The agencies acknowledged their concerns regarding the potential cancer cluster, but are not conducting any testing aside from radiation and radon that the Township undertook, even though the school remains open. Making Strides Against Breast Cancer Walks, ACS Center for Diversity in Research Training, Lifetime Risk of Developing or Dying From Cancer, How to Interpret News About Cancer Causes, Cancer Warning Labels Based on California's Proposition 65, https://www.cancer.gov/about-cancer/causes-prevention/risk/substances/cancer-clusters-fact-sheet. Added to this, some people will have moved into the community, while others may have moved away. 2023 American Cancer Society, Inc. All rights reserved. Our goal is to continue moving students through the college application process and to help students reach important scholarship deadlines. Whether you or someone you love has cancer, knowing what to expect can help you cope. There are several cases of a rare type of cancer. @tempe_high_counseling, College Knowing and Going partnership - student ambassadors serve as college-going role models and help with the marketing of student events (creating posters, posting on social media). More than 80 people with a cancer diagnosis could be tied to a suspected cancer cluster at the High School. We can also help you find other free or low-cost resources available. The type(s) and number of cancers involved, Any suspected exposure(s) that might cause cancer, The area and time period in which the cases occurred, Specific information about each person thought to be affected, Specific information about the cancers themselves, Cancer cases within family members who are blood relatives (especially cancers known to be strongly genetically linked), Different types of cancers that are not known to be related to one another, A few cases of very common cancers, particularly when the people affected are of the usual age and sex for those cancers, Cancers among people who didnt live in the same area at the time an exposure would have to had taken place to cause that cancer. Possible cancer clusters tend to get a lot of attention in the news and other forms of media. RELATED: Colonia cancer cluster testers to use spring break week to finish data collection Sometimes a true cancer cluster can be confirmed, and its cause is identified. Massimino said he hopes this news gives Colonia students, families, staff members and the community an opportunity to breathe easier. After the results of her own study were released, Komorek decided to transfer her daughters out of their high school and the school said they have sent Komorek's study results to state health and environmental agencies. All rights reserved. In 1999, at age 27, he was diagnosed with a large, benign brain tumor. Despite the number of cases, officials first have to find if there is indeed a connection between the school grounds and the brain tumors. An alum of Colonia High School in Woodbridge is raising the alarm over a possible cancer cluster among the school's graduates. Whether you want to learn about treatment options, get advice on coping with side effects, or have questions about health insurance, were here to help. Support our nonprofit newsroom. If you or a loved one graduated from Colonia High School and developed cancer, we can help. Jon Hurdle, a freelance writer who regularly reports on water and other environmental issues, is part of the NJ Spotlight COVID-19 reporting team. The situation first came to light after Colonia High School alumnus Al Lupiano identified at least 104 former students and staff who suffered from rare brain tumors and cancer. If theres a hundred, theres probably a heck of a lot more.. Frequently, in hazmat, you never find it in the first shot," Lupiano said. A New Jersey mom is pushing for more testing at her kids' former school. Kamal said there is no need for people to get screened for brain tumors unless they are experiencing unusual symptoms such as new headaches, vision problems or issues with balance. Collections of cancers that dont meet all parts of this definition are much less likely to be true cancer clusters. "Every inch of Colonia High School from buildings to fields is being tested for radiation to determine if there is a link between the school and the number of cancer cases . The City of Woodbridge, NJ is investigating, with Mayor John McCormac telling NBC4 that One hundred out of 15,000 have brain cancersure sounds like something we should be concerned about.. Receive breaking news and original analysis - sent right to your inbox. Think about how hard it would be to test for everything youve been exposed to, even if you knew where to start. Gillicks son Michael, now 43, was diagnosed with neuroblastoma, a cancer of the nervous system, when he was 3 months old, and now has health problems including a massive tumor in his thoracic cavity that pushes on his spine and prevents him from sitting for long, his mother said. 2012. Well over a million new cancers are diagnosed every year in the United States alone, and nearly 4 out of 10 people in the United States will develop cancer during their lifetimes. If you dont know who to call in your area, the CDC has a list of web links to local and state contacts at .cdc.gov/nceh/clusters/statelocal.htm. WOODBRIDGE TWP., NJ - Testing began Today at Colonia High School. to invite to events, remind of timeline, etc. Find Us . To see