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No concrete evidence of exactly what they smoked exists, but the most probable theory is that the tobacco was much stronger, consumed in extreme amounts, or was mixed with other, unknown psychoactive drugs
These types of smoking devices can be incredibly complex, including percolators and ice cooling mechanisms to improve the user experience
"There was a lot of political pressure, there were a lot of connections of the tobacco industry into government, some of our leading politicians, documents show, had friendly relations with the tobacco industry at the time and so I think that they were reluctant to act against an industry which was in their own words, just another business."
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