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Controlling infectious diseases is part of public health practice. Review approaches to prevention, control, and the obstacles that low-income and middle-income countries endure. Vaccines are a critical part of health, but health care systems are impacted by globalization. Some countries do not have surveillance systems in place that allow determining need. Provide an example of how globalization has impacted South America or sub-Saharan Africa. What three pieces of advice would you give the Minister of Health in countries of South America or sub-Saharan Africa when it comes to the integration of health care and public health (i.e., vaccines)?

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