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Granted, this is partly a chicken-and-egg question

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First, the GBD data lack comprehensive population coverage in remote areas, and variations in diagnostic criteria across regions may introduce biases, potentially distorting the assessment of the actual disease burden, particularly in underserved regions

I think there will be some push even for the federal government to actually allow researchers to look and correlate these levels of smoking and impairment." Philip Ellis is Sex & Relationships Editor at Men's Health , and author of the novels We Could Be Heroes and Love & Other Scams