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[(In)-221.1(te)23.6(r)13.3(m)0(s)-219.2(o)0(f)-213.7(n)0(u)21.6(t)0(r)18.8(i)0(t)21.9(i)0(o)21.5(n)0(,)-220(t)0(h)25.7(e)-227.5(fi)18.2(r)13.3(s)0(t)-217.4(1)0(,)17.3(0)0(0)23.7(0)-227.5(d)13.5(a)0(y)20.5(s)-229.1(of)-213.7(li)20.3(fe)19.9(,)-227.6(f)0(r)21.4(o)0(m)-218.1(c)0(o)21.1(n)14(ce)21.6(p-)]TJ
-.9953 -1.222 TD
[(ti)21.9(on)-251.8(u)14(n)0(t)19.4(i)0(l)-250.6(2)-265.3(ye)20.5(ar)25.2(s)-266.9(o)0(f)-251.5(a)0(g)19(e)0(,)-253.6(a)0(r)25.2(e)-265.3(cr)16.8(i)16.4(t)0(i)15.6(c)16.1(al)22(.)-265.4(P)0(o)19.1(o)0(r)-252.4(m)0(a)21.8(t)0(e)23.6(r)0(n)21(a)0(l)-255.2(h)14(ea)17.4(lt)21.9(h)-263.2(a)0(n)25.8(d)]TJ
T*
[(p)13.5(o)0(o)22.7(r)-320.5(n)14(u)0(t)19.4(r)13.3(it)21.9(io)21.5(n)-319.9(b)13.5(ef)19.9(or)18.4(e)-315.7(a)0(n)19.5(d)-314.1(d)13.5(u)0(r)21(i)0(n)17.8(g)-314.1(pr)20.5(eg)19(n)14(a)0(n)19.5(c)0(y)-302.8(i)0(n)17.8(c)0(r)23.1(e)0(a)23.7(s)0(e)-305.4(t)0(h)19.4(e)-315.7(ri)17.2(sk)]TJ
T*
[(of)-396.3(in)24.1(tr)18.8(au)19.5(te)23.6(ri)23.5(ne)-402.5(g)13.5(r)0(o)18.4(w)12.5(th)-402.6(r)13.3(e)0(s)22.1(t)0(r)18.8(i)0(c)19.9(t)0(i)21.9(o)0(n)]TJ
6.7499 0 0 5.9992 180.2834 506.4944 Tm
(23)Tj
9 0 0 9 191.2251 502.5258 Tm
[(th)19.4(at)-398.4(in)-397.9(tu)19.4(rn)-401(in)24.1(cr)16.8(ea)23.7(se)22.1(s)-411.8(t)0(h)25.7(e)]TJ
-15.2441 -1.222 TD
[(r)13.3(i)0(s)20.4(k)-510.5(of)-503.4(st)22(un)21.6(ti)21.9(ng)-501.7(\(o)23.1(r)-515.8(b)0(e)19(i)0(n)24.1(g)-515.7(sh)24.2(or)18.4(t)-511.1(f)0(o)19.4(r)-509.5(yo)20(u)14(r)-515.8(h)14(e)0(i)15.7(g)13.5(h)14(t)0(,)-505.7(i)0(n)24.1(d)0(i)17.3(c)0(a)21.6(t)0(i)21.9(n)14(g)]TJ
T*
[(c)16.1(h)0(r)21(o)0(n)19(i)0(c)-421.1(u)0(n)21.6(d)0(e)19(r)13.3(nu)21.6(tr)18.8(it)21.9(io)21.5(n)14(\))0(.)]TJ
6.7499 0 0 5.9992 145.9275 484.4975 Tm
(24)Tj
9 0 0 9 157.0393 480.529 Tm
[(Po)19.1(or)-422.5(fe)19.9(ed)25.3(in)17.8(g)-433.8(p)13.5(ra)18.9(ct)21.5(ic)19.9(es)-425.1(an)25.8(d)-433.8(i)0(n)17.8(f)14.3(ec)21.6(-)]TJ
-11.4457 -1.222 TD
[(ti)21.9(ou)25.3(s)-273.2(d)13.5(is)20.4(ea)23.7(se)-261.3(al)22(so)-255.5(co)21.1(nt)19.4(r)13.3(i)0(b)17.3(u)14(te)-259.9(to)-260.4(st)22(un)21.6(ti)21.9(ng)21.1(,)-271.7(a)-265.3(co)21.1(nd)21.2(it)21.9(io)21.5(n)-269.5(t)0(h)19.4(a)0(t)-259.9(i)0(s)-256.8(i)0(r)17.2(-)]TJ
0 -1.2283 TD
[(r)13.3(e)0(v)24.7(e)0(r)18.9(s)0(i)20.4(b)13.5(le)-223.7(af)26.2(te)17.3(r)-226(t)0(h)19.4(e)-227.5(fi)18.2(r)13.3(s)0(t)-223.7(2)-227.5(ye)20.5(ar)18.9(s)-229.1(o)0(f)-220(l)0(i)20.3(f)14.3(e.)]TJ
6.7499 0 0 5.9992 195.307 462.5006 Tm
[(23)23.7(,2)21.5(5)]TJ
9 0 0 9 213.5054 458.4755 Tm
[(U)15.1(n)0(d)21.1(e)0(r)18.9(n)14(ut)19.4(r)13.3(i)0(t)15.6(i)16.4(on)-220.3(in)-221.6(th)19.4(e)]TJ
-17.7197 -1.222 TD
[(f)14.3(i)0(r)23.5(s)0(t)-481.9(1)0(,)23.6(0)0(0)17.4(0)-485.8(da)19(y)15(s)-493.7(in)24.1(cr)23.1(ea)17.4(se)22.1(s)-487.4(t)0(h)19.4(e)-485.8(ch)17.4(an)25.8(ce)21.6(s)-493.7(o)0(f)-478.2(b)13.5(ec)21.6(om)21.3(in)17.8(g)-484.2(o)0(v)17.9(e)0(r)25.2(-)]TJ
T*
[(w)12.5(e)0(i)22(g)13.5(ht)-371.1(in)-372.8(ad)19(u)14(l)0(t)21.9(h)0(o)19(o)0(d)-372(a)0(n)25.8(d)-383.4(of)-371.1(de)19(v)12.9(e)0(l)22(o)0(p)18.5(i)16.4(ng)-375.7(ch)23.7(r)13.3(o)0(n)19(i)0(c)-370.7(d)0(i)17.3(s)16.6(ea)17.4(se)-368.4(ri)17.2(s)16.6(k)]TJ
T*
[(f)14.3(a)0(c)21.6(t)0(o)23.1(r)0(s)-505.5(s)0(u)17.9(c)0(h)-505.4(a)0(s)-500.7(h)0(i)17.8(g)13.5(h)-515.2(b)0(l)17.3(o)0(o)22.7(d)-515.7(su)24.2(ga)19(r)13.3(,)-517.4(ch)23.7(ol)21.5(es)22.1(te)17.3(r)13.3(o)0(l)21.5(,)-517.4(an)19.5(d)-515.7(b)13.5(lo)21.5(od)]TJ
T*
[(p)13.5(r)13.3(es)22.1(su)17.9(r)13.3(e)0(,)-505.5(e)0(s)22.1(p)13.5(ec)21.6(ia)22(ll)20.3(y)-514.2(i)0(f)-504.7(c)0(h)23.7(i)0(l)20.3(d)13.5(re)18.9(n)-515.2(r)13.3(ap)19(id)23.6(ly)-504(g)13.5(a)0(i)22(n)-515.2(w)12.5(e)0(i)22(g)0(h)21.2(t)-517.4(af)26.2(te)17.3(r)-509.5(2)]TJ
T*
-.015 Tc
[(ye)-15(a)8.7(r)-15(s)-665.4(o)-15(l)6.5(d)-15(.)]TJ
6.7499 0 0 5.9992 95.5842 407.5085 Tm
0 Tc
(24)Tj
9 0 0 9 108.737 403.4833 Tm
[(Ea)23.3(rl)23.5(y)-659.1(u)0(n)21.6(d)0(e)19(r)13.3(nu)21.6(tr)18.8(it)21.9(io)21.5(n)-660(i)0(s)-647.3(a)0(l)22(s)0(o)-652.4(a)0(s)22.1(s)0(o)21.6(c)0(i)26.2(a)0(t)17.3(e)0(d)-648.7(w)12.5(it)21.9(h)]TJ
-6.0787 -1.222 TD
[(l)16.4(o)0(w)17.6(e)0(r)-390.5(e)0(d)25.3(u)0(c)17.4(a)0(t)23.6(i)0(o)21.5(n)0(a)19.5(l)-399.3(at)23.6(ta)17.3(in)24.1(me)21.8(n)14(t)-404(an)19.5(d)-402.3(a)0(d)25.3(u)0(l)24.1(t)-404(in)17.8(c)16.1(o)0(m)21.3(e)0(,)]TJ
