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00000 n 0000351331 00000 n 0000362605 00000 n 0000362633 00000 n 0000367767 00000 n 0000367233 00000 n 0000368172 00000 n 0000368522 00000 n 0000368940 00000 n 0000373067 00000 n trailer <]>> startxref 379856 %%EOF 1 0 obj <>/Metadata 2 0 R/OpenAction 1787 0 R/Pages 3 0 R/StructTreeRoot 6 0 R/Type/Catalog/ViewerPreferences<>>> endobj 2 0 obj <>stream 2024-05-22T11:42:19-04:00 2024-05-22T11:34:06-04:00 2024-05-22T11:42:19-04:00 Adobe InDesign 19.4 (Windows) application/pdf Vital Signs: Drowning Death Rates and Self-Reported Swimming Skill, Lesson Participation, and Recreational Water Exposure — United States, 2019–2023 This report describes drowning death rates before and after the COVID-19 pandemic. 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