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If you're going to talk the talk, then you have to walk the walk, said Lynn Nicholas, president and chief executive officer of the Massachusetts Hospital Association, which hung out the no-smokers-need-apply sign two years ago

Together, these efforts have fundamentally changed public attitudes and behavior and created a social norm that discourages smoking

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According to a study by Harvard Medical School, smoking is associated with an increased risk of dementia, including Alzheimers disease, due to the narrowing of blood vessels and reduced blood flow to the brain

It concluded that smoked cigarette butts, both filtered and unfiltered, were acutely toxic to the representative marine and freshwater fish