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The association with lack of indoor flushing toilets can be explained by families' lower socio-economic status, entailing, for example, distance to a vaccination centre and transport costs [ 30].
Participants in the study by Elk et al. 34, also included in the review 32, were all part of a treatment package entailing, for example, drug counselling, prenatal care and education on nutritional and prenatal issues (but no methadone treatment).
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com