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It also became clear that the popularity of traditional pipe tobacco was higher than we could have anticipated

While spirometric evidence of airflow obstruction is required to make a COPD diagnosis, spirometry is underutilized in clinical settings, 20,54,55 and the lack of spirometry in the PATH Study along with the potential of diagnostic and recall bias associated with self-report may introduce imprecision in the COPD diagnosis

[8] His second name, Colmcille, [9] is also shared with an Irish saint

At a societal level, smoking represents a major public health challenge, contributing significantly to healthcare costs worldwide, and placing an avoidable strain on healthcare systems