From: Subject: CDC | Draft Public Health Guidance for Community-Level Preparedness and Response to Severe Acute Respiratory Syndrome (SARS) Date: Sun, 19 Oct 2003 10:20:32 +0300 MIME-Version: 1.0 Content-Type: multipart/related; boundary="----=_NextPart_000_0000_01C3962A.A0D9B180"; type="text/html" X-MimeOLE: Produced By Microsoft MimeOLE V6.00.2800.1165 This is a multi-part message in MIME format. ------=_NextPart_000_0000_01C3962A.A0D9B180 Content-Type: text/html; charset="Windows-1252" Content-Transfer-Encoding: quoted-printable Content-Location: http://www.cdc.gov/ncidod/sars/sarsprepplan.htm CDC | Draft Public Health Guidance for = Community-Level Preparedness and Response to Severe Acute Respiratory = Syndrome (SARS) =
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Public=20 Health Guidance for Community-Level Preparedness and = Response to=20 Severe Acute Respiratory Syndrome = (SARS)
October 17, = 2003
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The Centers for Disease Control and Prevention (CDC) is = making this=20 document available in draft form to assist local and state public = health=20 and healthcare officials in their preparations for a possible = reemergence=20 of SARS during the approaching respiratory disease season. The = proposed=20 framework and strategies for SARS preparedness and response are = based on=20 lessons learned from the 2003 global SARS epidemic and the advice = and=20 suggestions of domestic and international public health and = healthcare=20 partners. The document is currently undergoing external review by = partner=20 organizations and other federal agencies and will be updated as = necessary=20 to incorporate comments from reviewers and to reflect increased=20 understanding of SARS-CoV transmission dynamics and the = availability of=20 improved prevention tools. CDC invites interested public health = partners=20 to submit comments on the draft document to: sars-plan@cdc.gov. =

The press release for the Draft Plan is available at the = CDC = Media=20 Relations website.

Format Document=20 Title Date = Revised
 The=20 SARS Plan - Complete Full Text (6.44 MB/168 = pages) 10/16/2003
=20
Cover=20 sheet, Contents, Exec Summary, and Core = Document (298 KB/22 = pages)  10/16/2003
=20
Supplemen= t=20 A: Command and Control (214 KB/16 = pages)  10/16/2003
=20
Supplemen= t=20 B: SARS Surveillance (657 KB/20 pages) 10/16/2003
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Supplemen= t=20 C: Preparedness and Response In Healthcare=20 Facilities (460 KB/35 = pages)  10/16/2003
