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Experts suggested a history of tobacco plantations led them to be slow to push through anti-smoking legislation compared to their northern neighbors

Glantz MD, Bharat C, Degenhardt L, Sampson NA, Scott KM, Lim CCW, Al-Hamzawi A, Alonso J, Andrade LH, Cardoso G, De Girolamo G, Gureje O, He Y, Hinkov H, Karam EG, Karam G, Kovess-Masfety V, Lasebikan V, Lee S, Levinson D, McGrath J, Medina-Mora M, Mihaescu-Pintia C, Mneimneh Z, Moskalewicz J, Navarro-Mateu F, Posada-Villa J, Rapsey C, Stagnaro JC, Tachimori H, Ten Have M, Tintle N, Torres Y, Williams DR, Ziv Y, Kessler RC

They are also known as bottle gourds, because they have been made into containers for centuries, and additionally are used to make musical instruments

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Smoking damages the air sacs, lung lining and airway,s which can result in people having difficulty moving enough air in and out of their lungs

You have to be resolute and persistent