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This was primarily driven by a 2.8 percent increase in goods imports, which rose from 3.145 billion in 2023 to $3.234 billion in 2024, coupled with a 1.9 percent decline in goods exports, from $965 million to $946 million, the report says

This can increase the risk of plaque buildup in the arteries, coronary artery disease, heart attack, and stroke 5

For each of the approximately 46.5 million adult smokers in 1999, these costs represent $1,760 in lost productivity and $1,623 in excess medical expenditures

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It is a recognized clinical condition, classified under substance withdrawal in the DSM-5 (Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition), the standard diagnostic framework used by clinicians worldwide