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Supplemen= t=20 D: Community Containment Measures, Including Non-Hospital = Isolation=20 and Quarantine (1.4 MB/24 = pages)  10/16/2003
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Supplemen= t=20 E: Managing International Travel-Related Transmission=20 Risk (888 KB/14=20 pages)  10/16/2003
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Supplemen= t=20 F: Laboratory Diagnosis (1.2 MB/21 = pages)  10/16/2003
=20
Supplemen= t=20 G: Communication (183 KB/16 pages) 10/16/2003


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s_wd.onunload;s_wd.onunload=3Ds_vp_fa}return r}function s_vp_fa(e){ var vs=3Ds_wd.s_vp_favs;if(vs&&s_wd[vs]){s_lnk=3Dnew Object s_linkType=3Ds_wd.s_vp_falt;s_linkName=3Ds_wd.s_vp_faln;s_gs('') s_lnk=3D''}if(s_wd.s_ful)return s_wd.s_ful(e);return true} function s_vp_fasu(e){var vs=3Ds_wd.s_vp_favs;if(vs)s_wd[vs]=3D'';if( this.s_vp_faos)return this.s_vp_faos(e);if(this.s_vp_faoc) return this.s_vp_faoc(e);if(this.s_vp_faoch) return this.s_vp_faoch(e);return true}function s_vp_fac(e){var b=3D "s_gs(",vs=3Ds_wd.s_vp_favs,f=3Dthis.form,p=3Ds_gg('pageName');if(vs) s_wd[vs]=3D(f.name?f.name:(p?p:''))+':'+(this.name?this.name:'') if(this.s_vp_faoc)return this.s_vp_faoc(e);if(this.s_vp_faoch) return this.s_vp_faoch(e);return true} /* * Plugin Utilities v2.0 (Required For All Plugins) */ function s_vpr(vs,v){if(s_wd[vs])s_wd[vs]=3Ds_wd[vs];else s_wd[vs]=3D'' if(vs.substring(0,2) =3D=3D = 's_')vs=3Dvs.substring(2);s_wd['s_vpv_'+vs]=3Dv s_wd['s_vpm_'+vs]=3D1}function s_dt(tz,t){var d=3Dnew = Date;if(t)d.setTime( t);d=3Dnew Date(d.getTime()+(d.getTimezoneOffset()*60*1000)) return new Date(Math.floor(d.getTime()+(tz*60*60*1000)))} function s_vh_gt(k,v){var = vh=3D'|'+s_c_r('s_vh_'+k),vi=3Dvh.indexOf('|'+v +'=3D'),ti=3Dvi<0?vi:vi+2+v.length,pi=3Dvh.indexOf('|',ti),t=3Dti<0?'': vh.substring(ti,pi<0?vh.length:pi);return t}function s_vh_gl(k){var vh=3Ds_c_r('s_vh_'+k),e=3Dvh?vh.indexOf('=3D'):0;return = vh?(vh.substring(0, e?e:vh.length)):''}function s_vh_s(k,v){if(k&&v){var e=3Dnew Date,st=3D e.getTime(),y=3De.getYear(),c=3D's_vh_'+k,vh=3D'|'+s_c_r(c)+'|',t=3Ds_vh_= gt(k, v);e.setYear((y<1900?y+1900:y)+5);if(t)vh=3Ds_rep(vh,'|'+v+'=3D'+t+'|','|= ' );if(vh.substring(0,1)=3D=3D'|')vh=3Dvh.substring(1);if(vh.substring( vh.length-1,vh.length)=3D=3D'|')vh=3Dvh.substring(0,vh.length-1);vh=3Dv +'=3D[PCC]'+(vh?'|'+vh:'');s_c_w(c,vh,e);if(s_vh_gt(k,v)!