhEY+YxCXuFaiYZ2IVr5jFLXbxi2EcYxnPmMY1tvGNcZxjHe8Y xwEBADs= ------=_NextPart_000_00B6_01C9F002.CB70D4E0 Content-Type: image/gif Content-Transfer-Encoding: base64 Content-Location: http://www.cdc.gov/mmwr/preview/mmwrhtml/figures/r014a1t4.gif R0lGODlhfAKSAvcAAP///8zMzJmZmWZmZjMzMwAAAP////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// /////////////////////////////////////////////////////yH5BAEAAAYALAAAAAB8ApIC AAj/AAEIHEiwoMGDCBMqXMiwocOHECNKnEixosWLGDNq3Mixo8ePIEOKHEmypMmTKFOqXMmypcuX MGPKnEmzps2bOHPq3Mmzp8+fQIMKHUq0qNGjSJMqXcq0qdOnUKNKnUq1qtWrWLNq3cq1K9YAAgaE HTtgoICwBAOIXSvA7IAAacmO1RiWgFiKatvm7RiAAIG2FM8CJhgWblbBFQfYnQq2rMO7MSFX3duw cUi1i2cGKMC5M+eBBDgPFuCZMwGBoQcD2Fz6NMK+BVQjDF16IukCAEi7Xp3RtGyIA2IbTK15JODg vx+LZvxZoWHWMaG/FmkYpe6FgKV/DJ5ZZgCwtwWA/xWou4Dj1aLBEkdOmDPY9wlpn0cYvIBh2hKh wwew3OLti99VNxB7MBH40XUAhDYfRO5R9d9roZklYEvaERTahBshaJ15CUn3XXIa9WdThQAg1xx6 uKEmHHEDkYhQeSAKxJqAy33X4mhnPfdZgCiKtx+PB821Wniv5SjjYAGOd2RbLOZ2loS5LYjYjeI1 ZORqCibJG3lPymjjlUO2VaVaBRDwHXJTFllljwc9t+SaYQqY5pBOAoaWl3BBBl5BYiH5IZx1eigY XGA1COSQb7UI15wdgjkemEMWmqKinCUap6JbOnlolHZyl5yPXd5o6WqLwmkjqYuWaVaXkn4pZ6hJ jv8aJKzp3VQhdArKmN6DTebmnnggbqYYhwndJqCCD0pHW42f6VafafWRR2xapX3nmWywddZWfxfm ypppwt1mmq9ldmaYZ6dlK2KQ6H7rXpnELRtuuaYRWpp91Ya27IIyyrttZwsGNyyK9RIsXILXCnTv sMuVB21nromrKn/0HvwsfqzRpq550klsJsL7LlRfrhQnXCLEJ0oL8cnllrWZX8ItbLCZpcn2bGeg eeYYuMtxJ+1pCPK88VnNSZyivgDPlrDJNVVIWlkIutsgwqpJfXBBfp0cI7lYl+lhc4pxDd11rFXZ YK8qiqkqkXwK9/LJLqvKHnFEek112QiXJTDFYbn/PTFCyy0G21u3Zb33f7wKd7h7ZH7s84wG7T0j 3gWJW9aFvl5uH3SPN1cpuUyuffbEy9lN3OeIN4fxX5m3KnaDe3dun0JhU6wwh9fpBhd+aVFe+46m mUl24LM/3TfrlRMP9cSnE/srsbmrutfim0s3uuZApzyg9MDHhmF0KRMHOWtrja5aeGthGNzu07I7 qUACJ9ucehg3S7rF3muPor32PVhQpX3DDec4lKuppQZ9yCoaAWc3HgBGKz5lkoz4DGgesTzPNQU8 WIOepqKdze5/B2ue+k7kwM8U7Tssap7aUsRBDuZNRZIKy94M9Zm9cW01AxjZDcc2sf+QbGpFskvp /+aFGxv6jyBTU099xDM1AmWphEX8G0F85qvTEGiGIYwNFaMXMcXoC0Uqq+LPqHa736QwZlerif+s RkSzfIZkunrfQW42rhcBkW8d21FqovUfKk5NNy6k1qQYp7+SJSw1EdKa/xLYmjyeZl33SmNByFQw b5HwXo2DHxrPNS/XEOiOt7sPh9YlLccYTTTaa+ImwYie7Hkyi5JCF8VShRsW6SeCkpuf/VwzQMCA sm05bBANo5idQqoymP07EcmQw8bMscsxuILeKD94QGL5zGeA/KL8cOPCaHoQQ6r81/fANynu+AVm 6TpRtHp1xDmeM2kJqSPLbpi6uAlwl2UcCNOQyP9A+8kxn3SqIvOmyUmi7QZYCjzNev7SHyVhh3h6 UeYHq4SgDEa0eAP9pkG4tcq28XJ+NjqbmVg0xBXqypUdhGHUfNnPKDpmnYoTXYp4GLE3Ou+Dbbrf v0xqRGP20zXpUedNywLSPElxeyyUmzWnCZg9TgybSlVbOpPKzYSSkW/D0SAat+aSReJ0lrfx4ufk YxeaRbCstMtiTssUQL+QL1tVhGvqMOg9le0GmGSy5xzNY9A44q8t8VsiHlPjyLi6J35Bu2sZYQNY r2lHYIVCqdaqKADarNCoLMUQIIMmSWemrW96i81cJRVKVr4NQU6cXXpEyLXwVLaGfP2h347mvfX/ aBWzkzysMFvaSib61Ee6TeakyiZYwi7uY8nj2AT7hznfDC9/olMox8Y1OevVdkW3NYjuHvRL7yhQ jk9E13Hudcp/WohYiTQIG0ULMNVVqnue1SGb2rSsj7VTRherDu9emC2YrRB1VmUZhyhpt0C6EVp+ rZC8UuUYkoV1auaS7ffEhdxfUhFLACPUsgxzs4LuMLopRRgtPzdLVj4rWtmionw8FLIXlji9Uwze VunZXvPqcGSETdlrh+Wy+vJPkuaUp8RY+qzxvnd59jQPekWzTRJ/srMC/iApvZKRTZklSA85VWkV wlX1jrND37Pya7Tspe2BWb1g/rJZKvw+MjvEMc0QgbObxZwhNffOy20ap0M7BGVSxZkhDoUzYSCD uSPhOXkuw9CeGadZ7ARJz4IGdKT/qTwUDVFFMicZmTwpjZP9jEjGyI3IhRkyZU6bGiSV7fKpK1IX TK/61QtRi2JU/SLkNUQxdoa1rnfN6177+tfADrawh03sYu+EUR1ydZz9Qusq3ylIbkW2RAoTuWYD 6NnafZK0Ya3slFBGvdjOUKhYzS9jY8VA0xEjRXxzEhfF8S3oXrck3f0RejvTQLmWkU8mHedCAggi 940jXrjcPnnn29xPgaN2J+bpiARcJA+vaMEnsmeBl+ThJ0vXl45Kn4nbpNAA8jdeYAxof2O8WB7f nmIpbm1jK+k51BZV5WD1pTHR/E9cqhqYKCol8RCoMYY5nl60PKdHmYptlzL0hMDz/ypATWlG4844 Zg9F5j4pilC5qc57/HeWBfHISHsiTNSZfqKxBH3Ai/IUqgxNHmStCls2EovW9R2mMREd5kfXFKlq RaU1GV1AW9ceo6yOJ7277lTVSROJyD5cuV+dVdzB+5oMHKVXnQfxa8fh0WVFbAXJtI5DNlhL9+UZ 9tW3xTdbXsV+nDRNE/VaEtfW7UzmrsbC88hI5ajsoyypDWsSZ+ENI7nq6PlHzu5inmOawyLoGb9S sDYZg52qPH+t/mwQ+tVqEc+Ob54IuUt4Pfw896rlsQPrCy7k/T29Ymyu4Yffx/Li8fjbr+B7YVj2 dDS+uaLP/d2oa6oakzeqIn1JI/8x5QZsI+NbmqSA19EwMmV77BM6U6V6nkVI2PV6KwRYQMVNancd snM7y3NQDkhb/8JWYwQb8JM9VWVF03WBKodZ21Rae0Mbi3FB7ONS6nZDXwQ5DihZq6M2SKZIapdL k7JjoWNSKiNVw6c5DCYdzAQ20NVYb1E2ifcxzROCcYUwRahUr2dUFHg3xqKFi0E38DVGWjhZp2U3 6RF5WAKEnjVZB3QXM4hgTHZTsJEnKxdsX1RFYpFApmQtg7Q5UFhTjcVSF5VxdcFeSfUWl+QylWVZ GTdGZ7RTN3RDNoRF88EdFuQ2jwhbdkJaOehCwddaDMeF+mQfPVVLFRSG6kYyF6L/HbplJ/PDMCwo XaH1UVWlGpYUiDrSUpR0iuWjiq/HhzvmhPczITL0OSMIN8I3WVkXNSD2QokDTZcEiNsji7gBRZk0 WRoia+NyYTVSczCjOeehW38xLJbTcqtGIKdkQXcFi4K4iAt4VRAWRaXBiEllVtcIN2HoQj4TTiWm HcpyMBx0R/KyWlpkU1UziG70SgoIRi7kQ1cjGj9nQpikSQ6ZNvA4OAL3MqB1b/NyHhdyR+yxkRYH VtJkf4DEIXTEVwrkQedTQazVSyfJTikZiWjoXtTIi161k4ZkLqIYUx9lF4tTjl9VNl8ER8F1Lf9n bg7GcB8iPW5Vj9aIk6RxhABl/1PQhIS6U4+MuIGNVVPSZYhYxXVQ2GBMFWPZEZV6dTh28SAaInH4 GEZwOX0TiYo3WWhwIpcwBDmzdIkKGYk+kysX5jBdo1f7E0f8g5Mecirgkiq8FCAMWWKnyD4YyDWp uD1Q85ZWxZeJU0wzZYGa+XtYRScq1klpI5h/s1B9o4RNoltb2R4p52sVuTnxkpC2mEl5ZErYlVm3 Q1mTY1Xnt0QzUh+QCZlxxV28ZXHG8lro91XbFSG6gx/GkmP52JDzWClwNVi9eYpM9BffInVmmZFk lCWycxb4ET+5wkHsoTunCGQckzfbiCLwhjvTEodLVYrMpYilBFCfNUSL6ZHhqf8yjMWdSuiMEJUz 9amC2ida6ckx0YOWUuWFO/aGxhMhkJWUdxlZgHiHr6WOnAZHBuhXyFVfFrdF3Vma32WCdUlX3ceS MnZR7PVSpZdPZlmEy0KW7Kd7D0RhNHYenlljziehlbmE7tV+/eli66Mi8jQyKNZetchfu2ecyUVb m0Y+BXNh6mIp5LNmsmeMNfU3FJaWdfle7+OjBsObaImWFZRGJspKvydEAuRjOLlctvleUZp7MnpN Gxpl/9Vn5lZxftY7B0dxBydnYZaohZpnleFmyUFnESFo/IZmXraokzRniPpm1WFDl6p1jrojdjap mNKol/pnY7Z0hTppkHp1j+YrEH53cNjicEsHoghXq7aqEWjTb+Z1q7zaq77qlAf4ZrXzq8RarMZ6 rMiarP/KuqzM2qzOuhKRFK3SOq3UWq3Weq3Ymq3auq3c2q3e+q3gGq7iOq7kWq7meq7omq7quq7T ShPs+q7wGq/yOq/0Wq/2eq/4mq/6uq8486z++q8AG7ACO7AEW7AGe7AIm7AKu7AM27AO+7AQG7ES O7EUW7EWe7EYm7Eau7Ec27Ee+7EgG7IiO7IkW7ImSxWNAShvlh202hRdZ6kAIqonO7NdUR9qBxHN 0yJbkTG9ArOVoSvBSrNCuxVU5JfKQShNtatTIT6JtKQdQYZ5OLRSmxUg154sy2GzBkMlglDeoydR 1xQN9SHIwnR6UVmWUhg5lHhpSzhjy1c5NLVw+xUpM5hGMUWOc6Na9kGDzumMULFiORNBL2OXe/sw 3KdkLwpAlbKHcbu4UeE0MJoqQxdZImY7lFuQUcsU+ZWaXxNR/6K1TRtT9rKBjP87ulABRHMohbkR Ms2VIiREM0G7FI0hfaGrfuPiXp3LjFD7m6S7u0vRJJ8LuQjTSmSUfJr5VU4hazkTOsiZOT7ynJrE PvO4pMKiu7xbvUbhWmqXK08EftLlvJRLLpe7FCMYgcIrvFiUmpo4Vqj5vdbbvkLxWtXyLbalZGNJ uYJFMa+bFEaDje6Ye6J7MkGXQ1cJvtPLvu57wD8hqLlxaNihX0rrFD7SqXlmZ0bycy2LwBg8GRxH bLqhuBn8wbu2bcOWFxcMwiZ8wiicwiq8wixMFGFXEWF2FJCyFCpbLD67Eu/xITLbwv66aRLBqZqU vzlxfk8hcn5maTpxkBscszz/HKizmWULV8IuYcRHIXJOK8Xt5lsRzBED3MS/lkPIc7/Qdhdhpxbg YSdECT1vSR7wJhl1kR2KwXkcoUT8O045wnO21hfd8cYB3BeJkrWVJ8Al0h2YkShnbBfPIcBFQ5S0 JHeQl7Y5B8gwkTKyhjx3TCizpidxvCgKIsRe3BWdfF1Zwy4fyh90VShAKFhXOYex0YO3ubcf4VSa E597dSHG4zxCdIucxVDMRjytzFbe0stmQj42dFbA8xcRgk6MGDdllSKaCHJT/D7A3H+zg0h6xMvq QWKfDGtBmYMbBVQs+J3MmFGmrDD1e7dYYkFB6BEutFsK4Yq0BYf6OFm26ytY/8lBb8MeaDJ+3Aiq gHjPA4hRmoO6kzxcAaK90uRBk9WegLrNVNbFOXaAp8S88yLO9mw1ZDTAOtYaB4I/3ttxnFR6Tose vHm7ZAjQESVdTHlTAKy7C9bS06tLoQW8Bb2joCstLKWFstfFDv1qgCm5OQWeawIv3PeVQSygVbKk A+x9bAksN/xQSfvRB0FS/TMedGMthGi/GNVYwJvPohV4ortcuNudDXidtuXJI1F2psgi7UxMTm3P Pa1r3JNOwep9T0ViS32noUPSk6vPM5qGaN1v6fS/ID2PWXOVb7Nb3os5d4tbHohd1qLQLeSJfd1P oVWILc3T0exGl93SGAa/cEhY1HHNzRCzvO6TRP1BPS3jfuxD06UtYOF7ERLDSe98MLWnfjKqVVqb 1109UAD2v5pWVeBie7x8f0tG0C9xIv21QEgya0dKLAP/OtqrtsOj+mZtompktqobQd0vMqulyhcy q2gMPElDoapP8jaFlxbSvd4myzNYzN7wbbGDEt/0Xd9FsSnafWcdUmYI/NStWiw769/8xt0BnmUg +t40QYMH9sAxNk45y9+1VlkzSxocIXKk4d9EMawTMdILR5vGWzmnOG2IjLnlAhr7tRDQ3OABxeHa 5VYYDrFvuxFG3NCle8Ep3h4vLhU3HuIQ/hBPk+Mz4Xlx80CDbGuDPCwaxmzou0J/MSVowTBL/LHT 8sZkDDUcpuT4tYkD4lYmnhWbMRpYjiUjvuVIjl9jzh8I7hJ9gmstssk5l2oBzMZaW+RG9iReu8bw 03Wh/2bkSbE+9jmQwZS0yIR+yOzMeJsg+qLO5twvfD6yH1Q24wIjWvNJhX40hX7lXr6F6Nhb6RXK DCTMoBHYOeEbhTbNjcxZnlvNCelz7Ga7soVMoAHkQZ6QiG473YzPjHYmzE25VO1ZZHGyXczQSAZz mcTQVbXOFH5uk+J9YyjQzgQ5S+q03WEUzBLO5nvXi63qSLuNl1SBeEu+CZLmkZFMBZmL/5m0ttcz h+7ZyBEccLsZopTSFhoyTutP8OTuWJHsBizTcF2e95iCSdHt9W7uzlTPdNNi3e6P687iTHE6q8uM ImZDtrzWaJSaCjNqQvvl8xg9oClGYh15W4zvV3Hhv/nJI1Yl8ap+yagh6jhRj/SIg3DtXq0NdfcT 4hC97rm6FNFe8+Xc8+NHNJ29pFDowDROsraNSqJTTNkThP8xvRDN8kcB7wvInjHlS1OlNlytMOLO EgDG9PZphXhLiTm29NQLX9b1vFFx1rpLYWf3mMs90FodfgxessP6xkn/t3sY3OpXYVB/FN1Bg5i8 e8NXaC0m9UjBM8hlOUaVoypTLkZlVOXyStPU+FJGgpQmZ+N9ZkkKtxKud5RX3aAPJbpCtPOB+ZQq wQAf8AIk3m40dOSt+fqd+f6a80ILmgEI3ju79bFfxXMfxLWv+xgrwvbtJCsr68N//Mif/Mr/T9/8 2vzO//zQH/3SP/3UX/386q7Wn/3av/3c3/3e//3gn63LP/7kX/7mf/7on/7qv/7xDXSaAfz1pm1M /N2xZvxqdGXLSuA5kd3PYf8AAUDgQIIFDR5EmFDhQoYNHT40KIDAAIkEAkDECFFAgYwdB170GGCi AAAFSHoEMIBAxJUMJ6KEGfNhgYsbEQ4wKVPnTp4ecYLsGdQhAY4fi0oUmlTp0p4BaA7MyTTjgAFS n4YsWhIoT5UJo0oFy/CpU4NOiW4Nm1YtwQJd1ybd+FKgzZQt397FuxPpQZFUPwYQQBWwYIEBBg84 DBLwQAEXAQdGXJikRIoATs5F2HiuZss1/1We3FjZMmEAj6uWxak55+LSl/ue7iyAJOuUFPe+ntt2 9mXKvANQvZy341O6BUl+FZ6cZ2CnaJV3JCDbLlnLdgkGjg5SduC5E4FSjc545HPy0IMbrdly48XU pYk/bd/cPVTHOdfP72s46l6DfgEQPYkjiS4KzynN/LpvI9n4Wu8i4lqiTr69UmOvpdUKsDA9y9rS 8L+qRApwJRDLm6k+r5wjMUWXSApPRYjku4ou/wgysDaBCMhutOrYQ0y+ruRzMciCZiSoxf9I8q84 +E5Tsqas3qNvwxtP8g+56yxE6rbuBBorq/DcyuxJHnObcqDw5KouTYF+1K6oq/yiTs2rjP8U0qAL T6wzT+OOykrPm07zjzr+riusqBm9nA0kv0jzU0g6obosPO7m49KzQqOMs0tMi5KLrPsQook5juBU iagM3cMRQDURyrRD6r46E7au+HOrVKK4BG0lMF89Cc1GtZqvItiA/bVOHClqr9iC2qLoLCnrOiiu W4/MLdW2SsNJVaeuVTbFQUsjNqXJQBPTMnKjbPJZYOkyMjoi+wOuJLom3QtK44aNqFx63fyORd5W 4i9L9fidq6qAT6VW2TtBRbFb5QzczldlJdpOQUq/pZQ60eI0k0rXPnX44ah8PE3QkvU9edPcTKyU UjRVuiqzaXE6rUW5rsK5Q1b1NdTQlD3NHAhOLw1uCSdctwSyyl7x9VNThkNOkUiOlaXTJhmtW7No Ti+LKqeukaSSaajvEhbWZkE7KdNxLz26rsAWlpdSlWDjViFuLXYPu5ZwnMwkuSbdGdIbo5vWQ4rL 3DIlk8ArbaRpx6N3IjDnPK9pJ72qfOy8Yr5RbD2nNlBQrLkEz9B/Ga+uIiTd7VNz4Wj7KPOYDMOI sxpRgr002jHTaXcaZS/rPMPQ4oxG311HPnnlNWq4sONzH3556ZUqbnrrr8c+e+23d7147r8HP3zx x/8nv3zzz0c/ffXXZ79999+HP37556e/fvvvxz9//ffnv3///wdgAAU4QAIW0IAHRGACFbhABjbQ gQ+EYAQlOEEKVtCCF8RgBjW4QQ520IMfBGEIRThCEpbQhMuTTWQSAjyHsBAvlTleRmJYmIbMUH67 k13uALid7gHGhi9qHgP5hreDcK52rVOOSY4TRJcwDXAKAVP96uUcmlmpfyNJlsPiUioXLgRjDgwY EqOEFZ5M7YiCC8oXEae/KhGvKGbc34yqp6w4RXEqnmPgHCXjHdJ9hiBUUSG2SAPH1miHN60Zz29M 4hiKGfKJH6EQsGgDG+zYTjrmKsxnkvSZ9BToMoCtBEoKH0W+egkPKFbUHyodFqcIfXIz3AHMeFYV wW15b1ZPwZB+ehWgANWHZUUM0IOgVaNkfWlvOTpIsnLilnlZBFqKiwxS+rIhES1TRONxS4u61iNV gs8tRoSkGPNHyFWG6nDPZFeOfmRNC1bELlnh5ZomYxekzEhoKzRYvODUsYy9c014pNS6ILQ1dMHz Q1lJEttEIzDxtE005itltDAUQHJ2yyylaqjcYAMUSY3/ToKKVNcYO8qYUcmqmgkhC3BWMhZrGaxn E1HVKK/zpNWRKVwvAVM96akemBIUWmFsWcLM980KOVMy4sRfRek4tKzZ1EgiwdG17PhA7y0SiW9C 0kY5YiTu6JEtZDHQ3nZ5sdE9lC/6GuiNODpPxhCtrY1TaK5sxDasom+KBdkKOPVHJybWqTh7uY3p +EktNQqRnm6aDS5BUiCmKimxUJxoSW6WWJcWypdClajgasWpk1WooUDC0TONlrB1muk0lEMfUYeU VgCqRFEebVQdDaW1NV6oKszsYgFTparU3UxRucJO0AjHJKRu6FxZqySusnpOs5alXB6iytDOGTBA uatK/6VDrpooNrnf2hVhHzlWN/NnK6NqMSugBaRgkevHCQEUgdEzXl87ExH51tA5tvth7ZwD34XM 0HutiVZ946fD//HXev/Fa8OKe0IGNxiEBHZwhCU8YQpX2MIXxnCGNbxhDnfYwzL5jWMEjFIUjbi/ H0ZxitWioCXKxIpe9Yh4VTxjGncEcDLGXXGbazcT19jHERblsH7Dx834cTSLJJYKi0eZjaawJorp zRt7kxt7+irKuf1xloEMn3Jl6qCzcW1Q6wpXNTlFNP6B08yuORsiGzNxP9FynDXMTJ8F7bRLSxyx UBu3MoFMm21yHuJaFFgCpQ3HckY0CQMrz7cSa9B0A27JmGPG2D8+lm1Q5RujNzQ3XHKtx4kGtQbp vMaIAm1VOUNczBDUJ0o7daykHd1XDh1qWm9w0av6M+Ju/GpuHYptmh40YvOm6QjV2T2frnWyIzhq 5KIpKn97p6KYNTK+7YfV5MJuXWDWK7l8ZmTMyquissXNYCyTmFUvKst+t1K5/I7b3e+Gd7zlPW96 19ve98Z3vvW9b37329//BnjAaTS3tCHGqHODpCyrI1OBN9zBaXaSCt1sI5F0aNYOx7gH1xpQQoOr z3rNeMhJiOmXxCk0E2FpqgCFZJG3nIQ2s/Qzi/RqRLrX5Tev4NcCWuy2LRM0Nsd50CE4t/j0ydtU kpxtjSx0pl+w3bz7S7qbPnWqV93qV8d61rW+da7/d93rXwd72MU+drKX3exnR3va1b52trfd7W+H e9zlPne6193ud3ewYRqjmNmVOC9PpzCy81fuz6FFMYJ/YLZSFVSPhHa1IenIxsvIQYkZMNxjK0DM 2EV4CmIM5DAprEKUetagcV70C44gwwV4UeSpziiaFuG7JCmrthL5MQAruHX3GEhWpQbMCh8yDH0P XXv2hTecLMyxsKXEmiPef5Un4IBQ7yfgwNOn0arkd0iznQ+BMpMKR9ZDS+V8FFoEvnCzjzMBy8e9 lDyyE4fsYtk81hHBWXGGeUloGpfYMQFr1WOdKgdSvQB6CuhTmLbRGDzKpblatdxYkJGilhEpiQ/5 xpKDYh/F862AKkCu6RvhUpdZibb+4pOG+quT6pymAhLAupTbYRv++DwFMsAAmhDY+hX/+JvrsxO6 ObYymZxhKcGggj/28byY85p+0ZEtARyB6SkXmhetOsJgQSi5Kg7RgZk10Y0WPBbeSj3Tu5/PkI2L c5EhGi2NAZ6YsSpOY6vueLTXSzI2Yzn1mSqnAZZ2ScOfsgsQfJGj2KlVkSZE+SeOA5g3Oi+oIisM kr3VWxy9gRoFQZb8w8Fl8TQ9epchi6WM2rPl4//CA4u1y7qPQFmSz5qTa/o1lBJERTkoUwyoJKkm pFMTo5kUT3kj1pKgAfQfqXnBOkGOPoQ9O5ErPXOVaEuaO/tDo6JFb9rEwYmuSAOPXnymY8Go/4Ap oLtCJtsp1JlAf0FBDEnGProV47MtFolGCopB/2FB0jEvtFCiR2QLZgm2imiqwXHH6rBG1FIQHCE/ 8JkhwAu0BNMI45E6Qgkcj2OM4MGrqMO79aGJfDwxfmSITOyw0TvI/QFDh4OwiPQfh7TIjNTIjeTI jvTIjwTJkBTJkSTJkjTJk0TJlFTJlWTJlnTJl4TJmJTJmaTJsdG73SE/vysPJtLHDLpH+sFI8jAJ vI9YyIcAnvsK/8rwIa/TQrzKO0S8gDGSMqFxDKDL6xZfWabiKsZl8RwiYQ78GUKhCD2wuLUL28r+ MTOgM5bguMU/3IlH2TH5iUNFCRrtmBsoy5LcCy5sIbIVgirEuEvxQJMFAbC/NC4jMw3DYJLsS77B XDoBVEv+kb6fxAus3I3dI0zJicEUMphckYuSa4xmAUvz2x30m6cOaSQ1YSyxkrmb2Bt7EZ3EAasw M7NnMbPLgUYCOa0/rDjMEqKklJ8NHJuRGB6nSTPaMrX+yBEIPBMWKRnem59sQThJKhcjsQ+EMsFh CsGEaBFmo0N0mq2VOZpPoQ5oG7ZGg8gBekoZLBoapD4MWcJnef+TvakuhHiZ2yovD+mUR5ofz8NN YFG1rGooOdKVLHxBJWOtSUvD2NTAXyrPn7NCmzFQCDrLOHIXIrpKtjSRHxSXPBsS2LAZDhmc6Yuf uWxQPiOsOwxEDxzLInktm5o0/LQpZoubKeSsPIullaDKBNpR/jGQRnTPPLFMKYkTx+tO2GqXJssJ mApS+fHPHezEznrCPlwsUQyom9AO1vI17dLDX5PDBy2YI/QUJmlSAqrQ8RKytgwSOnGaknO8hYKt h5IUuWpO/pG9UNxG6Bq0O6wu8AAUP12IgyOu5KMIauup7kAMx1KXBESakXi2ZaTQyEwqK6kbqhmW 6/w+yECcp0w+Unm0mP97L3VziHykTFJlyN4xPMqsSZngjPXEiIpc1ZQcIjWN1VpdIcK01VzV1V3l 1V711V8F1mAV1mEl1mL/NdZjRdZkVdZlZdZmddZnhdZo7bzhSRvEsyHg7B1p3TcM/C7oGJ2oXIv0 nB1t5bCwDApxZQp0JSNynbNjTIm6LBhkuj1Mqjm6GDIEQw3SUDJGmrLW6Nc6IrLQ9I6KAIrgq0s/ UqQFwQ7oZNcTGpC9a5l0GRDRypH2ahyCCsCCgMC6Yi9n6ljcbMANYY8LiTTd5JI1M64ddNWGDSEM ZMoTtc4OfEfrUxfUq1RHk1mgKQ7320FqSRKamqu7ikBBxFaWnaAnTZcAndIVvRRhcRaFcL2gqowk BBhKWlEzQ7m1OVGaiSqHirnQKFqjTTymkcNO4ydasUAyaVHUcCZ65NNVirknSTyuuBkl1JqavRRb EwpLCVkmKaVaXeOI3gQSVglBbXKpxTrcE3yVkqXXVtEuhJnaoxjUvDUhE4XGPNVMZqSz9Mqa6VQI vnnTaesbJq2WZxQUvymauV2NpOulMjGzxmBHSaXcESoxARPVh0jV6/iQUNrdFZKh3CpYVZ1desOY tR1evMNVxgjb4/9l3uZ13ueF3uiV3pq8yeX1t57cHx9qDOtVC/7C3i0rFRLFubgUIJXrUSHRv1Hk MDBZ2aUw3ho70/w5Xz2BGUD7MOoyl8gJJMhgjdsLJEj1V9rMtJtQXsmIV0uijFh6qOQKYIZdNu5V n/hF3+gQxCuZEdPIT+wQXgLiJIvhmzHpxLbtGXDsHP2ojw5UpB9iLCiZ2Fo5k2u5j950v77ZYPyR 4PsZ2O9Vka5wRA/8jZPJ2QEpRw46uTPTwTIJNtk8L0aTWIBKs8qoDOt0FZRZQaCtIPINIPOF4LAQ GP2ACjZMl4ThT1FjmmDbraqIEWOz1/AlQp0hvfADUI66LdUFx0PEddwKumH7ad9GscFCtamWuWP4 JArZpaqy+pmZs6lb67a0rVH3IhwHab+NI0zHba4wpqA95p88VhEXtNc+Kdt4GqGpitmjCTM1g9F4 ctyxrML/eFTL6tCaralhei5x3GL0md88yanMG6xOFik8+yCMWWB3oafqU2IHzDS1SZ3To5IYnS5D EylIteQJwmIAIorMy7wa5mLrKBzjMypkzpswmzD+atUghdW/EDwDs6/pxd1yw9cKe1hNVue1C4x2 jud6tud7xv/nfNbnUf3KfTRn3flHb6kdCqKdH6Ln7O1nqHkeAzY3IKrdxIuO9DUiCRkddQ2LWQuN iSTAXzKKVMHm8ImyMp3gSgspg4jfwaUR8f2fiaWUbpoqcN2c+pLDB8JUSDzBAjPDWmaKKNrKW/Yi la7FzFmcBc4zyJiX39gNrpKOHArMgknUttpfR+XJucLS2Gm+TBqkFPonBy6fmaYhD5VMkfaTQYGT f+GhIwEkqEVqy7CzyDAZBdKriboddvIQ/XCT5STh3JzAg3BEkzWLP5yXwLU/vrgVx2HYyamp+6hp FqtRoM6emj4rnd4eeI6a7GiMVnO/18Q/BcwRr+lAq6FV/on/a/mLWIShC2r74lf+olMy4ZnlpxZB 6drrlUVyvJS2OH46pTr0ae7xaqjQ6PeZ5olpCya1NISqGQgFFU9LzrwJbdFGkahQGoqj2STbrSUN G8KOKti1M/dgYxSdaBE1LVfWWOekJpghGpTTmbg4aPHBVCZLacnWHsomESKhNA5VRTwZzw/ekN9G UxoBwtalUrpixu2epTFKyPm8UsazokiCvRfjiAq27ZaZxIwln94OJbGOn0HRYRIhaxQ27k1VQOX+ PhNu7v35lNP2ZbqGboLZQfk40nxxEvL+az0TUJF1zWgawSKqm6853V8co/SB7GcGoNuJ7WLhaUsL rRk3z6fBzxWRoA/QziP4RLWEEabDHK2vUCmPAevOeRtTvCTj6hQsEq8JaQtVApntOiaJIA6Togz2 6W2uxXAnDS/4ph7riNxMtUHkBqYo+Qyebc1QFTwXQueG3AqJ88GAXmeoxRoDazcf0h86x0dIF45W JWRWkfQIcy2Wfgv5ZtaRABmXG4z1Vopyplzb2OdTR/VUV3W4G4zgTTARQ/SdbJ4Nn68FovXBc52F BrCGxl0bunUL/cKXjXCMsWiyRNLFWyHkKPNKx5/gbi3+Lo8OL+nxflW9Kv92E+9mYXPNfHGRAMwm zzEVumldHr308GG9sTnyhtjtZHeguBzqQ+JDYu4MOFWypV4h4Mv0hAsOQPqitsRGMrP0P8Lq40Mm 7uPLcicPZ79Ii3Bsb7HzDzmdzIQMgArNyag9lhnjAYrrVSRl+rTrkz2QxLXHvVbOYbsPbWlbYZzx mWJg7iTTBC6iF9WKaSKmNG/tdXcdTo+fJWX2hLfsEYlNkeCUhIxBDFENGReQpP9oIH9u0haooELx 1PbZASdKHoQ0MQUYFXWuiH7BYEvU/HTLL+lFxTC2cCEfhQ/rLS+WIj5mn9q8ME1uPrcOAynxVHru 646be4LRNjlj0hIbkqv/ilHerVtBWxjPmiwc4KC14pnyYsWxFjV8HN64QvLReeC+UGhXDvoubmcO WhrM6YvVjI3AfD0Wsv8u7Z7lFfXtfL4GwKt/l4MpIgK3Tz2Pywtdo0sr+3g9+56fH4iBjDjncDuX WWsDccz58ViC3SIvoBPX9sl6phVX8Hh6cV7kbhtvDxfu2douEgoEqE7pEhRR8ywlk83StckVn8pv H6+se59HZI0J3MchU/ymW/mD8gWSlinPNcAaam1PnVoBCAEAAAggMPDgwAEEBAwoIJDggAEBCgQY SCDiwoQOMSI8WJAAyI4iMw4UUKDhQ5EAQh68aLIigJMKCyRMebJgSpU6/3fy7OnzJ9CDA3IGLWr0 KNKkRkm2JKr0KdKCCIcSpFnSpVWSDHc6PEixKkMCASYmNAj1LNq0ahGOhRm1Z1ujYxEKeDjR7Vy2 TjvGPboXYVe9Hf96zLv2MOLEihczbuzY70OTaQMIcPv4MubMmgdOrBtxc1CpoEeTLm36NOqfOAMw Te36NWylAYYSRl03Nu7cunfr9myZN/DgwocTL278OPLkypczb+78OfTo0qdTr279Ovbs2jOPrVz7 +PefhrefpiyRPGbzv4uPh0mZ53jx8TmvR//YpEICVptLDs3SIkhm2UeafuENeFZBQxUgoHGi1VQV T62J95VIZB2ImUJCDcTgnIU/5SdghitteOFmBZxEomJ3eWUgbiFaZOBFavWHYmMObgXReQR5llBE 7iWYkkQRpRTWXxhVpmFdQH7mEVZBdScghTodyVlkF7kXUY5JjohlfQOiRCNiDi4n5mfvXZXki1jy VBlVSp5n4Y1gHqaQd1191p9Jt3XVX4ysPbQgAJ0RJFZMThVUEUl7BpZRiGXqp9JNKoWYJ52SQinQ nV8pWpJDAm0qZ5xyoiVhcnRS5megWW04kVn6jRWjTgse2dWmkr0k/+ph+Lk00H4ZOQgrZ/uJRqGv ++kEk1S/CuSgph4ZSxdIRInGal1RHqTisE0F6lVFv46I6224okUVfyddFG2qvGr4YknfihRYTIi6 25m14p615LXmFjgokwtV5KKFi65a4F6zXQSoslWB1BBl+3WoksFuLXkrAC4iFGOmAcb4kav8XuWv qKHamxSpyOG7kkBkzSjaxAx2FOWe0XZrIosjq+byw+3ypRBlArLGK0yt4STSjVK5yKi76XLKk0Lu