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The most authoritative answer is that smoking significantly increases the risk of developing dementia

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Tobacco has been grown in the Caribbean for thousands of years, with the indigenous Tano people cultivating it for ceremonial and medicinal purposes long before the arrival of European explorers

Light smoking (less than 10 cigarettes per day) was the largest category at 40.4%, followed by moderate smoking (10 to 19 cigarettes per day) at 38.0%, and heavy smoking (more than 20 cigarettes per day) at 21.1%

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Eur J Clin Microbiol Infect Dis (2012) 31(4):37988