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Tarnishing sacred imagery and culture for the purpose of satisfying commercial tobacco shareholders

Current projections estimate that by 2020, COPD will be the third leading cause of death worldwide, behind heart disease and cancer, and the fifth leading cause of years lost through early mortality or disability [ 50 , 51 ]

Each year, around 443,000 people die from smoking or exposure to secondhand smoke, and another 8.6 million suffer from a serious illness from smoking

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[16,17,27] It is thus likely that chronic smoking, by increasing peripheral vascular resistances in this way, may lead to an increase in cardiac afterload and a consequent reduction in stroke volume