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Yes, smoking is one of the stronger hits that have been identified, but there are other hits too, like asbestos, other chemicals, air pollution, and genetic aspects. He stresses the importance of prevention and screening: It starts with earlier detection, whether through lung cancer screening with mobile low-dose CT scans or timely referrals from primary care providers when they detect something unusual, such as a lung nodule or a persistent cough

The surgeon general's office has been releasing reports on the perils of smoking since 1964, but the latest update, released last week, contained a bombshell

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