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This means more people were dying as a result of smoking a few decades ago versus today

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The completion of the Baltimore and Potomac railroad, in 1873, forming a new connection between Baltimore and Washington, opened up five of the most fertile lower counties on the western shore of the State--counties which heretofore have had no ready means of communication with the metropolis except by water

Overall, our updated ST-related disease burden in 2017 was substantially higher than that for 2010by approximately 50% for cancers and 25% for ischaemic heart disease

PMID 28723353