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Bradford Hill, whose paper is published in the opening pages of this issue, have carried out a meticulously conducted inquiry, the results of which have very serious implications, for they conclude that smoking is a factor, and an important factor, in the production of carcinoma of the lung The practical question which the doctor in practice has to answer is whether any of his patients-for instance, those with smokers cough-should be advised to give up smokingThere is no evidence about the degree of risk which cigarette smokers take, but it does apparently increase in direct proportion to the amount smoked daily and to the total duration of the habit. PRIMARY PULMONARY MALIGNANCY Treatment by Total Pneumonectomy

While an earlier assessment in the BMJ in 2000 found that on average a single cigarette reduced life expectancy by about 11 minutes, the latest analysis published in the Journal of Addiction nearly doubles the figure to 20 minutes 17 minutes for men and 22 minutes for women

Wnsch-Filho, V., Moncau, J

Vaping has become increasingly popular in the world and is generally seen as a less harmful alternative to smoking

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