A city government employee grimaces as she receives a vaccination against ordinary seasonal flu in the financial district of Manila on June 15, 2009, amidst reports of the country’s first cluster of domestic swine flu cases. Philippine health authorities have reported the country’s first cluster of domestic swine flu cases after a group of primary school students were infected in the remote northern village of Hilera. The Philippines has reported a total of 147 confirmed cases of swine flu, but no deaths so far. TOPSHOTS AFP PHOTO/TED ALJIBE (Photo credit should read TED ALJIBE/AFP/Getty Images)

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