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Compared with benchmark It was estimated that almost half of adults with a long-term mental health condition smoked in 2013/14, but this fell steadily to 32% until 2019/20, before increasing in 2020/21 and increasing more sharply for 2021/22

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These results demonstrate that hotspot formation in Latin America and the Caribbean is mostly widespread in South America, and recurrent across multiple coastal systems, reflecting strong local variability yet consistently high contamination levels in several countries

During that time, Villaluz says native people often switched to commercial tobacco