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A sudden jump in the incidence is occurring in the age group of 18-22. This needs a workup of the causative factors and their possible correction. In an unpublished but accepted study, we found an incidence of 3.5% in the school female children in the age group of 15-17. A sudden jump in the incidence is occurring in the age group of 18-22. This needs a workup of the causative factors and their possible correction. Globally chronic obstructive pulmonary disease (COPD) was reported as the fourth leading cause of death (5.1%) in 2004 an