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Individuals who are in close or intimate contact with multiple people, regularly visit crowded venues such as bars and parties, or use illegal drugs, smoke cigarettes, marijuana, hookahs or spend time in smoky settings may be at increased risk of infection.Symptoms of meningococcal disease may include fever, vomiting, severe headache, stiff neck, confusion, rash and generalized muscle pains.The time from exposure to the start of symptoms is typically just a few days.Guidelines differ from standards in that standards are mandatory and may be accompanied by an enforcement mechanism. They are intended to facilitate the continued systematic development of the profession and to help ensure a high level of professional practice by psychologists.These guidelines are not intended to be mandatory or exhaustive and may not be applicable to every clinical situation.