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U.S. sees concerning rise in STIs, congenital syphilis with no signs of slowing

Video vocabulary

the

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US / ðə /

UK / ðə /

A1
  • article
  • Used to refer to something already mentioned
  • Used to show there is only one of something
  • determiner
  • Used to describe all of a family

be

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US / bɪ /

UK / bi /

A1
  • verb
  • Being

and

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US / ənd /

UK / ənd, ən,ænd /

A1
  • conjunction
  • Used to refer to two or more things
  • Plus; in addition; on top of that
  • Used to introduce an action that follows another

that

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US / ðæt /

UK / ðæt, ðət /

A1
  • adjecitve
  • The person or thing being talked about
  • Used to identify something both the speakers know
  • adverb
  • Used to reinforce adjectives and adverbs
  • To such a degree
  • conjunction
  • Used to connect a noun clause
  • Used to introduce an adverbial clause
  • Used to introduce a noun clause
  • determiner
  • Used as a noun to refer to something
  • pronoun
  • Referring an object far away
  • Used to refer to the relative pronoun ‘which’

have

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US / həv /

UK / hæv /

A1
  • verb
  • To drink, smoke, eat or use something
  • To experience the effects of something
  • To organize an event, or join in an activity
  • To own, possess, or hold something
  • To cause to happen or produce a particular effect

not

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US / nɒt /

UK / nɑt /

A1
  • adverb
  • Word indicating the negative
  • (Used to form the negative of verbs)

for

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US / fə(r) /

UK / fɔr,fə /

A1
  • preposition
  • Used to show the purpose, or need of something

you

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US / jʊ /

UK / ju /

A1
  • pronoun
  • Person someone is speaking or writing to
  • Person or people in general

this

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US / ðɪs /

UK / ðɪs /

A1
  • adjecitve
  • Used to indicate something already been discussed
  • Used to indicate something happening around now
  • adverb
  • An indication by a physical motion or gesture
  • A specific amount of
  • determiner
  • Person, thing, or idea near you
  • pronoun
  • Person, thing that has already been discussed

with

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US / wɪð /

UK / wɪð, wɪθ /

A1
  • preposition
  • As an employee of a certain company
  • Against something or someone
  • By using something as a means
  • Due to; because of
  • Including
  • Possessing as a feature
  • Related to
  • (Of the manner/attitude by which you do something)
  • Used to express that people or things are together

about

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US / ə'baʊt /

UK / əˈbaʊt /

A1
  • adverb
  • To be ready to; going to
  • Nearly; approximately; roughly
  • Near; next to; close to
  • In every direction; in the area of
  • preposition
  • Concerning or of (a topic)

get

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US / ɡet /

UK / ɡɛt /

A1
  • verb
  • To become affected by illness or disease
  • To begin to feel or understand an emotion or idea
  • To send or bring someone or something home, etc.
  • To go somewhere to obtain something
  • To (cause to) do a particular thing
  • To obtain, receive or be given something
  • To currently have
  • To prepare for use
  • To understand something being said or read

but

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US / bət /

UK / bʌt,bət /

A1
  • conjunction
  • Used before you say something different, opposite

can

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US / kæn /

UK / kən,kæn /

A1
  • noun
  • A metal container for storing food
  • other
  • Able to; have the skill to; have the time to
  • verb
  • To have permission to
  • To be possible to do
  • To preserve food by sealing it in a metal container

they

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US / ðeɪ /

UK / ðe /

A1
  • pronoun
  • Two or more people, animals, or things

what

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US / wɒt /

UK / hwɑt, hwʌt, wɔt, wʌt,hwət, wət /

A1
  • adjecitve
  • Used to refer to a particular amount, or number
  • Used to place emphasis on a particular quality
  • adverb
  • To a certain degree
  • determiner
  • Question words used for asking for information
  • exclamation
  • Used to express excitement, shock, or surprise
  • Used to ask people to repeat something they said
  • pronoun
  • Thing or things that; the same kind as
  • Used to emphasize something you are about to say

all

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US / ɔ:l /

UK / ɔl /

A1
  • adverb
  • Completely; totally
  • determiner
  • Being every one of something
  • pronoun
  • 100% of something; the complete amount

do

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US / du: /

UK / du /

A1
  • other
  • Question words for 'do' verbs
  • verb
  • To act; to perform actions
  • To be enough; to be acceptable
  • To have a certain effect on something or someone

like

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US / laɪk /

UK / laɪk /

A1
  • adjecitve
  • Being equal in status or kind to something else
  • Similar; the same
  • adverb
  • For example
  • preposition
  • Used as a filler; used to ad emphasis
  • In a way similar to the way something is done
  • Such as; for example
  • verb
  • To want to
  • To find something pleasing; to prefer something

will

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US / wɪl /

UK / wɪl /

A1
  • noun
  • Desire or choice of someone
  • Document saying who gets your money when you die
  • Strong desire to do something; determination
  • Desire to do something; strong wish to do
  • other
  • Used with verbs to express the future
  • verb
  • To leave property to someone after your death
  • To use mental effort to make something happen
  • Am (is, are) likely to do
  • To influence someone to do something
  • To make something happen by strongly wanting it

go

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US / ɡəʊ /

UK / ɡo /

A1
  • noun
  • A turn in a game
  • verb
  • To attend or be at a place
  • To do an activity
  • To function properly
  • To move or travel to another place

one

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US / wʌn /

UK / wʌn /

A1
  • adjecitve
  • Used to refer to people generally
  • Being a strong example of (something mentioned)
  • number
  • Number 1
  • pronoun
  • You; we; people in general; someone
  • The thing or person previously referred to

there

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US / ðɛə /

UK / ðɛr /

A1
  • adverb
  • Used to illustrate the existence of something
  • In a particular respect
  • In that place or position, at that location

out

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US / aʊt /

UK / aʊt /

A1
  • adverb
  • No longer stylish (e.g. fashion)
  • Away from home, business, or the usual place
  • In a direction/movement away from inside or center
  • noun
  • Act when a batter cannot continue playing
  • verb
  • To tell people a secret

from

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US / frəm /

UK / frʌm, frɑm,frəm /

A1
  • preposition
  • Starting at a particular place, time or level

see

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US / si: /

UK / si /

A1
  • verb
  • To go on a date with someone
  • To predict whether something is, or will be true
  • To understand what someone says
  • To use your eyes to look at something
  • To visit a place often for sightseeing or pleasure
  • To visit or meet with someone
  • To find out by waiting or looking
  • To watch (a game, movie or TV show)

know

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US / nəʊ /

UK / noʊ /

A1
  • verb
  • To be familiar with a person or place, thing
  • To feel sure or be convinced about something
  • To discover or be aware of something
  • To be able to distinguish
  • To have knowledge of things

think

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US / θɪŋk /

UK / θɪŋk /

A1
  • verb
  • To have an idea about something without certainty
  • To have an idea, opinion or belief about something

your

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US / jɔ: /

UK / jʊr, jɔr, jor,jə /

A1
  • determiner
  • Belonging to you; belonging to the other person

time

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US / taɪm /

UK / taɪm /

A1
  • noun
  • Speed at which music is played; tempo
  • Point as shown on a clock, e.g. 3 p.m
  • Number of hours, minutes needed to do something
  • Occasion when something happens
  • Period or occasion that something occurred
  • Period in history or the past
  • Something measured in minutes, hours, days, etc.
  • How long an event takes; duration
  • verb
  • To check speed at which music is performed
  • To choose a specific moment to do something
  • To measure how long an event takes, e.g. a race
  • To schedule something to occur at a specific moment

come

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US / kʌm /

UK / kʌm /

A1
  • verb
  • To arrive at a place
  • (Of mail) to be delivered
  • To move toward someone; go with someone
  • To reach a certain point or state

