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In this shallow, Helen reports that nearly sixty years later, there are ~1.3B tobacco users, and that smoking combustible tobacco remains an extraordinary contributor to the global burden of disease, responsible for some 8 million deaths (including secondhand smoke) and ~230M normative disability-adjusted life years (DALYs) (~173M OP descriptive DALYs) [1] The Global Burden of Disease study, which the ~230M figure comes from, effectively assumes that everyone who dies would otherwise have had the life expectancy of a Japanese woman, since this is the demographic with the longest life expectancy

As we have mentioned earlier, the effects of cigarette smoke, although similar in some effects, can be different from pure nicotine [173,174,175,176]