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Photo by: JESSICA HILL

**FILE** Shirley Ristau (right) coaches Johanna O'Neill (center) through a balance obstacle course while O'Neill's sister, Mary O'Neill (left), looks on during a fall prevention demonstration class at the Manchester Senior Center in Manchester, Conn., on April 25, 2007. As deaths from fall-related injuries have skyrocketed nationwide, officials from several states, universities and hospitals are doing more help elderly people avoid falling. (Associated Press)

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