more

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US / mɔ:(r) /

UK / mɔr, mor /

A1
  • adjecitve
  • In addition; extra
  • Greater in amount, number, or size
  • adverb
  • To a greater degree; in greater quantity
  • For a longer period of time
  • determiner
  • Additional quantity
  • pronoun
  • A greater or additional number

when

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US / wen /

UK / wɛn /

A1
  • adjecitve
  • Concerning or during the time something happens
  • adverb
  • Word you use to ask about the time, or day
  • conjunction
  • Although
  • In the event that; if
  • pronoun
  • Which time

some

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US / səm /

UK / sʌm /

A1
  • adjecitve
  • Remarkable; very good (or very bad) in a way
  • Concerning a certain unclear degree, quantity
  • determiner
  • Used to refer to an unspecified amount or number
  • pronoun
  • Number of persons, things in a group, but not all

look

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US / lʊk /

UK / lʊk /

A1
  • noun
  • Person's beauty or physical attractiveness
  • Particular style of dress, clothes, or appearance
  • The way someone, something appears to be
  • Act of searching for or examining something
  • verb
  • To appear to be; seem

how

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US / haʊ /

UK / haʊ /

A1
  • adjecitve
  • To what degree? in what amount?
  • adverb
  • (Used to explain the way to do something)
  • exclamation
  • For what purpose or reason?
  • (Used to ask someone or something's condition)

really

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US / ˈri:əli /

UK / ˈriəˌli, ˈrili /

A1
  • adverb
  • Used to stress something that is said; definitely
  • In a true or accurate manner
  • Very

thing

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US / θɪŋ /

UK / θɪŋ /

A1
  • noun
  • (Used to introduce the reason for something)
  • Something you cannot remember the name of

these

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US / ði:z /

UK / ðiz /

A1
  • determiner
  • People, things, or ideas near you
  • pronoun
  • The objects near the speaker

well

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US / wel /

UK / wɛl /

A1
  • adjecitve
  • Being in a fortunate, good condition or state
  • Healthy and in good condition
  • adverb
  • In an acceptable, proper, or successful manner
  • In a complete, total, or full manner
  • A great and considerable degree
  • In a successful way, in a good or satisfactory way
  • exclamation
  • Used to begin or continue a particular statement
  • Used to show you want to start saying something
  • Used to express that you are waiting for a reply
  • You say this to change the topic of a conversation
  • Used to indicate you are making a final remark
  • noun
  • Long deep hole in the ground to get water
  • verb
  • To cause your eyes to fill with tears

could

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US / kəd /

UK / kʊd /

A1
  • other
  • Past form of 'can' to mean have ability
  • Used to ask for something politely, or to offer

other

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US / 'ʌðə(r) /

UK / ˈʌðər /

A1
  • adjecitve
  • A thing different from that mentioned
  • determiner
  • (Something) else; not the first (one)
  • pronoun
  • Being the one and only thing of that category

over

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US / 'əʊvə(r) /

UK / ˈovɚ /

A1
  • adverb
  • Finished; no longer happening
  • Towards the ground/away from a standing position
  • noun
  • A set of six consecutive balls bowled in cricket
  • other
  • Finished
  • preposition
  • Showing the relation when a thing is above another
  • On or covering something
  • Above or across something
  • More than you need
  • From one side to the other
  • In the direction of; toward

much

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US / mʌtʃ /

UK / mʌtʃ /

A1
  • adjecitve
  • Very; to a high level or degree
  • adverb
  • A lot; large amount; a high degree of
  • Nearly; basically
  • On many occasions; often
  • noun
  • A large amount; a great quantity

actually

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US / ˈæktʃuəli /

UK / ˈæktʃuəli /

A1
  • adverb
  • Used to add new (often different) information

where

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US / hwɛə /

UK / hwɛr, wɛr /

A1
  • conjunction
  • At or in the place which
  • In whatever place
  • pronoun
  • Word you use to ask the location of something

people

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US / 'pi:pl /

UK / ˈpipəl /

A1
  • noun
  • Persons sharing culture, country, background, etc.
  • Men, Women, Children

let

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US / let /

UK / lɛt /

A1
  • verb
  • To allow someone to do something
  • Introducing a suggestion to do something together
  • To rent a house, etc. to others

need

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US / ni:d /

UK / nid /

A1
  • noun
  • Thing you must have and cannot not have e.g. air
  • Thing you must have and cannot manage without
  • verb
  • To be unable to manage without something; require

which

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US / wɪtʃ /

UK / hwɪtʃ,wɪtʃ /

A1
  • determiner
  • Question word to ask about a person's choice
  • pronoun
  • (Used to describe something previously mentioned)
  • Question word to decide either, or

our

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US / 'aʊə(r) /

UK / aʊr /

A1
  • determiner
  • Belonging to us

lot

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US / lɒt /

UK / lɑt /

A1
  • noun
  • What happens to a person in life from chance; fate
  • A group of people seen together
  • Item for sale at an auction
  • Small area of land used for a purpose e.g. parking

use

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US / ju:s /

UK / ju:s /

A1
  • noun
  • Ability to employ something
  • Need to enable it to work
  • Permission to do something with something
  • Act of spending money
  • Operation of a machine for its function
  • verb
  • To have; to eat, drink, consume etc.
  • To need to operate or work
  • To operate a machine, e.g. a computer
  • To treat a person badly
  • To do something with, for a task or purpose

their

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US / ðɛː /

UK / ðer /

A1
  • determiner
  • Belonging to them

than

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US / ðən /

UK / ðən /

A1
  • conjunction
  • Used to compare two things that are not equal

start

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US / stɑ:t /

UK / stɑrt /

A1
  • noun
  • First time or place that a thing exists; beginning
  • First opportunity to achieve something, e.g. a job
  • Sudden action or movement because you are scared
  • other
  • Beginning of something in place or time
  • verb
  • To do, be or happen for the first time; begin
  • To turn something on

work

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US / wɜ:k /

UK / wɚk /

A1
  • adjecitve
  • Activity completed in order to make money
  • noun
  • The product of some artistic or literary endeavor
  • Everything created by an author, artist, musician
  • Activity you do in order to make money
  • Place of employment
  • Final product or result of a some labor or effort
  • verb
  • To bring into a specific state of success
  • To be functioning properly, e.g. a car
  • To do your job in your company or workplace
  • To make an effort to do something
  • To operate a machine or device

those

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US / ðəʊz /

UK / ðoz /

A1
  • determiner
  • The people or things we are talking about
  • pronoun
  • The objects far from the speaker

kind

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US / kaɪnd /

UK / kaɪnd /

A1
  • adjecitve
  • In a caring and helpful manner
  • friendly and considerate
  • noun
  • One type of thing

day

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US / deɪ /

UK / de /

A1
  • noun
  • A period of 24 hours beginning at midnight
  • The period of time when it is light outside
  • Person's name

new

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US / nju: /

UK / nu, nju /

A1
  • adjecitve
  • Not old, recently born, built or made
  • Being or doing something for the first time
  • Not felt, seen or known previously
  • Having been recently bought or obtained

most

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US / məʊst /

UK / most /

A1
  • adverb
  • Very; extremely
  • Greatest possible degree
  • determiner
  • Constituting nearly all of something
  • pronoun
  • Nearly all of something

call

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US / kɔ:l /

UK / kɔl /

A1
  • noun
  • A order or request for action
  • The sound an animal makes, often when in danger
  • A correct prediction, e.g. a decision in a game
  • A short visit to a place or person
  • A decision by a referee or umpire in a game
  • verb
  • To make a request or order for action
  • (Animal) to make sounds to warn of danger
  • To announce the date of an election
  • To make a judgment about something
  • To give someone or something a name
  • To guess in advance the result or outcome
  • To visit a place or person for a short time
  • To phone someone
  • To speak, announce or shout in a loud voice

