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The surgeon general 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. Even though there are fewer smokers today than there were decades ago, smoking remains the number one cause of preventable death, accounting for 1,300 American deaths every day

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Carroll, but researchers and photography historians have found no formal record of the photo in any verified archives