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According to a report from the global health policy organisation Vital Strategies and the University of Illinois Chicago in the latest edition of the Tobacco Atlas, the era of big tobacco is coming to an end: there is an unequivocal drop in global smoking rates, to 19.6% in 2019 from 22.6% in 2007

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This study found an alarmingly high number of side effects, with the most reported health effects affecting neurological and respiratory systems [29]

Insufficient time documentation: Stating 1 hour counseling session is weaker than recording start time (2:00 PM) and stop time (3:05 PM)