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In addition to seeing the endless cigarette commercials showing smiling young couples running carefree in rolling countryside and prancing along ocean beaches to indicate the benign qualities of the cigarettes they were puffing away at, viewers now also began to see, sandwiched between segments of programs, a closeup shot of a serious-faced man who would hold up a cigarette and soberly ask, Have you ever thought what happens when you smoke a cigarette? After a pause, he would add, grimly, We have, whereupon the words American Cancer Society would flash on the screen and the message would be over

A person who has smoked 1 pack a day for 20 years has a 20 pack-year history (1 pack a day x 20 years)

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Long-term health risks of smoking are severe and include : Lung cancer Heart disease COPD Smoking is the leading cause of preventable diseases and deaths worldwide, significantly raising the risk of numerous chronic conditions and cancers