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The facial nerve controls the muscles of facial expression, so when it becomes weakened or damaged, it can lead to an uneven smile, drooping eyelids or difficulty closing the eyes

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The report identified several factors that contribute to the high rates, including how the tobacco industry "has targeted these groups in its marketing" by launching "a variety of campaigns to promote tobacco products to disparate groups." People of color primarily Black, Hispanic, and Indigenous Americans and those in low-income and rural areas have also been disproportionately affected

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