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Nationally, there continue to be reports of people showing up in emergency departments with similar symptoms such as coughing, difficulty breathing, fever, and may have vomiting and diarrhea

CONFLICTS OF INTEREST The authors have completed and submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest

It is non-biodegradable, which means it does not decompose or break down easily in water

If this is your first offense, you may get a slight break

2.7.1.5 Trends in consumption during the 2010s and 2020s The 2010s were marked by several large excise increases, first an unscheduled 25% increase in April 2010, then a series of eight annual 12.5% excise increases beginning late 2013

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