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Enough cigarettes in fact that, by the time they met their end my grandfather had had a stroke which resulted in an inability to speak, and my grandmother had had 13 tumors, her left lung, and part of her brain removed resulting in her conviction that Osama Bin Laden was hiding in the bushes outside of her hospice window

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(from an October 1930 newspaper ad)

GBD 2019 modeling strategies for estimating DALYs have been described in detail elsewhere [14, 15]

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