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The mean RR of breast cancer at 20 pack-years was 1.17 (1.041.31

Scientific studies demonstrate that cigarette smoke combined with asbestos exposure creates a synergistic effect that exponentially increases disease risk: Smokers with asbestos exposure are 50-80 times more likely to develop lung cancer than non-exposed smokers Tobacco smoke significantly impairs the lungs ability to clear foreign particles Cigarette toxins prevent effective removal of asbestos fibers from respiratory tissue Combined exposure accelerates cellular damage and cancerous transformation Even decades after smoking Kent cigarettes, the elevated risk of developing mesothelioma from smoking or asbestos-related lung cancer remains throughout a former smokers entire lifetime

Coupled with the federal cigarette tax of $1.01 per pack, total cigarette-specific taxes range from $1.18 per pack in Missouri to $6.86 per pack in New York City

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Both have detrimental effects, but in different ways