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understand and retain community health issues and better prepare for their future careers.NEW Includes new information about the impact of the Affordable Care Act on family planningNEW Provides the latest information on preconception health care and counseling which are relative new foci for pregnancy healthNEW Includes an updated discussion on vaccine safety and non vaccination due to religious and philosophical exceptions which affect vulnerable populationNEW Includes new information on the relationship of mental health to general health,NEW Incorporates the latest information on new law enforcement policies regarding how to handle people with mental health crisesEXPANDED Updated information on electronic or e cigarettes, abuse of opioid pain relievers, and the move by some states to legalize the use of marijuana for medical or recreational usesEXPANDED The latest information on barriers to prenatal care and the importance of nutrition and vitamin supplementation during 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