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  • Washington state - Covid-19 Cases and news- 76,836 cases; 1,953 deaths

    First US case of Wuhan coronavirus confirmed by CDC

    By Elizabeth Cohen, CNN Senior Medical Correspondent

    Updated 4:07 PM ET, Tue January 21, 2020The United States has its first confirmed case of a new virus that appeared in Wuhan, China, last month, the US Centers for Disease Control and Prevention announced Tuesday. The coronavirus has already sickened hundreds and killed six people in Asia.


    CDC officials said the United States will be more strict about health screenings of airplane passengers arriving from Wuhan.
    The patient, who is not being named, is in isolation at Providence Regional Medical Center in Everett, Washington. He is in his 30s and lives in Snohomish County, Washington, just north of Seattle.
    He arrived at Seattle-Tacoma International Airport on January 15, before any health screenings for the Wuhan coronavirus began at US airports. He sought medical care on January 19. The CDC and Washington state are now tracing the people he was in contact with to see if he might have spread the disease to someone else.
    "We believe the risk to the public is low," said John Wiesman, secretary of health for the state of Washington.
    The patient became ill four days after arriving in the United States and sought care. Based on the patient's symptoms and travel history, doctors suspected the novel Wuhan coronavirus and sent specimens to the CDC in Atlanta, where tests Monday confirmed the virus.
    The patient is faring well but is still being kept in isolation out of an abundance of caution, health officials said. Health screenings at more US airports


    Soon, passengers from Wuhan to the United States, whether on direct or indirect flights, will only be allowed to land at one of the five US airports doing health screenings. Screenings include a temperature check and observation for symptoms such as a cough and trouble breathing....
    Starting this week, Wuhan passengers will also be screened at Hartsfield-Jackson Atlanta International Airport and Chicago O'Hare International Airport.
    The CDC raised its travel notice for Wuhan, China, from level 1 to level 2 of three possible levels, according to its website. As of Tuesday afternoon, the agency advised travelers to "practice enhanced precautions." The highest level, "Warning - Level 3," advises travelers to "avoid nonessential travel." Person-to-person transmission of Wuhan virus


    The Wuhan coronavirus is in the same family as severe acute respiratory syndrome, or SARS, which killed more than 700 people in 2002 and 2003, and Middle East respiratory syndrome, or MERS.
    To date, the Wuhan coronavirus has infected more than 300 people and killed six in an outbreak that has struck China, Thailand, South Korea, Japan and now the US....https://www.cnn.com/2020/01/21/healt...-bn/index.html
    Last edited by Missouriwatcher; March 2, 2020, 02:38 PM.
    CSI:WORLD http://swineflumagazine.blogspot.com/

    treyfish2004@yahoo.com

  • #2
    Source: https://www.cnbc.com/2020/01/21/cdc-...n-reports.html


    CDC confirms first US case of coronavirus that has killed 6 in China
    Published Tue, Jan 21 20201:25 PM ESTUpdated Moments Ago
    Berkeley Lovelace Jr.


    Key Points

    Public health officials have confirmed the first U.S. case of a mysterious coronavirus that has already killed at least 6 people and sickened hundreds of others in China, according to two reports.
    A White House spokesman declined to comment, referring calls to the CDC. The CDC did not immediately respond to CNBC’s inquiries about the report.


    ... A traveler from China has been diagnosed in Seattle with the Wuhan coronavirus, according to Reuters.The CDC is expected to make the announcement at a media briefing scheduled for this afternoon, CNN reported...

    ...This is a developing story. Please check back for updates.

    Comment


    • #3
      ..The man, in his 30s, is in stable condition at Providence Regional Medical Center in Everett, Wash. Officials said they are monitoring him there out of an abundance of caution, not because he is seriously ill. The man returned to the United States last week, before federal health officials began screening travelers from the central Chinese city of Wuhan at Los Angeles, San Francisco and New York’s John F. Kennedy international airports, the first such effort since the 2014 Ebola outbreak....
      The Washington state man’s case occurred several days before airport screening began, but local, state and federal officials said they were on alert and quickly collaborated to test him and put precautions in place. A small number of health-care workers and patients who may have been exposed to him have been told to watch for symptoms and are being monitored...

