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T*
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T*
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T*
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T*
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(10)Tj
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[(Evaluation)-475.4(Examples:)-473.1(https://www.ghsagenda.org/assessments.)]TJ
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[(Accessed)-339.9(April)-336.2(17,)-330.7(2017.)]TJ
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[(Volume)-330.8(15,)-329.1(Number)-324.8(3,)-331.2(2017)]TJ
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(able.)Tj
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(11)Tj
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[(dicators)-10.3(,)-296.3(sign)-10.2(ifying)-305.9(there)-301.4(is)-300(no)-305.5(legislatio)-10.5(n)-299.4(capacity,)-309.4(that)-301(no)]TJ
T*
[(assess)-10.8(ment)-353.6(has)-355.3(bee)-7.4(n)-350.7(done)-362.2(up)-351.4(to)-352.8(the)-357.9(date)-355.9(of)-352.4(the)-357.9(JEE,)-352.2(an)-7.2(d)]TJ
T*
[(that)-301(it)-297.3(ca)-7.1(nnot)-302.9(demon)-9.4(strate)-301.6(it)-297.3(has)-304.1(adjusted)-306(its)-299.6(legi)-8(slation)-301.9(to)]TJ
T*
[(enable)-305.3(IHR)-308.4(complianc)-12.9(e.)]TJ
1.0015 -1.195 TD
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T*
[(IH)19.7(R)-419.1(a)0(n)15.5(d)-411.9(co)13.4(o)11(r)0(d)17.9(i)0(n)17.5(a)0(t)13.8(i)0(o)20.6(n)-418.9(o)11(f)-414.6(th)15.3(e)-418.8(l)0(e)19(g)0(a)16.5(l)-410.1(an)15.5(d)-417.6(r)0(e)16.7(g)0(u)18.1(l)0(a)18.7(t)0(o)17.1(r)0(y)-407.9(f)12.2(ra)16.3(me)13.8(-)]TJ
T*
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T*
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T*
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T*
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T*
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23.997 17.9992 TD
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T*
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T*
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T*
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T*
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T*
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T*
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T*
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T*
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T*
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T*
[(th)15.3(at)-339.1(do)-344(no)13.2(t)-352.4(r)0(e)16.7()0(e)15.9(c)13.7(t)-352.4(t)0(h)15.3(e)-350.5(pr)17.9(oc)13.4(es)17.1(s)-349.5(o)0(f)-346.7(l)0(e)19(g)0(a)16.5(l)-353.2(re)16.7(f)12.2(o)0(r)13.9(m)11.4(.)-353.2(P)11.4(ar)16.3(t)11.8(i)0(c)17.7(u)0(l)14.5(a)0(r)16.3(l)0(y)]TJ
T*
[(pr)17.9(ob)15.9(le)19(ma)13.4(t)11.8(i)0(c)-295.3(a)0(r)16.3(e)-304.9(t)11.8(h)0(e)-295.7(c)0(r)16.7(i)0(t)21.4(e)0(r)16.7(i)0(a)-295.7(f)0(o)17.5(r)-304.3(P1)16.3(.2)-291.4(at)-293.5(sc)17.1(or)14(es)-295.9(3)-302.4(a)0(n)15.5(d)-303.7(4.)-291.4(Th)16.5(e)]TJ
T*
[(di)18.9(ff)12.9(er)16.7(e)13.7(n)0(c)15.9(e)-310.6(be)18.7(t)11.8(w)0(e)15.3(e)0(n)-297.1()56.9()11.4(d)0(e)17.3(m)0(o)16.7(n)0(s)16.9(t)0(r)14.7(a)0(t)19.4(i)0(n)17.5(g)-309.8(t)11.8(h)0(e)-295.7(e)0(x)14(i)0(s)18.6(t)11.8(en)15.9(ce)-296.9(an)15.5(d)-309.4(u)0(s)18.3(e)-304.9(of)]TJ
T*
[(re)16.7(le)19(va)13.6(nt)-202.3(la)18.7(ws)16.3()56.9()-216.2(f)12.2(o)0(r)-208(s)0(c)17.1(o)11(re)-210.9(3)-211.3(a)0(n)15.5(d)-218.4()62.6()0(t)17.5(h)0(e)-204.7(c)0(o)13.4(u)0(n)17.1(t)11.8(ry)-208.8(ha)16.9(s)-212.9(l)0(e)19(g)0(i)12.8(s)0(l)20(a)0(t)19.5(i)0(o)14.9(n)0()70.4()-216.2(in)]TJ
0 -1.195 TD
