%PDF-1.4 % 45 0 obj <> endobj xref 45 30 0000000016 00000 n 0000001275 00000 n 0000001440 00000 n 0000001482 00000 n 0000001767 00000 n 0000001907 00000 n 0000001996 00000 n 0000002132 00000 n 0000002276 00000 n 0000002982 00000 n 0000004009 00000 n 0000004919 00000 n 0000005743 00000 n 0000006621 00000 n 0000007507 00000 n 0000008380 00000 n 0000009250 00000 n 0000010081 00000 n 0000059936 00000 n 0000060128 00000 n 0000060691 00000 n 0000069534 00000 n 0000069722 00000 n 0000070020 00000 n 0000070407 00000 n 0000079486 00000 n 0000079681 00000 n 0000080073 00000 n 0000080532 00000 n 0000000896 00000 n trailer <]/Prev 358200>> startxref 0 %%EOF 74 0 obj <>stream hb```b``g`e`0 Ȁ , l@q?cؚBvFX*vQx{͙9_XYl@l" UNEZ/i&TB% 8::2:tG1@Q,D50Ur2R@1``xà42s3%3~ LJ = &3F0ήxA!Ia}JX 2\ [bd,ӲNT誹T 0q@2o0j\ endstream endobj 46 0 obj <>>> endobj 47 0 obj <> endobj 48 0 obj <>/XObject<>>>/Rotate 0/Thumb 29 0 R/Type/Page>> endobj 49 0 obj <> endobj 50 0 obj <> endobj 51 0 obj <> endobj 52 0 obj <> endobj 53 0 obj <>stream x]Ok@>-=XڙٵKK!IK Zsȷ/@V{hw>M[\|4,>TUts[/y4^X|-/2<= ?y/yMC?v\ʅoÇ9סnyuOs祛sul??4v:qn0NpÞn8p4 } 0p 7;j\ E"%tT=QWG*l-PaW:2\9Qh "ء*c*c*c=\epJ`CW; pCG5 i*D\嚈5% ؗ\c_ؗ\c_5%܆nCX6pMhk 72ȌFf72FfǪ̏';=:n|= kF6a-ȝ7;a 7/3}Yؗ%}ؗ&eľ7/nb_x3lO2*7G:js~; CyY3ddΔvUV9 endstream endobj 54 0 obj <>stream HVKo7$v hǒb/Mr] #`U$7sjA".~3\IGlAKo3$_%Fw\yUjO2̩ėNvd?+~P]]WX+_Y77:oK- sd>k 罺IvNy+QQއ3ayɛU8p[\W}C⳿?۔6UT>/:^WMK{0qnSт ێ,wP4pxLMH0S6g@IChdKc#mczD3v =t%;ߗ4yyL;|%\y}[_-/3g ;k4UROH$TU6lfWYCy`Պh endstream endobj 55 0 obj <>stream HUQO0>2!ߝG{S)OxH*s@ %La;E&q(L`0@)wEţz}N)WG!&>I$d'B $ $! ԙ} `O`!FQ֒1$_G*dj{ KBh(aK*kP*2<+ϳU6PVc*۳!N6;Lظ1NDkuadb i 8B&IT7U,uLߡ5zR_ZS2MiUwvqvꛎ cV$90¨Gfܙhsj*3'ƶħ4\X]!Un{D{R p` 4[;+NxZؔnxW͑Qcp5uV̍\nVXj*-?9ܠ7 VҚD2JؓW :Vi妱,}j[;_t#< endstream endobj 56 0 obj <>stream HU=0 햶@gL$[KΥt/Ed AGRt?;|Ò؅l>?vc~~</$_H)|qG( .2}Zvl%kVGz> V7n ~rtؾvf #ge||.y?SN9Oޝ@(Uf'n ոS gMZ "~{v775 M/a"pO Ivo8|<U3fz.%oa"{%2sbݵKp r'b! B}\cY:DA&Y.Tp^C:sFƠ&H[r3!% <jBMuyF-q@OƽVTS;|gܽb ="d;q9XT8V!+djiٺtfAv`YôuaUC'TCܸmW< endstream endobj 57 0 obj <>stream HVn0 [zPO-qpɚqNR`.(KcA8|(T|NY_s"BD LYJv;r6U\s,jՀZ` DL49{ZH9WXh]<,,YNr'cD|69g\-2gs`'nc%+vK%X푣0ڞT7ثp,DZm`f3Q,4ToUh}QV`E'\XVW# tao"L!2bޖ, ҶIP!5(aymb)T/A22.TYAMk-ш,V6 oMܲ:+kNTݮE9x"|*k)hO 2ǽJdz}{i\"se zټ"A‡r,w'ר:S5کf$xpl킜cu-Q$0*KA&zy"ĹJgQdȘpy F%7c݅>stream HVn0 [z؊>m ye;c'M07]zve-+t50H=Tۑ~#I<*"WI(d+6шL+|v1( -Zs&mȓ[Xo)pMnkq;"cH%va ~JQ0lIq7E|аM#Kv@/ |@%2j> RxVpVTslS2n~Ŵ&&vʞNMa$LFѡKrGy-F&L^@.R+Q1l.j+)*8#fD{üCJSVg'@G4-=2q,KbfKocGlYEKٶ F g[:H \p5g5Zmo,`ӈnI%zms(Ξ9 B- ^}?3}%VJJ"rZC0e}|6*嫨?R<^`H7 bG5Cb^tA, %7H\Qh{_+y/z$DM87On;l%$Ma&ʻBcòWF349^:= dJ;YŁʹ%%~;ӎF͆j2n7&y:;k_Uû9CBr$1A- A(SK&mtJcܺZѡ %o_65>stream HVMs0ݙ!9C\Is S01$Τ3饗>ɲ,@.aޮoW+~1 \z0 ^XZ< migF'@F:)͵d ~]=0|L)M17Ei/, :3\kOk:s߲I&ŃDP[(D*[>R!U8G*J9K`RM5+ݮASNnhk'N&ll1g=zңHxptoz*@_0:>+0f=IeQzZ̲t8M v҂]`To0q~p H8/Ho(tE""2tZIl.ʪ[}Drt0[WVuG$ YsFx(xqDR]k? Àe7\y.5~sZv+..u֋^$VR3Ec;:&;Lwy ujԛ+u-[YBM\7o)&d" z@^'ϊJ pIA}^RIy1rsYڳ_{Z5o0!d\T5R9)82W_ER/: ΒiKG!+Q  9Jز~3 ⸺MW¿ LFJߙ(ȢI9IM*v O:n }S|ni&҆7 endstream endobj 60 0 obj <>stream HVMo@][8 Bȇ %wm*&u"8GzB*.>fgw6dggޛmO|s½r8c3 |!%O0灌~v.ْU,bYH_);b eSCDC5놭sVķ}bj[a,VA9+V=[]^mP5xuzvW>KI$Ɣ+K OGNY+,0.@Kb瀯-IU@y5%;PF3f5hCk$'{ o]B]K]#yi -SȠ^᩹[z=RP% 7/!ahVO`[l盗e^nr=SA( J!_@aLUyZ^L;cOi{a[^ Ba~y섽MWt628%vǸ>n+6Hb6 BX.DEQl7EimM^y'8jXA&*#ٝ_ش endstream endobj 61 0 obj <>stream HS]o0졫&U>H.q 2U-)ej[)  MBYƤ]#2>n(q'+R#4qt]&s*3)0Z*j b&3VVeUTmCb7M| 6 h YlsYQ|klHw\F_6)ߒ?qA.kfq!/VF-hj, tB£P=+iZvNiPѰTIt[=B$0x`{-)<Q1y\߃3NQi_S?CA:qЋ R!^r#OgjG9q:a*- UkUOd=Nk>stream xg|U7~ԝݝMlg7e ,%4z DD(AMB[7l`/ D!V_3ϋ3sΜsfUWB:Ԁ(rOnBik(lE(P8i\c2 ROvuUuUM?귕އO0;x~= CGPko8)ӯ{s{ä1pׇ=iwMMR,<0]7gJݶ>y$#u4A+n+b̍p£_8JܤNs)gs1xv Ȯddgr\_( QL,ǿo;΅Ο] .55UUZu+^ww{uv/t~y=^Oֳgx95{I^7NN~)L_o//ܿѿ @q  L L \mٸW|;o9_x|;Ivtq#̍,\^FU&#ZAor'A;cd*.l;]d+&j'r68.kr] 7\r:Fn3P.]Qn&Pn?(73s5Pn%ʙr6r5r(}+D)@eR:wq;P.t]/#uyrob~CثEf%sZ/DĨ/ twХB~?ABN0Pǝ6ONOKui4{&*P۝ZsvЙmm ̣~̶{N?xt5Gyr<^wrx8=:w$pŇ{.r{syl-o:/BAEB@%D'/@a~q8*henn$BR#Y;Qݤۤ KVZO|f:)}yvoeW,~yFP|CaPQ=3{:)z-Fwkt݅Ach3z )z~FwRa#ZA_Y [ ,&Uh2zMAo}zCS:C^1}S4ZfhբQQn@7h D7[|t+ZnCh!ؙ ڍ13E^Ə汀Q^&8KXOswހ&?Y~7܊?'/alF2V Qx~'D_ƯU`+z5cN'cvO}]؍=؋om~>8!Tq:OFn9[ɭVsqspkn-0z{{{[ǭ皸ǹ'' Ff&3mp[gfkqۙZ:nŅE%en/*on:&{{{{{;d.0L,a)˰,˱<+"c%C#S3s Kw;ڸoocqw;}ϝpSć$3&|[x+o|2w+IR$KGRtL:79?ҟ_w#0Sx?S4>_J,|;_/F~9_ɯWOQ~ _ 8c:~=????@_C }o73~+,<̷6~;CJ6)IKɒCrJ.-y$R$R4f5sЇE+J2?3W  !PaP.TÅHa0Z#**appP-\+jt)C JR-H]UV {}A!a1a[1aANŎ?a ' y|w L!,O""1(D$l@q%b%6D$8[ވw]'JH: Aq)_*IvG'MIH6! JH>) 𖰟Bn%_d!i E)M"KwwAC#cS3s KpXJ8"ڄoocqpR^8-څ_ _o9wO/,c$.f6N"l<&!*"6Ȋȋ(:QlkgYd]A4nzYhb/&E61IɢCt.-zD3_ b.fA1Mab-戹b'bM.*ū^b{}ľb?T,~~ 7Ѡ3H@q8X"b8\!G1XҠ7 Flxxng/_g7aSIVSq)nţxX%kb8A(N'Sĩ4q8CU)kbX/o7">r?yΒCd-yK-tM_~m$?' h;L~&_Y9G~'lt^ uH)j5\ 7͐v鱞ՋzޤOGקA}>OMS_/׏ԏ_eq.cqqq~CGM'O6n2n56O*Q"?/ow/ȯߔ(WYIT{|H>,%m71|BNI2X V>65FCBuq:^'DN':ΨuΤ3tƿ e [|9Ŝ7v#ƨd,].QgYu6]ήK9tNKyt^OT].]!/JHJIKHJIK_^G-4r|D6}z- p3:# ' :ci%IG"o; KwĐ̿Ћ./)I}AI)õrW%E+DICkQ;z m@q Z{y^߇oBa|$ 2 3!Րf SY@ `C:xACɼ,Ȣ%Y/ YlC!Panaiebjmbjf(7܈^A{ 7)%DސvK{ xE+J$omyG'A|D|M!ߒc89A- z$;M]M= =N}/g+!P}eo4ֱ4tp+{aQY8i&ý4fKЮ4惶ecρa@xLw'7t~WKO84flA6WdYr6EΑs.(m7Av7-zrUl:.+kGGuzI~\~B+=Kt DJo /_3Kv+/Th9KONB?> 񂨓q -ɞp/HMKffev隗_Pح{W* ӷ_iY 2tXy#G3jT_;f8iӦϘ9gϹany-޶_ n_t;ZtYw߳rս5>ac7=ēOmxzl[}mw޽_z{7;?O?C_|yWG^]]]oە|ܕ|ܕ|ܕ|ܕ|ܕ|ܕ|ܕ|ܕ|ܕ|ܕ|ܕ|ܕ|ܕ|| 1;H#;Bѯ8ȠvEfFhqv![RO ^4=z t?qȈw|ڄ؅*Cւz D_!ICnRP)DdGnC}!ۃkH$+{Eߋ~gAmAuP*n"3|oG/JS j܈oçՠL>z~Ck(~.^$DR{Gߡ 1B楰VdӾlr C`Vd]h(] /$Hޠ<#> ",q am!ǀz! c+-@- JGal%hx+A<WFJфw(@:Y s K2Nf.۵vxQ?uzѱMPw4XyE0] >r=Ԋ° oi8 x^ s/z=mL!FN B݄̽^G! ,xOs'GGY\`ENGGRp#z#n^gUd;5R@KzQ.ӷf %;d ?!r}b9XW*DTY:-op5{@^V&}Bg\<~HݝB*DSw= җiN\t]H`_Gw/0v}Fw/wdtTuHRȚȫca~aK`kA7 HNzWa`Y5w} }(hqOt߁E{@L{`, =*1bTnz%I942:2m$n)~ kc'CL&)f0Ә;yŖ{w5!y/_Oo?棂MxHap lIt6C^^5TE\gwLEN4^̦} >I``O"D>CEdK^K]ʹ8tz y.z Q%ϞG3ٛ޽RA?f֡G~v {xB%=@DPTanCL F=SR׈$Wh"w` (!S sqA'i&Ȋ?yQElsv94@@7^B](MC#E[Q!ZV1lݏ=:n@_}s^ $" JzxBCסn^FZe,Q4<1:4=Z "= n]L%tsv=glW+ەve?%n ^bt82 2Qm[_zsx1})obY小}4XUy_R5xF! ^4fhG׾Ӣxd7E!-{ _у?5A$xk[EF/C,7ƛ}}M3+a𒎂wى;0nΚ9cS&VU>,TE=w+,%7';+3H'٬8IcJ0,ո5L7`@z.ivCW?4ki ̩134+bT.sоܮjUZm.pZs7wisټ鍥5v-]V&jIДlյ`K/5 jN+m+h +W{V.|NK3icwsG=jYUh&2x nx tSJ՞f7qf 0&iMJ 펶RwJ/%5r9٢bdm1ʝ ƔKcZKDW7ġ= +;uW)Q0 * W5O~h4*EЯ7~n }g3+!J%A`9#C/pK;/ʜ&;: Um'T=!4NWhrUͤF{q$a:pq5>/?YI+^Ԍ)#}t6tvƻ_l@FT;Jg U56vRk;n{ͥ;'z^r@.kVj*xQ8zV}Y;5yX‚wYcMpaϭwJZXWZsUqQVOil܂TesނF˫˃UAW9RQ5}EP^:%W[AȽtTe+oMF(WTO KDwjFC;H.a4)Lb}JAA!D`.fO5fu`DQG Hm-p22* "%(vBmp =Gha3d߭iD5\ꃕ.[QhW_]Se+AQ,`}TO`TGµQeoNSջYel1lԌFV6#{ce0nh ꂾ ST7dLYHXFnR FK HDԨ:95A] J&v+2 v8" TϪF_k-ռov06Yټ抋Sxfbcc@f2)cT/_dX2TS3=~r9n@,&8!6Uȣ;-@^F+ex#8A#"kP9WQo P_Xhr DKb^W5 I உ ٺ )UK4|qyDSJ+۵ng\V^/+ۛagU>vs/:cF7]>Ӝ?tC:uZ 6Κܘ²om`닃ԯU"m=( FKDt& 7G] tu{pKFm8QTR$R@A8+: )]ݺn'iЂlƏq!^Ld>߸auUٰ1ڪiJIg2,`YqcQKrs\\CBSsY8|qQq sB3d)+C=3O]|4'͍Okk>?ނ:mMUʲ/A1Fh9"9А@8#$2mGҔzhG5I1s Ku޾ H7lrejaӄi"K~s|}l3bQ^OkQ=7JbM…,@A͔"  V&|s8wFk\GJϜv(EhXHjE*V$xF<<O7z φ(^B=%'ѐ**C%E^|^$ 4lEpSE5(';;w״2;'#@B(=GD;i *'^ 0\Ba Żi.uQ%0a<娺*;Ko#\)ϠڤW$fk PnP$NG JA5N ^ZY6A 0Cf1 B m&`RlDM6vtF0N1S|)©?%'O;N;_ Xm#ϟ|GN<0aV#7zyTO`j9i"jոXmVYCV2݅w{umGm$(z%dIJLDYQahC\yJnfCRN*Ty0 ~ jHW_mߎY^ԅ7^%TW _yDK)P'<W|MtO$/I~r 9|邷τohoJ=,!(lj!;b~ BqՖqY\\cƵV~v-/m??- X{-fqXy"Y%Gme$6@m?>1(% "4/Wؤ6< 0;qߔǍ0 c>ZIr7iMܶ🠷 ŏ'BBGl=uXqL*wTtԷpjk_UW` \ Ħl_`U% `ϩ^}8Dض*,Ac:`cꑣ Tlx_a y'kaa7e6<]?y}o;Ȇr=g/1\}NI{u;9v9΀Nf8I= `,ɚ2{4ԭ^6)cK2lgL}З ._?G3=0|켵MR[Ijwwv]\>m`_܀At)TÃDQ!$Ӑ38crK 7&̼@ eHx}bN8N`y}Ԑ$20=d%ʸM21o3^OAAyBQc9@Sla\lڔets;@ \Xt``e8jҸ|&St Ig<6EV;ƫ4i>;yPv}b9ù]-t`v3vJO^B&_OF>DUjr{`ܞ${2 뷹ݞ=jVoA ؜^ȎhT-pW#>P?w*Ƀ=MB;4)Dy)Ǫ)*%59m 4uۤ"!;izaCEdSA05!i3ut"Vc>HlwƛVyIUwUd?VX=-8L[`>!iZ>/q iիa!3d]" Jqy<ݖ&p/fZV!Ѡ;J^I^,uIuhK(ZI/s A?q4u'[Όg2i99Yq]"P4 Xna1׈AH 4zLKbKHNcDnsx:ăcw{{x+An \93M!K35iлO>|D> b$&)waQ J/k:ٮ>rY_}vǐ e0*˲ u#1ݻt=F*(IzmϵԞ4Gwy`@2pS\ۛ y+6zL0vg08La@G: tG%g;@1:N(KJڕߪ;kC_5top\Ϣ"eDB7Sij\4@r87nCVGԻpݖվSaƀsCHxEʖ>X.ŗiPE"-##fԭ{wT]oo!aAZ۫o?kمW/TmgNK?)06.uj9f\OR|^$ě<7#M!ue Z:OH.VkiDK7^r:oR~ 7NzC䣝E~xܢq@"ӿrܓ j__zV)?a@rwj[$bD"[Ə-]wE>5w\8^<~diqs__UYR^ }QbY(Ȩؗ:3c8. FY6(:p rdJۓmն|fkukzu'9c5AB*qYe@gJtΔ)ӝfQ^,1/s.u="?5=-V^J|G~[yrZ>t)ә)ʃ3 9dѨ{@x`'LNxS 38 q.w"ӄDA0+$p ` $w[;L+?q{VfmI$5U3}@yߎ%Xژm .a ZҎ\,Wß^;<ʾ);=uDx%t&j*&-*G 5 J XW3];~sbdh[^/ޣzdǩ=Ү?qiy+ek}5Z:lOxl )o^O9Qu'k;s.CK&=5ikꩤSwG{ڼ )}yi:(L&O+,R%*ٛ֡o,y!O&6g~א/ #_J?/)_L *4';Sr +mRx\JMQ]QCQSԵQOJqrPY4/xwQhDkɝݐt97[swrk(z;˜)تe=^eORe2QAЕB3h7@LLOXIv*e WU@Uö鶾eZ!㓱ΙLG3AW.RZ`A$ Vic(v |`7!< L,@Vh٭z?@4[ m/D]h)VWa(V{N&sb3̵kKYzYO)Ҭg .y4՞sO[>xԬ*5sK:Z]6񎆼~#uhԤ5n?gr/ymeJ;s͝Svy2֔]7M}\ECoڔx~ɛWbXpEfe)VљsHq:4w% /[nN6&>F$m/PQO q US xOA?jNlZ2art)ج`%L{XiP0 ċd+wU>o.SB bۊeJY'O<`9*իw'JϜSc윞'@YH`cbR,|y5NVdBSh2 ^L Z<^y%1`e$Χ1K5oڜF_*ǻ1\N<Z|O/Dݸt =>IbgE\h8˪M;6;x `}`n"D4UIvqS/Q[߾"XMx xIR'I8 e7x|͕f4--1 f s!3kGTioS1WIAȇ>\S3h`PIM^TN.Iy'tNńyN̿UEUONr ?>(&l65IOX W*,z"1TXSOtznp >/oLJbyi ]W#7Z8$yq7yn ݙEd\-؆9@2mUJBӒoJ~$wuk m[W/ \RX)).AOY̑6Q~" LnpO&';q p[K/VWr½N*{ޚteI[edEA]AS-@jE㪢ZS4Vh)SK^ek:wL x5PE4 E5tV ;:^A b0)Dj fh<GvpjvĘ]C⿵SqMU5L>틖G}GcHdJ-gM~`% (MI#i SS$"ӶtsCuL*sǯhilddĨQdġu:4qppV?;@Xh4-씋5G-h,KX %_ &! M&T&>)Eiq ~?N-Aұ'wTjй@p_R错 ώGLVZkG>_rXg'5cʲ-5)(VF܅š›:kUUfkMʙ'-0;p,V]B:@.[Ukyf6vy8bzLjL8rU>:599eNTa^e<53fF ű횡?B"+@) (x``N5k2pLKLu;liёg4S!Jd( !a^x^`_ Q,$xG!kKIm'(XU׃GIد^.J]O'ĒcM$5K3C=gI!L ncH -G`[Z %ZzmR./P6l)xivd'=>S !2gʇhF0#f=ߐjFzsFt^&7ZZ/J19ruqr)x/\K?ڼ-Hz"?ȽjBVNpue{~G ϙ(2K۩uǨqj:AU[+>_Ϳl3FH[(ҵv= -?k'LA} 0J)YF1TQP_8z:j$7p z~¿Κb\EWԖ/{}oC9kK'd8%+ɘSXMH&2JXnGV+YB-,\ FY x(]꒻!- ѵ#/h.--Ƀ% )\aq sW,]Y  pN]rQiͼqT=h Y:(३h6`j[-YkaPcF1!% nn4n_nDFxU]8x6cg;-+*@jj^Ib-5xZlm_G]֡C-ٶPX * T@?l S4vQ'ԜruBh@h9FΑ]iHXa a`%@Ѿw0͐gE7M6MA73hmgQ'qV\5ALm_O_?'ʍQYt:7MA1O1>enǜ&LiFxn |8[lv=L]Ӭ˻t $R7rW]nۥwҝɶ?+T?zh{_r½4 syIz1Jseo%KB|(CDbaS@<z$ 9G^rsRй<|<7#le[%?48zTmm‡0 Vj^cܸ{>i\@Ch&/DDdI ( P$[E ॊ6sꈻ;*ZJ7 @VMPzǧ9&\'UmJl@8K|=_q9,+q.< s"._?7=vM[ђ2Foߔǣ!=gU PʻE(R{(()2Nש ZB2h1E"¢h[؂WUkh!%{yQO'ilT=lCUh'< .Q$Tj*I3݁ -pYQj"p 6 Ğ$.jSBhiV$X3gv5[ p1Ċ$=bVAEIoOo#Oߡ' bw("〚yP@R8@2:QU`c&QO!s<|U%V(> 2_=hÜf;Pf- 5)Y(Q7y$gu0!҈KGI8d8B/d_rQ#nݪ9Ҥv3?|~ڞ]"u 4<)0;]s7'Lz'Hh ˫TZGcVˊ_S~[W@``ja4nV9AW3ycdJȥC#`@&"7̀8$0Àf$&gKb FJDQg oRV{῎~b}??O`\~`+\/}smix@ˇ͢[qW9IQHK>nt,\7o|M*J;n_Ɏg/%}+}F=?ȯ&މ>5O,[`PBa$0+V S0lM\NxxoޫzG:l#PNf}٩,MC!Q搨xbn4<'<8b1\$ =*p#th"tNJ0Cr8/αb-2Hҍb@)-s a&O#~?lq>8tVs"P'Ɵ$N&ItYw$9u_lui[i8d4|7?,-,_w-So"ƣoye,mߜ ӄߒKFKf-p]ûx@XUp!L:xWBAm\f:\Fξ"̈́)9h+oƑAġ=39KU}LbFDR4)6l@ދҊ&1Z 9te &NYӊ q<<qo^pո?FWبaD:cgYZ+Nw]u/p[v!iNv}8vVN>nRt;C0Px1cw*w4" NOUH=Iv@؋372tgzƢFJArsnKy(4|:z,L*w{#w<N=y6B23\K ͅlWȵ9C+O|MȀʖP؅}aJG# :( FkM>Fhn|sC=AJTTWm GY-d"IIڨ$-+г!A*tDhjHv “ ·D8J' G˗'fy1a{S),=r5G4^˥5 g'+^ajHd)h&+BM-"GJ[&~3pLt%w<{QI`{A=="T)xu3,fj\VM><8k#XL|>*a DY5FⰚc$OqXmrQ1_lU%bx䞯= }}w]IBAX~p>ymXֻ6/'>sYE3ctH>uR{ {/!~'V&T\jl2E":Z7olF#n...]''h.K沿/8#(%Lf *`>ܼuqy>> %e}ֳ;viҥK7uXh1i7ɰQN1CC'rSﶾ:师6J~Rp'loxM a2YRV ӓȎLpu@5R0ӓ`Xrl6؞nm5jױ3kk}YBOee5S@#d \JҋL"!=vĎM!"Ѵ$젱hfL0z!#yΞ"HZ Gt*. l$["R|ܣȤY}Axj@ V|f2J Vy+j/ O I)&6C8ZiX解3^o瞕vw)}EލGo|GWWO;:ސԮۮ/~u}Cwlj*¿=(\$ƃ0@xkDmo \_sj/A 2GA=1-z,ÜAJ50T*Z(*zy=z"^D[ܮ`*eB`K` AQSg Tc}_IAG8XG@@R;wd8H|¬;gÈ1-B>ȀC2GϬo;-(G<4y% H QO9/>o+Kpz`im_;AX˿ß+%vQ4ZM{y#RѝJob:06X E`@0?f R.΂VS`D!] $i ŲΑz.Al~}\w2>{ۺqNSotp aDHwsFfa<}m͆,Nk 5N NR¢I.' P>4:5B$>` )]_lA /"v؈:dG9X٥\bR/ܸ'FЊ$8Vw Yz+TIYNq9GNY9p$=O"i q='ih. =6cX Xb^ ƯW ;^k_\LH$.!F:ˡXr 7ˣd=3q,jkΤ[5 79a]4FڮƌlDQ<;6D,zؙ9N**Ny18]b%W5s&ޠ <[DdGK2΢FsoA0г16ŧ Sž&DV2v1Ҹ\^n6ލk٭ܰ5vv;pVӭޛ|7+7d}.K{_L|)SOy=Fw?fy}vNy8- 1c5zz~Upybe7.\?H30 sZ}`C?mڝE3B#_5ox*GYM}>^7f x"f{=K фx)Wj3#dAlSySLFc>_@o0gC+|9?Ϸ`?}>W`9b.JE`yN(X=jœ4X&_ 0T! o[#^sQ5Nh7ku4f$L#ZjYoV[aO9ã3@&13#p7[mNd_:[`bM.DZV6X;\n+_pw%??19trgPkxIJt2T-@L+[#sէݱh4o zvmn"ϢU Χob}e@$F8Z@`'e5t?Ϥݷwvq@9J?y˱ 'E #\"IDR/M ZGp#1:55j_o;]ܮ 9J 9Yh6 @$&;нxqK<R̝Kpy>c.(@nW3ՌCj%Eh1Q.x|$>sСdnEh+ͥh7~LC0 ҅b&FXW\kA"Xc0E< 7T RT'43to0UD:!C!JDNE׻q_F{/:b@oގH43M R[†h4\V_ zY֗n11+UFӸ-uZ;ź^]n1=PGE` ȰȌq#۹qIc@ `VѪYI$-z2V Ay1l I>a9{g6E}G]?Hث@`Ak5͞lha(m͜SN ''`6Z4r@>IkxXA/CtaE3}N*=R?_4|yV}RI?CD6Cո)a.C ՗Z~']V֯hr%iU~=5ZX.cb-VG!535.GFt:f\7nW@WmX!ޓcBHV|-.QƎ;0"ŀ )Jt%ѕVw}Vt-3/eÀep{B`AW3˖#=Z#,\+VFCkLt-:3g ,WTIaUR)s(o4b4^"EZWtMoZĂԉgl[pdeHHѣ]E`|ɤAMߏ66 572Zl! דf@L $3:DIC \OMJ~q'6"%iW5bJ V cEWP2z**veUZ N-+J ʎE]+l0^mSuvnRC|zL[if꨾bJ+&)* Q h̶SCIcO"m蜴SO#8ߣPGpLݷT1Tfh6J%t?DO]WD@xt"ʨѳQj< (-jb'`YW9W)pp8G 9GR>zL=өf6{=pfzgls;H bZFen_XglX=o)6ԢPlXQon }%ܭ@'_R`d}ZZФNÆU+H[10hqs µ42;jt(5CFcER70{Ȋ3V:xn@s\?o ,ILTqo6Ao><72=5^p16\8C˳Nc(s\oԼ,(֧C}[ɟaM5rhnr-uD*=#W;Wq-*,y}dU--l[)~"0ugGw;8sO=PefNudǁK$! &T 0x{Ir۱isz 8⍮ф_KM /!DzN 4: t(u:Oo21dEq$:dNj=ueu_gG?\dlWb7ۙ]<]#n^h8Kn`dBpL AA.yVG1ڈLeH~)[٨yZ[0W£F.z x$ǣ R(Fs3A,C:CN@j0eRo+V's ixhI,WyVEZ=Sxe?r9Aw?;.ȗ{tbڊ?|ayفRDgHGg`SKQ#a]Q (#%!?+j([ R3N DRyCk tϾY[î6}պq0:,R;2^Z|ۥ1} ۄ8:l.isPb^qxOe<|67>A$`1G3Q $v?5w6d] ?pE'9*xvtA31Q@22` x{}^A*e!`VC:vQˢ@<=JH/93Ji5+7RE ;I%\0Dmq%:{^ B3%W lT>fC!Z"ôxr ۚMdD’z߂o1`낋:J#߇B˞ձ\̹=+_`QvΰX85Z7UKx.E, PE9 ²0>z^Cg2.j=qjn2*ðrSs/c=nZ(식k/_Dܵ`AƐIGt]ϺkEIYȖز2(hg#ʱnpd$p"q0'xǣ1>& .V]ZiVJN8Q `w|F}ƽM(<]usNGu(ω[ u .N`xo;Ж\rX?e{m\yrxK|p'H^2-<#J5?/1kI~1}IE%>ObDVi͖d֣h̵ŽI g9=o9W{];_Ak]tu~h=!əh='So~)L\K_AQ={_P' ?@a:gp8S54Inc rSqssu't{̜Bj EjuXR'½̻r\;]{\1 &x*_iWyt%$OY ؍Nbނ"X }-L^Z502_VOb4S 4$C  ۜN;Έ#ىm<HQİ!1Ячz,pxeAY[Kmɠ-ɒjWQlBRa< c 3ڜȰiɤ32ۨqN/6M ;n45d4Ӓ~ nݵL{G~iz|B'xl_s;7^yc ;S]#gwݽ E-'3*VkKSP$!OrAE 1c[D"2P9U5h 5iAZg3MMawT6q`%Ot$> Cs.$9WU#b-XK&Tq 'bYeso^L/6-Ii=\fgh &3zEmK-ZWy5 H SϷ&Es1F ^rh2k{ak՜HBj`&CCC%2ժ6\uB Ĭ2bO9FF̫`6zcć3=SF|c+FW,E] ;">7Dܑlڐᤍ͙54Zkd|\n`(\g E/X3Z2qGFU `,ޥWM?>ޒD6-g:կ\oe VzZ{K0a3u Y{ѷy[M͸#;=/}ɞw}%io_9;>,SOm~cͲWq=Y *ꕁgܫBvCϏGž4(~SUh>}!JGk#S![Ռ C}B۪D/o]UѪ4f^R yվ;y4ᄑ2h,&O!qy9`S=+y.ߡHдVy5(<>ϛ0+˕,=fF\?>,8oV+@ 6L@\r{K{/1JJ0 2ьڠ"46]}FSieKRZZP\q)_TY2a "QϫUX-~!.Ek_"stTpIjKK}p]|r7XUUrJ-Rpn.5ɋĽȧPnf5&_ p6%T5dDeA~FNQSÈTna<0C+Eg4=jG=^XⴕtڇNnl6c^f7> 6nm {3; -n:,4Ovxlt0m}޹h+s[J tn]\_uŒbo|?],=;xQϝPu5#Gæp ӛG. %)z`!ڵG7\8v˾M~h>r%A0Od˶SN`35m"xY"}aΓطúF]Z4x3MNFwU+ xlЅDO}⠄Q/Xnq?``.-a 4k@qKm‰$2O̳7De2E/C h04O h"`?30㙉 5TT u<4Zy`\=ܳxQ:8>FOAr~ G݇5x g&hH(֌bhk4Jw5@ݵ]bzlTl}vE#bȫ j.uVֻ5u,P7}-K_>UEB"rl0: 4=h!2j09D>!RKi5_\$ `KGzBhF9_9BxS#w_h[h'-%x8֎+Hќ^lxHI@HKfƬ )>+ `ש؉Z8;TS̈́{f3|eHXLnCki  FI-`DEF"P*Dok+yg6y8Jj-!v1QܳP <& -&.&P_!E$Zez1G$5UHܯ4!~ I#҄_:+餃_#C^Y93Fhwn}M6chN Tt ,aoG;R{['[[[{?),/Z\KXCwVW{{˿V<f/{t{m'yØOa,ɠAo4UծQ.h. Ļ.A&㘪M GIȝ9+'ěJ57֎~ YLQ(SHUS'SS֜J^>W|I:WꑕsՠE5 8}8^jĠ.+ٔET6q+EH08@*kmFփ0eBFGK!H ]q${R>Lnx?jhN XE 6-6z&v$[ GU J< ~׼KzzRB+.IY!_zʇWspmnl{D|8r`x*-ۖరͶ-'p&H?cy~6O"_UjSVZ 7Y*(Q%tNs %Z _ 3έw A0mVk[ ^Ǭ kmkk(Hr(ІxݣOVG7O7q8i@4hl9x$Ri\uR6n,Mgݴ8!\tyk{~{=ޏ6L6nLSXq-u]0~2&LMgM:A<՞94G_`Nx8;VI4zJjk Jބ t}p}!Z}dD3yYi&m#ݶnUCQ'ISdTcisͭrx -$-$$UkjUUvfU":H&^AZv x%$IwjO.zQ pb* H5-@ Tc˪d`Yo-php*hd`)W/\XOvV+M#2:nB^rlP^#$~+,֎d6wsް0jUpujj|j VSuJ6ԨMHjp+y\9k8zIJ&J{fM?DKd5Gñ)k%:1kHC5疴<.2Ldž 2CTS :* dDuhވ'PM$q938JaV1sMqW߷rhe6/ػCn#ח_EQήªQJd*'(@B7m<>bq޴i]wIb|>OXqN\sh7Ș@A;5mYûHrxU.?OVɗ~r$S)dX-rPrWYm-e,5Py^9DqP̣d7.i3h:i'RݮǍHre6c\)װFQK? ^$< ̀i$? ]]ۉԵ+V!^PeUX &klةFX S ݘ+ aܕju7;l;wqoŁpQaIю;y0S  sHB0a g "LYQqxc-X"lZ9_W&*%J̙h)feM93 ,G^D"XNYΒq82l1=ZwCKBEg3IDƛ i"06e{ts#O'ܕu;p@’5[/Ruc>+c|_ydӚ}Y1{ [+egmᮍ]uI"2Ѿ(<ƈ9I#p' @;`nt#HȂIថ$MJ PZb8*Y4:C$V"ٔ܊E܊Vn4zfH f3_O0yo>TmL W .Om{M[Rۄ+W~J vC_<zǽO)utN ժdnސcc*íޒ pO@ &!p/qke Z0@N@jg! yx'VNOrN\nfGө15(928S+6{KqIV`܁y>s>:֙iӜ 9&ﻐ81Y]]42z:h[ؙN_/{mNCw :_uoo ݗ~p6_4*+'oè"9MSE-OCJd0tNǥ l,[&61tK;C$ Abٓ @K.vK  N2HĖd7c0>\ MSO$)6bs;A$/lM 'H&,mLQmVRe8niA,E]|W8W`l928&hi!w U`+lH0T2P@%-2u4 uh*^$4UT1 nC݆VMx}jy9ᝐ'|{[ ˘k pFSp.rO#i T  }d-K2/ ,Z&}$ĪEL@ђ̄[+Fv,~BD?!VҊ9Zh3kwgUь~njAF>-=jUj8UW<<ʉ4;m} v"/ZA[YvoGMbtz% ?y! bɆd}u&&￮7әHf] ^.,la!Ղm3|Tb~ֻ_$8LN;NTCgofF`p;,ґӧNΜhhךsRrW9o,X4v́#K1BUkpS6PGq,~5WKΔhV{3j}K:}jppJ8)l b3:/j<>?}>_%+9DKCe?eڇ|On5ד IpEi-: b'jo6V6Y+O꺭 %{auEb8ýWxx|qvc;nȸwt$W\Yr%uMuQ3i JmG8 S¨$ї&S +xɆ^Dz&aM{ ΑD214-R5*-F׫5oR6B3;mh%{-5mB7dD! o"$6xI\K`@|K"B E`b"Mf*xl~Mœ)LȕAIIVƱ%ı3%cGKY\輼[ס@4p!+ƨ%Q<̒mfLB Y@ HdjAEB[A?DvEiZ[b] Ja{ܳ{9';dž!I.iYzVR%q޶Uxt) ZE,zbɺ"W8ߍe|U|ԀKޫ-q'!'۝c|JhΊdXܚRLnkJ'fQMLY]>Z Nxe 3XnU[_Q3p4ʭǟ,~LĪ3J:[Ѫd˄9|ly12GnB2EO?mVbi==s[, p|at[v5fNO}ï' YɨKBB{'m^X[c띶6eo.)=hvٿ _cǾ/mR88Vв+Q-.h(QGX̟S*\NWJWʋM7l( k}ٿ2/s־ηƯ i4#ݓrc*6@ ldMjjF onesgw-G`J|.oMI8+R]dOJcj-=](*jv0W}䋷|0w-k͎UpW"ڍF0>*%;[.)I[^9m|OBڧߴ3ˬɈK~۳rO˸HsK3!(jC9=J{, z[#Ejs9"Փ7ػi@m3~ȴ\e> (Q9`8IP1WI K\ع旆bh_~ p {O+""$7QxAJm/bE ᝶Q^0+T9{>HJM jXn+VݥҎK-+z5#|8riW\N8w(5qD hgX3..GaM|zj0kWkoԮwJ$M?:S)^s\T/Igr3>$Cvd^8DN\̑8KoMKMj|<] )qJ |W n=xzqTpni3o|y)wP,?o5 YJ$dCߗ'G"΋Ks|"q2G&RG֔"H $խ4<REGcLѨY<k-visCϚ5/8^zqS/sڒ35sZhjt7z5V 7h\Ikml4He+~hy(/r<; KSm3 6NQkIEJʢZ]J~F _{;]_Y\[[gw#ںښwCf#ygIyȢʐBHee}M5muRd-p]$.Y\\U^SRj#~ǠhϮZrlçr $Z %a_YϾjTQkOһkQYRHqWG*;P Y ;*OF'?N4XUp`v)|zVG02C n*cMLOaSb%~Ew}h!QYpq {a,VwCjÚTwÊ'dI w&ŅHqXFO~V++0)-eU]0e6x``V{@KK\ݮH?wJWA+p ^)gxx0VH:hIލ Y1o LxYfzXZFkF}IUz})fy^$Y_ Źބ%I'y0#KjJٍ  2*U>K@ڧ3uɒ{jU <jV lj]X$ ?uš){*ioiy>]4sN 6v^t@F.z鯄YY|_st |>W-OMsТ)b83.οFu,2ۘ); <[{kjd]ykjkzUz\imw?ČݭfᦖTN̜7jlV5`+Kpl4[={"zՁ,_g_翃l}FTVVޯ]3 ?OCʫiH5T#@yYC~jXCTD\ΛGCڬu vQ^lϮWmmē[9_^.ErMOȡf]q.1,7bMV_Oﵾ_HW0[FA-mWmvbƐ[m4W3O{+SmXeRHހ퓆XUP_bn*js[zKK6 _AjWm.W6c SHnr)z|E!굪>uٹ9jjٜ%99h鮶 %[JMszE==DR2jJi5I2Im&TbnvIK]RkKvUvj<,}}6nEpdis.WXQEURRfLU%$'TRarE܌WlsJUΘsSqYYJGɒ̺[Z>b|/Y܇ ~eyO$(D P!gRc6H q +ƶp&ݙjI:;^]eM/o΀% 08=GJFb)fmyRٞ|~0Xh`AZx@<DZ?˳{4!-[-1+t|4,CVCc{"*ϿSGN%O_k' kߘ嵲m9R9Z_^+=5{|}B rm~ۖNt%4ؕZſKu9J( .|֑[I.'wʤ 8qpɻFT7)7xCѡuEuAbk)bUssԐeAQ}5[va9;`E,6̓VGaې*kuUZ]"R8;Ka im{LDJX6}Dq+h݆8tǎqIRfe Ys5)춼yhCƘlECm, ox5iJ %f*aeb6w S]:i;(N^S]z)=H D.xo>8"''/|$Xm/xZ zZ\7}?{ܥz)MtHi*QԼF$M*~zEr',דQ Ӂqr`v?4 (<4krQ!0:SPَ̣j\s!J-p"4[B? v൬lPy ڪ<P10:em0 y(s Ђxqwa4"RE)[Dw+/u 5{;2#|'eOIԈ^h%>!s:0,/R0P#%78ƴ`>Nt!Wf f ã.-5GhM( { a,ϣ< cSԑhVw?4F0#㈟\Ҵm6,O;|8- }6Q[2,` &f"|q?o$, 1m'/@:Pn&QG?ۑc}Ơ/a~OS 4d*y1}+rg;i(Y *DŽAcTYHi\w5ꢗnƙBty0D%{鐼d~*G[ؽ3~f3R%C o6U(#EWx\# ~z,Tc g۳dhuhs_/F%3_hy !慬*/Qr/o;(3!l>uu+\-%ykW ňwiƍ2h4]~T.4!Z(F  3g~W(ӕv)(kb9)(FUɅzzhg[v<]#=ߋJщvNZTur_5;m FA4<nww3=ޓ k^FrxzC{ې!y%[Lyd7eBOV/1U.Tz_qT]cчt2R ӌ4 C_!dd{r.wQ{"~60ڈ@[0?N3l2j7ObFYc? pX y e;!^:| ^p*4}vIn 5VN&>fӅIUgJ0v~ w^n@C09jX:hF1 =pt-(Xͱ!GлwY=1p}D_YR-h̎~4#Ͱ_KGii?5@+pF}`xCLJyAOC|:+ѓFsPQz 9Al.bheYfmiz:u dݙWSXo9PY|ŐU@N"g<Ow/4k> 1z\Џ fSxYdueCVhO™ 1,.&۲ 2:QNO톜7`F K,~6=ړmOK {2NO{>@Ҹๅo!y7ݎ:jI@ dV)pxF.6~U[j!WU?T潚g.7Ry?Ž2ڦPȲDZrΕ4z(t7b?g!WY&愵ѢNi{B'\>+|x;!K%36sHncL락4y=yzjUJiJ,?e8,F^蓇DJT56?>}8UۋlRi71u'ŔQ ޳7AXc{nܿx tPbcóT|훙;^&:S߉ u5 :]^FCxGThӕ(b ~DXBj6?<:Y 3J7tx;_ /c7RP$ Q9&<0fa@W֧t q yT^s53ip. . f䣸/8`-oQ>=O(IL`ț˿4l}B+w? AA?;`2`2^7 xf?^{V/=^>%KlL5< r\> BY~ ˉ̘ } ǂWGix}OFV}?"d*mo:Y~AŦT0vYG Q1mtzldz4XM9@[l;iy [׵(8VU/M%(A19 w>G@~F)g0Qu8Embߚw;̳9bAݠo$ JSZ'4jmڞzG%bxA׋=o!bol8[r xfˁ~BZ`Co)&*~+cmzA32<^\Ѧq^X{8q wjD؇akfSw47z~ګ׫0LU>|(@] zI4| ¿7uw5+g8rj_ӝ9A1_u^z= zښ v)pxg &<|4S`: XN12!1C uu<%I9=ӟk1* ×@ ˀ?1,_Xt2z7Ѩ㽍O.'cug2OWn4'Bg\#}tΩd*O$9&4 8y~3// @3W#vnuira>Aސm*qZ{u=b>uiKgE7uo qx+4J%J0E׷C{3&2J J7U(ϡWC b$7@J8sTL:0c[s5 >391zwiQ'Kagk:nЋ/|xob1 p{̘+kṛ@ aU3n[Z` At"(Rm&):œւn$s a`88==̄0cYA# sElަu&o =h>]?}ʹc\&37bo\r@r*uēK|X=M%m<2lO"UըM;?/M܄-ڦq͙$C[+sׯ :e-4K??5G C#(}lܯt=g y1M|yBn㹂 mNN"'=Jރ:^e)|nl8jOo9^郪{C@o?@? ox}b=\̻BӛJ8?3~۠-xF{i{h$% ):omrXd^!-$0QQ.?ܢ󨛵5CFW!Mde\%b>}1/{Tȥ*Or > l]'0p@=Nߧ یIg}(ǘsK5c}_j5  -$4Q^T%>9|pR*V@ŦҼ}cVCX̓n!GwȪ<Q"@ӕp@?pܭpZqN I'<rF],ˑi;'9?D^=p(ODi$uh2\8tp'BC/P&"op+(M3h="" rq>W!,6ĿB_g'VW߆w[i]O(.1q'q;^~< i{sV"N ih%]3.;i`>e^E>GM7!td]AAOBmg:gq&{9g+):Q򙚝WMU-z(<6DՐIզ4w {Q'B` r~3_z dDr@L2,֫k);s"֧X^;kC)߉fYx\bja~sSh7o^ ԍ@bB&k MCݎD*F?k>i҃H &a6Z:5/~A+i8w'<@f;7Q+Xvӭ0?@|uESMs |ɲ Lzg9ӳmӧ8݀ nD?x̦5Դ[?6upCMQě#C]f- Q HSO}tACqJWBn/ʠgeB_^}; 0 s%\H% Fke%~L $9J.e#MkP}<3##}7l𹁰G>VxS5:\K- Sn]P}9|jq/xl`><1\YݟYy<B?^(x)ϧGkMm-BH㣒̒WT_sulLBT ^~o^ LlLk8$~^)Bmҥk^!mX{WAC:n1NG[h!7x?[n_|zQ|#J+`b݅WX^;<6!v7 xW@7AYY/׺S`{\KО^K&n5=Dy_BE'$*EJȓ(UCT pG7l6Q,\a/0%8G S"ziul0e5 %Z7]+- ۊDnhD{xç@ _(omE>Gv*~2CЇ>}CЇ>}CЇ>}CЇ>}CЇ>}CЇ>}CЇ>}C]*z,$bt#VHn=aʥrʑNsn[9ܥ 66e(h6mVޠWpq,9tTǺA*,)~=:9?W!?D+Ç4CWW=@VB%ZMN8Hu$ oS^ Uo~L=V~KDv:=Hv+t]]jjZG= *pBh%3DlS! (٭p_OA*D+R[4z@f#Pߤ {&:٠*eT[%yAwS*@VnE ))7(vV^QT׊΂h]Y-kfBY0f9,GT)KO7(%wvs?pPϛ-lSF=TK:KdvǪ) P1eA?z 4U.;_ﲥ@FjaS2ȔgU*2+R+JuIj)f%tIRA VloҴZ!n`1pmឯ^QVml`k1pWSᚊ|ϣl PB7@W_?0 "XyRTR*T*cxxmظgǩ[9NYVU-haNzi%ks3 P(,Ty;Ap(Lb_;<9fbxv`3  <_[{O#"0?@#,Lr.>A`1Pwr0=$?ǜ3ID^SШNAC<׉gxccubƱbjǭYs49w69'69KH- )gҿsx 8?(pΡ/)m9V\w_7 פ1ۂx3ly|&/T[_mcݲ+܁;!{_h fQ.]7ÂGF%xY2XAҘmn.Jض;9PS"-[Z.LL X*,\K%굺jU5;j0n&f0e~$ӑʭKVj2c`Yk%~NǠk7̀C^-є:;b#$I볙._~ c\j xpe^kԏl>c,;+K︭uκ[sx֎Qϛ|y1h9ݥkgBy1QE .lZҼP 4=!]FH yi<%JL,$H̕B"#A10;"ޡVD"I:D ΠS?kVl^peͅ qݱͅ*ki]l]_d Jm[l[eSܶ|[-fk)+ TJ2QiWLP:-k@b#̓knrlqt8;:LWGͦ|s9fn36/62dbd"v,vr(nGs9LADx%Ѳe1t؛Y\}3ʖTHsK+( 5dD9u@/] wq32>zP7> endobj 64 0 obj <>/CIDToGIDMap/Identity/DW 1000/FontDescriptor 63 0 R/Subtype/CIDFontType2/Type/Font/W[3[250]8[833]11[333 333]15[250 333 250 277 500 500 500 500 500 500 500 500 500 500 277 277]32[563]35[920 722 666 666 722 610 556 722 722 333 389 722 610 889 722 722 556 722 666 556 610 722 722 943]60[722 610 333]64[333]66[500]68[443 500 443 500 443 333 500 500 277 277 500 277 777 500 500 500 500 333 389 277 500 500 722 500 500 443]177[500]182[333]302[523]]>> endobj 65 0 obj <>stream xzyxSe9]rIm& I-PR ŶWHZhAlPEDlU@eW1mA2¨2RG>aq@{"0<{]}߳,쓦V(,fϲoݸ?'WO>okS;Ni+Ҳ߬С]A?hMgydsKV[5tҐ @=tNQ9^W_^_ yp~_ja ALC(Ea&sDdTgk׾Cݑr'v꜔ҥki=z'o; 48+;gȝyw 6|Q 3[8EJJa⤲S**Nw}U39fs{ .zx#K]ly݊V?a㓛?l̳wܵ{aߋƦ^:?t?|^y[oCO>/<|3gQHLv?8-vZ/ +m{A.'uX'{={3Y]#aq$8܎bz ''D$D'%'tNHN34ɜ&.2L(W+ӕ׵kkkkyW5;]_λ3 w{{{Eʯ,䖇5:9ZxVD1L)vd[v4{ 'qL&t_Pokk &?'="~`0 @0* `5 D-gZj97/35.9ڳKƿ9{F65w=L=3g~֯꙯V|?uՌ&P/̰3Ϥ.8=t!N u8ߢ ݘp1>KQ\p9agLdLWj\p`W솩psNA3Fhb9^X \xxsa G.8p"d)0vTk8<9N _? f !\/"/$'/ ]j8M4{A/u1H :0k`3y` iWtNPH4Ki& /롈$^o3 '>z1̦?=l/kb] BGPj΋ Fc,33٩x=mpAT;M')tURFITGZMa ʝ(5" ij\ `M^؟?r59;^k4$98V̦DcBH !G(ʅapI(FŢO|O*,it\HN.V^'?O׏,3JTҕeoyͭ,d IB+C=e>\ > vHo({ *bGlM[8Y;*|/t%E.&$OhqTQ ɻ̘pa5<ogʅ?@K`sqOQX@={uOֵKJrRNnWGgߡ};[\la6 zVȒ(0lgN.nwv}g) 4PPέ4>{JfCoRznPɞ ]RNdq#^,.j[t#uzžSea=ۗ3.$k;뺤@NOM=|9jdm`+_3+ۗ,WvioHov(} OVI`OӨ+8ސrnK eβ^PZ0'8|CjtIO;؏P=y nKo& u1vޭ[jmyhQ^q^ibТӍc\V˝|dݧurVM-!c`\Gc\P,e NoYXծ! Fmso`2j!,<0onߘS[*9omFΑ3\gd'NNs>P7ѧI:S_nEy[GJC#3&w.Gmm_r/){f08{uIwV|RC}n~LoHokm\c%|xL|fa̍KգxOq 7Y"+o[)| u֭KVir(rRpDkϯ.i<,@RG6|MVhgq>!D9*ɅNJҕu&_c.ηЇ>20Se}C2|O.T %40A:Y%A`yZțb.g9sJPϙ0 Ԓs&5:nHu]8~#).'. > ]d~nVUOFzݞ^Ki|= w;66 / 2S)04+v{$V줄,v֬%?X .*ѹ9m-qfȑ vVI'"]U)]4 Q2Hn̢EX~5n:T,{UvmN(g~ |9c |'0t=)*mS$EIv:pKuNJ't:Cnk4YiM2tW;wcN G^Ó =IB6{= tUj{Lk3}'j+Z,E9חiޕcΒ\(+lNoI3eZ(4slB8;/m}P"33އ",ȴ0MRtT0\eװ78<.jS|Le0EAoOwV,xI$ii|> U\6T9OGf qSDU7x TnЃd!.b?#] < 7A_ h.ʗ~i?l}*TAq3.C34 t `ɞP#y;G@{țo]kcO! +d';=v|[( O|rڲ=BP1~AsT p^!Akmhc7bf+ĩl*iD'K[$p~}D ^%?$G#P유6OB~VA0 5nwY{EӆsxֈT Sr·6,x̀q<I* rRǪx>x$ 1kAdʫ=e<|a|)L$k5?'?)Wkoh^8g(Rkt|^ͧE&m>JϦC_SSr ^\P v.3\N++^GeOR~֓mZyI nTܬt}T&͙\Wύ+&hPҺs.{iVzUzyS Ha3:DH1bN5 Zub^+)>S!]efa/dk g!Y HNZGuj &TH"8| 6y}PψQzh÷6y>"V?PytyFAH{R 'Y$?-nvssywKgtO1ކI}dܨLCf iP(Rdea)'CJu>_gZ߿&dSA~ zzM1V\..%.t?\]l\L  iC~vcuzh*J?=P˦YeW)t?lL "X@/hشcS gTl JaA A5n"#,Ewf|l,CPz S)cxbe-@,S MQhQ[L@r~>!k` vp"Et3^ :XMs_,W1)^1Ϗ=<=rrhhGb0)\hW7VdmxASՕڡnՉu$ vJTJW"Lxzu/٦OTƿTzz >JU4p0aNO6ϭMUIW鱃EU I{IqheC|FUG=՝KZX\B(xW1j'*GtZqA?~'/ݓly(=h9mby~3mYW|,gO7̯=$CZ&榯,4cρ#ֿ Գ;=5jwhjk4ji44c5ŮtP)qJbQŤ)E( yW[xCx }B>=}'ADhu#$ EC~ _||>e=Յ>Lcy-ZqpɪB3-{?bQr$q<5i+44?Fz>Zƴ=?۾З]㽇2^:?qT=NQ|*,^r蠚#߃rN{*J7'JN_Ugg5FSTh*r)/Wi*U_}*K4^'W$7ɂ$ nfG V~mqdȢgxT5VdW8K=YY $ AMYgV.'(][8no/4wI9˳|sYɋgz1jކŞɞҬ¦yKܲ{fJ^>=﵄﵄53O +y6(0pV:pT_ ~"n' A>#2@>EObsД7ifΚ5xfE1$״'dWYqvϳgwf4|`Bh E3. endstream endobj 66 0 obj <> endobj 67 0 obj <>/CIDToGIDMap/Identity/DW 1000/FontDescriptor 66 0 R/Subtype/CIDFontType2/Type/Font/W[3[276]15[276]36[739 574 812 744 536]43[683 226]47[461]49[739 869 591]53[606 498 425 654]60[591]]>> endobj 68 0 obj <>stream x]j0E -[GMK!>hҒ-,gZ*yĕFiEqr{\d?.>stream x{w`TU97I0 0@ CB(F1`DHB5HQ4@\.k. `A7*,_hK~(wus߭~g@25uVܶeTԅ]2zPwT̝6W2@OygM/`Ϩ,/-;3V."͑QIT>޻TΚڽT,EfΙZX'j*cX+G/`SN/( RI}~{Q J Jl쎨Xg\|B˝MNڭG^g?`g ;|ny-njW0¢ '6L-+V9jY̭w qYt=W]zM]ua5ܿiև#>۞|g}/ܵ={ʫ6yǎGNQN_%9*`0,x^X'<&+[IdqcBm.+Jvv]\\]\]K]\O^pKnNr'{osor?ĒI$K=)6)1[/iDRiRyL̫6o7;;ӻ̻һƻ}wweocɃCK&W$ϸa.yxED'D h6qC² .+Os' W71I Kd]o>}*#?"\< O¶Bz!/_hܾ}o{}ڻC9Ԟ|ҙڳmg9'qg pvg:OWx3OtjO8?{a*>~阁0g7`0sq8x#&G-q q3\OmfXE8'$,p2`)NXXӰc8gl >9~ p<|giNxua^ /A3K ބˬ'l“p Y%QS(7=EM_dTKA'4^ǒ?EҏRE^.UҨWk_#@#L= pUxG ^mk#>kwr;Hgsͺ|2?'$EͰ]v;KNK]eAS>Sl2L'/]p_8풣Ԙ=,F$vL2A>ZD%+v! o&ɆxUyrʦ_J~̷|بd{5={@FKE-Fr hd?,U*x#kKSxku% *Jy]`4k]=ׯk2SV:0( xs*OPR 4pR+UO[ ==øY=U W;9A/8z _sk}jWх׶dMxhB,j(Ojʭ//m /q\ ob/-:[/wʉ=J1֜AtNsyG{К](8YQG9^Ȍ|Tf&r,kGfK?/(o! TZvSMCPYh%H{WMՆ 6fO,͟>vc.Z,v )yt^ ̎LXsH"1PX@|LԘF=ۊ.Zŋ")Z~iSi 0ɥ@Hd(s,gbju&!"ܖV\FtYLn+_wy~SIpA/+.R8`U koB;ΰbhp׊؝szNŤt&ECWPYg`6+bb?јJF4q)-՟Jϴ 9ݔRސIR2vCq/|VDOm{yt,?8>(om.131-J$֊ Αz0Ǜ % gMT-1Z-ߟWѸT[ J# Q#ՙl¨Qs@S{j )@r$}lB_f&3Se\L|mtZ)]iݦP:(c=I]R9"fey6o憙}ǡϼ_枻a26񍲩SJy護;^wZX˿e-ENڬ1 يR&4%ImQ RIY@@R:5wi;-a9G!s ;xH$Rlw,_9? ݏ=&X<&1._hJu sOG4-ӇBۊ~X5alҡQm HbM7 #M#o3]o]_Q[q RbT`aq#Z^l1.&AlnfU ҫoԺռ`Ԋ6IjX3Ltp\l5XLbD"2Lmdi$">/4zD)MN̓6XVG}_.p ֬l[=x"/7蠹/1=csGII*0Ô3\K9O];ߨQbwj) Z)$T%='$}^ U"ZʕFq,TbtOmy<:H m w_ISt/>h'Iq[KTj!/E0|]`YQQj\ zTR)fEdjHege#Bek/p2S_f۷KYXY8E+K ha<q)*pb,nHS4r+{4^cw-|&LҎѲT@2VQ äI"FFm^W隻4;5UwWW/V/WߧޡVvJJ-.Qf 53AҲv/ʞeB>C21 1clF-0FӕGKd5ZQ" kDE?]$׬9 3pioV`6%>Dn$Fz%X1E[ߐ+EQ~VS333!S$T+&m7[zJh=L\!>TFaND=3/iP4l$` b2,^DQ5z jډev%ަ(4 jcq@,pɠfFܨ2f@r5NN_M{iVLh5y(RӇϷsbBR~C~MhꄗxlJԀ#aK@kW,bhNcMm#biǥ$iqezGϼ;l }/|m߹sѹ\`QCtB^/E!k4d+Y $fi4'ˍn4Qa]:hŧb:qBg⁂ˁγeNIX|5˱SY.i˗ N7~u \7 (x1#PSo•Jy&sjufqeLm4yghf&,KJvƮ{S Dřy8w,5b{081ΎYxOo/5b2=>7~Qx8h  Ngxc|`#(Rykfns9_>aSDM K'0kaǶD/ftxv=D=DNcgG4k qJf_1_FɔN6SOːUI$7W$K}WzSky8x~K_6VGhdb' -c?d3mgD75 hy8 NJ& TՋ'"@3q2C39Z-4C&:裬xC?߆BgN7K#Lq%td+! ZYWKц3]Nnl@aFrmWr*od2Iܭ\rI:$ICVf+lQYC$\*QXD|_I bY[ؗh11ޱ!h`~\xݳ A M SѬ\X 0 uz:c4$~⑭%:Ӏ6-w9C.Թ/[_ܳɿtpɫ= Ǽ1:=&-s 4H5UtĨE,-I >*(NDw{<8ZkKp{SZWXoHNG zjVo4F\ӪTji=L򣹌hʹT"{4,F>+{Lza ڏe^\9i K:Sܱ1Rpc3P25s?L.@^Sңw`)ZB9~ֈГ/.\Y^@ޡQd ;+؃υ[ceA Nq6S|^տ jU]m\l*R9/0Cl4ފ0Dzn:Џ'mW%< r#PI0`$RC( $1QP-Y|FI7z1&,y YO䇿B;lVTR F:ԅJ{ vq hŢgb6t} a0E"Awx {ab` =/q?$:^V\5b1P_Gi8EM?Aj#b"MvΒý|uOg Ә[ }%8{ 4B؈#o_[*sŅR2@:Gm+çNcDurYgIo~rA6C{<%DECA7F !H 6չIdĤ܆{u=nM;xNz]6U]D齍k}'p? "nO K8fGȧq|p6t2%0n\6/w#7"b߸*Nčz|r[( 6z4*5/zHYbQh4*\A hO58?0JN+M2_2] eKJߒ]U,(mEa ,Pq0,u_ Ki[x;r># I—J]=?api##S*|@VHϓ=NuC]!=3\/*^D߻|b{r~Ӛ4b~XGFc]/wėGxmF=G)ka 8@uS!I9BlR| @cZV‹y$35_{&HlcW—NI#!%qQBb"4(rJ+'93|T^;L$}O-J—4pN}INw8{7\;/?ྛpB `&@ eCw`8R-4vuDZc?}4vw$8J/ْ,_1ko_} 񿅋x>Ix{:12o9( H0G P\ @?ljw^/茛d7S:@0~5w[讔_{BvB"w/6}M&eWre~2UXuQuQW{{m 051Mm5 9.r.\3k.g͍rΚ3sgΉrΜ3c9cy W,/;/VEiUv紪TnwVL)9+kcgǸ$H;{=b&۝xlׁ]6oVoI[(HD0iVFcҁ/MO\6*qVk $ ޗL-U%N!H+?qĘo%(-P%-gcx^hNtGgvK_oץ}v!