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In 2019, roughly one out of three 13 to15-year-olds in Bulgaria reported that they currently smoke regular or electronic cigarettes, WHO data shows

Broken or jagged teeth Broken, chipped, or otherwise jagged teeth can cause irritation in the mouth that leads to these white patches

Diabetic retinopathy occurs when blood vessels in the eye are damaged

[103] United States District Court, Eastern District of Michigan

They don't pull any punches on their latest survey, either noting: Cigarette smoking remains the leading cause of preventable disease, disability, and death in the United States, accounting for more than 480,000 deaths every year, or about 1 in 5 deaths