The young faces staring out of photographs in the newspaper death notices are mute testimony to the refusal to acknowledge the disease.

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After work Tharp, 39, returns to his Acton, Mass. home and spends two hours on another job: He is the founder of year-old Otrib.com, a service that helps people plan funerals, send death notices and write tributes to those who have passed away.

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It is only now, four weeks after his death, that notices of it have appeared in the American press.

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