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Most people think city cleaning depends entirely on humans and machines
The main concerns are: Late diagnosis , neglected pulmonary TB can cause permanent lung scarring before the oral lesion ever appears Drug-resistant strains , multidrug-resistant TB is harder, longer, and more expensive to treat, with poorer outcomes Coexisting HIV infection , alters treatment response and increases the risk of disease progression Reactivation , even after successful treatment, latent organisms occasionally remain and can reactivate later in life if immunity drops This is why the dental finding matters so much
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"Drug Related Homicide in New York: 1984 and 1988." Crime Delinquency 38 (1992): 459- 476
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