Mrsu0TRZlXO8vC6bdMSgdmkzUGLOJxyZy9LU4ZIknfyyTXjxfFe9XCNlMdBWe/wz0CpWPKLAFT8E t4i8GiRonkoHvPn3s+069NvRAyftFbCBHW7VrdNCubXblbMVmN3GWZyRhSGxatGIYr7s1uGT21q4 5f5FnaDOZbE+aFjcsutnpXw5FCBnQpJLZ2AJRoQ6uUQLyLHLdMGLU4jR7hsnncCm/rzwB9ccW9gQ Bkpn2ZEtvqLsza9qFd/QK1Wbmdd+TTTlOc3GvUd8nS/X+x6bb1n85Yt/v2DXTXm2bNPjn5yVeOYa eP2vgM9zCcUMaDnzTAk19lMgBLlGmwhSsIIWvCAGM6jBDXKwgx78IAhDKMIRkrCEJjwhClOowhWy sIUufCEMYyjDGdKwhja8IQ5zqMMd8rCHPvwhEIMoxCH/ErGIRjwiEpOoxB1251Qlgcp84pcUKS6R PhykInDoV5H6UU5KO/EfuMwVorYVhW+iQ8sZqzgSMEKPYco5WbGY5r8EXs6AfCMjVMKXx+KpsSPO w6C5lCOmP+qkZFNE3fPO+JXyTWk2+NJSoJRUFxDxD1oTvAq50thHbWmQIZlrkLu04pEe7W0ohKTL bJa1xaZtEXJsJJGpprTI/XwFT2bJE6bwlrIToaxifOQXa6b2N6RtcienpGBGDBmcQ3lnY+Aj1KNW QiheQkosFfkKxv5GEwGKT1dL6kqHusIUXw3PIA7KELPq07uswOROvyymMhWIJ0Quc2HSU5pWwBe6 d8KL/1Y5yROh7nfHVsoOXuQUijlBZM4FgYSMmLOKiTTmy2IWcnsRXBhDCEicQW6oPxTi0974mTaF jWgi1Oxm8cBJS09J7GpMkl+yLAqYyED0N5qE5yvd1pkkHRM4oeJcVmj6IPm9i3RDakhVBCXQlLay qXeT3Tm1GTRtBksnGQomj7Kqx2JWEoInoxrYGOTMsiAqqGXhStpmA5PHVQyPXFNkOxfSMdYoqJQv 9WWCzMI7wvxImBwhKkU5ecF69XQ3cNzlKBU01JvCTF6x61xALRjFmu2lNuGaUaC6GNjNLmZ/74Sf ZoO4mnhytrSOYSZpTbsmT6q2tZthSANdK9vZ0ra2tgq9LW5zq9vd8ra3/779LXCDK9zhEre4xj0u cpOr3OUyt7nOfS50oyvd6VK3uta9LnYd08Qp5dSK7htNbNkSRCwWkLy6ac8WKRdaon3RgN40i1s9 VDywPkajQumuClNrx/j6NJRik6NR6JgvOy6Ov1GhJ4Hwm8LCQjCQySGTTC+m4AEXUJEpG5J7LvIt ymylfFiakZqO1cAjOfJb3lnWJDEcyV3dLUHrdaF+/9cjA/fGvwnRkERK6eIvppIgq7SS9YL3vFiu laBxi9wtOzVREV3TrFtd51i+krzDSfOaI2KUVFeiqQjLkMEGTOaEwSuWZnZUValq1Za5AjJsbuiq 26RxGJumS6UVqpfssvsRfJFFk3RKSa8lXVrfFqtXgfyxZTyM8f3m+WB7foksdmvUPtHKPQIC9MWi GiidNZWSg561Q6dbGB5RRaEPmZldT+0lq3Jkts/KsKsQxOiXwCPWMtM5eSGV9JEXVFJd/w+u1qta lKjySKpW1dUd0d1VjMwUQ586klKu0qHDjKudmpLLujlsuh496KtwhXRqG5tD4IwrTMNJymaBk0Ll 1lbBIZha3F53oO1sazvHaNWHtjb+LPbJ4XDUeif6nLxFyi3WrLUyb7Y0mHyN146JKHAQuSulkIpX +x7bZy6J5rKhrTfYNUrjOkQ09AiLb+rZmGy02TZgAePthrsZQP8ZnGxoVMLGviCF5tmt4be8DBSb 37znIeTZoXwudB8yEOEgNBHSk670pTO96U5/OtSjLvWpU73qVr861rOu9a1zvete/zrYwy72sZO9 7Gbv+mvOrva1s73tbn873OMu97nTve52t/rQ8673vfO9737/O+ADn9wH8nwn73PPb8xrHcVDjDSM F493GfM1ad/nO0Z3PHhHjkHYLs6kOdnXTwzpUbsE6/LREXdFxYwYcbJ6VE6R+M5LgxLKURw3Oj8M ukroyG1dDo5CBjDEnkXfC9n3pmvM/OpNf1ef/P4oIEdMalFfmuejRfoVnGSI8wXioV0PyO2Sa0jz WZKxoARToyT/icFyNBhTlWRHPVM/W5oGJO8TafztHz+XuEQl7w9KLPViDayUWH1cnPrVX4V8S0np X/c1kPzxEZEgy8L0WV3pSEL0mC+ZWKUAYAI+UvM4hZl4RiV9hPZohfth3/spiSEZSVmUTF9VCbAY YPodlVhkCTeJRH6QmGdEFgAyxPbc4LUgEAQ2X+4A2WxEyrEhS1wF1Pshy45UjiOth2SQxAymDKEE HcG1VS7FjYVkyp8sizVhE6bMl5RdGchsRdAd28Bc038FHaNo3FV1DJ50FKEIEMNdy9pUDVgtTxV+ 4XqEE6F5IbuM0S513hhaD6mwTC3BlzX10hsiCpssojX1yRza/9cWDlPn7cqhYIuSDU3TpMq/fI+k nAdV0JWh6FUiZhUbZuEVBp0bScW+DYojpsp/eSJY2CDeOJUb/QyqFBW7hVfVbFyZQI4cIgrIVE5d PFC6uBMjCkg2cU9ejBWq0VIsPtVJsRc+QQn7iBe7nBQd2VvAAdpK2dkrQhrUXMylyBshFpTT0JL8 hI9dbFNkHZ8sLlnvnBtFLMl7kCO/uEjxmdWS+dGV2ZWLTIs0/mOFwAzoqAT60Yp7UAQduQWWld43 fhe/zIid5FznBU2b7dofZhUaQg3FEUsYvoy23J7bSAZZCFtHclvGdV+jgQ9iyQ1DdaJJiN65+GNN +qANBogXLv8blW2cx2SJPZIUujSW8AzVw/kRkHgKox0k94jgx8xEz4ySzN2kRZyEOo3UsNBU01CE hLDMuTxKS9qOoCnknzSljbyjMxZIHxqLOO1FP0WZymGhxPCknQEbqPXgwYBi3AQPqaSfnYyUruHO sR1V3PDixgUTiQ0mmEVQ59BhFmpVzhHaldFaNBZUZcGes1RVoA2fqTFFEfpIvdnVSrRT6IDbu4zU R97lGeFLRtQeZ/5i903lVJRT1MRmwzhFP43kL8LN2WTPat7lZqJjKKpbOd5IOKmNhDxMIabmijCn aG6IFEamisDmkiVLOAILIcFKvXGkbJrlXYVk0KREERqcLTr/JvgAylMlDLNsCIWo1INY5DT6S45o FCKaGr3p5p9IxOTszka6HFAS5GdGpsNBC6DVmR/Z43x6YC1RBN3EyxXeRYcQ0n1eVvHg4yn+ooWk pJ95jGgkC5Sk46ml0XTeGYgIVdwEFKnUI35Oxa5No9HYleMMIxYCZfNJIV9WDbPoZsHRohv551Ga GhklinSOZ2myCwmWVzgGXCcCiAqiRASCVKpQxSxhBDHmB6RgRKkNCpbu5EwQmlwtlAriR5cG1KRA TlgGC5a0DX64ziktTJdOhJUqpIZhU5iWRZNCafjIxKP4DiXKxJeMUV06nEw06MDckzSp4GD4Y/i8 5JwO5K5BO9VGxKOactMpyenvUOHvzMyT3qQLqoicggQU6stCrWWYLg6UwkoLBkqdWpVcfQvFNUSm goWocilLcGfr/ykQz/WhgdQHem1NeBxe4hFFfFxefFge/fhEsapXH1IkXfSEB5LPixGrFmnjtayF YTweWzCrk/Cqs2ZW/mTOd7BI/aiPTWwrtHarNaKr4LXrYlCb5jFGntCVu9ZrdXAY5UFFkiifvfar v/4rwAaswA4swRaswR4swqrGF4XLUSAetjJswzZe5eWGtiZH+kSe+UBPZaVrUWxNF/FrxDoJZ4ys 4ZEsh/APpsZaUTTotT4FKSZFgWbjYrBfbPxHduDR6DmnbExHl9gnbGLWT1RjS0SYzTYGnCVKt/zS +sTscqTSb4AmgsWKtMRr8CWG9TlfTlHqqIBsctQe1WgtUlAfcP8YkvR55lLk61NYp4vKjcjcF3VA bFJdzKqoWP/BajsNyuEwYH18RAJiZYXsmBNVoI9hksP9yH2xGESg347tpFawEpWcEX6kjPzlToQC 4RCeZpvsjQEuoC+u4JUgLn9m04YtLtE8oON+XwGK6iLlh57ZX+QOrktm2ClBZexCTA7mRJPqCFgq 4eTWRO3031+ExXnQ7ssoKuyS4pFQiujxIAXWbUIGbrhGoKteEiTFYL/YzeYq5ZH90kdBIeLym025 TIcVZH+QC3zilTiiDro523yY4TShaIbm4jDtktgk7ZHRKF9g4h6eyageiaNwKi4Si7yAhf3GxMA8 RLHsBadxDpH/nplHum9W+s0nJpuHTmJHbihMEjBQRmRMeCRbEOEetmVABmKS3cYCU+F+siogIujl TDBdqRN8/UkAt5Jl2iCVxVEvJdP23EhzAiSvkCECrzArxsxhFibbbk9y5q8KFwfcng12OmNcaSGa AloljdMsvou2lO+cLeRKBqPsJGmv7AVwsi09UQhExuSpCUom5ZlHiuSvUZzzrAwbE2cHt6jsjGir 2MRK4mGPSukvcloHK1XqNVvzUQyISmTiGE94GqmADQZnHlNgfBN1KkqPjgRG+pJlYIRFuSJsapsH jxRTgGHraK+O8hE/EoXZUC1uiI4XH+aHsLEWc8ZrqtMZ09nl/4TlCL/nNa0cY5Zq3FhLqkkvKQdb ZEKKXWhMjuKLlOkLRGlcJHcUAu6wzCSl0uyHoQXzKYVxG7eUbCbiwRiZJKOiPdmJrBRSEC8fhUGI N2Uo8HbLhjWzR86eBGLcX7hx1SizkX2n236m30oTPS2JrBaMNY+wLEtlN19TXkqKDDebgRax33wI c3wSDtcZQLPx+oKOJkUJNJKlLe4oCzMkRwOb+kRtoBnUCkOKkV5mQs7jikbxH19xJzOMjUAUJ7Vc T/RKpLHwa6bVe84i0pqo7RbtSuML/6wMPO7kzjjk8NQUfr7fbeKTReVNnQXgp7CwhA3ttQROmlZl Vgu1J8ebLv9/tBr2xE+nkUfPJXS8IDb6KBnm2ijHRArCamySciiH8gT7qF3Jp529pR2bGoa6M645 DhpvYYZu5btFMgrXohLXzajhzT6LRolisandyF8H2ktgMDh34YPQjcpEqjwmjO2YJru924M6aGOr m0q+9btJHNmm9CxpRD6TkV+iGEvuMV1A81xjtZxONuSwGacsqELfb6zIjpkAabggY3BozIKYW0HE jCZLMafsDz2R4jpJ4Oa4pabOKl1JXBJ3Rq36zi9pp6IylrDVKRpzaeBQ937ypj0TSckozy1p2FpP JHgP90p7S+2krJ02t0+vN5NK4gTuZEhln/EsBDft1VkByEeHYBI/GimmlgyfPhNcIvCcoXdVw7GS cKkbOVMpsmqA7wyWtApGGrR+t1JYDOBCa5L5YopfSZwtIUfhLat4bBqydqylRVFohZd5KV5eHJ5a ZvW3iphg8YUHGl3FZqwjB/mx9CF6wQdenI+jQSF8FLl8wEeFGPmPQ1HFIvcTefBgSDn6pEXbKjlQ /4rLK1LQvJrkTQ+FZnoQ0EZHmquyZohqI5vGK8l5dnA5BXEY19IF3H4Q2sIGny/TMSasoR86oic6 DR35lTeGsPa5zMHfbjA6mfvExoostu7tzkF6o+dGwUB6oItYqGeQmsMFSUNFT505ghSjT+UqUFif gNW5VXG6PsetT4ht0NL6YRSfq0Pr1Tbs98YQrlvKgUbHsKvFVlWcyy7pIcEsnkvtU5R6UKhtbBgb tPa6Wpgt1o5JhApJYSAum5TShv1uiRVGiL1uuARJ8BhMoa+fv9wF4rK74WmYuePLBzrSkNgh/1UG /9miUP4lm2wR910PPmKfDJKntz/gArqoKUlgvv8/UXl6Cg/+E7j3mP/6bSN5+/cd87GcLoftO8+Q EXcFe5qcjOF+X3S6BQ+q+py23+8Kj/q1PIdx0wneH49MEo6Zu+T2CKuqaobZOw+Oe79/MD7KKq8W owAySZvkHnhg5S7Ta5vSK1wfSUSqSJ84KHeOTUjgRwEDiqAAjtDuYFW02SJN0w5nKBxOMVzPY52B Pafa+jBrKoOSSzJlWYbIatxe4dW/SuhSoZXJDcApO9hzjzx7fd7soqw8/WX/ItbTqOMMYJn9C+uR lZbB5b9kmR+x7EQJytWf1a3QYUjS7w9HmRhHftur1Cy62TSqVB4vGVvWGUreYYMW8OebmTueYsP/ FCsHz9Lle6Kcjrp2WTO0YW8MvxuwZbLGNe5h8jAjM3tDJzFy8pEVx5uv3KKQAvZmF+Rg2GaZG0+G eQXbH2ibRGrBe2hJJRRCSaxK46H2M3B46nGmYQq0neE+8wVUDeVdOlQxK+Rk8h5AACAgAMAAAgAQ IiyQcKBAggoDJEwo4CBCihARDngoEcBCiwAuWjwowGPHiAQGcNQIsmLBkS0LnEyJMKJCggJmdiTY EGFDnDQ9FtjIsefGhgFKSkQ6sWDOASmfqhxKlGpVq1exZp1YckABAl8Xkky4VKdFryhjgiywUuBa sD1nhhQq0iZclwxzSoyqNuHcr3+T9jVKcK9D/5Z1m9bleVgsYokh+RomStYlYMJeHxqcePCvwYWF M878+xYy6LGjUzYuq3pu4sJkW5sEQDltV8Czu7KVzDGA5cSR0zqWmBbp2qqFj6KeTUBoRJIomacM XpYj5MbBF2+t3lIs7YhIUdb02VLzc7QRC1M8fxhj7PFAzaKs6p4gZb0tQyfUXDwnT+g1tQpQwAGV Kim72UqSqybTJtLsQMl+kg2kmbC7qaUH2fPuN6umW2mxhvaqEKPCotJQpZzI0q3AzagKoLfUyINq qgNDMs06/Bh66KiSiONRPAtZlFA21k6aajPRjJQwrZDIWmy64QAMgCQAc6zSv42kHMi+ovqi0v8i FIPKLC/4HgMTQcHGmrIgwrg7iEGekKqptpzS6pCwuJIKoCuq7IxsO44Wi3A2NRkk0NBDr1ItJLFI yqyi1shaKkJGKwpJPvZak0vHlJC6yTiiNPNzrlBDVamiJj2KE9NN64LMJx6NpOxSDClTNc4Il+pK PKgqKs8jzUjt9SBVBcKxLqQ4XXIu1lglNtTYeuySPbHYepYqNRu9K7JLsyUqLf/GbAuoiOZCVqAf qfMLzySDCxFdb+urc8FkpQXXMNqGTdWjS8nCFib0TvWIyYV6k9PIUCMNbFzGYJVMPgwRjVhi+1BS E1mcfNRvoNbWomhTit6NsOIJMZJMz4EwbNT/xYwFegriilv7SqNMKXy3XY32MnE7nMhL0r6nPF5O o/FwvtDljwVurmWDMhPKZaqY7krHgXS1idyQqf5XWmSvhstip30K1+uqBwYK6Cel9XhPolCaeaao lwXbuaz7OttLs3hGc81rUV4X4YbV7tVRioLt9kOUl+QJu5kfmnTfoquCuXGFM0J5cG6p/hViiTnn XErtXMRqKgFCT1Mr0rP6nMsWk1Tqbt6Gkq91rVx8PSvUD61dqY1K9LJ004GfzffZabr7d5qIF952 3o5HvjoAVXw+wORdX94iKpuXEvvmcU/U+qp0f+x75a1Kkvjsmx+U9vR3FzD8ibbHnvrO6Ud0f8v6 628OMvyx2pz//09nLAAOkIC3K+ABEZhABS6QgQ10YPAemDqNzO9/AqBgBCVmQQxukIMd9OAHQRhC EY6QhCU04QlRmEIVrpCFLRTdAL4DQ0O9L4Tsc+H0CDS+sQSIfTY04AMf4sMFmq945ZvMBQmEkwWR TocftGB9BDWg7t3/UIUeW9kUeYi2D/qPiq9Tk4AKBTWxESWKGkOUFhP4rTEOkXJqBJ/CVMM/K+rE gpQjIeFOwsX5IJGKHORJqbQCSBDKao33UaEeA4TI3SRKgEnUWufCyKcmdm5z9xPSGxnIkziuEDJo 5NAk+xhBnjXuKxaUmnOYNhagTUhLIFEfU3CjG9KtEnmLeVFOeGY8qe0EJ68xiAxH6SUNDiqIpJQh MSs1smtZMDujFEnKvmNKAgCol5mBIvxoUjG26Ek3J+sl6yzCTJ+V0iap1E8kc6mWlQxTdSyZmXM2 gsdzHpOMT6HmyNTTOHM2ypxD0iec5OY8YoKGcMOspyZLqSelxdOe/19qZWjiQk3wPQWXpjzOXvKp TjGhKGgaBYlzqGnMmkhJnl+iZ0FpQtFQXqVgLRPaLJMjEwS5yJ7mbE678uWiS3kFQTpi04igQi9Q KU1XL7ILyLxJxqQhiWQgc4kMe7OcJH1Fpk2R6YvY9Z240aVT98qYqroVE6Ma9TlQqwhVXcobg4TO K1fkkiDzs5QXzY1MF1EoXROjpq2ScZpd3Y9Y8TlNr8KwNw9J3Exdaq6vmQU9AhsWc1okWPlgtSB7 nSzBRkWhn0JKi41ZlFCm+tOT1U5pIHrsnXpaJG3JJiqEGlUy3frXlaGnkH3EleDoQrLl/EaDnaTt W0lZsuT0paeGtP+KrMT0EYzsbyzf6k5QqqQawW5IL8ElVkcy0rpyNUyT6PGUtJBDGOtyRWw1Cm49 9dbaRxq3SrptUhCXRSErFVKTKbnUOXd4GGJpimTXFZVzfoUnxGzyS9nMLpnkGhzUwTdDQKJuew3D 3CCpqjCHnSllNBtXCxvIwe8t8H2Lu9KrjKYA+3JUTwCzEBCvNm4r68lZIEsd+dgGLJeBE3OwaBa8 5NY8r40c6RYC2pHA2DilKvFoqPLHfA2Hl/PRqrRiwyUN3bchzLlNqSSsLSXzTVoRJrLxcLyr3MJm I4c1T3TU8lCOEDlfa3mXQq18Jh0PqVcdI5Ns+hUwxFiSxCae83P/lUoaHHUVjfRhT6DBgtchfRmu InKp7IjMqzmzGUFuzghmRHycg503ejR6pNN86i10ZVloj3kQcguM3eU2Um1rEuz9fIsVttg1KbXR brzQhLZ1ZmwxHhodd8qL20OXKb03qe1mmuzeoAAovnKeDFwvmSZb83jJZGp2g4acNoEJmDoE3ptU EByWwCRMt3oZmpP1Y+yqlLHcSxqThFsz6yDfecLLZt10jJrpE1VudXvx90vyY+TJKTiZiCnRq2OC KxW/6zEGisuQAfzTFpXYUw0rS6n8LbY/Zpg9EIsWULm0I8aKysG0Fo8A97JxLgsX186WyHRBxO3G 5MzCV4pqyV4e/2p72atYIXYXYwSsoTyTaT8x3reWJzfpJ5MKs3MGT+sqrGje6Cu3eKY6WB/FcBy3 N+ZzvpLDcAYfg+q7bSo/dNmnhi2lTee+WA2Oo4E22YqNJ53wSrbIKKqsHPccQbgse9Vv2UiMBqzu /YTSf4VGqrdlLu2/9Np0f6lSvuZn2MguWbU2Zr6sAaw+c0+VNuckkry5hHATTyfhCtfTv2h0rSDv yNCEWpZ+zYQyBbUj2ilPbrWU/vWeqVy3KntcyVHerB0VVLwtVzlzjkyW0wncmPV1+r+7/bv6HksT szeUdmJl+8c9Xvf3js3yDS93QhTi+GFnP9ulj/1TOX8Oz5+8Ke52j/3Lo2H3yRi/9imXebd7f6KS DnxAif+uh4wApbbwj6UoqPveh4a8T4em6P74yPoosAIt8AIx0NRIR5EOyL8y8ANBMARFcARJMJzo iYMSsARVcAVZsAVd8AVhMAZlcAZpsAZt8AZxMAd1cAd5sAd98AeBMAiFcAiJsAiN8AiRUAfLyEVI ZwK9b33+5/9c6ZXwZwBbxApnCAsR6PwcsIhEJ/wExAlZSgsNEITEsHPw7/2kkIDW0AL1ZDLcYus6 h9QOMArtSNT8hH7YzVD28H+iDIQ8qblex5Lu4wy7rH6ix37+cIMWUYEIrA8Pb4NW/6wEuak6EuQO BwTaiA+AvE2SBijLOJAOHcmFGnF6MPHBzgiUCHF1Mi3WOGjwsqIUk/B0lGhF6qqfnig8BGoKmUTy SGKd4qlt9IObGIpWYoKWWKnMrkkkoGoogkjycINqwiWjknHdKIqeiNEqKKrzJvGjMiIbHapx9ESf TkqZWGmkSmpCYAiNZukm5unJym0rZk0Yr2fsjqSr3Cme5go3QCsZl4h1AoUeC2IcvVEdeaehxOih TAmK1Ow0FMeZUgohs0Q3KMqLakJQOMVCWusabUfBmCaaJuIZxagcu2mfgvE15giiVEkXWailtqIJ ZUewQmXrWi9UZi6n7qI3BKtGhv8lRPLFQsjFSMpqrCSrZuSstcQKpy5M7lKDp6ZunWRSgLKFWABL bBpKrNbqbnbqJxGryhaqr1rMqC6L3whFshoRM4JyNcRNLe5GPQAmll4sx5CKbLjyF9myspjIxxYp m36qO7YSdZSluEqksyTLsL4Oru6KXMAyXuBRtvJKizjmsORKF7NlbeCFJd5y0QIMVJLlLStRVd4j J1NO4nysq76oisYEWZTpQ36rJ/Bq6GbD6/RJIZqL5fIQDllE4Y4Fut6KqebR2QqFLVhz8gLuvPpv b/pQcUaN9naiP2azdH5CkDhsNwqtzKoKKE4TUAyrNtOKbeBrJ+bF2T4uNo8yVrj/gzx1C1pOIjw1 Mb/4a7doE70MDrXyY8Wm80+caTBXp2w80UlUa2ZY0YyGozZxRd1U7UxuDruYxEC/zbYUpkPs6yB5 azMrI8YwJw/rpFlwzHxKYik6I8ai5cwgzcXawiAgC8sESDnx60/4jcaMTil+aVkaaadY5UAqTGac 0kS/YjkWyis8QzqYLavQJJ8ATBYh7fC6kTpkA8Z2lFn8RD0s9GDCRUcfxTo7Ajp2tDeU5tnQIusu DToW0RWrzCmSRRfBAy1i5TPO7eNg0eWYTEhmjDO4yZK0dMFqrbDw805twzOYSTtZ5D9c6H4+hD4j TM8YA+H2M/aWlOFYIk1ZJBED/9OSQC1AD20PRxPCVpRkuOiPCNVPJQREZsRKzY34sgTIvPMQ3xTn RitOPEnk6kW7mK1rbNHqwm0Tq47yImQ65gKNRks+FeRWr4VOkkuWWkJKEu4UzwWzPqvfuA0Pp0sy YiIszJFLSRQibERREw5HTINEju2ECIzm8mhhmI4s68wuOi4AY0ZG+M0STyxYMILMBqzELrLgiGVH T/U3PJDkpqWNDMvB2Ibj4tQuqKxGRUNOuYRjmhNvPNFq/oVRbo+ptmWMbDL0HnNINefSKBWxLmJW qhS83sa+GNVcnTI4bIUwu+xV0MRe3i5JbEMh+OVxoG+P0qpeP6WtkgxdNOkzev8FRvYTs7SKRCkF U2+Iz4bGUYq2bp7CsV4qxlLptoZGTtClsAwPO5N2V2wKwEQPkEBs7hZEGq0SXDpqO4bGaLIT2cgp bHPONpemMHOu9VAP0qRv9HqvbB2jNvrmKFM0iLg2Y7MJZ4ijbaiuZNbOZX6FZZPvbY3yWP6uUVtv 6qAU5+JO8/r1wEgPc0bPY5K0WxRFcwy0ExcnbKtGXPgmndwOL9yW9va2KTqKaeINZ7q1j95HS7jn AaXniE7nexhwfLrQdl2H+7CEC8nvuNyvDa/Pe6pnd/RPfHLHEFNQACdDd+PJfX5nd6+wdteN+3yI enexeISJDMUvC8kQi3JXeJn/R5jKVwUTcRbVd33Zt305BwzdN37ld37pt37t937xN3/1d3/5t39D kHhJCIDBx3M4J303CAu99zj5R4DRMIENcYESOAzRcIEjWAftdYa4b4gaiUDaM5FeN8kiiQ2vQhbX DVlTZ87oZ14jKBADhIQ/iIXxx4VjsYKB1X+ro5BgGH8gUYo2OJHOUIbtcIQHcBWn54PBaDYfCIiF uIJ62FBymH6eeImPuHyMWARJqnHdCZe4CYYqMpzCMbJikqg+srKAUaBQr0V+iXcI0tTO6Y8uEnew CGHG+KQY8pgmC6W4dCWMNXqeqHFPhiJbaovTbWQUSoNMFHca8ZfQEWYKECT+/+kZ8emUCkJjAiWY yuds+wZ6yCmb7gsi98+RU0onoPGPW8f2jGmMpAlLulgnw2WLR2qMlS9tptGiJpKagCYuiulY0ngY nxXbnAUhTQmjfDQaf/OgXlmZ+nhQWBJ29+rmeJJHsVa/2HbNfqtp2bZTVKupTutU8fRKuedjves3 5BCOzuqnjAyVMNMwBlMrO89TsGgqQ6+lfjF0+gpu75Ius1mLkDKumPbhluM/OSUqo/lSi+U6J0MX pYbvCDr0kAoygWJnrzTEkkMoe9Ld4NJbCItjnmxV/dRSJM60rGYRE0qb5+Yk/Cw9f0ue3UyYZDKz IqPoAlqGDq41jcuNnGqkf5XCqRw01wZDMia2RU/F/aIMMlRYxvwZiy0xSBrR5IjrOi5CwnyFuLAu Pg3jYXq54ZT6biyzRKoEw/xZ6FKlqP+wXglCwU4aWJgTPUMzwUYKZiuvDiODreEDH5n1X9fEuWSs +t6as8paEC/Tpbh1tYYjL1gjQzK0Ee9rOnPWXPkLQFz1Xk2CrH26nGkiuoxFk9wRIxJbaP9bSEPY jjCKeuj8JzeQ+Kl2KmREw9JumDvZEVvLWkrWsUFzU2aY4z/jBUuTbZNX29raEtgq52y5AkvXcrmC OzdwzmzQtFYKly4eREc7t+leNdV+LNUADbzs7EqhYxpBdiXsDTnNhJq7JI4gE11kiWf5CqHAdI/X o8TGCKBwW0I8DKV/G2UXVidUM6GLmSL/gkFRVWi2zr0POZScFELPBVc3M0mvr0kLblVwtViBr+p+ dfLsY06429vUS6lU7X5QEm1u5LiJb2NDDdVmlU0X/A83qfbO2k3G5OvKZsKrShQvFEHvtHh21IWj NR9ts8PBO6QjMVWjIiBRcSWzxFTgJZH/aU9hFpu3OvbrCNE/Cczsvq5Q/7rLKJaIOztjKoxy+fOp IZrYzoSgT9tcZcefCyQ8lXRUuy2ZNCfY/hmx2sIocFa8bPWXhQOFd9WwYm9Rqk32TjrMdxyvX7pg tSUqOCY1jnw/KVu3cqy+yAShlM1hpkpxpqt13ZxBwBVC2mjUAMdYEhSwflb3kpKdGYK8z8qtw7zQ 3XTH7vLtWrNGOM442E0462jkhvNeHhiIGkYnDadr52wmq5Y3hk9lfnH1iiVeXOYlkpain8bDoc9l mG1dzEr57it03cle4/TXxfacQaWU7PWXtq5WcLTllGSC4rBj2dVef9H31Klle89u+XT3/0gUWRo3 xhfRmsPN2V9qu/B9qMSDZRBq2acOcDsP29eMVSoXT8KF24XF8UhPo+/y5fzORDUGQPtO4i8OTMX9 KX+9Uaz9xJ7KtGUUDk1UMT3jOgkH3U24syMme90vv3q3shW4erOwgaHwea3n/ewq5gf4h6bwdCaj RZ735SHoe62ikZq3kYeegZ9w6YV+QHxn/XS+58tP/PbH/lQR6P3PC3le652Xb21YBzs4B+3x6xFl StA2BquY7F/w6NWefnECfts+7uV+7ul+BSEQBXc+gWhYKYyo7vO+fvb+uDpQggnw54M+h4Q38CdG 7JG1ExUoX8OedlIn5XnjKoKT8meRDP850OVXjg2j2FAiH00sEw5F3entqFFuPX9S3w3taJsw/4Cm SxS1Iocd/5NGbPWPcPOPLgwLaYdTSPZ7HPT5qBN9n20C3xW57/XNUGZCkuGVmeItEW4NL8CfCZem dhjD6SLRwyxWwtuf9WSmq51Qh7SPg5G/2AT/CNMqA3e6UXWkycGVSXXeEDfkmfnRHz/wuBrXzf4H 6nUAYgABAgICAAAQYOCAgwAECBTAUACBARAPSiR4MIBEigw7XqwYQOAAgx09PsTY8GFEhwQNSixQ MOVEkhJLRlQYUaVFAQ5DMtRocKRFnQhF5pxps6TAnUZvUoSJEKLPjDEXDiWI0mpDkiH/J4IskPRl 1YExDzYVUIBjQ5xUe65FWTLhxINpicoVCmBAWpJJ+/r9CzhwSbRmK+o9ODfvwoRgbSYUGiBtw8YA UBJwSQCx1MuVKyq1SgAqgMYFXMI0DXEpXYORM1IujfB00sQFGteMTFJyZKmyJRq07Llj68lBMyuO 7dIq4cl4Ydckntf4bc63YTuWbjyy2sGcMQ7n+Bx2QoQYw6fOjPs6ZOqcr0NEu/l3xYG/rarcfTxl 2Mbeu8/3Lpp55MmHWH3IVaZVX8+pltiC4oGV3lqrDThZRdapVZ50lCmVIYGdSQgfa9i5Bp5xcP0k UG7oiQbVcGgFwJdgMs5I408kMWiY/3HWLWcTSi/S9Z5xEqbY0QDKbXgTkJmFl9uNGpqllZGTMcRi cD/tyJ9hVolGG0g0mZhgRI1JOSWCMT433HAI0TTmkZpZ5CGZJcFVnnWOfZkfTx82BFF7Uv7IEH1/ JSbndiZR+Z5V3yk3okWuWSRkke0N9Wh++bGYHFV5VVRdjH+RmRVoX73XJpATyonpmw1RyRqSSWYE qYRRTbjnh4AC2pdqo82naG6k1ghssIIJNJBxatXEo5qfVToaZmIithdiCoXWV2k9gUVmlbHGBiVD UqppnZ3CUTZcAdNuSRJKdoqU2IlXbpumuZ45VKmyxFIra7lWmjtRYiWJ9qGyNrG7kP+hzf7b70Bm yUaevz3ON2+kgXrGUbECZdmtpRvhK+ec0VY2LcaPPnewu3oRa1taVoZlLKOmThgveYjWmq2WGfXb oqsZd3WyrB1p+6aaIcG08rYH73mRXq0Ky3TT3tpnYo7cWqQz0q+d9y5VUDmcq5EQwfRak2Y9WSuy V78cl3X62sTlllLLyjXVY8v9049oNqamb2Wqtpy4uwJm51w8DjyiuwDTGtdGdfuNmH1Rhpnxh3E3 2OhyLkosHHwI9pjgRKga2JG7N2HOoaqqAQwVj55rBZuc6qZrodgCv8p3ZrqyirjgripO+MybR5h6 1U4PDxioxnIaNd0Df4X7aE/zGSv/vT5zN6a/QN+tfM6uiZ2UaIdtWhitr6vabtGXV6pWiQsz+9xy 2OeHUfpFo8rsw43LKqW6qdl8bME3Fu0jIYnOZ6lzGdKUY8DvSW8wyNMP3ILzkp856zjtW5KiIFQ0 /DUwP+nJG75MRTIuWYg3VCNhWER1PxeRxmZ0YVb/WNY8AG1vasSroWA20pRQQcpI3yPcQngUIJgQ aSOaQxBR2HYkz4SLI3yjzEmihBUuDRAtPMRbXdrjPdAA6F6R80j16CYSpdGliszSTgSjQzftqEaN kxKOV4LoF+0Uq2Fi3I2gHlPHK57HSFXTSRghFygeWsZIg9xWiNhoG9Lh0DqeK+TPnxLESD6K6CkW ImTB+pg8NMaGInr5FZUgma5GGqYuUpQkDblTwjlGp4gqIw8llQefIzrFIFmUllg26Skb6jIuuewL jALzS8CUpW68rGEw/7KyY9oojklRpi+P2UthwchT0RRONYtpTcBopEa5dOYwM0LNGE3zL9B05p3O Ccx5zWic2WSaM7dpzWvSyJzr7KY9hVU0K0EzgxG5Jj3baSN57v9yoAQtqEEPitCEKnShDG2oQx8K 0YhKdKIUrahFL4rRjGp0oxztqEc/CtKQinSkJC2pSU+K0pSqdKUsbalLXwrTmMp0l7805z+x2dF/ 3pSfCpoRT5n2TXcKtJ7DY2dBbTrUo+rJI2EhZ1J9utGb1vCnwGzmTHWZOsyRbFCAxOjhJKggxsVR eGkj6FeFJVZ8ko6baa2h6M660Mfsy1O4sp8N8ZPRuOkSr8FaYE6uOtCOdfGqcA3W7HxJ1hq1Fa1U LVJXNQlSwQKuse7U2WJn81jAcnSrRnupRoh4lLLg8Sg0wQxoQcQXeBJzK15DkY8+OxS8aMQrT5Ot RMzHkyXRhEj/B5uKR1jjkI5txDRw2glV3njcoEJpO8PNSyur8tuotOSEI7mQkUrb2rWQ6bScje2N HkITh6QmJ7IVSXhtgsPZBFcrZeGhaY5FWzhRZKlFUY+iTuYpPfZzh0slCA8VhBTtRikk79ntdtzL MsiItsDBNYlaPrskkNw2vBPOSHZl0suY8KTBzfzvzh6yXaLwxGCRlYzdOHO6oCxkLsOZS89+tBRd