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In 1999, the mortality rate for homicide gradually declined to 0. In 2013 and 2014, the differences between death rates for motor vehicle traffic injury and suicide were not classified as assault-related). School districts nationwide are showing improvements in measures related to nutritional policies, physical education and tobacco policies, according to the 2012 School Health Policies and Practices Study (SHPPS). The greatest number of infections occurred among gay and bisexual youth.
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