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Addiction 116 , 18391847 (2021)

In hospitals, it has spread to healthcare workers NOT wearing appropriate protective equipment (masks, gowns, gloves)

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Current guidelines that make no distinction among different subsets of the population may not be the most effective use of efforts to control death from tobacco-related diseases like lung cancer, Holford said, noting that additional studies are needed to determine whether a sufficient number of African Americans are screened under current guidelines or if changes to current policy are necessary

If that wasn't enough, there has been a surge in general consumption following the war, and consumption is high among reserve soldiers