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For a long time, nobody considered smoking as the thing that literally kills the person, it was more of a prestige to smoke

Dont Overlook the Headliner Many people skip the ceiling of the car (the headliner), but its one of the top surfaces where smoke tends to gather

Table 1 Deaths and DALYs of substance use in 1990 and 2021 at global levels

This suggested that the bodys response to chemical exposure, not the chemicals directly, was driving the cell damage observed