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citizens have died prematurely from cigarette smoking than have died in all the wars fought by the United States.1 Smoking causes about 90% (or 9 out of 10) of all lung cancer deaths.1,2 More women die from lung cancer each year than from breast cancer.5 Smoking causes about 80% (or 8 out of 10) of all deaths from chronic obstructive pulmonary disease (COPD).1 Cigarette smoking increases risk for death from all causes in men and women.1 The risk of dying from cigarette smoking has increased over the last 50 years in the U.S.1 Smoking and Increased Health Risks Smokers are more likely than nonsmokers to develop heart disease, stroke, and lung cancer.1 Estimates show smoking increases the risk: For coronary heart disease by 2 to 4 times1,6 For stroke by 2 to 4 times1 Of men developing lung cancer by 25 times1 Of women developing lung cancer by 25.7 times1 Smoking causes diminished overall health, increased absenteeism from work, and increased health care utilization and cost.1 Smoking and Cardiovascular Disease Smokers are at greater risk for diseases that affect the heart and blood vessels (cardiovascular disease).1,2 Smoking causes stroke and coronary heart disease, which are among the leading causes of death in the United States.1,3 Even people who smoke fewer than five cigarettes a day can have early signs of cardiovascular disease.1 Smoking damages blood vessels and can make them thicken and grow narrower