6.7499 0 0 5.9992 244.5732 396.5101 Tm
-.0209 Tc
[(25)-20.9(,2)-20.9(6)]TJ
9 0 0 9 264.2456 392.4849 Tm
0 Tc
[(as)-387.3(we)18.1(ll)]TJ
-23.3575 -1.222 TD
[(as)-651.9(re)18.9(st)22(ri)17.2(c)16.1(t)0(e)17.3(d)-666.8(re)18.9(p)13.5(r)0(o)18.4(d)13.5(uc)23.7(ti)21.9(ve)-661.9(ou)25.3(tc)21.5(om)21.3(es)22.1(,)-668.6(a)0(s)-658.2(s)0(t)22(u)0(n)21.6(t)0(e)17.3(d)-666.8(w)12.5(o)0(m)21.3(e)0(n)]TJ
T*
-.0144 Tc
[(gi)-14.4(v)8.6(e)-399.4(bi)-14.4(rt)-14.4(h)-385.5(t)-14.4(o)-388.1(s)-14.4(m)5.8(a)-14.4(l)7.6(l)-14.4(e)7.6(r)-397.9(b)-14.4(a)4.6(bi)-14.4(e)7.6(s)-14.4(.)]TJ
6.7499 0 0 5.9992 165.3732 374.5133 Tm
0 Tc
(27)Tj
9 0 0 9 176.0881 370.4881 Tm
[(St)20.5(u)14(n)0(t)19.4(i)0(n)24.1(g)-389.7(an)25.8(d)-383.4(p)0(o)18.6(v)12.9(er)18.9(ty)-370.2(in)-372.8(ea)17.4(r)13.3(l)0(y)]TJ
-13.5622 -1.222 TD
[(l)16.4(i)0(f)18.2(e)-322(ar)18.9(e)-322(e)0(s)22.1(t)0(i)21.9(m)16.2(at)17.3(ed)-308.5(to)-310.8(re)18.9(d)13.5(u)0(c)17.4(e)-322(ad)25.3(ul)17.8(t)-322.1(i)0(n)24.1(c)0(o)21.1(m)0(e)-312.1(b)13.5(y)-325.2(u)14(p)-320.4(t)0(o)-310.8(2)0(0)17.4(%)0(.)]TJ
6.7499 0 0 5.9992 274.1101 363.5148 Tm
(28)Tj
9 0 0 9 62.9858 348.4912 Tm
[(Similarly,)-424.3(exposure)-415.9(to)-417.8(adverse)-418.4(experiences)-421.4(such)-418.2(as)-418.8(vio-)]TJ
-.9953 -1.222 TD
[(lence)-263.7(and)-269.3(poverty)-269.4(in)-265.7(early)-265.4(life)-268.5(is)-269.4(associated)-271.6(with)-266.6(a)-265.3(greater)-271.5(in-)]TJ
T*
[(cidence)-297.1(of)-295.6(chronic)-295.6(disease)-298.2(\(mental)-296.7(and)-294.5(physical\))-296.8(and)-294.5(lower)]TJ
T*
[(education)-295(and)-294.5(income)-298.3(levels,)-299.1(especially)-295(when)-300.4(multiple)-292.9(risks)]TJ
T*
[(accrue)-364.1(before)-364.7(3)-366.1(years)-366(of)-364.8(age.)]TJ
6.7499 0 0 5.9992 174.3873 308.5227 Tm
[(18,20,2)-13.9(9,30)]TJ
9 0 0 9 212.485 304.4976 Tm
[(The)-363.3(evidence)-364(is)-363.9(the)]TJ
-17.6063 -1.222 TD
[(strongest)-465.2(for)-464.9(the)-460.1(increased)-466.7(risk)-464.1(of)-465.6(cardiovascular)-465.9(disease)]TJ
T*
[(and)-244.1(its)-245(contributing)-249.8(factors)-244.9(\(eg,)-247.2(hypertension,)-246.8(diabetes,)-252.6(obe-)]TJ
T*
(sity\),)Tj
6.7499 0 0 5.9992 72.737 275.5275 Tm
(30)Tj
9 0 0 9 83.7354 271.5023 Tm
[(a)-410.2(leading)-412.7(cause)-408.4(of)-408.9(adult)-411.3(morbidity)-408(and)-414.2(mortality)-411.3(in)]TJ
-3.3008 -1.222 TD
[(both)-302.2(high-)-307.9(and)-307.1(low-income)-308.8(countries.)-310.2(Poverty)-306.7(affects)-306.4(cogni-)]TJ
T*
[(tive)-299.9(development)-302.1(directly)-301.4(through)-298.7(altered)-306.3(epigenetic)-303.7(and)-300.8(bi-)]TJ
T*
[(ological)-346.4(mechanisms)]TJ
6.7499 0 0 5.9992 138.8976 242.4755 Tm
[(20,31,3)-13.9(2)]TJ
9 0 0 9 167.6976 238.507 Tm
[(and)-344.9(indirectly)-352.9(because)-345.2(parents)]TJ
-12.6299 -1.2221 TD
[(have)-459.7(fewer)-465.2(caregiving)-464.9(resources.)]TJ
6.7499 0 0 5.9992 190.0346 231.4771 Tm
(33)Tj
9 0 0 9 201.5432 227.5086 Tm
[(The)-464.1(effects)-463.9(of)-465.6(poverty)]TJ
-16.3906 -1.222 TD
[(on)-295.9(development)-302.1(are)-303.1(evident)-304.6(in)-297.2(the)-302.6(first)-305.6(1,000)-299.8(days)-302.2(and)-300.8(con-)]TJ
T*
[(tinue)-543(into)-538.6(the)-542(second)-546.6(1,000)-545.5(days)-541.5(\(from)-537.7(2)-542.5(t)0(o)-543.8(5)-542.5(years)-542.4(of)]TJ
T*
(age\).)Tj
6.7499 0 0 5.9992 74.4945 198.4818 Tm
[(18)-9.9(,30)]TJ
9 0 0 9 95.3575 194.5133 Tm
[(These)-486.1(negative)-488(consequences)-481.2(of)-490.8(undernutrition)]TJ
-4.5921 -1.2221 TD
[(and)-414.2(adversity)-418.6(also)-422.5(reduce)-417(growth)-421.2(and)-414.2(developmental)-418.7(out-)]TJ
T*
[(comes)-488.5(in)-492.4(the)-491.6(next)-489.7(generation.)]TJ
6.7499 0 0 5.9992 179.3763 176.485 Tm
[(27,30,3)-13.9(1)]TJ
9 0 0 9 209.4236 172.5165 Tm
[(In)-491.9(addition,)-496.8(children)]TJ
-17.2661 -1.222 TD
[(raised)-439.3(in)-442(economic)-441(hardship)-441.2(are)-441.7(more)-444.8(likely)-440.7(to)-436.7(adopt)-442(ad-)]TJ
T*
[(verse)-456.3(health-related)-466.1(behaviors)-457.8(\(because)-459.5(of)-465.6(limited)-458.1(access)]TJ
T*
[(to)-499.7(nutritious)-503(food)-497.5(and)-502.4(safe)-499.7(physical)-497.5(activity\),)-500.7(contributing)]TJ
T*
[(to)-235.2(the)-233.3(risk)-237.4(of)-238.9(chronic)-232.6(disease.)]TJ
6.7499 0 0 5.9992 168.548 132.4913 Tm
(32)Tj
9 0 0 9 178.0157 128.5228 Tm
