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Smoking is still the primary, causal risk factor leading to COPD, but environmental exposures, such as exposure to biomass fuel combustion, air pollution, and occupational exposures, and poor lung development (both pre- and post-natal) are increasingly recognized as important causes of COPD [3, 12]

These screenings are recommended to patients who are at highest risk for developing lung cancer and include those who: Have smoked more than 20-pack years, which means a person has smoked a pack of cigarettes every day for 20 years, two packs a day for 10 years, etc

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However, in 1978, his project was terminated