Do you have any. fucking. idea. how low of a number 38,000 deaths per year is? 198,000 die from medical malpractice each year, that is, doctors killing their patients basically because they didn't know what the fuck they were doing
4.6 million people die each year from Air Pollution according to the world health organization
38,000 is fucking nothing, it is a blip of math, and those deaths can mostly be attributed to carelessness, in that those drug users were getting so careless with their habit that you could almost consider it suicide