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Or are people just substituting one harmful habit with an equally harmful or even worse one

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The letter called health evidence about the risks of smoking controversial and noted that plenty of smokers live a long life. The letter was obtained by Judith Mackay, a Hong Kong-based anti-smoking advocate, who shared a translation of it with The Examination

Conditional recommendations Conditional recommendations are those for which the desirable effects probably outweigh the undesirable effects (conditional recommendation in favour of an intervention) or undesirable effects probably outweigh the desirable effects (conditional recommendation against an intervention) but appreciable uncertainty exists