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Maxcy-Rosenau-Last Public Health and Preventive Medicine, 15th ed Copyright © 2008 by The McGraw-Hill Companies, Inc. All rights reserved. Printed in the United States of America. Except as permitted under the United States Copyright Act of 1976, no part of this publication may be reproduced or distributed in any form or by any means, or stored in a data base or retrieval system, without the prior written permission of the publisher.

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ISBN 978-0-07-144198-8

MHID 0-07-144198-0

This book was set in Times by International Typesetting and Composition

The editors were Joe Rusko and Christie Naglieri.

The production supervisor was Catherine H. Saggese.

Project management was provided by International Typesetting and Composition.

The cover designer was Elizabeth Pisacreta.

Cover photos: clockwise from top left:


Young girl receiving a vaccination. Credit: LADA / Photo Researchers, Inc.

Monkeypox virus. Credit: John Kaprielian, courtesy of CDC / Photo Researchers, Inc.

Dr. Terrence Tumpey, a CDCP staff microbiologist and a member of the NCID, examines reconstructed 1918

Pandemic Influenza Virus inside a specimen vial containing an orange-colored supernatant culture medium. 2005.

Credit: James Gathany / CDC

In the background: Gas mask or respirator. Credit: Kevin Curtis / Photo Researchers, Inc.

Courier Westford was printer and binder.

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