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Epidemiology of smoking A team of British scientists headed by Richard Doll carried out a longitudinal study of 34,439 medical specialists from 1951 to 2001, generally called the "British doctors study." [53] The study demonstrated that smoking decreased life expectancy by up to 10 years and that almost half of the smokers died from diseases possibly caused by smoking (cancer, heart disease, and stroke)

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Like traditional cigars, the smoke is meant to be drawn into the mouth, held briefly to enjoy the flavor and aroma, and then exhaled, not pulled down into the lungs the way cigarette smoke is