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The importance of prevention from adolescence onwards To curb smoking initiation among young people , prevention must start early, in the first years of secondary school

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Cardiovascular and Mortality Risk by Initiation Age Compared with nonsmokers, individuals who started smoking early and accumulated heavy exposure had more than double the risk of MI (HR 2.43), a markedly increased risk of stroke (HR 1.78), combined stroke or MI (HR 2.00), and elevated all-cause mortality (HR 1.82)

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Since then, other variants like Petil and Franc were added and other Japan Tobacco Menthol brands were made into Pianissimo