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Follow-up ranged from 1 to 28 years (mean = 11.1 years

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They also argued education efforts are hindered by common myths about smoking including the belief that protective biological mechanisms specific to Asian populations make smoking less hazardous, that it is easy to quit smoking, and that tobacco use is an intrinsic and ancient part of Chinese culture. A survey from the World Health Organization in August found that knowledge about the dangers of smoking is improving in China, but still has a long way to go

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You could also be dealing with upper abdominal or chest pain, or have trouble swallowing, known as dysphagia