fTU8K+INgUJTlR9+ET/Be5PClBKtubB4hXzFHYxL9aIWJxA9+Iof5q57sD+VZjc3vuCbbje230BF ylqGEYuRshT8YHlzhNGbuvS3FhhtrWAmkhhhHtOjKf/YxYux/1a0wgyq06guTCeOypQRpubYSYgx 0PIy5Lj8ZtpM1zkQgkqPlwVjzmyN0XITc7Se42RpGQg3cPZNkSd0ZPSmLFadNheFFE1ZjPKoYkoM tKTm5EnwdWp6lDpaeRTVJ9ZNDCG7dth4WojKK0sMbEUrYKUo40kfbelZv3YeNjmCbFqp7zjNdhVc YEMZjChbVXzJENtKy2tZoc5D9CqscP4K61pnGqzOnpq/AOQpOpnwX4YZodVU5Vdgr4ov0ht3Zb67 uWrtGkHt0oq2Ac4jelU7fEPC9QG/7cDBqcpWdX6e9NZmUl3VJHCXRAljyuJiIdWEQQWDnICO467E yBHHDQuNjv+ney+WO/Z5H8+NZLo3wdZIXMnRIxe2zHUxfYqEaK5iZOzSoxeczRVRkVHIlhOoqGLR uazCGbqO+OJopy8J6MWTOue29WWGPfpUUKT134JmWdhNSDSL6myZJKVKfwN9jmiZrhelzrr2vPtr CbOdyG03961JTbD8cjnE3/czz3hb45mxGL4uu1kh5a/bnoFzcm0l+R8+SWfZUrtgPW5tiLnW7B4R YOVv2yy4ts5NAmsxpyo+srWariBFZ+FJ3J7u1Uh8T6ASPeapjm4m4U6sQ/NLiO0qPbh0hZZLw92J SsO4dcWa3WrBNqdEJliBHf9ofyM+lg9rylrNxW8ko1d34Vv/K7R1L1H1Q9yfNP9XEkN+o2LcnMqt lR2w6D3Xzk0Xm6mkVycXct1iPb7yN9pRbWrWKp6iK0KmdqcRfTm3QsjRdiDzMofRQX6jLTnDfNxW G1+xgHOSREezZmDnNpsEWb5TGoqGOILXOAlhgPR1PxYogib4b28iQnTjMMSSFGtkRTinKq0DIU1m QImHHO2iI62WH9clJBpoby/yIz8WZY4DWbOWHlmxdXPjSGCFeM8DaisSSpqUYidFRA1IEf3xSrHk H9rFEkZTRIOBLuRDSB5SIYTiX07GO14jOiRTJyzRgXV1MNLjPlgBe3hEOWSkGKjHHR+xFrxDFuAj LY6liP/i/zXOQYj4BjXn4RBZJWqKY0c/ZidGRyRecTpWgkOT83pvcltE0kpylW3B8WmBVES7dzTV 9yVPgYnodYmnGIemYohjwzul14YJITXFooi/6DPSo4f1ZoKWI0RtBEJWxjmKqIz+BSqEJGgZtxjh JE6wqFzLBEPSdE36RE3fZFSCARTGRE/nuCbc6EvkmFpSFVB+oVzfOBhckVSm6FPiFEzNFk9AdSap xVOHtVpNs1S0+EzxmFTKlI7NJFV/gk7aJI+zEl1FxU9I1VLdpVDmplkd2ZH2OFGSNVATNkAiVZIe +VIyGFephpIt6ZIOBZK6NGJPtVEq+ZI3iZM5qZM7yZM96QqTPwmUQSmUQ0mU/7tUeVa1Jpo1kTFF YjFlPndFk44yTxQVleSElMykTcPDkmERVBNpk8BUlSslGWNWipolhSjZSoBFi3plWPP3SDTClgr1 hk7DNXNZOuSUWILBkcL0MVdSTWa0TpGYk92lkUWJUIXZlh55WCfJUYxZUo6pi9qUl4HhluFYIwiZ K1uZUrN1LHvEW3zzP/GFYXhhXgoCXjuRb1fxena3YYvRXDs0FduEF9DDmRT2Q6UJPXExEpzBM6lV mneRSywRE6qlYbm1iXoinFzRFDIhYaLJHZ3pLTAyYsqHm5xJMVAmXbg4jUihWnnRYQTRXm0RYIox X8Y1mxp2mpbiEeK1XMppd/88E1oWFmCixRZ8spxfKUh4QZ/zpWLE0kt5QyS+lY7COTO9CWDbVZ9F Ip5CcZyJAhegxYiqRSzzQqAZB4a2woEaVCHQoTdiNHalVxy2FJySpoDwM13mh2ImUioylilm1hJI d4Jp0xzN11sQwlvjsmlhUyFB8SAqdiB/chkweiBxwWSkkqMoVKNzI6TL8S0fFDpZ1YGkVycnqDkk h4KSwzxCmn7eAnM6Rh6pEYeCs4br9iCGJITKEzqSFodIx2ipoTODSIEBwmQeAhvrBodFsRgpkkvB gzUbCoO/B4OP4aPwU0mxoZkUJSiB5FzPgyM01Dr5R0uZdW19slY+8h6VIoX/Z+MjiXQg4dFrF9RY EVIoJceopFNkQNSnNMQ829UnNpOo65cx7GIabGIp+TMpEYIRyKYzmQqmE/csL2OJjyKqYAI3yoGp gHR/sGM5pAoi4nJzMyNvmoSZMyggZCJmZEN1WHgpvVomjpZZPheiQPg+FUgYAQI6szY1bWNSTad4 QfJXCxJrdaqEjAiE4VOS5Icz+DZ3uUqrDhQ/vJEwrSomTTku3jIvBXOwpMcczPOFv6pd1GIw/JJD 99p3gaI2ugqJ+sGuJDIRRJc1uQc+rXFYC1R97MctABqEv3GLTTY/XzF0IwZkKLMwZVF3Sggw3nZK 6lVrrTOv+bcfdOF0Ffdr/45HGqYxRRsSrLB6cT8IMvnqN9umLNimdielEaunMbaDQuAyqBFSFNHX rgHHNhDEtPcXtnTTPmDBtDNnErJHQw/aeBGTgrqYhaaiKyr0KIaDWxGoizeXcPoHt1pTtcBHi64z Qk2Jqg17shfSMsBINjyHfEjCWQPEmTkxgRwnrYlFOaZyf31KixgXOh4mWQCziY6BtIN6eD47NYQX by4TtbTEKxn3Pxg6MwsCe3/ToafRhLlkrfLaF/rjIBMHHNGhZbVWGTerdtu2N8GJbKbnMzh7p4k7 QyRzPotKu3vyr4O1hIvREhlKQcxLml8jNps6G5AKKcTXh2Sng3WGpE2HJ/+LuqWREy4liiwjkj4j 0RzgaymcOjXdOXD9FoJi1IVZIz/l64UpFhIGmHtwCoTbNWpLiLU+lopIc3W+KlJhxB9shhUpinbN cxFXmMG9i40zSLr+ORqEdMFOIYUTqr/9h8LEuklGAYin9ERcyjtUtKeWxLhbJiTgYsJ09CBzGB3h 50aSZHlQKC+JOsNBrEAw8WNUxEfjS0g7bGqmiRWCNq4KYaWCOUYXI8KhMy9MbCwduxl8RCohPC1J 6EpF1EQUTK1ozIY6jKZZs3JYB0kh/Ddn3Eyeo7jVIoHMol9sBIz5ckUIHJcexY4AtU4gqClONU9n Apb7pbAOGUf8llmD0VT/iFyR4HhDjkGO/zjJeBluluzJP+EY6Jhf0aRakLkqXYxM7oRTi6zJ7fiO lGlYSgRUppyQjDxQ79SNYRGWOLkbHNZR8DGJMvnLNzmtDYWYu9KGgkEfMQxY/CsjIVLIhmnNzbRh IbVhx3zNNVLJDPWVRRLOphmTQrnN3YzO6azO68zO7QxT9HSogRHPMrKUoYxQYcnNWMlNC3lPSWnP GlXPPZVQqHzMAc1QAjnP+3xR+dxSZxnHNfSsA+XQflGZQLWX3fPN3jyZkXlDWqW/z8rQMplY1xTR BQVXqpwrbAtRluOcB4XS97zRLflgMY1SFa22Mp3R6jkwkFOZBAvOOX1Q/2Ll0ygVMww11OBM00RN s1ECPXWnYxXqGLiZNCvxJxTziFxanmPDXiwhciCBm/S2nDxj1QzKdWwYneXxJf7ylQeZnFKdW7M5 oYu8YdJhF1hsqiKBPKc1Fe3jpuBZeSZX1lOdK8BZn2LtLQuKGb3h1kxxkoLNJwtCFggsgjyYmxRZ hrBcndOZWvW51iwxEq8ZHeI7NKR51fZZYEZBwvwVWiWZ2p91o469myGXIHotPHHNFAn9UOoSrNMB GSZWNfEDf5B4msF7g7abg00UrpjGrQiTMTg7ZK4kIl8KtL9EacJNOmjGvgEnKNWbpDs6aOHCG4DU pKiRZmWSfLxREKqTTFXc2ShIFBthrKQytKGqcR9PF4QxSnVnq2FryH1FUqfB3b3QUmtS5hrxOoNj ZiajwR4ZU6ZV+0vjU8JvExrEJTPESCF22S3O6EnwOkbvvTNF+na5h0VH/12TFgTchEo1kv2x29jc j5OMSyJAwa2lTOql9VW2ncoqERITxF0zBeokgEEb/gd2uevPujM3pgPgCE55b8cR09slaNdLxP2+ tvY2wSTf71N+6BOjIhmtddu+J81C2nNv3612h4ugQG5AaSLk7rPCJ8d7blLcUoIqyWR0b9ciAEfl zQ1wI/t36jdSraGHgbi4jqq7h+Z1luK8Zca8VNSxfQwilexvj4Fjs1N9Fct9iqtKfqEu/Yuk1Pay UxNC55KMgCQXOLFA1aFu2Ti/XYM2A+REG9QVj0jjYMRe+bondQ5xqhgpBIM4altBDnSxlCJHnUTo QTwQmLtb9fLpRS29Rf9rsPBCGhULF5I17GJei4fuRAa0rytimX0T0g8FNoEG32N+dqW3LJpEJ//3 KGYYt5c7N8t8NOkRv7sH4ez2N2SC4J+rb5kLttoGGjUuY1bCeDr7e93i5PgNfRlU73r1ikeeg9M7 vc44g+qa65ujK7Xj56YDqWhm3nPrRdCaagF0rPfD5keeror3493KgAa3Mrtn5lCz72/jN+AnxRlf wXMm8pCotaQbK8bDcLfuhXy6v/p7PtNLiZWWMvjrbAN8KVg3qE0MQBbC6YIp7wZo9EyfbYCkLeoN 6ki6LhP97PkrcAx3co8miLaRQCKD6+fubHz4uv0d9nyYwiq6s7Kjo7//Xtmhk+zpavVpm+3uB+tj YjMhVGx2jzs+327oJ9y1+y9B/+0wybd7HMR2Pj9izByUne4lxFtyZYdqTDb03S/FVon/YUrwYYfa +8QtGCQ4DPcM7oWQzfqmb+SWwkY3wsQIbsGrT0iVwt1XTUXG92Wv1D0Dh+9KB+qoe0hXdMJnp1eu yEKbFHdRb/JFhtf6a/pwfoB6zD1KEfipNPt964etnvIsHX52nU9gnD1lTNkNr0l4VKb7Ef7lflUG zZAB/U1KBEH7LE+dHBf3CBAABAYIINDgwYMEExJA2NBhQwICACg0SPEhQosVLw4s2DDjxokUAxQA aTGARJAlO6asiBKA/0uWDz96jHlx5EoBHQcwdLhSZUWeNRP6/CnUI9GZDWHaTFqUZU6jUaVOpVo1 6sgBAXYStdrVK8alUgkM+Fq26lizadWuvTiArEEBBQQIiGj2JFu8efXu5ds37UmofgWrDTyYbWHD if2GnYtY8WPIkSVPplzZ8mXMmTVv5tzZ82fQoUWPJl3a9OnHTZ9y/cuaquqUKGF7bTy7pu3KgNUq xO3QceqOYXu6Rt1XNvG9vYsfrDtVrl4Bb782jxpXIFq8dHNGny48c4Cx3s9K3Olc/OABEq3HJrnc 8EiBzxXDd18Te0z6xoN6dTs1P3Se6JpOus7+M6u/qApATjHq2iLQKv8DjYqwKwHxmtCw9eqzaSft BuJwoLm2EmgAuQqCCjARBfrtJfAK0iq9ijhE0KXAtKIuOhhV5LBBuMaSzq0c6bursBOBDC7Eu+BS igC0uFMxPBDhCo6riIA8iK4cX3IrOA6PjHIiH2PkcSEEtSogK6VeJAtHnNyicUeJkgTASh2bIxHG wtwiAKfomjsJyo0ae0tPl16MLk7ZdoLRTKik67PGucZijUSoBH0SzRE/nLNEFrvUVEdMBX0LvDEx UhSnFj3Ccr3AjOwR0zk1/TNLVyf6LT9CVZRtri9BG4m8M8EsKNhfXyLpJAULqqvYDOW78kyFkkUL vDUL4Em+aRUEoC7/64ot9k6ljq1rSwC0pU9AJgd67jlW5cpJ2zn383DPP0dk6MWXeCKRpzEJ0JbV e59r8tjnytsWJYO17S/VYMM18d64ZkoXvH/b6/a5b4NNmDyG6FI2Tk6bw1g+aL8NGLm4eJX0pokq Bvm6agv6EGCZ9S1YXluT3TYimWPeNqubkI0WaGuVHbRaFRU+lkTVmK0Y6IbKoxjmWFvu2VijCVL4 5KojtjrcTI02dsSGS93MyYO1HKjj9so1sW0824ZXJrhREhA8gxCEl9tRJdozU7XjY+zvinR6OXCL eVrp36AQLNVJJ9umT9uIrnXovroI7w/eStUd0e6AYXISb4hcWrZt/4Sag7w9zdeUjt2OFZftyfgM z7fH2j//OaYKB9IdwbRZNYhxz9POvcIJMwS+bT91b9b228s1iO+kdQQJ7UVRR6jt9caVl/nZ5/T7 QfA3mnzx3CMieDTq+mPy/fVzz+/04VGG21omSQK+QvncX8ranaSLOvdhDrTmRamW0a5qqoPfw+CS LO3h7nYZclus4KMg4B0EeHXB3/sihCV/XQdhNmvO+/LnEGfR73KgKx4A32e83ZWnd/Py11v2pp6g rOeGLZPU9YJiI3+Nb3qHA+HNqldBqhmMghUpn7FMSBYgjmx4QwQcVvKHw+LNcIW4W+IDmUg1ilWq g9MK4Mh6OBImIf/wIhc7iMBywhB34awzGyTPg/IjxSrK7TzzW0rv9NaRcZGPKHSUSYfspJ72zGhP hIMXuwgklywhBEELQx3juJOr0lFxbglcSPFyNENqVW0jc4vbQwg3uvZsUpTBY0gGo8c/hLnui+WK ZUtUiRC0Yac/tIJiKjtCPE4SjpXFwwjcRhVBXfZyioC73QePab2NAI+SdJsldWykNYgczZbIuk38 jlcl8QkTNAbDSrzsxckK8hGd8IKVFxV4MUBeC2RkMdgutUnOhmnwLQIiGRGDAsAsAjNpt3wnv+zW HjTiMILXQajCtEkyG5GNauWKnefqKUd8EjN1LOTkJOmpOI0FrHpR2EkXEkWmExsC0m8oaZJwetfP sQkugV5LmTljih2WKXGh6pQpLX3q0ztS0aaNxCIn/ciV3nFroT0lEdUIx0GUrCuqK6UaUSfyoCPK B3kFYBdX/0sTHk35SIVANWD2hhcnOf4nPOysEna0o0axukis00vPp17lsXzRRanQjOl1KufI1MkR mqNbawGHh1WYpadh1GqqsbAUHz01tE/3WitLMZnNmvY1dVwqHmODAlZu6Ut9IJusX8lz0D6d1Xlt ZSYuHSUXJrG0rYcDq8uwCbMORW9CWJEZjVjr2Ni2DE11eyds9/nMvKJTknVFrm981NjQ9ulhqQVu dJVYueP2BHwp2tlhTTMT2xBkQYFLiZw4chT0DgUjyCEITMwrlNkQtLznWc16cYlLpKrKvuajr4SQ grKELEW8vhnvgOODn7CoxjHv5ch418saA/eqwTXpb0hOgv/YCeNHwT6JsK0ejF+hXs/BGkpLhUks FC2eWMW7MfGK9dJO07TYxTMODa9ofGMc51jHO+Zxj338YyAHuce8GXFVZCw+XVVYOZBZMkbOu5si D6bF4O2ISKIck0j618I0JvKVr8KVpjTZKBU+soYqthdnpcRdeXWwwTqTZqPwC8MQWmpkurhGnK2H Pm7+ypqd4yL51ud0XjYKnzWaOgvV2Z0+hnNeAo1L7gm2Pq683py/cmfJXMghhoZ01CRNYUWzpNFT SXFeNH05S/MF00hey4Xkc+oYk+tSLuGcilCVKUydRCu6lhIKH9USJTHqT35yk5R4lSTA9HBeDIaL rG2U60j/wepRbXLU2/B0pUlV2aXKprCbuCfrq2bpjXnL4Kqabc1i33Wpzw4OdnHSWfV0iUiu+fVV OaUU7po7dy+xtZLCDeO1tY+7Sqk3roHt4U2dKFKzFqrdGrMrs/0bJ4CSE46Utz9HeUffnYrkqhYa l7hJN0ZZ/gwlawamqcZUq9rqqrpgRMiGFE2UOiVbnLaiNYKQlFOTNGK+ZDbqbFENr4ryecvqKHTW QbGHOF0q5/K8JnGCpIde9bm3ktUfkCvEe+cEDw6HBbKca3NqqC46uPDarip+CObLFVvCN61Mcxbr p1JN2teVKyatg/0hJcMWxxQIH6H9HE3dIqkN4zQrEdo0/+b+RLkoV0b1lqOTgHmjbFQrX8UQhgtN 5dSztFKNGUOv5KRGTeSofqn3A2u2jbT+e0Obrbvo3adCW23tLVnGIn4fj7i5P1+/S8hRSqOT0k0s L+dYZzd67vNwujUXFb2WN45yb6m0fhv0OXmuAP3ziMVE390p7+TEIxGYZaqfb/aZQ8Gys6g53afF Il04aI6+s9rvSflV50Akdg+ro06IUHcove3bniqzqk/6tO8IoiqDH8OLqWJxuvwBNOYgC7OZm55D OwXyF/iZKJuiORhqtA/Cn557JRD0vsI7K7nrNAV6IAXED+mLD/hhiMnLkLhoIDDJH6U7E5bqIJLI kAuZwf8gUjwBscCLoisYSohKQiSZQMCAq6GeGhmJcEB/YY3Zy6GmUyknekDmIyY+C6CSwg5n6R8d 3DYshDOpaUFjuTcksokV/KmBmaXFIybK0cHS+JOPCT9zMSa0sar/8Jg6o0D8E5JvCz/m8K3Wqz2k iiC5wb+qAUQSZCmX2JGLCEQjlIr86L1BLKbX2yhBTK4xkZymKz8/gjvsS0E+pKbygzVDcsR9Y6e6 Kr80vJLsOjRXxBOsWp3tC8X4iyqUkqBR+qVhIYq78cSEyCipU0WTWj5Mg5c7oirTeKonnCeZ4kFr kY2GgsA2mrzVU6B6cj8JmsLWGsKY8ho1EsCZcplNAaT/j5KoubuaVUqoi2AgXWlC9aAR1gDD8Ast wJHGFoLGHJGh7Au/O6OpgtkbpIkpcHTBOdOqAFkqZySrBfwpiqLGunOuWcSwHWJEg3S9b3yLktIb r2MiQAMz92PHrfuppiKddMoh4RiZh/RChGk6ifymFASNlBERRdGUO9Qg1ImtKFS950MhIKGOM3EL jRQlanm+G/lHdJIugkqZwiPKhwnKw9oJ93ss4/kUJiEOG3MSt5orBpw+SGqsX0mR2MpJysutm1yW 2QITxWo3IGHIt4xKPemsxEmawPhJj4AkwunBtqqZ6ICofVO8naGLUcutt5K0/hmUyjGdv3I5RcQS ojMeuKWJzKD0Dp7EGK+cvbBMJOyCvVekPEz6P8hsrJgrJflZK0KLDF6DP/9YEE47CmCErzKDC2rU ShD7vo/4jRXBPQ3cO5WYFEtzKaTYIwFDquH8sECBsCiTk9e8Td7hsNQMid/statIsP9STkLrsPRS r4dIsMLYyzrrDe1Mk5KYTSCLuNxwl+CjMAN0jvKiit0Uso1AT/nUsVurT9P4PMrQChuDT/MMlP/E T7XQTwEtUAM9UARNUAVdUAb/bVAHfVAIjVAJ1YvojI345Awx487v8A8I6YuVqND9/IvBAFEj6zD2 8lASzTFsvDQDIo1V8522aM8RlUWWoE+pI9CuuMMUfYz1NJ9AkdGy6NG8mEGqlC1T3IsXnVBSA9LS EFLQi8lCw9EQ8wv+c1Em5Svzo1DiE4z8KDUUVFJb4awRCThHORUQCUKHM9NZ845nAx1uO7fNC5Gk vA92O6C2IJWPko429ZAz7SHCrBQ1TRI5zRNlQ5GHsdE6HRH+1CvSCq4DapPFPKBHZNSkwZNEeVMx oRVSecRNnUWdiK0j+ZRnO7dCSSOWCCAaCZGekBHFCdRoexhO6ZNQkaPGyMoz/908RfEtOzEgsYIV VwWUeNnLjetOYUQ4PM0ixEpUvcq4yPSIvsGSHVUMkgGmpDM6UdIO/BPHutwWhkQrm4u6r6EkjtTF 2Du6tGlOYrEWZsLHcNwaewnJa+XIv0mmrxw8eTKfv8EritK67PGZrhOWxssstbS8xpO7CgmkTbu8 cvrXhRWZlMMrkXlIhUGrOgRAJ5U/UN0iNEo8nfK7eCGtePUNPOKtxPtXWMIaZfmbhsE6zgzXgjQ5 81GQN0K+3GFZ1aMim2U16EKsdjm50/BHhFUkFQmo77MpHTookZWg4DtBrKEdirAOPYM6dalHK7zW U9zWURxao5Izp92h58NLB/+xPogsk0QkL6x7HWS8lqplK+EbjpJ1uq+JnkaqMgVKzGs114shM/Tr zUnkun/6w23lvcDVSXJr2r4Kwk3KkK6M28wRptvLHIAT2fw5pdAxQrA9Iq2QTpuyk7TC2lArEP1Z uK0po0vJvP1RSktMHj0d3GcJEjPkwh18EJAbC4Iypr8bix88F+RCmyLKReuxIgT6D0pZkKTsKeN5 HhhCl0ltR1+CPbh1UiDaK8/RR/FzEUVpmB1ypfehSrKhz96hD7M53WClSnZcj9Pl3lW6khyCO/La s3vjKe4AXsxkuusFGURtIp5zXf5DG8p7IVYrNd0tHtyN1r6QC4I52D7SSD//Eq2sQtolcafmfBK2 8aKz20F5ieBlukq1lR/PLa4s4toJiqAlQrywZaa5Ybryk6bkcz4q3Df580eQ6Lul9CYd8kWjvdfd 4ZEVHbZo+qFqTdpzSjHaE8EPTtjvk8EWBpE2nCjELSSZXbfLfZZu/CG9spqmvGDFDL/XzFpY84x9 cUGOCkKb4Stv3FqG0q5djB7Xqp7bw7qFNGMAjOPtEdtgtEuj2t3zU0eupNnqFT4+3jb/Mx0HrqCk KiqySmP127c6VuNs9KnMYtla6uMSSqnEq5CzpR1U6reYK9wiNMJ4AhNkPSLIGWPykuK3BUnA+ST2 VR1KriBMgZG51Vn1gLD3/1ObTIaPOxtFx9EXjsLEwOnizgA5dWRLphEu9MXFa0Uoj+tOrxRMJtKT aulL4SJMe9EUDuE//OUXHzHLIU6ZYYksbcxj4Gq/Z1Y7wbrJ11mJD7kjlGrW52KguXThqHo5xRxH DcJdliRKl9PnVXwbvcLhaSlLdFznyvI+u0yRHk3Lo4nMbi4RrDhmjOJJcn4VfMoVkhXaca7mxnJK 0YLKcuFZT3Sgo8Sj11SU0IJmLU7WDuay2PTPANzO2PjQY/kv5NSIqmgyk6BEpyC5wmEv+tJOKnOw W2EvDpvpL8INE3uvj7AI/oXp8gIzB6s43rmXp96vDLOJmtbanv4KZjMfk/8g4AnlkMwijM+tzytV sQgBZlUDa8PAYDB96+qYC7a+Eri2T++sa7DAa73ea77ua7/+6/doiQCVCrlmCrbQDSBzqZu+MgiD Lxc5jcFuNRRLDLBO0QxV0I1u0b5Q0/5jZLNw1B+Ds7FOkCgb7ZvtxY9u0rLm0tWGLMNYUR+NxMi+ Pb/20rzgaVVmi0fDpbP2jN1OEPMc4pio0umZa/jsbb9Qa6+w0S3qJtReUH0LEUQp1FqZNjvVr2VF CjWVU+U7ON52q6H8bhyCVtCsskClE0nCwXyRtV/DU+tVtlqtZik0VUXtR9ge1Uy5EVmdlV8ilCmx FZFjOAmm7V4JlVl275pUBNcB/5dLbb9FydUkS49CCYusaNYKRys6hdZjRbYuuW4tKRU1IVVtI+9q ZhUvuSq3Io9bsxHdVO/1xrCjxCn0Tg8oYZR44xnjvedX7vCXOJQ5IdVH/x2Nu+GgHClJ+mEZL2y7 SbymNzwXpSm69A1ntkSKHkKgjizIJuGXsFsvTiGeVOGZFOHmLkdCFNQbejlXnGE/C2K1pWNXmfsj a9WzyxORnlRfshlXt2FyzlsoOqcccs0WNMnylN2O1ok5Bt7XXyxXC7o5wEPYChL0Th6mobMZn/XC 5k0bNc+cmCzJZwHUcMtLf76OLa8pbYVXOE8dZYLYeX5YevFzZ/aM+/upl3KR02NajDblLT49o00l ciXHrykV8Pacx31CArn1bHxa/ZGdDfyRdHRtmfjUntqqQVI+2v7hIc4nXu8rulug2ow5o4mfCrQq Tfz1FZbb4LA/tA1M1f/6mlcLjh2Em11nwHJHXHpTdqFcP4Jx955CixkRooMtSDl2xZBeLiIUWnZe yn3kvn5rN+N19arJp9GAMwcs0nyhXWt7SdL15VJbVmAaxaZWroltbluUX0Ti3Iz39X8mCR6x5DdR Y0pNWP9duesdJPc6wm0RU0v0KbOsIBdKFz+Mmid0m8gBXFdso8Wpwzs5oZ+ilh8s3o+HSJbT1RBq atpr6qQ3XTTkxcCkRTY2w+xditHL1zSqc6PXLFXKEu8hXeRFYvRVpQgx6VbW+bGP5sg2DFVSSIWH yCpGT/NNcwJ8Y6sZk/9weFQvREz7y0jfno+0jskzmOINvWLWp3NCIgz/bpDB761ChHq7a5YnJIov RKowCU2P5fw3TB8JDItYduXV/Vdvn9r8y1cLJvix0SIQt0pOXvdhSqDbmxzL6uRJqpyZRCFrVHcY 8h9fTidu5CTR1p4y/nyIhMXWpgzH6fy1EfZqzOQy7tsUA0Sit5du1UbhYOUW8sXMrZ3sL3vNjB43 TkF2Rcmzl9d9w0g7f3iOKnSVi77hd6hUbr+VDC2AKABgYIEAAAQQGBhAIEGDAx8OGDBQQAEBAAhY RDgxIYCCBxlSNIjxIYABBBiSJCjxY8ONEwUudKkRQMyFBjXO1DjAYsmVD2OyjKjQo4CVQCsOHMAQ aceMHIWOpFmAgMMA/1SlOiTJNCrFlCwJOnUJtKlUlyWXZn3oseNFngRWru0o0q2AAAMcMvWqdy/f vn79Loy4lOfFt28HEsB40mKBiIetCib8sGtJjikTI0Rq8uXPvCkhK3UYNaXJsGU/IuSY2GRCq289 q7W40DDDt6E/3q2McOVmxIotT26slGPc0rBprvYY2KRonjOP2maKlDJZ0MqF3/Z6Uq3P6Y0DUD++ /Pbj6DwbM6Yt0qdUyVrNt5QquPbrjI2/mlQqGz5Fx+7PUuSWf2YB1d9rL6UmkWvk+ZQYSfkd5hV6 yAmWlkKYrYZcfafJpRJjjg3mVYD3GeggWS0td9VqJv7VoosvAmYhSf8BWEhjSnV99h+MNv411l7g uQhkX+7RWGOQNabF40R9CamXknzp+BORMrZIJZMWRgkjTVbulSVNUyrEJYcS3nTlZ0nK+OSXZzLJ Zos6/tdkj2JKpqZXVIo5mZ4uEvnik0VqGaiggxJaaKFCGZqooosy2qijj0J6KHspxRWppZdimqmm m3LaaaOTehqqqKOSWmpJQ+Zpqqqrstqqq6/CGquss9Jaq6234pqrrrvy2quvvwIbLLCy2TmoXakK C2mxitrlZV87AWossm/6KaizhC47Y1047qnXtT9NSyuciWabLK92YcVsRd+a22iEj64r6Ft1Varl TIketxeiMOabqAD/1yb2Wm4LRVkvXz72SrCE7PI1WrvA7uRob6M6fOu+kVIXaL9aTmyowXtV3OLH d6JUZckgd3ftyCKeDOxYK7v4rsSgPhwpSnBe7FdRGN1klUIREWYXVdwSxi14o/2LkHOYOQn0ZKVJ uVtWEflUtEN1OU31ZHZFjFtGRc+7tdNdQn2QfnH+y1FREYM3odVjm+0w0PdqOxpoW//bVNkT7Q10 hHkrtPRd04HHE9WGV+SQ1j+PdlVfo3VNdNgdAi4i0Cgt/iXSRcmm9E9UV5Xf1PvurGOTRPcMoEEV 7S3i5HF7DvtP8wJONE93HzT5blmufXVVnUv9+VvhxnovbEJlzCTU//3ZWBBkyFmUH1hJrTRSb4mt R2GcziN/VW/6VTY9ZVvBpeBUNPV2vtAU3vRUa4hu97zrBm1mV+JeKZWbRgozT1Z/HxnEKtmrzvk+ Yz3itC8p95sK/XiTmwidZHUSoc5hEEKj2+ingaujUUjmEj6bXIQ3zopI4VDikfp5xHn5Gt5CahO9 1hyQIFGJIQERI5HrvTBdMjPLcBDDGA46ryNUURj+WoMUheUPOQP0znma05L9DQ850NML8ogCk8NI z4JT1KKvjGehtYSsSxwZS+QSEp4m+lCKBKEeD2mGqLyNhihjrM2kwIjGtvBtejp0Dlw640Gz6SWO AWyZWS6iOLjgZf+QarmJUcxomY5dSE88osy78gKTuDDkjaqRjUeiAsJ38ShilHmOCrEEnEAmhzCd rGPrtHI1gXjRZ0s6kSzZQpNFnqiQpexLJ2eClq+cqGufechIikLMjDQyd8eMD9temUZDsvEzKIkK 1VZCHVH6RJi8mphnZpOYjZFGbdOcyjfDZ0M9YpGci8GjOcO4w7hgUZwvud+JIjRNaxJHlQPESclW WUhXEnOChDSnEAOWT/GZ0CIGLQAsH3lKgkIkYHTEJVh8hBRquk+ZufQn49ZZIHWecEJJeehlrGnC QX6HIAUkWXA+ItH1UUpxIHXKN28yFZO+9CzafNDg5IKo61A0jK6vOYlEGldUiTZ0mR1iJ2u2E0KV GpRkEr0dQyM6mYQgDavY09XLkjRQnc1RqVdVqh01+qClJUVHFWucaXwE07Lakp3GXGqHuNJHXNo1 kIQZCcLGGh+AdqirJXHPvej2T41SUp+LtCj90NqQtWDyj0y1Tx699T1nCfKvbVtd7KTZGUCSxLBL FS1ks2I/0FqOpEq7YdmsSNGdPtN6DYoeYbN5R1HKk50wS95ImXIvoQhzrv++guzX4jOd27kxt4g1 4iDhwknzDfKPOPTWU1g7FPrJs5a9lM8ao+lLk3p3k5zpyWGjCULeRpO86pUOZaeHKBQGlGQJnIlS zqlHXzqWmtlk0Rs5utQjMgQoMZkrJRVHpUqicYYSKUiA9MKU+gr4kglcqgCx8lEaOS5xAYYleB1c TKcG9qTPpNRzzRkY9cJXj+zVaH2fimKalTYoIRXNBC0TxlzlhnIgUUz1qgensAaUi7sp25D1W7Yy jlStGAHjgDQKlNJEqDTgi6t+ZbiTtUANUZAJyTNzFtCy9bWQ1qEoUONjG2qyDpJJ5uu8nBpHqnmS dY7TZHCCNi/wIa0iGQr/DHZjd+b9xEavVvXfmVvCHJatLZNLNpxizkMYv1VPMReFc5Kls5MdEtOE KZMPZ9P7IIxM+c4KJrKe/yZnBbVZ0ah2TJf0DF3fHI3S1MtcF2kWWirB7EdgAmWayhU4XZ8pVeBB k5amcyM8MWxGvj4Y8dwkpRiZ1tfR2prJ7iQmOW3pd8e+mq21NG0+eSvYzCa2srG0bUN9O0bWXre2 2Lmmch8bXDrzS/2Q1GxZ3Tspjrrxw3JdM1p5OVP5/neyYBsq0RKcVZVL+EEGznBScevhEi9VxCGe 7IljPOMa3zjHO+7xj4M85CIfOclLTq68OVwhTjI5y1vu8peDfMvo5Reo/wIO85vjPOc6D1WYD7Zh SPF750IfOtFHHmvn3A7pbAueAVNaGaHmr20TuRrY3vUv5N0OQ43EdNG77vWv10won+Sjh/LIxdAG cYZp6uCTHUtf3tyPr1Y8j33Bbve7411XUYyvRi0p1paaFeGjdOFI4/PJBln3nHTOO+Mb7/hVzWav ZKfwTTPk2cATMsJplUk/G7tMYR6QNV99POlLb3pGbdbF+B2KzhT9WZaNF6Nj2u4533WYoJ8+97rf /V+6FjH4IVKpIXsZRGimefWaiCtPkbxZp6O21lSc99Kffu7zc5sUHXQjrCaZ/uRMpcFrX3oUyg7k UP2bVV/f39RfP/u7nhhuYXNp2tGvEp6mZadltz//+t8///vv////A2AACuAAEmABGuABImACKuAC MmADOuADQmAESuAE/grnwJu8Pcq4bMmP3Bv+eVsApVyhFA62kUsIhpZRGJy6iUuOacsEoVuvkYoH booMdsrtgKAJ/kTNBEidMBBFNQpvUZKtCdeLqF+xYZeoyNzoWQtJLSGOxEuQjJesKI2MhE0R6stD 9ZymWKEWXpymAIXc4aCnCQtRpQVFINij9FUW+hW/fIua8QU4CZwSaoziMGGgcIUcfhqu3FiMOcrM cWGmwGGouOGPTNSj4N6u7OCMFISIoc/e5YjQWM3UoQapTQQf2VXvXFVwMcfH7A7slMksxQ0InQ7p tJKU2A3oBM7a//xM4ghJ4ShI2txFJ7IMbjGd2XTb0SwNRhRFvEDi57BNBh3EQQSN4FiNI+5MVsgi 7liW8oVMf/zQuzXcz5DO1UHj2lyTzYWiJArj1MEN1gjTWmDil/RO6fBU1XCNc0xIL3qL7zjiZ3Tj 