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The sequence of events starts with experimenting with less-harmful substances and ends with much more dangerous substances like heroin and methamphetamine

The teens came from three different counties in southeastern Wisconsin and were all patients at Childrens Hospital of Wisconsin in Milwaukee, which alerted the state

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Department of Health and Human Services, 2014). COPD: Chronic obstructive pulmonary disease (COPD) and emphysema represent chronic, irreversible lung damage primarily caused by smoking (Centers for Disease Control and Prevention, 2024). Heart Disease: Smokers face doubled risk for heart disease and stroke compared to non-smokers (American Heart Association, 2024