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Interest in the health issues affecting immigrants has grown over the past 10 to 20 years, as the number of immigrants in the United States has increased dramatically from under 10 million in 1970 to almost 26 million in 1997. Although a few states continue to have unusually high concentrations of immigrants almost 25 percent of California's residents are foreign-born even states without a recent history of immigration, such as Iowa, are now experiencing an influx of workers from Mexico and elsewhere. Thus, there are few regions of the country where health professionals can safely ignore this
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