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Piecemeal rather than organized reporting, and in-house rather than government or agency oversight on environmental pollution, greatly restrict current scientific assessments of the environmental impacts of tobacco product manufacture (Hirschhorn 2004

"At the Uganda Cancer Institute, we followed the history of most patients diagnosed with lung cancer, cancer of the mouth, throat and oesophagus and found they had been smoking." The health minister, Ruhakana Rugunda, has called for higher taxes on tobacco products to put the cost of cigarettes out of reach for many people

What harmful effects can smoking, vaping or using other tobacco products have on the environment