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Former Cal Fire deputy director Gabrielle Avina, interviewed before retiring last December, said she suspects the hazardous nature of smoke has been underestimated, but that respiratory protection technology isnt there. The slow pace of action on such a critical issue has exacted a high cost, many career firefighters say

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4 The main causes of epistaxis are trauma to the nose, disorders of platelet function, disorders such as hereditary haemorrhagic telangiectasia, cocaine use, some systemic conditions, such as Wegeners granulomatosis and tumours (rare)