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Three transmission routes do almost all the work: Direct mucous-membrane contact during sexual activity (vaginal, anal, or oral) Blood-to-blood contact, mainly through shared needles, occupational sharps exposures, or unscreened blood products Mother-to-child during pregnancy, delivery, or (for some infections) breastfeeding Each of these routes has something in common

In 1815, in the Swiss Val de Bagnes, below the Pennine Alps, a mountaineer remarked to a geologist that all those big boulders standing around in odd places had been carried there by a glacier long since gone

Additionally, cigarettes are generally included in sales tax bases

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