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Though the US has cut the adult smoking rate by more than half in the past 50 years (42.4 percent in 1965 to 18.1 percent in 2012), the latest Surgeon Generals report found that todays cigarette smokers both men and women have a much higher risk for lung cancer and chronic obstructive pulmonary disease (COPD) than smokers in 1964, despite smoking fewer cigarettes. Why

men lagged behind those in the other nine countries by an average of 0.2 year, but differences in smoking-attributable mortality account for only 6 percent of the shortfall

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