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Thus, the overall finding of this Report is clear: Cigarette smoking should be considered the most important of the known modifiable risk factors for coronary heart disease in the United States The first major prospective study results were made public in 1954 in the United States by Hammond and Horn and found a strong association between cigarette use among men and coronary heart disease (CHD)

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The addictive effects of tobacco have been well-documented

When cigarette butts are littered, these chemicals can leach into the ground, contaminating soil and affecting soil health, plant growth and the overall balance of the ecosystem