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Additionally, making the correct diagnosis may prevent unnecessary therapies and procedures, which themselves can lead to complications. Despite ongoing investigations by public health officials, the exact cause of EVALI remains unclear

According to a November report from the American Lung Association, Alabama ranks 46th among the 47 states with survival data, with only 22.3% of diagnosed patients surviving beyond five years, below the national average of 28.4%

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For further information, refer to Memorandum D9-1-11, Importation of Used or Second-hand Motor Vehicles