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It is well established that smoking is a major risk factor for COPD, and that a variety of harmful substances in tobacco increase airway resistance and cause obstructive injury 13,14

Since 2009 the attorney generals office has brought charges against just seven people for evading cigarette taxes, and it has made no indictments at all in the last two years

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There was some paradox there, because I think of writers as more inward-looking observers, passive in a way, although they have enormous power, she says