=z ]S ]$6&$qXXmzɬ :H J'Rb)qJ4P% UJcВyHxРߗׄ|yAuF?QmiB41B  07"_|,ola,( /H~Q(Y; }rgu`^^ ڛQwgмj A`gf endstream endobj 70 0 obj <> endobj 71 0 obj <>/CIDToGIDMap/Identity/DW 1000/FontDescriptor 70 0 R/Subtype/CIDFontType2/Type/Font/W[3[250]15[240]17[240]20[586 586 586]30[240]37[607 579 654]43[641]47[498 800 649]51[599]53[642 571]68[540]70[465 538 524]75[541 244]78[532 244]81[541 528]85[331]87[322]92[441]172[250]]>> endobj 72 0 obj <>stream x]Ak0:`[.rhl^{ l_e^:Ĩ|>/Subtype/Form/Type/XObject>>stream xeq 0 70 m 0 0 l 122 0 l 122 70 l h W n 1 w 2 J 0 j 10 M []0 d q q 0 70 m 0 0 l 122 0 l 122 70 l h W n 1 w 2 J 0 j 10 M []0 d q 0 70 m 0 0 l 122 0 l 122 70 l h W n 0 70 m 122 70 l 122 0 l 0 0 l 0 70 l h W n 0 0.36863 0.66667 rg 121 26.93 m 121 43.24 l 121 55.3 l 121 62.87 114.71 69 106.94 69 c 15.06 69 l 7.29 69 1 62.87 1 55.3 c 1 15.18 l 1 7.62 7.29 1.49 15.06 1.49 c 106.93 1.49 l 113.01 1.49 118.18 5.25 120.14 10.51 c 120.69 11.97 121 13.54 121 15.18 c 121 26.93 l h f 1.15 w 0 J 4 M 1 1 1 RG 121 26.93 m 121 43.24 l 121 55.3 l 121 62.87 114.71 69 106.94 69 c 15.06 69 l 7.29 69 1 62.87 1 55.3 c 1 15.18 l 1 7.62 7.29 1.49 15.06 1.49 c 106.93 1.49 l 113.01 1.49 118.18 5.25 120.14 10.51 c 120.69 11.97 121 13.54 121 15.18 c 121 26.93 l h S 121 26.93 m 121 43.24 l 121 55.3 l 121 62.87 114.71 69 106.94 69 c 15.06 69 l 7.29 69 1 62.87 1 55.3 c 1 15.18 l 1 7.62 7.29 1.49 15.06 1.49 c 106.93 1.49 l 113.01 1.49 118.18 5.25 120.14 10.51 c 120.69 11.97 121 13.54 121 15.18 c 121 26.93 l h S 1 1 1 rg 66.79 48.17 m 109.99 48.17 l 109.99 21.81 l 66.79 21.81 l 66.79 48.17 l h f 0.6375 w 66.79 48.17 m 109.99 48.17 l 109.99 21.81 l 66.79 21.81 l 66.79 48.17 l h S 0 0.36863 0.66667 rg 67.19 47.77 m 109.59 47.77 l 109.59 22.21 l 67.19 22.21 l 67.19 47.77 l h f 1 1 1 rg 84.61 22.21 m 109.59 47.52 l 109.59 47.78 l 109.47 47.78 l 84.24 22.21 l h f 68.86 22.21 m 70.55 47.78 l 70.28 47.78 l 68.59 22.21 l h f 70.21 22.21 m 73.85 47.78 l 73.59 47.78 l 69.94 22.21 l h f 71.65 22.21 m 77.36 47.78 l 77.09 47.78 l 71.38 22.21 l h f 73.24 22.21 m 81.39 47.78 l 81.11 47.78 l 72.96 22.21 l h f 74.74 22.21 m 85.2 47.78 l 84.91 47.78 l 74.45 22.21 l h f 76.46 22.21 m 89.55 47.78 l 89.25 47.78 l 76.16 22.21 l h f 96.09 47.78 m 95.77 47.78 l 78.82 22.21 l 79.14 22.21 l h f 102.13 47.78 m 101.79 47.78 l 81.2 22.21 l 81.54 22.21 l h f 109.59 38.1 m 109.59 38.44 l 89.17 22.21 l 89.59 22.21 l h f 109.59 31.07 m 109.59 31.38 l 94.92 22.21 l 95.42 22.21 l h f 109.59 24.44 m 109.59 24.73 l 104.19 22.21 l 104.82 22.21 l h f 76.69 30 m 72.28 30 69.28 32.72 69.28 37.12 c 69.28 41.4 72.49 44.42 76.73 44.42 c 77.85 44.42 79.11 44.2 80.05 43.76 c 80.05 41.65 l 79.58 42.27 78.64 43.38 76.77 43.38 c 74.11 43.38 72.61 40.94 72.61 37.42 c 72.61 33.73 74.02 31.09 77.05 31.09 c 78.11 31.09 79.44 31.63 80.05 32.2 c 80.55 31.09 l 79.97 30.65 78.9 30 76.69 30 c f 0.5695 w 76.69 30 m 72.28 30 69.28 32.72 69.28 37.12 c 69.28 41.4 72.49 44.42 76.73 44.42 c 77.85 44.42 79.11 44.2 80.05 43.76 c 80.05 41.65 l 79.58 42.27 78.64 43.38 76.77 43.38 c 74.11 43.38 72.61 40.94 72.61 37.42 c 72.61 33.73 74.02 31.09 77.05 31.09 c 78.11 31.09 79.44 31.63 80.05 32.2 c 80.55 31.09 l 79.97 30.65 78.9 30 76.69 30 c h S 87.61 30.26 m 90.28 30.26 94.37 31.91 94.37 37.26 c 94.37 42.91 90.32 44.18 87.27 44.18 c 82.2 44.18 l 82.2 30.26 l 87.61 30.26 l h 91.11 37.2 m 91.11 31.75 87.75 31.36 85.15 31.36 c 85.15 43.12 l 87.82 43.12 91.11 42.79 91.11 37.2 c f 87.61 30.26 m 90.28 30.26 94.37 31.91 94.37 37.26 c 94.37 42.91 90.32 44.18 87.27 44.18 c 82.2 44.18 l 82.2 30.26 l 87.61 30.26 l h 91.11 37.2 m 91.11 31.75 87.75 31.36 85.15 31.36 c 85.15 43.12 l 87.82 43.12 91.11 42.79 91.11 37.2 c h S 103.4 30 m 98.99 30 96 32.72 96 37.12 c 96 41.4 99.2 44.42 103.43 44.42 c 104.57 44.42 105.82 44.2 106.76 43.76 c 106.76 41.65 l 106.3 42.27 105.35 43.38 103.48 43.38 c 100.83 43.38 99.32 40.94 99.32 37.42 c 99.32 33.73 100.73 31.09 103.76 31.09 c 104.82 31.09 106.16 31.63 106.76 32.2 c 107.26 31.09 l 106.68 30.65 105.61 30 103.4 30 c f 103.4 30 m 98.99 30 96 32.72 96 37.12 c 96 41.4 99.2 44.42 103.43 44.42 c 104.57 44.42 105.82 44.2 106.76 43.76 c 106.76 41.65 l 106.3 42.27 105.35 43.38 103.48 43.38 c 100.83 43.38 99.32 40.94 99.32 37.42 c 99.32 33.73 100.73 31.09 103.76 31.09 c 104.82 31.09 106.16 31.63 106.76 32.2 c 107.26 31.09 l 106.68 30.65 105.61 30 103.4 30 c h S 111.14 22.04 m 111.65 22.04 l 111.65 21.97 l 111.44 21.97 l 111.44 21.42 l 111.36 21.42 l 111.36 21.97 l 111.14 21.97 l h f 112.25 21.42 m 112.25 21.79 l 112.25 21.8 112.25 21.89 112.25 21.94 c 112.25 21.94 l 112.07 21.42 l 111.98 21.42 l 111.81 21.94 l 111.81 21.94 l 111.81 21.88 111.81 21.8 111.81 21.79 c 111.81 21.42 l 111.73 21.42 l 111.73 22.04 l 111.85 22.04 l 112.03 21.51 l 112.21 22.04 l 112.33 22.04 l 112.33 21.42 l 112.25 21.42 l h f 55.23 52.44 m 55.32 50.64 53.89 49.53 52.81 48.46 c 41.72 39.14 l 40.72 38.21 39.28 37.44 38.72 36.05 c 37.99 34.22 37.72 32.17 37.4 30.14 c 37.22 28.68 35.85 27.41 34.58 26.87 c 33.59 26.53 32.41 26.69 31.33 26.61 c 27.47 26.58 l 27.14 26.51 26.86 26.33 26.69 26.07 c 26.55 25.68 l 26.13 25.62 26.27 25.98 26.21 26.24 c 26.22 27.09 26.41 27.97 27.04 28.48 c 27.37 28.82 27.84 28.9 28.31 28.97 c 33.94 29.06 l 34.26 29.07 34.51 29.26 34.72 29.42 c 34.95 29.86 l 35.4 32.67 35.66 35.57 37.05 37.96 c 38.35 39.47 39.98 40.51 41.43 41.85 c 44.77 44.69 48.24 47.57 51.54 50.45 c 52.47 51.33 53.46 52.5 53.69 53.9 c 53.81 54.27 l 54.56 54.02 55.18 53.28 55.23 52.44 c f 58.48 49.28 m 58.65 47.52 57.27 46.69 56.18 45.61 c 51.65 41.73 l 43.62 34.9 l 42.48 33.61 42.42 31.79 42.12 30.15 c 42.17 29.61 42.71 29.39 42.61 28.83 c 41.49 26.81 l 41.55 26.01 42.53 26.48 42.85 25.97 c 42.86 25.68 42.67 25.33 42.89 25.08 c 43.05 24.81 43.7 25.18 43.36 24.74 c 43.27 24.66 43.3 24.49 43.33 24.39 c 43.46 24.21 43.71 24.2 43.74 23.93 c 43.62 23.6 43.62 23.13 43.82 22.84 c 45.21 21.31 47.61 23.2 49.07 21.77 c 49.43 21.45 49.42 20.84 49.33 20.39 c 48.55 18.12 43.96 17.95 45.53 14.71 c 45.8 14.19 46.41 13.83 47.02 13.79 c 47.54 13.71 47.94 13.93 48.37 14.06 c 48.5 14.06 48.51 13.93 48.57 13.85 c 48.57 13.77 l 47.24 12.82 45.53 11.43 43.76 12.44 c 42.88 13 42.43 14.15 42.65 15.27 c 43.19 17.05 45.24 17.51 46.27 19.01 c 46.51 19.45 46.46 20.02 46.21 20.45 c 45.88 21.04 45.12 21.19 44.46 21.31 c 43.35 21.34 41.66 20.64 41.17 21.94 c 41.03 22.43 41.53 23.31 40.74 23.42 c 40.63 23.56 40.38 23.68 40.51 23.91 c 40.55 24.04 40.77 24.05 40.66 24.22 c 40.5 24.27 40.29 24.23 40.16 24.36 c 39.72 24.86 40.95 25.39 40.12 25.72 c 39.69 25.78 39.12 25.47 38.84 25.95 c 38.71 26.4 39.05 26.73 39.22 27.1 c 39.5 27.73 40.33 28.15 40.12 28.97 c 39.7 29.67 l 39.83 31.3 40.1 32.88 40.51 34.42 c 41.06 36.12 42.7 37.07 43.96 38.24 c 50.71 43.94 l 55.48 48.14 l 56.31 48.91 57.03 49.78 57 50.94 c 57.26 51.02 57.42 50.72 57.64 50.63 c 58.04 50.17 58.38 49.85 58.48 49.28 c f 56.67 40.78 m 55.78 39.36 54.29 38.3 52.97 37.17 c 47.79 32.83 l 46.84 31.97 46.59 30.48 47.02 29.32 c 47.07 28.73 46.62 28.36 46.47 27.84 c 46.49 27.69 46.52 27.49 46.68 27.45 c 46.89 27.36 47.22 27.47 47.34 27.18 c 47.37 26.88 47.23 26.56 47.56 26.44 c 47.7 26.37 47.9 26.6 47.91 26.35 c 47.83 26.22 47.77 26.09 47.79 25.92 c 47.96 25.62 48.33 25.79 48.48 25.54 c 48.55 25.19 48.55 24.73 48.94 24.59 c 50.29 24.36 51.31 25.28 52.52 25.54 c 54.44 26.14 56.3 25.38 58.01 24.88 c 58.86 24.72 59.81 24.77 60.66 24.88 c 60.72 24.82 l 59.63 23.49 58.29 22.19 56.38 22.32 c 54.38 22.4 53.08 24.27 50.93 23.9 c 49.48 23.62 48.03 22.74 46.47 23.33 c 46.07 23.65 45.91 24.23 46.06 24.8 c 45.99 25.14 45.15 25.23 45.67 25.68 c 45.51 25.79 45.24 25.68 45.15 25.92 c 45.03 26.2 45.37 26.6 45.01 26.79 c 44.68 26.83 44.26 26.65 44.02 26.93 c 43.89 27.09 43.92 27.33 43.96 27.53 c 44.19 28.08 44.82 28.51 44.68 29.17 c 44.26 29.57 44.4 30.23 44.45 30.78 c 44.69 32.05 44.79 33.4 45.98 34.24 c 52.35 39.63 l 53.69 40.91 55.35 41.74 56.32 43.43 c 56.82 42.74 57.06 41.61 56.67 40.78 c f 37.18 21.92 m 38.99 21.15 40.88 20.39 42.5 19.33 c 42.9 19 43.26 18.51 43.19 17.91 c 42.63 15.62 39.44 15.38 39.91 12.68 c 40.05 11.67 40.71 10.79 41.7 10.52 c 42.14 10.39 42.74 10.39 43.19 10.52 c 43.26 10.34 43.57 10.17 43.22 10.05 c 41.91 9.22 40.23 8.28 38.64 9.08 c 37.86 9.44 37.4 10.28 37.2 11.1 c 36.87 13.54 39.16 14.31 40.31 15.95 c 40.48 16.28 40.57 16.66 40.48 17.05 c 40.26 17.51 39.94 17.79 39.5 18.06 c 35.21 20.46 30.54 22.09 25.74 23.33 c 24.95 23.41 23.71 23.87 23.18 22.95 c 23.18 22.9 l 22.76 22.82 22.92 23.33 22.92 23.56 c 23.05 24.34 23.51 24.97 24.24 25.29 c 25.49 25.66 26.81 25.22 28.02 25 c 31.12 24.13 34.21 23.15 37.18 21.92 c f 35.31 11.7 m 35.3 11.84 35.28 11.85 35.05 11.85 c 34.37 11.84 34.09 11.52 34.11 10.75 c 34.13 9.97 34.41 9.68 35.09 9.7 c 35.32 9.7 35.35 9.72 35.35 9.79 c 35.31 11.7 l h 36.15 11.9 m 35.76 11.86 35.75 11.85 35.73 11.75 c 35.72 11.63 35.72 11.35 35.74 10.8 c 35.75 10.25 35.75 9.97 35.77 9.84 c 35.79 9.75 35.81 9.74 36.19 9.72 c 36.19 9.57 l 34.98 9.55 l 34.48 9.53 34.24 9.64 34.01 9.85 c 33.8 10.04 33.65 10.35 33.64 10.75 c 33.63 11.37 34.01 12 34.98 12.02 c 36.14 12.04 l 36.15 11.9 l h f 33.42 11.86 m 33.09 11.86 33.07 11.85 33.05 11.75 c 33.03 11.63 33 11.35 32.96 10.8 c 32.91 10.25 32.89 9.97 32.89 9.85 c 32.89 9.75 32.91 9.74 33.24 9.69 c 33.22 9.54 l 31.89 9.65 l 31.69 9.67 31.49 9.67 31.34 9.65 c 31.35 9.83 31.35 10.23 31.33 10.33 c 31.49 10.34 l 31.55 9.88 31.62 9.82 32.11 9.78 c 32.43 9.76 l 32.47 9.75 32.49 9.77 32.5 9.82 c 32.57 10.63 l 32.57 10.67 32.56 10.69 32.46 10.7 c 32.36 10.71 l 31.97 10.75 31.94 10.68 31.89 10.44 c 31.73 10.45 l 31.75 10.56 31.77 10.68 31.78 10.85 c 31.79 10.99 31.79 11.15 31.8 11.25 c 31.96 11.24 l 31.96 10.98 32 10.91 32.28 10.89 c 32.52 10.87 l 32.56 10.87 32.59 10.88 32.59 10.93 c 32.67 11.83 l 32.68 11.88 32.65 11.9 32.61 11.9 c 32.01 11.95 l 31.72 11.98 31.64 11.9 31.55 11.68 c 31.45 11.44 l 31.29 11.5 l 31.36 11.69 31.43 12.02 31.44 12.18 c 33.43 12.01 l 33.42 11.86 l h f 30.12 11.06 m 30.06 11.08 30.01 11.09 29.95 11.1 c 29.6 11.17 29.27 11.16 29.18 10.7 c 29.1 10.26 29.37 10.15 29.76 10.08 c 29.92 10.05 29.93 10.06 29.95 10.13 c 30.12 11.06 l h 31.14 12.05 m 30.78 12.09 30.76 12.09 30.72 12 c 30.69 11.88 30.63 11.6 30.54 11.06 c 30.44 10.52 30.38 10.24 30.38 10.12 c 30.38 10.02 30.39 10.01 30.74 9.91 c 30.72 9.77 l 29.43 10 l 29.17 10.05 28.98 10.16 28.85 10.31 c 28.74 10.44 28.7 10.6 28.73 10.79 c 28.82 11.28 29.28 11.4 29.91 11.29 c 30 11.27 30.1 11.24 30.15 11.24 c 30.3 12.07 l 30.32 12.17 30.29 12.18 29.89 12.29 c 29.92 12.43 l 31.16 12.2 l 31.14 12.05 l h f 27.54 11.96 m 27.51 11.97 27.5 11.96 27.49 11.95 c 27.49 11.94 27.49 11.89 27.49 11.87 c 27.58 10.92 l 28.16 11.7 l 28.18 11.72 28.19 11.74 28.2 11.75 c 28.2 11.77 28.19 11.78 28.16 11.79 c 27.54 11.96 l h 29.24 12.38 m 28.96 12.44 28.9 12.37 28.7 12.11 c 27.7 10.79 l 27.53 10.57 27.49 10.51 27.41 10.4 c 27.23 10.45 l 27.24 10.56 27.23 10.77 27.22 10.89 c 27.01 12.73 l 26.98 12.98 26.97 13.02 26.68 13.1 c 26.72 13.25 l 27.89 12.92 l 27.85 12.78 l 27.5 12.86 27.46 12.83 27.44 12.75 c 27.42 12.68 27.46 12.25 27.47 12.21 c 27.47 12.19 27.49 12.18 27.5 12.17 c 27.59 12.14 27.76 12.08 28.1 11.98 c 28.32 11.92 28.33 11.94 28.38 12 c 28.53 12.18 28.63 12.35 28.64 12.39 c 28.67 12.49 28.64 12.52 28.32 12.65 c 28.36 12.79 l 29.28 12.52 l 29.24 12.38 l h f 25.39 12.27 m 25.41 12.33 25.41 12.35 25.21 12.43 c 24.72 12.63 24.51 12.39 24.44 12.21 c 24.33 11.94 24.45 11.67 24.8 11.52 c 25.03 11.43 25.04 11.43 25.08 11.52 c 25.39 12.27 l h 26.6 13.13 m 26.27 13.25 26.25 13.24 26.2 13.16 c 26.14 13.05 26.03 12.79 25.82 12.28 c 25.61 11.77 25.51 11.51 25.48 11.39 c 25.45 11.3 25.46 11.28 25.77 11.12 c 25.72 10.98 l 24.5 11.48 l 24.25 11.58 24.13 11.67 24.04 11.82 c 23.94 11.96 23.93 12.14 24.01 12.33 c 24.21 12.82 24.77 12.69 24.78 12.72 c 24.78 12.73 24.78 12.76 24.77 12.82 c 24.54 13.74 l 24.48 13.97 24.46 14.01 24.3 14.08 c 24.36 14.22 l 24.9 13.99 l 25.18 12.68 l 25.19 12.63 25.21 12.61 25.35 12.56 c 25.48 12.51 25.49 12.51 25.5 12.54 c 25.74 13.13 25.78 13.23 25.8 13.32 c 25.83 13.41 25.82 13.43 25.51 13.59 c 25.57 13.73 l 26.66 13.28 l 26.6 13.13 l h f 24.09 14.21 m 23.74 14.36 23.72 14.36 23.66 14.28 c 23.62 14.22 23.56 14.11 23.46 13.93 c 22.71 12.48 l 23.07 12.29 l 23.18 12.23 23.27 12.3 23.59 12.6 c 23.72 12.49 l 23.62 12.38 23.51 12.22 23.35 11.93 c 23.29 11.98 23.24 12.01 23.17 12.05 c 23.12 12.09 23.06 12.13 23 12.16 c 21.91 12.72 l 21.78 12.79 21.65 12.84 21.53 12.88 c 21.66 13.18 21.74 13.36 21.77 13.51 c 21.94 13.46 l 21.87 13.03 21.87 12.91 21.98 12.86 c 22.34 12.67 l 23.1 14.12 l 23.19 14.3 23.25 14.42 23.27 14.49 c 23.3 14.58 23.29 14.6 22.97 14.79 c 23.03 14.93 l 24.16 14.34 l 24.09 14.21 l h f 22.47 15.02 m 22.14 15.22 22.11 15.22 22.05 15.15 c 21.97 15.05 21.81 14.82 21.5 14.37 c 21.19 13.92 21.03 13.68 20.97 13.57 c 20.93 13.48 20.94 13.46 21.24 13.23 c 21.16 13.1 l 20.37 13.64 l 20.38 13.66 20.4 13.7 20.41 13.74 c 20.92 15.63 l 20.91 15.63 l 19.23 14.42 l 18.45 14.95 l 18.54 15.08 l 18.87 14.88 18.89 14.87 18.95 14.95 c 19.03 15.04 19.2 15.28 19.5 15.73 c 19.81 16.18 19.98 16.42 20.03 16.53 c 20.08 16.61 20.07 16.63 19.77 16.87 c 19.85 16.99 l 20.87 16.3 l 20.79 16.17 l 20.47 16.36 20.43 16.36 20.39 16.29 c 19.27 14.66 l 19.27 14.66 l 21.01 15.91 l 21.06 15.95 21.11 15.98 21.16 16.03 c 21.38 15.87 l 21.37 15.85 21.34 15.79 21.33 15.73 c 20.77 13.63 l 20.77 13.63 l 21.71 14.99 l 21.77 15.08 21.84 15.22 21.86 15.28 c 21.91 15.36 21.9 15.38 21.63 15.6 c 21.71 15.72 l 22.56 15.15 l 22.47 15.02 l h f 19.73 16.94 m 19.47 17.14 19.44 17.14 19.37 17.08 c 19.28 16.99 19.1 16.78 18.73 16.37 c 18.37 15.95 18.18 15.74 18.12 15.64 c 18.06 15.56 18.07 15.54 18.3 15.3 c 18.2 15.19 l 17.2 16.07 l 17.04 16.2 16.87 16.32 16.75 16.4 c 16.86 16.53 17.1 16.86 17.14 16.95 c 17.28 16.87 l 17.05 16.46 17.07 16.37 17.45 16.04 c 17.69 15.84 l 17.72 15.81 17.75 15.81 17.78 15.84 c 18.31 16.45 l 18.35 16.49 18.35 16.51 18.27 16.58 c 18.2 16.65 l 17.91 16.9 17.85 16.87 17.66 16.7 c 17.54 16.81 l 17.62 16.89 17.69 16.97 17.81 17.1 c 17.91 17.21 18 17.33 18.07 17.41 c 18.19 17.31 l 18.03 17.1 18.03 17.02 18.24 16.84 c 18.42 16.68 l 18.45 16.65 18.48 16.65 18.51 16.68 c 19.11 17.36 l 19.14 17.4 19.14 17.43 19.1 17.46 c 18.65 17.86 l 18.43 18.05 18.32 18.04 18.12 17.91 c 17.91 17.77 l 17.81 17.92 l 17.97 18.03 18.22 18.26 18.33 18.37 c 19.83 17.06 l 19.73 16.94 l h f 18.03 18.42 m 17.78 18.66 17.75 18.66 17.68 18.61 c 17.58 18.53 17.37 18.34 16.96 17.97 c 16.56 17.59 16.35 17.4 16.27 17.31 c 16.21 17.23 16.22 17.21 16.43 16.94 c 16.32 16.84 l 15.82 17.38 l 15.84 17.42 15.85 17.48 15.87 17.56 c 16.31 19.49 l 16.3 19.49 l 15.9 19.11 l 15.5 18.74 15.29 18.55 15.21 18.45 c 15.14 18.38 15.15 18.35 15.39 18.06 c 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 11.47 23.66 11.65 23.33 c 11.82 22.99 12.3 22.88 12.97 23.23 c 13.64 23.58 13.81 24.04 13.63 24.38 c 11.49 23.25 m 11.19 23.83 11.41 24.52 12.1 24.88 c 12.78 25.24 13.47 25.04 13.78 24.46 c 14.09 23.88 13.87 23.18 13.18 22.82 c 12.5 22.46 11.8 22.66 11.49 23.25 c f 12.96 25.62 m 12.81 25.91 12.8 25.92 12.7 25.9 c 12.58 25.87 12.32 25.76 11.82 25.55 c 11.3 25.35 11.04 25.24 10.93 25.18 c 10.84 25.13 10.84 25.12 10.94 24.8 c 10.81 24.75 l 10.3 25.98 l 10.23 26.17 10.13 26.36 10.06 26.48 c 10.21 26.54 10.58 26.73 10.66 26.79 c 10.74 26.66 l 10.35 26.39 10.34 26.31 10.52 25.85 c 10.64 25.55 l 10.66 25.51 10.68 25.5 10.73 25.52 c 11.48 25.82 l 11.52 25.84 11.54 25.86 11.5 25.95 c 11.46 26.05 l 11.31 26.4 11.25 26.4 11 26.34 c 10.95 26.49 l 11.05 26.53 11.16 26.56 11.32 26.63 c 11.46 26.68 11.6 26.74 11.69 26.78 c 11.75 26.64 l 11.52 26.52 11.48 26.45 11.58 26.2 c 11.68 25.97 l 11.69 25.93 11.71 25.92 11.76 25.94 c 12.56 26.26 l 12.65 26.29 12.64 26.32 12.52 26.7 c 12.66 26.76 l 13.1 25.67 l 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 30.73 58.53 m 31.08 58.58 31.1 58.6 31.1 58.7 c 31.1 58.82 31.08 59.1 31.02 59.65 c 30.97 60.2 30.94 60.47 30.92 60.6 c 30.9 60.69 30.88 60.7 30.51 60.69 c 30.5 60.84 l 31.86 60.97 l 32.15 61 32.3 60.98 32.45 60.89 c 32.6 60.82 32.7 60.67 32.73 60.45 c 32.78 59.94 32.2 59.79 32.2 59.76 c 32.2 59.74 32.22 59.72 32.26 59.67 c 32.92 58.97 l 33.08 58.79 33.13 58.76 33.3 58.78 c 33.31 58.63 l 32.71 58.57 l 31.81 59.61 l 31.78 59.64 31.75 59.64 31.6 59.63 c 31.46 59.61 31.45 59.61 31.45 59.57 c 31.51 58.94 31.53 58.83 31.55 58.74 c 31.57 58.64 31.59 58.63 31.95 58.65 c 31.97 58.5 l 30.74 58.38 l 30.73 58.53 l h f 32.84 61.07 m 34.06 61.09 l 34.06 60.94 l 33.89 60.94 l 33.72 60.93 33.69 60.88 33.69 60.83 c 33.7 60.75 33.88 60.29 34.07 59.82 c 34.34 59.15 l 34.61 59.87 l 34.76 60.28 34.94 60.75 34.94 60.85 c 34.94 60.95 34.88 60.95 34.56 60.95 c 34.56 61.1 l 35.52 61.12 l 35.52 60.97 l 35.42 60.97 l 35.26 60.96 35.19 60.89 35.03 60.47 c 34.48 59.04 34.42 58.87 34.37 58.56 c 34.13 58.56 l 34.1 58.81 33.48 60.24 33.29 60.61 c 33.15 60.92 33.12 60.92 32.84 60.92 c 32.84 61.07 l h f 35.6 58.74 m 35.98 58.74 36 58.75 36.02 58.84 c 36.05 58.96 36.07 59.25 36.11 59.79 c 36.16 60.34 36.18 60.62 36.18 60.75 c 36.17 60.84 36.15 60.85 35.77 60.91 c 35.78 61.06 l 37.05 60.96 l 37.04 60.81 l 36.66 60.81 36.63 60.81 36.62 60.71 c 36.59 60.59 36.57 60.31 36.52 59.76 c 36.48 59.21 36.46 58.93 36.46 58.81 c 36.46 58.71 36.49 58.7 36.87 58.64 c 36.86 58.49 l 35.58 58.59 l 35.6 58.74 l h f 39.4 58.67 m 39.03 58.32 38.7 58.16 38.21 58.24 c 37.65 58.33 37.11 58.82 37.25 59.7 c 37.36 60.35 37.86 60.92 38.73 60.78 c 38.96 60.74 39.25 60.64 39.46 60.55 c 39.43 60.36 39.43 60.03 39.44 59.86 c 39.26 59.85 l 39.21 60.29 39.03 60.55 38.63 60.62 c 38.19 60.69 37.82 60.32 37.71 59.64 c 37.6 58.93 37.92 58.51 38.33 58.44 c 38.7 58.39 39.01 58.53 39.26 58.8 c 39.4 58.67 l h f 39.42 58.24 m 39.75 58.18 39.77 58.19 39.8 58.28 c 39.84 58.39 39.92 58.66 40.06 59.19 c 40.21 59.73 40.28 60 40.3 60.12 c 40.31 60.22 40.3 60.23 39.99 60.34 c 40.03 60.49 l 41.32 60.14 l 41.51 60.09 41.72 60.05 41.86 60.04 c 41.82 59.87 41.75 59.47 41.75 59.37 c 41.6 59.38 l 41.62 59.85 41.56 59.92 41.08 60.05 c 40.78 60.13 l 40.73 60.14 40.7 60.12 40.69 60.08 c 40.48 59.3 l 40.47 59.25 40.47 59.23 40.57 59.2 c 40.67 59.18 l 41.04 59.08 41.08 59.13 41.18 59.37 c 41.33 59.32 l 41.3 59.21 41.26 59.11 41.22 58.94 c 41.18 58.8 41.15 58.65 41.12 58.55 c 40.97 58.59 l 41.02 58.84 40.99 58.91 40.72 58.98 c 40.48 59.05 l 40.44 59.06 40.42 59.05 40.4 59 c 40.17 58.13 l 40.16 58.08 40.17 58.06 40.21 58.05 c 40.8 57.89 l 41.07 57.81 41.16 57.88 41.3 58.08 c 41.43 58.3 l 41.58 58.21 l 41.48 58.03 41.36 57.72 41.31 57.57 c 39.38 58.09 l 39.42 58.24 l h f 42.12 58.18 m 42.07 57.74 42.15 57.4 42.51 57.27 c 42.87 57.13 43.14 57.28 43.22 57.48 c 43.3 57.7 43.16 57.84 42.95 58.01 c 42.72 58.19 l 42.2 58.61 42.22 58.84 42.31 59.11 c 42.48 59.54 42.94 59.69 43.45 59.5 c 43.71 59.41 43.91 59.28 44.07 59.18 c 44.06 59.14 44.03 59.08 44.01 59.03 c 43.95 58.87 43.91 58.71 43.86 58.54 c 43.7 58.59 l 43.79 59.03 43.65 59.24 43.33 59.36 c 43.04 59.47 42.75 59.38 42.68 59.16 c 42.62 59.01 42.66 58.88 42.87 58.71 c 43.35 58.31 l 43.66 58.05 43.73 57.81 43.61 57.49 c 43.44 57.04 42.98 56.91 42.43 57.11 c 42.19 57.2 41.98 57.4 41.74 57.49 c 41.8 57.66 41.89 57.97 41.95 58.21 c 42.12 58.18 l h f 44.99 57.68 m 45.11 57.62 45.16 57.47 45.1 57.35 c 45.04 57.22 44.89 57.17 44.77 57.24 c 44.65 57.29 44.59 57.44 44.66 57.56 c 44.71 57.69 44.86 57.74 44.99 57.68 c f 46.13 58.28 m 47.2 57.67 l 47.12 57.54 l 46.79 57.7 46.77 57.7 46.71 57.62 c 46.64 57.52 46.49 57.28 46.04 56.5 c 45.9 56.26 45.75 55.83 46.22 55.56 c 46.76 55.24 46.99 55.47 47.36 56.1 c 47.65 56.6 47.79 56.85 47.84 56.96 c 47.88 57.05 47.87 57.07 47.55 57.28 c 47.62 57.42 l 48.51 56.89 l 48.44 56.77 l 48.11 56.93 48.09 56.93 48.03 56.85 c 47.95 56.75 47.81 56.51 47.42 55.84 c 47.14 55.36 46.81 54.96 46.04 55.41 c 45.55 55.69 45.36 56.15 45.69 56.72 c 46.14 57.48 46.28 57.73 46.33 57.84 c 46.37 57.93 46.36 57.95 46.06 58.16 c 46.13 58.28 l h f 48.06 55.18 m 47.89 54.78 47.88 54.43 48.18 54.21 c 48.5 53.97 48.79 54.04 48.93 54.22 c 49.07 54.4 48.96 54.58 48.81 54.8 c 48.64 55.03 l 48.26 55.58 48.33 55.8 48.5 56.02 c 48.77 56.39 49.26 56.42 49.7 56.09 c 49.92 55.93 50.09 55.76 50.21 55.61 c 50.18 55.57 50.14 55.53 50.11 55.49 c 50.01 55.35 49.92 55.2 49.83 55.05 c 49.69 55.15 l 49.9 55.54 49.82 55.79 49.55 55.99 c 49.3 56.17 49 56.15 48.86 55.97 c 48.77 55.85 48.77 55.71 48.93 55.49 c 49.28 54.97 l 49.5 54.63 49.51 54.39 49.31 54.12 c 49.02 53.73 48.54 53.73 48.07 54.07 c 47.86 54.23 47.71 54.47 47.51 54.62 c 47.61 54.77 47.78 55.05 47.9 55.26 c 48.06 55.18 l h f 50.84 53.18 m 50.86 53.16 50.87 53.17 50.88 53.17 c 50.9 53.18 50.91 53.23 50.92 53.24 c 51.27 54.13 l 50.39 53.69 l 50.37 53.68 50.35 53.67 50.34 53.66 c 50.33 53.65 50.34 53.63 50.36 53.62 c 50.84 53.18 l h 49.13 53.57 m 49.35 53.39 49.44 53.43 49.73 53.57 c 51.22 54.29 l 51.47 54.42 51.53 54.45 51.65 54.53 c 51.78 54.4 l 51.72 54.31 51.65 54.12 51.6 54 c 50.97 52.25 l 50.88 52.02 50.87 51.98 51.1 51.78 c 51 51.67 l 50.1 52.48 l 50.2 52.59 l 50.47 52.36 50.52 52.36 50.58 52.43 c 50.62 52.49 50.78 52.88 50.79 52.93 c 50.79 52.95 50.79 52.96 50.78 52.98 c 50.71 53.05 50.58 53.18 50.32 53.42 c 50.16 53.56 50.14 53.56 50.07 53.52 c 49.85 53.42 49.69 53.32 49.66 53.3 c 49.59 53.22 49.6 53.17 49.83 52.92 c 49.73 52.81 l 49.03 53.45 l 49.13 53.57 l h f Q Q Q Q b endstream endobj 1 0 obj <>>>/Rotate 0/Thumb 30 0 R/Type/Page>> endobj 2 0 obj <>stream xcaq BT 30 786 Td ET Q BT 1 0 0 1 30 684 Tm /F1 10 Tf 0 0 0 rg 0.48 Tw 0.192 Tc [(\)RXU)-48(ORJLVWLF)-48(UHJUHVVLRQ)-48(PRGHOV)-48(H[DPLQHG)-48(DVVRFLDWLRQV)-48(EHWZHHQ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 672 Tm 0 0 0 rg 0.34875 Tw 0.1395 Tc (VWDWHOHYHO)Tj 0 g 0 0 0 rg [-34.87(JXLGDQFH)-34.87( LQGHSHQGHQW)-34.87(YDULDEOHV\f)-34.87(DQG)-34.87(GLVWULFW)-34.87(SROLFLHV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 660 Tm 0 0 0 rg 0.28035 Tw 0.11214 Tc [(DQG)-28.03(SUDFWLFHV)-28.03(WR)-28.03(UHVWULFW)-28.03(PDUNHWLQJ)-28.03(RI)-28.03(XQKHDOWK\\)-28.03(IRRGV)-28.03(DQG)-28.03()]TJ 0 g 0 0 0 rg (EHYHU)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 648 Tm 0 0 0 rg 0.39355 Tw 0.15742 Tc [(DJHV)-39.35( GHSHQGHQW)-39.35(YDULDEOHV\f)-39.35(7ZR)-39.35(RWKHU)-39.35(PRGHOV)-39.35(H[DPLQHG)-39.35()]TJ 0 g 0 0 0 rg (DVVRFL)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 636 Tm 0 0 0 rg 0.16308 Tw 0.06523 Tc [(DWLRQV)-16.31(EHWZHHQ)]TJ 0 g 0 0 0 rg [-16.31(VWDWHOHYHO)]TJ 0 g 0 0 0 rg [-16.31(JXLGDQFH)-16.31(DQG)-16.31(GLVWULFW)-16.31(SROLFLHV)-16.31(DQG)-16.31()]TJ 0 g 0 0 0 rg (SUDF)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 624 Tm 0 0 0 rg 0.58 Tw 0.232 Tc [(WLFHV)-58(WR)-58(SURPRWH)-58(KHDOWK\\)-58(IRRGV)-58(DQG)-58(EHYHUDJHV)-58($OO)-58(LQGHSHQGHQW)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 612 Tm 0 0 0 rg (YDULDEOHVZHUHLQFOXGHGVLPXOWDQHRXVO\\LQHDFKRIWKHVHPRGHOV)Tj 0 g ET BT 1 0 0 1 30 592 Tm /F1 10 Tf 0 0 0 rg 0.24792 Tw 0.09917 Tc [($OO)-24.79(PRGHOV)-24.79(FRQWUROOHG)-24.79(IRU)-24.79(WKH)-24.79(IROORZLQJ)-24.79(FRYDULDWHV)-24.79(SHUFHQWDJH)-24.79(RI)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 580 Tm 0 0 0 rg 0.189 Tw 0.0756 Tc [(7LWOH)-18.9()-18.9(VWXGHQWV)-18.9(LQ)-18.9(WKH)-18.9(GLVWULFW)-18.9(SHUFHQWDJH)-18.9(RI)-18.9(ZKLWH)-18.9(VWXGHQWV)-18.9(LQ)-18.9(WKH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 568 Tm 0 0 0 rg 0.35168 Tw 0.14067 Tc [(GLVWULFW)-35.17(GLVWULFW)-35.17(VL]H)-35.17(GLVWULFW)-35.17(PHWUR)-35.17(VWDWXV)-35.17(DQG)-35.17(WRWDO)-35.17(H[SHQGLWXUHV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 556 Tm 0 0 0 rg 1.14 Tw 0.45478 Tc [(SHU)-113.7(VWXGHQW)-113.7(LQ)-113.7(WKH)-113.7(GLVWULFW)-113.7($OO)-113.7(DQDO\\VHV)-113.7(ZHUH)-113.7(FRQGXFWHG)-113.7(RQ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 544 Tm 0 0 0 rg 0.18484 Tw 0.07394 Tc [(ZHLJKWHG)-18.48(GDWD)-18.48(XVLQJ)-18.48(68'$$1)-18.48(YHUVLRQ)-18.48()-18.48( 57,)-18.48(,QWHUQDWLRQDO\f)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 532 Tm 0 0 0 rg (WRDFFRXQWIRUWKHFRPSOH[VDPSOHGHVLJQ)Tj 0 g ET BT 1 0 0 1 30 508 Tm /F1 16 Tf 0 0 0 rg (5HVXOWV)Tj 0 g ET BT 1 0 0 1 30 486 Tm /F1 10 Tf 0 0 0 rg 0.29093 Tw 0.11637 Tc [(7DEOH)-29.09()]TJ 0 g 0 0 0 rg [-29.09(GHVFULEHV)-29.09(WKH)-29.09(IUHTXHQF\\)-29.09(RI)-29.09(VWDWH)-29.09(DQG)-29.09(GLVWULFW)-29.09(SUDFWLFHV)-29.09()]TJ 0 g 0 0 0 rg (LQ)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 474 Tm 0 0 0 rg 0.01376 Tw 0.0055 Tc [(FOXGHG)-1.38(LQ)-1.38(WKH)-1.38(PRGHOV)-1.38(DV)-1.38(ZHOO)-1.38(DV)-1.38(WKH)-1.38(FRYDULDWHV)-1.38(VWXGLHG)-1.38(\)LQGLQJV)-1.38(IRU)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 462 Tm 0 0 0 rg 0.1841 Tw 0.07364 Tc [(UHVWULFWLQJ)-18.41(PDUNHWLQJ)-18.41(RI)-18.41(XQKHDOWK\\)-18.41(IRRGV)-18.41(DQG)-18.41(EHYHUDJHV)-18.41(DUH)-18.41(LQ)-18.41()]TJ 0 g 0 0 0 rg (7D)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 450 Tm 0 0 0 rg 0.84911 Tw 0.33964 Tc [(EOH)-84.91()]TJ 0 g 0 0 0 rg [()-84.91(7KH)-84.91(RGGV)-84.91(RI)-84.91(D)-84.91(GLVWULFW)-84.91(UHTXLULQJ)-84.91(RU)-84.91(UHFRPPHQGLQJ)-84.91(WKDW)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 438 Tm 0 0 0 rg 0.13051 Tw 0.0522 Tc [(VFKRROV)-13.05(SURKLELW)-13.05(DGYHUWLVHPHQWV)-13.05(IRU)-13.05(MXQN)-13.05(IRRG)-13.05(RU)-13.05(IDVW)-13.05(IRRG)-13.05()]TJ 0 g 0 0 0 rg (UHVWDXU)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 426 Tm 0 0 0 rg 0.50211 Tw 0.20084 Tc [(DQWV)-50.21(RQ)-50.21(VFKRRO)-50.21(SURSHUW\\)-50.21(ZHUH)-50.21(\b)-50.21(KLJKHU)-50.21( $25)-50.21()-50.21(\b)-50.21(&,)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 414 Tm 0 0 0 rg 0.42678 Tw 0.17071 Tc [(\f)-42.68(DPRQJ)-42.68(GLVWULFWV)-42.68(LQ)-42.68(VWDWHV)-42.68(WKDW)-42.68(GLVWULEXWHG)-42.68(RU)-42.68(SURYLGHG)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 402 Tm 0 0 0 rg 0.40457 Tw 0.16183 Tc [(PRGHO)-40.46(SROLFLHV)-40.46(SROLF\\)-40.46(JXLGDQFH)-40.46(RU)-40.46(RWKHU)-40.46(PDWHULDOV)-40.46(WR)-40.46(GLVWULFW)-40.46(RU)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 390 Tm 0 0 0 rg 0.04415 Tw 0.01766 Tc [(VFKRRO)-4.41(VWDII)-4.41(FRPSDUHG)-4.41(ZLWK)-4.41(GLVWULFWV)-4.41(WKDW)-4.41(GLG)-4.41(QRW)-4.41(UHFHLYH)-4.41(WKLV)-4.41()]TJ 0 g 0 0 0 rg (DVVLVW)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 378 Tm 0 0 0 rg 0.03636 Tw 0.01455 Tc [(DQFH)-3.64( )]TJ 0 g 0 0 0 rg [(7DEOH)-3.64()]TJ 0 g 0 0 0 rg [(\f)-3.64(+RZHYHU)-3.64(WKH)-3.64(RGGV)-3.64(RI)-3.64(D)-3.64(GLVWULFW)-3.64(UHTXLULQJ)-3.64(RU)-3.64()]TJ 0 g 0 0 0 rg (UHFRP)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 366 Tm 0 0 0 rg 0.10057 Tw 0.04023 Tc [(PHQGLQJ)-10.06(WKDW)-10.06(VFKRROV)-10.06(SURKLELW)-10.06(DGYHUWLVHPHQWV)-10.06(IRU)-10.06(MXQN)-10.06(IRRG)-10.06(RU)-10.06(IDVW)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 354 Tm 0 0 0 rg 0.2206 Tw 0.08824 Tc [(IRRG)-22.06(UHVWDXUDQWV)-22.06(RQ)-22.06(VFKRRO)-22.06(SURSHUW\\)-22.06(ZHUH)-22.06(\b)-22.06(ORZHU)-22.06( $25)-22.06()]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 342 Tm 0 0 0 rg 0.35439 Tw 0.14175 Tc [(\b)-35.44(&,)-35.44(\f)-35.44(DPRQJ)-35.44(GLVWULFWV)-35.44(LQ)-35.44(VWDWHV)-35.44(WKDW)-35.44(SURYLGHG)-35.44()]TJ 0 g 0 0 0 rg (WHFK)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 330 Tm 0 0 0 rg 0.27179 Tw 0.10871 Tc [(QLFDO)-27.18(DVVLVWDQFH)-27.18(WR)-27.18(GLVWULFW)-27.18(RU)-27.18(VFKRRO)-27.18(VWDII)-27.18(FRPSDUHG)-27.18(ZLWK)-27.18(GLVWULFWV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 318 Tm 0 0 0 rg 0.16399 Tw 0.0656 Tc [(LQ)-16.4(VWDWHV)-16.4(WKDW)-16.4(GLG)-16.4(QRW)-16.4($GGLWLRQDOO\\)-16.4(WKH)-16.4(RGGV)-16.4(RI)-16.4(D)-16.4(GLVWULFW)-16.4(UHTXLULQJ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 306 Tm 0 0 0 rg 0.17794 Tw 0.07118 Tc [(RU)-17.79(UHFRPPHQGLQJ)-17.79(WKDW)-17.79(VFKRROV)-17.79(UHVWULFW)-17.79(WKH)-17.79(GLVWULEXWLRQ)-17.79(RI)-17.79(SURGXFWV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 294 Tm 0 0 0 rg 0.36583 Tw 0.14633 Tc [(SURPRWLQJ)-36.58(MXQN)-36.58(IRRG)-36.58(IDVW)-36.58(IRRG)-36.58(UHVWDXUDQWV)-36.58(RU)-36.58(VRIW)-36.58(GULQNV)-36.58(WR)-36.58()]TJ 0 g 0 0 0 rg (VWX)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 282 Tm 0 0 0 rg 0.48949 Tw 0.1958 Tc [(GHQWV)-48.95(ZHUH)-48.95(\b)-48.95(ORZHU)-48.95( $25)-48.95()-48.95(\b)-48.95(&,)-48.95(\f)-48.95(DPRQJ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 270 Tm 0 0 0 rg 0.12919 Tw 0.05167 Tc [(GLVWULFWV)-12.92(LQ)-12.92(VWDWHV)-12.92(WKDW)-12.92(SURYLGHG)-12.92(WHFKQLFDO)-12.92(DVVLVWDQFH)-12.92(UHODWLYH)-12.92(WR)-12.92()]TJ 0 g 0 0 0 rg (GLV)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 258 Tm 0 0 0 rg 0.41181 Tw 0.16472 Tc [(WULFWV)-41.18(LQ)-41.18(VWDWHV)-41.18(WKDW)-41.18(GLG)-41.18(QRW)-41.18(&RPSDUHG)-41.18(ZLWK)-41.18(ODUJH)-41.18(GLVWULFWV)-41.18(VPDOO)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 246 Tm 0 0 0 rg 0.33802 Tw 0.13521 Tc [(GLVWULFWV)-33.8(KDG)-33.8(\b)-33.8(ORZHU)-33.8(RGGV)-33.8(RI)-33.8(UHTXLULQJ)-33.8(RU)-33.8(UHFRPPHQGLQJ)-33.8(WKDW)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 234 Tm 0 0 0 rg 0.13051 Tw 0.0522 Tc [(VFKRROV)-13.05(SURKLELW)-13.05(DGYHUWLVHPHQWV)-13.05(IRU)-13.05(MXQN)-13.05(IRRG)-13.05(RU)-13.05(IDVW)-13.05(IRRG)-13.05()]TJ 0 g 0 0 0 rg (UHVWDXU)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 222 Tm 0 0 0 rg 0.01006 Tw 0.00402 Tc [(DQWV)-1.01(RQ)-1.01(VFKRRO)-1.01(SURSHUW\\)-1.01( $25)-1.01()-1.01(\b)-1.01(&,)-1.01(\f)-1.01(DQG)-1.01(\b)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 210 Tm 0 0 0 rg 0.51719 Tw 0.20687 Tc [(ORZHU)-51.72(RGGV)-51.72(RI)-51.72(UHTXLULQJ)-51.72(RU)-51.72(UHFRPPHQGLQJ)-51.72(WKDW)-51.72(VFKRROV)-51.72(SURKLELW)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 198 Tm 0 0 0 rg 0.24876 Tw 0.0995 Tc [(MXQN)-24.88(IRRGV)-24.88(IURP)-24.88(EHLQJ)-24.88(VROG)-24.88(IRU)-24.88(IXQGUDLVLQJ)-24.88(SXUSRVHV)-24.88( $25)-24.88()]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 186 Tm 0 0 0 rg (\b&,\f)Tj 0 g ET BT 1 0 0 1 30 166 Tm /F1 10 Tf 0 0 0 rg 0.25237 Tw 0.10095 Tc [(\)LQGLQJV)-25.24(IRU)-25.24(SURPRWLQJ)-25.24(KHDOWK\\)-25.24(IRRGV)-25.24(DQG)-25.24(EHYHUDJHV)-25.24(DUH)-25.24(LQ)-25.24()]TJ 0 g 0 0 0 rg (7DEOH)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 154 Tm 0 0 0 rg 0.18687 Tw 0.07475 Tc ()Tj 0 g 0 0 0 rg [()-18.69('LVWULFWV)-18.69(LQ)-18.69(VWDWHV)-18.69(WKDW)-18.69(SURYLGHG)-18.69(WHFKQLFDO)-18.69(DVVLVWDQFH)-18.69(RQ)-18.69()]TJ 0 g 0 0 0 rg (PDUNHW)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 142 Tm 0 0 0 rg 0.1845 Tw 0.0738 Tc [(LQJ)-18.45(VFKRRO)-18.45(PHDOV)-18.45(DQG)-18.45(LPSURYLQJ)-18.45(WKH)-18.45(SUHVHQWDWLRQ)-18.45(RI)-18.45(KHDOWK\\)-18.45(IRRGV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 130 Tm 0 0 0 rg 0.06432 Tw 0.02573 Tc [(LQ)-6.43(WKH)-6.43(FDIHWHULD)-6.43(KDG)-6.43(\b)-6.43(KLJKHU)-6.43(RGGV)-6.43(RI)-6.43(SURYLGLQJ)-6.43(IXQGLQJ)-6.43(IRU)-6.43()]TJ 