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Correspondence
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Volume 341:1548-1550 November 11, 1999 Number 20
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An Increase in the Number of Deaths in the United States in the First Week of the Month

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 by Phillips, D. P.
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To the Editor: Phillips et al. (July 8 issue)1 report an increase in the number of deaths in the United States in the first week of the month, as compared with the last week of the preceding month, with a 14 percent increase in deaths attributable to substance abuse early in the month. However, the authors' suggestion that this increase is related to the use of federal payments to purchase drugs and alcohol requires further consideration.

First, although money can trigger substance abuse among addicts and federal benefits are paid on the first of the month, it has not been . . . [Full Text of this Article]

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