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Adverse Effects and Reporting Adverse events or suspected contamination issues should be reported immediately to the manufacturer (Hospira/Pfizer) and relevant regulatory authorities (FDA MedWatch, poison control, or institutional pharmacovigilance systems)

The majority of exposures result from contaminated food, skin contact, and inhalation of spore-borne toxins, which is often caused by water-damaged buildings

Topical applications also face absorption challenges, affecting only superficial skin layers rather than providing systemic benefits

Photographs of manicured lawns and stately homes in the city lured prospective residents