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And yet, the committee dutifully cleansed the men by Smooking them and Lett them pass, trusting in the purifying power of the smoke despite smallpox prevailing in Boston.[10] Since taking command at Cambridge in July 1775, General Washington had guarded against the ever-present threat that smallpox posed to the army, its potential for destruction never far from his mind

Tobacco-specific nitrosamines in the tobacco and mainstream smoke of commercial little cigars

Substance Abuse and Mental Health Services Administration

While the chemical doesn't directly cause cancer, it has been linked to harmful effects on the heart and blood vessels