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"When you combine high rates of smoking with systematic racism in health care systems, you have a tremendous health disparity," said Erika Sward, national assistant vice president for advocacy at the American Lung Association

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Vulval lichen sclerosus and associated malignancy Before it was realised that VLS could be effectively treated, about 60% of all vulval keratinocyte carcinomas showed histological evidence of adjacent VLS, and it was well established that affected women had a 2 to 6% lifetime risk of developing vulval cancer

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