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She said the process had "unpleasant" moments, but she was sustained by the support of the Cape Cod community

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Second, the findings of slower declines in smoking prevalence among Pacific peoples (and a possible increase in daily smoking prevalence) and older age groups suggests that greater attention is needed to implementing interventions that are effective among these groups and monitoring the impact of interventions on these populations as the Action Plan is rolled out

On the mainland they have more trouble with this because they have states around them that are selling cigarettes, he said