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Cooking in Pakistani homes releases: Oil particles Onion/garlic vapors Masala VOCs Smoke from hot oil Grease-laden fumes In attached kitchens (very common in Lahore and Karachi apartments), ventilation is poor, smells spread quickly into bedrooms

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AI/AN individuals may also avoid preventive screening due to being asymptomatic, lack of family history of disease, perceived stigmatization toward tests, concerns about the safety or costs of tests, fear of potential diagnosis, and lack of awareness of treatment options