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As the rate of smoking increases, so does the rate of lung cancer deaths, although the effects of smoking on lung cancer deaths can take up to 20 years to manifest themselves, as shown in Figure 13.6.3

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Damage to the oral-sinus cavities from GERD: Dental Erosions Mouth Ulcers Loss of taste Mouth pain Sinusitis Ear pain and inflammation Asthma and Upper Airway Problems Acid refluxed up into the back of the throat can be inhaled into the bronchial (airway) tubes and burn them, causing constriction, swelling, and large amounts of mucus production

Tobacco cigarette sales fell 3% to $59.3 billion during the same time period, according to figures from market research firm Nielsen