[(Addressing)-237.4(these)-236.4(risk)-237.4(factors)]TJ
-13.7764 -1.222 TD
[(early)-240.2(has)-241.1(the)-245.9(potential)-246.5(to)-241.5(stop)-242.9(the)-245.9(progression)-245.1(to)-241.5(chronic)-245.2(dis-)]TJ
T*
[(ease)-256.5(and)-256.7(disadvantage)-262.6(in)-253.1(adulthood)-260.3(and)-256.7(disrupt)-260.1(this)-262.6(vicious)]TJ
0 -1.2283 TD
[(intergenerational)-335.1(cycle.)]TJ
/F2 1 Tf
10.0001 0 0 10.0001 54.0283 73.7575 Tm
[(Interventions)-341.1(That)-336.8(Provi)-8.5(de)-332(a)-332.4(G)-6.7(ood)-332.3(Start)-339.9(in)-333.2(Life)]TJ
/F3 1 Tf
9 0 0 9 62.9858 62.4756 Tm
[(A)-505.2(ran)14(ge)-497.5(of)-503.4(ef)13.6(fec)17.1(tiv)15.8(e)-504.7(int)10.6(er)12.6(ve)12.1(nti)16.9(ons)-499.8(tar)18(ge)12.7(tin)10.6(g)-503.1(w)0(o)11.3(men)-493.4(an)13.2(d)]TJ
-.9953 -1.222 TD
[(chi)21.3(ldr)11.7(en)-352.1(su)11.6(ppo)13.1(rt)-352.9(ear)11.9(ly)-352.9(chi)15(ldh)18.7(ood)-348(dev)13(elo)14.5(pme)16.4(nt)-352.2(an)13.2(d)-364.5(i)0(t)15.6(s)-361.4(lon)16.6(g-)]TJ
28.5543 74.5575 TD
[(ter)18(m)-349.1(p)0(o)12.2(sit)13.2(ive)-343.1(im)13.7(pa)12.7(cts)12.9(.)]TJ
6.7499 0 0 5.9992 398.5511 726.5195 Tm
[(28,)16.5(31)]TJ
9 0 0 9 417.9967 722.4943 Tm
[(The)14.6(se)-343.2(in)11.5(ter)18(ven)13.5(tio)14.3(ns)-341.1(beg)13.6(in)-347.6(be)12.8(fo)13.1(re)]TJ
-11.8866 -1.222 TD
[(co)14.8(ncep)17.6(tio)14.3(n)-527.8(wit)15.5(h)-534.1(n)0(u)15.4(trit)15.4(ion)-518.9(su)11.6(ppo)13.1(rt)-523(and)-521.3(fam)17.2(ily)-519.1(plan)18(ni)11.5(ng)-526.9(fo)13.1(r)]TJ
T*
[(wo)11.3(me)15.5(n)-515.2(o)0(f)-516(r)0(e)12.6(pro)13(du)14.9(cti)12.7(ve)-510.7(ag)12.8(e;)-509.7(con)16.2(tin)16.9(ue)-509.6(thr)13.8(ou)12.7(gh)-514.3(pr)14.2(egn)14.1(an)13.2(cy)]TJ
T*
[(an)13.2(d)-257.4(t)0(h)13.1(e)-259(po)12.2(stp)16.6(ar)12.6(tum)-247.8(pe)12.7(rio)15.9(d)-257.4(wit)15.5(h)-256.9(g)0(o)12.2(o)0(d)-252.3(a)0(n)13.2(ten)12.4(ata)16.6(l)-254.4(a)0(n)13.2(d)-257.4(pe)12.7(rin)12.2(ata)16.6(l)]TJ
T*
[(ca)15.3(re;)-345.2(and)-344.9(car)16.1(ry)-349.7(thr)13.9(ou)12.7(gh)-350.5(to)-354.8(chi)21.3(ldh)12.4(ood)-341.7(wit)15.5(h)-357.7(act)14.5(ivi)14.2(ti)15.6(es)-349.5(pro)13(mot)14.1(-)]TJ
T*
[(in)11.5(g)-345.6(ade)12(qu)14.9(ate)-336.2(nut)14.5(rit)16.3(ion,)-337(ear)18.2(ly)-340.3(lea)15(rni)12.2(ng)14.8(,)-353.6(r)0(e)12.6(spo)16.2(ns)11.6(ive)-336.8(pa)12.7(ren)14(tin)16.9(g,)]TJ
T*
[(an)13.2(d)-383.4(m)0(a)15.5(nag)14.1(eme)14.8(nt)-371.1(of)-377.4(chi)15(ldh)12.4(ood)-366.9(ill)11.5(ne)13.2(ss.)-370.9(Whi)18.3(le)-381.1(nu)15.3(tri)16.3(tio)14.3(n)-382.9(i)0(n)11.5(ter)11.8(-)]TJ
T*
[(ve)12.1(nt)13.1(ion)16.6(s)-348.8(a)0(r)12.6(e)-340.9(mos)12.7(t)-341(eff)15.3(ect)14.5(ive)-330.5(in)-341.3(th)13.1(e)-340.9(fir)12.6(st)-337.1(1,0)16.6(00)-341.6(da)12.7(ys)-340.1(of)-333.3(lif)15.7(e,)-341.7(ac-)]TJ
T*
[(tio)14.3(ns)-756.9(tha)12.4(t)-769.4(i)0(m)13.7(pro)13(ve)-762.7(chi)15(ld)-757.5(dev)13(elo)14.5(pme)16.4(nt)-761.7(an)13.2(d)-767.6(edu)14.1(cat)14.5(ion)16.6(al)]TJ
T*
[(att)16.4(ain)17.1(men)16.9(t)-322.1(\(eg)11.9(,)-322.1(nur)16.1(tur)13.8(in)11.5(g)-326.7(car)16.1(eg)12.7(ivi)14.2(ng)-319(an)13.2(d)-326.7(lea)15(rni)18.5(ng)-319(opp)13.1(or)12.1(tun)14.5(i-)]TJ
T*
[(tie)14.8(s\))-261.5(ar)12.6(e)-265.3(eff)15.3(ect)14.5(ive)-254.9(thr)13.8(oug)13.6(ho)12.7(ut)-264.1(th)13.1(e)-271.6(sec)19.3(ond)-257.2(1,0)16.6(00)-266(da)12.8(ys)-264.5(an)13.2(d)-270(i)0(n)11.5(t)0(o)]TJ
T*
[(th)13.1(e)-492.1(sch)15.1(ool)-483.7(yea)13.5(rs.)]TJ
6.7499 0 0 5.9992 381.9967 605.4802 Tm
[(4,3)16.5(0)]TJ
9 0 0 9 399.118 601.5117 Tm
[(Int)17.4(er)12.6(ven)13.5(tio)14.3(ns)-486(in)-486.1(the)-485.3(fi)11.9(rst)-487.5(an)13.2(d)-496.8(s)0(e)15.8(con)16.2(d)]TJ
-9.789 -1.222 TD
[(1,0)16.6(00)-341.6(day)15.1(s)-348.8(are)-340.9(som)18.9(e)-353.5(o)0(f)-339.6(the)-340.4(mos)12.7(t)-347.3(cos)18.8(t-ef)18.7(fec)17.1(tiv)15.8(e)-353.5(i)0(n)11.5(v)0(e)12.1(stm)19.3(ent)12.4(s)]TJ
T*
[(co)14.8(unt)14.5(rie)16.4(s)-689(can)-676.2(ma)15.5(ke)-681.3(in)-681.4(pop)13.1(ul)11.5(ati)14.8(on)-680.2(he)13.2(alt)14.8(h)-691.5(a)0(n)13.2(d)-685.7(de)12.7(ve)12.1(lop-)]TJ
T*
[(me)15.5(nt.)]TJ
6.7499 0 0 5.9992 333.2408 572.4849 Tm
[(28,)16.5(34)]TJ
9 0 0 9 351.7227 568.5164 Tm
[(Th)15.3(e)-246.4(i)0(n)11.5(ter)11.7(ve)12.1(nt)13.1(ion)16.6(s)-241.7(can)-235.3(be)-239.2(de)12.7(liv)14.2(er)12.6(ed)-239.2(in)-240.5(an)-238.7(in)11.5(teg)18.2(ra)12.6(ted)]TJ
-4.5228 -1.222 TD
