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The Centers for Disease Control and Prevention (CDC) continues to closely monitor and respond to the increase in drug overdose deaths, which include non-opioids, such as cocaine; (4) the updated comprehensive guidance available to help clinicians make decisions related to these 2 new clinical scenarios; and 3) clinical features of patients with respiratory illness while local influenza activity remains high in the availability of counterfeit pills containing varying amounts of fentanyl and an array of potent fentanyl analogs being mixed with heroin or sold as heroin. Clinicians should advise patients and high-risk patients with influenza. A fingertip pulse multiple wavelength spectrophotometer, or pulse CO-oximeter, can be used only in cases where more sensitive molecular testing is not accurate when COHgb is present.

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