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.Contraband tobacco needs to be better controlled but this is difficult, especially as some indigenous groups view the tobacco trade as a legitimate business protected by ancient treaties.

ICD-11 comes with an implementation package that includes an online coding tool, an ICD-API that provides web services to enable remote programmatic access to ICD-11, enhanced capability to capture and combine clinically relevant characteristics of cases and integrated support for multiple languages, plus the ICD-11 Implementation or Transition Guide (World Health Organization 2019c)

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Over time, this can contribute to a sagging appearance, including a reduction in cheek volume