3hROFJVOz4wRKp4GV6SiMZJQlGxZGQUXZIShF7JgUBwU/xgMn1nFHcndXSTkaeDEVTDRWURSQx7a Ot3IFWFNMSVUZYiEZjgQSxzendDQddgU/cAE24FEvEANUQEQyeAInlUXMF1GDm2Z/dRFhYHh8ywP LN2TFDXk/3CZBYEQCm2QepHGA63alCyQIj3RjiFI9PQYjVQVHv+5odgVIj+tGm5QiPgMEYDZR25s RQ4J0RZ9R0jij0AJVJpwT40dIYB80E4yZIgx5U9Fj2a4T0c6ydz5pEamJa78i1elEVHYlnyZxYO9 mjIVCFvm4VfMWVEpVjiVIZDVlWL5UnOA0I9YBlQWn3qBH35kplEwIokRyC+52+yohXmBBGiqF5CQ Uhp90iFxCO0ZEwl1RpZcpi2l4Iq9jEIxX2EhEGd4URHNZB5d5v6A42/mVXAOlpOlkBPJ5eNwkg9u 5jZmVmsy53SSV2I9EZDdIRXNFjSRl2DdyrGgXeFdFNiw1HiV1Vh0RYHAkEhZJ0NFFSapldP1xhnR lV1KxVTplI7/QNK7bIZ1Ht9voWOgkUnhgeRM4Y+CdmdhSJSLDRplBChxqJMZbSRIGdF9KJBQ9RNv 7kWMCVZefJhVsSdP5lTTccvfWOhnUcdRpMc3wVBQ2UdOkY8e5U+UVNBGllRMxdd9uh4wAagR2Zd+ fgU4EpLtMUaFAtNFbRW+/UlCnVDRgMpYuOjmUeklVdZGIJN6WkhmOUmDWedk4pJxks1DGRbSTFCH daZwAY54iuZ1qqFZQQRVbR5JVEyYLmIiXV6H5EvqXciUdt5yOpijxeYzbh6bCinrDeGQjEResWei 9l1RnuBrbSmP6lYZuqHcSeeIjdiIOqRkoiljopF1Nuhwbl69/7gpr7QoQ5lGaQ6F4TjX9BCRVbqE 79UY672Y6h0HnfXGeU0agpgTcRFYy5zXinIlrg7oIxWoHlmqjxrX9kSXXP3ohLJRf0HESr2XQAWa ggkq0KjmwpjFHuqpKJ5Qd0xYsCLOaYSZ48iWb6BG4TUYurITm8mouoaIi01Hh+0oft5ITGrZCeWW s0YhgA2pWEqoihASfmbrknZhq/hIdngrzZjhMSII0zjjoUmo+ZDjXAlYocnHlcnI7lxFgGBXhXxs UD7fbngI10EZo6ksaB1fYj4NrtKVneIWrioN1/XEkdGpDUHNls2dVNbZ7GyfYCXkoUnZFV2a6Xif GJIZHWZGALrNi2H6VYAIRqX9GMUWmfnsRIsFxi7iEsEcGrrYKG80mpkJiEI12XCmKjEtGY0RGZCR 7MPyGK5GhRzRrDUOFGZID2hI5hbuSrp9lp2YTqrMn5NgybXJSZMQLp2UYbZ8Gwl6oa8dLrggi5os LrvgX8VFrrNUrp+s3YtoIJSgCTLChOluYJc0m+SKiO+EIbYJ7p3wY8PeGoIiLruxnB9S4O56G7Hi YeNZUGfZHdnybvEaC9qsH+cEpPEyb/P/Ou/zQm/0sh/t4u7/mSANSm/2moqYBKLIUK/pde9LWMZQ 1aH2mq+qqCHgMmARssZ+1d35wi/6nk3c5Fi+kGMjRg41Es3eJIgYWd3uLIjwCNOlaSKohWzaOE7u DLAAHV1EbQ6YyaI7vs7uVA3/Tm2crKNy6gsyMlJWAWiz5I7Oxu8IDy0SBV+/toSnYobn4WR7NWMm 7cdXThEeNaRBSq1J/keDdewU8dkH0V6GxapVyojYjaxqOGWxKhAVGhzHptmB0WkLb6cMcZB4kXAV 72nPHgdXZARefae1HhoHFp54aqpYiNi+GEyLkVeVXWaTBl72QcVADlMaNWiVxRnO0NNo/+ricbwd zJ6uejLa8lrxBFLHbjiVwaAqbXgoGwWMSdSG0xVRwKAWlmmmooqYl4bWZwpRUwFTAGMe2u4nPxrU glXFUqyIKG9qOD2aScEmmeDkiihaOeUSGQbyLDvkz+WSgT4thDaq8cUrT4WxZZRVYWGpoc3REDtU zY7JlxTExFQphPqpndLFiYyPe1gS77BxmFblkr1v7tjUXynz99KyIDulRCKzbtELsEJOpeKEY/ly YUSy4nASbIZH+5hkyE4TbbHRNcFzXP2UE/nef6zY9cDw5v1rmkTdjXynqw5FXilTTtxr7ZgROIez AxIMvYAIs9bmVq0GBiX0nylwdlyyY5egWr1+9N9yG1Wcsdb9qddiTnQgyBfXqPWldGSM1JUNhWNI LdXsqhBmZlSBDDwNyNcW8tVcMERNtPkWjeiS25xc4O1+YJ60osHsT/WKW+1CG7NZdcdgLg7GLnaG ibN96VGL9cZVNMuW76rs4CHO4O+OdVuX3AgCW60kDSAXysK59V3jdV7r9V7zdV/79V8DdmAL9mAT dmEbNvZhI3ZiK/ZiM3ZjO/ZjQ3ZkS/ZkU3ZlW/ZlY3Zma/Zmc3Zne/Zng3Zoi/Zok3Zpm/ZpC0tA AAA7 ------=_NextPart_000_00B6_01C9F002.CB70D4E0 Content-Type: image/gif Content-Transfer-Encoding: base64 Content-Location: http://www.cdc.gov/mmwr/preview/mmwrhtml/figures/r014a1box1.gif R0lGODlhWgKRAfcAAP///5mZmWZmZszMzDMzMwAAAP////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// /////////////////////////////////////////////////////yH5BAEAAAYALAAAAABaApEB AAj/AAEIHEiwoMGDCBMqXMiwocOHECNKnEixosWLGDNq3Mixo8ePIEOKHEmypMmTKFOqXMmypcuX MGPKnEmzps2bOHPq3Mmzp8+fQIMKHUq0qNGjSJMqXcq06cMAAQREDTCgoAABBKgOlCqAYNSqEgdc zRqgItSyUp1WFFt2oNisa9OePJtwQFSNX1Ha7Uo3YwACXSPuNch25F8BYDO+Pdu2otTEAgeXLHxw cN+PAgpo3tw2wObNgQdo7lyAgMHMBSAX9Py5NMXMUDWzHKAapugCBAmUbhxWtkLeGD0Hrux7rUDd wyfLFu7WbGnTgotvdR3yNoHaFXVnhX1Rs+rbJjND/ycsmzsA2h2R76WuGTrrtuKreid4ezRC1qE1 J3+IHIBWlbph5xJ4kUk3EYEHeTaeYughRBtwECl4XAEQisTaeeghKFF/YdllkIQhiccRgRya1eBA F5YE4oey0VbVihqZBx5qBIk44V8UFiQaawKW6B9cHiZ2mUBQiZVjhi7+FxlUGOrIJIZCgkUXbfYt +Z+L/rVlF3BYntfYkFnyZheVuBE5n5WJgfUdVQj2ZeR1KD6JZVUubkmkkg2++GST54VJH5snRrUb ALpRpaSXh8YJJZ9d+nmeb0nad6KHf16p3mpyivmikIZS56h/emKaZpH0ifflnnliChyPAMDW6KSk Rv8mK6VhtrmnWw+eqqqoK7rZYllvPpimgAypJ2hZPrLq32YLNleljmcapF8BiLU3X32ggacdaGa2 5pZum9lFnYLYZvWZaajZpyCz6S5oXn/gzsdaewK169u8qQ0Qb46ZYVVmvcy22Bq2+Z4rLo3b6pdu VyImTO2yuDkc2LzaDdSaoPEGlm6O3waMsZmmWefaheLt629b0eJ7XbwL7vummVK1yPLDKkMcL52f 8XUuip89+llV/T5cYGme4qsvtcy16trRnCntLwD22YtbuYltPBqzQ4d73swME02zbMi1RuOjzT5k dWDP+lx1tNKmRhzHU2nFLFVXOU3o1xRqu7RvhSr//a+Ef1HlG2z9XSV43hIe7Tdt2pHZWN9KfzwV 1HAWSu7df8/Xr9qsAcZz5bJFTW2wR79ILWoEmFbxbTrjxpyIt5GpdMjz1e5psHebdmHiuuWW43tJ i2j43Ycvixirm4s2XuxOH43YdK1D7bar5Y1uHeVVFXobsg9r712LMsYnPVquget5vWlBDjHQFIL4 +sOxd96Vd7yD7XbSy8JJL/N9S9gvmeh6nndm1D5TEc94FNFOVCqWNmXVp2wW4xi03Ia5h+kHRVhp XHH0ozeU5ehexZHfQPrjHdQ8RiCaK03M2kcdDgVohBxDTue08h5/XUVoKfIZCmNIobFBr1vbu6Hu //aGNHBd7oDj02HDhEY/+6EtNe7z1OxutEOMrbAxZyqUjdznLxbiRkQpIuCXxuVE3xmuhHlbTug4 ZqrR2DBF5IJUbACDo+HAboOp8RGRutgYEiGNOiKqkhbxKKiJfa+IxbER5EbDvNhVyUZjaWLEHrbF 7lFQIuYZX7KKU6i0EYRtn+SYXfp2pu1p8F/Um6QHZadDFMULWLsRWrvk47Z9jQZE75Ig5LiDo1u2 RoVwKw6BssjC/ZiHR7903ciSuaJFUlCNXVulGHd4MJB5RWjOZNpntMTJYlpTQe8BD3MQFKCUUWea ERwYOOG3RinFsjXXAWE8/wWxnPGsKwjyjvpA9v8etwyOhe6xIAUtJzTpHY2bFErmPamoNHH962oU lJAMGVm9suAvdBB0SIn0c0TpaexrcGpbhWaXGBKy8XelYZ5H0WkfeRnoPGPbFmScZ9DIReZB2JTl JSFXojeByEObg5g/y8TT1Njoh+sLoenwCSmc2pFjVaqe6pgIxTIaNEVBBRh0nHmsmybmTG4EpEBv RLJlZq5i/gzoVJPzQlDtsH/2g08sx9OpMsWxTFhJWqPuWKbY7VN6DG3lRKGzxLYE6Khh/Whqmrq2 rfKwLNeKq1aVR80LFc5T4ikoJp+TrgnRcTMFCqkeqTkh+mhHKjiC7EBHRy/1oCY2qiSteLp4T3H/ EZZezTPp8ejXO1zycG1VBaiRcMNI72WlPjyz627Ihb/QHm6SiNkcq7TXr2ZC9ZnKjGYVWZojBeKW n3d7okNHSc/qmpB11+MoB6HpMyym7aCptSn0Xua3vqqRLPQqbhrxWr4/zpNxEkyaa/u7H/UWFKte hEp/wMncgg7wluAinpGGI2Cdsi+6IIVtPPFbsC+iNKTIzY7Y1LSx8VywWxASJD1hCk/VIpRaRPRa tWKbxDf5UJsgPjG2FIuubeZvQoFp64SeY8n2mI5b9bxxIpnFvrLNi0blSieAjWxdD3pwihySZHhJ ezTASLE+8U3ixsRkvr4tzKwwhu0UMafY72QMyMgFcdnQDMnfaQ2RW3BkT9PwlZyjsiyw3UrzUOE8 s9saec1iBo3MmDwdxxr2SCwDy5l7TGSHbhnMnh3JiULCpoVgZ9MNwYo1ddS2ma6JPsRiiIBAnSj/ POXVhGE1qV1yvqziStWrzl6AE+QQWtn6Tw1pVK8rk2pU66jYXm3ISOsioGXH2kEX+XRlel1SCaoF JObzZIKkeO1uexZcyHaMtTciZG+bWyYaOjdHxiKXhUxO3d0eZd1EMjyPnA/e+J4NXPLN7377+98A /w+4wAdO8IIb/OA7TKbCF87whjv84RCPuMQnTvGKW/ziGM+4xjfO8Y57/OMgD7nIR05yiDOk5ChP ucpXzvKWu/zlMI+5zGdO84WfvOY4z7nOd87znvv850Dn+c0RTvSiG/3oRgHtQl6K9KY7/elQP4nS FcL0qFv96ljPekOmnpCqa/3rYA9707mOEK+L/exoT3u/yX6QqtMGtWsBdU720upFCcbZas+73oXC 9rZVRjvgnohn8I7usGkWYGp6iNn3zvjG56TvBXnp9gC2Yof8GifZPLauCb8kx3v+8zqBfChZlJwn FakzWHneHmOG+n3ThLJ3yhKomFTHzgBGShaVvf1/Uh9u0Pv+9x0RfQQNMtqET22uWjVh/i7/kqM2 Oo89bA/3cCSfCAtsnsDPvvZDIvwdnoaHvnkWm174T+6VlibNhXND17+jR6kWLE2l/vbnT//uLB6w VsHh2IS5L8Hddn4Xg37cdjdg0TdmBk/4B1jaNG7114AO2HX391IwEn6ZQz5UElDv9yA10SYrQ0GZ wT5LBSgJqEYW+IAmeIKRF4GVF144UybdBIDv51EHdH8AciT6tFrTRzZ2g0dbpm0o+IPz130JmH87 k4D18YE+I2hM43o00S45uH6dU1/QwYNHeElAeIXbJ4RmZyjuxmsfInczMSbB1kdg+CFYeIb1/6eF K4iGbNiGV6eGbhiHchh1cDiHdniHCFeHeLiHfOhvetiHgBiI3faHgliIhngUhHiIiriIPZGIjPiI kDgTjqgQvScUYyJss3ZssyF4FlGGuueGnlgdoggSlThtB1KKwaeCEMGETMFZ9yYt+/EjLPGKzXEf DMgfFbIjnGeCrEgSoiEYvbaGGPGLFXF4GrWLHzGJCDFvTmGFEcGMKdGLdwES7UYfwoiF1agi1/gh segg2+gcK5GNKKGMB9GLSuGMe0J7WpI6YxEZ7LgVf+F6C/QldJQQC6R6gMF7P5I3rZI6/0FDC7Qg h/EleSWNsIEW+kIn7KgmCkYWeaUQGaQlUP+BFWmSenWReo2BGCFVKf44jzXij3GSFm+heh8yj7gn F/EYGhrpeiOJe3dxXEpCkqVyb/fIkIdRNZ8Ve14SGRaZWnSij/Xij2s4kRYFlBN5XFuRk0EpjyZp lGgRN0RSj3uUFeZoEuR4GsgYFIiDHswIF/tmg2hzHGgTMkBSOcBClhXyFy/iaLLYjxZllihkOkAD HfqyNWdpOmkJlvCHMwViUUw0UvsGJ+3nGSOUPd1IKGcJSzLpT34ZZIZlWPAnF3Aham0HJ/OGNHuE PgikL4/Zj8eBlGkhSms4PW+5lmYyl2LpfYiZmVDzlm55HGhBWEE2miI5PUFWOUH2RLAZlyj/BEu4 uZtjAml2uTV42RJXGWdZCRTPAZLESJiEwhfjIWrz9he8uZrT6CEhBY0jhEWxaTGuKSttyS+GdByS xjDDcYvEKBrluRU6452p+SF0NUTuiZIQRIyyqJ73YWLwAZ2u1JvuaDHYITTEKEH/op74KYvUiULv aZ141Y3TiSxYZJqP8iju9J7UmaAegqEmRiUV2nZfUiAWSjsVmqDhWYATs1V2FGTryYy3aJWqaDbJ +RMMWDeB+Z27148Z5IKSBqGRBxipA0GXlD4ZiRYq6WVoI6ED6qOps5qaySJmAo8YtDUAupvwyTMT ypv9kjoryIy/6Jx/N6XWSVc6upT+EqBf/wVZakJPBeNPP+Kj3ZWRjgk12KGdQcoX+XGlV7pvd0Gi TZpBZWqfXhp5QuKmVHoX9tmly+OC28ma+3agKvSjTNoqh1kSx5kbMeoTzrgsB+o5lCmLvThQyFJg xaZLoeqeCUqZCcovAVWd7Lmo5AGiVIqg+rmgH8mmXvqm7iameFql/vmcngmrcJNRnxShrQmrcQmo rlM297ZvhpNRrEiqbfmLB0qM50OdnRqV2GqNaVp2pAGr1SqiINqpAzpCJ/qe9+aMXXmpGlGpUKoW t6hCrvovnpOgqbqjbVk3cqGdTYqfS0qhN8qk53M/dIlX+9mWxeqky9KfwLmhsRp5rWqfAv+brdCy noGqIwzLpKh0pP+5q8OarTvVre3nmXWZp0PqXPmpmfOGn9fpgnLVpAGLrdc5sL2aGWUnJbdVqGjT slDTqjuLs7vJp/nKn726EuzasK3oLU/Ks4QjavpyQ3tJpfnoNk2LhOU4FoaVj9WKOBQCqcWKqn0V tQWItbloXx95GKx5sPpqJgtkOu7ZtIOXn+3IsV4xq766LGs7tFdhkZVptUPrtlKrQlSberU2HK7X Ow4ilCb6kNGqXHlrX2NBWObil1qRt1kbFTTroRYTSU1Kr6dzuYNHkQq6ubJJOe84tQMltsb5ol9X G6F4a8ZGiZ82Ux8qGN+BiploEXVHGHg4h4nBkWqhmC/FRiuECWq8W467yyWtC563W4udd1NmCBGV GLsbQby26xFFG4ko2KKU+I2elqnYu3T/qvu9cXiptEIR5Su+N/eNNIi+7Nu+9qe+3Ou+8ju/DnG9 /KYlxJK8XhEWy6a/tei/OaGuq1u9r/sQcue/2IG/1KZsBgzAKmG/+Oac2luxS4eKFKywlmeYRuEZ BKx1fCp4k3qy0KJssTigu1iVghqMHUwSEAxv9skR3hupZiOsr3qHMXwRabuMNKxsO3waTsa9Hyy3 DJHDKZwULawWo6QVzSklTSsk7JmiSHmwqwGSoHIdlNKS2XoYk5ophKG4EJG3NnkVFSmObvElP3l7 REInllt6dORseesWQLklaIw+qmfGaQwnROklUXyUpEHGMMWSb3wnlgszwEI3Z1zHdBnI/56WV8w4 kCjyyD9yk8ZqubVhOKCbsG7VKmLRbvOIwjcZrCQJxvWCQdFlJXM8juELcJwpskSlMzrDtl2rO3Ap p8SRFsLhIq2sqZ45vFWpp82SkFATwsSHMrDkl3vZtN44pZw6hXKpNNiqONzKysZsU5Q5ryybmrdc fZ1JmdZjg3XHr36ZtBzszPoimJg5mNMDrtf6dzqDosN5q+TzyphcNxT8tvhJra6sy+3HfD/ydrap yyjln6BruNyxzpSayv8GqCSLp38brVrisSMlF4faV1N6oRtZs2fLmiPLw/0JsU8psavxUPIBHL9z p0x6wQ79r63ynQPKxLS8mi8sSiY2s//EfB+hwaM/O54nHVF25Johq2rRiU/xydCwvNJXKq+rEtSY DCQirdIt2qgftKi0WEvdurgPjND+ts7ESM8PFc4fPJLs0SNVfaXlbGazuZgda7Cf+aPxa7DD29Ql Y7g1TMsKcp5Ies1CrNaRaq2r+sIz255gOlukVIAoI9aR9zgsnct4Ko8BpFWE18iNDaLwLKn9+dY5 ShXvSKJ1g8+YXKyFe5gEals/Cp1R/EEd6rVXDb8E98HOydRT2qX7MY31uowmjcnPJKF6DJgFWyPC TNu22tQozKZDKyhYqtPBZNNWQZBWTcGguqsRVTYeWNi+/UlVY6feyk08S9kkyjjCrNn/QnufTe3d E+rXq0FhtAOccE24I3VJa1oZoEvV4iyzKXHETaGy5+2rk/3WTxqwzIwQelqgylSc0lmuCULgTEKZ CC5pyZyaECuhKK2y+RJSpm3V5CzXI5ywJDqZq1qsJvwogF2d9+w2zf3SPoyydk3h5wOo46Hh/7rE xBG2/srKAj5QgP1Mq9LVefrhqlogh+m1I92bGy3isUlLQZm0YsjCWJ3VVBnOMN3UWx257se1MfyQ yCqWgmKaA3nRpsWaMcS3gymsgYPa1flZxMLI3cUV/S3bf6OUB5FXbMQVBN6cW3uiXRXT1R041SmZ foy1JornLY5Xrs2eg3yfdPSVCcHI/9+6QCO0HQKL5rA6eLTYpvF43URt5V5ssVwhsIrulgErJWeU rc3Zw+ua5P5WvAa8KtCLd7mrgQqxw2DoxygSbudLbJrnEKZ3jedr6qthatDburpOvJy36mXoayF8 wNRL6/fhaQSsv9QruwkiaTQc3DBM6pBYvaKOfscl7WKXu1DHwX6+jFJH7fS7FBO5wuOuElNh7tOu 2ufe7u4OvuxudALsvLNBJ6yr7gUMjDvpIPcOfA5MiZBc7/Su7B/x7yNB3+p2w6E27xcBFxRM3hYB 6wvB1YcOIUFc6iZx8ROx2W39EV8ZbhJfjPi+EQh/bgpfLAxvEZFupeSmrtreiwbdbxXaHiPXjvJ5 LfL8kbMNMfO/unUpv+7/Q7faiwGmjrx6g6p6zUqSHsmTRBzrTr/J6k0kpIzSktqoRznG71aSIvnt W8+Tc5z0NvvEzEbJlAzHnJxXJNbIkCzHTH8qdLTJffTtZ+HLzCrGDGGSd3LphnPxmcKQuQ2lEF/0 u8eUiiscFjWRUdluHz+VWO/Hjoz3szv4BsobP08RJb8UKUXZdD01yywfLwKdm9ePa4ma+Nn0B8vB pe/OrS1AayjGIc7kEL7eNfqrgT6voDPkms/i28Y+sHTMnrPPTAU0Oh7POMPdCJQ856P7qaPBblus VN+Xv9rNNQ17IQ0wcar8sFSlq2z3X4kY7bcj2YOU1LnJTfo7Vvy3xemk/5w59JM90GkE7akb7wLn YP7ZIC/ZGfKxqJ0K38eqvQABQKDAAAUEChAgcIBCgwAIBAAwwKDEhQAKDsQYsSLCiA0BFIDIUSCB hBkFglRIYGBDARAvWly5UIDKkwsDqLwZ0yQAkS8/yoRokWZQiR2DMtSZ82DQnEVrjoQ4gObHpQRp thxZcqfJik4LbHQ5debWrw4vUpS6sqrPgQ8JLix78mRQkSh5avXo1O1PswQTinSoFePMilaRPt3L V2TirY0dP8ZYQDLkyZAtX8acWbPjuB8hxp1JQDTfgQVFEyiQMDFJ0oF5FmC8VeLnjacbsj7rkS3G AQJgo3TKlzVUshthi/9G6dapadQQV//FeRx1YYwBSgYvi9o2weMsYTP1iHLsSOkGlXrO+tq2c7o0 95oOQH3rTdQN47o9P97kw6Igc/per6+ipBrNrsPmIm2v+8CLbKHhUCpPpeH62gk1AWrjbiXaNLTo q+A2A9EkyTxqrLIQT0QxRc6Osi+kkqxrrSOTsCJutaOkEmwrhGAU6jDlJsqLRIz2wgq7kI6iUcSK zhsIq5fCA6qtsCzKcacAGETsqMM+xFHGp86LLa2n+mKyqh550rK3qWSjySuwzoQzo5tgbIkAm9Zc S8gYP2zRTLto5NPBoMoy0Ew0GxugoCm9FI7FikBKUkUQR6RMT0kvxfT/stQyVKyk0RT8bFDn2ixL JIp4XE6+gSR6byiWEnqSLkvRQw87m8LTssGUFqJIQPPKUtQhUmVSyakPq7sOyjP/u8q8ZDu61cXS hsIJL7oSkorX7K4lTky+rtxpPN/G/LGtKhkCFrZdofV1Rk9DNSzBQSuykdMH2UvPp0KbfFGl8XoN drhgheosU8wofcxEgxdmOKPvZppXKIRYm40wicVFaCatSII4IpKCPTajcVOq87aoGlIUoVnnFM0l ZQmkL1cOD6qzJI70yrjUjAW+6qF9SyMK16xuenTiiT62q2Xf7lwVaV6nWpDmm2zu9yC3IH5Q1ZOM RvCugyDVbz+otdpx/7ib9cTx34csJo3Gjw8lmWji+JLKOjs9fqhlKz++W1FiVdZ2x85Ga1hThcma tXDFU/RQa43ki4+3AVSdPKPJqUuU38wut0xmrjzfqfLNRW8scq4chynFzKuTb/VVUVcIdERJR5So G/GU8zLXQ+QcM9otgl2h31eVnXXLg588zRtVNT2y4hc/6fCdpIe++kmDt7407LPnvnvvvd/9e/HH x7TM7xHmLHHyvz93ffffhz9++eenX1Jw10e/RPXr579///8HYAAFOEDx5Q9xBERgAhW4QAY20IHj M+D09vfABG6PghfEYAY1iD/qOWyCG/wfYPYDQhKW0IQnnFQHI/NBFLCmyHwnis1gntdCGtbQhgmM oIhYiMILaQxoSlEToERDNr2VpmMpIUlhhkMgrfDohk+EYhT/l0MPStFhV3mRf7qlHLYthik0iUtZ gqMgmqnFimdEYxq5R8UVqtEuvdJPcJTyr7johSnSKqNrZiOiGarRj38EZKUmqMIbGghYYtHKckjl vBjBjUpzA5CWChZISlbSkisc5A5PWMdSTeU8L6GjrvaVGKVMKFGEC9klVblKNOWycSWaNOGmOhQv dnkNTq0yE36mshf8PMtjpWFlMIVZSEJGz41Ia091OObJJHZkYl1JjWhqMzXN4WhgNBrYMLW5TQ26 0phpBNZjevc6yZ2OK46h3d24uU52XtCbH4FlCSdZPwu20573nN87i1nD5uHTn/9cpz7jCVCCFtSg CBToQRW6UIYqMKENhWhEJQq/h07UohfFaOEqmlGOdtSjmdnoR0U60pGGlKQnRelETZpSlra0oCt1 aUxlGtB97nOmN8VpIGGaU572FJw1HahPhTrUbgKVqEdFag13mlSmNpWBS3VqVKU6/0Wjbk4hGrxc fFDnuXourKurQhHqEvXVjBbGgvXsili7+tXhVUdSWiNr/aCaEQU5rjkIPU0MV1KlCXXvZxFpzMhC NE+j9PGjYmThX00Sq9JpUrHzSdxuBpvIPJ4orgab62BK8tfUENZ/j4WMXqs3T9FK6q8itGgqS3Qr TW1PtYzT2gvFGdTVzm2wl81UZqU0Jt7Ai4CTvJ9FXEKUli3Rh0s5IpX2csoLlU5jRYPYnYhUxNVd 6bgRmVph6NMrOTUneUqhTxPtZqeYlW6IQHvutCIlp/QK14msG2IQtXteglxpKMm1XHabRF3rqtM3 zbVuVDTmKEa1V2LZ5E16X2K6mv8hab9E5E/XeBPfRFlHJvt9D8oMvCqy2U646nHOxJprNVIuKSTf 4WAmM0Ojx3q2fyC5nEw2hq9vJc1Bm8WWcu7WS6HEtm9gvNvNmlkXbX0tPY+Um9x8IzM13SlyYgJv kIFDWEVyRyYNSUvd9sY0YfVzv+RhrZfAC+MecVdksHJPxPa4YA99xG1RqessvbbgZmntathiyclc VmQy4WTHEbOcxSRSpFc9ZUDZqRLAKgOjH0VOmm7OY5x95WXv6XZuLgatXIcYZ1D+ZWN/+SK58Jg5 j+g1MYTy5RLpBSuTWU0uNSLwYl21W+L0RGj7OcrVZk0h1NoW0Y2Zrr1yHZJdckv/RE2CU0705bKZ +UQpiK2lW5b7s5f0Rs7lMrR52hSVJYHRc7aGpvDKmBvY3fluv6YVz2rplaDcy32Whhui1clbAc6T I7zEY1/+i5yu3VtLpgmN5zrDkc4khygam7KZlA2bgLeGsDxyooF4zCjCDm5RXiHJaaZXGH8HttuH sTicjnPdVQnpPIfWia38UnIEHRrhG6L3ynmTZznXOE5WO+7DF8mpICa8Q+udlkPqJiZJvwfPjIxa I89X1ctIenqGjd88C8Jd1kyo6jKLWl9fO7O+GPLGR8ZNq3lSLD15fW+0HByoOUUrhykROpxysYSl 3T6hu1rOaR8710MnpDj+ikPL/6blk4osWUPKrEwvwTbdDBK2vJ/ptLv20nDCrkzcGSU6i9lsu6sW qHRn/t1MtwyLURd3udrZ6sxGUJT7vah70+vbyYJLqCkUxpMp3D2ud02HYvsisuGlvgciLGBQtnMa 9dqWvSrtiIFY6Ffnhy6e+xFcqvkyZdWyLrUnjc4YQrnhe8lJyspNhni5WR8fSPAtd9aBrohndRad Ke+Kl13kj1tMwdvpfEToiEw0dXPhLbwea4n5m5tlupPQALaJGZSdaQ+X+T/EM7apQaXUAJyzgxNr +hMsYbsJC8AHxDKOSZxlMrYK2Ygsips/SSQJnLfqiKYsspswq5XUiD310g9o6/8QagJAlfm2jEO9 xKNBiJmy0PA2K9kUn3CKJTuvJxExHbkPRBqJO4uXQWMbRaGvIoIg0Num4Qkf2cCctpIcytlCcRsd yAkrqJsd3UEeLuSdMxSn1sGecToey/DCNaS/1AErM4SdLHydOXTD0KGc45lDFYG3qRLEQSwgKyTE Q0RE8gnERGTERjQtQ2Qn+kNDdLqUtGogMiSgSQSR2Ooe3MLEbVrESpIskCLDojGtJmwgWfqePwS2 ykORvtqaNfrE12CoUKSkrcMsVjSiewK6FOnFSymtg4EtzPhFApKtfIJEKIqPm2mv/kqkqXE2+gIe H2pGm2iJ4muZK3OSg2sm7Gr/wcDysO4qxvloRvtqnozZKhPDrrf5MOFKLmuiNCTClnNMnrcpL+Xq Cvsir3ekr4LgiPthLsf5P+xSCE+pGXWMiIzhMP7oDRgMHXT0i1PjxibqGIAjSKsADOsyvsVKrqkR L3S0mxtRyNCJL8HQqguhwpDMHlvcoCWLweUolUKTiu6zpfGYDjm7GebqsUkTlGxjCNSbnl2cMI+B uiRzjx2jmppTkloju550s8mZsitzHO2btt7As8lppqZALJfxvG8plqxMM1uSk1ZDldtACbnBt7zT sn9sM1wrsz8bk1+TGw9ppuXAFpEYiy5xDLSEs3hRsqgcCaw8lybLPZcDQI9xe0roYUkNMqVHITa4 WxL7gCanHA8HZDmNiD/NE0u21LvS0A08MUHMkMjc00rce7r0eLT+67zC/Ks98swySk2wSybA06PI hKToQLYZScHlQ0UEwY1hqTZWKxHBsDUE6QkJuSMKeZKSo0xX9EzqkDg8Arzj1BFqKSPu+g8SHP+t ZHyiJAmvQ0KK4EA5ncAm4mMRJCEJWYoa7zy6mDO/HGE4jWutJqExGBm09ASdqGGVYRM1R/Ks/+LP JeTPjxiiTfGWpKMP1LC9R3oMC1mSVEMSfPHH9EyUHHmtezyNmZDM1wgNg5gkQPE78pQ9x3BJ3sKP oCHPjFNQCmwURimKDF1RxeTOG6pK45w1OQISXfGvXQs2u3s2zSQl3JSwtqMl97SMeqHOUcS/3MMu 7aOVe0sW2cFKLGKSREG3fTmPpEGzMAu2Y+ytsyS+GfMa1Dq8/WkyWESP2BglBuE8IqG73mKNgVO7 mjM4yNAPrDG/xXvThlnMDALR7TsTOxK2eFH/PvPcyQEkP+IAE+xTusDMo6T0mtXBw+PbljwKo6kU FZ54E/djl6WxEl/aTzPpOLgpEqjBvTFb0CpbrFATl9sYlnaREYAhOzaJCYgDIy7LCVCh1LnpNL/8 Nm4RPplTOdVj0VCtwTLCS+fErBm1odXIG/HYNX/UUJLx1LprPMvUjtGYUMLRG7PJG+3MQGQxDJDx wDDbSDc7InWrQcIRwv/TmJFxN9JEJpLcwLbwiHftpJMJDS5bTSisjPOySfzcGxzcmmkVlolxD5vx mfZYMmcyPfrIiiMCDg/U10fzoWor19scUs9EQP+7wLWbWIEVwhG7yY7wwL3CL8Xp0xLSxDrM/6/y MafFChFlxcxjQ6ez6hw/1B0UrR26ShPacZ1P/B0sRJ5ccRzSYQw27EJEeUPZMFrqiEdN9BY+PKfN UMPKOgulXUlmdcS4mlT+8Rs0RSfSe6A5IaGvVUSzoq1lVTFHTKMKZatZRKDgiii6Rds14lq31du9 3YyV5du/3Vu/NaEr0cUoatlNtMSmfavLqhw0JFqJOtycrVmHylspIjluIttNZAnc8VLNeC+QIhZg k5lgpKHCfYzO1R2xo9y2rSSxHaBztSzHktvTVR/GQxHUJYsZQlPXrSHbbRjftdrb2NPPqtwWgkaM 5CqzLUiEyEfrGDGJWZLofQsn6Y1raSKr/P+iXjwlkWTe2HFe44icAENenbiL5w2dfxtfL3GdHZGt 453eJFET552P3uCVHUm5g+tesxhJCtne0gnJ+EWW53VffCQI7Zle69UehZRfI/JO7E1IMlPJ0+3I CJaaFzqK4Hq/ERPUBRLcsi2Wf+zGCXtMxdOWPZuzczPN1Iic7+jJVhVMAKQcXcu2EtY9K60cFNMj XT3L/QGN6JgczrSlHxTCH96sr4QzVqs8f7wcuvS88fA5T+1VfXNFGGSVr5uzTiLKSO2T3IONypFh YfGYdDGMNRvCfN1J0OLLrYHKTGWVCjkZMSaaPSrC4X2x4t2ky9Qrb8k3IOaLe+23rqSV5aP/TPjj Ck/aTOH8klvT41tl0sfwopo9m3EVi8oTHSLrlnsdzHuVPfAELMQQUx0zo6WEG63cLSUaYfLVVZFz yrJ0VC1OCmrBWcd7k/yoPCHjCKwwumub3c9jXStiC3QTGTyZkLyEEsJL4cKwC+a4SXUVW8Yb5ln1 yTHpu9RjYdqFyrbIK5z0sy+rkGxeTf2w4FIrDxu1CuSw4r5gDQBBDoGjNWIOEAKxkDA2HS3tGmWu 1EC1j7wSUvRQGxUWpw5l5D7jZssxiLVRCUKxDWhOZyoMoA5uoDb1nDIhJUT+iZD5WLaLi89VTkLu