Volume : 6, Issue : 11, November - 2017

PROPORTION OF ADOLESCENT GIRLS VACCINATED AGAINST RUBELLA AND FACTORS OF ITS NON-ACCEPTANCE AMONG PARENTS

Mr. Manulal V. S, Dr. Beena M . R, Dr. Anish T. S

Abstract :

<p>&nbsp;<span style="text-align: justify; text-indent: 45.05pt; font-size: 12pt; line-height: 200%; font-family: &quot;Times New Roman&quot;, serif; letter-spacing: 0.05pt;">T</span><span style="text-align: justify; text-indent: 45.05pt; font-size: 12pt; line-height: 200%; font-family: &quot;Times New Roman&quot;, serif;">he<span style="letter-spacing:.45pt"> </span>pr<span style="letter-spacing:.05pt">e</span><span style="letter-spacing:-.05pt">s</span><span style="letter-spacing:.05pt">e</span><span style="letter-spacing:-.2pt">n</span>t<span style="letter-spacing:.45pt"> </span><span style="letter-spacing:-.05pt">s</span><span style="letter-spacing:.05pt">t</span>udy <span style="letter-spacing:.05pt">i</span>s<span style="letter-spacing:.3pt"> </span>a<span style="letter-spacing:.45pt"> </span>d<span style="letter-spacing:.05pt">e</span><span style="letter-spacing:-.05pt">s</span><span style="letter-spacing:.05pt">c</span>r<span style="letter-spacing:.05pt">i</span>p<span style="letter-spacing:-.15pt">t</span><span style="letter-spacing:.05pt">i</span><span style="letter-spacing:-.2pt">v</span>e<span style="letter-spacing:.45pt"> </span><span style="letter-spacing:.05pt">c</span>ro<span style="letter-spacing:-.05pt">s</span>s<span style="letter-spacing:.3pt"> </span><span style="letter-spacing:-.05pt">s</span><span style="letter-spacing:.05pt">ecti</span>on<span style="letter-spacing:-.15pt">a</span>l<span style="letter-spacing:.9pt"> </span>one<span style="letter-spacing:.25pt"> </span><span style="letter-spacing:.05pt">t</span>o<span style="letter-spacing:.4pt"> </span><span style="letter-spacing:-.2pt">f</span><span style="letter-spacing:.05pt">i</span>nd<span style="letter-spacing:.4pt"> </span>out<span style="letter-spacing:.25pt"> </span><span style="letter-spacing:.05pt">t</span>he<span style="letter-spacing:.25pt"> </span>propor<span style="letter-spacing:.05pt">ti</span>on<span style="letter-spacing:.2pt"> </span>of <span style="letter-spacing:.05pt">a</span>do<span style="letter-spacing:.05pt">le</span><span style="letter-spacing:-.05pt">s</span><span style="letter-spacing:.05pt">ce</span><span style="letter-spacing:-.2pt">n</span>t<span style="letter-spacing:.25pt"> </span><span style="letter-spacing:-.2pt">g</span><span style="letter-spacing:.05pt">i</span>r<span style="letter-spacing:.05pt">l</span>s<span style="letter-spacing:.1pt"> </span><span style="letter-spacing:-.2pt">v</span><span style="letter-spacing:.05pt">acci</span>n<span style="letter-spacing:.05pt">a</span><span style="letter-spacing:-.15pt">t</span><span style="letter-spacing:.05pt">e</span>d<span style="letter-spacing:.2pt"> </span><span style="letter-spacing:.05pt">a</span><span style="letter-spacing:-.2pt">g</span><span style="letter-spacing:.05pt">ai</span>n<span style="letter-spacing:-.05pt">s</span>t<span style="letter-spacing:.25pt"> </span>rub<span style="letter-spacing:-.1pt">e</span><span style="letter-spacing:.05pt">ll</span>a<span style="letter-spacing:.05pt"> a</span>nd<span style="letter-spacing:.2pt"> </span>f<span style="letter-spacing:.05pt">a</span><span style="letter-spacing:-.15pt">c</span><span