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That made it difficult to assess whether the carcinogen found in the urine was actually from the e-cigarette use or from the cigarette use. Further research is needed, said Bjurlin, who wants to determine the threshold of exposure to carcinogens that would lead to development of bladder cancer or other cancer types

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Public health advocates should therefore actively pursue counter-marketing campaigns that highlight the many risks of tobacco use. She said WHO was supporting countries to scale-up programmes to help people quit tobacco, especially at the primary health care and community levels, adding that support to quit was available in primary health care facilities in 11 countries and in Angola, Botswana and Zambia these services are offered at no cost to consumers

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