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a
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i
c
a
n
t
pr
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g
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e
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s
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im
pr
o
vi
n
g
t
h
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e
a
l
t
h
c
o
n
d
i
t
i
o
n
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o
f
i
t
s
po
pu
l
a
t
i
o
n
.
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hil
e
t
h
e
r
e
ha
s
b
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n
a
ge
ne
r
a
l
d
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c
r
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a
s
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i
n
m
o
r
t
a
l
it
y
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a
d
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ng
t
o
s
i
g
ni
f
i
c
a
n
t
ga
i
n
s
i
n
li
f
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x
p
e
c
t
a
n
c
y
,
wh
a
t
ha
s
h
a
ppe
ne
d
t
o
m
o
r
bi
d
i
t
y
i
s
y
e
t
t
o
b
e
a
s
s
e
s
s
e
d.
Ve
r
y
l
i
t
t
l
e
i
nf
o
r
m
a
t
i
o
n
i
s
a
v
a
il
a
bl
e
a
b
o
ut
t
h
e
d
i
s
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a
s
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p
e
o
pl
e
o
f
d
i
f
f
e
r
e
n
t
po
pul
a
t
i
o
n
gr
o
ups
i
n
I
n
d
i
a
.
T
h
e
l
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v
e
l
a
nd
pr
e
v
a
l
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n
t
pa
t
t
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r
n
o
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m
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r
bi
d
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t
y
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t
h
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c
o
un
t
r
y
s
h
o
w
t
h
a
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n
d
i
a
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a
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t
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r
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d
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n
t
o
t
h
e
f
o
ur
t
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t
a
ge
o
f
h
e
a
l
t
h
t
r
a
n
s
i
t
i
o
n
[
3]
.
Due
to
i
n
du
s
t
r
i
a
li
z
a
t
i
o
n
a
n
d
t
h
e
p
e
r
s
i
s
t
i
ng
i
ne
qua
li
t
y
i
n
h
e
a
l
t
h
s
t
a
t
us
b
e
t
we
e
n
a
n
d
w
i
t
hi
n
S
t
a
t
e
s
a
n
d
U
ni
o
n
T
e
r
r
i
t
o
r
i
e
s
(
due
to
v
a
r
y
i
ng
e
c
o
n
o
m
ic,
s
o
c
i
a
l
a
n
d
po
l
i
t
i
c
a
l
r
e
a
s
o
n
s
)
,
I
n
d
i
a
c
ur
r
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n
t
l
y
f
a
c
e
s
a
"
T
r
i
p
l
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b
ur
de
n
o
f
d
i
s
e
a
s
e
s
"
,
whi
c
h
i
nc
l
ude
u
nf
i
n
i
s
he
d
a
ge
n
da
o
f
c
o
m
m
u
ni
c
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bl
e
d
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a
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s
,
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m
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r
g
i
n
g
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o
n
-
c
o
m
m
u
ni
c
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bl
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d
i
s
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a
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s
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l
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t
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to
l
i
f
e
s
t
y
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s
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n
d
e
m
e
r
g
i
ng
inf
e
c
t
i
o
us
d
i
s
e
a
s
e
s
[4
]
.
Ge
o
gr
a
phi
c
a
ll
y
,
Utt
a
r
a
kh
a
n
d
s
t
a
t
e
i
s
h
a
vi
ng
a
hi
g
h
e
r
pr
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va
l
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n
c
e
r
a
t
e
o
f
s
o
m
e
m
a
j
o
r
c
o
m
m
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ni
c
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bl
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d
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a
s
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s
e
s
p
e
c
i
a
ll
y
t
ub
e
r
c
u
l
o
s
i
s
(
170/
l
a
k
h
po
pul
a
t
i
o
n
)
,
m
a
l
a
r
i
a
(
14%
o
f
a
ll
f
e
ve
r
c
a
s
e
s
)
a
n
d
a
gr
e
a
t
e
r
v
u
l
ne
r
a
bil
i
t
y
to
wa
r
ds
HI
V/A
I
DS.
Due
to
n
e
ga
t
i
v
e
li
f
e
s
t
y
l
e
pr
a
c
t
i
c
e
,
t
h
e
r
e
a
r
e
i
nc
r
e
a
s
i
ng
t
r
e
n
d
s
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t
h
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pr
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n
c
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o
f
n
o
n
-
c
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m
m
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ni
c
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bl
e
d
i
s
e
a
s
e
s
(
NC
Ds
)
a
s
we
l
l
[
5]
.
T
h
e
pr
e
v
a
l
e
n
c
e
o
f
hi
g
h
-
r
i
s
k
f
a
c
to
r
s
f
o
r
t
h
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s
e
c
h
r
o
ni
c
d
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s
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a
s
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li
ke
hy
p
e
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t
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n
s
i
o
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,
d
y
s
li
p
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da
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mi
a
,
a
n
d
d
i
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be
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m
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li
t
u
s
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qu
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t
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g
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m
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g
t
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l
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pul
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pe
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m
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g
s
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ur
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n
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o
un
t
e
r
pa
r
t
s
[
6]
.
He
a
l
t
h
i
s
a
n
im
po
r
t
a
n
t
de
t
e
r
m
i
na
n
t
o
f
we
ll
be
i
ng.
I
t
i
s
po
s
i
t
i
v
e
ly
r
e
l
a
t
e
d
to
l
a
b
o
ur
pr
o
duc
t
i
vi
t
y
a
n
d
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c
o
n
o
m
i
c
e
f
f
i
c
i
e
nc
y
.
