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pack year history = number of packs per day X number of years smoking For example, 1 pack year is equal to smoking 20 cigarettes (1 pack) per day for 1 year, or 40 cigarettes per day for half a year, and so on

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Nazi Germany was governed by a health-conscious political elite bent on European conquest and genocidal extermination, writes Stanford researcher Robert Proctor in his book, The Nazi War on Cancer , and tobacco at the time was viewed as one among many threats to the health of the chosen folk. In 1939, German scientist Franz Mller presented the first epidemiological study linking tobacco use and cancer