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A peptic ulcer is a defect in the gastric or duodenal wall that extends through the muscularis mucosa (the lowermost limit of the mucosa) into the deeper layers of the wall (submucosa or the muscularis propria)

Smoking increases your risk of developing gum disease, dry socket (a condition where the blood clot at the site of the extraction fails to form properly), and even oral cancer

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In the final paragraph, Orwell suddenly introduces an international reference while making a wider social point stressing that this is not a proud record for a country which is nearly 100 per cent literate and where the ordinary man spends more on cigarettes than the average Indian peasant has for his whole livelihood (his thoughts perhaps going momentarily back to his time as an Imperial Policeman in Burma, 1922-1927, and as a talks producer for the BBCs Eastern Service 1941-1943)