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Traditionally, the slaves who cropped and pulled had a particularly tough time with the first pull of the large, dirty, base leaves
BMJ (Clinical research ed.), 378, e065997

The Article is by Dr Rachel R Huxley, Division of Epidemiology, University of Minnesota, Minneapolis, MN, USA, and Dr Mark Woodward, Johns Hopkins University, Baltimore, MD, USA
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Central to this report is the universal right to health for those who for whatever reason continue to engage in risky behaviours