effects of tobacco on the human body include Harmful use [WHO Report Global Tobacco Smoking and Your Heart -

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An increase in smoking rates among 18-year-olds occurs in many countries and is associated with the behavioral and social characteristics of this age, especially the exit from the schools educational framework and the adoption of characteristics and behaviors that ostensibly express independence and maturity, Eyal Basson, a Ministry of Health spokesman, told JTA

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The Global Burden of Disease 2004 Update (PDF)