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They also arent cheap

This machine was able to make several thousand cigarettes per day, which no one could ever do with his own hands and thus led to the beginning of an industrial revolution in the middle of the nineteenth century

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Whilst that is true for cancer, it doesnt seem to be true for heart disease or stroke. Writing in the BMJ, Hackshaw and colleagues describe how they looked at data from 55 published reports, covering 141 studies carried out between 1946 and 2015 and involving several million people in total, to examine the impact of smoking on coronary heart disease or stroke