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A literature review that covered 44 countries between 1990 and 2015 showed that countries spent anywhere from about 1.2% to 13% of their total health expenditures on smoking-attributable diseases

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Mendez and Warner were optimistic that smoking prevalence would continue to fall on course, as it had in the early 2000s, but they concluded that major reductions, such as those presented in the Healthy People 2010 target, were unrealistic (Mendez and Warner 2004)

In 2018, 30 percent of 12 th graders reported using vapor products in the previous month, up from 20 percent in 2016

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