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Long-term smoking can contribute to chronic inflammation and damage to the vocal cords, resulting in more severe voice disorders that may require medical intervention or voice therapy

The measure was defeated by a vote of 53% to 47%

CHARLIE SHEEN: It is what it is

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The issue, known as Tobacco 21, focuses on raising the smoking age from 18 to 21, a concept thats supported by the American Heart Association as well as a company many people blame for a teen vaping epidemic

Evidence from youth advocacy forums show they want just the facts to allow them to make up their own mind about tobacco, rather than being told the rights and wrongs of tobacco use