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Despite the states F grade, Bowler acknowledged the state Department of Health does good work with what is really a shoestring budget. In fiscal 2024, that shoestring is $429,205 worth of funds for the states Tobacco Control Program, confirmed Rhode Island Department of Health spokesperson Joseph Wendelken

A dose-dependent effect has also been observed, with a 7% increase in the overall risk of death for every five pack-years increase in smoking history [113]

The World Health Organisation calls it the tobacco epidemic that kills 8 million people every year

The bigger issue is where the infestation takes hold and how long it goes unnoticed