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In 2015, over 27 million people in the United States reported current use of illicit drugs or misuse of prescription drugs, and over 66 million people reported binge drinking in the past month. Data from public health surveillance systems are crucial for developing and evaluating interventions and prevention activities. However, existing guidelines for surveillance evaluation do not reflect differences between data systems used to characterize behavioral health problems and those used to assess other public health problems (e.g., infectious diseases).
Alejandro Azofeifa has

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