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More than this, the number of annual deaths associated with smoking exceeds eight million, with around seven million deaths caused by direct smoking, and 1.2 million caused by inhaling second-hand smoke

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In 2025, shipments abroad of tobacco (smoking tobacco, chewing tobacco, snuff) was finally on the rise to reach X tons for the first time since 2020, thus ending a three-year declining trend

While we have discussed major confounding factors with known associations to both cardiovascular disease and early age at smoking initiation, there are additional major cardiovascular risk factors that were not considered in our analysis

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