In pulmonology terms, if you smoke a pack a day for a year, that’s a “pack year”. Two packs a day in a year would be two pack-years.
After 30 pack-years of damage there is a measurable difference in pulmonary function (forced expiratory volume or FEV) in old age that is unrecoverable.
183 cigs a year, or just over 9 packs, will not have any measurable impact. It would take 1216 years of living in Paris to get measurable damage.
My brother smoked pack a day since age 23, and lived to age 83, and died of a heart attack from gaining too much weight. No lung cancer.