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In our qualitative work, many firefighters have said they believe the rates of smoking are reflective of the general population and increased awareness of the dangers of smoking

This data indicates a continuous reduction in the global smoking prevalence over nearly three decades, reflecting the effectiveness of anti-smoking campaigns and policies implemented worldwide

However, as the link between smoking and cancer became clearer, smoking declined in both men and women

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While Rankin is not sure cigarette consumption rates have fallen as much as reported, he is convinced that an already diminishing tobacco farming business in states like Kentucky is being hurt by companies buying leaf from other countries