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Any association between physicians and cigarettesthe leading cause of death in the United Statesis jarring given our current scientific knowledge about the relationship of smoking to disease and the fact that fewer than 4% of physicians in the United States now smoke.2 In 1930s and 1940s, however, smoking had become the norm for both men and women in the United Statesand a majority of physicians smoked.3 At the same time, however, rising public and scientific anxiety existed about cigarettes risks to health, creating concern among the tobacco companies

For example, plastic cigarette filters are a leading single source of waste that leaching toxic chemicals into the environment and break down into microplastics

Research shows that nicotine use can impair attention, learning and impulse control in underage users, one of many reasons why age limits exist

"It is a matter of conscience and I want you all and the country to know where mine is," the prime minister said

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