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Participants in clinical trials are encouraged to completely switch from cigarettes to e-cigarettes to minimize dual use, which has been shown to be harmful and may make it harder to quit tobacco use, says Maya Vijayaraghavan, MD, a professor in the Department of Medicine at the University of California San Francisco (UCSF) School of Medicine and the director of the UCSF Smoking Cessation Leadership Center

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Thus, to estimate trends in lung cancer death rates by smoking status, the researchers needed another way to determine the age-specific trends in lung cancer deaths attributed to smoking, and unrelated to smoking

Therefore, there are no comprehensive studies of the effects of vaporizing e-cigarette juice and inhaling the vapors into ones lungs, and the long-term effects are still largely unknown

Furthermore, out of 31 states, less than fifty percent of mental rehab facilities have smoke-free zones, while less than half of facilities offering rehabilitation for substance use disorder declared to have smoke-free campuses as well