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Such a high level of LTBI is alarming and indicates the need for more in-depth measures to diagnose LTBI ( Immunological diagnostic methods are particularly important in individuals with immunosuppression ( (Russia), C-Tb (Denmark) and CTb C-TST (formerly known as the ESAT6-CFP10 test (China) ( (Generion, Russian Federation), their diagnostic significance and safety profiles

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The word spliff is known to have been in use in other parts of the Caribbean by the 1950s and its likely that the term spread to other countries from there