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While direct comparisons to other countries are difficult, due to differences in how prevalence rates are measured and reported, it is illustrative to examine Tobacco Nation in light of the highest tobacco-burdened countries worldwide.* When compared to the Bloomberg Initiatives 10 countries with the highest rates of tobacco use, Tobacco Nation has the fourth-highest rate of youth smoking (12 percent), behind only Indonesia (20 percent), Ukraine (15 percent) and Mexico (15 percent)