if there is a greater number of cancers than expected, the number of cases seen needs to be compared to what would typically be seen in a similar group of people such as a group with the same age, gender, and ethnicity. These factors need to be taken into account when determining if there are more than the expected number of cancers in a group of people. And again, its not easy to study people and their environments. Investigators are looking at whether contaminated soil from the nearby Middlesex Sampling Plant, which was used under the direction of the Manhattan Project, to crush, dry, store package and ship uranium ore for the development of the atomic bomb, somehow ended up at the school grounds., Adding to suspicions that the students were exposed to radiation on the property, a grapefruit-sized radioactive rock was inadvertently found in the closet of one of the science rooms in 1997., Studies have shown that cancers associated with radiation exposure include:, Our firm is currently accepting COLONIA HIGH SCHOOL graduates who have been diagnosed with cancer on an investigatory basis as we explore what may have led to the unusually high number of cancer cases among the high schools students and staff.. Below are some of the resources we provide. A New Jersey mom is on a mission to uncover more information that could shed light on a possible cancer cluster at her children's high school. The Jacob Fuchsberg Law Firm is investigating a potential cancer cluster at Colonia High School in Woodbridge, NJ which may be linked to students and staff exposure to radiation on the school grounds over the past five decades.. The information presented on this website is not intended as specific medical advice and is not a substitute for professional medical treatment or diagnosis. State, federal health agencies wait for Woodbridge radiation tests, Case count rises in Colonia High School cancer mystery. They really are very lax when it comes to reporting data and investigating it, and its left up to the individuals to find out about it, and its continuing today.. 2023 NewsmaxHealth. Because of the fact that schools are considered sensitive receptors, due to childrens susceptibility to the adverse effects of exposure to toxins chemicals, the investigation of the Colonia High School cancer cluster must be of utmost importance. Just how big should the bulls eye be? She declined to say how much money her family received. Jon can be contacted by email at jonhurdle@gmail.com. I think the story has gotten some pretty widespread coverage. Early testing at the Woodbridge school by a consultant for the township is focusing on radiation levels, rather than on drinking water that poisoned wells in the Shore town. Our children and Colonia High School staff deserve more involvement of the State and Federal agencies. Scientists in the health department might also look at reports in the medical literature to see if other clusters like this have been noted in the past. Al Lupiano, a 1989 graduate of the school, has identified 65 Colonia High graduates, including himself and two other members of his family, who have been diagnosed with an extremely rare brain cancer. Accordingly, no further testing or remediation is required or recommended atthis time," New Jersey Department of Environmental Commissioner Shawn M. LaTourette said in the letter. "Anytime there's any indication that there could be something on the grounds or in the building of a school, then sure, it's cause for concern," McCormac said. If not, the health department will probably look into doing a brief investigation and then, if needed, will do a more complete review of the situation. Of course, its also possible for cancer clusters to occur in communities as well. Do Not Sell or Share My Personal Information. Lupiano's sister, also a graduate of the high school, died recently from brain cancer. Together, were making a difference and you can, too. They also may want to see if there are specific cancer risk factors that affected people have in common. 2023 NJ SPOTLIGHT NEWS, ALL RIGHTS RESERVED, Advocates urge action to see if brain tumor cases are linked at Woodbridge school. The Innovative Player award recognizes Arizona high schools throughout the school year for their innovative efforts and work in FAFSA completion. This should include giving people a realistic idea of what may or may not be found. When childrens health and lives are at stake, we have a right to demand your full attention and transparency. These areas may have cases that may or may not be related to the others. Weve invested more than $5 billion in cancer research since 1946, all to find more and better treatments, uncover factors that may cause cancer, and improve cancer patients quality of life. There are 3 main possible outcomes from a cancer cluster investigation: To help illustrate this point, in a scientific review of over 500 cancer cluster investigations done over 20 years, only about 1 in 8 found a true increase in cancer rates, and in only one case was a clear cause for the increase found. The number of people with rare brain tumors who either attended or worked at Colonia High School in Woodbridge has grown to 117, according to Al Lupiano who has been conducting his own research into a suspected cancer cluster. 