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With the direct medical costs of treating smoking-related diseases in people with mental health conditions included, this amounted to a total economic cost of around 2.3 billion

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Loss of time at work and reduced time to enjoy family and fun activities because of medical issues or addiction

Pregnancy can be a powerful motivator for change, but it is also a time of heightened stress and vulnerability, and many patients may experience shame, stigma, or fear of judgment when disclosing their nicotine use

But even as tobacco control activists see opportunity, some African Americans, including smokers, fear discrimination