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By 1979, the magnitude of the epidemiological, pathological, clinical, and experimental evidence had grown to the point that the Surgeon Generals Report concluded: Smoking is causally related to coronary heart disease in the common sense of that idea and for the purposes of preventive medicine. The Health Consequences of SmokingCardiovascular Disease: A Report of the Surgeon General

A summary of the smoking pathway, which is useful for all forms of tobacco, is presented in figure 11.2

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