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A biennial survey conducted by the MetroWest Health Foundation includes health data for high school students in schools in the area of Massachusetts served by MetroWestprimarily the Boston area.[7] While MetroWest publishes the region-wide data after every survey, district-specific data are only made public at the discretion of the school districts or local health boards

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Having the technical support of health departments, as well as their ability to have different types of conversations internally with elected officials, allowed us to pass the torch to other team members and keep the momentum toward policy change going. By having the business community and foundations lead the charge, it shifted the conversation from focusing solely on the individual health aspects, to emphasizing the collective cost of employing smokers and why it makes sense from a business standpoint to ensure a healthier workforce

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Lauren Byers, thoracic section chief in the Department of Thoracic-Head & Neck Medical Oncology at the University of Texas MD Anderson Cancer Center in Houston