Paris: It's really difficult to know where kind of all that data is coming from, and it's not very transparent how it's all kind of ted and put together. And in certain places, the kind of recording and collecting of that data doesn't need to be improved, he says. Rone gates yot its explained what health metrics are. So if we don't know where people are dying or why, it's hard to prioritize what the public health problems are, for example,. Paris writes. "It gives the gates foundation an enormous amount of influence"

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