Lp/dRX1xwYyeCjHpDDUJLet4wPZUNmYK/xfe689PymRa05Vne5TElLZF4Qz6HFc9SctpgTlJ02h1 YuVGGlY8UV5yjL9ZZmk3PjeaHkvbwiE7NqEMOzKCZhrAUznAlD9AoxVjEd54EVtZpVNGpUHS4K7r O1CbAJ2CuA9PEVJippfKk7wg1KMlFMKgczxpgUkHeVWKQSytKTVju9QXVA3c+5Gu9OoF9b6knE6b 4RZrc0suxr0xah8DdIikaTfs410AcuiH5hvT1E3lxRpfQg8IZMEiKjiOy5vMlrnLtRrR/lbg09cY tAq7SVEb9Cy9vBi/JtRvTeJlSlRe4xjjE0+n+ZKjvInkGG1I6tigzKMxs8F31aVvhJiGbWANH2y3 EeS5k6W4aFnjjtFeSCGc0HwN53VF16zWirmbDV7dSvmju11a4oHD3ynFPorHx+mt+YYrLnSdqYWM PZwPOZxvzYDvtpLSyC0dxTVgcjpdq23DC0bmozUs+D5d06X/KKkGXIah8Ay304XqbA4Hcan68BAn 8aQa8UsSnci18KrNxP0ucXs6cUsqQvum4xPRaM62qxdvpxjnJ5pVQag2LwLfIdy9FODVDMVKQR0f Jh7PxKO2SuXTSCSKimWs326ccX5JpOre0yd/4PBFyPj9RwjfywoVL4g7ov9NyBD+3thhx7bJ33FU ckticgFay6YUs5h84CUmNBO2TH4+GiQe29C1bnXrEtNovHClKzGuwbAIXZgxCt1zDcTLsUzd4SKN 82Ca8wDS40Nm0AXLogfV6SvP0muurL1Lk8BeueCoi7XbitO7pVzD1Q4jDa36TE8m6EvXpkwHINQa ZjQ7DN60/62FU9Romg5wptlIWjt1M3bUfB5XH3XNeWSrOJZpLu1qZhRcZyVd/58y8c5q+XXSBoxI nrMcgen/7pIxer9k6xdcpJBIF1NFxSJ+OZaTC+g0lzlsz3YMByGxBjxgB/ZX12X1BZK43stn8YnF sHMwPgl2bcVX1pxOtU7imL+zzry0tiW6xXed0ncQwpoFFBhfMtsP2RFTobmxg23nfVNrApUjPi4t byKyPQ3lfS++AY/IGfnT7hfbforldojOzPg/0nYAckMKB3D8Fqen9Z1cMZ09HB4j1yw61ELMWR4x jO/P6Qof//mf6uUQJ10gj58Vz/oNCvqZgmzIwPiwz6mxRxX7tTcotWf7t/cnt4f7uWcnuaf7u1// 8o3H+71vKLvn+7+nJL8H/MF3I70n/MOHccNH/MUHRcVn/MfP962H/Mn/J8Gn/MsvKsnH/M1vfM3n /M+PfPcG/dEXJnjTrtIB+8WJj9VXq5gFH7ZCcBb/nBr/pxtpcDs0mNh3fXYyLHgTPa7oLKyXn/g8 V2qjfYPpeqs+kV9kaIg6yz3NNOY0GDh35F1OIyXVIc9vda6emegffk8U/oXpNSIHEdHKXILi5Noa n+QX3Umxfv9x+lu3DN8HZAaHXfrBUu1yia7Q8oIECAIBABAMEECAQIIABghoqPCggAEKJxJk2FAi AIENBVQkkBBAAAIOCXIkaXFgwYsKB4iESJFk/wEBAwMwRBlS5kOWODe+nHizJEiLQAfcxNjz4MeF BgkcJXoRqVGhGIkylMgwKUWaFbUGXYgQJYACEkdmbSk2JU6SKkGuREg0p0ijUNvKTPvyJlikYBve nNiQgNyaAWKCpSg0p8GeADZi1DuVZ0qsfsnqXbk0IsivEmkC9rp2QAHFLwuQFq2wtGmKH8+KZp36 NezYrwsYpLqYKUHaGTnqBFmAKUuJMXNHBD0Q9IDeIZPrfol8YeiMZwd7FUs0dO+wM4cP3gzYOPTN zScy1/pbq8iFq3n/To5Q8XuLBAlg90iSafejnd8vjmnU51kC6PYcgdGBhlNwYQE12XzNWdfZcP9h eXcXdgKKB91ADj2nW370bcdRfsuB99xghT0EnG4qpSedcCUN6KBA12FGYUHRefifQulRB158AQLX 2YoTpYjffrgJOJB9LCU0WHEShgddbKRFZxpqsaU13ktByrYll1GK1NKTIc13HG6LgVgSS7lhtFNJ iX10UE9kORTkkmg+5KJVU571JkdkSXYaRs2lWRBurPGp2JSgjZlSbjmauOh8EyoGp2+AmqmQQ/ll 1pF+uYn5KZqFbrYgpM91dil/lpJ1lqJqZmRTn0D9+WpBwhkV3Uiflimmdpb2lFRCWlLEmlZTYYcl pa2euBWtkYKEW6u8Kisne1FW2dqUsK02lkf/RnXbJbjhIorjbpeiCpSYHqkbnaFIkvqbSL/9CtSc ss5UJkLqelrpvvAKyJSfj7rqpLlQhoVpm2UCKKREK376G0IRDmuUQ2TdhaaeDdNb7Xzq0jfuQYrO 6TG7E4aU0HhnQawvS7QFiiRYHOo5ELz0cUSnwFgq2+tHme5a8mkC97qosCtlS6hHuJ7X8Zeh5UuU wgSfW6NaVFd9n8GzXYvo0aldSW5Gp4o7triuPRTalEviG+toKM1potlx5sUUsGdeTSmrGUsN6WJC O2jTroU6erVh2e4Ja9aiAXuvaIllneLcWVsMH1+v4kpqr5QyHPTebUE4FlB5W4pl3wj3ZPbOrAEm vGlF7MYMttRvT3p0q8oml55dL02++LOtE+o733BSB5uUWm+5bZZik708l3E3KCt7GNnHH3/t9n7p R0Xzy3OZ0+G2on2Zz9ysjuOfHqixawo+3+q/2mRj+3/HiTG3jWNs6fC9Tmtk1CcqXRL1RHU9BvkG dFU7Fcq2MxaZcS57IDIfRUaSwN81q3prwhPn5mcp7e1LZEYKTbKcxr/CUW0kz+HP8FA4pfy9yFr/ XRvNC0XzNRhKSWjMu+GwpFQlTVVQI+D7C0qakxaPaMqHsPvKDwXiMLX9BYPKapdbOnYyvwVxbkg5 zeBY55yWIBBxz7qiYrgIuMah5IluU+L9cgTE1rRpPCL5yr40t5KWHEk9fyHUXIh1EdG5yjhRDFtl tnhHDP0xLbwqUapSlruJiJFvFOqLgiJmx5Cg5I1/+kpzGnm9aLlsZ0hsowuNh8NRkrKUKyFXcmDz Fp/AzjJHMUwqk9PKSeEoleGS5fJWmRpcmoaXN9SlYmx5y1n2RJinzAq5HPcc03DlmLvEUTNTE827 tBKYsInmo6xpzLvAkphKaZw3T7c1cZqynOY8/yc606nOdbKzne40jkvcKc950lNrMRTSPeupz33y s5/+/CdABQPQgRKUecVLzTgLqtCFMrShDn0oRCPKz4NSKZ8S3Wc4t1nOWIbTnAaxYS/BplEygjSi I70oSnPZUYVSFFspHejkDIO1dC7Jouek5ErJ80LnTSpGLy3LT4NKNl69tKVcE2o/iZqlkqrSpmrk p1K5lD8hMZWCP+1Z/4QaU6RGMKsRNSo5uZpLhMzoo1hhDKMcF5QpflMtmOuIho40k5xUBIk2udNQ yEpMmlSuVmmBDFs9k5eqPCstyOmrhID5KLZ+FE163UpR8DIpxxTlTkkhyiER6xMifjEuCPsIZv// qB+78NUuULOhZN2ak74yCVakJexdwFQrtVqGsFeZG2nXUtjBIoi1aISdTmqjlJB5xbMFeUhBLpNT rtk0oWLlko6ABCQXbed3ieTMTgrFuNEY8EjCcRtvEiKgB1ZteLjz6mmAU73v0Co+bmHO7R5YnB2V 70fUJViqPJecEpHpXtxCUvnA9i3SZCg6y7kNTDAjJvAYBkx1DN9FClTdeakniD+qZIayuuBgZbhB drTjhMDDJI0ueCTedQ5h1NOw6rLEvyK2zkjOA1/5PDirJ8wbgmR2oX156DbLpaEonyuu15lLWi9j nYGNNEZpZVNneqOV5lpIsAkSr4wqG6OrKGX/SBQ5E07L5JXqHHknq2oOJ9J6cgSx3CpgSSojF9Tg Jg30ZjOieFlTJhMWlzrb7q2YUeSb8z0TBb9g6tF3B86il988tFxtd2emC1OhSXIcvfnpxzlsrlOF 3Dh46QarSKOPpNKTvTMOED5L214mbwaW8kFnXdvhIFVH9751hbpmIMxWvuyTv1bp2NF2JmpSxGRI CDJSfVZzzXnT6zH3zXR4DPmNlDuHYOCluj+ubhuAaF2u662oZrqO4VT39Naseexj0pmRrb+37KEJ S4UU7mPaIsdCmD11bGCFoabLpioss4ZDCZvWksfdYI7duWAJUZSvU2JR16isMZijlGSm1SaC/4NZ egcRGqXKnBcQWdlXEWwMtGzkre1KO80UXLPbJp3BzdrZelHlrk8wd6hmxS3hiTscoTElsNN2LlcY bJadE74iEk0pt48by6qrWlFM5xtcIeo0qWvnvfTaq2qcvJihx3egaW99eP3m65GnSZxjd9xgh8TN wx79bVIPLSQ8vR5RgZ2h96282He7XOsMeLWteppf8nsiKlkT40pG70kRLEmMDIT365kYgOQNI923 XeeZvifjdMPwtsPXHF5VDO0vzI+FsiZ3SAM47yBROpARmummq2YjAcIyEUFdMB7CkfMCId0kV5OY nzhwjdFCI/vAOCuIaco1mAQvXPOjLN6zB/ki/Z5K+OBssY0wGngl37L1NUlUnQgIPmoDHiU5y0Kw 8d5XPVujIANYIkiZ+OBvVLxogtvF2TFyjXjJ21yYPzBATj1xm41ItJlJPAFS6JEVJOXXltxbDrGe 02VUKyGgNbVVMJkIV2jUSdUKediSzXGINPWSDfmST7QG6nUTOoGgc8xSBJLHCJ6SA6IgNF1TVORU CsaGMe0XMmUgCo7gKi3TCdbSf8TIBSagc+ETA9LTrDgUbW3OQL1cETahE8afy8Calayg6jHdE64T Q+Sb2EEVFV6hF4qVQczI2Gxh2QzhaazeF6ahGq4hG7YhDikgEbqhHM4hHdahHV7/WpDdoR7uIR/2 IVLB4Rn6oSAOIiEWoj8BYm6goSEuIiM2oiNiixU+oiROIiVOIiKGhSJWoiZuIide4SWaYSeGoiiO oqZ9YiaSIiqmoioOlCmuoiu+IiwWVCvGIi3Woi2u0yzeoi7uIi+WYST2IjAGozDi0y8OozEeYy3m IjIuIzOmojK+hlyAE0rRBDVWEypZ2i/9WBc6UzElYRoGoWxsYzqB4y+ZFDaeEzlCYh6+xuChmLqc 4zytzFbtS1YIXDot0mvwUJccYXC5Ie51ic1NlDhuyTz+k7EtIXrZ0zqmBvIMC+FJ1NtdU0Ki0yVN 5NhwUEA24T+KS0Y+4RGSkDx9/2Q/IaAQFqPXVJFz2BlEkU4z7d5jaIRjBVsgCRZezdJM8oVnOUZm BNtmhOGCQMTGKdHOeVdogRxp4cVJ9FJfYRa0vJHnlJVs1aMYVhZa1IiZveRUJmVklN2kWExqnV5L aGVQIJZOnp7wONxURmVpBaUN4eRUroV3VSBXFAscIQy6iGVsHZxNOEZdogVWtlJZmlVh8AUThpLq HU8QVdNGslRtaMV1XYpyyEuCrEd5hIdyfMdGHhh/9Nh71R6QJGYB9cfvjEiKSIwKWseBPGSL+Uaf DEd2oJh79Ilnkcj3yGalrCaDkAiITFeljFi5vJh4PJB39FlAstpv1lRrhpd8ff8Yj6gberANbXoG TMTXs3xXGA3JcBrHdcRmgyTmZGLeZtbHuPVj9RRHe2xbpojbtKFYh4WNxnSQvITLM57k/uXQQMbj l+RYqKlceaWRELHNN82cnrlKIrUZyMVRGp1KplTdURgYawxK7wCemD3a7sXb4CCL8vhF1FgosdjK omjc0VXE70zVxNQKhC7Ykx0csUAL8ATMejYK8JxfaJpGpTWL8CSZp+wm6ygKUeGcFukOv63JGCkL lfVSiy4ZvlikOh6mbCDPO+rUfbqT84ga4tnm75Qb0NCKsKTbuDxV3XDdv8Rn//FauQEdRsLfTEFJ jz7ku2FK9ySdb9CJf6hHktxQSJwmDQBiW7kEG35oXb5IZgw5Wqrw6Juyz/b8Hn3YyKqFl8tsj5Ms kXqkGOQ9FZcCXsg4zc2QzJ3KHqRO6rRZKIKBxrUNhhSeDGp4GlGRpGz/zCeNgqZMWdVDOQ91WGjc 9cmjCBG9KaFp8I5dfB/cadeOZumjAV1WOKhKpgmEWg+zsdz+mVb3bcWsQA1zgKQSitfGhajlOapO ARWnJKvFid6PHGkWKQVmbo6AfhF8wGnc5M9GwAyuUKDMeZHcUFDRLVmgPusWiWvvxJ2SMtdC7qqr Go302CNB8ZTNPNUyTc8IFRznqdqEXo2phFz9ZJ4AndneWenWFROaGt6CZtA8Nux6mlB9vEy22h2t yI+DWOeljN68kQ/B6al1CJ7d0GN6khr1KKrpzN+bDFrv/JVXhY+pYN7ymdt4UR6XGUyuoJeMHgz7 /dyDHJnufFDTkhvB/y7dv8rQfUVQTHzLV+lQ0SHbGVEf+9Sl4JGJTOCfaGUJ+lGfw3QSbeiLk+SK gbyfGs0kSO4MJfGHtz6sFPVf8PVe5ZkFNNFGFJWfb0BSip1fPEmoHyXJPZXIEoHR3tJKauJrTEiS wW3HXMjft25Ki/VlV8nE0BFuZxxIoLTRotbl8U2t921X0bUP5FbpIJ3OXywe5xGuqhpmRZVSlJrj CaoSBXqTCS7Ef+gSFW5TOsZf8nog8+LgKQmNbbDgDdIVCe7SCkbT8G4a8WYFDU7TDE7vM4Ev8Tog N4HL9zJT9TZO9y4Pqzaj+75UR74vOrWv/NbvQ52v/ZoT/eYv//bvHP/ur/8GsAB7IihioiDCozxZ BQKHVEqqUjExz/IuRFLNU+868DvdElJFoyoREwDLYUSq00rVlP6WkcdhrdoyD4kiVAW/6jWd4lC5 MA2aXjsVJBQu8D6BWVWJJCaa5B0uZjrJkddULQ5JqDT1K6yS0geHCw1TKzvFL0fCMPOoKFLho/3U pwyVVAdfYUR4ROioj0/tlpvOyFWUFcZx8bM0Kr04nFCShJueyhiLVF6UEYi4B23QDFIIHFlxreOw lZJgxlW4cRiORRi3MVds5Bhblhgr1xnTRFWU7tNYzR03BvQ+8nCJoQqahUn0lh4fMiWP8XHI1WJY FvQG8k6WUWop00P/jpdVmDF81NVX6k5jCClnbeWJBEkYtq2OLEVkQCU9HvJW6nAWP2F8Vo9/QdmP GJB5bZf2JPNt8Kf+1BR/pueHepXiGYmtziigYlxpjuj38NWp8FFqGsz3HVhDwpyZdcYh+ch9BCf6 GAzCqefQwJzUUTFkmlt7ECeufM904F2CFJ+k8FQ4fydk+ijEKZBwEE6Jrp8+xlrphMWFqRjlot3C podOiMfuoTPa/Rxv9rMP7/DVqqGgNJyI9s6bwNeimCaNKo/FZlnoqFzC2jFD2irOSfHAHKG7IZg+ Np7paAqhMost4TCcuQmRrfRKF4w082AQ73RErpDrOBPU3d1IU67e/7yJwGhKCO3GD7aPcTJYa+RJ CVerq9YJs/DO0vYd0HEIsGLfqmBxARewJ96Kh47xcDgZWcmMFObInBbZVO8Fi21tHZFqW95MTbSK hpjPx4bcaIIy422M6IFQ/+Txzx1eifYn+KWRUXNMa7EjYwek7TQ10hSgms2tuhCcbiQxkXLxx4gq nLIOTVubDUXbRpbtwOCEZLhRhrRP0nocmxDo1n5MUixxMDvhg4o0CjGF2aSwwgEvWltfmC0Kj4Ib vhYOoUqQMytr1FpNfvXFZsqboL3otAH1gK6cr/5e9nH3Zk0kn2rrth5b+vDYQTKzVMuaNKXNW23n tvGKcUIrNXu1Ff+bX1i7y2TvKduZtW1fz1MTELGKEw+vYYR4XZ+VC3UTDIzhD/kFnOmFSKE6uJpk IT0mj4UJ6eOkXE+BH8AgTjpzzvIdC9U4UH8vtrnoZmVbX8vyaBpt4Yzn0872suIh3cl5NmzP3cMu 3+r81W0banwHK6JUt9Do3mxvV8WEjqRREPZB7HRg0NkNUEcHt0a+XztDruMOUuyOreZVNZcfbsOU +W74noOeTMfMru4YCqimmHVLNr/UbO1FyCdZDdLe3qTlWoeTBxEZCvoRtdtqKCR5XRNVZ+u2LTNd 7rMimxJ12nvnc0M4CE7gGNcWa/3BEVmF3oHki9X5R3DFNn+X3G1sVPp/jy2rmAXmTRtZvagl8ZvZ rl/YoN+S7i4dDoj6whILV4QGohcI6pIF2mT6jo0Ns5LzHldsmIgMMjs5XuAH/jTBHq8LcokFFpMM Fi/yKu9UHDs3hq8KbnAwZZSz665L5bq3S+MArxMZrntK/2l5Eba7u8/7LsI7vd87vjOUvTtiBG8U CKc7QKa7N/J6l6xwAwe8Rxl8VJcvW2yvwzfdse97IyJ3OxkxBvufO20f2VwuQ3YhSt9Q7r5G9CHx EoPLx48dMyM1NJINwDd670p8LxZmMVl8wYNSPeENAr9dzyg8xi+7xdPzKCWxORF2FwIxdCm8E298 W0Oxpj0Wh5+eWRpXKUNWcbRJJFPl1Fdy6bLyT3SlKI/WwOuH2yoJW04gcc3kyaCJHFtXinFf/Dl9 ZhcrbYttXX3xXRzHLa/JnIYh3kflbZkY9VYGqXLcicgJUMafZMmIwGyxs37xLc8l4BjShPWMVShy bHXSFv9bxavvsnfoZWSpZV2GloLm9Q3eshCnHq7PoTSHzZOIH0abdEDDz5lvl4jg322+14YJDGh9 JlC1jGzAUdet+oMXjh/zPjNftec2anM3GJnkiSXXiGM+COK1p569mFJYh4KoJouLKs3upq1UNNzx RoyF15KTP3Q8P2tW2KJsJm8as/rT9AwVoFcBf16rJ48o571kWOEJtPVvJ0AMADCQIIACAgMcBCCg QEGHDwkWkAjR4USKFzFm1LiRY8eCAxQCIBAAAEgBIwcSIBCRJMqFAgAkFFiyoUiYMVfSTEnyZcya BkmeHHhyJsUCPAXcTFiR51KOAXKCjCgw6UCnDmUOVdr/kGhBqAOl4hx4lCZPilW1ji1acSaBm0Kv /nTo1ifLumOb/vx6VajBti2bAh6a8ydIgSFdYtVLeC1Bw1ZXxk2pNCddlwEE0nXqUuFXnRA9P+4p NibYmnRJh/U7emlcklcfku0Lm6NEuUZve9S9m3dv0ycZ5r0p0qwAkgVUAv/8mcDMADfDIndLV3Xn nCILCGg8NWVyArdDqtb43LRdldNzLz9/8nR259Brkl+9ELnZuWY9k4UY0jhknOi3I245hap7z7GG 5CNNv/5CIqg/sWBTiD/7CEowOgqtKgxB7xS67CaU9CMIpbAe7GwriuRTjaGTvoOMvZ2s4qm6ljgc UCDx/9hKLb2MbNPIIt+ADFJIxR4a4LyZ0BIwxAwPHKqpqGpa8i6gRgMrIQwXQmq42PLqKLSfFEoS xZ9Qc2iAK3X0j0oryywoSbQazFHAnjzDqCrXptSvztau6wux4yh0qSrxJPwLtOucirNJ/+oUkbLJ 5nMQps14sq68Qy+dc1ESlYKPOzHzfG1HKmcb9aIeeTR1yFVZxSikMFdSqTvTMuNpRL1OQ/LEOW/l zjP5GnVQy8FKehS7GJF9CK24qHrruo/0ejSAJxfKiaG0VksxvTo5C3DNZVcy8kZFYSzQRlrTEk1W AUESjFRjL4ty2CL5u4ncsogVl6ZarfowKH/ZrQnO1/88hWjZxfzr69o5H2R2NKHMxbEgS5frCFVX VW1V442vlDUumL5LCjWTuroqrMug/K1kMEWd1K3gIKpO5KBqOtOtRCvF8soBzDVoZtDkehklqJLS L7sXSVMJM6WlFHG66+712V2Fp9uyIM1Ypkm7NXEq2mmRrT2aLJNUooquvowseqY/UXwZzABBchvJ qiFNGiaST5v0tEoRShlozFRLG2aSW6SP4Exf/RlPkwKULSfaNrr41Iw3rpxVLK8maTueV+U8I89L 8jalokD3qsuPni3yc9FjbuxMMzHyvPTWWcdqdSB59nb22UMvci3MWu+N95hrNrN23y0viaLXP0Ke o+GujT8eSMlxS9766zFqE3tWpT8JMymZ31788ckvf0iJzU9f/d2o34/y9eFHUfr4gZx2a/rxz1// ysPf3//12xeb9/2PgAU04AERmEAFLhB/AazIABkYQQlOkIIVtOAFxefAiUEQgx2Bnm+AtzrRYa6D JTThCVEYPw1GhIMpRJHVPGIkXCnHKyGBStnOQkIX7pCHPfShxX40uR92BFy9SUjh5pMYkIwNVi8c 4hOhGEUf/65wLC3cIdEI9pz7dY2EuatZtCKyGiOFkYtklOIZ0ZjGCFLRIFZ0YdoQIpuahSsxxOOO SKwFE9kM5yhLMZKtdKhGQQ6SkONjYxAHKajH5QpbY3LQSM5TEsaQxi9QaUwdC5lJTW5SY4d0owtR 86Uqnid1ZpLLcwYgFM4EBWotcY+jOBlLWc5SN57UpIeYFKmMQC5LbbTNUarjGKjYan60NOYxB2nL TIbSb2gBlSkvJTEmmi0mjwrLmYqJTG1uk4fKLKRytAUWoX3uJyvC5Hxu2BwuEghK2eTmO+F5QW8W MoQX+aA9AwkW0PGsOPmM5z8BKk9Eui+g6XNnQRGa0P/NU1OhDXXoQwnJUIhOlKIVdaFELZpRjW5U gRjl6EdBGlL1eVSkJTXpSVlFUpSulKUtxVjGBupSmc7UpSql6U1xulGb5pSnPW3oTn0aVKG+E6hD NepRY/9ZVKQulalpVGpToRrVHj5VqlW1KgapelWtbrWjMX2gbmYSVhSeaVoa+eA9OeZP/R00dsKL Gf3QujzfsPUhZd1IWEUXV6+kT60UfGq3KHlBGT5nXaciIS8t9zIG9gV3mfKI9mxCv3NuJFgWg2Et H5QRPx0Wgk3DXna66dUNemRg1SyhmJ5ZQM+Wr7JtC9KD0PfYviZPnb3cTYJYO8DWCilqAf0r3wJr wTiRyEhlCqFxbuagRybGfiNxTnLsCZwbJSSzpnMmDovllukS1iypNK73JKnd7A7Hu4RdHnBkVJz/ aO4oSquQdK20l5a9RkbwDe9lwYJeYSUXaP0R2nVstkX/rEAysyxKL3/LGuDDwvc5fQQNeKtllRsh F7bQoWG1nIuX5UHXtE6KCXeLcmH7Tao4ZTIOhKvJXP7m76klOhwGIScha1mLvaIaF7YehEPNVAZL f5TkuDDnvWbdZWjhAi2vWPlj4ni3LZkB2BEpUuR+XSq5JvFJ3/oGGeB9pV1qQomfhgyREd3Kxn+j Soc6hZMAoUlfcBryY75s5DWr81f30peUe4mmrOAMQuoE7H4g5eP8qBMtcR4M8FxiaJ9JUnN+bjSj 9fdbtQSXgtIEFLp6NWmpiMYg2PpKVy6SIDdHGT6GWlJW+kyrFP3LwxAqJ37NQjFOIY5fGubLJCM8 RrV0/9meCOtZbAw1GjLp7NW964l4YYndKMf6xg+20mgyLcYNPVt5CsJSEX1iybHwUUdOllS3k8jq kkwNv+lrMXBTK0FpHqYoYRKVrxpCqFoX+pVixg+ulQUf4JDliDLSkE/27WOvhI1FCBrObtP2nTBT KperaVB/kpSf52KYPWeurpvIi6C3GWVeXEYOiy4b8XDtm72JGTNk79iT2GLSM4PKmlSC5d0VTVpZ TyvnkSN1EOq6JUzDGVp2eH6YYWHy45FksWhZKNtJ71aCp45SWDvEXu5sWi5oVtO4Pfsme3krXi/U eIW4kjrt9YXlfSolzWWdN1pzDc8Rng9czm6zs+8p3v8b30+wIZaxOlUFNWU6k9WtdK8QRXsuViO7 1DUddofMhjBYOmfcWjkVxorILGcrJdu011v4nXvp5Y5gnQR+ZKf0x2F8TlpTSHz1gVOe5spi9q75 +D1djSWMLXeZmjzelrnHh2IL6/qk0fKYBEncP7qGecFMOXuH7Qcp1EIy0Fj/qqA0X0D3uzi2HhNb 25OmPzP6THxiZautY+r0i16Txy+V2UxfyMPbf9Cy6JpSpFdR6dk6OwV3jvOPM8RQEfsiYdtCWm5m tZLiwqKGudqrMsap30DNe/RDbgBOkoxjQf6L1Cpu25AGvHpGaJxP2CDuLUTmbgYQc4gGbewuNvwL KR7OZ5wOBWyGIgFhAjj4rydkcFQ40LEKbwYP71xIZCT4LQEbL2Yg0ASPYyQgzAEBCZaqBU3CbTK6 QnC+iH6y6ofqScPirwrxSYRAKHrKg3dcZy1yh9oc43iwsDTMJJD0KiY2x3XQMA2N53bgUAz1CW7Q KgyfJ/4cw3Y8qHYOgnf6yp92pyhwa6Tmr420SfNQCLG46phWy3zK0Hym8IwekYdmaxEzqRKHKBIt cRM50dwKsRA7MRRFERI/8ZN8CBNDbX5QkXtuBA9HUZg8j4fcsIP/NLGHYos3GhFaVnFIFO0VgcS9 zgjlQgumTFEWi9GDjvEi0s1gYnGTJmuxmpFHXJE3Ji9+sC2FanGssKhmhimsFKtfagszymrLmgtJ gEkNF8IrEALF6kqxUukch+PgvGdEiiMpwoodzaQAw8p+1swewTGEBMcx8FGYUCnF0ou7MG6L7Gda soNgMmyXvnEhUklnnkNzujFGhExSmKsiqUtz7KtI9PEFr08roAM/XqO8vMIfP6wiM7KuVLKMJCy5 CrBCUqkqQnLcukY7OKwmu2uYBHIZG6gUNQliCkfReq5aeKZDzvHn2Iuf+nA1Ribe/Oyy/CjO3s0K 5SgG8+jK4Ay//wjkK0cSa/AFzFROnXAOWrpvKrWm1lZpLH5OO7pSs0bOXh6yIhItyQyC0EDQ2/Ky 0dSyGtFl09olQBRNVh4DOfjyTnhvWorr2sySmmpy22iiObyrO3hG4e6Cy7SLydgtbWDEMJtItYQy k3BFksKI12AEHU3sNfpEb3xlK8OpHX/Hb7Il9hQk+lhH6/bFKJwDIbrw1KAj7mzIU0RjLxAlCBNv fv6Na7hEnMgoRJ7uOSsvZ+wkHsevHe8IkqiT9joNRvbk/i7jOBaFbToMlz5DPsyzYejoNHPx6Ijx Ev+NIdCDZv5MCQVk7+7G7vqwQ2pEzOqtVMyj8rRyMnluvs4iHv+NbHlyg2gKRz5thZTSQzXWo0VU g0/ArvUWpCF3qeqE7lTMcT5z7nsm5jiKIpQ+jtS+TZfALjlsCDlSDpiA7jtYM0WBrYYm5jBStOWc Lyy2j/uko0VYRCXk6Bnd00eSsYMCZ9qEUI8CpR47TCy8bwlp7K58UpSAz+dmFLHM6yGYyzXtCHUc yzOBckouzmS4IuMw9HcAE1puVEXblNIaZD/btEHqqMEM5t40LN+K5Ejy1C8kZvjub7g4tDsZ5kNm 7y4KbV7KrnWEMSjfkzSRou7GxWbKAzXIokx+zi56ZolUkFj0VCxMMI7w0srIEiiAZVteblSMpjLp I02o5kvdLu//xE89rpNKTnUoCPN0GjE8vvIwdkVP8I06aqtp8MRNP6MH8chXc0n6KGlNI4tKfo9M 4GVHwa9ufmWRdtMwwsmu9icbT6gEFyYpfDJt2OwodrD9lCYqt2bwnuUG2xG5RNVsGiwAEfJaiWbb fNJgCKzh6qq97EVkpHICxW8gp8QmwIsBw9EIoaZE/Qu5EG9P4bX1alQr8rU+UExh1ybEUOJmnHUe bVNf9QxM9Ehh8+Jen3RnmG9dyBVMWK88DSQznYU1xQ/VxHXMHNbtunU0M8kOxxAMKWQSKyQyuNCs WIefPqK71hAjqhBwdimbfpYN33APm8QPWSeEmPZJY2YXebYPcLcDaNExdIq2EgOJa+sqdg4Lai0H IGWHQngWJw/IW7lpTEvqFkFoGi1mF1XIbnVKZzeqf2QqGg9IwCIIcFsKbn3xcBG3Nvg2cRm3cVfF cB03chMXciW3ckeRci03czcRczW3c7WKcz03dKMKdEW3dJH/inRNN3WDCnVVt3VxinVdN3ZranFl t3Y/l3ZtN3dHF3d1t3dPl3d9N3hXF3iFt3hfl3iNN3ln91GVt3lvCnadN3qJinfPxDj0tnPA8HcK snXEka+EZCJdEW+NRxyx6XmatnvHZyK91tg+4nrHQw6d5w7/ZxYth349Yn1hZzfuCaMYIjsQU38a 5ZoacgbppeDEVzdQrTeUhmCfAhG9hOeSIxoHccDoRnw6EmYMyyUNKY6yh3CNVYUOmLdCuF9njiNG kpxeykj7dZE8+HrEZPQQFPr4tX6P9CqYTn1uGDtD7f6sh9MUcYefpxgdGBdHWEiI9ISyb4g1xUtM RaKgDGwl/+V+yCpZyio4MwsAraR2AlhgmrFCBSaVJiz4TLJfpHjEzHFrtkwdx+0Zd0uL9hGV6gmN n+uKVVLmRoi8IhIlH2Y7UqsEadKuZvIfNYKN91HC8ssIS/IZV0RXBFeYkG1s0iuQ3VaPczLlhImS MUM9t6Z/6utNeDJDSA8h8IORvQUhXWSUm6OexvE9aquaCuwl5coKzdgxOPaybCaOxbWJaXeJ6miJ 2KPk6C8vJ4K6JIJmiqbG5NJGfaKVzeyGltmLLlNvAlDNuqzLZOLvOAfwToZGjKLskpK9GCQv2A1K 94jIBtS1gE/OIusrlA3ssGluiuVDztFxlKxR+7TwvEwE9f+Gx/CoSK55TrIuMgrlPMOkWuHs3TyT OX/jm90SeBQzKeHZMBLaRa35lSzPNFgtgYO2Qz2uZXiGsS5VKyG6LrrM5aTHKSp6UrPN3txOvJAO o6DCNt6CiQSaMKIEMfYmL93ygdmUTc4SLflLRZzPaFKTPLzP+7ZP1wjVJf93Toy6RbHlUpsCR2Gk PZ8U6iRWi+7vhiBsOZnp2WLTQzPEIsxzzL5NqSO0WlXPjKiTRwuGPFat2jqMXFAtP2KN9RLVtogP oION97hziWe4tlzuQLJMQC4jM2bPWTN4QMQNsE2TO6F6cpgXJEMGO9am7uzlppPuQH5pgCYPcopL hpUZOwr/LmHoEoJ5UD+XxmzOoz1nUDrkczm67FU69EAMeJk9b+9aG5TzYrWCJUL4MlgmVFV6mYvV xCYPbiWCVEbp5eogJ8aazUrZGUOW+54zJVGc40exJilTIkblpW4e8ENApuQKdE8dLC9JqWDPBgRV tOgMU0aPx8rWLknOST5/2YtTOFVk0zS4wmjqzqaD2RDVMG5y5w+fhUcFMa2bOzWhRV9UtPTsrmbX uq7WYqBH+yUSxMJx8L1GBdtgw7y02ol6etLMU1iIaEsYDtpmNC1yGIYXZcThzdOMG1SWpVZfnP0q hiVyDEPIkzwtCVspC0Rc55QaYtgU2s5A7VRQfOMS4/pin245cWOyRbJYQIu6InCJ/k6zX7DBVkIi kvItagc1LTWG+7XMcc/sjDyy/O+OODUwyWVhroxX8tMuXy+vpc/BfRvIr+VW2XnuSun3opJJXjWV FLS7BEYBAw0x1JnTNkVamW83v1JNeFS5t7LvkFMXo7rdtjMhbGgF89RSZ9Ut+WhtqLtTnclLRQTn LMNexI3vDIVbJ8ZqzKVYGxzSIxVXBf9IyrtbpsFOIuJRIr5Dy3ed94AdyMaDRTNut2H1xW1C2zA6 c1Zm6l6JTp+lZnssZICROKLdTQZVcBbJZDmWh1PkZgqnIYfmXzXYTMg92JYwvA82ao4ItXOy71SQ sEAwX00JjRW2bUy2M+JjV9BTZPomBCXWNDC2T4dp8tpk3Wku0VLwQoPWZNUdIaEQBxOYzNCGBRPe LDGE022DgxsekibL2jNEi777gXRdn3Qmfu2pMfB3eXTGfv2ZsuJbr9rWn7s2/maHbd3w5q8Wd3TI b2fRaNs3r9bQ6AWxaGW+fYverOJN6ePbn17+a+UnankDC3fefdl3eXY+cpBXerfqh7n/CnrB3qUI /RXJvuzVPqm+fu3d3qFIygu3B27013XG0HzhZ4SHx+fnRxBjiA5/PpbzV65Vp2yx5wu/8O1TJeVB 2U14mFUAkwmJ6MD5w6qfdaRamDf981k4nSPOBoIm6zuE9PGbBmswB7J+OkiemD6Ye5mNCzksv+xJ yn9X73py2CMapE6OZiOIlG6F50hHVMzg/CXe54iV0fGmU6zvY5CLeExUNgrX5FYKW/FzXYWhr8mj gmim6x4hw8QoubycaSK/lqs1gr61RDQcHJ/JqgH/UyWnxainBdleQlBeiVt/Ztyw2EVGXfjL5CgA ogCAgQEEEAgwEMAAAgICMFSIECLD/wEDFz4ceDChRgECEmYMEHFAxAIcD1IEwJEgRZEMI7acSBCh yIIETipsGcCmRo0IDQ70iTGnwJ8dHe48ijSp0qVMmzp9CjWq1KlUq1qlWiBrU61IU6YkSIBg0Zoo wwIogDDA0K8Fwi502XFA24FtB1AsQFEtUaZGFeINCiCjQgE6PcpEC0CvSLwUU+pNjDYtYqAc79pV azewS5crET82OqAh3cJBgRaUC9buX7l5EaNGOXZ0YrNfd04M/VcwW7JfBf/1yTow2YsZ5Uqu+Ptv 0759zwo96fNgwY5Xq1u/jj279u3c6XJd+l3j69dl6SZEHNgg9czlz578OLQ9eucKof+bBZ/X7Of4 Sh8+pv9YcJq1NxtyFb1XVHz+3WfUf67ZJ9tRD+UmFGCwXYhRgub9VB9BQwlmW1swpQcWXet9SB1i BJDlEXV9+RefiidGxBRQFqn10IoczUVAZALw112QQg5JZJHdZQUkUuEl5BBIDrkYFo4GgThXQlOu SFdEohXEpFnzKXflfUqlhN6KIP1IY1LFxdgZcup5xuCJFb15mGEFGkgemCti6R5SGZHpF106PiQa YKj91+WKa6Vpp20RcdmnbL51BqJgkK55XmM0KseXmCANmJiTYV0koJGmnopqqqYiuVWSZzUEK29x ubqjltQBpdxH9+Fq02S3ipmUQ+P/kVTQkzVqmCVkHh5VW1+vXeRYfF5RF6iDPd2aImkXPjlrshqB GG2gPJH1GIjfUttiifRJmiKNizUG5V7WkugXo0nV9i2jf1LLqar+/gtwwK26utOSd56XllmC6fou hnyCedh7XvYKL0b62XsetOiiJpK2mMqW50l/NffVY8q5puBIVnYrW29eYuybZx9upmyyz0bM3KJ+ 2ttbu+pOihJ0COlG3cd9BvcjdNqqm7NfneWXH0ECT0111aeyypTB5qIkkGkMYWmcxZDtOLGFOk4Z IYAk/fjymCcXNlG/6c4rF2GQOUQbg2a9hqaOftl9kVo0tYbw2GhHatutQw1b0kpmoPq9n3p//ziz n+i6uaeJtWaYrHo/cn4njIXP1hDKS7e3UFtgikjjnjJjbHXsss8OFdbgEfwUe0rpzhTvS/G+UMB2 2XT67zsNj5TvyRc/lfLFA8/8cklFj7xVIhmY2OVNFeZ89LR/D374titlcPhKfWp++upPLfhCt3q/ fvzyz6/R+EmVT3/++u+vnUh28w/AAK7PfkrCnQAPiMAEKnCBDPzbFwGPgr8GSnCCFKygBSf4wIIZ 8IIc7KAHPwhCB0bwPBsMoQlPiMIUqrCAJRzhCl8IwxjKEIEZrF8JZ4jDHOpwh1OrIQl5CMQgCnGI RPKhd4iIxCQqcYm3ayGSngjFKEpxilSsohWviMUsanGLXOyiF78IxjCKcYxkLKMZz4jGNKpxjWxU 48DaCMc4ynGOdKyjHe+IxzzqcY98/CIT/wjIQApykIQspCEPichEKnKRjGykIx8JyUhKcpKUrKQl L4nJTGpyk5zspCc/CcpQinKUpCylKU+JylSqcpWsCGylK1+Zw4AAADs= ------=_NextPart_000_00B6_01C9F002.CB70D4E0 Content-Type: image/gif Content-Transfer-Encoding: base64 Content-Location: http://www.cdc.gov/mmwr/preview/mmwrhtml/figures/r014a1box2.gif R0lGODlhaAJcAfcAAP///5mZmWZmZszMzDMzMwAAAP////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// /////////////////////////////////////////////////////yH5BAEAAAYALAAAAABoAlwB AAj/AAEIHEiwoMGDCBMqXMiwocOHECNKnEixosWLGDNq3Mixo8ePIEOKHEmypMmTKFOqXMmypcuX MGPKnEmzps2bOHPq3Mmzp8+fQIMKHUq0qNGjSJMqXcq0qVODAQIIkBpgQMEBAQgIEGBVIFWCU7te HSB24QABWgNElAoAq4CnHN2CPKv2YtS6Wd/CNcvWYdiPZwnUxbmVQMm7XgkYllpWIdq3UzHKNRg5 ZYACmDPrBSAgc2a8mOt2Nkw5M4HGpT2Tdhh6AGaYqGm6LoAwNsTZGDurvax4r9nXCskKxGz7IoEC gnNeLrBZpG4AvA0Tb3hc8HLJwAleTzka63Kry+se/y/QdXzb6QU7F5Ca/eDs3ZibLyROdjDL0Mrb D8RfEfdFslYdJ59vUOlX0HFdVVVcfwbWdJx9IgEIgIACYcUaeefR9p+FVzU40mWbAUfhQCMCENpz UCVn4noJjTaQi15FdZWM+AnXFngQRlVfQjpWOJiE3nX1nliIVQigjNBV5Z6N0A0UJEFPDnSXf9q1 JiWSCPWY4ZVKcgkllm21JaBVTHLopHBEgplkjl3eiKOPP5LZpZZXEvnml1VlN+WN/Jm5pnZ3elkg hnCKZWNjEhoJ54wQMipWiYw6uVubMbIppFoDjAldWXQ6id91id4oaZuHbiopVtl5R1J3USE3HItS uv9aoWkMbYcQpJ56lqBpxF233HiEAhtfavjxh+By8ak37GyZCVSdZsoOyJtALiLLHLWeicarhi+q lmFmqGVKq3/VPfitq+JidtqEzAGrlawgFgTia8xm5y62mnmFnGnKkqauZsBqm++v4OK7L23iVocq rTV6hiHB09W7mr4FK3vtipfleHG1nullcaOcdcyuulcJS9a/6FlLmrVqCRjtiuBlW1DHuMUbMmkW 6xXaetv1C9zHIlmLXMyE4gsWfwmJC/J+sB54LajTqXcywvhROO17HZKX6VvxumYYgoEtrKS5nb1V XYZcGwhjvGCjBR26x71tWLoGDYnxzaVV9SCoW8n/zS5kXE2blVq6icsVzOxCqF5vZF9bduK8Bcji d+zOPd2w6hH+NHNW0Vf15hqalyl8XNk9nblXfw6Z45XF+rCsxcan8crXIsjZYnBzG6u/6xnemODW fQr7uub26mrhmsaO6sRobznt22nzrpZmedIW+ch+i+vciVJj7XqustY2rEJI58r08rOS5ytw06KI 62xaCfna49QzjSn3rpp7N5W7Yyud7P6byokuZiuCNIxb6LGfm/yDFcXMT3ZEi5+zarex3hnoeu/Z Sv4whBXDYSt6E9SL7SLGvg0KBi08K6FhHvc2DQWGZIjD2GzIZDwNtU9dlErfB3dYvv7hrX43E2DT /3YYMrMNkWJaSR8N1XciAV3NQhQakfHm5qdXLdFveGMh/WB1nRFdZzRCXFpGbFbEu5EofA/SX4ou ppASBSk7UzwfbvwzLf2hSDvAEuF64mYw3i3RYYmz4qsKRDuP0UpYodEf/863JUEasGgtnCB7NNQv 8AQsZJoDjWDY6MN6Nat8KBKcrNyHoelsxzWrc1j19PU1WM0ROezRGaFqaD86jtI0iPoZF12VwCoV UkyHdNgRQ7lBkGXlM7YKjdBgyUlMOhNjZDzIAbEYL2L+T360QRFuEHlEjsCocnhLn7ZW2EuKidGX XekOejxHmhmuz4aOu9j4DiI1uYWPYm+Zplesgv8i/lywghNbjgbrAiAtNkifM3Qa4cLymow1skKQ Us/fJvoqNcZKL1Qa2+ROWEEQUnSEHFRhGdsCH3jizpC0aZwfXzW9kFpPpE56ny4N2dLYPO+baNMm k4j4HIteRWokfOlqqnI1t0VRnkycm9tm5lIsusigNaXYSL/oyp12JDoonCUsUdhOON4zgHtq5gQ5 yqIxuUhpx7Qg1UyaoUlCyGsL+6N41GeuB3Wud4/T3zp1Z85jGrGBKaTrWqNiHoPY9W9n+Sr0jjk1 udGtbIYDUavImUnXMY+VtXycOrUGy4TCiJQtvZ8LN3eaGfqHYzwzT9n8+qrDRY1zjzttMT1YpdH/ CgZrPezrUQE7WcDWrbOqK1DghhafxMpSbywa4OoqizjlGsSUDVUmhbxWvdDqkLrMcuwxt6caQwnr cErLlXy42bnLAhOHZ4RhC5lDy+08z6+4Chl6J8gtluHLcrQKpBkb5DPcfcZgsIoWf2F4L3r+l1zx oZfI0jW0ibpxnr4EHxrztd5dkmZEIL2iU2Xm3lui7Ftnk+//MOUuomFWYr+tr8xiaFhe+Zc/QBuU sbrJ4NKibF0VxiguHYzUP+L4kRp2F7xWnLISJpiSK3aJVUkSm1CdaS2Vsd2S5CVWRJXFyRNZcoXq ZmWG7BTLdePRlOX1kHIGx6pL1vJG1Mxl97hHRYwLGgtEcmiWJjeqilCJ81XMl+Zw6bnNEVEznYNT m3MSiMnqUliZu3nomjyv0ZBeySIjTWklF8bQPzVvpWEyuE17eiSB+f+0qEdN6lKb+tSoTrWqV83q Vru6IX9ByF9iDaXWPaVIWTqcRxgzRl2/+tfAdrWZGYkeGz06yylh80Gi+VxIPiTO8Z1ItINN7Wp7 OrcKVBBFTTWRY5NEyn5RLJAlgu0zYrohHbS2utftkyMNRk1RulIM4x0xSzIHU0zCdYx+N5ofdUo7 atK3hXo0NSWhaVREqjKNikYnJWEpPGkajE+TxCksSQjfEcfTn9nN8Y5nxGI7gyGDd4kyze3ruBgD 5POEVVIIq1K+EAbwH4MKrIWRLMFp2zFO1zsefooMYuSxGH5DfMfzXuxZk2NvNlnkSZ//1+NQj/pG rkcyz14rofip51L/gXM5rWnqqaS9WxKd1J3sWbSO18q6q8JTxKm5FodWT1tzrJ7Ctxd8onbbSsvK OsSessht72Rccv/OOXqNXeqIT3xEYKTXwc91sgps4HisG1y/uew747G1/3jKyed0kEqeQ/JKV6SX 9z4woLKaYXWksjeYIo31n7NPjdCUFfNcL3EZ3KwEFc/73ivEZnYsZbDqzsjVdv2uPtfkihxGln5R WY+gaY5FQc9EeKI8hs+rGScfPUBV2nL0vGG7Rcv5IIk+2q7CtF4efc/+9odTf3WFVetHa0Hp3a3y bCMUpdjeLZx19Gi7cVvAYVq6NHr8YXrkhHpdFXQXM3CuBysiwnf2/0E2wfMW2rca6FdfZVFP7teB iAd8FRQzp/E8rdFzM1RPx1dE8JGACyNDZwdLGQJYV0YcR8UVZ1VCx4V85hZezGZXPRc5BCh6knRX QmREzSFZCNIdqjVhRmhc1EU5HhiFHsd48hdgO/YtmTMyk3d/SRddF6YrOZY1XZhbyIKB+SVb/sdL TcNghsQ8yKJ1HAZTi7Nefqc4T6cZXmhu55KGMCiFfuiBaTZmXqZlWMZmX7YgaKZse0Zo6NZkG7dT 5+YVi/hsVhWJf3iJmJiJmriJnNiJnviJoBiKojiKpFiKpniKqAgX6beKrNiKrviKsBiLsjiLtFiL tniLuJiLuriLvA/Yi774i8AYjMI4jMRYjK7/+BHGmIzKuIzM2IzO+IzQGI3SOI3UWI2egYzWmI3a uI3c2I3e+I3gGI7WiI2pWI7mqG4echHpeI7s2I6kto4VAY/uOI/0eGjyOBH3WI/6uI9JkY8R4Y/8 GJAC6RMAuWiBRhWWaCQJaRJ0MWhnsnFJo4gDOZGVVpAXMmeIBJHeIxMgNyDdMncSwUIUOZKjZpEN 4Y/w0yr+CIUxoR5csYXLhiSTVitqQpI2GWkmyRAr2SdachZbwSk/eYBa4ZEmoV6IESSRgRhpJZNb oWuqkpQPN5Q3OZV7kZPzwVdt5CEQIzA1JzcciBL8J4YU1EoHFh/mUi9GRDvvgpVU2ZZGYZXk4cOW suYhw7IdwiN8yacSGwkl88VCtoI6a9eXBKQjw+aWhgkUcJkQ/lhYVOZS1dVCNpdfKDEbHrmRIZZM wtRWZ6RUKAORh/mZNJGYCLGTJGddUONSU1MfNVkS6lV1CeSXXkVUMsKSj2OXzgaauKkToilNcuke 1aFBESgYIaYu6SI5hMVoJPEryCJaEjdkVjgVsYU0Z5M5X5mb1okTu9lstyF0ZKcZ2KR0JOadLCE0 oFE0sDk+lRSDH0lfWXid7mkT2clUEpFuy4YaS4NnK6Ftt+En+Hlm7/mfNxGfjwSgBFqgg//kEQJq oAo6jwl6oAv6oKDZoCsCoRR6mBIqoRWaoaF4ob2poR6qjxz6oSI6kCE6oiYKoh0ajyl6oixaiiXa ojBaji8aozTqoiuKjzdaozp6iTO6oz7KiT36o0LKozn6j0U6pEiaeEHaEAvJE1HhaxXRpFDSZNUm kSyheYCWbMWBJp5Zj0u6EMxWFKgUSxbhGhZxeFJClKxmpjaRFguhIpahaRMCH275pW3UG/34I7f5 bEfqEFmRnHLKkUS5VJcRoCDDppyhps4hp30DFoq6j3YqPiYipY4mpz45d00pKWkhlw2EF/6WJBWC FlKBUYOTIKz3I3qXpj8GJYqBUU1pG6fFKidSIiejmiCXyqqNSlKMUTjyIqonszWoCqcz4iOhunuJ qqh5gSmS9VO9M6eZ6iO3lSWBURWiqh3V+iJ6107POqfU0haF0yZQSo+RehBJtFRGkatUpi/q+jbU Mjd8ZFgtgzskwjXu6lHJsXWlw3ReR68nc2doIRwhFS4YkkSI+jr3Izkxoy+WpC8ycq2smhzVxEHr IlbQ0VXOAhn+ojm3YoEQyzl5M0Fkgaf3qmmcA1cT4jGHM3b6ajn8dGFp067TQ1B72o7/49ohNNSl bSqzpyNxLcOzJhIrvrkfznKw0GGB3NI3mSK0k0otC0WsKtIXvUotm4GuszKD+xGA2HqyJNKzW1ux UqJpf3oe+wEeGGVefcGmQxS2JhIuQ+UvTcYtT8uxSvtc6YQXbiu0artUuzK0Yuu17JqoAVmzVUIV FAsUVFtKPts0weMp9KQYDkQ4i7EyK9S2QVQ85dG0BuS4FBu2uWquR1MZBbuw7Qq4fKu4WDu69FR6 CBSvmrtsFuuV+oIW4Ja1szIcxgS3pZeAKAQycCsaRmtAhEW7sstHSVSotzMr04OzpCi4+6F37HEU amu7a5u15skV3IKoeCRNmZIg9Jqm/35rQHXLrcC7EI0Kp1ALFYCHQPy0GWwBp8lhnpj7vfLyutNL tZShurVmPY+qtmG7p4gat/I7mrT7p9hLV19bsTTEt2yat1MRqOzIvPLrGpQ6Ex47HOs7tqQ7vVbo HgG7eYlxHuXBsiA8vdxqvEYlHh4Ztsa7tFHLrgv8OlfLLlV7vH2bt5pGqKtLw54LtCEjJl1hQbX7 W+mUscuGux/sGjcrTV1Lw1wkwhMSudhysX9rrtRFUsoLihCseTs8FL/ZYCfbaRcLxnmhQbLWwO/W NH0hqs+arXVBKFEmQMj7r64rGsJJlGmhIqJqO7WXF86yqRInQHjBvs1KZQqivhfrsMoH0sChA504 I5xLMzjmOrM8I75pbMYCzLQffB6sl07rURhiosgKDE9d0hkz7KV9epGltiPDusoPWWca6Wd6VkUO aSR28nuHmL1tUrx1c0792Z9P5p9TemWGBmY8gohWasusTMte9sckeson6cwjer58O5FI3MzkmKTE Ki8TXIq+zKDQfJXYHM4eCMHiXM7o+M1xac7qrHjkvM7u3Grt/M7yjGrxPM/2XJLorJj5fM/83Gj1 3M8A7c/7zJsBXdCp9s8GndBMgdAK3dBH/8HQDh3RQgHREl3RPUHORHXMO1Ef9JmlkuFn1bbNIfFv cqaXEblPBErOyIFCj9oTjyGVRbwR3SSsr7bCM4HI2rsS9hvEyImbKi0/VzwTNM0SaAoSPR0T2Ouo QUwTRb3URx0SQ72u4OueKj0YM/sTWJqsUgIn5jWtKB0j3HaqcWu+p0p2rTOqWXJviYGl2Kpr72ar bqqrxhoYvqY3mPQ7ap0xcuwVqVqf2azVfB2ueFQZy5q/NDKq/hbVN1KrtWrWvgashB3XCxwzUwEm In2OVa03DtwTacEhhbo1U1zBrBogkIvBBEt4HBsgOpOvB+uTgGvTF7Wwrv1cdMrCfdM15f9avOsy OggMPfWhNSUDXptzxIyGxy/L21nRr+TKsQEo2LyKLvJX2gWSl9U8vdVczQ7lNsgdOvdDVL1rmCqt FYpx2TBRNm5qbL8bwN4rtth9YbuxGRBbthaMyY1KI5eb0z+71ARR1MFCtF67wkk5tffDw/BaymWV Th5Z35FbFgBcMgcsvh2CwdyatMORulKNIZ0LOF37KANOutE9wnU60NpZZvJD3i4x1MMrrzRsWI5L vGYjQmbDzC3OdfeNpl7zuNJU2/NNZdHKwsV7vdlEuear4n1rWDqGwcjR4uRKxyH0w5p7WVS8yDEt vVo7GjjewqGrtaN7eMmRKQ70suLrxlD/DN4iLp8kvsRFocWll97RCxaNUqjfnav32ihuzLWMOx8J LOF1s3X3jah/ysCc8W7p/bcFXuTJFWeRranJ+3urQeFRneUl7MBIssIDK+gQHhkq0uWU1MZWPSFB 7Y4/zbBHQdPlq+I7rcNmOBh9o7esg7r97bd9M0u8Kx6gUTergbjnkTZM3hnl0b18u8JJTbtZ3qg7 PXa90Rd/mul35sYoO+U+brRJjOWGTOk6nlz3A+YqYp54upoUqdL8ghSaN8anncnL7bCXweFhfK1D me2+28fnXrF8vNwk1sCxkce5e2m57skV25Sr0ZSNiqiohBrVSulkMpSc2snHvqk0tMlzgWyuij3J r36sUS2TOXw78f7ErIex+M6mbyyz+EuVFO0UxDyI++nRSZMjC0IqvPxWnIIwYqHdVralWjbLivJ7 Y4HyZwaRND/yDoFniTiI8hOhZT6gMRrsbb6Pp36TIe+eeMbt9EjzJLn0Fj318Dn0TEP1WL/QVu+g Wd/1RSH1Xh/2Kf8B9mJf9iRB9maf9tfcERiq9m6PEWj/9nJvEXE/93ZvpGt/93o/9ls/oXv/9ydR 94A/+ETP9n1P+Ijv94af+IzPEfGsb2KqvFesKhRhTBudEZ+ul2nC80zxZxrNiJlfGy2xpU6CoH0P kKiEQqH/Ekd/kjg7ppXfTU+tEVfc+hCR9Dex7ZyDpwTS03uLEf7S0uRm4osnp4Rn+nnPEHCK+y4t /HQ7n6e/+nhe+c7PI5uNE7ZflbBa/UzK/ehmyCqR/c7G/AaJ/H56+C1x9LXHvtf6MES5/hAl2oOt rC8PHgnix2tNUITla48hJAAhgICAAQAMHgQgoACBAAYFMkQYMeH/QIEGBwgUYDBAQ40cMRacaBEj x4QDCECU6PAkyYgXBxYcsFEgSZMDDwaY2RFAgJMEN2rMmVJmxokEQMZ8efAhx5g8GeJEuRNqAJcE lSaV+vHmwAAFGlZtyNNrQaI7tWZlCFKiAI4/I/Jkm1KuQqsFBAQFULNsy41c9R4EC3hmxaJUDXrN G3YhwbIx1cqVWKAAZMqVAUi2vDXzZs6dPQN9OzlhWAKHCxYYMACxRJMaS8dE/djia4goVZveWToh 6ry0FZPVbfM2AIiEW45NSDRqRIiqlRe0efdg8YxdXRts3txub5ZKifKWCJFn3u3EOYoWbtR87rwC C443Cb27SsPS/60nZ7/+MkzEXb+f/2oh6IiyT7SuyDJQN4Xkyy+n4Xh6Lzj1bEpJNP0A822zA097 bTX09tpKsYxM4ii7EhUrDUL9eLvNJIJUa0u3zjD7zDIaM5OuRh137Gw8hFJTSb+fvFotPJLEs5A5 j6oTLUfEbHsSJPt0axE8qlrDLbIAj0pSsyDjYu/ByVQDqbgONSPzOtbKBPEwlg68LsfxcLKooRzv zCjHmFKiMM31LKxOxjktXI1C8CiE71A7dbsPyrAO4s3H4aJCTE4ZEbqPOBBRytGyTAvNkygfj4O0 TMU0y1Q6IPPrD70l3fzsRh4j65KyUWfFNVfQInropP0ikqxNSP+PDFCuxU7KEDzeilx2IGTNsmjM Lh8SCDxg+UOoSC/xo+ukJjPSDqP+Suv0tkyHa0nc+XZaiCkLb8PI2wvV9HG85VLS066Bxupy1BZl VPSw6doaUV+FSIs2y19dJIA3OUWzNi5OhUX33mN9zQzdgONtOKWLhnWousYmo1PNeL/DdrSEb+VM Vl0vqxUyP/OS7WWbK2P5ztK0vayrdX/Fjklja+YK4IaYPVo2SUnu91Jjiy11LUFLu5fdNDO9Kj92 ybspZgopFEqhrTWa7F6wgwwppLP5bKtLdNHmelRQBQ76OqzRvg9poCOlEmJiNVUzMjav/ezTEsH9 GcOo1xvVulGXKyLMx1axO/IuYW2MGVeXKwO76ps/l6hk77CjGsCeZ0aoU9HeTv3Vwygli6g0wbRP dohBGrPvoSkP/EcLbaoXYLCVjZA8KZl0nfCeWSuL3+Pzm1PBQOlNUXp8SSJ+vTQBHRFgU+kWEmXc lg45WtjIfk/Ub80PXy71hHToVbfcIjVL8Rh1WiSQVfZT1UNLr9vCmkQSsehoc/+5OqDMkFUe0DVQ KJKBYG7uIhyvnOQ077EWhtiymrtpUGxKSRJinIMTEVKEbwljF1xChhH3hcs9c6lgRVzks65hKobl kyBhnHOXzPmsJ3yiSIra9UIXLShoRiRMEoMzwZpdyIeMMhjZoJK+/TlpdNC7IX7GVsSDaapaGLzS 7yZ4uN5hikDI6w0PyYbD49TlVUXMoOLsF6MJXmWCHeoVrO7DwtcZMHOzSiBlVuVAQmasZobpzJ44 M0hDriljLWkiYAbJSLnMR5GViSTN1NKiTNIMk6viJCRFuchOhs6RPypljVJpEaXJ5pKo/AyWZNbE P6amk5RUpStrtkpEksiPoAv/ZCGFOUxiFtOYn2Odrjp4TGY2E1erZJ4zh7nMzQRzR9aUZja1uU1u xjJxs/pmN8U5TnI2E5E1wiY6/1hOdrbTne+EZzzlOc9upjNW66Qnj6A5zH02MJwOxGUzYXLMf8ps Vk3spz41ks9cHSWhxLSnZyLK0M0Yp5iRXNsxeUZMzx2TMPlz4AdrlFHOiLSGwmwNDSl6zaMVlJkT bRk+V9ojkBJSdErKZhxftk4wZUammKpp6ILz0GZ2dEfJBF1PZ9q6lhG1mDCt5k+XahmMvLA9XLFj JNmCVaCkxSzIYc5WrdJVAnJ1NGZN113UAheVsnUrRrHKJcuylPbYRUqdo8o5/8cqGLuqpCxQedEP 21OuwSjoZ0jpKWPmMxSfBEWRY3WMWd7XG4Z06kdwgQlLRsQUtq4Os3X67ApBMhXIWMmVoc3MVI5y Fqp8xCmb5CO+LMgu+3B2KxsMy1FCC5fLERKqPpXqVG1VKevFZ3nLpCGcVKTEJjaMNBFKDYsylFyd ai9BdYXJdNWDRPXhMFKxWU8SEce+0ADJTMZLjkvMuyjusAt/7uveeYxyyO2KkEXX9WWi+APGsOXm gkEajqo6Bi0V0VC8XDOu52QZRzqpyDJpMlTK4NRFP/GGpP5LY/G41iCHKYe98DFqA3+LOeHOKnKr G9hlervhX1EKYUAE2cSWh/8fjSEUdy2NFo651TcND2dVwLsuepHERhuqiUwwSt17jZcpjCHXQpL7 2cNAxmRn8S4knSIpodjLuNut8TIpJp+fWttdqe0PUmYWpLY6JR0pw8pSssVp2hrlrobcr1RWfWlw Z6TnEgsVhUW5X0c/9d/4QYttSjlaT2xyMSEu7i09WZZampVH2Bn6PlWxL9nERZYTAa1+/tkXBsFU L4OhRnTkC93IYCUUd0XtbTdayL7y9LfQOGvIPpYWYKRl67DYjsWkc1bM5PaYrvBaQ3bxCAGr02rc dGvALXGulGKEQmZxOjfBrnNfNcrnqPZ5R21GSVQuotMaz5hxNcWyjh39Z3L/KytpIIuj6nr8obrt MX8TY9lJLWpGcp3x0Ve86bbyptW2TRlQzl31dMqSUaR6ZdS5XmMyyXc3kgIVzUjVkK+iMp6Hx7ig 466zR6CY8Ce9mC8bLeSIK6PyPqPaQwTxHmu0rMWrXQ5jEO40nli8UVzHjn06J/WLP+juDeO60OTp qNHj1l1UV6lMjKIYeJwUyZKVW0z+VZnK5LaucLftXa7y8vuo42VlWbqmhHpPpxnXlkP6elTiYfav gsen74165DR32Fd0V7J8p5zbwPW2jk7sV4SvBGP1A1oQ23bO6QSxb0xMoxHLHR6GIFw1JtQ7D5/+ xcNMsEkVpKBVZlKoI9Wy3q+jD9AEmUQghqymqhib7KPVqDBeFVyP0np6dB+S3cqTFC6Hv/xJ/VMt 1zzEyAbKouLnYrom25p0Cc+W6ulDoY7DCo7reiJ00hPsaFmu5KRjIW9R7tu/kzjwL6PkK0nJF0Hq cpSJ3GX8W5JwS3bHljeBTIjvv1BYSvJH7++NTyomS0qlgDKoU8IkAEw1AQwPyGA8/kukcLK/TZI/ uUg/pwKk8ls5DTy/DhSm6mooELwoD2Qnl3oLEyTBYWK50uLAFHTBl3lA9EPBF6TBGpyqFTSWFrTB HeTBHvTBH3QgHP+sEB0EwiI0wiNEwiIUQlpJQnYywG1SKo/BQH3KJCB5wpu5wh5clylsQhEjQibs whHEpC+8GYrwmHUrpijMFuAADELCuB9koOngwjC0mSUEFjKkQ8rYt6wZG3JCOY2ZQV0xKp4RwVyh JiNEFzXMw2ayw2zBQ4qqitEara8YCt3Cib26CLUCLcYAq5uYieiaIcFIOtu6qr2yHJnRCtiIQpA7 jUtUtlGcIpfQLDzLRJygI+zJLNrKK0zxmJEALawwiw2qJLMirY74RNS6xExyK42oxZtoxtt6xbJS RKnYDcOQpUWUpkaElEdkqOjQjYChoauxL9zZrxRaFEvKCf/Yjez/YhA/2zBv5J09bK8C07bU8ZAO 0bsB8ZhWeRHSQy9xPBUXcTN8JDR5BDIE2bKkOCDr8CVN/Br1kAw7SZDoWhcZcpLXIIyFuKq6yS+I 1Lv2MhLYsEJuxEaJIkltZChClLa02bHRWbM8mZphZDcq+jWA8xuLo71dybrqmjzxkB2QWjD5iUks G5HREh/JeZ55acPx0R0xE7bJmpkBOj4rCzjw2R53aUXzkaXoeYz3sSxE60NPK8k8AyaSpKdia57v eZzqyRqwqYi1nIu7Wx5kkRd3FBNEibWGIZqygr6TmjGboMsDWjC1FJSyWTiRe5blycjRio0eWqAt Y8gny5yGiasQ/6qzuyK7BcofrFkWXDQ31DCOf0G2w8hLkNKObAnEsdQVlISZJCShLImLUxMZT3Si 2SwjLym3aaTNsBw3Q4OMnioZnkS7eAynj1m12FS1xLITUTnKb1SLyvqZ7Amzr5MZnqCKECKL0dId sayQNfS0SCsVf7kU6+TOtTiVM1NNRjxJs5Sni7ixGZuc2zO4KZORr+RDw0kbedyj3Lkxpfs3K0M5 /OQW1vOYmFuR58HPHMGYShEf16gu5WJQsvMIYROVnZk24kjKObOyOMsbMiuPyHwe2gkVIksxdOG7 1EzPX/oc1qQnrjgxwLo2FYpRt6w85uyaGPSZ6Foc5QOiAvIiJeVSqbWwnLR8GkILtzHqL9iMEaiY jd4jDemTOwlhisMLD7YwIlTzmdmTPTiBEauyOxTq0tjTIDi5DK5QFjPVTiYlD9IqInQrGKsoGXlM 0bKk0yPcvzqxuDdJEdb4JvUDjOIspQtUmk+CJj9VwBp5QEElVDQLHWgC1O6IQU8JVJboD9TcCUhq pUOVwtOYU7JcUfYMvKqsyk5tp74jQZ0qRNCZQ1LdszpVTT81VFYlJ/qhQRxdVVllJ9ZkUVzl1V71 VR7UVVD91WEl1mJdqmA11mRV1mUF1vVk1meF1mgVLmSV1mq11mst/ydqxdZt5dZuVUFn9dZwFddx 5RFtJddzRdd0dURXVdd2ddduNdd3ldd5fdZ4pdd7xVdftdd85dd+Tc999deAFdgmBNhKcoxb1abU yKtIykJSqsCzRCaE1ZWYWLG8EKgqhAmJHVgVvZmJYrQSO5nLOUTPQJ2chCckq0ONxRW0WkBmMlW5 E9aNNb+O1TPwqAnhCrGnQtGSqlhCss+d21kRa6I3YyY5NbcNldmnAtdq2qRUhSf7XMZLTYy+S0YI 3In38ESjsBKragquRa1TZB7kiESPaS2YwAtEckVPhFMz/JGDaUWwTQyvalSdkCy0ZdnU0URdDI24 uIspUtstlIn5wv+L5Ig9ywkeeXOIGH2lnk3aa1pan+rKoN0mvzCMDQEyh6jHraBIwNkw4oKOcdlc JLM3qwkvkHKQVtml0TSu8viuNZ2IC3KRmumi1kTZ86rS64Cw6UHZOBsLGHGl2TIw5HPd4xCRzV0e lLWvRhPI48qduJC6oGrcDGRXG3kM3ZSnbomLVaGTB6kplGgw62kxz/ReocGNJ9ManaqXuVqsrZ0N 3PDK8aJGBRtO7QGYQ4MW1Hlfd2QVrrvQRklKnASa2IxJuFwr8Qkw18nZ6OXYOqzZxxi/eaqaXmk0 LYoMSPtGqngfxLAWDV6gggnPfok1I+KV4OBLxKPLAZu0Z4k3YRH/0Og4lo1CFAUZzTKlS/0dOD6p UGqztfwZTN5pHJKpT9ZLzPj03sZU4OldzZolIKd9pyjUOe7dHV7ZqqipNJ4BRNb5WZwEzjZJxDbR YNmII/ndUZNzH4Lht/LEW10z2fbp3FtqHvlRtcbpt125r6MzD+s94gXeqQYuPpztjoccGzk90mjR G7wMOY4cznH0zyQLnKpJRAVxTi2SDkOpMxaeOcBJk5LVIl/hu8nQORNu0LCaSknmYgNFCakrmKfj 3AU9z43Ty8RQ2aQt2CGUjASOpyjkLQq6zYHBMyq9r769L78FxNyQUdR7oPqw0qhDCB4toTpyE4wZ 3GF5N/3oWwULVyLl2KrMMymgUlM0TkdfizygfOOjy9L6dLi3vGbcCLCouDkmzuOZZeBFvNMe6Sfs K0BK6lOaaFj/czR8Jjaqu6UnnOerfYwsjFShCFQuTNQJLEDskdx3Bv9DmoVoYyJTmX3ZiVYnJMZo VaXVje3ojXZcjQbpkSbpnHrckkbplDamWVbplnZpBDrpl5bpmQ7pT6Xpm8ZpkxTpnObpnmbpngZq mf7poCbqlB7qokZqkD7qpGbqd17qpobqxn3qqKZqgZ3qqsbqfF1qhT3YUMWJOdzZgfakfNpnz3ho ju7TWH4wjNUkot5qg7HleNohutAnDdTkuFYoGOSzVHLni7pbMxKoP9IOtZbZpR7ZmSoSTV4kbqw4 9ItZyhBONNwmjCNaghJsEDFal37rDnzZIvoRti0+airGc/oJmpiJ8X2frp2stAWKveIru53GpsAf 4FRboILTGbZHw3ApuOWAW/aDQLhFisTJRNlx2y01i6oN7UpSrcEtxta+NMv5nktVLdImbHn/Neyx uBKQvZyr4bEG6Z6YSTCYhDe9k8hAAUXXvY9EWU7S5RXXw0hhScXpWp89YhKKPC3wEpDa3TIpltCx sd3QwN0Ngbbblsj29aXI6McJOSN91JTTuMkA+w9ZnDHFHum3jpfq5ih3kYx2XA92Phq/BOwA5O7x GefxBVoh0VGkZTddO6TfeZ7hCBjzReNhxo9hs0t6k6MvM5ISnUyRC7v/9c6s068zc0qLoOLz0DD6 funr7sCv7MwUK5KnoE7K8xZ6o+QLWTTN3Lms1LXHDB3hlWzjqOVniczH7KDIniP38hbZvbuuQA6F 8HJg+RuMi2FqK83utDIZskwTTZA151zi/8oxNCbpzT4/lgHPQouY6wRxsATw4Uy3oz3xDDpsjQly