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Can't most diseases be prevented through lifestyle or other changes?

Some certainly can, for instance by having a healthy diet and following good hygiene advice, and improving sanitation. One good way of preventing many infectious diseases is by vaccination, developed and tested in animals. But it is difficult to see how genetic diseases such as cystic fibrosis could be prevented or avoided, or how the environment in tropical countries could be improved so radically as to prevent widespread killer diseases such as malaria.

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