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But, based on a review of 7,000 health studies involving more than 1 million men and women, the surgeon general reports showed an ironclad link between smoking and lung cancer, and everything changed

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Grigson warned

By consistently exposing people to these messages, communities contribute to a healthier, tobacco-free future

Critical appraisal was conducted through detailed reading of the full text and focused on the following considerations: (1) possible violations of the correct temporal sequence, e.g., if respiratory symptoms or conditions could have been present from baseline and therefore co-occurred or preceded EC use