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[4] [5] [21] [19] Scientific conclusions [edit] According to the 2004 Surgeon General's report, "Smoking cigarettes with lower machine-measured yields of tar and nicotine provides no clear benefit to health." [22] The tobacco industry's own internal documents also reveal that cigarette manufacturers are aware of the difference between machine-measured levels of nicotine and tar, and those actually inhaled by smokers

The effects of tobacco smoking vary, but may include: What are the effects of second-hand smoke

Thus, according to Ipsen, Italians peculiar relationship with notions of risk produced a smoking culture that was reticent to reform in light of increased scientific, medical, and public awareness of the health hazards posed by cigarette use, culminating in the rise of an antismoking era that lagged behind American and British responses to the public health crisis posed by cigarettes

non smoking sites say this is caused by nicotine I now doubt that this is true and is most likely caused by tar