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Zhang WZ, Butler JJ, Cloonan SM

In the most recent survey years, estimates appeared to indicate little change among older age groups

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Common signs of pneumonia include: Sharp pain in your chest or belly when you breathe or cough Coughing, which usually produces phlegm or mucus Fatigue Loss of appetite Fever, sweating, and chills Nausea, vomiting, or diarrhea Shortness of breath A bluish tint to your lips or fingernails (It may be harder to see on darker skin tones.) Fast breathing or trouble breathing A fast pulse Sharp or stabbing chest pain when breathing or coughing Along with these symptoms, older adults and people with weak immune systems might be confused or have problems with thinking