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But inside, a nonstop industrial ballet plays out across 190,000 square feet of factory floor: Massive rolls of paper unspool before me, waiting to be watermarked with a logo then trimmed to rolling size, edged at a rate of hundreds of yards per minute with a thin line of natural Kenyan acacia gum that (once licked) will hold the joint together, and packed into a tight and tidy booklet of thirty-two or so leaves

Regular exposure to environmental pollutants, exposure to secondhand smoke, and alpha-1 antitrypsin deficiency are all known contributing factors to the disease

doi:10.1136/tobaccocontrol-2016-053564 25

They delve deep into the issues that smokers often face, the most noticeable being smokers lip