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Fueled by changing climate patterns, wildfire season has become longer and more destructive throughout the western United States

Clinical Points Patients with severe mental illness have elevated rates of morbidity and mortality from smoking-related diseases such as cancer, heart disease, diabetes, and lung disorders

Past smoking or use of e-cigarettes or HTPs was defined as those who smoked or had used e-cigarettes or HTPs in the past

While age, ethnic differences, family history, and genetic abnormalities such as BRCA1 and BRCA2 remain important, smokingparticularly long-term and heavy useemerges as a modifiable risk factor that needs deeper consideration

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