The bacteria are carried by white blood cells in the liver, spleen, and bone marrow, where they multiply and reenter the bloodstream. People develop symptoms, including fever, at this point. Bacteria invade the gallbladder, biliary system, and the lymphatic tissue of the bowel. Here, they multiply in high numbers.
As part of this awareness the Council of Australian Governments (COAG) has developed principles regarding the use, manufacture, storage, transport, supply, import and export of security sensitive ammonium nitrate (SSAN).
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