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Officials estimate that 31million Americans smoke, around 12 percent of all adults
Unlike alcohol at low or moderate levels, there is no benefit to tobacco use at any level
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Effective TB control must therefore couple biomedical interventionssystematic Latent Tuberculosis Infection (LTBI) screening of recent migrants, integrated TBHIV services, smoke-free housing initiativeswith policies that tackle the underlying social determinants of health, such as overcrowding, insecure employment, and inadequate access to care (Zumla et al., 2025
