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3,5 Although self-reported smoking status helps identify most smokers, data suggest that a fair number of patients--ranging from 1.4% in broadly based epidemiologic studies to as high as 35% in populations in which smoking is a known risk factor--self-report inaccurately owing to a variety of factors such as misunderstanding, intentional deception, embarrassment, denial, and shame

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During the inhalation of tobacco smoke, it condenses into a sticky, syrupy mass in the lungs and other respiratory organs, where it causes various diseases, creating conditions for the development of respiratory infections and smoker's cough

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