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The respiratory impairment appears as radiologically visible and functional changes in the lungs, but although some of these are associated solely with coal dust, some are also closely associated with smoking

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However, while smokers agreed that packs 3 and 4 are representative of these attributes as well, non-smokers did not share the same perception of the packs in terms of encouraging them to try smoking or buying the pack, of wanting to try smoking the packs cigarettes, and of liking being seen with the pack

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But the connection is not as clear as smoking

There are 7.8 million Indonesian children who smoke