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00000 n 0000171345 00000 n 0000171259 00000 n 0000171165 00000 n 0000171043 00000 n 0000170921 00000 n 0000170835 00000 n 0000170749 00000 n 0000170663 00000 n 0000170573 00000 n trailer <]>> startxref 179624 %%EOF 1 0 obj <>/Metadata 2 0 R/OpenAction 537 0 R/Pages 3 0 R/StructTreeRoot 5 0 R/Type/Catalog/ViewerPreferences<>>> endobj 2 0 obj <>stream 2023-04-26T13:52:33-04:00 2023-04-26T13:43:59-04:00 2023-04-26T13:52:33-04:00 Adobe InDesign 18.2 (Windows) application/pdf Rapid Analysis of Drugs: A Pilot Surveillance System To Detect Changes in the Illicit Drug Supply To Guide Timely Harm Reduction Responses � Eight Syringe Services Programs, Maryland, November 2021–August 2022 This report describes findings from an analysis of drug paraphernalia collected from syringe service programs during 2021�2022. 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