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While mortality, hospitalizations, and disease severity are important measures of COPD burden, assessment of the quality of life of individuals with COPD is an accepted major outcome in observational trials of COPD as it readily captures the impact of disease on daily life and is a reliable predictor of disease progression and mortality

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[7] Australia, with the enactment of the Tobacco Plain Packaging Act on 12 December 2011, [8] became the first country in the world to require tobacco products to be sold in plain packaging