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Lastly, consider the origin of the cigar

Here is more context: many women greatly fear breast cancer, but more women die of lung cancer each year, and smoking is responsible for 90% of lung cancer deaths

The health effects of consistent low-intensity smoking, however, have not been well studied and many smokers believe that low-intensity smoking does not affect their health

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However, unlike this current study, a study of over 45000 secondary school students in Hong Kong found that e-cigarette users had significantly higher odds of having respiratory symptoms than non-e-cigarette users regardless of smoking status 21