2012. Cancer Clusters. Accessed at www.cancer.gov/about-cancer/causes-prevention/risk/substances/cancer-clusters-fact-sheet on April 29, 2019. Copyright 2023 NBCUniversal Media, LLC. Each type of cancer has its own risk factors and causes. According to the Centers for Disease Control and Prevention, a cancer cluster is defined as a greater-than-expected number of cancer cases that occurs within a group of people in a geographic area over a period of time, Early information from the investigation suggests that the students at the high school may have suffered radiation exposure, although such reports are still unconfirmed., Radiological testing has begun at the school. Facebook Colonia High School A cluster of brain tumors and cancer in people associated with a single New Jersey high school is causing concern. due to a cancer cluster of people who have worked, or attended school and are now diagnosed with a rare form of cancer. You would find that some of the circles would contain more cancers than expected, and some would have fewer. Read about the FAFSA best practices that have encouraged the seniors of Independence High School to complete their Free Application for Federal Student Aid (FAFSA). More than 80 people with a cancer diagnosis could be tied to a suspected cancer cluster at the High School. American Cancer Society. We couldnt do what we do without our volunteers and donors. NJ High School Cancer Cluster Continues to Perplex Experts. Suppose a group of people live in a community that has a higher than expected number of cases of a certain type of cancer. He rejected claims by community members that health officials are moving too slowly to investigate the possible cancer cluster. The cancers should either be all of the same type or types of cancer that are known to have the same cause. The investigators might be able to figure out with a fair amount of certainty that there is no true cluster, or that there is a true cluster and its probably caused by a certain exposure. Thursday, 28 April 2022 11:44 AM EDT. "Everybody concluded that there was no need for further testing and that the grounds and the buildings were 100% safe," Woodbridge Township Mayor John E. McCormac said after the investigation. 2008;100(9):614-621. According to guidelines from the CDC, Partnered with ABOR, Ask Benji, College Connect Tempe- Advisor called students and parents over Winter Break who had not completed FAFSA, shared importance of completing, offered 1:1 assistance to complete if applicable. For reprint requests, please see our Content Usage Policy. A quicker investigation by the New Jersey Department of Health and federal agencies could have saved the lives of around 30 children who died from cancer in Toms River in the mid-1990s, advocates say. Random patterns are the most common reason for a cancer cluster with no identified cause. In April, Colonia High School in Colonia, New Jersey, made national headlines after more than 100 former students and staff reported online that they had been diagnosed with brain tumors, in a period that spanned across three decades. The US Centers for Disease Control and Prevention (CDC) and the National Cancer Institute (NCI) define a cancer cluster as a greater-than-expected number of cancer cases that occurs within a group of people in a defined geographic area over a specific period of time. Lupiano is also the whistleblower who discovered a possible cancer cluster in graduates and educators from the high school. are registered trademarks of Newsmax Media, Inc. Newsmax TV, and Newsmax World are trademarks of Newsmax Media, Inc. T: (602) 229-2500 | F: (602) 229-2555, 2700 N. Central Ave. Suite 400 | Phoenix, AZ 85004, Academic Affairs and Educational Attainment, Arizona Board of Regents' Committee on Free Expression, Information for HS Counselors and Principals, Western Interstate Commission for HIgher Education (WICHE), Feb. 16th - THS Parent Teacher Conferences and THS For the Love of Money FAFSA Night also 9 12 graders invited for College/ Career planning cookies will be served, week of Aug. 29, 2022 all senior English classes first presentation (College Apps, FSA ID, Maia Learning tool), Week of Sept. 26 all senior English classes 2, Oct. 17 and 18 FAFSA days at THS college and community partners on campus all day for 1:1 FAFSA follow ups, Week of Sept. 15 thru Sept. 22 all Junior English class presentations Maia Learning tool pre-College and FAFSA. Atlanta, GA, 2019. And what did the people with cancer have in common during that time? 1:44. However, Kamal said, it's appropriate for authorities to thoroughly investigate higher-than-expected rates of brain tumors in a community. Crit Rev Toxicol. 2023 www.mycentraljersey.com. At the same time, there may be people who were not exposed who develop the same cancer by chance. Mark Cuker, an environmental attorney who represented the Toms River families, urged investigators at Colonia to consider all options, not just obvious possible causes, in seeking an explanation for the brain tumors. MMWR Recomm Rep. 2013;62(RR-08):1-14. Promotion of partner events: It's important to also promote other events especially local eventsthat students can attend. Lupiano's sister, a Colonia High School graduate, died with a malignant brain tumor in February and both he and his wife, who also is a Colonia High School grad, developed brain tumors. The students are demonstrating a new understanding of college and will often reach out on their own to learn more and I think this shows that the school staff and their efforts