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That was the nature of the beast

This category was mutually exclusive and exhaustive with respect to all other causes, which consisted of accidents (V01-X59,Y85-Y86), Alzheimer's disease (G30), nephritis, nephrotic syndrome and nephrosis (N00-N07, N17-N19, N25-N27) and all other residual causes [9]

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That sounds straightforward, but there are two important details to remember

Smoking also, conservatively, costs the country $600 million a year in direct healthcare costs and lost productivity

In the United States, typically a carton contains 10 packs of cigarettes