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Death usually results in a few minutes from respiratory failure caused by paralysis

Duke speculates that tobacco was incorporated into the culture, although there are many uncertainties about the culture that the indigenous people had about 12,300 years ago

A study in China found that school-age children exposed to secondhand smoke had increased cough and decreased lung function compared with children not exposed to secondhand smoke (He et al., 2011), and a study from Finland found that children of mothers who smoked combustible tobacco cigarettes during pregnancy were more likely to have increased airway resistance than children of mothers who did not smoke (Kalliola et al., 2013)

The tobacco in cigarettes exported from the United States is not subject to the higher duties on tobacco used in U.S.-made cigarettes sold in the United States if the manufacturers imported leaf exceeds a government-set cap

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