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While Bahrain and Kuwaits persistent high percentages suggest enduring challenges, Oman and Saudi Arabias stability may reflect better health surveillance systems, awareness campaigns, or taxation policies that have impacted smoking behavior over time

Clin Exp Med 5(3):99105 Steven S et al (2019) Vascular inflammation and oxidative stress: major triggers for cardiovascular disease

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Then in 1950, two landmark studies one by Ernst Wynder and Evarts Graham in the United States, another by Richard Doll and Austin Bradford Hill in Britain provided strong statistical links between cigarettes and lung cancer