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He began to notice that, whenever he traveled somewhere, reports would emerge a few weeks later of people dying in that place

Changes in smoking intensity over time Increased mortality in smokers is linked to smoking intensity or pack-year history 8, 9, 18 , including greater duration of smoking, age at which smoking was initiated, more cigarettes per day, increased inhalation per cigarette (eg, smoking down to the butt) and/or changes to the harmfulness of the product over time such as tar/carcinogen content or roll-your-own smoking

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One years worth of data doesnt tell us much and it is hard to conclusively prove how the 21 age limit prevented a spike in smoking in Needham when all of the other towns, except Westborough, had imposed the same age limit by 2015