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This illustrates the magnitude of Hulls relative position across the region in terms of deaths attributable to smoking

The other multifactorial reasons for the vast difference in smoking prevalence among physicians between countries could be due the cultural factors, marketing, lobbying of tobacco companies, and national health policies regarding tobacco control, as well as varying emphasis on the value of smoking cessation during basic medical and continuous professional education between European countries [63]

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Smoking can damage blood vessels and reduce blood flow to the reproductive organs