      https://www.washingtonpost.com/healt...virus-us-case/
      Last edited by Treyfish; January 21, 2020, 04:23 PM.
      CSI:WORLD http://swineflumagazine.blogspot.com/

      treyfish2004@yahoo.com

      Comment


      • #5
        JANUARY 21, 2020 / 12:41 PM / UPDATED 21 MINUTES AGO

        CDC confirms first U.S. case of China coronavirus

        (Reuters) - A traveler from China has been diagnosed in Seattle with the Wuhan coronavirus, according to a U.S. CDC spokesman.
        ...
        "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
        -Nelson Mandela

        Comment


        • #6
          Source: https://www.npr.org/sections/goatsan...navirus-spread

          snip:


          The first case of an infection with a new coronavirus has been discovered in the U.S. A person traveling from Wuhan, China, to Washington state was diagnosed with pneumonia last week. Subsequent tests showed that the person has the virus, which can cause pneumonia. In severe cases the coronavirus can lead to death. The case was detected prior to the implementation of screening at three U.S. airports last Friday.

          The Centers for Disease Control and Prevention is expected to announce details at a press conference this afternoon...

          Comment


          • #7
            CDC Telebriefing: Update on 2019 Novel Coronavirus (2019-nCoV)

            Media Advisory
            Embargoed Until: Tuesday, January 21, 2020, 3:00 p.m. ET
            Contact: Media Relations
            (404) 639-3286

            What
            The Centers for Disease Control and Prevention (CDC) will provide an update on the 2019 Novel Coronavirus response.

            Who
            Nancy Messonnier, M.D., Director, National Center for Immunization and Respiratory Diseases

            When
            2 p.m. ET Tuesday, January 21, 2020

            Dial-In
            Media: 877-601-4718
            Non-Media: 888-603-9752
            INTERNATIONAL: 1-773-756-4803
            PASSCODE: CDC Media

            Important Instructions
            If you would like to ask a question during the call, press *1 on your touchtone phone. Press *2 to withdraw your question. You may queue up at any time. You will hear a tone to indicate your question is pending.

            TRANSCRIPT
            A transcript will be available following the briefing at CDC’s web site: www.cdc.gov/media.

            ###
            U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICESexternal icon

            CDC works 24/7 protecting America’s health, safety and security. Whether disease start at home or abroad, are curable or preventable, chronic or acute, or from human activity or deliberate attack, CDC responds to America’s most pressing health threats. CDC is headquartered in Atlanta and has experts located throughout the United States and the world.

            "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
            -Nelson Mandela

            Comment


            • #8
              Missed first 25 minutes of teleconference - was on hold...


              Man arrived in Seattle, Washington on January 15, on January 19 he reached out to medical provider. Results on January 20. He is clinically not ill.

              Contact tracing started today, January 21.

              Patient is a resident of Snohomish County, Washington state. Currently at Providence Medical Center. He is clinically not ill. Healthy.

              Chicago and Atlanta will add screening this week.

              All passengers from Wuhan will be re-routed to LAX, SFO, JFK, and now also Chicago and Atlanta.

              NIH is involved regarding diagnostics and possible vaccine development.


              Comment


              • #9
                First Travel-related Case of 2019 Novel Coronavirus Detected in United States

                Press Release
                For Immediate Release: Tuesday, January 21, 2020
                Contact: Media Relations
                (404) 639-3286

                The Centers for Disease Control and Prevention (CDC) today confirmed the first case of 2019 Novel Coronavirus (2019-nCoV) in the United States in the state of Washington. The patient recently returned from Wuhan, China, where an outbreak of pneumonia caused by this novel coronavirus has been ongoing since December 2019. While originally thought to be spreading from animal-to-person, there are growing indications that limited person-to-person spread is happening. It’s unclear how easily this virus is spreading between people.

                The patient from Washington with confirmed 2019-nCoV infection returned to the United States from Wuhan on January 15, 2020. The patient sought care at a medical facility in the state of Washington, where the patient was treated for the illness. Based on the patient’s travel history and symptoms, healthcare professionals suspected this new coronavirus. A clinical specimen was collected and sent to CDC overnight, where laboratory testing yesterday confirmed the diagnosis via CDC’s Real time Reverse Transcription-Polymerase Chain Reaction (rRT-PCR) test.

