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Research must also look at smokeless tobacco products chewing tobacco or snus which are recognised means to reduce the risk of cancer, cardiovascular disease and lung disease among smokers in general

But emphysema was only seen in those who smoked tobacco, either alone or in combination

About 40 percent of the deaths related to smoking are from cardiovascular disease, the National Institute on Drug Abuse reports

Most smokers find it hard to break all the habits they have created around smoking