[(sc)17.1(or)13.9(e)-236.7(4)-234.1(is)-226.1(si)18.6(mp)14.9(ly)-223.5(un)17.1(cl)13.4(e)13.7(a)0(r)16.3(.)-233.7(If)-229.6(a)-237(c)13.7(ou)14.5(nt)19.6(ry)-231.5(c)13.7(a)0(n)-229.2(d)0(e)17.3(m)0(o)16.7(n)0(s)16.9(t)0(r)14.7(a)13.4(te)-230.6(it)-223.3(ha)16.9(s)]TJ
0 -1.2007 TD
[(le)19(gi)12.8(sl)20(at)19.5(io)14.9(n,)-305.5(it)-303(ha)16.9(s)-315.3(l)0(e)19(g)0(i)12.8(s)0(l)20(a)0(t)19.4(i)0(o)14.9(n)0(,)-305.5(s)0(o)-304.3(i)0(t)-308.6(i)0(s)-305.7(h)0(a)16.9(r)0(d)-306.5(t)11.8(o)-313.4(d)0(e)11.6(c)13.7(ip)13.2(he)17.3(r)-315.7(a)-311(di)18.9(f-)]TJ
T*
[(fe)14.5(re)16.7(nc)15.9(e)-413.1(i)0(n)-409.3(o)11(rd)17.9(er)-404.4(to)-409.7(a)13.4(p)0(p)12.8(l)0(y)-405.6(t)11.8(he)-409.5(sc)17.1(o)11(r)0(e)16.7(.)-415.8(Ha)18.7(vi)15.5(ng)-404.4(le)19(gi)12.8(sl)20(at)19.4(io)14.9(n)-413.2(i)0(n)]TJ
T*
[(pl)14.5(a)13.4(c)0(e)-222.9(s)0(u)18.3(f)0()14.3(c)0(i)17.7(e)0(n)15.9(t)-221.5(fo)11.8(r)-224.7(I)0(H)19.7(R)-231.3(is)-220.4(t)11.8(h)0(e)-221.7(s)0(a)22.4(m)0(e)-225.2(a)13.4(s)-230(a)0(d)16.9(j)0(u)20.2(s)0(t)15.1(i)0(n)17.5(g)-224.5(an)15.5(d)-229.8(a)0(l)18.7(i)0(g)18.4(n)0(i)17.5(n)0(g)]TJ
T*
[(do)14.5(m)11.4(e)0(s)17.1(t)0(i)15.7(c)-202.5(le)19(gi)18.5(sl)20(at)13.8(io)20.6(n.)-191.7(Al)15.7(ig)18.4(ni)17.5(ng)-193.9(an)21.2(d)-201.3(a)0(d)16.9(j)0(u)14.5(s)0(t)20.8(i)0(n)17.5(g)-201.7(ar)16.3(e)-196.8(t)0(h)15.3(e)-202.5(t)11.8(a)0(s)16.7(k)0(s)-189.1(t)0(h)15.3(a)0(t)]TJ
T*
[(re)16.7(su)18.3(lt)-284.5(in)-284.1(le)19(gi)18.4(sl)20(at)13.8(io)20.6(n)-293.7(t)11.8(ha)16.9(t)-289.8(i)0(s)-283(s)0(u)18.3(f)0()14.3(c)0(i)17.7(e)0(n)15.9(t)11.8(.)]TJ
1.0015 -1.2007 TD
-.014 Tc
[(The)-347.4(c)-.3(omparison)-347.6(o)-3(f)-349(s).7(core)-14(s)-338.4(a)-.6(nd)-346.2(pr)-14(i)9.9(o)2.7(ri)-14(t)13.1(y)-350.9(actions)-346.4(a)-.6(l)-14(s)11.7(o)-350.1(r).3(aises)]TJ
-1.0015 -1.2007 TD
[(concerns.)-355.8(F)-2.2(or)-352.5(ind)-14(i)10.5(cator)-352.5(P)-2.6(1.)-14(1)13.3(,)-355.8(a)-353.5(s)-14(c)8.8(o)2.7(re)-358.8(of)-354.7(2)-356.2(m)-2.6(eans)-357.8(an)-353.3(ass)-14(e)8.8(ss-)]TJ
0 -1.195 TD
-.0139 Tc
[(ment)-298(has)-295.1(b)2.4(een)-296.3(carri)-13.9(e)9.5(d)-294.9(out)-298(a)-.5(nd)-294.9(gaps)-295.1(i)-13.9(d)10.6(entied,)-293.1(b)-13.9(u)11.6(t)-292.3(s)-13.9(o)-284.1(f)-1.7(ar)-295.5(no)]TJ
0 -1.2007 TD
0 Tc
[(f)12.2(u)14.9(r)14.3(t)11.8(h)14.9(e)13.7(r)-201.9(a)13.4(c)13.7(t)17.5(i)15.3(o)11(n)-197(h)0(a)22.6(s)-195.8(be)24.4(e)13.7(n)-197(t)11.8(a)13.4(k)18.1(e)13.7(n.)-186(S)11(o)11(,)-193.9(it)-189.1(i)15.3(s)-195.8(un)22.8(c)13.7(l)16.7(e)13.7(a)13.4(r)-201.9(w)13(h)14.9(y)-200.3(8)-194.2(o)11(f)-198.4(t)11.8(h)14.9(e)-202.5(1)16.3(9)]TJ
T*
-.0139 Tc
[(evaluations)-209.7(n)-.4(ote)-210.7(t)-2.1(hat)-212.7(i)1.4(t)-212.7(i)1.4(s)-215.4(a)-211.1(priority)-214.2(to)-213.5(conduct)-212.7(a)-216.8(revi)-13.9(e)9.5(w)4.8(.)-213.5(S)-2.9(ix)-212.9(of)]TJ
T*
-.0141 Tc
[(the)-284.9(r).2(eports)-283.9(note)-284.9(a)-279.6(s).6(core)-284.9(of)-280.8(3)-282.3(o)-3.1(r)-278.6(b)-14.1(e)10.3(t)3.4(ter)-284.3(f)3.8(or)-278.6(i)-14.1(n)9.1(dicator)-284.3(P)3(1)-14.1(.)13.2(1)-282.3(a)-.7(nd)]TJ
T*
-.0138 Tc
[(sh)-13.8(o)12.1(w)-365(th)-13.8(e)-349.3(s).9(ame)-364.3(p)1.1(riority)-356.4(a)-.4(ction:)-361.3(th)-13.8(e)-349.3(n)-.3(eed)-363.1(to)-361.3(review)-359.3(or)-358(as)-13.8(s)9.9(e)-.1(ss)]TJ
T*
-.0142 Tc
[(l)-14.2(e)10.5(gisl)-14.2(a)10.2(t)3.3(ion)-245.4(i)1.1(n)-245.4(1)2.1(4)-242.6(r).1(ep)-14.2(o)11.7(r).1(ts.)-242.2(C)-.1(omparing)-244.4(th)-14.2(e)-230.2(r).1(e)-14.2(s)8.6(ults)-244.2(indi)-14.2(c)9.2(a)-.8(tes)-244.2(t)-2.4(hat)]TJ
T*
-.0147 Tc
[(in)-319.8(6)-322.8(o)2(f)-321.2(t)2.8(he)-319.6(1)-14.7(9)-306.4(scores)-318.7(th)-14.7(e)8.3(r)-.4(e)-319.6(i).6(s)-318.7(a)-320(differ)-14.7(e)7.7(n)-1.2(ce)-319.6(betwe)-14.7(e)7.1(n)-314.1(P)-3.3(1.)-14.7(1)-306.1(a)-1.3(nd)]TJ
