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[20] [21] In a 2010 report, Kyoto Prefecture stated that the major goal of their anti-smoking policies is "to ensure that there is zero chance for people to suffer from second-hand smoke in Kyoto prefecture." [22] Women and smoking [edit] While a high percentage of men in Japan have smoked throughout the postwar years, the rate for women for many years hovered between 10 and 15%, followed by a decline in recent years to currently just below 10%

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This leaves your heart facing a dangerous double burden: it has to pump much harder, but it has less oxygen to do the job