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While public health initiatives are emerging, limited enforcement of tobacco control measures allows for continued growth in both volume and brand diversity

The same Surgeon Generals Report found that smoking causes COPD (including emphysema and chronic bronchitis), lung cancer, asthma attacks, cancer almost anywhere in the body (including acute myeloid leukemia, uterine cancer, and colon and rectum cancer), fertility problems in both men and women, bone issues, Type 2 Diabetes Mellitus, and rheumatoid arthritis, among other things

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While that may seem like a fairly high percentage given current medical knowledge, smoking education efforts and Americans increasingly healthy mindset, the figure represents a substantial decrease from a whopping 20.9% as recently as 2005

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