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The true impact of alcohol on health services is likely to be even higher than this and it is a contributing factor to falls, domestic violence, mental health problems in both the young and old, and heart disease.
It is a contributing factor to toxic stress, which has been shown to disrupt the developing brains of infants and children and influence behavioral, educational, economic and health outcomes across the life span.
But it is a contributing factor.
From the Buddhist perspective the answer would be no but it is a contributing factor.
It is a contributing factor to prostitution and sex trafficking," the former Pennsylvania senator wrote in a statement posted on his campaign website.
It is a contributing factor in the 2.2 million deaths each year from diarrhoea among children under five and the nearly 1 million deaths from measles.
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There can be little doubt, however, that it was a contributing factor and that recognition of its role has profoundly altered concepts of paleoclimatology.
"It was a contributing factor to tension between us," Ms. Worth said.
"Well," he said, "I think it was a contributing factor to a triple bypass I had about 18 months later.
And it was a contributing factor in their loss to Boston in the N.B.A. finals, when they were bullied inside.
Linda Ferguson, Marin's supervising public health nurse, agreed that it was a contributing factor.
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