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That same combustion process that burns the tobacco and paper also produces a toxic cloud of carcinogens that directly harm lung tissue, says Narjust Florez, MD, a thoracic medical oncologist at Dana-Farber Cancer Institute, co-director at the Young Lung Cancer Program, and assistant professor of medicine at Harvard Medical School

doi:10.1136/tc.2005.015297 Jacquemin B, Siroux V, Sanchez M, Carsin A, Schikowski T, Adam M et al (2015) Ambient air pollution and adult asthma incidence in six European cohorts (ESCAPE)