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[(:H)-31.01(DQDO\\]HG)-31.01(GDWD)-31.01(IURP)-31.01(WKH)-31.01()-31.01()-31.01()-31.01()-31.01()-31.01(ZDYHV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 100.9 Tm 0 0 0 rg 0.56677 Tw 0.22671 Tc [(RI)-56.68(WKH)-56.68(1HZ)-56.68(-HUVH\\)-56.68(<RXWK)-56.68(7REDFFR)-56.68(6XUYH\\)-56.68(3RLQW)-56.68(HVWLPDWHV)-56.68(DQG)]TJ 0 g 0 Tw 0 Tc ET BT 1 0 0 1 316 548.5 Tm /F1 10 Tf 0 0 0 rg 0.02257 Tw 0.00903 Tc [(\b)-2.26(FRQILGHQFH)-2.26(LQWHUYDOV)-2.26(GHVFULEHG)-2.26(KRRNDK)-2.26(XVH)-2.26(VWUDWLILHG)-2.26(E\\)-2.26(XVH)-2.26(RI)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 536.5 Tm 0 0 0 rg 0.34615 Tw 0.13846 Tc [(RWKHU)-34.62(WREDFFR)-34.62(SURGXFWV)-34.62(0XOWLYDULDEOH)-34.62(ORJLVWLF)-34.62(UHJUHVVLRQ)-34.62(PRGHOV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 524.5 Tm 0 0 0 rg 0.36734 Tw 0.14694 Tc [(DVVHVVHG)-36.73(WUHQGV)-36.73(DQG)-36.73(FRUUHODWHV)-36.73(RI)-36.73(KRRNDK)-36.73(XVH)-36.73(FRQWUROOLQJ)-36.73(IRU)-36.73(WKH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 512.5 Tm 0 0 0 rg 0.25213 Tw 0.10085 Tc 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[(7KH)-6.19(DGMXVWHG)-6.19(RGGV)-6.19(RI)-6.19(FXUUHQW)-6.19(DQG)-6.19(IUHTXHQW)-6.19(KRRNDK)-6.19(XVH)-6.19(DPRQJ)-6.19(1HZ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 416 Tm 0 0 0 rg 0.17171 Tw 0.06869 Tc [(-HUVH\\)-17.17(KLJK)-17.17(VFKRRO)-17.17(VWXGHQWV)-17.17(ZHUH)-17.17(VLJQLILFDQWO\\)-17.17(KLJKHU)-17.17(LQ)-17.17()-17.17(EXW)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 404 Tm 0 0 0 rg 0.04282 Tw 0.01713 Tc [(QRW)-4.28(LQ)-4.28()-4.28(FRPSDUHG)-4.28(WR)-4.28()-4.28(,Q)-4.28(UHFHQW)-4.28(\\HDUV)-4.28(KRRNDK)-4.28(XVH)-4.28(DPRQJ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 392 Tm 0 0 0 rg 0.16594 Tw 0.06638 Tc [(VWXGHQWV)-16.59(ZKR)-16.59(KDG)-16.59(HYHU)-16.59(VPRNHG)-16.59(KRRNDK)-16.59(FXUUHQWO\\)-16.59(VPRNHG)-16.59(KRRNDK)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 380 Tm 0 0 0 rg 0.23052 Tw 0.09221 Tc [(RU)-23.05(IUHTXHQWO\\)-23.05(VPRNHG)-23.05(KRRNDK)-23.05(ZDV)-23.05(PRUH)-23.05(FRPPRQ)-23.05(DPRQJ)-23.05(VWXGHQWV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 368 Tm 0 0 0 rg 0.93639 Tw 0.37456 Tc [(ZKR)-93.64(KDG)-93.64(HYHU)-93.64(RU)-93.64(FXUUHQWO\\)-93.64(VPRNHG)-93.64(FLJDUHWWHV)-93.64(RU)]TJ 0 g 0 0 0 rg [-93.64(HFLJDUHWWHV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 356 Tm 0 0 0 rg 0.10473 Tw 0.04189 Tc [(+RRNDK)-10.47(XVHUV)-10.47(FRQVXPHG)-10.47(D)-10.47(ZLGHU)-10.47(YDULHW\\)-10.47(RI)-10.47(RWKHU)-10.47(WREDFFR)-10.47(SURGXFWV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 344 Tm 0 0 0 rg (WKDQWKRVHZKRGLGQRWXVHKRRNDK)Tj 0 g ET BT 1 0 0 1 316 319.5 Tm 0.22 Tc /F4 11 Tf 0 0 0 rg (Conclusion)Tj 0 g 0 Tc ET BT 1 0 0 1 316 307.5 Tm /F1 10 Tf 0 0 0 rg 0.23371 Tw 0.09348 Tc [(+RRNDK)-23.37(XVH)-23.37(UHPDLQV)-23.37(D)-23.37(SXEOLF)-23.37(KHDOWK)-23.37(FRQFHUQ)-23.37(IRU)-23.37(DGROHVFHQWV)-23.37(LW)-23.37(LV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 295.5 Tm 0 0 0 rg 0.25 Tw 0.1 Tc [(PRUH)-25(FRPPRQ)-25(DPRQJ)-25(XVHUV)-25(RI)-25(RWKHU)-25(WREDFFR)-25(SURGXFWV)-25(HVSHFLDOO\\)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 283.5 Tm 0 0 0 rg 0.15804 Tw 0.06321 Tc [(FLJDUHWWH)-15.8(DQG)]TJ 0 g 0 0 0 rg [-15.8(HFLJDUHWWH)]TJ 0 g 0 0 0 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Tm /F2 8 Tf 0.50196 0.50196 0.50196 rg (the Public Health Service, the Centers for Disease Control and Prevention, or the authors affiliated institutions.)Tj 0 g ET Q 0.50196 0.50196 0.50196 RG 1 w 30 53 m 582 53 l S q BT 1 0 0 1 30 41 Tm /F2 9 Tf (2 Centers for Disease Control and Prevention www.cdc.gov/pcd/issues/2019/19_0097.htm)Tj ET Q 4j endstream endobj 13 0 obj <>>>/ArtBox[30 100 584 764]/Contents 12 0 R/Parent 9 0 R>> endobj 15 0 obj <>stream xd!q BT 30 786 Td ET Q BT 1 0 0 1 30 684 Tm /F1 10 Tf 0 0 0 rg 0.31234 Tw 0.12494 Tc [(FRQGXFWHG)-31.23(E\\)-31.23(XVLQJ)-31.23()-31.23(FRPELQHG)-31.23(GDWD)-31.23(WR)-31.23(SURGXFH)-31.23()]TJ 0 g 0 0 0 rg (DGMXV)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 672 Tm 0 0 0 rg 0.09917 Tw 0.03967 Tc [(WHG)-9.92(RGGV)-9.92(UDWLRV)-9.92(IRU)-9.92(HDFK)-9.92(RI)-9.92(WKHVH)-9.92(GHSHQGHQW)-9.92(YDULDEOHV)-9.92(0RGHOV)-9.92()]TJ 0 g 0 0 0 rg (FRQ)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 660 Tm 0 0 0 rg 0.23375 Tw 0.0935 Tc [(WUROOHG)-23.37(IRU)-23.37(VRFLRGHPRJUDSKLFV)-23.37( 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0.10559 Tw 0.04223 Tc [(GHQWV)-10.56(KDG)-10.56(HYHU)-10.56(XVHG)-10.56(D)-10.56(KRRNDK)-10.56( )]TJ 0 g 0 0 0 rg [(7DEOH)-10.56()]TJ 0 g 0 0 0 rg [(\f)-10.56(%\\)-10.56(FRPSDULVRQ)-10.56(\b)-10.56(RI)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 494 Tm 0 0 0 rg 0.42022 Tw 0.16809 Tc [(VWXGHQWV)-42.02(LQ)-42.02()-42.02(KDG)-42.02(HYHU)-42.02(WULHG)]TJ 0 g 0 0 0 rg [-42.02(HFLJDUHWWHV)]TJ 0 g 0 0 0 rg [-42.02(\b)-42.02(KDG)-42.02(WULHG)-42.02()]TJ 0 g 0 0 0 rg (FL)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 482 Tm 0 0 0 rg 0.09185 Tw 0.03674 Tc [(JDUV)-9.19(DQG)-9.19(\b)-9.19(KDG)-9.19(WULHG)-9.19(FLJDUHWWHV)-9.19(&RPSDUHG)-9.19(ZLWK)-9.19()-9.19(WKH)-9.19()]TJ 0 g 0 0 0 rg (DG)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 470 Tm 0 0 0 rg 0.47615 Tw 0.19046 Tc [(MXVWHG)-47.61(RGGV)-47.61(RI)-47.61(HYHU)-47.61(XVLQJ)-47.61(D)-47.61(KRRNDK)-47.61(ZHUH)-47.61(VLJQLILFDQWO\\)-47.61(KLJKHU)-47.61(LQ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 458 Tm 0 0 0 rg 0.22676 Tw 0.09071 Tc [()-22.68( D25)-22.68()-22.68(\b)-22.68(&,)-22.68(\f)-22.68()-22.68( 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15.28 17.95 l 14.6 18.69 l 14.71 18.79 l 14.93 18.55 14.97 18.54 15.12 18.66 c 15.26 18.79 15.43 18.93 15.57 19.06 c 16.08 19.53 16.5 19.93 16.69 20.14 c 16.86 19.95 l 16.76 19.65 16.7 19.42 16.63 19.1 c 16.31 17.61 l 16.31 17.61 l 16.84 18.1 l 17.24 18.47 17.45 18.66 17.53 18.76 c 17.59 18.84 17.59 18.86 17.31 19.19 c 17.42 19.29 l 18.14 18.52 l 18.03 18.42 l h f 15.94 20.77 m 15.68 21.06 15.66 21.07 15.58 21.03 c 15.52 20.99 15.41 20.91 15.25 20.79 c 13.94 19.81 l 14.18 19.48 l 14.25 19.39 14.36 19.41 14.78 19.54 c 14.86 19.39 l 14.72 19.33 14.55 19.23 14.28 19.04 c 14.24 19.11 14.21 19.17 14.17 19.23 c 14.14 19.28 14.1 19.34 14.06 19.4 c 13.33 20.37 l 13.23 20.5 13.14 20.6 13.04 20.69 c 13.3 20.89 13.45 21.03 13.54 21.14 c 13.66 21.03 l 13.42 20.67 13.37 20.57 13.44 20.47 c 13.68 20.14 l 15 21.12 l 15.16 21.25 15.26 21.33 15.31 21.38 c 15.38 21.44 15.38 21.47 15.17 21.79 c 15.29 21.88 l 16.05 20.86 l 15.94 20.77 l h f 13.63 24.38 m 13.46 24.72 12.98 24.83 12.31 24.48 c 11.64 24.12 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12.96 25.62 l h f 11.83 28.59 m 11.72 28.94 11.7 28.96 11.6 28.95 c 11.49 28.93 11.21 28.87 10.67 28.74 c 10.14 28.62 9.87 28.55 9.75 28.51 c 9.65 28.48 9.65 28.45 9.71 28.1 c 9.56 28.07 l 9.28 29.26 l 9.43 29.3 l 9.53 28.94 9.55 28.93 9.65 28.94 c 9.72 28.95 9.93 28.99 10.1 29.03 c 10.32 29.09 l 10.43 29.11 10.44 29.12 10.42 29.21 c 10.21 30.12 l 10.18 30.21 10.17 30.22 10.07 30.19 c 9.83 30.14 l 9.67 30.1 9.46 30.05 9.39 30.03 c 9.3 29.99 9.29 29.97 9.35 29.61 c 9.21 29.58 l 8.92 30.77 l 9.07 30.81 l 9.18 30.46 9.19 30.44 9.29 30.45 c 9.41 30.47 9.69 30.53 10.22 30.66 c 10.76 30.79 11.03 30.85 11.15 30.89 c 11.24 30.92 11.25 30.95 11.19 31.3 c 11.34 31.34 l 11.62 30.14 l 11.47 30.11 l 11.36 30.45 11.35 30.47 11.25 30.46 c 11.15 30.45 10.87 30.39 10.46 30.29 c 10.36 30.27 10.35 30.26 10.37 30.16 c 10.58 29.26 l 10.6 29.16 10.62 29.16 10.72 29.18 c 11.13 29.27 11.41 29.34 11.5 29.38 c 11.6 29.41 