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Exhalation valves let unfiltered air out, which is acceptable for personal protection but not ideal if you also want to limit spread of respiratory illness

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Tobacco smoking: the leading cause of preventable disease worldwide

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Or better yet, the fact that after decades of advertising, including commercials featuring gruesome lung surgeries and people breathing out of holes in their throats, smoking rates have plummeted in this country (if it weren't for vaping, teen smoking was increasingly a non-factor)