                CDC has been proactively preparing for the introduction of 2019-nCoV in the United States for weeks, including:
                • First alerting clinicians on January 8, 2020, to be on the look-out for patients with respiratory symptoms and a history of travel to Wuhan, China.
                • Developing guidance for clinicians for testing and management of 2019-nCoV, as well as guidance for home care of patients with 2019-nCoV.
                • Developing a diagnostic test to detect this virus in clinical specimens, accelerating the time it takes to detect infection. Currently, testing for this virus must take place at CDC, but in the coming days and weeks, CDC will share these tests with domestic and international partners
                • On January 17, 2020, CDC began implementing public health entry screening at San Francisco (SFO), New York (JFK), and Los Angeles (LAX) airports. This week CDC will add entry health screening at two more airports – Atlanta (ATL) and Chicago (ORD).
                • CDC has activated its Emergency Operations Center to better provide ongoing support to the 2019-nCoV response.

                CDC is working closely with the state of Washington and local partners. A CDC team has been deployed to support the ongoing investigation in the state of Washington, including potentially tracing close contacts to determine if anyone else has become ill.

                Coronaviruses are a large family of viruses, some causing respiratory illness in people and others circulating among animals including camels, cats and bats. Rarely, animal coronaviruses can evolve and infect people and then spread between people, such as has been seen with Severe Acute Respiratory Syndrome (SARS) and Middle East Respiratory Syndrome (MERS). When person-to-person spread has occurred with SARS and MERS, it is thought to happen via respiratory droplets with close contacts, similar to how influenza and other respiratory pathogens spread. The situation with regard to 2019-nCoV is still unclear. While severe illness, including illness resulting in several deaths, has been reported in China, other patients have had milder illness and been discharged. Symptoms associated with this virus have included fever, cough and trouble breathing. The confirmation that some limited person-to-person spread with this virus is occurring in Asia raises the level of concern about this virus, but CDC continues to believe the risk of 2019-nCoV to the American public at large remains low at this time.

                This is a rapidly evolving situation. CDC will continue to update the public as circumstances warrant.

                For more information about the current outbreak in China, visit: https://www.cdc.gov/coronavirus/nove...irus-2019.html
                ###
                U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICESexternal icon

                CDC works 24/7 protecting America’s health, safety and security. Whether disease start at home or abroad, are curable or preventable, chronic or acute, or from human activity or deliberate attack, CDC responds to America’s most pressing health threats. CDC is headquartered in Atlanta and has experts located throughout the United States and the world.

                "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
                -Nelson Mandela

                Comment


                • #10
                  OFFICIAL INSIGHTS FROM PUBLIC HEALTH – SEATTLE & KING COUNTY STAFF

                  QUESTIONS AND ANSWERS ABOUT A NOVEL CORONAVIRUS IN WASHINGTON

                  Meredith Li-Vollmer

                  Today, the Washington Department of Health confirmed the first case in the U.S. of a new novel coronavirus (2019 nCoV) in Snohomish County. The virus emerged in Wuhan, China in December and a number of countries, including the United States, are actively screening incoming travelers at airports that receive direct flights from Wuhan. Exported cases have been confirmed in Thailand, Japan and South Korea.

                  The risk to the public in King County of infection from this novel coronavirus is low, although the emergence of any new virus presents a challenge to public health and health care systems. We asked Dr. Jeff Duchin, Health Officer for Public Health – Seattle & King County, about the 2019 novel coronavirus and what we might expect.

                  How severe is the illness from 2019 novel coronavirus (2019 nCoV)?


                  Jeff Duchin: Coronaviruses are a large family of viruses. They usually cause mild respiratory illnesses such as the common cold. There have been coronaviruses that have caused more severe illness, such as severe acute respiratory syndrome (SARS) and Middle East respiratory syndrome (MERS).

                  As with any newly emerging infectious disease, knowledge evolves with time. Early on, it is difficult to know the source of the disease, how effectively it spreads from person to person, and the spectrum of illness – how severe the infection is. These questions are answered over time as investigations provide accurate information. According to reports, most of the hundreds of people who have been infected have not had serious illness, although there have been several deaths.