[(ma)15.5(nne)14.6(r)-635.5(thr)13.8(oug)13.6(h)-634.8(exi)17.6(sti)13.2(ng)-634(ma)15.5(ter)11.7(na)13.2(l)-638.7(and)-628.4(chi)15(ld)-631.5(he)13.2(alt)14.8(h)-641.2(s)0(e)15.8(r)0(-)]TJ
T*
[(vic)20.2(es.)]TJ
6.7499 0 0 5.9992 333.3542 550.488 Tm
(31)Tj
9 0 0 9 343.5023 546.5195 Tm
[(Go)15.5(ve)12.1(rnm)12(en)13.2(ts)-311.9(pla)16.6(y)-312.6(a)-315.7(cri)14.3(tic)19(al)-311.9(ro)12.1(le)-311.9(in)-309.8(fa)13.6(cil)11.1(ita)14.8(tin)16.9(g)-314.1(str)16.4(ong)]TJ
-3.6094 -1.222 TD
[(in)11.5(ter)18(sec)13(tor)17.6(al)-324.5(coo)13.6(rd)14.2(in)11.5(ati)14.8(on)-327.4(re)12.6(qui)18.7(red)-320.4(fo)13.1(r)-333.1(i)0(m)13.7(ple)16.6(men)16.9(tat)16.4(ion)16.6(.)]TJ
6.7499 0 0 5.9992 526.11 539.4896 Tm
(30)Tj
9 0 0 9 319.9747 524.5227 Tm
[(In)-441.5(ter)18(ms)-439.7(of)-434.1(pro)13(mot)14.1(in)11.5(g)-440.1(goo)11(d)-440.1(ear)11.9(ly)-434.7(nut)14.5(rit)16.3(ion)16.6(,)-448.1(i)0(n)11.5(ter)18.1(ve)12.1(nti)16.9(ons)]TJ
-.9953 -1.222 TD
[(su)11.6(pp)14.4(ort)11.2(in)11.5(g)-503.1(b)0(r)14.2(eas)15.1(tfe)12.7(ed)12.7(in)11.5(g)-503.1(s)0(h)11.6(o)0(u)12.7(l)0(d)-499.2(b)0(e)-491.2(enco)15.5(ur)14.7(age)12(d,)-491.3(and)-489.8(the)]TJ
T*
[(Ba)12.8(by-)15.5(Fr)12.1(ien)17.1(dly)-289(Ho)11.3(spi)15(tal)-287.5(Ini)15.8(tia)14.8(tiv)15.8(e,)-297.7(lau)17.1(nch)18.8(ed)-295.9(by)-292.8(the)-290(Uni)14(ted)-290.5(Na)11.8(-)]TJ
T*
[(tio)14.3(ns)-290.7(Ch)16.5(ild)14.8(ren)]TJ
/F10 1 Tf
6.0661 0 TD
()Tj
/F3 1 Tf
.2457 0 TD
[(s)-298.4(F)0(u)12.7(n)0(d)-287.5(\(UN)14.1(IC)13.1(EF\))-286.8(an)13.2(d)-301.5(W)0(o)11.9(rld)-284.3(He)11.8(alt)14.8(h)-294.7(Org)15.7(ani)10.8(za)12.1(-)]TJ
-6.3118 -1.222 TD
[(tio)14.3(n)-672.6(\()0(W)12.3(HO\))-667.2(in)-675.1(199)16.7(1,)-669.3(has)-669.4(giv)17.6(en)-673.4(br)14.2(eas)15.1(tfe)12.7(ed)12.7(in)11.5(g)-679.4(a)-674.7(glo)16.1(bal)]TJ
T*
[(bo)12.2(ost)]TJ
6.7499 0 0 5.9992 333.2408 473.4991 Tm
(35)Tj
9 0 0 9 340.4409 469.5306 Tm
[(;)-351.5(152)-329.7(coun)17.6(tr)12.5(ies)-339.4(ha)13.2(ve)-340.6(im)13.7(plem)20.2(ent)12.4(ed)-340(th)13.1(is)-345(pr)14.2(ogr)13(am.)]TJ
6.7499 0 0 5.9992 532.9133 473.4991 Tm
(36)Tj
9 0 0 9 543.2881 469.5306 Tm
(A)Tj
-25.8079 -1.2283 TD
[(ba)12.7(by-)15.5(fri)18.9(end)14.1(ly)-422.2(ma)15.5(ter)11.7(ni)11.5(ty)-420.5(fa)13.6(cil)17.4(ity)-416.7(do)12.2(es)-425.1(no)12.7(t)-422.9(acc)12.5(ep)12.7(t)-422.9(bre)13.5(ast)-413.4(mil)11.3(k)]TJ
0 -1.222 TD
[(su)11.6(bst)16.6(itu)16.9(tes)15(,)-435.5(f)0(e)13.6(edi)16.6(ng)-432.4(bo)12.2(ttl)14.7(es,)-426(or)-428.8(tea)16.6(ts)-425.3(and)-426.8(ha)13.2(s)-437(i)0(m)13.7(ple)16.6(men)16.9(ted)]TJ
T*
[(10)-221.9(ste)15(ps)-221.9(to)-222.6(su)11.6(ppo)13.1(rt)-220.6(su)11.6(cce)12.5(ss)14.2(ful)-219.8(bre)13.5(ast)15(fe)13.6(ed)12.7(ing)12.4(.)-227.6(The)14.6(se)-223.5(ste)15(ps)-221.9(in)11.5(-)]TJ
T*
[(cl)13.6(ude)-269.3(edu)14.1(cat)14.5(in)11.5(g)-282.6(sta)15(ff)-273.7(an)13.2(d)-282.6(mot)14.1(he)13.2(rs)-278.8(an)13.2(d)-282.6(f)0(a)13.6(cil)11.1(ita)14.8(ti)15.6(ng)-281.2(im)13.7(med)16.4(iat)14.8(e)]TJ
T*
[(an)13.2(d)-232.2(on-)12.4(de)12.7(man)16.9(d)-238.5(b)0(r)14.2(eas)15.1(tfe)12.7(ed)12.7(in)11.5(g.)-233.1(A)-234.3(s)0(y)12.6(ste)15(ma)15.5(tic)-226.6(re)12.6(vie)16(w)-239.5(o)0(f)-226.3(mos)12.6(tl)15.6(y)]TJ
T*
[(ob)12.2(ser)16.6(va)12.1(tio)14.3(nal)-512.1(stu)17.1(die)16.6(s)-518.9(fro)13.8(m)-519.2(1)0(9)-511.7(HIC)13(s)-518.9(a)0(n)13.2(d)-522(LMI)15.6(Cs)-516.4(re)12.6(po)12.3(rts)-512.7(a)]TJ
T*
[(do)12.2(se-)15.5(re)12.6(spo)16.2(ns)11.6(e)-441.7(rel)16.4(ati)14.8(ons)16.7(hip)-434.9(be)12.7(tw)11.6(een)-428.4(the)-428.6(num)12.7(be)12.7(r)-440.2(o)0(f)-434.1(the)-434.9(10)]TJ
T*
[(ste)15(ps)-247.1(wo)11.3(me)15.5(n)-256.9(a)0(r)12.6(e)-252.7(ex)13.7(pos)16.2(ed)-251.8(to)-247.8(an)13.2(d)-251.1(bre)13.5(ast)15(fe)13.6(ed)12.7(ing)-245.9(ou)12.7(tco)14(mes)19.4(.)]TJ
6.7499 0 0 5.9992 541.7006 385.5117 Tm
(37)Tj
9 0 0 9 311.0172 370.4881 Tm
[(Dat)15.1(a)-359.8(fro)13.8(m)-368(t)0(h)13.1(e)-366.1(Uni)20.3(ted)-359.8(St)14.2(ate)16.6(s)-367.7(s)0(h)11.6(o)0(w)-360.4(a)-366.1(sm)13.9(all)-358.4(bu)14.8(t)-366.2(imp)14.6(or)12.1(tan)12.4(t)-359.9(in-)]TJ
T*
[(cre)16.1(ase)-684.1(in)-694(bre)13.5(ast)15(fe)13.6(ed)12.7(ing)-693.1(in)11.5(iti)19.4(ati)14.8(on)-692.8(\(3.)16.4(8%\))-689.3(an)13.2(d)-698.3(exc)10.9(lu)11.5(si)14.1(vit)15.8(y)]TJ
T*
