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September 23, 2009

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The rapidly increasing burden of chronic diseases is a key determinant of global public health. Already 79% of deaths attributable to chronic diseases are occurring in developing countries, predominantly in middleaged men (2). There is increasing evidence that chronic disease risks begin in fetal life and continue into old age (3-9). Adult chronic disease, therefore, reflects cumulative differential lifetime exposures to damaging physical and social environments.

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