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In this shallow, Helen reports that nearly sixty years later, there are ~1.3B tobacco users, and that smoking combustible tobacco remains an extraordinary contributor to the global burden of disease, responsible for some 8 million deaths (including secondhand smoke) and ~230M normative disability-adjusted life years (DALYs) (~173M OP descriptive DALYs) [1] The Global Burden of Disease study, which the ~230M figure comes from, effectively assumes that everyone who dies would otherwise have had the life expectancy of a Japanese woman, since this is the demographic with the longest life expectancy