Public health surveillance involves the ongoing, systematic collection, analysis, and interpretation of information on a public health problem that is closely integrated with the timely dissemination of these data to those responsible for preventing or controlling the injury (Thacker & Berkelman, 1988).
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Elderly. Initiate CYMBALTA at a dose of 30 mg once daily for 2 weeks before considering an increase to the target dose of 60 mg. Thereafter, patients may benefit from doses above 60 mg once daily. If a decision is made to increase the dose beyond 60 mg once daily, increase dose in increments of 30 mg once daily.The maximum dose studied was 120 mg per day. Safety of doses above 120 mg once daily has not been adequately evaluated [see Clinical Studies ].osage For Treatment Of Fibromyalgia. Administer CYMBALTA 60 mg once daily. Begin treatment at 30 mg once daily for 1 week, to allow patients to adjust to the medication before increasing to 60 mg once daily. Some patients may respond to the starting dose.