That’s because we have a clean environment not like the third world sh8holes.
Been to SanFran lately?
That’s true, but I am surprised by some of the more-like third world nations and how they have kept their numbers relatively under control.
That may be related to adequate means of confirmation too.
I don’t know.
And eighty percent of westerners aren’t smokers anymore (okay that was only in the cities, fewer rural people smoked but the decline in smoking has been huge throughout North America and Europe.