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Competing interests The authors declare no competing interests

Nauru , the small Pacific nation at the very top, sits nearly 28 percentage points above the typical national rate, a distance no other country approaches, though its specific drivers are not established in the data here

and among 25-24 year olds, flavored tobacco use decreased from 85% to 76%

From a thoracic surgeons standpoint, Dr Aneez believes that we should stay cigarette and vape-free to prevent damage to the lungs, and just cause something is seen as the lesser of two evils, doesnt mean its any better for our health