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Doris Ortiz, Medical Technician 2, prepares samples in the specimen set-up area of the Vanderbilt Clinical Microbiology Lab for patient care, where the fungal meningitis outbreak was first diagnosed, in Nashville, Tennessee on October 19, 2012. 257 people in the United States have been diagnosed with this disease and 20 have died. REUTERS/Harrison McClary (UNITED STATES)