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Likewise, if a person smokes 10 cigarettes per day ( of a pack) for 10 years, that equals 5 pack years ( pack x 10 years)

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"We have an obligation to stay on the leading edge of smoking prevention strategies here in the District," McDuffie said in a release

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long term exposure to second hand smoke or irritants, such as air pollution, dust or workplace fumes and biomass exposure, such as wood smoke can also contribute to COPD