year

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US / jə: /

UK / jɪr /

A1
  • noun
  • Unit of time equal to 12 months or 365 or 366 days
  • Used to refer to the age of a person

why

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US / waɪ /

UK / hwaɪ, waɪ /

A1
  • adverb
  • Question word to ask for a reason
  • exclamation
  • (Used to express surprise or approval)

should

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US / ʃʊd /

UK / ʃʊd /

A1
  • other
  • Used to indicate what is proper or reasonable

talk

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US / tɔ:k /

UK / tɔk /

A1
  • noun
  • Style of speaking
  • Discussion between two countries
  • Giving information in front of people; lecture
  • Saying things or ideas to someone with words
  • verb
  • To make a formal speech about something
  • To say things or ideas to someone with words

show

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US / ʃəʊ /

UK / ʃo /

A1
  • noun
  • False display of love, emotion or action
  • An event for displaying or promoting goods
  • Play, opera or theater production
  • Presentation that is broadcast on TV or radio
  • verb
  • To be easily seen or displayed
  • To display your emotions or feelings
  • To let someone see something; display
  • To explain or teach how something is done
  • To lead someone somewhere; point them to something
  • To prove something to be true, correct
  • To reveal or allow something to be seen

last

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US / lɑ:st /

UK / læst /

A1
  • adjecitve
  • Most recent; the latest
  • The one before
  • adverb
  • Final; with nothing following; after all others
  • Most recent; the latest
  • determiner
  • The one at the end
  • verb
  • To remain or continue for a certain period of time

every

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US / 'evrɪ /

UK / ˈɛvri /

A1
  • adjecitve
  • Happening at equal specified intervals/distance
  • determiner
  • Including each person or thing in a group

long

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US / lɒŋ /

UK / lɔŋ, lɑŋ /

A1
  • adjecitve
  • Large distance from one end to the other
  • Having many parts, e.g. a book with many chapters
  • adverb
  • For a large amount of time
  • noun
  • Person's name
  • verb
  • To have a strong desire for something or someone

she

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US / ʃɪ /

UK / ʃi /

A1
  • pronoun
  • Female person or animal mentioned before
  • (Refers to female person mentioned before)

might

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US / maɪt /

UK / maɪt /

A1
  • other
  • Used to politely request an action
  • Used to express that something could happen
  • Power, strength, force or influence

help

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US / help /

UK / hɛlp /

A1
  • noun
  • Something given to enable a person to do something
  • Assistance given to someone in need
  • Someone who makes something easier or possible
  • verb
  • To act to enable a person to do something; assist
  • To make something better or less difficult

part

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US / pɑ:t /

UK / pɑ:rt /

A1
  • adjecitve
  • To some degree; half; not fully
  • noun
  • Division of a book
  • Ratio of something, e.g. 3 of gin, 1 of tonic
  • A line in a person's hair, made with a comb
  • Character an actor plays on stage, movie, or TV
  • Some, but not all of a specific thing
  • Role in causing something to happen
  • verb
  • To make a line in a person's hair, by using a comb
  • To move two things apart creating a space
  • To leave someone, or to break off a relationship

place

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US / pleɪs /

UK / ples /

A1
  • noun
  • Particular location, area or region
  • verb
  • To put someone in a particular type of situation
  • To put something in a certain location or position

everything

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US / 'evrɪθɪŋ /

UK / ˈɛvriˌθɪŋ /

A1
  • pronoun
  • All of the things mentioned

thank

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US / θæŋk /

UK / θæŋk /

A1
  • verb
  • To tell someone you are grateful to them

bring

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US / brɪŋ /

UK / brɪŋ /

A1
  • verb
  • To take or go with someone to a place

hard

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US / hɑ:d /

UK / hɑː(r)d /

A1
  • adjecitve
  • Difficult to do; difficult to understand
  • (Of facts) not able to be misunderstood; clear
  • (Of alcohol) strong
  • Involving or requiring lots of work, effort, care
  • Being full of pain, trouble, and problems
  • Strong
  • (Of edge) clear; sharp
  • Difficult to bend, break or cut; solid
  • adverb
  • With lots of force, power, or impact

change

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US / tʃeɪndʒ /

UK / tʃendʒ /

A1
  • noun
  • Exchange of one set of clothes for another
  • Money in the form of coins instead of paper
  • Money returned after giving too much
  • Act of making or becoming something else
  • verb
  • To exchange one set of clothes for another
  • To exchange one kind of money for another
  • To replace something with another thing
  • To make or become something else
  • To go from one train, bus, etc. and go to another

top

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US / tɒp /

UK / tɑp /

A1
  • adjecitve
  • Being good or great; excellent
  • Being the most in degree or quality
  • noun
  • Item of clothing covering shoulders to waist, hips
  • A cover or lid
  • Part (e.g. road) that is the furthest away
  • Highest or upper part or point of something
  • Best or highest status or position
  • Flat upper surface or edge of an object
  • Child's toy that spins on its point
  • Upper section or leaves of fruits and vegetables
  • Winning in a sport or contest
  • verb
  • To be higher or larger than a specific value
  • To arrive at the highest point of something
  • To put a cover or layer or over something
  • To kill; murder
  • To hold the highest position on a list
  • To be more important, successful or better than
  • To beat someone or win at a game

number

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US / ˈnʌmbə(r) /

UK / ˈnʌmbɚ /

A1
  • noun
  • Symbols such as 1, 2, 56, 793
  • Particular song or dance performed during a show
  • Total quantity or amount of things
  • verb
  • To put numbers on things
  • To assign a sequence within a group, series, set
  • To claim to be part of a larger group, series, set

close

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US / kləʊz /

UK / kloʊz /

A1
  • adjecitve
  • Almost; near
  • (Of a friend) well-known; liked by others
  • Being near or related
  • Similar; nearly the same
  • verb
  • To come progressively nearer to something
  • To end; to bring to an end
  • To make something shut; stop from being open

become

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US / bɪ'kʌm /

UK / bɪˈkʌm /

A1
  • verb
  • To begin to be; grow to be; develop into
  • To be suitable for a particular job or role

each

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US / i:tʃ /

UK / itʃ /

A1
  • determiner
  • Every one of two or more things
  • pronoun
  • Per one person or thing

once

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US / wʌns /

UK / wʌns /

A1
  • adverb
  • One time; one instance
  • At a time in the past
  • conjunction
  • When; as soon as

believe

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US / bɪ'li:v /

UK / bɪˈliv /

A1
  • verb
  • To think or accept that something is true
  • To have a particular opinion about something

seem

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US / si:m /

UK / sim /

A1
  • verb
  • To appear to be something

week

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US / wi:k /

UK / wik /

A1
  • noun
  • Period of seven days from Sunday to Saturday

everyone

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US / ˈevriwʌn /

UK / ˈɛvriˌwʌn /

A1
  • pronoun
  • Every person; everybody

quite

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US / kwaɪt /

UK / kwaɪt /

A1
  • adverb
  • Not very; fairly
  • Very; In a complete or total manner

such

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US / sʌtʃ /

UK / sʌtʃ /

A1
  • adverb
  • (Used to emphasize the quality of an adjective)
  • determiner
  • Being similar to
  • (Thing) as previously stated or referred to

definitely

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US / ˈdefɪnətli /

UK / ˈdefɪnətli /

A2
  • adverb
  • Without question; beyond doubt

problem

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US / ˈprɒbləm /

UK / ˈprɑbləm /

A1
  • adjecitve
  • Causing trouble
  • noun
  • Something difficult to deal with or causes trouble
  • Question to show understanding of a math concept

