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According to the Bloomberg Initiative to Reduce Tobacco Use, which focuses on 10 low- and middle-income countries with the greatest number of smokers (China, Indonesia, Vietnam, Philippines, Brazil, Ukraine, Mexico, Bangladesh, Pakistan, India), nearly 80 percent of tobacco users live in low- and middle-income countries

reported that most patients with smoking-related interstitial fibrosis are asymptomatic or only mildly symptomatic and that the clinical course of the disease is stable in most cases [46]

In fact, current use of any tobacco levels declined significantly for white, African-American, and Hispanic middle school teens

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