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By contrast, only 6 percent are heavy drinkers, 19 percent are daily smokers, and 14 percent live in poverty

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identified a number of factors influencing policy makers decisions to implement formal screening programs: (1) recognition of the disease burden and the value of early detection, (2) strong clinical data showing mortality reduction and benefitrisk analysis relevant to the local context, (3) cost-effectiveness data and budget impact, (4) local feasibility demonstration, and (5) a clear and integrated decision-making mechanism involving relevant stakeholders ( In this study, we seek to understand how lung cancer screening programs currently perform and identify enablers and barriers affecting adoption while considering WHOs recommendations about program design

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