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Eastern European countries like Bulgaria, Greece, and Russia have historically exhibited higher smoking rates, influenced by cultural norms, social acceptance, and ties to tobacco production

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Step 4: Calculate Pack Years Multiply the number of packs smoked per day by the number of years smoked

The chemicals within these products can be directly harmful to the lungs and the full effects of these toxicities are unlikely to be known for many years

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EPA 402-F-09-002" (PDF)