style="letter-spacing:.05pt">t</span>ors<span style="letter-spacing:.1pt"> </span>of<span style="letter-spacing:.2pt"> </span><span style="letter-spacing:.05pt">it</span>s<span style="letter-spacing:.1pt"> </span>no<span style="letter-spacing:.6pt">n</span><span style="letter-spacing:-.2pt">-</span><span style="letter-spacing:.05pt">acce</span><span style="letter-spacing:-.2pt">p</span><span style="letter-spacing:.05pt">ta</span><span style="letter-spacing:-.2pt">n</span><span style="letter-spacing:.05pt">c</span>e<span style="letter-spacing:.25pt"> </span><span style="letter-spacing:-.15pt">a</span><span style="letter-spacing:.05pt">m</span>ong p<span style="letter-spacing:.05pt">a</span>r<span style="letter-spacing:.05pt">e</span>n<span style="letter-spacing:.3pt">t</span>s r<span style="letter-spacing:.05pt">e</span><span style="letter-spacing:-.05pt">s</span><span style="letter-spacing:.05pt">i</span>d<span style="letter-spacing:.05pt">i</span>ng <span style="letter-spacing:.05pt">i</span>n<span style="letter-spacing:.2pt"> </span><span style="letter-spacing:-.05pt">s</span><span style="letter-spacing:.05pt">electe</span>d<span style="letter-spacing:.2pt"> </span><span style="letter-spacing:-.05pt">w</span><span style="letter-spacing:.05pt">a</span>rds<span style="letter-spacing:.15pt"> </span>of<span style="letter-spacing:.45pt"> </span><span style="letter-spacing:-.05pt">P</span><span style="letter-spacing:.05pt">a</span>n<span style="letter-spacing:-.2pt">g</span><span style="letter-spacing:.05pt">a</span>pp<span style="letter-spacing:.25pt">a</span>ra<span style="letter-spacing:.25pt"> </span><span style="letter-spacing:-.05pt">P</span>r<span style="letter-spacing:.05pt">ima</span>ry<span style="letter-spacing:.2pt"> </span><span style="letter-spacing:-.25pt">H</span><span style="letter-spacing:.05pt">ealt</span>h<span style="letter-spacing:.2pt"> </span>C<span style="letter-spacing:.05pt">e</span>n<span style="letter-spacing:.05pt">t</span>re,<span style="letter-spacing:.25pt"> </span><span style="letter-spacing:.05pt">T</span>h<span style="letter-spacing:.05pt">i</span>ru<span style="letter-spacing:-.2pt">v</span><span style="letter-spacing:.05pt">a</span>n<span style="letter-spacing:.05pt">a</span>n<span style="letter-spacing:.05pt">t</span><span style="letter-spacing:-.2pt">h</span><span style="letter-spacing:.05pt">a</span>pur<span style="letter-spacing:-.1pt">a</span>m Corpor<span style="letter-spacing:.05pt">ati</span>on, Kerala. <span style="letter-spacing:.2pt">&nbsp;</span><span style="letter-spacing:.05pt">T</span>he<span style="letter-spacing:.25pt"> </span>r<span style="letter-spacing:.05pt">e</span><span style="letter-spacing:-.05pt">s</span><span style="letter-spacing:.05pt">e</span><span style="letter-spacing:-.15pt">a</span>r<span style="letter-spacing:.05pt">c</span>h<span style="letter-spacing:.2pt"> </span><span style="letter-spacing:.05pt">a</span>ppro<span style="letter-spacing:.05pt">ac</span>h<span style="letter-spacing:.2pt"> </span>u<span style="letter-spacing:-.05pt">s</span><span style="letter-spacing:.05pt">e</span>d<span style="letter-spacing:.2pt"> </span>for<span style="letter-spacing:.4pt"> </span><span style="letter-spacing:.05pt">t</span>he<span style="letter-spacing:.25pt"> </span><span style="letter-spacing:-.05pt">s</span><span style="letter-spacing:.05pt">t</span>udy <span style="letter-spacing:.05pt">i</span>s<span style="letter-spacing:.3pt"> </span>qu<span style="letter-spacing:.05pt">a</span>n<span style="letter-spacing:.05pt">tit</span><span style="letter-spacing:-.15pt">a</span><span style="letter-spacing:.05pt">ti</span><span style="letter-spacing:-.2pt">v</span>e<span style="letter-spacing:.45pt"> </span><span style="letter-spacing:.05pt">a</span>ppr<span style="letter-spacing:-.2pt">o</span><span style="letter-spacing:.05pt">ac</span>h.