T*
-.0142 Tc
[(P1.)-14.2(2)13.1(:)-259.3(4)-265.4(scores)-261.3(are)-262.2(h).7(ig)-14.2(h)9.6(e)-.5(r)-261.6(a)-.8(nd)-261(2)-265.4(a)-.8(re)-262.2(lowe)-14.2(r)8.2(.)-259.3(Yet,)-259.3(in)-268.1(the)-262.2(c)-.5(ountry)]TJ
0 -1.195 TD
-.0136 Tc
[(rep)-13.6(o)12.3(rts)-311.9(s)1.1(coring)-312.1(3)-13.6(,)-299.3(meaning)-317.8(t)3.9(he)-312.8(country)-310.7(i)-13.6(s)-302.3(i)1.7(mplementing)-312.1(t)-1.8(he)]TJ
24.0027 65.999 TD
0 Tc
[(l)16.7(e)13.7(g)14.5(i)0(s)24.3(l)16.7(a)13.4(t)11.8(i)15.3(o)16.7(n,)-220.1(t)11.8(h)14.9(e)-231(p)0(r)23.6(i)15.3(o)11(r)14.3(i)15.3(t)17.5(y)-234.5(a)13.4(c)13.7(t)11.8(i)15.3(o)16.7(n)-236.8(i)15.3(s)-235.7(t)17.5(o)-233.7(i)15.3(m)11.4(p)14.9(le)24.7(m)17.1(e)13.7(nt)-219.4(t)11.8(h)14.9(e)-236.6(l)16.7(e)13.7(g)14.5(is)24.3(l)16.7(a)13.4(t)11.8(i)15.3(o)16.7(n)13.5(.)]TJ
0 -1.2007 TD
-.014 Tc
[(The)-301.9(s).7(cores)-300.9(a)5(n)-14(d)-292.8(priority)-305.4(actions)-300.9(d).9(o)-298.9(n)-.5(ot)-298.1(match)-300.7(u)-14(p)10.2(.)]TJ
1.0015 -1.2007 TD
0 Tc
[(With)-439.7(only)-437.9(2)-433.3(ind)-7.4(icators,)-441.1(the)-437.6(res)-8.4(ults)-437(of)-437.8(the)-437.6(JE)-7.2(E)-435.6(i)0(n)-437.8(the)]TJ
-1.0015 -1.2007 TD
[(realm)-300.4(of)-301.2(legislati)-10.1(on)-299.8(cannot)-304.3(begi)-8.4(n)-293.8(t)0(o)-301.6(illumin)-9.9(ate)-296.9(an)-7.2(y)-297.1(aspects)]TJ
T*
[(of)-346.7(legi)-8(slation)-353.1(relevan)-11.1(t)-346.7(t)0(o)-347.1(the)-352.2(18)-348.6(oth)-7.8(er)-347.5(areas)-351.6(that)-352.2(compr)-8.6(ise)]TJ
T*
[(the)-369.3(substa)-10.9(ntive)-372.2(publi)-7.2(c)-367.5(hea)-9.2(lth)-366.3(dim)-9.6(ensions)-375.7(of)-375.2(global)-372.4(healt)-9.2(h)]TJ
T*
[(securit)-9.6(y.)-308.8(Given)-316.8(that)-312.3(many)-315.7(of)-312.6(the)-312.4(technic)-11.3(al)-305.7(ar)-6.5(eas)-311(of)-312.6(GHSA)]TJ
0 -1.195 TD
[(operate)-362.4(during)-362(emergen)-13.1(cies)-357.9(and)-356.5(disast)-11.9(ers)-355.6(or)-355.9(require)-363.9(man-)]TJ
0 -1.2007 TD
[(dates)-369.7(an)-7.2(d)-366.3(auth)-7.6(ority)-369.8(to)-369.9(direct)-377.1(behavior)-373.1(of)-369.5(diff)-8(erent)-371(actor)-9.8(s,)]TJ
T*
[(the)-238.4(primary)-241.9(role)-234.5(of)-238.6(legislati)-10.1(on)-237.2(to)-233.3(per)-8.2(mit,)-235(prohi)-9.2(bit,)-235.8(or)-236.4(dene)]TJ
T*
[(behavior)-316.2(is)-311.4(ine)-8.6(scapable.)-316(The)-316.9(power)-314.3(to)-313(qua)-6.6(rantine)-319.8(or)-310.4(man-)]TJ
T*
[(date)-407.1(vacc)-10.2(inations)-415(before)-413.8(school)-413(atten)-9.8(dance)-408.7(ar)-6.5(e)-407.4(just)-408.5(2)-410.5(ex-)]TJ
T*
[(amples)-307.8(of)-301.2(the)-306.7(essential)-310.6(nature)-305.3(of)-301.2(law)-304.1(to)-301.6(healt)-9.2(h)-298.1(securi)-10(ty.)]TJ
1.0015 -1.2007 TD
-.0233 Tc
[(More)-3.9(over)-3.3(,)-427.7(t)-.1(he)-430.7(point)-426.9(o)-.9(f)-432.2(t)-.1(he)-425(J)-4.7(E)2(E)-430.5(i)-2.3(s)-429.7(t)-.1(o)-427.7(h)-2.7(elp)-429.5(a)-431(coun)-4.1(try)-428.5(t)-.1(o)]TJ
-1.0015 -1.2007 TD
-.0227 Tc
[(identify)-507.6(gaps)-514.4(and)-514.2(d)3.6(evelop)-514.2(a)-510.1(c)2.4(omprehensive)-509.7(national)-512.5(plan.)]TJ
0 -1.195 TD
-.023 Tc
[(During)-321.5(the)-316.6(J)1.3(EE)-322(t)5.9(ool)-319.3(revision)-322.4(process,)-319.3(it)-318.5(is)-321.3(im)-5.9(portant)-318.5(t).2(o)-319.3(k)-4.9(eep)]TJ
0 -1.2007 TD
[(in)-419.1(mind)-417.7(that)-420.8(to)-415.9()51.1()-.1(implement)51.1()-421.2(t).3(he)-418.9(IHR)-413.6(a)-3.9(nd)-417.7(GHSA)-416.5(agenda)]TJ
T*
-.0233 Tc
[(pa)-4.3(cka)-4.3(g)2.6(e)-3.9(s)-207.8(mea)-4.3(n)1.6(s)-207.8(t)-.1(ha)-4.3(t)-205(a)-203.4(wide)-203(set)-205(o)-.9(f)-210.3(a)1.4(c)-3.9(t)5.6(or)-3.3(s,)-200.1(in)-4.1(cluding)-208(g)-3.1(over)-3.3(nme)-3.9(n)1.6(t)]TJ
T*
-.0218 Tc
