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Human Infection with 2019 Novel Coronavirus Case Report Form

Chronic Lung Disease (asthma, emphysema, COPD) Other Chronic, specify: Other underlying conditons/risk behavior, specify: Serologic Test Immunosuppressive condition Autoimmune condition Current Smoker Former Smoker Substance abuse or misuse Disability (neurologic, neuro developmental, intellectual, physical, vision or hearing impairment) Specify:

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  Lungs, Emphysema

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