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UConn Today is republishing the post, in which Litt discusses the issues

Although there is sufficient evidence to show that COPD severity on the basis of clinical and radiographic measures is more dependent on years smoked than pack-years or cigarettes per day (5), it is unclear which smoking metric provides the best estimate for the risk of developing COPD

She also suggested that younger people who want to take up the habit for one reason or another will not be discouraged by unattractive packaging. It is rather ironic that the comments of a streetwise elderly woman running a small neighborhood shop in an obscure Bangkok suburb would make more sense than the unconvincing statements issued by government bureaucrats why plain tobacco packaging constituted was such a wonderful idea

Numerous clinical trials have shown that reducing the amount of nicotine in cigarettes to very low levels decreases smoking and dependence on the cigarette and increases quit attempts and quit rates

However, teens have still managed to obtain "tobacco-free" nicotine products

This is exactly where handwashing shines