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The letter was purposely sent to Mr Kenny on June 26, a week before he visited Berlin and held key meetings with German business groups as well as Ms Merkel herself

These data jibe with the other studies on the topic, and the consensus is that elevated cigarette smoking rates, and a disproportionate burden of secondhand smoke exposure and smoking-related disease, are commonly found among medically underserved populations, including certain racial/ethnic minority groups, those who have lower education and/or socioeconomic status, and those who live in certain geographic regions like the Midwest

Casual talk may blur the terms, but experienced users see them as distinct

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