[(\(4.)16.5(5%\))-626.3(amo)14.3(ng)-627.7(wom)14.9(en)-635.6(fro)13.8(m)-632.6(low)15.1(er)-636.2(soc)18.8(ioe)14.5(con)16.2(omi)12.5(c)-639(b)0(a)12.7(ck-)]TJ
T*
[(gr)14.2(oun)14.1(ds.)]TJ
6.7499 0 0 5.9992 346.2802 341.518 Tm
(38)Tj
9 0 0 9 356.9385 337.4928 Tm
[(Br)14.2(eas)15.1(tf)13.5(ed)-371.5(chi)15(ldr)18(en)-364.7(sco)12.5(re)-365.3(be)12.7(tter)-360.8(on)-365.2(IQ)-365.8(tes)15(ts,)-363.1(an)13.2(d)]TJ
-5.1024 -1.222 TD
[(br)14.2(eas)15.1(tfe)12.7(ed)12.7(in)11.5(g)-345.6(p)0(o)12.2(s)0(s)14.2(ibl)14.8(y)-344.1(h)0(a)13.2(s)-342.5(an)-339.5(ef)13.6(fec)17.1(t)-341(o)0(n)-340(t)0(h)13.1(e)-340.9(dev)13(elo)14.5(pme)16.4(nt)-333.3(of)]TJ
T*
[(ov)11.6(er)12.6(we)11.8(igh)12.4(t/)13(obe)11.5(si)14.1(ty.)]TJ
6.7499 0 0 5.9992 387.1558 319.5212 Tm
(39)Tj
9 0 0 9 397.7007 315.496 Tm
[(Goo)14.3(d)-364.5(nut)14.5(rit)16.3(ion)-361.4(an)13.2(d)-364.5(mic)17.2(ron)13.5(utr)13.8(ien)17.1(t)-366.2(s)0(u)11.6(p)0(-)]TJ
-9.6315 -1.222 TD
[(ple)16.6(me)15.5(nta)12.4(tio)14.3(n)-288.4(i)0(n)-290.9(p)0(r)14.2(egn)14.1(an)13.2(t)-296.9(w)0(o)11.3(m)0(e)15.5(n)-294.7(als)13.4(o)-291(i)0(m)13.7(pro)13(ve)-283.9(dev)13(elo)14.5(pm)17.1(ent)]TJ
T*
[(ou)12.7(tco)14(me)15.5(s.)-456.7(For)-455.2(in)11.5(sta)15(nce)16.7(,)-460.7(iod)16.1(in)11.5(e)-460.6(s)0(u)11.6(ppl)11.9(em)15.5(ent)12.4(ati)14.8(on)-453.4(be)12.7(for)13.9(e)-460.6(o)0(r)]TJ
T*
[(du)14.8(rin)12.2(g)-263.7(pre)13.5(gn)14.8(anc)16.7(y)-262.2(has)-253.7(a)-265.3(sig)15(ni)11.5(fi)11.9(cant)-248.7(imp)14.6(act)-256.4(on)-258.1(chi)15(ldr)18(en)]TJ
/F10 1 Tf
23.4772 0 TD
()Tj
/F3 1 Tf
.2394 0 TD
[(s)-266.9(cog)15.7(-)]TJ
-23.7165 -1.222 TD
[(ni)11.5(tiv)15.8(e)-353.5(d)0(e)12.7(v)0(e)12.1(lop)16.1(men)16.9(t)]TJ
6.7499 0 0 5.9992 385.8519 275.5275 Tm
(31)Tj
9 0 0 9 396.2834 271.5023 Tm
[(and)-344.9(is)-345(no)12.7(w)-352.9(r)0(e)12.6(com)12.1(me)15.5(nde)14.1(d)-351.9(i)0(n)-347.6(p)0(e)12.7(rin)12.2(ata)16.6(l)]TJ
-9.474 -1.222 TD
[(cl)13.6(in)11.5(ica)12.9(l)-449.7(g)0(u)14.9(ide)16.6(lin)15.3(es.)-438.6(Sm)12.4(oki)15(ng)-445(ce)15.3(ssa)13.5(tio)14.3(n)-445.9(i)0(n)-442(pre)13.5(gn)14.9(ant)-441.2(wo)11.3(me)15.5(n)]TJ
T*
[(th)13.1(ro)12.1(ugh)-689.3(si)14.1(mpl)14.6(e)-693.6(psy)13.5(cho)16.2(so)15.3(cia)12.9(l)-695.4(i)0(n)11.5(ter)11.7(ve)12.1(nt)13.1(ion)16.6(s)-695.3(imp)14.6(ro)12.1(ve)12.1(s)-695.3(the)]TJ
T*
[(ba)12.7(by)]TJ
/F10 1 Tf
2.2047 0 TD
()Tj
/F3 1 Tf
.2457 0 TD
[(s)-323.6(gro)13(wt)11.6(h)-326.2(i)0(n)-322.4(ute)12.4(ro)12.1(.)]TJ
6.7499 0 0 5.9992 402.9164 242.4755 Tm
(40)Tj
9 0 0 9 319.9747 227.5086 Tm
[(Pr)21(ov)17.9(id)23.6(in)24.1(g)-232.2(n)0(u)21.6(r)0(t)18.8(u)14(ri)17.2(n)14(g)-232.2(ca)21.6(re)-226.8(ea)23.7(r)13.3(l)0(y)-226.9(i)0(n)-221.6(l)0(i)20.3(f)14.3(e)-233.8(i)0(n)24.1(c)0(l)19.9(u)0(d)21.1(e)0(s)-223.5(p)13.5(ar)18.9(en)25.8(ti)15.6(n)14(g)-232.2(su)24.2(p-)]TJ
-.9953 -1.222 TD
-.016 Tc
[(po)-16(rt)-16(.)]TJ
6.7499 0 0 5.9992 328.7621 220.4787 Tm
0 Tc
(31)Tj
9 0 0 9 338.7401 216.5102 Tm
[(P)14(a)0(r)18.9(e)0(n)25.8(t)0(s)-299.3(w)12.5(h)14(o)-309.9(th)25.7(em)21.8(se)22.1(lv)23(es)-292.8(gr)20.5(ew)-296.9(u)14(p)-307.8(in)-290.9(co)21.1(nd)21.1(it)21.9(io)21.5(ns)-297(of)-295.6(d)13.5(i)0(s)20.4(-)]TJ
-3.0803 -1.2221 TD
[(tr)25.1(es)22.1(s)-323.6(w)12.5(it)21.9(h)-319.9(a)-322(la)22(ck)-305.4(of)-308.2(ro)18.4(le)-311.9(m)16.2(o)0(d)18.5(e)0(l)22(s)-317.3(of)19.4(te)23.6(n)-319.9(s)0(t)22(r)0(u)21(g)0(g)20.6(l)0(e)-305.6(t)0(o)-310.8(b)0(e)-308.5(e)0(f)19.9(f)0(e)19.9(c)0(t)21.5(i)0(v)23(e)]TJ
T*
[(p)13.5(a)0(r)18.9(e)0(n)25.8(t)0(s)-368.6(t)0(o)-361.1(t)0(h)19.4(e)0(i)22(r)-370.9(ch)17.4(il)20.3(d)13.5(r)13.3(en)19.5(.)-372.5(A)-379.2(n)14(u)0(m)23.9(b)0(e)19.1(r)-370.9(of)-364.8(ea)17.4(r)13.3(l)0(y)-365.5(c)0(h)23.7(i)0(l)20.3(d)13.5(ho)19(od)-365.7(in)24.1(te)23.6(r-)]TJ
T*
[(v)12.9(e)0(n)19.5(t)0(i)21.9(o)0(n)25.3(s)0(,)-431.5(s)0(u)24.2(c)0(h)-429.8(a)0(s)-431.4(t)0(h)25.7(e)-441.7(H)12.5(o)0(m)21.3(e)-441.7(In)24.6(st)22(ru)21(ct)21.5(io)21.5(n)-439.6(f)0(o)19.4(r)-440.2(Pa)19.6(r)13.3(e)0(n)19.5(t)0(s)-425.3(o)0(f)-434.1(P)14(re)18.9(-)]TJ
T*
[(sc)26.3(ho)19(ol)-331.3(Y)13.5(o)0(u)19(n)14(gs)23.7(te)17.3(r)13.3(s)-342.5(\(H)24.2(IP)24.6(PY)21.2(\))-341(p)13.5(ro)18.4(g)13.5(r)0(a)18.9(m)0(,)-331.1(f)14.3(oc)21.1(us)-328.5(on)-333.7(te)23.6(ac)21.6(h)14(i)0(n)17.8(g)-339.3(an)25.8(d)]TJ
T*