0 g 0 0 0 rg (SUR)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 118 Tm 0 0 0 rg 0.16356 Tw 0.06542 Tc [(IHVVLRQDO)-16.36(GHYHORSPHQW)-16.36(WR)-16.36(VFKRRO)-16.36(QXWULWLRQ)-16.36(VWDII)-16.36(RQ)-16.36(XVLQJ)-16.36(WKH)-16.36()]TJ 0 g 0 0 0 rg (FDIHW)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 106 Tm 0 0 0 rg 0.10112 Tw 0.04045 Tc [(HULD)-10.11(IRU)-10.11(QXWULWLRQ)-10.11(HGXFDWLRQ)-10.11(DQG)-10.11(VWUDWHJLHV)-10.11(WR)-10.11(LPSURYH)-10.11(WKH)-10.11()]TJ 0 g 0 0 0 rg (SUHVHQWD)Tj 0 g 0 Tw 0 Tc ET BT 1 0 0 1 316 684 Tm /F1 10 Tf 0 0 0 rg 0.28983 Tw 0.11593 Tc [(WLRQ)-28.98(RI)-28.98(KHDOWKIXO)-28.98(IRRGV)-28.98(LQ)-28.98(WKH)-28.98(FDIHWHULD)-28.98(FRPSDUHG)-28.98(ZLWK)-28.98(GLVWULFWV)-28.98(LQ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 672 Tm 0 0 0 rg 0.57787 Tw 0.23115 Tc [(VWDWHV)-57.79(WKDW)-57.79(GLG)-57.79(QRW)-57.79(UHFHLYH)-57.79(WKLV)-57.79(DVVLVWDQFH)-57.79( $25)-57.79()-57.79(\b)-57.79(&,)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 660 Tm 0 0 0 rg 0.53963 Tw 0.21585 Tc [(\f)-53.96( )]TJ 0 g 0 0 0 rg [(7DEOH)-53.96()]TJ 0 g 0 0 0 rg [(\f)-53.96(&RPSDUHG)-53.96(ZLWK)-53.96(ODUJH)-53.96(GLVWULFWV)-53.96(VPDOO)-53.96()]TJ 0 g 0 0 0 rg (GLV)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 648 Tm 0 0 0 rg 0.23411 Tw 0.09364 Tc [(WULFWV)-23.41(KDG)-23.41(\b)-23.41(ORZHU)-23.41(RGGV)-23.41(RI)-23.41(SURYLGLQJ)-23.41(QXWULWLRQ)-23.41(LQIRUPDWLRQ)-23.41( HJ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 636 Tm 0 0 0 rg 0.6753 Tw 0.27012 Tc [(QXWULWLRQ)-67.53(LQIRUPDWLRQ)-67.53(DERXW)-67.53(WKH)-67.53(IRRGV)-67.53(DYDLODEOH)-67.53(WR)-67.53(VWXGHQWV\f)-67.53(WR)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 624 Tm 0 0 0 rg (VFKRROVVWXGHQWVDQGIDPLOLHV $25\b&,\f)Tj 0 g ET BT 1 0 0 1 316 600 Tm /F1 16 Tf 0 0 0 rg ('LVFXVVLRQ)Tj 0 g ET BT 1 0 0 1 316 578 Tm /F1 10 Tf 0 0 0 rg 0.32075 Tw 0.1283 Tc [(\)LQGLQJV)-32.08(VKRZHG)-32.08(D)-32.08(SRVLWLYH)-32.08(DVVRFLDWLRQ)-32.08(EHWZHHQ)-32.08(VWDWHV)-32.08(SURYLGLQJ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 566 Tm 0 0 0 rg 0.41687 Tw 0.16675 Tc [(SROLF\\)-41.69(JXLGDQFH)-41.69(DQG)-41.69(GLVWULFWV)-41.69(UHVWULFWLQJ)-41.69(DGYHUWLVHPHQWV)-41.69(IRU)-41.69(MXQN)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 554 Tm 0 0 0 rg 0.16043 Tw 0.06417 Tc [(IRRG)-16.04(RU)-16.04(IDVW)-16.04(IRRG)-16.04(UHVWDXUDQWV)-16.04(RQ)-16.04(VFKRRO)-16.04(SURSHUW\\)-16.04(,W)-16.04(LV)-16.04(XQFOHDU)-16.04(ZK\\)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 542 Tm 0 0 0 rg 0.36748 Tw 0.14699 Tc [(VWDWH)-36.75(SURYLVLRQ)-36.75(RI)-36.75(WHFKQLFDO)-36.75(DVVLVWDQFH)-36.75(ZDV)-36.75(QHJDWLYHO\\)-36.75(DVVRFLDWHG)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 530 Tm 0 0 0 rg 0.03598 Tw 0.01439 Tc [(ZLWK)-3.6()-3.6(RI)-3.6(WKH)-3.6(SUDFWLFHV)-3.6(WR)-3.6(UHVWULFW)-3.6(PDUNHWLQJ)-3.6(RI)-3.6(XQKHDOWK\\)-3.6(IRRGV)-3.6(DQG)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 518 Tm 0 0 0 rg 0.25939 Tw 0.10376 Tc [(EHYHUDJHV)-25.94(EXW)-25.94(SRVLWLYHO\\)-25.94(DVVRFLDWHG)-25.94(ZLWK)-25.94(GLVWULFWV)-25.94(IXQGLQJ)-25.94()]TJ 0 g 0 0 0 rg (SURIHV)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 506 Tm 0 0 0 rg 0.17054 Tw 0.06821 Tc [(VLRQDO)-17.05(GHYHORSPHQW)-17.05(RQ)-17.05(SURPRWLQJ)-17.05(KHDOWK\\)-17.05(FKRLFHV)-17.05(LQ)-17.05(WKH)-17.05(FDIHWHULD)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 494 Tm 0 0 0 rg 0.29653 Tw 0.11861 Tc [(2QH)-29.65(SRVVLEOH)-29.65(H[SODQDWLRQ)-29.65(LV)-29.65(WKDW)-29.65(GLVWULFWV)-29.65(PD\\)-29.65(EH)-29.65(EHWWHU)-29.65(HTXLSSHG)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 482 Tm 0 0 0 rg 0.37771 Tw 0.15108 Tc [(WR)-37.77(SURYLGH)-37.77(SURIHVVLRQDO)-37.77(GHYHORSPHQW)-37.77(RQ)-37.77(SURPRWLQJ)-37.77(KHDOWKLHU)-37.77()]TJ 0 g 0 0 0 rg (RS)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 470 Tm 0 0 0 rg 0.18547 Tw 0.07419 Tc [(WLRQV)-18.55(EHFDXVH)-18.55(VHYHUDO)-18.55(LQLWLDWLYHV)-18.55(H[LVW)-18.55(WR)-18.55(VXSSRUW)-18.55(WKH)-18.55(ZRUN)-18.55()]TJ 0 g 0 0 0 rg (LQFOXG)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 458 Tm 0 0 0 rg 0.34167 Tw 0.13667 Tc [(LQJ)-34.17(WKH)-34.17(86)-34.17('HSDUWPHQW)-34.17(RI)-34.17($JULFXOWXUHV)-34.17(7HDP)-34.17(1XWULWLRQ)-34.17(WUDLQLQJ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 446 Tm 0 0 0 rg 0.24367 Tw 0.09747 Tc [(JUDQWV)-24.37(DQG)-24.37(UHVRXUFHV)-24.37( )]TJ 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg [(\f)-24.37(DQG)-24.37(WKH)-24.37(6PDUWHU)-24.37(/XQFKURRPV)-24.37(0RYHPHQW)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 434 Tm 0 0 0 rg 0.21315 Tw 0.08526 Tc ( )Tj 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg [(\f)-21.31(+RZHYHU)-21.31(IHZHU)-21.31(UHVRXUFHV)-21.31(H[LVW)-21.31(WR)-21.31(KHOS)-21.31(GLVWULFWV)-21.31(DGGUHVV)-21.31()]TJ 0 g 0 0 0 rg (PDU)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 422 Tm 0 0 0 rg 0.06215 Tw 0.02486 Tc [(NHWLQJ)-6.21(RI)-6.21(XQKHDOWK\\)-6.21(IRRGV)-6.21(DQG)-6.21(EHYHUDJHV)-6.21(DQG)-6.21(VWDWHV)-6.21(SRWHQWLDOO\\)-6.21(DUH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 410 Tm 0 0 0 rg 0.08324 Tw 0.0333 Tc [(IRFXVLQJ)-8.32(DVVLVWDQFH)-8.32(HIIRUWV)-8.32(RQ)-8.32(GLVWULFWV)-8.32(WKDW)-8.32(DUH)-8.32(QRW)-8.32(DOUHDG\\)-8.32()]TJ 0 g 0 0 0 rg (UHVWULFW)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 398 Tm 0 0 0 rg 0.62025 Tw 0.2481 Tc [(LQJ)-62.03(PDUNHWLQJ)-62.03(RI)-62.03(XQKHDOWK\\)-62.03(IRRGV)-62.03(DQG)-62.03(EHYHUDJHV)-62.03(2XU)-62.03(ILQGLQJV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 386 Tm 0 0 0 rg 0.50799 Tw 0.20319 Tc [(ZHUH)-50.8(VLPLODU)-50.8(WR)-50.8(SUHYLRXV)-50.8(ILQGLQJV)-50.8( )]TJ 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg [(\f)-50.8(WKDW)-50.8(FRPSDUHG)-50.8(ZLWK)-50.8(ODUJH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 374 Tm 0 0 0 rg 0.37113 Tw 0.14845 Tc [(GLVWULFWV)-37.11(VPDOO)-37.11(GLVWULFWV)-37.11(KDG)-37.11(ORZHU)-37.11(RGGV)-37.11(RI)-37.11(LPSOHPHQWLQJ)-37.11(VHYHUDO)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 362 Tm 0 0 0 rg (NH\\PDUNHWLQJDQGSURPRWLRQSROLFLHVDQGSUDFWLFHV)Tj 0 g ET BT 1 0 0 1 316 342 Tm /F1 10 Tf 0 0 0 rg 0.49099 Tw 0.1964 Tc [(7KHUH)-49.1(DUH)-49.1(VHYHUDO)-49.1(OLPLWDWLRQV)-49.1(RI)-49.1(RXU)-49.1(VWXG\\)-49.1(%HFDXVH)-49.1(6+336)-49.1(LV)-49.1(D)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 330 Tm 0 0 0 rg 0.3203 Tw 0.12812 Tc (FURVVVHFWLRQDO)Tj 0 g 0 0 0 rg [-32.03(VWXG\\)-32.03(FDXVDOLW\\)-32.03(EHWZHHQ)-32.03(VWDWH)-32.03(DVVLVWDQFH)-32.03(DQG)]TJ 0 g 0 0 0 rg [-32.03()]TJ 0 g 0 0 0 rg (GLV)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 318 Tm 0 0 0 rg 0.71145 Tw 0.28458 Tc (WULFWOHYHO)Tj 0 g 0 0 0 rg [-71.14(SUDFWLFHV)-71.14(FDQQRW)-71.14(EH)-71.14(LQIHUUHG)-71.14(2WKHU)-71.14(W\\SHV)-71.14(RI)-71.14(VWXGLHV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 306 Tm 0 0 0 rg 0.23529 Tw 0.09412 Tc [(FRXOG)-23.53(EH)-23.53(GRQH)-23.53(WR)-23.53(YHULI\\)-23.53(WKHVH)-23.53(DVVRFLDWLRQV)-23.53(LQFOXGLQJ)-23.53(ORQJLWXGLQDO)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 294 Tm 0 0 0 rg 0.41867 Tw 0.16747 Tc [(VWXGLHV)-41.87(DQG)-41.87(QDWXUDO)-41.87(H[SHULPHQWDO)-41.87(HYDOXDWLRQV)-41.87(RI)-41.87(FKDQJHV)-41.87(LQ)-41.87(VWDWH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 282 Tm 0 0 0 rg 0.38404 Tw 0.15361 Tc [(JXLGDQFH)-38.4(DQG)-38.4(LQ)-38.4(GLVWULFW)-38.4(SUDFWLFHV)-38.4($GGLWLRQDOO\\)-38.4(6+336)-38.4(GDWD)-38.4(DUH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 270 Tm 0 0 0 rg 0.42143 Tw 0.16857 Tc (VHOIUHSRUWHG)Tj 0 g 0 0 0 rg [-42.14(DQG)-42.14(SROLFLHV)-42.14(DQG)-42.14(SUDFWLFHV)-42.14(ZHUH)-42.14(QRW)-42.14(YHULILHG)-42.14(XVLQJ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 258 Tm 0 0 0 rg 0.05426 Tw 0.0217 Tc [(RWKHU)-5.43(VRXUFHV)-5.43(7KHUH)-5.43(DOVR)-5.43(ZDV)-5.43(SRRU)-5.43(DOLJQPHQW)-5.43(EHWZHHQ)-5.43(VRPH)-5.43(RI)-5.43(WKH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 246 Tm 0 0 0 rg 0.02318 Tw 0.00927 Tc (VWDWH)Tj 0 g 0 0 0 rg [-2.32(DQG)]TJ 0 g 0 0 0 rg [-2.32(GLVWULFWOHYHO)]TJ 0 g 0 0 0 rg [-2.32(TXHVWLRQV)-2.32(IRU)-2.32(WKH)-2.32()-2.32(PRGHOV)-2.32(H[DPLQLQJ)-2.32()]TJ 0 g 0 0 0 rg (SUDF)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 234 Tm 0 0 0 rg 0.06343 Tw 0.02537 Tc [(WLFHV)-6.34(WR)-6.34(SURPRWH)-6.34(KHDOWK\\)-6.34(LWHPV)-6.34(\)XWXUH)-6.34(VWXGLHV)-6.34(FRXOG)-6.34(H[DPLQH)-6.34(WKHVH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 222 Tm 0 0 0 rg 0.44235 Tw 0.17694 Tc [(DVVRFLDWLRQV)-44.24(ZLWK)]TJ 0 g 0 0 0 rg [-44.24(VWDWH)]TJ 0 g 0 0 0 rg [-44.24(DQG)]TJ 0 g 0 0 0 rg [-44.24(GLVWULFWOHYHO)]TJ 0 g 0 0 0 rg [-44.24(GDWD)-44.24(WKDW)-44.24(PRUH)-44.24(FORVHO\\)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 210 Tm 0 0 0 rg 0.07257 Tw 0.02903 Tc [(DOLJQ)-7.26(DV)-7.26(ZHOO)-7.26(DV)-7.26(H[DPLQH)-7.26(DVVRFLDWLRQV)-7.26(EHWZHHQ)]TJ 0 g 0 0 0 rg [-7.26(VWDWHOHYHO)]TJ 0 g 0 0 0 rg [-7.26(IRRG)-7.26(DQG)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 198 Tm 0 0 0 rg 0.40747 Tw 0.16299 Tc [(EHYHUDJH)-40.75(PDUNHWLQJ)-40.75(SROLFLHV)-40.75(DQG)]TJ 0 g 0 0 0 rg [-40.75(VFKRROOHYHO)]TJ 0 g 0 0 0 rg [-40.75(SUDFWLFHV)-40.75(EHFDXVH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 186 Tm 0 0 0 rg 0.08519 Tw 0.03408 Tc [(VWDWH)-8.52(SROLFLHV)-8.52(KDYH)-8.52(EHHQ)-8.52(LPSRUWDQW)-8.52(OHYHUV)-8.52(IRU)-8.52(RWKHU)-8.52(VFKRRO)-8.52(QXWULWLRQ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 174 Tm 0 0 0 rg 0.5421 Tw 0.21684 Tc [(FKDQJHV)-54.21( )]TJ 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg [(\f)-54.21(\)XWXUH)-54.21(UHVHDUFK)-54.21(FRXOG)-54.21(DOVR)-54.21(WU\\)-54.21(WR)-54.21(LGHQWLI\\)-54.21(RWKHU)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 162 Tm 0 0 0 rg 0.17961 Tw 0.07184 Tc [(WUDLQLQJ)-17.96(DQG)-17.96(WHFKQLFDO)-17.96(DVVLVWDQFH)-17.96(WRSLFV)-17.96(WKDW)-17.96(PD\\)-17.96(KHOS)-17.96(GLVWULFWV)-17.96()]TJ 0 g 0 0 0 rg (DG)Tj 0 g 0 Tw 0 Tc 1 0 0 1 316 150 Tm 0 0 0 rg 0.58839 Tw 0.23535 Tc [(GUHVV)-58.84(IRRG)-58.84(PDUNHWLQJ)-58.84(LQFOXGLQJ)-58.84(LGHQWLI\\LQJ)-58.84(IRRG)-58.84(DQG)-58.84(EHYHUDJH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 138 Tm 0 0 0 rg 0.54722 Tw 0.21889 Tc [(PDUNHWLQJ)-54.72(LQ)-54.72(WKH)-54.72(VFKRRO)-54.72(VHWWLQJ)-54.72(DQG)-54.72(OHYHUDJLQJ)-54.72(VFKRRO)-54.72(ZHOOQHVV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 316 126 Tm 0 0 0 rg (FRXQFLOVWRDGGUHVVIRRGPDUNHWLQJ )Tj 0 g 0 0 0 rg ()Tj 0 g 0 0 0 rg (\f)Tj 0 g ET q BT 1 0 0 1 30 735 Tm /F5 22 Tf 0.15294 0.35686 0.17255 rg (PREVENTING CHRONIC DISEASE)Tj 0 g ET Q q BT 1 0 0 1 502.52 735 Tm /F2 10 Tf (VOLUME 15, E74)Tj ET Q 0.83529 0.86275 0.81961 RG 1.6 w 30 732 m 368 732 l S q BT 1 0 0 1 30 718 Tm /F2 13 Tf 0.15294 0.35686 0.17255 rg (PUBLIC HEALTH RESEARCH, PRACTICE, AND POLICY)Tj 0 g ET Q q BT 1 0 0 1 503.07 718 Tm /F2 10 Tf ( JUNE 2018)Tj ET Q 0.15294 0.35686 0.17255 RG 3 w 30 708 m 582 708 l S 0.50196 0.50196 0.50196 RG 1 w 30 80 m 582 80 l S q BT 1 0 0 1 30.52 70 Tm /F2 8 Tf 0.50196 0.50196 0.50196 rg (The opinions expressed by authors contributing to this journal do not necessarily reflect the opinions of the U.S. Department of Health and Human Services,)Tj 0 g ET Q q BT 1 0 0 1 110.12 58 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/2018/17_0352.htm)Tj ET Q  endstream endobj 3 0 obj <>>>/Rotate 0/Thumb 31 0 R/Type/Page>> endobj 4 0 obj <>stream x=q BT 30 786 Td ET Q BT 1 0 0 1 30 684 Tm /F1 10 Tf 0 0 0 rg 0.17381 Tw 0.06952 Tc [('HVSLWH)-17.38(LQFRQVLVWHQW)-17.38(UHVXOWV)-17.38(VWDWH)-17.38(DJHQFLHV)-17.38(PD\\)-17.38(EH)-17.38(HQFRXUDJHG)-17.38(E\\)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 672 Tm 0 0 0 rg 0.0082 Tw 0.00328 Tc [(ILQGLQJV)-0.81968(WKDW)-0.81968(SROLF\\)-0.81968(JXLGDQFH)-0.81968(DQG)-0.81968(WHFKQLFDO)-0.81968(DVVLVWDQFH)-0.81968(WR)-0.81968(GLVWULFWV)-0.81968(LV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 660 Tm 0 0 0 rg 0.09649 Tw 0.0386 Tc [(DVVRFLDWHG)-9.65(ZLWK)-9.65(LPSOHPHQWDWLRQ)-9.65(RI)-9.65(VRPH)-9.65(PDUNHWLQJ)-9.65(DQG)-9.65(SURPRWLRQ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 648 Tm 0 0 0 rg 0.025 Tw 0.01 Tc [(SROLFLHV)-2.5(DQG)-2.5(SUDFWLFHV)-2.5(6PDOOHU)-2.5(GLVWULFWV)-2.5(PD\\)-2.5(QHHG)-2.5(DGGLWLRQDO)-2.5()]TJ 0 g 0 0 0 rg (DVVLVW)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 636 Tm 0 0 0 rg (DQFHWRDGGUHVVPDUNHWLQJDQGSURPRWLRQ)Tj 0 g ET BT 1 0 0 1 30 612 Tm /F1 16 Tf ($FNQRZOHGJPHQWV)Tj ET BT 1 0 0 1 30 590 Tm /F1 10 Tf 0 0 0 rg 0.27485 Tw 0.10994 Tc [(7KH)-27.48(DXWKRUV)-27.48(GR)-27.48(QRW)-27.48(KDYH)-27.48(DQ\\)-27.48(DFNQRZOHGJHPHQWV)-27.48(RU)-27.48(RXWVLGH)-27.48()]TJ 0 g 0 0 0 rg (IXQG)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 578 Tm 0 0 0 rg 0.2125 Tw 0.085 Tc [(LQJ)-21.25(WR)-21.25(UHSRUW)-21.25(%RUURZHG)-21.25(PDWHULDO)-21.25(DQG)-21.25(FRS\\ULJKWHG)-21.25(VXUYH\\V)-21.25()]TJ 0 g 0 0 0 rg (LQVWUX)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 566 Tm 0 0 0 rg (PHQWVRUWRROVZHUHQRWXVHG)Tj 0 g ET BT 1 0 0 1 30 546 Tm /F1 10 Tf 0 0 0 rg 0.49641 Tw 0.19856 Tc [(7KH)-49.64(ILQGLQJV)-49.64(DQG)-49.64(FRQFOXVLRQV)-49.64(LQ)-49.64(WKLV)-49.64(UHSRUW)-49.64(DUH)-49.64(WKRVH)-49.64(RI)-49.64(WKH)-49.64()]TJ 0 g 0 0 0 rg (DX)Tj 0 g 0 Tw 0 Tc 1 0 0 1 30 534 Tm 0 0 0 rg 0.30412 Tw 0.12165 Tc [(WKRUV)-30.41(DQG)-30.41(GR)-30.41(QRW)-30.41(QHFHVVDULO\\)-30.41(UHSUHVHQW)-30.41(WKH)-30.41(RIILFLDO)-30.41(SRVLWLRQ)-30.41(RI)-30.41(WKH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 522 Tm 0 0 0 rg (&HQWHUVIRU'LVHDVH&RQWURODQG3UHYHQWLRQ)Tj 0 g ET BT 1 0 0 1 30 498 Tm /F1 16 Tf ($XWKRU,QIRUPDWLRQ)Tj ET BT 1 0 0 1 30 476 Tm /F1 10 Tf 0 0 0 rg 0.36424 Tw 0.1457 Tc [(&RUUHVSRQGLQJ)-36.42($XWKRU)-36.42(&DLWOLQ)-36.42(/)-36.42(0HUOR)-36.42(03+)-36.42(5')-36.42('LYLVLRQ)-36.42(RI)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 464 Tm 0 0 0 rg 0.48089 Tw 0.19236 Tc [(3RSXODWLRQ)-48.09(+HDOWK)-48.09(&HQWHUV)-48.09(IRU)-48.09('LVHDVH)-48.09(&RQWURO)-48.09(DQG)-48.09(3UHYHQWLRQ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 452 Tm 0 0 0 rg 0.575 Tw 0.23 Tc [()-57.5(%XIRUG)-57.5(+LJKZD\\)-57.5(1\()-57.5(0DLOVWRS)-57.5(\))-57.5($WODQWD)-57.5(*$)-57.5()]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 440 Tm 0 0 0 rg (7HOHSKRQH\(PDLOFPHUOR#FGFJRY)Tj 0 g ET BT 1 0 0 1 30 428 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 30 416 Tm /F1 10 Tf 0 0 0 rg 0.38882 Tw 0.15553 Tc [($XWKRU)-38.88($IILOLDWLRQV)-38.88()]TJ 0 g /F1 7 Tf 0 0 0 rg 4 Ts ()Tj 0 Ts 0 g /F1 10 Tf 0 0 0 rg [('LYLVLRQ)-38.88(RI)-38.88(3RSXODWLRQ)-38.88(+HDOWK)-38.88(&HQWHUV)-38.88(IRU)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 404 Tm 0 0 0 rg 0.50541 Tw 0.20217 Tc [('LVHDVH)-50.54(&RQWURO)-50.54(DQG)-50.54(3UHYHQWLRQ)-50.54($WODQWD)-50.54(*HRUJLD)]TJ 0 g 0 0 0 rg [()-50.54()]TJ 0 g /F1 7 Tf 0 0 0 rg 4 Ts ()Tj 0 Ts 0 g /F1 10 Tf 0 0 0 rg [('LYLVLRQ)-50.54(RI)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 392 Tm 0 0 0 rg 0.42375 Tw 0.1695 Tc [($GROHVFHQW)-42.37(DQG)-42.37(6FKRRO)-42.37(+HDOWK)-42.37(&HQWHUV)-42.37(IRU)-42.37('LVHDVH)-42.37(&RQWURO)-42.37(DQG)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 380 Tm 0 0 0 rg 0.70427 Tw 0.28171 Tc [(3UHYHQWLRQ)-70.43($WODQWD)-70.43(*HRUJLD)]TJ 0 g 0 0 0 rg [()-70.43()]TJ 0 g /F1 7 Tf 0 0 0 rg 4 Ts ()Tj 0 Ts 0 g /F1 10 Tf 0 0 0 rg [('LYLVLRQ)-70.43(RI)-70.43(1XWULWLRQ)-70.43(3K\\VLFDO)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 368 Tm 0 0 0 rg 0.05235 Tw 0.02094 Tc [($FWLYLW\\)-5.24(DQG)-5.24(2EHVLW\\)-5.24(&HQWHUV)-5.24(IRU)-5.24('LVHDVH)-5.24(&RQWURO)-5.24(DQG)-5.24(3UHYHQWLRQ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 30 356 Tm 0 0 0 rg ($WODQWD*HRUJLD)Tj 0 g 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 30 344 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 30 328 Tm /F1 16 Tf (5HIHUHQFHV)Tj ET BT 1 0 0 1 44 306 Tm /F1 10 Tf 0 0 0 rg 0.49129 Tw 0.19652 Tc [(0HUOR)-49.13(&/)-49.13(0LFKDHO)-49.13(6)-49.13(%UHQHU)-49.13(1')-49.13(&RIILHOG)-49.13(\()-49.13(.LQJVOH\\)-49.13(%6)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 294 Tm 0 0 0 rg 0.31104 Tw 0.12442 Tc [(=\\WQLFN)-31.1(')-31.1(HW)-31.1(DO)-31.1('LIIHUHQFHV)-31.1(LQ)-31.1(IRRG)-31.1(DQG)-31.1(EHYHUDJH)-31.1(PDUNHWLQJ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 282 Tm 0 0 0 rg 0.31594 Tw 0.12637 Tc [(SROLFLHV)-31.59(DQG)-31.59(SUDFWLFHV)-31.59(LQ)-31.59(86)-31.59(VFKRRO)-31.59(GLVWULFWV)-31.59(E\\)-31.59(GHPRJUDSKLF)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 270 Tm 0 0 0 rg 0.79371 Tw 0.31748 Tc [(FKDUDFWHULVWLFV)-79.37(RI)-79.37(VFKRRO)-79.37(GLVWULFWV)-79.37()-79.37(3UHY)-79.37(&KURQLF)-79.37('LV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 258 Tm 0 0 0 rg (\()Tj 0 g ET q BT 1 0 0 1 30 306 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 44 246 Tm /F1 10 Tf 0 0 0 rg 0.77626 Tw 0.3105 Tc [(7HUU\\0F\(OUDWK)-77.63(<0)-77.63(7XUQHU)-77.63(/)-77.63(6DQGRYDO)-77.63($)-77.63(-RKQVWRQ)-77.63(/')]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 234 Tm 0 0 0 rg 1.64 Tw 0.65532 Tc [(&KDORXSND)-163.83(\)-)-163.83(&RPPHUFLDOLVP)-163.83(LQ)-163.83(86)-163.83(HOHPHQWDU\\)-163.83(DQG)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 222 Tm 0 0 0 rg 0.21928 Tw 0.08771 Tc [(VHFRQGDU\\)-21.93(VFKRRO)-21.93(QXWULWLRQ)-21.93(HQYLURQPHQWV)-21.93(WUHQGV)-21.93(IURP)-21.93()-21.93(WR)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 210 Tm 0 0 0 rg (-$0$3HGLDWU \f)Tj 0 g ET q BT 1 0 0 1 30 246 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 44 198 Tm /F1 10 Tf 0 0 0 rg 0.51322 Tw 0.20529 Tc [(0HUOR)-51.32(&/)-51.32(+DUULV)-51.32('0)-51.32(/DQH)-51.32(.*)-51.32(1XWULWLRQ)-51.32(VHUYLFHV)-51.32(DQG)-51.32(WKH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 186 Tm 0 0 0 rg 0.78571 Tw 0.31429 Tc [(VFKRRO)-78.57(QXWULWLRQ)-78.57(HQYLURQPHQW)-78.57(,Q)-78.57(5HVXOWV)-78.57(IURP)-78.57(WKH)-78.57(6FKRRO)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 174 Tm 0 0 0 rg 0.43571 Tw 0.17429 Tc [(+HDOWK)-43.57(3ROLFLHV)-43.57(DQG)-43.57(3UDFWLFHV)-43.57(6WXG\\)-43.57()-43.57($WODQWD)-43.57( *$\f)-43.57(86)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 162 Tm 0 0 0 rg 1.17 Tw 0.46774 Tc [('HSDUWPHQW)-116.93(RI)-116.93(+HDOWK)-116.93(DQG)-116.93(+XPDQ)-116.93(6HUYLFHV)-116.93(&HQWHUV)-116.93(IRU)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 150 Tm 0 0 0 rg ('LVHDVH&RQWURODQG3UHYHQWLRQSS)Tj 0 g ET q BT 1 0 0 1 30 198 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 44 138 Tm /F1 10 Tf 0 0 0 rg 0.28418 Tw 0.11367 Tc [(&HQWHUV)-28.42(IRU)-28.42('LVHDVH)-28.42(&RQWURO)-28.42(DQG)-28.42(3UHYHQWLRQ)-28.42(5HVXOWV)-28.42(IURP)-28.42(WKH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 126 Tm 0 0 0 rg 0.85552 Tw 0.34221 Tc [(6FKRRO)-85.55(+HDOWK)-85.55(3ROLFLHV)-85.55(DQG)-85.55(3UDFWLFHV)-85.55(6WXG\\)-85.55()-85.55($WODQWD)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 114 Tm 0 0 0 rg 0.14967 Tw 0.05987 Tc [( *$\f)-14.97(86)-14.97('HSDUWPHQW)-14.97(RI)-14.97(+HDOWK)-14.97(DQG)-14.97(+XPDQ)-14.97(6HUYLFHV)-14.97(&HQWHUV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 44 102 Tm 0 0 0 rg (IRU'LVHDVH&RQWURODQG3UHYHQWLRQS)Tj 0 g ET q BT 1 0 0 1 30 138 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 330 684 Tm /F1 10 Tf 0 0 0 rg 0.5653 Tw 0.22612 Tc [(\)RRG)-56.53(DQG)-56.53(1XWULWLRQ)-56.53(6HUYLFH)-56.53(86)-56.53('HSDUWPHQW)-56.53(RI)-56.53($JULFXOWXUH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 672 Tm 0 0 0 rg 1.24 Tw 0.49507 Tc [(/RFDO)-123.77(VFKRRO)-123.77(ZHOOQHVV)-123.77(SROLF\\)-123.77(LPSOHPHQWDWLRQ)-123.77(XQGHU)-123.77(WKH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 660 Tm 0 0 0 rg 0.9524 Tw 0.38096 Tc [(+HDOWK\\)-95.24(+XQJHU\)UHH)-95.24(.LGV)-95.24($FW)-95.24(RI)-95.24()-95.24(\)LQDO)-95.24(5XOH)-95.24(\)HG)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 648 Tm 0 0 0 rg (5HJLVW \f)Tj 0 g ET q BT 1 0 0 1 316 684 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 330 636 Tm /F1 10 Tf 0 0 0 rg 1.17 Tw 0.46881 Tc [(%UHQHU)-117.2(1')-117.2(5REHUWV)-117.2($0)-117.2(0F0DQXV)-117.2(7)-117.2(7URWW)-117.2(-)-117.2(/DF\\)-117.2(.)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 624 Tm 0 0 0 rg 0.83533 Tw 0.33413 Tc [(1JDUXUR)-83.53($)-83.53(HW)-83.53(DO0HWKRGV)-83.53(,Q)-83.53(6FKRRO)-83.53(+HDOWK)-83.53(3ROLFLHV)-83.53(DQG)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 612 Tm 0 0 0 rg 0.07405 Tw 0.02962 Tc [(3UDFWLFHV)-7.41(6WXG\\)-7.41()-7.41($WODQWD)-7.41( *$\f)-7.41('HSDUWPHQW)-7.41(RI)-7.41(+HDOWK)-7.41(DQG)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 600 Tm 0 0 0 rg 0.25159 Tw 0.10064 Tc [(+XPDQ)-25.16(6HUYLFHV)-25.16(&HQWHUV)-25.16(IRU)-25.16('LVHDVH)-25.16(&RQWURO)-25.16(DQG)-25.16(3UHYHQWLRQ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 588 Tm 0 0 0 rg (S)Tj 0 g ET q BT 1 0 0 1 316 636 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 330 576 Tm /F1 10 Tf 0 0 0 rg 0.5653 Tw 0.22612 Tc [(\)RRG)-56.53(DQG)-56.53(1XWULWLRQ)-56.53(6HUYLFH)-56.53(86)-56.53('HSDUWPHQW)-56.53(RI)-56.53($JULFXOWXUH)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 564 Tm 0 0 0 rg 0.50595 Tw 0.20238 Tc [(7HDP)-50.6(1XWULWLRQ)-50.6(KWWSVZZZIQVXVGDJRYWQWHDPQXWULWLRQ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 552 Tm 0 0 0 rg ($FFHVVHG-XO\\)Tj 0 g ET q BT 1 0 0 1 316 576 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 330 540 Tm /F1 10 Tf 0 0 0 rg 5.22 Tw 2.09 Tc [(6PDUWHU)-522.01(/XQFKURRPV)-522.01(0RYHPHQW)-522.01(KWWSV)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 528 Tm 0 0 0 rg (ZZZVPDUWHUOXQFKURRPVRUJ$FFHVVHG-XO\\)Tj 0 g ET q BT 1 0 0 1 316 540 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 330 516 Tm /F1 10 Tf 0 0 0 rg 0.44901 Tw 0.1796 Tc [(&KULTXL)-44.9(-\))-44.9(7XUQHU)-44.9(/)-44.9(7DEHU)-44.9('5)-44.9(&KDORXSND)-44.9(\)-)-44.9($VVRFLDWLRQ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 504 Tm 0 0 0 rg 0.40095 Tw 0.16038 Tc [(EHWZHHQ)-40.09(GLVWULFW)-40.09(DQG)-40.09(VWDWH)-40.09(SROLFLHV)-40.09(DQG)-40.09(86)-40.09(SXEOLF)-40.09(HOHPHQWDU\\)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 492 Tm 0 0 0 rg 0.46558 Tw 0.18623 Tc [(VFKRRO)-46.56(FRPSHWLWLYH)-46.56(IRRG)-46.56(DQG)-46.56(EHYHUDJH)-46.56(HQYLURQPHQWV)-46.56(-$0$)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 480 Tm 0 0 0 rg (3HGLDWU \f)Tj 0 g ET q BT 1 0 0 1 316 516 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 330 468 Tm /F1 10 Tf 0 0 0 rg 0.3789 Tw 0.15156 Tc [(.XELN)-37.89(0<)-37.89(:DOO)-37.89(0)-37.89(6KHQ)-37.89(/)-37.89(1DQQH\\)-37.89(06)-37.89(1HOVRQ)-37.89(7\))-37.89(/DVND)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 456 Tm 0 0 0 rg 0.04286 Tw 0.01714 Tc [(01)-4.29(HW)-4.29(DO)-4.29(6WDWH)-4.29(EXW)-4.29(QRW)-4.29(GLVWULFW)-4.29(QXWULWLRQ)-4.29(SROLFLHV)-4.29(DUH)-4.29(DVVRFLDWHG)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 444 Tm 0 0 0 rg 0.32351 Tw 0.1294 Tc [(ZLWK)-32.35(OHVV)-32.35(MXQN)-32.35(IRRG)-32.35(LQ)-32.35(YHQGLQJ)-32.35(PDFKLQHV)-32.35(DQG)-32.35(VFKRRO)-32.35(VWRUHV)-32.35(LQ)]TJ 0 g 0 Tw 0 Tc 1 0 0 1 330 432 Tm 0 0 0 rg (86SXEOLFVFKRROV-$P'LHW$VVRF \f)Tj 0 g ET q BT 1 0 0 1 316 468 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 316 414 Tm /F2 12 Tf ()Tj ET q BT 1 0 0 1 30 735 Tm /F5 22 Tf 0.15294 0.35686 0.17255 rg (PREVENTING CHRONIC DISEASE)Tj 0 g ET Q q BT 1 0 0 1 502.52 735 Tm /F2 10 Tf (VOLUME 15, E74)Tj ET Q 0.83529 0.86275 0.81961 RG 1.6 w 30 732 m 368 732 l S q BT 1 0 0 1 30 718 Tm /F2 13 Tf 0.15294 0.35686 0.17255 rg (PUBLIC HEALTH RESEARCH, PRACTICE, AND POLICY)Tj 0 g ET Q q BT 1 0 0 1 503.07 718 Tm /F2 10 Tf ( JUNE 2018)Tj ET Q 0.15294 0.35686 0.17255 RG 3 w 30 708 m 582 708 l S 0.50196 0.50196 0.50196 RG 1 w 30 80 m 582 80 l S q BT 1 0 0 1 30.52 70 Tm /F2 8 Tf 0.50196 0.50196 0.50196 rg (The opinions expressed by authors contributing to this journal do not necessarily reflect the opinions of the U.S. Department of Health and Human Services,)Tj 0 g ET Q q BT 1 0 0 1 110.12 58 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 1 201.69 41 Tm /F2 9 Tf (www.cdc.gov/pcd/issues/2018/17_0352.htm Centers for Disease Control and Prevention 3)Tj ET Q ~^ endstream endobj 5 0 obj <>>>/Rotate 0/Thumb 32 0 R/Type/Page>> endobj 6 0 obj <>stream xKq BT 30 786 Td ET Q BT 1 0 0 1 30 668 Tm /F1 16 Tf (7DEOHV)Tj ET q 0.79216 0.83529 0.79216 rg 30 606.55 434.18 16 re f 0.79216 0.83529 0.79216 rg 464.18 606.55 119.82 16 re f Q q 2 J 0 G 0.5 w 1 1 1 RG 30 622.55 554 30 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 606.55 434.18 16 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 464.18 606.55 119.82 16 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 592.55 554 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 578.55 434.18 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 464.18 578.55 119.82 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 564.55 434.18 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 464.18 564.55 119.82 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 550.55 434.18 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 464.18 550.55 119.82 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 528.55 434.18 22 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 464.18 528.55 119.82 22 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 514.55 554 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 492.55 434.18 22 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 464.18 492.55 119.82 22 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 470.55 434.18 22 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 464.18 470.55 119.82 22 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 448.55 434.18 22 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 464.18 448.55 119.82 22 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 434.55 554 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 412.55 434.18 22 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 464.18 412.55 119.82 22 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 398 434.18 14.55 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 464.18 398 119.82 14.55 re S 0 G Q BT 1 0 0 1 32 639.55 Tm /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (7DEOH)Tj 0 g 0 Tr 0 G 1 w 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg ()Tj 0 g 0 Tr 0 G 1 w 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg ('HVFULSWLYH6WDWLVWLFVIRU6WDWHDQG'LVWULFW9DULDEOHVWR5HVWULFW0DUNHWLQJRI8QKHDOWK\\\)RRGVDQG%HYHUDJHVDQGWR3URPRWH+HDOWK\\\)RRGVDQG)Tj 0 g 0 Tr 0 G 1 w 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (%HYHU)Tj 0 g 0 Tr 0 G 1 w 1 0 0 1 32 628.55 Tm 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (DJHV6FKRRO+HDOWK3ROLFLHVDQG3UDFWLFHV6WXG\\)Tj 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 34 611.55 Tm 0.15 Tc /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (3UDFWLFHRU&DWHJRU\\)Tj 0 g 0 Tr 0 G 1 w 0 Tc ET BT 1 0 0 1 515.3 611.55 Tm 0.15 Tc /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (9DOXH)Tj 0 g 0 Tr 0 G 1 w 0 Tc ET BT 1 0 0 1 142.29 596.55 Tm /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (6WDWHSUDFWLFHV QRGLVWULFWVSURYLGLQJVSHFLILFJXLGDQFH\fPHDQVFDOHVFRUH PLQLPXPPD[LPXP\f)Tj 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 32 582.55 Tm /F6 8 Tf 0 0 0 rg (6WDWHGHYHORSHGRUUHYLVHGSROLF\\RQVWUDWHJLHVWRUHVWULFWPDUNHWLQJRIXQKHDOWK\\LWHPV)Tj 0 g /F6 6 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g /F6 8 Tf 0 0 0 rg ( Q \f)Tj 0 g ET BT 1 0 0 1 536.5 582.55 Tm /F6 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 32 568.55 Tm /F6 8 Tf 0 0 0 rg (6WDWHGLVWULEXWHGRUSURYLGHGSROLF\\JXLGDQFHRQVWUDWHJLHVWRUHVWULFWPDUNHWLQJRIXQKHDOWK\\LWHPV)Tj 0 g /F6 6 Tf 0 0 0 rg 4 Ts (E)Tj 0 Ts 0 g /F6 8 Tf 0 0 0 rg ( Q \f)Tj 0 g ET BT 1 0 0 1 536.5 568.55 Tm /F6 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 32 554.55 Tm /F6 8 Tf 0 0 0 rg (6WDWHSURYLGHGWHFKQLFDODVVLVWDQFHRQVWUDWHJLHVWRUHVWULFWPDUNHWLQJRIXQKHDOWK\\LWHPV)Tj 0 g /F6 6 Tf 0 0 0 rg 4 Ts (F)Tj 0 Ts 0 g /F6 8 Tf 0 0 0 rg ( Q \f)Tj 0 g ET BT 1 0 0 1 536.5 554.55 