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In other cases, it may be that each member of the couple is independently fertile but cannot conceive together without assistance. Combined sterility occurs, therefore, when sometimes there is a female factor and a male factor associated, which are responsible for the existence of sterility. However, no provision provides for a right or obligation for international control of relief distribution. Thus, nothing is provided for in the event that a State refuses this cooperation and no provision authorizes overriding this refusal. NGOs and States cannot ignore local government, even when it is an authoritarian regime, and must negotiate with it the possibility and forms of intervention.
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