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There is strong evidence, however, that frequent low or short-term levels of exposure to fine and ultrafine particles from tobacco smoke or air pollution can contribute to pulmonary and systemic inflammatory processes and increase the risk of cardiovascular and respiratory disease and death

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Smoking Rates Are Falling, but Challenges Remain Health authorities describe smoking as Germanys most important avoidable health risk and attribute more than 120,000 deaths per year to tobacco use

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