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Once the course is started, the participant will have 90 days to complete it, at which time the course will be deactivated."

Historical Context and Current Challenges Fire service history underscores the persistent challenge of smoke-related fatalities, which have been a significant cause of death for both civilians and firefighters throughout the centuries

Finally, although our smoking-associated mortality hazard ratios were adjusted for several factors as in a prior study, there remains the possibility of unmeasured confounding of the relationship between smoking and mortality [29]

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