sort

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US / sɔ:t /

UK / sɔrt /

A1
  • noun
  • Group or class of similar things or people
  • verb
  • To organize things by putting them into groups
  • To deal with things in an organized way

care

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US / keə(r) /

UK / kɛr /

A1
  • noun
  • Treatment you receive for your health or safety
  • Something that a person worries about
  • verb
  • To feel interest, concern, or worry
  • To look after someone or something

understand

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US / ˌʌndə'stænd /

UK / ˌʌndɚˈstænd /

A1
  • verb
  • To know the meaning of language, what someone says

absolutely

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US / ˈæbsəlu:tli /

UK / ˈæbsəˌlutli, ˌæbsəˈlutli /

A2
  • adverb
  • Completely; totally; very

course

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US / kɔː(r)s /

UK / kɔː(r)s /

A2
  • noun
  • The route or direction e.g. a river moves along
  • A series of lessons given over time
  • Part of a meal that is served separately
  • Place where horses etc. race against each other
  • Route or direction that a river, etc. moves along
  • verb
  • To flow somewhere rapidly and in great quantity

lead

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US / li:d /

UK / lid /

A1
  • adjecitve
  • Being the main part in movies or plays
  • noun
  • Wire for electricity, computer, etc.; cable
  • Information that could help to solve a crime
  • Main part in a play or movie
  • Heavy, gray metal element
  • Rope used to tie something to stop it escaping
  • Act of being at the front in a race or game
  • verb
  • To show the way or guide others
  • To be at the front of a race or game
  • To travel in front of; go in advance of others

case

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US / keɪs /

UK / kes /

A1
  • noun
  • Container used to carry things, e.g. clothes
  • Set of facts about a crime
  • Set of facts about an event
  • Example or instance of something
  • verb
  • To find out about a place, as in planning to steal

less

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US / les /

UK / lɛs /

A1
  • adjecitve
  • Smaller in amount or degree
  • adverb
  • To a smaller degree
  • noun
  • A smaller amount
  • preposition
  • With the subtraction of

favourite

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US / ˈfeɪvərɪt /

UK / 'fevərɪt /

A1
  • adjecitve
  • Best liked or most enjoyed
  • noun
  • A thing that someone likes best or enjoys most

wrong

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US / rɒŋ /

UK / rɔŋ, rɑŋ /

A1
  • adjecitve
  • Not morally or socially acceptable
  • Not right, incorrect; not true; bad
  • Being inappropriate or unsuitable
  • noun
  • Action that is harmful, unjust or illegal
  • verb
  • To harm someone or treat someone unfairly

family

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US / 'fæməlɪ /

UK / ˈfæmli /

A1
  • noun
  • Close group of people or organizations
  • A group of people who are related through blood
  • Group of related plants or animals

continue

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US / kən'tɪnju: /

UK / kənˈtɪnju /

A1
  • verb
  • To do something without stopping, or after pausing
  • To start doing again after a break, pause, or stop

especially

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US / ɪˈspeʃəli /

UK / ɛˈspɛʃəli, ɪˈspɛʃ- /

A1
  • adverb
  • More than usual; extremely

level

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US / 'levl /

UK / ˈlɛvəl /

A2
  • adjecitve
  • (Sports) equal to another
  • Being steady and determined (e.g. a voice)
  • noun
  • Specific height of something
  • Amount of ability you have compared to others
  • Floor or deck within a building
  • Tool used to determine if something is lying flat
  • verb
  • To aim a gun at someone
  • To destroy a building; flatten an area completely
  • To make things flat or even
  • To make a score equal to another, in sports

past

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US / pɑ:st /

UK / pæst /

A2
  • adjecitve
  • No longer current or new
  • adverb
  • So as to go beyond, or further than something
  • noun
  • Time that existed before now, e.g. long ago
  • preposition
  • After a particular time
  • At a later point in distance; beyond

million

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US / ˈmɪljən /

UK / ˈmɪljən /

A1
  • number
  • 1,000,000

during

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US / ˈdjʊərɪŋ /

UK / ˈdʊrɪŋ, ˈdjʊr- /

A1
  • preposition
  • At some point in the course of an event or thing

low

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US / ləʊ /

UK / lo /

A1
  • adjecitve
  • Having a small quantity, supply, or amount
  • Being unhappy or unpleasant in attitude
  • Not high; being near the ground, or bottom
  • (Of a voice, sound) being soft; quiet
  • noun
  • Situation of not having a lot of something

country

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US / ˈkʌntri /

UK / ˈkʌntri /

A1
  • noun
  • An area of land that is controlled by a government
  • Open land that is away from towns and cities

often

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US / ˈɔfən /

UK / ˈɔfən,ˈɑfən,ˈɔftən,ˈɑf- /

A1
  • adverb
  • Many times; frequently; on many occasions

ahead

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US / əˈhed /

UK / əˈhɛd /

A2
  • adverb
  • In or toward the front
  • In the future
  • In the lead; winning

pass

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US / pɑ:s /

UK / pæs /

A1
  • noun
  • Act of giving a ball to another player in a sport
  • An entry permit, e.g. to a place or concert
  • Narrow valley in the mountains you can go through
  • Act of getting more than the minimum score
  • verb
  • To give a ball to another player in a sport
  • To decide not to play in a round of a game
  • To hand something to another person
  • To go by someone or something without stopping
  • To approve a law or proposal
  • To move; appear, happen
  • To travel through or near a place
  • To be successful with (e.g. a test)
  • To spend time doing or happening

special

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US / 'speʃl /

UK / ˈspɛʃəl /

A1
  • adjecitve
  • Being additional or extra
  • Different, better or greater than normal
  • noun
  • Heavily discounted sales item

system

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US / 'sɪstəm /

UK / ˈsɪstəm /

A1
  • adjecitve
  • Working in an organized, logical way
  • noun
  • Set of organized, planned ideas that work together

issue

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US / 'ɪʃu: /

UK / ˈɪʃu /

A2
  • noun
  • Important topic discussed, debated or argued over
  • Single edition of a magazine
  • verb
  • To make something available to be used or sold
  • To deliver a statement, etc. in an official manner

sign

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US / saɪn /

UK / saɪn /

A1
  • noun
  • Indication that something exists or will happen
  • Motion or movement that expresses your thoughts
  • A board in the street that conveys information
  • Mark or symbol with an understood meaning
  • verb
  • To communicate by using ones hands and gestures
  • To write your signature on a document

baby

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US / ˈbeɪbi /

UK / ˈbeɪbi /

A2
  • adjecitve
  • Small in size; smaller than usual
  • noun
  • A very young child, who cannot yet speak
  • verb
  • To treat someone as if they were newly born

state

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US / steɪt /

UK / stet /

A1
  • adjecitve
  • Concerning region within a country
  • noun
  • Region within a country, with its own government
  • Situation or condition something is in
  • verb
  • To say; declare as fact

somebody

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US / 'sʌmbədɪ /

UK / ˈsʌmˌbɑdi, -ˌbʌdi, -bədi /

A1
  • noun
  • Important well-respected person
  • pronoun
  • Person who is not known or named

third

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US / θɜ:d /

UK / θɜ:rd /

A1
  • adjecitve
  • 3rd: Number after second

group

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US / ɡru:p /

UK / ɡrup /

A1
  • noun
  • Two or more musicians who play music together
  • Number of people or things gathered together
  • verb
  • To combine or collect objects or people together

action

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US / 'ækʃn /

UK / ˈækʃən /

A2
  • noun
  • Something that a person or thing does
  • verb
  • To act to do something

