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Since it was first officially reported in 2019, the viroid appears to have spread to other regions of the USA and Canada where cannabis is cultivated due to the distribution of infected plant materials

Smoking contributes to a range of diseases that typically manifest over long latency periods, including chronic obstructive pulmonary disease (COPD), ischemic heart disease, cerebrovascular disease, and several cancers 14-16

Then the tobacco begins to burn and tobacco smoke is created through which smokers ingest nicotine with thousands of harmful substances

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