<span style="letter-spacing:.2pt"> </span><span style="letter-spacing:.05pt">T</span><span style="letter-spacing:-.2pt">h</span>e<span style="letter-spacing:.45pt"> </span><span style="letter-spacing:-.05pt">s</span><span style="letter-spacing:.05pt">t</span>udy <span style="letter-spacing:-.05pt">w</span><span style="letter-spacing:.05pt">a</span>s<span style="letter-spacing:1.75pt"> </span><span style="letter-spacing:.05pt">c</span>ondu<span style="letter-spacing:.05pt">cte</span>d<span style="letter-spacing:1.8pt"> </span><span style="letter-spacing:-.15pt">a</span><span style="letter-spacing:.05pt">m</span>ong<span style="letter-spacing:1.6pt"> </span>300<span style="letter-spacing:1.8pt"> </span>p<span style="letter-spacing:.05pt">a</span>r<span style="letter-spacing:.05pt">e</span>n<span style="letter-spacing:.05pt">t</span>s<span style="letter-spacing:1.7pt"> </span>of<span style="letter-spacing:1.8pt"> </span><span style="letter-spacing:.05pt">a</span>do<span style="letter-spacing:.05pt">le</span><span style="letter-spacing:-.05pt">s</span><span style="letter-spacing:.05pt">ce</span>nt<span style="letter-spacing:1.85pt"> </span><span style="letter-spacing:-.2pt">g</span><span style="letter-spacing:.05pt">i</span>r<span style="letter-spacing:.05pt">l</span>s<span style="letter-spacing:2.1pt"> </span><span style="letter-spacing:.2pt">b</span>y<span style="letter-spacing:1.4pt"> </span><span style="letter-spacing:.05pt">m</span>u<span style="letter-spacing:.05pt">lt</span><span style="letter-spacing:.1pt">i</span><span style="letter-spacing:-.05pt">s</span><span style="letter-spacing:.05pt">ta</span><span style="letter-spacing:-.2pt">g</span>e<span style="letter-spacing:1.85pt"> </span><span style="letter-spacing:-.05pt">s</span><span style="letter-spacing:.05pt">am</span>p<span style="letter-spacing:.05pt">li</span>ng<span style="letter-spacing:1.6pt"> </span><span style="letter-spacing:.05pt">t</span><span style="letter-spacing:-.15pt">e</span><span style="letter-spacing:.05pt">c</span>hn<span style="letter-spacing:.05pt">i</span>que u<span style="letter-spacing:-.05pt">s</span><span style="letter-spacing:.05pt">i</span>ng<span style="letter-spacing:.1pt"> </span><span style="letter-spacing:-.05pt">s</span><span style="letter-spacing:.05pt">t</span>ru<span style="letter-spacing:.05pt">ct</span>ur<span style="letter-spacing:.05pt">e</span>d<span style="letter-spacing:.05pt"> i</span>n<span style="letter-spacing:-.15pt">t</span><span style="letter-spacing:.05pt">e</span>r<span style="letter-spacing:-.2pt">v</span><span style="letter-spacing:.05pt">ie</span>w <span style="letter-spacing:-.05pt">s</span><span style="letter-spacing:.05pt">c</span>h<span style="letter-spacing:.05pt">e</span>du<span style="letter-spacing:.05pt">l</span><span style="letter-spacing:.3pt">e</span>.