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The US assistant secretary for health has been sworn in as the first transgender four-star officer in the country’s history.

Dr Rachel Levine, 63, is now an admiral of the US Public Health Service Commissioned Corps.

Dr Levine, appointed by President Joe Biden, is already the highest-ranking openly transgender official in the US.

She described the occasion as “momentous” and “historic” during a swearing-in speech on Tuesday.

“May this appointment today be the first of many more to come, as we create a diverse and more inclusive future,” she said in a speech that paid

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