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Fertility rates have fallen a lot across Asia and South America, too Malaysia and Colombia are two examples (my colleague Esteban previously wrote about the latter)

Daily use increased gradually to 5.0% by 2019/20, but then trebled to 15.3% in 2020/21

Cigarettes are generally more harmful overall, especially for cardiovascular and respiratory health

Conclusions This study provides the first analyses of excess mortality among male ST users and smokers at ages when smoking-related deaths occur

Effects on the Lower Esophageal Sphincter Smoking worsens GERD symptoms by damaging lower esophageal sphincter (LES) function