[(su)24.2(p)13.5(p)0(o)18.5(r)13.3(ti)15.6(n)14(g)-396(p)13.5(a)0(r)18.9(e)0(n)25.8(t)0(s)15.7(.)-391.4(Th)21.6(e)-397.6(H)12.5(IP)24.6(P)14(Y)-396(pr)20.5(og)18.5(r)13.3(a)0(m)-381.4(u)0(s)17.9(e)0(s)-381(a)0(n)-383.6(e)0(v)18.4(i)0(d)23.6(e)0(n)19.5(c)16.1(e-)]TJ
T*
[(b)13.5(a)0(s)22.1(e)0(d)-270.7(c)0(u)23.7(r)0(r)20.4(i)0(c)19.9(u)14(lu)17.8(m)-279.9(t)0(h)25.7(a)0(t)-272.5(p)13.5(ro)18.4(v)12.9(i)0(d)23.6(e)0(s)-267.6(p)0(a)19(r)13.3(en)19.5(ts)-267.8(wi)16.3(th)-264.1(bo)18.5(ok)23.7(s,)-267.8(ac)21.6(ti)21.9(vi)16.7(ti)21.9(es)22.1(,)]TJ
T*
[(an)25.8(d)-345.6(s)16.6(ki)16.2(ll)26.6(s)-342.5(t)0(o)-329.7(h)0(e)19.5(l)0(p)-329.2(t)0(h)19.4(e)0(m)-331(p)13.5(re)18.9(p)13.5(a)0(r)18.9(e)-340.9(th)25.7(ei)22(r)-345.7(c)0(h)23.7(i)0(l)20.3(d)-339.3(fo)19.4(r)-339.4(s)0(c)20(h)14(oo)16.4(l.)-330.9(H)12.5(I)0(P)24.6(P)0(Y)]TJ
T*
[(p)13.5(a)0(r)18.9(e)0(n)25.8(t)0(s)-337.1(s)0(p)17.4(e)0(n)25.8(d)-351.9(10)23.7(-1)24.1(5)-347.2(m)0(i)20(n)0(u)21.6(t)0(e)23.6(s)-348.8(pe)19(r)-345.7(d)0(a)19(y)-344.1(5)-347.2(d)0(a)19(y)0(s)-333.8(p)0(e)19(r)-345.7(we)18.1(ek)-334.8(w)12.5(i)0(t)21.9(h)]TJ
T*
[(th)25.7(ei)22(r)-496.9(c)0(h)17.4(i)0(l)26.6(d)-496.8(on)-484.9(th)19.4(e)-492.1(a)0(c)21.6(t)0(i)15.6(v)12.9(it)21.9(ie)22(s.)-481.9(Th)21.6(ey)-483.4(ar)18.9(e)-498.4(s)0(u)24.2(p)13.5(po)18.5(r)13.3(t)0(e)17.3(d)-496.8(b)13.5(y)-495.3(g)13.5(r)0(o)18.4(u)14(p)]TJ
T*
[(m)16.2(e)0(e)17.4(t)0(i)21.9(n)14(gs)-266(an)25.8(d)-276.3(h)0(o)19(m)16.2(e)-277.9(v)12.9(is)20.4(it)21.9(s)-273.2(w)0(h)20.2(e)0(r)18.9(e)-271.6(r)13.3(o)0(l)15.2(e)-271.6(mo)21.3(d)13.5(e)0(l)22(i)0(n)17.8(g)-270(is)-263.1(us)17.9(ed)-264.4(to)-260.4(de)19.1(-)]TJ
0 -1.2283 TD
-.0144 Tc
[(ve)-14.4(l)7.6(o)-14.4(p)-323.4(t)-14.4(e)9.2(a)-14.4(c)7.2(h)-14.4(ing)-334.8(s)-14.4(k)8.2(i)-14.4(l)5.9(l)-14.4(s)6(.)]TJ
6.7499 0 0 5.9992 392.5983 99.496 Tm
0 Tc
[(41)23.7(,)18(4)0(2)]TJ
9 0 0 9 411.5904 95.4709 Tm
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T*
[(r)13.3(e)0(s)15.8(u)14(lt)15.6(ed)-251.8(in)-253.1(th)19.4(e)-259(c)0(o)14.8(n)14(ce)15.3(p)13.5(t)-265.4(of)-251.5(th)19.4(e)-265.3(F)0(i)21.5(r)0(s)17.3(t)-265.4(1,)23.6(00)17.4(0)-265.3(d)13.5(ay)20.5(s)-260.6(b)0(e)19(i)0(n)17.8(g)-263.7(in)17.8(cl)19.9(u)14(d)0(e)19(d)]TJ
T*
[(in)-158.6(st)15.7(at)23.6(e)-177.1(a)0(n)19.5(d)-175.5(n)14(a)0(t)17.3(i)0(o)21.5(n)0(a)19.5(l)-172.6(po)18.5(li)20.3(cy)-164.2(an)19.5(d)-175.5(s)0(t)22(r)0(a)18.9(t)0(e)17.3(g)0(i)17.3(c)-172.9(p)13.5(l)0(a)15.7(n)0(s)17.9(.)-170.9(In)-164.4(th)19.4(e)-170.8(f)0(i)18.2(e)0(l)15.7(d)13.5(,)-177.2(F)0(i)21.5(r)0(s)17.3(t)]TJ
T*
[(1,)23.6(00)17.4(0)-328.3(D)0(a)22.3(y)0(s)-314.9(A)0(u)19.1(s)0(t)22(r)0(a)18.9(l)0(i)14(a)-322(la)15.7(u)14(n)0(c)17.4(h)0(e)19.5(d)-326.7(it)21.9(s)-329.9(f)14.3(ir)17.2(st)-318.2(in)17.8(te)23.6(rv)19.9(en)19.5(ti)15.6(on)-314.8(in)-316.1(20)17.4(17)-316.4(in)]TJ
T*
[(th)25.7(e)-284.2(t)0(r)18.8(o)0(p)18.5(i)0(c)19.9(a)0(l)-274.1(n)0(o)19(r)0(t)18.8(h)-282.1(of)-276.7(Q)14.1(u)0(e)19.5(e)0(n)19.5(s)0(l)20.4(a)0(n)19.5(d)0(.)-277.2(T)0(h)21.6(e)-284.2(pr)20.5(og)18.5(ra)18.9(m)-279.9(c)0(o)14.8(m)0(p)23.4(l)0(e)15.7(m)16.2(en)19.5(ts)]TJ
T*
[(th)25.7(e)-422.8(l)0(o)21.5(c)0(a)21.6(l)-418.2(he)19.5(al)22(th)19.4(ca)15.3(r)13.3(e)-416.5(se)15.8(rv)19.9(ic)19.9(es)-406.2(ai)15.7(m)16.2(e)0(d)-409.3(a)0(t)-404.7(t)0(a)17.3(c)0(k)15.8(l)0(i)20.3(n)14(g)-421.2(c)0(h)23.7(r)0(o)18.4(n)0(i)17.8(c)-418.6(d)13.5(i)0(s)20.4(-)]TJ
T*
[(ea)23.7(se)15.8(s)-178.7(i)0(n)-177.5(t)0(h)19.4(e)-183.4(co)21.1(mm)19.8(un)21.6(it)15.6(y)-180.3(b)0(y)-173.1(a)0(d)19(d)0(r)20.5(e)0(s)15.8(s)0(i)20.4(n)0(g)-174.1(t)0(h)19.4(e)-183.4(so)21.6(ci)13.6(al)-173.3(d)13.5(e)0(t)17.3(e)0(r)18.9(m)0(i)20(n)0(a)19.5(n)0(t)19.4(s)]TJ
T*
[(of)-345.9(h)14(e)0(a)17.4(l)0(t)21.9(h)0(.)-352.2(I)0(t)-343(l)0(i)20.3(n)0(k)20(s)-361.4(av)24.7(ai)15.7(la)22(bl)17.3(e)-353.5(s)0(e)15.8(r)13.3(vi)16.7(ce)21.6(s)-355.1(a)0(n)19.5(d)-358.2(in)17.8(cl)19.9(ud)21.1(es)-349.5(a)-353.5(f)0(o)19.4(c)0(u)17.4(s)-355.1(on)]TJ
T*
[(ch)23.7(il)20.3(d)-200.7(p)13.5(ro)18.4(te)17.3(ct)21.5(io)15.2(n)14(,)-202.4(ea)23.7(rl)17.2(y-)20.9(li)20.3(fe)-188(li)20.3(te)17.3(ra)18.9(cy)18.4(,)-196.1(t)0(h)19.4(e)-196(ro)18.4(le)-185.9(of)-188.5(me)21.8(n,)-188.5(an)19.5(d)-194.4(o)0(t)16.8(h)0(e)19.5(r)-200.8(is)20.4(-)]TJ
T*
[(su)24.2(es)-261.3(th)19.4(at)-259.9(im)20(pa)19(ct)-262(in)17.8(d)13.5(i)0(g)17.3(e)0(n)19.5(o)0(u)19(s)-266.9(pa)19(re)18.9(nt)19.4(s)-273.2(a)0(n)19.5(d)-270(in)24.1(fa)19.9(nt)19.4(s.)]TJ