                  Is there any information about how 2019 nCoV spreads?


                  Initially some patients were linked to a live seafood and meat market in Wuhan, but cases continued to emerge after the market was closed on January 1. Based on what we know today, the 2019 nCoV can be transmitted from person to person and it appears to do so more readily than first reported by Chinese authorities, though it’s unclear how easily this virus is spreading between people.

                  How concerned should people in King County be about this novel coronavirus?


                  Overall, public health professionals and healthcare providers should be concerned and stay informed in order to rapidly identify and appropriately manage persons who may be infected with 2019 nCoV.

                  However, at this time the risk to the general public is low, given that there is only one case identified in Washington and the lack of evidence of easy spread. In addition, even in China there have been relatively few cases identified to-date relative to the size of the population. As a point of comparison, there have been a few hundred cases and less than a dozen deaths reported globally as of today, while in a typical flu season there are hundreds of thousands of hospitalizations and tens of thousands of deaths in the U.S. alone.

                  Did the person from Snohomish who has been diagnosed with 2019 nCoV expose others while traveling through SeaTac airport?


                  The person did not have symptoms while at SeaTac International Airport which would make transmission less likely. CDC is currently evaluating whether there were any exposures of concern. He sought medical attention soon after experiencing symptoms and followed procedures to prevent exposure to others. He was quickly isolated in accordance with CDC guidance, so the risk of exposure from this case is low.

                  What is being done to identify and prevent the spread of 2019 nCoV?


                  Airport screening by CDC is underway at airports receiving the majority travelers from Wuhan, China. Later this week, all travelers from Wuhan will be routed through those airports that have screening. Although this screening may identify ill persons, the main value is in providing information to travelers returning from areas where outbreaks are occurring on what to do if they develop symptoms. Because it is not possible to identify all people who may be incubating an infection through screening, clinicians and healthcare systems must remain alert and ask persons with respiratory symptoms about their travel history.

                  International travelers should also be aware of this outbreak in China and be sure to review guidance for international travelers from the CDC at: https://wwwnc.cdc.gov/travel/notices

                  We’re also working with the healthcare system to help them detect any infections as quickly as possible. In January, Public Health issued two health advisories to King County healthcare providers and hospitals providing guidance on identifying and evaluating persons at risk for this new infection. Our partners at the Northwest Healthcare Response Network are also standing ready to provide coordination with healthcare partners.

                  The continual emergence and rapid international spread of new infectious agents is an example of why we need a strong public health system that is coordinated with the clinical healthcare delivery system. There is much we don’t know about this new coronavirus, and ongoing close collaboration between public health and clinical health care providers will be essential in limiting transmission in the U.S.

                  When should you seek medical attention for 2019 nCoV?


                  If you’ve traveled from the Wuhan area of China and feel sick with fever, cough, or difficulty breathing, call your healthcare provider before going to get care and tell them about your symptoms and travel. They can provide you instructions for seeking care so that you do not expose others.

                  Is there a vaccine in the works for 2019 nCoV?


                  Currently, there is no vaccine for this virus or other coronaviruses, although scientists at NIH reported they are going to take steps towards the development of a vaccine.

                  More information on 2019 novel coronavirus is available from the Centers for Disease Control and Prevention (CDC) website.

                  Originally posted on January 21, 2020.

                  https://publichealthinsider.com/2020...in-washington/
                  "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
                  -Nelson Mandela

                  Comment


                  • #11
                    https://www.kiro7.com/news/local/rep...B4INKJSILDIFI/
                    .By: KIRO7 News Staff
                    Updated: January 21, 2020 - 8:16 PM
                    ... Officials said he took a group mode of transportation to get home from the hospital, then began to show symptoms on the 16th. He sought treatment at an unnamed local clinic for symptoms of pneumonia on Sunday.
                    Tests for coronavirus were confirmed on Monday, officials said, and he was transported to Providence Regional Medical Center.

