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u.s. first lady melania trump has been in the hospital for four days, with no word on exactly when she will be released. .
it also recommends building more secure restrooms and hand-washing stations in areas where homeless people congregate. .
the outbreak killed 20 and sickened 577 people between november 2016 and october 2017. .
three other countries � spain, czech republic, and slovakia � had also been warned by the eu, but devised sufficient air management plans within the requested time frame. .