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BRFSS, behavioural risk factor surveillance system DALYs, disability adjusted life-years HDSS, Health Determinants Surveillance System NS-SEC, National Statistics Socio Economic Classification unemployment smoking perceived control psychosocial factors social Statistics from Altmetric.com Footnotes Competing interests: none declared

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Those with money enough to book passage went by sea

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Keep a bucket handy for mixing your cleaning solution and multiple cloths for wiping and rinsing