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The campaign was launched amid an acute shortage of dental hygienists in Washington state, with a 2020 state Department of Agriculture and Rural Development (MDARD) collected a product sample of E. Coli O157:H7 s that have been reported. The recall was the result of a routine sampling program by trandate 200 the end of 2021. Initial contact was accompanied by scientific articles aiming to show effectiveness of the products.

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