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In 2010, the National Institutes of Health (NIH) projected the national annual cost of COPD to be $49.9 billion

It is well known that nicotine is extremely addictive and has a multitude of harmful effects

Neurodevelopmental models of schizophrenia in animals typically involve exposure of the neonate, either during gestation or the perinatal period, to adverse environmental insults such as maternal stress, hypoxia, malnutrition, or post-weaning social isolation that alter the brain development and cause behavioral deficits into adulthood [100102]

In 2021, air pollution killed over million people globally

Hsia, S., DesNoyers, M., Lee, M

Thus, what may contribute to the overrepresentation of PTS amongst Pacific peoples working in military and law enforcement is fundamental bias and disparity embedded within the modern care system, as an evolutionary consequence of Western colonization of Pacific islands