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Gangs, known locally as maras, are a main source of violence in El Salvador, and for decades, have exerted territorial control over much of the country.[6] The most notorious gangsMara Salvatrucha (MS-13) and the Eighteenth Street Gang (Barrio 18), the latter of which has divided into the Eighteenth Street Gang Southerners (Sureos) and the Eighteenth Street Gang Revolutionaries (Revolucionarios)effectively exercised territorial control over specific areas in rural and urban settings throughout the country, using brutal violence to extort and intimidate residents.[7] They engaged in serious abuses, such as child recruitment, sexual violence, killings, abductions, and displacement.[8] Gangs are believed to be responsible for at least half of violent deaths between 1993 and 2016 and much of the sexual violence and disappearances in El Salvador.[9] As discussed below, socially excluded and marginalized children are especially vulnerable to abuse and exploitation by gangs.[10] Drivers of gang violence include poverty

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Low dietary fiber accounted for 10.3 percent of colorectal cancer cases, while low dietary calcium accounted for 4.9 percent of cases. The team did not include air pollution as a modifiable risk factor for cancer, because the data is not terribly clear and because its not clear what most people can do about it if they live in an area with air pollution, Brawley said

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