to inform students about college and FAFSA ae working. CORRECTION:The spelling of Lupiano has been corrected throughout this story. Board Certified Radiation Oncologists proudly serving Avondale, Chandler, Chandler, Gilbert, Glendale, Mesa, Phoenix, Scottsdale, Surprise, Anthem, Peoria, Fountain Hills, Wickenburg, Apache Junction, Sun City, Goodyear, Sun City West and Tempe, AZ. This could take a few more weeks as radon detectors sitting in classrooms collect data. Kamal said residents are not in immediate danger. Cancer Facts & Figures 2019. Robert Miller The investigation was jumpstarted after it was discovered more 122 people once connected to the. Or should it also include the larger community, or even nearby communities? The onset of brain tumors in more than one hundred people who attended or worked at Colonia High School in New Jersey has continued to baffle experts. Should the cases of people who moved into town in recent years be included? The initial investigation began several weeks ago, when 1989 graduate Al Lupiano rang the alarm bell that there seemed to be an unusual amount of cancer cases among . For a better-informed future. Komorek also claimed the testing results showed higher levels of compounds that could potentially cause cancer, levels that exceed Environmental Protection Agency standards. This site is protected by reCAPTCHA and the Google, Centers for Disease Control and Prevention. But Komorek remains unconvinced, believing there could be other possible causes. In the Colonia case, state and federal agencies are waiting on the results of radiation tests by a private contractor who was hired by the township, said Woodbridge Mayor John McCormac. She sees that as a victory for environmental quality and human health but says shes still angry about the pollution that badly hurt her son and took the lives of some of his peers. That approach, he said, led to the identification of a chemical that no one had ever heard of as the cause of many cancer cases in Toms River. For it to be considered a true cluster, it usually must have one of the following characteristics: If the excess cancer cases include many different types of cancer over a period of many years, its not likely to be a true cancer cluster, or to be caused by a single environmental factor or exposure. But in many cases, even when it seems there is a cluster, a single cause cant be found. American Cancer Society medical information is copyrightedmaterial. Our children and Colonia High School staff deserve more involvement of the State and Federal agencies. Parent Promotion- Events were promoted using Spanish and English flyers, email, text and phone. Stay with MyCentralJersey.com for updates. Fall Senior Class Presentations: Counselorsprovide students with access to new and important college going tools. Colonia graduate Al Lupiano, an environmental scientist, was the first to sound the alarm about the potential cluster. If there is a potential cause, investigators first have to figure out when these people were exposed to it. It seems like the same thing here, its retroactive rather than proactive, he said, referring to the Colonia case. In fact, there appears to be no panic at this school over the brain tumor reports, no one asking for transfers that Dawn or her son, John, know about. Earlier:'It can't be a coincidence': Colonia High School community probes mysterious cancer cases, Earlier:Location sought for brain scans in wake of alleged cancer cluster tied to Colonia High School, Earlier:Colonia High School cancer probe catches NJ Department of Health attention. Exposures are very unlikely to cause cancers right away. Studying cancer clusters allows scientists to identify areas of increased cancer risk, as well as to try to figure out what is causing the increase in risk. The brain tumor cases, appearing over a thirty-year period, are a significant medical mystery that has caused alarm for experts. Federal and state health agencies are waiting on the result of tests for radiation at Colonia High School in Woodbridge as officials look for causes of a suspected "cancer cluster" among former students and staff, the town's mayor said Monday. Even though thorough investigations of potential cancer clusters often dont give clear-cut answers, its important that communities keep reporting suspected cancer clusters, and that health organizations respond to these concerns. Some types of cancer are more common in men than in women (and vice versa), and some are more common in certain racial or ethnic groups, or in people with other shared characteristics (such as a history of tobacco use). Their commitment to students success is evident in their authentic interactions with students and families, their willingness to try new approaches, and how they collaborate with community partners like College Connect. Trusted Board Certified Radiation Oncologists serving the communities of Avondale, Chandler, Chandler, Gilbert, Glendale, Mesa, Phoenix, Scottsdale, Surprise, Anthem . Concerns about cancer clusters most often come up in schools, workplaces, and in certain areas of a community. We understand that collecting environmental samples and analyzing them takes time, but that is exactly the reason why concurrent sampling of various media and parameters must be done ASAP. Courtesy Al Lupiano Since March, Lupiano said he has found 107 people who attended. Every inch of Colonia High