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doi: 10.3389/ijph.2021.585434 Received 20 July 2020 Accepted 12 January 2021 Published 10 March 2021 Volume 66 - 2021 Edited by Matthias Richter, Martin Luther University of Halle-Wittenberg, Germany Updates Copyright 2021 Grilo, Lagasse, Cohen, Moran, Reynales-Shigematsu and Smith

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Thats the largest increase ever recorded in any substance in the surveys 43-year history