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For example, in 1999, the U.S

Database entries In pregnant women, smoking causes miscarriages, low birth weight and increased risk of asthma Copyright This image is under Copyright protection and currently cannot be used by other countries

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This fragmentation prevents us from consolidating nationwide data into a single system. (I7) Lack of effective strategic plan dissemination and engagement The dissemination of the strategic plan relied heavily on one-way communication, such as official letters and policy documents sent to operational-level agencies

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