<span style="letter-spacing:.05pt"> </span><span style="letter-spacing:-.15pt">T</span>he<span style="letter-spacing:.1pt"> </span>d<span style="letter-spacing:.05pt">at</span>a<span style="letter-spacing:.1pt"> </span><span style="letter-spacing:.05pt">a</span><span style="letter-spacing:-.2pt">n</span><span style="letter-spacing:.05pt">al</span><span style="letter-spacing:-.4pt">y</span><span style="letter-spacing:-.05pt">s</span><span style="letter-spacing:.05pt">i</span>s<span style="letter-spacing:.35pt"> </span><span style="letter-spacing:-.05pt">w</span><span style="letter-spacing:.05pt">a</span>s done<span style="letter-spacing:.15pt"> </span><span style="letter-spacing:.2pt">b</span>y<span style="letter-spacing:.05pt"> </span>d<span style="letter-spacing:.05pt">e</span><span style="letter-spacing:-.05pt">s</span><span style="letter-spacing:.05pt">c</span>r<span style="letter-spacing:.05pt">i</span>p<span style="letter-spacing:.05pt">ti</span><span style="letter-spacing:-.2pt">v</span>e<span style="letter-spacing:.1pt"> </span><span style="letter-spacing:.05pt">a</span>nd <span style="letter-spacing:.05pt">i</span>nf<span style="letter-spacing:.05pt">e</span>r<span style="letter-spacing:.05pt">e</span>n<span style="letter-spacing:-.15pt">t</span><span style="letter-spacing:.05pt">ia</span>l<span style="letter-spacing:.25pt"> </span><span style="letter-spacing:-.05pt">s</span><span style="letter-spacing:.05pt">t</span><span style="letter-spacing:-.15pt">a</span><span style="letter-spacing:.05pt">ti</span><span style="letter-spacing:-.05pt">s</span><span style="letter-spacing:.05pt">t</span><span style="letter-spacing:-.15pt">i</span><span style="letter-spacing:.05pt">c</span><span style="letter-spacing:-.05pt">s</span>.<span style="letter-spacing:.45pt"> </span><span style="letter-spacing:.05pt">T</span>he<span style="letter-spacing:.25pt"> </span>r<span style="letter-spacing:.05pt">e</span><span style="letter-spacing:-.05pt">s</span>u<span style="letter-spacing:.05pt">l</span>t<span style="letter-spacing:.25pt"> </span><span style="letter-spacing:.05pt">c</span>on<span style="letter-spacing:-.15pt">c</span><span style="letter-spacing:.05pt">l</span>ud<span style="letter-spacing:.05pt">e</span>d <span style="letter-spacing:.05pt">t</span>h<span style="letter-spacing:.05pt">a</span>t<span style="letter-spacing:.25pt"> </span><span style="letter-spacing:.05pt">t</span>he<span style="letter-spacing:.25pt"> </span>propor<span style="letter-spacing:-.15pt">t</span><span style="letter-spacing:.05pt">i</span>on<span style="letter-spacing:.2pt"> </span>of<span style="letter-spacing:.2pt"> </span><span style="letter-spacing:.05pt">a</span>do<span style="letter-spacing:.05pt">le</span><span style="letter-spacing:-.05pt">s</span><span style="letter-spacing:.05pt">ce</span><span style="letter-spacing:-.2pt">n</span>t<span style="letter-spacing:.25pt"> </span><span style="letter-spacing:-.2pt">g</span><span style="letter-spacing:.05pt">i</span>r<span style="letter-spacing:.05pt">l</span>s<span style="letter-spacing:.3pt"> </span><span style="letter-spacing:-.2pt">v</span><span style="letter-spacing:.05pt">acci</span>n<span style="letter-spacing:.05pt">a</span><span style="letter-spacing:-.15pt">t</span><span style="letter-spacing:.05pt">e</span>d <span style="letter-spacing:.05pt">a</span><span style="letter-spacing:-.2pt">g</span><span style="letter-spacing:.05pt">ai</span>n<span