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Smoking is a slow quiet loss that accumulates over years before anyone notices how much has already gone

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Accounting for self-report of asthma as well as multiple other diseases that may share symptoms with COPD in our adjusted analysis helps to address concerns for misclassification of self-report of physician-diagnosed COPD, a potential limitation of survey research in general

Members of the public were invited to attend the first community conversation about the issue at 4:30 p.m

Participants for whom health screening data were lacking (n=2320565) were excluded