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COLORADO SPRINGS, Colo.—El Paso County health officials are investigating what has caused dozens of Falcon Middle School students to either call in sick or complain of vomiting or diarrhea.

County health department medical director Bernadette Albanese says it’s unknown how many students are sick, but she tells The Gazette ( ) it could be more than 100. KRDO-TV in Colorado Springs reports ( ) about 160 students stayed home from school Thursday. The school had about 900 students last year.

Health officials are investigating whether the illness is food-related or whether it spread from person to person. The investigation could take several days.

School officials are urging parents to keep sick children at home.

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