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Older children may have a higher risk of infection and increasing testing in intermediate and high school aged children may be indicated. The lower proportion of tests positive in children less then 10 years of age suggests they are appropriately tested relative to their rates of disease. A large high school-associated cluster makes the higher proportion of tests positive in children 10-14 years old difficult to interpret. Older children may have a higher risk of infection and increasing testing in intermediate and high school aged chil