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The use of tobacco spread rapidly among colonists and despite early criticism, the practice of smoking grabbed hold of Europe

The rate in 2021 was particularly high in relation to current trends and it is possible that there were some problems with the sampling / participation in the survey among Hull residents, and potentially other years too

Also, people who smoked at the time of colon cancer diagnosis were 47 percent more likely to have a recurrence of colon cancer or to die from the disease

These symptoms can be severe, particularly for long-time frequent smokers, and they can make it easy to relapse and start smoking again