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Smoking and economic development In Italy, as elsewhere, smoking was initially a mostly male domain and one that spread gradually from the elite to the middle and working classes

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But that impression does a disservice to the deliberate vision, coordinated efforts, and persistent policy trial and error over decades that realized it

If you smoke, you increase your likelihood of developing cancer, cardiovascular disease, heart attack, stroke, diabetes, and COPD (chronic obstructive pulmonary disease), which includes emphysema and chronic bronchitis