11.6 29.43 11.54 29.79 c 11.69 29.83 l 11.97 28.63 l 11.83 28.59 l h f 11.19 31.42 m 11.12 31.75 11.11 31.76 11.01 31.76 c 10.89 31.76 10.61 31.73 10.06 31.66 c 9.52 31.59 9.23 31.56 9.12 31.53 c 9.02 31.51 9.01 31.49 9.03 31.16 c 8.88 31.14 l 8.71 32.47 l 8.69 32.67 8.65 32.87 8.61 33.01 c 8.78 33.04 9.18 33.12 9.27 33.15 c 9.32 33.01 l 8.87 32.85 8.83 32.78 8.89 32.28 c 8.93 31.96 l 8.93 31.92 8.96 31.91 9.01 31.91 c 9.81 32.01 l 9.87 32.01 9.87 32.02 9.87 32.13 c 9.85 32.23 l 9.8 32.61 9.74 32.63 9.48 32.63 c 9.47 32.78 l 9.59 32.8 9.69 32.8 9.87 32.82 c 10.01 32.84 10.17 32.87 10.27 32.88 c 10.28 32.73 l 10.03 32.67 9.98 32.61 10.01 32.34 c 10.04 32.1 l 10.04 32.05 10.06 32.04 10.11 32.04 c 11 32.15 l 11.05 32.16 11.07 32.18 11.07 32.22 c 11 32.82 l 10.96 33.11 10.88 33.17 10.64 33.22 c 10.39 33.26 l 10.41 33.43 l 10.61 33.41 10.95 33.41 11.1 33.42 c 11.34 31.44 l 11.19 31.42 l h f 10.02 35.1 m 10.02 35.13 10.01 35.15 10.01 35.15 c 9.98 35.15 9.95 35.13 9.92 35.12 c 9.04 34.77 l 9.96 34.43 l 9.98 34.42 10 34.41 10.02 34.41 c 10.03 34.41 10.04 34.43 10.04 34.45 c 10.02 35.1 l h 10.92 33.6 m 10.89 33.87 10.81 33.92 10.5 34.03 c 8.95 34.62 l 8.69 34.72 8.62 34.75 8.49 34.78 c 8.49 34.97 l 8.6 34.98 8.79 35.05 8.9 35.1 c 10.61 35.84 l 10.84 35.93 10.88 35.96 10.87 36.26 c 11.02 36.26 l 11.04 35.04 l 10.89 35.04 l 10.87 35.4 10.84 35.43 10.75 35.43 c 10.67 35.43 10.28 35.27 10.24 35.24 c 10.22 35.23 10.21 35.22 10.21 35.2 c 10.2 35.11 10.2 34.93 10.2 34.57 c 10.21 34.35 10.23 34.34 10.31 34.31 c 10.52 34.22 10.71 34.17 10.75 34.17 c 10.85 34.18 10.88 34.21 10.9 34.55 c 11.05 34.55 l 11.07 33.6 l 10.92 33.6 l h f 10.89 36.34 m 10.89 36.68 10.89 36.7 10.79 36.72 c 10.67 36.74 10.39 36.76 9.84 36.81 c 9.3 36.86 9.01 36.88 8.89 36.88 c 8.79 36.88 8.78 36.86 8.72 36.53 c 8.57 36.54 l 8.67 37.68 l 8.82 37.67 l 8.82 37.33 8.82 37.31 8.92 37.29 c 9 37.27 9.2 37.25 9.37 37.23 c 10.78 37.11 l 10.91 37.1 10.94 37.14 10.95 37.24 c 10.98 37.65 l 11.01 37.99 10.91 38.05 10.43 38.29 c 10.5 38.45 l 10.62 38.4 11.03 38.31 11.21 38.29 c 11.04 36.33 l 10.89 36.34 l h f 11.12 38.68 m 11.16 39.06 11.16 39.08 11.06 39.11 c 10.99 39.13 10.87 39.16 10.66 39.2 c 9.05 39.47 l 8.99 39.07 l 8.96 38.95 9.05 38.88 9.44 38.67 c 9.37 38.51 l 9.24 38.57 9.05 38.63 8.73 38.7 c 8.75 38.76 8.77 38.83 8.78 38.9 c 8.81 38.96 8.82 39.03 8.83 39.1 c 9.04 40.31 l 9.06 40.45 9.08 40.59 9.08 40.72 c 9.4 40.68 9.6 40.67 9.74 40.67 c 9.75 40.51 l 9.32 40.43 9.21 40.4 9.19 40.28 c 9.12 39.88 l 10.73 39.6 l 10.94 39.57 11.06 39.55 