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GCH18 is a classification that allows for the accurate monitoring of rural-urban variations in health outcomes by classifying areas into five categories (two urban categories, U12 and three rural categories, R1R3) based on their proximity to larger urban areas with respect to health [55]

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some developed pneumothorax or pneumomediastinum (air outside of the lungs), both of which are life-threatening

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g., those living outside major cities) to turn to illegal marketplaces where tobacco products may be more expensive than at legal retailers, or to native reserve cigarettes such as these, easily available online here at NativeSmokes4Less