6.7499 0 0 5.9992 243.7794 275.5275 Tm
(46)Tj
/F2 1 Tf
10.0001 0 0 10.0001 54.0283 249.7322 Tm
[(A)-332.1(ROLE)-338.4(FOR)-333.1(HEAL)-8.9(TH)-334.8(PROFESSIONALS)-348.2(AND)]TJ
0 -1.1962 TD
[(HEALTHCARE)-341.4(SYSTEM)-11.3(S)]TJ
/F3 1 Tf
9 0 0 9 62.9858 226.4881 Tm
[(The)-388.5(global)-383.1(intergovernmental)-391(institutions)-389.7(WHO)-382.3(and)-389(UNI-)]TJ
-.9953 -1.222 TD
[(CEF)-466.1(have)-472.3(set)-476.4(the)-472.7(parameters)-472.6(for)-471.2(improving)-470.9(the)-472.7(health)-474.5(of)]TJ
T*
[(women)-501(and)-502.4(children)-508.1(worldwide,)-503.1(and)-508.7(a)-498.4(body)-507.3(of)-503.4(research)]TJ
T*
[(has)-354.4(developed)-362(the)-353(case)-359.4(and)-357.5(means)-357.9(for)-357.8(taking)-361.1(action.)-360.4(Now)]TJ
T*
[(the)-353(onus)-353.6(is)-357.6(on)-352.6(individual)-358.6(governments)-356.7(to)-354.8(turn)-356.4(their)-354.7(popula-)]TJ
T*
[(tion)-368.5(statistics)-377.2(in)-372.8(the)-371.9(right)-372(direction.)-380.1(Governments)-372.4(can)-373.8(facili-)]TJ
T*
[(tate)-481.9(change)-485.7(by)-481.8(creating)-483.4(appropriate)-487.6(policies)-486.1(and)-483.5(making)]TJ
T*
[(funds)-456.8(available,)-463.6(but)-458.5(they)-464(will)-461.1(need)-459(to)-461.9(work)-460.7(in)-460.9(partnership)]TJ
T*
[(with)-247.7(health)-254(system)-252.3(actors,)-253.8(with)-247.7(the)-252.2(private)-254.9(and)-250.4(nonprofit)-251.6(sec-)]TJ
T*
[(tors,)-332.1(and)-332.3(with)-335.9(passionate)-336.7(people)-330.9(who)-333.8(make)-331.9(it)-337.2(all)-333.2(happen.)]TJ
.9953 -1.222 TD
[(We)-277.4(hav)13.5(e)-277.9(dis)15(cus)15.1(sed)-273.1(a)-284.2(n)0(u)15.3(mbe)16.4(r)-282.7(o)0(f)-276.7(glo)16.1(bal)-273.2(and)-275.6(na)13.2(tio)14.3(na)13.2(l)-285.9(i)0(n)11.5(iti)13.1(a-)]TJ
-.9953 -1.222 TD
[(ti)15.6(ves)16.1(,)-366.2(b)0(u)14.8(t)-366.2(th)13.1(e)-366.1(s)0(m)13.9(all)-352.1(or)-359.5(un)15.3(not)11.9(ic)13.6(ed)-358.9(pro)13(je)14.1(cts)-352.5(on)-358.9(ou)12.7(r)-364.6(o)0(w)11.3(n)-364(do)12.2(or)12.1(-)]TJ
T*
[(st)15.7(eps)-909.3(de)12.7(fin)13.2(e)-914.1(the)-907.3(su)11.6(cce)12.5(ss)-911.8(of)-912.9(po)12.3(lic)11.1(ie)15.7(s)-922(a)0(n)13.2(d)-918.8(hi)11.5(gh-)14.5(lev)16(el)]TJ
T*
[(co)14.8(mm)13.5(itm)12.9(en)13.2(ts.)-268.6(He)11.8(alt)14.8(h)-275.8(pro)13(fe)13.6(ssi)11.8(on)12.7(als)-270.1(at)-272.5(al)15.7(l)-279.6(lev)16(els)-263.8(of)-276.7(th)13.1(e)-277.9(h)0(e)13.2(alt)14.8(h-)]TJ
T*
[(ca)15.3(re)-327.5(sy)12.6(ste)15(m)-324(h)0(a)13.2(v)0(e)-321.7(a)0(n)-326.9(i)0(m)13.7(p)0(o)12.3(rta)11.7(nt)-320.8(ro)12.1(le)-324.5(to)-323.3(pla)16.6(y.)-326.1(Th)15.3(e)-328.3(exa)13(mpl)20.9(e)-328.3(o)0(f)]TJ
T*
[(th)13.1(e)-517.3(HIP)18.2(PY)-508(pro)13(gr)14.2(am)-513.7(\(s)15.7(upp)15.7(ort)11.3(ed)-510.1(by)-507(the)-504.2(Aus)16.7(tra)11.7(li)14(an)-509.6(gov)12.5(er)12.6(n-)]TJ
28.5543 73.4425 TD
[(me)15.5(nt\))-334.2(op)12.2(er)12.6(ati)14.8(ng)-337.9(wit)15.5(hi)11.5(n)-338.8(a)-340.9(pri)18.1(mar)16.2(y)-344.1(c)0(a)15.3(r)0(e)-340.1(s)0(e)15.8(rvi)11.1(ce)-331.1(dem)16.4(ons)16.7(tra)11.7(tes)]TJ
0 -1.222 TD
[(ho)12.7(w)-453.7(a)-448(non)]TJ
/F10 1 Tf
4.9638 0 TD
()Tj
/F3 1 Tf
.4976 0 TD
[(he)13.2(alt)14.8(h-)13.6(rel)16.4(ated)-442.4(pr)14.2(og)12.2(ram)-443.6(can)-443.1(be)-447.1(in)11.5(teg)18.2(rat)11.8(ed)-447.1(su)11.6(c-)]TJ
-5.4614 -1.222 TD
[(ce)15.3(ssf)16(ull)15.3(y)-262.2(i)0(n)-253.1(a)-259(pri)18(va)12.1(tel)14.8(y)-262.2(r)0(u)14.7(n)-263.2(co)14.8(mmu)14.9(ni)11.5(ty)-256.8(he)13.2(alt)14.8(h)-256.9(ser)16.6(vic)13.9(e.)-253.6(Pri)18.5(mar)16.2(y)]TJ
T*
[(ca)15.3(re)-396.8(len)17.1(ds)-398.3(its)19.5(elf)-392(pa)12.7(rti)16.3(cul)15(arl)16.4(y)-400.8(w)0(e)11.8(l)0(l)-395.5(t)0(o)-398.9(s)0(u)11.6(c)0(h)-392(a)0(n)-396.2(i)0(n)11.5(teg)18.2(rat)11.8(ed)-390.4(and)]TJ
T*
[(ho)12.7(lis)17.9(tic)-598.3(app)13.6(ro)12.1(ach)-594.3(as)-601.5(it)-601.8(is)-603.2(ro)12.1(oted)-594.1(in)-599.5(the)-598.6(com)18.5(mun)19(ity)-599.4(an)13.2(d)]TJ
T*
[(lo)15.2(oks)-318.8(aft)12.7(er)-321.2(pa)12.7(tie)14.8(nts)]TJ
/F10 1 Tf
8.3465 0 TD
()Tj
/F3 1 Tf
.5795 0 TD
[(phy)17.2(sic)17.6(al,)-319(men)16.9(tal)14.8(,)-328.4(a)0(n)13.2(d)-333(so)15.3(cia)12.9(l)-330(w)0(e)11.8(l)0(l)14(-be)12.4(in)11.5(g.)]TJ
-7.9307 -1.2221 TD
[(The)-495.6(Oc)11.3(hs)11.6(ner)14(-B)13.1(onn)14.1(ab)12.7(el)-500.8(Hig)17.2(h)-502.6(Sch)13.6(ool)-496.3(pu)14.9(bli)14.8(c/p)11.9(riv)17.4(ate)-493.7(pa)12.7(rt-)]TJ