11.13 39.55 c 11.23 39.54 11.25 39.56 11.34 39.93 c 11.49 39.91 l 11.27 38.66 l 11.12 38.68 l h f 11.4 40.38 m 11.47 40.73 11.47 40.76 11.38 40.79 c 11.26 40.84 10.99 40.92 10.46 41.07 c 9.93 41.22 9.66 41.29 9.54 41.32 c 9.44 41.33 9.43 41.32 9.3 40.97 c 9.16 41.01 l 9.49 42.19 l 9.64 42.16 l 9.56 41.8 9.57 41.78 9.66 41.74 c 9.73 41.71 9.93 41.65 10.09 41.6 c 10.32 41.53 l 10.42 41.51 10.44 41.51 10.46 41.6 c 10.72 42.5 l 10.74 42.59 10.73 42.6 10.63 42.63 c 10.4 42.7 l 10.24 42.75 10.04 42.8 9.96 42.81 c 9.86 42.83 9.84 42.81 9.72 42.47 c 9.58 42.51 l 9.91 43.69 l 10.06 43.65 l 9.99 43.29 9.99 43.27 10.08 43.24 c 10.2 43.19 10.47 43.11 11 42.96 c 11.53 42.81 11.8 42.74 11.92 42.71 c 12.02 42.7 12.03 42.71 12.16 43.06 c 12.3 43.02 l 11.97 41.83 l 11.82 41.87 l 11.9 42.23 11.89 42.25 11.8 42.29 c 11.71 42.33 11.43 42.41 11.03 42.52 c 10.93 42.55 10.91 42.54 10.88 42.46 c 10.63 41.56 l 10.61 41.47 10.61 41.46 10.72 41.42 c 11.12 41.32 11.4 41.24 11.5 41.22 c 11.59 41.2 11.61 41.22 11.73 41.56 c 11.88 41.52 l 11.54 40.34 l 11.4 40.38 l h f 13 45.15 m 13.06 45.26 13.07 45.41 13.04 45.59 c 12.73 45.51 12.12 45.46 11.83 45.46 c 11.84 45.19 11.91 45.03 12.14 44.92 c 12.39 44.81 12.85 44.83 13 45.15 c 11.69 45.8 m 11.7 45.99 11.56 46.14 11.43 46.2 c 11.31 46.26 11.13 46.27 11.05 46.12 c 11.01 46.01 11.03 45.87 11.2 45.8 c 11.3 45.75 11.47 45.73 11.69 45.8 c 13.72 46.55 m 13.76 46.33 13.74 46.12 13.67 45.97 c 13.59 45.81 13.46 45.72 13.19 45.63 c 13.26 45.39 13.27 45.14 13.14 44.88 c 12.93 44.43 12.5 44.34 12.16 44.5 c 11.85 44.65 11.7 44.92 11.69 45.44 c 11.31 45.41 11.18 45.42 11.06 45.47 c 10.85 45.57 10.72 45.8 10.89 46.16 c 11.03 46.47 11.26 46.61 11.53 46.48 c 11.79 46.35 11.84 46.09 11.83 45.83 c 12.21 45.85 12.57 45.88 12.93 45.94 c 12.85 46.14 12.7 46.36 12.59 46.41 c 12.5 46.46 12.43 46.42 12.34 46.29 c 12.21 46.35 l 12.56 47.1 l 12.7 47.03 l 12.62 46.86 12.63 46.71 12.79 46.5 c 12.87 46.4 12.99 46.21 13.1 45.98 c 13.39 46.04 13.47 46.08 13.54 46.21 c 13.59 46.32 13.59 46.45 13.57 46.63 c 13.72 46.55 l h f 14.32 47.61 m 14.51 47.92 14.51 47.95 14.44 48.01 c 14.35 48.1 14.12 48.25 13.66 48.57 c 13.22 48.89 12.98 49.05 12.88 49.11 c 12.79 49.16 12.77 49.15 12.54 48.86 c 12.41 48.95 l 13.12 49.96 l 13.24 49.87 l 13.06 49.56 13.05 49.53 13.13 49.47 c 13.19 49.42 13.35 49.29 13.5 49.19 c 13.69 49.06 l 13.77 49 13.79 49 13.84 49.08 c 14.38 49.84 l 14.43 49.92 14.43 49.94 14.34 50 c 14.14 50.13 l 14.01 50.23 13.83 50.34 13.76 50.39 c 13.68 50.43 13.66 50.42 13.43 50.14 c 13.31 50.22 l 14.01 