Tm /F6 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 32 540.55 Tm /F6 8 Tf 0 0 0 rg (6WDWHSURYLGHGIXQGLQJIRURURIIHUHGSURIHVVLRQDOGHYHORSPHQWRQVWUDWHJLHVWRLQFUHDVHSDUWLFLSDWLRQLQVFKRROPHDOV)Tj 0 g /F6 6 Tf 0 0 0 rg 4 Ts (G)Tj 0 Ts 0 g /F6 8 Tf 0 0 0 rg ( Q )Tj 0 g 1 0 0 1 32 532.55 Tm 0 0 0 rg (\f)Tj 0 g ET BT 1 0 0 1 536.5 540.55 Tm /F6 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 163.27 518.55 Tm /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (6WDWHSUDFWLFHV QRGLVWULFWVSURYLGLQJVSHFLILFJXLGDQFH\f\b \bFRQILGHQFHLQWHUYDO\f)Tj 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 32 504.55 Tm /F6 8 Tf 0 0 0 rg (6WDWHGHYHORSHGRUUHYLVHGSROLF\\JXLGDQFHRQDFWLYHO\\SURPRWLQJIUXLWVDQGYHJHWDEOHVZKROHJUDLQIRRGVDQGORZIDWRUQRQIDW)Tj 0 g 1 0 0 1 32 496.55 Tm 0 0 0 rg (GDLU\\SURGXFWVWRVWXGHQWV Q \f)Tj 0 g ET BT 1 0 0 1 522.43 504.55 Tm /F6 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 32 482.55 Tm /F6 8 Tf 0 0 0 rg (6WDWHGLVWULEXWHGRUSURYLGHGSROLF\\JXLGDQFHRQDFWLYHO\\SURPRWLQJIUXLWVDQGYHJHWDEOHVZKROHJUDLQIRRGVDQGORZIDWRU)Tj 0 g 1 0 0 1 32 474.55 Tm 0 0 0 rg (QRQIDWGDLU\\SURGXFWVWRVWXGHQWV Q \f)Tj 0 g ET BT 1 0 0 1 522.43 482.55 Tm /F6 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 32 460.55 Tm /F6 8 Tf 0 0 0 rg (6WDWHSURYLGHGWHFKQLFDODVVLVWDQFHWRGLVWULFWVRQPDUNHWLQJVFKRROPHDOVDQGLPSURYLQJWKHSUHVHQWDWLRQRIKHDOWK\\IRRGVLQ)Tj 0 g 1 0 0 1 32 452.55 Tm 0 0 0 rg (WKHFDIHWHULD)Tj 0 g /F6 6 Tf 0 0 0 rg 4 Ts (H)Tj 0 Ts 0 g /F6 8 Tf 0 0 0 rg ( Q \f)Tj 0 g ET BT 1 0 0 1 522.43 460.55 Tm /F6 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 206.64 438.55 Tm /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg ('LVWULFWSUDFWLFHV VDPSOHVL]H\f\b \bFRQILGHQFHLQWHUYDO\f)Tj 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 32 424.55 Tm /F6 8 Tf 0 0 0 rg ('LVWULFWUHTXLUHVRUUHFRPPHQGVWKDWVFKRROVSURKLELWDGYHUWLVHPHQWIRUMXQNIRRGRUIDVWIRRGUHVWDXUDQWVRQVFKRROSURSHUW\\)Tj 0 g /F6 6 Tf 0 0 0 rg 4 Ts (I)Tj 0 Ts 0 g 1 0 0 1 32 416.55 Tm /F6 8 Tf 0 0 0 rg ( Q \f)Tj 0 g ET BT 1 0 0 1 522.43 424.55 Tm /F6 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 32 402.55 Tm /F6 8 Tf 0 0 0 rg ('LVWULFWUHTXLUHVRUUHFRPPHQGVWKDWVFKRROVUHVWULFWWKHGLVWULEXWLRQRISURGXFWVSURPRWLQJMXQNIRRGIDVWIRRGUHVWDXUDQWVRU)Tj 0 g ET BT 1 0 0 1 522.43 402.55 Tm /F6 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 32 386 Tm /F6 6 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g /F6 8 Tf 0 0 0 rg (&RPSRVLWHYDULDEOHFRPELQHVUHVSRQVHVWR4I4JDQG4LUHJDUGLQJUHVWULFWLRQRIPDUNHWLQJRIXQKHDOWK\\IRRGVDQGEHYHUDJHV6FRUHVZHUHVXPPHGWR)Tj 0 g 0 0 0 rg (FDO)Tj 0 g 1 0 0 1 32 376 Tm 0 0 0 rg (FXODWHDVFDOHVFRUHUDQJLQJIURPWRZLWKKLJKHUVFRUHVLQGLFDWLQJPRUHUHVWULFWLQJSUDFWLFHV6HH)Tj 0 g 0 0 0 rg ($SSHQGL[)Tj 0 g 0 0 0 rg (IRUH[DFWTXHVWLRQZRUGLQJ)Tj 0 g ET q BT 1 0 0 1 32 386 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 366 Tm /F6 6 Tf 0 0 0 rg 4 Ts (E)Tj 0 Ts 0 g /F6 8 Tf 0 0 0 rg (&RPSRVLWHYDULDEOHFRPELQHVUHVSRQVHVWR4I4JDQG4LUHJDUGLQJUHVWULFWLRQRIPDUNHWLQJRIXQKHDOWK\\IRRGVDQGEHYHUDJHV6FRUHVZHUHVXPPHGWR)Tj 0 g 0 0 0 rg (FDO)Tj 0 g 1 0 0 1 32 356 Tm 0 0 0 rg (FXODWHDVFDOHVFRUHUDQJLQJIURPWRZLWKKLJKHUVFRUHVLQGLFDWLQJPRUHUHVWULFWLQJSUDFWLFHV6HH)Tj 0 g 0 0 0 rg ($SSHQGL[)Tj 0 g 0 0 0 rg (IRUH[DFWTXHVWLRQZRUGLQJ)Tj 0 g ET q BT 1 0 0 1 32 366 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 346 Tm /F6 6 Tf 0 0 0 rg 4 Ts (F)Tj 0 Ts 0 g /F6 8 Tf 0 0 0 rg (&RPSRVLWHYDULDEOHFRPELQHVUHVSRQVHVWR4I4JDQG4LUHJDUGLQJUHVWULFWLRQRIPDUNHWLQJRIXQKHDOWK\\IRRGVDQGEHYHUDJHV6FRUHVZHUHVXPPHGWR)Tj 0 g 0 0 0 rg (FDOFX)Tj 0 g 1 0 0 1 32 336 Tm 0 0 0 rg (ODWHDVFDOHVFRUHUDQJLQJIURPWRZLWKKLJKHUVFRUHVLQGLFDWLQJPRUHUHVWULFWLQJSUDFWLFHV6HH)Tj 0 g 0 0 0 rg ($SSHQGL[)Tj 0 g 0 0 0 rg (IRUH[DFWTXHVWLRQZRUGLQJ)Tj 0 g ET q BT 1 0 0 1 32 346 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 326 Tm /F6 6 Tf 0 0 0 rg 4 Ts (G)Tj 0 Ts 0 g /F6 8 Tf 0 0 0 rg (&RPSRVLWHYDULDEOHFRPELQHVUHVSRQVHVWR4K4LDQG4MUHJDUGLQJSURPRWLRQRIKHDOWK\\IRRGVDQGEHYHUDJHV6FRUHVZHUHVXPPHGWRFDOFXODWHDVFDOH)Tj 0 g 1 0 0 1 32 316 Tm 0 0 0 rg (VFRUHUDQJLQJIURPWRZLWKKLJKHUVFRUHVLQGLFDWLQJPRUHSURPRWLQJSUDFWLFHV6HH)Tj 0 g 0 0 0 rg ($SSHQGL[)Tj 0 g 0 0 0 rg (IRUH[DFWTXHVWLRQZRUGLQJ)Tj 0 g ET q BT 1 0 0 1 32 326 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 306 Tm /F6 6 Tf 0 0 0 rg 4 Ts (H)Tj 0 Ts 0 g /F6 8 Tf 0 0 0 rg (&RPSRVLWHYDULDEOHFRPELQHVUHVSRQVHVWR4XDQG4YUHJDUGLQJSURPRWLRQRIKHDOWK\\IRRGVDQGEHYHUDJHV6FRUHVZHUHVXPPHGDQGUHFRGHGWRUHIOHFWD)Tj 0 g 0 0 0 rg (GL)Tj 0 g 1 0 0 1 32 296 Tm 0 0 0 rg (FKRWRPRXVUHVSRQVHRSWLRQRI\\HV  SURYLGHGWHFKQLFDODVVLVWDQFHWRGLVWULFWVRQPDUNHWLQJVFKRROPHDOVDQGLPSURYLQJWKHSUHVHQWDWLRQRIKHDOWK\\IRRGVLQWKH)Tj 0 g 1 0 0 1 32 286 Tm 0 0 0 rg (FDIHWHULD\fRUQR  GLGQRWSURYLGHWHFKQLFDODVVLVWDQFHRQWKHVHWRSLFV\f6HH)Tj 0 g 0 0 0 rg ($SSHQGL[)Tj 0 g 0 0 0 rg (IRUH[DFWTXHVWLRQZRUGLQJ)Tj 0 g ET q BT 1 0 0 1 32 306 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 276 Tm /F6 6 Tf 0 0 0 rg 4 Ts (I)Tj 0 Ts 0 g /F6 8 Tf 0 0 0 rg (\)RUTXHVWLRQVZLWKUHVSRQVHRSWLRQVUHTXLUH UHFRPPHQG RUQHLWKHU UHTXLUHDQGUHFRPPHQGUHVSRQVHVZHUHFRPELQHGDQGDOOUHVSRQVHVZHUH)Tj 0 g 0 0 0 rg (UH)Tj 0 g 1 0 0 1 32 266 Tm 0 0 0 rg (YHUVHFRGHGVRWKDWQHLWKHU DQGUHTXLUHUHFRPPHQG 6HH)Tj 0 g 0 0 0 rg ($SSHQGL[)Tj 0 g 0 0 0 rg (IRUH[DFWTXHVWLRQZRUGLQJ)Tj 0 g ET q BT 1 0 0 1 32 276 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 256 Tm /F6 6 Tf 0 0 0 rg 4 Ts (J)Tj 0 Ts 0 g /F6 8 Tf 0 0 0 rg (&RPSRVLWHYDULDEOHFRPELQHVUHVSRQVHVWR4DDQG4EUHJDUGLQJUHVWULFWLRQRIPDUNHWLQJRIXQKHDOWK\\IRRGVDQGEHYHUDJHV5HVSRQVHRSWLRQV\\HV RU)Tj 0 g 1 0 0 1 32 246 Tm 0 0 0 rg (QR ZHUHVXPPHGDQGWKHQUHFRGHGVRWKDWQR LHGLGQRWDOORZVRIWGULQNFRPSDQLHVWRDGYHUWLVHVRIWGULQNVLQVFKRROEXLOGLQJVDQGRURWKHUDUHDVRI)Tj 0 g 1 0 0 1 32 236 Tm 0 0 0 rg (VFKRROFDPSXV\fDQG\\HV  LHDOORZVRIWGULQNFRPSDQLHVWRDGYHUWLVHVRIWGULQNVLQVFKRROEXLOGLQJVDQGRURWKHUDUHDVRIVFKRROFDPSXV\f6HH)Tj 0 g 0 0 0 rg ($SSHQGL[)Tj 0 g 0 0 0 rg (IRU)Tj 0 g 0 0 0 rg (H[)Tj 0 g 1 0 0 1 32 226 Tm 0 0 0 rg (DFWTXHVWLRQZRUGLQJ)Tj 0 g ET q BT 1 0 0 1 32 256 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 216 Tm /F6 6 Tf 0 0 0 rg 4 Ts (K)Tj 0 Ts 0 g /F6 8 Tf 0 0 0 rg (&RPSRVLWHYDULDEOHVFRPELQHVWKHIROORZLQJTXHVWLRQV4D4E4D4EDQG4FUHJDUGLQJSURPRWLRQRIKHDOWK\\IRRGVDQGEHYHUDJHV5HVSRQVH)Tj 0 g 0 0 0 rg (RS)Tj 0 g 1 0 0 1 32 206 Tm 0 0 0 rg (WLRQV\\HV RUQR ZHUHVXPPHGVRWKDWQR! LHGLGQRWSURYLGHLQIRUPDWLRQDERXWVFKRROPHDOVWRVWXGHQWVDQGIDPLOLHV\fDQG\\HV  LHGLGSURYLGH)Tj 0 g 0 0 0 rg (LQ)Tj 0 g 1 0 0 1 32 196 Tm 0 0 0 rg (IRUPDWLRQDERXWVFKRROPHDOVWRVWXGHQWVDQGIDPLOLHV\f6HH)Tj 0 g 0 0 0 rg ($SSHQGL[)Tj 0 g 0 0 0 rg (IRUH[DFWTXHVWLRQZRUGLQJ)Tj 0 g ET q BT 1 0 0 1 32 216 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 186 Tm /F6 6 Tf 0 0 0 rg 4 Ts (L)Tj 0 Ts 0 g /F6 8 Tf 0 0 0 rg (&RPSRVLWHYDULDEOHFRPELQHVTXHVWLRQV4GDQG4MUHJDUGLQJSURPRWLRQRIKHDOWK\\IRRGVDQGEHYHUDJHV5HVSRQVHRSWLRQV\\HV RUQR ZHUHVXPPHG)Tj 0 g 1 0 0 1 32 176 Tm 0 0 0 rg (VRWKDWQR! LHGLVWULFWGLGQRWSURYLGHIXQGLQJIRURURIIHUHGSURIHVVLRQDOGHYHORSPHQWWRQXWULWLRQVHUYLFHVVWDII\fDQG\\HV  LHGLVWULFWSURYLGHGIXQGLQJIRURU)Tj 0 g 1 0 0 1 32 166 Tm 0 0 0 rg (RIIHUHGSURIHVVLRQDOGHYHORSPHQWWRQXWULWLRQVHUYLFHVVWDII\f6HH)Tj 0 g 0 0 0 rg ($SSHQGL[)Tj 0 g 0 0 0 rg (IRUH[DFWTXHVWLRQZRUGLQJ)Tj 0 g ET q BT 1 0 0 1 32 186 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 156 Tm /F6 6 Tf 0 0 0 rg 4 Ts (M)Tj 0 Ts 0 g /F6 8 Tf 0 0 0 rg (3HUFHQWDJHRIVWXGHQWVUHFHLYLQJIUHHRU)Tj 0 g 0 0 0 rg (UHGXFHGSULFH)Tj 0 g 0 0 0 rg (OXQFK)Tj 0 g ET q BT 1 0 0 1 32 156 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 146 Tm /F6 6 Tf 0 0 0 rg 4 Ts (N)Tj 0 Ts 0 g /F6 8 Tf 0 0 0 rg (6PDOO VWXGHQWVPHGLXP VWXGHQWVDQGODUJHVWXGHQWV)Tj 0 g ET q BT 1 0 0 1 32 146 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 136 Tm /F6 6 Tf 0 0 0 rg 4 Ts (O)Tj 0 Ts 0 g /F6 8 Tf 0 0 0 rg (0HWURSROLWDQVWDWXVGHILQHGDVUXUDOVXEXUEDQ ODUJHRUVPDOOWRZQ\fRUXUEDQ ODUJHFHQWUDOFLW\\)Tj 0 g 0 0 0 rg (PLGVL]HG)Tj 0 g 0 0 0 rg (FHQWUDOFLW\\XUEDQIULQJHRIFHQWUDOFLW\\XUEDQIULQJHRI)Tj 0 g 1 0 0 1 32 126 Tm 0 0 0 rg (PLGVL]HG)Tj 0 g 0 0 0 rg (FLW\\\f)Tj 0 g ET q BT 1 0 0 1 32 136 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 116 Tm /F6 6 Tf 0 0 0 rg 4 Ts (P)Tj 0 Ts 0 g /F6 8 Tf 0 0 0 rg (7KHPHGLDQWRWDODQQXDOH[SHQGLWXUHVSHUVWXGHQW LHLQVWUXFWLRQDOH[SHQGLWXUHVVXSSRUWVHUYLFHVDQGQRQLQVWUXFWLRQDOH[SHQGLWXUHV\f)Tj 0 g ET q BT 1 0 0 1 32 116 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 498.31 104 Tm /F6 8 Tf 0 0 0 rg ( FRQWLQXHGRQQH[WSDJH\f)Tj 0 g ET q BT 1 0 0 1 30 735 Tm /F5 22 Tf 0.15294 0.35686 0.17255 rg (PREVENTING CHRONIC DISEASE)Tj 0 g ET Q q BT 1 0 0 1 502.52 735 Tm /F2 10 Tf (VOLUME 15, E74)Tj ET Q 0.83529 0.86275 0.81961 RG 1.6 w 30 732 m 368 732 l S q BT 1 0 0 1 30 718 Tm /F2 13 Tf 0.15294 0.35686 0.17255 rg (PUBLIC HEALTH RESEARCH, PRACTICE, AND POLICY)Tj 0 g ET Q q BT 1 0 0 1 503.07 718 Tm /F2 10 Tf ( JUNE 2018)Tj ET Q 0.15294 0.35686 0.17255 RG 3 w 30 708 m 582 708 l S 0.50196 0.50196 0.50196 RG 1 w 30 80 m 582 80 l S q BT 1 0 0 1 30.52 70 Tm /F2 8 Tf 0.50196 0.50196 0.50196 rg (The opinions expressed by authors contributing to this journal do not necessarily reflect the opinions of the U.S. Department of Health and Human Services,)Tj 0 g ET Q q BT 1 0 0 1 110.12 58 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 (4 Centers for Disease Control and Prevention www.cdc.gov/pcd/issues/2018/17_0352.htm)Tj ET Q K endstream endobj 7 0 obj <>>>/Rotate 0/Thumb 33 0 R/Type/Page>> endobj 8 0 obj <>stream xiIq BT 30 786 Td ET Q q 0.79216 0.83529 0.79216 rg 30 642 434.18 16 re f 0.79216 0.83529 0.79216 rg 464.18 642 119.82 16 re f Q q 2 J 0 G 0.5 w 1 1 1 RG 30 658 554 30 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 642 434.18 16 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 464.18 642 119.82 16 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 628 434.18 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 464.18 628 119.82 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 606 434.18 22 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 464.18 606 119.82 22 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 592 434.18 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 464.18 592 119.82 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 578 434.18 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 464.18 578 119.82 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 564 434.18 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 464.18 564 119.82 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 550 554 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 536 554 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 522 434.18 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 464.18 522 119.82 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 508 434.18 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 464.18 508 119.82 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 494 434.18 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 464.18 494 119.82 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 480 554 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 466 434.18 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 464.18 466 119.82 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 452 434.18 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 464.18 452 119.82 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 438 554 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 424 434.18 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 464.18 424 119.82 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 410 434.18 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 464.18 410 119.82 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 391 434.18 19 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 464.18 391 119.82 19 re S 0 G Q BT 1 0 0 1 32 690 Tm /F6 8 Tf 0 0 0 rg ( FRQWLQXHG\f)Tj 0 g ET BT 1 0 0 1 32 675 Tm /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (7DEOH)Tj 0 g 0 Tr 0 G 1 w 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg ()Tj 0 g 0 Tr 0 G 1 w 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg ('HVFULSWLYH6WDWLVWLFVIRU6WDWHDQG'LVWULFW9DULDEOHVWR5HVWULFW0DUNHWLQJRI8QKHDOWK\\\)RRGVDQG%HYHUDJHVDQGWR3URPRWH+HDOWK\\\)RRGVDQG)Tj 0 g 0 Tr 0 G 1 w 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (%HYHU)Tj 0 g 0 Tr 0 G 1 w 1 0 0 1 32 664 Tm 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (DJHV6FKRRO+HDOWK3ROLFLHVDQG3UDFWLFHV6WXG\\)Tj 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 34 647 Tm 0.15 Tc /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (3UDFWLFHRU&DWHJRU\\)Tj 0 g 0 Tr 0 G 1 w 0 Tc ET BT 1 0 0 1 515.3 647 Tm 0.15 Tc /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (9DOXH)Tj 0 g 0 Tr 0 G 1 w 0 Tc ET BT 1 0 0 1 32 632 Tm /F6 8 Tf 0 0 0 rg (VRIWGULQNVWRVWXGHQWVVXFKDV7VKLUWVKDWVRUERRNFRYHUV)Tj 0 g /F6 6 Tf 0 0 0 rg 4 Ts (I)Tj 0 Ts 0 g /F6 8 Tf 0 0 0 rg ( Q \f)Tj 0 g ET BT 1 0 0 1 32 618 Tm /F6 8 Tf 0 0 0 rg ('LVWULFWGRHVQRWDOORZVRIWGULQNFRPSDQLHVWRDGYHUWLVHVRIWGULQNVLQVFKRROEXLOGLQJVDQGRURWKHUDUHDVRIVFKRROFDPSXV)Tj 0 g /F6 6 Tf 0 0 0 rg 4 Ts (J)Tj 0 Ts 0 g /F6 8 Tf 0 0 0 rg ( Q)Tj 0 g 1 0 0 1 32 610 Tm 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 522.43 618 Tm /F6 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 32 596 Tm /F6 8 Tf 0 0 0 rg ('LVWULFWUHTXLUHVRUUHFRPPHQGVWKDWVFKRROVSURKLELWMXQNIRRGVIURPEHLQJVROGIRUIXQGUDLVLQJSXUSRVHV Q \f)Tj 0 g /F6 6 Tf 0 0 0 rg 4 Ts (I)Tj 0 Ts 0 g ET BT 1 0 0 1 522.43 596 Tm /F6 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 32 582 Tm /F6 8 Tf 0 0 0 rg ('LVWULFWSURYLGHGQXWULWLRQLQIRUPDWLRQWRVFKRROVVWXGHQWVDQGIDPLOLHV)Tj 0 g /F6 6 Tf 0 0 0 rg 4 Ts (K)Tj 0 Ts 0 g /F6 8 Tf 0 0 0 rg ( Q \f)Tj 0 g ET BT 1 0 0 1 522.43 582 Tm /F6 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 32 568 Tm /F6 8 Tf 0 0 0 rg ('LVWULFWSURYLGHGSURIHVVLRQDOGHYHORSPHQWIRUQXWULWLRQVHUYLFHVVWDII)Tj 0 g /F6 6 Tf 0 0 0 rg 4 Ts (L)Tj 0 Ts 0 g /F6 8 Tf 0 0 0 rg ( Q \f)Tj 0 g ET BT 1 0 0 1 522.43 568 Tm /F6 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 197.33 554 Tm /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg ('LVWULFWFKDUDFWHULVWLFV VDPSOHVL]H\f\b \bFRQILGHQFHLQWHUYDO\f)Tj 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 32 540 Tm /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (3HUFHQWDJHRI7LWOHVWXGHQWVLQWKHGLVWULFW)Tj 0 g 0 Tr 0 G 1 w /F6 6 Tf 2 Tr 0.2 w 0 0 0 RG 0 0 0 rg 4 Ts (M)Tj 0 Ts 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 32 526 Tm /F6 8 Tf 0 0 0 rg ( Q \f)Tj 0 g ET BT 1 0 0 1 522.43 526 Tm /F6 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 32 512 Tm /F6 8 Tf 0 0 0 rg (!WR Q \f)Tj 0 g ET BT 1 0 0 1 522.43 512 Tm /F6 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 32 498 Tm /F6 8 Tf 0 0 0 rg ( Q \f)Tj 0 g ET BT 1 0 0 1 522.43 498 Tm /F6 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 32 484 Tm /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (3HUFHQWDJHRIZKLWHVWXGHQWVLQWKHGLVWULFW)Tj 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 32 470 Tm /F6 8 Tf 0 0 0 rg ( Q \f)Tj 0 g ET BT 1 0 0 1 522.43 470 Tm /F6 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 32 456 Tm /F6 8 Tf 0 0 0 rg (! Q \f)Tj 0 g ET BT 1 0 0 1 522.43 456 Tm /F6 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 32 442 Tm /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg ('LVWULFWVL]H)Tj 0 g 0 Tr 0 G 1 w /F6 6 Tf 2 Tr 0.2 w 0 0 0 RG 0 0 0 rg 4 Ts (N)Tj 0 Ts 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 32 428 Tm /F6 8 Tf 0 0 0 rg (6PDOO Q \f)Tj 0 g ET BT 1 0 0 1 522.43 428 Tm /F6 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 32 414 Tm /F6 8 Tf 0 0 0 rg (0HGLXP Q \f)Tj 0 g ET BT 1 0 0 1 522.43 414 Tm /F6 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 32 400 Tm /F6 8 Tf 0 0 0 rg (/DUJH Q \f)Tj 0 g ET BT 1 0 0 1 536.5 400 Tm /F6 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 32 379 Tm /F6 6 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g /F6 8 Tf 0 0 0 rg (&RPSRVLWHYDULDEOHFRPELQHVUHVSRQVHVWR4I4JDQG4LUHJDUGLQJUHVWULFWLRQRIPDUNHWLQJRIXQKHDOWK\\IRRGVDQGEHYHUDJHV6FRUHVZHUHVXPPHGWR)Tj 0 g 0 0 0 rg (FDO)Tj 0 g 1 0 0 1 32 369 Tm 0 0 0 rg (FXODWHDVFDOHVFRUHUDQJLQJIURPWRZLWKKLJKHUVFRUHVLQGLFDWLQJPRUHUHVWULFWLQJSUDFWLFHV6HH)Tj 0 g 0 0 0 rg ($SSHQGL[)Tj 0 g 0 0 0 rg (IRUH[DFWTXHVWLRQZRUGLQJ)Tj 0 g ET q BT 1 0 0 1 32 379 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 359 Tm /F6 6 Tf 0 0 0 rg 4 Ts (E)Tj 0 Ts 0 g /F6 8 Tf 0 0 0 rg (&RPSRVLWHYDULDEOHFRPELQHVUHVSRQVHVWR4I4JDQG4LUHJDUGLQJUHVWULFWLRQRIPDUNHWLQJRIXQKHDOWK\\IRRGVDQGEHYHUDJHV6FRUHVZHUHVXPPHGWR)Tj 0 g 0 0 0 rg (FDO)Tj 0 g 1 0 0 1 32 349 Tm 0 0 0 rg (FXODWHDVFDOHVFRUHUDQJLQJIURPWRZLWKKLJKHUVFRUHVLQGLFDWLQJPRUHUHVWULFWLQJSUDFWLFHV6HH)Tj 0 g 0 0 0 rg ($SSHQGL[)Tj 0 g 0 0 0 rg (IRUH[DFWTXHVWLRQZRUGLQJ)Tj 0 g ET q BT 1 0 0 1 32 359 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 339 Tm /F6 6 Tf 0 0 0 rg 4 Ts (F)Tj 0 Ts 0 g /F6 8 Tf 0 0 0 rg (&RPSRVLWHYDULDEOHFRPELQHVUHVSRQVHVWR4I4JDQG4LUHJDUGLQJUHVWULFWLRQRIPDUNHWLQJRIXQKHDOWK\\IRRGVDQGEHYHUDJHV6FRUHVZHUHVXPPHGWR)Tj 0 g 0 0 0 rg (FDOFX)Tj 0 g 1 0 0 1 32 329 Tm 0 0 0 rg (ODWHDVFDOHVFRUHUDQJLQJIURPWRZLWKKLJKHUVFRUHVLQGLFDWLQJPRUHUHVWULFWLQJSUDFWLFHV6HH)Tj 0 g 0 0 0 rg ($SSHQGL[)Tj 0 g 0 0 0 rg (IRUH[DFWTXHVWLRQZRUGLQJ)Tj 0 g ET q BT 1 0 0 1 32 339 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 319 Tm /F6 6 Tf 0 0 0 rg 4 Ts (G)Tj 0 Ts 0 g /F6 8 Tf 0 0 0 rg (&RPSRVLWHYDULDEOHFRPELQHVUHVSRQVHVWR4K4LDQG4MUHJDUGLQJSURPRWLRQRIKHDOWK\\IRRGVDQGEHYHUDJHV6FRUHVZHUHVXPPHGWRFDOFXODWHDVFDOH)Tj 0 g 1 0 0 1 32 309 Tm 0 0 0 rg (VFRUHUDQJLQJIURPWRZLWKKLJKHUVFRUHVLQGLFDWLQJPRUHSURPRWLQJSUDFWLFHV6HH)Tj 0 g 0 0 0 rg ($SSHQGL[)Tj 0 g 0 0 0 rg (IRUH[DFWTXHVWLRQZRUGLQJ)Tj 0 g ET q BT 1 0 0 1 32 319 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 299 Tm /F6 6 Tf 0 0 0 rg 4 Ts (H)Tj 0 Ts 0 g /F6 8 Tf 0 0 0 rg (&RPSRVLWHYDULDEOHFRPELQHVUHVSRQVHVWR4XDQG4YUHJDUGLQJSURPRWLRQRIKHDOWK\\IRRGVDQGEHYHUDJHV6FRUHVZHUHVXPPHGDQGUHFRGHGWRUHIOHFWD)Tj 0 g 0 0 0 rg (GL)Tj 0 g 1 0 0 1 32 289 Tm 0 0 0 rg (FKRWRPRXVUHVSRQVHRSWLRQRI\\HV  SURYLGHGWHFKQLFDODVVLVWDQFHWRGLVWULFWVRQPDUNHWLQJVFKRROPHDOVDQGLPSURYLQJWKHSUHVHQWDWLRQRIKHDOWK\\IRRGVLQWKH)Tj 0 g 1 0 0 1 32 279 Tm 0 0 0 rg (FDIHWHULD\fRUQR  GLGQRWSURYLGHWHFKQLFDODVVLVWDQFHRQWKHVHWRSLFV\f6HH)Tj 0 g 0 0 0 rg ($SSHQGL[)Tj 0 g 0 0 0 rg (IRUH[DFWTXHVWLRQZRUGLQJ)Tj 0 g ET q BT 1 0 0 1 32 299 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 269 Tm /F6 6 Tf 0 0 0 rg 4 Ts (I)Tj 0 Ts 0 g /F6 8 Tf 0 0 0 rg (\)RUTXHVWLRQVZLWKUHVSRQVHRSWLRQVUHTXLUH UHFRPPHQG RUQHLWKHU UHTXLUHDQGUHFRPPHQGUHVSRQVHVZHUHFRPELQHGDQGDOOUHVSRQVHVZHUH)Tj 0 g 0 0 0 rg (UH)Tj 0 g 1 0 0 1 32 259 Tm 0 0 0 rg (YHUVHFRGHGVRWKDWQHLWKHU DQGUHTXLUHUHFRPPHQG 6HH)Tj 0 g 0 0 0 rg ($SSHQGL[)Tj 0 g 0 0 0 rg (IRUH[DFWTXHVWLRQZRUGLQJ)Tj 0 g ET q BT 1 0 0 1 32 269 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 249 Tm /F6 6 Tf 0 0 0 rg 4 Ts (J)Tj 0 Ts 0 g /F6 8 Tf 0 0 0 rg (&RPSRVLWHYDULDEOHFRPELQHVUHVSRQVHVWR4DDQG4EUHJDUGLQJUHVWULFWLRQRIPDUNHWLQJRIXQKHDOWK\\IRRGVDQGEHYHUDJHV5HVSRQVHRSWLRQV\\HV RU)Tj 0 g 1 0 0 1 32 239 Tm 0 0 0 rg (QR ZHUHVXPPHGDQGWKHQUHFRGHGVRWKDWQR LHGLGQRWDOORZVRIWGULQNFRPSDQLHVWRDGYHUWLVHVRIWGULQNVLQVFKRROEXLOGLQJVDQGRURWKHUDUHDVRI)Tj 0 g 1 0 0 1 32 229 Tm 0 0 0 rg (VFKRROFDPSXV\fDQG\\HV  LHDOORZVRIWGULQNFRPSDQLHVWRDGYHUWLVHVRIWGULQNVLQVFKRROEXLOGLQJVDQGRURWKHUDUHDVRIVFKRROFDPSXV\f6HH)Tj 0 g 0 0 0 rg ($SSHQGL[)Tj 0 g 0 0 0 rg (IRU)Tj 0 g 0 0 0 rg (H[)Tj 0 g 1 0 0 1 32 219 Tm 0 0 0 rg (DFWTXHVWLRQZRUGLQJ)Tj 0 g ET q BT 1 0 0 1 32 249 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 209 Tm /F6 6 Tf 0 0 0 rg 4 Ts (K)Tj 0 Ts 0 g /F6 8 Tf 0 0 0 rg (&RPSRVLWHYDULDEOHVFRPELQHVWKHIROORZLQJTXHVWLRQV4D4E4D4EDQG4FUHJDUGLQJSURPRWLRQRIKHDOWK\\IRRGVDQGEHYHUDJHV5HVSRQVH)Tj 0 g 0 0 0 rg (RS)Tj 0 g 1 0 0 1 32 199 Tm 0 0 0 rg (WLRQV\\HV RUQR ZHUHVXPPHGVRWKDWQR! LHGLGQRWSURYLGHLQIRUPDWLRQDERXWVFKRROPHDOVWRVWXGHQWVDQGIDPLOLHV\fDQG\\HV  LHGLGSURYLGH)Tj 0 g 0 0 0 rg (LQ)Tj 0 g 1 0 0 1 32 189 Tm 0 0 0 rg (IRUPDWLRQDERXWVFKRROPHDOVWRVWXGHQWVDQGIDPLOLHV\f6HH)Tj 0 g 0 0 0 rg ($SSHQGL[)Tj 0 g 0 0 0 rg (IRUH[DFWTXHVWLRQZRUGLQJ)Tj 0 g ET q BT 1 0 0 1 32 209 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 179 Tm /F6 6 Tf 0 0 0 rg 4 Ts (L)Tj 0 Ts 0 g /F6 8 Tf 0 0 0 rg (&RPSRVLWHYDULDEOHFRPELQHVTXHVWLRQV4GDQG4MUHJDUGLQJSURPRWLRQRIKHDOWK\\IRRGVDQGEHYHUDJHV5HVSRQVHRSWLRQV\\HV RUQR ZHUHVXPPHG)Tj 0 g 1 0 0 1 32 169 Tm 0 0 0 rg (VRWKDWQR! LHGLVWULFWGLGQRWSURYLGHIXQGLQJIRURURIIHUHGSURIHVVLRQDOGHYHORSPHQWWRQXWULWLRQVHUYLFHVVWDII\fDQG\\HV  LHGLVWULFWSURYLGHGIXQGLQJIRURU)Tj 0 g 1 0 0 1 32 159 Tm 0 0 0 rg (RIIHUHGSURIHVVLRQDOGHYHORSPHQWWRQXWULWLRQVHUYLFHVVWDII\f6HH)Tj 0 g 0 0 0 rg ($SSHQGL[)Tj 0 g 0 0 0 rg (IRUH[DFWTXHVWLRQZRUGLQJ)Tj 0 g ET q BT 1 0 0 1 32 179 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 149 Tm /F6 6 Tf 0 0 0 rg 4 Ts (M)Tj 0 Ts 0 g /F6 8 Tf 0 0 0 rg (3HUFHQWDJHRIVWXGHQWVUHFHLYLQJIUHHRU)Tj 0 g 0 0 0 rg (UHGXFHGSULFH)Tj 0 g 0 0 0 rg (OXQFK)Tj 0 g ET q BT 1 0 0 1 32 149 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 139 Tm /F6 6 Tf 0 0 0 rg 4 Ts (N)Tj 0 Ts 0 g /F6 8 Tf 0 0 0 rg (6PDOO VWXGHQWVPHGLXP VWXGHQWVDQGODUJHVWXGHQWV)Tj 0 g ET q BT 1 0 0 1 32 139 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 129 Tm /F6 6 Tf 0 0 0 rg 4 Ts (O)Tj 0 Ts 0 g /F6 8 Tf 0 0 0 rg (0HWURSROLWDQVWDWXVGHILQHGDVUXUDOVXEXUEDQ ODUJHRUVPDOOWRZQ\fRUXUEDQ ODUJHFHQWUDOFLW\\)Tj 0 g 0 0 0 rg (PLGVL]HG)Tj 0 g 0 0 0 rg (FHQWUDOFLW\\XUEDQIULQJHRIFHQWUDOFLW\\XUEDQIULQJHRI)Tj 0 g 1 0 0 1 32 119 Tm 0 0 0 rg (PLGVL]HG)Tj 0 g 0 0 0 rg (FLW\\\f)Tj 0 g ET q BT 1 0 0 1 32 129 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 109 Tm /F6 6 Tf 0 0 0 rg 4 Ts (P)Tj 0 Ts 0 g /F6 8 Tf 0 0 0 rg (7KHPHGLDQWRWDODQQXDOH[SHQGLWXUHVSHUVWXGHQW LHLQVWUXFWLRQDOH[SHQGLWXUHVVXSSRUWVHUYLFHVDQGQRQLQVWUXFWLRQDOH[SHQGLWXUHV\f)Tj 0 g ET q BT 1 0 0 1 32 109 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 498.31 97 Tm /F6 8 Tf 0 0 0 rg ( FRQWLQXHGRQQH[WSDJH\f)Tj 0 g ET q BT 1 0 0 1 30 735 Tm /F5 22 Tf 0.15294 0.35686 0.17255 rg (PREVENTING CHRONIC DISEASE)Tj 0 g ET Q q BT 1 0 0 1 502.52 735 Tm /F2 10 Tf (VOLUME 15, E74)Tj ET Q 0.83529 0.86275 0.81961 RG 1.6 w 30 732 m 368 732 l S q BT 1 0 0 1 30 718 Tm /F2 13 Tf 0.15294 0.35686 0.17255 rg (PUBLIC HEALTH RESEARCH, PRACTICE, AND POLICY)Tj 0 g ET Q q BT 1 0 0 1 503.07 718 Tm /F2 10 Tf ( JUNE 2018)Tj ET Q 0.15294 0.35686 0.17255 RG 3 w 30 708 m 582 708 l S 0.50196 0.50196 0.50196 RG 1 w 30 80 m 582 80 l S q BT 1 0 0 1 30.52 70 Tm /F2 8 Tf 0.50196 0.50196 0.50196 rg (The opinions expressed by authors contributing to this journal do not necessarily reflect the opinions of the U.S. Department of Health and Human Services,)Tj 0 g ET Q q BT 1 0 0 1 110.12 58 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 1 201.69 41 Tm /F2 9 Tf (www.cdc.gov/pcd/issues/2018/17_0352.htm Centers for Disease Control and Prevention 5)Tj ET Q !1 endstream endobj 9 0 obj <>>>/Rotate 0/Thumb 34 0 R/Type/Page>> endobj 10 0 obj <>stream x:q BT 30 786 Td ET Q q 0.79216 0.83529 0.79216 rg 30 642 434.18 16 re f 0.79216 0.83529 0.79216 rg 464.18 642 119.82 16 re f Q q 2 J 0 G 0.5 w 1 1 1 RG 30 658 554 30 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 642 434.18 16 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 464.18 642 119.82 16 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 628 554 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 614 434.18 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 464.18 614 119.82 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 600 434.18 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 464.18 600 119.82 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 586 434.18 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 464.18 586 119.82 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 572 554 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 558 434.18 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 464.18 558 119.82 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 544 434.18 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 464.18 544 119.82 14 re S 0 G Q BT 1 0 0 1 32 690 Tm /F6 8 Tf 0 0 0 rg ( FRQWLQXHG\f)Tj 0 g ET BT 1 0 0 1 32 675 Tm /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (7DEOH)Tj 0 g 0 Tr 0 G 1 w 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg ()Tj 0 g 0 Tr 0 G 1 w 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg ('HVFULSWLYH6WDWLVWLFVIRU6WDWHDQG'LVWULFW9DULDEOHVWR5HVWULFW0DUNHWLQJRI8QKHDOWK\\\)RRGVDQG%HYHUDJHVDQGWR3URPRWH+HDOWK\\\)RRGVDQG)Tj 0 g 0 Tr 0 G 1 w 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (%HYHU)Tj 0 g 0 Tr 0 G 1 w 1 0 0 1 32 664 Tm 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (DJHV6FKRRO+HDOWK3ROLFLHVDQG3UDFWLFHV6WXG\\)Tj 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 34 647 Tm 0.15 Tc /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (3UDFWLFHRU&DWHJRU\\)Tj 0 g 0 Tr 0 G 1 w 0 Tc ET BT 1 0 0 1 515.3 647 Tm 0.15 Tc /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (9DOXH)Tj 0 g 0 Tr 0 G 1 w 0 Tc ET BT 1 0 0 1 32 632 Tm /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg ('LVWULFWPHWURVWDWXV)Tj 0 g 0 Tr 0 G 1 w /F6 6 Tf 2 Tr 0.2 w 0 0 0 RG 0 0 0 rg 4 Ts (O)Tj 0 Ts 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 32 618 Tm /F6 8 Tf 0 0 0 rg (5XUDO Q \f)Tj 0 g ET BT 1 0 0 1 522.43 618 Tm /F6 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 32 604 Tm /F6 8 Tf 0 0 0 rg (6XEXUEDQ Q \f)Tj 0 g ET BT 1 0 0 1 522.43 604 Tm /F6 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 32 590 Tm /F6 8 Tf 0 0 0 rg (8UEDQ Q \f)Tj 0 g ET BT 1 0 0 1 522.43 590 Tm /F6 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 32 576 Tm /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (7RWDOH[SHQGLWXUHVSHUVWXGHQWLQWKHGLVWULFW)Tj 0 g 0 Tr 0 G 1 w /F6 6 Tf 2 Tr 0.2 w 0 0 0 RG 0 0 0 rg 4 Ts (P)Tj 0 Ts 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 32 562 Tm /F6 8 Tf 0 0 0 rg ( Q \f)Tj 0 g ET BT 1 0 0 1 522.43 562 Tm /F6 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 32 548 Tm /F6 8 Tf 0 0 0 rg ( Q \f)Tj 0 g ET BT 1 0 0 1 522.43 548 Tm /F6 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 32 532 Tm /F6 6 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g /F6 8 Tf 0 0 0 rg (&RPSRVLWHYDULDEOHFRPELQHVUHVSRQVHVWR4I4JDQG4LUHJDUGLQJUHVWULFWLRQRIPDUNHWLQJRIXQKHDOWK\\IRRGVDQGEHYHUDJHV6FRUHVZHUHVXPPHGWR)Tj 0 g 0 0 0 rg (FDO)Tj 0 g 1 0 0 1 32 522 Tm 0 0 0 rg (FXODWHDVFDOHVFRUHUDQJLQJIURPWRZLWKKLJKHUVFRUHVLQGLFDWLQJPRUHUHVWULFWLQJSUDFWLFHV6HH)Tj 0 g 0 0 0 rg ($SSHQGL[)Tj 0 g 0 0 0 rg (IRUH[DFWTXHVWLRQZRUGLQJ)Tj 0 g ET q BT 1 0 0 1 32 532 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 512 Tm /F6 6 Tf 0 0 0 rg 4 Ts (E)Tj 0 Ts 0 g /F6 8 Tf 0 0 0 rg (&RPSRVLWHYDULDEOHFRPELQHVUHVSRQVHVWR4I4JDQG4LUHJDUGLQJUHVWULFWLRQRIPDUNHWLQJRIXQKHDOWK\\IRRGVDQGEHYHUDJHV6FRUHVZHUHVXPPHGWR)Tj 0 g 0 0 0 rg (FDO)Tj 0 g 1 0 0 1 32 502 Tm 0 0 0 rg (FXODWHDVFDOHVFRUHUDQJLQJIURPWRZLWKKLJKHUVFRUHVLQGLFDWLQJPRUHUHVWULFWLQJSUDFWLFHV6HH)Tj 0 g 0 0 0 rg ($SSHQGL[)Tj 0 g 0 0 0 rg (IRUH[DFWTXHVWLRQZRUGLQJ)Tj 0 g ET q BT 1 0 0 1 32 512 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 492 Tm /F6 6 Tf 0 0 0 rg 4 Ts (F)Tj 0 Ts 0 g /F6 8 Tf 0 0 0 rg (&RPSRVLWHYDULDEOHFRPELQHVUHVSRQVHVWR4I4JDQG4LUHJDUGLQJUHVWULFWLRQRIPDUNHWLQJRIXQKHDOWK\\IRRGVDQGEHYHUDJHV6FRUHVZHUHVXPPHGWR)Tj 0 g 0 0 0 rg (FDOFX)Tj 0 g 1 0 0 1 32 482 Tm 0 0 0 rg (ODWHDVFDOHVFRUHUDQJLQJIURPWRZLWKKLJKHUVFRUHVLQGLFDWLQJPRUHUHVWULFWLQJSUDFWLFHV6HH)Tj 0 g 0 0 0 rg ($SSHQGL[)Tj 0 g 0 0 0 rg (IRUH[DFWTXHVWLRQZRUGLQJ)Tj 0 g ET q BT 1 0 0 1 32 492 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 472 Tm /F6 6 Tf 0 0 0 rg 4 Ts (G)Tj 0 Ts 0 g /F6 8 Tf 0 0 0 rg (&RPSRVLWHYDULDEOHFRPELQHVUHVSRQVHVWR4K4LDQG4MUHJDUGLQJSURPRWLRQRIKHDOWK\\IRRGVDQGEHYHUDJHV6FRUHVZHUHVXPPHGWRFDOFXODWHDVFDOH)Tj 0 g 1 0 0 1 32 462 Tm 0 0 0 rg (VFRUHUDQJLQJIURPWRZLWKKLJKHUVFRUHVLQGLFDWLQJPRUHSURPRWLQJSUDFWLFHV6HH)Tj 0 g 0 0 0 rg ($SSHQGL[)Tj 