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Additional information Competing interests All authors confirm that there are no competing interest associated with this work

But it is even more important to focus prevention efforts on the environmental factors that influence the behavior of individuals and cause them to need primary care services in the first place

In the 1950s, about half of the adult population in the United States smoked cigarettes

Meanwhile, more of America's 40 million adult smokers have moved to the e-vapor category, driving an acceleration in the U.S

Additionally, 293,000 cases of frequent ear infections in the U.S., out of about 4.5 million annually, would be attributed to secondhand smoke from the home, they reported in the Archives of Pediatrics & Adolescent Medicine