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The word took root in the islands, just like the plant

OSH was also responsible for Surgeon Generals reports on tobacco use, which in recent years had focused on topics like health disparities in tobacco-related disease and death, smoking cessation, and e-cigarette use among young people

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In some cases, they described turning to smoking as a way to escape problems or assert control in uncertain situations

For one thing, smoking-related illnesses cost the Pentagon some $1.6 billion per year in direct outlays

Tobacco Use Among Middle and High School Students United States, 20112015