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Tobacco prevention and control and is considered one of the best buys in public health, such that states with strong tobacco-control programs have demonstrated achievement of a $55 to $1 return on their investment, mostly in averted health care costs to treat smoking-related illness

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Instead, these consistent observations, which are further emphasized by the low prevalence of current smoking among COVID-19 patients in the US (1.3%), raises the hypothesis that nicotine may have beneficial effects on COVID-19. It acknowledged that other confounding factors need to be considered and the accuracy of the recorded smoking status needs to be determined