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Individuals who started smoking at younger ages, particularly before 20 years, had substantially higher risks of death, stroke, and MI compared with later starters, even at the same level of cumulative smoking exposure

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"Scientists have found that an air quality reading of about 20 on the AQI scale is roughly like smoking one cigarette a day," Tan said

doi:10.1016/S0140-6736(10)61462-6