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First, it causes several chronic respiratory ailments, including chronic bronchitis, emphysema and lung fibrosis, and is associated with an increase in respiratory infections.3 Second, it is associated with an increased incidence of a variety of cancers including lung, oral, oesophagus, pancreas and colon.4 And third, CS increases the risk of atherothrombotic clinical events such as myocardial infarction and stroke.5 The risk of death in these patients increases with increasing exposure to cigarette smoke, measured by the number of cigarettes smoked daily, the duration of smoking, the degree of inhalation and the age of initiation

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The troops fears and, in some cases, hopes were triggered by a study commissioned by the Pentagon and the Veterans Affairs Department that recommends moving toward a tobacco-free military, perhaps in about 20 years