actual

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US / ˈæktʃuəl /

UK / ˈæktʃuəl /

A2
  • adjecitve
  • Real or existing in fact, not imagined; real

certain

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US / ˈsə:tn /

UK / ˈsɚtn /

A1
  • adjecitve
  • Definite, fixed
  • Referring to an unspecified amount or quantity
  • Being sure about something; without doubt

screen

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US / skri:n /

UK / skrin /

A2
  • noun
  • Wire net in a door or window to keep insects out
  • Displays in a theater on which movies are shown
  • Flat surface on a computer or TV showing images
  • verb
  • To hide or block something from being seen
  • To examine to find something, e.g. best candidate

woman

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US / ˈwʊmən /

UK / ˈwʊmən /

A1
  • noun
  • Adult female human being

itself

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US / ɪtˈself /

UK / ɪtˈsɛlf /

A1
  • pronoun
  • Referring to it

offer

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US / 'ɒfə(r) /

UK / ˈɔfɚ, ˈɑfɚ /

A1
  • noun
  • Price you say you are willing to pay for something
  • Act of making a thing available to be accepted
  • verb
  • To suggest a price you are willing to pay
  • To give the opportunity to accept something
  • To say you are willing to do something
  • To give or say something as an act of worship

themselves

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US / ðəmˈselvz /

UK / ðɛmˈsɛlvz, ðəm- /

A1
  • pronoun
  • Reflexive form of 'they'

carry

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US / ˈkæri /

UK / ˈkæri /

A1
  • verb
  • To have a child, be pregnant
  • To have a disease you might give to others
  • (Of stores) to sell a particular product
  • To hold something and move it to another place
  • To travel a long distance (sound)
  • To support the weight or burden of something

slow

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US / sləʊ /

UK / sloʊ /

A1
  • adjecitve
  • Lacking activity, busyness or excitement
  • (Clock) showing time earlier than the actual time
  • Having difficulty understanding simple things
  • Moving or happening without speed; not fast
  • verb
  • To move, with less speed than before
  • To move or go without much speed

serious

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US / ˈsɪəriəs /

UK / ˈsɪriəs /

A1
  • adjecitve
  • Giving something great energy or sincerity
  • Needing thought or concentration; important; grave
  • Being sincere about something; not joking

several

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US / ˈsevrəl /

UK / ˈsɛvərəl,ˈsɛvrəl /

A1
  • adjecitve
  • Many of
  • pronoun
  • More than two but not a large amount

increase

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US / ɪn'kri:s /

UK / ɪnˈkris /

A1
  • noun
  • Fact of increasing; amount something grows by
  • verb
  • To make or become larger in size or amount

health

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US / helθ /

UK / hɛlθ /

A1
  • noun
  • (Person, company) being in a good condition; well

available

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US / əˈveɪləbl /

UK / əˈveləbəl /

A1
  • adjecitve
  • Present and able to be used
  • Able to be used at a scheduled time

protect

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US / prə'tekt /

UK / prəˈtɛkt /

A1
  • verb
  • To defend someone or something from harm or danger

access

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US / 'ækses /

UK / ˈæksɛs /

A2
  • noun
  • Way to enter a place, e.g. a station or stadium
  • verb
  • To be able to use or have permission to use

rate

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US / reɪt /

UK / ret /

A1
  • noun
  • Current price or cost of something
  • Speed or frequency of events over time
  • verb
  • To assess something or consider its qualities

attention

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US / əˈtenʃn /

UK / əˈtɛnʃən /

A2
  • noun
  • Taking notice of someone or something
  • (Soldiers) Standing with straight backs

particular

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US / pəˈtɪkjələ(r) /

UK / pɚˈtɪkjəlɚ, pəˈtɪk- /

B2
  • adjecitve
  • One specific (one)
  • Having firm ideas about what is desirable
  • Being special or more than is typical

clearly

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US / ˈklɪəlɪ /

UK / ˈklɪrlɪ /

A1
  • adverb
  • In a way that is easy to understand; obviously

rise

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US / raɪz /

UK / raɪz /

A1
  • noun
  • Act or process of achieving a higher rank, status
  • Ground higher than the areas next to or around it
  • Movement from lower to greater heights
  • verb
  • To wake up and get out of bed after sleeping
  • (Of bread) to get larger due to air being created
  • To achieve greater success and power or rank
  • To increase in quantity, degree, strength, value
  • To move from a lower position to a higher one
  • (Sun, etc.) to appear over the horizon, in the sky

general

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US / 'dʒenrəl /

UK / ˈdʒɛnərəl /

A1
  • adjecitve
  • Widespread, normal or usual
  • noun
  • Top ranked officer in the army

affect

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US / ə'fekt /

UK / əˈfɛkt /

A2
  • verb
  • To cause a change in something else

multiple

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US / ˈmʌltɪpl /

UK / ˈmʌltəpəl /

B1
  • adjecitve
  • Having or involving more than one of something
  • noun
  • Number produced by multiplying a smaller number
  • Shop with many branches

require

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US / rɪ'kwaɪə(r) /

UK / rɪˈkwaɪr /

A2
  • verb
  • To demand that someone does something
  • To need to do something, to make it necessary

role

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US / rəʊl /

UK / rol /

A2
  • noun
  • Character played by an actor
  • Part you play in an activity; job; responsibility

impact

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US / 'ɪmpækt /

UK / ˈɪmˌpækt /

A2
  • noun
  • A striking effect or result to hit with force
  • Very strong influence
  • Act or force of one thing hitting something else
  • verb
  • To hit or strike someone or something with force

stage

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US / steɪdʒ /

UK / stedʒ /

A1
  • noun
  • Place where actors or musicians perform for others
  • Particular point during development or growth
  • verb
  • To organize an event to gain public interest
  • To be fake or not real
  • To produce and perform a play or concert

due

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US / dju: /

UK / du, dju /

A1
  • adjecitve
  • When something is required or expected
  • Owed to a person as a right
  • noun
  • Something you deserve; something you can expect

risk

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US / rɪsk /

UK / rɪsk /

A1
  • noun
  • Actions that cause potential problems
  • verb
  • To do something potentially dangerous or foolish

treat

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US / tri:t /

UK / trit /

A1
  • noun
  • Something you buy for others as a surprise present
  • something that tastes good and that is not eaten often
  • verb
  • To pay for the food or enjoyment of someone else
  • To use medical methods to try to cure an illness
  • To act in a certain way toward someone

office

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US / ˈɒfɪs /

UK / ˈɔ:fɪs /

A1
  • noun
  • Room or building used for business
  • Important job position, often in a government

decade

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US / ˈdekeɪd /

UK / ˈdɛkˌed, dɛˈked /

B1
  • noun
  • Period of 10 years

brain

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US / breɪn /

UK / bren /

A1
  • noun
  • The part of the head that thinks
  • A smart person who often makes good decisions
  • verb
  • To strike someone forcefully on the head

survive

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US / sə'vaɪv /

UK / sɚˈvaɪv /

A2
  • verb
  • To continue to live despite illness or trouble

particularly

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US / pəˈtikjuləli /

UK / pɚˈtɪkjələli, pəˈtɪk- /

A2
  • adverb
  • Specially; more than others

mother

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US / ˈmʌðə(r) /

UK / ˈmʌðɚ /

A1
  • noun
  • Female who has a child or children; female parent
  • verb
  • To take care of someone as if they were your child

lack

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US / læk /

UK / læk /

A2
  • noun
  • The state of not having or not having enough of
  • A shortage of something
  • verb
  • To not have, or not have enough, of something

