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13 A modest increase in BC prevalence was observed with every additional 20 pack-years, and the hazard ratio increased, which was dependent on the quantity, duration, and initial age of CS

The epidemic of tobacco deaths will progress inexorably throughout the world until and unless tobacco control is recognised as an immediate priority for development, investment, and research. Dr Emmanuela Gakidou, a senior author of the study, said: There have been some success stories, but smoking remains the leading cause of death and disability in 100 countries in 2015. Join our commenting forum Join thought-provoking conversations, follow other Independent readers and see their replies Comments