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While Balanga Citys actions on tobacco control have been credited with reducing smoking rates there, such policies have been criticized by some as an impediment to personal freedom, said Anthony Chui, MPH, director of health and human services for a Massachusetts region that includes Melrose, Wakefield and Stoneham

Spiritually, tobacco was used in many aspects of ritual life and was considered to be sacred

In fact, one study published in the Atherosclerosis Journal found that nicotine accelerates the development of atherosclerosis, which can result in heart attacks and strokes