Emphysema Causes. Cigarette smoking is by far the most dangerous behavior that causes people to develop emphysema, and it is also the most preventable cause. Other risk factors include a deficiency of an enzyme called alpha-1-antitrypsin, air pollution, airway reactivity, heredity, male sex, and age. The importance of cigarette smoking as a risk factor for developing emphysema cannot be overemphasized. Cigarette smoke contributes to this disease process in two ways.
Northern Virginia map - Virginia county, city, map with roads. Arlington County, Alexandria City. Arlington and the city of Alexandria Virginia are close to Washington DC, inside the beltway.
Ralph S. Northam (b. September 13, 1959, in Nassawaddox, Virginia) is the 40th and current Virginia lieutenant governor. He took office on January 11, 2014. Northam won the November 5, 2013, election for the position of lieutenant governor. He defeated Aneesh Chopra in the Democratic primary election on June 11, 2013, and faced Republican nominee E.W. Jackson in the general election.