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Substantial evidence indicates that exposure to household air pollution, particularly from indoor sources such as biomass cooking fuel, firewood heating, and candles [16], is also associated with an increased risk of developing COPD [17], especially in low- and middle-income countries [18] where children and women are predominantly exposed [19]

I invented the brand American Spirit and based the logo on a 19th Century lithograph entitled The Spirit Smokes - an image I found while doing research in the Arends Tobacco Collection at the New York Public Library. No Kojve

To reduce harm at a population level, adult smokers who do not quit need to switch to using smoke-free products such as PMIs THS

COPD mechanisms include mucus hypersecretion (chronic bronchitis), tissue destruction (emphysema), and small airway inflammation with fibrosis