overall

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US / ˌəʊvər'ɔ:l /

UK / ˈovɚˌrɔl /

A2
  • adjecitve
  • Viewed as a whole; in general, not as details

datum

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US / ˈdeɪtəm /

UK / ˈdetəm, ˈdætəm, ˈdɑtəm /

B1
  • noun
  • Item of factual information

blood

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US / blʌd /

UK / blʌd /

A2
  • adjecitve
  • Related by birth; family
  • noun
  • Red liquid in the bodies of people and animals
  • verb
  • To be initiated into something, e.g. a secret club

contact

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US / 'kɒntækt /

UK / ˈkɑnˌtækt /

A2
  • adjecitve
  • Touching or feeling something
  • noun
  • Touching or feeling something
  • Object that allows electricity to run through it
  • Communication with someone or something
  • People who can give you information, introductions
  • verb
  • To get in touch with someone

reduce

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US / rɪ'dju:s /

UK / rɪˈdus, -ˈdjus /

A2
  • verb
  • To try to decrease, e.g. your weight if overweight
  • To boil a liquid until it has decreased in amount
  • To make something smaller in size, amount, level

adult

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US / ˈædʌlt /

UK / əˈdʌlt, ˈædʌlt /

A2
  • adjecitve
  • Being fully grown; mature; no longer a teenager
  • noun
  • Person or animal that is fully grown

united

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US / jʊ'naɪtɪd /

UK / juˈnaɪtɪd /

A2
  • adjecitve
  • Joined or combined together
  • verb
  • To join or come together for the same goal

loss

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US / lɒs /

UK / lɔ:s /

A2
  • noun
  • Friend, family, or other loved person's death
  • Decrease or decline in quantity or amount
  • Experience or state of failing to have or keep
  • A situation when you lose a game
  • Process of failing to have or keep something
  • Difficulty or trouble caused by someone's leaving
  • Situation when more money is spent than is earned

significant

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US / sɪgˈnɪfɪkənt /

UK / sɪɡˈnɪfɪkənt /

A2
  • adjecitve
  • Large enough to be noticed or have an effect
  • Having meaning; important; noticeable
  • (Statistics) being clearly different

nervous

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US / ˈnə:vəs /

UK / ˈnə:vəs /

A1
  • adjecitve
  • Concerning the system of nerves in the body
  • Having a tendency to become uneasy or anxious

structure

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US / ˈstrʌk.tʃə /

UK / ˈstrʌk.tʃɚ /

A2
  • noun
  • The way in which the parts of a system or object are arranged or organized, or a system arranged in
  • verb
  • To plan, organize, or arrange the parts of something

resource

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US / riˈsɔ:s /

UK / ˈriˌsɔrs, -ˌsors, -ˌzɔrs, -ˌzors, rɪˈsɔrs, -ˈsors, /

A2
  • noun
  • Something that can be used profitably; asset
  • An essential supply of something
  • Resourcefulness; ability to deal with problems
  • verb
  • To obtain (e.g. oil, gas) from its source

unit

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US / ˈju:nɪt /

UK / ˈjunɪt /

B2
  • noun
  • One apartment in a building
  • Group of people, e.g. soldiers, that work together
  • A chapter of a textbook
  • A standard of measurement of something
  • Single item made by a company

critical

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US / ˈkrɪtɪkl /

UK / ˈkrɪtɪkəl /

A2
  • adjecitve
  • Making a negative judgment of something
  • Being important or serious; vital; dangerous
  • Most important part

pattern

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US / 'pætn /

UK / ˈpætən /

A2
  • noun
  • Model to follow in making or doing something
  • Colors or shapes which are repeated on objects
  • Regular repeated behavior
  • verb
  • To copy the way something else is made

patient

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US / 'peɪʃnt /

UK / ˈpeʃənt /

A2
  • adjecitve
  • Not getting annoyed when things take a long time
  • noun
  • Person who receives medical treatment or care

unfortunately

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US / ʌnˈfɔ:tʃənətli /

UK / ʌnˈfɔːrtʃənətli /

B1
  • adverb
  • In a way that is to be regretted; unluckily

contract

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US / 'kɒntrækt /

UK / 'kɑ:ntrækt /

A1
  • noun
  • Legal agreement, e.g. for doing work for money
  • Agreement to pay someone to kill a person
  • verb
  • To become ill as a result of getting a disease
  • To make an agreement for doing work for money
  • To reduce in size, length due to heat loss
  • To reduce the amount of

bone

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US / bəʊn /

UK / bon /

A1
  • noun
  • Hard piece of your body that holds your muscles
  • verb
  • To remove bones from meat or fish

central

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US / 'sentrəl /

UK / ˈsɛntrəl /

A2
  • adjecitve
  • Being in the middle
  • Most significant or important

responsibility

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US / rɪˌspɒnsə'bɪlətɪ /

UK / rɪˌspɑnsəˈbɪlɪti /

A2
  • noun
  • Job, task or thing you are expected to look after
  • A thing to be done because it is morally correct
  • State of being dependable or reliable

treatment

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US / ˈtri:tmənt /

UK / ˈtritmənt /

A2
  • noun
  • Medicine or method to make someone healthier
  • Way someone acts toward another

protection

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US / prəˈtekʃn /

UK / prəˈtɛkʃən /

A2
  • noun
  • Being kept from harm
  • Something that defends against harm or danger

encounter

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US / ɪn'kaʊntə(r) /

UK / ɛnˈkaʊntɚ /

B1
  • noun
  • A chance meeting; unexpected or unplanned meeting
  • verb
  • To come up against a problem or trouble; meet
  • To meet someone or something unexpectedly

contribute

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US / kən'trɪbju:t /

UK / kənˈtrɪbjut /

A2
  • verb
  • To be a factor in causing something to happen
  • To donate, give (money) or help to something
  • To write articles for a magazine or newspaper

component

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US / kəmˈpəʊnənt /

UK / kəmˈponənt /

A2
  • adjecitve
  • Being a part of something
  • noun
  • One of the parts that something is made up of

consequence

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US / ˈkɔnsikwəns /

UK / ˈkɑnsɪˌkwɛns,-kwəns /

A2
  • noun
  • Importance of a person or thing
  • Outcome of an event; result

routine

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US / ru:ˈti:n /

UK / ruˈtin /

A2
  • adjecitve
  • Happening or done regularly or habitually
  • Always the same; boring through lack of variety
  • noun
  • Regular or habitual way of behaving or doing
  • Series of actions that make up a performance

percentage

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US / pəˈsentɪdʒ /

UK / pərˈsentɪdʒ /

B1
  • noun
  • Part of a whole divided into hundredths

sexual

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US / ˈsekʃuəl /

UK / ˈsɛkʃuəl /

A2
  • adjecitve
  • Relating to men and women and their relationships
  • Of the physical activity that can produce babies

self

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US / self /

UK / sɛlf /

A1
  • noun
  • Person's own interests or desires
  • Person that someone really is
  • Particular aspect of someone's personality
  • Person, usually someone already been mentioned

convert

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US / kən'vɜ:t /

UK / kənˈvɚt /

A2
  • noun
  • Person switching from one belief system to another
  • verb
  • To switch from a religion, belief etc. to another
  • To change form, character, or function to another

infection

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US / ɪnˈfekʃn /

UK / ɪnˈfɛkʃən /

A2
  • noun
  • (Computers) Having a computer virus
  • Making or becoming sick with a bacteria/virus
  • Act of making people feel the same emotion you are

symptom

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US / 'sɪmptəm /

UK / ˈsɪmtəm, ˈsɪmp- /

B1
  • noun
  • Sign that suggests that there is a problem

trace

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US / treɪs /

UK / tres /

B1
  • noun
  • Very small quantity of something
  • verb
  • To make an outline to determine a shape
  • To find someone or something that has disappeared
  • To draw the outline of an image through thin paper