=3D'[PCC]') return 0;vh=3Ds_rep(vh,'[PCC]',st);s_c_w(c,vh,e)}return 1} /************* DO NOT ALTER ANYTHING BELOW THIS LINE ! **************/ var = s_un,s_ios=3D0,s_csss=3D0,s_q=3D'',s_code=3D'',code=3D'',s_bcr=3D0,s_lnk=3D= '', s_eo=3D'',s_vb,s_tfs=3D0,s_etfs=3D0,s_wd=3Dwindow,s_ssl=3D( s_wd.location.protocol.toLowerCase().indexOf('https')>=3D0),s_d=3D s_wd.document,s_n=3Dnavigator,s_u=3Ds_n.userAgent,s_apn=3Ds_n.appName,s_v= =3D s_n.appVersion,s_apv,s_i,s_ie=3Ds_v.indexOf('MSIE = '),s_ns6=3Ds_u.indexOf( 'Netscape6/');if(s_v.indexOf('Opera')>=3D0||s_u.indexOf('Opera')>=3D0) s_apn=3D'Opera';var s_isie=3D(s_apn=3D=3D'Microsoft Internet Explorer'), s_isns=3D(s_apn=3D=3D'Netscape'),s_isopera=3D(s_apn=3D=3D'Opera'),s_ismac= =3D( s_u.indexOf('Mac')>=3D0);if(s_ie>0){s_apv=3DparseInt(s_i=3Ds_v.substring(= s_ie+5));if(s_apv>3)s_apv=3DparseFloat(s_i)}else if(s_ns6>0)s_apv=3D parseFloat(s_u.substring(s_ns6+10));else s_apv=3DparseFloat(s_v) function s_co(o){if(!o)return o;var n=3Dnew Object;for(x in = o)n[x]=3Do[x] return n}function s_num(x){var s=3Dx.toString(),g=3D'0123456789',p,d for(p=3D0;p 0?n.length:1;while(s&&i>=3D0){s=3Ds.substring(0,i)+n+s.substring(i +o.length);i=3Ds.indexOf(o,i+l)}return s}function s_ape(s){return s_rep( escape(s),'+','%2B')}function s_epa(s){return unescape(s_rep(s,'+',' ' ))}function s_pt(s,d,f,a){var = t=3Ds,x=3D0,y,r;while(t){y=3Dt.indexOf(d);y=3Dy< 0?t.length:y;t=3Dt.substring(0,y);r=3Df(t,a);if(r)return = r;x+=3Dy+d.length t=3Ds.substring(x,s.length);t=3Dx=3D0&& d.substring(p+1).indexOf('.')>=3D0){d=3Dd.substring(p+1);p=3Dd.indexOf('.= ')} s_c_d=3Dd.indexOf('.')>=3D0&&s_pt(d,'.',s_c_gdf,0)?'.'+d:''}return = s_c_d} function s_c_r(k){k=3Ds_ape(k);var c=3D' '+s_d.cookie,s=3Dc.indexOf(' = '+k +'=3D'),e=3Ds<0?s:c.indexOf(';',s),v=3Ds<0?'':s_epa(c.substring(s+2 +k.length,e<0?c.length:e));return v}function s_c_w(k,v,e){var d=3D s_c_gd();if(k)s_d.cookie=3Dk+'=3D'+s_ape(v)+'; path=3D/;'+(e?' = expires=3D' +e.toGMTString()+';':'')+(d?' domain=3D'+d+';':'');return = s_c_r(k)=3D=3Dv} function s_cet(f,a,et,oe,fb){var r,d=3D0 /*@cc_on@if(@_jscript_version>=3D5){try{return f(a)}catch(e){return = et(e)}d=3D1}@end@*/ if(!d){if(s_ismac&&s_u.indexOf('MSIE 4')>=3D0)return fb(a);else{ s_wd.s_oe=3Ds_wd.onerror;s_wd.onerror=3Doe;r=3Df(a);s_wd.onerror=3Ds_wd.s= _oe return r}}}function s_gtfset(e){return s_tfs}function s_gtfsoe(e){ s_wd.onerror=3Ds_wd.s_oe;s_etfs=3D1;var = code=3Ds_gs(s_un);if(code)s_d.write( code);s_etfs=3D0;return true}function s_gtfsfb(a){return s_wd} function s_gtfsf(w){var p=3Dw.parent,l=3Dw.location;s_tfs=3Dw;if(p&& p.location!