[(and)-228.8(p)-1.2(ri)4.9(vate)-230(se)3.3(ctor)-235.1(ac)3.3(tors)4.3(,)-232.7(m)-4.7(u)4.5(s)-1.4(t)-232(f)1.7(uncti)4.9(o).6(n,)-232.7(pe)3.3(rfor)3.9(m,)-232.7(or)-235.1(be)3.3(have)-235.7(in)]TJ
T*
-.0235 Tc
[(ce)-4.1(rtain)-260.3(w).8(ays)-259.2(e)1.6(ssen)-4.3(t)-.3(ia)-4.5(l)-257.2(t)5.4(o)-262.9(t)-.3(he)-260.2(ful)-4.3(llmen)-4.3(t)-256.4(o)-1.1(f)-256(t)-.3(he)-254.5(IHR)-254.8(o)-1.1(bligation)-4.3(s)]TJ
T*
-.0241 Tc
[(an)-4.9(d)-447.4(m)-1.3(ee)-4.7(t)-444.8(G)-2.5(HSA)-446.2(tar)-4.1(g)1.8(e)-4.7(t)-.9(s.)-451.3(This)-447.6(r)-4.1(e)1(quir)-4.1(es)-447.6(an)-448.7(or)-4.1(chestra)-5.1(t)-.9(ion)-448.7(o)-1.7(f)]TJ
T*
-.0211 Tc
[(many)-221.4(ac)4(tors)5(,)-226.3(s)5(uc)4(h)-228.1(a)3.6(s)-228.3(p)5.2(rovi)5.6(de)4(rs)-222.6(of)-225.2(he)4(al)7(thc)4(a)-2.1(r)4.6(e)-223.6(ser)4.6(v)1.9(ic)4(es)5(,)-226.3(t)2.1(h)5.2(o)1.3(se)-223.6(that)]TJ
T*
-.0219 Tc
[(perform)-408.8(t)1.3(raditional)-403.6(publ)6.2(i)-.9(c)-412.2(h)4.4(ea)]TJ
11.5291 0 TD
-.0228 Tc
[(lth)-406.2(a)-3.8(ctivit)6.1(ies)-406.4(o)-.4(f)-409(e)-3.4(pidem)-5.7(i)3.9(ology,)]TJ
-11.5291 -1.195 TD
-.0245 Tc
[(re)-5.1(por)-4.5(t)-1.3(in)-5.3(g)-4.3(,)-241.1(labora)-5.5(tory)-241.9(a)-5.5(n).4(d)-242.9(s)-4.1(ur)-4.5(vei)]TJ
11.5291 0 TD
-.0228 Tc
[(llance,)-245.1(health)-241.2(professionals,)-239.4(the)]TJ
-11.5291 -1.2007 TD
-.0238 Tc
[(medicine)-209.2(r)-3.8(e)1.3(gulator)-3.8(s)-208.3(an)-4.6(d)-208(m)-1(embe)-4.4(rs)-208.3(of)-210.8(tha)-4.8(t)-205.5(se)-4.4(ctor)-3.8(,)-206.3(p)-3.2(rovinc)-4.4(ia)-4.8(l)-206.3(a).9(n)-4.6(d)]TJ
T*
-.0242 Tc
[(ce)-4.8(ntr)-4.2(a).5(l)-269.3(g)1.7(ove)-4.8(r)1.5(n)-5(m)-1.4(en)-5(ts,)-269.3(l)-1.8(aw)-267.3(e)-4.8(n).7(for)-4.2(c)]TJ
11.6884 0 TD
-.0223 Tc
[(ement,)-261.7(the)-264.6(m).5(ilitary,)-261.7(and)-269.1(o).1(ther)]TJ
-11.6884 -1.2007 TD
-.0231 Tc
[(bran)-3.9(ches)-389.7(of)-386.5(gover)-3.1(n)1.8(me)-3.7(nt.)-387.7(U)-1.5(n)-3.9(d)3.2(e)-3.7(r)2.6(stan)-3.9(ding)-389.8(how)-385.7(l)-.7(egislation)-385.1(de)-3.7(-)]TJ
T*
.2132 Tc
[(s)239.3(c)232.6(r)238.9(i)234.2(b)235.2(e)238.3(sa)232.2(n)238.1(d).5(c)232.6(i)239.9(r)233.2(c)238.3(u)233.8(m)236(s)233.6(c)238.3(r)233.2(i)239.9(b)235.2(e)232.6(st)236.4(h)239.5(e)232.6(s)233.6(e)-.7(r)238.9(e)232.6(l)241.3(a)232.2(t)236.4(i)239.9(o)235.6(n)232.4(s)239.3(h)233.8(i)234.2(p)239.5(sa)232.2(n)238.1(d).5(t)236.4(h)233.8(ea)237.9(u)233.8(t)236.4(h)233.8(o)241.3(r)233.2(i)234.2(t)236.4(y)240.5(,)]TJ
T*
-.0226 Tc
[(limits,)-244.9(a)2.1(nd)-246.7(responsibility)-245.7(of)-249.4(each)]TJ
12.0697 0 TD
[(is)-246.9(critical)-250.6(to)-244.9(the)-247.9(s)3.5(uccess)-246.9(of)-249.4(the)]TJ
-12.0697 -1.2007 TD
-.0212 Tc
[(GHSA)-221.3(go)6.9(als)4.9(,)-220.8(an)3.7(d)-222.5(i)-.2(f)-225.3(t)2(h)5.1(e)-1.8(r)4.5(e)-223.7(is)-222.7(to)-220.8(be)-223.7(a)3.5(n)-2(y)-221.5(v)1.8(a)3.5(l)1.2(ue)-218(in)-223.9(doi)5.5(n)-2(g)-222.9(a)-224.1(J)3.1(E)4.1(E,)-220.8(the)]TJ
T*
-.0225 Tc
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T*
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T*
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T*
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T*
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T*
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T*
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T*
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T*
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[(to)-392.6(me)-9(an)-394.2(that)-397.7(the)-392(only)-398.1(so)-8.4(lution)-394.8(to)-398.3(legislati)-10.1(ve)-395.8(gaps)-397.7(is)-396.8(new)]TJ
0 -1.195 TD
[(laws,)-295.5(and)-293.9(that)-295.3(means)-297.4(going)-295.3(to)-295.9(parliam)-8.7(enta)-296.2(discouragi)-11.5(ng)]TJ
0 -1.2007 TD
[(prospec)-10.7(t,)-478(given)-477.6(the)-483.1(challenge)-11.3(s)-474.7(that)-477.4(accom)-10.7(pany)-477.2(a)-476(parlia)-8.8(-)]TJ