style="letter-spacing:-.05pt">s</span>t<span style="letter-spacing:.2pt"> </span>rub<span style="letter-spacing:.05pt">el</span><span style="letter-spacing:-.15pt">l</span>a<span style="letter-spacing:.2pt"> </span><span style="letter-spacing:.05pt">i</span>s<span style="letter-spacing:.05pt"> l</span>ow<span style="letter-spacing:.35pt"> </span>(27.3%)<span style="letter-spacing:.15pt"> </span><span style="letter-spacing:.05pt">a</span>nd<span style="letter-spacing:&#10;.15pt"> </span><span style="letter-spacing:-.2pt">v</span><span style="letter-spacing:.05pt">a</span>r<span style="letter-spacing:-.15pt">i</span>ous<span style="letter-spacing:.05pt"> </span>p<span style="letter-spacing:.05pt">a</span>r<span style="letter-spacing:.05pt">e</span>n<span style="letter-spacing:.05pt">ta</span>l f<span style="letter-spacing:.05pt">a</span><span style="letter-spacing:-.15pt">c</span><span style="letter-spacing:.05pt">t</span>ors<span style="letter-spacing:.3pt"> </span><span style="letter-spacing:.05pt">li</span>ke<span style="letter-spacing:.2pt"> </span>kno<span style="letter-spacing:-.05pt">w</span><span style="letter-spacing:-.15pt">l</span><span style="letter-spacing:.05pt">e</span>d<span style="letter-spacing:-.2pt">g</span>e<span style="letter-spacing:.2pt"> </span>of<span style="letter-spacing:.3pt"> </span>p<span style="letter-spacing:.05pt">a</span>r<span style="letter-spacing:.05pt">e</span>n<span style="letter-spacing:.05pt">t</span>s r<span style="letter-spacing:.05pt">e</span><span style="letter-spacing:-.2pt">g</span><span style="letter-spacing:.05pt">a</span>rd<span style="letter-spacing:.05pt">i</span>ng<span style="letter-spacing:.2pt"> </span>rub<span style="letter-spacing:.05pt">ell</span>a<span style="letter-spacing:.45pt"> </span><span style="letter-spacing:.05pt">i</span>nf<span style="letter-spacing:.05pt">e</span><span style="letter-spacing:-.15pt">c</span><span style="letter-spacing:.05pt">ti</span>on,<span style="letter-spacing:.4pt"> </span><span style="letter-spacing:.05pt">a</span><span style="letter-spacing:-.2pt">v</span><span style="letter-spacing:.05pt">ai</span><span style="letter-spacing:-.15pt">l</span><span style="letter-spacing:.05pt">a</span>b<span style="letter-spacing:.05pt">i</span><span style="letter-spacing:-.15pt">l</span><span style="letter-spacing:.05pt">it</span>y <span style="letter-spacing:.2pt">o</span>f<span style="letter-spacing:.4pt"> </span><span style="letter-spacing:-.2pt">v</span><span style="letter-spacing:.05pt">acci</span>ne<span style="letter-spacing:.45pt"> </span><span style="letter-spacing:.05pt">i</span>n<span style="letter-spacing:.4pt"> </span><span style="letter-spacing:.05pt">t</span><span style="letter-spacing:-.2pt">h</span>e<span style="letter-spacing:.45pt"> </span>n<span style="letter-spacing:.05pt">ea</span><span style="letter-spacing:-.2pt">r</span><span style="letter-spacing:.05pt">e</span><span style="letter-spacing:-.05pt">s</span>t<span style="letter-spacing:.45pt"> </span>h<span style="letter-spacing:.05pt">e</span><span style="letter-spacing:-.15pt">a</span><span style="letter-spacing:.05pt">lt</span>h<span style="letter-spacing:.4pt"> </span><span style="letter-spacing:-.15pt">c</span><span style="letter-spacing:.05pt">e</span>n<span style="letter-spacing:.05pt">t</span>re<span style="letter-spacing:.25pt"> </span><span