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Transmission occurs through sexual contact with an infected person, even during asymptomatic periods

Previous research [33] also notes that smokeless tobacco consumption is more common among men overall, but in women, its use may be underreported due to lower perceived harm compared to smoking (Table 1)

We explained that an approach of correcting even very minor errors might result in significant operational burdens for ACOs and CMS, including multiple financial reconciliation re-runs and off-cycle payment/recoupment activities that could have the potential for significant and unintended operational consequences, and could jeopardize the certainty of performance results for both ACOs and CMS