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Changing concepts in public health education.

Yale J Biol Med · 1947 · PMC2602406 · PMID 20245602

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a definite trendno p-value reported
Local health departments have recognized the health educator as an indispensable member of the public health team, and there is a definite trend toward the "five-piece" unit.

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Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.