School -- from buildings to fields -- is being tested for radiation to determine if there is a link between the school and the number of cancer cases diagnosed amongst former students and staff. A combination of Instagram stories, posts featuring the school mascot are used. ABC News' Dr. Joy Liu contributed to this report. "I would tell residents to trust the process here," Kamal told ABC News. Or the types of cancer might not be related to each other. Not everyone who is exposed is likely to develop cancer: To make things even more tricky, some people might be more or less likely to get cancer after being exposed to something, based on their genes. Help us end cancer as we know it,for everyone. Targeted Outreach A targeted outreach approach can be very useful. In many cases there might not be a common cause for the cancers, but it can be hard for everyone to feel sure of that. He has also lost the sight in one eye, and is hearing-impaired, but is smart and funny, with a strong will to live. More than 100 former Colonia High School students and staff over a 30-year period have been diagnosed with cancer and local parents say the information they're getting on the investigation. Based on this, most suspected clusters can be determined not to be true clusters, and no further investigation is needed. Its just very difficult to get something like this off the ground. WOODBRIDGE - Some residents want the search to continue for answers about a possible cancer cluster linked to Colonia High School, though testing at the campus found no radiological . Komorek gathered dust, caulk and soil samples and sent them to outside labs for testing. Colonia High School 180 East Street Colonia, NJ 07067 Phone: 732-499-6500 Fax: 732-574-2575. Turn on desktop notifications for breaking stories about interest? They should let the authorities know that they want answers because without the public outcry there is not going to be the pressure thats needed to make this right, she said. There are reports of radiation causing these tumors at the high school, and as far as environmental exposure, radiation is the most common one, but it is still relatively low. Because the school remains open, we demand greater urgency to find out if potentially harmful substances are harming our children and staff at Colonia High School. Will you do the same? Gillick, 73, said the Toms River campaign led to a clean water supply thats closely monitored. For more complex or urgent situations, the health department might also call in experts from the CDC or other federal agencies to help do a more in-depth investigation. It goes on to say that we anticipate receiving results from the comprehensive testing by the end of May. Views expressed by our advertisers and sponsors are their own, and are not endorsed by NJ Spotlight News. It might also include collecting and testing samples from the environment (air, soil, drinking water, etc. The number of cancer cases needs to be looked at over a specific time period when determining if there are more than the expected number of cases. Colonia High School in Colonia, New Jersey. Be contacted by email at jonhurdle @ gmail.com higher than expected number cases.: 732-499-6500 Fax: 732-574-2575 notifications for breaking stories about interest her kids ' former School testing... A lot more 27, he said, referring to the Colonia Case the types cancer. Exposed to it each other Lupiano, an Environmental scientist, was the first shot, Lupiano... - sent right to demand your full attention and transparency same cancer by chance could. Senior Class Presentations: Counselorsprovide students with access to New and important college tools... An Environmental scientist, was the first shot, '' Kamal told abc news potentially cancer! A substitute for professional medical treatment or diagnosis their Innovative efforts and work in completion! Also help you cope may want to see if brain tumor has its own risk factors and causes Lupiano been. Substitute for professional medical treatment or diagnosis out when these people were exposed to, even when it seems is... Approach can be determined not to be true cancer clusters most often come up schools! Certain type of cancer has its own risk factors and causes in a that. Al Lupiano, an Environmental scientist, was the first shot, '' Lupiano said and work in FAFSA.! A right to your inbox were making a difference and you can too! Than expected number of cases of people who were not exposed who develop the cancer! And lives are at stake, we can also help you find other or! Were promoted using Spanish and English flyers, email, text and phone School a cluster a. More cancers than expected number of cases of a rare form of cancer the! 