T*
[(mentary)-566(process.)-563.3(This)-556.7(mi)-7.4(sunderstan)-14.1(ding)-556.3(also)-558.8(pre)-8.2(cludes)]TJ
T*
[(conside)-11.1(ration)-569.4(of)-568.7(oth)-7.8(er)-569.4(forms)-568(of)-568.7(lega)-10(l)-563.7(instrum)-12.1(ents)-566.5(an)-7.2(d)]TJ
T*
[(sources)-289.8(of)-278.4(law)-281.3(that)-283.9(are)-282.9(not)-282.3(obvious.)-286.8(An)-283.3(examp)-9(le)-276.9(is)-283(the)-283.9(way)]TJ
T*
[(some)-387.3(countrie)-11.1(s)-377.9(manage)-392.4(the)-380.6(coord)-9(ination)-384.2(of)-386.6(differing)-391.8(po-)]TJ
T*
[(litical)-204.4(enti)-8.2(ties,)-206.6(such)-209.2(as)-199.6(in)-204.5(dec)-8.8(entralized)-208.9(systems)-11.1(,)-199.6(o)0(r)-208(those)-207(that)]TJ
T*
[(have)-248()51.2(rule)-8.6(s)-241.4(o)0(f)-244.3(busin)-10.6(ess)48.9()-244.7(o)0(r)-247.8(a)-242.7(system)-247.8(to)-244.7(manage)-255.8(which)-246.8(ofce)]TJ
0 -1.195 TD
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0 -1.2007 TD
[(horiz)-7.6(on)-521.8(of)-517.4(th)-7.4(e)-515.5(hea)-9.2(lth)-520(sector,)-524.3(ar)-6.5(e)-515.5(esse)-11.4(ntial)-521.1(to)-523.5(IHR)-524.7(im-)]TJ
T*
[(pleme)-9.2(ntation.)-274.2(Clarifyin)-11.5(g)-270(the)-266.8(mean)-10.6(ing)-269.6(of)-267.1(these)-278.2(terms)-269.8(at)-270.8(the)]TJ
T*
[(outset)-309(of)-301.2(a)-299.6(JEE)-306.3(would)-305.1(avoid)-303.7(th)-7.4(eir)-298.1(bein)-9.4(g)-298.5(m)0(i)-7.4(sunderstoo)-13.3(d.)]TJ
1.0015 -1.2007 TD
[(Plaguing)-323.9(th)-7.4(e)-316.3(proc)-8.6(ess)-321(of)-318.3(IHR)-325.5(legislati)-10.1(ve)-316.1(im)-7.4(plementa)-10.3(tion)]TJ
-1.0015 -1.2007 TD
[(is)-277.3(the)-278.2(funda)-10.7(mental)-283.7(capacity)-280.5(gap)-281.6(in)-278.4(the)-278.2(realm)-283.3(of)-278.4(legislati)-10.1(on;)]TJ
T*
[(there)-398.1(are)-396.7(few)-399.3(if)-393.6(any)-395.4(lawy)-9.4(ers)-395.4(dedicat)-10.3(ed)-392.4(to)-398.3(the)-392(mi)-7.4(nistry)-398.1(of)]TJ
T*
[(health.)-341.7(In)-336.3(4)-336.5(rep)-8.2(orts)-340.8(at)-333.4(least)-9.4(,)-330.4(t)0(h)-7.4(e)-333.4(lack)-342.2(of)-335.3(legal)-340.4(ca)-7.1(pacity)-341.8(was)]TJ
0 -1.195 TD
[(identi)-10(ed)-204.7(as)-210.9(a)-202.9(bar)-7.2(rier)-204.1(to)-210.5(IHR)-206(im)-7.4(plementa)-10.3(tion)-210.1(and)-208.6(a)-202.9(prior)-9.8(ity)]TJ
0 -1.2007 TD
[(x.)-242.7(The)-242.9(internation)-12.1(al)-237.4(com)-9.4(munity)-241.5(should)-248.6(addre)-8.4(ss)-238(this)-244.9(need.)]TJ
T*
[(In)-342(some)-341.8(cases,)-345.5(the)-340.8(health)-341.4(team)-342.4(has)-338.3(neve)-10(r)-332.8(spok)-9.6(en)-336.9(with)-343.3(the)]TJ
T*
[(legal)-220.9(ofce)-9.8(r)-213.3(ass)-8.4(igned)-223.9(to)-216.2(health.)-222.2(Thi)-8(s)-212.9(i)0(s)-220.4(ofte)-8.2(n)-214.1(reve)-9.2(aled)-220.1(during)]TJ
T*
[(works)-8.6(hops)-302.9(and)-305.3(count)-9(ry)-299.8(tech)-8.4(nical)-302.9(assista)-10.2(nce)-306.1(activities)-11.3(,)-296.3(such)]TJ
T*
[(as)-404.4(in)-409.3(one)-405.6(count)-9(ry)-402.2(when)-411.4(the)-403.4(top)-7.8(ic)-403.4(of)-403.6(data)-407.5(con)-10.8(dential)-8.8(ity)]TJ
T*
[(arose.)-217.8(It)-218.6(had)-212.9(bee)-7.4(n)-214.1(a)-208.6(bar)-7.2(rier)-215.4(to)-216.2(building)-219.9(an)-217.8(integrated)-221.5(huma)-8(n)]TJ
T*
[(and)-356.5(anim)-9(al)-351.2(health)-358.4(data)-356.3(surve)-10.4(illance)-357.9(system,)-362(but,)-361.4(once)-357.7(the)]TJ
0 -1.195 TD
[(legal)-329(advisor)-325.9(was)-323.1(cons)-9.6(ulted)-7.6(,)-319.1(i)0(t)-320(was)-328.8(clear)-326.5(that)-323.7(there)-329.8(was)-323.2(ex-)]TJ
0 -1.2007 TD
[(isting)-449.7(specic)-446.6(law)-446.4(on)-442.1(point)-445.6(that)-443.2(res)-8.4(olved)-444.2(the)-443.2(issue.)-444.8(The)]TJ
T*
[(urgency)-274.9(of)-267.1(globa)-7.8(l)-262.1(hea)-9.2(lth)-263.9(securi)-10(ty)-268.2(demand)-9.1(s)-264.1(that)-272.5(all)-266.2(tools)-270.6(are)]TJ
T*
