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One study estimated that in 92 counties in Oregon, California, and Washington in 2020, wildfire smoke resulted in an additional 19,742 COVID cases and 780 deaths

After accounting for socioeconomic status and other factors, they estimated that each cigarette reduces life expectancy by about 17 minutes for men and 22 minutes for women

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As of 2025, all 50 states, the District of Columbia, Guam, the Northern Mariana Islands, Palau, Puerto Rico, and the U.S