style="letter-spacing:.05pt">a</span>nd<span style="letter-spacing:.2pt"> </span><span style="letter-spacing:.05pt">c</span>o<span style="letter-spacing:-.05pt">s</span>t<span style="letter-spacing:.45pt"> </span>of <span style="letter-spacing:-.2pt">v</span><span style="letter-spacing:.05pt">acci</span>n<span style="letter-spacing:.05pt">e</span>, <span style="letter-spacing:.05pt">i</span>nfor<span style="letter-spacing:&#10;.05pt">m</span><span style="letter-spacing:-.15pt">a</span><span style="letter-spacing:.05pt">ti</span>on from<span style="letter-spacing:.05pt"> </span>h<span style="letter-spacing:.05pt">ea</span><span style="letter-spacing:&#10;-.15pt">l</span><span style="letter-spacing:.05pt">t</span>h <span style="letter-spacing:-.05pt">w</span>ork<span style="letter-spacing:.05pt">e</span>r r<span style="letter-spacing:.05pt">e</span><span style="letter-spacing:-.2pt">g</span><span style="letter-spacing:.05pt">a</span>rd<span style="letter-spacing:.05pt">i</span>ng rub<span style="letter-spacing:.05pt">ell</span>a<span style="letter-spacing:&#10;.05pt"> </span><span style="letter-spacing:-.2pt">v</span><span style="letter-spacing:.05pt">acci</span>n<span style="letter-spacing:.05pt">a</span><span style="letter-spacing:-.15pt">t</span><span style="letter-spacing:.05pt">i</span>on, p<span style="letter-spacing:.05pt">a</span>r<span style="letter-spacing:.05pt">e</span>n<span style="letter-spacing:.05pt">t</span><span style="letter-spacing:-.15pt">a</span>l<span style="letter-spacing:.05pt"> </span><span style="letter-spacing:-.15pt">t</span>hou<span style="letter-spacing:-.2pt">g</span>h<span style="letter-spacing:.05pt">t</span>s <span style="letter-spacing:.05pt">a</span>nd <span style="letter-spacing:.4pt">&nbsp;</span>b<span style="letter-spacing:.05pt">el</span><span style="letter-spacing:-.15pt">i</span><span style="letter-spacing:.05pt">e</span>fs <span style="letter-spacing:.35pt">&nbsp;</span>r<span style="letter-spacing:.05pt">e</span><span style="letter-spacing:-.2pt">g</span><span style="letter-spacing:.05pt">a</span><span style="letter-spacing:.15pt">r</span>d<span style="letter-spacing:.05pt">i</span>ng <span style="letter-spacing:.2pt">&nbsp;</span>unr<span style="letter-spacing:.05pt">elia</span>b<span style="letter-spacing:-.15pt">i</span><span style="letter-spacing:.05pt">lit</span>y&nbsp; <span style="letter-spacing:.05pt">a</span>nd <span style="letter-spacing:.4pt">&nbsp;</span>fu<span style="letter-spacing:.05pt">t</span>ure <span style="letter-spacing:.45pt">&nbsp;</span><span style="letter-spacing:.05pt">e</span>f<span style="letter-spacing:-.2pt">f</span><span style="letter-spacing:.05pt">ect</span>s <span style="letter-spacing:.3pt">&nbsp;</span>of <span style="letter-spacing:.4pt">&nbsp;</span>r<span style="letter-spacing:.05pt">e</span>fu<span style="letter-spacing:-.05pt">s</span><span style="letter-spacing:.05pt">i</span>ng <span style="letter-spacing:.2pt">&nbsp;</span>rub<span style="letter-spacing:.05pt">el</span><span style="letter-spacing:-.15pt">l</span>a <span style="letter-spacing:.45pt">&nbsp;</span><span style="letter-spacing:-.2pt">v</span><span style="letter-spacing:.05pt">acc</span><span style="letter-spacing:-.15pt">i</span>ne <span style="letter-spacing:.45pt">&nbsp;</span><span style="letter-spacing:.05pt">a</span>nd p<span style="letter-spacing:.05pt">a</span>r<span