51.23 l 14.14 51.14 l 13.95 50.83 13.95 50.81 14.02 50.75 c 14.11 50.66 14.34 50.5 14.79 50.18 c 15.24 49.87 15.47 49.71 15.58 49.65 c 15.67 49.6 15.69 49.61 15.92 49.89 c 16.05 49.81 l 15.34 48.8 l 15.21 48.88 l 15.4 49.19 15.4 49.22 15.33 49.28 c 15.25 49.35 15.02 49.52 14.67 49.76 c 14.59 49.82 14.57 49.82 14.52 49.74 c 13.98 48.98 l 13.93 48.9 13.93 48.88 14.02 48.83 c 14.36 48.58 14.6 48.42 14.69 48.37 c 14.78 48.33 14.8 48.34 15.03 48.62 c 15.15 48.53 l 14.44 47.53 l 14.32 47.61 l h f 14.28 51.56 m 15.1 52.47 l 15.22 52.38 l 14.99 52.09 14.99 52.07 15.05 51.99 c 15.13 51.9 15.34 51.71 16.01 51.11 c 16.22 50.92 16.6 50.68 16.97 51.09 c 17.39 51.55 17.21 51.82 16.67 52.31 c 16.24 52.71 16.03 52.89 15.93 52.96 c 15.85 53.02 15.83 53.01 15.55 52.75 c 15.44 52.85 l 16.13 53.6 l 16.24 53.51 l 16.02 53.22 16.01 53.19 16.07 53.12 c 16.16 53.03 16.37 52.84 16.94 52.32 c 17.35 51.95 17.69 51.55 17.08 50.88 c 16.71 50.47 16.22 50.37 15.72 50.81 c 15.07 51.4 14.86 51.59 14.76 51.66 c 14.68 51.72 14.66 51.71 14.39 51.46 c 14.28 51.56 l h f 17.81 52.03 m 18.09 52.3 18.09 52.32 18.04 52.4 c 17.97 52.5 17.78 52.72 17.43 53.13 c 17.06 53.55 16.88 53.76 16.79 53.85 c 16.71 53.91 16.7 53.91 16.39 53.68 c 16.29 53.79 l 17.02 54.42 l 17.03 54.4 17.07 54.37 17.1 54.35 c 18.8 53.37 l 18.8 53.38 l 18.06 55.32 l 18.78 55.93 l 18.88 55.81 l 18.6 55.54 18.59 55.52 18.65 55.44 c 18.71 55.34 18.9 55.13 19.25 54.71 c 19.62 54.29 19.8 54.07 19.89 53.99 c 19.96 53.93 19.98 53.93 20.29 54.17 c 20.39 54.05 l 19.45 53.24 l 19.35 53.36 l 19.62 53.62 19.62 53.65 19.57 53.71 c 18.28 55.21 l 18.28 55.2 l 19.05 53.21 l 19.07 53.15 19.09 53.09 19.12 53.03 c 18.91 52.85 l 18.89 52.88 18.84 52.91 18.79 52.94 c 16.91 54.03 l 16.9 54.02 l 17.98 52.77 l 18.05 52.69 18.17 52.58 18.21 52.54 c 18.28 52.48 18.3 52.48 18.58 52.69 c 18.68 52.58 l 17.91 51.91 l 17.81 52.03 l h f 21.26 55.82 m 21.28 55.83 21.29 55.85 21.28 55.86 c 21.27 55.87 21.24 55.89 21.22 55.91 c 20.45 56.47 l 20.65 55.51 l 20.65 55.49 20.66 55.47 20.67 55.46 c 20.67 55.44 20.7 55.45 20.71 55.46 c 21.26 55.82 l h 20.46 54.26 m 20.67 54.43 20.67 54.53 20.6 54.84 c 20.27 56.47 l 20.22 56.74 20.2 56.81 20.17 56.95 c 20.32 57.04 l 20.4 56.96 20.56 56.83 20.66 56.77 c 22.19 55.71 l 22.39 55.57 22.43 55.55 22.68 55.71 c 22.77 55.58 l 21.75 54.93 l 21.66 55.05 l 21.96 55.26 21.97 55.3 21.91 55.38 c 21.88 55.44 21.53 55.69 21.49 55.71 c 21.47 55.72 21.46 55.72 21.44 55.71 c 21.36 55.66 21.2 55.58 20.9 55.38 c 20.71 55.26 20.72 55.24 20.73 55.15 c 20.78 54.93 20.83 