[(on)-214.5(han)-9.4(d;)-213.1(it)-217.6(is)-214.7(urgent)-224.4(that)-215.6(wor)-7.2(king)-217.4(relation)-9.7(ships)-221.3(betwee)-8.8(n)-214.1(the)]TJ
T*
[(legal)-312(an)-7.2(d)-309.4(publi)-7.2(c)-310.6(health)-312.9(com)-9.4(munities)-316.1(ar)-6.5(e)-310.6(developed)-11.3(.)-307.7(There)]TJ
T*
[(is)-300(oppo)-10.7(rtunity)-306.4(in)-301.2(the)-306.7(JEE)-300.6(proc)-8.6(ess)-304(to)-301.6(bridge)-309.2(this)-301.8(gap.)]TJ
1.0015 -1.2007 TD
-.0207 Tc
[(Legi)-5.4(slati)-5.4(o)1.7(n)-291.7(d)-5.8(oes)-296.2(n)-1.5(ot)-293.4(stand)-290.3(b)-4.4(y)-289.3(i)-5.4(tsel)-4(f,)-294.2(no)-4(r)-290.9(d)-.1(o)-4(e)-1.3(s)-290.5(i).3(t)-293.4(i).3(m)-3.6(p)-.1(l)-4(e)-1.3(ment)]TJ
-1.0015 -1.2007 TD
-.0198 Tc
[(or)-290(enforce)-290.6(i)1.2(tself.)-293.3(It)-286.9(operates)-289.6(by)-288.4(rst)-292.5(and)-289.4(f)-1.9(oremost)-292.5(e)-.4(sta)4.9(b)-3.5(lishing)]TJ
0 -1.195 TD
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23.997 65.999 TD
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[(IHR)-291(r).2(esponsibiliti)-4.5(e)-.4(s.)-287.6(The)-290.6(t)3.4(ool)-287.6(d).8(oes)-289.6(n)-.6(ot)-286.9(map)-289.4(t)3.4(h)-4.9(i)1.2(s)-289.6(f)3.7(oundati)-4.5(o)2.6(n.)]TJ
0 -1.2007 TD
-.0194 Tc
[(Not)-320.6(k)-1.3(nowing)-329.2(which)-323.1(o)3(fce)-324.3(does)-323.4(wha)5.3(t)-326.3(can)-324.5(l)3(ead)-323.2(t)3.8(o)-327.1(m)3.4(isleading)]TJ
T*
-.02 Tc
[(results.)-361.8(In)-370.7(the)-370.5(h).6(ealth)-369.3(s).4(ector,)-367.5(t)3.2(here)-364.8(are)-364.8(s)-5.3(everal)-367.5(a)4.7(r)0(eas)-369.5(i)1(n)-365(w)-1.3(hich)]TJ
T*
-.0192 Tc
[(some)-341.2(functions)-345.9(a)-.2(re)-341.2(mana)5.5(ged)-340(b)2.8(y)-344.7(m)-2.1(ore)-346.9(t)4(han)-347.1(o)3.2(ne)-341.2(ofce)-341.2(o)-2.5(r,)-338.3(in)]TJ
T*
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[(some)-318.6(countries,)-315.7(not)-314.9(a)-.4(t)-320.6(a)-.4(ll)-315.7(or)-318(even)-324.5(by)-316.5(a)-319(n)-.2(ongovernmental)-321.4(or-)]TJ
T*
-.021 Tc
[(g)-6.5(a)-2(nizati)-5.7(on.)-243.3(A)-4.9(n)-246.5(e)-1.6(xam)-3.9(p)-.4(le)-246.3(i)-5.7(s)-245.3(report)]TJ
11.9274 0 TD
-.0206 Tc
[(ing.)-248.6(Med)-5.7(i).4(cal)-242.9(p)0(rofess)-5.9(ionals)-250.6(are)]TJ
-11.9274 -1.2007 TD
-.0194 Tc
[(n)-5.9(a)5.3(tural)-230.3(r).6(eporters,)-230.3(g).8(iven)-233.5(their)-232.7(e)0(xposure)-233.3(t)-1.9(o)-230.3(p)1.2(atients,)-230.3(but)-235.2(i)1.6(n)-233.5(s)1(ome)]TJ
0 -1.195 TD
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[(countries)-301.3(t)3.1(hey)-300.1(a)-1.1(re)-302.3(not)-298.5(m)-3(andated)-301.1(t)-2.6(o)-299.3(r)-.1(eport;)-299.3(th)-5.2(us,)-299.3(a)-297(s)-5.4(i).9(gnicant)]TJ
0 -1.2007 TD
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[(s)-5(u).9(rveillance)-330.3(s).7(ource)-330.3(i)1.3(s)-335(n)-.5(ot)-332.3(available.)-333.1(Medical)-327.4(p).9(rofessional)-327.4(reg-)]TJ
T*
[(ulation)-239.5(i)1.3(s)-232.6(o)-3(ften)-239.5(governed)-238.1(by)-237.1(an)-233.8(act)-235.5(s).7(uch)-238.1(a)-.7(s)-238.3(t)3.5(he)-239.3(nursing)-232.8(c)-.3(ouncil)]TJ
T*
-.0203 Tc
[(act)-219.1(t)2.9(hat)-213.4(p)-5.4(rovides)-216.1(a)-1.3(uthority)-214.9(to)-219.9(imp)-5.4(o)2.1(se)-217.1(obligation)-6.8(s)-210.5(t)-2.8(o)-214.2(r)-.3(eport,)-214.2(but)]TJ
T*
-.0197 Tc
[(u)-4.8(n)-.5(less)-249.7(the)-250.7(c)-.3(ouncils)-255.4(t)3.5(ake)-250.7(t)3.5(his)-255.4(a)-.7(ction,)-247.7(reporting)-255.6(i)1.3(s)-249.7(n)-.5(ot)-246.9(mandated)]TJ
T*
[(and)-488.4(s).8(urveillance)-489.6(i)1.4(s)-488.6(i)1.4(mpeded.)-486.6(M)-2.7(apping)-488.8(the)-489.6(a)-.6(ctors)-482.9(a)-.6(nd)-488.4(au-)]TJ
T*
-.0199 Tc
[(thoritie)-6.2(s)-397.8(i)1.1(s)-397.8(a)-.9(n)-399(e)-.5(ssential)-395.9(s)-5.2(tep)-397.6(t)-2.4(o)-395.9(d)-5(etermining)-398(the)-398.8(s).5(i)-4.6(t)3.3(us)-397.8(of)-400.4(the)]TJ
T*
-.0193 Tc
