Causes emphysema (smoking causes damage by stimulating immune cells that then damage alveoli creating less surface area, thus less O2, thus making it harder to breathe) and chronic bronchitis (tiny particles of tar in cigarettes cause inflammation of bronchioles making it harder to breathe.) Contains tar (damage cilia, bad for oral health), nicotine (highly addictive/makes you want to smoke more, causes higher blood pressure and may lead to heart attack) and carbon monoxide (harmful chemical, makes fetus have lower birth weight and binds to haemoglobin, preventing O2 from binding to haemoglobin).