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Chronic Obstructive Pulmonary Disease (COPD) In 2016, chronic lower respiratory diseases, such as COPD, were the fourth leading causes of death in Wyoming (CDC, NCDHS, 2017)
For low-income Americans, these figures represent a significant portion of their income, and the majority of smokers have lower incomes.[18] State by state, these figures differ based on the rate of the excise taxes levied by the state
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