0 g 0 0 0 rg (IRUH[DFWTXHVWLRQZRUGLQJ)Tj 0 g ET q BT 1 0 0 1 32 472 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 452 Tm /F6 6 Tf 0 0 0 rg 4 Ts (H)Tj 0 Ts 0 g /F6 8 Tf 0 0 0 rg (&RPSRVLWHYDULDEOHFRPELQHVUHVSRQVHVWR4XDQG4YUHJDUGLQJSURPRWLRQRIKHDOWK\\IRRGVDQGEHYHUDJHV6FRUHVZHUHVXPPHGDQGUHFRGHGWRUHIOHFWD)Tj 0 g 0 0 0 rg (GL)Tj 0 g 1 0 0 1 32 442 Tm 0 0 0 rg (FKRWRPRXVUHVSRQVHRSWLRQRI\\HV  SURYLGHGWHFKQLFDODVVLVWDQFHWRGLVWULFWVRQPDUNHWLQJVFKRROPHDOVDQGLPSURYLQJWKHSUHVHQWDWLRQRIKHDOWK\\IRRGVLQWKH)Tj 0 g 1 0 0 1 32 432 Tm 0 0 0 rg (FDIHWHULD\fRUQR  GLGQRWSURYLGHWHFKQLFDODVVLVWDQFHRQWKHVHWRSLFV\f6HH)Tj 0 g 0 0 0 rg ($SSHQGL[)Tj 0 g 0 0 0 rg (IRUH[DFWTXHVWLRQZRUGLQJ)Tj 0 g ET q BT 1 0 0 1 32 452 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 422 Tm /F6 6 Tf 0 0 0 rg 4 Ts (I)Tj 0 Ts 0 g /F6 8 Tf 0 0 0 rg (\)RUTXHVWLRQVZLWKUHVSRQVHRSWLRQVUHTXLUH UHFRPPHQG RUQHLWKHU UHTXLUHDQGUHFRPPHQGUHVSRQVHVZHUHFRPELQHGDQGDOOUHVSRQVHVZHUH)Tj 0 g 0 0 0 rg (UH)Tj 0 g 1 0 0 1 32 412 Tm 0 0 0 rg (YHUVHFRGHGVRWKDWQHLWKHU DQGUHTXLUHUHFRPPHQG 6HH)Tj 0 g 0 0 0 rg ($SSHQGL[)Tj 0 g 0 0 0 rg (IRUH[DFWTXHVWLRQZRUGLQJ)Tj 0 g ET q BT 1 0 0 1 32 422 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 402 Tm /F6 6 Tf 0 0 0 rg 4 Ts (J)Tj 0 Ts 0 g /F6 8 Tf 0 0 0 rg (&RPSRVLWHYDULDEOHFRPELQHVUHVSRQVHVWR4DDQG4EUHJDUGLQJUHVWULFWLRQRIPDUNHWLQJRIXQKHDOWK\\IRRGVDQGEHYHUDJHV5HVSRQVHRSWLRQV\\HV RU)Tj 0 g 1 0 0 1 32 392 Tm 0 0 0 rg (QR ZHUHVXPPHGDQGWKHQUHFRGHGVRWKDWQR LHGLGQRWDOORZVRIWGULQNFRPSDQLHVWRDGYHUWLVHVRIWGULQNVLQVFKRROEXLOGLQJVDQGRURWKHUDUHDVRI)Tj 0 g 1 0 0 1 32 382 Tm 0 0 0 rg (VFKRROFDPSXV\fDQG\\HV  LHDOORZVRIWGULQNFRPSDQLHVWRDGYHUWLVHVRIWGULQNVLQVFKRROEXLOGLQJVDQGRURWKHUDUHDVRIVFKRROFDPSXV\f6HH)Tj 0 g 0 0 0 rg ($SSHQGL[)Tj 0 g 0 0 0 rg (IRU)Tj 0 g 0 0 0 rg (H[)Tj 0 g 1 0 0 1 32 372 Tm 0 0 0 rg (DFWTXHVWLRQZRUGLQJ)Tj 0 g ET q BT 1 0 0 1 32 402 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 362 Tm /F6 6 Tf 0 0 0 rg 4 Ts (K)Tj 0 Ts 0 g /F6 8 Tf 0 0 0 rg (&RPSRVLWHYDULDEOHVFRPELQHVWKHIROORZLQJTXHVWLRQV4D4E4D4EDQG4FUHJDUGLQJSURPRWLRQRIKHDOWK\\IRRGVDQGEHYHUDJHV5HVSRQVH)Tj 0 g 0 0 0 rg (RS)Tj 0 g 1 0 0 1 32 352 Tm 0 0 0 rg (WLRQV\\HV RUQR ZHUHVXPPHGVRWKDWQR! LHGLGQRWSURYLGHLQIRUPDWLRQDERXWVFKRROPHDOVWRVWXGHQWVDQGIDPLOLHV\fDQG\\HV  LHGLGSURYLGH)Tj 0 g 0 0 0 rg (LQ)Tj 0 g 1 0 0 1 32 342 Tm 0 0 0 rg (IRUPDWLRQDERXWVFKRROPHDOVWRVWXGHQWVDQGIDPLOLHV\f6HH)Tj 0 g 0 0 0 rg ($SSHQGL[)Tj 0 g 0 0 0 rg (IRUH[DFWTXHVWLRQZRUGLQJ)Tj 0 g ET q BT 1 0 0 1 32 362 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 332 Tm /F6 6 Tf 0 0 0 rg 4 Ts (L)Tj 0 Ts 0 g /F6 8 Tf 0 0 0 rg (&RPSRVLWHYDULDEOHFRPELQHVTXHVWLRQV4GDQG4MUHJDUGLQJSURPRWLRQRIKHDOWK\\IRRGVDQGEHYHUDJHV5HVSRQVHRSWLRQV\\HV RUQR ZHUHVXPPHG)Tj 0 g 1 0 0 1 32 322 Tm 0 0 0 rg (VRWKDWQR! LHGLVWULFWGLGQRWSURYLGHIXQGLQJIRURURIIHUHGSURIHVVLRQDOGHYHORSPHQWWRQXWULWLRQVHUYLFHVVWDII\fDQG\\HV  LHGLVWULFWSURYLGHGIXQGLQJIRURU)Tj 0 g 1 0 0 1 32 312 Tm 0 0 0 rg (RIIHUHGSURIHVVLRQDOGHYHORSPHQWWRQXWULWLRQVHUYLFHVVWDII\f6HH)Tj 0 g 0 0 0 rg ($SSHQGL[)Tj 0 g 0 0 0 rg (IRUH[DFWTXHVWLRQZRUGLQJ)Tj 0 g ET q BT 1 0 0 1 32 332 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 302 Tm /F6 6 Tf 0 0 0 rg 4 Ts (M)Tj 0 Ts 0 g /F6 8 Tf 0 0 0 rg (3HUFHQWDJHRIVWXGHQWVUHFHLYLQJIUHHRU)Tj 0 g 0 0 0 rg (UHGXFHGSULFH)Tj 0 g 0 0 0 rg (OXQFK)Tj 0 g ET q BT 1 0 0 1 32 302 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 292 Tm /F6 6 Tf 0 0 0 rg 4 Ts (N)Tj 0 Ts 0 g /F6 8 Tf 0 0 0 rg (6PDOO VWXGHQWVPHGLXP VWXGHQWVDQGODUJHVWXGHQWV)Tj 0 g ET q BT 1 0 0 1 32 292 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 282 Tm /F6 6 Tf 0 0 0 rg 4 Ts (O)Tj 0 Ts 0 g /F6 8 Tf 0 0 0 rg (0HWURSROLWDQVWDWXVGHILQHGDVUXUDOVXEXUEDQ ODUJHRUVPDOOWRZQ\fRUXUEDQ ODUJHFHQWUDOFLW\\)Tj 0 g 0 0 0 rg (PLGVL]HG)Tj 0 g 0 0 0 rg (FHQWUDOFLW\\XUEDQIULQJHRIFHQWUDOFLW\\XUEDQIULQJHRI)Tj 0 g 1 0 0 1 32 272 Tm 0 0 0 rg (PLGVL]HG)Tj 0 g 0 0 0 rg (FLW\\\f)Tj 0 g ET q BT 1 0 0 1 32 282 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 262 Tm /F6 6 Tf 0 0 0 rg 4 Ts (P)Tj 0 Ts 0 g /F6 8 Tf 0 0 0 rg (7KHPHGLDQWRWDODQQXDOH[SHQGLWXUHVSHUVWXGHQW LHLQVWUXFWLRQDOH[SHQGLWXUHVVXSSRUWVHUYLFHVDQGQRQLQVWUXFWLRQDOH[SHQGLWXUHV\f)Tj 0 g ET q BT 1 0 0 1 32 262 Tm /F1 10 Tf 0 0 0 rg ()Tj 0 g ET Q q 1 w 0.50196 0.50196 0.50196 RG 30 256 m 584 256 l S Q q BT 1 0 0 1 30 735 Tm /F5 22 Tf 0.15294 0.35686 0.17255 rg (PREVENTING CHRONIC DISEASE)Tj 0 g ET Q q BT 1 0 0 1 502.52 735 Tm /F2 10 Tf (VOLUME 15, E74)Tj ET Q 0.83529 0.86275 0.81961 RG 1.6 w 30 732 m 368 732 l S q BT 1 0 0 1 30 718 Tm /F2 13 Tf 0.15294 0.35686 0.17255 rg (PUBLIC HEALTH RESEARCH, PRACTICE, AND POLICY)Tj 0 g ET Q q BT 1 0 0 1 503.07 718 Tm /F2 10 Tf ( JUNE 2018)Tj ET Q 0.15294 0.35686 0.17255 RG 3 w 30 708 m 582 708 l S 0.50196 0.50196 0.50196 RG 1 w 30 80 m 582 80 l S q BT 1 0 0 1 30.52 70 Tm /F2 8 Tf 0.50196 0.50196 0.50196 rg (The opinions expressed by authors contributing to this journal do not necessarily reflect the opinions of the U.S. Department of Health and Human Services,)Tj 0 g ET Q q BT 1 0 0 1 110.12 58 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 (6 Centers for Disease Control and Prevention www.cdc.gov/pcd/issues/2018/17_0352.htm)Tj ET Q x-^ endstream endobj 11 0 obj <>>>/Rotate 0/Thumb 35 0 R/Type/Page>> endobj 12 0 obj <>stream x^q BT 30 786 Td ET Q q 0.79216 0.83529 0.79216 rg 30 570 78.7 80 re f 0.79216 0.83529 0.79216 rg 108.7 586 121.16 64 re f 0.79216 0.83529 0.79216 rg 229.85 586 119.08 64 re f 0.79216 0.83529 0.79216 rg 348.94 586 113.91 64 re f 0.79216 0.83529 0.79216 rg 462.84 586 121.16 64 re f 0.79216 0.83529 0.79216 rg 108.7 570 83.88 16 re f 0.79216 0.83529 0.79216 rg 192.58 570 37.28 16 re f 0.79216 0.83529 0.79216 rg 229.85 570 82.84 16 re f 0.79216 0.83529 0.79216 rg 312.7 570 36.24 16 re f 0.79216 0.83529 0.79216 rg 348.94 570 77.66 16 re f 0.79216 0.83529 0.79216 rg 426.6 570 36.24 16 re f 0.79216 0.83529 0.79216 rg 462.84 570 84.91 16 re f 0.79216 0.83529 0.79216 rg 547.76 570 36.24 16 re f Q q 2 J 0 G 0.5 w 1 1 1 RG 30 650 554 30 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 570 78.7 80 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 108.7 586 121.16 64 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 229.85 586 119.08 64 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 348.94 586 113.91 64 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 462.84 586 121.16 64 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 108.7 570 83.88 16 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 192.58 570 37.28 16 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 229.85 570 82.84 16 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 312.7 570 36.24 16 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 348.94 570 77.66 16 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 426.6 570 36.24 16 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 462.84 570 84.91 16 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 547.76 570 36.24 16 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 524 78.7 46 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 108.7 524 83.88 46 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 192.58 524 37.28 46 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 229.85 524 82.84 46 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 312.7 524 36.24 46 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 348.94 524 77.66 46 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 426.6 524 36.24 46 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 462.84 524 84.91 46 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 547.76 524 36.24 46 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 470 78.7 54 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 108.7 470 83.88 54 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 192.58 470 37.28 54 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 229.85 470 82.84 54 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 312.7 470 36.24 54 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 348.94 470 77.66 54 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 426.6 470 36.24 54 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 462.84 470 84.91 54 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 547.76 470 36.24 54 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 424 78.7 46 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 108.7 424 83.88 46 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 192.58 424 37.28 46 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 229.85 424 82.84 46 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 312.7 424 36.24 46 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 348.94 424 77.66 46 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 426.6 424 36.24 46 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 462.84 424 84.91 46 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 547.76 424 36.24 46 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 410 554 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 396 78.7 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 108.7 396 83.88 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 192.58 396 37.28 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 229.85 396 82.84 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 312.7 396 36.24 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 348.94 396 77.66 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 426.6 396 36.24 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 462.84 396 84.91 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 547.76 396 36.24 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 382 78.7 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 108.7 382 83.88 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 192.58 382 37.28 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 229.85 382 82.84 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 312.7 382 36.24 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 348.94 382 77.66 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 426.6 382 36.24 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 462.84 382 84.91 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 547.76 382 36.24 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 368 78.7 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 108.7 368 475.3 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 354 554 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 340 78.7 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 108.7 340 83.88 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 192.58 340 37.28 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 229.85 340 82.84 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 312.7 340 36.24 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 348.94 340 77.66 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 426.6 340 36.24 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 462.84 340 84.91 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 547.76 340 36.24 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 318 78.7 22 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 108.7 318 475.3 22 re S 0 G Q BT 1 0 0 1 32 667 Tm /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (7DEOH)Tj 0 g 0 Tr 0 G 1 w 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg ()Tj 0 g 0 Tr 0 G 1 w 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg ($VVRFLDWLRQV%HWZHHQ6WDWHDQG'LVWULFW9DULDEOHVWR5HVWULFW0DUNHWLQJRI8QKHDOWK\\\)RRGVDQG%HYHUDJHV6FKRRO+HDOWK3ROLFLHVDQG3UDFWLFHV6WXG\\)Tj 0 g 0 Tr 0 G 1 w 1 0 0 1 32 656 Tm 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg ()Tj 0 g 0 Tr 0 G 1 w /F6 6 Tf 2 Tr 0.2 w 0 0 0 RG 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 34 575 Tm 0.15 Tc /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (3UDFWLFHRU&DWHJRU\\)Tj 0 g 0 Tr 0 G 1 w 0 Tc ET BT 1 0 0 1 120.01 623 Tm 0.15 Tc /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (0RGHO'LVWULFW5HTXLUHVRU)Tj 0 g 0 Tr 0 G 1 w 0 Tc 1 0 0 1 122.68 615 Tm 0.15 Tc 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (5HFRPPHQGV7KDW6FKRROV)Tj 0 g 0 Tr 0 G 1 w 0 Tc 1 0 0 1 115.26 607 Tm 0.15 Tc 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (3URKLELW$GYHUWLVHPHQWIRU-XQN)Tj 0 g 0 Tr 0 G 1 w 0 Tc 1 0 0 1 116.27 599 Tm 0.15 Tc 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (\)RRGRU\)DVW\)RRG5HVWDXUDQWV)Tj 0 g 0 Tr 0 G 1 w 0 Tc 1 0 0 1 135.66 591 Tm 0.15 Tc 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (RQ6FKRRO3URSHUW\\)Tj 0 g 0 Tr 0 G 1 w 0 Tc /F6 6 Tf 2 Tr 0.2 w 0 0 0 RG 0 0 0 rg 4 Ts (E)Tj 0 Ts 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 240.13 639 Tm 0.15 Tc /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (0RGHO'LVWULFW5HTXLUHVRU)Tj 0 g 0 Tr 0 G 1 w 0 Tc 1 0 0 1 242.8 631 Tm 0.15 Tc 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (5HFRPPHQGV7KDW6FKRROV)Tj 0 g 0 Tr 0 G 1 w 0 Tc 1 0 0 1 244.12 623 Tm 0.15 Tc 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (5HVWULFWWKH'LVWULEXWLRQRI)Tj 0 g 0 Tr 0 G 1 w 0 Tc 1 0 0 1 235.96 615 Tm 0.15 Tc 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (3URGXFWV3URPRWLQJ-XQN\)RRG)Tj 0 g 0 Tr 0 G 1 w 0 Tc 1 0 0 1 236.87 607 Tm 0.15 Tc 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (\)DVW\)RRG5HVWDXUDQWVRU6RIW)Tj 0 g 0 Tr 0 G 1 w 0 Tc 1 0 0 1 235.16 599 Tm 0.15 Tc 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg ('ULQNVWR6WXGHQWV HJ7VKLUWV)Tj 0 g 0 Tr 0 G 1 w 0 Tc 1 0 0 1 255.71 591 Tm 0.15 Tc 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (+DWV%RRN&RYHUV\f)Tj 0 g 0 Tr 0 G 1 w 0 Tc /F6 6 Tf 2 Tr 0.2 w 0 0 0 RG 0 0 0 rg 4 Ts (F)Tj 0 Ts 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 360.71 623 Tm 0.15 Tc /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (0RGHO'LVWULFW'RHV1RW)Tj 0 g 0 Tr 0 G 1 w 0 Tc 1 0 0 1 354.05 615 Tm 0.15 Tc 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg ($OORZ6RIW'ULQN&RPSDQLHVWR)Tj 0 g 0 Tr 0 G 1 w 0 Tc 1 0 0 1 352.95 607 Tm 0.15 Tc 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg ($GYHUWLVH6RIW'ULQNVLQ6FKRRO)Tj 0 g 0 Tr 0 G 1 w 0 Tc 1 0 0 1 355.89 599 Tm 0.15 Tc 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (%XLOGLQJVDQGRU2WKHU$UHDV)Tj 0 g 0 Tr 0 G 1 w 0 Tc 1 0 0 1 373.61 591 Tm 0.15 Tc 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (RI6FKRRO&DPSXV)Tj 0 g 0 Tr 0 G 1 w 0 Tc /F6 6 Tf 2 Tr 0.2 w 0 0 0 RG 0 0 0 rg 4 Ts (G)Tj 0 Ts 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 474.15 615 Tm 0.15 Tc /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (0RGHO'LVWULFW5HTXLUHVRU)Tj 0 g 0 Tr 0 G 1 w 0 Tc 1 0 0 1 476.83 607 Tm 0.15 Tc 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (5HFRPPHQGV7KDW6FKRROV)Tj 0 g 0 Tr 0 G 1 w 0 Tc 1 0 0 1 468.96 599 Tm 0.15 Tc 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (3URKLELW-XQN\)RRGV\)URP%HLQJ)Tj 0 g 0 Tr 0 G 1 w 0 Tc 1 0 0 1 470.22 591 Tm 0.15 Tc 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (6ROGIRU\)XQGUDLVLQJ3XUSRVHV)Tj 0 g 0 Tr 0 G 1 w 0 Tc /F6 6 Tf 2 Tr 0.2 w 0 0 0 RG 0 0 0 rg 4 Ts (H)Tj 0 Ts 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 128.4 575 Tm 0.15 Tc /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg ($25 \b&,\f)Tj 0 g 0 Tr 0 G 1 w 0 Tc ET BT 1 0 0 1 199.11 575 Tm 1 0 0.21256 1 199.11 575 Tm /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (3)Tj 0 g 0 Tr 0 G 1 w 1 0 0 1 203.58 575 Tm 0.15 Tc 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (9DOXH)Tj 0 g 0 Tr 0 G 1 w 0 Tc -4.47 0 Td ET BT 1 0 0 1 249.04 575 Tm 0.15 Tc /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg ($25 \b&,\f)Tj 0 g 0 Tr 0 G 1 w 0 Tc ET BT 1 0 0 1 318.71 575 Tm 1 0 0.21256 1 318.71 575 Tm /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (3)Tj 0 g 0 Tr 0 G 1 w 1 0 0 1 323.19 575 Tm 0.15 Tc 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (9DOXH)Tj 0 g 0 Tr 0 G 1 w 0 Tc -4.47 0 Td ET BT 1 0 0 1 365.53 575 Tm 0.15 Tc /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg ($25 \b&,\f)Tj 0 g 0 Tr 0 G 1 w 0 Tc ET BT 1 0 0 1 432.62 575 Tm 1 0 0.21256 1 432.62 575 Tm /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (3)Tj 0 g 0 Tr 0 G 1 w 1 0 0 1 437.09 575 Tm 0.15 Tc 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (9DOXH)Tj 0 g 0 Tr 0 G 1 w 0 Tc -4.47 0 Td ET BT 1 0 0 1 483.06 575 Tm 0.15 Tc /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg ($25 \b&,\f)Tj 0 g 0 Tr 0 G 1 w 0 Tc ET BT 1 0 0 1 553.78 575 Tm 1 0 0.21256 1 553.78 575 Tm /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (3)Tj 0 g 0 Tr 0 G 1 w 1 0 0 1 558.25 575 Tm 0.15 Tc 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (9DOXH)Tj 0 g 0 Tr 0 G 1 w 0 Tc -4.47 0 Td ET BT 1 0 0 1 32 560 Tm /F6 8 Tf 0 0 0 rg (6WDWHGHYHORSHGRU)Tj 0 g 1 0 0 1 32 552 Tm 0 0 0 rg (UHYLVHGSROLF\\RQ)Tj 0 g 1 0 0 1 32 544 Tm 0 0 0 rg (VWUDWHJLHVWRUHVWULFW)Tj 0 g 1 0 0 1 32 536 Tm 0 0 0 rg (PDUNHWLQJRI)Tj 0 g 1 0 0 1 32 528 Tm 0 0 0 rg (XQKHDOWK\\LWHPV)Tj 0 g ET BT 1 0 0 1 131.01 560 Tm /F6 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 216.48 560 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 251.13 560 Tm /F6 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 335.56 560 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 365.03 560 Tm /F6 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 449.47 560 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 486.19 560 Tm /F6 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 570.62 560 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 32 514 Tm /F6 8 Tf 0 0 0 rg (6WDWHGLVWULEXWHGRU)Tj 0 g 1 0 0 1 32 506 Tm 0 0 0 rg (SURYLGHGSROLF\\)Tj 0 g 1 0 0 1 32 498 Tm 0 0 0 rg (JXLGDQFHRQ)Tj 0 g 1 0 0 1 32 490 Tm 0 0 0 rg (VWUDWHJLHVWRUHVWULFW)Tj 0 g 1 0 0 1 32 482 Tm 0 0 0 rg (PDUNHWLQJRI)Tj 0 g 1 0 0 1 32 474 Tm 0 0 0 rg (XQKHDOWK\\LWHPV)Tj 0 g ET BT 1 0 0 1 131.01 514 Tm /F6 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 211.79 514 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 251.13 514 Tm /F6 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 335.56 514 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 365.03 514 Tm /F6 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 449.47 514 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 486.19 514 Tm /F6 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 570.62 514 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 32 460 Tm /F6 8 Tf 0 0 0 rg (6WDWHSURYLGHG)Tj 0 g 1 0 0 1 32 452 Tm 0 0 0 rg (WHFKQLFDODVVLVWDQFH)Tj 0 g 1 0 0 1 32 444 Tm 0 0 0 rg (RQVWUDWHJLHVWR)Tj 0 g 1 0 0 1 32 436 Tm 0 0 0 rg (UHVWULFWPDUNHWLQJRI)Tj 0 g 1 0 0 1 32 428 Tm 0 0 0 rg (XQKHDOWK\\LWHPV)Tj 0 g ET BT 1 0 0 1 131.01 460 Tm /F6 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 213.79 460 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 251.13 460 Tm /F6 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 335.56 460 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 365.03 460 Tm /F6 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 449.47 460 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 486.19 460 Tm /F6 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 570.62 460 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 32 414 Tm /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (3HUFHQWDJHRI7LWOHVWXGHQWVLQWKHGLVWULFW)Tj 0 g 0 Tr 0 G 1 w /F6 6 Tf 2 Tr 0.2 w 0 0 0 RG 0 0 0 rg 4 Ts (I)Tj 0 Ts 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 32 400 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 131.01 400 Tm /F6 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 216.48 400 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 251.13 400 Tm /F6 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 335.56 400 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 365.03 400 Tm /F6 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 449.47 400 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 486.19 400 Tm /F6 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 570.62 400 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 32 386 Tm /F6 8 Tf 0 0 0 rg (!WR)Tj 0 g ET BT 1 0 0 1 131.01 386 Tm /F6 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 216.48 386 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 251.13 386 Tm /F6 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 335.56 386 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 365.03 386 Tm /F6 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 449.47 386 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 486.19 386 Tm /F6 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 570.62 386 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 32 372 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 536.02 372 Tm /F6 8 Tf 0 0 0 rg (>5HIHUHQFH@)Tj 0 g ET BT 1 0 0 1 32 358 Tm /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (3HUFHQWDJHRIZKLWHVWXGHQWVLQWKHGLVWULFW)Tj 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 32 344 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 131.01 344 Tm /F6 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 216.48 344 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 251.13 344 Tm /F6 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 335.56 344 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 365.03 344 Tm /F6 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 449.47 344 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 486.19 344 Tm /F6 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 570.62 344 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 32 330 Tm /F6 8 Tf 0 0 0 rg (!)Tj 0 g ET BT 1 0 0 1 536.02 330 Tm /F6 8 Tf 0 0 0 rg (>5HIHUHQFH@)Tj 0 g ET BT 1 0 0 1 32 306 Tm /F6 8 Tf 0 0 0 rg ($EEUHYLDWLRQV$25DGMXVWHGRGGVUDWLR&,FRQILGHQFHLQWHUYDO6\(VWDQGDUGHUURU)Tj 0 g ET q BT 1 0 0 1 32 306 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 296 Tm /F6 6 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g /F6 8 Tf 0 0 0 rg ($OOPRGHOVLQFOXGHGWKHIROORZLQJFRYDULDWHVSHUFHQWDJHRI7LWOHVWXGHQWVLQWKHGLVWULFWSHUFHQWDJHRIZKLWHVWXGHQWVHQUROOHGLQDGLVWULFWGLVWULFWVL]HGLVWULFW)Tj 0 g 1 0 0 1 32 286 Tm 0 0 0 rg (PHWURVWDWXVDQGWRWDOH[SHQGLWXUHVSHUVWXGHQW6DPSOHVL]HVPRGHOQ PRGHOQ PRGHOQ PRGHOQ )Tj 0 g ET q BT 1 0 0 1 32 296 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 276 Tm /F6 6 Tf 0 0 0 rg 4 Ts (E)Tj 0 Ts 0 g /F6 8 Tf 0 0 0 rg (/RJLVWLFUHJUHVVLRQZLWKGHSHQGHQWYDULDEOH4DQGLQGHSHQGHQWYDULDEOHV4I4JDQG4L4I4JDQG4LDQG4I4JDQG4L6FRUHVIRUHDFK)Tj 0 g 0 0 0 rg (LQ)Tj 0 g 1 0 0 1 32 266 Tm 0 0 0 rg (GHSHQGHQWYDULDEOHZHUHVXPPHGWRFDOFXODWHDVFDOHVFRUHUDQJLQJIURPWRZLWKKLJKHUVFRUHVLQGLFDWLQJPRUHUHVWULFWLQJSUDFWLFHV6HH)Tj 0 g 0 0 0 rg ($SSHQGL[)Tj 0 g 0 0 0 rg (IRUH[DFW)Tj 0 g 1 0 0 1 32 256 Tm 0 0 0 rg (TXHVWLRQZRUGLQJ)Tj 0 g ET q BT 1 0 0 1 32 276 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 246 Tm /F6 6 Tf 0 0 0 rg 4 Ts (F)Tj 0 Ts 0 g /F6 8 Tf 0 0 0 rg (/RJLVWLFUHJUHVVLRQZLWKGHSHQGHQWYDULDEOH4DQGLQGHSHQGHQWYDULDEOHV4I4JDQG4L4I4JDQG4LDQG4I4JDQG4L6FRUHVIRUHDFK)Tj 0 g 0 0 0 rg (LQ)Tj 0 g 1 0 0 1 32 236 Tm 0 0 0 rg (GHSHQGHQWYDULDEOHZHUHVXPPHGWRFDOFXODWHDVFDOHVFRUHUDQJLQJIURPWRZLWKKLJKHUVFRUHVLQGLFDWLQJPRUHUHVWULFWLQJSUDFWLFHV6HH)Tj 0 g 0 0 0 rg ($SSHQGL[)Tj 0 g 0 0 0 rg (IRUH[DFW)Tj 0 g 1 0 0 1 32 226 Tm 0 0 0 rg (TXHVWLRQZRUGLQJ)Tj 0 g ET q BT 1 0 0 1 32 246 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 216 Tm /F6 6 Tf 0 0 0 rg 4 Ts (G)Tj 0 Ts 0 g /F6 8 Tf 0 0 0 rg (/RJLVWLFUHJUHVVLRQZLWKGHSHQGHQWYDULDEOH4DDQG4EDQGLQGHSHQGHQWYDULDEOHV4I4JDQG4L4I4JDQG4LDQG4I4JDQG4L)Tj 0 g 1 0 0 1 32 206 Tm 0 0 0 rg (6FRUHVIRUHDFKLQGHSHQGHQWYDULDEOHZHUHVXPPHGWRFDOFXODWHDVFDOHVFRUHUDQJLQJIURPWRZLWKKLJKHUVFRUHVLQGLFDWLQJPRUHUHVWULFWLQJSUDFWLFHV6HH)Tj 0 g 0 0 0 rg ($S)Tj 0 g 1 0 0 1 32 196 Tm 0 0 0 rg (SHQGL[)Tj 0 g 0 0 0 rg (IRUH[DFWTXHVWLRQZRUGLQJ)Tj 0 g ET q BT 1 0 0 1 32 216 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 186 Tm /F6 6 Tf 0 0 0 rg 4 Ts (H)Tj 0 Ts 0 g /F6 8 Tf 0 0 0 rg (/RJLVWLFUHJUHVVLRQZLWKGHSHQGHQWYDULDEOH4DQGLQGHSHQGHQWYDULDEOHV4I4JDQG4L4I4JDQG4LDQG4I4JDQG4L6FRUHVIRUHDFK)Tj 0 g 1 0 0 1 32 176 Tm 0 0 0 rg (FRPSRVLWHYDULDEOHZHUHVXPPHGWRFDOFXODWHDVFDOHVFRUHUDQJLQJIURPWRZLWKKLJKHUVFRUHVLQGLFDWLQJPRUHUHVWULFWLQJSUDFWLFHV6HH)Tj 0 g 0 0 0 rg ($SSHQGL[)Tj 0 g 0 0 0 rg (IRUH[DFW)Tj 0 g 1 0 0 1 32 166 Tm 0 0 0 rg (TXHVWLRQZRUGLQJ)Tj 0 g ET q BT 1 0 0 1 32 186 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 156 Tm /F6 6 Tf 0 0 0 rg 4 Ts (I)Tj 0 Ts 0 g /F6 8 Tf 0 0 0 rg (3HUFHQWDJHRIVWXGHQWVUHFHLYLQJIUHHRU)Tj 0 g 0 0 0 rg (UHGXFHGSULFH)Tj 0 g 0 0 0 rg (OXQFK)Tj 0 g ET q BT 1 0 0 1 32 156 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 146 Tm /F6 6 Tf 0 0 0 rg 4 Ts (J)Tj 0 Ts 0 g /F6 8 Tf 0 0 0 rg (6PDOO VWXGHQWVPHGLXP VWXGHQWVDQGODUJHVWXGHQWV)Tj 0 g ET q BT 1 0 0 1 32 146 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 136 Tm /F6 6 Tf 0 0 0 rg 4 Ts (K)Tj 0 Ts 0 g /F6 8 Tf 0 0 0 rg (0HWURSROLWDQVWDWXVGHILQHGDVUXUDOVXEXUEDQ ODUJHRUVPDOOWRZQ\fRUXUEDQ ODUJHFHQWUDOFLW\\)Tj 0 g 0 0 0 rg (PLGVL]HG)Tj 0 g 0 0 0 rg (FHQWUDOFLW\\XUEDQIULQJHRIFHQWUDOFLW\\XUEDQIULQJHRI)Tj 0 g 1 0 0 1 32 126 Tm 0 0 0 rg (PLGVL]HG)Tj 0 g 0 0 0 rg (FLW\\\f)Tj 0 g ET q BT 1 0 0 1 32 136 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 116 Tm /F6 6 Tf 0 0 0 rg 4 Ts (L)Tj 0 Ts 0 g /F6 8 Tf 0 0 0 rg (7KHPHGLDQWRWDODQQXDOH[SHQGLWXUHVSHUVWXGHQW LHLQVWUXFWLRQDOH[SHQGLWXUHVVXSSRUWVHUYLFHVDQGQRQLQVWUXFWLRQDOH[SHQGLWXUHV\f)Tj 0 g ET q BT 1 0 0 1 32 116 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 498.31 104 Tm /F6 8 Tf 0 0 0 rg ( FRQWLQXHGRQQH[WSDJH\f)Tj 0 g ET q BT 1 0 0 1 30 735 Tm /F5 22 Tf 0.15294 0.35686 0.17255 rg (PREVENTING CHRONIC DISEASE)Tj 0 g ET Q q BT 1 0 0 1 502.52 735 Tm /F2 10 Tf (VOLUME 15, E74)Tj ET Q 0.83529 0.86275 0.81961 RG 1.6 w 30 732 m 368 732 l S q BT 1 0 0 1 30 718 Tm /F2 13 Tf 0.15294 0.35686 0.17255 rg (PUBLIC HEALTH RESEARCH, PRACTICE, AND POLICY)Tj 0 g ET Q q BT 1 0 0 1 503.07 718 Tm /F2 10 Tf ( JUNE 2018)Tj ET Q 0.15294 0.35686 0.17255 RG 3 w 30 708 m 582 708 l S 0.50196 0.50196 0.50196 RG 1 w 30 80 m 582 80 l S q BT 1 0 0 1 30.52 70 Tm /F2 8 Tf 0.50196 0.50196 0.50196 rg (The opinions expressed by authors contributing to this journal do not necessarily reflect the opinions of the U.S. Department of Health and Human Services,)Tj 0 g ET Q q BT 1 0 0 1 110.12 58 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 1 201.69 41 Tm /F2 9 Tf (www.cdc.gov/pcd/issues/2018/17_0352.htm Centers for Disease Control and Prevention 7)Tj ET Q Ng endstream endobj 13 0 obj <>>>/Rotate 0/Thumb 36 0 R/Type/Page>> endobj 14 0 obj <>stream xW>q BT 30 786 Td ET Q q 0.79216 0.83529 0.79216 rg 30 578 78.7 80 re f 0.79216 0.83529 0.79216 rg 108.7 594 121.16 64 re f 0.79216 0.83529 0.79216 rg 229.85 594 119.08 64 re f 0.79216 0.83529 0.79216 rg 348.94 594 113.91 64 re f 0.79216 0.83529 0.79216 rg 462.84 594 121.16 64 re f 0.79216 0.83529 0.79216 rg 108.7 578 83.88 16 re f 0.79216 0.83529 0.79216 rg 192.58 578 37.28 16 re f 0.79216 0.83529 0.79216 rg 229.85 578 82.84 16 re f 0.79216 0.83529 0.79216 rg 312.7 578 36.24 16 re f 0.79216 0.83529 0.79216 rg 348.94 578 77.66 16 re f 0.79216 0.83529 0.79216 rg 426.6 578 36.24 16 re f 0.79216 0.83529 0.79216 rg 462.84 578 84.91 16 re f 0.79216 0.83529 0.79216 rg 547.76 578 36.24 16 re f Q q 2 J 0 G 0.5 w 1 1 1 RG 30 658 554 30 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 578 78.7 80 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 108.7 594 121.16 64 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 229.85 594 119.08 64 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 348.94 594 113.91 64 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 462.84 594 121.16 64 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 108.7 578 83.88 16 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 192.58 578 37.28 16 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 229.85 578 82.84 16 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 312.7 578 36.24 16 