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Bot fact check response An xAI-led bot, Grok, reviewed the viral claim
It is silent because there typically are not any symptoms
Correction 20 May 2025: This article has been updated to amend the description of Dr Misra-Sharp and replace a reference to a 90% five year mortality rate for lung cancer with figures from Cancer Research which explain that around 20% of people in England with lung cancer will survive for 5 years or more.
According to Keep Britain Tidy research, smoking related litter is the most prevalent form of litter in England, making up 68% of all littered items and found on around 80% of surveyed sites
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