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This is the largest pooled study of its kind to date

alcohol, opioid, cannabis, etc.), only one code should be assigned to identify the pattern of use based on the following hierarchy: If both use and abuse are documented, assign only the code for abuse If both abuse and dependence are documented, assign only the code for dependence If use, abuse and dependence are all documented, assign only the code for dependence If both use and dependence are documented, assign only the code for dependence

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Smoking has long been implicated in higher risk for oral and genital human papillomavirus (HPV) prevalence and viral load, progression to cervical pre-cancer, and vulval intraepithelial neoplasia 18,19,20,21,22,23