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In a comment also carried by The Lancet, Jeffrey Koplan, of the Emory Global Health Institute in Atlanta, and Michael Eriksen, of the School of Public Health at Georgia State University in Atlanta, pointed out that China was not only the worlds largest consumer of tobacco, but also the largest grower and cigarette manufacturer

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By contrast, such mutations occur in only 5% of current smokers and in 11% of former smokers with lung cancer in the United States

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