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 348.94 578 77.66 16 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 426.6 578 36.24 16 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 462.84 578 84.91 16 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 547.76 578 36.24 16 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 564 554 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 550 78.7 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 108.7 550 83.88 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 192.58 550 37.28 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 229.85 550 82.84 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 312.7 550 36.24 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 348.94 550 77.66 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 426.6 550 36.24 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 462.84 550 84.91 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 547.76 550 36.24 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 536 78.7 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 108.7 536 83.88 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 192.58 536 37.28 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 229.85 536 82.84 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 312.7 536 36.24 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 348.94 536 77.66 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 426.6 536 36.24 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 462.84 536 84.91 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 547.76 536 36.24 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 522 78.7 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 108.7 522 475.3 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 508 554 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 494 78.7 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 108.7 494 83.88 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 192.58 494 37.28 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 229.85 494 82.84 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 312.7 494 36.24 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 348.94 494 77.66 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 426.6 494 36.24 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 462.84 494 84.91 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 547.76 494 36.24 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 480 78.7 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 108.7 480 83.88 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 192.58 480 37.28 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 229.85 480 82.84 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 312.7 480 36.24 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 348.94 480 77.66 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 426.6 480 36.24 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 462.84 480 84.91 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 547.76 480 36.24 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 466 78.7 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 108.7 466 475.3 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 452 554 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 438 78.7 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 108.7 438 83.88 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 192.58 438 37.28 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 229.85 438 82.84 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 312.7 438 36.24 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 348.94 438 77.66 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 426.6 438 36.24 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 462.84 438 84.91 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 547.76 438 36.24 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 424 78.7 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 108.7 424 475.3 14 re S 0 G Q BT 1 0 0 1 32 690 Tm /F6 8 Tf 0 0 0 rg ( FRQWLQXHG\f)Tj 0 g ET BT 1 0 0 1 32 675 Tm /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (7DEOH)Tj 0 g 0 Tr 0 G 1 w 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg ()Tj 0 g 0 Tr 0 G 1 w 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg ($VVRFLDWLRQV%HWZHHQ6WDWHDQG'LVWULFW9DULDEOHVWR5HVWULFW0DUNHWLQJRI8QKHDOWK\\\)RRGVDQG%HYHUDJHV6FKRRO+HDOWK3ROLFLHVDQG3UDFWLFHV6WXG\\)Tj 0 g 0 Tr 0 G 1 w 1 0 0 1 32 664 Tm 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg ()Tj 0 g 0 Tr 0 G 1 w /F6 6 Tf 2 Tr 0.2 w 0 0 0 RG 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 34 583 Tm 0.15 Tc /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (3UDFWLFHRU&DWHJRU\\)Tj 0 g 0 Tr 0 G 1 w 0 Tc ET BT 1 0 0 1 120.01 631 Tm 0.15 Tc /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (0RGHO'LVWULFW5HTXLUHVRU)Tj 0 g 0 Tr 0 G 1 w 0 Tc 1 0 0 1 122.68 623 Tm 0.15 Tc 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (5HFRPPHQGV7KDW6FKRROV)Tj 0 g 0 Tr 0 G 1 w 0 Tc 1 0 0 1 115.26 615 Tm 0.15 Tc 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (3URKLELW$GYHUWLVHPHQWIRU-XQN)Tj 0 g 0 Tr 0 G 1 w 0 Tc 1 0 0 1 116.27 607 Tm 0.15 Tc 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (\)RRGRU\)DVW\)RRG5HVWDXUDQWV)Tj 0 g 0 Tr 0 G 1 w 0 Tc 1 0 0 1 135.66 599 Tm 0.15 Tc 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (RQ6FKRRO3URSHUW\\)Tj 0 g 0 Tr 0 G 1 w 0 Tc /F6 6 Tf 2 Tr 0.2 w 0 0 0 RG 0 0 0 rg 4 Ts (E)Tj 0 Ts 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 240.13 647 Tm 0.15 Tc /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (0RGHO'LVWULFW5HTXLUHVRU)Tj 0 g 0 Tr 0 G 1 w 0 Tc 1 0 0 1 242.8 639 Tm 0.15 Tc 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (5HFRPPHQGV7KDW6FKRROV)Tj 0 g 0 Tr 0 G 1 w 0 Tc 1 0 0 1 244.12 631 Tm 0.15 Tc 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (5HVWULFWWKH'LVWULEXWLRQRI)Tj 0 g 0 Tr 0 G 1 w 0 Tc 1 0 0 1 235.96 623 Tm 0.15 Tc 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (3URGXFWV3URPRWLQJ-XQN\)RRG)Tj 0 g 0 Tr 0 G 1 w 0 Tc 1 0 0 1 236.87 615 Tm 0.15 Tc 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (\)DVW\)RRG5HVWDXUDQWVRU6RIW)Tj 0 g 0 Tr 0 G 1 w 0 Tc 1 0 0 1 235.16 607 Tm 0.15 Tc 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg ('ULQNVWR6WXGHQWV HJ7VKLUWV)Tj 0 g 0 Tr 0 G 1 w 0 Tc 1 0 0 1 255.71 599 Tm 0.15 Tc 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (+DWV%RRN&RYHUV\f)Tj 0 g 0 Tr 0 G 1 w 0 Tc /F6 6 Tf 2 Tr 0.2 w 0 0 0 RG 0 0 0 rg 4 Ts (F)Tj 0 Ts 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 360.71 631 Tm 0.15 Tc /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (0RGHO'LVWULFW'RHV1RW)Tj 0 g 0 Tr 0 G 1 w 0 Tc 1 0 0 1 354.05 623 Tm 0.15 Tc 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg ($OORZ6RIW'ULQN&RPSDQLHVWR)Tj 0 g 0 Tr 0 G 1 w 0 Tc 1 0 0 1 352.95 615 Tm 0.15 Tc 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg ($GYHUWLVH6RIW'ULQNVLQ6FKRRO)Tj 0 g 0 Tr 0 G 1 w 0 Tc 1 0 0 1 355.89 607 Tm 0.15 Tc 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (%XLOGLQJVDQGRU2WKHU$UHDV)Tj 0 g 0 Tr 0 G 1 w 0 Tc 1 0 0 1 373.61 599 Tm 0.15 Tc 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (RI6FKRRO&DPSXV)Tj 0 g 0 Tr 0 G 1 w 0 Tc /F6 6 Tf 2 Tr 0.2 w 0 0 0 RG 0 0 0 rg 4 Ts (G)Tj 0 Ts 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 474.15 623 Tm 0.15 Tc /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (0RGHO'LVWULFW5HTXLUHVRU)Tj 0 g 0 Tr 0 G 1 w 0 Tc 1 0 0 1 476.83 615 Tm 0.15 Tc 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (5HFRPPHQGV7KDW6FKRROV)Tj 0 g 0 Tr 0 G 1 w 0 Tc 1 0 0 1 468.96 607 Tm 0.15 Tc 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (3URKLELW-XQN\)RRGV\)URP%HLQJ)Tj 0 g 0 Tr 0 G 1 w 0 Tc 1 0 0 1 470.22 599 Tm 0.15 Tc 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (6ROGIRU\)XQGUDLVLQJ3XUSRVHV)Tj 0 g 0 Tr 0 G 1 w 0 Tc /F6 6 Tf 2 Tr 0.2 w 0 0 0 RG 0 0 0 rg 4 Ts (H)Tj 0 Ts 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 128.4 583 Tm 0.15 Tc /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg ($25 \b&,\f)Tj 0 g 0 Tr 0 G 1 w 0 Tc ET BT 1 0 0 1 199.11 583 Tm 1 0 0.21256 1 199.11 583 Tm /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (3)Tj 0 g 0 Tr 0 G 1 w 1 0 0 1 203.58 583 Tm 0.15 Tc 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (9DOXH)Tj 0 g 0 Tr 0 G 1 w 0 Tc -4.47 0 Td ET BT 1 0 0 1 249.04 583 Tm 0.15 Tc /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg ($25 \b&,\f)Tj 0 g 0 Tr 0 G 1 w 0 Tc ET BT 1 0 0 1 318.71 583 Tm 1 0 0.21256 1 318.71 583 Tm /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (3)Tj 0 g 0 Tr 0 G 1 w 1 0 0 1 323.19 583 Tm 0.15 Tc 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (9DOXH)Tj 0 g 0 Tr 0 G 1 w 0 Tc -4.47 0 Td ET BT 1 0 0 1 365.53 583 Tm 0.15 Tc /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg ($25 \b&,\f)Tj 0 g 0 Tr 0 G 1 w 0 Tc ET BT 1 0 0 1 432.62 583 Tm 1 0 0.21256 1 432.62 583 Tm /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (3)Tj 0 g 0 Tr 0 G 1 w 1 0 0 1 437.09 583 Tm 0.15 Tc 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (9DOXH)Tj 0 g 0 Tr 0 G 1 w 0 Tc -4.47 0 Td ET BT 1 0 0 1 483.06 583 Tm 0.15 Tc /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg ($25 \b&,\f)Tj 0 g 0 Tr 0 G 1 w 0 Tc ET BT 1 0 0 1 553.78 583 Tm 1 0 0.21256 1 553.78 583 Tm /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (3)Tj 0 g 0 Tr 0 G 1 w 1 0 0 1 558.25 583 Tm 0.15 Tc 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (9DOXH)Tj 0 g 0 Tr 0 G 1 w 0 Tc -4.47 0 Td ET BT 1 0 0 1 32 568 Tm /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg ('LVWULFWVL]H)Tj 0 g 0 Tr 0 G 1 w /F6 6 Tf 2 Tr 0.2 w 0 0 0 RG 0 0 0 rg 4 Ts (J)Tj 0 Ts 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 32 554 Tm /F6 8 Tf 0 0 0 rg (6PDOO)Tj 0 g ET BT 1 0 0 1 131.01 554 Tm /F6 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 216.48 554 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 251.13 554 Tm /F6 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 335.56 554 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 365.03 554 Tm /F6 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 449.47 554 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 486.19 554 Tm /F6 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 570.62 554 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 32 540 Tm /F6 8 Tf 0 0 0 rg (0HGLXP)Tj 0 g ET BT 1 0 0 1 131.01 540 Tm /F6 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 216.48 540 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 251.13 540 Tm /F6 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 335.56 540 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 365.03 540 Tm /F6 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 449.47 540 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 486.19 540 Tm /F6 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 570.62 540 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 32 526 Tm /F6 8 Tf 0 0 0 rg (/DUJH)Tj 0 g ET BT 1 0 0 1 536.02 526 Tm /F6 8 Tf 0 0 0 rg (>5HIHUHQFH@)Tj 0 g ET BT 1 0 0 1 32 512 Tm /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg ('LVWULFWPHWURVWDWXV)Tj 0 g 0 Tr 0 G 1 w /F6 6 Tf 2 Tr 0.2 w 0 0 0 RG 0 0 0 rg 4 Ts (K)Tj 0 Ts 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 32 498 Tm /F6 8 Tf 0 0 0 rg (5XUDO)Tj 0 g ET BT 1 0 0 1 131.01 498 Tm /F6 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 216.48 498 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 251.13 498 Tm /F6 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 335.56 498 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 365.03 498 Tm /F6 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 449.47 498 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 486.19 498 Tm /F6 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 570.62 498 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 32 484 Tm /F6 8 Tf 0 0 0 rg (6XEXUEDQ)Tj 0 g ET BT 1 0 0 1 131.01 484 Tm /F6 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 216.48 484 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 251.13 484 Tm /F6 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 335.56 484 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 365.03 484 Tm /F6 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 449.47 484 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 486.19 484 Tm /F6 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 570.62 484 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 32 470 Tm /F6 8 Tf 0 0 0 rg (8UEDQ)Tj 0 g ET BT 1 0 0 1 536.02 470 Tm /F6 8 Tf 0 0 0 rg (>5HIHUHQFH@)Tj 0 g ET BT 1 0 0 1 32 456 Tm /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (7RWDOH[SHQGLWXUHVSHUVWXGHQWLQWKHGLVWULFW)Tj 0 g 0 Tr 0 G 1 w /F6 6 Tf 2 Tr 0.2 w 0 0 0 RG 0 0 0 rg 4 Ts (L)Tj 0 Ts 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 32 442 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 131.01 442 Tm /F6 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 216.48 442 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 251.13 442 Tm /F6 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 335.56 442 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 365.03 442 Tm /F6 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 449.47 442 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 486.19 442 Tm /F6 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 570.62 442 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 32 428 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 536.02 428 Tm /F6 8 Tf 0 0 0 rg (>5HIHUHQFH@)Tj 0 g ET BT 1 0 0 1 32 412 Tm /F6 8 Tf 0 0 0 rg ($EEUHYLDWLRQV$25DGMXVWHGRGGVUDWLR&,FRQILGHQFHLQWHUYDO6\(VWDQGDUGHUURU)Tj 0 g ET q BT 1 0 0 1 32 412 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 402 Tm /F6 6 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g /F6 8 Tf 0 0 0 rg ($OOPRGHOVLQFOXGHGWKHIROORZLQJFRYDULDWHVSHUFHQWDJHRI7LWOHVWXGHQWVLQWKHGLVWULFWSHUFHQWDJHRIZKLWHVWXGHQWVHQUROOHGLQDGLVWULFWGLVWULFWVL]HGLVWULFW)Tj 0 g 1 0 0 1 32 392 Tm 0 0 0 rg (PHWURVWDWXVDQGWRWDOH[SHQGLWXUHVSHUVWXGHQW6DPSOHVL]HVPRGHOQ PRGHOQ PRGHOQ PRGHOQ )Tj 0 g ET q BT 1 0 0 1 32 402 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 382 Tm /F6 6 Tf 0 0 0 rg 4 Ts (E)Tj 0 Ts 0 g /F6 8 Tf 0 0 0 rg (/RJLVWLFUHJUHVVLRQZLWKGHSHQGHQWYDULDEOH4DQGLQGHSHQGHQWYDULDEOHV4I4JDQG4L4I4JDQG4LDQG4I4JDQG4L6FRUHVIRUHDFK)Tj 0 g 0 0 0 rg (LQ)Tj 0 g 1 0 0 1 32 372 Tm 0 0 0 rg (GHSHQGHQWYDULDEOHZHUHVXPPHGWRFDOFXODWHDVFDOHVFRUHUDQJLQJIURPWRZLWKKLJKHUVFRUHVLQGLFDWLQJPRUHUHVWULFWLQJSUDFWLFHV6HH)Tj 0 g 0 0 0 rg ($SSHQGL[)Tj 0 g 0 0 0 rg (IRUH[DFW)Tj 0 g 1 0 0 1 32 362 Tm 0 0 0 rg (TXHVWLRQZRUGLQJ)Tj 0 g ET q BT 1 0 0 1 32 382 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 352 Tm /F6 6 Tf 0 0 0 rg 4 Ts (F)Tj 0 Ts 0 g /F6 8 Tf 0 0 0 rg (/RJLVWLFUHJUHVVLRQZLWKGHSHQGHQWYDULDEOH4DQGLQGHSHQGHQWYDULDEOHV4I4JDQG4L4I4JDQG4LDQG4I4JDQG4L6FRUHVIRUHDFK)Tj 0 g 0 0 0 rg (LQ)Tj 0 g 1 0 0 1 32 342 Tm 0 0 0 rg (GHSHQGHQWYDULDEOHZHUHVXPPHGWRFDOFXODWHDVFDOHVFRUHUDQJLQJIURPWRZLWKKLJKHUVFRUHVLQGLFDWLQJPRUHUHVWULFWLQJSUDFWLFHV6HH)Tj 0 g 0 0 0 rg ($SSHQGL[)Tj 0 g 0 0 0 rg (IRUH[DFW)Tj 0 g 1 0 0 1 32 332 Tm 0 0 0 rg (TXHVWLRQZRUGLQJ)Tj 0 g ET q BT 1 0 0 1 32 352 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 322 Tm /F6 6 Tf 0 0 0 rg 4 Ts (G)Tj 0 Ts 0 g /F6 8 Tf 0 0 0 rg (/RJLVWLFUHJUHVVLRQZLWKGHSHQGHQWYDULDEOH4DDQG4EDQGLQGHSHQGHQWYDULDEOHV4I4JDQG4L4I4JDQG4LDQG4I4JDQG4L)Tj 0 g 1 0 0 1 32 312 Tm 0 0 0 rg (6FRUHVIRUHDFKLQGHSHQGHQWYDULDEOHZHUHVXPPHGWRFDOFXODWHDVFDOHVFRUHUDQJLQJIURPWRZLWKKLJKHUVFRUHVLQGLFDWLQJPRUHUHVWULFWLQJSUDFWLFHV6HH)Tj 0 g 0 0 0 rg ($S)Tj 0 g 1 0 0 1 32 302 Tm 0 0 0 rg (SHQGL[)Tj 0 g 0 0 0 rg (IRUH[DFWTXHVWLRQZRUGLQJ)Tj 0 g ET q BT 1 0 0 1 32 322 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 292 Tm /F6 6 Tf 0 0 0 rg 4 Ts (H)Tj 0 Ts 0 g /F6 8 Tf 0 0 0 rg (/RJLVWLFUHJUHVVLRQZLWKGHSHQGHQWYDULDEOH4DQGLQGHSHQGHQWYDULDEOHV4I4JDQG4L4I4JDQG4LDQG4I4JDQG4L6FRUHVIRUHDFK)Tj 0 g 1 0 0 1 32 282 Tm 0 0 0 rg (FRPSRVLWHYDULDEOHZHUHVXPPHGWRFDOFXODWHDVFDOHVFRUHUDQJLQJIURPWRZLWKKLJKHUVFRUHVLQGLFDWLQJPRUHUHVWULFWLQJSUDFWLFHV6HH)Tj 0 g 0 0 0 rg ($SSHQGL[)Tj 0 g 0 0 0 rg (IRUH[DFW)Tj 0 g 1 0 0 1 32 272 Tm 0 0 0 rg (TXHVWLRQZRUGLQJ)Tj 0 g ET q BT 1 0 0 1 32 292 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 262 Tm /F6 6 Tf 0 0 0 rg 4 Ts (I)Tj 0 Ts 0 g /F6 8 Tf 0 0 0 rg (3HUFHQWDJHRIVWXGHQWVUHFHLYLQJIUHHRU)Tj 0 g 0 0 0 rg (UHGXFHGSULFH)Tj 0 g 0 0 0 rg (OXQFK)Tj 0 g ET q BT 1 0 0 1 32 262 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 252 Tm /F6 6 Tf 0 0 0 rg 4 Ts (J)Tj 0 Ts 0 g /F6 8 Tf 0 0 0 rg (6PDOO VWXGHQWVPHGLXP VWXGHQWVDQGODUJHVWXGHQWV)Tj 0 g ET q BT 1 0 0 1 32 252 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 242 Tm /F6 6 Tf 0 0 0 rg 4 Ts (K)Tj 0 Ts 0 g /F6 8 Tf 0 0 0 rg (0HWURSROLWDQVWDWXVGHILQHGDVUXUDOVXEXUEDQ ODUJHRUVPDOOWRZQ\fRUXUEDQ ODUJHFHQWUDOFLW\\)Tj 0 g 0 0 0 rg (PLGVL]HG)Tj 0 g 0 0 0 rg (FHQWUDOFLW\\XUEDQIULQJHRIFHQWUDOFLW\\XUEDQIULQJHRI)Tj 0 g 1 0 0 1 32 232 Tm 0 0 0 rg (PLGVL]HG)Tj 0 g 0 0 0 rg (FLW\\\f)Tj 0 g ET q BT 1 0 0 1 32 242 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 222 Tm /F6 6 Tf 0 0 0 rg 4 Ts (L)Tj 0 Ts 0 g /F6 8 Tf 0 0 0 rg (7KHPHGLDQWRWDODQQXDOH[SHQGLWXUHVSHUVWXGHQW LHLQVWUXFWLRQDOH[SHQGLWXUHVVXSSRUWVHUYLFHVDQGQRQLQVWUXFWLRQDOH[SHQGLWXUHV\f)Tj 0 g ET q BT 1 0 0 1 32 222 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET Q q 1 w 0.50196 0.50196 0.50196 RG 30 216 m 584 216 l S Q q BT 1 0 0 1 30 735 Tm /F5 22 Tf 0.15294 0.35686 0.17255 rg (PREVENTING CHRONIC DISEASE)Tj 0 g ET Q q BT 1 0 0 1 502.52 735 Tm /F2 10 Tf (VOLUME 15, E74)Tj ET Q 0.83529 0.86275 0.81961 RG 1.6 w 30 732 m 368 732 l S q BT 1 0 0 1 30 718 Tm /F2 13 Tf 0.15294 0.35686 0.17255 rg (PUBLIC HEALTH RESEARCH, PRACTICE, AND POLICY)Tj 0 g ET Q q BT 1 0 0 1 503.07 718 Tm /F2 10 Tf ( JUNE 2018)Tj ET Q 0.15294 0.35686 0.17255 RG 3 w 30 708 m 582 708 l S 0.50196 0.50196 0.50196 RG 1 w 30 80 m 582 80 l S q BT 1 0 0 1 30.52 70 Tm /F2 8 Tf 0.50196 0.50196 0.50196 rg (The opinions expressed by authors contributing to this journal do not necessarily reflect the opinions of the U.S. Department of Health and Human Services,)Tj 0 g ET Q q BT 1 0 0 1 110.12 58 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 (8 Centers for Disease Control and Prevention www.cdc.gov/pcd/issues/2018/17_0352.htm)Tj ET Q CF endstream endobj 15 0 obj <>>>/Rotate 0/Thumb 37 0 R/Type/Page>> endobj 16 0 obj <>stream xpPq BT 30 786 Td ET Q q 0.79216 0.83529 0.79216 rg 30 613 232.32 48 re f 0.79216 0.83529 0.79216 rg 262.32 629 162.94 32 re f 0.79216 0.83529 0.79216 rg 425.26 629 158.74 32 re f 0.79216 0.83529 0.79216 rg 262.32 613 96.71 16 re f 0.79216 0.83529 0.79216 rg 359.04 613 66.23 16 re f 0.79216 0.83529 0.79216 rg 425.26 613 93.56 16 re f 0.79216 0.83529 0.79216 rg 518.82 613 65.18 16 re f Q q 2 J 0 G 0.5 w 1 1 1 RG 30 661 554 19 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 613 232.32 48 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 262.32 629 162.94 32 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 425.26 629 158.74 32 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 262.32 613 96.71 16 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 359.04 613 66.23 16 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 425.26 613 93.56 16 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 518.82 613 65.18 16 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 583 232.32 30 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 262.32 583 162.94 30 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 425.26 583 93.56 30 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 518.82 583 65.18 30 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 553 232.32 30 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 262.32 553 162.94 30 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 425.26 553 93.56 30 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 518.82 553 65.18 30 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 523 232.32 30 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 262.32 523 96.71 30 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 359.04 523 66.23 30 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 425.26 523 93.56 30 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 518.82 523 65.18 30 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 501 232.32 22 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 262.32 501 96.71 22 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 359.04 501 66.23 22 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 425.26 501 93.56 22 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 518.82 501 65.18 22 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 487 554 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 473 232.32 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 262.32 473 96.71 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 359.04 473 66.23 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 425.26 473 93.56 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 518.82 473 65.18 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 459 232.32 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 262.32 459 96.71 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 359.04 459 66.23 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 425.26 459 93.56 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 518.82 459 65.18 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 445 232.32 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 262.32 445 321.68 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 431 554 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 417 232.32 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 262.32 417 96.71 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 359.04 417 66.23 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 425.26 417 93.56 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 518.82 417 65.18 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 403 232.32 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 262.32 403 321.68 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 389 554 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 375 232.32 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 262.32 375 96.71 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 359.04 375 66.23 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 425.26 375 93.56 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 518.82 375 65.18 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 361 232.32 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 262.32 361 96.71 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 359.04 361 66.23 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 425.26 361 93.56 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 518.82 361 65.18 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 347 232.32 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 262.32 347 321.68 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 333 554 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 319 232.32 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 262.32 319 96.71 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 359.04 319 66.23 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 425.26 319 93.56 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 518.82 319 65.18 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 305 232.32 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 262.32 305 96.71 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 359.04 305 66.23 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 425.26 305 93.56 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 518.82 305 65.18 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 291 232.32 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 262.32 291 321.68 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 277 554 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 263 232.32 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 262.32 263 96.71 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 359.04 263 66.23 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 425.26 263 93.56 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 518.82 263 65.18 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 249 232.32 14 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 262.32 249 321.68 14 re S 0 G Q BT 1 0 0 1 32 667 Tm /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (7DEOH)Tj 0 g 0 Tr 0 G 1 w 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg ()Tj 0 g 0 Tr 0 G 1 w 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg ($VVRFLDWLRQV%HWZHHQ6WDWHDQG'LVWULFW9DULDEOHVWR3URPRWH+HDOWK\\\)RRGVDQG%HYHUDJHV6FKRRO+HDOWK3ROLFLHVDQG3UDFWLFHV6WXG\\)Tj 0 g 0 Tr 0 G 1 w /F6 6 Tf 2 Tr 0.2 w 0 0 0 RG 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 34 618 Tm 0.15 Tc /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (3UDFWLFHRU&DWHJRU\\)Tj 0 g 0 Tr 0 G 1 w 0 Tc ET BT 1 0 0 1 283.02 650 Tm 0.15 Tc /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (0RGHO'LVWULFW3URYLGHG1XWULWLRQ)Tj 0 g 0 Tr 0 G 1 w 0 Tc 1 0 0 1 278.43 642 Tm 0.15 Tc 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (,QIRUPDWLRQWR6FKRROV6WXGHQWVDQG)Tj 0 g 0 Tr 0 G 1 w 0 Tc 1 0 0 1 328.51 634 Tm 0.15 Tc 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (\)DPLOLHV)Tj 0 g 0 Tr 0 G 1 w 0 Tc /F6 6 Tf 2 Tr 0.2 w 0 0 0 RG 0 0 0 rg 4 Ts (E)Tj 0 Ts 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 437.48 642 Tm 0.15 Tc /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (0RGHO'LVWULFW3URYLGHG3URIHVVLRQDO)Tj 0 g 0 Tr 0 G 1 w 0 Tc 1 0 0 1 433.43 634 Tm 0.15 Tc 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg ('HYHORSPHQWIRU1XWULWLRQ6HUYLFHV6WDII)Tj 0 g 0 Tr 0 G 1 w 0 Tc /F6 6 Tf 2 Tr 0.2 w 0 0 0 RG 0 0 0 rg 4 Ts (F)Tj 0 Ts 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 288.44 618 Tm 0.15 Tc /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg ($25 \b&,\f)Tj 0 g 0 Tr 0 G 1 w 0 Tc ET BT 1 0 0 1 380.05 618 Tm 1 0 0.21256 1 380.05 618 Tm /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (3)Tj 0 g 0 Tr 0 G 1 w 1 0 0 1 384.52 618 Tm 0.15 Tc 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (9DOXH)Tj 0 g 0 Tr 0 G 1 w 0 Tc -4.47 0 Td ET BT 1 0 0 1 449.81 618 Tm 0.15 Tc /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg ($25 \b&,\f)Tj 0 g 0 Tr 0 G 1 w 0 Tc ET BT 1 0 0 1 539.31 618 Tm 1 0 0.21256 1 539.31 618 Tm /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (3)Tj 0 g 0 Tr 0 G 1 w 1 0 0 1 543.78 618 Tm 0.15 Tc 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (9DOXH)Tj 0 g 0 Tr 0 G 1 w 0 Tc -4.47 0 Td ET BT 1 0 0 1 32 603 Tm /F6 8 Tf 0 0 0 rg (6WDWHGHYHORSHGRUUHYLVHGSROLF\\JXLGDQFHRQDFWLYHO\\SURPRWLQJ)Tj 0 g 1 0 0 1 32 595 Tm 0 0 0 rg (IUXLWVDQGYHJHWDEOHVZKROHJUDLQIRRGVDQGORZIDWRUQRQIDWGDLU\\)Tj 0 g 1 0 0 1 32 587 Tm 0 0 0 rg (SURGXFWVWRVWXGHQWV)Tj 0 g ET BT 1 0 0 1 410.1 603 Tm /F6 8 Tf 0 0 0 rg (1$)Tj 0 g ET BT 1 0 0 1 457.26 603 Tm /F6 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 570.62 603 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 32 573 Tm /F6 8 Tf 0 0 0 rg (6WDWHGLVWULEXWHGRUSURYLGHGSROLF\\JXLGDQFHRQDFWLYHO\\SURPRWLQJ)Tj 0 g 1 0 0 1 32 565 Tm 0 0 0 rg (IUXLWVDQGYHJHWDEOHVZKROHJUDLQIRRGVDQGORZIDWRUQRQIDWGDLU\\)Tj 0 g 1 0 0 1 32 557 Tm 0 0 0 rg (SURGXFWVWRVWXGHQWV)Tj 0 g ET BT 1 0 0 1 410.1 573 Tm /F6 8 Tf 0 0 0 rg (1$)Tj 0 g ET BT 1 0 0 1 457.26 573 Tm /F6 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 570.62 573 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 32 543 Tm /F6 8 Tf 0 0 0 rg (6WDWHSURYLGHGWHFKQLFDODVVLVWDQFHWRGLVWULFWVRQPDUNHWLQJVFKRRO)Tj 0 g 1 0 0 1 32 535 Tm 0 0 0 rg (PHDOVDQGLPSURYLQJWKHSUHVHQWDWLRQRIKHDOWK\\IRRGVLQWKH)Tj 0 g 1 0 0 1 32 527 Tm 0 0 0 rg (FDIHWHULD)Tj 0 g ET BT 1 0 