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Although global trends since 1990 have shown a decline in smoking-attributed age-standardized death rates (ASDR) and disability-adjusted life year rates (ASDAR) for bladder cancer, our analysis demonstrates a persistent upward trend in the US, indicating substantial challenges in bladder cancer prevention and control efforts

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Decades of research show there is no safe amount of smoking, and no form of smoking is risk-free

Amendment 3 also pits the Big Tobacco giant against smaller manufactures, known collectively as Little Tobacco. As the result of a national settlement in the late 1990s, Big Tobacco companies must pay the state a special fee that their smaller competitors dont face

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