T
h
e
r
e
f
o
r
e
,
m
a
i
n
t
a
i
n
i
ng
go
o
d
he
a
l
t
h
i
s
im
po
r
t
a
n
t
f
o
r
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n
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nd
i
v
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dua
l
o
r
a
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o
us
e
h
o
l
d
a
t
t
h
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mi
c
r
o
l
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ve
l
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n
d
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s
o
c
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t
y
a
t
t
h
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m
a
c
r
o
l
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v
e
l
.
He
a
l
t
h
s
t
a
t
us
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n
m
o
s
t
de
v
e
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o
p
i
ng
c
o
un
t
r
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e
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s
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o
ns
t
r
a
i
n
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d
by
po
or
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or
ki
n
g
a
n
d
l
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v
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ng
c
o
n
d
i
t
i
o
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o
n
t
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o
n
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a
n
d
a
n
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s
upp
ly
a
n
d
de
m
a
n
d
f
a
c
t
or
s
o
n
t
h
e
ot
h
e
r
.
T
h
e
c
o
n
c
e
pt
o
f
h
e
a
l
t
h
,
d
i
s
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n
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t
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r
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l
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t
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d
to
t
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o
c
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l
s
t
r
uc
t
u
r
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o
f
t
h
e
c
o
m
m
u
ni
t
y
.
Our
h
e
a
l
t
h
i
s
a
f
f
e
c
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ot
by
o
nly
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nb
a
l
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n
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d
d
i
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t
b
ut
a
l
s
o
by
t
h
e
d
i
s
e
a
s
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,
whi
c
h
m
a
y
b
e
wa
t
e
r
b
o
r
n
e
,
a
i
r
b
o
r
n
e
,
o
r
f
o
o
d
b
o
r
n
e
.
M
o
r
e
t
h
a
n
h
o
w
w
h
a
t
a
pe
r
s
o
n
l
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o
ks
l
i
ke
a
n
d
h
o
w
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n
t
e
l
li
g
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t
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s
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ge
n
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s
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r
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h
e
m
o
s
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de
t
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m
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n
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f
a
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t
or
s
to
de
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de
wh
e
t
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r
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r
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l
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s
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o
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t
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e
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r
,
h
e
a
r
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pr
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s
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d
i
a
b
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a
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d
o
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e
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y
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o
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f
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f
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n
d
m
o
r
bi
d
i
t
y
a
r
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t
h
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m
po
r
t
a
n
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c
om
po
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t
s
o
f
h
u
m
a
n
we
l
f
a
r
e
.
C
o
nn
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c
t
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o
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b
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t
we
e
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m
o
r
t
a
l
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d
m
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r
bi
d
i
t
y
a
r
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a
n
a
r
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o
f
w
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d
i
s
c
us
s
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i
n
t
h
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pr
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n
t
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n
d
i
a
n
c
o
n
t
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t
.
T
h
e
c
ur
r
e
n
t
h
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a
l
t
h
s
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a
r
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o
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n
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n
d
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a
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o
f
t
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n
d
e
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c
r
i
be
d
a
s
"
D
i
s
m
a
l
"
o
r
"
D
i
s
t
ur
bi
ng"
.
I
n
a
d
i
f
f
i
c
u
l
t
t
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r
r
a
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o
f
a
H
i
ll
y
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a
t
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f
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n
d
i
a
t
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m
o
r
bi
d
i
t
y
s
t
a
t
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s
t
i
c
s
wa
s
c
o
m
p
l
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t
e
l
y
u
n
t
o
uc
h
e
d.
T
hi
s
s
t
ud
y
wa
s
a
bl
e
t
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x
p
l
o
r
e
t
h
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pa
t
t
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r
n
s
o
f
d
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s
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a
s
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n
d
t
h
e
hi
g
h
r
i
s
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po
pu
l
a
t
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o
n
a
m
o
n
g
t
hi
s
c
o
m
m
u
ni
t
y
.
E
v
e
n
t
ho
ugh
t
h
e
li
f
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e
x
pe
c
t
a
n
c
y
o
f
I
n
d
i
a
n
s
h
a
s
i
nc
r
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d
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t
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m
o
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d
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t
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s
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ll
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n
a
pa
t
h
e
t
i
c
c
o
n
d
i
t
i
o
n
.
2.
M
AT
E
RI
AL
AN
D
M
E
T
HO
DS
2.
1.
S
t
u
d
y
d
e
s
ign
an
d
S
t
u
d
y
s
e
t
t
in
g
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h
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pr
e
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t
r
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or
d
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d
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r
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s
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s
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t
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l
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t
udy
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s
c
a
r
r
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d
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t
a
t
a
n
Ur
b
a
n
He
a
l
t
h
T
r
a
i
ni
ng
C
e
n
t
r
e
(
UH
T
C
)
un
de
r
t
h
e
De
pa
r
t
m
e
n
t
o
f
C
o
m
m
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t
y
M
e
d
i
c
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ne
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o
f
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m
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Ut
t
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h
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UH
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c
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l
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a
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r
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s
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t
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v
e
r
a
ge
a
l
t
i
t
ude
o
f
1650
m
e
t
e
r
s
.
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h
e
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s
t
r
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c
t
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g
r
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c
a
l
a
r
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a
o
f
5230k
m
s
2
a
t
a
po
pul
a
t
i
o
n
de
ns
i
t
y
o
f
a
b
o
ut
129/km
2
(
R
e
f
:
C
e
ns
us
2011)
.
T
h
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d
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s
t
r
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c
t
h
a
s
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be
tt
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c
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t
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a
c
o
m
m
e
n
da
bl
e
li
t
e
r
a
c
y
r
a
t
e
o
f
82%
.
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r
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10:A
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B
99
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J
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x
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pt
J
12
di
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I
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M
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Evaluation Warning : The document was created with Spire.PDF for Python.