pregnant

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US / ˈpregnənt /

UK / ˈprɛɡnənt /

B1
  • adjecitve
  • Carrying your unborn baby inside you

historic

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US / hɪˈstɒrɪk /

UK / hɪˈstɔrɪk, -ˈstɑr- /

B1
  • adjecitve
  • (Of past event) having an effect on future; famous
  • Connected with the past

infect

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US / ɪn'fekt /

UK / ɪnˈfɛkt /

B1
  • verb
  • To introduce a computer virus to
  • To give a disease, bacteria or virus to
  • To make people feel the same emotion you are

advocate

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US / 'ædvəkeɪt /

UK / ˈædvəˌket /

B1
  • noun
  • A lawyer who protects a clients interests
  • Person who supports a movement for changes
  • verb
  • To request change
  • To publicly support a belief

funding

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US / ˈfʌndɪŋ /

UK / ˈfʌndɪŋ /

A2
  • verb
  • To supply money for something

surge

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US / sɜ:dʒ /

UK / sɜ:rdʒ /

B2
  • noun
  • Sudden movement in one direction by many
  • Sudden or unexpected increase in amount
  • Unexpected increase or movement, as in sea/prices
  • verb
  • To move unexpectedly and quickly in one direction
  • To rise to an unexpected height

dose

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US / dəʊs /

UK / doʊs /

B1
  • noun
  • An amount of medicine to be taken at any one time
  • verb
  • To give a certain amount of something to someone

patience

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US / ˈpeɪʃns /

UK / ˈpeʃəns /

B2
  • noun
  • Ability to wait without being annoyed

encouraging

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US / ɪn'kʌrɪdʒɪŋ /

UK / ɛnˈkə:rədʒɪŋ, -ˈkʌr- /

A2
  • adjecitve
  • Giving support to make more determined, confident
  • verb
  • To increase the chance of something happening
  • To make someone more determined or confident

partially

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US / ˈpɑ:ʃəli /

UK / ˈpɑ:rʃəli /

B1
  • adverb
  • In part; in some degree; not wholly

prioritize

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US / praɪˈɒrətaɪz /

UK / praɪˈɔ:rətaɪz /

B1
  • verb
  • To rank things in importance

emphasis

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US / ˈemfəsɪs /

UK / ˈɛmfəsɪs /

A2
  • noun
  • Special attention, importance, or force
  • Stress placed on part of a word or phrase

pricing

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US / ˈpraɪsɪŋ /

UK / ˈpraɪsɪŋ /

A1
  • verb
  • To determine or set the cost of something

sadly

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US / ˈsædli /

UK / ˈsædli /

A1
  • adverb
  • In a way that makes you sad; unfortunately

provider

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US / prəˈvaɪdə(r) /

UK / prəˈvaɪdɚ /

A2
  • noun
  • Person who supports a family
  • Company or group that offers a particular service

transmit

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US / trænsˈmɪt /

UK / trænsˈmɪt, trænz- /

B1
  • other
  • To broadcast by using signals to a radio/TV
  • verb
  • To broadcast by using signals to a radio/TV
  • To transfer data from one machine to another
  • To allow the passage of light
  • To transfer money to another person or place
  • To transfer a disease between people
  • To transfer to other people e.g. ownership of car

robust

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US / rəʊˈbʌst /

UK / roˈbʌst, ˈroˌbʌst /

B2
  • adjecitve
  • Having physical vigor or energetic good health

intensive

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US / ɪnˈtensɪv /

UK / ɪnˈtɛnsɪv /

A2
  • adjecitve
  • Needing great effort for a short period of time

pregnancy

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US / ˈpregnənsi /

UK / ˈprɛɡnənsi /

B1
  • noun
  • When a woman carries her unborn baby inside her

clinic

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US / ˈklɪnɪk /

UK / ˈklɪnɪk /

B1
  • noun
  • Local medical center; department of a hospital

surveillance

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US / sɜ:'veɪləns /

UK / sɚˈveləns /

B2
  • noun
  • Careful watching of a person/place, e.g. by police

liver

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US / ˈlɪvə(r) /

UK / ˈlɪvɚ /

B1
  • noun
  • Organ from animals served as food
  • Organ that absorbs food and cleans the blood

physician

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US / fɪˈzɪʃn /

UK / fɪˈzɪʃən /

B2
  • noun
  • A medical doctor

counsel

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US / ˈkaʊnsl /

UK / ˈkaʊnsəl /

B1
  • verb
  • To listen and give expert advice to someone

newborn

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US / ˈnju:bɔ:n /

UK / ˈnu:bɔ:rn /

C2
  • adjecitve
  • Having just/recently arisen or come into existence
  • Recently born

inconsistent

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US / ˌɪnkənˈsɪstənt /

UK / ˌɪnkənˈsɪstənt /

B1
  • adjecitve
  • Not tying together logically or with the facts

timely

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US / ˈtaɪmli /

UK / ˈtaɪmli /

A2
  • adjecitve
  • At the right time; when required

houston

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US / ˈhju:stən /

UK / ˈhjustən /

A1
  • proper noun
  • An inland port of Texas, linked to the Gulf of Mexico by the Houston Ship Canal; population 2,242,19

condom

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US / 'kɒndɒm /

UK / ˈkɑndəm /

B2
  • noun
  • Rubber cover worn over the penis when having sex

cdc

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US / /

UK / /

A1
  • abbreviation
  • Centers for Disease Control.

lastly

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US / ˈlɑ:stli /

UK / ˈlæstli /

A2
  • adverb
  • In conclusion; at the final part of something

rash

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US / ræʃ /

UK / ræʃ /

B2
  • adjecitve
  • Without much thought; done or acting too quickly
  • noun
  • Series of many negative events in a short time
  • Skin condition of raised red spots

detrimental

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US / ˌdetrɪˈmentl /

UK / ˌdɛtrəˈmɛntl /

B2
  • adjecitve
  • Harmful

screening

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US / ˈskri:nɪŋ /

UK / ˈskrinɪŋ /

A2
  • verb
  • To hide or block something from being seen
  • To examine to find something, e.g. best candidate

alienate

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US / 'eɪlɪəneɪt /

UK / ˈeljəˌnet, ˈeliə- /

B1
  • verb
  • To make someone feel they are not part of a group

adequately

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US / 'ædɪkwətlɪ /

UK / 'ædɪkwətlɪ /

B1
  • adverb
  • Well enough; fairly good; not too bad

vigilant

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US / ˈvɪdʒɪlənt /

UK / ˈvɪdʒələnt /

B2
  • adjecitve
  • Being watchful; careful to monitor events

asymptomatic

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US / ˌeɪsɪmptəˈmætɪk /

UK / ˌeɪsɪmptəˈmætɪk /

C1
  • adjecitve
  • Having no symptoms of illness or disease

penicillin

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US / ˌpenɪ'sɪlɪn /

UK / ˌpɛnɪˈsɪlɪn /

C1
  • noun
  • Medicine that treats infection by killing bacteria

trimester

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US / traɪˈmestə(r) /

UK / traɪˈmɛstɚ, ˈtraɪˌmɛs- /

C2
  • noun
  • Period of three months, especially in pregnancy

eczema

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US / ˈeksɪmə /

UK / ˈeksɪmə /

A1
  • noun
  • Generic term for inflammatory conditions of the skin; particularly with vesiculation in the acute st

congenital

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US / kənˈdʒenɪtl /

UK / kənˈdʒɛnɪtl /

C1
  • adjecitve
  • Existing since or before birth

syphilis

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US / ˈsɪfɪlɪs /

UK / ˈsɪfəlɪs /

A1
  • noun
  • Medical; a disease that you can get by having sex with someone who is already infected with the dise

