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Obfuscating the harms of smoking For much of the last century, tobacco companies attempted to reassure a public increasingly worried about the health consequences of smoking through marketing campaigns with claims such as More Doctors Smoke Camels, and Got a cold

For example, while we emphasize the importance of considering pack years to estimate cigarette smoke exposure, we recognize the potential for unmeasured confounding that is not captured by pack years, which has been shown to be an imperfect measure of overall cigarette smoking history