AI6jKkE8yT5xratYVBMJtoRstcjeHt+VG4ZsRk+UNUQXGCfHA9WaahbqmHbAx9aoveowFMqX44wZ nZkOBgJ08oBfXW42D9ubFk+xsORDUh4bohvsGZ/f06xJtBGbwTQuTUZcOs/hDftkYDl2J7lQ14M4 OLny0GwXukXpt4agOFwqk1gMAQka8nx376WIbVY4vBDhxLMcE3mhQQtnKao4sUVToZCRNkUh64xh GV0JmauLlZyIIA2r2TvtM5LRAW+rzAk/cCZ4PNeipfHbFJo9w/s+mEUkkXrgib5qElRYPnxVeVRK aPib27V+C0FiiVi1wLVKEsa7U7Fua1vBmdMq6Cuk+ZefJXA6JASsToWb6ZOnaqRQYAovaaWPauOM 3qAfdFnP6qsfWKjH+q0/V63n+q/3Vq8H+7G/VrEn+7OHVrNH+7VPVrVn+7f/VbeH+7mXVbmn+7tP UbvH+73H/0a95/u/70K/B/zBN0LBJ/zD70HDR/zFp0HFZ/zH90DHh/zJ7zPJp/zLR2yrx/zNV0LN 5/zPb9adBv3Rb3zPJ/3Tj3zTR/3Vr3zN34izxsL5+9ODphnad6CHbgqFRj9byu5Har+uJqamsH2L ZY2LOooEXCQn3CbY39RE0pFO2tdia5i+Fibe7pvKQrlecXeU6ryjci661hGH5xFx6YmCKsTSZP7K GAmEK602yeIz3JFBSRx6D/Vu4hIMtxHG/YyHUHeZAYgCAAYSLGiwoAABBwsWELjwIcSDDQ8OKEBg oIACCiNy7OgR4caBAS4CSEjQ5MGRBAmE/OiS4YCXEFWKJP8p8+ZLAQFeFtgJsSfOoAMHEIiJ0aZL Aj47KhVasqVTgwWMRq2KsirWrAsrxuTqsSJOmg8naiVIFuHZAEYHCGDpk61PnQDYDgjgc2TTmnLn CqD6MO/RgSw7tiWo0i7NAG3jUlXLl6VRu4sxatxpt2TjnXUhLyy8UHHeuorrUu0LwPFm049Dgla9 EDDekG3zTj0NdWBtg63X2r2YuvRgjld1v737loDS4ESD60b+tq1rg2yDJ+4quejQ55xPIw+Zu6Do ySIVa4Ye8/LQjSP3wnXLvWdMhXUJsh3a/eFy1uJPk0fP//9qhomX2lIPLVWbaNuV5JxDFN2XnlKe jdVgWWf/0dcQdvQR0NOGllmEm0ABWPShiMgBJeJIJwIV0V41DVVZRCMNMKOKjqnkVWgONeWZRrhp Bh8AO9pUm2Lc+WUWYC4CgCCMOeIWn0I0CTlXbcMZtBdNcpkE1pI7rSiVWjPWdB5JIzlmkpQ7STjW kSvdtVFTXqGIm2C3EWUaUWS2uWR8lm3EpIcvCqZmlCTt9d2FcPoEY5BqXiSim3P51tScIsaXYW25 0aTjbUtiJB92tMkllkm09ckdlZem6lFiQHmG0oZj1TkolUhJRKFWFhrWUEMbZfSjbz0uKVBFGcbK lkIfLmlrREkO15ZGe2bE0l4S5oWmoaCaFdOKKHUrH5Ek/zWYZEEpGvvmaZo65K2XJ6GaakUF/vWW USat2eWXUnUX6oGBPonRZi/uadZdvM767mBXJawes0H6Kpu8T433rooEp0ulu2JKzGdKmop73LaN rprhlg2GGzKshCoJXr5FYtylxRzbq95O1yqE3MBbUUcSWF5dfBBKNzZ4r1S4ZqUreOYGueJExYJY q1kUVsQr0hC1+K5BzJXLrFgWsRTcVHku+HWmRplKq8glf611Z+J21yOXknppVNi4iggdkYw+dNVs yEkK5LCd/gvTSSr/vCveOcN8Idou77iUkLMZLTLlWJ8ElctMhgyWlWP7vTjLuw4+G7Sqbrp2sBa7 DDNXXCNCZ2JnFvmEHNmDo5ryxkh+DSrb+DEXNLENQgr02gJdJdZCVf9XhXRba02UEd3Biyt91HPN WKxajn2kNUquxY0QsxLme1RizK4I9uzqCeTQ95/5lam8w9fZtVq4El1Tw2h3bxNbQPU0fsgYAjnL 8Mx++Wtb6BympMEwh4ERy9rDLncQcm3KXzCDFPI2xqM2yW94K8pgqnKDqJdxrGt0MxPaIrKZi/Tu S1zJiwPBtBVLqVBYSupZbtqXQpEM7YDDKkv1dCOsaaXrUXCbiIioRxm79OhYHxINR2got4Plbmsp sUm13tKQtRRwcGernHMiVbmT2CRNtGqf7EIWp0yZxTY8tFpc4MRCs83NZ1I5EkrkFJI10khQABLi UlwHJ0Vh7URlalj/XsRCrneh6U9dMdkjX6YSWH2MIrnxFhf9OLbCfYqEJ/JOwYR3yJRsBCwu25Rf ZhOpLCkki5jBiGX2xLZTOqRbkyvfqoL0qAcqLypI6x+vsBjMk2CoacoSDIbOQ7VHPlCIJmJNrywi rdtcpSIJyZAuQQIdHx0sjL/7znruRxSNdOhFoFHmlSikom0uaE7WZOdrCnZNI56zhCPkGATFI5b1 BGcxTGumuTbEPo2oUmLLiY2kEnLPdh4lIZ066MkuaDJ/4c1D87TdriKEqaU4lDlzso9CI/kvFHHL eSG5E/QcpJPzXXNRBYrXSnhHw3diBzoZwY2dqBZRLqFIoToLaUO3/yk/hkxueUW1Xps0Rh/FieRI 88GJUpOGlajih6lDsepVVai9cmG1qtLRTVev6tSwQoSq0qFqM6tKVcWZ1azgocr1tBqVqMaVIz1j K1bdetaP6DWrbxXKU5f6VrKyqiNrxWovnZJYIDK2sY59LGQjK9nJUrayLhmqZTOr2c1GZLFB8Sxn Qyva0ZK2tKY9rYFQq9rVCgW0N3Eta2Mr29nStra2vS1uJQtbnhw1t779LXCDK9zhEtexu3VJYuXV V63sqa6XpchaurrcyDrXKc0MrFj52hWyXjd7TG3rdss6VsLeZK0Rw25x06tejhz3I728mxUjezWB yWQ4cXPtQilrR//F8pJ7NuQIpXorEVm+TXAYpRVmCccy8sboS7TL0N2+NK38rrfC6W2vR3pJO/BJ dpFBQd7OPCyRtOqwKiX25Z7IyZD7vcbAnZ1mzJIXsc6NOLImissouSQnh4DQwj4mLoY7ojywfIlU eWRNHFt0nUC6ZUuSic/l5ps859WLifSJTgDVwpn+XWYzS0GMfBQznPWUpyeWubKCtOwa0BwoxT4z E2vcAyEUnibKl1PKCePJSe2hpycOFaNsEnLChHzZMHeCa/PSamhX0olvNVP0jyMN3CCzt6gJw2Il b5pNrwgan9GC6Y5/dChClVQ4ZRoolY6TYoumKz5AasrnnKNMVwf/Bqa/4taPPKTMKIUrJl8E06t0 kmOg2LpHHnSUkSi3UJxZWYEUI5ZnBnPsnz3xn+ni9ayXBmm0UcfME+3SfiQt7kkL+LOT88qbHzUk OoamytwsieFEZkcEuTtGJLEZFX8iUo7peEidFEkp2Rep+54HYp5ci5IWOpVNuTFI9YrSHn/0rqdG ppIT7E7EAf5uLq0x3/g8G8FzR2GEHEjYtXFOGGVHlG2Pu+WqpXRnb+ln+ErsbiaKzDGn8ysvxrvj FtM5AEeMbtn5lL0WrJjnygmbLkqKdry22NIPR2zJOVLGfCrS6R5cOTSFyFZAF5csb7Ozd3NM2jxW +bvZJfVHx7hZ/wXSCahH05QPltvldi8tzH8yOYJKhseP6hTt6AjL0bF98EM9eVy2Deea9Kd3dzy4 JMMX6DdSzucym3zIcQk6wkHHcCNUmMRXp3GKyTJiiaz6vyz/GJ7/K+RXGbkEpWM0WDvv7raXbd4n dEWWIVvH62Ihdqz98aNL3GLC94/shR+YV9ZYfkgfuq+/zHRiG/vbiiS+sz+ncA/5/d/2KuDTeSoQ sIG9xUCTI04pb3ZJhYyl3HS+rkvywZzBcJDvGt6rdnn7/Zs298kz2nwVRpYkx9EVCl4sSr2hXIAR jpmE0RhlzSjdEUwNGOR1CZTQmZKpD/nsnAXiE6HlESSlWkEFnXAIqUcpUcu46MRkuI5SUB9elN8E nRe1gA2hnU/xLQbYCB6/haBt9IXmwNGLPMjSNI99BN7h8B8Sbpb/3QpgbRt6iRdfvVTdPVZgVddX ONUDWeEMlcVhlVX8zJVbOeFWhYUWQclLjOFcnBeDJSEbVsgU/8rEEo4W8rUhHUJWvIhZU9WhHhZX HBLVHv4hIEqHTrBcIBbiavVhEBmiIi4iIzYi3r0hbzmiJE4iJVbi0UAicmGiJW4iJ3ZiICLi03ii KI4iKX6iJmbYKZaiKq4iKwYXKP5QK8aiLM7icL3iK9IiLuaiLhpVY93iLv4iMAbj//ViKgqjMR4j MiaiGyYjMzajMw4jY+mUNE4jNVajNV4jNmajNm4jN3ajN34jOIajOI4jOZajOZ4jOqajOq4jO7aj OxKjO8ajPM4jPdajPd4jPuajPu4jP/YjN8KjPwakQA4kQRakQR4kQiZkQj4jQzakQz4kREakRE4k RVakRV4kRgNmpEb/biRHdqRHfiRIhqRIjiRJlqRJniRKpqRKriRLtqRLviRMxqRMziRN1qRN3iRO 5qRO7iRP4qJCymNPBuUs/mQ8CqVRHiVSJqVSLiVTNqVTPuUzJhV9IMYEhcVnWNgabsVXTSUaSplh SeVegWFWiAZckQZcbYVT4QcQNRdjTZdYOkVeJVVWomVHzKEdmthmkYd3+EUiVQbOUIbXDMw4ZZSw TMdHIRMhqlaCBYWzFFCE0N2NQUQ51cpfyh8HLsfnCEVmApZzcKDXbMifRAzylNhiOgU2xRQQiVhW bGZ5+VDUtERBZUVpxpSLTRV9maZrNhayzAVG4c77jZ+zyZ6mDZ/U6NFNSplWj22FpZHVmGVL7E1F XySnRuQGvvme/tTmZEnIBtHXPdnXuRXjX+jZGfqQV6JWbi7JmlBLZgVdWdBYbvWGeuIT2gBQYfjQ jAxPB12EZ6Cbl6SVeRiGEF4HzRjGm8DGkz2Izk2lW8gclghhDHJYcO4KFOFHf26c8djE3FXc3pxE vTggegjo1gwim1jdvwDQaA5NnvTU0m2HgA5MNaFcKcETiDadaSDUDoHP0rFHXxTFmlmGdqhGggLc drinAHnMPv1nGtJEkHZGdqyHdTCKjfKHkzkpmQkIZ6TImaCZa6igiAXWbMz/5Vd0Wm8WDBp6jWGZ DGpa4L3k12DwlHPK36wYmaREn2DECRGmjXMOZsegRgQCTYEoqd7UqWoGUF8WUuEt5n15npJEG8Mg k3KORZhsp260hO/hibCcTavQWme0WbrMjq/5yr3Jx51GlFd6i31M0d2oykjdm+FMCaeZoJDtJryd EnaUj/aEykOdHbKl2qL6CpDIiC7F36seBd10Ra1iCqg8kOMQEHVlTwCl0HTY0DhFy0wMDYd8ToTJ S9C9WamNDI69G5EE3L8tyA2VDeVRIBg9kLPAJmiWRq8oDt1dE7EoYKEo1HeijK34ptodIeMkz9do j4kihe/hnIZqDP6d2ojm/07C3AWrel8p4dyNLt9KPBwJyYlzDk99ACqNKFe5wUfwBEzl5A0nWU6/ AmoA5dDJxZkmaYofmVDuHIoONofHWVa+SNkEDgp7kpBt1EWh3OaBadK5ygzDuggl1U7ltEriyM+J KZ+HXU2PaU1vuNh3iAbGXkYi2QVphuA48dmbVhDQ9iu6MqB7iB5+NkjcuCnsTFxRfUukZITk/Jvm ec66PFSH0A3q6OyONKroXRtL5I2SdWz0HQbq1ZxskFOsdAzchuDhncrEeBLDQsvowUzULQ6NBY2s aVa+TJ0ViYm6VWtn3AzktETQYdb3IN7yvVD6TJBsGIrXCc/aFmuaQhBIAP8M44gJ1vZWwNYYhMre s3IZuVIOjxQMpJYL2bXdyvxM3HRQ16HT75Zm/aHmIl0L647Jz6im747Q90BKD5Esi+HF8Q7vv1LM AGHNoEbeyu5b2X2ZuI4UqhWSGf4bdSqrwB5nZUnITDkYs7IQiaEpnfzu5uWXCDWOoQztUZRRox6t v/VvoZLo6xlIDj0v/J4GyCasCDFr9c5OFuaNrwlelhCwlBSVnMrns15I6J6rz2AL5ZnsZ2jg+0Vg gypJqwzeBAletYALBEqf+XoKndCSDNtl65GFy4BgwQHo96YwCxMnI32ZFqmOofAYKJGvS8nwpLLf z1IXaE6m/D1TvQRTzsj/z4QdRwtCBXuiiHKgoA5WU77MYOrqxaV8VDgNp1TIxZ0cZsc8065MJ4SN yMjFa2GCpro4KAQClYqqqvRmx4Lix4SpBgCNrkVMS+3xUEcZq7wmru8UIULNsQ0uH3xZU4pEbKcS IUr9IDEBR0NJrzsRVHAYS/64H/m21MpgcgaXawCFcsy6TMihJ+R2arfa1F56spQkx3k6FhoilYNA lVaWF3QBFl6BR1iqEFyxnFs9IbzdxHmpoV1xUFhxrV2ZGDT7hRZ6hMAmVTdH12WNlTKnJVcVRDBf IVsl5hXOVTJD11xK82yBKS26JW0tBh1XmD2nVz9DpVBSJUAPNEEXNEVq/8x3HbNkraE5f8beeiE+ p5cPS9dahsk/M5bNUvRYYm1QRLQ742VhhVZEu8RZ3lasGRjRzCZJl9UIJ0VLgFCxABV70Y40idut qW6GXbQumchp4p3N1h2L3YTblggzq1CdegQc6xZinVRmlS9vJsVKAJdqwjR4TvMKt/T2/Ck1TZ7R xW5Z9PTRyISIObUIW0W/oNaJqTQRm9h38GDCCsdH5wphwR5huLOUtQhdI4S7WFY4dcVJ2chi8Ma/ 6dzDfakJwxPx4Bl3LBKW4ho8/cbevLTkwSFcacqALNmViWl41AWMqIV54EUqeVRrpAe1fq70Nu1t RKmfaU1+EGhyphB1FP9Hk/LMY3dedqTHTAS2bZiZJVGEQ3XoNaXSfkjGeXUno7iyZWrGc3RaiYSZ IQMpIGdHZMgGhIBSbbOomkBpuDVHtxEpfdTJnxVRK3V21GqoDJfnY51Muq1K9xAS6+jqqoSc4wFr nCgI+CxKsKALsD6ogFgSWOubOhcKjTySacBQ8XEyldRolVAfDZ+aplpK6QmGJKtr/MxtKO5n9+ky i0Sn/JweG6ee/QGrLYNwTTVxc81e8Z2yDiJrM900CUNJqcXLEIvMjWyZhaNSFcXMFpGes5EFoyJM runJfomOQdk3Ka1L2LSpjTtGGIn4HpmNTn+l+oWmSLRsqPqVqwzN023/TI8Z7JV/xpBgcP8+YL51 udLEqjoXHteZt8aoCFVc0hEbEn15RtkaSBl9OU7/1e+uCI6Mb1CvBE3v0QF78aCHjArz93vjh9G0 eXZL0D5ZnJ1jMZ+bDZVTDFQs8NDwqtWoW95yucV5xX/1uJjnuF9FW1odYJqaesxkJgBhqGa9IKo9 ei4vK/6k1JG+jNumLfG4rSc3HOUCy2xQeLm42HKgeaR4zTadrd/1Lfp+0BKzb+Ko7deu9cuM9Yxp HejAzyrlZosY+OitTq4f7p2U04i/9agUlQ7FRkS5kVhwSV5LUQ5V1ODQKmCwR4gAYKCGziBeBJK/ bbYrE2B8EbI7XtJJ/zF4GPkLWzUSK3zj+jBkiXgKAo+Vz4rPuAqmXbCpLZDguKy8lduYpXZjAO6F 4JoQ1W4FH+ElCS83EQ2dn11k96t7ss3+DA6oU8WlMQUOe/rKLJIIkcm0k53qJdDIr7zKonHxStVz rvG+jiYRFmqJzQhrbkvdmNHj5dJuw28Ub/jyiRiSXmcKse2NGkuU1yXC1oQoUcbo+dyODVyGP+0a c30vW/W5gLnzGAfZJUYz8bm3dzzFDqzOasqz7+DEv8yJ6fDGWPuVoB96Ul4DY80wi5z9OdvxjFLZ qmpSx97QOTDvrgr8jTkm2fmbw66nIWAnEQXKrC8flXvsuI0Hi4sG1hdH6pF+5T0QJRm8dFSpzouc 2RTQecxOVP9nVkwfbvqZxSQjjBxh6diANvKioLIaLus2v2PEr15EPTHZMeUVy80d9f/xSiChMsDX U7CSuzppicpTbgt+K/KWNiDdKcELFIZcGxHh8mUuKPoPOTLxCpCicp+GMn6XDkAAAFBAgAACBQQm VEigIIEAAgcgVJgwYgGLBQYAIODw4EODHAlkBBCgQACDIktOXFhgI8GEGz2W3ChAIMyRBGqCFGiQ JkmBJHkCGMCQ5EOVI10CECBRKMOlRgkWTKmR4caaNKk+jNhQ5ESgS3FSxXr0Z1iHO8MGzaoxKsOf CAMYjUuWbl27Kgd0rWv0bt6jevHyJSsYImGFgP8ixqv4sN//u327RhQK2DHdyo8NJ2Y8+bFlxoYH ZB45tjPEvoQvm4ZcmmxqiIhd180LO/Liv14VXw7NOvBR1LE5v5ZNm7fvyBnPKhYgcnlx58+hR5c+ nXp1n9WxZ9c+sfl279/Bhxc/nvxdt4MTii6/nn378Ordx5c/n359+/etb8a/n39///8BDFDAAQks 0MADEUxQwQUZbNBB/1wDbjv4JpotuPEkDC/D9ijUTzoLnwORotQC8PDBE1FMEToBQGNKQ9Lsiigj ycgLIKz2DjKRPBrpKsg7GzcKi6SLbhwsyBuBDAkigqbaqUkVoYwSQB7/cpGus7yy8juTnLtuPINU AhM8ICks/4/Ko7DU7jy3xHxsTZpkVMosrZhqqUwp8cxzS4OMemrGgrrz8yYWw2SRIZF4BNS3gnZL j6if+CqxpoQUFSquQ9NbcihCIeKpq0tZ3FQwG7tTyEZSMzLJoVRFVcrHFeNycYCCImXU0VJVFUlV wSoti0UtuZPLqEZDQzU9W3176SEbS+MrOaYkwqgmuZS6U89rsYXOxoxKCg0jbum09FufhiKsIzlT jXZZK0nK6KmrmvIorIi0CislZoPaVqB7XVpqxrP0JVUplzb9qSclFXrXqlmxJJilvMDcVMclhZpK xoLdopFLfX2ULM415d0JzoPswhJLMd8Vc1t6ZZOWp1cfi/+zzW7rFCzNbHHOOTp902OqK2mvO4ms mWeU6LxCE5J2KEf3LQvSmwpDilKoik461bEI5VFajaBS1qt5JWJ2X5FOxiq0R+96VW2zS9xa0prl PGxrpyvmtme7OOVUbLFpxJLL1s4rSuC+Ar8RIy85FVnnxRlnbSiChmUqSaXrJAixNN26bkhJF+Ir pTb7pslkuilF0t51k34oTWbFHsiozFlqCUaVJZr5JaxaLwtYuR2SCjnSziQpSII7Yg7yt4b3lqLd veYareelHmj4Ig8j+enoZbM+7n3bbn7axsEPfy+AoUUp3cOKCtZrKhnmbiygb1z6Jvk1MvhrSrGi 3Opqj23/an/nz3S/ipEObqM5zLvGF5dLqW5UVgqgo2qFk78t7254mdpO5CIksI0tbdSjIN6KRL9o kY1X1hLfCfGUNzhJRGP6c5XT5kIVTUlNhHmRFMdSEqcX7itwZgsbQvwFL9dh7143ApjhXpc/qCyr T0KqneFuRzcyUYRzE3kSmMTmIxdOJSUIc8jfyMVCdTnpKFxMohBfdR2TZaZNaMQdG6k3FHdh5VkT wVJoJoZCPTqIXnyqWHNgcq6tnM1Q53NVQ3yIFoHp0CTLcVvvioS4rvCpiIAyXNU4eMhX1fB7g0KZ BimGlLc1j0uzoszcKIIwq4kKaDLBnVM0mKuBGAorfPKbglOW4huCHK2PVoHaACsmS5VcxCJ0ChJz YLQvYmZwI4hiEmE4pcM9TjNPVZwMoijjFxsOpzXWvJ40RYSmCvElYnl8jTmv6TgTYqdRmWoMYKxZ Ir2085x2yYwJvYkZvaASMvCk5j8BOh96zSqZMRpfQBEatYQulKFTYtE6MQPRhk6UohUrtehFMZpR jW6Uox316EdBGlKRjpSkJTXpSVGaUpWulKUtdelLYRpTmao0IAA7 ------=_NextPart_000_00B6_01C9F002.CB70D4E0 Content-Type: image/gif Content-Transfer-Encoding: base64 Content-Location: http://www.cdc.gov/mmwr/images/spacer1.gif R0lGODlhCgAKAPcAAP////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// /////////////////////////////////////////////////////yH5BAEAAAEALAAAAAAKAAoA AAgSAAMIHEiwoMGDCBMqXMiwYcKAADs= ------=_NextPart_000_00B6_01C9F002.CB70D4E0 Content-Type: image/gif Content-Transfer-Encoding: base64 Content-Location: http://www.cdc.gov/mmwr/images/s.gif R0lGODlhAQABAIAAAAAAAAAAACH5BAEAAAAALAAAAAABAAEAAAICRAEAOw== ------=_NextPart_000_00B6_01C9F002.CB70D4E0 Content-Type: image/gif Content-Transfer-Encoding: base64 Content-Location: http://www.cdc.gov/mmwr/images/ftr_SaferHealthier.gif R0lGODlhlgAHAMQQADk5Ofn5+WdnZ6CgoMnJyX9/f3Nzc5SUlKysrFBQUOTk5EVFRbe3t1xcXImJ iS4uLv///wAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAACH5BAEA ABAALAAAAACWAAcAAAX/ICSOZGmeaKqubOu+cDo4h8JAyuEgN+44Pcbvd4DMhgTF8EBAzW4/BWTo KIiUQJFwMDJQCVtj9ilGYmnN03EnohquurTwNwhMHdIrtehoCBwBAAsNCwsiBA8PbxAMiYkNU44P N5IPaSUOkxANDyKcjlqJVowPDiOVDI2mmVAPdpmOlJKXJLCJRZ+JEAiSVo2Ob5wlkpAOBn+IgwVc EAYAAgB2jQ00r6UGBHYPCQwCms0PCG3bDQCdmwsOAnbNgwChpleqEAGNgwuamePGDNoGDJxuBIo2 7gAvU4SibAKgIACneooYDNp07hS1AuxIHChA6IGUZ5m42PMzrgE3EQ8Aw5gTMAJfkUgJyp0rR0hE IAEFHogsRWIeqXv5zmUy2ePBgpWHEqWxlaAJzUU1IeQE42gBF2EkjJIsoeABNXwBBngtl4BUvJJE IXhtNArHAXasKHoC0KCm2Lp0f9Y15HNeXH2R6p4sxXZEqhFxR9CsmWnQNrMkONWlpnbQVsMH6gqA AklqAwUIKCOe3ICBApIc82BqIE7AZwiuBXsWkTr0ZEOh4+Wewpo358mmKac+0UfciNgmRQyoC2iX aBHIqZ2evGhECAA7 ------=_NextPart_000_00B6_01C9F002.CB70D4E0 Content-Type: image/gif Content-Transfer-Encoding: base64 Content-Location: http://www.cdc.gov/mmwr/images/logo_USAGov.gif R0lGODlhkwA0APcAACQkWuTw5uXl5Wtlo6YELU1Qg76+yLk9YZuYtRwxarvCzHFpkNaTpch7jaYn RJ0KNI6LqJ+qvOvDzEJCdLxketm2vagNNeTHzCUic4mHjFxWlMzMzH18pq0BM0VChdmns8vI45mZ zDkveK6vzbEvU7hFYo2Hta8CN1lWhSgpYSUncry51GZmmeG3w6SmtcODlEdMg8NthjgzbX6Do9nO 0n2FmLURQ8TDyY6QuaIEN8u30ra1ul9cia0HObXA1ujK0t6TqMVMbb5BY8p8irsuUbgjTSIna9fW 5k9Mg7MAMpGPpTApdnVzpaanxiYcYcVefOeuvUdCeDMzZsPD3X5+smFZkoWEsFNPjFhSjqMMK87L 3PXv8e7R1by93KUYQyohenVzm6Ciuzc4bkA7e7RGX42OoNd0kcJAZqurwysoeb65zbS0ziopa5GM tNyfrtaVrdWGm0RBkPHm7lNig6KgxWBLkJucsbhVasdfesTF16wKMdDa5mdwmTMxcsVNcPDy74yE ree9v+nf59zGyVBbkfHb3mxpiOO7xrseS01LjLcRT5ecsK4sUrMCOb/G1od3pLQHPIaJstyotKwV Qs+Mns1rhE1JeyIhbZaat7O0yIF9r8vJ1ykpc7y+1Skja9uRqo2MtkZBgXl0nTw5crEHLDM2e7Ay V6+1xSgjc42Sr9F+nKmnvy4pa4F7p7BBYr06WlVRg9Sapltbjd+2vquoxb1AasjM13Jto9CFmt3G zLS02Ms9Y+jLz0NAeTkvdLi73igxbJ+f1enN4+32864hTFtals95lKQHMlxagaYIOM5YeMW93pqV va0ZSoSCp5aXtsV6mOO0yGZmmdDN6C8qYMxffmZkiz04e0M8gFJLj8m9wXNxloSBnLUjUMfK3dN6 lp6au8hRebolT87M1/XJ1vf397xTdMcwW9earK+eyk5Lkt2rtJ0OOrcXR7JEZ+r18ZKPrLQxWUQ9 c8VrjM262vfM1pmZmby9z64HPy8kcoyLrcW91l5cm3JxqqUAMKWlvSH5BAAHAP8ALAAAAACTADQA AAj/AAUIHEiwoMGDCBMqXMiwocOHECNKnEixosWLGDNq3Mixo8ePIEOKHEmy5McMJlOq7IhypcuX E1vCfCUOps2EMlO2aFEBjx4HL75RuklUYE6S9wS4snDCX5Kn5sgVJXq0oy00kfiN8eSphhwSPcLG gzK1aFWMK0DJusY1n68qkZr4EHTOH74cP8qa3fiPRR9OgGWBGmHQzwllNo7p3XsRzQBWqFBpaGMg 4TchAqG8WkzVIodRnkJxyNSwBWe9ZxsyYYPNijcBYcrgiJRKnz4Tbf4VXAWqd2+BI1hQw1IlUSJm Ame8PkiFyumKqRVuY3UrD8FpnZgABgzu3qaC4zpZ/wLArZMAMJ6YFNTghF8f8wf79HlOMfpBZr3a JDQROU2apAj9wkpynvBwEBNffAFgQWtwtQp9EtlXkCH6KQQBGxiyURlCK8giEDVpoIGQPEsocNAt S6iAAoQRSTiQEg3pExkqbCxoUCcGjuAJJ3Yg1AQGJhqUjwpEsgiRiwJo4VAqM6JiY0FTrFjGEkaI 8ORA11xJC41soKKPkQ4h+ZA+23Gy4UH3VCHAKpdsV8wzjhQUxkGWeMCGEUaEEhEDDXwgkASzFFQP Jd/gcsFAFZhWUAtkZSSmQ6AQSeQNCSmggQDesCGpCkt4wsoYLNCSUCjBZIjKDg7R4EVYHbQziBDJ vP8wEAU5nGDrCUIMIsAkJ8RC0AU59KDRozGWCR+aKwogi6RpbEokNqcYZIIVAlwzIwsN1WPDCZPE YEw3NhChhzECmQKJP0IY40cy/rQjAAXJBEFQJR3EMyxHMs54rEH3eIipGIBxVSYnl1CzRkHyCNRP PjsOyBAFPXiRi0CFuNIDAeQywI4/bgx0SDO4fnBCMgQx0gMu926Ub2RXDpQmQauhkkabZX4xBkEg wCJQJvn07MkzDE3SQSUErfOUrIyccEZBDYTFhdAMCPRDsBsRyxCZ27UskCNYGHSKMxoswQlXksYp EBN0DIQNK6wsEcVCuYTlJ0GJfSOAPx3AYVBYsVD/cIwfAsWQTBFVcwTPJTRbh9DLEEBw0CnbpOBf Go4LJIMVVsCDgzoplK3QIcl0oOhAZxzTwCxhBVqQP400sM7IAhGRDNEpazRCmSsk1MWKJuiJEAie EPmlAP8gAYpt+jjDLBgKQZFMEqoPdMDJs3SQzOgDhdWAAB100HEP/vBS+EZTcMUVAgnpYo0A4HjS RUK3EKybACwcTNAEGGIwX0LVi17QAR0wgwD4ZpAkHAMIAghHB4IAh2R0gyNWY0iG2LCNhDABHAK4 hycKkBB9FEkgpTAIAr5ghJmJaCBAcEctJCGQsMSgID1IArmIkQxlFCQWIzvUG/SgB1PMDoId0YSk /6gBgoPYQgYCuQdgmHcQUeTDQOxrxUFSgCFUJIIgHchCMrwgECH0wAYEeUIHejAEARije9EgCDF6 QIaBnOAYxzgBC8fHEUt0CRWwWM5A1iAC5AjAADNST0G88QUxDKQXujgIC76QIcVp4wSkIMUJDhWI HjxgEsYAwroQkQxVCCQex2hENYDQAHHoIRmHEsgdLJAELgLRIxxgQ7PYwALbaCIKvmjCQDokgH70 IRTgsI4W4MGGSzkiEhNIwRXgsSADQKAKnEgBYKoAATUIQBEEaMQDBfKGDhyjByd4QCx24Q9oDAQs BDglASYxN4EAIQeQqAZLQoIJFiSiZ1e4QggUMv8CE1ShCijQxLEMkIcVGBRK90ioQgGUCwpQQBgE aUElalEJXgTgDD0g10A+gYcSPEFvBpnFLMT3Spu0ARlVmBNIoiWAA+AhF1uI6TveEY8OkAsUJtIB PA7iDIOkwzaoukgEOXKPXhzhCNwQCKUKsgklIWQDAviOQM5kogh0TQClM8cfZroFN3SAHWkEBhIE MIAECGAPGwIBCOYw1YEgYxEAusc4BKK4I92kDfqwRUIFAAsOJCIPYzUeCyyRiSr0AgQiEIUvBJAP MMhAFJeyhDN4sIZRLAAMkcBGUj6RjGTEwwzf8EMjGoEZATghDpsoxaXq8AhZTMMSfNAACBLBBEH/ ymIb+mGCM7Bhi1CYIAoumAEdYMSQoW7EBJpwASjG0AV1DMM2A9gGM2ShWzogwzxXEMClPDTWFHRB MBo4ZheQQQ9CDGQIBoTjGykwkCVQYQ5MMBAMmCAL2/xBFqnQQCR6qixmvE8fV7BEF0wwCvX0YgB6 VIhxNyIDTWgCiaFwQTbu8Q9PCAAUtW1CFcxzKTV56FKssMUV6MCDToCiE8WYgiUK8gFjGAMdXCCI J2zhiUxowAC9AEUoFHAFsCkgEU3AlrK2cWINNAEbNl7DYkXhu+IW5R+kEYgdpAo0AZwiWvN7kG50 8yDHaWF+ldEN+mIkgC/pJhOdIM0pOlFEW7hgPSCrsM2bn9EJW5Q5KXTgr5PBxGeEELchC+6zoAMt aD4TutBGOjSiIaToRT+n0Y6OtKQnTelKW/rSmJ50QAAAOw== ------=_NextPart_000_00B6_01C9F002.CB70D4E0 Content-Type: image/gif Content-Transfer-Encoding: base64 Content-Location: http://www.cdc.gov/mmwr/images/logo_dhhs.gif R0lGODlhOgA0ALMAAIqKiqurq+Dg4trZ25iYmMfEy3l5ebKysmFhYVJSUtjV2m5scdDO0NPT0ycn J+Xl5SH5BAAAAAAALAAAAAA6ADQAAAT/8MlJq7046827/2AojmRpnmiqrmzrlkURHAtgE0fQCO8m FIKAYREg5gwFRADQyzAGDsIjwOBNBIycjlBoVoYHRqcBCEibA4Cy+1EUCwzF64Bgjg4JgcO+CgTY JAMBDgYsBGVWJAcODgIEhSgDC5AlBowSlyoNJgiZjGcmg3wjjAkPCp8qfyR6ewKLDoAmDVyKjAEP lg4SoCV4uCIEjJuduw+ZJjibIQuXAgkOpqixKH6JHtCmx4RTjEAoBATXHAAOCA8Ft7mM4769HZcN jGLZ7ZWUHtHbmA4L9u4gFjG5BG2UChsgyh04VggZiwNIPnR6sKihthYQZVWQx6ijNnPHrc654LHs QrGOkKD9cMhCzYALhzDooghSAYBJC1EUACCuQkdGBsRQUFcK2k9jJYLkvLKQxk8DVgY5aGBGgNUC 9VJQ/fegga5oXRYgMPpuhQE/PgIY1fbMwVIXag+81LCSXTpgTZYYzHALqZcpajRawMqg318KdA5w mVshXd0yhyeUqcOlwMuX7B4Ue3s4zYAENmr4SxV5www/TJpFk1MaBNfWsGPLnk27tu3bfyMAADs= ------=_NextPart_000_00B6_01C9F002.CB70D4E0 Content-Type: application/octet-stream Content-Transfer-Encoding: base64 Content-Location: http://mtrics.cdc.gov/b/ss/cdcgov/1/G.5--NS/0?cl=Session R0lGODlhAgACAIAAAP///wAAACH5BAEAAAAALAAAAAACAAIAAAIChFEAOw== ------=_NextPart_000_00B6_01C9F002.CB70D4E0 Content-Type: application/octet-stream Content-Transfer-Encoding: quoted-printable Content-Location: http://www.cdc.gov/JScript/s_code.js /************************ ADDITIONAL FEATURES ************************ Plugins */ /************************** CONFIG SECTION **************************/ /* You may add or alter any code config here. */ /* Specify the life time of the cookie in seconds, or */ /* set to "Session" to turn off persistent cookies. */ var s_cookieLifetime=3D"Session" /* Variables (s_pageName, s_prop1, etc.) not prefixed with "s_" will not = be used. */ var s_disableLegacyVars=3Dtrue /* E-commerce Config */ var s_eVarCFG=3D"" /* Link Tracking Config */ var s_trackDownloadLinks=3Dtrue var s_trackExternalLinks=3Dtrue var s_trackInlineStats=3Dtrue var = s_linkDownloadFileTypes=3D"exe,zip,wav,mp3,mov,mpg,avi,doc,pdf,xls,rm,wmv= ,rtf,ppt,swf,prc,xml" var = s_linkInternalFilters=3D"javascript:,cdc,file:///,outbind,//www/,mid://,c= dc" var s_linkLeaveQueryString=3Dfalse var s_linkTrackVars=3D"None" var s_linkTrackEvents=3D"None" /* Plugin Config */ var s_usePlugins=3Dtrue function s_doPlugins() { var = ds=3D["bam.gov","cdc.gov","5aday.gov","mid://","http://198.246.96.2","out= bind:"]; var dlh=3Ds_wd.location.href.toLowerCase(); var cond=3Dfalse; for(var i=3D0;i0){var vs=3Ds_wd.s_vp_favs,p=3Ds_gg('pageName'),fn, f,en,el,t,oc,och;for(fn=3D0;fn=3D0)||(oc.indexOf( 'form.')