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Cigarette smoking is still the leading cause of preventable death and disability in the US

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The cohort study tracks 5,051 students who were in sixth grade the last year of elementary school when the study began in 2019, with the latest data collected between March and October 2025

Harm reduction initiatives are the only way we can stem the flow of young people dying." ONS statistics showed there were also rises in deaths involving the powerful painkiller fentanyl - from 34 in 2015 to 58 in 2016, paracetamol - from 197 to 219, and new psychoactive substances (NPS) from 114 to 123

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