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population, Black Americans account for 41 percent of smoking-related premature deaths and 50 percent of the life-years lost associated with mentholated tobacco product use between 1980 and 2018

Numbers back in 1944 said that 41% of American adults smoked

Smoking is the Main Risk Factor by Far but There Are Others Estimates vary, but 75% of COPD cases occur because of smoking, and were not just talking about cigarettes

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Misuse of prescription stimulants was reported by 4.8 million individuals according to SAMHSA