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When there is an absence of evidence to provide confidence that there is benefit from implementing a new prevention service or when a conclusion of possible benefit requires a high level of speculation on linkages of uncertain evidence, but there is high certainty that some patients would be harmed or scarce health care resources expended, the task force may make a strong recommendation against service implementation

Van Heerden has stated that he will appeal against the ruling if possible

[78] Vaping is also associated with an increased risk of COPD

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