0 1 297.47 543 Tm /F6 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 411.89 543 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 457.26 543 Tm /F6 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 570.62 543 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 32 513 Tm /F6 8 Tf 0 0 0 rg (6WDWHSURYLGHGIXQGLQJIRURURIIHUHGSURIHVVLRQDOGHYHORSPHQWRQ)Tj 0 g 1 0 0 1 32 505 Tm 0 0 0 rg (VWUDWHJLHVWRLQFUHDVHSDUWLFLSDWLRQLQVFKRROPHDOV)Tj 0 g ET BT 1 0 0 1 297.47 513 Tm /F6 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 411.89 513 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 457.26 513 Tm /F6 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 570.62 513 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 32 491 Tm /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (3HUFHQWDJHRI7LWOHVWXGHQWVLQWKHGLVWULFW)Tj 0 g 0 Tr 0 G 1 w /F6 6 Tf 2 Tr 0.2 w 0 0 0 RG 0 0 0 rg 4 Ts (G)Tj 0 Ts 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 32 477 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 297.47 477 Tm /F6 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 411.89 477 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 457.26 477 Tm /F6 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 570.62 477 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 32 463 Tm /F6 8 Tf 0 0 0 rg (!WR)Tj 0 g ET BT 1 0 0 1 297.47 463 Tm /F6 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 411.89 463 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 457.26 463 Tm /F6 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 570.62 463 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 32 449 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 536.02 449 Tm /F6 8 Tf 0 0 0 rg (>5HIHUHQFH@)Tj 0 g ET BT 1 0 0 1 32 435 Tm /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (3HUFHQWDJHRIZKLWHVWXGHQWVLQWKHGLVWULFW)Tj 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 32 421 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 297.47 421 Tm /F6 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 411.89 421 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 457.26 421 Tm /F6 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 570.62 421 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 32 407 Tm /F6 8 Tf 0 0 0 rg (!)Tj 0 g ET BT 1 0 0 1 536.02 407 Tm /F6 8 Tf 0 0 0 rg (>5HIHUHQFH@)Tj 0 g ET BT 1 0 0 1 32 393 Tm /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg ('LVWULFWVL]H)Tj 0 g 0 Tr 0 G 1 w /F6 6 Tf 2 Tr 0.2 w 0 0 0 RG 0 0 0 rg 4 Ts (H)Tj 0 Ts 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 32 379 Tm /F6 8 Tf 0 0 0 rg (6PDOO)Tj 0 g ET BT 1 0 0 1 297.47 379 Tm /F6 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 411.89 379 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 457.26 379 Tm /F6 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 570.62 379 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 32 365 Tm /F6 8 Tf 0 0 0 rg (0HGLXP)Tj 0 g ET BT 1 0 0 1 297.47 365 Tm /F6 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 411.89 365 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 457.26 365 Tm /F6 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 570.62 365 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 32 351 Tm /F6 8 Tf 0 0 0 rg (/DUJH)Tj 0 g ET BT 1 0 0 1 536.02 351 Tm /F6 8 Tf 0 0 0 rg (>5HIHUHQFH@)Tj 0 g ET BT 1 0 0 1 32 337 Tm /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg ('LVWULFWPHWURVWDWXV)Tj 0 g 0 Tr 0 G 1 w /F6 6 Tf 2 Tr 0.2 w 0 0 0 RG 0 0 0 rg 4 Ts (I)Tj 0 Ts 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 32 323 Tm /F6 8 Tf 0 0 0 rg (5XUDO)Tj 0 g ET BT 1 0 0 1 297.47 323 Tm /F6 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 411.89 323 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 457.26 323 Tm /F6 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 570.62 323 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 32 309 Tm /F6 8 Tf 0 0 0 rg (6XEXUEDQ)Tj 0 g ET BT 1 0 0 1 297.47 309 Tm /F6 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 411.89 309 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 457.26 309 Tm /F6 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 570.62 309 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 32 295 Tm /F6 8 Tf 0 0 0 rg (8UEDQ)Tj 0 g ET BT 1 0 0 1 536.02 295 Tm /F6 8 Tf 0 0 0 rg (>5HIHUHQFH@)Tj 0 g ET BT 1 0 0 1 32 281 Tm /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (7RWDOH[SHQGLWXUHVSHUVWXGHQWLQWKHGLVWULFW)Tj 0 g 0 Tr 0 G 1 w /F6 6 Tf 2 Tr 0.2 w 0 0 0 RG 0 0 0 rg 4 Ts (J)Tj 0 Ts 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 32 267 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 297.47 267 Tm /F6 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 411.89 267 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 457.26 267 Tm /F6 8 Tf 0 0 0 rg ( \f)Tj 0 g ET BT 1 0 0 1 570.62 267 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 32 253 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET BT 1 0 0 1 536.02 253 Tm /F6 8 Tf 0 0 0 rg (>5HIHUHQFH@)Tj 0 g ET BT 1 0 0 1 32 237 Tm /F6 8 Tf 0 0 0 rg ($EEUHYLDWLRQV$25DGMXVWHGRGGVUDWLR&,FRQILGHQFHLQWHUYDO)Tj 0 g ET q BT 1 0 0 1 32 237 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 227 Tm /F6 6 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g /F6 8 Tf 0 0 0 rg ($OOPRGHOVLQFOXGHGWKHIROORZLQJFRYDULDWHVSHUFHQWDJHRI7LWOHVWXGHQWVLQWKHGLVWULFWSHUFHQWDJHRIZKLWHVWXGHQWVHQUROOHGLQDGLVWULFWGLVWULFWVL]HGLVWULFW)Tj 0 g 1 0 0 1 32 217 Tm 0 0 0 rg (PHWURVWDWXVDQGWRWDOH[SHQGLWXUHVSHUVWXGHQW6DPSOHVL]HVPRGHOQ DQGPRGHOQ )Tj 0 g ET q BT 1 0 0 1 32 227 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 207 Tm /F6 6 Tf 0 0 0 rg 4 Ts (E)Tj 0 Ts 0 g /F6 8 Tf 0 0 0 rg (/RJLVWLFUHJUHVVLRQZLWKGHSHQGHQWYDULDEOHDFRPSRVLWHYDULDEOHRI4D4E4D4EDQG4F7KHLQGHSHQGHQWYDULDEOHVZHUH\f4XDQG4YDQG)Tj 0 g 1 0 0 1 32 197 Tm 0 0 0 rg (\f4K4LDQG4M6FRUHVIRU4K4LDQG4MZHUHVXPPHGWRFDOFXODWHDVFDOHVFRUHUDQJLQJIURPWRZLWKKLJKHUVFRUHVLQGLFDWLQJPRUHSURPRWLQJ)Tj 0 g 0 0 0 rg (SUDF)Tj 0 g 1 0 0 1 32 187 Tm 0 0 0 rg (WLFHV6HH)Tj 0 g 0 0 0 rg ($SSHQGL[)Tj 0 g 0 0 0 rg (IRUH[DFWTXHVWLRQZRUGLQJ)Tj 0 g ET q BT 1 0 0 1 32 207 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 177 Tm /F6 6 Tf 0 0 0 rg 4 Ts (F)Tj 0 Ts 0 g /F6 8 Tf 0 0 0 rg (/RJLVWLFUHJUHVVLRQZLWKGHSHQGHQWYDULDEOH4GDQG4M7KHLQGHSHQGHQWYDULDEOHVZHUH\f4K\f4K\f4XDQG4YDQG\f4K4LDQG4M6FRUHV)Tj 0 g 1 0 0 1 32 167 Tm 0 0 0 rg (IRU4K4LDQG4MZHUHVXPPHGWRFDOFXODWHDVFDOHVFRUHUDQJLQJIURPWRZLWKKLJKHUVFRUHVLQGLFDWLQJPRUHSURPRWLQJSUDFWLFHV6HH)Tj 0 g 0 0 0 rg ($SSHQGL[)Tj 0 g 0 0 0 rg (IRUH[DFW)Tj 0 g 1 0 0 1 32 157 Tm 0 0 0 rg (TXHVWLRQZRUGLQJ)Tj 0 g ET q BT 1 0 0 1 32 177 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 147 Tm /F6 6 Tf 0 0 0 rg 4 Ts (G)Tj 0 Ts 0 g /F6 8 Tf 0 0 0 rg (3HUFHQWDJHRIVWXGHQWVUHFHLYLQJIUHHRU)Tj 0 g 0 0 0 rg (UHGXFHGSULFH)Tj 0 g 0 0 0 rg (OXQFK)Tj 0 g ET q BT 1 0 0 1 32 147 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 137 Tm /F6 6 Tf 0 0 0 rg 4 Ts (H)Tj 0 Ts 0 g /F6 8 Tf 0 0 0 rg (6PDOO VWXGHQWVPHGLXP VWXGHQWVDQGODUJHVWXGHQWV)Tj 0 g ET q BT 1 0 0 1 32 137 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 127 Tm /F6 6 Tf 0 0 0 rg 4 Ts (I)Tj 0 Ts 0 g /F6 8 Tf 0 0 0 rg (0HWURSROLWDQVWDWXVGHILQHGDVUXUDOVXEXUEDQ ODUJHRUVPDOOWRZQ\fRUXUEDQ ODUJHFHQWUDOFLW\\)Tj 0 g 0 0 0 rg (PLGVL]HG)Tj 0 g 0 0 0 rg (FHQWUDOFLW\\XUEDQIULQJHRIFHQWUDOFLW\\XUEDQIULQJHRI)Tj 0 g 1 0 0 1 32 117 Tm 0 0 0 rg (PLGVL]HG)Tj 0 g 0 0 0 rg (FLW\\\f)Tj 0 g ET q BT 1 0 0 1 32 127 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 107 Tm /F6 6 Tf 0 0 0 rg 4 Ts (J)Tj 0 Ts 0 g /F6 8 Tf 0 0 0 rg (7KHPHGLDQWRWDODQQXDOH[SHQGLWXUHVSHUVWXGHQW LHLQVWUXFWLRQDOH[SHQGLWXUHVVXSSRUWVHUYLFHVDQGQRQLQVWUXFWLRQDOH[SHQGLWXUHV\f)Tj 0 g ET q BT 1 0 0 1 32 107 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET Q q 1 w 0.50196 0.50196 0.50196 RG 30 101 m 584 101 l S Q q BT 1 0 0 1 30 735 Tm /F5 22 Tf 0.15294 0.35686 0.17255 rg (PREVENTING CHRONIC DISEASE)Tj 0 g ET Q q BT 1 0 0 1 502.52 735 Tm /F2 10 Tf (VOLUME 15, E74)Tj ET Q 0.83529 0.86275 0.81961 RG 1.6 w 30 732 m 368 732 l S q BT 1 0 0 1 30 718 Tm /F2 13 Tf 0.15294 0.35686 0.17255 rg (PUBLIC HEALTH RESEARCH, PRACTICE, AND POLICY)Tj 0 g ET Q q BT 1 0 0 1 503.07 718 Tm /F2 10 Tf ( JUNE 2018)Tj ET Q 0.15294 0.35686 0.17255 RG 3 w 30 708 m 582 708 l S 0.50196 0.50196 0.50196 RG 1 w 30 80 m 582 80 l S q BT 1 0 0 1 30.52 70 Tm /F2 8 Tf 0.50196 0.50196 0.50196 rg (The opinions expressed by authors contributing to this journal do not necessarily reflect the opinions of the U.S. Department of Health and Human Services,)Tj 0 g ET Q q BT 1 0 0 1 110.12 58 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 1 201.69 41 Tm /F2 9 Tf (www.cdc.gov/pcd/issues/2018/17_0352.htm Centers for Disease Control and Prevention 9)Tj ET Q  endstream endobj 17 0 obj <>>>/Rotate 0/Thumb 38 0 R/Type/Page>> endobj 18 0 obj <>stream x Oq BT 30 786 Td ET Q BT 1 0 0 1 30 684 Tm /F1 16 Tf 0 0 0 rg ($SSHQGL[)Tj 0 g ()Tj 0 0 0 rg (6WDWHDQG'LVWULFW/HYHO4XHVWLRQV8VHGLQ$QDO\\VLV\)URPWKH6FKRRO)Tj 0 g 1 0 0 1 30 668 Tm 0 0 0 rg (+HDOWK3ROLFLHVDQG3UDFWLFHV6WXG\\)Tj 0 g /F1 10 Tf 0 0 0 rg 4 Ts (DE)Tj 0 Ts 0 g ET q 0.79216 0.83529 0.79216 rg 30 636 73.71 24 re f 0.79216 0.83529 0.79216 rg 103.71 636 240.15 24 re f 0.79216 0.83529 0.79216 rg 343.85 636 240.15 24 re f Q q 2 J 0 G 0.5 w 1 1 1 RG 30 660 554 4 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 636 73.71 24 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 103.71 636 240.15 24 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 343.85 636 240.15 24 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 350 73.71 286 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 103.71 350 240.15 286 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 343.85 350 240.15 286 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 251 73.71 99 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 103.71 251 240.15 99 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 343.85 251 240.15 99 re S 0 G Q BT 1 0 0 1 34 649 Tm 0.15 Tc /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (3ROLFLHVDQG)Tj 0 g 0 Tr 0 G 1 w 0 Tc 1 0 0 1 34 641 Tm 0.15 Tc 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (3UDFWLFHV)Tj 0 g 0 Tr 0 G 1 w 0 Tc ET BT 1 0 0 1 143.46 641 Tm 0.15 Tc /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (6WDWH/HYHO4XHVWLRQV ,QGHSHQGHQW9DULDEOHV\f)Tj 0 g 0 Tr 0 G 1 w 0 Tc ET BT 1 0 0 1 381.89 641 Tm 0.15 Tc /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg ('LVWULFW/HYHO4XHVWLRQV)Tj 0 g 0 Tr 0 G 1 w 0 Tc /F6 6 Tf 2 Tr 0.2 w 0 0 0 RG 0 0 0 rg 4 Ts (F)Tj 0 Ts 0 g 0 Tr 0 G 1 w 0.15 Tc /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg ( 'HSHQGHQW9DULDEOHV\f)Tj 0 g 0 Tr 0 G 1 w 0 Tc ET BT 1 0 0 1 32 626 Tm /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (5HVWULFWPDUNHWLQJ)Tj 0 g 0 Tr 0 G 1 w 1 0 0 1 32 618 Tm 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (RIXQKHDOWK\\IRRGV)Tj 0 g 0 Tr 0 G 1 w 1 0 0 1 32 610 Tm 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (DQGEHYHUDJHV)Tj 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 115.71 624 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (4)Tj 0 g 0 Tr 0 G 1 w 0 0 0 rg ('XULQJWKHSDVWWZR\\HDUVGLG\\RXUVWDWHGHYHORSUHYLVHRU)Tj 0 g 1 0 0 1 115.71 614 Tm 0 0 0 rg (DVVLVWLQGHYHORSLQJPRGHOSROLFLHVSROLF\\JXLGDQFHRURWKHU)Tj 0 g 1 0 0 1 115.71 604 Tm 0 0 0 rg (PDWHULDOVWRLQIRUPGLVWULFWRUVFKRROSROLF\\RQHDFKRIWKHIROORZLQJ)Tj 0 g 1 0 0 1 115.71 594 Tm 0 0 0 rg (WRSLFV" <HV1R\f)Tj 0 g ET q BT 1 0 0 1 105.71 624 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 115.71 584 Tm /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (I)Tj 0 g 0 Tr 0 G 1 w 0 0 0 rg ('LVFRXUDJLQJWKHVDOHRIOHVVQXWULWLRXVIRRGVDQGEHYHUDJHVIRU)Tj 0 g 1 0 0 1 115.71 574 Tm 0 0 0 rg (VFKRROIXQGUDLVLQJFDPSDLJQV)Tj 0 g ET q BT 1 0 0 1 105.71 584 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 115.71 564 Tm /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (J)Tj 0 g 0 Tr 0 G 1 w 0 0 0 rg ('LVFRXUDJLQJWKHXVHRIIRRGRUIRRGFRXSRQVDVDUHZDUGRU)Tj 0 g 1 0 0 1 115.71 554 Tm 0 0 0 rg (SXQLVKPHQW)Tj 0 g ET q BT 1 0 0 1 105.71 564 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 115.71 544 Tm /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (L)Tj 0 g 0 Tr 0 G 1 w 0 0 0 rg (3URKLELWLQJDGYHUWLVLQJDQGSURPRWLRQ HJVLJQVFRQWHVWVDQG)Tj 0 g 1 0 0 1 115.71 534 Tm 0 0 0 rg (FRXSRQV\fRIOHVVQXWULWLRXVIRRGVDQGEHYHUDJHVRQVFKRROSURSHUW\\)Tj 0 g ET q BT 1 0 0 1 105.71 544 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 115.71 524 Tm /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (4)Tj 0 g 0 Tr 0 G 1 w 0 0 0 rg ('XULQJWKHSDVWWZR\\HDUVGLG\\RXUVWDWHGLVWULEXWHRUSURYLGH)Tj 0 g 1 0 0 1 115.71 514 Tm 0 0 0 rg (WRGLVWULFWRUVFKRROVWDIIPRGHOSROLFLHVSROLF\\JXLGDQFHRURWKHU)Tj 0 g 1 0 0 1 115.71 504 Tm 0 0 0 rg (PDWHULDOVWRLQIRUPGLVWULFWRUVFKRROSROLF\\RQHDFKRIWKHIROORZLQJ)Tj 0 g 1 0 0 1 115.71 494 Tm 0 0 0 rg (WRSLFV" <HV1R\f)Tj 0 g ET q BT 1 0 0 1 105.71 524 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 115.71 484 Tm /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (I)Tj 0 g 0 Tr 0 G 1 w 0 0 0 rg ('LVFRXUDJLQJWKHVDOHRIOHVVQXWULWLRXVIRRGVDQGEHYHUDJHVIRU)Tj 0 g 1 0 0 1 115.71 474 Tm 0 0 0 rg (VFKRROIXQGUDLVLQJFDPSDLJQV)Tj 0 g ET q BT 1 0 0 1 105.71 484 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 115.71 464 Tm /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (J)Tj 0 g 0 Tr 0 G 1 w 0 0 0 rg ('LVFRXUDJLQJWKHXVHRIIRRGRUIRRGFRXSRQVDVDUHZDUGRU)Tj 0 g 1 0 0 1 115.71 454 Tm 0 0 0 rg (SXQLVKPHQW)Tj 0 g ET q BT 1 0 0 1 105.71 464 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 115.71 444 Tm /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (L)Tj 0 g 0 Tr 0 G 1 w 0 0 0 rg (3URKLELWLQJDGYHUWLVLQJDQGSURPRWLRQ HJVLJQVFRQWHVWVDQG)Tj 0 g 1 0 0 1 115.71 434 Tm 0 0 0 rg (FRXSRQV\fRIOHVVQXWULWLRXVIRRGVDQGEHYHUDJHVRQVFKRROSURSHUW\\)Tj 0 g ET q BT 1 0 0 1 105.71 444 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 115.71 424 Tm /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (4)Tj 0 g 0 Tr 0 G 1 w 0 0 0 rg ('XULQJWKHSDVWPRQWKVKDV\\RXUVWDWHSURYLGHGWHFKQLFDO)Tj 0 g 1 0 0 1 115.71 414 Tm 0 0 0 rg (DVVLVWDQFHWRGLVWULFWRUVFKRROVWDIIRQ <HV1R\f)Tj 0 g ET q BT 1 0 0 1 105.71 424 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 115.71 404 Tm /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (I)Tj 0 g 0 Tr 0 G 1 w 0 0 0 rg ('LVFRXUDJLQJWKHVDOHRIOHVVQXWULWLRXVIRRGVRUEHYHUDJHVIRU)Tj 0 g 1 0 0 1 115.71 394 Tm 0 0 0 rg (VFKRROIXQGUDLVLQJFDPSDLJQV)Tj 0 g ET q BT 1 0 0 1 105.71 404 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 115.71 384 Tm /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (J)Tj 0 g 0 Tr 0 G 1 w 0 0 0 rg ('LVFRXUDJLQJWKHXVHRIIRRGRUIRRGFRXSRQVDVDUHZDUGRU)Tj 0 g 1 0 0 1 115.71 374 Tm 0 0 0 rg (SXQLVKPHQW)Tj 0 g ET q BT 1 0 0 1 105.71 384 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 115.71 364 Tm /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (L)Tj 0 g 0 Tr 0 G 1 w 0 0 0 rg (3URKLELWLQJDGYHUWLVLQJDQGSURPRWLRQ HJVLJQVFRQWHVWVDQG)Tj 0 g 1 0 0 1 115.71 354 Tm 0 0 0 rg (FRXSRQV\fRIOHVVQXWULWLRXVIRRGVDQGEHYHUDJHVRQVFKRROSURSHUW\\)Tj 0 g ET q BT 1 0 0 1 105.71 364 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 355.85 624 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (4)Tj 0 g 0 Tr 0 G 1 w 0 0 0 rg ('RHV\\RXUGLVWULFWUHTXLUHRUUHFRPPHQGWKDWVFKRROVSURKLELW)Tj 0 g 1 0 0 1 355.85 614 Tm 0 0 0 rg (MXQNIRRGVIURPEHLQJVROGIRUIXQGUDLVLQJSXUSRVHV" 5HTXLUH)Tj 0 g 1 0 0 1 355.85 604 Tm 0 0 0 rg (5HFRPPHQG1HLWKHU\f)Tj 0 g ET q BT 1 0 0 1 345.85 624 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 355.85 594 Tm /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (4)Tj 0 g 0 Tr 0 G 1 w 0 0 0 rg ('RHV\\RXUGLVWULFWUHTXLUHRUUHFRPPHQGWKDWVFKRROV)Tj 0 g 1 0 0 1 355.85 584 Tm 0 0 0 rg (SURKLELWDGYHUWLVHPHQWVIRUMXQNIRRGRUIDVWIRRGUHVWDXUDQWVRQ)Tj 0 g 1 0 0 1 355.85 574 Tm 0 0 0 rg (VFKRROSURSHUW\\" 5HTXLUH5HFRPPHQG1HLWKHU\f)Tj 0 g ET q BT 1 0 0 1 345.85 594 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 355.85 564 Tm /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (4)Tj 0 g 0 Tr 0 G 1 w 0 0 0 rg ('RHV\\RXUGLVWULFWUHTXLUHRUUHFRPPHQGWKDWVFKRROV)Tj 0 g 1 0 0 1 355.85 554 Tm 0 0 0 rg (UHVWULFWWKHGLVWULEXWLRQRISURGXFWVSURPRWLQJMXQNIRRGIDVWIRRG)Tj 0 g 1 0 0 1 355.85 544 Tm 0 0 0 rg (UHVWDXUDQWVRUVRIWGULQNVWRVWXGHQWVVXFKDV7VKLUWVKDWVRU)Tj 0 g 1 0 0 1 355.85 534 Tm 0 0 0 rg (ERRNFRYHUV" 5HTXLUH5HFRPPHQG1HLWKHU\f)Tj 0 g ET q BT 1 0 0 1 345.85 564 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 355.85 524 Tm /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (4)Tj 0 g 0 Tr 0 G 1 w /F6 6 Tf 2 Tr 0.2 w 0 0 0 RG 0 0 0 rg 4 Ts (G)Tj 0 Ts 0 g 0 Tr 0 G 1 w /F6 8 Tf 0 0 0 rg ($UHVRIWGULQNFRPSDQLHVDOORZHGWRDGYHUWLVHVRIWGULQNV)Tj 0 g 1 0 0 1 355.85 514 Tm 0 0 0 rg (VXFKDVVSRUWVGULQNVVRGDSRSRUIUXLWGULQNVWKDWDUHQRW\b)Tj 0 g 1 0 0 1 355.85 504 Tm 0 0 0 rg (MXLFH <HV1R\f)Tj 0 g ET q BT 1 0 0 1 345.85 524 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 355.85 494 Tm /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (D)Tj 0 g 0 Tr 0 G 1 w 0 0 0 rg (,QVFKRROEXLOGLQJV")Tj 0 g ET q BT 1 0 0 1 345.85 494 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 355.85 484 Tm /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (E)Tj 0 g 0 Tr 0 G 1 w 0 0 0 rg (:KDWDERXWRQVFKRROJURXQGVLQFOXGLQJRQWKHRXWVLGHRI)Tj 0 g 1 0 0 1 355.85 474 Tm 0 0 0 rg (VFKRROEXLOGLQJVRQSOD\\LQJILHOGVRURWKHUDUHDVRIFDPSXV")Tj 0 g ET q BT 1 0 0 1 345.85 484 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 340 Tm /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (3URPRWHKHDOWK\\)Tj 0 g 0 Tr 0 G 1 w 1 0 0 1 32 332 Tm 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (IRRGVDQG)Tj 0 g 0 Tr 0 G 1 w 1 0 0 1 32 324 Tm 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (EHYHUDJHV)Tj 0 g 0 Tr 0 G 1 w ET BT 1 0 0 1 115.71 338 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (4)Tj 0 g 0 Tr 0 G 1 w 0 0 0 rg ('XULQJWKHSDVWWZR\\HDUVGLG\\RXUVWDWHGHYHORSUHYLVHRU)Tj 0 g 1 0 0 1 115.71 328 Tm 0 0 0 rg (DVVLVWLQGHYHORSLQJPRGHOSROLFLHVSROLF\\JXLGDQFHRURWKHU)Tj 0 g 1 0 0 1 115.71 318 Tm 0 0 0 rg (PDWHULDOVWRLQIRUPGLVWULFWRUVFKRROSROLF\\RQHDFKRIWKHIROORZLQJ)Tj 0 g 1 0 0 1 115.71 308 Tm 0 0 0 rg (WRSLFV" <HV1R\f)Tj 0 g ET q BT 1 0 0 1 105.71 338 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 115.71 298 Tm /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (K)Tj 0 g 0 Tr 0 G 1 w 0 0 0 rg ($FWLYHO\\SURPRWLQJIUXLWVDQGYHJHWDEOHVZKROHJUDLQIRRGV)Tj 0 g 1 0 0 1 115.71 288 Tm 0 0 0 rg (DQGORZIDWRUQRQIDWGDLU\\SURGXFWVWRVWXGHQWV)Tj 0 g ET q BT 1 0 0 1 105.71 298 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 355.85 338 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (4)Tj 0 g 0 Tr 0 G 1 w /F6 6 Tf 2 Tr 0.2 w 0 0 0 RG 0 0 0 rg 4 Ts (H)Tj 0 Ts 0 g 0 Tr 0 G 1 w /F6 8 Tf 0 0 0 rg ('XULQJWKHSDVWPRQWKVKDVDQ\\RQHIURP\\RXUGLVWULFW)Tj 0 g 1 0 0 1 355.85 328 Tm 0 0 0 rg ( <HV1R\f)Tj 0 g ET q BT 1 0 0 1 345.85 338 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 355.85 318 Tm /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (D)Tj 0 g 0 Tr 0 G 1 w 0 0 0 rg (0DGHPHQXVDYDLODEOHWRVWXGHQWV")Tj 0 g ET q BT 1 0 0 1 345.85 318 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 355.85 308 Tm /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (E)Tj 0 g 0 Tr 0 G 1 w 0 0 0 rg (0DGHLQIRUPDWLRQDYDLODEOHWRVWXGHQWVRQWKHQXWULWLRQDQG)Tj 0 g 1 0 0 1 355.85 298 Tm 0 0 0 rg (FDORULFFRQWHQWRIIRRGVDYDLODEOHWRWKHP")Tj 0 g ET q BT 1 0 0 1 345.85 308 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 355.85 288 Tm /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (4)Tj 0 g 0 Tr 0 G 1 w 0 0 0 rg ()Tj 0 g /F6 6 Tf 0 0 0 rg 4 Ts (H)Tj 0 Ts 0 g /F6 8 Tf 0 0 0 rg ('XULQJWKHSDVWPRQWKVKDVDQ\\RQHIURP\\RXUGLVWULFW)Tj 0 g 1 0 0 1 355.85 278 Tm 0 0 0 rg ( <HV1R\f)Tj 0 g ET q BT 1 0 0 1 345.85 288 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 355.85 268 Tm /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (D)Tj 0 g 0 Tr 0 G 1 w 0 0 0 rg (0DGHPHQXVDYDLODEOHWRIDPLOLHVRIDOOVWXGHQWV")Tj 0 g ET q BT 1 0 0 1 345.85 268 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 239 Tm /F6 6 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g /F6 8 Tf 0 0 0 rg (4XHVWLRQQXPEHULQJLQWKHWDEOHUHIOHFWVWKHQXPEHULQJXVHGLQWKH6FKRRO+HDOWK3ROLFLHVDQG3UDFWLFHV6WXG\\TXHVWLRQQDLUHVLQFOXGLQJVWDWHOHYHO1XWULWLRQ)Tj 0 g 1 0 0 1 32 229 Tm 0 0 0 rg (6HUYLFHVTXHVWLRQQDLUHGLVWULFWOHYHO1XWULWLRQ6HUYLFHVTXHVWLRQQDLUHDQGGLVWULFWOHYHO*HQHUDO6FKRRO\(QYLURQPHQWTXHVWLRQQDLUHDYDLODEOHDW)Tj 0 g 1 0 0 1 32 219 Tm 0 0 0 rg (KWWSVZZZFGFJRYKHDOWK\\\\RXWKVKSSVTXHVWLRQQDLUHVKWP)Tj 0 g ET q BT 1 0 0 1 32 239 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 209 Tm /F6 6 Tf 0 0 0 rg 4 Ts (E)Tj 0 Ts 0 g /F6 8 Tf 0 0 0 rg (3UHYDOHQFHHVWLPDWHVIRUHDFKYDULDEOHLQFOXGHGLQWKLVDQDO\\VLVDUHDYDLODEOHDW)Tj 0 g 0 0 0 rg (KWWSVZZZFGFJRYKHDOWK\\\\RXWKVKSSVSGIVKSSV)Tj 0 g 1 0 0 1 32 199 Tm 0 0 0 rg (UHVXOWVBSGISDJH )Tj 0 g 0 0 0 rg ()Tj 0 g ET q BT 1 0 0 1 32 209 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 189 Tm /F6 6 Tf 0 0 0 rg 4 Ts (F)Tj 0 Ts 0 g /F6 8 Tf 0 0 0 rg (\)RUGHSHQGHQWYDULDEOHTXHVWLRQVZLWKUHVSRQVHRSWLRQVRIUHTXLUH UHFRPPHQG RUQHLWKHU 5HTXLUHDQGUHFRPPHQGUHVSRQVHVZHUHFRPELQHGDQG)Tj 0 g 1 0 0 1 32 179 Tm 0 0 0 rg (DOOUHVSRQVHVZHUHUHYHUVHFRGHGVRWKDWQHLWKHU DQGUHTXLUHDQGUHFRPPHQG )Tj 0 g ET q BT 1 0 0 1 32 189 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 169 Tm /F6 6 Tf 0 0 0 rg 4 Ts (G)Tj 0 Ts 0 g /F6 8 Tf 0 0 0 rg (\)RU4DDQG4EUHVSRQVHRSWLRQV\\HV RUQR ZHUHVXPPHGDQGWKHQUHFRGHGVRWKDWQR LHGLGQRWDOORZVRIWGULQNFRPSDQLHVWRDGYHUWLVHVRIW)Tj 0 g 1 0 0 1 32 159 Tm 0 0 0 rg (GULQNVLQVFKRROEXLOGLQJVDQGRURWKHUDUHDVRIVFKRROFDPSXV\fDQG\\HV  LHDOORZVRIWGULQNFRPSDQLHVWRDGYHUWLVHVRIWGULQNVLQVFKRROEXLOGLQJVDQGRURWKHU)Tj 0 g 1 0 0 1 32 149 Tm 0 0 0 rg (DUHDVRIVFKRROFDPSXV\f)Tj 0 g ET q BT 1 0 0 1 32 169 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 139 Tm /F6 6 Tf 0 0 0 rg 4 Ts (H)Tj 0 Ts 0 g /F6 8 Tf 0 0 0 rg (\)RU4D4E4D4EDQG4FUHVSRQVHRSWLRQV\\HV RUQR ZHUHVXPPHGVRWKDWQR! LHGLGQRWSURYLGHLQIRUPDWLRQDERXWVFKRROPHDOVWR)Tj 0 g 1 0 0 1 32 129 Tm 0 0 0 rg (VWXGHQWVDQGIDPLOLHV\fDQG\\HV  LHGLGSURYLGHLQIRUPDWLRQDERXWVFKRROPHDOVWRVWXGHQWVDQGIDPLOLHV\f)Tj 0 g ET q BT 1 0 0 1 32 139 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 119 Tm /F6 6 Tf 0 0 0 rg 4 Ts (I)Tj 0 Ts 0 g /F6 8 Tf 0 0 0 rg (\)RU4GDQG4MUHVSRQVHRSWLRQV\\HV RUQR ZHUHVXPPHGVRWKDWQR! LHGLVWULFWGLGQRWSURYLGHIXQGLQJIRURURIIHUSURIHVVLRQDOGHYHORSPHQWWR)Tj 0 g 1 0 0 1 32 109 Tm 0 0 0 rg (QXWULWLRQVHUYLFHVVWDII\fDQG\\HV  LHGLVWULFWSURYLGHGIXQGLQJIRURURIIHUHGSURIHVVLRQDOGHYHORSPHQWWRQXWULWLRQVHUYLFHVVWDII\f)Tj 0 g ET q BT 1 0 0 1 32 119 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 498.31 97 Tm /F6 8 Tf 0 0 0 rg ( FRQWLQXHGRQQH[WSDJH\f)Tj 0 g ET q BT 1 0 0 1 30 735 Tm /F5 22 Tf 0.15294 0.35686 0.17255 rg (PREVENTING CHRONIC DISEASE)Tj 0 g ET Q q BT 1 0 0 1 502.52 735 Tm /F2 10 Tf (VOLUME 15, E74)Tj ET Q 0.83529 0.86275 0.81961 RG 1.6 w 30 732 m 368 732 l S q BT 1 0 0 1 30 718 Tm /F2 13 Tf 0.15294 0.35686 0.17255 rg (PUBLIC HEALTH RESEARCH, PRACTICE, AND POLICY)Tj 0 g ET Q q BT 1 0 0 1 503.07 718 Tm /F2 10 Tf ( JUNE 2018)Tj ET Q 0.15294 0.35686 0.17255 RG 3 w 30 708 m 582 708 l S 0.50196 0.50196 0.50196 RG 1 w 30 80 m 582 80 l S q BT 1 0 0 1 30.52 70 Tm /F2 8 Tf 0.50196 0.50196 0.50196 rg (The opinions expressed by authors contributing to this journal do not necessarily reflect the opinions of the U.S. Department of Health and Human Services,)Tj 0 g ET Q q BT 1 0 0 1 110.12 58 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 (10 Centers for Disease Control and Prevention www.cdc.gov/pcd/issues/2018/17_0352.htm)Tj ET Q %3B endstream endobj 19 0 obj <>>>/Rotate 0/Thumb 39 0 R/Type/Page>> endobj 20 0 obj <>stream x2>q BT 30 786 Td ET Q q 0.79216 0.83529 0.79216 rg 30 660 73.71 24 re f 0.79216 0.83529 0.79216 rg 103.71 660 240.15 24 re f 0.79216 0.83529 0.79216 rg 343.85 660 240.15 24 re f Q q 2 J 0 G 0.5 w 1 1 1 RG 30 684 554 4 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 660 73.71 24 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 103.71 660 240.15 24 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 343.85 660 240.15 24 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 30 464 73.71 196 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 103.71 464 240.15 196 re S 0 G 0.5 w 0.3451 0.41176 0.28627 RG 343.85 464 240.15 196 re S 0 G Q BT 1 0 0 1 32 690 Tm /F6 8 Tf 0 0 0 rg ( FRQWLQXHG\f)Tj 0 g ET BT 1 0 0 1 34 673 Tm 0.15 Tc /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (3ROLFLHVDQG)Tj 0 g 0 Tr 0 G 1 w 0 Tc 1 0 0 1 34 665 Tm 0.15 Tc 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (3UDFWLFHV)Tj 0 g 0 Tr 0 G 1 w 0 Tc ET BT 1 0 0 1 143.46 665 Tm 0.15 Tc /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (6WDWH/HYHO4XHVWLRQV ,QGHSHQGHQW9DULDEOHV\f)Tj 0 g 0 Tr 0 G 1 w 0 Tc ET BT 1 0 0 1 381.89 665 Tm 0.15 Tc /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg ('LVWULFW/HYHO4XHVWLRQV)Tj 0 g 0 Tr 0 G 1 w 0 Tc /F6 6 Tf 2 Tr 0.2 w 0 0 0 RG 0 0 0 rg 4 Ts (F)Tj 0 Ts 0 g 0 Tr 0 G 1 w 0.15 Tc /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg ( 'HSHQGHQW9DULDEOHV\f)Tj 0 g 0 Tr 0 G 1 w 0 Tc ET BT 1 0 0 1 115.71 648 Tm /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (4)Tj 0 g 0 Tr 0 G 1 w 0 0 0 rg ('XULQJWKHSDVWWZR\\HDUVGLG\\RXUVWDWHGLVWULEXWHRUSURYLGH)Tj 0 g 1 0 0 1 115.71 638 Tm 0 0 0 rg (WRGLVWULFWRUVFKRROVWDIIPRGHOSROLFLHVSROLF\\JXLGDQFHRURWKHU)Tj 0 g 1 0 0 1 115.71 628 Tm 0 0 0 rg (PDWHULDOVWRLQIRUPGLVWULFWRUVFKRROSROLF\\RQHDFKRIWKHIROORZLQJ)Tj 0 g 1 0 0 1 115.71 618 Tm 0 0 0 rg (WRSLFV" <HV1R\f)Tj 0 g ET q BT 1 0 0 1 105.71 648 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 115.71 608 Tm /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (K)Tj 0 g 0 Tr 0 G 1 w 0 0 0 rg ($FWLYHO\\SURPRWLQJIUXLWVDQGYHJHWDEOHVZKROHJUDLQIRRGV)Tj 0 g 1 0 0 1 115.71 598 Tm 0 0 0 rg (DQGORZIDWRUQRQIDWGDLU\\SURGXFWVWRVWXGHQWV)Tj 0 g ET q BT 1 0 0 1 105.71 608 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 115.71 588 Tm /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (4)Tj 0 g 0 Tr 0 G 1 w 0 0 0 rg ('XULQJWKHSDVWPRQWKVKDV\\RXUVWDWHSURYLGHGWHFKQLFDO)Tj 0 g 1 0 0 1 115.71 578 Tm 0 0 0 rg (DVVLVWDQFHWRGLVWULFWRUVFKRROVWDIIRQ <HV1R\f)Tj 0 g ET q BT 1 0 0 1 105.71 588 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 115.71 568 Tm /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (X)Tj 0 g 0 Tr 0 G 1 w 0 0 0 rg (0DUNHWLQJKHDOWKIXOVFKRROPHDOV")Tj 0 g ET q BT 1 0 0 1 105.71 568 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 115.71 558 Tm /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (Y)Tj 0 g 0 Tr 0 G 1 w 0 0 0 rg (6WUDWHJLHVWRLPSURYHWKHSUHVHQWDWLRQRIKHDOWKIXOIRRGVLQWKH)Tj 0 g 1 0 0 1 115.71 548 Tm 0 0 0 rg (FDIHWHULD")Tj 0 g ET q BT 1 0 0 1 105.71 558 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 115.71 538 Tm /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (4)Tj 0 g 0 Tr 0 G 1 w 0 0 0 rg ('XULQJWKHSDVWWZR\\HDUVKDV\\RXUVWDWHSURYLGHGIXQGLQJIRU)Tj 0 g 1 0 0 1 115.71 528 Tm 0 0 0 rg (RURIIHUHGSURIHVVLRQDOGHYHORSPHQWWRQXWULWLRQVHUYLFHVVWDIIRQ)Tj 0 g 1 0 0 1 115.71 518 Tm 0 0 0 rg ( <HV1R\f)Tj 0 g ET q BT 1 0 0 1 105.71 538 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 115.71 508 Tm /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (K)Tj 0 g 0 Tr 0 G 1 w 0 0 0 rg (LQFUHDVLQJWKHSHUFHQWDJHRIVWXGHQWVSDUWLFLSDWLQJLQVFKRRO)Tj 0 g 1 0 0 1 115.71 498 Tm 0 0 0 rg (PHDOV")Tj 0 g ET q BT 1 0 0 1 105.71 508 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 115.71 488 Tm /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (L)Tj 0 g 0 Tr 0 G 1 w 0 0 0 rg (0DNLQJVFKRROPHDOVPRUHDSSHDOLQJ")Tj 0 g ET q BT 1 0 0 1 105.71 488 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 115.71 478 Tm /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (M)Tj 0 g 0 Tr 0 G 1 w 0 0 0 rg (VWUDWHJLHVWRLPSURYHWKHSUHVHQWDWLRQRIKHDOWKIXOIRRGVLQWKH)Tj 