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Further research is urgently needed to understand whether rural environments are less healthy than urban environments, or whether a different approach needs to be taken to create rural indices of healthy environments more suitable for representing the reality of children in rural and mixed-urban-rural settings

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The source of many illegal, interstate shipments continued to be North Carolina, from which cigarettes were known to be coming not only by truck and car, but by boat, camper, airplane and every other imaginable vehicle.[166] Military bases and veterans' hospitals were emerging as another source of tax-exempt cigarettes, with sales figures per capita many times higher on the base than off of it

Add to it the appetite suppression and increased focus/concentration/energy and you can see why it is a difficult medication to discontinue. Smoking causes harm to nearly every organ in the body