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He noted 18- to 21-year-olds "are not youths," adding they can vote and go to war.

It is still possible either: (1) that the supposed effect is really the cause, or in this case that incipient cancer, or a pre-cancerous condition with chronic inflammation, is a factor in inducing the smoking of cigarettes, or (2) that cigarette smoking and lung cancer, though not mutually causative, are both influenced by a common cause, in this case the individual genotype

Retrieved 3 May 2020

However, challenges remain, particularly in addressing health inequalities and targeting specific demographic groups with higher smoking rates