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Faint cigarette smoke floats behind Spike as he takes a drag, savoring what could be the last moments of his life

Significant gains in immunization have been made in recent years

According to information available through records dating back to Word War II, smoking has been the leading cause of fire fatalities in both the commonwealth and across the country since such records were first kept

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Many of todays high-income countries had much higher rates of smoking in the past, and have seen a dramatic reduction

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