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Smoking is still the primary, causal risk factor leading to COPD, but environmental exposures, such as exposure to biomass fuel combustion, air pollution, and occupational exposures, and poor lung development (both pre- and post-natal) are increasingly recognized as important causes of COPD [3, 12]

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They have been named Winston and Ralph by the college's animal centre manager, Helen Pearson, who used the names of her childhood gerbils