0 g 1 0 0 1 115.71 468 Tm 0 0 0 rg (FDIHWHULD")Tj 0 g ET q BT 1 0 0 1 105.71 478 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 355.85 648 Tm /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (E)Tj 0 g 0 Tr 0 G 1 w 0 0 0 rg (0DGHLQIRUPDWLRQDYDLODEOHWRIDPLOLHVRIDOOVWXGHQWVRQWKH)Tj 0 g 1 0 0 1 355.85 638 Tm 0 0 0 rg (QXWULWLRQDQGFDORULFFRQWHQWRIIRRGVDYDLODEOHWRVWXGHQWV")Tj 0 g ET q BT 1 0 0 1 345.85 648 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 355.85 628 Tm /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (F)Tj 0 g 0 Tr 0 G 1 w 0 0 0 rg (0DGHLQIRUPDWLRQRQWKHVFKRROQXWULWLRQVHUYLFHVSURJUDP)Tj 0 g 1 0 0 1 355.85 618 Tm 0 0 0 rg (DYDLODEOHWRIDPLOLHVRIDOOVWXGHQWV")Tj 0 g ET q BT 1 0 0 1 345.85 628 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 355.85 608 Tm /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (4)Tj 0 g 0 Tr 0 G 1 w /F6 6 Tf 2 Tr 0.2 w 0 0 0 RG 0 0 0 rg 4 Ts (I)Tj 0 Ts 0 g 0 Tr 0 G 1 w /F6 8 Tf 0 0 0 rg ('XULQJWKHSDVWWZR\\HDUVKDV\\RXUGLVWULFWSURYLGHGIXQGLQJ)Tj 0 g 1 0 0 1 355.85 598 Tm 0 0 0 rg (IRURURIIHUHGSURIHVVLRQDOGHYHORSPHQWWRQXWULWLRQVHUYLFHVVWDII)Tj 0 g 1 0 0 1 355.85 588 Tm 0 0 0 rg (RQ <HV1R\f)Tj 0 g ET q BT 1 0 0 1 345.85 608 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 355.85 578 Tm /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (G)Tj 0 g 0 Tr 0 G 1 w 0 0 0 rg (8VLQJWKHFDIHWHULDIRUQXWULWLRQHGXFDWLRQ")Tj 0 g ET q BT 1 0 0 1 345.85 578 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 355.85 568 Tm /F6 8 Tf 2 Tr 0.26667 w 0 0 0 RG 0 0 0 rg (M)Tj 0 g 0 Tr 0 G 1 w 0 0 0 rg (6WUDWHJLHVWRLPSURYHWKHSUHVHQWDWLRQRIKHDOWKIXOIRRGVLQWKH)Tj 0 g 1 0 0 1 355.85 558 Tm 0 0 0 rg (FDIHWHULD")Tj 0 g ET q BT 1 0 0 1 345.85 568 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 452 Tm /F6 6 Tf 0 0 0 rg 4 Ts (D)Tj 0 Ts 0 g /F6 8 Tf 0 0 0 rg (4XHVWLRQQXPEHULQJLQWKHWDEOHUHIOHFWVWKHQXPEHULQJXVHGLQWKH6FKRRO+HDOWK3ROLFLHVDQG3UDFWLFHV6WXG\\TXHVWLRQQDLUHVLQFOXGLQJVWDWHOHYHO1XWULWLRQ)Tj 0 g 1 0 0 1 32 442 Tm 0 0 0 rg (6HUYLFHVTXHVWLRQQDLUHGLVWULFWOHYHO1XWULWLRQ6HUYLFHVTXHVWLRQQDLUHDQGGLVWULFWOHYHO*HQHUDO6FKRRO\(QYLURQPHQWTXHVWLRQQDLUHDYDLODEOHDW)Tj 0 g 1 0 0 1 32 432 Tm 0 0 0 rg (KWWSVZZZFGFJRYKHDOWK\\\\RXWKVKSSVTXHVWLRQQDLUHVKWP)Tj 0 g ET q BT 1 0 0 1 32 452 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 422 Tm /F6 6 Tf 0 0 0 rg 4 Ts (E)Tj 0 Ts 0 g /F6 8 Tf 0 0 0 rg (3UHYDOHQFHHVWLPDWHVIRUHDFKYDULDEOHLQFOXGHGLQWKLVDQDO\\VLVDUHDYDLODEOHDW)Tj 0 g 0 0 0 rg (KWWSVZZZFGFJRYKHDOWK\\\\RXWKVKSSVSGIVKSSV)Tj 0 g 1 0 0 1 32 412 Tm 0 0 0 rg (UHVXOWVBSGISDJH )Tj 0 g 0 0 0 rg ()Tj 0 g ET q BT 1 0 0 1 32 422 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 402 Tm /F6 6 Tf 0 0 0 rg 4 Ts (F)Tj 0 Ts 0 g /F6 8 Tf 0 0 0 rg (\)RUGHSHQGHQWYDULDEOHTXHVWLRQVZLWKUHVSRQVHRSWLRQVRIUHTXLUH UHFRPPHQG RUQHLWKHU 5HTXLUHDQGUHFRPPHQGUHVSRQVHVZHUHFRPELQHGDQG)Tj 0 g 1 0 0 1 32 392 Tm 0 0 0 rg (DOOUHVSRQVHVZHUHUHYHUVHFRGHGVRWKDWQHLWKHU DQGUHTXLUHDQGUHFRPPHQG )Tj 0 g ET q BT 1 0 0 1 32 402 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 382 Tm /F6 6 Tf 0 0 0 rg 4 Ts (G)Tj 0 Ts 0 g /F6 8 Tf 0 0 0 rg (\)RU4DDQG4EUHVSRQVHRSWLRQV\\HV RUQR ZHUHVXPPHGDQGWKHQUHFRGHGVRWKDWQR LHGLGQRWDOORZVRIWGULQNFRPSDQLHVWRDGYHUWLVHVRIW)Tj 0 g 1 0 0 1 32 372 Tm 0 0 0 rg (GULQNVLQVFKRROEXLOGLQJVDQGRURWKHUDUHDVRIVFKRROFDPSXV\fDQG\\HV  LHDOORZVRIWGULQNFRPSDQLHVWRDGYHUWLVHVRIWGULQNVLQVFKRROEXLOGLQJVDQGRURWKHU)Tj 0 g 1 0 0 1 32 362 Tm 0 0 0 rg (DUHDVRIVFKRROFDPSXV\f)Tj 0 g ET q BT 1 0 0 1 32 382 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 352 Tm /F6 6 Tf 0 0 0 rg 4 Ts (H)Tj 0 Ts 0 g /F6 8 Tf 0 0 0 rg (\)RU4D4E4D4EDQG4FUHVSRQVHRSWLRQV\\HV RUQR ZHUHVXPPHGVRWKDWQR! LHGLGQRWSURYLGHLQIRUPDWLRQDERXWVFKRROPHDOVWR)Tj 0 g 1 0 0 1 32 342 Tm 0 0 0 rg (VWXGHQWVDQGIDPLOLHV\fDQG\\HV  LHGLGSURYLGHLQIRUPDWLRQDERXWVFKRROPHDOVWRVWXGHQWVDQGIDPLOLHV\f)Tj 0 g ET q BT 1 0 0 1 32 352 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET Q BT 1 0 0 1 32 332 Tm /F6 6 Tf 0 0 0 rg 4 Ts (I)Tj 0 Ts 0 g /F6 8 Tf 0 0 0 rg (\)RU4GDQG4MUHVSRQVHRSWLRQV\\HV RUQR ZHUHVXPPHGVRWKDWQR! LHGLVWULFWGLGQRWSURYLGHIXQGLQJIRURURIIHUSURIHVVLRQDOGHYHORSPHQWWR)Tj 0 g 1 0 0 1 32 322 Tm 0 0 0 rg (QXWULWLRQVHUYLFHVVWDII\fDQG\\HV  LHGLVWULFWSURYLGHGIXQGLQJIRURURIIHUHGSURIHVVLRQDOGHYHORSPHQWWRQXWULWLRQVHUYLFHVVWDII\f)Tj 0 g ET q BT 1 0 0 1 32 332 Tm /F6 8 Tf 0 0 0 rg ()Tj 0 g ET Q q BT 1 0 0 1 30 735 Tm /F5 22 Tf 0.15294 0.35686 0.17255 rg (PREVENTING CHRONIC DISEASE)Tj 0 g ET Q q BT 1 0 0 1 502.52 735 Tm /F2 10 Tf (VOLUME 15, E74)Tj ET Q 0.83529 0.86275 0.81961 RG 1.6 w 30 732 m 368 732 l S q BT 1 0 0 1 30 718 Tm /F2 13 Tf 0.15294 0.35686 0.17255 rg (PUBLIC HEALTH RESEARCH, PRACTICE, AND POLICY)Tj 0 g ET Q q BT 1 0 0 1 503.07 718 Tm /F2 10 Tf ( JUNE 2018)Tj ET Q 0.15294 0.35686 0.17255 RG 3 w 30 708 m 582 708 l S 0.50196 0.50196 0.50196 RG 1 w 30 80 m 582 80 l S q BT 1 0 0 1 30.52 70 Tm /F2 8 Tf 0.50196 0.50196 0.50196 rg (The opinions expressed by authors contributing to this journal do not necessarily reflect the opinions of the U.S. Department of Health and Human Services,)Tj 0 g ET Q q BT 1 0 0 1 110.12 58 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 1 196.68 41 Tm /F2 9 Tf (www.cdc.gov/pcd/issues/2018/17_0352.htm Centers for Disease Control and Prevention 11)Tj ET Q endstream endobj 21 0 obj [/Indexed/DeviceRGB 255 22 0 R] endobj 22 0 obj <>stream 8;X]O>EqN@%''O_@%e@?J;%+8(9e>X=MR6S?i^YgA3=].HDXF.R$lIL@"pJ+EP(%0 b]6ajmNZn*!='OQZeQ^Y*,=]?C.B+\Ulg9dhD*"iC[;*=3`oP1[!S^)?1)IZ4dup` E1r!/,*0[*9.aFIR2&b-C#soRZ7Dl%MLY\.?d>Mn 6%Q2oYfNRF$$+ON<+]RUJmC0InDZ4OTs0S!saG>GGKUlQ*Q?45:CI&4J'_2j$XKrcYp0n+Xl_nU*O( l[$6Nn+Z_Nq0]s7hs]`XX1nZ8&94a\~> endstream endobj 23 0 obj <> endobj 24 0 obj <> endobj 25 0 obj <>/CIDToGIDMap/Identity/DW 1000/FontDescriptor 26 0 R/Subtype/CIDFontType2/Type/Font/W[3[250]6[586 586 720]11[293 293]15[250 250 250 454 586 586 586 586 586 586 586 586 586 586 250 250 586 586 586 505]36[535 604 579 646 547 507 646 642 250 373]47[489 810 657 630 559 630 612 569 485 605 536 817]60[510]62[293]64[293]66[500]68[528 537 465 538 520 299 491 540 229 229 500 229 813 541 519 534 535 329 463 307 541 450 664 423 415 423]148[548 548]172[250]178[586 666]]>> endobj 26 0 obj <> endobj 27 0 obj <>stream xyxS0>CN9i&i:A %2)HEeQGLe(J*Wq-TP(I{7:{}׼>)B#0tSV܌#">}o.? b&;%i)!5ʕOBLm #8zfW}i4߉'LyS:S2ޯ̈́3' //R2Ocs` .Xd+ZjWU?f#j}l_b˓O=g{m;vڽq//C=oOw}?8ᙳ>:3ݏ|Iya-z*_x&"~?ݟ]^rBp2فvUg2haΰf82R2|3B7f A9"Y4ː%gٳYYYm:fdϚ(ki֊uYz.k{ެY^z;teóGeVd3b =/BWrO/m~߯br' ;boA=I2F _~ugbbb*#~ B<= ?ln]͗_l߼yos姛>m ?BM?OK.X>nqc/T}T-'䣧իMk|z\sku.p.9tg8{gO}ѳ/=pϜt>g{mu6l ԽT˞@&?tKg|t`r:?%OGujy,"t&_d%YNjVTUXH֑ey,#ߒGɳ{Oytt.'OAw((z@O7B_H=np; ;` J>%`(w]P w=PCa 0F0Xxp?y\ 3,9O> dͤYd7Cl" YB~ב*y*%A<]DR۲DwG栮^d{mUv($}+ &f'f<;tB3k|,JA&:>erz'љ{ q%K3x//Oa0^}+݌Gt;iԑ*OԆV+]x{ʾ3W֠oS<%C_!1&y6>Hm|855H2@X$,BZ;X5ÁFHIsΑNy綻mV9YߗM]NffѠi%(bŽ<=b}?ooɍ7KKB1b#$9&~w%_eRz¿xn8 ?v:{X7~G r}O^1b'}>;ΨgV!|=/r l1p܂ɄX=bl1HeQ]ZNz{]זcOX}ڡ}zwD2"= Ƣ˰셄#ߎ4ZzDbbϘF}L,:4F\ ae!ÈwǸc=z{x7W7^}vZnl=xcVl{, x /z1~[Y|{Glu#•xCY=r[g_Cy&g Tʱ>?ʦ$FeXf{rHuv+TU=fwVeeo#z$36db$H^%ɡ CHY@=d&P:R- x?Fl33Yp]0Ġ,G&G,º}}*+}**6 `e}~{*U ˽>+Jbrhb2g@q7`)i߲KPQQ+e|F $oyC Ýؼۋ~2̻DsCH2v@G;2˂HƝjTIW̲{t8ᑉ1[bKK=XOB5.BاY h0XT"Վcr(&,>-(TsF;nR]yoޫ"(f]]Al`Vh\u,bj0KCHdpy,J?= ˝*}Zޕ #樂ѤS}ZIuznÒJA]n/lQ)bJI9݇ƨӊ`B{ML^ҘxU+TJ)/ R"@%${T2DHFnI$j9jө1+ojo`L~p- s;7!4-VWPnH+r]yj?kK䂹 :R0B@F*&wN8޽e-Ga nߍ nؠ\?wh6g0je"g<+§ȓ!/FG,2@*RpV9 IJP/5FI6rN#4#kr5a7亣2Dy%Jڈ{D-6GD}Ҧܦ`)bjr‚p\` &;]rMHܰJ.RZ*3eΗޥαDaw:amT"&/fm4g`*zD$R#AF`yZy;KvҘ6q8- /wXlU#c#/RэâCƼK-hF9hcȄ7{ps*mR70[uP2$gۜqaŦu[x"qSS~rc7/@,]1'>\U0}- QFXȺFb_aDx6;-vh1#l\'1o9*EV1rm5d멆.GP,~x+BL d@0K.5X.$̕UbL-aG0u%O6ɧΝ{ A{ ʐ%K>֡y8rKmnLdR=F1u RM^ %%vj_&cIiR&gEJy.!5LhKå8MRK.jl|N 6+Sд K9q96kx|I[hһJwwյih=(Ds=5vrUFW' )p57II9l ѿYml2G*lM_;5ϲ{>G;>a]5X"-`d05&A Z2[de >!@sҁ؀x eۅP.| fHMkw-|xsCK(_ aKKxbfBDi0n,p}$dTg&5&*bBIRJQ]U[쒋)I$ 8(ia ܯ7{-/`|(E'2oBn܋ܰ?iny`aU;"xa' =Yd]|dvN2-q% p8(Ff ɞYݨ,L`] {Q>J'0`eUhcy.tw%D E;2oֳ[ˌm /Q*QjSӃ41hbDd KY)d!N)ۨQ|YjQ6RBloBPX4=οNMPWVn\̾S/6l=8M^t wm9#_h7sȘ S1>BƍI-z*y? SD8kzK%,0ӒNh%<5GQqLa-H8,nTK"E,L o ]èVQ4>=39 %s.e`ƥjӧMBXP3V hڲc+G(y]_xFK]yX9TFҹkxqgm؏rF6AqfQ1PF[Z?>my W.}1ka`z/C^M4mވ&R1 nV}jecvNZْ6Y\6$ORqrI[?.a31mwܹ+T,#_}vFlbmW _mZTF4$|`l"B&S&B>8{ml~aE8htt4loG\,ԭ Ov8TileYXe)b61٨dpcId9n6/u yO $fXhMOaSJFn\3Y#v"ݩP\2 DB類ՠɼnONT:WGy`[nuY0yrԝ ͇!%4z_Ҡ,p8j@ NFA 8jV+\U1 p;Ps<*gE k3‚ڒ%ܬ +&b6{lT4WWy$^y"tu88 #~27W|IiF;it#V:`~=⟬sYBӎ ox17F5Wk&W9c&qc gjs3 =]r2cF $%^M}+N,֍T,Rk{̜ EG}ysf4gx螻Ƃ}bZS~avD3ґi:n[No0j8XZޘr6Z 5ZEk8 =5ZÝz"[r= .E`X5Wvf%͞SL4)h MLt}uH'oh l5[~ܦtY9 1K7?:3 A<zxP> *'Pj?@~K1t?Zk4$sT kVlBՖʽDjq ]*V)^PlًPOʔ5נ"ГQf=fu*CK|.z8f}M9`˩&䇙~^5c_y+kG?[+KjW"cV`QssV2ZxӋtS1eDĂɖG :W44{-([:9g6UyؽH2']@{(ELu LOk[\kP.F](pZF楎Gsd4E4{ɍ2ihL-gjQ{ rDIjͤ)a2xr A,T3]dw"VI&Ƃ%##euV5 }gt ̚x߸e@cvB5d@'xTRrg|UIɘJF^Zw*rE 99-M%\0-օE.8J[d ZPT-a~v]::V6O_' 剚J9dЩ=KsU-c.F[&zy;v oӬ&TNdJ4EjG}aъZFN>{!B.41YhoA {񳸝INEqBQ4YSNEU`$ lN\p_pB͜l$4wVlڢ5`ljZf l舻b,G?ف)oExÏqe|{ĉq]tzVrvJ9N7N <:^c0s;pi IiuZyL20܅pX.(t-$lC#Q;(8@X8k5 <~Rg?+)k>f2uG=ҕ֭7I_vb*j:8Vi4n: RqFNN / |E,3X:kPư}4ל| O5w\)%SC+:D{:v3;YIM٢{Ip57bRC! u`Z|ZDDimkh9Y(+$}2[u;;6BǷ\nixN8ܭ|I)qAeS޲޺וmfΙ>n3_3@\[sE)<p̕p̅JٲJAsƤ IQMYeר_ƻW#{ݭC'Ȓ5bZG%PJyP]֦-IMї2J ly z@S-*qV*?lXwSGP[9W*[F6#:y^`ոgģUQ=B . ;G 0+rD4' ebû-"P\O31:32CO˘ɛ"Du !vB6%hpđY%8.!bl#srRmEjEJԶ.xL\{@-bXRkihVU[FI]R+835w  s49̇ X5emb璅V5vnjGn:+kK9kaىmu{/>Cqp5^TnTFZJ!xبam13nk.LUZcn#eJ ьHz9BL HFf MRfN0 v r"в2%jv^Ʒ=s?f,臃?_?V~GVDfߊ3|u,l>NF*hVv4FK9M&嫹j ";fw4#SA:rP{/3 l ҀƭIErAb0b\muYt~:]̤Wę/~g 3d֟~ OASb΂ JRȬ cv8Rzz6[a;UdK]V۱bba'lhCrL;-hz,t|h] d&Ki*+ 􂅫RNdFfVTL9fޘyZsd8K>w媥s6GZPo O'^t +#e.:$qkF5;;';5a[ELޛ{''+w6__''ܯW FMA dߥ_3k]/æu773lDRyKQ23٩EfBvcϨ:&(Rߏp>Ul P6o/5*N}cKZ!Kas c;&lK"E]ޑ=f=Q[;Ht~ZOO|Bޤ!C=kQ@-B(W ^ar-[ E/^1q /R-OTUגŴzc=e%GWX$ IA4T}ՂU| Wrg~}h4Bj!:}$n~~] j-u{"7AW(=ƥzI:(+`-8tZHQSn:`ZL% Bcm$+Lȵ0{]cNu,(X )=䃒HM M&&F'Ƒ'gjk3ArjQjs*Q=8(؅O8]kkB<[rY q/RS;\Ta63i4U=,wtIjE{r=PDV&(Ŷ ;KA{o"jY\*X(,P ;;.q:k2 }F^2 H.:tOnm>Bk*{nQ+qyz9hFbDzR"&U(fA6#Bu,8bmήSIX@fk^ q{|5=xktيjOq%'V9' Uwշ(Jdus?Q6/YK Gq?qss34o҄sI5&j'S2g'O{q/t~;/ըQX(dFtMњL6 M kM̳@:5x0ÂG3Np.<mzK) ߯MjXk CVIDXkbHƽ'`Rrcg] 7']rqJs/Q~ S8rS[kex N&ךTeuzTjZL+ sW}}*-_XL[B,5bkX빋'v:j|?} y}PnܾϜXqSwFMF/3evk/D9ԌY=Yu{":uTeZ$4pnCofEOHʾnqg<'ryz8_ʣ7}ҨmrOyuy/CY,rC I {;JtҔ&قo%R[-NJ'*?2x2''[OXa.Ƃ:tÖ>r-\6R3+)qߣ01-%g^^AwWԃK"U*i4$Cj)J`֡HhhWˣjT Pq,.M0[A4=i!w(-vjrfO>yG(&9͋71Dih2f09 c<AYcFḭؚ0 .hʪfRa5i)EWiX s ?H}~7P7ӊ9Փ=v7킘3GD"zAt$Vں%RYyM`63EDa3+qOS^]ԹN M+T|ZtWxByCeZ]ygڞ5m./hQKlõB}עw5ĿzڈmښB6; t<,AOk 5R;; Mo$`nœFG E3F jLduQo0DH e$tT 5(N7ɪjWtφJ0-]bUn$%JtB ʹOޞx;S>]n6 DǕ"5Dq:I!WH$ Vn֮#B$$=ϖ/8ށD3iԪ%#ps Tهa2si(Q z0t4җ!tfl]3Kic&Q=5Ȳ#03nLFNoЙͪQFA1&d4Fz(UT ^pG16ǒ 2C(2A6~9xH&1y {EH#pMᖪ/դ#e\nֶ<`xw1 z;߬?!}zEhM6Kcx#C%ah(]K٫w(%a(YiZ\p-W׶M=L_j~o֬YTSt,ٮ'ЦHYF*O br__J~ G%+&€U€_իSdw\&_s ӧvYʌ;qWۿ9BsQ$Dz@l:\=Rr"lRK|=" ~2qf9xBt5q66a?a4C7sZ/cA#%'EuCILRfcR}M9xxJ>!4@T5xG x{¶'$ 'I-Fnso pT"xԊ I-?۾xxnqxD W;'8ٜΉpPql{@éju?;'z`9vPkTU؞ R3{'~iBa'Wy9\vH5=jq;@tuґ ],G܋r֊d"0{Բme(ЊG|kFvF 'ġ;=Pc=dBwyr'UP 0kir߅[6Py&Ng^C8tF!` A9nRe'&(A> 燸sXxQ΍5:R0 5L &뺫FR妥Eg:͟sec)H6?F&MۂϿxQHgQv} ۝؞9:u fv"L -W -'3ۀ҅xMj^1^JŃ/QG2t;ޕl{^mev>l-`t2U޷EK[!%>+7|w(ռC!xXlV%elJYhG7#]~!;"U{ Q֊.R#xHW+JnBk&K| 7qv~8@y܇^'hK6~=V)pxW$R- EȞŮaq Uhlw@$:6VIZ !>2Ls=iž_JTZkؾпv [HSĭV A ;x ܿ= > FQJ0 blӼ_|ُo V617(OD_"%nъUne]"l[dp>l9觗4 })fY2U4чC7ɐ@`p8߆$ -eo1֞I::`Z׶88Z;ޑMe@Oa|1@Iϛ-`)"2#/D^B90E-~NOV"FTs<,7Jz}9 מ˝R-,JfN(mhoמҞu=^0߰oqlfejo{,z+o}[ߋ޶v}ck0s^{罔S^.N5֦MJ]~w'IHKأ\'ωZ3iEԢA.o < Fݑ\ޑwpy%P2wK%C<Ӏ{\= yڍvv{My'Otx;c9cyF11/ .bwp`طwwxwam܋{ƽcS-l.)m):35S` Sz񁬼N6|6^_GX 6ִm)mBYS{wOU[_݂"߰nES|n ;l6m}֬[7oi˲|;!Xַ|Yes|xEد([07Wmwl7ͱNwR6Dru6!SSf9#h>75\FeFx,[ % $PCjzy4z#8/#x\qxIO.qz%%™͹*6Kf>^/]%EΒb~1`{GX8ԯA"by~1+Kp4F66Pl=YvBOky=+) F861$:JR;2e*~^1O/?n$>S bX"T/$Έe@q#yң^Cz4I/OX7wL=b`RX+b"i=JhѬ endstream endobj 28 0 obj <>stream x]M@D:&`gdKB` h1IJ^Tԛa:?[9aIҧOSQK9*?ws[~|a/P~7|C}[51kM_O:VVPi\_vToJ5W_t>-C~p~Pi^q|)re)hFG8eϨSZF#種Q $FIkSkFNFXvcۑʎu FF0H:; &N%8("SKh*SKh*SK N p>(GF9(GZ8r$k!r$(Gz8rd(GF8&hBk8&T4P3(Gr4(G8@9(G;8hg Mp c&pv438# Y35pF=3upF2sfn[gdGmKp{*8#MH9AlxWp6" }Ά>Wg6p6x2  }yEuo\#.oYFJslt%f6UCYu~婘6NS9_rg endstream endobj 29 0 obj <>stream 8;Z\74(@8/$tU0?]D#^0fbAcGCnj!![ZR'7"E%f^_s7Ho!Ml[a>5#l`;M5s&oEFc1 GQ:tFIlo],d8cX:gT&R-NluIjFg8pSq9r?pos1aOekKuNIFWLF[.ufL7@H@u]rYZl CfsbS>Agb#]&7>Xbf0G^95A>7o?4SpV2&F+]DbcP]4cUnh\U[D2.X6-OM8RSpX^Uue_QqVh.)@mW6+o9dd%mo1&1cn)B=MJ.2^Tb O*rI9V("9BFM\^FokFj/1^213r63`o7*m:[7UVfe]%8jj^^"dNo1o_RVYEL5D$YOFi(Os.a/J**2lq0^BFedf-a`O0b=s:W 66:msQ,GpcVsY2\@2c5!RaHoLMd[i%,bi-b@`Y(^g[PcJ-1"s'm6LpUUpkY.>BH]M 6>3O'o4aFmgC6P(CQ[n,CNuYq#Sp:OFE\(c8>:__rXO6iW=^8m&&k:RSfdJLjYGb- s&^Hhgphnn2\@t3YRTTYHR+Sqgs]'#3^>PhIV4&><^O5a2'Sh#mX*8+a=OW0J>O0k )c/Oi],0WNp47BLS*PYpG_U2.PJ>GC7. S^/c9.+p/cK-`)t1\B\^2*0,];oi`[BP,:i:\umpii#^B!=iQM#'4N-cT"O-Z_Al- @Eep(;)A0:NB!roPK88%%;'ro,'n&N,)ud"^",Zp.mXui="Y&lpK3u[H3Z1YW)pMM EKn[*U"?*[N)63g.B&Z@/.HEdR(jN%]t,7u-DT65\2]g@HEf*IAHHM'Sh(S6Nhn(k 1T$jGZ=a;UpZM"NUifgo91329,:/"AFK*Zcd@&S]/Cu6-@u5N]:"5RX&$pGo7Q4FZ !Q\TK#';2YA/k\!`)fW\TDsPWEp81Nm,<<1'07tq5>MK'=+mL3qDqZ'd-Y4MZcq!n&;*S8WB!&.8`3K'uj,h U]Q$[E/##&/aIViAQfQaGdM$(hfR"nVHF)YiP$eXe+`^geE p0XX4gL)^9L<:QsA=0Y8.il[XnZW:MKkP#KE!kYLK69+.Cj+k2F\K>2We%\:K7Q$- (GU08j"&8b<((oQMbI=+HkFZ+qLjif+=maD9B:&=em;#mpeee:0r'.RR]3[^neRe\m=$r-1Y"ee0 H,Y?4I`23`S@afhe?>3SqtB^+fB['Cm*]3HT!9c0Er$W&#aRu^C=&&1T [);,+buBEFs8G7^_>&?W7!^2I~> endstream endobj 30 0 obj <>stream 8;Z\7bE;-L%-5OPi%uA]:3&$Jbm&gL-Gsp6F9<5RrOVp,r$cE)Gc3fuEI*HB4+;\7(W1#.f'nL; qKU$CG^+TH4^RNiU=H/SEk`Y`X\M*EnB%*N$%<>$`-Y`V4VsaYELr&)uVe DXG.[kubH_k>sX2fD^BLE:*l13:s0lKh+\#-2kpBHk4!hgY9BtT*b98gqGpur0$*` o`"5Jj@Uu/WZ"qW3Q>3Ve\.qPJ0XT(/I;Fu``[q&cZt.YjcElI+t#*Lnn0HJMKgn( `ak:CQ?kiFF!1!!;JQ:X!L!HF51_ZaeWf`C]3Vs"+(OhcD>kDH1R%HFUbOT3JP]+_ @8.8lVr9W<^07_:n1];\fA\.T;oN=>!g%M)&0VIcGiaSI[=c5Q:"L_K@s8Z=38(%= [e1RM]=mPtecq'D]CIS,4E-iOjrEGC;\8YZnlMT];oDt9u"mQ_QC4#515IU=!6W&Q/ GTL@B83:#b%9o)0JQ;cqdR:C8N)&^:Z!CRkWrQb`_2f*3V?[J]m/e7E\\Wm=H3Dml )9Ft>Z8q2<)YZkR+hEecsJrj8nt,s&^q60:5cDghj'^AdMFpQn&^b Zg!gU=@cSg#*PZs5Wh9h0*R)-'gS[Lf*87,^TBU28Ro!Zd0TmZ=B`gR\BY=u5M]6h ,JeLfjlW6qQnERNr+3U%pO?uPnmrW!2411ked[8->*)t6$"F7Y1_Vn*n^T%#L"Qo6 PrEZ/-8a@QKP@T!\N&sq5j#+`0jM=j)>3UQ,r!&ku5T-dE)V$<> c>XM%7?Z]?@b`U1Wa0o*M9.7N$e=G]!_R,uAHe-0Z`)hd$92MH*/oH1J-(#<_4(%1 <"mr*PobI,Qpbm5Hu')\">!1%#-LWYW6V8;]7P7Mj+Woh/T'D0j&1aqFmakA,)bQ!e%bnX@9BbOXUjg ?p2/,U$TW*=^A[bTnH'1:"'QQaIl73h1f*BXuhopT@*"(Y)\I9)kh]/Q0CJ<^)5L-.!f=:V4f#`2"/0\'18BAr71;(I-'NSQ^@m 4i*:\'W(?.Lamg0#T>;"JMJ'i=B/R&D+T8T;Gi&caTLcin>oW]L_=F'*(7V])-VC$ >meogS\#W=/G@](7T>l#g5dB?c:t3U];+1LahH2oU%Z/f@e4=b.;1.ED']aA)10)] H,WlP.O=6e@8,CJ\n,d:m4?#PF2"^)rg`b`IL&+MnqO5#6%@BVSd[-,'%.3rG?jdR <*aKf$aQN7KJr-*0;Sfg0rU^`Ln4Dgh[D[`!`)irHct;/R<[27hYH@tEg%e_'Yk:V :lBiR*NQ%[CC`]0U9_u?B?fNnL_OEAb(\MQM!2MYi)UuQm/XV=H?^+m-$=R=K5g3A QTFQ+L-;82DmVRV8=DNkE*0GP\V!#7L2-&O]L%(ClS:aSeTo5COS3E(+o3Kj[7KT% 7;l(4%X%MimS7\'h],sMc[MEZifaIkJE3J!$e8F%5AP3)+7ZeM!r0U*&/J4UL1MKG Q0hM:O)#gcNN^acOO4nAl0?f$Y5,^kH,bFI=Sj*o'7((64ngN>msL[,:Bb*7/ZF.g pL?OPFqq2=W=F*/.`c^2PU`d1Mdcid6/`YR`)m>n`ceh-Z0e./Me6]O!KWM`sG41c4"iK,WR'kJ'XZbVA.+=@cCXR05;q'i(I#O$YA[e8H>k endstream endobj 31 0 obj <>stream 8;Z\74-nnd$tQ`36)6[Q,4/eM\IX=k0>m*,W^'H]>Oi39rSAee>F%ZU&3bdL=R4kL 3o''!q8-*Yl=m]QrBf#BI;IYM3&H*Xh=io/ZgZYGqKTsC,:77,GPa"OYAn<@,8TV= LsNe\*4tX2[QtCPGB8c$GT0\2=2PB"'eS-mX6ldVGo3\9L[s(>EH9>fm(u!Tk17fO *JT9)3.K@I>l+b=_mg4<@+U0?\O]>k-2fLso%F!0?XNJRIg"]Hh*1eHrQ'4$hEO3* 7'm:c3/8a5*R@/S_AOOP+&7hZ2:\5fkj_TC0^np5dHK>9q\;0F$h&"[I&H]G-n3:Aj2\%JZiTD+4]f LG1W?_0UF#f`_0q=YLLr.p,5MBY"Jo)HtF4SL0-S`qqgO(_>7QqAQkB$k^+-%F"^X 8>oIg8<:CP$$E$SoP\rffm(,$<2(<*L9Y2[mh\-#n`@+a*OD_LbBj3$<.X-uR20GucmR@tu@iAjde&'7MsDPN;^PE;SF'?.em #A!-'f!?a:BAn!?iHcYK0^>mOqcN8#\/>^:;AdPKm1,`Z5O13p:&hM(AS"UJKAC<% `t%^D[5XCZn3Oi#c:),;gmKrAc7;K'=tq[@LVh)Nic@UeS%3ltm*te;312X'=cnBF =%@+EU+Du?:F'i!]LG-7pd$qs'^KJ-X-I-r3mn9[As1Y8CA1p!`(dJ+:[&'qVSX ?D?\00T6,C5:EAe98Au6OTiG"($*q^A>V;O7BG'V4Eq6@e'f@T.7C72BG7@6TNGB5 b9TPcIGP1ab!Jj76T&%ec0cMS`(\eBf^`CAR&'0^Ioe9)C$kTfHBFP1/J"uhG+)4' l!7F$=&6O$4/9.N%uC)0iBg^D!bCW5:.s4jJi6Y?+n'r)&<,b#O:;]q:&:gl/5WI,pUDA)[pLfUV4o;RQD#[[]mqa_q):Q+aBud*Sk]Rj\pT//%)-a#H?BT AQF+h-5pE#o0%FKmVT;R.bRP%\O.q*i1-c)>)t(T?u'aUNI&L/FW8R^qj]OF$G2_e /KIOqI-&PjY.)CKMmurmmo7M)TsfRV`c;TZSan8E,W@GEd*buE&l(eQV$jTkY/[Zj .sbdi<>oIXA25=?eMY&WQ+#Amgi]hR=uNEb<_T%"b"V.`*CTL3qO]u8&ki9!e"uk" qGeQ8F6`GqSbr0W-`=P2ZU^RYKm~> endstream endobj 32 0 obj <>stream 8;Z\76#u$E%-5Nk0i%:H"t/Le3-cU`PIW=8hd^01`Fsa/PL8i;)"l.e5lnU3l]m@'\QDa.rM-R]n,;;,38[L6>c>7fF5+0g T:5L='WftK*;Q5.i\pq)cLC[F(Z]ZO-%p0>`$lkofMTNf<>=Pq%e j &FN;r>KO;!HIGr/5VD>=C"J6IZWtkA"ZA2)Pu>>N3Of$gY`d1bVd++Z2tF#a*Gq78 r;hnE\AuSON;7&'g0D6;d[e:TTnl^"XH(W%GtiTF,>/"2TaaQj0trK ;u_\-OmmPFm3[>"?NMsqK(R#Qk^I<1gG[6G+H=5b9A'PLEl&X%)#t1jBEM0kE(?]= am]d?'B9Bg%,k;'8;&VQJ,Aj+1`TLpAOgcmUmJ(#IG00H@ Z+*sTF)lIhA`A,U\`'d@(a:09JCXljKfmat6`@&8Gc?%,G]CAp^l9QEHr@4S,]"SU fE\"N9]fe;nLU9MV\]8E):V0eii2c'o>Hr56SIXaj<0JuTUMQBW0u"ZLaAm%T3cbV;M)Ysq6BQ]VVucPPrTBU&5O]'Y)_ jDca./FcJUE58=e5O\g%*(!TBpPcg'l3>qW4AG,e,3;]XFPf>jPmEc('+lPTe1K\\ (0&Op2rFb6`&B(*fKJ)LH58u"n;;V=>gnU5Umneeh%gn/16 k)M*G\YkbYoX<*RPi"7;-=s%-@#E+&kc_4)B3mZ>+4hcn$.!+(_s*S5fdntO7;7Ze f$1V:1;a]oI$2F;V;K+5>I-=RW;]\+'*O@[GqimHAmAW++!6V]C*DR1p4 4cRQ>lu<@C6PHBf)(^9T^AjOXo(N-["ZgW~> endstream endobj 33 0 obj <>stream 8;Z\74+a4]%!@iQX=E?b;8jSGt+K*5GjXHcrV"LZX#cJdc)>Ne4I<1(%\3A?-=AdX[qfk0h>fejT-I:"/NQF* 7HcXnU=tm?YP3YZjrOqt"m)l<1Mst5^Vul_Ymo\]cY!LE2.Ws9;05@VZf,Hp8_@FQ 7D9-d4*FpDY8o[]>sB=3=0^*Qh$Q3G$Ej8Gh"*3eYpaa3%m2I[WD"$j$o_0rB59)s V-iD,X[`T6g_ss5pnD8DH!CjB]9XYLRc6%54SA$Fb^ML!2tXsDjVk?%DD]LU.5>bb ]..AkT,a%Y'Mf0e;/g>jAf`UFCtOkU"'^?!KtY^%7Q-t.D?p(`T'^22U):lb]&V@7 *1K7L[KnU/kJ3)f4X'TCNr\QE/'egoG+?M1X73ha1!C6(9iB*dOIRil!-*de,A^imXF]Tq*N[]R#<^ P@%2F9ChBh?JUUf(=a3GcZ<%c-u1tA&pp0J,)bG?.Q18u^%Si_[c-68Z6&"J$R8^) fedL+_!ti[W0][M7D03tp>`)"+tJ@R9Us'+k)-nU]m-Ro6X?,Qi`Rom^$rab@+HiD []\72hF-A#caBk=nqPXkl<2Y]DdA3'.r-[aii6+@+\WPA(G+&X[01$,WjpmoYn^s= TP#Cco+E@8(te+eFgR1B3'(%:nWFMn$G-u/&VcUjXi[Fu_eD/M$$t:j,eapIl_sqo 7YYmbIu^OF]*[_H3OlWI'ec4qRO$*#@BXTH5NKM]c1`D..R\o[5TGZPM(g]Ych;0P I7_.0K?dh:?`\/bU6>-"`KqQ9_\ntfA/?"*;R7K*0&.pOG^\9]/tIL+m$%[0]s'H` W)T#O:,Q5e$iIe!];UHo"41i_%Ia1;V16\O>+PJ-[V4.inEjWk8C,*RJ4ta<,n'b` g&7fLPI>I?hLcZCHlM+n_XTE$`pO9IlMne/i'/8`,X$hY+V[,K`H.bEDBZk\qOC]9 O;3+0`$1:HdU42H(d?6nK2_-$gaQnfILGtf9\gR5-D\D=U+.J(T)ngUX$D7KXhZC- I:UUJIrrUXCU=Ahc8RS,Z%G2#72o["D^*Xe@66I^"\HJWM*eI6K KiK?&#^N/RS^a/k9\bH#>?FB^bG4\knJ'SHY:q4`G9fP$6l*^b)=p#@*rr`@U>&eA nXV%G8C^J%\.>'k2M0/6AL1_.YP@D)Q;%-Xn#H)D=08CnSBp%d[@P&g6hPi0]cu]E ;iBUA7 endstream endobj 34 0 obj <>stream 8;Z\7a^OKr%)g9,4IhXBJs1X<3'"tIP\/Fj`sb4jNg3%.NWr3LL:@59NS:fgSYaoG \\3V1D7ebMhD\(ZbKI1BNc&i>f=&]tZEDA[G.ko_,oFAq[sVG>gGDNd'SC857U)2p IC8am(T`8TlHS<,]4&WJ0jHsr-=ujk#j,N=2/kt6o+#YfYBVs6X'*9f^6[tk'+(k"hK4Ykcgc[<9qlEJQ*Pti QeGatg3VZLJG2LY[4".@4$sCZA!WBbC?TD*gs:02cWhus_Y#i'I-l0L6ftnF>d0=R =1]MM71K/7Bd_MY"Jp`WG#V!jo%?%64QZk#2*&<)T`:o;rMdBl5Kq`BlXJ&t3_ hF%7YSnho%AHZ&pl02;'s3gCaoLn#HT9ZQhDr/E-MR)@rP)1Cq]QUhor/=4kp08nLG3KRq`A:3#P8S?)`hZRH^b5XI.V \SRU*]3P&V\_9"En;u%\\$^(3N']6/"?Wq1G\"ku-&FdMC7&do_SZfPR8je!q!(7%TJ-i A%Y-/L.96FQElM\P^re\M,N%!9U/pQ1J!=4#'J?RqZ;=f@>\WfLLYk*+Xq/0QISA8 7kAS$k&8uWf-WARL'juEdHc$6U.s(cBj4@Bi03e,f?*R[GK&Vqj!13+J"JlRS)Rm@ (9>pp[7fp:EQ$!2QJpltm8o7oLMlH,Pq=PnReZMO=QGJ*I06>@n\D\dh"],CCBdW?t5@"p9G8< =Y18]XmN*3\:)k1IWQ\s\s1rhc'o\&6PnUCY"!SbjWiWk#,'lMJf`s4lg9$M,$?b)s,o1]VjOKC+jS,j+NW1 j.iDA*T#693e*C,,K)e=r6"si9p&Fa)Lo4oAVK$Mo1"5XPFhEB-Tu2@X#ea3)g-'] <<8`e]kr,(T)!T,&uY?VV<-)M.&niuiQcr2eVO)Ye6eNqcrK[i.SgTP\#SVhm`s9B iI+<3#431_)h&_2lGlTrUlY0J!#DM([/~> endstream endobj 35 0 obj <>stream 8;Z\78Ts,T%-5QdBs*i8#V5kk@-&@4.pn%_BiG,/L,a'4aa8LNdZh[9'S\r*mesW- >0QiWhD"#u+%F<'5IP=oXgP$>ig4eqeaJiID,');p"PrHkk\XJDoU*?V2=2iV-Ud; c+L0a^2(VM\?9T+=8s1>SAij,U.'t#k+\p!HSi^J7M3*%l8RbUc3`N!FjDRML=g$R@OrQP@eb\au&p*8[mH[j3d`C`9m 3VB#D'.js_d&]-t:k]?[[6DY-DIrRVo`='K86m4!he]Qa&ZjhmhQr&>PZ3!8p2fE) ('##SX0F7%cdn,BPl9B_XXt^Jc*Ata'!-?*V3*5SFgsbqEL-RgF5'ppmZ8sB@[eI9 BKQ&kS6gB1[Y#r+Y"eLVk2KDi=UE1qV5YGQ(b[f1Tgd,3BtbakPkq(+&()b;Hema@ jgiL52bF'Q<..fNm'S%o>DKj2dq)o2$ZT($\!"6MTCh03r>K1NfCW:\V=>R1Y`IVW )Bmu>\"[fN?EaW3WDU+B=+8gSdcA7u%1/K5Q)*cCR.n8u\7Z4q>/1C>K$9r_/1ttB U[)Uaa$1TF.b945SJ9R^&m[)G09Er`D:jbio2REKe_YrIr?\8?luc]m/UFZSp8X^o $9te36mUHkZu!hgflh0.ck0_IVq@n#TAIG(V(gKkqGJ?RW.\Xpg-&/40AbKo3a?)2dN ^=Qht#U&0a'"%'Zep9WKa%3F"+YF%P&btVom-jd3XcpL2h+e^s2?NRdbShl8&9Qu" gX\jX%=BHtf_>@.nPeYoq?-Me+$E3oJ6_bBMJBH&50\Nh[@_R6QY)4>!?C@YuFcW5r#][YuD4"P\5= pKHQ5UZ#cpf:fAi^]^P@:B3"9`G)D/Aam2XA-uo+@=*p?@RZIZ=gMefF*-3fp*EKK Go\R0Ap8?m^^@muUpO4g<%F$8i%q&ETf5u1-]Na9==s8i1t+@sSkmM80@^-CGS>f[ :n@k*SE``c\&+#Nm_sn2GD^!09ng1HkAZC&7*N(MK3!p$I0_i!PQIW>9B5r/^!5,T/hU(S.@TrkrKE++)EN oJ<7nPoQDnbI>ra(@N5o8rgDK$+um$SW:gd&Z[S>k,uBG/%@e7,H3oU&BJ+W7K0 endstream endobj 36 0 obj <>stream 8;Z\74(@M8$tQ3P";PtoU!atdQ#ddA^5T5$QiTU'idEIT>\k"pZq-:QL4^X?Xm9nO 2S$$3lOHiulcH`kr\@IAn%Ep4f(`Gb?fF7$9CJmi>MS)Q@*:e53Z)5a7$B&\CVRir FH=)unmNR!i.!K5plDnX`ta=d,\u,@#$5#&5;F2#Q:[L2>MPaWRm#]Mh;#I'qgs[D 'QO02,Z48Z>%;UA,[f#h5,(SO^lkhAms_(irI/,"p"]WZkk7AJInBL3HbYhN7'4.; YdclDk^,Z'o[+qji0%\MFo2V>HS;`4EnTH8D6P^rc/j%]rO5U*j=%LFXD1VdqWfVc HOVhcZb@RF=M?*S;sMqE>h\==j/&sF2V+FNoNq:70r&9@KAG["gU45_^u>e^B:]o" ,3drZoiT>@@&c-:1ZR0,Fn`K0Hg@e,q9+;e2gCU5hE4N6Dg2$g[cl3.o7jg*nF l,_GlcE$aIF5bhc53pRZMXH:V03+lIWleMh@RH]-*4&\RJORPhbDsPQ0)iYRa"Zn6 ;m1QX]uUl@P!sPB%46\;/@cFd(FR6"m%lYmd5S:dpB.Rcqoj3829SqZ?./.h6P3%%$Oc3Sr1dVGM]FBbD2Jdu`p*eP Nf9O]pl?tQ/jIA>M6Lre!1+EQae$Es7$8s>V[[SYMWmVZr2c6glO3[J65XXCE)"dD fMfPU"8G!D^+.:7LYMB$;s?qAq3c_aY.-D0RP6_TGWl,@i#]0(pG9>r7)Z$XA)(OE S"R@g1%<8,p1.!eVm&n&B:G.afRMg?XNUfVLo8pV"s1kn9BTCPH#5;/Vj$a2<-*_K.* d*HcoAI:;&/I!/p0^u)BeB`3m(GStC/r;>aLo1#a)r[GA[oPsY`it>@l2;V=T"0M- 4d,2"Sg+H#>",]lMp;PK8d[;Re_\cb&hUhpcj">t>[uF7p0`omUT[O;[r%9-f^$AV WV2M@H(Y,6ht3Cee,Li02AH#/>:IlSlbW#L4L6'P:\IRG*_tno(:W#1iZ.EgiQ`?X e\gc8_JA00`n/?HA>\aSEs4M3UFck'fYJ( endstream endobj 37 0 obj <>stream 8;Z\794I3J#h@"S#pXRG@H=m77d4A!AM`2gK`dK&Z(4\fAsKFN`f:H431t!^)t+9e BmJK>AB2'?2VF:jCAk0?MGL[1j/A`DLN0D\q0'*nQO.4#YAP/oB,'(o6Z])cY0u^=B#%NZP4"4]!ftg0Y<1+g1?gAN(B&"1&)#;0u&5b0iW'/S@0&]mFhl$/Gm!p+dFn)R4auFP4hcL:m7#Da` *PApI5GSk8CL+t2+&+eA[Ws7OdZ[O.[i2=Z,*hS+*$>JnZKpQlUZb:*K>K[6DoEN#%!%A;2r\.+i@KKm41(" S+U0P*KRMVIFqY\V&Tqf=u1K24-Ql^SaPPiZhl<10-t.gFNA]hSK!Ra8pJDmAHHN4 ;O6X1'qk*]P^9Ta_44dXkK#j&9Z,^jM\"=Flj=RsT8T7WQ4"-[m=e:/r<"Wb!O!U2;kgKhT_*_WsT"r4a#5"WB.t5CMq-.?&+qN.6a?^a5VEa m*6=9HSa:2&2W/S8:-&n+VW&=P``?JZ5e!G(<;CpS;NNqO=jo9Pe0UN?Kjt:E0qn: C2eG,N=2-Mp%;/TA#*S2N?/'R&V0rCi`[N`L`pMXQ.fftnDY3jliH)@KnI2Z_4;1i =d^484hbO]S3rn!(l'[6_RP[DnO67GU97;:GLs-oksZ-JoWcRQlOe-& nMU4uiZ5EMD'WTp<+KOLHk[3Q^PnT0/&f5$*mm>?=9ui.PqFR]AnS2f<"knR_j.=t !,'qKmqFX/CARIam+ZUt$b\`VHSn^)>pS9uZ!o`;TZ#$*"t`,s"SNCQNa=eNDB%,2 :(\rJ@MR\rNdJV\Fh>gL[&B&KYt^V'W@[\Jf's'BkGW`/<#SP/e=lGA7X?s>:BWOZ /jA\[h\[rZOGWV7?CUe9NYcsge8&K3Pt09H[FFup)nFG?I9COkQU_pY?6

`*8hc*,im"1@#mE[aB:lRV( YE.!kMAPU=K_Qj8%"_@1hap[*(c(Q0Q32Qm]0e@p@`p-h1U_d"Oa5O(>?[2^d=_:U `uFOG9jc&7ZX?Si*A(oJ*udFRls[/)Z8LbrcE')[RZ7,!rs\_dJKC7gm'<:=^#1BN aOIP2''R>"ks=EX1]K.NpBQ:n)F)3E]u,ka@WN2E3G;'!hJ"lGTX^fWk)3rn^Dgaf 8\,!cduP)-Q6cuk$q3ul Q9%hZ8D\TO,.^ULo$3\]-gA3N1'riiG$ endstream endobj 38 0 obj <>stream 8;Z\7]4'b]$tQ`i+Hh(+,/%Fsm1mO[c*3ao)1WFo=o!:#;*cX/=U\U7B3jigkJt.dMsBouV`,^%otTTJ)*_&69f.?&Q_tqk ;SB9FrilXui-2T/rp*q/)b2]cTNT[:3P!jYqBrl5g7g%nqXd_Jf[DJBWR\$Ajjt4T o-NDoLPs)nIH.7ZmYq4JqU@$OUpsRU+4ZE5_dD`M8))p>%_.&$:=#6@dVdne5Wqr9IqirhXPb@oU"#YA"Q=s_OE3MYV/#8WpRBJj;_Q.QW7B@kF(^]8b"b"#s>ir`9/BbNl7UMnq 9(<^```\;Fnj&'o9f!j8*JDu>h$(.5O8X6=(5>K.n,9TV7'kqZ!`f?7\Cg05F#dQ_ 705n?pqHbQ;0kGcjG92$Sqp2aq(JfV(Qoi)dCDO3Eo&G.D+UF!9aR8uqlHB'ht H2rUoD%>f9Y!&iuG56oH"N+6%kU7L\#$sU1=*RG_.J]3mM!nNfIKALBZ^SK!L"QKZ6[ZQBp`Z?.BfVDA)2UfOS3`1p^D?br.; D*t\F'5KEOFs`-lZcoO)YU@1HgVNEC^D4r]Gf3O4O>2l!Yl95]A.36@5g#04642RR f`E\@T:tUe5P$Dc1#/0*QP#:pEf'"hjB0FT'u-!dkrKk;bF9I&:@6!'r4fS.$0lU_ Y+D9\7Aq&H>aQ]!Rqbd4JLhE&PZ&m=a2E#7YDd=0SX^72CF#L7aop2qdh5:@SA-?0 ;:"d2M4h8Tfc/9"]K4_78l,HNq1/![gJ7\3+*mhUbBDm3a@M]Qs *HYjf$$i8;fQH0iPXQ>m@1G3Pdb:b]F.-m2^[f-l2bjf9/`?Yl?'??@;J'rpqkbIW 04o5D2(\q8;>d:s06kgEs':)IXKo3&l0H!;HMu'KkPTI,LVC+7Hetr5RHkUVo`r.% o,#2>9u9E/0+tpaYKSkg.b*ZL+8[ZQ$a,gqVUqA[#t:ZQc1P,@Z4?QJ<#3J*O%&U( qAtO%Te,$c[4;Y/q\5p*N0(T)FF=ZegD#]cqX1:r O4JLJ*8#=0+%*;>3GK"G(?#h+Ta&EucoF1:8a0\`NBi1O'!4f;UgRREG5'))1)KlJ *^Zhm1bl$>Eb76N3dSj]^??eCq&\nbguG931cL#QB1 SPYsVpk`977/N4cGD1@4&@M[,>">V&e./-P)9S?4M,G;iKj/J#[;`KEW5>g0 '(M7D^bLJ+ch[LPg>KMuaA?6^35`ltM^H#>IY haPT*eYn(AZd7p8LhXsRjh\YhgY.ADm)`F/'F1VCCQ\r9"2!/<@P:"m.7plZF\TAe M;=W>?>($6ih1C\8h+Q/Q#qi,$Koe(aOpHZE9g$I$&co:/!B8do`B3r`:.2[N^@dO44R#Ltgn_)3NUQNL8edie/\=5o2K.6kb0k=E,X=$6[ gk`O(S0E+08p!hH5=WLHAcYPsC7I]@%tL3S-1k!t&p^ekT&NG4Kr4JbL`NU_Ld=a% d#Va.muH#hM:D^S-U7;Qh endstream endobj 39 0 obj <>stream 8;Z\78XABj#h:Dk@HG'n=Les[.WlS/FW"J_i%I]nAK>D%P>Hj9?EVH6?s YHKUOZE%nUC[MM0C&43o8\D=ak#l>D?KQO%Qu=p1I+X+r^SX.MCnm(=aBn#nB%K/E [@-2RR@K>qB2Q+LmH/?R`K94-N>j6dQ?>UhO3g8crY6jo9D]T5 9NU5se[57V#$qs#PDiHYC;/;E2jWhjG[6dnCGqcch#sM7i`NnIlHQbAXgHLIrrjgR o9K'0:?J.Ti)PZ(3`-Q6NtB'0bIaI^d9&8m@JC?/^2EP5\%K6*X%dDq]Xas%?i=]> jF7Oq^016*R'$mu;mI6\-&1"sS=O@U^E+s>Xl],%n8%I8(^Y@E;+rU*>.6j4hSM?Z >ZPl2=3^7ip?gB_h:33Xf\mi>b8H2h[$Afl"?itca^rUpmL1,i=Oi"8Ul+^/e/0ZQ+i"PSn+r*^-_RT?G9'&Hr2j^!V'CL5EY7WIQ;p6 #`a_m^%B\I:O$a<65V&9"YqY7rZet^po9#*5prc>*olp.BE]"P5:BdakWQG[3'ZcJJ98M gooCF,A3`qZ8c hI`UJhWfTE0=YH6ng63C.R;o^Nq#M`e7G/a!Q&5"[&\_r^m_!o63ok@"L.\E$^!r0aL\_&&8 D.P>3FadI6CU)o/\P;aH$k[E(e!o4dVDl3Q:&c&AL%W]k\ER\Wl_C>Wq7?._Bg7(q (\+2N>uW(B?`V!sng?mjQZ!jZYTGmbUWO(=/(>=IPc:2'.]Q<[osrG'*q4b>7,tlk ?]/&lNuA]nMIGu2rD`\Jl1Y1pOZ#0~> endstream endobj 40 0 obj <> endobj 41 0 obj <> endobj 42 0 obj <> endobj 43 0 obj <>stream 2018-05-30T11:14:30-04:00 2018-05-30T13:50:40-04:00 2018-05-30T13:50:40-04:00 iText® 5.5.12 ©2000-2017 iText Group NV (AGPL-version) Preventing Chronic Disease, PCD, CDC application/pdf Preventing Chronic Disease Preventing Chronic Disease (PCD) is a peer-reviewed electronic journal established by the National Center for Chronic Disease Prevention and Health Promotion to address the interface between applied public health research, practice, and policy. Articles focus on preventing and controlling chronic diseases and conditions, promoting health, and examining the biological, behavioral, physical, and social determinants of health and their impact on quality of life, morbidity, and mortality across the life span. The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention. Preventing Chronic Disease PCD CDC uuid:7ef46d1d-7923-4dd6-8b4c-76c0cc0f5a5c uuid:7d2cac55-fd72-4700-a2eb-cc337a863488 endstream endobj 44 0 obj <> endobj xref 0 45 0000000000 65535 f 0000113321 00000 n 0000113521 00000 n 0000139105 00000 n 0000139305 00000 n 0000155130 00000 n 0000155340 00000 n 0000174638 00000 n 0000174848 00000 n 0000193723 00000 n 0000193934 00000 n 0000208895 00000 n 0000209097 00000 n 0000233245 00000 n 0000233447 00000 n 0000255995 00000 n 0000256197 00000 n 0000276872 00000 n 0000277084 00000 n 0000297402 00000 n 0000297604 00000 n 0000310680 00000 n 0000310728 00000 n 0000311242 00000 n 0000311333 00000 n 0000311475 00000 n 0000312059 00000 n 0000312252 00000 n 0000328564 00000 n 0000329293 00000 n 0000331839 00000 n 0000334383 00000 n 0000336419 00000 n 0000338644 00000 n 0000340713 00000 n 0000342474 00000 n 0000344623 00000 n 0000346543 00000 n 0000348452 00000 n 0000350736 00000 n 0000352362 00000 n 0000352423 00000 n 0000352549 00000 n 0000352616 00000 n 0000357251 00000 n trailer <]>> startxref 116 %%EOF 43 0 obj <>stream 2018-05-30T11:14:30-04:00 2018-05-30T13:51:22-04:00 2018-05-30T13:51:22-04:00 iText® 5.5.12 ©2000-2017 iText Group NV (AGPL-version) Preventing Chronic Disease, PCD, CDC application/pdf www.cdc.gov/pcd/issues/2018/17_0352.htm Preventing Chronic Disease Preventing Chronic Disease (PCD) is a peer-reviewed electronic journal established by the National Center for Chronic Disease Prevention and Health Promotion to address the interface between applied public health research, practice, and policy. Articles focus on preventing and controlling chronic diseases and conditions, promoting health, and examining the biological, behavioral, physical, and social determinants of health and their impact on quality of life, morbidity, and mortality across the life span. The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention. Preventing Chronic Disease PCD CDC uuid:7ef46d1d-7923-4dd6-8b4c-76c0cc0f5a5c uuid:8ba57598-fe39-44dc-ad0e-d0da81c31455 endstream endobj 75 0 obj <> endobj xref 0 1 0000000000 65535 f 43 1 0000359231 00000 n 75 1 0000363906 00000 n trailer <]/Prev 116>> startxref 364895 %%EOF

  NODES