style="letter-spacing:.05pt">e</span>n<span style="letter-spacing:.05pt">t</span><span style="letter-spacing:-.15pt">a</span>l<span style="letter-spacing:.25pt"> </span><span style="letter-spacing:.05pt">at</span><span style="letter-spacing:-.15pt">t</span><span style="letter-spacing:.05pt">it</span>ude<span style="letter-spacing:.25pt"> </span><span style="letter-spacing:.05pt">t</span>o<span style="letter-spacing:-.05pt">w</span><span style="letter-spacing:.05pt">a</span>rds<span style="letter-spacing:.3pt"> </span>rub<span style="letter-spacing:-.1pt">e</span><span style="letter-spacing:.05pt">l</span><span style="letter-spacing:-.15pt">l</span>a<span style="letter-spacing:.45pt"> </span><span style="letter-spacing:-.2pt">v</span><span style="letter-spacing:.05pt">acci</span><span style="letter-spacing:-.2pt">n</span><span style="letter-spacing:-.15pt">a</span><span style="letter-spacing:.05pt">ti</span>on<span style="letter-spacing:.8pt"> </span><span style="letter-spacing:-.05pt">w</span><span style="letter-spacing:.05pt">e</span>re<span style="letter-spacing:.25pt"> </span><span style="letter-spacing:.05pt">i</span>n<span style="letter-spacing:-.2pt">f</span><span style="letter-spacing:.05pt">l</span>u<span style="letter-spacing:.05pt">e</span>n<span style="letter-spacing:-.15pt">c</span><span style="letter-spacing:.05pt">i</span>ng<span style="letter-spacing:.2pt"> </span><span style="letter-spacing:.05pt">t</span>he<span style="letter-spacing:.25pt"> </span><span style="letter-spacing:.05pt">ac</span><span style="letter-spacing:-.15pt">c</span><span style="letter-spacing:.05pt">e</span>p<span style="letter-spacing:.05pt">ta</span><span style="letter-spacing:-.2pt">n</span><span style="letter-spacing:.05pt">c</span>e<span style="letter-spacing:.45pt"> </span>of rub<span style="letter-spacing:.05pt">ell</span>a <span style="letter-spacing:-.2pt">v</span><span style="letter-spacing:.05pt">acci</span>n<span style="letter-spacing:.05pt">ati</span>on <span style="letter-spacing:.05pt">am</span>ong <span style="letter-spacing:.05pt">a</span>do<span style="letter-spacing:-.15pt">l</span><span style="letter-spacing:.05pt">e</span><span style="letter-spacing:-.05pt">s</span><span style="letter-spacing:.05pt">ce</span><span style="letter-spacing:-.2pt">n</span>t<span style="letter-spacing:.25pt"> </span><span style="letter-spacing:-.2pt">g</span><span style="letter-spacing:.05pt">i</span>r<span style="letter-spacing:.05pt">l</span><span style="letter-spacing:-.05pt">s</span>.<span style="letter-spacing:.55pt"> </span><span style="letter-spacing:.05pt">T</span><span style="letter-spacing:-.2pt">h</span>e<span style="letter-spacing:.25pt"> </span><span style="letter-spacing:.05pt">a</span>d<span style="letter-spacing:-.2pt">v</span><span style="letter-spacing:.05pt">a</span>n<span style="letter-spacing:.05pt">ci</span>ng <span style="letter-spacing:.05pt">a</span><span style="letter-spacing:-.2pt">g</span>e<span style="letter-spacing:.25pt"> </span>of<span style="letter-spacing:.2pt"> </span><span style="letter-spacing:.05pt">a</span>d<span style="letter-spacing:-.2pt">o</span><span style="letter-spacing:.05pt">le</span><span style="letter-spacing:-.05pt">s</span><span style="letter-spacing:.05pt">ce</span><span style="letter-spacing:-.2pt">n</span>t<span style="letter-spacing:.25pt"> </span><span