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Smoking rates remain highest across Appalachia and parts of the South

In the United States, on top of international cuts to harm reduction funding, the Trump Administration issued an Executive Order in July 2025 that threatened domestic funding cuts and even civil and criminal penalties against harm reduction services

In 1904, he launched Charlotte-based Southern Power - which became the utility giant Duke Energy

Lower down the list, countries like Austria, Kuwait, and Malaysia exhibit more moderate smoking rates among both genders, with Austria reporting 26.00 % for females and 24.00 % for males, Kuwait with 8.30 % for females and 23.20 % for males, and Malaysia at 5.30 % for females and 22.40 % for males

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