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CDC.gov states: Aspiration before injection of vaccines or toxoids (i.e., pulling back on the syringe plunger after needle insertion but before injection) is not necessary because no large blood vessels are present at the recommended injection sites, and a process that includes aspiration might be more painful for infants (ACIP Vaccine Administration Guidelines for Immunization | Recommendations | CDC, 2018)

Service providers acknowledged that in some communities, if a victim is first identified by law enforcement that understands human trafficking and is referred to a service provider for assistance, the victim is more likely to cooperate with law enforcement

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