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Besides the confirmatory evidence (a person actually smoking a cigarette in public view), nicotine-stained fingers and teeth, the characteristic smell of smoke impregnated clothing and household items, the chronic "smokers cough," the gravelly voice, and often the visible pack of cigarettes and lighter in a person's pocket or purse are signs and symptoms that a person smokes

It is usually caused by long-term cigarette smoking, but can also result from long-term exposure to air pollution, dust, or chemical fumes

15 / 16 Chronic Bronchitis and COPD Chronic bronchitis and emphysema are the two main forms of chronic obstructive pulmonary disease

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"The teacher lounges from elementary to high school were so smoky from cigarettes that you could barely see who you were looking for when tasked to find someone