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Department of Health and Human Services, 2014). COPD: Chronic obstructive pulmonary disease (COPD) and emphysema represent chronic, irreversible lung damage primarily caused by smoking (Centers for Disease Control and Prevention, 2024). Heart Disease: Smokers face doubled risk for heart disease and stroke compared to non-smokers (American Heart Association, 2024

History of smoking The history of smoking dates back to as early as 5000 BC in the Americas in shamanistic rituals

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