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In addition, the bacterial load in tilapia from San Pedro Lake does not pose a risk to human health. PRACTITIONER POINTS Watershed livestock activities combined with rainfall increase fecal matter pollution in specific areas of the lake. San Pedro Lake displays satisfactory quality for aquatic life. The median fecal coliform population in lake fish (gills and skin) differs by season. Role confusion is hampering the development of nurses' capacity for health promotion and prevention. Addressing this requires discussion to reach agreement
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