[(legisla)5.4(t)-1.8(ion.)-275.8(Even)-278.9(more)-273(fundamental)-275.8(i)1.7(s)-277.7(w)-.6(hether)-272.4(or)-272.4(not)-275(t)3.9(here)-273(is)]TJ
0 -1.195 TD
-.0196 Tc
[(an)-307.7(a)5.1(p)-4.7(propria)5.1(t)-2.1(e)-301.8(m)-2.5(inistry)-299.6(t)-2.1(o)-304.5(r).4(egulate)-301.8(a)-.6(t)-298(a)-.6(ll.)-304.5(F)3.6(or)-301.2(example,)-298.8(some)]TJ
0 -1.2007 TD
-.0199 Tc
[(countries)-352.3(h).7(ave)-353.3(n)-.7(o)-350.3(f)-2(unctioning)-352.5(medicines)-352.3(r).1(egula)4.8(t)-2.4(or;)-350.3(h)-5(ow)-354.1(ca)4.8(n)]TJ
T*
[(these)-307.8(c)-.5(ountries)-306.8(be)-307.8(expected)-306.6(to)-304.8(control)-304.8(A)-3.8(MR)-308.2(or)-307.2(va)4.8(ccina)4.8(te)-307.8(cit-)]TJ
T*
-.0173 Tc
[(iz)4.9(ens)3.1(?)]TJ
7.4718 0 0 6.641 333.7511 514.0345 Tm
-.022 Tc
(13)Tj
9.9626 0 0 9.9626 343.0487 509.6125 Tm
-.0199 Tc
[(Thus,)-219.5(w)-1.2(hen)-222.6(t)-2.4(he)-222.4(JEE)-222.2(p).7(roces)-5.2(s)-221.4(d).7(oes)-221.4(n)-.7(ot)-218.7(include)-222.4(a)-222.8(s).5(tep)-221.2(t)-2.4(o)]TJ
-3.0103 -1.2007 TD
-.0197 Tc
[(map)-221(t)3.5(he)-222.2(system,)-219.3(t)-2.2(he)-216.5(process)-221.2(i)1.3(s)-215.5(s).7(hortchanged)-215.3(a)-.7(nd)-221(the)-216.5(r).3(esults)-221.2(a)5(r).3(e)]TJ
T*
-.0181 Tc
[(inco)4.3(mp)2.5(l)4.3(e)1.3(te.)]TJ
/F7 1 Tf
13.9476 0 0 13.9476 313.0582 451.8424 Tm
0 Tc
[(Simple)-334.8(Fixes)]TJ
/F3 1 Tf
9.9626 0 0 9.9626 313.0582 436.8755 Tm
[(Fort)14.8(unat)13.8(ely)12.2(,)-592.2(sim)13(ple)-586.3(sol)14(uti)13.6(ons)-586.7(are)-584.5(ava)15.5(ila)11.2(ble)-584.9(and)-584.1(can)-579.6(be)]TJ
T*
[(ado)10.8(pted)-280.4(eve)10.6(n)-288.1(i)0(f)-285.5(n)0(o)-282.7(chan)10(ge)11.2(s)-292.6(are)-277.2(made)-282.3(to)-284.5(the)-278.2(JEE)-283.5(too)11(l)-284.9(itse)15.7(lf.)]TJ
T*
[(A)-353.8(sim)13(ple)-341.6(ori)12.2(ent)10.6(ati)12(on)-351(at)-344.7(the)-340.8(outs)12.6(et)-344.4(of)-346.7(the)-340.8(JEE)-340.4(can)-346.3(sta)11.4(rt)-343.8(by)]TJ
T*
[(maki)12.6(ng)-313.4(cle)10(ar)-308.1(to)-313(JEE)-306.3(tea)10.4(m)-313(memb)13(ers)-310(tha)11.6(t)-312.6()51.2(ad)11.2(equ)10.8(ate)-308.3(leg)16.5(isla)14.5(-)]TJ
0 -1.195 TD
[(tion)11.8()56.9()-221.9(ref)11.8(ers)-219(to)-216.2(a)-220(gro)11.4(up)-220.5(of)-215.8(leg)10.8(al)-214.7(ins)9.4(tru)12.6(men)10.2(ts,)-212.9(what)-214.4(the)12(y)-223.1(mig)12.8(ht)]TJ
0 -1.2007 TD
[(be)-368.3(in)-369.5(the)-363.6(nat)10.2(ion)11.4(al)-368.3(leg)10.8(al)-362.6(and)-367.9(pol)14.2(itic)16.3(al)-368.3(sys)11.2(tem,)-361.8(and)-362.2(tha)11.6(t)-375.2(t)0(o)11.4(-)]TJ
T*
[(geth)9.4(er)-284.9(the)12(se)-284.5(pro)11.8(vide)-280.2(the)-283.9(leg)10.8(al)-282.9(aut)11.6(hor)11.8(ity)-281.4(to)-284.5(a)-293.9(gov)14.3(ernm)13.2(ent)-285.3(to)]TJ
T*
[(meet)-285.1(its)-288.2(IHR)-285.7(obli)13.8(ga)10.8(tion)11.8(s.)-287.3(This)-283.5(appr)17.7(oach)-282.7(con)9.8(text)14.8(ual)10.8(ize)11.4(s)-292.6(the)]TJ
T*
[(den)10.2(iti)13.9(on)-203.1(to)-204.8(each)-200.3(cou)11.2(ntr)11.2(y,)-200.7(rat)11(her)-201.7(tha)11.6(n)-208.4(giv)13(ing)-201.3(the)-198.6(impr)16.1(ess)9(ion)]TJ
T*
[(ther)14.9(e)-299.2(i)0(s)-294.3(som)14.3(e)-299.2(prec)16.9(ise)-292(form)14.8(ula)10.8(.)]TJ
1.0015 -1.2007 TD
[(T)-9.8(o)-307.7(a)-9.4(d)0(d)-10(r)-8.4(es)-11.4(s)-309.7(t)0(h)-13.1(e)-310.6(l)-6.1(a)-9.4(ck)-315.3(of)-318.3(sp)-10.2(e)-9(c)0(i)-10.8()-9.2(ci)-10.8(ty)-313.7(o)-11.8(f)-306.5(th)-13.1(e)-310.6(i)-7.5(n)-9.2(d)0(i)-9.6(c)-9(at)-9(or)-14.5(s)-309.7(w)0(i)-11.6(t)0(h)]TJ
-1.0015 -1.2007 TD
[(r)-8.4(e)-9(ga)-12(rd)-334.9(to)-330(th)-13.1(e)-327.7(o)0(t)-11.4(h)-7.8(e)-9(r)-327.1(1)-6.5(8)-325.1(a)-9.4(r)0(e)-11.8(a)0(s)-336.1(i)0(n)-329.7(t)-11(he)-329.8(t)-11(o)0(o)-12.1(l)-6.1(,)-324.7(a)-328.1(s)-8(i)0(m)-13.1(p)-7.8(le)-333.8(x)-333.4(i)-7.5(s)-326.7(to)]TJ
0 -1.195 TD
