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Oklahoma State Health Commissioner, Gary Cox, said the issue is cut and dry

While the risks of tobacco and smoking cigarettes are well-known (per the CDC, these include cancer, heart disease, stroke, lung diseases, diabetes and chronic obstructive pulmonary disease), the long-term risks of nicotine use alone are not fully understood

Retrieved 18 January 2018

They are also more likely to develop Chronic Obstructive Pulmonary Disease (COPD), lung cancer, Emphysema, and Bronchitis

The tobacco industry has gone through a tumultuous journey

Its expansion into low tar cigarettes in recent years, a discredited marketing ploy banned in the U.S