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C., Sillanp, M

Dimensions: 3390 x 5100 px | 28.7 x 43.2 cm | 11.3 x 17 inches | 300dpi Date taken: 2009 Location: Temples of Bagan, Burma Myanmar More information: woman smoking cheroot cigarette cigar big burma

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Well, that's two questions in one

Australian journalist John Silvester highlights this problem, stating, "the idea that smoking has dropped [is] sullied by the fact that many smokers are getting their product from illicit sources"

In particular, further investigation is needed to determine if reliance on pack-years is appropriate to guide healthcare policy or for enrollment in clinical trials of COPD, or for other uses, all of which typically rely on a minimum of a 10 pack-year history