style="letter-spacing:-.2pt">g</span><span style="letter-spacing:.05pt">i</span>rl<span style="letter-spacing:.6pt"> </span>(p<span style="letter-spacing:-.15pt">=</span>0.001<span style="letter-spacing:.05pt">)</span>, <span style="letter-spacing:-.05pt">s</span><span style="letter-spacing:.05pt">t</span>u<span style="letter-spacing:.2pt">d</span><span style="letter-spacing:-.4pt">y</span><span style="letter-spacing:.05pt">i</span><span style="letter-spacing:.2pt">n</span>g <span style="letter-spacing:1.6pt">&nbsp;</span><span style="letter-spacing:.05pt">i</span>n <span style="letter-spacing:1.8pt">&nbsp;</span>a <span style="letter-spacing:2.0pt">&nbsp;</span><span style="letter-spacing:-.25pt">G</span><span style="letter-spacing:.2pt">o</span><span style="letter-spacing:-.2pt">v</span><span style="letter-spacing:.05pt">e</span>rn<span style="letter-spacing:.05pt">me</span>nt <span style="letter-spacing:1.85pt">&nbsp;</span><span style="letter-spacing:.05pt">i</span>n<span style="letter-spacing:-.05pt">s</span><span style="letter-spacing:.05pt">tit</span>u<span style="letter-spacing:-.15pt">t</span>e <span style="letter-spacing:2.05pt">&nbsp;</span>(<span style="letter-spacing:-.2pt">p</span>=0.005) <span style="letter-spacing:1.85pt">&nbsp;</span><span style="letter-spacing:.05pt">a</span>nd <span style="letter-spacing:1.8pt">&nbsp;</span><span style="letter-spacing:.05pt">i</span>nfor<span style="letter-spacing:-.15pt">m</span><span style="letter-spacing:.05pt">ati</span>on <span style="letter-spacing:1.8pt">&nbsp;</span>fr<span style="letter-spacing:-.2pt">o</span>m <span style="letter-spacing:1.85pt">&nbsp;</span>h<span style="letter-spacing:.05pt">e</span><span style="letter-spacing:-.15pt">a</span><span style="letter-spacing:.05pt">lt</span>h <span style="letter-spacing:1.6pt">&nbsp;</span><span style="letter-spacing:-.05pt">w</span>ork<span style="letter-spacing:.05pt">e</span>r (p=0.015)<span style="letter-spacing:.05pt"> a</span>re<span style="letter-spacing:&#10;.05pt"> t</span><span style="letter-spacing:-.2pt">h</span>e<span style="letter-spacing:.05pt"> i</span>nd<span style="letter-spacing:.05pt">e</span><span style="letter-spacing:-.2pt">p</span><span style="letter-spacing:.05pt">e</span>nd<span style="letter-spacing:.05pt">e</span>nt<span style="letter-spacing:.05pt"> </span>p<span style="letter-spacing:-.2pt">r</span><span style="letter-spacing:.05pt">e</span>d<span style="letter-spacing:-.15pt">i</span><span style="letter-spacing:.05pt">ct</span>ors<span style="letter-spacing:-.05pt"> </span><span style="letter-spacing:-.2pt">o</span>f rub<span style="letter-spacing:.05pt">ell</span>a<span style="letter-spacing:&#10;.05pt"> </span><span style="letter-spacing:-.2pt">v</span><span style="letter-spacing:.05pt">a</span><span style="letter-spacing:-.15pt">c</span><span style="letter-spacing:.05pt">ci</span>n<span style="letter-spacing:-.15pt">a</span><span style="letter-spacing:.05pt">ti</span>o<span style="letter-spacing:.35pt">n</span>.</span></p> <p class="MsoNormal" style="margin-top:.5pt;margin-right:2.5pt;margin-bottom:&#10;0in;margin-left:13.05pt;margin-bottom:.0001pt;text-align:justify;text-indent:&#10;45.05pt;line-height:200%"><span style="font-size:12.0pt;line-height:200%;&#10;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;mso-fareast-font-family:&quot;Times New Roman&quot;"><o:p></o:p></span></p>