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At the same time, older meta-analyses failed to establish a clear association between cannabis smoking and lung cancer, largely because of inconsistent exposure assessment and heavy overlap with tobacco smoking (Pradre et al., 2026)

It's hard to believe that there was once a time when cigarette companies actually had doctors endorsing their products, but studies didn't start linking smoking and lung cancer until the 1940's and 1950's, and it wasn't until 1964 that the US Surgeon General actually concluded that "cigarette smoking is a cause of lung and laryngeal cancer in men, a probable cause of lung cancer in women, and the most important cause of chronic bronchitis in both sexes"

The Bottom Line Like any refined skill, pipe smoking takes patience and practice

It is important to consider this history when displaying or collecting vintage cigarette advertising