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Meningococcal disease
Meningococcal vaccine is recommended for adults and children >2 years old who are traveling to areas where epidemics are occurring, or to the "meningitis belt" (semi-arid areas of subSaharan Africa extending from Senegal and Guinea eastward to Ethiopia) from December to June . Saudi Arabia requires a certificate of immunization for pilgrims during the Hajj. Immunization should also be considered for travellers who will be living in a dormitory or refugee camp, or working in a health care setting
A quadrivalent single-dose meningococcal polysaccharide vaccine (Menomune - Aventis Pasteur) is available against Neisseria meningitides serogroups A, C, Y, and W135. The duration of immunity is at least 3 years; it may be shorter in children <4 years old. Conjugate vaccines against serogroups A and C available outside the US may be more effective in children <2 years old.
Extremes of Heat and Cold Deserts are regions of aridity with rainfall of less than 20 cm per year and the soil, though L, fertile, is too porous to retain any water. In summer
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HOW CAN YOU JUSTIFY NEWTON THIRD LAW OF MOTION IN A TYPICAL PLANT CELL?
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