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Breast cancer takes a particularly harsh toll.
Killing people, even people you know are heinous criminals, is a gruesome business, and it takes a harsh toll.
Obama said the visit will be a time to reflect on the harsh toll that war takes at any time.
Banjo Paterson and Henry Lawson are among those whose gazes fell too little on colonisation's harsh toll on women, children and the Indigenous.
The mosquitoborne viral illness Japanese encephalitis, which causes high fever, blinding headaches, coma, and sometimes death, took an especially harsh toll on young people in the state of Uttar Pradesh, India.
According to "City High School Students Lag in Regents Test Scores" (news article, Dec. 17), "Some fear that raising the passing score" on Regents exams from 55 to 65 "could take a particularly harsh toll on city students".
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Over all, though, the downturn has still exacted a much harsher toll on the less educated.
First, it has exacted the harshest toll on the young — even harsher than on people in their 50s and 60s, who have also suffered.
It appears that living in poverty takes a harsher toll on black Americans than white Americans, according to the conclusions from Nuru-Jeter's research.
The ubiquity and in-your-face aesthetics of television take a harsher toll than movies on all but the most congenial of top talents.
The crackdown is expected to take the harshest toll on low-income families.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com