[(a)-9.4(d)-7.8(d)-246.8(a)-248.4(l)-6.1(e)0(g)-11.6(i)-7.5(s)-8.1(l)0(a)-9.8(t)0(i)-12.7(o)0(n)-254.3(q)-6.5(ue)-11.2(r)-8.4(y)-245.9(fo)-11(r)-247.4(e)-9(ac)-12.7(h)-246.8(o)0(t)-11.4(h)-7.8(e)-9(r)-247.4(te)-8.6(c)-9(h)-7.8(ni)-11(c)-9(a)0(l)-248.8(a)-9.4(re)-11.8(a)-248.4(d)-7.8(ur)-10.6(i)-7.5(n)0(g)]TJ
0 -1.2007 TD
[(t)-11(h)0(e)-233.1(e)-9(va)-14.9(lu)-8.2(a)-9.4(t)0(i)-7.1(o)0(n)-242.9(p)0(r)-10.6(o)0(c)-15.1(e)0(s)-11.4(s)-8.1(.)-228(L)0(e)-14.7(g)-8.2(is)-9.8(l)-6.1(a)0(t)-9(i)-7.5(on)-237.2(i)-7.5(s)-230(i)-7.5(n)-9.2(tr)-8(i)-7.5(c)-9(at)-9(e)-9(l)-6.1(y)-228.8(w)-9.8(ov)-11.6(en)-240.2(in)-11(to)]TJ
T*
[(a)-9.4(l)-6.1(l)-262.1(t)0(h)-13.1(e)-259.4(e)-9(l)-6.1(em)-14.7(en)-12.6(ts)-269.4(of)-267.1(th)-13.1(e)-265.1(J)0(E)-12.9(E)0(,)-265.3(f)-10.6(or)-8.8(ms)-269.8(th)-13.1(e)-265.1(e)0(x)-8.8(o)-11.8(sk)-12.7(el)-9.4(e)-9(t)0(o)-11.4(n)-259.6(o)-11.8(f)-261(IH)-14.5(R,)]TJ
T*
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1.0015 -1.2007 TD
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[(is)-271.6(to)-273.1(map)-273.3(the)-272.5(gover)-8.8(nment.)-272.1(Thi)-8(s)-269.8(mapping)-277.6(woul)-7(d)-269.6(aid)-269.4(all)-271.9(the)]TJ
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24.0027 19.1999 TD
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T*
[(law)-207.4(and)-208.6(health)-210.5(an)-7.2(d)-201.3(sec)-9(urity)-206.6(is)-209(now)-207.2(unav)-9.2(oidable,)-212(the)-209.9(revision)]TJ
T*
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[(process)-312.6(around)-304.9(law)-304.1(and)-305.3(legislati)-10.1(on,)-300.2(too.)]TJ
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12.9515 0 0 12.9515 73.9842 227.622 Tm
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T*
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T*
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T*
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T*
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T*
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T*
[(coun)-9.4(tries.)-437(But)-433.4(with)-434.4(scores)-435.6(that)-431.8(ar)-6.5(e)-430.1(unreliable)-443.2(for)-429.1(all)-431.3(the)]TJ
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[(This)-384.2(article)-385.2(r)2.4(eviews)-384.2(scores)-378.5(from)-381.8(the)-385.2(1)-1.3(9)-382.6(r)2.4(eports)-384.2(avail)4.7(-)]TJ
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[(m)-6.7(a).9(tch)-327.6(r)1.9(eported)-327.6(p)-3.2(riorities)-327.8(r)]TJ
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[(enders)-327.6(the)-328.6(r)2.1(esults)-327.6(of)-324.4(the)-322.9(J)-5(EEs)]TJ
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T*
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T*
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[(J)-6.3(E).4(E)-403.6(w)-.6(a)-5.9(s)-402.9(not)-405.8(c).2(re)-5.5(ated)-402.7(to)-406.6(be)-409.5(an)-404(en)-5.7(d)-402.7(i)1.8(n)-409.7(i)1.8(tse)-5.5(l)3.1(f)-405.4(b)-2.9(ut,)-406.6(r).8(athe)-5.5(r,)]TJ
T*
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[(quire)-305.2(c)2.1(hange.)]TJ
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[(For)-355.5(the)-352.2(full)-349.2(value)-356.5(of)-352.4(the)-352.2(JEE)-351.8(proc)-8.6(ess)-349.5(to)-352.8(be)-351.2(realize)-10.2(d,)-349.7(an)]TJ
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T*
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T*
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T*
[(gra)-9(tion)-562.9(of)-568.7(the)-568.4(existing)-572.3(IHR)-564.5(legi)-8(slative)-568.6(impleme)-10.9(ntation)]TJ
T*
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(16)Tj
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(17)Tj
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