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Its typically used as a punchline amplifier turning an already funny moment into something chaotic and unforgettable

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just keep the health bits in mind

Although the Surgeon General of the United States has labeled cigarette smoking the chief, single, avoidable cause of death in our society and the most important public health issue of our time, the AMA-Newsweek supplement mentioned cigarettes in only four sentences, none of which explicitly identified smoking as a health hazard

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It was Washington Dukes factory that produced the first commercial cigarette