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Health Implications of Cigarette Pack Sizes 4.1 The health risks associated with smoking and how pack size can influence smoking behavior Smoking is a major risk factor for a range of health problems, including lung cancer, heart disease, stroke, and respiratory illnesses such as chronic obstructive pulmonary disease (COPD)

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For instance, a study reported a potential risk for transmission of communicable diseases such as hepatitis C when sharing the mouthpiece between users with bleeding gum [99]