=3Dl&&p.location.host=3D=3Dl.host){s_tfs=3Dp;return = s_gtfsf(s_tfs)} return s_tfs}function = s_gtfs(){if(!s_tfs){s_tfs=3Ds_wd;if(!s_etfs)s_tfs=3D s_cet(s_gtfsf,s_tfs,s_gtfset,s_gtfsoe,s_gtfsfb)}return s_tfs} function s_ca(un){un=3Dun.toLowerCase() if(!s_csss&&s_d.styleSheets&&s_isie&&!s_ismac&&s_apv>=3D5)s_csss=3D1;if( s_csss){if(s_d.styleSheets.length<1)s_d.write('');if(!s_d.styleSheets[0]||!s_d.styleSheets[0 ].addImport)s_csss=3D0} var = ci=3Dun.indexOf(','),fun=3Dci<0?un:un.substring(0,ci),imn=3D's_i_'+fun if(!s_ios&&s_d.images&&s_apv>=3D3&&!s_isopera&&(s_ns6<0||s_apv>=3D6.1)) s_ios=3D1;if(!s_csss&&s_ios&&!s_d.images[imn]){s_d.write('');if(!s_d.images[imn]) s_ios=3D0}}function s_it(un){s_ca(un)}function s_mr(un,sess,q){un=3D un.toLowerCase();var = ci=3Dun.indexOf(','),fun=3Dci<0?un:un.substring(0,ci ),imn=3D's_i_'+fun,unc=3Ds_rep(fun,'_','-'),rs=3D'http'+(s_ssl?'s':'') +'://'+(s_ssl?'102':unc)+'.112.2O7.net/b/ss/'+un+'/'+(s_csss?0:1)+'/G.2-X= Pd-S/' +sess+'?'+'[AQB]&ndh=3D1'+(q?q:'')+(s_q?s_q:'')+'&[AQE]' if(s_csss)s_d.styleSheets[0].addImport(rs);else if(s_ios)s_d.images[imn].src=3Drs;if(s_csss||s_ios){if(rs.indexOf('&pe=3D= ' )>=3D0){var b=3Dnew Date,e=3Dnew = Date;while(e.getTime()-b.getTime()<500)e=3D new Date}return ''}return ''}function s_gg(v){var g=3D's_'+v return s_wd[g]?s_wd[g]:s_wd[v]}var s_qav=3D'';function s_havf(t,a){var b=3Dt.substring(0,4),s=3Dt.substring(4),n=3DparseInt(s),k=3D's_g_'+t,m=3D= 's_vpm_'+t,q=3Dt;if(!s_wd['s_'+t])s_wd['s_'+t]=3D'';s_wd[k]=3Ds_wd[m]?s_w= d[ 's_vpv_'+t]:s_gg(t);s_wd[m]=3D0;if(t=3D=3D'charSet')q=3D'ce';else = if(t=3D=3D 'cookieDomainPeriods')q=3D'cdp';else = if(t=3D=3D'cookieLifetime')q=3D'cl';else if(t=3D=3D'channel')q=3D'ch';else if(t=3D=3D 'campaign')q=3D'v0';else if(s_num(s)){if(b=3D=3D'prop')q=3D'c'+n;else = if(b=3D=3D 'eVar')q=3D'v'+n}if(s_wd[k]&&t!=3D'linkName'&&t!=3D'linkType')s_qav+=3D'&= '+q +'=3D'+s_ape(s_wd[k]);return ''}function s_hav(){var = n,av=3D'charSet,cook' +'ieDomainPeriods,cookieLifetime,pageName,channel,server,pageType,campaig= n,state,zip' +',events,products,purchaseID,eVarCFG,linkName,linkType' for(n=3D1;n<26;n++)av+=3D',prop'+n+',eVar'+n;s_qav=3D'';s_pt(av,',',s_hav= f,0 );return s_qav}function s_lnf(t,h){t=3Dt?t.toLowerCase():'';h=3Dh? h.toLowerCase():'';var te=3Dt.indexOf('=3D');if(t&&te>0&&h.indexOf( t.substring(te+1))>=3D0)return t.substring(0,te);return ''} function s_ln(h){if(s_gg('linkNames'))return s_pt(s_gg('linkNames'), ',',s_lnf,h);return ''}function = s_ltdf(t,h){t=3Dt?t.toLowerCase():'';h=3D h?h.toLowerCase():'';var = qi=3Dh.indexOf('?');h=3Dqi>=3D0?h.substring(0,qi):h if(t&&h.substring(h.length-(t.length+1))=3D=3D'.'