                    ....
                    The current patient in Washington stated he did not visit the market.
                    The Wuhan market with the illegal animal trade was already closed down during his visit.
                    I think there might be an error in this article. The public transport ride might have been from the airport to his home, rather than getting home from the hopsital.
                    _____________________________________________

                    Ask Congress to Investigate COVID Origins and Government Response to Pandemic.

                    i love myself. the quietest. simplest. most powerful. revolution ever. ---- nayyirah waheed

                    "...there’s an obvious contest that’s happening between different sectors of the colonial ruling class in this country. And they would, if they could, lump us into their beef, their struggle." ---- Omali Yeshitela, African People’s Socialist Party

                    (My posts are not intended as advice or professional assessments of any kind.)
                    Never forget Excalibur.

                    Comment


                    • #12
                      Source: https://www.heraldnet.com/news/when-...nce-was-ready/

                      When the coronavirus patient turned up, Providence was ready
                      A Snohomish County man, the first U.S. patient known to be infected, is in a special bio-containment room.
                      by Caleb Hutton and Andrea Brown
                      Wednesday, January 22, 2020 2:08pmLocal NewsEverett

                      EVERETT — The first patient in North America known to be carrying a new Chinese coronavirus remained in isolation at a north Everett hospital Wednesday, in a room with a special air system, separated from other patients.

                      “It’s like a hospital room,” said Dr. Jay Cook, chief of surgery at Providence Regional Medical Center Everett. “It’s not stark. It’s not like a prison cell.”

                      Cook didn’t know when the man would be discharged...

                      Comment


                      • #13
                        Novel Coronavirus Outbreak 2020


                        The Washington State Department of Health has established a call center to address questions from the public. If you have questions about what is happening in Washington state, how the virus is spread, and what to do if you have symptoms, please call 1-800-525-0127 and press #.

                        What is happening?


                        On January 21, 2020, the Centers for Disease Control and Prevention (CDC) and Washington State Department of Health announced the first case of 2019 Novel Coronavirus (2019-nCoV) in the United States in Washington state.

                        The patient recently returned from Wuhan City, Hubei Province, China, where an outbreak of 2019 novel coronavirus has been ongoing since December.

                        2019 novel coronavirus is concerning because it’s a new strain and can cause pneumonia.​

                        We will be updating this page daily with the number of people who are currently being monitored due to having close contact with the confirmed case.

                        Close contacts being monitored: 16

                        Last updated: Jan 22, 2020 at 4:30 PM.

                        How is it spread?


                        Human coronaviruses most commonly spread from an infected person to others through:
                        • The air by coughing and sneezing
                        • Close personal contact, such as touching or shaking hands
                        • Touching an object or surface with the virus on it, then touching your mouth, nose, or eyes before washing your hands
                        • Rarely, fecal contamination
                        What are the symptoms?


                        Symptoms of coronavirus may include:
                        • Runny nose
                        • Headache
                        • Cough
                        • Sore throat
                        • Fever
                        • A general feeling of being unwell

                        If you have traveled to/from Wuhan City and have symptoms, contact a health care provider.

                        If you have been notified by public health authorities that you might have been exposed, please follow instructions provided by your Local Health Department.

                        How can people protect themselves?


                        There are currently no vaccines available to protect you against human coronavirus infection. You may be able to reduce your risk of infection by doing the following:
                        • Wash your hands often with soap and water for at least 20 seconds
                        • Avoid touching your eyes, nose, or mouth with unwashed hands
                        • Avoid close contact with people who are sick
                        • Stay home while you are sick
                        • Avoid close contact with others
                        • Cover your mouth and nose with a tissue when you cough or sneeze, then throw the tissue in the trash and wash your hands
                        • Clean and disinfect objects and surfaces
                        What is the treatment?


                        There are no specific treatments for illnesses caused by human coronaviruses. Most people with common human coronavirus illness will recover on their own. However, you can do some things to relieve your symptoms, including:
                        • Take pain and fever medications (caution: do not give aspirin to children)
                        • Use a room humidifier or take a hot shower to help ease a sore throat and cough
                        • If you are mildly sick, you should drink plenty of liquids, stay home and rest
                        https://www.doh.wa.gov/Emergencies/Coronavirus
                        "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
                        -Nelson Mandela

                        Comment


                        • #14
                          He's reported to be doing well. Local media and health officials are doing a good job explaining the low risk to the public.