>=3D0))&&oc.indexOf("submit(")>=3D0)el.onclick=3Ds_vp_fasu;else el.onclick=3Ds_vp_fac}else{el.s_vp_faoch=3Del.onchange;if(((f.name&& och.indexOf(f.name)>=3D0)||(och.indexOf('form.')>=3D0))&&och.indexOf( "submit(")>=3D0)el.onchange=3Ds_vp_fasu;else el.onchange=3Ds_vp_fac }}} }f.s_vp_faos=3Df.onsubmit;f.onsubmit=3Ds_vp_fasu}s_wd.s_vp_faul=3D s_wd.onunload;s_wd.onunload=3Ds_vp_fa}return r}function s_vp_fa(e){ var vs=3Ds_wd.s_vp_favs;if(vs&&s_wd[vs]){s_lnk=3Dnew Object s_linkType=3Ds_wd.s_vp_falt;s_linkName=3Ds_wd.s_vp_faln;s_gs('') s_lnk=3D''}if(s_wd.s_ful)return s_wd.s_ful(e);return true} function s_vp_fasu(e){var vs=3Ds_wd.s_vp_favs;if(vs)s_wd[vs]=3D'';if( this.s_vp_faos)return this.s_vp_faos(e);if(this.s_vp_faoc) return this.s_vp_faoc(e);if(this.s_vp_faoch) return this.s_vp_faoch(e);return true}function s_vp_fac(e){var b=3D "s_gs(",vs=3Ds_wd.s_vp_favs,f=3Dthis.form,p=3Ds_gg('pageName');if(vs) s_wd[vs]=3D(f.name?f.name:(p?p:''))+':'+(this.name?this.name:'') if(this.s_vp_faoc)return this.s_vp_faoc(e);if(this.s_vp_faoch) return this.s_vp_faoch(e);return true} /* * Plugin Utilities v2.0 (Required For All Plugins) */ function s_vpr(vs,v){if(s_wd[vs])s_wd[vs]=3Ds_wd[vs];else s_wd[vs]=3D'' if(vs.substring(0,2) =3D=3D = 's_')vs=3Dvs.substring(2);s_wd['s_vpv_'+vs]=3Dv s_wd['s_vpm_'+vs]=3D1}function s_dt(tz,t){var d=3Dnew = Date;if(t)d.setTime( t);d=3Dnew Date(d.getTime()+(d.getTimezoneOffset()*60*1000)) return new Date(Math.floor(d.getTime()+(tz*60*60*1000)))} function s_vh_gt(k,v){var = vh=3D'|'+s_c_r('s_vh_'+k),vi=3Dvh.indexOf('|'+v +'=3D'),ti=3Dvi<0?vi:vi+2+v.length,pi=3Dvh.indexOf('|',ti),t=3Dti<0?'': vh.substring(ti,pi<0?vh.length:pi);return t}function s_vh_gl(k){var vh=3Ds_c_r('s_vh_'+k),e=3Dvh?vh.indexOf('=3D'):0;return = vh?(vh.substring(0, e?e:vh.length)):''}function s_vh_s(k,v){if(k&&v){var e=3Dnew Date,st=3D e.getTime(),y=3De.getYear(),c=3D's_vh_'+k,vh=3D'|'+s_c_r(c)+'|',t=3Ds_vh_= gt(k, v);e.setYear((y<1900?y+1900:y)+5);if(t)vh=3Ds_rep(vh,'|'+v+'=3D'+t+'|','|= ' );if(vh.substring(0,1)=3D=3D'|')vh=3Dvh.substring(1);if(vh.substring( vh.length-1,vh.length)=3D=3D'|')vh=3Dvh.substring(0,vh.length-1);vh=3Dv +'=3D[PCC]'+(vh?'|'+vh:'');s_c_w(c,vh,e);if(s_vh_gt(k,v)!=3D'[PCC]') return 0;vh=3Ds_rep(vh,'[PCC]',st);s_c_w(c,vh,e)}return 1} /************* DO NOT ALTER ANYTHING BELOW THIS LINE ! **************/ var = s_un,s_ios=3D0,s_q=3D'',s_code=3D'',code=3D'',s_bcr=3D0,s_lnk=3D'',s_eo=3D= '', s_vb,s_pl,s_tfs=3D0,s_etfs=3D0,s_wd=3Dwindow,s_d=3Ds_wd.document,s_ssl=3D= ( s_wd.location.protocol.toLowerCase().indexOf('https')>=3D0),s_n=3D navigator,s_u=3Ds_n.userAgent,s_apn=3Ds_n.appName,s_v=3Ds_n.appVersion, s_apv,s_i,s_ie=3Ds_v.indexOf('MSIE '),s_ns6=3Ds_u.indexOf('Netscape6/') if(s_v.indexOf('Opera')>=3D0||s_u.indexOf('Opera')>=3D0)s_apn=3D'Opera';v= ar s_isie=3D(s_apn=3D=3D'Microsoft Internet = Explorer'),s_isns=3D(s_apn=3D=3D 'Netscape'),s_isopera=3D(s_apn=3D=3D'Opera'),s_ismac=3D(s_u.indexOf('Mac'= )>=3D0) if(s_ie>0){s_apv=3DparseInt(s_i=3Ds_v.substring(s_ie+5));if(s_apv>3)s_apv= =3D parseFloat(s_i)}else if(s_ns6>0)s_apv=3DparseFloat(s_u.substring(s_ns6 +10));else s_apv=3DparseFloat(s_v);function s_fl(s,l){return (s+'' ).substring(0,l)}function s_co(o){if(!o)return o;var n=3Dnew Object for(x in o)n[x]=3Do[x];return n}function s_num(x){var = s=3Dx.toString(),g=3D '0123456789',p,d;for(p=3D0;p0?n.length:1;while(s&&i>=3D0){s=3Ds.substring(0= ,i) +n+s.substring(i+o.length);i=3Ds.indexOf(o,i+l)}return s}function s_ape( s){return s?s_rep(escape(''+s),'+','%2B'):s}function s_epa(s){ return s?unescape(s_rep(''+s,'+',' ')):s}function s_pt(s,d,f,a){var t=3D s,x=3D0,y,r;while(t){y=3Dt.indexOf(d);y=3Dy<0?t.length:y;t=3Dt.substring(= 0,y) r=3Df(t,a);if(r)return = r;x+=3Dy+d.length;t=3Ds.substring(x,s.length);t=3Dx< s.length?t:''}return ''}function = s_isf(t,a){if(t.substring(0,2)=3D=3D's_') t=3Dt.substring(2);return (t!=3D''&&t=3D=3Da)}function = s_fsf(t,a){if(s_pt(a, ',',s_isf,t))s_fsg+=3D(s_fsg!=3D''?',':'')+t;return 0}var s_fsg function s_fs(s,f){s_fsg=3D'';s_pt(s,',',s_fsf,f);return s_fsg}var s_c_d=3D'';function s_c_gdf(t,a){if(!s_num(t))return 1;return 0} function s_c_gd(){var d=3Ds_wd.location.hostname,n=3Ds_gg( 'cookieDomainPeriods'),p;if(d&&!s_c_d){n=3Dn?parseInt(n):2;n=3Dn>2?n:2;p=3D= d.lastIndexOf('.');while(p>=3D0&&n>1){p=3Dd.lastIndexOf('.',p-1);n--} s_c_d=3Dp>0&&s_pt(d,'.',s_c_gdf,0)?d.substring(p):''}return s_c_d} function s_c_r(k){k=3Ds_ape(k);var c=3D' '+s_d.cookie,s=3Dc.indexOf(' = '+k +'=3D'),e=3Ds<0?s:c.indexOf(';',s),v=3Ds<0?'':s_epa(c.substring(s+2 +k.length,e<0?c.length:e));return v}function s_c_w(k,v,e){var d=3D s_c_gd(),l=3Ds_gg('cookieLifetime');v=3D''+v;l=3Dl?(''+l).toUpperCase():'= ' if(e&&l!=3D'SESSION'&&l!=3D'NONE'){l=3DparseInt(l);if(l){e=3Dnew Date e.setTime(e.getTime()+(parseInt(l)*1000))}}if(k&&l!=3D'NONE'){ s_d.cookie=3Dk+'=3D'+s_ape(v)+'; path=3D/;'+(e&&l!=3D'SESSION'?' = expires=3D' +e.toGMTString()+';':'')+(d?' domain=3D'+d+';':'');return = s_c_r(k)=3D=3Dv} return 0}function s_cet(f,a,et,oe,fb){var r,d=3D0 /*@cc_on@if(@_jscript_version>=3D5){try{return f(a)}catch(e){return = et(e)}d=3D1}@end@*/ if(!d){if(s_ismac&&s_u.indexOf('MSIE 4')>=3D0)return fb(a);else{ s_wd.s_oe=3Ds_wd.onerror;s_wd.onerror=3Doe;r=3Df(a);s_wd.onerror=3Ds_wd.s= _oe return r}}}function s_gtfset(e){return s_tfs}function s_gtfsoe(e){ s_wd.onerror=3Ds_wd.s_oe;s_etfs=3D1;var = code=3Ds_gs(s_un);if(code)s_d.write( code);s_etfs=3D0;return true}function s_gtfsfb(a){return s_wd} function s_gtfsf(w){var p=3Dw.parent,l=3Dw.location;s_tfs=3Dw;if(p&& p.location!=3Dl&&p.location.host=3D=3Dl.host){s_tfs=3Dp;return = s_gtfsf(s_tfs)} return s_tfs}function = s_gtfs(){if(!s_tfs){s_tfs=3Ds_wd;if(!s_etfs)s_tfs=3D s_cet(s_gtfsf,s_tfs,s_gtfset,s_gtfsoe,s_gtfsfb)}return s_tfs} function s_ca(un){un=3Dun.toLowerCase();var = ci=3Dun.indexOf(','),fun=3Dci<0? un:un.substring(0,ci),imn=3D's_i_'+fun;if(s_d.images&&s_apv>=3D3&& !s_isopera&&(s_ns6<0||s_apv>=3D6.1)){s_ios=3D1;if(!s_d.images[imn]&&( !s_isns||(s_apv<4||s_apv>=3D5))){s_d.write('');if(!s_d.images[imn])s_ios=3D0}}} function s_it(un){s_ca(un)}function s_mr(un,sess,q,ta){un=3D un.toLowerCase();var = ci=3Dun.indexOf(','),fun=3Dci<0?un:un.substring(0,ci ),unc=3Ds_rep(fun,'_','-'),imn=3D's_i_'+fun,im,b,e,rs=3D'http'+(s_ssl?'s'= :'' )+'://mtrics.cdc.gov/b/ss/'+un+'/1/G.5-Pd-S/' +sess+'?[AQB]&ndh=3D1'+(q?q:'')+(s_q?s_q:'')+'&[AQE]';if(s_ios){im=3Ds_wd= [ imn]?s_wd[imn]:s_d.images[imn];if(!im)im=3Ds_wd[imn]=3Dnew = Image;im.src=3Drs if(rs.indexOf('&pe=3D')>=3D0&&(!ta||ta=3D=3D'_self'||ta=3D=3D'_top'||(s_w= d.name&& ta=3D=3Ds_wd.name))){b=3De=3Dnew = Date;while(e.getTime()-b.getTime()<500)e=3D new Date}return ''}return ''}function s_gg(v){var = g=3D's_'+v return s_wd[g]||s_wd.s_disableLegacyVars?s_wd[g]:s_wd[v]}var s_qav=3D'' function s_havf(t,a){var b=3Dt.substring(0,4),s=3Dt.substring(4),n=3D parseInt(s),k=3D's_g_'+t,m=3D's_vpm_'+t,q=3Dt,v=3Ds_gg('linkTrackVars'),e= =3D s_gg('linkTrackEvents');if(!s_wd['s_'+t])s_wd['s_'+t]=3D'';s_wd[k]=3Ds_wd= [ m]?s_wd['s_vpv_'+t]:s_gg(t);if(s_lnk||s_eo){v=3Dv?v+',pageName,charSet,' +'cookieDomainPeriods,cookieLifetime,eVarCFG,purchaseID':'';if(v&& !s_pt(v,',',s_isf,t))s_wd[k]=3D'';if(t=3D=3D'events'&&e)s_wd[k]=3Ds_fs(s_= wd[k ],e)}s_wd[m]=3D0;if(t=3D=3D'charSet')q=3D'ce';else = if(t=3D=3D'cookieDomainPeriods' )q=3D'cdp';else if(t=3D=3D'cookieLifetime')q=3D'cl';else = if(t=3D=3D'channel')q=3D 'ch';else if(t=3D=3D'campaign')q=3D'v0';else = if(s_num(s)){if(b=3D=3D'prop')q=3D'c' +n;else if(b=3D=3D'eVar')q=3D'v'+n;else = if(b=3D=3D'hier')q=3D'h'+n}if(s_wd[k]&&t!=3D 'linkName'&&t!=3D'linkType')s_qav+=3D'&'+q+'=3D'+s_ape(s_wd[k]);return = ''} function s_hav(){var n,av=3D'charSet,cookieDomainPeriods,cookieLifetime' +',pageName,channel,server,pageType,campaign,state,zip,events,product' +'s,purchaseID,eVarCFG,linkName,linkType';for(n=3D1;n<26;n++)av+=3D',prop= ' +n+',eVar'+n+',hier'+n;s_qav=3D'';s_pt(av,',',s_havf,0);return s_qav} function = s_lnf(t,h){t=3Dt?t.toLowerCase():'';h=3Dh?h.toLowerCase():'';var te=3Dt.indexOf('=3D');if(t&&te>0&&h.indexOf(t.substring(te+1))>=3D0) return t.substring(0,te);return ''}function s_ln(h){if(s_gg( 'linkNames'))return s_pt(s_gg('linkNames'),',',s_lnf,h);return ''} function = s_ltdf(t,h){t=3Dt?t.toLowerCase():'';h=3Dh?h.toLowerCase():'';var qi=3Dh.indexOf('?');h=3Dqi>=3D0?h.substring(0,qi):h;if(t&&h.substring( h.length-(t.length+1))=3D=3D'.'+t)return 1;return 0}function = s_ltef(t,h){ t=3Dt?t.toLowerCase():'';h=3Dh?h.toLowerCase():'';if(t&&h.indexOf(t)>=3D0= ) return 1;return 0}function s_lt(h){var lft=3Ds_gg( 'linkDownloadFileTypes'),lef=3Ds_gg('linkExternalFilters'),lif=3Ds_gg( 'linkInternalFilters')?s_gg('linkInternalFilters'): s_wd.location.hostname;h=3Dh.toLowerCase();if(s_gg('trackDownloadLinks' )&&lft&&s_pt(lft,',',s_ltdf,h))return 'd';if(s_gg('trackExternalLinks' )&&(lef||lif)&&(!lef||s_pt(lef,',',s_ltef,h))&&(!lif||!s_pt(lif,',', s_ltef,h)))return 'e';return ''}function s_lc(e){s_lnk=3Ds_co(this) s_gs('');s_lnk=3D'';if(this.s_oc)return this.s_oc(e);return true} function s_ls(){var l,ln,oc;for(ln=3D0;ln=3D0?','+t.substring(0,e) +',':'';return u&&u.indexOf(','+un+',')>=3D0?s_epa(t.substring(e+1)):''} function s_rq(un){var = c=3Dun.indexOf(','),v=3Ds_c_r('s_sq'),q=3D'';if(c<0) return s_pt(v,'&',s_rqf,un);return s_pt(un,',',s_rq,0)}var s_sqq,s_squ function s_sqp(t,a){var = e=3Dt.indexOf('=3D'),q=3De<0?'':s_epa(t.substring(e +1));s_sqq[q]=3D'';if(e>=3D0)s_pt(t.substring(0,e),',',s_sqs,q);return = 0} function s_sqs(un,q){s_squ[un]=3Dq;return 0}function s_sq(un,q){s_sqq=3D new Object;s_squ=3Dnew Object;s_sqq[q]=3D'';var = k=3D's_sq',v=3Ds_c_r(k),x,c=3D0 s_pt(v,'&',s_sqp,0);s_pt(un,',',s_sqs,q);v=3D'';for(x in s_squ)s_sqq[ s_squ[x]]+=3D(s_sqq[s_squ[x]]?',':'')+x;for(x in s_sqq)if(x&&s_sqq[x]&&( x=3D=3Dq||c<2)){v+=3D(v?'&':'')+s_sqq[x]+'=3D'+s_ape(x);c++}return = s_c_w(k,v,0 )}function s_wdl(e){s_wd.s_wd_l=3D1;var = r=3Dtrue;if(s_wd.s_ol)r=3Ds_wd.s_ol( e);if(s_wd.s_ls)s_wd.s_ls();return r}function s_wds(un){un=3D un.toLowerCase();s_wd.s_wd_l=3D1;if(s_apv>3&&(!s_isie||!s_ismac||s_apv>=3D= 5)){s_wd.s_wd_l=3D0;if(!s_wd.s_unl)s_wd.s_unl=3Dnew Array;s_wd.s_unl[ s_wd.s_unl.length]=3Dun;if(s_d.body&&s_d.body.attachEvent){if( !s_wd.s_bcr&&s_d.body.attachEvent('onclick',s_bc))s_wd.s_bcr=3D1} else if(s_d.body&&s_d.body.addEventListener){if(!s_wd.s_bcr&& s_d.body.addEventListener('click',s_bc,false))s_wd.s_bcr=3D1}else{var ol=3Ds_wd.onload?s_wd.onload.toString():'';if(ol.indexOf("s_wdl(")<0){ s_wd.s_ol=3Ds_wd.onload;s_wd.onload=3Ds_wdl}}}}function s_iepf(i,a){if( i.substring(0,1)!=3D'{')i=3D'{'+i+'}';if(s_d.body.isComponentInstalled(i,= 'ComponentID')){var n=3Ds_pl.length;s_pl[n]=3Dnew = Object;s_pl[n].name=3Di +':'+s_d.body.getComponentVersion(i,'ComponentID')}return 0} function s_vs(un,x){var s=3Ds_gg('visitorSampling'),g=3Ds_gg( 'visitorSamplingGroup'),k=3D's_vsn_'+un+(g?'_'+g:''),n=3Ds_c_r(k),e=3D new Date,y=3De.getYear();e.setYear(y+10+(y<1900?1900:0));if(s){s*=3D100 if(!n){if(!s_c_w(k,x,e))return 0;n=3Dx}if(n%10000>s)return 0}return 1} function s_gs(un){un=3Dun.toLowerCase() s_un=3Dun;var trk=3D1,tm=3Dnew Date,sed=3DMath&&Math.random?Math.floor( Math.random()*10000000000000):tm.getTime(),sess=3D's'+Math.floor( tm.getTime()/10800000)%10+sed,yr=3Dtm.getYear(),t,ta=3D'',q=3D'',qs=3D'';= yr=3D yr<1900?yr+1900:yr;t=3Dtm.getDate()+'/'+tm.getMonth()+'/'+yr+' ' +tm.getHours()+':'+tm.getMinutes()+':'+tm.getSeconds()+' '+tm.getDay() +' '+tm.getTimezoneOffset();if(!s_q){var = tfs=3Ds_gtfs(),tl=3Dtfs.location, r=3Dtfs.document.referrer,s=3D'',c=3D'',v=3D'',p=3D'',bw=3D'',bh=3D'',j=3D= '1.0',g=3D s_wd.location,k=3Ds_c_w('s_cc','true',0)?'Y':'N',hp=3D'',ct=3D'',iepl=3Ds= _gg( 'iePlugins'),pn=3D0,ps;if(s_apv>=3D4)s=3Dscreen.width+'x'+screen.height;i= f( s_isns||s_isopera){if(s_apv>=3D3){j=3D'1.1';v=3Ds_n.javaEnabled()?'Y':'N'= if(s_apv>=3D4){j=3D'1.2';c=3Dscreen.pixelDepth;bw=3Ds_wd.innerWidth;bh=3D= s_wd.innerHeight;if(s_apv>=3D4.06)j=3D'1.3'}}s_pl=3Ds_n.plugins}else if( s_isie){if(s_apv>=3D4){v=3Ds_n.javaEnabled()?'Y':'N';j=3D'1.2';c=3D screen.colorDepth;if(s_apv>=3D5){bw=3Ds_d.documentElement.offsetWidth;bh=3D= s_d.documentElement.offsetHeight;j=3D'1.3';if(!s_ismac&&s_d.body){ s_d.body.addBehavior("#default#homePage");hp=3Ds_d.body.isHomePage(tl)? "Y":"N";s_d.body.addBehavior("#default#clientCaps");ct=3D s_d.body.connectionType;if(iepl){s_pl=3Dnew Array;s_pt(iepl,',',s_iepf, '');}}}}else r=3D'';if(!s_pl&&iepl)s_pl=3Ds_n.plugins}if(s_pl)while(pn< s_pl.length&&pn<30){ps=3Ds_fl(s_pl[pn].name,100)+';';if(p.indexOf(ps)<0) p+=3Dps;pn++}s_q=3D(g?'&g=3D'+s_ape(s_fl(g,255)):'')+(r?'&r=3D'+s_ape(s_f= l(r, 255)):'')+(s?'&s=3D'+s_ape(s):'')+(c?'&c=3D'+s_ape(c):'')+(j?'&j=3D'+j:''= )+( v?'&v=3D'+v:'')+(k?'&k=3D'+k:'')+(bw?'&bw=3D'+bw:'')+(bh?'&bh=3D'+bh:'')+= (ct? '&ct=3D'+s_ape(ct):'')+(hp?'&hp=3D'+hp:'')+(s_vb?'&vb=3D'+s_vb:'')+(p?'&p= =3D' +s_ape(p):'')}if(s_gg('usePlugins'))s_wd.s_doPlugins();q+=3D(t?'&t=3D' +s_ape(t):'')+s_hav();if(s_lnk||s_eo){var o=3Ds_eo?s_eo:s_lnk;if(!o) return '';var = p=3Ds_wd.s_g_pageName,w=3D1,t=3Ds_ot(o),n=3Ds_oid(o),x=3Do.s_oidt, h,l,i,oc;if(s_eo&&o=3D=3Ds_eo){while(o&&!n&&t!=3D'BODY'){o=3Do.parentElem= ent? o.parentElement:o.parentNode;if(!o)return = '';t=3Ds_ot(o);n=3Ds_oid(o);x=3D o.s_oidt}oc=3Do.onclick?o.onclick.toString():'';if(oc.indexOf("s_gs(")>=3D= 0)return = ''}ta=3Do.target;h=3Do.href?o.href:'';i=3Dh.indexOf('?');h=3Ds_gg( 'linkLeaveQueryString')||i<0?h:h.substring(0,i);l=3Ds_gg('linkName')? s_gg('linkName'):s_ln(h);t=3Ds_gg('linkType')?s_gg('linkType' ).toLowerCase():s_lt(h);if(t&&(h||l))q+=3D'&pe=3Dlnk_'+(t=3D=3D'd'||t=3D=3D= 'e'? s_ape(t):'o')+(h?'&pev1=3D'+s_ape(h):'')+(l?'&pev2=3D'+s_ape(l):'');else trk=3D0;if(s_gg('trackInlineStats')){if(!p){p=3Ds_wd.location.href;w=3D0}= p=3D p?s_fl(p,255):'';t=3Ds_ot(o);i=3Do.sourceIndex;if(s_gg('objectID')){n=3D s_gg('objectID');x=3D1;i=3D1}if(p&&n&&t)qs=3D'&pid=3D'+s_ape(p)+(w?'&pidt= =3D'+w: '')+'&oid=3D'+s_ape(n)+(x?'&oidt=3D'+x:'')+'&ot=3D'+s_ape(t)+(i?'&oi=3D'+= i:'') }s_wd.s_linkName=3Ds_wd.s_linkType=3Ds_wd.s_objectID=3Ds_lnk=3Ds_eo=3D'';= if( !s_wd.s_disableLegacyVars)s_wd.linkName=3Ds_wd.linkType=3Ds_wd.objectID=3D= '' }if(!trk&&!qs)return '';var = code=3D'';if(un){if(trk&&s_vs(un,sed))code+=3D s_mr(un,sess,q+(qs?qs:s_rq(un)),ta);s_sq(un,trk?'':qs)}else if( s_wd.s_unl)for(var unn=3D0;unn