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Despite that knowledge, they have consistently, repeatedly and with enormous skill and sophistication, denied these facts to the public, the Government, and to the public health community." Page last updated: February 5, 2026

No federal policy, Frank writes, had done us more damage. The effects of the directive lasted well beyond the time when many gay men and lesbians started living openly

Evaluation and Surveillance: Monitor tobacco use prevalence, attitudes, and behaviors through surveillance systems and research studies

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