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It could be chronic bronchitis, a form of COPD in which your large airways (bronchi) become inflamed

As the leading cause of preventable cancer death in Australia, tobacco has long been a focus of Cancer Council

Its associated with increased risk of chronic bronchitis, asthma, and even chronic obstructive pulmonary disorder (COPD)

[3] Reynolds Co.'s success during this period can also be measured by the concurrent success of many Winston-Salem companies that received large amounts of business from Reynolds: Wachovia National Bank became one of the largest banks in the Southeast, and the company's law firm Womble Carlyle Sandridge & Rice became the largest law firm in North Carolina

Ultimately, the decision of whether to wear or condemn the shirt lies with the individual wearer and their own moral compass.