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In Foya Lofa, near the Guinean border, MSF is building a health center to manage cases. In this area, already four cases have been confirmed, and all of algosenac have died. It is also necessary to organize training for health personnel, set up the alert system and triage patients. Surgery is usually performed when hemorrhoids cause a lot of discomfort, bleed a lot, or remain permanently outside the anal canal and, urgently, if they become thrombosed. Median survival from birth in the MS population was 75. 9 years versus 83. 4 years in the control population. The disease was associated with a 2-fold increased risk of death adjusted hazard ratio, 2. Algosenac 95 confidence interval, 2. 24 to 2. Several comorbidities were associated with an increased risk of death in both populations, including diabetes, ischemic heart disease, depression, anxiety, and chronic lung disease.

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