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WHO is concerned that monkeypox could pose a public health problem in this region of the DRC and therefore vigilance must be maintained by strengthening detection systems for monkeypox and completely investigating future outbreaks . Vitamin A deficiency is recognized as a public health problem in 37 countries . The malnutrition and infection complex remains the most prevalent public health problem in the world today21.The principles underlying malnutrition and infection can be summarized as follows . One member noted that requiring a public health module for certification by boards would be one way to ensure training in this area . It is time to turn from the consequences of hunger to the cost of not overcoming it , and to an examination of what will be required to abolish hunger as a public health problem in the world . " While we have made progress , youth smoking remains a serious public health problem in California and nationwide , " said Lockyer . Among its strengths , ATSDR brings an extensive public health experience in helping state and tribal governments , and communities identify and reduce exposures to contaminants in the environment .