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Over 11 percent of 6.4 million deaths worldwide were caused by smoking in 2015 and 52.2 percent of them took place in China, India, Russia, and the US, the report said

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The course, at Frozen Head State Park, changes every year but covers 100 miles involving 60,000ft of climb and descent - about twice the height of the Mount Everest

The government is looking to combat the environmental issue in numerous ways, including education, fining litterers, monitoring popular smoking points such as convenience stores, distributing 1,800 cigarette snuffers across the city, and launching a clean-up event named Team Planet, where 50,000 volunteers picked up litter from the streets

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