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@@@ "That's obviously an immense number," Rostron told  in a phone interview. "It's continuing to be a problem. Even if people are former smokers, they have lasting lung damage."

Chronic obstructive pulmonary disease (COPD) tops the list of the most common medical conditions reported, with 4.3 million cases, followed by heart attacks, diabetes, strokes and cancers. The researchers were surprised that the cancer linked to smoking is not related on lungs alone, as some of the respondents were diagnosed with cancer of internal organs near the lungs.

"The implication is that smoking causes more harm than we previously thought, much of it in chronic pulmonary obstructive disease," Dr. Steven Schroeder, a professor of medicine at University of California, San Francisco and head of its Smoking Cessation Leadership Center, told . "When you think about how smoking hurts you, people usually think about deaths first, and then those who are sick. There is much more lifetime illness related to smoking."

The study also showed that smoking-related illnesses were almost the same between men and women, despite the knowledge that fewer women smoke. Researchers believe that women became vulnerable due to second-hand smoke.

The researchers believe that there is hope yet in lowering these numbers, as smoking is not a permanent habit. They encourage smokers to seek help to quit smoking effectively once and for all.

The study was published in the Oct. 13 issue of

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