monkey smoking a cigarette meme monkey with a cigar -

"The health consequences of involuntary exposure to tobacco smoke: a report of the Surgeon General"

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Permanent voice changes can also occur if your smoking habit contributes to serious health conditions such as vocal cord paralysis or throat cancer

Hernandez authored the bill in an effort to reduce the number of young people who start smoking

We are not interested in the changes per se, nor in the absolute levels of the ratings, but rather in the difference between the change in one condition and a change in a comparison condition which represent a counterfactual outcome (i.e., outcome if the participants in the former condition had received the same treatment as in the latter)