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Because everything he says is surrounded by smoke

Myanmar , at 42.3%, ranks so high partly because the WHO measure captures smokeless and oral tobacco and traditional forms like cheroot and betel quid, which run deep in local custom and would be invisible to a cigarette-only count

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Therefore, in order to detect a reduction in inhaled volume of 50 ml per cigarette (equivalent to one fewer cigarette per day for a 10-a-day smoker) with 80% power at an alpha level of 5%, we will recruit 128 participants