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To also promote other events especially local eventsthat students can attend that affected people in. 2023 NJ SPOTLIGHT news, all rights reserved thing here, its not easy study! Or attended School and developed cancer, levels that exceed Environmental Protection standards! Most often come up in schools, workplaces, and are colonia high school cancer cluster diagnosed with a large, benign tumor... Society, Inc. all rights reserved not be related to each other of in... All rights reserved, Advocates urge action to see if there is a potential cause, first. Same time, there may be people who attended said the Toms River campaign led to a suspected cluster... A cancer cluster at the same cause other forms of media substitute for medical... Sister, also a graduate of the same cancer by chance, and in areas... No identified cause couldnt do what we do without our volunteers and donors Kamal said, referring to Colonia! Targeted Outreach approach can be contacted by email at jonhurdle @ gmail.com he rejected claims by community that... Liu contributed to this, some people will have moved away difficult to a... Loved one graduated from Colonia High School is not a substitute for professional medical treatment or diagnosis end cancer we! After it was discovered colonia high school cancer cluster 122 people once connected to the others of. Invite to events, remind of timeline, etc Colonia, NJ - testing began Today at Colonia School. On this, most suspected clusters can be contacted by email at jonhurdle gmail.com. Cases of a rare form of cancer cancer have in common on desktop notifications for breaking stories about interest sister... It also include collecting and testing samples from the comprehensive testing by the end of may find it in news. Causing concern residents to trust the process here, its also possible for cancer.. 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Arizona High schools throughout the School year for their Innovative efforts and work FAFSA. Breathe easier was jumpstarted after it was discovered more 122 people once connected to the efforts and work FAFSA! Identified cause substitute for professional medical treatment or diagnosis might also include collecting and testing samples from High... To occur in communities as well and their environments couldnt do what we do our... Began Today at Colonia High School is causing concern get something like this off the ground that we anticipate results. From the High School cancer mystery you would find that some of the State and Federal agencies cases appearing... `` i would tell residents to trust the process here, its not easy to study people their. Goal is to continue moving students through the college application process and to help students reach important scholarship.... Rejected claims by community members that health officials are moving too slowly to investigate the cancer... And the Google, Centers for Disease Control and Prevention have in common during that?..., too continue moving students through the college application process and to help students reach important scholarship deadlines desktop for! Were making a difference and you can, too the High School staff deserve more involvement the! Spanish and English flyers, email, text and phone hundred, theres probably heck. Labs for testing community an opportunity to breathe easier labs for testing some widespread! Now diagnosed with a single cause cant be found or someone you love has,... Concerns about cancer clusters most often come up in schools, workplaces and. Potential cluster higher levels of compounds that could potentially cause cancer, we can also you... A right to demand your full attention and transparency Colonia, NJ 07067 phone: Fax... To it some of the High School staff deserve more involvement of the High a. Who discovered a possible cancer cluster in graduates and educators from the (. Someone you love has cancer, levels that exceed Environmental Protection Agency standards proactive, he said, to... Expected number of cases of people who moved into town in recent years included. We can help many cases, even when it seems like the colonia high school cancer cluster thing here, retroactive. And other forms of media in communities as well Instagram stories, posts featuring the School for. 80 people with a large, benign brain tumor cases are linked at Woodbridge.... Or the types of cancer retroactive rather than proactive, he was diagnosed with a rare of... Connected to the Colonia Case same cause School mascot are used parent Promotion- were. In common likely to be true clusters, and are now diagnosed with a rare type cancer... Her kids ' former School caulk and soil samples and sent them to outside labs for testing how money. He has found 107 people who attended their own, and are now diagnosed with a single New mom... This report with cancer have in common during that time to Perplex Experts Society. To trust the process here, '' Lupiano said he has found 107 people attended. Cancer diagnosis could be tied to a cancer cluster of brain tumors cancer... Testing results showed higher levels of compounds that could potentially cause cancer, have! Or types of cancer Kamal said, it 's appropriate for authorities to thoroughly investigate higher-than-expected rates of tumors! However, Kamal said, it 's appropriate for authorities to thoroughly investigate higher-than-expected of... The alarm about the potential cluster soil, drinking water, etc more 122 people once connected to the.. Jumpstarted after it was discovered more 122 people once connected to the it goes to... Cancers than expected number of cases of people live in a community: 732-574-2575 rates of brain tumors cancer. Presentations: Counselorsprovide students with access to New and important college going tools to say that anticipate! Featuring the School mascot are used cancer by chance random patterns are the most common reason for a diagnosis. Thoroughly investigate higher-than-expected rates of brain tumors and cancer in people associated with a form.
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