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These conditions further damage the lungs and make it easier for infections like pneumonia to take hold

The plantation oligarchs who controlled the governments of the Southern states had seen that only the acquisition of new territories and ultimately the addition of new states in which slavery was legal, would protect their peculiar institution (and thereby their political power) from the solidly anti-slavery Northern states, which were outpacing the South in population and industrial wealth

95% CI 0.931.16) [47], (OR = 0.91