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and it came with a written explanation of why it was being repeated

We put two ropes down in the box and out over the sides and over the ropes a layer of heavy brown paper in the bottom and up the two insides

Public health relevance Given the magnitude of risks associated with alcohol use, and the generally poor communication of these risks to the target populations alcohol-related health outcomes (they are generally poor) when expressed as a measure of the number of cigarettes smoked, could resonate substantively better with the public than just straight statistics about alcohol consumptions harm