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A 2021 Chronicle of Philanthropy article by Marc Gunther questioned whether the billionaires anti-vaping zeal has done more harm than good

Around 10% of all cardiovascular disease deaths worldwide are attributed to tobacco use, and tobacco use is a leading cause of cardiovascular disease

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"The earliest written description of smoking was in 1573..." Clay pipes excavated and dated by the Cambridge Archaeological Field Group showed, "By 1750 pipes with masonic arms, public house symbols and military regimental badges were all being made." Some pipes were often decorated for advertising purposes or to commemorate special events