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In more expensive states like New York, daily spending hits almost $9, costing over $3,200 per year on cigarettes alone

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Furthermore, CO in the cigarette smoke binds to haemoglobin replacing oxygen with COHb up to 7%15% and this shifts the oxygen dissociation curves to left and will reduce oxygen availability to tissues.[13] Strong affinity of CO for binding to haemoglobin (250 times more than that of oxygen) can be offset by allowing the patients to breath 100% oxygen before anaesthesia induction

Tobacco industry denormalisation as a tobacco control intervention: a review