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And are considered a public health measure

It also is a cause of coronary heart disease, stroke and a host of other cancers and diseases.[5] On average, smokers die 10 years earlier than nonsmokers.[6] Although cigarettes have a high price, the percentage of smokers, at least in the U.S., is higher among those below poverty level (26.1% compared to 13.9% of people at or above poverty level.)[7] This list could be extended, but it is enough to conclude that smoking involves terrible risks and consequencesnot only for the smokers but also for those who are exposed to second-hand smoking

Tobacco Wireworm in Dorchester Co., Maryland (6/21/2021)

Fourth, cigarette smoke triggers the activation of pulmonary alveolar macrophages, leading to superoxide and hydrogen peroxide production and thereby contributing to the oxidative damage of DNA and RNA, increasing the likelihood of carcinogenesis 33