+t)return 1;return 0} function = s_ltef(t,h){t=3Dt?t.toLowerCase():'';h=3Dh?h.toLowerCase():'';if( t&&h.indexOf(t)>=3D0)return 1;return 0}function s_lt(h){var lft=3Ds_gg( 'linkDownloadFileTypes'),lif=3Ds_gg('linkInternalFilters')?s_gg( 'linkInternalFilters'):s_wd.location.hostname;h=3Dh.toLowerCase();if( s_gg('trackDownloadLinks')&&lft&&s_pt(lft,',',s_ltdf,h))return 'd';if( s_gg('trackExternalLinks')&&lif&&!s_pt(lif.toLowerCase(),',',s_ltef,h) )return 'e';return ''}function s_lc(e){s_lnk=3Ds_co(this);s_gs('') s_lnk=3D'';if(this.s_oc)return this.s_oc(e);return true}function s_ls(){ var l,ln,oc;for(ln=3D0;ln=3D0?','+t.substring(0,e) +',':'';return u&&u.indexOf(','+un+',')>=3D0?s_epa(t.substring(e+1)):''} function s_rq(un){var = c=3Dun.indexOf(','),v=3Ds_c_r('s_sq'),q=3D'';if(c<0) return s_pt(v,'&',s_rqf,un);return s_pt(un,',',s_rq,0)}var s_sqq,s_squ function s_sqp(t,a){var = e=3Dt.indexOf('=3D'),q=3De<0?'':s_epa(t.substring(e +1));s_sqq[q]=3D'';if(e>=3D0)s_pt(t.substring(0,e),',',s_sqs,q);return = 0} function s_sqs(un,q){s_squ[un]=3Dq;return 0}function s_sq(un,q){s_sqq=3D new Object;s_squ=3Dnew Object;s_sqq[q]=3D'';var = k=3D's_sq',v=3Ds_c_r(k),x,c=3D0 s_pt(v,'&',s_sqp,0);s_pt(un,',',s_sqs,q);v=3D'';for(x in s_squ)s_sqq[ s_squ[x]]+=3D(s_sqq[s_squ[x]]?',':'')+x;for(x in s_sqq)if(x&&s_sqq[x]&&( x=3D=3Dq||c<2)){v+=3D(v?'&':'')+s_sqq[x]+'=3D'+s_ape(x);c++}return = s_c_w(k,v,0 )}function s_wdl(e){s_wd.s_wd_l=3D1;var = r=3Dtrue;if(s_wd.s_ol)r=3Ds_wd.s_ol( e);if(s_wd.s_ls)s_wd.s_ls();return r}function s_wds(un){un=3D un.toLowerCase();s_wd.s_wd_l=3D1;if(s_apv>3&&(!s_isie||!s_ismac||s_apv>=3D= 5)){s_wd.s_wd_l=3D0;if(!s_wd.s_unl)s_wd.s_unl=3Dnew Array;s_wd.s_unl[ s_wd.s_unl.length]=3Dun;if(s_d.body&&s_d.body.attachEvent){if( !s_wd.s_bcr&&s_d.body.attachEvent('onclick',s_bc))s_wd.s_bcr=3D1} else if(s_d.body&&s_d.body.addEventListener){if(!s_wd.s_bcr&& s_d.body.addEventListener('click',s_bc,false))s_wd.s_bcr=3D1}else{var ol=3Ds_wd.onload?s_wd.onload.toString():'';if(ol.indexOf("s_wdl(")<0){ s_wd.s_ol=3Ds_wd.onload;s_wd.onload=3Ds_wdl}}}}function s_vs(un,x){var = s=3D s_gg('visitorSampling'),g=3Ds_gg('visitorSamplingGroup'),k=3D's_vsn_'+un+= ( g?'_'+g:''),n=3Ds_c_r(k),e=3Dnew Date,y=3De.getYear();e.setYear(y+10+(y< 1900?1900:0));if(s){s*=3D100;if(!n){if(!s_c_w(k,x,e))return = 0;n=3Dx}if(n% 10000>s)return 0}return 1} function s_gs(un){un=3Dun.toLowerCase() s_un=3Dun;var trk=3D1,tm=3Dnew Date,sed=3DMath&&Math.random?Math.floor( Math.random()*10000000000000):tm.getTime(),sess=3D's'+Math.floor( tm.getTime()/10800000)%10+sed,yr=3Dtm.getYear(),t,q=3D'',qs=3D'';yr=3Dyr<= 1900? yr+1900:yr;t=3Dtm.getDate()+'/'+tm.getMonth()+'/'+yr+' '+tm.getHours() +':'+tm.getMinutes()+':'+tm.getSeconds()+' '+tm.getDay()+' ' +tm.getTimezoneOffset();if(!s_q){s_d.cookie=3D's_cc=3Dtrue; = path=3D/';var