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Looking at reading from a historical perspective, in the 1960s and '70s, a bottom-up approach with emphasis on sub-skills was the accepted practice. State, local, and tribal government input helped shape the program, which focuses on a bottom-up approach to prioritize and reduce each locality's most pressing health concerns, including pesticide and other chemical exposures, waterborne diseases, respiratory problems, and air, water, and soil pollution. McFadden takes this bottom-up approach one step further and ties |
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