                          The Seattle area man who is now the first confirmed U. S. patient to be diagnosed with the mysterious Wuhan coronavirus remains in isolation, and based on an interview with medical staffers, officials are taking extraordinary precautions to protect his health and that of medical center staffers.

                          by Alfred Charles, KOMONews.com Executive Producer
                          Wednesday, January 22nd 2020
                          ...
                          • Hospital staffers use a robot with a stethoscope to care for the man, an attempt to limit physical contact with him.
                          • The patient resides in bio-containment room that is about 20x20, and it has security guards and four specially trained nurses who are assigned to his case.
                          • Only 10-12 credentialed healthcare workers have access to room, and only a very few of them have have actually been inside his quarters.
                          _____________________________________________

                          Ask Congress to Investigate COVID Origins and Government Response to Pandemic.

                          i love myself. the quietest. simplest. most powerful. revolution ever. ---- nayyirah waheed

                          "...there’s an obvious contest that’s happening between different sectors of the colonial ruling class in this country. And they would, if they could, lump us into their beef, their struggle." ---- Omali Yeshitela, African People’s Socialist Party

                          (My posts are not intended as advice or professional assessments of any kind.)
                          Never forget Excalibur.

                          Comment


                          • #15
                            News Release

                            For immediate release: January 24, 2020 (20-010)

                            Contact: Lisa Stromme Warren, Washington State Department of Health, 360-628-7883 Update on statewide response to 2019 novel coronavirus: contact investigation continues

                            OLYMPIASince announcing the first case of 2019 novel coronavirus in Washington, several local and state agencies continue to work on a multi-faceted public health response. While the risk to the public remains low, epidemiologists at the county, state and federal levels are hard at work on a contact investigation to identify, notify, and monitor those who came into close contact with the patient who tested positive for 2019 n-CoV.

                            The current number of close contacts stands at 50. This is the number of close contacts being actively monitored in Washington state. We plan to update the number of close contacts daily at 3pm here on the Department of Health website.

                            The patient who tested positive for 2019 n-CoV remains in satisfactory condition at Providence Regional Medical Center in Everett and no discharge date has been set.

                            We know that the patient traveled to Sea-Tac on January 15th before he became ill. We are notifying other people from Washington who were sitting close by the patient on the airplane in an abundance of caution.

                            The Washington State Department of Health, in collaboration with local health departments, is investigating a few individuals (unrelated to the first patient/case) for the novel coronavirus infection. Should they test positive we will notify the public. As a reminder, respiratory illnesses are very common at this time of year.

                            ...


                            ---------------------------------------------------------------------------------------------------------


                            Novel Coronavirus Outbreak 2020



                            The Washington State Department of Health has established a call center to address questions from the public. If you have questions about what is happening in Washington state, how the virus is spread, and what to do if you have symptoms, please call 1-800-525-0127 and press #.What is happening?


                            On January 21, 2020, the Centers for Disease Control and Prevention (CDC) and Washington State Department of Health announced the first case of 2019 Novel Coronavirus (2019-nCoV) in the United States in Washington state.

                            The patient recently returned from Wuhan City, Hubei Province, China, where an outbreak of 2019 novel coronavirus has been ongoing since December.

                            2019 novel coronavirus is concerning because it’s a new strain and can cause pneumonia.​

                            We will be updating this page daily with the number of confirmed cases and people who are currently being monitored due to having close contact with a confirmed case.
                            Snohomish 1
                            Close contacts being monitored: 69

                            Last updated: Jan 25, 2020 at 3:00 PM.
                            ...
                            We now know that COVID-19 is here to stay for the foreseeable future. It’s important to understand how to live our lives while keeping ourselves, loved ones and community as safe as possible. How can we do that? By using all the tools we’ve learned so far: staying up to date with COVID-19 vaccines, getting tested and staying home if sick or exposed, wearing a mask in crowds, and keeping our distance.
                            Last edited by Pathfinder; January 26, 2020, 05:00 PM. Reason: additional information
                            "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
                            -Nelson Mandela

                            Comment

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