54.74 20.85 54.71 c 20.91 54.62 20.95 54.62 21.25 54.78 c 21.33 54.65 l 20.54 54.14 l 20.46 54.26 l h f 22.79 55.77 m 23.09 55.94 23.1 55.96 23.06 56.05 c 23.02 56.17 22.9 56.42 22.65 56.92 c 22.41 57.41 22.28 57.66 22.21 57.76 c 22.16 57.85 22.14 57.85 21.82 57.72 c 21.76 57.85 l 22.41 58.18 l 22.45 58.15 22.51 58.12 22.57 58.08 c 24.3 57.11 l 24.3 57.12 l 24.05 57.61 l 23.81 58.1 23.68 58.35 23.62 58.46 c 23.57 58.55 23.54 58.55 23.19 58.4 c 23.12 58.53 l 24.02 58.98 l 24.09 58.85 l 23.79 58.7 23.77 58.66 23.85 58.48 c 23.92 58.31 24.01 58.11 24.1 57.94 c 24.41 57.32 24.67 56.8 24.82 56.56 c 24.58 56.45 l 24.33 56.63 24.12 56.76 23.83 56.91 c 22.5 57.65 l 22.5 57.64 l 22.82 57 l 23.06 56.51 23.19 56.25 23.25 56.15 c 23.31 56.06 23.33 56.06 23.73 56.23 c 23.79 56.1 l 22.85 55.63 l 22.79 55.77 l h f 26.51 58.16 m 26.75 57.78 27.01 57.57 27.38 57.68 c 27.75 57.79 27.87 58.07 27.81 58.28 c 27.74 58.51 27.54 58.53 27.28 58.54 c 26.98 58.55 l 26.32 58.56 26.18 58.75 26.1 59.01 c 25.97 59.45 26.24 59.86 26.76 60.02 c 27.02 60.1 27.26 60.13 27.45 60.14 c 27.46 60.1 27.47 60.04 27.49 59.99 c 27.55 59.83 27.6 59.67 27.67 59.5 c 27.51 59.45 l 27.32 59.86 27.08 59.94 26.75 59.84 c 26.46 59.75 26.29 59.49 26.35 59.28 c 26.4 59.13 26.51 59.05 26.79 59.03 c 27.41 59.01 l 27.82 58.99 28.02 58.85 28.11 58.53 c 28.25 58.08 27.97 57.68 27.42 57.51 c 27.17 57.43 26.88 57.46 26.64 57.38 c 26.58 57.56 26.46 57.86 26.36 58.08 c 26.51 58.16 l h f 28.48 58.05 m 28.8 58.15 28.81 58.16 28.8 58.26 c 28.79 58.38 28.73 58.66 28.62 59.19 c 28.51 59.73 28.45 60.01 28.41 60.13 c 28.38 60.22 28.36 60.22 28.04 60.19 c 28.01 60.33 l 29.31 60.6 l 29.51 60.65 29.71 60.71 29.84 60.76 c 29.88 60.59 30 60.2 30.05 60.11 c 29.91 60.06 l 29.71 60.49 29.63 60.52 29.14 60.41 c 28.83 60.35 l 28.79 60.34 28.77 60.32 28.78 60.27 c 28.95 59.48 l 28.95 59.43 28.97 59.42 29.06 59.43 c 29.17 59.46 l 29.55 59.53 29.56 59.6 29.54 59.85 c 29.69 59.88 l 29.71 59.77 29.73 59.66 29.76 59.49 c 29.8 59.35 29.83 59.19 29.85 59.1 c 29.7 59.06 l 29.63 59.31 29.57 59.36 29.29 59.3 c 29.05 59.26 l 29.01 59.24 28.99 59.23 29 59.18 c 29.19 58.29 l 29.2 58.25 29.22 58.23 29.27 58.24 c 29.86 58.36 l 30.14 58.42 30.2 58.51 30.22 58.75 c 30.24 59.01 l 30.41 59 l 30.41 58.8 30.43 58.46 30.46 58.31 c 28.51 57.9 l 28.48 58.05 l h f 31.42 59.86 m 31.43 59.8 31.44 59.79 31.67 59.81 c 32.22 59.86 32.29 60.17 32.27 60.37 c 32.24 60.66 31.99 60.84 31.6 60.8 c 31.35 60.78 31.33 60.76 31.34 60.67 c 31.42 59.86 l h 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