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A 20 pack years of smoking history means smoking one pack of cigarettes per day for 20 years, smoking two packs for 10 years, or any other pack-year combination that multiplied gives twenty

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And the American Medical Association wasn't keen to have government officials preach on the dangers of smoking

How Big Tobacco made cigarettes more addictive The surgeon generals 2014 report on the health consequences of smoking found that as smoking rates decreased over the past 50 years, the risk of dying from cigarette smoking increased

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