chlamydia

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US / kləˈmɪdiə /

UK / kləˈmɪdiə /

A1
  • noun
  • Sexually transmitted infection caused by bacteria of the genus Chlamydia

stafford

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US / 'stæfəd /

UK / /

A1
  • proper noun
  • An industrial town in central England, to the south of Stoke-on-Trent, the county town of Staffordsh

reallocate

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US / ˌriːˈæləkeɪt /

UK / ˌriːˈæləkeɪt /

B1
  • verb
  • To redistribute or set apart according to a plan

irene

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US / ɪ'reɪnɪən /

UK / ɪˈreniən, ɪˈrɑ-, aɪˈre- /

A1

gonorrhoea

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US / ˌɡɒnəˈrɪə /

UK / ˌɡɑːnəˈriːə /

C2
  • noun
  • Common venereal disease affecting the genitals

neonatal

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US / ˌniːəʊˈneɪtl /

UK / ˌniːoʊˈneɪtl /

C2
  • adjecitve
  • Concerning an infant during its first month

sti

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US / ˌesti:'aɪ /

UK / ˌesti:'aɪ /

A1
  • abbreviation
  • STI is an acronym

stillbirth

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US / ˈstɪlbɜ:θ /

UK / ˈstɪlbɜ:rθ /

C2
  • noun
  • When a child is born dead

reallocation

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US / ˌri:ˌælə'keɪʃn /

UK / ˌri:ˌælə'keɪʃn /

B1
  • noun
  • A share that has been redistributed for a purpose

multifactorial

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US / ˌmʌltifækˈtɔːriəl /

UK / ˌmʌltifækˈtɔːriəl; ˌmʌltaɪfækˈtɔːriəl /

C2
  • adjecitve
  • Involving several factors or causes (e.g. genes)

eightfold

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US / ˈeɪtˌfəʊld /

UK / ˈeɪtˌfoʊld /

B2
  • number
  • Eight times

perinatal

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US / ˌperɪˈneɪtl /

UK / ˌpɛrəˈnetl /

C1
  • adjecitve
  • Occurring during the period around birth

neurosyphilis

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US / njʊərəˈsɪfəlɪs /

UK / /

A1
  • other
  • Syphilis of the central nervous system
  • Introduction to Video Content
  • The United States is experiencing a concerning rise in sexually-transmitted infections (STIs), particularly syphilis and congenital syphilis, and there are no signs of this trend slowing down. According to recent data from the Centers for Disease Control and Prevention (CDC), there were 2.5 million cases of chlamydia, gonorrhea, and syphilis in 2021 alone. The most significant increase was observed in syphilis and congenital syphilis, with a 32% rise in cases between 2020 and 2021. It is important to note that there has been an alarming eightfold increase in the cases of congenital syphilis in the past decade. In 2012, the numbers were at historic lows, largely due to effective contact tracing efforts. Syphilis in infants is much more severe than in adults, as it carries the risk of stillbirth and long-term health problems.Dr. Irene Stafford, a healthcare professional at UT Health Houston, sheds light on the reasons behind the overall rise in STIs. She attributes it to various factors, including inconsistent screening patterns, especially among high-risk populations. Dr. Stafford emphasizes the need for routine screening for STIs in every healthcare encounter to mitigate this rising trend. Additionally, she points out that sexual health in general is often overlooked and underemphasized, largely due to lack of screening, limited access to care, inadequate funding, and lack of available clinics. All of these factors contribute to the increasing rates of STIs.When discussing congenital syphilis specifically, Dr. Stafford reveals that there has been a over 30% increase in all cases of syphilis infection, particularly perinatal syphilis where the infection is passed from mother to baby. She highlights the concerning rise in cases over the past several years. The question arises: how did things take a turn for the worse after making progress? Dr. Stafford suggests that part of the problem lies in the lack of vigilance in screening and treating pregnant women for syphilis.
  • Subtitles section
  • New numbers from the CDC show a surge of sexually-transmitted infections in the United States with no signs of slowing.
  • In 2021 there were 2.5 one million cases of chlamydia, gonorrhea and syphilis.
  • The most significant rise was in syphilis and congenital syphilis.
  • From 2020 to 2021, cases of each went up 32%.
  • >> Over the past decade there has been an eightfold increase in the cases of congenital syphilis in the United States.
  • The numbers in 2012 were at historic lows thanks to robust contract pricing -- contact tracing.
  • Syphilis in babies is much more serious than in adults, carrying the risk of stillbirth and long-term health problems.
  • Dr. Irene Stafford works at UT health Houston.
  • Let's talk about why sti's in general are on the rise.
  • >> Thank you for having me.
  • The rise in sti's in this country is multifactorial.
  • Part of it is inconsistent screening patterns, especially with people in special risk groups.
  • Unfortunately our emphasis should be placed on offering and encouraging routine screening for sti in every health encounter.
  • Sexual health in general really seems to be underemphasized due to a lack of screening and other significant issues such as access to care, funding, lack of available clinics.
  • All of this contributes to the rising rates.
  • >> How about congenital syphilis in particular?
  • Is that part of the overall increase?
  • >> There has been over 30% increase in all cases of syphilis infection.
  • Particularly perinatal syphilis where a mother can pass it to her baby.
  • We have seen over 30% increase in cases in the last several years.
  • >> Things were going so well.
  • How did things go so wrong?
  • >> I believe partially we are not being vigilant about screening and treating pregnant women.
  • Unfortunately 30% of women don't have access to care.
  • On top of that there has been a certain percentage that have actually been screened for syphilis but did not get timely treatment.
  • Lastly there has been a surge in cases where women have converted and become infected with syphilis during the third trimester.
  • >> What are the symptoms and the consequences of not treating syphilis?
  • >> Unfortunately the infection itself during pregnancy carries a 30% to 40%.
  • At a loss rate.
  • If the baby survives, sadly it will be in the neonatal intensive care unit for over a week, and some cases longer.
  • The baby can have blood, liver and bone problems.
  • When the infection itself affects the central nervous system or the brain of the newborn, that can lead to neurosyphilis which is quite detrimental and hard on a newborn baby and the family of course.
  • >> You are seeing these patients every day.
  • Once somebody comes in for treatment, what does that look like?
  • >> The responsibility of most health providers is actually to counsel the patient and talk to her about the need for treatment.
  • Often times when it has been there for a long time, that level of infection requires multiple doses of penicillin.
  • So the counseling component is critical to help patients understand the need for continued surveillance and follow-up so that we can treat her adequately for her stage of infection.
  • >> What about the role of covid-19?
  • We saw lots of resources being reallocated for covid.
  • Was congenital syphilis part of that reallocation of resources?
  • >> Absolutely.
  • We did everything we could to reduce contact, but unfortunately that sort of alienated a lot of patience.
  • Their favorite clinic closed, they didn't know where they could go.
  • Those kind of changes in the actual structure of health care clearly impacted sti screening especially for infections like syphilis that can often be asymptomatic.
  • It can be a rash that people think might be eczema so often times they don't bring that to the physician's attention and definitely not when they are not face-to-face with a physician.
  • >> What can people be doing to protect themselves from getting and transmitting congenital syphilis?
  • >> Physicians, providers, everyone out there has to start prioritizing sexual health.
  • This is a call to action.
  • It is time for us to use every resource we can help patients get screened and treated for sti.
  • Patients need to self advocate and if they are at the physician's office, go ahead and talk about sexual health with your provider, especially when you're pregnant.
  • Use protection.
  • We have seen from the data that people unfortunately are using condoms less and less.
  • >> Thank you for your time.