tfs=3Ds_gtfs(),tl=3Dtfs.location,r=3Dtfs.document.referrer,s=3D'',c=3D'',= v=3D'', p=3D'',bw=3D'',bh=3D'',j=3D'1.0',vb=3Ds_vb?s_vb:'',g=3Ds_wd.location,k=3D= s_d.cookie.indexOf('s_cc=3D')>=3D0?'Y':'N',hp=3D'',ct=3D'';if(s_apv>=3D4)= s=3D screen.width+'x'+screen.height;if(s_isns||s_isopera){if(s_apv>=3D3){j=3D '1.1';var = i1=3D0,i2=3D0,sta;while(i2<30&&i1100)sta=3Dsta.substring(0,100) sta+=3D';';if(p.indexOf(sta)<0)p+=3Dsta;i1++;i2++}v=3Dnavigator.javaEnabl= ed( )?'Y':'N'}if(s_apv>=3D4){j=3D'1.2';c=3Dscreen.pixelDepth;bw=3Ds_wd.innerW= idth bh=3Ds_wd.innerHeight}if(s_apv>=3D4.06)j=3D'1.3'}else = if(s_isie){if(s_apv<4) r=3D'';if(s_apv>=3D4){v=3Dnavigator.javaEnabled()?'Y':'N';j=3D'1.2';c=3D screen.colorDepth}if(s_apv>=3D5){bw=3Ds_d.documentElement.offsetWidth;bh=3D= s_d.documentElement.offsetHeight;j=3D'1.3';if(!s_ismac&&s_d.body){ s_d.body.addBehavior("#default#homePage");hp=3Ds_d.body.isHomePage(tl)? "Y":"N";s_d.body.addBehavior("#default#clientCaps");ct=3D s_d.body.connectionType}}}s_q=3D(g?'&g=3D'+s_ape(s_fl(g,255)):'')+(r?'&r=3D= ' +s_ape(s_fl(r,255)):'')+(s?'&s=3D'+s_ape(s):'')+(c?'&c=3D'+s_ape(c):'')+(= j?'&j=3D'+j:'')+(v?'&v=3D'+v:'')+(k?'&k=3D'+k:'')+(bw?'&bw=3D'+bw:'')+(bh= ? '&bh=3D'+bh:'')+(vb?'&vb=3D'+vb:'')+(ct?'&ct=3D'+s_ape(ct):'')+(hp?'&hp=3D= ' +hp:'')+(p?'&p=3D'+s_ape(p):'')}if(s_gg('usePlugins'))s_wd.s_doPlugins() q+=3D(t?'&t=3D'+s_ape(t):'')+s_hav();if(s_lnk||s_eo){var o=3D(s_eo?s_eo: s_lnk);if(!o)return '';var = p=3Ds_wd.s_g_pageName,w=3D1,t=3Ds_ot(o),n=3Ds_oid(o ),x=3Do.s_oidt,h,l,i,oc;if(s_eo&&o=3D=3Ds_eo){while(o&&!n&&t!=3D'BODY'){o= =3D o.parentElement?o.parentElement:o.parentNode;if(!o)return '';t=3Ds_ot(o) n=3Ds_oid(o);x=3Do.s_oidt}oc=3Do.onclick?o.onclick.toString():'';if( oc.indexOf("s_gs(")>=3D0)return = ''}h=3Do.href?o.href:'';i=3Dh.indexOf('?') h=3Ds_gg('linkLeaveQueryString')||i<0?h:h.substring(0,i);l=3Ds_gg( 'linkName')?s_gg('linkName'):s_ln(h);t=3Ds_gg('linkType')?s_gg( 'linkType').toLowerCase():s_lt(h);if(t&&(h||l))q+=3D'&pe=3Dlnk_'+(t=3D=3D= 'd'|| t=3D=3D'e'?s_ape(t):'o')+(h?'&pev1=3D'+s_ape(h):'')+(l?'&pev2=3D'+s_ape(l= ):'') else = trk=3D0;if(s_gg('trackInlineStats')){if(!p){p=3Ds_wd.location.href;w=3D 0}p=3Dp?s_fl(p,255):'';if(s_gg('objectID')){n=3Ds_gg('objectID');x=3D1}t=3D= s_ot(o);i=3Do.sourceIndex;if(p&&n&&t)qs=3D'&pid=3D'+s_ape(p)+(w?'&pidt=3D= '+w: '')+'&oid=3D'+s_ape(n)+(x?'&oidt=3D'+x:'')+'&ot=3D'+s_ape(t)+(i?'&oi=3D'+= i:'') }s_wd.linkName=3Ds_wd.s_linkName=3Ds_wd.linkType=3Ds_wd.s_linkType=3D s_wd.objectID=3Ds_wd.s_objectID=3Ds_lnk=3Ds_eo=3D''}if(!trk&&!qs)return = '';var code=3D'';if(un){if(trk&&s_vs(un,sed))code+=3Ds_mr(un,sess,q+(qs?qs:s_rq(= un)));s_sq(un,trk?'':qs)}else if(s_wd.s_unl) for(var = unn=3D0;unn