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From the start, smokers were aware that smoking irritated the throat, causing discomfort or smokers hack. Though serious health effects of smoking, like lung cancer, emphysema, and heart attack, were not yet identified in the first half of the 20th century, the seemingly benign side effects such as sore throat and cough were certainly bothersome to smokers

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These risks can have lasting impacts on their health and development

The average cigarette contains over 7000 different chemical compounds, including 70 that are known to be carcinogenic, as well as other poisonous substances like arsenic, acrolein, carbon monoxide, formaldehyde, hydrogen cyanide, lead, and nicotine