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A cigarette in your hand

Secondly, the study only focused on the tobacco-attributable disease burdens from 1990 to 2017 and lacked the data for smoking and chewing tobacco prevalence and SHS exposure

In addition, longitudinal data on the medium- and long-term effects of exclusive and combined use of these products remain scarce, with the first observational studies showing an increased risk of lung cancer and other diseases in EC users and dual users 16,17

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