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The decline in smoking over the past two decades has been one of the great public health achievements of the 21st century, but worsening air pollution has offset many of the expected gains in general respiratory health

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A lung disease characterized by chronic poor airflow, most often following years of tobacco smoking

And in Missouri, which has the lowest cigarette excise tax per pack in the nation at 17 cents, the rate hasnt changed in over 25 years

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