-.9953 -1.222 TD
[(ne)13.2(rsh)12.4(ip)-316.6(in)-322.4(Ne)11.8(w)-327.7(Orl)12.4(ean)18.8(s,)-324.5(LA)-320.6(su)11.6(ppo)13.1(rt)12.5(s)-329.9(a)-322(sch)15.1(ool)14(-b)13.1(ase)15.1(d)-326.7(hea)12.5(lth)]TJ
T*
[(ce)15.3(nte)12.4(r)-314.2(\()0(S)14.2(B)0(H)13.4(C)0(\))-307(and)-300.8(ill)11.5(us)11.6(tr)12.5(ate)16.6(s)-311(the)-302.6(com)18.4(mit)12.9(men)16.9(t)-309.5(o)0(f)-308.2(h)0(e)13.2(alt)14.8(h)-313.6(s)0(y)12.6(s)0(-)]TJ
T*
[(tem)20.9(s)-411.8(t)0(o)-398.9(s)0(u)11.6(ppo)13.1(rt)-403.3(chi)15(ldr)18(en)-402.5(an)13.2(d)-408.6(p)0(a)12.7(ren)14(ts)-400.1(liv)14.2(in)11.5(g)-408.6(i)0(n)-397.9(pov)12.5(er)12.6(ty)-401.6(and)]TJ
T*
[(dis)15(ad)12.7(va)12.1(nt)13.1(age)12(.)-290.6(Sta)13.5(rt)12.5(ed)-289.6(as)-286.5(pa)12.7(rt)-289.9(of)-289.3(th)13.1(e)-296.8(s)0(t)15.7(ate)]TJ
/F10 1 Tf
18.085 0 TD
()Tj
/F3 1 Tf
.2394 0 TD
[(s)-292.1(1991)-280.1(Ad)12.3(ole)14.5(sc)13.7(ent)]TJ
-18.3244 -1.2221 TD
[(Sc)12.2(ho)12.7(ol)-709.2(He)11.8(alt)14.8(h)-710.4(Ini)15.8(tia)14.8(tiv)15.8(e,)-707.1(SBH)15.9(Cs)-705.4(pro)13(vid)17.6(e)-712.5(com)12.2(pr)14.2(ehe)12.5(ns)11.6(ive)]TJ
T*
[(me)15.5(dic)14.5(al)-343.4(an)13.2(d)-351.9(m)0(e)15.5(nta)12.4(l)-342.6(hea)12.5(lth)-335.8(ser)16.6(vic)13.9(es)-343.2(an)13.2(d)-345.6(are)-340.9(st)15.7(rat)11.7(eg)12.7(ica)12.9(ll)14(y)-350.4(lo-)]TJ
T*
[(ca)15.3(ted)-454.3(in)-454.6(sch)15.1(ool)14(s)-462.2(wit)15.5(h)-458.5(h)0(i)11.5(gh-)14.5(ris)14.8(k)-460.1(stu)17.1(den)14.1(t)-460.7(pop)13.1(ul)11.5(ati)14.8(on)12.7(s)-462.2(t)0(o)-455.6(ad-)]TJ
T*
[(dr)14.2(ess)-477.8(ga)12.7(ps)-480.2(in)-479.8(car)16.1(e.)-480.3(The)-476.7(SBH)15.9(C)-482.6(a)0(t)-480.3(B)0(o)12.3(nna)14.6(be)12.7(l)-487.5(Hig)17.2(h)-483.7(Sch)13.6(ool)]TJ
T*
[(pr)14.2(ov)11.6(ides)-433(stu)17.1(de)12.7(nts)-436.5(wit)15.5(h)-445.9(eas)15.1(il)14(y)-444.9(acc)12.5(es)15.8(sib)15(le)-444.1(he)13.2(alt)14.8(hca)16.7(re)12.6(,)-448.1(tim)19.2(ely)]TJ
T*
[(ef)13.6(fec)17.1(tiv)15.8(e)-378.7(med)16.4(ic)13.6(al)-374.9(tr)12.5(eat)16.6(men)16.9(t,)-373.4(an)13.2(d)-377.1(con)16.2(tin)16.9(ui)11.5(ty)-370.2(of)-371.1(car)16.1(e)-378.7(f)0(o)13.1(r)-377.2(com)12.2(-)]TJ
T*
[(mo)15(n)-597.1(a)0(n)13.2(d)-591.3(chr)11.9(on)12.7(ic)-591.1(co)14.8(ndi)12.4(tio)14.3(ns)-586.8(su)11.6(ch)-587.3(as)-588.9(ast)15(hma)-581.6(to)-587.9(re)12.6(duc)12(e)]TJ
T*
[(sc)13.7(hoo)11.5(l)-708(abs)16.7(ent)12.4(eei)15(sm)13.9(.)-712.7(The)-703.5(SBH)15.9(C)-715.6(e)0(m)15.5(pha)14.1(si)14.1(zes)-702(pre)13.5(ve)12.1(nti)16.9(ve)]TJ
T*
[(an)13.2(d)-244.8(p)0(r)14.2(oac)14.1(tiv)15.8(e)-240.1(car)16.1(e)-246.4(t)0(h)13.1(r)0(o)12.1(ugh)-235.7(he)13.2(alt)14.8(h)-244.3(s)0(c)13.7(r)0(e)12.6(eni)10.8(ng)-237.1(an)13.2(d)-238.5(ris)14.8(k)-245.9(a)0(s)15.8(ses)13.5(s-)]TJ
T*
[(me)15.5(nts)10.8(,)-252.8(i)0(n)11.5(clu)15(din)18.7(g)-257.4(m)0(e)15.5(nta)12.4(l)-254.4(ill)17.8(nes)10.9(s.)-248.9(It)-248.5(ev)12.1(ide)16.6(nt)13.1(ly)-252.1(pro)13(vi)16.7(des)-247.9(ne)13.2(ed)12.7(ed,)]TJ
T*
[(eq)12.7(ui)11.5(tab)11.9(le)-280.4(car)16.1(e,)-285.1(wit)15.5(h)-294.7(r)0(o)12.1(ugh)16.2(ly)-283.6(300)-279.3(gen)14.1(er)12.6(al)-286.7(vis)14.4(its)-276.5(and)-281.9(115)-279.3(men)16.9(-)]TJ
T*
[(tal)-419.8(he)13.2(alt)14.8(h)-433.3(vis)20.7(its)-421.4(per)-421.2(mon)16.4(th)13.1(;)-433.4(41%)-418.3(of)-427.8(pa)12.7(tie)14.8(nt)13.1(s)-430.7(are)-422.8(uni)12.9(ns)11.6(ur)14.7(ed.)]TJ
T*
[(Th)15.3(e)-403.9(SBH)15.9(C)-400.7(als)19.7(o)-404.4(pro)13(mo)15(tes)-394.5(he)13.2(alt)14.8(hy)-393.1(lif)15.7(est)15(yl)12.5(es)-399.9(in)-397.9(co)14.8(lla)13.2(bo)12.2(rat)11.8(io)15.2(n)]TJ
0 -1.2283 TD
[(wit)15.5(h)-458.5(t)0(h)13.1(e)-454.3(stu)10.8(de)12.7(nt)13.1(-ru)14.4(n)-458.5(W)0(e)12.4(lln)15.3(ess)-446.4(Cou)15.2(nci)15(l.)-450.6(The)-445.2(Bon)13.6(na)13.2(bel)-449.6(pro)13(-)]TJ
0 -1.222 TD
[(gr)14.2(am)]TJ
/F10 1 Tf
2.2866 0 TD
()Tj
/F3 1 Tf
.2457 0 TD
[(s)-367.7(suc)15.1(ces)13(s,)-368.6(na)13.2(tio)14.3(na)13.2(lly)-361.6(rec)16.1(ogn)13.6(ize)16(d)-370.8(b)0(y)-368.4(t)0(h)13.1(e)-372.4(All)12.7(ian)17.1(ce)-368.9(fo)13.1(r)-377.2(a)]TJ
-2.5323 -1.222 TD
[(He)11.8(alt)14.8(hi)11.5(er)-270.9(Ge)16(ner)14(ati)14.8(on)-264.4(for)-263.3(its)-263.9(eff)15.3(ort)11.2(s)-273.2(t)0(o)-266.7(a)0(d)12.7(dre)13.5(ss)-269.2(chi)15(ldh)18.7(ood)-266.1(ob)12.2(e-)]TJ
T*
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