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Substance/drug abuse is the use of drugs that results in negative consequences, that can include family problems, problems on the job, problems in school, legal problems, financial problems, and health problems. The use of tobacco products, alcohol, illegal drugs, and some prescription drugs can cause a broad range of social, legal, financial, and health problems. Alcohol and illegal drug use are associated with child and spousal abuse, sexually transmitted diseases - including HIV infection, teen pregnancy, school failure, motor vehicle crashes, escalation of health care costs, low worker productivity and homelessness. Alcohol abuse alone is associated with motor vehicle crashes, homicides, suicides and drowning --leading causes of death among youth. Long-term heavy drinking can lead to heart disease, cancer, alcohol-related liver disease, and pancreatitis. Alcohol use during pregnancy is known to cause fetal alcohol syndrome, a leading cause of preventable mental retardation. Cigarette smoking is the single most preventable cause of disease and death in the United States. Tobacco-related deaths number more than 430,000 per year among US adults, representing five million years of potential life lost. Smoking is also a major risk